Evaluation of Wet Cupping Therapy (Hijama) as an Adjuvant Therapy in the Management of Bronchial Asthma

 Evaluation of Wet Cupping Therapy (Hijama) as an Adjuvant Therapy in the Management of Bronchial Asthma

Mohamed Elsayed Mohamed Abd al-Jawad¹, Saeed Adel Mohamed², Badawy Ahmed Elsayed³, Abd Elfattah Nevine M Mohamed²

¹Department of Chest, Giza Chest Hospital, Giza, Egypt

²Department of Chest, Faculty of Medicine, Ain Shams University, Cairo, Egypt

³Department of Pharmacology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Online published on 1 December, 2011.

Abstract

The aim of this study is to evaluate the effectiveness of cupping therapy as an adjuvant therapy in the management of patient with bronchial asthma. To achieve this target, a total of 50 patients suffering from moderate persistent bronchial asthma were included in this study. They were selected from chest clinics in Giza Chest Hospital and Ain Shams University Hospital.

Patients were selected according to positive history of asthma, and other clinical examinations. They were divided into two randomly equal matched groups, 25 patients each, according to the time of attendance to the outpatient clinic.

Group I:25 patients each subjected to complimentary cupping therapy besides the conventional medication set by Global Initiative For Asthma 2006.

Group II:25 patients each received conventional medication only set by Global Initiative For Asthma 2006. The conventional treatment is recommended by GINA 2006.

All our patients were subjected to clinical evaluation (daytime symptoms, nocturnal symptoms, need for rescue medications, limitation of activity and exacerbations) and respiratory function tests before and after 3 months of treatment. In addition to serum ECP were measured using IMMULITE/IMMULITE 2000 Analyzers and complete blood picture with emphasis on esinophilic count at base line before and after 3 months of treatment, as well as just before and after the 1^st and 3^rd cupping sessions.

In the present study, we found that there was clinical improvement of highly significant statistical value in both groups, however, group (I) showed better response regarding all clinical parameters. Regarding the improvement in the pulmonary function tests before and after treatment in both groups there was statistically significant difference in the improvement in group (I) compared to group (II) especially as regard FEV1, FEV1 \ FVC% and FEF25 - 75%. Regarding relative esinophilic count in peripheral blood film before and after 3 months’ treatment, there was statistical significant reduction in group (I) and non significant statistical reduction in group (II), but as a salient feature, there was significant statistical reduction in esinophilic count in group (I) after as compared to before the 1^st session (30 minutes average). Regarding serum ECP levels of venous sample before and after 3 months’ treatment there was significant statistical reduction in serum ECP levels in the group (I), and non significant statistical reduction in group (II). Regarding complete blood picture CBC results (hemoglobin %, RBCs count, WBCs and platelets) of venous samples drawn from all patients before and after cupping in group (I) showed non significant differences in them. On the other hand there was significant statistical difference between cupping and venous samples regarding the platelet count where the platelet count of the cupping blood was less than the platelet count of the venous sample. Therefore cupping is considered as a filter to keep the beneficial elements to the body and get red of the harmful elements. In the present study in comparison between the two groups after the period of 3 months treatment it was found that group (I) had a significant statistical difference than group (II) as regard daytime symptoms, nocturnal symptoms, need for reliever, exacerbations, ECP, Peripheral Esinophilic count, FVC % and FEF25%-75%. On the other hand a high significant statistical difference as regard FEV1/FVC% and FEV1% was found.

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

In this preliminary trial we investigated the effects of dry cupping, an ancient method for treating pain syndromes, on patients with chronic non-specific neck pain. Sensory mechanical thresholds and the participants'self-reported outcome measures of pain and quality of life were evaluated.

Methods: Fifty patients (50.5 +/- 11.9 years) were randomised to a treatment group (TG) or a waiting-list control group (WL).

Patients in the TG received a series of 5 cupping treatments over a period of 2 weeks; the control group did not. Self-reported outcome measures before and after the cupping series included the following: Pain at rest (PR) and maximal pain related to movement (PM) on a 100-mm visual analogue scale (VAS), pain diary (PD) data on a 0-10 numeric rating scale (NRS), Neck Disability Index (NDI), and health-related quality of life (SF-36).

In addition, the mechanical-detection thresholds (MDT), vibration-detection thresholds (VDT), and pressure-pain thresholds (PPT) were determined at pain-related and control areas.

Results: Patients of the TG had significantly less pain after cupping therapy than patients of the WL group (PR: -22.5 mm, p=0.00002; PM: -17.8 mm, p=0.01). Pain diaries (PD) revealed that neck pain decreased gradually in the TG patients and that pain reported by the two groups differed significantly after the fifth cupping session (-1.1, p=0.001).

There were also significant differences in the SF-36 subscales for bodily pain (13.8, p=0.006) and vitality (10.2, p=0.006). Group differences in PPT were significant at pain-related and control areas (all p<0.05), but were not significant for MDT or VDT.

