背脊颈骨上下及胸胁两肩背臂之痧，用钱蘸香油刮之。头额腿上痧，用棉纱线或KT 麻蘸香油
刮之。大小腹软肉内痧，用食盐以手擦之。
脖项后当中洼处刮一道，脖项后两旁左右大筋上各刮一道，前身两肩下胁上软肉缝中各斜刮
一道，两胁肋软缝中左右各刮三道，左右肩靠着肩井软肉处各刮一道，背脊骨两旁竖刮，自项下
至腰各刮一道，背后胁肋软缝中左右各刮三道。以上皆用钱蘸盐水刮之。两臂内用KT 麻一缕，捻松
绳蘸水刮之，但要出痧红紫为度。诸穴并
治一切痧症，唯KT 麻刮臂湾，专治眩晕恶心痧。若非病症，刮之亦不红紫。
松峰曰∶前刮痧法出《痧胀玉衡》书。新定刮痧法乃屡用而屡效者，并录之以备择用。
肌肤痧用油盐水刮之，则毒不内攻。血肉痧看青紫筋刺之，则毒有所泄。内形痧须辨经络
脏腑，在气在血，则可消散而绝其根。（此段言当用药。）
足太阳膀胱痧，腰背巅顶连风府胀痛难忍。
足阳明胃经痧，两目红赤如桃，唇干鼻燥，腹中绞痛。
足少阳胆经痧，胁肋肿胀痛，连两耳。
足太阴脾经痧，腹胀版痛，且不能屈伸，四肢无力，泻不止。
足厥阴肝经痧，心胃吊痛，身重难移，作肿（身上。）作胀。（腹内。）
足少阴肾经痧，痛连腰肾，小腹胀硬。
手太阳小肠经痧，半身疼痛，麻木不仁，左足不能屈伸。
手阳明大肠经痧，半身胀痛，俯仰俱废，右足不能屈伸。
手少阳三焦经痧，胸腹热胀，揭去衣被，干燥无极。
手太阴肺经痧，咳嗽声哑，气逆发呛。
手厥阴心包络痧，或醒或寐，或独语一二句。
手少阴心经痧，病重沉沉，昏迷不醒，或狂言乱语。
对于背部脊柱、颈部骨骼上下方，以及胸部、胁部、双肩、背部和手臂上的痧症，使用铜钱蘸取香油进行刮拭。头部、额头、腿部出现的痧症，使用棉纱线或苎麻（KT麻）蘸取香油进行刮拭。大腹和小腹柔软肌肉内的痧症，用食盐直接用手擦拭。
在脖子后方正中的凹陷处刮出一道痕迹；脖子后方两侧的大筋上各刮出一道痕迹；身体前侧两肩下方、胁肋上方的柔软肌肉缝隙中，各斜向刮出一道痕迹；两胁肋部的柔软缝隙中，左右各刮三道痕迹；左右肩膀靠近肩井穴的柔软肉处各刮一道痕迹；背部脊柱两旁竖向刮拭，从颈部下方至腰部各刮一道痕迹；背后胁肋部的柔软缝隙中，左右各刮三道痕迹。以上部位均使用铜钱蘸取盐水进行刮拭。两臂内侧使用一缕苎麻（KT麻），捻成松散的绳子蘸水刮拭，以皮肤出现红紫色的痧点为度。上述穴位和方法可以治疗所有的痧症，唯独使用苎麻刮拭肘窝（臂湾），专门治疗引起眩晕和恶心的痧症。如果不是病症，刮拭后也不会出现红紫色。
刘松峰说：前面的刮痧法出自《痧胀玉衡》一书。新制定的刮痧法是经过多次使用且屡试屡效的方法，现一并记录以供选择使用。
肌肤层面的痧症，用油盐水刮拭，则毒邪不会向内攻陷。血肉层面的痧症，观察青紫色的筋络并刺破，则毒邪得以宣泄。内形痧症必须辨别所属的经络和脏腑，区分是在气分还是在血分，这样才能使病邪消散并断绝病根。（这段文字说明应当配合药物治疗。）
足太阳膀胱经的痧症，表现为腰背及头顶连及风府穴处胀痛难忍。
足阳明胃经的痧症，表现为双眼红赤如桃子，嘴唇干燥，鼻孔燥热，腹部绞痛。
足少阳胆经的痧症，表现为胁肋肿胀疼痛，牵连双耳。
足太阴脾经的痧症，表现为腹胀且僵硬疼痛，不能屈伸，四肢无力，腹泻不止。
足厥阴肝经的痧症，表现为心胃部牵引性疼痛，身体沉重难以移动，身上作肿，腹内作胀。
足少阴肾经的痧症，表现为疼痛牵连腰部和肾脏，小腹胀硬。
手太阳小肠经的痧症，表现为半身疼痛，麻木不仁，左脚不能屈伸。
手阳明大肠经的痧症，表现为半身胀痛，俯仰动作全部废用，右脚不能屈伸。
手少阳三焦经的痧症，表现为胸腹部热胀，掀去衣被，极度干燥。
手太阴肺经的痧症，表现为咳嗽声哑，气逆引发呛咳。
手厥阴心包络的痧症，表现为时而清醒时而睡眠，或者独自说一两句胡话。
手少阴心经的痧症，表现为病情沉重昏沉，昏迷不醒，或者胡言乱语。
For sha (sand disease) located on the back of the spine, above and below the cervical vertebrae, as well as in the chest, hypochondrium, both shoulders, back, and arms, scrape using a copper coin dipped in sesame oil. For sha on the head, forehead, and legs, use cotton yarn or ramie (KT hemp) dipped in sesame oil to scrape. For sha within the soft flesh of the lower and upper abdomen, rub with salt using the hand.
