Cupping Therapy and Hijamah

Müyesser Okumuş
1.176 223


Since ancient times, complementary and alternative medicine  have played an important role in human health. Cupping therapy (wet or dry), being one of the methods of complementary and alternative medicine, is claimed to have therapeutic effects in many types of disorders which do not fully respond to conventional medicine. This review outlines the description, history, methods, mechanisms, application sites, and adverse effects of cupping therapy in the light of relevant literature.


Wet cupping therapy, Hijamah, conventional medicine, complementary therapies, alternative medicine

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K Ullah, A Younis, M Wali. An investigation into the effect of Cupping Therapy as a treatment for Anterior Knee Pain and its potential role in Health Promotion. The Internet Journal of AlternativeMedicine 2006;4:1-9.

Christopoulou-Aletra H, Papavramidou N. Cupping: an alternative surgical procedure used by Hippocratic physicians. J Altern Complement Med (New York, N.Y.) 2008;14(8):899-902.

Kim T, Kang JW, Kim KH, et al. Cupping for Treating Neck Pain in Video Display Terminal (VDT) Users: A Randomized Controlled Pilot Trial. Journal of Occupational Health 2012;54(6):416-26.

Michalsen A, Bock S, Lüdtke R et al. Effects of TraditionalCuppingTherapy in PatientsWithCarpalTunnelSyndrome: A RandomizedControlled Trial. Journal of Pain 2009;10(6):601-8.

Eisenberg DM, Davis RB, Ettner SL et al. Trends in Alternative Medicine Use in the United States, 1990-1997: Results of a Follow-up National Survey. JAMA 1998;280(18):1569-75.

Kemper KJ, Sarah R, Silver-Highfield E, Xiarhos E, Barnes L, Berde C. On pins and needles? Pediatric pain patients' experience with acupuncture. Pediatrics 2000;105(4):941.

Kim T, Kim KH, Choi J, Lee MS. Adverse events related to cupping therapy in studies conducted in Korea: A systematic review. European Journal of Integrative Medicine 2014;6(4):434-40.

Bamfarahnak H, Azizi A, Noorafshan A, Mohagheghzadeh A. A tale of Persian cupping therapy: 1001 potential applications and avenues for research.Forsch Komplementmed. 2014;21(1):42-7.

Farhadi K, Schwebel DC, Saeb M, Choubsaz M, Mohammadi R, Ahmadi A. The effectiveness of wet-cupping for non specific lowback pain in Iran: a randomized controlled trial. Complement Ther Med 2009;17(1):9-15.

El Sayed SM, Mahmoud HS, Nabo MMH. Methods of Wet Cupping Therapy (Al-Hijamah): In Light of Modern Medicine and Prophetic Medicine. Altern Integ Med 2013;2:3.

Turk JL, Allen E. Bleeding and cupping. Ann Roy Coll Surg Eng 1983;65:128–31.

Tham LM, Lee HP, Lu C. Cupping: from a biomechanical perspective. J Biomech 2006;39:2183–93.

Lüdtke R, Albrecht U, Stange R, Uehleke B. Brachialgiaparaestheticanocturna can be relievedby ‘wetcupping’ – results of a randomized pilot study. Complement Ther Med 2006;14:247–53.

Kim JI, Kim TH, Lee MS, Kang JW, Kim KH, et al. Evaluation of wetcupping therapy for persistent non-specific low back pain: a randomised, waiting-list controlled, open-label, parallel-group pilot trial. Trials 2011;12:146.

Zhang SJ, Liu JP, He KQ. Treatment of acute gouty arthritis by bloodletting cupping plus herbal medicine. J Tradit Chin Med 2010;30:18-20.

Sayed SM, Al-quliti AS, Mahmoud HS et al.Therapeutic Benefits of Al-hijamah: in Light of Modern Medicine and Prophetic. American Journal of Medical and Biological Researc, 2014;2(2):46-71.

Baghdadi H, Abdel-Aziz N, Ahmed NS et al. Ameliorating Role Exerted by Al-Hijamah in Autoimmune Diseases: Effect on Serum Autoantibodies and Inflammatory Mediators. International journal of health sciences 2015;9(2):207-32.

Ali Al KQ-Rubaye KQ. The Clinical and Histological Skin Changes After the Cupping Therapy (Al-Hijamah). J Turk Acad Dermatol 2012;6 (1):1261a1.

