Cupping is a form of alternative medicine where cups are placed on the skin to create suction. It is believed to promote healing by mobilizing blood flow, promoting detoxification, and invigorating qi. Cupping can be used to treat various conditions like pain, respiratory diseases, weight loss, and more. There are different cupping techniques that vary the level of suction and heat used. Cupping marks on the skin are a normal result of bringing more blood to the surface.
Hijama (cupping) therapy - an overview by DR MOHD SHAHID (MD)MOHD SHAHID
This document provides a historical overview and modern research on Hijama (cupping therapy). It describes how cupping has been practiced for over 5,000 years in various cultures to treat diseases. There are two main types - dry cupping which draws blood to the skin surface, and wet cupping which also uses incisions to evacuate toxins. Modern research has found cupping effective for pain relief by drawing out inflammatory chemicals and heavy metals. Controlled studies show benefits for lower back pain, dysmenorrhea, and type 2 diabetes. The conclusion emphasizes cupping is a natural, safe, and effective therapeutic technique supported by both history and science.
Electrotherapy: a subject of physiotherapy usually dealt in second or sometimes first year bachelor of physiotherapy students. the subject deals with; various recent machines which are used to treat patients with pain and discomfort.
Micro-current is a treatment that uses a very small electrical current to stimulate cellular activity and speed up metabolism in tissues. It can tighten skin, reduce wrinkles and lines, and lift sagging muscles. A full course of micro-current treatments involves 10-12 sessions over 5-6 weeks, with different wave forms and programs targeting circulation, lymph drainage, lifting, and firming. Regular micro-current can help delay the signs of aging by promoting collagen and elastin production.
Habitual physical activity provides numerous health benefits including improved cardiovascular function, reduced risk of heart disease and stroke, enhanced muscle function, increased bone density, weight management, and protection against diabetes. Therapeutic exercises include range of motion, resistance training, aerobic exercise, flexibility exercises, and techniques like proprioceptive neuromuscular facilitation to address specific medical conditions and injuries. Contraindications for exercise include certain cardiovascular conditions and acute illnesses.
This document discusses cupping therapy, an ancient Chinese technique that uses suction cups placed on the skin. It describes how cupping therapy works by using fire to create suction in glass cups placed on the skin, which causes the skin to redden as blood vessels expand. Cupping therapy has been used for over 3,500 years in Egypt and ancient Greece to treat various ailments. The document outlines the proposed benefits of cupping therapy such as reducing pain, improving circulation, detoxification, and relieving stress.
Hijama (Arabic: حجامة lit. "sucking") is the Arabic term for wet cupping, where blood is drawn by vacuum from a small skin incision for therapeutic purposes.The practice has Greek and Persian origin and is mentioned by Hippocrates.
Wax therapy, which uses a bath of molten paraffin wax, is one of the most effective ways of applying heat to improve mobility by warming the connective tissues. Wax therapy is mainly used on your hands along with an exercise program.
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Thermotherapy involves the therapeutic application of heat and is used primarily to control pain, increase circulation, increase soft tissue extensibility, and accelerate healing in rehabilitation. Heat can be applied superficially using modalities like hot packs, or deeply using modalities like shortwave diathermy. Heat causes vasodilation, increasing blood flow and the delivery of nutrients while removing waste, and reducing pain. It also increases tissue temperature, extensibility, and range of motion. Precautions must be taken with certain conditions like recent bleeding, impaired sensation, pregnancy, or open wounds. Excessive or prolonged heat can cause burns.
Medium Frequency Currents in Physiotherapy SRSSreeraj S R
Interferential therapy (IFT) is a transcutaneous electrical nerve stimulation technique developed in the 1950s. It involves applying two medium frequency alternating currents (usually around 4000 Hz) intersecting within tissues at a low frequency (150 Hz in the example) to induce an amplitude-modulated interference waveform. This allows IFT to achieve pain relief, muscle stimulation, increased blood flow and edema reduction similar to low frequency currents, but with improved skin tolerance due to the lower skin impedance at medium frequencies. IFT devices generate interference patterns within tissues using various modes like static, dynamic or bipolar applications of the modulated waveforms.
