Hijama for the cupping therapist ....................

Hijama for the cupping therapist ....................

1. AL-HIJAMA _ Reviving The Sunnah Dr. Azmath Khan Physiomatix

2. The word has been derived from “ Hajam ” an Arabic word which means to reduce, to bring back to normalcy, to suck, it also translates to “ restore to basic size. ” The Prophet Muhammad (PBUH) is reported to have been user and advocated his companion that “ Cupping and puncturing veins are your best remedies.” Dr. Azmath Khan Physiomatix Literal meaning of Hijama

3. Hijama is a mode of treatment, which is carried out by creating a partial vacuum in the cupping glasses placed on the body surface by means of fire or suction, to evacuate morbid material or to divert the material from the deeper tissues of diseased part or to return a displaced organ to its normal position or to encourage the blood flow to the site. DEFINITION:

4. From a biomedical point of view, mechanical stimulation due to negative pressure in the cup activates local tissue metabolism, intensifies the phagocytosis and promotes a healing response. Dr. Azmath Khan Physiomatix What does Hijama do?

5. Dredging the channel and collaterals; activating vital energy and blood circulation. Bi-directional regulation and treating different diseases with same therapy. To prevent invading disease and treat the root cause of the disease. To maintain both physical and metaphysical aspect. Dr. Azmath Khan Physiomatix PRINCIPLE OF CUPPING

6. Dry cupping that is without scarification/ hijamat bila shurt / hijama jaffa . Wet cupping/cupping with scarification/ hijamat bil shurt / hijamat rataba / hijamat damiya . Dr. Azmath Khan Physiomatix CLASSIFICATION OF HIJAMA

7. Shastra visravana : Blood letting is performed by using instruments like prachana (bloodletting through multiple incisions). Siravedhana ( Vene -puncture). Anushastra Visrana : Jalaukavacharana (application of leeches). Shring Vacharana (sucking blood through cow’s horn). Alabu (using bottle guard for kapha dosha ). Yantraprayoga ( ghati Yantra or mud cups). Dr. Azmath Khan Physiomatix Classification in AYURVEDA

8. Dr. Azmath Khan Physiomatix Use of horn in cupping therapy

9. Dr. Azmath Khan Physiomatix MODERN CUPPING

10. Dr. Azmath Khan Physiomatix UP FOR CUPPING  Dwayne ‘The Rock’ Johnson shows off results of cupping therapy on his back

11. DRY CUPPING. Weak/light cupping. Medium cupping. Moving or massage cupping Needle cupping. Hot cupping or moxa cupping. Empty flash cupping. Herbal cupping. Water cupping. Ice cupping. Magnetic cupping . Dr. Azmath Khan Physiomatix TYPES OF CUPPING

12. Bleeding/full cupping/blood letting/ hijama . Dr. Azmath Khan Physiomatix WET CUPPING

13. PRE-PROCEDURE : The patient should bring a loose top/t-shirt or a dressing gown along with them. Patient are advised to inform practioner about his or her full medical history. Patient will be given a form to be filled out before cupping session. If the patient is going to have it done on his or her arms and legs area, it is advisable to epilate these areas in the form which he fills prior to having the procedure. Dr. Azmath Khan Physiomatix PROCESS OF PERFORMING CUPPING

14. The patient should be advised not to eat for at least 2 hours before the procedure, so that the body is not occupied with digesting food, it means, no food or drinks until the procedure is completed. It is best to eat healthy food 24 hours before and after treatment. Administer the reading and values of blood pressure, glucose and pulse of the patient. If possible obtain clotting time and bleeding time respectively. Avoid wet cupping on the contraindicated areas. Dr. Azmath Khan Physiomatix Contd.

15. Before going to proceed for bleeding cupping/ hijama , the patient must undergo pre-procedure care . Ask the patient to sit on a stool with support of knee high or sleeping posture depending on the targeted area. Then mild massage on the areas which needs to be cupped. Firstly, the desired area is cleansed with solution to keep hygiene. Then apply any gel (lignocaine gel or olive oil) to create an anesthetic effect. Dr. Azmath Khan Physiomatix MAIN PROCEDURE

16. A cup is applied to the skin creating suction (3 pulls) for about 3 to 5 minutes on desired location. Remove and inspect for any blisters or stagnation. Make an incision about 0.5 cm on the superficial skin layer with surgical blade or lancet. Keep the cup on for 5 minutes. You should be careful that the patient should not bleed more than 20 ml to 100 ml at one time . Dr. Azmath Khan Physiomatix Follow the following method

17. Practioners should be very careful while removing blood from the cups, most of the blood will be semi-coagulated. After completion of the whole process, apply antibiotic solution or ointment. Dress the area with gauze if required. Dr. Azmath Khan Physiomatix

18. 1 . Use the instrument quickly and only once. 2. Incise the superficial skin only. 3. Incision should not be too deep. 4. Vital points should not be damaged . Dr. Azmath Khan Physiomatix NOTE :

19. 1 . Eat healthy meals after treatment. 2. Apply black seed, olive or coconut oil to the area if irritation occur. 3. Do not have shower or bath for 24 hours. 4. Drink plenty of fresh fruit juice. 5. Rest/sleep after the procedure. 6. Avoid eating meat or fizzy drinks or dairy products for next 24 hours. Dr. Azmath Khan Physiomatix Post-procedure precautions

20. THE POINTS LOCATED ON THE HEAD AND NECK Al- Yafookh ( Sinciput ). Al- Zoaaba . Jauzat-ul-Qamahaduah (occiput). Nuqratul Qafaa (nape of neck). Al- Akhdain (lateral sides of the neck). Zaqan (chin) Uznain (post auricular ) Dr. Azmath Khan Physiomatix SUNNAH POINTS

