Simulation in Cupping Training: An Innovation Method

Tamer Aboushanab,Saud M. AlSanad 사단법인약침학회 2017 Journal of Acupuncture & Meridian Studies Vol.10 No.6

Cupping therapy is an ancient practice [1] Use of skin simulator in cupping training is an innovation method. Skin simulators were used to enhance the safety of the trainees and improve outcomes in surgical training [2] The following are the procedural cupping skills to acquire: making skin incisions, applying various suction power degrees, skin disinfection, and performing various types of cupping [3] This novel method was preliminary evaluated for its efficacy by medical students. It is a promising learning tool which may improve the procedural skills and confidence of cupping trainees in a safe environment [4], Fig. 1 demonstrated the use of skin simulator in cupping therapy training.

Cupping Therapy: An Overview from a Modern Medicine Perspective

Tamer Aboushanab,Saud AlSanad 사단법인약침학회 2018 Journal of Acupuncture & Meridian Studies Vol.11 No.3

Cupping therapy is an ancient traditional and complementary medicine practice. Recently, there is growing evidence of its potential benefits in the treatment of painrelateddiseases. This article gives an overview of cupping therapy practice. Furthermore,this article suggests a new classification of cupping therapy sets, a new classificationof cupping therapy adverse events, and an updated classification of cupping therapytypes.

Cupping Therapy and Animal Research: The Progress

Tamer Aboushanab,Saud AlSanad 사단법인약침학회 2018 Journal of Acupuncture & Meridian Studies Vol.11 No.3

Although cupping therapy is one of the oldest traditionalhealing practices, there is a lack of sufficient clinical trialsthat have been conducted to examine its safety and efficacy[1]. Animal studies have a great impact on the medicalcommunity’s understanding of various mechanisms of ailments,but they cannot replace clinical trials [2]. The resultsof five examples of animal-based studies on cuppingtherapy are presented in this article. The first study wasconducted by Shekarforoush et al (2012), who reported thesignificant cardioprotective effect of cupping therapy [3]. The second study was conducted by Lee et al (2013), whoreported the efficacy of cupping therapy to reverseinduced cognitive impairment after hemorrhage [4]. Thethird study was conducted by Roostayi et al (2016), whoreported an effective reduction of skin stiffness by cuppingtherapy [5]. The fourth study was conducted by Subadiet al (2017), who reported the expression of heat shockproteins (HSP70) and b-endorphin as a possible mechanismof action of cupping in terms of pain reduction [6]. Finally,the fifth study was conducted by Koh et al (2016), whoreported a significant increase of preconditioned flapviability and tissue perfusion after cupping [7]. Interestingly,a human study conducted to obtain epithelial graftspreconditioned by cupping reported approximately thesame results [8] Fig. 1. In conclusion, there have been a few animal researchstudies conducted in the field of cupping therapy. The fewconducted animal studies reported some promising effectsof cupping therapy. More studies are recommended

A Quality Model to Select Patients in Cupping Therapy Clinics: A New Tool for Ensuring Safety in Clinical Practice

Tamer Aboushanab,Saud AlSanad 사단법인약침학회 2018 Journal of Acupuncture & Meridian Studies Vol.11 No.5

Cupping therapy is a popular treatment in various countries and regions, including Saudi Arabia. Cupping therapy is regulated in Saudi Arabia by the National Center for Complementary and Alternative Medicine, Ministry of Health. The authors recommend that this quality model to select patients in cupping clinics - version 1 (QMSPCC-1)—be used routinely as part of clinical practice and quality management in cupping clinics. The aim of the quality model is to ensure the safety of patients and to introduce and facilitate quality and auditing processes in cupping therapy clinics. Clinical evaluation of this tool is recommended. Continued development, reevaluation and reassessment of this tool are important.

The Compound Effect of Cupping Therapy: Searching Beyond the Meridians

Mohamed K.M. Khalil,Saud AlSanad 대한침구의학회 2018 대한침구의학회지 Vol.35 No.3

Cupping therapy (CT) is used in Asia, Europe, and the Middle East and is prevalent in Muslim communities where it is recommended by the Prophet of Islam. The majority of modern, medical practitioners interested in CT, view it as a medical technique and distance themselves from the mechanisms proposed by traditional medicine. However, modern medicine does not offer a valid explanation for the mechanisms involved in CT. There is growing evidence of CT’s effectiveness, specifically in chronic pain management when compared to an inactive control, but not against sham treatment. CT accompanied by religion and prayer, as it is in Muslim communities, cannot be considered to be equivalent to any procedures in modern medicine. “Whole System Research” may be the most appropriate trial design to test the ancient practice of CT efficacy whilst pending development of a novel placebo for assessing the connectivity of body and mind interventions.

