Kupa Tedavisi ve Klinik Uygulamalar

Öz

Ülkemizde en sık kullanılan geleneksel ve tamamlayıcı tıp yöntemlerinden olan kupa terapisi binlerce yıllık geçmişi olan en eski tıp uygulamalarından birisidir. Bir çok hastalıkta etkili olduğu düşünülmesine rağmen literatürde etkinliğiyle ve etki mekanizmasıyla ilgili yeterli sayıda çalışma bulunmamaktadır. Kupa uygulamasını temel olarak yaş ve kuru kupa olmak üzere ikiye ayırabiliriz. Kuru kupa tedavisinde kullanılacak kupa materyali uygulama alanına negatif basınç oluşturularak tutturulur. Yaş kupa uygulaması ise kuru kupa uygulaması gibi başlar, ardından bistüri yardımıyla yüzeysel insizyonlar yapılır. Daha sonra tekrar aynı bölgeye kupa kapatılır. Kupa terapisinin bel ağrısı, karpal tünel sendromu, servikal spondilozis, migren, infertilite gibi durumlarda etkili olduğunu belirten yayınlar bulunmaktadır.  Bu derlemede binlerce yıllık geçmişi olan kupa terapisinin tarihçesi, uygulama çeşitleri, etki mekanizması ve klinik uygulama örnekleri özetlenmektedir.

Anahtar Kelimeler

• Kupa terapisi,Geleneksel tıp,Tamamlayıcı tıp,Hacamat

Cupping Therapy and Clinical Practices

Öz

Cupping therapy, which is one of the most commonly used traditional and complementary medicine methods in our country, is one of the oldest medical applications with thousands of years of history. Although it is thought to be effective in many diseases, there are not enough studies in the literature about its efficacy and mechanism of action. We can divide the cupping therapy into two types: age and dry cupping. The cupping material is attached to the treatment area by creating a negative pressure. Wet cupping treatment starts as dry cupping, then surface incisions are made with the help of lancet. The cup is closed again to the same area. There are some reports indicating that cupping therapy is effective in cases such as low back pain, carpal tunnel syndrome, cervical spondylosis, migraine and infertility. This review summarizes the history, types of treatment, mechanism of action, and clinical treatment examples of cupping therapy.

Anahtar Kelimeler

• Cupping therapy,Traditional medicine,Complementary medicine,Hijama

Kaynakça

1. 1- El Sayed SM, Mahmoud HS, Nabo MMH. Medical and Scientific Bases of Wet Cupping Therapy (Al‐hijamah): in Light of Modern Medicine and Prophetic Medicine. Altern Integ Med 2013;2:5.
2. 2- Müyesser O, Kupa Tedavisi ve Hacamat, Ankara Med J, 2016;(4):370‐82
3. 3- Bamfarahnak H, Azizi A, Noorafshan A, Mohagheghzadeh A. A tale of Persian cupping therapy: 1001 potential applications and avenues for research.Forsch Komplementmed. 2014;21(1):42‐7.
4. 4- Piyush M, Vividha D, Cupping Therapy: A Prudent Remedy For A Plethora of Medical Ailments, Journal of Traditional and Complementary Medicine 5 (2015) 127-134
5. 5- Ilkay Z. C, Traditional Chinese Medicine Cupping Therapy, Churchill Livingstone, p:1, 2014.
6. 6- Ilkay Z. C, Traditional Chinese Medicine Cupping Therapy, Churchill Livingstone, p:13, 2014.
7. 7- Emel S, Ayşegül A S, Şeyma B Y, Abdullah S, Mehmet Z K, Kupa Uygulaması ve Kupa Uygulamasının Klinik Araştırması, Integr Tıp Derg. 2015;3(2):19-25.
8. 8- Kim T, Kang JW, Kim KH, et al. Cupping for Treating Neck Pain in Video Display Terminal (VDT) Users: A Randomized Controlled Pilot Trial. Journal of Occupational Health 2012;54(6):416‐26.

