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Cupping (Hijama in Arabic) is an ancient, holistic method for the treatment of a variety of diseases. Though the exact origin of cupping therapy is a matter of controversy, its use has been documented in early Egyptian and Chinese medical practices. Diverse human civilizations have contributed to the historical development and continuation of cupping therapy. This narrative review describes the history of cupping, historical definitions, cupping instruments and uses of cupping therapy. Electronic searches of relevant databases (PubMed, Google Scholar and OvidSP) were conducted using keywords and Boolean operators. Manual searches and references of published articles and books were also conducted. A number of articles (N = 625) were retained for extensive review, and finally 83 articles were included in this paper. The historical descriptions of cupping therapy were found in ancient human civilizations of the Eastern and Western world. There were inconsistent data concerning the origin of cupping, definitions, instruments, procedures, definite advancements and research in Hijama over centuries. Cupping therapy fell out of favor in 17th and mid-18th centuries but recovered popularity in modern medicine. Currently, cupping therapy is used for health promotion, prophylaxis and treatment of a variety of diseases around the world. Cupping therapy with a good safety profile has a checkered history and is a well-recognized traditional method for managing medical conditions. Currently, the scope of cupping therapy is expanding, and a growing body of research is providing additional evidence-based data for the further advancement of cupping therapy in the treatment of a variety of diseases.
Cupping therapy is one of the oldest and most effective method of releasing the toxins from body tissue and organs.[1] [2]It is also known as vacuum cupping, hijama cupping, horn treatment etc. It is a practice in which the therapist puts special cups on the skin to create suction. This causes the tissue beneath the cup to be drawn up and swell causing increase in blood flow to affected area. Enhanced blood flow under the cups draws impurities and toxins away from the nearby tissues and organs towards the surface for elimination.[3][4]
Cupping is a treatment that has been used for a number of ailments for thousands of years. Over the centuries, cupping techniques and styles have often been influenced by their geographical location, as well as by the materials used in that area: animal horns, bamboo, ceramic, glass, metal, and plastic have all been used in this procedure found in Ancient Egyptian, Chinese, Unani, Korean, Tibetan, and Latin American cultures, whose purpose has been to assist the body in self-healing. Eber's papyrus (1550 BCE) is the first documented instance of this therapy in North Africa. A cup refers to the Egyptian glyph for doctor. According to Ge Hong (281-341 CE), animal horns were used to drain body fluids in Asia during the Jin dynasty. Additionally, it was popular during the Greek Bronze era, when bronze cups were used.[5]
Cupping therapy is indicated for both healthy patients (anti ageing treatment, rejuvenation purpose) and those suffering from ailments. Localized ailments that benefit from cupping therapy include a headache, lower back pain, neck pain, and knee pain. Systemic illnesses that have seen benefits with cupping therapy include hypertension, rheumatoid arthritis, diabetes mellitus, mental disorders, heart disease, hypertension, infections.[20][21] It can be used to treat skin diseases, respiratory, musculoskeletal, digestive, reproductive, and allergic conditions,
After treatment, the skin around the rim of the cup may become irritated and marked in a circular pattern. There may be risk of Infection after undergoing cupping therapy and it can be avoided if practitioner follows the right methods for cleaning skin and controlling infection before and after the session.
It is known through research over years that cupping can improve local blood flow, alleviate muscle pain and reduce muscle stiffness. It has an added proven benefit to cure a disabling, excruciatingly painful condition of 'Nocturnal Leg Cramps'. Combining the methods of cupping therapy can bring about benefits in various conditions. A case has been reported for having a lasting effect of hot water cupping therapy[36]combined with moving cupping therapy in the case of nocturnal leg cramps. More research is required to prove the benefit of such method in exercise associated muscle cramps as an adjuvant to traditional regimen for managing leg cramps. 2b1af7f3a8