Advance Hijama Cupping Therapy Course

Welcome to the Advanced Hijama Course by D2D Therapies

This course is for learners who already understand the basics of hijama and want to go deeper into real clinical applications. You’ll gain practical skills to treat various health conditions using two core approaches:

1. Sunnah-Based Method
   This is the authentic way of practising hijama, following the teachings of Prophet Muhammad (peace be upon him). It’s simple and effective—cups are placed where there is pain or on Sunnah-recommended points.

2. Point-Based System by Dr. Ahmed Ismail Abdul Aziz Hefni
   Dr. Hefni is a medical doctor from Egypt who developed specific point protocols for conditions like:

• Back and neck pain, sciatica, arthritis

• IBS, constipation, and digestive problems

• Hormonal imbalances and menstrual issues

• Depression, anxiety, insomnia

• Skin conditions, varicose veins, and more

Real-Life Clinical Scenarios
You’ll learn how to apply hijama in everyday situations:

• How to approach someone with lower back pain

• What points help with migraines or fertility support

• When to apply hijama based on the patient’s symptoms

This course is practical, instructional, and designed to help you treat clients effectively and safely.

Important:
If you haven’t yet completed the Professional Hijama Therapy Certificate, we recommend starting there first. This course focuses on treatment planning and clinical application, not basic hijama procedures.

Optional: For Students Seeking Professional Practice
Additional treatment protocols and documentation are available only for those who want to pursue premium certification for professional application. These extras are not required and are entirely optional.

Authentic Sunnah Cupping vs Anatomical Point-Based Hijama System

Welcome!

Hey everyone, and welcome back to our advanced hijama course! In this session, we're diving into a fascinating comparison. We will look at how we practice hijama here at D to D Therapies, following the guidance of the Quran and Sunnah, and how that compares to approaches from Dr. Ahmed Hefny's advanced course.

Why is this comparison important?

Well, we truly believe that the authentic way of doing hijama, based on the Quran and Sunnah, is the best way. Why? Because it's all about simplicity and clarity. It doesn't create unnecessary complications for you as the practitioner or for your clients. And that's a huge plus!

Quick Recap: The Foundation Course

Before we get into the nitty-gritty, a quick reminder: If you haven't already, please make sure you've completed our foundational course – the Professional Hijama Cupping Therapy Certificate: Full Course. You can easily find it on this platform, and we'll even put a link in the next clip for you.

That first course is your essential starting point. It covers:

• What hijama is

• Its history and different types

• The virtues of hijama

• Doing hijama while fasting

• Important Sunnah points (we'll talk more about these!)

• Best days for cupping

• Charging for services

• Hijama for specific issues (like magic)

• Duas before hijama

• Basic anatomy and physiology (understanding the body)

• How the body naturally removes waste (like Dr. Parker's study mentions)

• And crucial safety stuff – medical concerns, risks, and when not to cup.

Think of that first course as your Hijama 101. It gives you the solid foundation you need before we explore these more advanced comparisons.

Why We Focus on the Authentic Way: No Jigsaw Puzzle!

So, why do we emphasise the Quran and Sunnah approach?

Because there are many theories out there, often with complex manuals and specific "points" for different ailments. Dr. Ahmed Hefny's work, for example, is based on his medical knowledge and understanding. And that's fine! But it's his theory, his interpretation. It's not necessarily a required way to do hijama.

We've had students ask us, "Where do I put the cup for this problem?" And our answer is always simple: You cup where the pain is.

Practical Example:

• Client says: "My knee hurts."
  Our approach: We look at the knee, feel for the painful spot, and place the cups directly on or around the knee. Simple!

• Client says: "I have pain in my upper back."
  Our approach: We ask them to show us where the pain is, maybe have them lean against a wall to identify the exact spot, and then cup on that area. Again, straightforward.

Think about it: If there were specific numbered points for every single issue, like "cup point 155 for headaches," or "cup points 11, 12, and 13 for knee pain," wouldn't that have been mentioned in the Quran or Hadith?

It would look like a complicated map or a jigsaw puzzle: "Okay, for this, you need 118, 137..." That's not the simplicity we see in the authentic narrations.

Where We Cup (and Where We DON'T!)

At D to D Therapies, based on our understanding of the Sunnah and safety guidelines, we generally focus on cupping on the back of the body.

Why the back?

• One Body: We see the body as a whole. Cupping on the back can still impact various areas and systems.

• Sunnah Points: The authentic Sunnah points mentioned in Hadith are often on the back or head.

• Safety: The front of the body is much more sensitive and has vital organs, major veins, and delicate areas. Cupping there increases risks.

Areas We Generally Avoid:

• Directly over prominent veins

• Swollen lymph nodes

• The face

• The front of the body

• Private areas

• Throat (definitely avoid!)

• Inner elbows, front of wrists, back of knees (sensitive areas with important structures)

• Armpits

The Sunnah Points (For Maintenance)

While we primarily cup where the pain is, there are also specific points mentioned in the Sunnah, often for overall health and maintenance. These are important to know and we cover them in the foundational course. They include:

• Al-Kahil: Top of the head

• Al-Akhdain: The two side veins of the neck

• Al-Kahf: Back of the neck

• Al-Katifain: Between the shoulder blades

• Zuhr al-Qadam: Top of the foot

• Duhr al-Qadam: Calf muscles (Gastrocnemius)

• Al-Warak: Hip area

We'll provide a diagram with this course so you can see these points. These are great for general well-being.

But What About Specific Issues? (Our Approach)

Even for specific issues, we still lean towards cupping where the pain is, often on the back.

Examples:

• Smoker / Lung Support: You could cup near the lung area on the back.

• Shoulder Pain: Cup on the shoulder blades or surrounding painful areas on the back.

• Kidney/Fertility Issues: Cup around the kidney area on the back.

• Cellulite: Cupping on the affected areas, often on the back of the thighs (hamstrings).

See? It's still about targeting the area of concern, usually on the safer, less sensitive back.

Authentic Guidance from Hadith

Let's look at some Hadith that support our approach (you can find these in our manual on page 10 – read that!):

• The Prophet (peace be upon him) was cupped on the top of his head while in Ihram for a headache. (Narrated in Malik's Muwatta and Sahih al-Bukhari)

• He was treated with cupping on his hip for pain in that area. (Narrated in Sunan Abu Dawud)

• He was treated with cupping on the back of the leg at Milan. (Narrated in Tirmidhi)

• He was treated with cupping on the top of his foot for pain in that area. (Narrated in Sunan Abu Dawud)

The Pattern: These Hadith show the Prophet (peace be upon him) had cupping done closest to the point of pain. This is the core of our method at D to D Therapies.

Keeping it Simple and Safe

This simple approach – cupping where the pain is, primarily on the back – is not just authentic, it's also crucial for safety and avoiding complications.

• Insurance: Keeping it simple reduces the risk of issues that could lead to insurance claims.

• Client Comfort: Avoiding sensitive areas makes the experience safer and more comfortable.

We've seen cases where people have had cupping on the face or front of the body, and it's caused significant swelling and issues. While head cupping (Al-Kahil) is in the Sunnah, cupping directly on the face is different and something we avoid.

Dr. Ahmed Hefny's Approach: A Different Perspective

Again, we don't have anything against Dr. Ahmed Hefny's work. He's a medical doctor with his own theories and understanding. His approach often involves:

• Cupping on nerve points

• Cupping on blood vessels

• Cupping on points related to acupuncture meridians or power lines

• Cupping on reflex points

• Cupping on lymphatic areas

• Cupping for blood accumulation, endocrine stimulation, immune system strengthening, or brain strengthening.

This is a different way of looking at hijama, often integrating concepts from other therapies like acupuncture. It's his theory, his understanding.

Our Stance: We prefer to stick to the authentic way as proven in the Quran and Sunnah. Adding complex point systems or integrating concepts from other therapies might be seen as introducing innovation (Bid'ah) into a Sunnah practice. We aim to keep it as close to the original practice as possible.

Blood Volume and Safety: Following NHS Guidelines

Safety is paramount. We also follow guidelines similar to those used by the NHS (National Health Service) in the UK for blood donation.

• NHS Blood Donation Limit: Up to 470 millilitres (about the size of a standard water bottle). This is considered a safe amount.

• Our Guide: We use this 470ml as a maximum guide for hijama.

Hijama vs. Blood Donation (Phlebotomy)

It's important to understand the difference:

• Blood Donation (Phlebotomy): Blood is taken directly from a vein.

• Hijama: Blood is taken from small surface scratches on the skin.

They are different processes.

Let's Look at an Example (Dr. Hefny's Point System vs. Our Way)

In Dr. Ahmed Hefny's system, for something like "roughness of the knee," he might suggest cupping on points 155, 11, 12, and 13, plus around the knee.

Points 1 and 55 might be on the upper back/neck area. Points 11, 12, and 13 might be on the lower leg.
Our Approach: If a client has knee pain, we simply cup the knee. We don't see the logical connection in the point system. How does cupping on the upper back and lower leg directly address pain in the knee? For us, the most logical and authentic approach is to target the area of pain directly.

The Body's Natural Waste Removal

Our manual (and the foundational course) also discusses how the body naturally removes waste:

• Digestive Tract: Going to the bathroom (poo)

• Urinary Tract: Urinating (pee)

• Sweating: Through the skin

• Breathing: Exhaling waste products

Hijama is seen as a fifth way to help the body remove waste, specifically from the surface layers and stagnant blood.

Hijama as a Preventive Method

Think of hijama like getting a service for your car. You do regular maintenance (MOT, oil change) to keep it running smoothly and prevent major breakdowns. Hijama: It's a preventative method, helping to address blood-related and muscle-related issues before they become serious problems.

Not a Cure-All: Hijama is not a substitute for medical treatment for serious illnesses like cancer. If someone has a major health issue, they need to see a doctor or a surgeon. So, hijama helps keep your body running well, but for major "engine failures," you need a professional mechanic (a medical doctor).

Why Do the Foundation Course?

Seriously, the Professional Hijama Cupping Therapy Certificate: Full Course is essential. It teaches you our authentic, simple method based on the Quran and Sunnah. This course you're in now is mainly for comparison – to understand the differences between our approach and other point-based systems.

Expanding Your Skills: Other Cupping Therapies

To be a well-rounded therapist, we also recommend exploring other cupping methods available on the platform:

• Dry Cupping: Applying cups without making incisions.

• Fire Cupping: Using fire to create suction.

• Acupuncture: Understanding traditional Chinese medicine points and meridians.

Learning these gives you more tools in your toolbox and allows you to help clients who might not be suitable for wet hijama. It also helps you understand how

Please complete the Certified Hijama Therapy: The Prophetic Sunnah Cupping Course on this platform, if you haven't already, as it serves as your Hijama 101. This will provide you with a foundational understanding of Hijama and its origins before proceeding further.

Mastering Safe & Effective Hijama: Tools, Hygiene, and Technique

Welcome to this advanced module of your Hijama training. In this section, we’ll focus on the essentials you need to perform Hijama confidently and safely. You’ll learn how to use your tools properly, maintain hygiene, make effective incisions, and apply real-world techniques that don’t rely on demonstrations.

1. The Hijama Blade – Your Main Tool

The blade used in Hijama is the number 15 surgical blade. It usually comes in a red sterile packet. This blade is specifically designed to make precise and shallow incisions—just enough to open the top layer of skin without going deep.

Why this blade?

The number 15 blade is sharp, small, and ideal for fine cuts that only reach the superficial capillaries (tiny blood vessels near the skin's surface). This makes it perfect for Hijama, where deep cuts are not only unnecessary but harmful.

Holding the Blade:

Hold the blade like you hold a pen. This grip gives you better control and helps avoid going too deep. Imagine you're writing gently with the tip of your pen—that's the same light pressure you'll use when cutting.

2. Hygiene & Personal Safety

Before touching any tools or client skin:

• Wash your hands up to the elbows.

• Dry them with a clean, disposable towel.

This is essential because you’re working with blood, and the risk of transmitting infection is real.

Additional hygiene musts:

• Use latex-free gloves to prevent allergic reactions and ensure proper fit.

• Keep your workspace clean, clutter-free, and well-lit.

• Always dispose of sharps and used materials in proper clinical waste containers.

• Hepatitis B vaccination is highly recommended for your protection in case of accidental exposure.

3. Making the Incisions: How, Where, and How Much

Let’s talk about the actual cuts.

What to aim for:

• Depth: 2 mm (like a light scratch)

• Spacing: 1 cm apart (enough space for blood to flow)

Technique:

Use the blade tip to "nip" the skin. Think of it as gently tapping or dotting, not slicing. Do not drag the blade like you’re drawing lines. Your goal is to dot, not slash.

Real-world tip:

Some practitioners mistakenly cut deeply, believing it helps more blood come out. This is wrong. It causes pain, scarring, and an increased risk. Hijama works best with shallow cuts that access superficial stagnant blood, not deep veins.

4. Practice Tip: Paper Exercise (No Blade Needed)

To build confidence, start with a pen and paper:

• Draw a circle the size of a Hijama cup (about 4–6 cm wide).

• Inside the circle, make small dots spaced 1 cm apart.

• Each dot represents where you’d make a small cut.

This helps you master spacing and the idea of controlled motion without needing a blade.

5. Optional Fruit Practice

If you're ready to handle a blade safely, use fruit like apples and bananas:

• Apple skin mimics lighter, thinner skin.

• Banana skin feels more like a thicker skin type.

Draw circles and gently "nip" the skin at an angle, not straight down. You’re building muscle memory, not trying to extract juice.

6. Lancet – A Modern Tool for Incisions

If you're not comfortable with a blade, you can use a four-head Lancet device (e.g., model PC 1104 from simcheon.co.uk). It’s a handheld device with tiny needles that automatically puncture the skin at a fixed depth when you press a button.

Benefits:

• Safer for beginners

• Creates multiple incisions quickly and evenly

Caution:

• May cause a sharper sting, especially in sensitive areas (e.g. calves, lower back)

• Less control compared to using a blade manually

Practical tip:

If using the lancet on a sensitive area:

• Do one punch

• Wait 2–3 seconds

• Move and repeat

This eases client discomfort and prevents overwhelming them with multiple sensations at once.

7. Understanding Cup Sizes and Placement

Hijama means "to draw out", and cups are how we apply suction to extract stagnant blood.

Cup Sizes:

• Large cups (B1–B3): Use on the back, thighs, or over major muscles and organs.

• Small cups (B4–B6): Use on sensitive areas like the neck, shoulders, or joints.

Real-world examples:

• For lower back pain: Use two B2 cups on either side of the spine.

• For migraines: Use B4 cups on the shoulders or top of the head (caution: scalp is sensitive).

• For knee pain: Use a B3 cup above or around the knee joint.

Cup Quality Tip:

Choose cups with yellow-tipped valves. These tend to hold suction better and reduce the chance of the cup detaching during treatment.

8. Final Reminders: Safety and Spiritual Awareness

• Hijama is not about getting more blood; it's about getting the right blood (toxic, stagnant).

• Some clients may bleed more, some less. This depends on hydration, diet, circulation, and health, not your skill.

• Never panic if blood doesn't appear instantly. Focus on correct technique, not quantity.

Optional spiritual approach:

In traditional Islamic practice, practitioners recite duas (supplications) during the cutting process. Even if not recited aloud, a calm, intentional approach can create a better healing experience for both you and the client.

Fundamentals of Hijama (Sunnah Cupping) – Practical Guide

1. Clean the Skin:

• Purpose: To kill surface bacteria and reduce the risk of infection.

• How: Use Dettol solution with a cotton pad or Dettol wipes to clean the area thoroughly.

2. Moisturise the Skin:

• Purpose: To help the cups slide smoothly during massage cupping and avoid skin irritation.

• How: Gently apply olive oil on the selected cupping area.

3. Cupping Massage (Sliding Cupping):

• Purpose: To relax the patient, improve circulation, and bring blood closer to the surface.

• How:

  • Use a Hijama cup with mild suction.

  • Gently slide the cup across the area (commonly the upper back and shoulders).

  • Avoid the spinal cord directly to prevent damage.

4. Placement of Cups:

• Focus on Sunnah points and areas with muscle pain, especially:

  • Scapula region (upper back near shoulder blades).

  • Avoid the spine, major moles, and varicose veins.

5. Suction and Timing:

• Apply suction on selected points using a clean Hijama cup.

• Leave the cups on for 5 to 7 minutes only.

• Use a stopwatch or timer to monitor the time precisely.

• Do not exceed 7 minutes to avoid blistering or skin damage.

Dry Cupping Stage – Hijama Sunnah Cupping

1. Apply Dry Cups (Before Incision):

• After preparing and cleaning the skin, apply dry suction cups on the selected points.

• Leave them on for 7 minutes – this helps:

  • Numb the skin naturally.

  • Prepare the area for the wet cupping (incision) stage.

  • Draw blood to the surface, causing slight discolouration (reddish or purplish marks), which is normal.

2. Observe Skin Changes:

• After a few minutes, you may notice:

  • Mild discolouration due to blood stagnation being pulled up.

  • This is a positive sign showing that the body is responding and circulation is improving.

  • In the next stage, you hope to extract jelly-like, thick blood—this is common during wet cupping and often indicates stagnant or toxic blood.

3. Communicate with the Client:

• Keep checking in:
  “Are you feeling okay?”
  “Any discomfort or pain?”

• Make sure the client is relaxed and comfortable throughout.

4. Sunnah-Based & Musculoskeletal Focus:

• Since this session is targeting muscle pain, use more cups on:

  • Sunnah points (upper back, shoulder blade area, neck area, etc.)

  • And also directly where pain is felt, as per the prophetic guidance.

• This is highly effective for musculoskeletal issues like:

  • Shoulder stiffness

  • Neck tension

  • Upper back tightness

  • Muscle knots

This stage prepares the body for safe and effective wet cupping by activating circulation, relaxing the area, and gently numbing the skin.

1. Cups Fit Snugly and Securely:

• During the dry cupping stage, ensure that each cup is firmly sealed to the skin—a nice snug fit is crucial for effective suction.

• This creates the necessary vacuum pressure to draw blood and energy to the surface.

2. Skin Reaction – Positive Signs:

• You may observe dark purple discolouration in certain areas.

  • This indicates stagnation, meaning blocked or congested blood flow under the skin.

  • It’s a sign that the area will likely benefit greatly from the wet cupping stage.

• Some clients may also feel warmth or slight tingling—this is part of the body’s natural response to increased circulation.

3. Natural Numbing Effect:

• After 7 minutes, the skin becomes slightly numb, reducing discomfort during the incision stage.

• This avoids the need for any chemical anaesthesia.

4. Removing the Cups:

• Gently release the vacuum and remove the cups, placing them on a clean surface or designated tray.

  • Keep them organised and nearby for re-use during wet cupping.

5. Observing the Pattern – “Pepperoni Pizza” Analogy:

• After cup removal, the skin often shows round red or purple marks, similar to a pepperoni pizza.

  • These circular marks help guide where incisions will be made.

  • Each mark becomes a target zone for surgical blade incisions, ensuring clean, focused application.

This stage sets the foundation for effective wet cupping. The discolouration, cup marks, and numbing all help in achieving a safe and therapeutic outcome.