Contrast bath therapy involves soaking an injured area in alternating hot and cold water baths to increase blood flow and decrease stiffness and pain. The physiological mechanism is that it induces vasodilation and vasoconstriction through changes in water temperature, pumping edema from the injured area. The procedure involves soaking in warm water for 10 minutes, cold water for 1 minute, repeating warm water for 4 minutes and cold water for 1 minute, ending in warm water for 4 minutes for a total time of 25 minutes. Contrast baths can treat injuries like sprains, strains and bruises by removing edema through changes in blood flow. Certain precautions should be taken for conditions like open wounds, pregnancy and impaired sensation.
Hydrotherapy uses water and its properties for therapeutic purposes. It has a long history dating back to ancient civilizations. Various forms include whirlpool baths, Hubbard tanks, contrast baths, aquatic exercises, and sitz baths. The physical properties of water like temperature, pressure, buoyancy and viscosity provide benefits like increased blood flow, reduced joint stress, and strengthened muscles. Potential side effects include drowning, hyperthermia and disease transmission, so precautions around heat are important. Hydrotherapy continues to be used for conditions like arthritis, pain, wounds and edema.
A technique which uses water as a therapeutic modality. This therapy is usually used by Physiotherapist for healing wound, edema drainage, improving balance and posture and decreasing pain.
Functional Re-education training in PhysiotherapyAnumeha Sharma
Presentation contains detailed knowledge about Functional Re-education Training in rehabilitation to re-educate and restore motor impairments after any pathological condition.
- Functional – related to day-to-day functions
- Re-education – re-training (educating something, which is already known by an individual).
- Functional re-education techniques are those which are used in re-education of lost functions.
- Re-education means educating something, which is already known by an individual.
This document provides an overview of physiotherapy and rehabilitation techniques. It discusses the roles of a physiotherapist in examination, intervention, prevention, consultation, education and research. It then describes different types of therapeutic exercises including strength, mobility, balance, flexibility and coordination exercises. Various techniques for assessing and improving muscle strength, endurance, power, flexibility and movement are outlined.
The document discusses Mitchell's relaxation technique, which uses diaphragmatic breathing and isotonic muscle contractions based on reciprocal inhibition. It can be used to treat respiratory, orthopedic, post-natal, and psychiatric conditions. The technique promotes relaxation and reduces muscle tension and pain perception. It is effective for pre-labor Braxton Hicks contractions and realigning stress-related postures by moving to a new position and increasing awareness of body position. Mitchell's relaxation technique can also help conditions involving a high tone pelvic floor like painful bladder syndrome.
History of Manual Therapy and ArthrologyChrisBacchus
The document provides a history of manual therapy, outlining important figures and developments from Hippocrates in 460 BC to current practice. It discusses the evolution of osteopathy, chiropractic, and physical therapy. Key developments include Andrew Still establishing osteopathy in the US in 1874, Daniel Palmer founding chiropractic in 1895, and the establishment of physical therapy programs and professional organizations in the early 20th century. Current manual therapy practice draws from various techniques and philosophies.
This document discusses cold therapy (cryotherapy) for injuries. It describes how applying ice reduces tissue temperature, which causes blood vessels to constrict, reducing swelling and pain. Ice therapy is used to reduce pain, swelling, muscle spasms and promote healing after injuries. The document outlines the physiological effects of cold on blood flow, inflammation and nerve conduction. It provides contraindications for ice therapy and different techniques for application, such as ice towels, packs, immersion and spray.
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
This Online Course has been recorded at Zhejiang Chinese Medical University. It was taught by Tim Vukan - founder of Wushan TCM. Tim Vukan, MMed, Master of Chinese medicine at (ZCMU) is one of the few foreigners who completed his more than 12 years of Chinese medicine education directly in China! He is a certified Chinese medicine practitioner who has been studying and practicing for more than ten years at Zhejiang Chinese Medical University in Hangzhou (China). He is now teaching Chinese medicine to Chinese and foreign students at ZCMU.
