Nimrouzi Majid, Mahbodi Ali, Jaladat Amir-Mohammad, Sadeghfard Abbas, Zarshenas Mohammad M
Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
J Evid Based Complementary Altern Med. 2014 Apr;19(2):128-36. doi: 10.1177/2156587214524578. Epub 2014 Feb 25.
Traditional Persian medicine is based on humoral medical concepts. In the case of abundant blood in the body, tabi'at (body nature) deals with this imbalance by elimination of the morbid substances via some controlling mechanisms. If tabi'at could not react properly, the physician should prescribe an intervention to let the extra blood out. This can be done through phlebotomy, wet cupping, and the use of leech or scarification of the ears. Cupping with scarification may eliminate the morbid substance through the scarified skin, and cupping without scarification evacuates the morbid materials from the compromised organs. Wet cupping in health state is meant to be applied for preventing the blood humor dominance in susceptible individuals. In disease condition, wet cupping is defined as a treatment in which the patients confront the abundance of blood. Wet cupping may have harmful complications in extremely thin or obese patients. Wet cupping should be postponed in patients compromised by diseases especially in the thick phlegm abundance. In Asia, Iranian people, because of religious beliefs, are very interested in cupping therapy. Many unsupervised cupping procedures are performed in Iran, whereas benefits and risks of these procedures are undetermined by providers and clients. In this study, the most important indications and contraindications of wet cupping have been reviewed based on the traditional Persian medicine resources.
传统波斯医学基于体液医学概念。当体内血液过多时,身体本质(tabi'at)会通过一些控制机制清除致病物质来应对这种失衡。如果身体本质无法正常反应,医生应开出干预措施以使多余的血液排出。这可以通过放血、湿拔罐、使用水蛭或耳部划痕来实现。划痕拔罐可通过划痕皮肤消除致病物质,无划痕拔罐则从受损器官排出致病物质。健康状态下的湿拔罐旨在用于预防易感个体中血液体液占主导。在疾病状态下,湿拔罐被定义为一种让患者应对血液过多情况的治疗方法。湿拔罐在极度消瘦或肥胖的患者中可能会有有害并发症。对于患有疾病尤其是痰浊过多的患者,应推迟进行湿拔罐。在亚洲,伊朗人由于宗教信仰,对拔罐疗法非常感兴趣。在伊朗,许多拔罐程序是在无人监督的情况下进行的,而这些程序的益处和风险提供者和客户都不明确。在本研究中,基于传统波斯医学资源对湿拔罐的最重要适应症和禁忌症进行了综述。
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