Sunnah-Based Wet Cupping (Hijama) Procedure: The Incision Stage

Welcome to this part of the course, where we begin the wet cupping stage after completing the dry cupping process. This stage is essential in Hijama therapy and should be performed with skill, care, and adherence to the Sunnah.

1. Preparing the Client

After removing the cups following the dry cupping phase:

• Gently inform the client that you will now begin the incision stage of Sunnah wet cupping.

• Ask the client to take three deep breaths. This helps them relax and reduces tension.

• Reassure the client, especially if it’s their first time, by clearly explaining what to expect in calm, simple language.

Suggested script:
"We’ll now do a few small surface-level incisions using the dotting method. It won’t be painful, and I’ll talk you through it."

2. Making the Incisions – Dotting Method

• Use a sterile surgical blade and gently nip only the surface layer of the skin.

• Use the dotting method to cover the entire circumference of the cup mark:

  • Start from the top-right of the circular mark.

  • Make small incisions approximately 2mm deep and spaced about 1cm apart.

  • Continue in a clockwise or anti-clockwise direction until the full circle is complete.

• Repeat this process for each cupping site before applying the cups again.

Key notes:

• Avoid deep cuts. Hijama is a shallow procedure and should remain within the upper skin layers.

• Always use a new, sterile blade for each client to maintain hygiene and safety.

3. Applying the Cups Again (Round 2)

• After all incision areas are prepared, reapply the cups over the marked circles.

• Apply all cups in one round so that the timing stays consistent for each site.

• Monitor the extraction and ensure cups are securely sealed, but not overly tight.

4. Communicating with the Client

• If the client feels worried or uncomfortable, maintain calm communication.

• Explain each step and remind them they are in control.

• Ask whether the pressure feels right and adjust if necessary.

• Encourage the client to breathe steadily and notify you of any discomfort.

A calm and confident therapist helps the client remain relaxed and builds trust.

5. Practitioner Tip – Blade Practice

To master the blade technique, it is recommended that beginners practice the dotting method on soft fruits such as:

• Bananas

• Tomatoes

• Apples

This allows you to learn correct depth control, spacing, and blade handling in a safe environment before working on real skin.

Conclusion

When performed properly, using the Sunnah method and clear communication, the wet cupping procedure should feel gentle and safe for the client. By focusing on precision, hygiene, and comfort, you can build confidence and provide effective Hijama therapy.

Sunnah-Based Incision Method in Wet Cupping: Science, Shifa, and Systematic Technique

When performing wet cupping (Hijama), the incision stage must be done with precision, good etiquette, and sincere spiritual intention. This practice not only follows the method of the Prophet Muhammad ﷺ but also aligns with modern understanding of skin anatomy and healing.

Correct Method of Incision

• Begin after removing the dry cups, when the skin is raised and numbed.

• The incisions should be made lightly, not aggressively.

• Each cut should be about 2mm in length and spaced 1cm apart to allow for proper drainage and avoid skin trauma.

Direction and Technique

• Start at the top left of the cupping mark and move systematically from left to right, covering the entire circumference.

• Work your way downward row by row in a structured and gentle manner.

• You will not see visible lines on the skin because you're not using a pen. Instead, you work gently by feel.

• The full incision pattern will become visible only after the cups are reapplied and vacuum pressure pulls the blood upward.

Spiritual Etiquette and Intention

• With each gentle nip, quietly recite intentions or du‘a for Shifa (healing), such as:

  • Bismillah, Allahumma shfi maradana

• Maintain cleanliness, calmness, and humility. Always remind yourself and your client:

  • The cure is from Allah alone. We are only a means.

• This mindset ensures your practice reflects the Adab (etiquette) of prophetic healing.

Scientific Reasoning Behind This Practice

• A 2mm incision reaches the capillary level—just enough to draw out “waste blood” without cutting deep vessels or causing injury.

• 1cm spacing ensures clean suction flow, prevents overlapping incisions, and reduces the risk of skin damage or blisters.

• The vacuum after incisions creates negative pressure, which helps:

  • Draw interstitial fluid and toxins to the surface

  • Improve local circulation

  • Support natural detox and tissue repair

Summary for Students

This method combines:

• Prophetic practice (Sunnah)

• Scientific understanding

• Spiritual awareness

• Clinical safety

By using this gentle, methodical technique with du‘a and good intention, you not only help clients physically but also provide them with an experience rooted in both healing and worship.

Would you like help structuring the next lecture or practical step?

Sunnah-Guided Reapplication of Cups After Incisions – Comfort, Pressure Control, and Safe Disposal

After completing the small incisions (also known as mihjam in Arabic), the next step in Sunnah hijama (wet cupping) is to reapply the cups. At this stage, it's important to:

• Communicate with the client: Ask about their comfort and pain tolerance.

• Adjust suction carefully: Apply a gentle, snug vacuum, not too tight to cause pain or bruising, and not too loose to lose suction.

• The aim is to extract stagnant blood (also referred to as 'foul blood' or 'waste blood') through vacuum suction. This blood contains dead red blood cells, waste metabolites, and toxins collected in the tissues.

From a scientific perspective, wet cupping may support improved local circulation, reduce inflammation, and assist with tissue repair by drawing out interstitial fluids and waste products. These effects can help in musculoskeletal pain and chronic tension.

Timing and Prevention of Skin Damage

Leave the cups on for no more than 5 to 7 minutes. This timing is based on clinical experience and practice standards. Leaving the cups on too long can cause:

• Skin blistering

• Excess irritation

• Delayed healing

Short, controlled suction time ensures maximum therapeutic benefit without harming the skin.

Safe Disposal According to Medical Guidelines

Once blood has filled the cups, remove them carefully. The blood is considered biohazardous medical waste.

• Do not discard this blood into general or household waste.

• It must be disposed of in clinical waste bins and collected by licensed medical waste disposal services.

• This is required for hygiene, public safety, and legal compliance, especially in regulated environments like the UK.

Sunnah Ethics and Professional Conduct

Throughout the procedure:

• Maintain prophetic manners (Adab) by showing care, hygiene, and gentleness.

• Recite intentions or duas for healing (shifa) before and during the process.

• Remember that cure comes from Allah, and the therapist is only a means.

This method preserves both Islamic tradition and modern hygiene protocols, ensuring that Sunnah hijama therapy remains safe, effective, and spiritually aligned.

Sunnah-Based Wet Cupping (Hijama): Blood Removal, Clean-Up, and Aftercare

1. Blood Extraction After Incisions

After performing light incisions (approximately 2mm deep and 1cm apart), the cups are reapplied. Blood will begin to collect inside the cups. This blood often appears dark and thick, resembling strawberry jelly. This indicates stagnant blood being released from the tissue.

Why does the blood look this way?
The vacuum pulls blood from shallow capillaries just under the skin. In areas with poor circulation, muscle tightness, or inflammation, the blood often contains waste products and cell debris. This gives it a darker, more viscous appearance.

Scientific studies have shown that cupping may reduce oxidative stress, improve local circulation, and assist the immune system in clearing waste materials.

2. Cup Duration: 5 to 7 Minutes Maximum

Leave the cups in place for no more than 5 to 7 minutes during wet cupping.

Why this timing?

• More than 7 minutes can risk skin blistering or over-extraction.

• Shorter durations are often enough to remove stagnant blood.

• Moderate suction helps avoid pain while ensuring effectiveness.

3. Explaining to the Client

After blood begins to appear in the cups, explain to the client that this process removes waste-laden blood, which may contribute to local inflammation, pain, or fatigue. Removing this blood allows better oxygen flow and tissue healing.

Example: Someone with upper back pain may have thick, dark blood cupped from that area. By removing it, tension and pain often reduce within a few days.

4. Removing Cups: The Cliff Hanger Method

To remove the cups cleanly, use the "Cliff Hanger Method":

• Gently tilt the cup to the side of the treatment area.

• Slightly twist your wrist to release suction slowly and avoid spillage.

Used cups and blood must be placed in a designated clinical waste bin. Never dispose of them in regular domestic waste, as they are classified as medical waste and require proper collection.

5. Cleaning and Protecting the Skin

After cup removal:

• Wipe the area using medical-grade, alcohol-free sanitising wipes to clean blood without irritating the cuts.

• Apply black seed oil or olive oil to moisturise the area and aid healing.

A diluted antiseptic solution, such as Dettol (1 part Dettol to 9 parts water) can be applied using wipes if desired. This helps eliminate bacteria that cannot be seen but may be present on the skin.

Black seed oil contains thymoquinone, which supports healing and offers antimicrobial protection.

6. Aftercare Advice

Clients should:

• Avoid showering for the next 24 hours.

• When they do shower, use mild, fragrance-free soap and pat the skin dry.

• Avoid rubbing the cupped areas.

Diet for 3 to 5 Days:

• Avoid red meats such as lamb or beef.

• Eat clean foods like grilled chicken, fish, fresh vegetables, and whole grains.

• Plus greens rich in B6,B9,B12 ie spinach

• Drink plenty of water to aid detoxification.

Heavy foods slow the healing response, while light, nutritious foods support tissue repair and immune function.

7. Sunnah-Based Nutrition Post-Hijama

Offer clients simple Sunnah-based foods after their session:

• Honey water: Mix raw honey in a jug of water.

• Dates: These are high in natural sugar and iron, ideal after blood removal.

These foods provide energy, hydration, and spiritual barakah. They are part of the Prophetic tradition and should be made available in every Hijama clinic.

The Prophet Muhammad (peace be upon him) said, "There is healing in black seed and honey for every disease except death." (Sahih al-Bukhari)

8. Final Practitioner Advice

• Communicate with your clients throughout the session.

• Especially if it’s their first time, explain each step so they feel calm and confident.

• Ensure suction pressure is comfortable.

• Reassure them that Hijama is a means and that ultimate healing comes from Allah.

Sunnah Hijama vs Dr. Abdel Aziz Ismail Hefny’s Point System – A Practical Approach

Welcome back. So far, we’ve focused on the Sunnah Hijama method based on authentic Hadiths of the Prophet Muhammad ﷺ. This traditional approach is known for its benefits in relieving muscle pain, improving circulation, reducing fatigue, detoxifying the body, and promoting overall well-being. It’s especially helpful for general conditions like back pain, headaches, inflammation, and sluggishness. Common Sunnah points include areas like the base of the neck (Al-Kahil) and the sides of the neck (Al-Akhda’in), which support full-body circulation and neurological relief.

Now we’re moving into a more clinical and targeted approach—Dr. Abdel Aziz Ismail Hefny’s Point-Based System. Dr. Hefny, an Egyptian medical expert and Hijama researcher, developed a method that aligns with internal organ function, nerve pathways, and specific health conditions. His system is based on anatomical zones and is used to support chronic disease management and organ-specific complaints.

Each cupping point in his method is chosen for its link to a body system or organ. For example:

• Point 19 targets the back of the heart area and supports cardiovascular function, useful for clients with circulation or stress-related heart symptoms.

• Point 55 is associated with kidney function, supporting detox, fluid retention, and hormonal balance.

Clinical principles like this system:

• Dermatomes – skin zones connected to spinal nerves, which reflect internal imbalances.

• Viscero-somatic reflexes – organ dysfunction presenting as muscle tension or localised pain.

• Neurovascular stimulation – cupping helps improve nerve communication and blood flow to weak or inflamed areas.

Comparison with Sunnah Method:

• The Sunnah method is spiritually guided, simple to apply, and excellent for musculoskeletal issues and general wellness.

• The Hefny method is more clinical, targeting diseases like diabetes, thyroid imbalance, digestive issues, or hormonal dysfunctions by selecting cupping points tied to specific organs and systems.

In this part of the course, you’ll:

1. Get a short, easy-to-understand explanation of the health condition.

2. Learn how Dr. Hefny’s point system applies to it.

3. See how and where to apply cups step by step, with a practical demonstration.

At the end of this section, we’ll compare both methods—Sunnah and Hefny—in real clinical scenarios so you can learn how to combine both in your practice, offering clients a comprehensive and effective treatment strategy.

Let’s begin with Group A and learn how this system is applied in practice.

Cupping Points for Rheumatism (Painful Joints)

Condition: Rheumatism involves chronic joint pain, swelling, and stiffness, linked to inflammation, autoimmune response, and poor circulation.

Point 1 – Base of the neck (GV14 – Governing Vessel)

• Where: At the 7th cervical vertebra (C7)—the most prominent bone at the base of the neck.

• Spinal Landmark: C7 – also known as the vertebra prominens.

• Meridian Link: Governing Vessel (GV) – controls yang meridians.

• Why it works: Boosts the body’s yang energy, warms cold joints, and regulates immune activity.

• How it helps: Used for general joint inflammation, low immunity, and stiffness that worsens in cold.

• Example: Ideal for a patient whose pain flares up with weather changes or fatigue.

Point 55 – Below the shoulder blade (SI11 – Small Intestine meridian)

• Where: Roughly 3cm below the posterior shoulder at the scapula.

• Spinal Landmark: Between T2–T4 (upper thoracic vertebrae).

• Meridian Link: Small Intestine meridian – involved in clearing heat and aiding muscle flow.

• Why it works: Releases upper back tension, improves lymphatic drainage, and reduces inflammatory toxins.

• How it helps: Supports cases where shoulder, upper back, or arm pain is present.

• Example: A good point for patients with tension, swelling, or tightness around the joints and upper body.

Local Points – Areas of Pain

• Where: Directly on or near painful joints (knees, elbows, wrists, ankles, etc.)

• Spinal Landmark Note: Choose the related segment. For example, knee pain relates to L3–L5; wrist pain to C6–T1.

• Why it works: Local cupping draws blood, reduces swelling, warms the joint, and breaks up stagnation.

• Example: Use directly over swollen knees for instant warmth, relief, and flexibility.

Meridian Insight

• GV14 (Point 1): Opens all yang meridians—treats systemic pain and boosts warmth.

• SI11 (Point 55): Clears heat, drains tension from muscles and joints.

• Local points: Align with Bladder, Gallbladder, or Stomach meridians—each running through specific joints.

Student Summary

• C7 (GV14) = immune booster and anti-inflammatory.

• T2–T4 (SI11) = heat and tension release.

• L3–L5 or local joint area = direct pain treatment.

• Together = a full-body and targeted approach for rheumatic joint pain.

Cupping Points for Roughness of the Knee

Condition: Roughness of the knee is often caused by cartilage thinning, dryness, or early wear. It leads to pain, cracking sounds, stiffness, and poor joint mobility. This typically results from weak circulation, inflammation, and inadequate nourishment to the joint.

Point 1 – Between shoulders (GV14 – Governing Vessel)

• Where: At the top of the spine, between the shoulders.

• Meridian Link: Governing Vessel (GV) controls the yang energy of the body.

• Why it works: Activates the whole body's yang energy, boosts immunity, and clears heat (inflammation).

• How it helps the knee: Improves general circulation and helps regulate joint inflammation.

• Example: Use this for someone with weak immunity and systemic joint pain—it energises the body and prepares it for local healing.

Point 55 – Under the shoulder blade (SI11 – Small Intestine meridian)

• Where: 3cm below the back of the shoulder.

• Meridian Link: Small Intestine meridian, related to clearing body heat and energy blockage.

• Why it works: Clears local muscle tension and helps lymphatic drainage.

• How it helps the knee: Removes upper-body stagnation that can affect overall fluid circulation and inflammation.

• Example: When a patient experiences tension in the shoulders and inflammation in the knee, this point helps to open the upper meridian flow.

Point 11 – Lower back (around BL25 – Urinary Bladder meridian)

• Where: The lower back’s most prominent bone (L5).

• Meridian Link: The Urinary Bladder meridian, which passes through the back and knees.

• Why it works: Connects directly to the nervous and energy supply of the lower limbs.

• How it helps the knee: Strengthens lower limb energy and improves the function of the knee joint.

• Example: If someone has both lower back and knee pain, this point helps strengthen the nerve pathway to the knees.

Points 12 & 13 – Sides of point 11

• Where: About 5cm to each side of point 11.

• Meridian Link: Affect surrounding the Bladder meridian branches and related muscular zones.

• Why it works: Loosens tight back muscles and improves circulation to the hips and legs.

• How it helps the knee: Enhances energy flow and blood supply that feeds into the knee joint area.

• Example: For patients who feel tightness in the back and weakness in the knees, these points help relieve pressure from both ends.

Points 53 & 54 – Behind the knee (BL40 – Bladder meridian)

• Where: Inner side of the back of the knee crease.

• Meridian Link: The Urinary Bladder meridian flows directly through the back of the leg and into the knee.

• Why it works: This is a key local point for knee pain, swelling, and stiffness.

• How it helps the knee: Increases blood and synovial fluid movement, clears local heat and stagnation.

• Example: For direct knee pain, cracking, or difficulty bending, these are your main treatment points.

Quick Summary for Students

• GV14 (Point 1): Boosts body energy and fights inflammation.

• SI11 (Point 55): Clears tension, helps fluid circulation.

• BL25 & nearby (Points 11–13): Supports nerves and blood flow to the knees.

• BL40 (Points 53–54): Main local points for direct knee healing.

Acupuncture Meridian Insight

All these points follow the Bladder, Governing, and Small Intestine meridians—meridians that either pass through or control the back, legs, and joints. When blocked, they cause dryness and pain. When opened, they bring healing energy and blood to the knee.

Cupping Points for Oedema (Swollen Tissue Due to Fluid Buildup)

Condition:
Oedema is swelling caused by excess fluid trapped in the tissues. It results from poor lymph drainage, kidney dysfunction, or nervous system imbalance affecting fluid regulation.

Point 1 – Top of the Shoulder (Near C7 Vertebra)

• Where: At the base of the neck, the most prominent bone (7th cervical vertebra or C7).

• Spinal Landmark: C7 vertebra, also called vertebra prominens.

• Meridian Link: Large Intestine Meridian (LI15) – involved in clearing blockages and promoting circulation.

• Why it works: It opens the lymphatic vessels that drain fluid from the arms and neck.

• How it helps: Reduces swelling and heaviness in the upper limbs by improving fluid flow.

• Example: Useful for clients with swollen arms or neck after prolonged sitting or injury.

Point 55 – Below the Shoulder Blade (Around T3–T4)

• Where: About 3 cm below the scapula, near the thoracic spine between T3 and T4.

• Spinal Landmark: Upper thoracic vertebrae T3–T4.

• Meridian Link: Bladder Meridian (BL13 – Lung Shu) – supports lymphatic drainage and fluid balance.

• Why it works: Clears blockages in the thoracic duct, the main lymphatic vessel returning fluid to the heart.

• How it helps: Reduces upper body swelling by improving lymph flow.

• Example: Ideal for clients with fluid retention in the upper back or chest area.

Points 9 & 10 – Mid-Back Below T7 & T8

• Where: Mid-back, near thoracic vertebrae T7 and T8, close to the kidney and adrenal glands.

• Spinal Landmark: T7 and T8 vertebrae.

• Meridian Link: Bladder Meridian (BL18 – Liver Shu, BL23 – Kidney Shu).

• Why it works: Stimulates kidney and adrenal function, key organs in fluid regulation.

• How it helps: Helps the body filter and eliminate excess fluids, reducing swelling.