Back care and back massage. powerpoint presentationpratiksha ghimire
This document provides information on back care and massage, including definitions, purposes, indications, contraindications, principles, required materials, positions, techniques, and procedures. Back care involves cleaning and massaging the back with attention to pressure points, while back massage includes rhythmic stroking, rubbing, and squeezing of back tissues. The purposes of back care and massage are to promote circulation, maintain cleanliness, prevent infections and skin breakdown, inspect skin condition, promote rest and sleep, and reduce tension and stress.
Learn about Moxibustion Therapy. This Slideshare Lesson has been taught by Tim Vukan at Zhejiang Chinese Medical University. Tim Vukan, MMed, Master of Chinese medicine at (ZCMU) is one of the few foreigners who completed his more than 12 years of Chinese medicine education directly in China! He is a certified Chinese medicine practitioner who has been studying and practicing for more than ten years at Zhejiang Chinese Medical University in Hangzhou (China). He is now teaching Chinese medicine to Chinese and foreign students at ZCMU.
Back massage or back care involves cleaning and massaging an individual's back for therapeutic and comfort purposes. It increases elimination through the skin, induces sleep, provides comfort, regulates body temperature, and aids in patient observation. Contraindications include burns, rib fractures, spinal injuries, and back surgeries. Back massage techniques include effleurage, petrissage, friction, hand over hand strokes, brush strokes, kneading, and tapping motions. Proper back care involves assessing the skin, washing with soap and water, applying lotion or oil, massaging for 3-5 minutes, redressing the patient, and documenting the procedure.
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Back care consists of cleaning and massaging back (from shoulder to lower level of the buttocks) by using scientific form of required strokes for maximizing cutaneous stimulation, comfort and emotional relaxation as well.
Back care of patient , Fundamentals of Nursing Pooja Koirala
1. Back care involves cleaning, massaging, and paying attention to pressure points on the back to provide comfort, relaxation, and physical and emotional stimulation.
2. The purposes of back care are to improve circulation, refresh mood, relieve fatigue/pain/stress, induce sleep, and prevent pressure sores while observing the patient's back condition.
3. The back care procedure involves washing, massaging, and observing the back using techniques like effleurage, petrissage, tapotement, compression, and vibration to increase circulation, relax muscles, and stimulate tissues.
The document discusses guidelines for essential newborn care immediately after birth. It recommends:
1) Thoroughly drying the newborn within 30 seconds of birth and placing the baby skin-to-skin with the mother.
2) Delaying cord clamping until pulsations stop and cutting the cord 2-5 cm from the umbilical base.
3) Initiating breastfeeding within 90 minutes by observing feeding cues and encouraging attachment.
The document provides tips for maintaining healthy skin, including eating a balanced diet, drinking water, exercising, and protecting skin from sun damage. It discusses various spa treatments like facials, masks, and wraps that can rejuvenate and pamper skin. Wrinkles are caused by aging and sun damage, which breaks down collagen. Maintaining proper nutrition, hydration, sleep, and avoiding smoking can help diminish wrinkles. The tips also cover treating blackheads, pimples, and winter skin care. Facial masks are recommended for absorbing excess oil and improving skin texture.
This document discusses Dalak/massage in Unani medicine. It defines Dalak as massage and describes it as an important part of regimental therapy. It then discusses different types of massages used to treat various musculoskeletal disorders like arthritis. The document provides details on the aims, types of oils used, techniques, indications, contraindications and precautions of Dalak/massage in Unani medicine.
Learn about Moxibustion Therapy. This Slideshare Lesson has been taught by Tim Vukan at Zhejiang Chinese Medical University. Tim Vukan, MMed, Master of Chinese medicine at (ZCMU) is one of the few foreigners who completed his more than 12 years of Chinese medicine education directly in China! He is a certified Chinese medicine practitioner who has been studying and practicing for more than ten years at Zhejiang Chinese Medical University in Hangzhou (China). He is now teaching Chinese medicine to Chinese and foreign students at ZCMU. More info about Chinese Medicine from Hangzhou can be found on our website on https://wushantcm.com
This document provides information on complementary and alternative therapies including massage, herbal medicine, and body mechanics. It describes different types of massage techniques including effleurage, petrissage, tapotement, friction, and vibration. It also lists 10 medicinal plants approved by the Philippine Department of Health and describes their uses and preparations. Finally, it discusses the importance of proper body mechanics, which includes maintaining good posture, balance, coordination, and joint mobility.
