题名

The medical perspective of cupping therapy: Effects and mechanisms of action

DOI

10.1016/j.jtcme.2018.03.003

作者

Abdullah M.N. Al-Bedah;Ibrahim S. Elsubai;Naseem Akhtar Qureshi;Tamer Shaban Aboushanab;Gazzaffi I.M. Ali;Ahmed Tawfik El-Olemy;Asim A.H. Khalil;Mohamed K.M. Khalil;Meshari Saleh Alqaed

关键词

Cupping ; Hijama ; Mechanisms of action ; Effects

期刊名称

Journal of Traditional and Complementary Medicine

卷期/出版年月

9卷2期(2019 / 04 / 01)

页次

90 - 97

内容语文

英文

中文摘要

Cupping Therapy (CT) is an ancient method and currently used in the treatment of a broad range of medical conditions. Nonetheless the mechanism of action of (CT) is not fully understood. This review aimed to identify possible mechanisms of action of (CT) from modern medicine perspective and offer possible explanations of its effects. English literature in PubMed, Cochrane Library and Google Scholar was searched using key words. Only 223 articles identified, 149 records screened, and 74 articles excluded for irrelevancy. Only 75 full-text articles were assessed for eligibility, included studies in this review were 64. Six theories have been suggested to explain the effects produced by cupping therapy. Pain reduction and changes in biomechanical properties of the skin could be explained by "Pain-Gate Theory", "Diffuse Noxious Inhibitory Controls" and "Reflex zone theory". Muscle relaxation, changes in local tissue structures and increase in blood circulation might be explained by "Nitric Oxide theory". Immunological effects and hormonal adjustments might be attributed to "Activation of immune system theory". Releasing of toxins and removal of wastes and heavy metals might be explained by "Blood Detoxification Theory". These theories may overlap or work interchangeably to produce various therapeutic effects in specific ailments and diseases. Apparently, no single theory exists to explain the whole effects of cupping. Further researches are needed to support or refute the aforesaid theories, and also develop innovative conceptualizations of (CT) in future.

