brief description about indication, contraindication and safety measures of cupping. Therapist should know this before CUPPING application

1. DANGERS OF CUPPING

2. Where not to apply Cup
• Over an artery
• DVT
• Over an ulcer
• Where you can feel pulse

3. Absolute Contraindicated
• Patient with cardiac pacemaker
• Swollen, bruised area
• Ulcerated skin
• Cancer patient
• Muscle spasm due to fracture
• Pregnant & menstruating women
• Wet cupping in female breast

4. Precaution should be taken……….
• Hemophilia
• Thrombocytopenia
• Pregnant
• Allergic skin reaction
• Dizziness
• If the patient feel dizzy or fainting then stop application & give the patient
fluid and rest
• Electronic equipment should not used at the time of electro cupping

5. • Dry cupping below 3 years can not apply
• Wet cupping below 11 years & above 65 years should be avoided
• Pt with high fever, convulsion should not cupped
• Abdominal point is contraindicated for pregnant
• Should not done in fatigued, hungry/thirsty, or pt who indulge in alcohol

6. Safety aspect
• Use of disposable latex gloves is must
• BP & pulse should be checked prior to cup
• Surgical blades used for incision in wet cup should be disposable
• Incision should be done superficial, only the epidermis

7. Technical aspect
• Obese patient suffering from polycythemia(increase in no of RBC & decrease in
plasma volume, blood gets thickened) should take shower 1-2 hrs before cupping to
stimulate peripheral blood flow
• Pt should be anxiety free
• Wet cupping better not to do in empty stomach
• Area of application should be hair free

8. • Antiseptic cream should apply at incision point
• Advice the patient for adequate fluid intake
• Solid food preferably avoided up to 3 hours after strong
cupping, wet cupping and needle cupping
• Pt can take shower after 12 hours of cups
• Sexual activities should refrained for 1 day