complementary therapies in labour ..different types of therapies at the time of pregnancy , water birth and their advantages and disadvantages , different types of messages while pregnancy
Cupping therapy is an Eastern medicine technique that involves applying evacuated cups to the skin to draw blood through the surface. The best time for cupping is in the middle of the month when lunar influence and humoral activity are at their peak. Wet cupping, which involves making small incisions and then applying cups, is used to treat conditions not caused by excess wind, while dry cupping without incisions resolves cold swellings from wind. Cupping sites include the back, shoulders, neck, face, thighs, hips, ankles, and abdomen to treat various pains and illnesses. Wet cupping purifies the skin and removes thin blood more effectively than other elimination methods without loss of vital fluids or serious disturbance.
Cupping therapy is an ancient practice over 5000 years old that is used globally to treat a broad spectrum of health disorders. It works through the body's cutivisceral reflex paths to stimulate circulation and regulate disturbed functions at the site of suction cups. This helps eliminate blockages and strengthens the body's natural healing powers without adverse side effects. Common methods include dry cupping, wet cupping, and cupping massage to improve blood flow and treat issues like bronchitis, influenza, and pain.
Covid-19 healing, flu, pain management, chronic illnesses, autism and ADHD re...Van Dao Duy
The document discusses trigger points in the body that can cause diseases over time if not removed. It provides several traditional alternative healing techniques for removing trigger points, including pressing on hands and feet, using herbal oils, foot soaks, and warm back massages. It also discusses the importance of lung health and oxygen intake, and recommends exercises like clapping the chest, deep breathing, and abdominal massages for treating illnesses like fever and cough.
health and fitness ,
What are the 4 types of health?
What is health and its importance?
What is the meaning of UN in health?
What are the 3 biggest health problems?
What is your definition of health?
What are the 5 issues on health?
What is the most health issue?
What are the 5 issues on health?
What is the most health issue?
What was the first definition of health?
What is global health issues?
Why does global health matter?
WHO main objective?
What are the objectives of health?
This document provides information about facial exercises, massages, and basic facial treatment procedures. It discusses the benefits of facial exercises in strengthening muscles and reducing signs of aging. Different types of facial massages are described, including petrissage, effleurage, and tapotement. Safety precautions for massages are outlined. The basic facial treatment process involves preparation, consultation, cleansing, extraction, steaming, massaging, and application of serums and moisturizers. Proper sanitization of tools and cleaning of the area is emphasized.
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Theoretically, gene therapy is the permanent solution for genetic diseases. But it has several complexities. At its current stage, it is not accessible to most people due to its huge cost. A breakthrough may come anytime and a day may come when almost every disease will have a gene therapy Gene therapy have the potential to revolutionize the practice of medicine.
JMML is a rare cancer of blood that affects young children. There is a sustained abnormal and excessive production of myeloid progenitors and monocytes.
Pharmacotherapy of Asthma and Chronic Obstructive Pulmonary Disease (COPD)HRITHIK DEY
This PowerPoint presentation provides an in-depth overview of the pharmacotherapy approaches for managing asthma and Chronic Obstructive Pulmonary Disease (COPD). It covers the pathophysiology of these respiratory conditions, the various classes of medications used, their mechanisms of action, indications, side effects, and the latest treatment guidelines. Designed for students, healthcare professionals, and anyone interested in respiratory pharmacology, this presentation offers a comprehensive understanding of current therapeutic strategies and advancements in the field.
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2. Cupping refers to any natural treatment method in which
suction cups are used in therapy.
Cupping is one of the traditional treatment methods that do
not involve medicinal substances but nevertheless serve
as useful weapons in the fight against many diseases or
complaints. Applied correctly, the method is harmless and
does not cause any adverse side-effects. The results are
often fast and impressive because the body reacts within
hours to cupping at the proper location.
The goal of cupping is to strengthen or activate the
organism’s self-healing powers, when these are not able to
do so on their own. Cupping stimulates and supports the
options that nature has provided the body with to resist
disease.