Cao H, Han M, Li X et al. Clinical research evidence of cupping therapy in China: a systematic literature review. BMC Complemen Altern Med 2010;10:70.

Ahmadi A, Schwebel DC, Rezaei M. The Efficacy of Wet-Cupping in the Treatment of Tension and Migraine Headache. The American Journal of Chinese Medicine 2008;36(1):37-44.

Ambarish V, Barde P, Vyas A, Deepak KK. Comparison between pre-prandial and post-prandial heart rate variability (HRV). Indian J Physiol Pharmacol 2005;49:436-42.

Chakraborty U, Ghosh T. A study on the physical fitness index, heart rate and blood pressure in different phases of lunar month on male human subjects. Int J Biometeorol 2013;57:769-74.

Ahmedi M, Siddiqui MR. The value of wet cupping as a therapy in modern medicine-An Islamic Perspective. Webmed Central Alternative Medicine 2014;5(12):WMC004785 (doi: 10.9754/journal.wmc.2014.004785).

Niasari M, Kosari F, Ahmadi A. The effect of wet cupping on serum lipid concentrations of clinically healthy young men: a randomized controlled trial. J Altern Complement Med 2007;13(1):79–82.

Musial F, Michalsen A, Dobos G. Functional chronic pain syndromes and naturopathic treatments: neurobiological foundations. Forsch Komplement Med 2008;15(2):97–103.

Ahmed SM, Madbouly NH, Maklad SS, Abu-Shady EA. Immunomodulatory effects of blood letting cupping therapy in patients with rheumatoid arthritis. Egypt J Immunol 2005;12(2):39-51.

Emerich M, Braeunig M, Clement HW, Lüdtke R, Huber R. Mode of action of cupping--local metabolism and pain thresholds in neck pain patients and healthy subjects. Complementary therapies in medicine 2014;22(1):148-58.

Guyton AC, Hall JE. Textbook of Medical Physology. Philaldelphia: Elsevier Saunders; 2006.

Kim J, Lee MS, Lee D, Boddy K, Ernst E. Cupping for treating pain: a systematic review. Evidence-based complementary and alternative medicine: eCAM. 2011;2011:467014-7.

Wang SM, Kain ZN, White P. Acupuncture Analgesia: I. The Scientific Basis. Anesth Analg 2008;106(2):602-10.

Lund I, Lundeberg T. Are minimal, superficial or sham acupuncture procedures acceptable as inert placebo controls? Acupuncture in medicine : journal of the British Medical Acupuncture Society 2006;24(1):13-5.

Cao H, Li X, Liu J. An updated review of the efficacy of cupping therapy. PloS one 2012;7(2):e31793 (doi:10.1371/journal.pone.0031793).

Lauche R, Cramer H, Choi K, Rampp T, Saha FJ, Dobos GJ, et al. The influence of a series of five dry cupping treatments on pain and mechanical thresholds in patients with chronic non-specific neck pain--a randomised controlled pilot study. BMC Complementary and Alternative Medicine 2011;11(1):63.

El Sayed SM, Mahmoud HS, Nabo MMH. Medical and Scientific Bases of Wet Cupping Therapy (Al-hijamah): in Light of Modern Medicine and Prophetic Medicine. Altern Integ Med 2013;2:5.

Hanan S., Eman S. Cupping Therapy (Al-Hijama): it's impact on persistent non-specific lower back pain and client disability. Life Sci J. 2013;10:631–642.

Alshowafi FK. Effect of Blood Cupping on Some Biochemical Parameter. Med. J. Cairo Univ. 2010; 78: 311-315.

Wan XW. Clinical observation on treatment of cervical spondylosis with combined acupuncture and cupping therapies. Journal of Acupuncture and Tuina Science 2007;5:345–7.

Öncel Ç. SVH’nin tarihçesi: İbn-i Şerif ve Balzac’tan iki tedavi örneği. Türk Beyin Damar Hastalıkları Dergisi 2012;18(2):31-4.

Tsuchiya M, Sato EF, Inoue M, Asada A. Acupuncture enhances generation of nitric oxide and increases local circulation. Anesth Analg 2007;104:301-7.

Lee B, Song Y., Lim H. Literature investigation regarding cupping therapy and analysis of current professional's cupping treatment. J Oriental Rehab Med 2008;18:169–91.

S. Erras, L. Benjilali, L. Essaadouni. Wet cupping in the treatment of recalcitrant oral and genital ulceration of Behcet disease: a randomized controlled trial. Ind J Tradit Knowl 2013;(12):615–8.

