Smoking Clinical Trial
Official title:
Short Term Effect of Wet Versus Dry Cupping on Chest Expansion in Sedentary Smokers
Although cupping remains a popular treatment modality worldwide, its efficacy for most health issues has not been scientifically evaluated so further studies are needed . Claims of cardiac, vascular and respiratory protective role of inter-scapular (alkhil cupping). No studies investigated the acute effect of wet versus dry cupping - on an important cupping area like alkhil hence the importance of this study comes.
The interscapular area is used for wet cupping therapy (WCT) and was found to have special
features: brown adipose tissue, immediate proximity to sympathetic ganglia, passage of the
thoracic duct, two important acupuncture meridians, and proximity to the main vessel
divisions carrying blood from the heart and the brain. These features indicate that the
interscapular application of WCT not only discharges waste materials through a shifting of
blood to the site after application of a traction force but also invigorates the body's
metabolism, increases immunity, and regulates blood biochemistry, which are desired
therapeutic effects of WCT.
One of known in Sunnah and in Arabic main cupping points of interscapular area is (alkahil),
opposite to thoracic (T) T1—T3 scapular spine .
Prophetic medicine was our reference in selecting back points e.g. the Kahel region seems to
be the most suitable point for practicing Al-hijamah for therapeutic and preventive purposes
and is regarded as a common place for clearing blood coming to the skin circulation in
treating many disease conditions. Kahel region is a prominent anatomical landmark and its
surface marking is easy to be detected on the midline of the back at the junction of the back
of the neck with the back region. Other related positions can be defined as above kahel
region, below kahel region, to the right of kahel region and to the left of it.
Prophetic medicine recommended to practice Alhijamah on mainly skin over 7th cervical (C7)
vertebral spine to get the maximal therapeutic benefit. Gavernorer vessel (GV) GV 14, one of
the cardinal points of the governing channel, is also located next to the interscapular site
on or just below the spinous process of C7. Unblocking this point, which is associated with
general energy excess, may balance the functions of all body organs. Clearly, more
investigations are needed to clarify every facet of activating the functions of GV cardinal
points during WCT applied to the interscapular area.
Before starting the study, clearance will be obtained from the institutional ethical
committee and prior informed consent of all the participants will be obtained before
conducting the study.
forty smoker men will be randomly selected and divided to 2 groups equal in number for each.
(Group A) will receive single wet cupping session. (Group B) will receive single dry cupping
session. The following points will be selected for cupping in both groups. The first site is
between the two scapulae (interscapular), opposite the T1—T3 scapular spine. This area is
called Al-Kahil in Arabic. The second site is located on the spinous process of seventh
cervical vertebra and it is called GV14 in Chinese medicine. The third site is BL-17 (Ge Shu
Diaphragm Shu) is located 1.5 cun lateral to the lower border of the spinous process of the
seventh thoracic vertebra (T7). BL 17 can directly act on the septum transversum of
diaphragm. Cupping of bladder 17 will be done bilaterally.
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