3. "Cupping is a form of alternative medicine in
which cups are placed on the skin to create
suction. The pressure in the cup is reduced
by use of heat or suctioning out the air so the
skin and superficial layers are drawn out and
held in the cup.”
Ancient Chinese practice.
Taoist Herbalist: Ge Hong (281-341 A.D.)
Animal horns
Hippocrates Father of modern medicine.
4. Mobilizes blood flow to promote healing.
Promotes detoxification.
Invigorates Qi.
Regulates aspects of the autonomic NS.
Deep relaxation of muscle fascia.
5. TCM teaches that it is the stagnation of Qi and
blood that causes pain and disease. Cupping
invigorates local circulation of Qi and blood in
the area being treated, resolving swelling, pain,
and tension. By drawing impurities to the
surface, it removes toxins. From a Western
physiology perspective, cupping loosens
connective tissue or fascia and stimulated blood
flow to the surface. Cupping stimulates tissue
relaxation and better cell-to-cell communication.
7. Skin that is inflamed
High fever
Convulsions
Cramping
Easy bleeding
Pathological level of low platelets
Abdominal area or low back area during
pregnancy
Should not glide over boney prominences
Best use is over fleshy areas
8. Various types of Cupping involving different levels of
suction, heat and duration.
Dry Cupping
Wet Cupping
• Medicinal bleeding
Needle Cupping
• Acupuncture
• Dry needling
Gliding
• Massage cupping
Cupping is the inverse of massage- cupping draws the
skin upwards (massage pushes the muscles downward)
which causes a relaxing and relieving sensation.
9. Wet cupping- Muslim world.
• Mild suction using cups, left for 3 minutes then
remove
and make a small skin incision using a cupping
scalpel.
Gliding- oil used to decrease friction (sometimes
medical oils with herbs)
• Moxibustion- moxa made from dried mugwort.
Use with acupuncture or burned on pts skin.Warm
meridian points to promote flow of Qi. Pain control.
• It is found that moxibustion alone and with
acupuncture may be effective in changing breech
presentation of babies by affecting the placental
release of estrogen and prostaglandins which leads
to uterine contractions thatchange the babies
positioning.
10. 1. Flammable substance is placed in a cup and set
on fire.
2. As the fire burns out, the cup is places upside
down on the patients skin
3. The air inside the cup is cooling which causes
the vacuuming effect.
4. This causes the skin to rise and redden as blood
vessels expand.
5. Generally left on the skin for 5-20 minutes.
*Plastic cups used with suction pump vs. glass
cups with fire
*Plastic cups are suitable for gliding cupping. They
have more control over the amount of suction and
are easier to use.
11. "A circulating life force or energy whose
existence and properties are the basis of
much Chinese philosophy and medicine."
• 5 Elements
• Cyclic
• Create
• Destroy
• Sickness due to imbalance
of elements
• Overproduction
• Underproduction
• Associated with symptoms or traits
• Complementary forces not opposing
• Everything is composed of both Yin &
Yang (ex: shadow)
• Health and longevity
12. Yin
• Dark, cool, wet
• Earth to heaven
• Female
• Solid organs
• Negative force
• Outward
movement
• Towards periphery
• Internal energy
Yang
• Light, warm, dry
• Heaven to Earth
• Male
• Hollow organs
• Positive force
• Inward movement
• Towards center
• Physical body
13. Yin & Yang determine meridians
Associated with body parts/ organs
Manipulating meridians has effect on body
functions associated with that meridian
Qi flows through meridians
Used to balance the 5 elements
15. The action of Weak cupping is intended to remove
stagnation and at the same time tonify the weak Qi and
Blood, and is therefore termed a ‘tonifying’ method .
The amount of flesh drawn into the cups should be
minimal and hardly raised.
Weak cupping is the gentlest method of all and is
particularly suitable for debilitated adults, elderly patients
and young children, especially those under 7 years of age.
Light cupping can be applied almost anywhere on the
body, and may cause a slight reddening of the skin, rather
than a deep, dark cupping mark or blister. Therefore the
duration of Weak cupping can be as long as 30 minutes.
