Evidence-Based Therapeutic Benefits of Cupping Therapy (Ḥijāma): A Comprehensive Review
Abstract
Ilaj bi’l tadbeer (regimenal therapy) is one of the preferred treatment methods used in Unani system of medicine since ancient times. Ḥijāma is one of the effective modalities of treatment in Ilaj bi’l tadbeer. It is a unique therapeutic procedure in which cup like vessels are placed on the body surface by creating a vacuum to either let out blood from below the skin surface or just plain suction without bloodletting. The objective of this comprehensive review paper is to address the claims of Unāni physicians and clinical studies conducted on the efficacy of Ḥijāma. Various published clinical trials showed the efficacy of Ḥijāma in the management of a number of diseases. Though, the effect showed by some clinical trials was short term. Hence, it is suggested that rigorous, well-designed, controlled, randomized and long duration follow up clinical trials on large sample size are to be conducted by trained clinicians or researchers to establish the efficacy of Ḥijāma in the management of various diseases.
Keywords: Ilaj bi’l tadbeer, Ḥijāma, Therapeutic Benefits
Keywords:
Ilaj bi’l tadbeer, Ḥijāma, Therapeutic BenefitsDOI
https://doi.org/10.22270/jddt.v11i4-S.4969References
Dar AK, Lone AH, Therapeutic application of Al-Hijamah (cupping therapy) in osteoarthritis of the knee, International Journal of Research and Development in Pharmacy & Life Science, 2015; 4(3):1540-1544.
Sultana A, Rahman K, Hijamat (cupping therapy) and gynecological diseases—A Review, Journal of International Society for the History of Islamic Medicine (JISHIM), 2012; 10-11(19-20-21-22):127-35.
Mohd Nayab, Mohd Anwar, Tanzeel Ahamd, Effect of Hijamat-bila-Shurt in the Management of Waja-ul-Mafasil – A Clinical Study, Hippocratic Journal of Unani Medicine, Central Council for Research in Unani Medicine, New Delhi: 2009; 4(3):1-7.
Mohd Nayab, Mohd Arshad Ansari¬, Mohd Anwar, Ahmad Yasin, Effect of Hijamat-Bila-Shurt in the Management of Waja-uz-Zohar – A Clinical Study, Hippocratic Journal of Unani Medicine, Central Council for Research in Unani Medicine, New Delhi: 2011; 6(1):79-86.
Anjum N, Jamil S, Hannan A, Akhtar J, Ahmad B, Clinical Efficacy of Hijamat (Cupping) in Waja-ul-Mafasil. Indian Journal of Traditional Knowledge, 2005; 4(4):412-415.
Tagil SM, Celik HT, Ciftci S, Kazanci FH, Arslan M, Erdamar N et al., Wet- cupping removes oxidants and decreases oxidative stress, Complementary Therapies in Medicine, 2014; 22(6):1032-6. doi: 10.1016/j.ctim.2014.10.008.
Razi Z, Kitab Al Mansoori (Translated by the CCRUM), New Delhi: Central Council for Research in Unani Medicine, Ministry of Health and Family Welfare, Govt. of India; 1991.
El Sayed SM, Mahmoud HS, Nabo MM, Medical and Scientific Bases of Wet Cupping Therapy: In Light of Modern Medicine and Prophetic Medicine, Alternative and Integrative Medicine, 2013; 2(5):1-6. doi: 10.4172/2327- 5162.1000122.
Masihi IQ, Kitab-al-Umda Fi-al-Jaraḥat (Translated by the CCRUM), Vol 1. New Delhi: Central Council for Research in Unani Medicine, Ministry of Health and Family Welfare, Govt. of India; 1986.
Baghdadi IH. Kitab Al Mukhtarat Fit Tib (Translated by the CCRUM), Vol 1. New Delhi: Central Council for Research in Unani Medicine, Ministry of Health and Family Welfare. Govt. of India; 2007.
Qarshi A, Mujaz-al-Qanun (urdu translated by Kauser chandpuri). 3rd ed. New Delhi: NCPUL; 1988.
Mohd. Nayab, Mehmooda Beghum, Mohd Anwar, Cupping Therapy – A Benevolent Boon of Unani System of Medicine, Unani Research, 2011; 1 (1):1-4.