• Example: Beneficial for oedema linked to kidney weakness or hormonal imbalance.

Point 130 – Sides of the Heel (Inside and Outside)

• Where: On the inner and outer edges of the heels.

• Spinal Landmark: Not directly over the spine but linked through reflex zones of the kidneys and bladder.

• Meridian Link: Kidney Meridian (KI3) and Bladder Meridian (BL60).

• Why it works: Activates kidney energy to enhance fluid elimination.

• How it helps: Particularly effective for swelling in feet and ankles.

• Example: Helps clients with swollen lower legs or tired, heavy feet.

Seventh Cervical Vertebra (C7) – Base of Neck

• Where: At the prominent vertebra at the base of the neck.

• Spinal Landmark: C7 vertebra.

• Meridian Link: Governing Vessel (GV14).

• Why it works: Regulates autonomic nervous system signals controlling blood flow and lymph drainage.

• How it helps: Balances circulation, reduces nerve-related fluid retention.

• Example: Useful for oedema caused or worsened by stress and poor nerve function.

Student Summary

• C7 (Point 1 & GV14): Opens lymph drainage and balances nervous system control.

• T3–T4 (Point 55): Clears thoracic duct blockages for lymph flow.

• T7–T8 (Points 9 & 10): Boost kidney and adrenal function to regulate fluids.

• Heel Points (130): Stimulate kidney-bladder reflexes to eliminate fluid, especially in the lower limbs.

Together, these points target the causes of oedema—fluid buildup, poor drainage, and kidney weakness—for effective treatment.

Cupping Points for Sciatic Pain (Nerve Pain from Buttocks Down the Leg)

Condition:
Sciatic pain is nerve pain starting from the buttock and running down the leg, caused by irritation or compression of the sciatic nerve. This often results in sharp, shooting pain, numbness, or weakness along the nerve path.

Right Leg Sciatic Pain

Point 1 – Top of Shoulder (Near C7 Vertebra)

• Where: At the base of the neck, the 7th cervical vertebra (C7).

• Spinal Landmark: C7 vertebra, the prominent bone at the base of the neck.

• Meridian Link: Governing Vessel (GV), linked to nerve regulation and circulation.

• Why it works: Balances nervous system signals and reduces nerve irritation.

• How it helps: Relieves referred nerve pain travelling down the leg.

• Example: Used when pain is intense and nerve sensitivity is high.

Point 55 – Below the Shoulder Blade

• Where: About 3 cm below the posterior shoulder blade, near T3–T4 vertebrae.

• Spinal Landmark: Upper thoracic vertebrae (T3–T4).

• Meridian Link: Bladder Meridian (BL13) – supports nerve and muscle relaxation.

• Why it works: Reduces upper back tension that can affect nerve flow to the leg.

• How it helps: Relieves muscle tightness contributing to sciatic pain.

• Example: Helpful if tight shoulders or upper back trigger or worsen leg pain.

Point 11 – Lumbar Vertebra

• Where: Prominent lumbar vertebra (usually L4 or L5) at the lower back.

• Spinal Landmark: Lower spine where sciatic nerve roots exit.

• Meridian Link: Bladder Meridian (BL23 – Kidney Shu) – related to lumbar and nerve health.

• Why it works: Opens nerve roots, reduces inflammation and compression.

• How it helps: Directly treats sciatic nerve irritation at its source.

• Example: Effective for lower back pain radiating down the right leg.

Points 12 & 13 – Sides of Lumbar Vertebra (Near Point 11)

• Where: On either side of lumbar vertebra 11, about 5 cm from the spine and slightly upward.

• Spinal Landmark: Paravertebral muscles around the lumbar spine.

• Meridian Link: The Bladder Meridian points are involved in muscle and nerve support.

• Why it works: Relaxes muscles that compress the sciatic nerve.

• How it helps: Reduces muscle spasms and eases nerve pressure.

• Example: For tight, painful muscles around the lower back affecting the leg.

Points 26 & 27 – Sides of the Iliac Bone (Pelvic Area)

• Where: On both sides of the iliac crest (hip bone).

• Spinal Landmark: Pelvic region close to the origin of the sciatic nerve.

• Meridian Link: Gallbladder Meridian – associated with hip and leg pain relief.

• Why it works: Releases tightness in the pelvic muscles and ligaments.

• How it helps: Improves nerve mobility and reduces pain radiating down the leg.

• Example: Used for pain starting in the buttock and hip area.

Points 51 & 52 – Thigh Bones (Femur Sides)

• Where: Along both sides of the femur (thigh bone).

• Spinal Landmark: Reflects the path of the sciatic nerve down the leg.

• Meridian Link: Bladder Meridian points on the thigh.

• Why it works: Stimulates circulation and eases nerve pathway tension.

• How it helps: Relieves sharp leg pain and numbness along the sciatic nerve.

• Example: Effective for shooting pain or numbness travelling through the thigh.

Left Leg Sciatic Pain

Points for the Left Leg are the same as the right, with one difference:

• Instead of Point 12, use Point 13 on the left side near lumbar vertebra 11, and

• Instead of Point 26, use Point 27 on the left iliac bone side,

• Instead of Point 51, use Point 52 on the left femur side.

All other points (1, 55, 11, and places of pain) remain the same, but on the left side of the body.

Student Summary

• C7 (Point 1): Regulates nerve signals and reduces nerve irritation.

• T3–T4 (Point 55): Releases upper back tension affecting nerve pathways.

• Lumbar Vertebra (Point 11): Opens the sciatic nerve roots at the lower back.

• Sides of Lumbar Spine (Points 12/13): Relaxes muscles compressing the nerve.

• Sides of Iliac Bone (Points 26/27): Releases pelvic muscle tension.

• Sides of Femur (Points 51/52): Ease nerve pathway tension along the leg.

Together, these points target nerve irritation and muscle tightness, causing sciatic pain, providing a comprehensive approach to relief.

Cupping Points for Back Pain

Condition:
Back pain is discomfort or stiffness along the spine and surrounding muscles, caused by muscle strain, poor posture, spinal misalignment, or inflammation.

Point 1 – Top of Shoulder (Near C7 Vertebra)

• Where: At the base of the neck, the 7th cervical vertebra (C7).

• Spinal Landmark: C7 vertebra, the prominent bone at the base of the neck.

• Meridian Link: Governing Vessel (GV14) – regulates yang energy and spinal health.

• Why it works: Releases tension at the base, improving overall spine flexibility and nerve flow.

• How it helps: Reduces stiffness and nerve irritation that often cause upper back pain.

• Example: Ideal for clients with neck stiffness and radiating upper back pain.

Point 55 – Below the Shoulder Blade

• Where: Approximately 3 cm below the shoulder blade, near thoracic vertebrae T3–T4.

• Spinal Landmark: Upper thoracic vertebrae (T3–T4).

• Meridian Link: Bladder Meridian (BL13) – supports muscle relaxation and circulation.

• Why it works: Eases tightness in upper back muscles and improves blood flow to spinal tissues.

• How it helps: Relieves muscle knots and reduces inflammation around the shoulder blades.

• Example: Effective for clients with tension or pain across the upper back and shoulder area.

Cupping Along Both Sides of the Spine and Places of Pain

• Where: On either side of the spine from the cervical to the lumbar regions, focusing on areas of reported pain.

• Spinal Landmark: Paravertebral muscles and soft tissue adjacent to vertebrae.

• Meridian Link: The Bladder Meridian runs bilaterally along the spine and influences back muscle tone.

• Why it works: Draws blood and qi to the area, breaks up stagnation, reduces inflammation, and relaxes muscles.

• How it helps: Directly treats local pain, improves spinal mobility, and supports healing of soft tissues.

• Example: Useful for clients with localised lower, mid, or upper back pain from muscle strain or injury.

Student Summary

• C7 (Point 1): Releases neck and upper spine tension, supporting nerve flow.

• T3–T4 (Point 55): Relaxes upper back muscles, improving circulation.

• Bilateral Paraspinal Points: Target local pain, reduce muscle tightness, and promote healing.

Together, these points create a balanced approach to back pain by treating both spinal tension and local muscle discomfort.

Cupping Points for Neck and Shoulder Pain

Condition:
Neck and shoulder pain is often caused by muscle strain, poor posture, stress, or inflammation, leading to stiffness, soreness, and restricted movement.

Point 1 – Base of the Neck (C7 Vertebra)

• Where: At the 7th cervical vertebra (C7), the prominent bone at the base of the neck.

• Spinal Landmark: C7 vertebra, key for neck and upper back alignment.

• Meridian Link: Governing Vessel (GV14) – regulates yang energy and nerve flow.

• Why it works: Releases tension around the neck base, improving nerve and muscle function.

• How it helps: Reduces stiffness and pain that spreads into the shoulders and upper back.

• Example: Used when clients have tightness or pain limiting neck rotation.

Point 55 – Below the Shoulder Blade

• Where: About 3 cm below the posterior shoulder blade, near thoracic vertebrae T3–T4.

• Spinal Landmark: Upper thoracic spine (T3–T4).

• Meridian Link: Small Intestine Meridian (SI11) – clears muscle tension and improves circulation.

• Why it works: Relaxes upper back muscles and clears stagnant qi, causing pain.

• How it helps: Eases tightness in the shoulder and upper back area, reducing discomfort.

• Example: Useful for clients with shoulder stiffness and muscle knots.

Point 40 – Middle of the Back of the Neck

• Where: Midway along the back of the neck, between C3–C5 vertebrae.

• Spinal Landmark: Mid cervical spine area.

• Meridian Link: Bladder Meridian (BL10) – associated with neck tension relief.

• Why it works: It opens energy flow to the neck muscles and reduces inflammation.

• How it helps: Alleviates pain and tension in the cervical muscles.

• Example: Effective when pain is centred in the mid-neck region.

Points 20 & 21 – Tonsils Triangle Area

• Where: The triangular area between the neck and shoulder, slightly bending to the back near the upper trapezius muscle.

• Anatomy: Around the upper trapezius and sternocleidomastoid muscles, where muscle tightness often forms.

• Meridian Link: Large Intestine Meridian (LI15/LI16 area) – helps clear muscle tightness and improve circulation.

• Why it works: Releases trigger points and reduces muscle knots, causing radiating pain.

• How it helps: Eases shoulder stiffness and reduces referred pain to the neck.

• Example: Helpful when pain is felt in the upper shoulder and neck junction.

Cupping on Places of Pain

• Where: Directly over painful spots on the neck and shoulders.

• Why it works: Increases blood flow, breaks muscle adhesions, and promotes relaxation.

• How it helps: Provides fast relief from localised stiffness and soreness.

• Example: Use on tight spots or muscle knots for immediate tension release.

Student Summary

• C7 (Point 1): Releases neck base tension and improves nerve flow.

• T3–T4 (Point 55): Relaxes upper back muscles and clears stagnation.

• Mid Neck (Point 40): Opens energy flow and reduces cervical inflammation.

• Tonsils Triangle (Points 20 & 21): Targets shoulder-neck muscle knots and stiffness.

• Local Pain Areas: Directly relieve muscle tension and soreness.

Together, these points treat both the root and local muscular causes of neck and shoulder pain, improving mobility and comfort.

Cupping Points for Gout

Condition:
Gout causes sudden, severe joint pain and swelling, usually due to excess uric acid crystals depositing in joints, triggering inflammation.

Point 1 – Base of the Neck (C7 Vertebra)

• Where: At the 7th cervical vertebra, the prominent bone at the base of the neck.

• Spinal Landmark: C7 vertebra.

• Meridian Link: Governing Vessel (GV14) – regulates the body’s yang energy and immune response.

• Why it works: Boosts immune function and helps reduce systemic inflammation.

• How it helps: Supports overall inflammation control and pain modulation.

• Example: Useful for managing flare-ups with widespread joint pain.

Point 55 – Below the Shoulder Blade

• Where: About 3 cm below the shoulder blade near T3–T4 vertebrae.

• Spinal Landmark: Upper thoracic spine (T3–T4).

• Meridian Link: Small Intestine Meridian (SI11) – aids in clearing heat and toxins from muscles.

• Why it works: Promotes lymphatic drainage and relieves upper back muscle tension.

• How it helps: It helps reduce swelling and eases discomfort in the upper body muscles.

• Example: Useful when shoulder or upper back muscles are tight during gout flare-ups.

Points 28, 29, 30 & 31 – Upper Buttocks

• Where: Located at the upper part of the buttocks, bilaterally.

• Anatomy: Corresponds to the gluteal muscles and sacral area supporting the lower back and hips.

• Meridian Link: Bladder Meridian points influence lower body circulation and inflammation.

• Why it works: Relaxes muscles around the hips and pelvis, improving blood flow and reducing swelling.

• How it helps: Alleviates joint pain, especially in the hips and lower limbs affected by gout.

• Example: Beneficial when gout affects lower limb joints or causes radiating pain.

Point 121 – Upper Abdomen (Under Chest Bone)

• Where: At the first part of the stomach, just below the sternum.

• Anatomy: Over the upper digestive system, related to metabolic balance.

• Meridian Link: Conception Vessel (Ren Mai) – regulates digestion and metabolism.

• Why it works: Supports detoxification and metabolic processes related to uric acid clearance.

• How it helps: Helps manage uric acid buildup through better digestion and toxin elimination.

• Example: Useful for clients with dietary causes contributing to gout.

Cupping on Places of Pain

• Where: Directly on swollen and painful joints, commonly toes, ankles, and knees.

• Why it works: Increases local circulation, reduces swelling, and relieves pain by dispersing stagnation.

• How it helps: Provides immediate relief to inflamed joints during gout attacks.

• Example: Direct cupping on a swollen big toe joint to reduce pain and inflammation.

Student Summary

• C7 (Point 1): Enhances immune and anti-inflammatory response.

• T3–T4 (Point 55): Clears muscle tension and supports toxin removal.

• Upper Buttocks (Points 28–31): Improves circulation and reduces lower body joint pain.

• Upper Abdomen (Point 121): Supports digestion and metabolic detoxification.

• Local Joint Areas: Directly relieve pain and swelling at affected joints.

Together, these points support systemic and local treatment of gout by reducing inflammation, improving circulation, and promoting toxin clearance.

Cupping Points for Rheumatoid Arthritis

Condition:
Rheumatoid arthritis is an autoimmune condition causing chronic inflammation, joint pain, swelling, stiffness, and damage to both large and small joints.

Point 1 – Base of the Neck (C7 Vertebra)

• Where: At the 7th cervical vertebra, the prominent bone at the base.

• Spinal Landmark: C7 vertebra.

• Meridian Link: Governing Vessel (GV14) – regulates yang energy and immune balance.

• Why it works: Enhances immune regulation and reduces systemic inflammation.

• How it helps: Supports overall reduction of joint inflammation and immune system calming.

• Example: Useful for patients experiencing widespread joint pain and fatigue.

Point 55 – Below the Shoulder Blade

• Where: About 3 cm below the shoulder blade near the thoracic vertebrae T3–T4.

• Spinal Landmark: Upper thoracic spine (T3–T4).

• Meridian Link: Small Intestine Meridian (SI11) – clears muscle tension and improves circulation.

• Why it works: Releases upper back muscle tightness, reducing pain and promoting lymphatic drainage.

• How it helps: Eases stiffness and swelling in the upper back and shoulder areas.

• Example: Ideal when shoulder stiffness and pain accompany arthritis flare-ups.

Point 120 – Sternum (Breastbone)

• Where: Middle of the chest over the sternum bone.

• Anatomy: Related to the thymus gland and immune system regulation.

• Meridian Link: Conception Vessel (Ren Mai) – supports immune function and qi balance.

• Why it works: Boosts immune system control and energy flow to reduce inflammation.

• How it helps: Supports systemic immune modulation in autoimmune arthritis.

• Example: Helps reduce overactive immune responses, causing joint damage.

Point 49 – Between Shoulder Blades

• Where: Mid-back between the two scapulae (shoulder blades).

• Anatomy: Area linked to the immune system and back muscles.

• Meridian Link: Bladder Meridian points related to immune and lymphatic function.

• Why it works: Enhances lymph drainage and reduces immune system overactivity.

• How it helps: Eases upper back tension and supports immune regulation.

• Example: Useful for patients with upper back tightness and systemic joint symptoms.

Point 36 – Occipital Bone (Cerebellum Area)

• Where: At the prominent bone at the base of the skull (occipital area).

• Anatomy: Close to brain centres that regulate nervous and immune systems.

• Meridian Link: Governing Vessel (GV) – balances nervous system and inflammation.

• Why it works: Calms the nervous system and reduces inflammatory responses.

• How it helps: Helps reduce chronic pain and systemic inflammation.

• Example: Beneficial for patients with chronic pain and nervous system sensitisation.

Cupping on Large and Small Joints

• Where: Over affected joints such as hands, wrists, elbows, knees, and ankles.

• Why it works: Improves local circulation, reduces swelling, breaks stagnation, and relieves pain.

• How it helps: Provides direct relief to inflamed joints, improving mobility and comfort.

• Example: Use on swollen finger joints to reduce stiffness and increase range of motion.

Student Summary

• C7 (Point 1): Immune balancing and anti-inflammatory support.

• T3–T4 (Point 55): Muscle tension release and circulation improvement.

• Sternum (Point 120): Immune regulation and energy flow enhancement.

• Between Scapulae (Point 49): Lymphatic support and immune system calming.

• Occipital Bone (Point 36): Nervous system calming and inflammation reduction.

• Local Joints: Direct inflammation and pain relief.

Combined, these points treat systemic autoimmune inflammation and provide local joint relief, supporting improved function and reduced pain in rheumatoid arthritis.

Cupping Points for Hemiplegia (Paralysis of One Side of the Body)

Condition:
Hemiplegia is paralysis affecting one side of the body, usually caused by brain injury such as stroke, leading to loss of movement, weakness, and impaired coordination on the affected side.

Point 1 – Base of the Neck (C7 Vertebra)

• Where: At the 7th cervical vertebra, the prominent bone at the base.

• Spinal Landmark: C7 vertebra.

• Meridian Link: Governing Vessel (GV14) – regulates overall yang energy and nervous system pathways.

• Why it works: Supports central nervous system balance and energy flow to limbs.

• How it helps: Promotes nerve function and reduces stiffness, aiding motor recovery.

• Example: Useful in patients with upper limb weakness on the affected side.

Point 55 – Below the Shoulder Blade

• Where: About 3 cm below the shoulder blade near the thoracic vertebrae T3–T4.

• Spinal Landmark: Upper thoracic spine (T3–T4).

• Meridian Link: Small Intestine Meridian (SI11) – releases muscle tension and improves circulation.

• Why it works: Loosens shoulder and upper back muscles, improving mobility and blood flow.

• How it helps: Eases muscle tightness that can restrict movement in the affected side.

• Example: Helpful for patients with frozen shoulder or tight upper back muscles.

Point 11 – Lumbar Vertebra

• Where: The Prominent lumbar vertebra at the lower back.

• Spinal Landmark: Lower spine (L3–L4 region).

• Meridian Link: Governing Vessel (GV) and Bladder Meridian – linked to lower limb nerve pathways.

• Why it works: Stimulates nerve and energy flow to the lower limbs.