9. 9- Teut M, Kaiser S, Ortiz M, et al. Pulsatile dry cupping in patients with osteoarthritis of the kneeea randomized controlled exploratory trial. BMC Complement Altern Med. 2012;12:1e9
10. 10- Al-Rubaye K. The clinical and histological skin changes after the cupping therapy (Al-Hijamah). J Turk Acad Dermatol. 2012;6:1e7.
11. 11- Farhadi K, Schwebel DC, Saeb M, Choubsaz M, Mohammadi R, Ahmadi A. The effectiveness of wet‐cupping for non specific lowback pain in Iran: a randomized controlled trial. Complement Ther Med 2009;17(1):9‐15.
12. 12- Huijuan C, Mei H, Xun L, Shangjuan D, Yongmei S, Qian W, Shu X, Jianping L, Clinical research evidence of cupping therapy in China: a systematic literature review, The official journal of the International Society for Complementary Medicine Research (ISCMR)201010:70
13. 13- Zhang SJ, Liu JP, He KQ. Treatment of acute gouty arthritis by bloodletting cupping plus herbal medicine. J Tradit Chin Med 2010;30:18‐20.
14. 14- Cüneyt T, Yusuf T, Farklı Bir Bozucu Alan Nedeni: Hacamat, Bilimsel Tamamlayıcı Tıp Regülasyon ve Nöralterapi Dergisi,2018; Cillt 12 Sayı:1
15. 15- Dr. Muhammet Mustafa Çiftci uygulama arşivi.
16. 16- Chakraborty U, Ghosh T. A study on the physical fitness index, heart rate and blood pressure in different phases of lunar month on male human subjects. Int J Biometeorol 2013;57:769‐74.
17. 17- Niasari M, Kosari F, Ahmadi A. The effect of wet cupping on serum lipid concentrations of clinically healthy young men: a randomized controlled trial. J Altern Complement Med 2007;13(1):79–82.
18. 18- Hedwig M, The Art of Cupping, Georg Thieme Varlag, p:10-11, 2009
19. 19- Sedat Y, Sevilay E, Nuray Y P, Ümmü G Y, Burcu B K, Yücel K, Salih Ü, Geleneksel Çin Tıbbında Bir Şifa Yöntemi -2 Kupa Terapisi İçin Etki Mekanizmaları: Derleme, Integr Tıp Derg. 2013;1(1):18-21.
20. 20- Musial F, Michalsen A, Dobos G. Functional chronic pain syndromes and naturopathic treatments: neurobiological foundations. Forsch Komplement Med 2008;15(2):97–10321- Erkan T, Mustafa U, Kupa Terapisinin Tarihi Gelişimi ve Çeşitleri, Turk Med J. 2016; 8(3): 105-107
21. 22- İbn-i Sina, El Kanun Fi’t-Tıb Birinci Kitap (Çeviri: Esin K ),Atatürk Kültür Merkezi 2014, p:23-24
22. 23- Geleneksel ve Tamamlayıcı Tıp Uygulamaları Yönetmeliği, T.C. Resmî Gazete 27.10.2014, S:29158
23. 24- Sağlık Alanı Sertifikalı Eğitim Standartları: Kupa Uygulaması, Sağlık Bakanlığı Sağlık Hizmetleri Genel Müdürlüğü, 16.10.2015, S:18
24. 25- Ranaei-siadat SO, Kheirandish H, Niasari, Adibi Z, Tashnizi MB. The effect of cupping (hejemat) on blood biochemical and immunological parameters. Iranian Journal of Pharmaceutical Research. 2004;2:31-2
25. 26- Meng XW, Wang Y, Piao SA, Lv WT, Zhu CH, Mu MY, Li DD , Liu HP, Guo Y, Wet Cupping Therapy Improves Local Blood Perfusion and Analgesic Effects in Patients with Nerve-Root Type Cervical Spondylosis, Chin J Integr Med. 2018 Nov;24(11):830-834. doi: 10.1007/s11655-017-2925-7. Epub 2018 Jan 15.
26. 27- Mohammad DF, Maryam N, Mohammad KR, Mohse Z, Comparative efficacy trial of cupping and serkangabin versus conventional therapy of migraine headaches: A randomized, open-label, comparative efficacy trial, J Res Med Sci. 2014 Dec; 19(12): 1134–1139.
27. 28- Amir T, Mohammad Z, Seyed AJ, Ali M, Ali A, The effects of Wet-Cupping on intensity of headache in Migraine sufferers, Jundishapur Journal of Chronic Disease Care.2014;3(2):1-12
28. 29- Ahmadi A, Schwebel DC, Rezaei M. The Efficacy of Wet‐Cupping in the Treatment of Tension and Migraine Headache. The American Journal of Chinese Medicine 2008;36(1):37‐44.