主题分类 醫藥衛生 > 中醫藥學
参考文献
  1. Mehta, Piyush,Dhapte, Vividha(2015).Cupping therapy: a prudent remedy for a plethora of medical ailments.J Tradit Compl. Med.,5(3),127-134.
    連結:
  2. https://en.wikipedia.org/wiki/Mechanism_(biology) accesses on 27 Feb, 2017.
  3. Aeeni, Z,Afsahi, A,Rezvan, H(2013).An investigation of the effect of wet cupping on hematology parameters in mice.Pejouhesh,37,145-150.
  4. Ahmad Hefny, Um Yasin(trans.)(2003).Definition of the Cupping Process.München:Urban & Fischer.
  5. Ahmadi, A,Schwebel, DC,Rezaei, M(2008).The Efficacy of wet-cupping in the treatment of tension and migraine headache.Am J Chin Med.,36(1),37-44.
  6. Ahmed, A,Khan, RA,Ali, AA,Ahmed, M,Mesaik, MA(2011).Effect of wet cupping therapy on virulent cellulitis secondary to honey bee stingea case report.J Basic Appl Sci.,7,123-125.
  7. Ahmed, Sahbaa M(2005).Immunomodulatory effects of blood letting cupping therapy in patients with rheumatoid arthritis.Egypt J Immunol,12(2),39-51.
  8. Ahmedi, M,Siddiqui, MR(2014).The value of wet cupping as a therapy in modern medicine e an Islamic Perspective.Webmed Cent. Alternative Med,5,12.
  9. Akbari, A,Zadeh, SMAS,Ramezani, M,Zadeh, SMS(2013).The effect of hijama (cupping) on oxidative stress indexes & various blood factors in patients suffering from diabetes type II.Switzerland Res Park J.,102,788-793.
  10. Akbari, Ahmad,Ali, Seyed, Mohammad,Zadeh, Shariat,Ramezani, Majid,Seyed,ShariatZadeh, Mahdi(2013).The effect of hijama (cupping) on oxidative stress indexes & various blood factors in patients suffering from diabetes type ii.Switz. Res. Park J.,102,9.
  11. Albedah(2016).Evaluation of wet cupping therapy: systematic review of randomized clinical trials, the journal of alternative and complementary medicine.The Journal of Alternative and Complementary Medicine,22(10),768-777.
  12. AlBedah, A(2015).The use of wet cupping for persistent nonspecific low back pain: randomized controlled clinical trial.J Alternative Compl Med,21(8),504-508.
  13. AlBedah, A,Klahlil, M,Elolemy, A,Elsubai, I,Khalil, A(2011).Hijama (cupping): a review of the evidence.Focus Altern Complement Ther,16,12-16.
  14. Al-Bedah, AM,Aboushanab, TS,Alqaed, MS(2016).Classification of Cupping Therapy: a tool for modernization and standardization.J. Compl. Alternative Med. Res,1,1-10.
  15. Aleyeidi, N,Aseri, K,Kawthar, A(2015).The efficacy of wet cupping on blood pressure among hypertension patients in jeddah, Saudi Arabia: a randomized controlled trial pilot study.Altern IntegMed,4,183.
  16. Ali Al-Rubaye, Kadhim Qasim(2012).The clinical and Histological skin changes after the cupping therapy (Al-Hujamah).J. Turkish Acad. Dermatol,6(1),1261a1.
  17. Al-Rubaye, KQA(2012).The clinical and Histological skin changes after the cupping therapy (Al-Hujamah)’.J. Turkish Acad. Dermatol,6,1.
  18. Arslan, M,Yeşilçam, N,Aydin, D,Ramazan, Y,Şenol, D(2014).Wet cupping therapy restores sympathovagal imbalances in cardiac rhythm.J Alternative Compl Med,20,318-321.
  19. Bernaba, M,Johnson, KA,Kong, JT,Mackey, S(2014).Conditioned pain modulation is minimally influenced by cognitive evaluation or imagery of the conditioning stimulus.J Pain Res,7,689-697.
  20. Calvino, B,Grilo, RM(2006).Central pain control.Joint Bone Spine,73,10-16.
  21. Cao, H(2010).Clinical research evidence of cupping therapy in China: a systematic literature review.BMC Compl Alternative Med,10,70.
  22. Cao, H(2014).Cupping therapy for acute and chronic pain management: a systematic review of randomised clinical trials.Journal of Traditional Chinese Medical Sciences,1(1),49-61.
  23. Cao, H,Hu, H,Colagiuri, B,Liu, J(2011).Medicinal cupping therapy in 30 patients with fibromyalgia: a case series observation.Forsch Komplementmed,18,122-126.
  24. Cao, Huijuan,Zhu, Chenjun,Liu, Jianping(2010).Wet cupping therapy for treatment of herpes zoster: a systematic review of randomized controlled trials.Altern Ther Health Med,16(6),48-54.
  25. Chen, Bo,Li, Ming-yue,Liu, Pei-dong,Guo, Yi,Chen, Ze-lin(2015).Alternative medicine: an update on cupping therapy.Q J Med.,108,523-525.