• How it helps: Supports recovery of leg movement and sensation on the affected side.

• Example: Useful for patients struggling with foot drop or leg weakness.

Points 12 & 13 – Sides of Lumbar Vertebra

• Where: On either side of point 11, about 5 cm from the spine and slightly upward.

• Spinal Landmark: Paravertebral muscles adjacent to lumbar vertebrae.

• Meridian Link: Bladder Meridian – supports energy flow through the spine and legs.

• Why it works: Improves circulation and reduces muscle spasms along the lower back.

• How it helps: Relieves pain and stiffness that may hinder rehabilitation.

• Example: Good for patients with lower back tightness limiting leg movement.

Points 34 & 35 – Brain Temporal and Occipital Areas

• Where: At the right and left sides of the head near the temporal lobes and occipital bone.

• Anatomy: Areas associated with motor control and sensory processing.

• Meridian Link: Gallbladder and Governing Vessel channels influencing brain function.

• Why it works: Stimulates brain circulation and nerve function related to the affected side.

• How it helps: Supports neuroplasticity and recovery of motor skills.

• Example: Useful in early rehabilitation to boost brain repair processes.

Local Treatment – Injured Joints and Daily Massage

• Where: All joints affected by paralysis (shoulder, elbow, wrist, hip, knee, ankle).

• Why it works: Maintains joint flexibility, reduces stiffness, and prevents contractures.

• How it helps: Keeps muscles supple and improves circulation to paralysed limbs.

• Example: Daily gentle massage enhances limb mobility and prevents complications.

Student Summary

• C7 (Point 1): Nervous system balance and energy flow.

• T3–T4 (Point 55): Muscle relaxation and circulation boost.

• Lumbar Vertebra (Point 11): Nerve stimulation for lower limbs.

• Paravertebral (Points 12 & 13): Relieves muscle spasm and improves energy flow.

• Temporal & Occipital Areas (Points 34 & 35): Brain circulation and neuro-repair support.

• Local Joints: Prevent stiffness and maintain mobility through daily massage.

Together, these points support nerve recovery, reduce muscle stiffness, and improve mobility in hemiplegic patients.

Cupping Points for Quadriplegia (Paralysis of All Four Limbs)

Condition:
Quadriplegia is paralysis affecting both arms and legs, usually from spinal cord injury at the neck or brain damage. It causes loss of motor function and sensation in all four limbs, severely limiting movement and independence.

Point 1 – Base of the Neck (C7 Vertebra)

• Where: At the 7th cervical vertebra, the prominent bone at the base of the neck.

• Spinal Landmark: C7 vertebra.

• Meridian Link: Governing Vessel (GV14) – key for nervous system regulation and energy flow.

• Why it works: Stimulates nerve pathways controlling all limbs, balancing yang energy.

• How it helps: Supports nerve regeneration and reduces muscle stiffness in upper and lower limbs.

• Example: Important for patients with weakened arm and leg movement.

Point 55 – Below the Shoulder Blade

• Where: About 3 cm below the shoulder, near the upper thoracic spine (T3–T4).

• Spinal Landmark: Upper thoracic vertebrae.

• Meridian Link: Small Intestine Meridian (SI11) – relieves muscle tension and improves circulation.

• Why it works: Releases tight muscles around shoulders and upper back, enhancing blood and lymph flow.

• How it helps: Eases stiffness that limits arm movement and improves upper body circulation.

• Example: Helps patients with shoulder tightness and restricted arm motion.

Point 11 – Lumbar Vertebra

• Where: Prominent lumbar vertebra in the lower back (L3–L4).

• Spinal Landmark: Lumbar spine.

• Meridian Link: Governing Vessel and Bladder Meridian – pathways linked to lower limbs.

• Why it works: Stimulates nerve flow to legs and lower body.

• How it helps: Supports leg movement and sensory recovery.

• Example: Useful when lower limbs are weak or immobile.

Points 12 & 13 – Sides of Lumbar Vertebra

• Where: On either side of point 11, about 5 cm lateral and slightly upward.

• Spinal Landmark: Paravertebral muscles adjacent to a lumbar vertebra.

• Meridian Link: Bladder Meridian – important for spinal and leg nerve function.

• Why it works: Reduces muscle spasm and improves circulation to the lower back and legs.

• How it helps: Relieves pain and stiffness that limit leg movement and posture.

• Example: Helps patients with tight lower back muscles affecting mobility.

Points 34 & 35 – Right and Left Brain Sides (Temporal and Occipital Lobes)

• Where: Temporal lobes and occipital bone at the sides and back of the head.

• Anatomy: Brain areas linked to motor control and sensory processing.

• Meridian Link: Gallbladder and Governing Vessel channels affecting the brain and nervous system.

• Why it works: Boosts brain circulation and supports nerve repair processes.

• How it helps: Encourages neuroplasticity and motor function recovery.

• Example: Important for patients in the early rehabilitation phase.

Point 36 – Cerebellum (Occipital Bone)

• Where: At the base of the skull, prominent occipital bone.

• Anatomy: The Cerebellum controls coordination, balance, and motor control.

• Meridian Link: Governing Vessel.

• Why it works: Enhances coordination and balance by stimulating cerebellar function.

• How it helps: Supports recovery of smooth and controlled movement.

• Example: Helpful for patients regaining fine motor skills.

Local Treatment – All Body Joints and Daily Massage

• Where: All major joints (shoulders, elbows, wrists, hips, knees, ankles).

• Why it works: Prevents joint stiffness, muscle contractures, and improves circulation.

• How it helps: Maintains joint flexibility, reduces pain, and promotes limb function.

• Example: Daily massage prevents complications of immobility and aids rehabilitation.

Student Summary

• C7 (Point 1): Regulates the central nervous system and nerve flow.

• T3–T4 (Point 55): Relaxes upper back muscles and improves circulation.

• Lumbar (Points 11, 12 & 13): Stimulates nerve flow and reduces muscle spasm in lower limbs.

• Brain Sides (Points 34 & 35): Supports brain repair and motor control.

• Cerebellum (Point 36): Enhances coordination and balance.

• All Joints & Massage: Maintains mobility, reduces stiffness, and supports recovery.

Together, these points provide a comprehensive approach to improve nerve function, reduce muscle stiffness, and support motor recovery in quadriplegic patients.

Cupping Points for Immune System Deficiency

Condition:
Immune deficiency means the body’s defence against infections and diseases is weak, causing frequent illness, slow recovery, and poor overall health.

Point 1 – Base of the Neck (C7 Vertebra)

• Where: At the 7th cervical vertebra, the prominent bone at the base of the neck.

• Spinal Landmark: C7 vertebra.

• Meridian Link: Governing Vessel (GV) – controls yang energy and regulates nervous and immune systems.

• Why it works: Boosts yang energy, which supports immune strength and nervous system regulation.

• How it helps: Enhances the body’s natural defence and energy flow.

• Example: Good for patients prone to frequent colds or fatigue.

Point 55 – Below the Shoulder Blade

• Where: About 3 cm below the shoulder blade on the upper back.

• Spinal Landmark: Upper thoracic vertebrae (around T3–T4).

• Meridian Link: Small Intestine Meridian – clears toxins and helps lymphatic drainage.

• Why it works: Releases muscle tension and improves circulation to immune organs.

• How it helps: Supports detoxification and a better immune response.

• Example: Useful for patients with chronic tiredness and sluggish immunity.

Point 49 – Between the Shoulder Blades

• Where: Mid-back, between the two scapulae (shoulder blades).

• Anatomy: Area linked to lung and immune function via nerve and lymphatic connections.

• Why it works: Activates immune-related nerves and improves lung energy.

• How it helps: Strengthens respiratory defences and overall immunity.

• Example: Ideal for patients with repeated respiratory infections.

Point 120 – Sternum (Breastbone)

• Where: Middle of the chest, at the sternum.

• Anatomy: Close to the thymus gland, which is vital for immune cell production.

• Why it works: Stimulates the thymus and boosts white blood cell production.

• How it helps: Enhances the body’s ability to fight infections.

• Example: Great for patients with weakened immunity and slow healing.

Student Summary

• C7 (Point 1): Regulates nervous and immune system energy.

• T3–T4 (Point 55): Releases tension and supports detox.

• Between Scapulae (Point 49): Boosts lung and immune nerve function.

• Sternum (Point 120): Stimulates thymus, increasing immune cell production.

Together, these points strengthen immune defences by improving energy flow, detoxification, and immune organ function, helping patients recover and resist illness better

Dry Cupping for Muscle Spasms

Condition Overview:
Muscle spasms are sudden, tight muscle contractions that can cause pain, stiffness, or reduced movement. They often happen from overuse, poor posture, or nerve issues.

Treatment Approach: Dry Cupping Around Affected Muscles

• Where:
  Place several cups around and directly over the tight or spasming muscles. Focus on the painful area and the surrounding muscles to relieve tension.

• Why it works:
  Dry cupping increases blood flow, relaxes the muscle fibres, and helps release trapped tension or knots.

• How it helps:

  • Reduces pain and tightness

  • Improves oxygen and nutrient supply to the muscle

  • Speeds up recovery and reduces cramping

• Example:
  If the spasm is in the lower back, place cups on the tight area and around it (e.g., on both sides of the spine). Leave them for 5–10 minutes until the muscle softens.

Quick Student Summary

• What to do: Place multiple dry cups over and around the spasm.

• Why: Increases blood flow, relaxes muscles, reduces cramps.

• Result: Less pain, better movement, faster healing.

Note: Always assess muscle tension before and after cupping, and adjust placement based on where the tightness is strongest.

Cupping Points for Poor Blood Circulation

Condition:
Poor circulation means blood flow is sluggish, causing coldness, numbness, fatigue, and slow healing.

Point 1 – Base of the Neck (C7 Vertebra)

• Where: At the 7th cervical vertebra, the prominent bone at the base of the neck.

• Spinal Landmark: C7 vertebra.

• Why it works: Stimulates nervous system control over blood vessels, improving circulation to the upper body.

• How it helps: It opens blood vessels and encourages better flow to the arms and head.

Point 55 – Below the Shoulder Blade

• Where: About 3 cm below the shoulder blade on the upper back.

• Spinal Landmark: Upper thoracic vertebrae.

• Why it works: Relaxes tight muscles that may compress blood vessels, allowing freer blood flow.

• How it helps: Reduces muscle tension and promotes lymphatic drainage for better circulation.

Point 11 – Lower Back (Lumbar Vertebra)

• Where: On the prominent lumbar vertebra in the lower back.

• Spinal Landmark: L3–L4 area.

• Why it works: Supports circulation to the lower body by stimulating nerve pathways controlling leg blood flow.

• How it helps: Improves blood supply to the legs and feet, reducing coldness and numbness.

Additional Treatment – Along the Spine

• Apply 10 dry cups bilaterally on both sides of the spine from the upper back to the lower back.

• This promotes overall blood and energy flow along the spinal channels, improving systemic circulation.

Dietary Support

• Take a teaspoon of pure organic raw apple cider vinegar and honey every other day.

• This helps thin the blood slightly and improve microcirculation naturally.

Student Summary

• C7 (Point 1): Opens upper body circulation via the nervous system.

• Upper Back (Point 55): Releases muscle tension, easing vessel compression.

• Lumbar (Point 11): Stimulates lower body blood flow.

• 10 cups along the spine: Boost systemic circulation through energy channels.

• Apple cider vinegar & honey: Supports blood thinning and vessel health.

This combined cupping and dietary approach helps restore healthy blood flow throughout the body, reducing symptoms of coldness, numbness, and fatigue.

Cupping Points for Tingling Arms

Condition:
Tingling arms usually arise from nerve compression, poor circulation, or muscle tightness in the neck, shoulder, or arm areas.

Point 1 – Base of the Neck (GV14 – Governing Vessel)

• Location: At the 7th cervical vertebra (C7), the prominent bone at the base of the neck.

• Spinal Cord Segment: C7 nerve roots exit here, key for arm sensation and movement.

• Acupuncture Function: GV14 opens all yang meridians and clears blockages in the neck and upper back.

• Why it works: Relieves nerve root compression, improving nerve signals to the arms and reducing tingling.

• How it helps: Decompresses spinal nerves to restore sensation and reduce numbness.

Points 20 & 21 – Tonsils Triangle (SI15 – Small Intestine Meridian)

• Location: In the triangle between the neck and shoulder, slightly bending toward the back.

• Spinal Cord Segment: Around C5–C6, affecting shoulder and arm nerve pathways.

• Acupuncture Function: SI15 relaxes muscles and fascia near the neck and shoulder, relieving tension.

• Why it works: Loosens tight muscles that compress nerves or blood vessels serving the arms.

• How it helps: Eases muscle spasms and improves nerve and blood flow.

Point 55 – Below the Shoulder Blade (SI11 – Small Intestine Meridian)

• Location: About 3 cm below the scapula (shoulder blade), near T2–T4 vertebrae.

• Spinal Cord Segment: Upper thoracic nerves (T2–T4) related to upper back muscle control.

• Acupuncture Function: SI11 clears muscle stagnation and promotes circulation in the upper back.

• Why it works: Releases tight muscles and improves lymphatic drainage, reducing arm symptoms.

• How it helps: Enhances blood and nerve supply flowing toward the arms.

Point 40 – Middle Back of the Neck (GV13 – Governing Vessel)

• Location: Midline of the back of the neck, around C3–C4 vertebrae.

• Spinal Cord Segment: C3–C4 cervical nerves, important for neck and shoulder innervation.

• Acupuncture Function: GV13 balances the nervous system energy in the neck and upper back.

• Why it works: Reduces overall tension and nerve irritation affecting arm sensation.

• How it helps: Supports healthy nerve function and muscle relaxation.

Local Points – Arm Muscles and Affected Joints

• Where: Directly on tight or painful muscles and joints of the arm.

• Function: Improve local blood circulation and relieve muscle spasms pressing on nerves.

• How it helps: Opens small blood vessels, breaks muscle knots, and reduces nerve compression locally.

Student Summary

• GV14 (C7): Opens yang meridians, decompresses cervical nerve roots controlling arm sensation.

• SI15 (C5–C6): Relaxes neck/shoulder muscles that pinch arm nerves.

• SI11 (T2–T4): Clears upper back muscle tension, improving blood and nerve flow to the arm.

• GV13 (C3–C4): Balances nervous system tension in neck and upper back.

• Local arm points: Directly relax muscles and joints, causing nerve irritation.

Together, these points target nerve compression and circulation issues from the spine to the arm, helping relieve tingling and restore normal sensation and function.

Cupping & Acupuncture Points for Tingling Feet

Condition:
Tingling in the feet often results from nerve compression in the lower back, poor circulation, or muscle tightness affecting the legs and feet.

Point 1 – Base of the Neck (GV14 – Governing Vessel)

• Location: At the 7th cervical vertebra (C7), the prominent bone at the base of the neck.

• Spinal Cord Segment: C7 nerve roots, important for upper body nerve pathways, but also regulates overall yang energy.

• Acupuncture Function: GV14 opens yang meridians, enhancing energy flow throughout the body.

• Why it works: Boosts systemic circulation and nerve function, supporting lower limb nerve health.

• How it helps: Prepares the whole nervous system for better recovery and sensation.

Point 55 – Below the Shoulder Blade (SI11 – Small Intestine Meridian)

• Location: About 3 cm below the scapula near T2–T4 vertebrae.

• Spinal Cord Segment: Upper thoracic nerves (T2–T4) affecting upper back muscles.

• Acupuncture Function: SI11 relieves muscle tension and improves lymphatic drainage.

• Why it works: Clears upper body muscle tension that can contribute to poor posture and nerve strain.

• How it helps: Supports overall nerve and blood flow from top to bottom.

Point 11 – Lumbar Vertebra (BL23 – Kidney Shu Point)

• Location: At the prominent lumbar vertebra (L2–L3 area).

• Spinal Cord Segment: Lumbar nerves (L2–L4), directly connected to lower limb nerve function.

• Acupuncture Function: BL23 strengthens kidney energy, important for lower back support and nerve health.

• Why it works: Helps relieve nerve compression and supports kidney-related circulation.

• How it helps: Reduces nerve irritation that causes tingling in the feet.

Points 12 & 13 – Paraspinal Muscles beside the Lumbar Vertebra

• Location: 5 cm lateral to point 11, slightly upward.

• Spinal Cord Segment: Lumbar and upper sacral nerve roots (L2–S1).

• Acupuncture Function: These points relax paraspinal muscles, reducing pressure on spinal nerves.

• Why it works: Eases muscle spasms that may pinch nerves supplying the legs and feet.

• How it helps: Improves nerve conduction to the feet, reducing tingling.

Points 26 & 27 – Bilateral Sides of the Iliac Bone

• Location: At the sides of the iliac crests (upper pelvic bones).

• Spinal Cord Segment: Sacral nerves (S1–S3), important for foot and lower leg sensation.

• Acupuncture Function: Points here promote pelvic stability and improve nerve function in the lower limbs.

• Why it works: Reduces nerve compression and enhances blood flow to feet and legs.

• How it helps: Helps relieve tingling caused by poor nerve or vascular supply.

Local Points – Feet, Joints and Affected Muscles

• Where: On and around affected foot joints and tight muscles.

• Function: Directly improve blood flow and relieve muscle tightness by compressing nerves.

• How it helps: Opens local circulation, breaks up muscle knots, and eases nerve irritation.

Student Summary

• GV14 (C7): Opens yang meridians, supports whole-body energy flow.

• SI11 (T2–T4): Releases upper back tension to improve posture and nerve health.

• BL23 (L2–L3): Supports lower back and kidney energy for nerve and circulation health.

• Points 12 & 13 (Lateral Lumbar): Relaxes muscles pressing on lumbar nerves to the legs.

• Points 26 & 27 (Iliac Sides): Improves pelvic nerve function for lower limb sensation.

• Local foot points: Target the direct muscle and joint tightness causing symptoms.

Together, these points address nerve compression from the spine through the pelvis down to the feet, improving sensation and reducing tingling.

Cupping & Acupuncture Points for Abdominal Pain

Condition:
Abdominal pain can stem from digestive issues, muscle tension, nerve irritation, or internal organ dysfunction. Treating both the front abdomen and the related spinal areas helps balance the body's energy and relieve discomfort.

Point 1 – Base of the Neck (GV14 – Governing Vessel)

• Location: At the 7th cervical vertebra (C7), the prominent neck bone.

• Spinal Cord Segment: C7 nerves, influencing overall yang energy and nervous system balance.

• Acupuncture Role: Opens all yang meridians, improving systemic circulation and nervous regulation.

• Why it works: Strengthens the body's overall energy and immune response, aiding healing.

• How it helps: Prepares the body’s energy for better digestion and pain relief.

Point 55 – Below the Shoulder Blade (SI11 – Small Intestine Meridian)

• Location: About 3 cm below the scapula near T2–T4 vertebrae.

• Spinal Cord Segment: Upper thoracic nerves (T2–T4), influencing back muscles and organ nerves.

• Acupuncture Role: Relieves muscle tension, clears toxins, and supports digestive organ function.

• Why it works: Reduces muscular tension affecting nerve pathways to the abdomen.

