The scraping is a sign that she has a parasite such as ich or flukes. Hippo tangs have a thin slime coat so they are more prone to getting parasites compared to fish like clowns. The key will be to identify which parasite you have by examining the fish closely. Most common ones to look for are ich, velvet, and flukes but I doubt it is velvet since velvet is very fast killing.
Many people will say that QT is not necessary but I would personally treat with either chelated copper such as copper power, for ich and velvet, as tangs do not do great with copper typically but I have had lots of success using this form of copper over ionic. For flukes you can do hyposalinity, formalin, or prazi. Freshwater bath too but freshwater baths stress me out so I avoid them.
If it is just ich then some will say that there is no need for QT. A healthy diet and low stress will allow the fish to fight off the parasite itself but if the condition worsen, ie fish is full of spots, extremely heavy breathing and looks in really bad shape, then I would get a QT tank and treat. It is up to what you are willing to do but I personally QT all my fish just to be sure incase some small stress event takes place no parasites will take over. I healthy diet in my opinion would include nori seaweed, frozen mysis, and high quality pellets, fauna marin and new spectrum are my favourites. Using a vitamin supplement such as selcon, vitachem, or food energizer would be recommended as well.
If you choose to treat the parasite here is a link where you can find all the information you need. Humble fish has solid information and treatment plans that have worked for me in the past.
https://humble.fish/
Do not rush or do anything too quickly. The tang is not in a horrible condition and whatever parasite it has is not too bad yet. Unless you see that it is velvet then treatment right away is necessary because of how fast velvet can act. If you have corals or plan to do corals in the future no medications can go in the display aquarium. That's where setting up a QT tank and having it cycled and ready would be crucial.