Fire cupping
Encyclopedia
Cupping therapy is an ancient form of alternative medicine
Alternative medicine
Alternative medicine is any healing practice, "that does not fall within the realm of conventional medicine." It is based on historical or cultural traditions, rather than on scientific evidence....

 in which a local suction is created on the skin; practitioners believe this mobilizes blood flow in order to promote healing. Suction is created using heat (fire) or mechanical devices (hand or electrical pumps). It is known in local languages as baguan/baguar, badkesh, banki, bahnkes, bekam, buhang, bentusa, kyukaku, gak hoi, Hijamah, kavaa (ކަވާ), singhi among others.

Description

The air inside the cup is heated and the rim is then applied to the skin, forming an airtight seal. As the air inside the cup cools, it contracts, forming a partial vacuum and enabling the cup to suck the skin, pulling in soft tissue, and drawing blood to that area. Alternately, the suction is created by a hand-pump and blood is allowed to collect.

According to the American Cancer Society
American Cancer Society
The American Cancer Society is the "nationwide community-based voluntary health organization" dedicated, in their own words, "to eliminating cancer as a major health problem by preventing cancer, saving lives, and diminishing suffering from cancer, through research, education, advocacy, and...

, "[a]vailable scientific evidence does not support cupping as a cure for cancer or any other disease". It can leave temporary bruised painful marks on the skin and there is also a small risk of burns. Persons who claim this therapy to be beneficial report that it produces feeling of relaxation, invigoration and power.

History

There is reason to believe the practice dates from as early as 3000 B.C.; the earliest record of cupping is in the Ebers Papyrus
Ebers papyrus
The Ebers Papyrus, also known as Papyrus Ebers, is an Egyptian medical papyrus dating to circa 1550 BC. Among the oldest and most important medical papyri of ancient Egypt, it was purchased at Luxor, in the winter of 1873–74 by Georg Ebers...

, one of the oldest medical textbooks in the world. It describes in 1,550 B.C. Egyptians
Ancient Egypt
Ancient Egypt was an ancient civilization of Northeastern Africa, concentrated along the lower reaches of the Nile River in what is now the modern country of Egypt. Egyptian civilization coalesced around 3150 BC with the political unification of Upper and Lower Egypt under the first pharaoh...

 used cupping. Archaeologists have found evidence in China
China
Chinese civilization may refer to:* China for more general discussion of the country.* Chinese culture* Greater China, the transnational community of ethnic Chinese.* History of China* Sinosphere, the area historically affected by Chinese culture...

 of cupping dating back to 1,000 B.C. In ancient Greece
Ancient Greece
Ancient Greece is a civilization belonging to a period of Greek history that lasted from the Archaic period of the 8th to 6th centuries BC to the end of antiquity. Immediately following this period was the beginning of the Early Middle Ages and the Byzantine era. Included in Ancient Greece is the...

, Hippocrates
Hippocrates
Hippocrates of Cos or Hippokrates of Kos was an ancient Greek physician of the Age of Pericles , and is considered one of the most outstanding figures in the history of medicine...

 (c. 400 B.C.) used cupping for internal disease and structural problems. This method in multiple forms spread into medicine throughout Asian and European civilizations.

Cupping in Europe and the Middle East grew from humoral medicine
Humorism
Humorism, or humoralism, is a now discredited theory of the makeup and workings of the human body, adopted by Greek and Roman physicians and philosophers, positing that an excess or deficiency of any of four distinct bodily fluids in a person directly influences their temperament and health...

, a system of health ancient Greeks used to restore balance through the four "humors" in the body: blood, phlegm, yellow bile and black bile. This system was pervasive in European and Middle-East cultures at the time. Humoral medicine had a brief or short revival in European medicine in the 18th and 19th centuries, and cupping was used in this practice.

In the West, cupping therapy was part of the basic repertoire of clinical skills a doctor was expected to understand and practice until the latter part of the 19th century with some Eastern European countries such as in Poland
Poland
Poland , officially the Republic of Poland , is a country in Central Europe bordered by Germany to the west; the Czech Republic and Slovakia to the south; Ukraine, Belarus and Lithuania to the east; and the Baltic Sea and Kaliningrad Oblast, a Russian exclave, to the north...

 and Bulgaria
Bulgaria
Bulgaria , officially the Republic of Bulgaria , is a parliamentary democracy within a unitary constitutional republic in Southeast Europe. The country borders Romania to the north, Serbia and Macedonia to the west, Greece and Turkey to the south, as well as the Black Sea to the east...

 continuing to practice cupping therapy to the present. In parts of Western Europe there has been a recent upsurge in the interest from both public and academic perspectives. Scientific studies researching the effects of cupping therapy attempt to better understand the mechanisms underpinning this age old medical treatment. Societies like the British Cupping Society have contributed to its re-emergence as an alternative therapy.

