Bekam

Untuk
Jantung dan
Stroke
DENGAN MEMAHAMI HRV TEST
 Jasa Guru Tak Terbalas, Ilmu yang Berkah adalah ilmu yang
menghargai Guru, Untuk Semua Guru-guru yang tersebut maupun
tak tersebut, untuk mereka semua Al Fatihah
‫‪Bismillahirrohmanirrohiim.‬‬

‫َ‬
‫خل َ‬
‫ق▪‬ ‫ي َ‬ ‫َّ‬
‫ك ال ِذ ْ‬
‫م َربِ َ‬ ‫ْ‬
‫اس‬ ‫ْ‬ ‫ْ‬
‫ِ‬ ‫اِ َ ِ‬
‫ب‬ ‫أ‬ ‫ر‬ ‫ق‬

‫ن َعلَق▪‬ ‫س َ‬
‫ان ِم ْ‬ ‫ق ِْ‬
‫اْل ْن َ‬ ‫خلَ َ‬
‫َ‬

‫ْ‬ ‫َ‬ ‫ْ‬ ‫َ‬ ‫ُّ‬

‫اِ َ َ ك اْلك َرم▪‬
‫ب‬‫ر‬ ‫َ‬
‫و‬ ‫ْ‬
‫أ‬ ‫ر‬ ‫ْ‬
‫ق‬
 10
LAKI-LAKI DAN PEREMPUAN

Stroke Jantung & pembuluh

darah
21,1% Diabetes melitus Hipertensi
dan dengan
komplikasinya komplikasinya
Pneumonia
Tuberkulosis Infeksi saluran
12,9% pernapasan pernapasan Kecelakaan
bawah lalu lintas Diare disertai
infeksi
Liver pencernaan
6,7%
5,7% 5,3% 4,9%
2,7% 2,6% 2,1% 1,9%

Sumber: SRSI (Balitbangkes Kemenkes RI)

Jantung
TAK TERLIHAT TAPI BILA TAK TERASA
SEMUA BERUSAHA MELIHAT
Al Quran bicara tentang Penciptaan

▪ ‫ض َغ َة‬ ْ ‫خلَ ْقنَا ْالم‬ َ ‫ض َغ ًة َف‬ْ ‫خلَ ْقنَا ْال َعلَ َق َة م‬َ ‫ط َف َة َعلَ َق ًة َف‬ ُّ ‫خلَ ْقنَا‬
ْ ‫الن‬ َ ‫م‬ َّ ‫ث‬
‫ّللا‬ ٰ ‫ك‬ َ ‫خ َۗ َر َف َتبَا َر‬ َ ‫ش ْأنٰ ه‬
َ ‫خ ْل ًقا ٰا‬ َ ‫م اَ ْن‬
َّ ‫ما ث‬ ً ‫ح‬ْ َ‫م ل‬َ ‫ظ‬ٰ ‫س ْونَا ْال ِع‬َ ‫ك‬َ ‫ما َف‬
ً ‫ظ‬ٰ ‫ع‬ِ
َ‫سن ْال ٰخلِ ِق ْي َۗن‬ َ ‫ح‬ ْ َ‫ا‬
▪ Kemudian, air mani itu Kami jadikan sesuatu yang
melekat, lalu sesuatu yang melekat itu Kami jadikan
segumpal daging, dan segumpal daging itu Kami jadikan
tulang belulang, lalu tulang belulang itu Kami bungkus
dengan daging. Kemudian, Kami menjadikannya
makhluk yang (berbentuk) lain. Mahasuci Allah, Pencipta
yang paling baik.
 Proses Penciptaan Manusia

Langkah Pertama Langkah Keempat

Air mani → Alaqoh (Lintah) Tulang belulang → Daging+kulit

Langkah Kedua Langkah Keenam

Segumpal Darah Daging + kulit→ Bentuk Manusia
Alaqoh(Lintah)→
(Mudhgah)