29. 30- Duo X. 100 cases of intractable migraine treated by acupuncture and cupping. J Tradit Chin Med. 1999;19(3):205–6.
30. 31- Wang YT, Qi Y, Tang FY, Li FM, Li QH, Xu CP, Xie GP, Sun HT, The effect of cupping therapy for low back pain: A meta-analysis based on existing randomized controlled trials, J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1187-1195. doi: 10.3233/BMR-169736
31. 32- Kim JI, Kim TH, Lee MS, Kang JW, Kim KH, Choi JY, Kang KW, Kim AR, Shin MS, Jung SY, Choi SM, Evaluation of wet-cupping therapy for persistent non-specific low back pain: a randomised, waiting-list controlled, open-label, parallel-group pilot trial, Trials. 2011 Jun 10;12:146. doi: 10.1186/1745-6215-12-146.
32. 33- Farhadi K, Schwebel DC, Saeb M, Choubsaz M, Mohammadi R, Ahmadi A, The effectiveness of wet-cupping for nonspecific low back pain in Iran: a randomized controlled trial, Complement Ther Med. 2009 Jan;17(1):9-15. doi: 10.1016/j.ctim.2008.05.003. Epub 2008 Jun 24.
33. 34- AlBedah A, Khalil M, Elolemy A, Hussein AA, AlQaed M, Al Mudaiheem A, Abutalib RA, Bazaid FM, Bafail AS, Essa A, Bakrain MY, The Use of Wet Cupping for Persistent Nonspecific Low Back Pain: Randomized Controlled Clinical Trial, J Altern Complement Med. 2015 Aug;21(8):504-8. doi: 10.1089/acm.2015.0065. Epub 2015 Jun 12.
34. 35- Hong Y, Wu J, Wang B, The effect of moving cupping therapy on nonspecific low back pain, Chinese Journal of Rehabilitation Medicine 21(3):340-343 • April 2006
35. 36- Marzieh A, Mehrnoush G, Zahra Y, Najaf Z, Amir A, Abdolali M, The Effect Dry Cupping Therapy at Acupoint BL23 on the Intensity of Postpartum Low Back Pain in Primiparous Women Based on Two Types of Questionnaires, 2012; A Randomized Clinical Trial
36. 37- Huijuan C, Chenjun Z, Jianping L, Wet cupping therapy for treatment of herpes zoster: a systematic review of randomized controlled trials, Altern Ther Health Med. 2010 ; 16(6): 48–54.
37. 38- Andreas M, Silke B, Rainer L, Thomas R, Marcus B, Jürgen B, Jost L, Frauke M, Gustav JD, Effects of Traditional Cupping Therapy in Patients With Carpal Tunnel Syndrome: A Randomized Controlled Trial, The Journal of Pain, Vol 10, No 6 (June), 2009: pp 601-608
38. 39- Li JQ, Guo W, Sun ZG, Huang QS, Lee EY, Wang Y, Yao XD, Cupping therapy for treating knee osteoarthritis: The evidence from systematic review and meta-analysis, Complementary Therapies in Clinical Practice 28 (2017) 152-160
39. 40- Zhang SJ, Liu JP, He KQ. Treatment of acute gouty arthritis by bloodletting cupping plus herbal medicine. J Tradit Chin Med 2010;30:18‐20.
40. 41- Hassan A, Anhar G, Samiha M, Ayman O, Hijama (wet cupping) for female infertility treatment: a pilot study, Abduljabbar H et al. Int J Reprod Contracept Obstet Gynecol. 2016 Nov;5(11):3799-3801
41. 42- Nafisa KU , Sherali T , Serdar S , Menizibeya OW , Senol D, The Effects of Wet Cupping Therapy on the Blood Levels of Some Heavy Metals: A Pilot Study, J Acupunct Meridian Stud. 2018 Dec;11(6):375-379.
42. 43- Ahmed SM, Madbouly NH, Maklad SS, Abu-Shady EA. Immunomodulatory effects of bloodletting cupping therapy in patients with rheumatoid arthritis. Egypt J Immunol. 2005; 12(2):39-51.
43. 44- Hussam B, Nada A, NagwaSayed A, Hany SM, AymanBarghash, Abdullah N, Manal MH, Salah MES, Ameliorating Role Exerted by Al-Hijamah in Autoimmune Diseases: Effect on Serum Autoantibodies and Inflammatory Mediators, International Journal of Health Sciences, Qassim University, Vol. 9, No. 2 (April-June 2015)