  26. Chen, LH,Li, XB(2004).Clinical application of cupping therapy.Jilin Zhongyiyao,24(8),60-61.
  27. Chirali, Ilkay Zihni(2014).Traditional Chinese Medicine Cupping Therapy.Philadelphia:Churchill Livingstone. Elsevier.
  28. Cui, S,Cui, J(2012).Progress of researches on the mechanism of cupping therapy.Zhen ci yan jiu Acupunct. Res,37(6),506-510.
  29. Daniali, F,VaezeMahdavi, MR,Ghazanfari, T,Naseri, M(2008).Comparing of venous blood with Hijama blood according to biochemical and hematological factors and immunological responses.J Physiol Pharmacol,13(58),78-87.
  30. Daniali, F,VaezeMahdavi, MR,Ghazanfari, T,Naseri, M(2008).Comparing of venous blood with Hijama blood according to biochemical and hematological factors and immunological responses.J Physiol Pharmacol,13(1),78-87.
  31. El-Domyati, Moetaz,Saleh, Fatma,Barakat, Manal,Mohamed, Nageh(2013).Evaluation of cupping therapy in some dermatoses.Egypt. Dermatol,9(1),2.
  32. Emerich, M,Braeunig, M,Clement, HW,Lüdtked, R,Hubera, R(2014).Mode of action of cuppingdlocal metabolism and pain thresholds in neck pain patients and healthy subjects.Compl Ther Med,22,148-158.
  33. Ernst, M,Lee, MHM(1986).Sympathetic effects of manual and electrical acupuncture of the Tsusanli knee point: comparison with the Hoku hand point sympathetic effects.Exp Neurol,94(1),1-10.
  34. Erras, Samar,Benjilali, Laila,Essaadouni, Lamiaa(2013).Wet-cupping in the treatment of recalcitrant oral and genital ulceration of Behçet disease: a randomized controlled trial.Indian J. Tradit Knowl,12(4),615-618.
  35. Faraci, FM(1990).Role of nitric oxide in regulation of basilar artery tone in vivo.Am J Physiol,259(4),1216-1221.
  36. Farhadi, K,Schwebel, DC,Saeb, M,Choubsaz, M,Mohammadi, R,Ahmadi, A(2009).The effectiveness of wet cupping for nonspecific low back pain in Iran: a randomized controlled trial.Compl Ther Med,17(1),9-15.
  37. Fazel, A,HossaniVaez, Z,Saghebi, A,Esmaeili, H.(2008).Effect of Wet cupping on serum lipoproteins concentrations of patients with hypercholesterolemia.Mashhad J NurMidwif.,9(1),13-18.
  38. Fønnebø(2007).Researching complementary and alternative treatments e the gatekeepers are not at home.BMC Med Res Meth,7,7.
  39. Ghods, R,Sayfouri, N,Ayati, MH(2016).Anatomical features of the interscapular area where wet cupping therapy is done and its possible relation to acupuncture meridians.J Acupunct Meridian Stud,9(6),290-296.
  40. Gnarro, Louis, J,Buga, Georgette M,Wood, Keith S,Byrns, Russell E,Chaudhuri, Gautam(1987).Endothelium-derived relaxing factor produced and released from artery and vein is nitric oxide.Proc Natl Acad Sci USA.,84,9265-9269.
  41. Gok, Sumeyye,Liyagil, Kazanci Fatma nur Haciev,Erdamar, Husamettin,Gokgoz, Nurcan(2016).Is it possible to remove heavy metals from the body by wet cupping therapy (Al-hijamah)?.Indian J. Tradit Knowl,15,700-704.
  42. Goodwin, J(2011).Alternative therapy: cupping for asthma.Chest,139,475.
  43. Greener, M(2004).Now You're signaling, with gas.Scientist,18,17.
  44. Guo, Yang,Chen, Bo,Wang, Dong-qiang(2017).Cupping regulates local immunomodulation to activate neuralendocrine-immune worknet.Compl Ther Clin Pract,28,1-3.
  45. Gur, A.(2006).Physical therapy modalities in management of fibromyalgia.Curr Pharm,12,29-35.
  46. Hao, P,Yang, Y,Guan, L(2016).Effects of bloodletting pricking, cupping and surrounding acupuncture on inflammation-related indices in peripheral and local blood in patients with acute herpes zoster.Zhongguo Zhen Jiu,36(1),37-40.
  47. Jin, L,Liu, YY,Meng, XW,Li, GL,Guo, Y(2010).A preliminary study of blood flow under the effect of cupping on back.JCAM,26,11.
  48. Ke, Zeng,Wang, Jian-wei(2016).Clinical application and research progress of cupping therapy.J Acupunct Tuina Sci.,14(4),300-304.
  49. Khalil Ahmad, Mohammad,Al-Qaoud, Khaled Mahmoud,Shaqqour, Hiba Mohammad(2013).Investigation of selected immunocytogenetic effects of wet cupping in healthy men.Spatula DD,3(2),51-57.
  50. Kim, JI,Lee, MS,Lee, DH,Boddy, K,Ernst, E(2011).Cupping for treating pain: a systematic review.Evid Based Compl. Alternat Med,467014.