Langkah Ketiga Lahir

(Mudhgah)Jantung→ Tulang Belakang

َ َ‫َت صَل‬
‫ح‬ ْ ‫ض َغ ًة إِ َذا صَلَح‬
ْ ‫َس ِد م‬
َ ‫ج‬ ‫ال‬ ‫ي‬ ِ ‫ف‬ َّ
‫ن‬ ‫وإ‬ ‫ْل‬َ ‫أ‬
َ ُّ ُّ ِ
‫سد كله أْل‬ َ ‫ج‬ َ ‫س َد ال‬ َ
َ ‫سدَت ف‬ َ َ
َ ‫َسد كله وإذا ف‬ َ ‫الج‬
.‫“ رواه البخاري ومسلم‬.‫َهي ال َق ْلب‬ َ ‫و‬
“Ketahuilah, sesungguhnya dalam tubuh
manusia ada segumpal daging, jika
segumpal daging itu baik, maka akan baik
seluruh tubuh manusia, dan jika segumpal
daging itu buruk, maka akan buruk seluruh
tubuh manusia, ketahuilah bahwa
segumpal daging itu adalah Qolbu
manusia.” (HR. Bukhari dan Muslim)
▪ Macam-macam penyakit jantung tersebut
antara lain:
▪ Penyakit jantung koroner. ...
▪ 2. Serangan jantung. ...
▪ 3. Aritmia. ...
▪ Kardiomiopati. ...
▪ Gagal jantung. ... Macam-macam
▪ 6. Penyakit jantung bawaan. ... penyakit terkait
▪ 7. Penyakit katup jantung. ...
Jantung
▪ 8. Endokarditis. dll
:‫م‬ َّ
ْ ‫السلِ ْي‬ ‫القلب‬
. ‫وهو مخلص هلل وخال من الكفر والنفاق والرذيلة‬
} ‫سلِيم‬ َ ‫َن أَتَى اللَّـ َه بِ َق ْلب‬
ْ ‫{ إِ َّْل م‬
﴾٨٩ :‫﴿الشعراء‬

.1qolbu yang SALIM yang suci

" Yaitu qolbu yang ikhlas dan kosong dari sifat kufur, munafik,
dan kotoran." (Asy-syuara : 89).

:‫ب‬ْ ‫القلب المنِ ْي‬

. ‫وهو دائم الرجوع والتوبة إلى هللا مقبل على طاعته‬
﴾٣٣ :‫ب َوجَا َء بِ َق ْلب ُّمنِيب } ﴿ق‬ ْ ِ‫حم َٰـنَ ب‬
ِ ‫ال َغ ْي‬ ْ ‫ي ال َّر‬
َ ‫ش‬ ْ ‫{ َّم‬
َ ‫ن‬
ِ ‫خ‬ Tapi Bagaimana
.2qolbu yang MUNIB yang selalu inabah
Quran Melihat
" Yaitu qolbu yang selalu kembali dan tazkiyah taubat kepada
Allah dengan selalu mengerjakan perintahNya." Al Quran (Qaff :
Qolbu “Sehat”
33).
 Bagaimana Quran melihat Qolbu yang “SEHAT”

▪ :‫ت‬ْ ‫خ ِب‬
ْ ‫القلب الم‬
. ‫الخاضع المطمئن الساكن‬
}‫م‬ ْ ‫ت لَه قلوبه‬ ْ ‫{ َفت‬
َ ‫خ ِب‬
﴾٥٤ :‫﴿الحج‬

.3qolbu yang MUKHBIT yang tunduk

" Yaitu qolbu yang selalu patuh merendah yang tenang dan lapang Sakinah ".
(Al-hajj : 54).

:‫ل‬ْ ‫ج‬ِ ‫القلب الو‬

.‫جى من عذاب ربِه‬ َّ ‫وهو الذي يخاف هللا عز وجل أْل َّ يقبل منه العمل وأْل َّ ي َن‬
َ ‫جع‬
} ‫ون‬ ْ ‫ى َربِ ِه‬
ِ ‫م َرا‬ َ ‫ل‬ ‫إ‬ ْ
‫م‬ ‫ه‬ َّ ‫ن‬َ‫ة أ‬
ٌ َ ‫جل‬
ِ ‫م َو‬ َ ‫{ وَالَّ ِذينَ ي ْؤت‬
ْ ‫ون مَا آتَوا َّوقلوبه‬
ٰ ِ
﴾٦٠ :‫﴿المؤمنون‬

.4qolbu yang WAJAL yang bergetar

" Yaitu qolbu yang selalu takut kalau tidak mengerjakan perintah dan tidak selamat dari
azab". (Al-mukminun : 60).
 Bagaimana Quran melihat Qolbu yang “Sehat”

▪
:‫ي‬ ْ ‫القلب ال َّت ِق‬
. ‫يعظم شعائِر هللا‬ ِ ‫وهو الذي‬
ِ ‫ش َعائِ َر اللَّـ‬
} ِ‫ه َف ِإنَّهَا ِمن تَ ْقوَى ْالقلوب‬ ْ ‫ظ‬
َ ‫م‬ َ ِ‫{ ٰ َذل‬
ِ ‫ك َومَن ي َع‬
٣٢ :‫﴿الحج‬