Methods

Broadly speaking there are two types of cupping: dry cupping and bleeding or wet cupping (controlled medicinal bleeding) with wet cupping being more common. The British Cupping Society (BCS), an organisation promoting the practice, teaches both. As a general rule, wet cupping provides a more "curative-treatment approach" to patient management whereas dry cupping appeals more to a "therapeutic and relaxation approach". Preference varies with practitioners and cultures.

Dry cupping

The cupping procedure commonly involves creating a small area of low air pressure next to the skin. However, there is variety in the tools used, the method of creating the low pressure, and the procedures followed during the treatment.

The cups can be various shapes including balls or bells, and may range in size from 1 to 3 in (2.5 to 7.6 ) across the opening. Plastic and glass are the most common materials used today, replacing the horn, pottery, bronze and bamboo cups used in earlier times. The low air pressure required may be created by heating the cup or the air inside it with an open flame or a bath in hot scented oils, then placing it against the skin. As the air inside the cup cools, it contracts and draws the skin slightly inside. More recently, vacuum can be created with a mechanical suction pump acting through a valve located at the top of the cup. Rubber cups are also available that squeeze the air out and adapt to uneven or bony surfaces.

In practice, cups are normally used only on softer tissue that can form a good seal with the edge of the cup. They may be used singly or with many to cover a larger area. They may be used by themselves or placed over an acupuncture needle. Skin may be lubricated, allowing the cup to move across the skin slowly.

Depending on the specific treatment, skin marking is common after the cups are removed. This may be a simple red ring that disappears quickly, but more aggressive treatments can result in bruising. In general, the longer a cup is left on, the more of a circular mark is created. Usually treatments are not painful, but treatment is discontinued if the subject experiences more than minor discomfort.

Wet Cupping (Al-Hijamah or medicinal bleeding)

While the history of wet cupping may date back thousands of years, the first documented uses are found in the teachings of Prophet Muhammad
Muhammad
Muhammad |ligature]] at U+FDF4 ;Arabic pronunciation varies regionally; the first vowel ranges from ~~; the second and the last vowel: ~~~. There are dialects which have no stress. In Egypt, it is pronounced not in religious contexts...

 . According to Muhammad al-Bukhari
Muhammad al-Bukhari
Muhammad Ibn Ismail Ibn Ibrahim Ibn al-Mughirah Ibn Bardizbah al-Bukhari , popularly known as Bukhari or Imam Bukhari, , was a Sunni Islamic scholar of Persia...

, Muslim ibn al-Hajjaj Nishapuri and Ahmad ibn Hanbal
Ahmad ibn Hanbal
Ahmad bin Muhammad bin Hanbal Abu `Abd Allah al-Shaybani was an important Muslim scholar and theologian. He is considered the founder of the Hanbali school of fiqh...

, Muhammad approved of the Hijama (cupping) treatment.

In this alternative form of bloodletting
Bloodletting
Bloodletting is the withdrawal of often little quantities of blood from a patient to cure or prevent illness and disease. Bloodletting was based on an ancient system of medicine in which blood and other bodily fluid were considered to be "humors" the proper balance of which maintained health...

 or medicinal bleeding, also called blood cupping, a small scratch or incision is made with a lancet
Scalpel
A scalpel, or lancet, is a small and extremely sharp bladed instrument used for surgery, anatomical dissection, and various arts and crafts . Scalpels may be single-use disposable or re-usable. Re-usable scalpels can have attached, resharpenable blades or, more commonly, non-attached, replaceable...

 prior to the cupping, and the pressure difference extracts blood from the skin. Islamic traditional medicine uses this technique – called in Arabic
Arabic language
Arabic is a name applied to the descendants of the Classical Arabic language of the 6th century AD, used most prominently in the Quran, the Islamic Holy Book...

 Al-Hijamah or Hijamah - with a number of hadith
Hadith
The term Hadīth is used to denote a saying or an act or tacit approval or criticism ascribed either validly or invalidly to the Islamic prophet Muhammad....

 supporting its recommendation and use by the Islamic prophet Muhammad
Muhammad
Muhammad |ligature]] at U+FDF4 ;Arabic pronunciation varies regionally; the first vowel ranges from ~~; the second and the last vowel: ~~~. There are dialects which have no stress. In Egypt, it is pronounced not in religious contexts...