  51. Kim, Jong-In,Lee, Myeong Soo,Lee, Dong-Hyo,Boddy, Kate,Ernst, Edzard(2011).Cupping for treating pain: a systematic review.Evidence-based Complementary and Alternative Medicine,467014.
  52. Lauche, R,Materdey, S,Cramer, H,Haller, H,Stange, R(2013).Effectiveness of Home-Based Cupping Massage Compared to Progressive Muscle Relaxation in Patients with Chronic Neck Painda Randomized Controlled Trial.PLoS One,8(6),65378.
  53. Lauche, Romy(2012).The effect of traditional cupping on pain and mechanical thresholds in patients with chronic Nonspecific neck pain: a randomized controlled pilot study’.Evidence-based Complementary and Alternative Medicine,429718.
  54. Le Bars, D,Villanueva, L,Willer, JC(1991).Diffuse noxious inhibitory controls (DNIC) in animals and in man.Acupunct Med,9,47-56.
  55. Lett, Ann(2000).Reflex Zone Therapy for Health Professionals.
  56. Lewith, George T,Jonas, Wayne B,Walach, Harald(2011).Clinical Research in Complementary Therapies: Principles, Problems and Solutions.Churchill Livingstone Elsevier Ltd.
  57. Lin, ML,Lin, CW,Hsieh, YH(2014).Evaluating the effectiveness of low level laser and cupping on low back pain by checking the plasma cortisol level.IEEE International Symposium on IEEE
  58. Lund, I,Lundeberg, T(2006).Are minimal, superficial or sham acupuncture procedures acceptable as inert placebo controls?.Acupunct Med,24(1),13-15.
  59. Ma, SX(2003).Enhanced nitric oxide concentrations and expression of nitric oxide synthase in acupuncture points/meridians.J Alternative Compl Med,9(2),207-215.
  60. Madamombe, Itai(2006).Traditional healers boost primary health care Reaching patients missed by modern medicine.Afr. Renew,19
  61. Mahdavi Vaez, Reza Mohammad(2012).Evaluation of the effects of traditional cupping on the biochemical, hematological and immunological factors of human venous blood.A Compendium of Essays on Alternative Therapy
  62. Marquardt, H(2000).Reflexotherapy of the Feet.Stuttgart:Thieme.
  63. Melzack, R,Wall, PD(1962).On the nature of cutaneous sensory mechanisms.Brain,85,331-356.
  64. Melzack, Ronald,Wall, Patrick, D(1965).Pain mechanisms: a new theory.New Series Science,150(3699),971-979.
  65. Michalsen, A,Bock, S,Lüdtke, R,Rampp, T(2009).Effects of traditional cupping therapy in patients with carpal tunnel syndrome: a randomized controlled trial.J Pain,10,601-608.
  66. Moayedi, M,Davis, KD(2012).Theories of pain: from specificity to gate control.J Neurophysiol,109(1),5-12.
  67. Moayedi, Massieh,Davis, Karen, D(2013).Theories of pain: from specificity to gate control. Theories of pain: from specificity to gate control.J. Neurophysiol,109(1),5-12.
  68. Moncada, S,Palmer, RM,Higgs, EA(1991).Nitric oxide: physiology, pathophysiology, and pharmacology.Pharmacology,43,109-142.
  69. Musial, F,Michalsen, A,Dobos, G.(2008).Functional chronic pain syndromes and naturopathic treatments: neurobiological foundations.Forsch Komplementmed,15(2),97-103.
  70. Mustafa, Layla A,Dawood, Rukzan M,Al-Sabaawy, Osama M(2012).Effect of wet cupping on serum lipids profile levels of hyperlipidemic patients and correlation with some metal ions.Raf. J. Sci.,23(3),128-136.
  71. Niasari, Majid,Kosari, Farid,Ahmadi, Ali(2007).The effect of wet cupping on serum lipid concentrations of clinically healthy young men: a randomized controlled trial.J Alternative Compl Med,13(1),79-82.
  72. Norouzali, T,Roostayi, MM,Dehghan, MF,Abbasi, M,Akbarzadeh, BA,Khaleghi, MR(2014).The effects of cupping therapy on biomechanical properties in wistar rat skin.J Res Rehab Sci.,9,841-851.
  73. Refaat, B,El-Shemi, AG,Ebid, AA,Ashshi, A,BaSalamah, MA(2014).Islamic wet cupping and risk factors of cardiovascular diseases: effects on blood pressure, meta-bolic profile and serum electrolytes in healthy young adult men.Altern IntegMed,3,151.
  74. Rozenfeld, Evgeni,Kalichman, Leonid(2016).New is the well-forgotten old: the use of dry cupping in musculoskeletal medicine.J Bodyw Mov Ther,20(1),173-178.
  75. Sato, A(1997).Neural mechanisms of autonomic responses elicited by somatic sensory stimulation.Neurosci Behav Physiol,27(5),610-621.