.5qolbu yang TAQIY yang bertakwa

" Yaitu qolbu yang selalu mengagungkan syiar Allah". (Al-hajj : 32)

: ‫القلب الم َْه ِدي‬

. ‫ال َّراضي بقضاء هللا وال َّتسليم بأمره‬
ِ ‫{ َومَن ي ْؤ ِمن بِاللَّـ‬
} ‫ه ي َْه ِد َق ْلبَه‬
﴾١١ :‫﴿التغابن‬

.6qolbu yang MAHDIY yang diberi hidayah

" Yaitu qolbu yang selalu ridho dengan takdir Allah dan berserah atas perkara nya. " (At-taghabun : 11)

:‫ن‬ْ ِ‫مئ‬ ْ ‫القلب الم‬

َ ‫ط‬
‫يسكن بتوحيد هللا وذكره‬
}‫ه‬ ِ ‫ن قلوبهم بِ ِذ ْك ِر اللَّـ‬
ُّ ِ‫مئ‬ ْ َ‫{ َوت‬
َ ‫ط‬
﴾٢٨ :‫﴿الرعد‬
Bagaimana Quran melihat Qolbu yang “Sakit”

▪ qolbu yang MARIDH, yang sakit. "Yaitu qolbu yang terkena penyakit seperti
ragu, munafik, yang didalamnya ada ilham untuk fujur, mendorong kepada
syahwat haram." (QS. Al-Ahzab: 32)
▪ qolbu yang A'MAA, yang buta. "Yaitu qolbu yang tidak bisa melihat kebenaran,
dan ibrah dari bashirahnya." (QS. Al-Hajj : 46)
▪ qolbu yang LAHIY, yang lalai. "Yaitu qolbu yg selalu lalai daripada al-quran.
Selalu terlena, sibuk dgn kebatilan dunia dan syahwatnya." (QS. Al-Anbiya: 3)
▪ qolbu yang ATSIM, yang berdosa. "Yaitu qolbu yang menyembunyikan kesaksian
terhadap kebenaran." (QS. Al-Baqarah: 283)
▪ qolbu yang MUTAKABBIR, yang sombong. "Yaitu qolbu yang tidak mau
mentauhidkan Allah dan ketaatan padaNya. Banyak melakukan kezaliman dan
permusuhan." (QS. Ghafir: 35)
▪ qolbu yang GHALIDH, yang kasar. "Yaitu qolbu yang dicabut rasa empati dan
kasihan terhadap sesama." (QS. Ali 'Imran: 159)
Doa agar memiliki Qolbu yang “Sehat”

ْ ‫طال ً وَا ْرز ْقنَا‬

▪ ‫اجتِنَابَه‬ ِ ‫اعه وَأَ ِرنَا ْالبَا‬
َ ‫ط‬
ِ ‫ل بَا‬ َ َ‫َقا وَا ْرز ْقنَا اتِب‬ َّ ‫م أَ ِرنَا ْالح‬
ًّ ‫َق ح‬ َّ ‫للَّه‬

Ya Allah perlihatkanlah kepada kami yang benar itu benar dan bantulah
kami untuk mengikutinya, dan perlihatkanlah kepada kami yang batil
adalah batil dan bantulah kami untuk menjauhinya.
▪ ‫ها‬ َ ‫ أَ ْن‬،‫ها‬
َ ‫ت َولِيُّهَا َو َم ْو َْل‬ َ ‫َن ز ََّكا‬
ْ ‫خ ْير م‬ َ ‫ أَ ْن‬،‫ َو َزكِهَا‬،‫ها‬
َ ‫ت‬ َ ‫ي تَ ْقوَا‬ َّ ‫اَللَّه‬
ِ ‫م آتِ نَ ْف‬
ْ ‫س‬
▪ Allaahumma aati nafsii taqwaahaa wazakkihaa, anta khairu man
zakkaahaa, anta waliyyuhaa wa maulaahaa.
▪ Ya Allah, anugerahkanlah kepadaku ketakwaaan jiwa dan sucikanlah ia,
karena Engkaulah sebaik-baik Rabb yang mensucikannya, Engkau
pelindung dan Pemeliharanya.
▪ HR. Muslim.
Bekam Untuk Gangguan Jantung dan Stroke
Hipertensi merupakan masalah di Dunia