• How it helps: Eases referred pain and improves nerve communication to abdominal organs.

Points 7 & 8 – Mid-Back, Opposite the Stomach

• Location: On the paraspinal muscles beside the thoracic spine at stomach level (approx. T7–T10).

• Spinal Cord Segment: Thoracic nerves (T7–T10), which regulate the stomach and digestive function.

• Acupuncture Role: Directly influences the stomach meridian and the digestive organ nerves.

• Why it works: Balances digestive energy flow and relieves muscular tension in the upper back.

• How it helps: Alleviates pain caused by indigestion, spasms, or nerve irritation.

Points 137, 138, 139 & 140 – Abdomen Around the Umbilicus

• Location:

  • 137: Above the belly button (upper abdomen).

  • 138: Right side of the belly button.

  • 139: Left side of the belly button.

  • 140: Below the belly button (lower abdomen).

• Function: Local dry cupping points to stimulate blood flow and reduce stagnation in the abdominal muscles and organs.

• Why dry cupping: Without incisions, it increases circulation, reduces muscle tension, and promotes toxin removal.

• How it helps: Relieves localised pain, cramps, and bloating effectively and safely.

Dry Cupping on the Back Opposite to Pain

• Purpose: Placing cups on the back area corresponding to the abdominal pain region (thoracic/lumbar levels) releases muscle tension and improves nerve function.

• Why it works: Balances front and back energy pathways, reduces referred pain, and promotes healing.

Student Summary

• GV14 (C7): Boosts whole-body yang energy, supporting healing.

• SI11 (T2–T4): Relaxes upper back muscles, clearing pathways to abdominal organs.

• Points 7 & 8 (T7–T10): Regulate stomach nerves, improving digestion and reducing pain.

• Abdominal Points 137–140: Direct local stimulation to improve circulation and ease pain.

• Dry cupping back: Complements abdominal treatment by releasing tension in related muscles.

This combination treats abdominal pain holistically—from central nervous system regulation to direct local muscle and organ support.

• Hemorrhoids (swollen vessels around anus) (points 1, 55, 121, 11, 6 and dry cupping on 137, 138, 139)

Cupping & Acupuncture Points for Hemorrhoids (Swollen Anal Veins)

Condition:

Hemorrhoids result from swollen, inflamed veins around the anus or lower rectum. Common causes include constipation, prolonged sitting, weak digestive function, liver congestion, or poor circulation in the lower body. Treatment should aim to reduce inflammation, detoxify, improve bowel regulation, and restore healthy venous return using both spinal and abdominal approaches.

Point 1 – Base of the Neck (GV14 – Governing Vessel)

Location: At the 7th cervical vertebra (C7), the prominent bone at the base of the neck.
Spinal Cord Segment: C7 nerves – related to immune and systemic energy pathways.
Acupuncture Role: Opens all yang meridians, balances autonomic function.
Why it works: Stimulates body-wide healing and energy movement.
How it helps: Boosts immune function and prepares the body to detoxify and heal from inflammatory conditions like haemorrhoids.

Point 55 – Below the Shoulder Blade (SI11 – Small Intestine Meridian)

Location: Approximately 3 cm below the scapula, between T2–T4 vertebral level.
Spinal Cord Segment: T2–T4 nerves – affect upper thoracic muscles and visceral regulation.
Acupuncture Role: Clears upper body stagnation and muscle tightness.
Why it works: It redirects trapped heat and supports the healthy flow of fluids and blood.
How it helps: Reduces back pressure and systemic inflammation contributing to haemorrhoids.

Point 121 – Upper Abdomen (CV14 – Conception Vessel)

Location: Below the sternum in the centre of the upper abdomen.
Spinal Cord Segment: T8–T9 nerves – connected to upper digestive organs.
Acupuncture Role: Harmonises stomach and heart Qi, calms internal heat.
Why it works: Strengthens digestive and circulatory regulation.
How it helps: Reduces strain on lower intestines, improving bowel habits and reducing haemorrhoid pressure.

Point 11 – Lumbar Spine (GV4 – Life Gate of Energy)

Location: Prominent lumbar vertebra around L2.
Spinal Cord Segment: L1–L2 – regulates kidney, bladder, and lower gastrointestinal function.
Acupuncture Role: Warms yang, strengthens kidney essence and lower body function.
Why it works: Improves venous circulation and bowel elimination.
How it helps: Treats root causes like weak circulation and poor elimination that contribute to haemorrhoids.

Point 6 – Gall Bladder Area (GB25 – Kidney Front Mu Point)

Location: On the lateral border of the right rib cage near T12–L1.
Spinal Cord Segment: T12–L1 nerves – associated with the gallbladder, liver, and kidney systems.
Acupuncture Role: Resolves dampness, detoxifies liver-bile function.
Why it works: Supports healthy fat digestion and toxin removal.
How it helps: Reduces liver congestion, a key contributor to hemorrhoidal inflammation.

Abdominal Dry Cupping Points (137, 138, 139)

Locations:

• 137: Above the umbilicus (upper abdominal area).

• 138: Right side of the umbilicus.

• 139: Left side of the umbilicus.

Function: Stimulates intestinal peristalsis, improves blood flow, and reduces stagnation in the digestive organs.
Why dry cupping: Non-invasive method to activate circulation and release muscular and energetic blockages.
How it helps: Reduces constipation, bloating, and abdominal tightness—the root causes of pressure buildup in the rectal veins.

Student Summary

• GV14 (C7): Enhances general immunity and body-wide healing.

• SI11 (T2–T4): Releases upper body tension and promotes circulation.

• CV14 (T8–T9): Strengthens digestion, calms heat, and supports detoxification.

• GV4 (L1–L2): Energises lower back and pelvic region, enhances blood flow.

• GB25 (T12–L1): Clears liver-gallbladder dampness, aiding elimination.

• Abdominal Dry Cupping (137–139): Stimulates the digestive system and relieves abdominal pressure.

This integrated approach supports haemorrhoid relief by treating the body’s root imbalances—from spinal nerve regulation and circulation to local detox and digestive activation.

• Anal Fistula (opening in skin near anus, due to formation of a channel through which fluid leaks) (points 1, 55, 6, 11, 12, 13 and cupping around the anus and above the fistula hole).

Cupping & Acupuncture Points for Anal Fistula

Condition:

An anal fistula is an abnormal tunnel that develops between the anal canal and the skin near the anus, often as a result of infection or abscess. This channel may leak fluid or pus, and healing is often delayed due to poor circulation, chronic inflammation, or damp-heat accumulation. Treatment focuses on strengthening immune defence, promoting detoxification, improving circulation, and addressing local inflammation and stagnation.

Point 1 – Base of the Neck (GV14 – Governing Vessel)

Location: At the 7th cervical vertebra (C7), the most prominent bone at the base of the neck.
Spinal Cord Segment: C7 – Influences overall immune function and yang energy.
Acupuncture Role: Opens yang channels, boosts systemic energy, and clears heat.
Why it works: Enhances the body’s immune response to chronic infections.
How it helps: Strengthens the body's natural healing and infection-fighting capacity.

Point 55 – Below the Shoulder Blade (SI11 – Small Intestine Meridian)

Location: About 3 cm below the scapula, around T2–T4 level.
Spinal Cord Segment: Upper thoracic nerves (T2–T4), linked to systemic circulation and detox.
Acupuncture Role: Relieves muscle tension, supports lymphatic drainage.
Why it works: Clears stagnation that blocks immune function and toxin elimination.
How it helps: Promotes circulation and helps drain internal fluid buildup.

Point 6 – Gall Bladder Region (GB25 – Kidney Front Mu Point)

Location: At the lateral border of the right rib cage, near T12–L1.
Spinal Cord Segment: T12–L1 nerves – related to liver-gallbladder function.
Acupuncture Role: Drains damp-heat, strengthens detox pathways.
Why it works: Clears inflammatory toxins that contribute to abscess formation.
How it helps: Supports the liver and gallbladder in removing infections and reducing fluid accumulation.

Point 11 – Lumbar Spine (GV4 – Life Gate of Energy)

Location: Around the L2 vertebra in the lower back.
Spinal Cord Segment: L1–L2 nerves – connected to bowel, bladder, and pelvic region.
Acupuncture Role: Tonifies kidney yang, supports immune and lower body regulation.
Why it works: Strengthens resistance to chronic inflammation and improves venous drainage.
How it helps: Aids in healing by supporting energy flow to the pelvic and rectal area.

Points 12 & 13 – Paraspinal Lumbar Points (BL52, BL23 Area)

Location: On either side of point 11, 5 cm lateral and slightly upward.
Spinal Cord Segment: L1–L2 segment – influencing the sacral and pelvic nerves.
Acupuncture Role: Strengthens the lower back, supports urination and bowel regulation.
Why it works: Enhances blood and energy flow to the lower abdomen and pelvic region.
How it helps: Relieves pressure, supports drainage of fluids, and prevents recurrence.

Local Cupping – Around the Anus and Above the Fistula Opening

Location: Surrounding the anus and directly above the external fistula opening (based on exact position).
Function: Local dry or wet cupping promotes drainage, reduces inflammation, and accelerates tissue healing.
Why Cupping Here: Helps pull out residual fluid, reduce swelling, and stimulate local immune activity.
How it helps: Promotes blood flow to the affected tissue, accelerates healing, and reduces the risk of further infection.

Student Summary

• GV14 (C7): Strengthens body-wide immune response.

• SI11 (T2–T4): Promotes lymphatic drainage and relaxes upper body tension.

• GB25 (T12–L1): Detoxifies liver/gallbladder, reducing systemic damp-heat.

• GV4 (L1–L2): Energises lower back and pelvic organs, boosting resilience.

• BL52/BL23 (Points 12 & 13): Enhances circulation and energy flow to the lower digestive tract.

• Local Cupping: Stimulates healing directly at the site of infection and supports fistula closure.

This protocol addresses anal fistula through spinal regulation, organ detox, improved circulation, and local wound support—targeting both the root and the symptoms.

Prostate and Erectile dysfunction, ED (male impotence and urinary difficulty due to enlarged prostate gland) (points 1, 55, 6, 11, 12, 13), and you may add for ED 125, 126, 131 on both legs, and dry cupping on 140, 143.

Cupping & Acupuncture Points for Prostate Issues and Erectile Dysfunction (ED)

Condition:

Prostate enlargement and erectile dysfunction (ED) are common concerns in ageing men, often linked to hormonal imbalance, poor circulation, nervous system disruption, and energy stagnation in the pelvic region. Treatment aims to regulate nerve signals, improve blood flow, and support the kidneys, which play a key role in reproductive and urinary health in traditional medicine.

Point 1 – Base of the Neck (GV14 – Governing Vessel)

Location: At the 7th cervical vertebra (C7), the most prominent bone at the base of the neck.
Spinal Cord Segment: C7 – Influences the central nervous system and yang energy.
Acupuncture Role: Opens yang meridians, clears internal heat, and supports systemic vitality.
Why it works: Enhances the body’s overall energy, which is essential for sexual function.
How it helps: Supports hormonal balance and nervous system regulation across the body.

Point 55 – Below the Shoulder Blade (SI11 – Small Intestine Meridian)

Location: About 3 cm below the scapula, between T2–T4.
Spinal Cord Segment: T2–T4 – Linked to autonomic nervous regulation and muscle tone.
Acupuncture Role: Clears energy blockages, supports detoxification.
Why it works: Helps relieve physical and emotional tension affecting reproductive organs.
How it helps: Improves circulation and relaxation, essential for erectile function.

Point 6 – Gall Bladder Area (GB25 – Kidney Front Mu Point)

Location: At the lower border of the right rib cage, near T12–L1.
Spinal Cord Segment: T12–L1 – Related to kidney-adrenal and hormonal function.
Acupuncture Role: Tonifies kidney qi and drains damp-heat from the pelvic region.
Why it works: Kidney energy is essential for sexual health in traditional medicine.
How it helps: Reduces urinary difficulty and supports erectile capability.

Point 11 – Lumbar Spine (GV4 – Life Gate of Energy)

Location: Around the L2 vertebra.
Spinal Cord Segment: L1–L2 – Connected to pelvic, prostate, and reproductive nerves.
Acupuncture Role: Tonifies kidney yang, strengthens life-force energy.
Why it works: GV4 is a central point for restoring male vitality.
How it helps: Improves libido, erection quality, and urinary control.

Points 12 & 13 – Paraspinal Lumbar Points (BL52, BL23 Region)

Location: On both sides of point 11, approx. 5 cm lateral and slightly upward.
Spinal Cord Segment: L1–L2 – Innervates pelvic and reproductive organs.
Acupuncture Role: Strengthens kidneys, relieves tension in the lower back.
Why it works: Enhances reproductive function by improving local blood and nerve flow.
How it helps: Supports prostate function and increases sexual stamina.

Points 125, 126, 131 – Lower Leg Acupuncture Points (Kidney, Liver, Spleen Meridians)

Location:

• 125 (SP6 – Spleen 6): Above the medial ankle, where spleen, kidney, and liver channels meet.

• 126 (KD3 – Kidney 3): Between the medial malleolus and Achilles tendon.

• 131 (LV3 – Liver 3): Between the first and second toes, top of the foot.

Spinal Cord Segment: Corresponding sacral nerves influencing genito-urinary function.
Acupuncture Role: Regulate kidney, liver, and spleen functions; move qi and blood.
Why it works: These are classic points for boosting libido and treating sexual dysfunction.
How it helps: Enhances hormonal flow, relaxes the mind, and improves erection quality.

Dry Cupping on Points 140 & 143 – Lower Abdomen and Groin

Location:

• 140: Just below the navel (lower abdomen).

• 143: Groin area, near the inguinal fold.

Function: Stimulates pelvic circulation, reduces lower abdominal stagnation.
Why dry cupping: Draws blood and energy to the reproductive zone without causing skin incisions.
How it helps: Improves blood flow to the genital region, supporting stronger erections and prostate drainage.

Student Summary

• GV14 (C7): Boosts whole-body vitality and nervous function.

• SI11 (T2–T4): Relaxes muscle and emotional tension.

• GB25 (T12–L1): Supports kidney function and hormonal balance.

• GV4 (L2): Key point to enhance male energy and sexual vitality.

• BL52/BL23 (Points 12 & 13): Increase circulation to the prostate and lower organs.

• SP6, KD3, LV3 (125, 126, 131): Regulate reproductive and hormonal systems from the legs.

• Cupping on 140 & 143: Directly enhances pelvic blood flow and reduces stagnation in the lower burner.

This combined approach supports prostate and sexual health by regulating nervous control, balancing hormones, increasing blood flow, and reducing pelvic tension—all essential for restoring male vitality.

• Chronic coughs and lung diseases (points 1, 55, 4, 5, 120, 49, 115, 116, 9, 10, 117, 118, 135, 136, and two cups below both knees.
  

  Chronic Coughs and Lung Diseases

  Condition Overview:

  Chronic coughs and lung conditions (such as asthma, bronchitis, phlegm congestion, wheezing, and breathlessness) require a holistic treatment approach. This cupping protocol targets key points that stimulate lung energy, open the chest, strengthen immunity, and improve respiratory circulation.

  Point 1 – Base of the Neck (GV14 – Governing Vessel)

  Location: The 7th cervical vertebra (C7), the prominent bone at the base of the neck.
  Spinal Cord Segment: C7 – Innervates upper respiratory and thoracic nerves.
  Function: Stimulates yang energy, immune function, and respiratory pathways.
  Benefit: Clears lung congestion, boosts defence energy, and regulates breathing.

  Point 55 – Below the Shoulder (SI11 region)

  Location: Roughly 3 cm below the shoulder blade (scapula).
  Spinal Cord Segment: T2–T4 – Associated with upper lungs and bronchial nerves.
  Function: Relieves tension in the upper thorax and aids lung circulation.
  Benefit: Clears phlegm and improves oxygen flow to the lungs.

  Points 4 & 5 – Air Door (LU1 / LU2 area)

  Location: In the upper chest between the first and second ribs, near the trachea and bronchial bifurcation.
  Spinal Cord Segment: T3–T5 – Connects to the main and secondary bronchial nerves.
  Function: Opens chest, clears heat and phlegm, supports lung qi.
  Benefit: Facilitates easier breathing and reduces chronic chest tightness.

  Point 6 – Gallbladder Edge (GB25 area)

  Location: Peripheral of the right rib, towards the spine.
  Spinal Cord Segment: T8–T10 – Related to diaphragm and abdominal organs.
  Function: Harmonises breathing with digestion, reduces internal dampness.
  Benefit: Eases breathlessness linked to digestive imbalance and supports detoxification.

  Point 120 – Centre of the Chest (Ren 17 – Sea of Qi)

  Location: Centre of the sternum (breastbone).
  Spinal Cord Segment: T4–T5 – Influences chest and heart-lung region.
  Function: Opens the chest, regulates qi, and calms the spirit.
  Benefit: Improves oxygen distribution, reduces anxiety linked to breathlessness.

  Point 49 – Between the Shoulder Blades (BL13 – Lung Shu Point)

  Location: Between the scapulae, along the spine at the level of T3.
  Spinal Cord Segment: T3 – Major lung-innervating zone.
  Function: Strengthens lung function and disperses lung heat.
  Benefit: Relieves coughing, wheezing, and strengthens respiratory immunity.

  Points 115 & 116 – Outer Clavicle (LU2, ST13 region)

  Location: Under the lateral ends of the collarbones (clavicle), on the shoulders.
  Spinal Cord Segment: C5–T1 – Relates to lung and chest wall nerves.
  Function: Clears lung heat and expands upper lung capacity.
  Benefit: Improves shallow breathing and upper chest tightness.

  Points 117 & 118 – Inner Clavicle (LU1 region)

  Location: Just under the inner end of the clavicle, toward the centre of the chest.
  Spinal Cord Segment: T1–T3 – Upper lung nerve branches.
  Function: Clears lung qi, dissolves phlegm, regulates respiration.
  Benefit: Opens the upper chest, reduces shallow breathing, and clears mucus.

  Points 9 & 10 – Kidney Centre

  Location: In the middle of the back under Points 7 & 8, approximately near the lower thoracic/lumbar area.
  Spinal Cord Segment: T9–L1 – Related to adrenal glands and respiratory rhythm.
  Function: Strengthens the kidney-lung axis and supports adrenal function.
  Benefit: Eases chronic fatigue from long-term coughs and supports stamina.

  Points 135 & 136 – Front Lung Zone

  Location: 5 cm inward from each nipple on the chest.
  Spinal Cord Segment: T4–T5 – Direct lung nerve segment.
  Function: Activates lung front-mu points, clears damp phlegm.
  Benefit: Supports front-lung expansion and alleviates breathlessness and coughing.

  Two Cups Below Both Knees (ST36 region)

  Location: Just below the kneecaps on the outer side of each leg.
  Spinal Cord Segment: L3–L5 – Tied to immune, digestive, and qi production.
  Function: Boosts overall immunity and energy.
  Benefit: Supports recovery, especially in chronic and long-standing respiratory issues.

This structured, whole-body protocol strengthens both lung function and immunity, making it ideal for patients suffering from persistent coughs, respiratory weakness, or seasonal lung conditions.