. As a result, the practice of cupping therapy has survived in Muslim countries.

Alernatively, mild suction is created using a cup and a pump (or heat suction) on the selected area and left for about three minutes. The cup is then removed and small superficial skin incisions are made using a cupping scalpel. A second suction is used to carefully draw out a small quantity of blood. The procedure was piloted and developed by Ullah et al 2005 and has been endorsed by the British Cupping Society which aims to promote, protect and develop professional standards in cupping therapy.

Traditional Chinese medicine cupping

In traditional Chinese medicine
Traditional Chinese medicine
Traditional Chinese Medicine refers to a broad range of medicine practices sharing common theoretical concepts which have been developed in China and are based on a tradition of more than 2,000 years, including various forms of herbal medicine, acupuncture, massage , exercise , and dietary therapy...

 (TCM) cupping is a method of applying acupressure by creating a vacuum on the patient's skin to dispel stagnation—stagnant blood and lymph, thereby improving qi
Qi
In traditional Chinese culture, qì is an active principle forming part of any living thing. Qi is frequently translated as life energy, lifeforce, or energy flow. Qi is the central underlying principle in traditional Chinese medicine and martial arts...

 flow—to treat respiratory
Respiration (physiology)
'In physiology, respiration is defined as the transport of oxygen from the outside air to the cells within tissues, and the transport of carbon dioxide in the opposite direction...

 diseases such as the common cold
Common cold
The common cold is a viral infectious disease of the upper respiratory system, caused primarily by rhinoviruses and coronaviruses. Common symptoms include a cough, sore throat, runny nose, and fever...

, pneumonia
Pneumonia
Pneumonia is an inflammatory condition of the lung—especially affecting the microscopic air sacs —associated with fever, chest symptoms, and a lack of air space on a chest X-ray. Pneumonia is typically caused by an infection but there are a number of other causes...

 and bronchitis
Bronchitis
Acute bronchitis is an inflammation of the large bronchi in the lungs that is usually caused by viruses or bacteria and may last several days or weeks. Characteristic symptoms include cough, sputum production, and shortness of breath and wheezing related to the obstruction of the inflamed airways...

. Cupping also is used on back, neck, shoulder and other musculoskeletal conditions. Its advocates say it has other applications, as well.

Limited bruising cupping massage

New silicone cupping therapy massage cups are available, an innovation for cupping therapy and its wider acceptance. "Medical silicone" cups are claimed to alleviate deep bruising associated with traditional cupping. The cups allow for added new massage techniques because they are simple to use and are pliable, unlike glass or plastic.

Practice

Cupping is used to 'treat' a broad range of medical conditions such as; blood disorders (anaemia, haemophilia), rheumatic diseases (arthritic joint and muscular conditions), fertility and gynaecological disorders, skin problems (eczema, acne) and is claimed by proponents to help general physical and psychological well-being.

Sources


External links

Cupping therapy is an ancient form of alternative medicine
Alternative medicine
Alternative medicine is any healing practice, "that does not fall within the realm of conventional medicine." It is based on historical or cultural traditions, rather than on scientific evidence....

 in which a local suction is created on the skin; practitioners believe this mobilizes blood flow in order to promote healing. Suction is created using heat (fire) or mechanical devices (hand or electrical pumps). It is known in local languages as baguan/baguar, badkesh, banki, bahnkes, bekam, buhang, bentusa, kyukaku, gak hoi, Hijamah, kavaa (ކަވާ), singhi among others.

Description

The air inside the cup is heated and the rim is then applied to the skin, forming an airtight seal. As the air inside the cup cools, it contracts, forming a partial vacuum and enabling the cup to suck the skin, pulling in soft tissue, and drawing blood to that area. Alternately, the suction is created by a hand-pump and blood is allowed to collect.

According to the American Cancer Society
American Cancer Society
The American Cancer Society is the "nationwide community-based voluntary health organization" dedicated, in their own words, "to eliminating cancer as a major health problem by preventing cancer, saving lives, and diminishing suffering from cancer, through research, education, advocacy, and...

, "[a]vailable scientific evidence does not support cupping as a cure for cancer or any other disease". It can leave temporary bruised painful marks on the skin and there is also a small risk of burns. Persons who claim this therapy to be beneficial report that it produces feeling of relaxation, invigoration and power.

