So, ONE of the purposes of facial gua sha is to clear lymph. If you want to focus on this then you concentrate more on stroking downwards. This is because our lymph drains into an area called “terminus” in the little dips right above the middle of each collarbone. The direction of the lymphatic pathways on the face are from the centre of the face, out toward the hairline, so we want to move all of the waste to the outer edges of the face and then sweep it all down the neck to dump it above the collarbone. Don’t worry too much, if you then want to also work upwards, that is not going to undo your hard work. Lymph cannot move on its own, but it will naturally move towards the area of the body it is supposed to. Only muscular contraction can move lymph, which is one of the reasons a sedentary lifestyle is so harmful.