• Hypertension (high blood pressure) (points 1, 55, 2, 3, 11, 12, 13, 101, 32, 6, 48, 9, 10, 7, 8, and you may replace 2, 3 with 43, 44).

  
  

  Hypertension (High Blood Pressure) – Hijama Protocol

Objective:

To reduce elevated blood pressure by relaxing the nervous system, improving circulation, supporting kidney-adrenal function, and balancing liver/stomach pressure that affects cardiovascular flow.

1. Point 1 – Base of the Neck (GV14 / DU14)

• Location: Over the 7th cervical vertebra (most prominent bone at the base of the neck).

• Spinal Region: C7

• Function: Regulates the nervous system and cools internal body temperature.

• Benefit: Reduces sympathetic overactivity, calms the heart and vessels.

2. Point 55 – Just Below the Shoulder (SI11 area)

• Location: 3 cm below the scapula (shoulder blade).

• Spinal Region: T3–T4

• Function: Releases trapped tension in the upper thoracic region.

• Benefit: Enhances circulation to the heart-lung area, supports healthy vessel function.

3. Points 2 & 3 – Occipital Region (or use Points 43 & 44 – Side of the Neck)

• Location 2 & 3: Behind the ears at the hairline or on the sides.

• Spinal Region: C1–C2

• Function: Regulates brain pressure and cranial circulation.

• Benefit: Clears head pressure, reduces tension-induced hypertension.

• Alternative – Points 43 & 44:

  • Location: Sternocleidomastoid muscle (sides of neck).

  • Function: Regulates carotid baroreceptors and parasympathetic tone.

  • Benefit: Lowers stress-related blood pressure surges.

4. Point 11 – Lower Back (L2–L3 Vertebra)

• Location: Prominent vertebra in the lower back.

• Spinal Region: L2–L3

• Function: Kidney-adrenal axis support.

• Benefit: Improves hormonal control of blood volume and pressure.

5. Points 12 & 13 – Kidney Shu Area (BL23 zone)

• Location: 5 cm lateral to Point 11, slightly above.

• Function: Strengthens kidney qi, regulates water retention.

• Benefit: Enhances pressure control via fluid metabolism.

6. Point 101 – Forehead (Yintang)

• Location: Midpoint between the eyebrows (sujood area).

• Function: Calms the mind and clears heat from the upper burner.

• Benefit: Controls stress-related hypertension.
  Note: Do not repeat frequently to avoid excessive sedation.

7. Point 32 – Top of the Head (GV20 / Baihui)

• Location: Midline on crown of head.

• Function: Anchors rising yang, relieves head pressure.

• Benefit: Especially helpful for systolic hypertension, dizziness, and mental agitation.

8. Point 6 – Gallbladder Area (GB25)

• Location: Outer edge of the right lower rib near the spine.

• Function: Detoxifies the liver/gallbladder.

• Benefit: Helps when hypertension is linked to liver qi stagnation or bile imbalance.

9. Point 48 – Rib Side (Liver/Gallbladder zone)

• Location: Right side ribs, slightly above point 6.

• Function: Releases liver fire and harmonises digestion.

• Benefit: Complements GB25 in detox and pressure relief.

10. Points 9 & 10 – Kidney Centre

• Location: Mid-back, under points 7 & 8.

• Spinal Region: T10–T12

• Function: Supports adrenal glands and regulates water-sodium balance.

• Benefit: Strengthens pressure management at the root level.

11. Points 7 & 8 – Upper Kidney Area (Opposite to Stomach)

• Location: Middle of the back, spinal sides.

• Spinal Region: T7–T8

• Function: Supports digestion and metabolic regulation.

• Benefit: Stabilises the body's internal fluid and temperature balance, lowering pressure spikes.

Clinical Notes for Practitioners:

• Technique: Begin with dry cupping first for assessment, followed by light wet cupping (avoid excessive suction in hypertensive patients).

• Session Advice: Apply cups for 5–10 minutes. Do not overstimulate more than 5 wet points in one session.

• Repeat: Weekly for 4–6 weeks based on pressure level, then reassess.

• Combine with: Breathing exercises, magnesium-rich diet, and stress reduction.

Stomach Problems & Ulcers – Hijama Protocol

Goal:
Reduce inflammation, balance acid, heal the stomach lining, ease pain/bloating, and support digestion.

Wet Cupping Points:

• Point 1 (GV14 – C7):
  Calms the nervous system, reduces stress-linked stomach tension.

• Point 55 (SI11 – T3–T4):
  Relieves upper back tension, supports the vagus nerve and digestion.

• Points 7 & 8 (T7–T9 – Stomach Shu):
  Targets the stomach meridian; relieves reflux, bloating, and pain.

• Point 50 (T5–T6 – Ulcer Point):
  Reduces ulcer inflammation and acid.

• Points 41 & 42 (GB20 – C1–C2):
  Eases nausea, balances autonomic response.

Dry Cupping (Abdominal – Points 137–140):

• 137: Above navel

• 138: Right of navel

• 139: Left of navel

• 140: Below the navel

Stimulates digestion, reduces bloating, and supports gut movement.

Note: Avoid wet cupping on the abdomen unless advanced-trained.

Clinical Notes:

• Wet cupping: 5–7 min on back points.

• Dry cupping: 10–15 min on abdomen.

• Frequency: Weekly for chronic issues; every 2–3 weeks for maintenance.

• Advice: Warm fluids, avoid cold/spicy/acidic foods post-session.

• Caution: Avoid strong suction over active ulcers.

Renal (kidney) disease (points 1, 55, 9, 10, 41, 42 and dry cupping on 137,140).9 & 10, the kidney centre under 7 & 8 on the middle of the back,

Renal (Kidney) Disease – Hijama Protocol

Objective:

To support kidney function, reduce fluid retention, relieve lower back discomfort, improve circulation to the renal system, and regulate adrenal hormonal balance.

Wet Cupping Points

1. Point 1 – Base of the Neck (GV14 / DU14)

• Location: 7th cervical vertebra (C7), prominent bone at the base of the neck.

• Spinal Region: C7

• Function: Controls upper body circulation and immune regulation.

• Benefit: Supports hormonal signals that affect kidney-adrenal response and fluid regulation.

2. Point 55 – Below the Shoulder (SI11 region)

• Location: ~3 cm beneath the shoulder blade.

• Spinal Region: T3–T4

• Function: Opens thoracic drainage and clears systemic tension.

• Benefit: Indirectly enhances circulation and detox pathways related to renal function.

3. Points 9 & 10 – Kidney Center

• Location: Middle of the back, under points 7 & 8 (T10–T12), lateral to the spine.

• Spinal Region: T10–L1

• Function: Kidney Shu (BL23 region in TCM) – directly governs renal energy and function.

• Benefit: Enhances kidney qi, reduces water retention, fatigue, and supports urinary function.

4. Points 41 & 42 – Occipital Region (GB20 / Wind Pool area)

• Location: Back of the head, right and left of the occiput.

• Spinal Region: C1–C2

• Function: Regulates autonomic and hormonal control via the brainstem.

• Benefit: Supports hypothalamus–pituitary–adrenal axis, which indirectly supports kidney/adrenal output and blood pressure control.

Dry Cupping Only

5. Points 137 & 140 – Abdomen (Kidney Drainage Zone)

• Location:

  • 137: ~3 cm above the umbilicus.

  • 140: ~3 cm below the umbilicus.

• Function: Encourages local detox and qi flow to the bladder and kidney regions.

• Benefit: Improves fluid metabolism and urination support via abdominal stimulation.

Note: Avoid wet cupping on the abdomen for kidney cases. Use light dry cupping for 10–15 minutes only.

Clinical Notes for Practitioners:

• Technique:

  • Apply wet cupping on points 1, 55, 9, 10, 41, and 42 for 5–7 minutes.

  • Use dry cupping on abdominal points 137 and 140 for 10–15 minutes with light to moderate suction.

• Session Frequency: Once every 2–3 weeks, or as part of a chronic illness management protocol.

• Client Advice: Encourage hydration, herbal kidney support if advised (e.g., barley water), and avoid cold exposure post-session.

• Contraindications: Avoid cupping in cases of active kidney infection or if the client is on dialysis without medical approval.

IBS (Irritable Bowel Syndrome) – Hijama Protocol

Overview:
IBS causes cramping, bloating, gas, and alternating diarrhoea/constipation. Often linked to stress and gut-brain imbalance.

Wet Cupping Points

• Point 1 (GV14 – C7):
  Regulates the nervous system; calms stress-triggered gut issues.

• Point 55 (T3–T4):
  Relieves upper GI tension; reduces back stress.

• Point 6 (GB Area – T8–T10):
  Aids bile flow, fat digestion, and reduces bloating.

• Point 48 (Above GB – T6–T7):
  Relaxes the diaphragm, supports upper digestion.

• Points 7 & 8 (T9–T11):
  Stomach/pancreas zone; calms acid, cramps, bloating.

• Points 14–17 (L1–L4):
  Colon reflexes: regulates bowel rhythm, soothes cramping.

• Point 18 (L3–L4):
  Central gut control eases spasms, stress-linked pain.

• Points 45 & 46 (T4–T5):
  Colon sides help move trapped wind and relieve bloating.

Dry Cupping

• Point 137 (Above Navel – CV12 area):
  Stomach/spleen zone.
  Use for 10–15 mins to relieve gas and tension. Dry cupping only.

Practitioner Notes

• Session Frequency: Every 2–3 weeks; flare-ups every 10 days.

• Dry cupping 137: Best on non-wet days or after bloating.

• Holistic Tip: Add Ruqyah (e.g., Surah Inshirah) and breathing techniques to manage stress-related IBS.

Hijama Treatment Protocol: Chronic Constipation

Clinical Overview:

Chronic constipation refers to infrequent, difficult, or incomplete bowel movements over a prolonged period. It can result from sluggish peristalsis, nerve dysfunction, poor diet, dehydration, sedentary lifestyle, or stress.

Wet Cupping Points

1. Point 1 – Base of the Neck (GV14 / DU14)

• Location: The 7th cervical vertebra (C7), prominent bone at the base of the neck.

• Spinal Segment: C7

• Anatomy/Physiology: Connects to the autonomic nervous system, indirectly influencing gut movement.

• TCM Insight: Governing Vessel meridian; harmonizes energy pathways.

• Purpose: Activates neural regulation, particularly for sluggish bowel signals.

2. Point 55 – Below the Shoulder

• Location: ~3 cm below the scapula tip on the upper back.

• Spinal Segment: T3–T4

• Function: Sympathetic outflow regulation for upper digestive coordination.

• Purpose: Relieves upper thoracic tension contributing to poor digestive signal flow.

3. Point 11 – Lower Lumbar Vertebra (L5/S1 junction)

• Location: Prominent vertebra at the base of the lumbar spine.

• Spinal Segment: L5/S1

• Anatomy/Physiology: Pelvic nerve root origin; key for large intestine motor control.

• Purpose: Stimulates nerve activity essential for colon peristalsis and defecation reflex.

4. Points 12 & 13 – Sides of Lumbar

• Location: On both sides of point 11, slightly upward, ~5 cm lateral from spine.

• Spinal Segment: L4–L5 region

• Anatomy: Covers the lumbosacral plexus and intestine innervation zones.

• Purpose: Improves local blood flow, reduces nerve compression, supports bowel movement coordination.

5. Points 28, 29, 30, 31 – Upper Buttocks (Gluteal Sacral Zone)

• Location: On both sides at the top of the buttocks, just above the sacrum.

• Spinal Segment: Sacral nerve roots (S1–S3)

• Anatomy/Physiology: Terminal colon, rectum, and pelvic floor control.

• TCM Correlation: Related to Bladder meridian and rectal qi flow.

• Purpose: Reactivates local circulation, relieves stagnation, enhances bowel clearance capability.

Practitioner Notes:

• Frequency: Weekly or biweekly until bowel function stabilizes. Monitor dietary fiber and hydration intake alongside.

• Optional Add-ons: Dry cupping at CV6 (1.5 cun below the umbilicus) for abdominal qi stagnation.

• Lifestyle Tip: Encourage client to perform light stretching, drink warm water upon waking, and manage stress.

Clinical Overview:

Diarrhoea is characterised by frequent, loose, or watery stools. It may be acute or chronic and can result from infection, food intolerance, gut inflammation, or stress-related gut hypersensitivity.

Dry Cupping Points

1. Point 137 – Above the Umbilicus

• Location: 3–4 cm (approximately 1.5 cun) directly above the navel (CV9 area).

• Anatomy/Physiology: Corresponds with the small intestine and upper digestive organs.

• TCM Insight: Strengthens the Spleen Qi and helps drain dampness.

• Purpose: Regulates fluid metabolism, calms hyperactive digestion, and controls loose stools.

2. Point 138 – Right of the Umbilicus

• Location: ~3–4 cm to the right of the navel (around ST25 area).

• Anatomy/Physiology: Associated with the ascending colon and the ileocecal valve.

• TCM Insight: Stomach and Large Intestine meridians pass here.

• Purpose: Reduces intestinal inflammation, supports absorption, eases cramping.

3. Point 139 – Left of the Umbilicus

• Location: ~3–4 cm to the left of the navel (around ST25 area on the left).

• Anatomy/Physiology: Corresponds to the descending colon.

• TCM Insight: Clears damp-heat from the intestines.

• Purpose: Harmonises bowel movement, relieves urgency and bloating.

4. Point 140 – Below the Umbilicus

• Location: 3–4 cm directly below the navel (around CV6/CV5 area).

• Anatomy/Physiology: Associated with the lower intestines and bladder.

• TCM Insight: Tonifies Qi and restores intestinal balance.

• Purpose: Strengthens core digestion, reduces bowel frequency, supports recovery from weakness due to fluid loss.

Practitioner Notes:

• Type of Cupping: Dry cupping only for diarrhoea to avoid excessive fluid loss or weakness.

• Session Duration: 10–15 minutes of moderate suction is sufficient.

• Optional Support: Herbal teas (like chamomile, fennel, or mint), warm compresses, and hydration support recovery.

• Precaution: Ensure no underlying dehydration or infection requiring medical intervention.

Involuntary urination (bed wetting) (after the age of five: dry cupping on 137, 138, 139, 140, 142, 143, 125, 126).

Hijama Treatment Protocol: Involuntary Urination (Bedwetting)

Clinical Overview:

Involuntary urination during sleep (enuresis) beyond the age of five is often linked to immature bladder control, emotional factors, or a weak kidney-bladder axis. Hijama can help regulate urinary function by strengthening relevant organ systems and energy pathways.

Dry Cupping Points

1. Point 137 – Above the Umbilicus

• Location: 3–4 cm above the navel (approx. CV9 area).

• Associated Organ: Small intestine, upper digestion.

• TCM Insight: Regulates water passages and dampness.

• Purpose: Helps manage fluid retention and movement.

2. Point 138 – Right of the Umbilicus

• Location: 3–4 cm to the right of the navel (ST25 area).

• Associated Organ: Ascending colon and urinary tract.

• TCM Insight: Strengthens the lower Jiao and Spleen Qi.

• Purpose: Supports fluid absorption and control.

3. Point 139 – Left of the Umbilicus

• Location: 3–4 cm to the left of the navel (ST25 area).

• Associated Organ: Descending colon, bladder channel.

• TCM Insight: Clears dampness and calms the bladder.

• Purpose: Restores bladder control.

4. Point 140 – Below the Umbilicus

• Location: 3–4 cm below the navel (CV6 area).

• Associated Organ: Bladder, reproductive organs.

• TCM Insight: Strengthens Kidney and Bladder Qi.

• Purpose: Tonifies lower abdominal function and control.

5. Points 141 & 142 – Right and Left of Point 140

• Location: ~3–4 cm lateral to point 140 on both sides.

• Associated Organ: Urinary tract, reproductive system.

• TCM Insight: Connects to the Bladder and Kidney meridians.

• Purpose: Enhances lateral bladder support, regulates urination.

6. Point 143 – Above the Bladder

• Location: Suprapubic area, just above the bladder.

• Associated Organ: Bladder, urinary sphincter.

• TCM Insight: Strengthens the bladder gate.

• Purpose: Controls involuntary urination, especially at night.

7. Points 125 & 126 – Between Belly and Thigh Near Pubic Area

• Location: In the inguinal fold, near the pubic hair region.

• Associated Organ: Reproductive and urinary systems.

• TCM Insight: Connects to the Liver and Kidney meridians.

• Purpose: Regulates urination, helpful in infertility and lower abdominal weakness.

Practitioner Notes:

• Type: Dry cupping only.

• Recommended Age: For patients older than 5 years.

• Session Tip: Perform in a warm, comfortable setting. Use gentle suction, especially in the lower abdomen.

• Lifestyle Advice: Encourage pre-bedtime bladder emptying and avoid fluids 1–2 hours before sleep.

• Psychological Support: Incorporate emotional and behavioural guidance when needed.

1: The shoulder, the seventh vertebra (bone of the spine) of the neck.

55: almost 3cm under the shoulder

6, the gall bladder is located at the periphery of the right rib toward the spine.

11, lumbar vertebrae – a prominent bone at the lower back of the vertebral

column.

32:on the middle of the head

Depression, withdrawal, insomnia (inability to sleep), psychological

conditions and nervousness (points 1, 55, 6, 11, 32 and below the

knees.

Depression, Withdrawal, Insomnia, Psychological Conditions & Nervousness

Clinical Overview:

These emotional and mental health issues often stem from imbalances in the nervous system, liver heat or stagnation, weak kidney-adrenal energy, and disrupted blood or Qi flow to the brain. Hijama points are selected to calm the nervous system, clear liver/gallbladder heat, nourish the brain, and stabilise emotional centres.

Wet Cupping Points

1. Point 1 – Base of the Neck

• Location: At the seventh cervical vertebra (C7), base of the neck.

• Anatomy: Near the spinal cord and brainstem.

• Purpose: Regulates cerebral circulation, calms nervous tension, supports mental clarity.

• TCM Insight: Governing Vessel (Du Mai); gate to the brain.

2. Point 55 – Upper Thoracic Area

• Location: Approximately 3 cm below point 1, near T1 vertebra.

• Anatomy: Close to the thoracic nerves and trapezius muscles.

• Purpose: Releases upper body tension, harmonises mood.

• TCM Insight: Supports Qi circulation through upper channels.

3. Point 6 – Gallbladder Zone

• Location: Peripheral area of the right rib cage, near the spine.

• Anatomy: Over the gallbladder area and the liver meridian.

• Purpose: Clears liver/gallbladder heat, reduces agitation and restlessness.

• TCM Insight: Gallbladder relates to decision-making and courage; liver controls emotion.

4. Point 11 – Lumbar Vertebra (L3–L4)

• Location: Prominent bone at the lower back of the vertebral column.

• Anatomy: Lumbar spine and nerve roots.

• Purpose: Nourishes adrenal/kidney axis, improves grounding, calms the mind.

• TCM Insight: Kidney deficiency is often linked to fear, overthinking, and insomnia.

5. Point 32 – Crown of the Head

• Location: Middle of the head, at the vertex (GV20 area).

• Anatomy: Over the cerebral cortex, the crown chakra region.

