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Cupping

Overview | History & Basics

Cupping therapy (Ba Guan 拔罐) is a traditional technique that creates negative pressure on the skin to promote circulation, release myofascial tension, and support relaxation. The practice has deep roots in classical Chinese medicine and appears in early records from other cultures. Today, it is also used in sports recovery and pain management. At Eastern Medicine Center, cupping may be offered as a stand‑alone treatment or combined with acupuncture, heat therapy, and soft‑tissue work.

Techniques & Devices

We tailor techniques and intensity to your constitution, sensitivity, and treatment goals. We use:

  •  Traditional glass fire cups: Rapidly create negative pressure using flame; suitable for both static (“retained”) and moving (“gliding”) cupping.
  •  Rechargeable electric suction cups: Fine control of suction and timing; low noise and steady rhythm; ideal for sensitive areas and precise dosing.

Common applications include retaining cups over specific points for 1- 5 minutes, or gliding cups along myofascial lines for 2 – 5 minutes. Duration and suction are adjusted in real time for comfort and effectiveness.

Why It May Help | TCM + Modern Mechanisms

From a TCM perspective, cupping helps move Qi and Blood, dispel stagnation, open the channels, and warm yang, a classic approach for patterns involving obstruction (bi syndrome) and constraint. Modern explanations suggest cupping increases local and regional blood flow, improves lymphatic return, reduces myofascial adhesions, and engages the body’s endogenous pain‑modulating systems (e.g., endorphin‑mediated pathways).

What It May Help

Pain, Tension & Stress

  • Musculoskeletal pain and tension (neck/shoulder, low back, hips, posterior chain after sport).
  •  Overuse and postural strain (desk/driver shoulder and back tightness).
  • Stress reduction and relaxation (as part of a broader care plan).

Targeted Applications (Performed by Licensed Practitioners Only)

The following applications are practitioner‑only due to anatomy and dosage considerations. They are offered when appropriate after evaluation.

Cough & Wheeze (including mild asthma/bronchospasm)

Gentle, professionally applied cupping may help ease chest tightness and support breathing when used as part of a broader care plan. Common targets include: 

  •  LU‑1 Zhongfu (first point on the Lung channel), located on the upper chest; requires expert dosing and caution.
  •  CV‑17 (Ren‑17, Danzhong), center of the chest; used with very light suction only.
  •  BL‑13 Feishu (Back‑Shu of the Lung), paraspinal area at the upper back; commonly combined with heat and breathing cues.
  •  DU‑14 Dazhui, upper midline at the base of the neck; often chosen at early onset of chills or a mild cold.

Chest cupping must be conservative and is not appropriate for acute respiratory distress. Patients with persistent cough, fever, chest pain, or severe wheeze should seek medical evaluation. Cupping is complementary and does not replace prescribed medications.

Early Cold / Mild Chill (onset stage)

At the very early stage of a common cold, some patients benefit from warming, light cupping at DU‑14 (Dazhui) and along the upper thoracic Back‑Shu region (e.g., BL‑12 Feng men, BL‑13 Fei shu). This is paired with rest, hydration, and, when appropriate, acupuncture or gentle moxibustion. Avoid cupping if you have high fever, severe sore throat, or systemic illness, seek medical advice instead.

Skin Itching (Pruritus) — Supportive Care

For certain TCM patterns of itching, practitioners may use paraspinal and midline (Du channel) cupping to regulate defensive Qi and circulation, sometimes with adjunct points. A classic supportive point is BL‑40, DU‑14 (Dazhui), Ganshu (BL 18). Wei zhong at the back of the knee, which in TCM is used to help clear heat and benefit the skin. Cupping is never placed on broken or inflamed skin; dosing is conservative and individualized.

Disclaimer: Information provided here is for educational purposes and reflects integrative care at Eastern Medicine Center. Cupping should be performed by licensed professionals and used alongside appropriate medical evaluation when indicated.

Safety & Precautions

Cupping is generally safe when performed by a trained professional. The most common effects are circular skin marks and mild soreness, which usually fade on their own. Less common risks include blistering, burns (with fire cups), or skin irritation, which we minimize through careful technique and hygiene. We avoid areas with broken skin, infection, prominent varicosities, or recent surgical scars. Patients on anticoagulants or with bleeding tendencies require caution. During pregnancy, we avoid the abdomen and lumbosacral regions. Your practitioner will review your health history to ensure safe care.

What to Expect | Before, During, After

Before

Your practitioner assesses your symptoms, goals, and TCM pattern.

During

Most patients feel a sense of tightness, warmth, and release not sharp pain.

FAQ

How long do the cup marks last?

Typically 3 – 7 days. In sensitive skin or with stronger suction, they may persist 7 – 10 days. The marks reflect superficial capillary changes rather than tissue injury. Contact us if you notice blistering or unusual discomfort.

For acute or subacute issues, 1 – 2 sessions per week for 2 – 3 weeks is common; for chronic concerns, shift to maintenance every 2 – 4 weeks. We often pair cupping with acupuncture and gentle mobility work for steadier results.

You may feel tightness, fullness, or warmth. It should not be a sharp or lingering pain. Tell your practitioner if you feel uncomfortable, we can reduce suction or shorten time.

Same day, avoid high‑intensity workouts, saunas, and long hot showers. For 24 hours, avoid strong sun or cold drafts on the treated area. Gentle walking and light stretching are encouraged.

Avoid on broken/infected skin, over large varicosities, fresh scars, or significant edema. Use caution with bleeding disorders or anticoagulants. In pregnancy, avoid abdomen and lumbosacral regions. Always follow a practitioner’s guidance.