History

There is reason to believe the practice dates from as early as 3000 B.C.; the earliest record of cupping is in the Ebers Papyrus
Ebers papyrus
The Ebers Papyrus, also known as Papyrus Ebers, is an Egyptian medical papyrus dating to circa 1550 BC. Among the oldest and most important medical papyri of ancient Egypt, it was purchased at Luxor, in the winter of 1873–74 by Georg Ebers...

, one of the oldest medical textbooks in the world. It describes in 1,550 B.C. Egyptians
Ancient Egypt
Ancient Egypt was an ancient civilization of Northeastern Africa, concentrated along the lower reaches of the Nile River in what is now the modern country of Egypt. Egyptian civilization coalesced around 3150 BC with the political unification of Upper and Lower Egypt under the first pharaoh...

 used cupping. Archaeologists have found evidence in China
China
Chinese civilization may refer to:* China for more general discussion of the country.* Chinese culture* Greater China, the transnational community of ethnic Chinese.* History of China* Sinosphere, the area historically affected by Chinese culture...

 of cupping dating back to 1,000 B.C. In ancient Greece
Ancient Greece
Ancient Greece is a civilization belonging to a period of Greek history that lasted from the Archaic period of the 8th to 6th centuries BC to the end of antiquity. Immediately following this period was the beginning of the Early Middle Ages and the Byzantine era. Included in Ancient Greece is the...

, Hippocrates
Hippocrates
Hippocrates of Cos or Hippokrates of Kos was an ancient Greek physician of the Age of Pericles , and is considered one of the most outstanding figures in the history of medicine...

 (c. 400 B.C.) used cupping for internal disease and structural problems. This method in multiple forms spread into medicine throughout Asian and European civilizations.

Cupping in Europe and the Middle East grew from humoral medicine
Humorism
Humorism, or humoralism, is a now discredited theory of the makeup and workings of the human body, adopted by Greek and Roman physicians and philosophers, positing that an excess or deficiency of any of four distinct bodily fluids in a person directly influences their temperament and health...

, a system of health ancient Greeks used to restore balance through the four "humors" in the body: blood, phlegm, yellow bile and black bile. This system was pervasive in European and Middle-East cultures at the time. Humoral medicine had a brief or short revival in European medicine in the 18th and 19th centuries, and cupping was used in this practice.

In the West, cupping therapy was part of the basic repertoire of clinical skills a doctor was expected to understand and practice until the latter part of the 19th century with some Eastern European countries such as in Poland
Poland
Poland , officially the Republic of Poland , is a country in Central Europe bordered by Germany to the west; the Czech Republic and Slovakia to the south; Ukraine, Belarus and Lithuania to the east; and the Baltic Sea and Kaliningrad Oblast, a Russian exclave, to the north...

 and Bulgaria
Bulgaria
Bulgaria , officially the Republic of Bulgaria , is a parliamentary democracy within a unitary constitutional republic in Southeast Europe. The country borders Romania to the north, Serbia and Macedonia to the west, Greece and Turkey to the south, as well as the Black Sea to the east...

 continuing to practice cupping therapy to the present. In parts of Western Europe there has been a recent upsurge in the interest from both public and academic perspectives. Scientific studies researching the effects of cupping therapy attempt to better understand the mechanisms underpinning this age old medical treatment. Societies like the British Cupping Society have contributed to its re-emergence as an alternative therapy.

Methods

Broadly speaking there are two types of cupping: dry cupping and bleeding or wet cupping (controlled medicinal bleeding) with wet cupping being more common. The British Cupping Society (BCS), an organisation promoting the practice, teaches both. As a general rule, wet cupping provides a more "curative-treatment approach" to patient management whereas dry cupping appeals more to a "therapeutic and relaxation approach". Preference varies with practitioners and cultures.

Dry cupping

The cupping procedure commonly involves creating a small area of low air pressure next to the skin. However, there is variety in the tools used, the method of creating the low pressure, and the procedures followed during the treatment.

The cups can be various shapes including balls or bells, and may range in size from 1 to 3 in (2.5 to 7.6 ) across the opening. Plastic and glass are the most common materials used today, replacing the horn, pottery, bronze and bamboo cups used in earlier times. The low air pressure required may be created by heating the cup or the air inside it with an open flame or a bath in hot scented oils, then placing it against the skin. As the air inside the cup cools, it contracts and draws the skin slightly inside. More recently, vacuum can be created with a mechanical suction pump acting through a valve located at the top of the cup. Rubber cups are also available that squeeze the air out and adapt to uneven or bony surfaces.