Mohd Nayab, Mohd Anwar, Sherwani A.M.K, History of Hijamat, Journal of the International Society for the History of Islamic Medicine (JISHIM), 2012; 10-11(19-20-21-22): 175-179.
Qurshi HM, Jamiul Hikmat, New Delhi: Idara Kitab us Shifa; 2011.
Mohd Nayab, Abdul Nasir Ansari, Fatima Khan, A Panoramic view of most commonly used Regimenal Modalities (Tadabeer) for joint pain in Unani System of Medicine: A Critical Review, Journal of Drug Delivery and Therapeutics, 2021; 11(2):228-231. DOI: http://dx.doi.org/10.22270/jddt.v11i2.4561.
Zahrawi AQ, Jarahiyat Zahrawi (Urdu translated by Nisar Ahmad HM). New Delhi: Central Council for Research in Unani Medicine, Ministry of Health and Family Welfare. Govt. of India; 2012.
Alam M, Mannan A, Siddique M, Ilahi A, Hijamah (cupping): A Graeco-Islamic Perspective. Journal of the International Society for the History of Islamic Medicine, 2012;10-11(19-20-21-22):143-148.
Ahmad I, Nayab M, Ahmad T, Effect of gliding cupping with Roghan-e-Surkh in low back ache (Waja-uz-Zahr): a case series study. Drug Metabolism and Personalized Therarpy, 2021 Mar 26. doi: 10.1515/dmpt-2020-0177. Epub ahead of print. PMID: 33770821.
Lari A, Nayab M, Tausif M, Lari J, Alam A, Therapeutic potentials of hijama-bila-shart (Dry Cupping Therapy): A review. International Journal of Unani and Integrative Medicine, 2017; 1(1):21-24.
Nayab M, Anwar M, Qamri MA, Clinical study on Waja-ul-Mafasil and evaluation of efficacy of Hijamat-Bila-Shurt in the treatment. Indian Journal of Traditional Knowledge, 2011; 10(4):697-701.
Sheikh MH, Fasihuzzaman, Jabeen A, Siddiqui MA, Unani Concept and Management of Waja-Ul- Mafasil (Arthritis) with Special Reference to Hijamah (Cupping Therapy), Indo American Journal of Pharmaceutical Research, 2014; 4(2):1098-1103.
Qamri AM. Minhaj ul Ilaj (Urdu Translation of Ghina Muna), New Delhi: Central Council for Research in Unani Medicine, Ministry of Health and Family Welfare. Govt. of India; 2008.
Anees S, Arafath Y, Naaz A, Khan MQ, Hijamah (Cupping therapy) as a Preventive Medicine – A Retro-Prospective Analytical Study. International Journal of AYUSH, 2015; 4(2):88-100.
Hasan I, Standardization of Cupping Therapy Points and Mechanism of Action in the Light of Science, Indo American Journal of Pharmaceutical Science, 2018; 5(1):249-261.
Rozenfeld E, Kalichman L, New is the well-forgotten old: The use of dry cupping in musculoskeletal medicine. Journal of Bodywork and Movement Therapies, 2016; 20(1):173-178. doi: 10.1016/jbmt.2015.11.009.
Farhadi K, Schwebel DC, Saeb M, Choubsaz M, Mohammadi R, Ahmadi A, The effectiveness of wet-cupping for nonspecific low back pain in Iran: a randomized controlled trial. Complementary Therapies in Medicine, 2009; 17(1):9-15. doi: 10.1016/j.ctim.2008.05.003.
Nimrouzi M, Mahbodi A, Jaladat AM, Sadeghfard A, Zarshenas MM, Hijamat in traditional Persian medicine: risks and benefits. Journal of Evidence Based Complementary and Alternative Medicine, 2014; 19(2):128-136. doi: 10.1177/2156587214524578.
Al-Bedah A, Khalil M, Elolemy A, Hussein AA, AlQaed M, Al Mudaiheem A et al., The use of wet cupping for persistent nonspecific low back pain: randomized controlled clinical trial, Journal of Alternative and Complementary Medicine, 2015:1-5. doi: 10.1089/acm.2015.0065.