16. Medium cupping can be safely administered to
children over 7 years old, as well as to adults. With
Medium cupping the suction is firmer .
However, there is a real danger of draining the
patient’s Qi if the cups are left on for longer than 30
minutes, leaving the patient lethargic.
With this method the skin is pulled well into the cup,
creating a slight redness as mentioned earlier. If the
cups are left on for longer, the redness will turn to
dark red or purple, indicating a stronger application.
17. The purpose of a Strong cupping treatment is to move Blood and Qi
and eliminate internal/ external pathogenic factors and stagnation
from patients
The purpose of a Strong cupping treatment is to move Blood and Qi
and eliminate internal/ external pathogenic factors and stagnation
from patients
A strong vacuum will be produced, giving a strong pulling sensation
of the skin inside the cup. Because of the strong nature of the pulling
action the skin will quickly turn red, and shortly after turn purple,
inside the cup.
When using a Strong cupping method for the first time a very dark
red cupping mark is inevitable; this can take up to 15-20 days to
disappear completely. The cupping time should also be short:
between 5 and 10 minutes during the first session. This can be
increased up to 20 minutes in later applications.
Fine capillaries under the skin can also break relatively easily with
strong suction, causing deeper and longer-lasting cupping marks.
This is also the only method of cupping that can cause blisters to
form rather quickly.
18. The Strong cupping method should be
avoided on the face, stomach and abdomen,
and on children under the age of 16, the
elderly and frail, and during pregnancy.
19. The object of this treatment technique is to apply Strong cupping
therapy to a much larger area of the body by the moving/sliding
action of the cup.
Oil the skin liberally and apply a single medium-sized and
medium-strength cup to the treatment area .Control the suction
by gently moving the cup in any one direction.
If the suction is strong, moving the cup will be difficult and any
attempt to do so will result in extreme pain. Grip the cup with
one hand while supporting the skin close to it with the other. Pull
and slide the cup alongside the meridian using long strokes. Do
not apply short, up-and-down movements as this may cause
unnecessary pain. If there is difficulty in moving the cup this is
an indication that the suction is too strong and needs to be
reduced. The primary objective of Moving cupping is to resolve
Stagnation, manipulate the excess pathogens and bring up the
Heat to the surface of the skin. After only a few strokes
pink/reddish cupping marks will appear alongside the line of
movement
20. Avoid using the Moving method on an open
wound or lesion, as the skin must be smooth
and unbroken. This treatment is not
recommended for children under the age of
16, or for the frail and weak. The first
treatment should not exceed 5 minutes,
building up to a maximum of 20 minutes per
session.
This is also the most powerful method for
manipulating the lymphatic circulation and
therefore requires particular attention when
dealing with any form of lymphoma
22. It is Moving cupping with much reduced suction power.
This technique is considered the only safe method in the
treatment of lymphatic drainage, as well as being the
exclusive cupping method in the treatment of cellulite
complaints .
During the application of the Light-moving cupping
method, slight pinkish cupping marks appear on the skin,
normally following the direction and movement of the cup
All Moving cupping techniques require special attention,
particularly when there is a broken skin surface, scratches,
cuts, bruise marks, open wounds or when skin moles are
present
23. Needle cupping is mostly used for red and painful muscular areas as well as
the knee and elbow joints, where there is a need to stop the pain and
remove the excess pathogenic heat at the same time.
The practitioner should administer the acupuncture treatment/Dry Needle as
intended under normal circumstances, leaving the needles in place as long
as necessary. One can reduce the acupuncture treatment time by 10-15
minutes if Needle cupping is intended to follow it.
Following the acupuncture treatment, leave the needles in position and
apply oil to the surrounding skin.
Medium and Strong application is necessary if the treatment is over the
joints and Weak to Medium if the treatment is over muscular areas. Retain
the cups in position for 10-15 minutes. Some blood may be drawn into the
cup through the needles; this is quite acceptable, especially if the suction is
Strong.
This method is not recommended for children of any age.