In practice, cups are normally used only on softer tissue that can form a good seal with the edge of the cup. They may be used singly or with many to cover a larger area. They may be used by themselves or placed over an acupuncture needle. Skin may be lubricated, allowing the cup to move across the skin slowly.

Depending on the specific treatment, skin marking is common after the cups are removed. This may be a simple red ring that disappears quickly, but more aggressive treatments can result in bruising. In general, the longer a cup is left on, the more of a circular mark is created. Usually treatments are not painful, but treatment is discontinued if the subject experiences more than minor discomfort.

Wet Cupping (Al-Hijamah or medicinal bleeding)

While the history of wet cupping may date back thousands of years, the first documented uses are found in the teachings of Prophet Muhammad
Muhammad
Muhammad |ligature]] at U+FDF4 ;Arabic pronunciation varies regionally; the first vowel ranges from ~~; the second and the last vowel: ~~~. There are dialects which have no stress. In Egypt, it is pronounced not in religious contexts...

 . According to Muhammad al-Bukhari
Muhammad al-Bukhari
Muhammad Ibn Ismail Ibn Ibrahim Ibn al-Mughirah Ibn Bardizbah al-Bukhari , popularly known as Bukhari or Imam Bukhari, , was a Sunni Islamic scholar of Persia...

, Muslim ibn al-Hajjaj Nishapuri and Ahmad ibn Hanbal
Ahmad ibn Hanbal
Ahmad bin Muhammad bin Hanbal Abu `Abd Allah al-Shaybani was an important Muslim scholar and theologian. He is considered the founder of the Hanbali school of fiqh...

, Muhammad approved of the Hijama (cupping) treatment.

In this alternative form of bloodletting
Bloodletting
Bloodletting is the withdrawal of often little quantities of blood from a patient to cure or prevent illness and disease. Bloodletting was based on an ancient system of medicine in which blood and other bodily fluid were considered to be "humors" the proper balance of which maintained health...

 or medicinal bleeding, also called blood cupping, a small scratch or incision is made with a lancet
Scalpel
A scalpel, or lancet, is a small and extremely sharp bladed instrument used for surgery, anatomical dissection, and various arts and crafts . Scalpels may be single-use disposable or re-usable. Re-usable scalpels can have attached, resharpenable blades or, more commonly, non-attached, replaceable...

 prior to the cupping, and the pressure difference extracts blood from the skin. Islamic traditional medicine uses this technique – called in Arabic
Arabic language
Arabic is a name applied to the descendants of the Classical Arabic language of the 6th century AD, used most prominently in the Quran, the Islamic Holy Book...

 Al-Hijamah or Hijamah - with a number of hadith
Hadith
The term Hadīth is used to denote a saying or an act or tacit approval or criticism ascribed either validly or invalidly to the Islamic prophet Muhammad....

 supporting its recommendation and use by the Islamic prophet Muhammad
Muhammad
Muhammad |ligature]] at U+FDF4 ;Arabic pronunciation varies regionally; the first vowel ranges from ~~; the second and the last vowel: ~~~. There are dialects which have no stress. In Egypt, it is pronounced not in religious contexts...

. As a result, the practice of cupping therapy has survived in Muslim countries.

Alernatively, mild suction is created using a cup and a pump (or heat suction) on the selected area and left for about three minutes. The cup is then removed and small superficial skin incisions are made using a cupping scalpel. A second suction is used to carefully draw out a small quantity of blood. The procedure was piloted and developed by Ullah et al 2005 and has been endorsed by the British Cupping Society which aims to promote, protect and develop professional standards in cupping therapy.

Traditional Chinese medicine cupping

In traditional Chinese medicine
Traditional Chinese medicine
Traditional Chinese Medicine refers to a broad range of medicine practices sharing common theoretical concepts which have been developed in China and are based on a tradition of more than 2,000 years, including various forms of herbal medicine, acupuncture, massage , exercise , and dietary therapy...

 (TCM) cupping is a method of applying acupressure by creating a vacuum on the patient's skin to dispel stagnation—stagnant blood and lymph, thereby improving qi
Qi
In traditional Chinese culture, qì is an active principle forming part of any living thing. Qi is frequently translated as life energy, lifeforce, or energy flow. Qi is the central underlying principle in traditional Chinese medicine and martial arts...

 flow—to treat respiratory
Respiration (physiology)
'In physiology, respiration is defined as the transport of oxygen from the outside air to the cells within tissues, and the transport of carbon dioxide in the opposite direction...

 diseases such as the common cold
Common cold
The common cold is a viral infectious disease of the upper respiratory system, caused primarily by rhinoviruses and coronaviruses. Common symptoms include a cough, sore throat, runny nose, and fever...

