Hasbani Georges El, Jawad Ali, Uthman Imad
Division of Rheumatology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Department of Rheumatology, Royal London Hospital, Bancroft Road, London, United Kingdom.
Mediterr J Rheumatol. 2021 Dec 27;32(4):316-323. doi: 10.31138/mjr.32.4.316. eCollection 2021 Dec.
Although practiced initially for the alleviation of pain, cupping therapy (Hijama in Arabic) has been used for a variety of medical conditions, including autoimmune and autoinflammatory diseases, with variable outcomes. In recent years, scientific research on the effectiveness of cupping in the treatment of various diseases has accelerated. Relevant literature to identify the types of cupping along with its association with certain rheumatic conditions was screened through a search of the online databases (MEDLINE, PubMed, and Google Scholar) for an indefinite period. Many reports have drawn serious rheumatic side effects which led medical providers to raise the voice against its practice. Moreover, the rare induction of rheumatic conditions has been partly referred to the immunomodulatory effect that cupping exerts in the body. Cupping therapy still needs more evidence to be labelled as therapeutic procedure for rheumatic conditions. Many studies agree that cupping works best when used in combination to pharmacotherapy. Other studies find no clinically significant beneficial role.
尽管拔罐疗法（阿拉伯语称“希贾马”）最初是用于缓解疼痛，但它已被用于多种医疗状况，包括自身免疫性和自身炎症性疾病，不过疗效各异。近年来，关于拔罐治疗各种疾病有效性的科学研究加速推进。通过对在线数据库（MEDLINE、PubMed和谷歌学术）进行不限期检索，筛选出了有关拔罐类型及其与某些风湿性疾病关联的相关文献。许多报告指出了严重的风湿性副作用，这使得医疗从业者对其应用提出了反对意见。此外，风湿性疾病的罕见诱发在一定程度上归因于拔罐在体内产生的免疫调节作用。拔罐疗法要被认定为治疗风湿性疾病的方法仍需要更多证据。许多研究一致认为，拔罐与药物疗法联合使用时效果最佳。其他研究则未发现其具有临床显著的有益作用。