Kim JI, Kim TH, Lee MS, Kang JW, Kim KH, Choi JY et al., Evaluation of wet-cupping therapy for persistent non-specific low back pain: a randomised, waiting-list controlled, open-label, parallel-group pilot trial, Trials, 2011; 12(146):1-7. doi:10.1186/1745-6215-12- 146.
Mardani-Kivi M, Montazar R, Azizkhani M, Hashemi-Motlagh K, Wet-cupping is effective on persistent nonspecific low back pain: a randomized clinical trial, Chinese Journal of Integrative Medicine, 2019; 25(7):502-506. doi: 10.1007/s11655-018-2996-0.
Lauche R, Cramer H, Choi KE, 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(63):1-1. doi:10.1186/1472-6882-11-63.
Cramer H, Lauche R, Hohmann C, Choi KE, Rampp T, Musial F et al., Randomized controlled trial of pulsating cupping (pneumatic pulsation therapy) for chronic neck pain. Forschende Komplementarmedizin, 2011; 18(6):327-34. doi: 10.1159/000335294.
Saha FJ, Schumann S, Cramer H, Hohmann C, Choi KE, Rolke R et al., The effects of cupping massage in patients with chronic neck pain- a randomized controlled trial. Complementary Medicine Research, 2017; 24(1):26-32. doi: 10.1159/000454872.
Arslan M, Gökgöz N, Dane Ş, The effect of traditional wet cupping on shoulder pain and neck pain: A pilot study. Complementary Therapies in Clinical Practice, 2016; 23:30-3. doi: 10.1016/j.ctcp.2016.02.003.
Kim TH, Kang JW, Kim KH, Lee MH, Kim JE, Kim JH 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):416-426.
Lauche R, Cramer H, Langhorst J, Dobos G, Cupping for chronic nonspecific neck pain: a 2-year follow-up, Complementary Medicine Research, 2013; 20(5):328-333. doi: 10.1159/000355634.
Wen MX, Ying W, Sheng-ai P, Wen-tao LV, Cheng-hui ZH, Ming-yuan MU et al., Wet cupping therapy improves local blood perfusion and analgesic effects in patients with nerve-root type cervical spondylosis, Chinese Journal of Integrative Medicine, 2018; 24(11):830-834. doi: 10.1007/s11655-017-2925-7.
Khan AA, Jahangir U, Urooj S, Management of knee osteoarthritis with cupping therapy, Journal of Advanced Pharmaceutical Technology & Research, 2013; 4(4):217-223. doi: 10.4103/2231-4040.121417.
Abdullah KS, Mohammed AS, Naveed M, Al-Eryani E, Ahmed AA, Al-Atany SM, Effect of Cupping (Al-Hijama) therapy in rheumatoid arthritis patients: A cohort study in Yemen, Dokkyo Journal of Medical Sciences, 2021; 48(02):189-199.
Bilal M, Khan RA, Therapeutic Effectiveness of Hijama in Sciatica Pain, Pharmacology and Pharmacy, 2016;7(8):326-330. doi: 10.4236/pp.2016.78040.
Shaikh N, Alam H, Effect of Hijama (Wet Cupping Therapy) In Sciatica Pain Management, International Journal of Advances in Health Sciences, 2020; 6(1):1-7.
Michalsen A, Bock S, Lüdtke R, Rampp T, Baecker M, Bachmann J et al., Effects of traditional cupping therapy in patients with carpal tunnel syndrome: a randomized controlled trial, Journal of Pain, 2009; 10(6):601-608. doi:10.1016/j.jpain.2008.12.013.
Mohammadi S, Roostayi MM, Naimi SS, Baghban AA, The effects of cupping therapy as a new approach in the physiotherapeutic management of carpal tunnel syndrome, Physiotherapy Research International, 2019; 24(3):1-7. doi: 10.1002/pri.1770.
Lari A, Nayab M, Efficacy of Hijamat-bila-Shart (Dry Cupping) in the Management of Waja-uz-Zahr (Low Back Pain): An Open Randomized Controlled Clinical Trial, International Journal of Herbal Medicine, 2018; 6(1):16-19.
Islam MU, Nayab M, Ansari AN, Effect of dry cupping versus soft and prolonged massage in the management of knee osteoarthritis - a randomized controlled clinical trial, Journal of Complementary Integrative Medicine, 2021 Mar 31. doi: 10.1515/jcim-2020-0350. Epub ahead of print. PMID: 33787191.