, pneumonia
Pneumonia
Pneumonia is an inflammatory condition of the lung—especially affecting the microscopic air sacs —associated with fever, chest symptoms, and a lack of air space on a chest X-ray. Pneumonia is typically caused by an infection but there are a number of other causes...

 and bronchitis
Bronchitis
Acute bronchitis is an inflammation of the large bronchi in the lungs that is usually caused by viruses or bacteria and may last several days or weeks. Characteristic symptoms include cough, sputum production, and shortness of breath and wheezing related to the obstruction of the inflamed airways...

. Cupping also is used on back, neck, shoulder and other musculoskeletal conditions. Its advocates say it has other applications, as well.

Limited bruising cupping massage

New silicone cupping therapy massage cups are available, an innovation for cupping therapy and its wider acceptance. "Medical silicone" cups are claimed to alleviate deep bruising associated with traditional cupping. The cups allow for added new massage techniques because they are simple to use and are pliable, unlike glass or plastic.

Practice

Cupping is used to 'treat' a broad range of medical conditions such as; blood disorders (anaemia, haemophilia), rheumatic diseases (arthritic joint and muscular conditions), fertility and gynaecological disorders, skin problems (eczema, acne) and is claimed by proponents to help general physical and psychological well-being.

Sources


External links










Cupping therapy is an ancient form of alternative medicine
Alternative medicine
Alternative medicine is any healing practice, "that does not fall within the realm of conventional medicine." It is based on historical or cultural traditions, rather than on scientific evidence....

 in which a local suction is created on the skin; practitioners believe this mobilizes blood flow in order to promote healing. Suction is created using heat (fire) or mechanical devices (hand or electrical pumps). It is known in local languages as baguan/baguar, badkesh, banki, bahnkes, bekam, buhang, bentusa, kyukaku, gak hoi, Hijamah, kavaa (ކަވާ), singhi among others.

Description

The air inside the cup is heated and the rim is then applied to the skin, forming an airtight seal. As the air inside the cup cools, it contracts, forming a partial vacuum and enabling the cup to suck the skin, pulling in soft tissue, and drawing blood to that area. Alternately, the suction is created by a hand-pump and blood is allowed to collect.

According to the American Cancer Society
American Cancer Society
The American Cancer Society is the "nationwide community-based voluntary health organization" dedicated, in their own words, "to eliminating cancer as a major health problem by preventing cancer, saving lives, and diminishing suffering from cancer, through research, education, advocacy, and...

, "[a]vailable scientific evidence does not support cupping as a cure for cancer or any other disease". It can leave temporary bruised painful marks on the skin and there is also a small risk of burns. Persons who claim this therapy to be beneficial report that it produces feeling of relaxation, invigoration and power.

History

There is reason to believe the practice dates from as early as 3000 B.C.; the earliest record of cupping is in the Ebers Papyrus
Ebers papyrus
The Ebers Papyrus, also known as Papyrus Ebers, is an Egyptian medical papyrus dating to circa 1550 BC. Among the oldest and most important medical papyri of ancient Egypt, it was purchased at Luxor, in the winter of 1873–74 by Georg Ebers...

, one of the oldest medical textbooks in the world. It describes in 1,550 B.C. Egyptians
Ancient Egypt
Ancient Egypt was an ancient civilization of Northeastern Africa, concentrated along the lower reaches of the Nile River in what is now the modern country of Egypt. Egyptian civilization coalesced around 3150 BC with the political unification of Upper and Lower Egypt under the first pharaoh...

 used cupping. Archaeologists have found evidence in China
China
Chinese civilization may refer to:* China for more general discussion of the country.* Chinese culture* Greater China, the transnational community of ethnic Chinese.* History of China* Sinosphere, the area historically affected by Chinese culture...

 of cupping dating back to 1,000 B.C. In ancient Greece
Ancient Greece
Ancient Greece is a civilization belonging to a period of Greek history that lasted from the Archaic period of the 8th to 6th centuries BC to the end of antiquity. Immediately following this period was the beginning of the Early Middle Ages and the Byzantine era. Included in Ancient Greece is the...

, Hippocrates
Hippocrates
Hippocrates of Cos or Hippokrates of Kos was an ancient Greek physician of the Age of Pericles , and is considered one of the most outstanding figures in the history of medicine...

