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Pressure Levels in Cupping Therapy: A Systemic Review

  • Kim, Ku Weon (School of Korean Medicine, Pusan National University) ;
  • Lee, Tae Wook (School of Korean Medicine, Pusan National University) ;
  • Lee, Ha Lim (School of Korean Medicine, Pusan National University) ;
  • An, Soo Kwang (School of Korean Medicine, Pusan National University) ;
  • Park, Hyo Sung (School of Korean Medicine, Pusan National University) ;
  • Choi, Ji Won (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Lee, Byung Ryul (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Yang, Gi Young (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital)
  • Received : 2019.11.22
  • Accepted : 2020.01.07
  • Published : 2020.02.28

Abstract

This is a systematic review of the clinical use of cupping therapy. Four domestic databases and 2 foreign databases were searched. Studies that reported the cupping pressure used during cupping therapy were included in this study. The types of cupping, cupping site, pressure, and duration of cupping were the main parameters analyzed. A total of 27 studies, including 24 experimental studies were analyzed. There were 12 constant negative pressure (domestic) studies with a range between 60 mmHg and 600 mmHg. There were 5 maximum negative pressure (domestic) studies and the maximum negative pressure was 620 mmHg. Three studies used a maximum negative pressure of 600 mmHg. There were 4 constant negative pressure (foreign) studies with a range between 75 mmHg to 750 mmHg. There were 3 maximum negative pressure (foreign) studies with a maximum pressure of 420 mmHg. The studies differed with regards to the materials used and the amount of pressure applied. Many studies had limited information and therefore generalizability of the results in this review is limited. Further experimental studies are required to establish the correlation between cupping pressure and treatment effects so that cupping therapy can be standardised.