• Purpose: Uplifts mood, reduces mental fog, aids sleep, restores consciousness.

• TCM Insight: Du20 – connects to the brain, calms the spirit (Shen).

Dry Cupping Area

6. Below the Knees

• Likely Points: ST36 (Zusanli) and SP9

• Location:

  • ST36: 3 finger-widths below the kneecap, 1 finger-width lateral to the shin bone.

  • SP9: Inner leg, just below the knee, inside edge of the tibia.

• Anatomy: Major muscles and blood vessels of the lower limbs.

• Purpose: Strengthens Qi and blood, harmonises digestion and sleep, calms anxiety.

• TCM Insight: Regulates Spleen and Stomach, supports central energy, relieves stress.

Practitioner Notes:

• Type: Wet cupping (1, 55, 6, 11, 32); dry cupping (below knees).

• Session Tip: Use calming techniques like recitation of Quran (e.g., Surah Duha, Surah Inshirah) during or after the session.

• Lifestyle Add-ons: Recommend proper sleep hygiene, stress management, dhikr, and supplication.

Angiospasm and Arteriosclerosis (narrowing of the blood vessels due to

muscular spasm or fatty deposits) (points 1, 55, 11) (cupping points are

on the places of pain, in addition to a teaspoon of pure, organic, raw, apple cider vinegar and honey every other day.

Angiospasm & Arteriosclerosis

Narrowing of blood vessels due to muscular spasms or fatty deposits

Clinical Overview:

Angiospasm and arteriosclerosis affect blood flow and vessel flexibility, often leading to pain, hypertension, and poor circulation. Hijama aims to promote blood circulation, remove stagnation, and reduce tension in the vessel walls. The accompanying use of natural remedies like apple cider vinegar and honey supports cardiovascular detoxification and lipid breakdown.

Wet Cupping Points

1. Point 1 – Base of the Neck (C7)

• Location: On the seventh cervical vertebra (C7), base of the neck.

• Anatomy: Near the spinal cord and upper sympathetic nerve roots.

• Purpose: Stimulates overall blood circulation, especially toward the brain and heart.

• TCM Insight: Governing Vessel (Du Mai) promotes Yang Qi movement in the upper body.

2. Point 55 – Upper Thoracic Area

• Location: About 3 cm below point 1, near T1 vertebra.

• Anatomy: Trapezius area and thoracic blood supply zones.

• Purpose: Relieves upper back tension, supports heart and chest circulation.

• TCM Insight: Unblocks meridians to the heart and lungs.

3. Point 11 – Lumbar Spine (L3–L4)

• Location: Prominent bone at the lower back.

• Anatomy: Associated with the abdominal aorta and lower extremity blood supply.

• Purpose: Enhances circulation to the lower body, relieves tension in spinal and vascular regions.

• TCM Insight: Strengthens Kidney Qi and Blood flow, supports vascular tone.

4. Point 121 – Epigastric Area (Stomach Entry)

• Location: Below the chest bone (xiphoid process), upper central abdomen.

• Anatomy: Fundus and upper portion of the stomach, near celiac plexus.

• Purpose: Stimulates digestion, reduces blood viscosity, and supports lipid metabolism.

• TCM Insight: Harmonizes Stomach and Spleen, breaks down damp-phlegm and fat stagnation.

Cupping on Pain Areas

• Guidance: Perform wet or dry cupping directly on areas of vascular-related pain (e.g., calves, neck, arms, or chest wall), depending on symptom location.

• Purpose: Improves local blood flow, reduces vascular spasm, and clears blockages.

Natural Supplementation Recommendation

• Apple Cider Vinegar + Honey

  • Dosage: 1 teaspoon each, in warm water, every other day.

  • Purpose: Natural vasodilator, supports fat metabolism, and detoxifies vessels.

  • Traditional Insight: Known remedy for softening arteries and aiding heart health.

Practitioner Notes:

• Type: Wet cupping on 1, 55, 11, and 121. Dry cupping can be applied to local areas of vascular pain.

• Session Tip: Combine cupping with dietary changes, low salt intake, and stress reduction for best results.

• Lifestyle Add-ons: Recommend regular walking, deep breathing exercises, and avoiding processed fats.

1: The shoulder, the seventh vertebra (bone of the spine) of the neck.

55: almost 3cm under the shoulder

121: The first part of the stomach is directly under the chest bone.

Inflammation in the stomach's lining (gastritis) (points 1, 55, 121).

Gastritis (Inflammation of the Stomach Lining)

Clinical Overview:

Gastritis is the inflammation of the stomach’s mucosal lining, often caused by infection (e.g. H. pylori), stress, certain medications, or poor diet. Symptoms include upper abdominal pain, bloating, nausea, and indigestion. Hijama helps by promoting circulation, reducing inflammation, and relieving stagnation in related regions.

Wet Cupping Points

1. Point 1 – Base of the Neck (C7)

• Location: On the seventh cervical vertebra (C7), at the base of the neck.

• Anatomy: Adjacent to cervical nerve roots and sympathetic chain.

• Purpose: Regulates autonomic nerves affecting digestive tract, calms systemic inflammation.

• TCM Insight: Governing Vessel (Du Mai), supports Yang energy distribution throughout the body.

2. Point 55 – Upper Thoracic Area

• Location: About 3 cm below Point 1, near the T1 vertebra.

• Anatomy: Involves trapezius and thoracic nerves that influence chest and stomach reflex zones.

• Purpose: Relieves upper digestive tension, improves blood flow to upper GI tract.

• TCM Insight: Opens chest meridians and supports Stomach and Spleen Qi.

3. Point 121 – Epigastric Area (Stomach Entry)

• Location: Just beneath the sternum (xiphoid process), at the upper midline of the abdomen.

• Anatomy: Directly over the fundus and cardia of the stomach.

• Purpose: Calms stomach inflammation, supports acid regulation, and enhances digestion.

• TCM Insight: Stimulates the Stomach meridian, harmonises Middle Jiao (digestive centre), reduces internal heat and dampness.

Practitioner Notes:

• Cupping Type: Wet cupping on all three points (1, 55, 121).

• Session Tip: Combine with dietary advice (e.g., avoiding spicy/acidic food), stress management, and probiotic-rich intake for added benefit.

• Frequency: 1–2 sessions weekly until symptoms improve, followed by maintenance as needed.

Would you like this included under your Gastrointestinal Conditions section in your manual or formatted into a visual treatment chart?

Excessive sleep (points 1, 55, 36) in addition to a teaspoon of pure, organic, raw, apple cider vinegar and honey every other day.

Excessive Sleep (Hypersomnia)

Clinical Overview:

Excessive sleep, or hypersomnia, is a condition characterised by prolonged nighttime sleep or excessive daytime drowsiness. It can be due to imbalances in the nervous system, poor circulation to the brain, hormonal dysregulation, or mental health conditions such as depression. Hijama aims to regulate brain chemistry, enhance alertness, and restore energetic balance.

Wet Cupping Points

1. Point 1 – Base of the Neck (C7)

• Location: The prominent bony point at the base of the neck (seventh cervical vertebra).

• Anatomy: Involves cervical nerves and the sympathetic trunk.

• Purpose: Improves blood and nerve flow to the brain and spinal axis.

• TCM Insight: Opens the Governing Vessel (Du Mai) and awakens brain Qi.

2. Point 55 – Upper Thoracic Area

• Location: Roughly 3 cm directly below Point 1.

• Anatomy: Near thoracic vertebra T1, affecting sympathetic innervation and upper blood flow.

• Purpose: Enhances alertness by stimulating circulation to the upper body and brain.

• TCM Insight: Clears stagnation in Yang channels, revitalises body energy.

3. Point 36 – Back of the Head (Occipital Bone / Cerebellum)

• Location: At the base of the skull, midline on the prominent occipital bone.

• Anatomy: Overlaying the cerebellum, near the foramen magnum and brainstem.

• Purpose: Stimulates the brain's arousal centres, improves central nervous system function.

• TCM Insight: Influences the Du meridian’s connection to Shen (mental clarity), dispels mental fog.

Supplemental Advice

• Remedy: Take 1 teaspoon of pure, organic, raw apple cider vinegar mixed with 1 teaspoon of honey every other day. This combination supports detoxification, balances blood sugar, and boosts metabolism.

• Lifestyle Tip: Encourage regular sunlight exposure and moderate exercise to naturally regulate sleep cycles.

Practitioner Notes

• Cupping Type: Wet cupping on all three points.

• Session Frequency: Once weekly until symptoms stabilise.

• Special Consideration: Rule out underlying causes like anaemia, hypothyroidism, or sleep apnea.

.

Sores, leg and thigh abscesses (pus-filled spots) and itching of the iliac fossae

(itching in the hip area) (points 1, 55, 129, 120).

Sores, Leg and Thigh Abscesses, and Itching of the Iliac Fossae (Hip Area)

Clinical Overview:

These issues are commonly linked to infections, poor circulation, lymphatic stagnation, or excess internal heat manifesting as pus-filled sores and itching in the hip and lower limb region. Hijama therapy helps cleanse impurities, stimulate local immune response, and improve lymphatic drainage.

Wet Cupping Points

Point 1

• Location: The seventh cervical vertebra (base of the neck/shoulder).

• Anatomy: Cervicothoracic junction, associated with the upper lymphatic drainage system.

• Purpose: General detoxification and immune support.

• TCM Parallel: DU-14 (Dazhui) – Expels pathogens, clears heat, strengthens Yang and immunity.

Point 55

• Location: Approximately 3 cm under Point 1.

• Anatomy: Upper thoracic spine.

• Purpose: Supports detoxification, reduces systemic inflammation.

Point 120

• Location: Sternum bone (middle of the chest).

• Anatomy: Overlying the thymus gland and heart meridian area.

• Purpose: Supports immune function and blood circulation.

• TCM Parallel: REN-17 (Shanzhong) – Influential point of Qi, regulates chest Qi and immune response.

Point 129

• Location: On the back (dorsum) of the right foot.

• Anatomy: Typically located near GB-41 or SP-4 region, depending on position.

• Purpose: Helps drain lower limb inflammation, especially for foot and leg infections or itching.

• TCM Parallel: Could relate to GB-41 (Zulinqi) – benefits the hips and lateral lower limbs; or SP-4 (Gongsun) – harmonises the abdomen and clears damp-heat.

Cupping Instructions

• Type: Wet cupping on Points 1, 55, 120 and 129.

• Suction Level: Light to moderate.

• Session Duration: 5–7 minutes per point.

• Treatment Frequency: Once weekly until symptoms subside, then every 2–3 weeks for maintenance.

Additional Therapies

• Herbal Support: Use black seed oil, turmeric, and neem externally and internally (if suited).

• Hydration & Hygiene: Encourage warm water intake and cleansing of abscess areas with saltwater.

• Lifestyle Tip: Avoid processed sugars and inflammatory foods.

Practitioner Notes

• Safety: Do not apply wet cupping directly over active, open pus wounds—cup near them instead.

• Therapeutic Focus: Clears localised damp-heat, boosts Wei Qi (defensive energy), and drains toxic buildup.

• Optional Add-On: Dry cupping around the hip or thigh may be applied where there's itching without pus.

Food Allergies

Clinical Overview:

Food allergies occur when the immune system overreacts to specific proteins in food, resulting in symptoms ranging from mild digestive discomfort to severe anaphylaxis. Hijama therapy, especially when focused on the abdominal center, aims to stimulate the digestive system, reset gut immune responses, and reduce hypersensitivity by enhancing lymphatic drainage and detoxification.

Dry Cupping Point

Point: Umbilicus Pit (Belly Button)

• Location: The central depression of the belly button (navel).

• Anatomy: Lies over the peritoneum, near the small intestine and is rich in lymphatic pathways.

• Purpose: Acts as a central energy point to stimulate the digestive tract, immune system, and gut-brain axis.

• TCM Insight: Located over CV-8 (Shenque), which is never needled but respected as a powerful point for stabilising the body's core functions and restoring homeostasis.ment.

Cupping Instructions

• Cupping Type: Dry cupping only.

• Suction Level: Use light suction to avoid discomfort or bruising in the sensitive umbilical region.

• Duration: 3–5 minutes maximum.

• Frequency: 1–2 times per week during active allergic reactions, or as a preventative measure.

Additional Advice

• Avoid Known Triggers: Continue to eliminate suspected allergens from the diet while supporting detox through cupping.

• Supportive Herbs: Consider integrating black seed oil or probiotics under qualified guidance to strengthen the gut barrier.

Practitioner Notes

• Safety Alert: Never perform wet cupping on or around the navel.

• Energetic Purpose: Stimulates core Qi, grounding, and digestive immunity.

• Optional Add-On: Combine with abdominal massage for lymphatic movement.

Heart disease (1, 55, 19, 119, 7, 8, 46, 47, 133, 134).

Heart Disease

(Points: 1, 55, 19, 119, 7, 8, 46, 47, 133, 134)

Clinical Overview:

Heart disease includes a range of cardiovascular disorders such as angina, palpitations, hypertension, and weak heart function. Hijama cupping may support the cardiovascular system by enhancing circulation, relieving pressure from stagnation, and regulating nervous system function.

Wet Cupping Points & Explanation

Point 1

• Location: The seventh cervical vertebra (base of the neck, between shoulders).

• Anatomy: Cervicothoracic junction.

• Function: Boosts immunity, clears energy blockages, and enhances blood circulation to the upper body.

• Related Meridian: DU-14 (Dazhui)

Point 55

• Location: Approximately 3cm below Point 1 (between the spine and the shoulder blade).

• Anatomy: Upper thoracic region.

• Function: Supports heart and lung detox, improves upper body blood flow.

Point 19

• Location: On the back, opposite to the heart, near the left ribs.

• Anatomy: Behind the heart, around T4–T5 vertebrae.

• Function: Targets nerve supply to the heart.

• Related Meridian: BL-15 (Heart Shu Point)

Point 119

• Location: Under the middle of the left clavicle (collarbone), near the shoulder edge.

• Anatomy: Heart meridian region.

• Function: Direct influence on heart Qi, opens the chest.

• Related Meridian: LU-2 to PC-1 zone

Points 7 & 8

• Location: In the middle of the back, on either side of the spine, opposite the stomach.

• Anatomy: Thoracic spine near T7–T9.

• Function: Supports heart–digestive interaction, regulates chest pressure.

• TCM Relation: Back Shu of Stomach and Diaphragm

Point 46

• Location: ~3cm above the trachea (around the 4th–5th rib).

• Anatomy: Upper chest near the heart.

• Function: Regulates breath, chest Qi, and emotional tension.

Point 47

• Location: Left shoulder near the heart.

• Anatomy: Over deltoid/upper thorax.

• Function: Activates the shoulder–heart pathway, relieves stress burden on chest.

Point 133

• Location: 2cm above the stomach, near the end of the sternum (xiphoid process).

• Anatomy: Epigastric area.

• Function: Calms heart-stomach anxiety loop, supports digestive-heart link.

Point 134

• Location: Under the left breast.

• Anatomy: Over the heart area.

• Function: Direct stimulation of the heart zone, enhances circulation and reduces stagnation.

• Related Meridian: PC and HT meridians

Cupping Guidance

• Type: Wet cupping.

• Suction: Mild to moderate, adjusted to the client's constitution and condition.

• Session Length: 5–8 minutes per cup.

• Frequency: Every 2–3 weeks as part of the cardiovascular support protocol.

• Observation: Monitor for hypotension or dizziness during treatment.

Additional Support

• Recommended Remedy:

  • One teaspoon of pure, raw, organic apple cider vinegar with honey every other day, to support vascular health and reduce cholesterol.

• Lifestyle Advice:

  • Minimise stress, avoid stimulants, and incorporate breathing exercises.

  • Gentle walking or light stretching helps enhance blood flow.

Diabetes (points 1, 55, 6, 7, 8, 22, 23, 24, 25, 120, 49) note: the area of

Cupping should be applied with black seed oil or honey for 3 days.

Diabetes

(Points: 1, 55, 6, 7, 8, 22, 23, 24, 25, 120, 49)
Note: Apply black seed oil or honey to cupped areas for 3 days post-treatment.

Clinical Overview:

Diabetes affects the body's ability to regulate blood sugar due to issues with insulin production or resistance. Hijama cupping may help by stimulating pancreas-related zones, enhancing blood flow, detoxifying the liver, and supporting immune function.

Wet Cupping Points & Explanation

Point 1

• Location: Seventh cervical vertebra (base of the neck, between the shoulders).

• Anatomy: Cervicothoracic junction.

• Function: General detox point, boosts immunity, improves circulation.

• Related Meridian: DU-14 (Dazhui)

Point 55

• Location: Approximately 3cm below Point 1.

• Anatomy: Upper thoracic area.

• Function: Supports respiratory and circulatory systems. Assists systemic balance.

Point 6

• Location: Gall bladder area at the periphery of the right rib toward the spine.

• Anatomy: Right hypochondriac region.

• Function: Stimulates liver and gall bladder function, supports sugar metabolism.

• Related Meridian: GB-25 (Gall Bladder Shu)

Points 7 & 8

• Location: On the back, middle area, on both sides of the spine, opposite the stomach.

• Anatomy: Thoracic vertebrae T7–T9.

• Function: Stimulates pancreas and digestive function.

• Related Meridian: ST and SP Shu Points

Points 22 & 23

• Location: Above the pancreas, under the end of the ribs.

• Anatomy: Epigastric region, corresponding to pancreas.

• Function: Direct stimulation of pancreas zone, improves insulin response.

• Related Meridian: SP and REN channels

Points 24 & 25

• Location: Beginning of the lower half of the back.

• Anatomy: Lumbar area L2–L3.

• Function: Supports kidney and adrenal glands; helps regulate glucose indirectly.

• Related Meridian: BL-23 to BL-52 zones

Point 120

• Location: On the sternum (breastplate), center of the chest.

• Anatomy: Over thymus gland.

• Function: Supports emotional balance, boosts immunity and endocrine support.

• Related Meridian: REN-17 (Shanzhong)

Point 49

• Location: Between the scapulae (shoulder blades).

• Anatomy: Upper thoracic spine area.

• Function: Stimulates immune system, endocrine glands.

• Related Meridian: BL-13 to BL-15 region

Cupping Guidance

• Type: Wet cupping.

• Suction: Mild to moderate (individualised based on client).

• Frequency: Every 2–3 weeks based on severity and symptoms.

• Post-Care:

  • Apply black seed oil or pure honey to the cupped areas for 3 consecutive days to enhance healing and the anti-inflammatory effect.

Supportive Measures

• Lifestyle Advice:

  • Maintain low-sugar diet.

  • Engage in light exercise (e.g., walking).

  • Ensure adequate hydration and avoid stress.

• Natural Supplement:

  • Black seed (Nigella sativa) and organic apple cider vinegar can help regulate blood sugar levels.

Liver and gall bladder disease (points 1, 55, 6, 48, 41, 42, 46, 51, 122,

123, 124 and 5 cups on the right, outer leg).

Liver and Gall Bladder Disease

(Points: 1, 55, 6, 48, 41, 42, 46, 51, 122, 123, 124 + 5 cups on the right outer leg)

Clinical Overview:

Liver and gall bladder issues may present as indigestion, bloating, jaundice, fatigue, pain under the right rib, or hormonal imbalance. Hijama cupping stimulates liver detoxification, supports bile flow, and regulates related metabolic and neurological pathways.