 (c. 400 B.C.) used cupping for internal disease and structural problems. This method in multiple forms spread into medicine throughout Asian and European civilizations.

Cupping in Europe and the Middle East grew from humoral medicine
Humorism
Humorism, or humoralism, is a now discredited theory of the makeup and workings of the human body, adopted by Greek and Roman physicians and philosophers, positing that an excess or deficiency of any of four distinct bodily fluids in a person directly influences their temperament and health...

, a system of health ancient Greeks used to restore balance through the four "humors" in the body: blood, phlegm, yellow bile and black bile. This system was pervasive in European and Middle-East cultures at the time. Humoral medicine had a brief or short revival in European medicine in the 18th and 19th centuries, and cupping was used in this practice.

In the West, cupping therapy was part of the basic repertoire of clinical skills a doctor was expected to understand and practice until the latter part of the 19th century with some Eastern European countries such as in Poland
Poland
Poland , officially the Republic of Poland , is a country in Central Europe bordered by Germany to the west; the Czech Republic and Slovakia to the south; Ukraine, Belarus and Lithuania to the east; and the Baltic Sea and Kaliningrad Oblast, a Russian exclave, to the north...

 and Bulgaria
Bulgaria
Bulgaria , officially the Republic of Bulgaria , is a parliamentary democracy within a unitary constitutional republic in Southeast Europe. The country borders Romania to the north, Serbia and Macedonia to the west, Greece and Turkey to the south, as well as the Black Sea to the east...

 continuing to practice cupping therapy to the present. In parts of Western Europe there has been a recent upsurge in the interest from both public and academic perspectives. Scientific studies researching the effects of cupping therapy attempt to better understand the mechanisms underpinning this age old medical treatment. Societies like the British Cupping Society have contributed to its re-emergence as an alternative therapy.

Methods

Broadly speaking there are two types of cupping: dry cupping and bleeding or wet cupping (controlled medicinal bleeding) with wet cupping being more common. The British Cupping Society (BCS), an organisation promoting the practice, teaches both. As a general rule, wet cupping provides a more "curative-treatment approach" to patient management whereas dry cupping appeals more to a "therapeutic and relaxation approach". Preference varies with practitioners and cultures.

Dry cupping

The cupping procedure commonly involves creating a small area of low air pressure next to the skin. However, there is variety in the tools used, the method of creating the low pressure, and the procedures followed during the treatment.

The cups can be various shapes including balls or bells, and may range in size from 1 to 3 in (2.5 to 7.6 ) across the opening. Plastic and glass are the most common materials used today, replacing the horn, pottery, bronze and bamboo cups used in earlier times. The low air pressure required may be created by heating the cup or the air inside it with an open flame or a bath in hot scented oils, then placing it against the skin. As the air inside the cup cools, it contracts and draws the skin slightly inside. More recently, vacuum can be created with a mechanical suction pump acting through a valve located at the top of the cup. Rubber cups are also available that squeeze the air out and adapt to uneven or bony surfaces.

In practice, cups are normally used only on softer tissue that can form a good seal with the edge of the cup. They may be used singly or with many to cover a larger area. They may be used by themselves or placed over an acupuncture needle. Skin may be lubricated, allowing the cup to move across the skin slowly.

Depending on the specific treatment, skin marking is common after the cups are removed. This may be a simple red ring that disappears quickly, but more aggressive treatments can result in bruising. In general, the longer a cup is left on, the more of a circular mark is created. Usually treatments are not painful, but treatment is discontinued if the subject experiences more than minor discomfort.

Wet Cupping (Al-Hijamah or medicinal bleeding)

While the history of wet cupping may date back thousands of years, the first documented uses are found in the teachings of Prophet Muhammad
Muhammad
Muhammad |ligature]] at U+FDF4 ;Arabic pronunciation varies regionally; the first vowel ranges from ~~; the second and the last vowel: ~~~. There are dialects which have no stress. In Egypt, it is pronounced not in religious contexts...

 . According to Muhammad al-Bukhari
Muhammad al-Bukhari
Muhammad Ibn Ismail Ibn Ibrahim Ibn al-Mughirah Ibn Bardizbah al-Bukhari , popularly known as Bukhari or Imam Bukhari, , was a Sunni Islamic scholar of Persia...

, Muslim ibn al-Hajjaj Nishapuri and Ahmad ibn Hanbal
Ahmad ibn Hanbal
Ahmad bin Muhammad bin Hanbal Abu `Abd Allah al-Shaybani was an important Muslim scholar and theologian. He is considered the founder of the Hanbali school of fiqh...