25. For acupuncture
practitioners only
Hot Needle cupping is
used open the
obstruction and relieve
the pain, and moxa is
employed to heat the
needle and transfer
the heat to the
acupuncture point in
order to warm and
tonify that particular
energetic point.
26. Empty cupping is also called Flash cupping for its speed during the
application. This is actually a Medium to Strong cupping method, but is
applied rapidly and the cups remain in place for a very short time, i.e.
less than 30 seconds. It is used to stimulate and move the Blood and
Qi in the weak and frail.
Empty cupping is applied on the back as well as the front of the body,
and the technique is simple. Oil the area to be cupped, place up to 12
cups near at hand, light a large cotton wool ball and apply the cups
simultaneously Once all the cups are in place, start removing them
without delay, beginning with the first to be applied. When all have
been removed, reapply them immediately in different positions. This
can be repeated for between 5 and 10 minutes. Slight pinkish cupping
marks will appear all over the back, but these will fade away within a
day or two. This is a favorite cupping method for children. Stress-
related emotional conditions, tiredness, low fevers in children or the
elderly, feeling cold and feverish in the same group and
gastrointestinal problems can all be treated by the Empty cupping
method.
28. Bleeding technique is employed in order to purge foul
blood, which was considered the source of disease, from
the body. Leeches were also widely used for the same
purpose. Today this method is used in the treatment of a
sudden increase in blood pressure, high fevers, Blood
stasis, and in discharging pus from boils and furuncles,
which represents Excess, with Blood-Heat, Blood-poison
and Stagnation. Bleeding cupping is also administered to
treat a variety of sports injuries. From this description it
can be seen that this method is only suitable for adults
with strong, Excess (Shi) energies, and not for children or
the elderly.
29. Sterilise the point with alcohol and make a very small
incision (0.5 cm or the length of a rice grain) with a
surgical blade or, using a Plum-Blossom needle, firmly tap
the point for a short time to cause bleeding .
Once the point is bled, choose a large cup (size 4 or 5)
and apply a Strong cupping method to the point. The blood
will quite quickly be observed being drawn slowly into the
cup . If the incision is adequate, between 20 and 100 ml of
blood can be drawn into the cup. However, if the patient is
taking any type of anticoagulant drug this may result in
more bleeding.
Removing the cup also requires attention and care; refrain
from hurrying as this may cause the blood to spill or spray
from the cup. Within a maximum of 5 minutes the bleeding
should stop.
31. For this method one requires a few bamboo cups .These
bamboo cups are boiled in water with herb for 30 min and
then with same procedure are applied over skin.
The herbs are absorbed by the bamboo cups, which in
turn transfer their healing properties to the patient. This
method is usually employed when external pathogens
such as Cold, Damp and Wind attack the body, causing
stiffness and aching, particularly in the neck and shoulders
(common cold, asthma and cough). Although this
treatment is not recommended for children of any age, it is
particularly beneficial for the elderly .
33. This is one of the least used and practiced
cupping methods.
34. When circulation is sluggish or compromised in an injured or diseased area of
the body, insufficient oxygen gets to the cells, and there will be a local build-
up of waste products. When the skin is pressed, the blanching that occurs is
slow to fade. Suction pulls toxins, pathogenic factors, blood poison, dead
lymph and cellular debris from deep within the tissues to the surface. These
debilitating agents are then more easily expelled from the body. The deposits
dissipate from a few hours up to several weeks, depending on the amount of
stagnation and the patients post treatment activities.
The quality of the pathogenic factors varies according to the severity of the
patient's blood stasis -- which correlates with the nature, severity and type of
condition they have. It can appear from a light pink to a dark purple, but is
usually a shade of red. Often tiny raised bumps will appear. Sometimes a
clear fluid will be drawn to the surface. These are all results of disease and
toxins being removed from deep within the tissues. The more discoloration
that surfaces – the greater level of stagnation and toxicity needing to be
purged from the body.
36. Cupping frequently causes marks on the skin. This is due to
bringing blood to the surface, similar to a bruise. For patients
with bleeding disorders such as hemophilia or who are being
treated with anticoagulants, cupping may not be the best
treatment option. People with these conditions should discuss
the pros and cons of treatment with their acupuncturist or doctor
before receiving cupping. Cupping should not be performed on
skin sites with active inflammation, burns, infection, or
open wounds. Some discomfort can occur but should not be
considered a side effect. Moderate, temporary discomfort is
expected as stagnation is removed and connective tissue and
muscles are loosened.
