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21 Oct 2015

Wet cupping therapy (WCT) "Turks say hacamat as well as other persian name is hijamat" is an easy and economic treatment that also needs scientific interpretation. It treated
effectively diseases with assorted etiologies and pathogeneses e.g. rheumatoid arthritis symptoms (RA), hypertension, migraine,- Hacamat
carpal tunnel (CTS), fibromyalgia, cellulitis among others. Here, we review medical and scientific bases
underlying cupping therapy and introduce Taibah theory as a novel evidence-based scientific mechanism to explain
it. Briefly, in Taibah theory, WCT is really a minor surgical excretory procedure related scientifically for the principles of
renal glomerular filtration and abscess evacuation, when a pressure-dependent excretion of causative pathological
substances (CPS) occurs. CPS include disease-causing substances and disease-related substances (that result
during disease pathogenesis). Negative pressure put on skin surface causes local collection of filtered and
interstitial fluids containing CPS at skin upliftings inside cups. Scarifying skin upliftings then cupping causes
a pressure gradient along with a traction force across the skin and capillaries to excrete collected fluids with CPS and
cause bleeding at puncture sites. This increases filtration at both capillary ends to result in clearance of blood and
interstitial spaces from CPS. WCT gains advantage from the suction pressure, phenomenon of reactive hyperemia, nitric oxide supplement
production and skin scarifications (openings in skin barrier) in enhancing natural excretory skin functions, improving
lymphatic and capillary circulations and restoring homeostasis. Reported CPS of RA include autoantibodies, immune
complexes, soluble interleukin-2 receptors, inflammatory mediators, certain cytokines, prostaglandins, toxic cellular
products and rheumatoid factor, while CPS of CTS include malondialdehyde, interleukin 6, prostaglandin PGE- 2
and progressive edema (causing pain). WCT-induced filtration pressure may excrete those CPS in cupped blood.
Prophetic medicine (in connection with Prophet Mohammad peace be upon him) recommends WCT: �The best among
that which you use in therapy is Al-hijamah (prophetic technique of WCT / hacamat tedavisi)�. In conclusion, WCT has scientific bases in- Hacamat
treating different diseases to be the only treatment that clears blood and interstitial fluid from CPS.Therapeutic
great things about WCT is related to the amount of excreted CPS not the amount of letted blood.


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