▪ Hypertension is the public health problems

▪ Aproximately 50 million individual in the US
▪ Aproximately 1 billion world wide
▪ One of the mayor risk factor in cardiovascular
disease
▪ WHO : hypertention causes 1 in every 8 death
world wide
Classification of Blood Pressure JNC VI/WHO

Blood Press SBP mm Hg DBPmm Hg

Classification
Optimal < 120 < 80
Normal < 130 < 85
High Normal 130 – 139 85 – 89
Grade 1hyp 140 – 159 90 – 99
Boorder line 140 – 145 90 – 94
Grade 2 hyp 160 – 179 100 – 109
Grade 3 hyp >180 >110
Isolated Hyp > 140 < 90
 JNC VII ( 2003 )

Blood Press SBP mm Hg DBP mm Hg

Classification
Normal < 120 < 80
Pre Hyperten 120 – 139 80 – 89
Hypertension :
Stage 1 140 – 159 90 – 99
Stage 2 > 160 > 100
The Technique of Blood Pressure
Measurement
The Natural History of untreated Essential
Hypertention
Complication in 500 Untreated Hypertensives
Risks of CV Events By Hypertensive Status in
Men and women age 35-64 years

JAMA 1996;275:1571-1576
 Trends in awareness, treatment, and control of
high blood pressure in adults ages 18-74

NATIONAL HEATH AND NUTRITION EXAMINATION

SURVEY,PERCENT

II III (PAHSE III (PHASE 1999-2000

(1976-80) 1 1988-91) 2 1991-94)

Awareness 51 73 68 70

Treatment 31 55 54 59

Control 10 29 27 34
TREATMENT

Goal of therapy
▪ Reduction and Blood Pressure control
▪ Reduction of cardiovascular and renal
morbidity and mortality
 Algorithm for treatment of hypertension
LIFESTYLE MODIFICATION

Not at goal Blood pressure (<140/90 mmHg)

(<130/80 mmHg for patients with diabets or chronic kidney disease )

INTIAL DRUG CHOICES

Without Compelling With Compelling

Indications Indications

Stage 1 Stage 2
(SBP 140-159 or DBP (SBP > 160 or DBP Drug(s) for the
90-99 mmHg > 100 mmHg Compelling indications

Thiazide-type diuretics Two-drugs combination Other antihypertensive

For most. May consider For Most (usually thiazide Drugs (diuretic, ACEI,
ACEI,ARB,BB,CCB, type diuretic and ACEI ARB,CCB) as needed
Or combination or ARB, or BB, orCCB)
 Risk factor stratification and management

Blood Press Risk A Risk B Risk C (>3 risk

(mmHg) No risk (1-2 risk fact) fact)
fact
120/80 -139/89 Life style Life style mod Life style mod +
mod Drugs

140/90 – 159/99 Lsm+drugs Lsm+drugs Lsm+drugs

160/100 Lsm+drugs Lsm+drugs Lsm+drugs

▪ ACEI (ACE inhibitor)
▪ Diuretic (low dose)
▪ Beta Blocker
▪ ARB (Angiotensin Receptor Blocker)
▪ CCB (Calcium Channel Blocker)
Stroke
Disebut juga serangan otak atau
pitam otak adalah kerusakan hebat
pada sebagian otak karena tidak
mendapat aliran darah.

Penyebab
✓ Penyumbatan pembuluh darah karena
bekuan darah (thrombus)
✓ Penyumbatan pembuluh nadi otak
karena kepingan darah beku (embolus)
✓ Pecahnya pembuluh nadi dalam otak
Memahami HRV ( Heart Rate Variability )