Keywords

References

  1. Korean Acupuncture and Moxibustion Medicine Society. Acupuncture Medicine. Seoul (Korea): Hanmi Medical Science; 2016. 119 p. [in Korean].
  2. Ilkay ZC. Traditional Chinese Medicine Cupping Therapy, 3rd ed. Amsterdam (Netherlands): Churchill Livingstone; 2014. p. 1-4.
  3. Lee B, Song Y, Lim H. Literature Investigation Regarding Cupping Therapy and Analysis of Current Professional's Cupping Treatment. J Orient Rehabil Med 2008;18:169-191. [in Korean].
  4. Shin H. A Study on the Color Reaction of Stroke Patients with Cupping Therapy. East West Med 1979;4:55-58. [in Korean].
  5. Im J, Moon J. A Clinical Study on Symptoms of Stroke in the Color Reaction of Cupping Therapy. J Korean Med 1980;16:79-82. [in Korean].
  6. Shin W, Kim S, Song H. Clinical Observation of Blood-stasis Spots in Cupping Therapy on 3700 Cases of Back-Neck-Shoulder Pain Patients. J Haehwa Med 1988;6: 303-311. [in Korean].
  7. Park J, Lee C. Effects of Cupping Therapy on the Variation of back Temperature measured by Blood and D.T. in Healthy Adult Men and Women. J Orient Physiol Ther 1995;5:101-114. [in Korean].
  8. Oh J, Kim S. Effect of negative therapy at back meridian points on blood gas components and immune functions in male college students. J Korean Orient Med 1999;37:75-83. [in Korean].
  9. Kweon O, Kim E, Kim J, Bae S. Analysis of Blood Components in Skin Color Reaction after Cupping Glass Therapy. J Korean Soc Phys Ther 2002;14:57-75. [in Korean].
  10. Lee H, Jun H, Hwang U, Nam S, Kim Y. Effects of moving cupping therapy on the edematous hands of three patients with flaccid hemiplegia. J Korean Acupoint Moxib Soc 2002;19:231-237. [in Korean].
  11. Ryu G, Lee J, Kim G, Yang H, Park S, Kim M, et al. Study on the BUDDEUMI Structural Character and Treatment. J Physiol Pathol Korean Med 2006;20:522-526. [in Korean].
  12. Sho M, Song Y, Lim H. Comparative Study on Cupping Apparatuses for Medical Use by Mechanical Stability and Functional Test. J Orient Rehabil Med 2008;18:157-167. [in Korean].
  13. Kim Y, Kim D, Yeon S, Lim B, Choi Y, Lee G, et al. Experimental Study on the Pressure Characteristics in the Cupping Therapy. J Korean Acupoint Moxib Soc 2008;25:121-130. [in Korean].
  14. Yi S, Kim E, Shin K, Nam D, Kang J, Lee S, et al. Study on Developing Assessment Guideline for Safety and Performance of Electric Cupping Apparatus, J Korean Acupoint Moxib Soc 2009;26:101-110. [in Korean].
  15. Kim S, Lee N, Joo Y, Jung B, Lee Y. Analysis of Moisture, Elasticity and EMG Change on Meridian Acupoints by Cupping (Negative Pressure) Stimulation. J Korea Inst Marit Inf Commun Sci 2010;14:2747-2754. [in Korean].
  16. Kim S, Lee N, Kim Y, Lee J, Song G, Jung B et al. Analysis of Meridians Energy change by Cupping Stimulation. Korean J Acupunct 2010;27:49-57. [in Korean].
  17. Yi S, Kim E, Shin K, Nam D, Kang J, Lee S et al. Study of Mechanical Characteristics of Electric Cupping Apparatus in Korea for Suggestion of its Assessment Guideline. J Korean Acupoint Moxib Soc 2010;27:1-10. [in Korean].
  18. Kim S, Lee N, Jung B, Lee Y. Evaluation of Significance & Development of Quantitative Measurement System for Acupoint Pigmentation by Cupping Therapy. Korean J Acupunct 2011;28:63-71. [in Korean].
  19. Kim S, Jung B, Shin T, Lee Y. A New Method for Measuring Acupoint Pigmentation After Cupping Using Cross Polarization. Korean J Acupunct 2013;30:252-263. [in Korean]. https://doi.org/10.14406/acu.2013.048
  20. Kim D, Bae E, Park J, Kim S, Lee S. Change in Risk of Dropout Due to Bleeding during Bloodletting-Cupping Therapy. Korean J Acupunct 2018;35:41-45. [in Korean]. https://doi.org/10.14406/ACU.2018.007
  21. Tham LM, Lee HP, Lu C. Cupping: From a biomechanical perspective. J Biomech 2006;39:2183-2193. https://doi.org/10.1016/j.jbiomech.2005.06.027
  22. Blunt S B, Lee H. P. Can traditional "cupping" treatment cause a stroke? Med Hypotheses 2010;74:945-949. https://doi.org/10.1016/j.mehy.2009.11.037
  23. Huber R, Emerich M, Braeunig M. Cupping - Is it reproducible? Experiments about factors determining the vacuum. Complement Ther Med 2011;19:78-83. https://doi.org/10.1016/j.ctim.2010.12.006
  24. Teut M, Kaiser S, Ortiz M, Roll S, Binting S, Willich SN et al. Pulsatile dry cupping in patients with osteoarthritis of the knee - A randomized controlled exploratory trial. BMC Complement Altern Med 2012;12:184. https://doi.org/10.1186/1472-6882-12-184
  25. Emerich M, Braeunig M, Clement HW, Ludtke R, Huber R. Mode of action of cupping - Local metabolism and pain thresholds in neck pain patients and healthy subjects. Complement Ther Med 2014;22:148-158. https://doi.org/10.1016/j.ctim.2013.12.013
  26. Duh FC, Chiu YH. Vacuum Cupping Under Various Negative Pressures: An Experimental Investigation. J Multidiscip Eng Sci Tech 2015;2:1907-1911.
  27. Teut M, Ullmann A, Ortiz M, Rotter G, Binting S, Cree M et al. Pulsatile dry cupping in chronic low back pain - a randomized three-armed controlled clinical trial. BMC Complement Altern Med 2018;18:115. https://doi.org/10.1186/s12906-018-2187-8
  28. Kim Y, Song B, Koo S, Cho N, Yoon H, Lee E et al. Easy-to-know Cupping Therapy. Seoul (Korea): Uiseongdang; 2009. p. 15-18. [in Korean].
  29. Rozenfeld E, Kalichman L. New is the well-forgotten old: The use of dry cupping in musculoskeletal medicine. J Bodyw Mov Ther 2016;20:173-178. https://doi.org/10.1016/j.jbmt.2015.11.009
  30. Aboushanab TS, AlSanad S. Cupping Therapy: An Overview from a Modern Medicine Perspective. J Acupunct Meridian Stud 2018;11:83-87. https://doi.org/10.1016/j.jams.2018.02.001
  31. Yun H, Kwon S, Kim S, Park H, Hahm D, Lee H. The Study of Blister Caused by Cupping Therapy. Korean J Acupunct 2011;28:141-150. [in Korean].

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