Sultana A, Rahman KU, Farzana AL, Efficacy of hijamat bila shurt (dry cupping) on intensity of pain in dysmenorrhoea-a preliminary study. Ancient Science of Life 2010; 30(2):47- 50.
Dadmehr M, Ayati MH, Rostami S, Akhtari E, Effectiveness of Dry Cupping Therapy in the Management of Uterine Fibroid: A Case Report, Traditional and Integrative Medicine, 2020; 5(2):86-92.
Sultana A, Rahman KU, Effect of traditional dry cupping therapy on heavy menstrual bleeding in menorrhagia: A preliminary study, Tang Humanitus Medicine, 2012; 2(4):33-1. doi:10.5667/tang.2012.0030.
Abdul jabbar H, Gazzaz A, Mourad S, Oraif A, Hijama (wet cupping) for female infertility treatment: a pilot study, International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016; 5(11):3799-3801. doi: 10.5667/tang.2012.0030.
Aziz khani M, Dastjerdi MV, Arani MT, Pirjani R, Sepidarkish M, Ghorat F et al., Traditional dry cupping therapy versus medroxyprogesterone acetate in the treatment of idiopathic menorrhagia: a randomized controlled trial, Iran Red Crescent Medical Journal 2018; 20(2). doi: 10.5812/ircmj.60508.
Khan AA, Treatment of polycystic ovarian syndrome by wet cupping–a case report. Journal of Ayurveda and Holistic Medicine, 2015; 3(3):41-45.
Mokaberinejad R, Rampisheh Z, Aliasl J, Akhtari E, The comparison of fennel infusion plus dry cupping versus metformin in management of oligomenorrhoea in patients with polycystic ovary syndrome: a randomised clinical trial, Journal of Obstetrics and Gynecology, 2019; 39(5):652-8. doi: 10.1080/01443615.2018.1541232.
Ersoy S, Benli AR, Continue or stop applying wet cupping therapy (al-hijamah) in migraine headache: A randomized controlled trial, Complementary Therapies in Clinical Practice, 2020; 38:1-6. doi: 10.1016/j.ctcp.2019.101065.
Seo J, Chu H, Kim CH, Sung KK, Lee S, Cupping Therapy for Migraine: A PRISMA- Compliant Systematic Review and Meta-Analysis of Randomized Controlled Trials, Evidence-Based Complementary and Alternative Medicine, 2021; 2021:1-9. doi: 10.1155/2021/7582581.
Ali M, Ansari AN, Nayab M, Anjum H, Ansari S, Efficacy of a Poly-Herbal Unani Formulation and Dry Cupping in treatment of Post-Stroke Hemiplegia: An Exploratory, Single Arm Clinical Trial, Journal of Advances in Integrative Medicine, 2020. DOI: https://doi.org/10.1016/j.aimed.2020.11.001
Aleyeidi NA, Aseri KS, Matbouli SM, Sulaiamani AA, Kobeisy SA, Effects of wet-cupping on blood pressure in hypertensive patients: a randomized controlled trial, Journal of Integrative Medicine, 2015; 13(6):391-399. doi: 10.1016/S2095-4964(15)60197-2.
Husain NR, Hairon SM, Zain RM, Bakar M, Bee TG, Ismail MS, The effects of wet cupping therapy on fasting blood sugar, renal function parameters, and endothelial function: a single- arm intervention study, Oman Medical Journal, 2020; 35(2):e108. doi:10.500/omj.2020.26.
Niasari M, Kosari F, Ahmadi A, The effect of wet cupping on serum lipid concentrations of clinically healthy young men: a randomized controlled trial, Journal of Altern and Complementary Medicine, 2007; 13(1):79-82. doi: 10.1089/acm.2006.4226.
Fadli, Ahmad AS, Safruddin, Baharuddin R, Februanti S, Effect of Wet Cupping Against Increased Arterial Baroreflex Sensitivity in Hypertensive Patients: Randomized Controlled Trial (RCT), Journal of Critical Reviews, 2020; 7(14):671-676. doi: 10.31838/jcr.07.14.118
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