Wet Cupping Points & Explanation

Point 1

• Location: Seventh cervical vertebra (base of the neck, between the shoulders).

• Anatomy: Cervicothoracic junction.

• Function: Master detox point, balances the immune system and endocrine functions.

• Related Meridian: DU-14 (Dazhui)

Point 55

• Location: 3cm under Point 1 (between the scapulae).

• Anatomy: Upper thoracic spine.

• Function: Enhances systemic drainage and immune function.

Point 6

• Location: Gall bladder area, right side ribcage near spine.

• Anatomy: Right hypochondriac region.

• Function: Targets gall bladder stimulation, improves bile flow, aids liver detox.

• Related Meridian: GB-25 (Gall Bladder Shu)

Point 48

• Location: Upper right rib, complements the gall bladder knot.

• Anatomy: Mid-thoracic region near the liver.

• Function: Strengthens liver-gall bladder interaction.

• Meridian Influence: Liver/Gallbladder Zone

Points 41 & 42

• Location: Back of the head – right (41) and left (42) sides.

• Anatomy: Occipital region.

• Function: Addresses liver-wind and gall bladder-nerve pathways.

• Related Meridian: GB-20 (Fengchi) – affects tension, mood, and digestion.

Point 46

• Location: ~3cm above trachea (above Point 5).

• Anatomy: Suprasternal notch region.

• Function: Activates endocrine support, assists upper digestive functions.

• Meridian Influence: REN-22 vicinity

Point 51

• Location: Right thigh (over femur bone).

• Anatomy: Lateral upper thigh.

• Function: Supports lower limb drainage, enhances liver meridian movement through the legs.

• Meridian Influence: Liver Channel Lower Branch

Points 122, 123, 124

• Location: Just above the liver, right side of the belly.

• Anatomy: Over the hepatic region (right upper quadrant).

• Function: Direct liver detox points, improves digestion and blood filtration.

• Meridian Influence: LIV & SP region

Right Outer Leg (5 Cups)

• Location: Lateral aspect of the right leg from the thigh to the ankle.

• Anatomy: Gall bladder meridian pathway.

• Function: Stimulates GB meridian flow, clears stagnation and inflammation.

• Meridian Influence: Gall Bladder Channel of Foot-Shaoyang

Cupping Guidelines

• Type: Wet cupping.

• Suction: Light to medium. Avoid over-suctioning the liver area.

• Frequency: Every 2–4 weeks, depending on liver congestion and symptoms.

• Aftercare:

  • Apply black seed oil over the liver area post-cupping.

  • Rest and hydration are essential post-session.

Lifestyle Advice for Liver/Gall Bladder Support:

• Avoid fried foods, processed sugars, and red meat.

• Consume fresh lemon water, turmeric, dandelion tea, or milk thistle if tolerated.

• Practice stress reduction to support liver-nerve balance.

• Light stretching and daily walks benefit liver qi flow.

Varicose veins (enlarged, unsightly superficial veins) on the legs (point 1,

55, 28, 29, 30, 31, 132, and around the veins, but not over the veins.

Varicose Veins (Enlarged, Superficial Leg Veins)

(Points: 1, 55, 28, 29, 30, 31, 132 + around the veins but NOT directly over them)

Clinical Overview:

Varicose veins are dilated, twisted superficial veins caused by poor valve function and venous insufficiency. Hijama therapy stimulates venous return, reduces inflammation and heaviness in the legs, improves circulation, and relieves pain and swelling. Cupping around (but not directly on) the affected veins enhances local blood flow and helps drain stagnant blood.

Wet Cupping Points & Explanation

Point 1

• Location: Seventh cervical vertebra (base of the neck, between the shoulders)

• Anatomy: Cervicothoracic junction

• Function: Master point for systemic detox, circulation enhancement, and hormonal regulation

• Related Meridian: DU-14 (Dazhui)

Point 55

• Location: Approximately 3cm below Point 1

• Anatomy: Upper thoracic spine

• Function: Improves blood circulation and supports vascular health

Points 28, 29, 30, 31

• Location: Across the upper part of the buttocks

• Anatomy: Sacral and upper gluteal region

• Function: Stimulates the pelvic veins and lower limb drainage routes

• Meridian Influence: Bladder Channel and Sacral Plexus Zone

Point 132

• Location: Commonly used for Varicocele, but also enhances venous circulation in the lower limbs

• Anatomy: Lower abdomen/groin region

• Function: Regulates vein valve tone and improves venous flow

• Meridian Influence: Liver/Spleen/Lower Abdomen Zones

Local Points (Around Varicose Veins)

• Location: Around affected veins on the legs (e.g., calves, behind knees, thighs), but never directly on top of bulging veins

• Function: Enhances local circulation, draws out stagnant blood, reduces inflammation and pressure

• Cupping Technique: Light dry cupping for stimulation or very gentle wet cupping near the cluster (avoiding direct suction over the vein to prevent rupture)

Cupping Guidelines

• Type: Wet cupping on standard points; dry or gentle wet cupping around varicose clusters

• Suction: Light; use low suction cups on leg areas

• Frequency: Every 3–4 weeks or as needed based on swelling and heaviness

• Caution: Never apply cupping directly over bulging or inflamed varicose veins

Aftercare:

• Apply black seed oil or arnica oil gently around the treated area post-cupping

• Elevate legs post-session for 15–20 minutes

• Wear compression stockings daily for mechanical support

Lifestyle & Dietary Support:

• Avoid prolonged sitting/standing

• Elevate your legs while resting

• Increase intake of foods rich in bioflavonoids (citrus, berries), Vitamin C, and hydration

• Avoid refined carbs and excessive salt

Varicocele (enlarged unsightly veins on the scrotum of males) (points 1, 55, 6,

11, 12, 13, 28, 29, 30, 31, 125, 126).

Varicocele (Enlarged, Unsightly Veins on the Scrotum – Male Reproductive Disorder)

(Points: 1, 55, 6, 11, 12, 13, 28, 29, 30, 31, 125, 126)

Clinical Overview:

Varicocele is a condition involving enlargement of veins within the scrotum, similar to varicose veins but localised to the pampiniform plexus. This leads to poor blood drainage, increased scrotal temperature, infertility, and aching. Hijama helps by reducing congestion, improving venous circulation, and balancing hormonal and reproductive function.

Wet Cupping Points & Explanation

Point 1

• Location: Seventh cervical vertebra (C7), base of the neck

• Anatomy: Cervicothoracic junction

• Function: Boosts systemic detox, regulates circulation, supports endocrine balance

• Meridian Influence: DU-14 (Dazhui)

Point 55

• Location: 3cm below Point 1

• Anatomy: Upper thoracic vertebrae

• Function: Improves blood flow and lymphatic detox

Point 6

• Location: Right rib margin, near the gall bladder, posteriorly

• Anatomy: Costal margin near T9–T10

• Function: Affects liver–gall bladder detox, balances reproductive hormones

• Meridian Influence: Gallbladder Channel

Point 11

• Location: Prominent lumbar vertebra (typically L4 or L5)

• Function: Core spinal support for pelvic circulation and nerve roots

Points 12 & 13

• Location: On either side of Point 11, approx. 5cm lateral from the spine

• Function: Stimulates nerves and circulation around the lumbar plexus, linked to reproductive organs

Points 28, 29, 30, 31

• Location: Upper buttocks, sacral region

• Function: Improves venous drainage from the pelvic and scrotal region

• Meridian Influence: Bladder & Sacral Nerve Zones

Points 125 & 126

• Location: Lower abdomen, between the thigh and belly near the pubic hairline

• Function: Targets the inguinal canal region, effective for varicocele, involuntary urination, infertility, and reproductive issues

• Anatomy: Over the inguinal veins and lymph drainage routes

• Meridian Influence: Liver/Spleen & Reproductive Channels

Cupping Technique

• Type: Primarily wet cupping, with light suction

• Local Area (125, 126): Perform with extra care, use small-size cups, and avoid direct suction over testicles or spermatic cord

• Suction Strength: Gentle to moderate

• Session Frequency: Once every 3–4 weeks, depending on severity

Aftercare Recommendations:

• Apply black seed oil or olive oil gently to the groin area (not directly on the testicles)

• Avoid heavy lifting or straining post-session

• Wear supportive underwear for testicular elevation

Lifestyle & Dietary Support:

• Avoid hot baths, tight clothing, and long periods of standing

• Maintain a healthy body weight

• Increase zinc and antioxidant-rich foods (pumpkin seeds, dates, figs, pomegranate)

• Use black seed oil and honey daily for immune and hormonal support

Elephantiasis (swollen leg due to blockage of lymph channels) note: the

patient should rest for 2 days before cupping. He/She should also raise

his/her affected leg up and then place it in warm water for two hours

prior to cupping (points 1, 55, 11, 12, 13, 120, 49, 121 and around the

affected leg from the top of the leg to the bottom in addition to 125, 126,

53, 54).

Elephantiasis (Swollen Leg Due to Blocked Lymph Channels)

(Points: 1, 55, 11, 12, 13, 120, 49, 121, 125, 126, 53, 54 + Around the Affected Leg)

Clinical Overview:

Elephantiasis is a chronic condition marked by swelling in the limbs due to lymphatic obstruction, often caused by parasitic infections or lymphatic damage. Hijama can help stimulate lymph drainage, reduce swelling, detoxify tissues, and improve immune function.

Important Preparation:

• Rest for 2 days before treatment

• Elevate the affected leg

• Warm water soak the leg for 2 hours before cupping

Wet Cupping Points & Explanation

Point 1

• Location: Seventh cervical vertebra (C7), base of the neck

• Function: Stimulates central detox, immune modulation

• Meridian: DU-14 (Dazhui)

Point 55

• Location: 3cm under Point 1

• Function: Enhances systemic circulation and drainage

Point 11

• Location: Prominent lower vertebra (L4–L5)

• Function: Supports lymphatic flow and nerve signals to the lower limbs

Points 12 & 13

• Location: On both sides of Point 11, approx. 5cm lateral

• Function: Affects lower limb nerves and vessels

Point 120

• Location: Sternum bone (breastplate), centre of chest

• Function: Boosts the immune system and thoracic lymph drainage

Point 49

• Location: Between the shoulder blades (scapulae), upper back

• Function: Immunity support and upper lymphatic drainage

Point 121

• Location: Base of the sternum, above the stomach

• Function: Drains abdominal and lymphatic congestion

Points 125 & 126

• Location: Inguinal area (between thigh and belly, near pubic region)

• Function: Improves lymphatic drainage and circulation of the lower body

Points 53 & 54

• Location: Behind the knee (popliteal fossa), left and right

• Function: Lymph and venous drainage of the legs

• Meridian Influence: Bladder Channel

Around the Affected Leg (Top to Bottom)

• Location: Surround the entire leg from the thigh to the ankle

• Method: Use light suction dry cupping, avoiding areas of ulceration or active infection

• Purpose: Facilitate lymph movement, reduce oedema, break up fibrosis

Cupping Technique

• Dry Cupping: Around the leg (thigh to ankle), light suction, avoid over-swollen areas

• Wet Cupping: On selected points above

• Session Interval: Every 2–3 weeks, depending on swelling and response

• Cup Size: Use small to medium-sized cups for leg zones

Aftercare

• Clean the areas and apply black seed oil or olive oil

• Rest and elevate your leg post-session

• Light lymphatic massage between sessions

• Ensure hydration and mild movement (e.g., gentle stretching)

Lifestyle & Natural Remedies

• Soak legs in warm salt water or ginger water regularly

• Use compression stockings if prescribed by a physician

• Include anti-inflammatory foods (turmeric, garlic, pineapple)

• Drink plenty of warm fluids to support lymph flow

Skin diseases (points 1, 55, 49, 120, 129, 6, 7, 8, 11 and cupping on the

affected areas.

Skin Diseases (Eczema, Psoriasis, Acne, Chronic Rashes, etc.)

(Points: 1, 55, 49, 120, 129, 6, 7, 8, 11 + cupping on affected areas)

Clinical Overview:

Skin diseases can be linked to internal imbalances such as poor detoxification, weak immunity, digestive issues, and stress. Hijama helps by stimulating detox through the skin, improving immune regulation, and enhancing organ function linked to the skin (liver, stomach, lymphatic system).

Wet Cupping Points & Explanation

Point 1

• Location: Seventh cervical vertebra (C7), base of the neck

• Function: General detoxification and immune activation

• Meridian Influence: DU-14 (Dazhui) – heat clearing and immune modulation

Point 55

• Location: 3cm below Point 1

• Function: Enhances blood flow, supports drainage from the upper body

Point 49

• Location: Between the shoulder blades (upper thoracic area)

• Function: Immune support, blood purification, linked to lung and skin health

• Meridian Influence: Back Shu point for the lungs

Point 120

• Location: Mid-sternum (center of the chest)

• Function: Supports chest Qi and immunity, balances heat affecting skin

Point 129

• Location: On the back of the right foot

• Function: Helps discharge systemic heat and inflammation from the body through reflex points

• Notes: Useful for distal skin detox and foot-based eczema/acne

Point 6

• Location: Gall bladder area, outer edge of the right rib cage

• Function: Liver and gallbladder detox, supports skin clarity by aiding fat metabolism

Points 7 & 8

• Location: Middle of the back, opposite the stomach, bilaterally beside the spine

• Function: Digestive harmony, toxin breakdown from the stomach and intestines

• Meridian Influence: Back Shu points for Stomach and Spleen

Point 11

• Location: Lumbar vertebra (L4–L5), prominent bone at the lower back

• Function: Enhances blood filtration, links with the kidney and adrenal detox

Affected Skin Areas

• Method: Light or medium wet cupping (do not apply cupping on open wounds or infected skin)

• Function: Draws out local toxins, improves microcirculation, reduces inflammation

• Use: Especially for chronic eczema, psoriasis plaques, or local itchiness

Cupping Method

• Type: Wet cupping (Hijama) on key points + dry/light wet on affected areas

• Cup Size: Small to medium, depending on area

• Sessions: Weekly or bi-weekly,y depending on severity

• Skin prep: Cleanse skin, shave area if needed, use sterile equipment

• Post-care: Apply black seed oil, honey, or antiseptic cream

Additional Tips

• Avoid processed foods and dairy (which may trigger skin flare-ups)

• Stay hydrated

• Daily application of black seed oil on lesions

• Consider adding liver-supportive herbs (e.g., milk thistle) under guidance

• Practice breathing exercises or ruqyah to reduce emotional triggers

Overweight (points 1, 55, 9, 10, 120, 49 and areas of desired weight

loss), daily massage cupping over an area of desired weight loss.

Overweight / Obesity Management

(Points: 1, 55, 9, 10, 120, 49 + massage cupping on areas of desired weight loss)

Clinical Overview:

Overweight issues are often linked to sluggish metabolism, poor lymphatic drainage, hormone imbalance, and emotional eating. Hijama supports weight loss by detoxifying the system, enhancing metabolism, improving kidney and digestive function, and stimulating lymphatic flow. Massage cupping promotes fat breakdown and improves circulation in specific areas where fat is stored.

Hijama Points & Explanation

Point 1

• Location: Seventh cervical vertebra (C7), base of the neck

• Function: General detox, improves circulation, stimulates the endocrine system

• Meridian Influence: DU-14 – balances heat and metabolism

Point 55

• Location: 3cm below Point 1

• Function: Improves upper body circulation, supports thyroid and adrenal regulation

Points 9 & 10

• Location: Middle of the back, directly under Points 7 & 8 – kidney area

• Function: Supports kidney function, helps in fluid balance and detox through urine

• Meridian Influence: Kidney Shu points – essential for water and fat metabolism

Point 120

• Location: Mid-sternum, central chest

• Function: Balances chest Qi, harmonises the heart and reduces emotional stress eating

Point 49

• Location: Between the scapulae (shoulder blades)

• Function: Enhances immunity, clears internal inflammation, and helps in metabolic regulation

• Meridian Influence: Lung Shu – supports breathing and oxygenation, critical for fat burning

Massage Cupping – Areas of Desired Weight Loss

• Common Target Areas:

  • Abdomen

  • Flanks (“love handles”)

  • Thighs

  • Upper arms

• Method: Oil massage with cupping strokes in circular and sweeping motions

• Purpose: Stimulates circulation, lymph flow, breaks down fat tissues

• Frequency: Daily or every other day, 10–15 minutes per area

• Oil Recommendation: Black seed oil or slimming herbal oil blend

Recommended Protocol

• Wet Cupping: Once every 2–3 weeks on static points (1, 55, 9, 10, 49, 120)

• Massage Cupping: Daily or alternate days on problem areas (abdomen, thighs, etc.)

• Post-Care:

  • Apply black seed oil after a massage

  • Stay hydrated

  • Avoid sugar and fried food for 3–5 days post cupping

  • Add light exercise (walking, stretching)

Tips for Success

• Combine Hijama with a clean, anti-inflammatory diet

• Perform hijama in the morning hours for the best detox effect

• Focus on stress management—emotional weight gain is common

• Add ruqyah for nafs and willpower if cravings are hard to control

Underweight (points 1, 55, 121).

Underweight / Weak Constitution Treatment

(Points: 1, 55, 121)

Clinical Overview:

Underweight conditions may result from poor digestion, malabsorption, weak appetite, stress, hormonal imbalance, or chronic illness. Hijama therapy helps stimulate digestive function, improve nutrient absorption, regulate metabolism, and support general vitality.

Hijama Points & Explanation

Point 1

• Location: Base of the neck, over the seventh cervical vertebra (C7)

• Function: Boosts overall circulation and nervous system function, stimulates metabolism, and supports endocrine balance

• Meridian Influence: DU-14 – promotes Yang energy and warms the body

Point 55

• Location: Approximately 3cm below Point 1

• Function: Enhances blood flow to the upper body, supports adrenal function, and assists with general energy restoration

Point 121

• Location: Under the sternum (breastbone), over the upper part of the stomach

• Function: Stimulates the stomach and digestive organs, improves appetite, and enhances nutrient uptake

• Meridian Influence: Upper GI zone (possibly REN-12 region) – strengthens the Spleen and Stomach Qi

Recommended Protocol

• Wet Cupping:

  • Once every 2–3 weeks

  • Use dry cupping or massage cupping over Point 121 (stomach) in between wet sessions to stimulate digestion

• Pre-Cupping Prep:

  • Ensure the patient has eaten a light meal 2 hours before

  • Avoid cupping if the person is fasting or very weak

• Post-Cupping Advice:

  • Apply black seed oil on cupped areas

  • Encourage warm, nourishing foods (e.g., bone broth, dates, milk, honey)

  • Recommend digestive herbs like ginger, fennel, or black seed

Tips for Supporting Weight Gain

• Combine Hijama with nutrient-dense foods and small, frequent meals

• Encourage rest and stress reduction, as anxiety often interferes with digestion

• Consider ruqyah sessions if underlying energy blocks or psychological causes are present (e.g., waswas, sadness)

• Encourage sunlight exposure and moderate exercise to boost appetite and circulation