Scrape one line down the central depression at the back of the neck; scrape one line on each of the large tendons on both sides at the back of the neck; scrape one diagonal line in the soft flesh creases below both shoulders and above the hypochondrium on the anterior body; scrape three lines on each side in the soft creases of the bilateral hypochondriac ribs; scrape one line on the soft flesh area where each shoulder meets near the Jianjing (GB21) acupoint; scrape vertically along both sides of the spinal column, one line from below the neck to the waist; scrape three lines on each side in the soft creases behind the hypochondriac ribs. All the aforementioned areas are scraped using a copper coin dipped in salt water. For the inner aspect of both arms, use a strand of ramie (KT hemp), twisted into a loose rope, dipped in water to scrape, until red-purple sha marks appear. The aforementioned acupoints and methods treat all types of sha syndrome. Specifically, scraping the cubital fossa (arm bend) with ramie treats sha causing dizziness and nausea. If it is not a pathological condition, scraping will not produce red-purple marks.
Liu Songfeng stated: The previous method of scraping sha was derived from the book *Shazhang Yuheng*. The newly defined scraping method has been used repeatedly with consistent efficacy; it is recorded here for reference and selection.
For sha affecting the skin and muscles, scraping with oil and salt water prevents the pathogenic toxin from attacking inward. For sha affecting the flesh and blood, observe the cyanotic purple veins and puncture them, allowing the pathogenic toxin to be discharged. For internal-form sha, one must differentiate the involved meridians and zang-fu organs, and determine whether the pathology lies in the qi level or the blood level, so that the pathogen can be dissipated and its root eradicated. (This passage indicates that medicinal treatment should be employed.)
Sha of the Foot-Taiyang Bladder Meridian presents with unbearable distending pain in the lower back, back, vertex, and connecting to the Fengfu (GV16) acupoint.
Sha of the Foot-Yangming Stomach Meridian presents with eyes red and swollen like peaches, dry lips, dry nasal passages, and colicky abdominal pain.
Sha of the Foot-Shaoyang Gallbladder Meridian presents with swelling and pain in the hypochondrium radiating to both ears.
Sha of the Foot-Taiyin Spleen Meridian presents with abdominal distension and stiff pain, inability to flex or extend, weakness in the four limbs, and incessant diarrhea.
Sha of the Foot-Jueyin Liver Meridian presents with pulling pain in the heart and stomach, heaviness of the body making movement difficult, edema of the body, and distension of the abdomen.
Sha of the Foot-Shaoyin Kidney Meridian presents with pain radiating to the lower back and kidneys, and hardness and distension of the lower abdomen.
Sha of the Hand-Taiyang Small Intestine Meridian presents with pain and numbness in half of the body, and inability to flex or extend the left foot.
Sha of the Hand-Yangming Large Intestine Meridian presents with distending pain in half of the body, inability to bend or straighten, and inability to flex or extend the right foot.
Sha of the Hand-Shaoyang Sanjiao (Triple Burner) Meridian presents with heat and distension in the chest and abdomen, a desire to remove clothing and bedding, and extreme dryness.
Sha of the Hand-Taiyin Lung Meridian presents with coughing and hoarseness, rebellious qi causing choking sensations.
Sha of the Hand-Jueyin Pericardium Meridian presents with alternating states of wakefulness and sleep, or speaking isolated sentences alone.
Sha of the Hand-Shaoyin Heart Meridian presents with severe lethargy, coma, or delirious speech.