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This new edition continues to offer readers a comprehensive exploration and description of techniques of cupping in the context of Traditional Chinese Medicine theory. Extensively updated throughout, and with a new website containing videos and a downloadable image bank, this volume will be ideal for students and practitioners of Traditional Chinese Medicine, and all other complementary health practitioners looking to expand their skill base.

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Abstract:This study aimed to describe and assess the current evidence in systematic reviews on cupping therapy for various conditions. We searched PubMed, EMBASE, Cochrane Database of Systematic Reviews, China National Knowledge Infrastructure, and six Korean databases for systematic reviews of trials on cupping treatments for any condition published prior to March 2021. We used a bubble plot to graphically display the clinical topics, the number of articles, the number of participants in the total population, confidence, and effectiveness. Thirteen systematic reviews that met the inclusion criteria were included in the evidence map, and 16 bubbles were created. The findings from six reviews showed potential benefits of cupping for conditions such as low back pain, ankylosing spondylitis, knee osteoarthritis, neck pain, herpes zoster, migraine, plaque psoriasis, and chronic urticaria. Cupping has been applied in a variety of clinical areas, and systematic reviews in a few of these areas have demonstrated statistically significant benefits. The evidence map provides a visual overview of cupping research volume and findings. Evidence mapping can facilitate the transfer of knowledge from researchers to policymakers and promote research on musculoskeletal pain (such as low back pain, neck pain, and knee osteoarthritis) and skin disease (plaque psoriasis).Keywords: evidence map; cupping therapy; systematic review; evidence synthesis

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.

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Those interested in administering cupping therapy will first need to be licensed, most commonly as a massage therapy provider. Cupping therapy is often introduced in basic massage therapy classes, says McNeil, but adding the specialty therapy to your toolkit will mean taking more continuing education courses, available both online and in person.

Of course, any certification or continuing education classes focusing on cupping will require prior completion of a basic massage therapy or similar program. Tuition for massage therapy schools also varies, depending on length and types of classes offered.

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.

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