At Eastern Medicine Center we primarily use rechargeable electronic cups because they allow precise control of suction and include gentle, adjustable warming without open flames or alcohol vapors. Multiple cup sizes let us treat both large and small areas. Traditional glass fire cups do not provide temperature control and rely on an alcohol flame to create suction; they can introduce combustion fumes and offer less consistent dosing. We keep them only for specific requests or scenarios after practitioner evaluation.

Blistering is uncommon and usually occurs with excessive suction or prolonged retention. We monitor closely and adjust technique to avoid this; if it occurs, we provide simple wound care guidance and follow‑up.

Yes and often to good effect. Cupping can relax superficial tissues so acupuncture can target deeper meridians and trigger points; sometimes we needle first and cup afterward. The sequence depends on your diagnosis and day‑of presentation.

Acute strains or “stiff neck” often improve in 1- 3 sessions. Chronic overuse patterns usually need 4 – 6 sessions to consolidate gains, plus home stretching and posture changes. Your practitioner will outline a personalized plan after the initial visit.

Drink warm water, keep the area covered and warm, avoid alcohol and late nights. Starting the next day, gentle mobility and heat can help, then resume normal training as advised.

Aftercare (first 24 hours)

  • Drink plenty of water to support circulation and lymphatic clearing.
  • Keep the area warm; avoid direct cold drafts/air-conditioning on treated areas because pores are open.
  • Optional: take a warm Epsom-salt bath to relax muscles and enhance recovery. Avoid very hot water/sauna on the same day.
  • Avoid strenuous workouts, saunas, and long hot showers on the same day; resume gradually the next day as advised.
  • If you notice unusual pain or blistering, contact us for guidance.

Moxa is generally safe when performed by trained professionals, but burns and skin irritation can occur without proper supervision. Because burning moxa can raise indoor particulates and volatile compounds, professional settings use smokeless options and/or ventilation to reduce exposure. (We use smokeless moxa and ventilated rooms.) PMC+1PubMed

References

  1. Kim S, Lee S‑H, Kim M‑R, et al. Is cupping therapy effective in patients with neck pain? A systematic review and meta‑analysis. BMJ Open. 2018;8(11):e021070. doi:10.1136/bmjopen-2017-021070. https://pmc.ncbi.nlm.nih.gov/articles/PMC6231582/
  2. Zhang Z, Zhang Y, Yang T, et al. The effectiveness of cupping therapy on low back pain: A systematic review and meta‑analysis of randomized controlled trials. Complement Ther Med. 2024;80:103013. doi:10.1016/j.ctim.2024.103013. https://pubmed.ncbi.nlm.nih.gov/38184285/
  3. Wang L, Wu B, Li Z, et al. Efficacy of cupping therapy on pain outcomes: an evidence‑mapping study of systematic reviews and meta‑analyses. Front Neurol. 2023;14:1266712. doi:10.3389/fneur.2023.1266712. https://pmc.ncbi.nlm.nih.gov/articles/PMC10640990/
  4. Li J‑Q, Guo M, Liu M, et al. Cupping therapy for treating knee osteoarthritis: The evidence from systematic review and meta‑analysis of randomized controlled trials. J Integr Med. 2017;15(6):411‑418. doi:10.1016/S2095-4964(17)60375-0. https://pubmed.ncbi.nlm.nih.gov/28779923/
  5. Wang Y‑L, Liu Z, Chen X, et al. Cupping Therapy for Knee Osteoarthritis: A Synthesis of Evidence. J Integr Complement Med. 2018;24(10):837‑846. doi:10.1089/jicm.2018.0084. https://pubmed.ncbi.nlm.nih.gov/30007978/
  6. Hou X, Liu Y, Guo C, et al. Using laser Doppler flowmetry with wavelet analysis to assess skin blood flow regulation after cupping therapy. Skin Res Technol. 2021;27(6):1005‑1012. doi:10.1111/srt.12970. https://pubmed.ncbi.nlm.nih.gov/33089947/
  7. Wang X, Zhang Y, Li Z, et al. Effect of pressures and durations of cupping therapy on the skin blood flow and lymphatic flow: A pilot study. Evid Based Complement Alternat Med. 2020;2020:9645638. doi:10.1155/2020/9645638. https://pmc.ncbi.nlm.nih.gov/articles/PMC7793847/
  8. Jan Y‑K, Hou X, He X, et al. Using elastographic ultrasound to assess the effect of cupping size of cupping therapy on stiffness of triceps muscle. Am J Phys Med Rehabil. 2021;100(8):694‑699. doi:10.1097/PHM.0000000000001776. https://pubmed.ncbi.nlm.nih.gov/33065576/
  9. Li Y, Mo P‑C, Jain S, Jan Y‑K. Effect of durations and pressures of cupping therapy on muscle stiffness of triceps: a strain elastography study. Front Bioeng Biotechnol. 2022;10:996589. doi:10.3389/fbioe.2022.996589. https://www.frontiersin.org/articles/10.3389/fbioe.2022.996589/full
  10. Kim T‑H, Lee M‑S, Lee D‑H, et al. Adverse events related to cupping therapy in studies conducted in Korea: A systematic review. Eur J Integr Med. 2014;6(4):434‑440. doi:10.1016/j.eujim.2013.08.002. https://www.sciencedirect.com/science/article/abs/pii/S187638201300084X
  11. Furhad S, Bokhari AA, Mir NA. Cupping Therapy. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; updated 2023. https://www.ncbi.nlm.nih.gov/books/NBK538253/
  12. National Center for Complementary and Integrative Health (NCCIH). Cupping. Last updated 2022. https://www.nccih.nih.gov/health/cupping