Refaat B, El-Shemi AG, Ebid AA, Ashshi A, BaSalamah MA. Islamic Wet Cupping and Risk Factors of Cardiovascular Diseases: Effects on Blood Pressure, Metabolic Profile and Serum Electrolytes in Healthy Young Adult Men. Altern Integ Med 2014;3(1):151 (doi:10.4172/2327-5162.1000151).

Mehta P, Dhapte V. Cupping therapy: A prudent remedy for a plethora of medical ailments. J Tradit Complement Med. 2015;5(3):127–34.

Shekarforoush S, Foadoddini M, Noroozzadeh A, Akbarinia H, Khoshbaten A. Cardiac effects of cupping: myocardial infarction, arrhythmias, heart rate and mean arterial blood pressure in the rat heart. Chin J Physiol 2012;55:253–8.

Koçer A, Memişoğullari R, Domaç FMet al. IL-6 levels in migraine patients receiving topiramate. Pain Pract 2009;9:375-9.

Ahmed A, Khan RA, Ali AA, Ahmed M, Mesaik MA. Effect of wet cupping therapy on virulent cellulitis secondary to honey bee sting–a case report. Journal of Basic and Applied Sciences 2011;7:123-5.

Cao H, Hu H, Colagiuri B, Liu J Medicinal cupping therapy in 30 patients with fibromyalgia: a case series observation. Forsch Komplementmed 2011;18:122- 6.

Mahmoud HS, Abou-El-Naga M, Omar NAA et al. Anatomical sites for practicing Wet Cupping Therapy (Al-Hijamah): In Light of Modern Medicine and Prophetic Medicine. Altern Integ Med 2013;2:138.

Ranaei-siadat SO, Kheirandish H, Niasari, Adibi Z, Agin K, Tashnizi MB. The effect of cupping (hejamat) on blood biochemical and immunological parameters. Iranian Journal of Pharmaceutical Research. 2004;2:31-2.

El Sayed SM, Mahmoud AA, El Sawy SA et al. Warburg effect increases steady-state ROS condition in cancer cells through decreasing their antioxidant capacities (Anticancer effects of 3-bromopyruvate through antagonizing Warburg effect). Med Hypotheses 2013;81(5):866-70.

Abd al-Jawad MEM, Mohamed SA, Elsayed BA, Mohamed ANM. Evaluation of Wet Cupping Therapy (Hijama) as an Adjuvant Therapy in the Management of Bronchial Asthma. Indian Journal of Physiotherapy and Occupational Therapy 2011;5:122-6.

Hekmatpau D, Moeini L, Haji-Nadali S. The effectiveness of wet cupping vs. venesection on arterial O2 saturation level of cigarette smokers: A randomized controlled clinical trial. Pakistan Journal of Medical Sciences 2013;29(6):1349-53.

M. Bilal, R. Khan, A. Ahmed, S. Afroz. Partial evaluation of technique used in cupping therapy. J Basic Appl Sci 2011;(7):65–8.

El-Domyati M, Saleh F, Barakat M, Mohamed N. Evaluation of Cupping Therapy in Some Dermatoses. Egyptian Dermatology Online Journal 2013;9:79-82.

Zaki SA. Adverse drug reaction and causility assessment scales. Lung India 2011;28:152-3.

Kim KH, Kim TH, Hwangbo M, Yang GY. Anaemia and skin pigmentation after excessive cupping therapy by an unqualified therapist in Korea: a case report. Acupunct Med 2012;30: 27-8.

Lee HJ, Park NH, Yun HJ, Kim S, Jo DY. Cupping therapy-induced iron deficiency anemia in a healthy man. Am J Med 2008;121(8):e5-6 (doi: 10.1016/j.amjmed.2008.04.014).

Loke YK, Price D, Herxheimer A. Systematic reviews of adverse effects:framework for a structured approach. BMC Medical Research Methodology 2007;7:32.

Yoo SS, Tausk F. Cupping: East meets West. Int J Dermatol 2004;43(9):664-5.

Shoja MM, Rashidi MR, Tubbs RS, Etemadi J, Abbasnejad F, Agutter PS. Legacy of Avicenna and evidence-based medicine. Int J Cardiol 2011;150(3):243-6.

Loukas M, Saad Y, Tubbs RS, Shoja MM. The heart and cardiovascular system in the Qur'an and Hadeeth. International journal of cardiology 2010;140(1):19-23.

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