Conclusions: A series of five dry cupping treatments appeared to be effective in relieving chronic non-specific neck pain.

Not only subjective measures improved, but also mechanical pain sensitivity differed significantly between the two groups, suggesting that cupping has an influence on functional pain processing.Trial registration:The trial was registered at clinicaltrials.gov (NCT01289964).

Author: Romy LaucheHolger CramerKyung-Eun ChoiThomas RamppFelix Joyonto SahaGustav DobosFrauke Musial
Credits/Source: BMC Complementary and Alternative Medicine 2011, 11:63
source: http://7thspace.com/headlines/391560/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.html

The Complete Guide to Cupping Therapy is available on your iPhone, iPad, or iPod touch

The Complete Guide to Cupping Therapy

by Tamer Shaban

This book is available on your iPhone, iPad, or iPod touch with iBooks and on your computer with iTunes.

Description

This book is a complete cupping therapy course, we include references and many new trials about cupping therapy. we provide information about: 1-Types of cupping therapy which are more than ten types 2-many researches and trials which support cupping therapy 3-points used in the treatment 4-equipment used 5-Diseases which are treated and investigated 6-Role of cupping therapy in health promotion 7-Theories that explain the mechanism of cupping therapy 8-Cupping Therapy as an alternative procedure to acupuncture and more in This Book.


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Regulations on hijama (cupping therapy) profession in UAE

Certain conditions to be set for medical massaging and laser technicians

Jan 1, 2011 - 07:08 - Dubai, 1 Jan. 2010 (WAM) - The alternative medicine committee in the Ministry of Health held its third meeting under the chairmanship of Dr. Amin Al Amiri, Assistant Undersecretary for Medical Practices and Licenses and members in the ministry's premises in Dubai.

The committee discussed the profession conditions of cupping "known as hijamah-a famous Islamic treatment" where these terms are of major importance to obtain the ministry's licensing.

Dr. Al Amiri said: "Since there are no accredited educational institutes or professional training specialists in this field therefore it is not a primary prerequisite to enter the evaluation exam in the ministry of health".

The committee decided that all the rules and regulations pertaining to the hijamah profession must be written in Arabic language. Al Amiri stated that all applicants wishing to obtain an evaluation certificate from the ministry must be academically qualified not only in the field of alternative medicine or hijamah but other scientific qualification degrees too in addition to their proficiency in Arabic and English reading and writing as well as a qualification degree that is equivalent to a practical training certificate in first aids.

Al Amiri added that all applicants who obtained the evaluation certificate and license from the ministry of health must work in a medical center that is supervised by medical staff only. Al hijama practitioners must be of the same patient's sex to maintain his/her privacy.

The committee also discussed the conditions of medical massaging and medical relaxation techniques. The members stressed the importance of separating both types due to their different job description and scope. There is no relation between massaging and relaxation.

Dr. Al Amiri said: "These categories can work in fitness centers or beauty saloons but not in medical institutes or rehabilitation centers".

The members also stipulated the application conditions for evaluation certificates in medical massaging from the ministry of health. Every applicant must have a scientific qualification in the field of medical massaging and a degree equivalent to a training certificate in first aid. The applicant must pass the evaluation exam from the ministry of health. After achieving all these steps, the applicant can work in a medical institute that is fully supervised by a medical team. The medical massaging practitioner must be also of the same patient's sex to maintain his/her privacy.
Source ;
http://www.wam.org.ae/servlet/Satellite?c=WamLocEnews&cid=1293604562076&p=1135099400124&pagename=WAM%2FWamLocEnews%2FW-T-LEN-FullNews

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Cupping for hypertension: a systematic review.

Lee MS, Choi TY, Shin BC, Kim JI, Nam SS.

Division of Standard Research, Korea Institute of Oriental Medicine, Daejeon, South Korea. drmslee@gmail.com

Abstract

The objective of this review is to assess the clinical evidence for or against cupping as a treatment for hypertension. We searched the literature using 15 databases from their inception to 30 June 2009, without language restrictions. We included all clinical trials (CTs) of cupping to treat hypertension in human patients. Risk of bias was assessed using the Cochrane criteria. Two CTs met all inclusion criteria. One RCT (randomized CT) assessed the effectiveness of dry cupping on changes in cerebral vascular function compared with drug therapy. Their results suggested significant effect in favor of cupping on vascular compliance and degree of vascular filling. One uncontrolled observational study (UOS) tested wet cupping for acute hypertension and found that a one-time treatment reduced blood pressure. In conclusion, the evidence is not significantly convincing to suggest cupping is effective for treating hypertension. Further research is required to investigate whether it generates any specific effects for that condition.

PMID: 20828224 [PubMed - in process

source:http://www.ncbi.nlm.nih.gov/pubmed/20828224