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Cupping Therapy

What is cupping therapy?

Cupping Therapy is an ancient alternative treatment that can be dated back to 300 BC. It was used as a treatment for external injuries and pus extraction initially. As time went by, the technique integrated with Chinese medicine (TCM) theory and became one of the most popular TCM treatment procedures these days

Cupping is a kind of alternative therapy often performed by Chinese medicine practitioners. During cupping therapy, glass cups are placed on the skin to create suction. Such topical suction can facilitate local blood flow, speed up blood and lymphatic circulation, promote sweating, relieve muscle tension and so on. Chinese medicine believes that cupping’s suction also facilitates Qi and blood circulation, and dredges the meridian-collateral system (a pathway system that Qi flows through). By improving local blood, oxygen, nutrients and Qi supply, cupping relieves muscle tenderness, treats chronic pain, repairs cells and tissues.

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Cupping therapy procedures

During the therapy, glass cups are placed on the patient's skin to create topical suctions by either air pump or the heat of a fire. By vacuuming the cup, local skin and muscle would be drawn upward and outward. The cup will then be left in place for a few minutes (at most 15 minutes), during which there would be a sensation of heat and tension as well as facial redness due to vasodilation.

Towards the end of the treatment, the cups will be removed, leaving minor bruises and red marks on the applied area. Bruises and red marks will normally fade in a few days.

Depending on the specific treatment objectives, practitioners may suggest different cupping approaches. There are 5 slightly different types of cupping therapy, namely:

  • Dry cupping: Cupping suction only.
  • Wet cupping: Promotes mild bleeding by suctioning cups on tiny cuts.
  • Moving cupping: The cup is set at the target area with lubricants on the skin surface, the therapist then slides the cup across the area like massaging.
  • Flash cupping: This kind of cupping does not involve the retention of cups. During flash cupping, the cup is applied to the skin surface quickly and repeatedly with a minimum retention period.
  • Acupuncture cupping: Cupping is performed following acupuncture treatments.

What are the benefits of cupping therapy?

In Chinese medicine, cupping is often applied to promote Qi and blood circulation, warm up and dispel “wind” (a pathogenic factor in TCM views), dehumidify the body, dredge the meridian system, stimulate acupressure points, detumesce and relieve pain.

Since tropical suction of cupping usually covers acupressure points, cupping therapy can be carried out separately or in conjunction with Acupuncture. Cupping can treat a number of diseases and physical conditions, such as:

  • Common cold
  • Flu
  • Oedema
  • High blood pressure
  • Varicose vein
  • Low back pain
  • Rheumatoid arthritis
  • Osteoarthritis
  • Adhesive capsulitis
  • Tenosynovitis
  • Any kind of muscle strain
  • Other soft tissue strain

Apart from the above conditions, a placebo effect of cupping is also suggested to relieve anxietydepressioneczema and acne.

Side effects of cupping therapy

While local red marks are typically left as traces after cupping, they normally go away in a few days. Side effects are not common for cupping therapy, but some individuals may experience rare side effects like:

  • Dizziness
  • Nausea
  • Vomiting
  • Pain: There may be mild discomfort or pain sensation around the cupping area.
  • Bruise: Minor bruises may occur at the cupping area after the treatment. They usually go away in a few days.
  • Burns: Burns only occur when the cupping procedure goes wrong. When the cups remain on the skin for too long (more than 15 minutes) or the cups are placed on the skin with fire or hot alcohol inside, it may cause burns.
  • Skin infection: Skin infection is uncommon. It may occur when the cupping procedure is not taken properly, for example when the cups or your skin surface are not sanitized properly.
  • Increased heart rate: Certain heart conditions, such as increased heart rate, atrial fibrillation and increased blood pressure, may occur in patients with cardiovascular diseases.
  • Coma: People who are over-stressed or tired, over-eaten or consumed alcohol may feel dizzy or even pass out during cupping.

Precautions for cupping therapy

Cupping therapy is a treatment method that should only be conducted by registered Chinese medicine practitioners or qualified health professionals. Here are some reminders for people who are taking cupping therapy:


Groups that must not receive cupping therapy

  • Children under 4 years old.
  • Bleeding diathesis: Patients with bleeding tendency should not receive cupping therapy to prevent uncontrolled bleeding.
  • Dermatosis: People with skin problems, especially infectious skin diseases, cannot receive cupping.
  • Heart Failure: Atrial fibrillation patients or people with a high risk of heart failure should avoid cupping.
  • Epilepsy: Patients with epilepsy history are not recommended to try cupping therapy.
  • Fever: People under high fever or even heat stroke must not use any cupping.

Here are some conditions to be assessed before cupping

  • Elderly: Elderly aged 60 or above should consult medical professionals before cupping.
  • Chronic diseases: For patients with chronic diseases, such as hypertension, diabetes, obesity, etc., please ask for doctors’ or TCM practitioners’ advice before cupping.

Some body parts should be kept away from cupping

  • Pregnant women: Cupping therapy at the abdomen and lower back area must be avoided during pregnancy.
  • Hairy areas: To prevent hurting hair follicles, do not apply cupping at hairy areas.
  • Ulcer: Body parts with ulceration should avoid cupping.
  • Allergic areas: Body parts in allergy, especially those with local inflammation, should be avoided.
  • Fracture: Body parts with bone fractures are not suitable for cupping therapy.

Precautions after cupping therapy

  • Shower after 2 hours: As cupping therapy facilitates local blood flows and promotes sweating, shower right after cupping may make one susceptible to cold. Please do not shower within 2 hours post-cupping.
  • Besides, cupping therapy should not be taken consecutively within a short period (2 days consecutively). Wait until the bruises and marks of the previous course fade away before taking the next course.

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