The Compound Effect of Cupping Therapy: Searching Beyond the Meridians

Khalil, Mohamed K.M.,AlSanad, Saud Korean AcupunctureMoxibustion Medicine Society 2018 Korean Journal of Acupuncture Vol.35 No.3

Cupping therapy (CT) is used in Asia, Europe, and the Middle East and is prevalent in Muslim communities where it is recommended by the Prophet of Islam. The majority of modern, medical practitioners interested in CT, view it as a medical technique and distance themselves from the mechanisms proposed by traditional medicine. However, modern medicine does not offer a valid explanation for the mechanisms involved in CT. There is growing evidence of CT's effectiveness, specifically in chronic pain management when compared to an inactive control, but not against sham treatment. CT accompanied by religion and prayer, as it is in Muslim communities, cannot be considered to be equivalent to any procedures in modern medicine. "Whole System Research" may be the most appropriate trial design to test the ancient practice of CT efficacy whilst pending development of a novel placebo for assessing the connectivity of body and mind interventions.

Cupping therapy in Saudi Arabia: from control to integration

Mohamed K.M. Khalil,Sulaiman Al-Eidi,Meshary Al-Qaed,Saud AlSanad 한국한의학연구원 2018 Integrative Medicine Research Vol.7 No.3

Cupping therapy or Hijamah is a leading traditional practice after spiritual healings and herbal medicine in Saudi Arabia. Wet cupping is by far the most common type of cupping therapy. Hijamah in Saudi Arabia and other Muslim countries is a model of religious influences, interconnectivity, and cross-cultural influences between different civilizations. Accordingly, differentiating the cupping practiced in Saudi Arabia, and other Muslims societies from that practiced in other countries like China, by Korea only by the technique or cupping sites is an underestimation of the differences. In Saudi Arabia, the profile or characteristics of cupping therapy user is distinct from the profile of other traditional medicine users by being more educated, with higher job rank and not affected by nationality or gender. After an era of unregulated practice, cupping therapy is currently regulated and monitored by the National Center for Complementary and Alternative Medicine in the Ministry of Health (NCCAM/MOH) of Saudi Arabia. Regulations and licensing include practitioners, practice place, and cupping equipment. After regulation, cupping is mainly offered by the private sector and paid directly by the client as insurance does not cover it. In the private sector, licensed cupping service is usually provided as a parallel and not an integrated service. However, there are few models of integrated cupping clinic in universities, academic institutions, and governmental hospitals. Further health system research is needed to develop more models of integrated cupping service pending for the healthcare transformation which is going on in Saudi Arabia.

The future of integrative health and medicine in Saudi Arabia

Mohamed K.M. Khalil,Sulaiman Al-Eidi,Meshary Al-Qaed,Saud AlSanad 한국한의학연구원 2018 Integrative Medicine Research Vol.7 No.4

Saudi Arabia is witnessing a healthcare transformation to face the challenges of the increased burden of noncommunicable diseases and to maintain the quality of healthcare services. However, in Saudi Arabia, where low back and neck pain, depressive disorders, migraine, diabetes, and anxiety disorders cause the most disability, a broader way of integrative health approach is needed to foster healthy lives and promote well-being for all ages. In the presence of the advanced modern medicine healthcare system in Saudi Arabia, the traditional medicine healing system is being used by a substantial proportion of Saudis but like a shadow healthcare system. This phenomenon of using two healthcare systems reflects a need for an integrative healthcare system. Integrative medicine or approach is about bringing traditional, complementary, and modern medicine in a harmonized system of healthcare which can give a high return and save cost. The rationale behind integrative medicine is to include the best practices of both conventional and complementary therapy, uniting these practices into an integrative approach. Pain management, care of cancer patients, and behavior change are among the leading areas of integration models that should be included in healthcare transformation in Saudi Arabia. Investment in behavior change and well-being outside the boundaries of the healthcare system in the Saudi 2030 vision will have more impact on health and wellness of the Saudi citizen in the face of the epidemics of the lifestyle diseases. Models of integrative medicine during the healthcare transformation can be developed, evaluated, and replicated.