What should I do if there are hard lumps or lumps after scraping

After scraping, the appearance of hard lumps and lumps can be relieved through hot compress, observation of changes, adjustment of techniques, avoidance of infection, and medical examination. Local hard lumps or lumps after scraping are usually caused by capillary rupture, excessive operation force, skin sensitivity, local congestion, secondary infection, and other reasons.

1. Heat compress relief

Use a warm towel to apply to the hard area, with a temperature controlled at 40-45 degrees Celsius, for 15-20 minutes each time. Hot compress helps promote local blood circulation and accelerate the absorption of blood stasis. Be careful to avoid scalding the skin from high temperatures, and keep the skin dry after applying heat. If the hard lump is accompanied by redness, swelling, heat and pain, the hot compress should be paused.

2. Observation of changes

When the diameter of the hard block is less than 3 centimeters and there is no progressive increase, it can be observed for 3-5 days. Normal sha bao will gradually fade and dissipate with the metabolism of blood stasis, and its color will change from purple red to green yellow until it disappears. If the hard lump persists for more than a week or is accompanied by an increase in skin temperature and pulsating pain, it may indicate the presence of abnormal conditions.

3. Adjust the technique

During subsequent scraping, the scraping force should be controlled, and light to moderate pressure should be used. Single site scraping should not exceed 30 times. Choose a scraping board with rounded edges and scrape along the muscle texture in one direction to avoid repeated scraping in the same area. The strength of thin and tender skin such as neck and inner arm should be reduced, and patients with diabetes and the elderly should be more cautious.

4. Avoid infection

Within 24 hours after scraping, avoid contact with sewage or the use of irritating skincare products. You can use iodine swabs to disinfect the local skin, 1-2 times a day. If the skin of the sha bag is damaged, it should be covered with sterile dressing. Do not scratch or squeeze hard blocks, the water temperature should not be too high during bathing, and dry the skin promptly after bathing.

5. Medical examination

When a hard lump is accompanied by continuous swelling and pain, skin ulceration, fever, or lymph node enlargement, it is necessary to seek medical attention promptly at a dermatologist. It may be related to subcutaneous hematoma organization, capillary inflammation, or bacterial infection. Doctors may prescribe Yunnan Baiyao aerosol for external use, or oral antibiotics such as cefaclor capsules. Ultrasound examination can identify the presence of deep tissue damage. After scraping, loose cotton clothing should be worn to reduce friction, and vigorous exercise and alcohol consumption should be avoided within 48 hours. Daily intake of vitamin C tablets can promote vascular repair, and consuming iron rich foods such as spinach and pig liver can help with hematopoiesis. If there are obvious lumps repeatedly, it is recommended to suspend scraping and consult a traditional Chinese medicine practitioner to adjust the constitution. The frequency of guasha should not exceed 2 times a week, and during the treatment period, maintain a regular daily routine to avoid staying up late and affecting metabolic function.