  76. Sato, A,Sato, Y,Schmidt, RF(1997).The impact of somatosensory input on autonomic functions.Rev Physiol Biochem Pharmacol,130,257-262.
  77. Schäffer, Michael R,Tantry, Udaya,Gross, Steven S,Wasserkrug, Hannah L,Barbul, Adrian(1996).Nitric oxide regulates wound healing.J Surg Res,63(1),237-240.
  78. Schouenborg, Jens,Dickenson, Anthony(1985).The effects of a distant noxious stimulation on A and C fibre-evoked flexion reflexes and neuronal activity in the dorsal horn of the rat.Brain Res,328(1),23-32.
  79. Science and Research Branch(2012).The Effects of Wet Cupping on the Structure and Function of Extracted Hemoglobin from Diabetic Volunteers.International Conference on Biophysical Chemistry (ICBC)
  80. Shaban, T(2009).Professional Guide to Cupping Therapy.CreateSpace Independent Publishing Platform.
  81. Shaban, T.(2013).Cupping Therapy Encyclopedia.Createspace Independent Pub.
  82. Sherman, Lisa(2016).Evidence base.J Chin Med,12
  83. Sheykhu, AMA(2008).Davaa'olAjib.Tehran:Razavieh Publishment.
  84. Staud, R.(2011).Peripheral pain mechanisms in chronic widespread pain.Best Pract Res Clin Rheumatol,25(2),155-164.
  85. Tagil, SM,Celik, Huseyin Tugrul,Ciftci, Sefa(2014).Wet-cupping removes oxidants and decreases oxidative stress.Com-plement Ther Med,22,1032-1036.
  86. Tian, H,Tian, YJ,Wang, B,Yang, L,Wang, YY,Yang, JS(2013).Impacts of bleeding and cupping therapy on serum P substance in patients of postherpetic neuralgia.Zhongguo Zhen Jiu,33,678-681.
  87. Tian, YY,Qin, LN,Zhang, WB(2007).Effect of cupping with different negative pressures on dermal blood flow.Zhen Ci Yan Jiu,32(3),184.
  88. Tiran, Denise,Chummun, Harry(2005).The physiological basis of reflexology and its use as a potential diagnostic tool.Compl Ther Clin Pract,11,58-64.
  89. Ullah, K,Younis, A,Wali, M(2006).An investigation into the effect of cupping therapy as a treatment for anterior knee pain and its potential role in health promotion.Internet J Alternative Med,4,1.
  90. van, Wijk Gerrit,Veldhuijzen, Dieuwke S(2010).Perspective on diffuse noxious inhibitory controls as a model of endogenous pain modulation in clinical pain syndromes.J Pain,11(5),408-419.
  91. Vaskilampi, T,Hanninen, O(1982).Cupping as an indigenous treatment of pain syndromes in Finnish culture and social context.Soc Sci Med,16(21),1893-1901.
  92. Wall, Patrick, D.(1960).Cord cells responding to touch, damage, and temperature of skin.J. Neurophysiol. Publ.,23(2),197-210.
  93. Wei, Xiao,Wang, Ying,Kong, Hong-bing(2010).Effects of cupping at back-shu acupoints on immunologic functions in patients with chronic obstructive pulmonary disease during stable stage.J Anhui Tradit Chin Med Coll,05
  94. Ye, LH(1998).Effect of cupping on human body immune function.XiandaiKangfu,23(10),1109-1121.
  95. Yoo, Simon, S,Tausk, Francisco(2004).Cupping: east meets west.Int J Dermatol,43(9),664-665.
  96. Yuan, Q-l,Guo, T-m,Liu, L,Zhang, Y-g(2015).Traditional Chinese medicine for neck pain and low back pain: a systematic review and meta analysis.PLoS One,10,2.
  97. Zhang, L,Tang, LT,Tong, XL,Jia, H,Zhang, YZ,Jiu, GX(2001).Effect of cupping therapy on local hemoglobin in human body.Zhongguo Zhen Jiu,21(10),619-621.
  98. Zhang, Shi-jun,Liu, Jian-ping,He, Ke-qiang(2010).Treatment of acute gouty arthritis by blood-letting cupping plus herbal medicine.J Tradit Chin Med,30(1),18-20.
  99. Zhong, L,Li, L,Li, J,Liao, YL,Huang, S(1999).Effect of moving cupping on the immune function of red blood cells.Zhongguo Zhen Jiu,19(6),367-368.
被引用次数
  1. Tânia Couto Machado Chianca,Tamara Goncalves Rezende Macieira,Higor Magalhães Silvano,Hérica Pinheiro Corrêa,Gabriela Aparecida Pereira,Erika de Cássia Lopes Chaves,Denismar Alves Nogueira,Denise Hollanda Iunes,Cissa Azevedo,Caroline de Castro Moura(2022).Effects of ear acupuncture combined with cupping therapy on severity and threshold of chronic back pain and physical disability: A randomized clinical trial.Journal of Traditional and Complementary Medicine,12(2),152-161.
  2. 楊宗翰,陳朝龍(2022)。針刀拔罐療法治療足底筋膜炎的案例探討。中醫藥研究論叢,25(4),105-112。
  3. 楊宗翰,陳朝龍(2023)。針刀拔罐療法治療下背痛的案例探討。中醫藥研究論叢,26(1),81-89。