Practitioners (especially traditional Western health-care
providers) need to be aware of cupping as a treatment modality.
In children, the bruising and discolorations post-cupping can be
mistaken as a sign of child abuse
37. The bruises for cupping
can last for a few days up
to two weeks. According to
TCM practitioner Casco, it
is expected that over
several weeks of repeated
cupping treatments the
bruising will decrease as
the stagnation resolves.
This indicates a successful
result of a cupping
treatment protocol.
38. A Myofascial TP is a hyperirritable focal point within a taut
band of skeletal muscle fibres. On compression, it can
evoke typical referred pain and autonomic phenomena. A
Myofascial TP is located in skeletal muscle and its
associated fascia distinguished from a TP in other tissues
such as skin, ligament and periosteum.
What Causes Trigger Points?
Generally speaking, any action or movement that puts extra
load on the musculoskeletal system can be the culprit.
Persistent wrong posture while sitting or walking, carrying or
lifting heavy loads, accidents, strains, falls, overwork, overuse of
a particular muscle group and a stressful lifestyle can all
contribute to trigger point formation.
39. During the cupping application a strong, negative pressure is created over the
trigger point. This in turn will result in the stimulation of the stagnant Blood or
Qi into movement towards the direction of the cup. The negative pressure will
also force oxygen-rich blood to flow into the trigger point, releasing the
muscular knot/lump. Sometimes trigger points are difficult to obliterate
completely, especially when dealing with long-established trigger points.
These may require more frequent cupping application, which can be as often
as three times per week.
Because trigger points are located at the deeper layers of the muscle tissues,
a Strong cupping method is often required to be effectual.
Typically a single cup is applied to the trigger point, with several additional
cups to the borders of the muscular structure or the path of pain. Not all
trigger points are suitable for cupping therapy owing to their anatomical
location. In these cases other methods of trigger point release should be
employed.
One of the most suitable and effective types of cupping apparatus while
conducting trigger point cupping is the pistol handle cupping set.
40. Active myofascial trigger point: A myofascial trigger point that causes a clinical
pain complaint. It is always tender, prevents full lengthening of the muscle,
weakens the muscle, refers a patient-recognized pain on direct compression,
mediates a local twitch response of muscle fibers when adequately
stimulated, and when compressed within the patient’s pain tolerance,
produces referred motor phenomena and often autonomic phenomena,
generally in its pain reference zone, and causes tenderness in the pain
reference zone.
Latent myofascial trigger point: A myofascial trigger point that is clinically
quiescent (dormant) with respect to spontaneous pain; it is painful only when
palpated. A latent trigger point may have all the other clinical characteristics of
an active trigger point and always has a taut band that increases muscle
tension and restricts range of motion.
Both types of trigger point share similar physical characteristics: well-defined,
tense, palpable myofascial tightness, with a distinct painful nodule when
pressed. An experienced tactile therapy practitioner has no difficulty in
identifying these tight nodules; as well as feeling taut or tense the patient will
always respond and react (sometime with extreme wrench) to the stimulation
of trigger points.
42. Flat Palpation
Using the padded aspect of the fingers or thumb and
proceeding at a right angle across the muscle fibers while
pressing them against the underlying tissue or bone. When
trigger points exist taut bands, exquisite, focal tenderness
(Trigger Points), and a twitch response will be detected.
Pincer Palpation
The muscle or muscles are rolled between the tips of the
digits to detect taut bands of fibers, to detect exquisite,
focal tenderness (Trigger Points), and to elicit local twitch
responses.
Snapping Palpation
Locate a taut band of muscle and place fingertip at right
angles. Begin moving your fingers back and forth to roll the
underlying fibers under the finger. This is just as plucking a
guitar string except contact with the surface is maintained.
The purpose of this method is to elicit a local twitch
response and is most effective when done near or on the
trigger point with the muscle at a neutral length or slightly
lengthened.