, Muhammad approved of the Hijama (cupping) treatment.

In this alternative form of bloodletting
Bloodletting
Bloodletting is the withdrawal of often little quantities of blood from a patient to cure or prevent illness and disease. Bloodletting was based on an ancient system of medicine in which blood and other bodily fluid were considered to be "humors" the proper balance of which maintained health...

 or medicinal bleeding, also called blood cupping, a small scratch or incision is made with a lancet
Scalpel
A scalpel, or lancet, is a small and extremely sharp bladed instrument used for surgery, anatomical dissection, and various arts and crafts . Scalpels may be single-use disposable or re-usable. Re-usable scalpels can have attached, resharpenable blades or, more commonly, non-attached, replaceable...

 prior to the cupping, and the pressure difference extracts blood from the skin. Islamic traditional medicine uses this technique – called in Arabic
Arabic language
Arabic is a name applied to the descendants of the Classical Arabic language of the 6th century AD, used most prominently in the Quran, the Islamic Holy Book...

 Al-Hijamah or Hijamah - with a number of hadith
Hadith
The term Hadīth is used to denote a saying or an act or tacit approval or criticism ascribed either validly or invalidly to the Islamic prophet Muhammad....

 supporting its recommendation and use by the Islamic prophet Muhammad
Muhammad
Muhammad |ligature]] at U+FDF4 ;Arabic pronunciation varies regionally; the first vowel ranges from ~~; the second and the last vowel: ~~~. There are dialects which have no stress. In Egypt, it is pronounced not in religious contexts...

. As a result, the practice of cupping therapy has survived in Muslim countries.

Alernatively, mild suction is created using a cup and a pump (or heat suction) on the selected area and left for about three minutes. The cup is then removed and small superficial skin incisions are made using a cupping scalpel. A second suction is used to carefully draw out a small quantity of blood. The procedure was piloted and developed by Ullah et al 2005 and has been endorsed by the British Cupping Society which aims to promote, protect and develop professional standards in cupping therapy.

Traditional Chinese medicine cupping

In traditional Chinese medicine
Traditional Chinese medicine
Traditional Chinese Medicine refers to a broad range of medicine practices sharing common theoretical concepts which have been developed in China and are based on a tradition of more than 2,000 years, including various forms of herbal medicine, acupuncture, massage , exercise , and dietary therapy...

 (TCM) cupping is a method of applying acupressure by creating a vacuum on the patient's skin to dispel stagnation—stagnant blood and lymph, thereby improving qi
Qi
In traditional Chinese culture, qì is an active principle forming part of any living thing. Qi is frequently translated as life energy, lifeforce, or energy flow. Qi is the central underlying principle in traditional Chinese medicine and martial arts...

 flow—to treat respiratory
Respiration (physiology)
'In physiology, respiration is defined as the transport of oxygen from the outside air to the cells within tissues, and the transport of carbon dioxide in the opposite direction...

 diseases such as the common cold
Common cold
The common cold is a viral infectious disease of the upper respiratory system, caused primarily by rhinoviruses and coronaviruses. Common symptoms include a cough, sore throat, runny nose, and fever...

, pneumonia
Pneumonia
Pneumonia is an inflammatory condition of the lung—especially affecting the microscopic air sacs —associated with fever, chest symptoms, and a lack of air space on a chest X-ray. Pneumonia is typically caused by an infection but there are a number of other causes...

 and bronchitis
Bronchitis
Acute bronchitis is an inflammation of the large bronchi in the lungs that is usually caused by viruses or bacteria and may last several days or weeks. Characteristic symptoms include cough, sputum production, and shortness of breath and wheezing related to the obstruction of the inflamed airways...

. Cupping also is used on back, neck, shoulder and other musculoskeletal conditions. Its advocates say it has other applications, as well.

Limited bruising cupping massage

New silicone cupping therapy massage cups are available, an innovation for cupping therapy and its wider acceptance. "Medical silicone" cups are claimed to alleviate deep bruising associated with traditional cupping. The cups allow for added new massage techniques because they are simple to use and are pliable, unlike glass or plastic.

Practice

Cupping is used to 'treat' a broad range of medical conditions such as; blood disorders (anaemia, haemophilia), rheumatic diseases (arthritic joint and muscular conditions), fertility and gynaecological disorders, skin problems (eczema, acne) and is claimed by proponents to help general physical and psychological well-being.

Sources


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