21. Al- Kahil Mankibain / katifain (shoulders) Tahtal Katif Tahtal Sadyain (below the bust line) Naqghiz (hypochondriac region) Qatan (lumbar region) Al- warikhain (buttocks) Usus (coccyx ). Dr. Azmath Khan Physiomatix The points on the back

22. Fakhzain (thighs). Al- fauqul Ruba (knee). Saqain (legs) Urqubain ( Tendo Achilles). Kaabain (Ankles) Zahr -al- Qadam Sureen yapusht . Dr. Azmath Khan Physiomatix The points on the Limbs

23. Al- Yafookh ( Sinciput ). LOCATION: The anterior fontanelle point- It is said that the energy enters from this point and run across the body. It also removes evil spirit and poison from the body. Indications: Sinusitis, epilepsy, migraine, spasm in the head, vertigo, joy and sorrow, fear, fright, friendship, liking and disliking, somatic and antisomatic body alteration etc. Dr. Azmath Khan Physiomatix The points on the scalp

24. Location: Center of the head Indications: Headaches, vertigo, fainting, tinnitus, nasal obstruction, coma, mental disorders, epilepsy, forgetfulness, tremors, snap fingers and thumb, hangover after drinking, shock, tastlessness , imbalance in walking and standing, suffocation, high blood pressure. Dr. Azmath Khan Physiomatix Al- Zoaaba

25. Location: Back of the head over the occipital area. Also called as initiation of energy point. INDICATIONS: Dizziness, neck rigidity, epilepsy, headache, Excess salivary excretion, MR, parkinson , strain on eyes, insomnia, uneasiness, migraine, presbyopia, conjunctivitis, glaucoma, depression, melancholia. Dr. Azmath Khan Physiomatix Jauzat-ul-Qamahaduah (occiput )

26. Location: Back of neck at the hollow space at Atlas region. Indications: Neck stiffness, cervical spondylosis , nervous disorders, vertigo, spasm in neck, convulsions, bell’s palsy, speech impairment, emotional disorder and tinnitus. Dr. Azmath Khan Physiomatix Nuqratul Qafaa (nape of neck )

27. Location: Sides of the neck. Beneficial point for general health. Indications: Pain in the eyes and orbit, madness, loss of sense of smell, pain in shoulder and neck, vertigo, severe headaches, circulatory disorder, general health maintenance. Dr. Azmath Khan Physiomatix Al- Akhdain (lateral sides of the neck )

28. Location: Between scapular area. INDICATIONS: General health, neck pain and rigidity, malaria, febrile diseases, epilepsy, cough, asthma, common cold, paralysis, bronchitis, nasal congestion. Dr. Azmath Khan Physiomatix AL-KAHIL

29. Location: Subscapular region. Known to remove toxins and poisons from the body. INDICATIONS: Bronchial asthama , stress and strain, perspiration during sleep, pain in flanks, all types of fevers, seizures, COPD. Dr. Azmath Khan Physiomatix TAHTAL KATIF

30. LOCATION: Bilaterally on the back of back of gluts. INDICATIONS: Back pain, sciatica, AS, hip pain, piles, fistula, fissures, obesity, coccydynia. Dr. Azmath Khan Physiomatix Sureen Yapusht

31. Location: Anterior to the hip, some books also states posterior to the hip. INDICATIONS: Abdominal disorders, appendicitis, pain in genitals, urine retention, PCOD, metrorrhagia , amenorrhea, dysmenorrhea, uterine fibroids, hydrocele, gastritis, constipation. Dr. Azmath Khan Physiomatix Al Warikhain

32. LOCATION: Suprapatellar region (above the knees). INDICATIONS: Osteoarthritis, osteomalacia , gout, rheumatoid, knee pains, effusions… Dr. Azmath Khan Physiomatix Fauqa -al- ruqba

33. LOCATION: Dorsum of the foot. INDICATIONS: Edema, varicose veins, diabetic neuropathy, elephantiasis, paralysis, ankle sprain, ascites, gout.d Dr. Azmath Khan Physiomatix Zahr -Al- Qadm

34. Location: Human chin. INDICATIONS: Diseases of the tooth, face, throat, head, mandible, maxilla, bad breath, glossitis , pustules of mouth, oral thrush, and tonsillitis. Dr. Azmath Khan Physiomatix Zaqan (mental protuberance)

35. LOCATIONS: Behind the area. INDICATIONS: Blepharitis , heaviness of the eyelids, headaches due to heat. Dr. Azmath Khan Physiomatix Uznain (post auricular)

36. Location: Upper trapezius area. Indications: Palpitation due to congestion and heat, hepatalgia , liver diseases, splenalgia . Dr. Azmath Khan Physiomatix Mankibain

37. LOCATION: Below the bust line. Indications: Metrorrhagia , Menorrhagia. Dr. Azmath Khan Physiomatix Tahtul Sadyain (Below the bust line)

38. Location: Lower part of the back. Indications: Boils of the thigh, pruritus, gout, hemorrrhoids , pruritus of the back, pain in the back. Dr. Azmath Khan Physiomatix QATAN (lumbar region)

39. Location: Tail bone. Indications: hemorrhoids, proctitis , hematuria, heat of kidneys, burning on micturition, oophoritis and pruritis vulvae. Dr. Azmath Khan Physiomatix Usus (coccyx)

40. While choosing the metaphysical point along with the physical traetment , choose the nearest point of the causative factor anatomically. For general health, always include Kahil and Akhdain . For chronic diseases, always include Sunnah points in the treatment along with area involved. Dr. Azmath Khan Physiomatix Some important points to remember

41. While doing sunnah , have a strong intension over the consciousness as it is a metaphysical point. Dr. Azmath Khan Physiomatix

42. Dr. Azmath Khan Physiomatix