Apa beda Heart Rate dengan HRV

HRV Test dengan menggunakan alat teknologi
populer terkini
Heart Rate ( Denyut Jantung ) vs Heart Rate
Variability
Denyut Jantung
▪ Hanya mengukur denyut per menit
▪ Denyut Jantung berubah sesuai
beban kerja jantung.
▪ Semakin cepat biasanya berkaitan
dengan aktivitas yang meningkat
▪ Semakin lambat biasanya berkaitan
dengan kondisi istirahat
Heart Rate Variability
▪ Mengukur variasi antara dua denyut
jantung yang berbeda
▪ Heart Rate Variability sifatnya
Dinamis
▪ Menunjukkan tingkat stress dan
kemampuan untuk merespon
terhadap stress
▪ Menunjukkan tingkat kebugaran
sehingga dapat menjadi alat ukur
program olahraga dan juga
penentuan tindakan terapi
MSI : Mental Stress Index
Beberapa keuntungan memahami HRV
Olahraga
▪ Dapat menyusun rencana olahraga
yang sesuai dengan kebutuhan
energi dan kondisi fit tidaknya tubuh
▪ Dapat mengetahui kemungkinan
kondisi dehidrasi
▪ Mengetahui kondisi kurang tidur
▪ Menyusun rencana olahraga saat
HRV sedang bagus
Terapi ( Bekam )
▪ Dapat menentukan dan
mempermudah apakah Bekam
dapat dengan dilakukan dengan
agresive atau hanya boleh dilakukan
dengan sedikit titik
▪ Menentukan apakah perlu
kombinasi dengan terapi lain yang
berkesesuaian seperti deep
breathing exercise
▪ Dapat mengetahui apakah terapi
bekam yang dilaksanakan
memberikan dampak yang positif
bagi jantung atau sebaliknya.
Keypoint Pemanfaatan Heart Rate Variability Test
Dalam Penanganan Gangguan Jantung
Bekam
▪ Bekam paling baik di lakukan
pada kondisi kelebihan materi
▪ Bekam jika dilakukan dalam
kondisi kekurangan energi harus
sangat berqolbu-qolbu
▪ Kekurangan energi dan
kemampuan tubuh untuk
memperbaiki tubuh dapat
direfleksikan pada HRV Test
Bekam
▪ Sebagai perangsang tubuh untuk
memperbaiki kekurangan di
kombinasikan dengan perbaikan
nutrisi esensia
▪ Sebagai cara untuk mengurangi
inflamasi dan mengurangi
kelebihan materi
▪ Bekam di kombinasikan dengan
terapi puasa dan infra red.
Merupakan cara yang palng baik
untuk mengencerkan darah
Kombinasi Terapi lain dengan Bekam yang memberikan
dampak yang signifikan bagi masalah Jantung dan
Stroke
▪ Bekam
▪ Herbal Therapy
▪ Photobiomodulation Therapy
▪ Fasting
▪ Life Stye Modification
▪ Breathing exercise
▪ Non Invasive Physical Intervention
▪ Ngaji ( Psychoneuroimmunology )
Penelitian Pemanfaatan Photobiomodulation
untuk Terapi Penunjang perbaikan fisik
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC
5505738/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC
5505738/
Herbal – herbal yang baik untuk memperbaiki kondisi
jantung dan memperbaiki kondisi stroke

Herbal Suplementasi
Herbal Obatan :
Puasa sebagai sarana perbaikan kondisi tubuh

Puasa berdasarkan penelitian atau

Puasa Orang Beriman puasa yang tidak ada landasan
syar’i
▪ Puasa Ramadhan
▪ Intermittent Fasting
▪ Puasa Senin Kamis
▪ Puasa Mutih
▪ Puasa 3 hari setiap bulan
▪ Puasa Ngebleng
▪ Puasa Daud
Life Style Modification

Behaviour Changing Risk Factor Management

▪ Drink Water prevent dehydration ▪ Manage obesity,
▪ Fasting
▪ No alcohol consumption ▪ Balancing
▪ Eat when you are hungry ▪ De-Stress, Picnic, Relieve Stress with
▪ Physical exercise hobby

▪ Regular healthy sex with your ▪ Stop smoking

spouse ▪ Pray for your Parents and
▪ Eat clean food and life food Grandparents
▪ Manage your blood sugar level
▪ Fast regularly
Deep Breathing Exercise (as old as Human
History)

Fun fact What to do ?

▪ As we get older we tends to
breath less.
▪ Stress make you breath shallow
and fast
▪ Air pollution make you breath
less and shallow
▪ Program your self for DBE
▪ Not all pain should be treated
with medication
▪ Just Simply Breathe
▪ Learn to let go

▪ Forced Face Mask usage lead to ▪ Do Tilawah with good tajwid and
hypoxia. tahsin
Non Invasive Physical Intervention Therapy

Therapies :
▪ Massage
▪ Reflexiology
▪ Akupresur
▪ PAZ
▪ Etc.
Wet Cupping Therapy in Scientific Light

Research on Wet Cupping Therapy

▪ International Research
▪ Indonesian Research
 Abstract
Background: Wet cupping (Hejamah) has been used as alternative treatment for several diseases.
Objectives:
Materials and methods: 16 participants were treated with hejamah for 2 consecutive months. Blood pressure was
measure before and 30 minutes after the treatment. Blood samples were collected from all participants before and 48
hours after hejamah and all participants were fasting for 12 hours before sample collection.
Results: Fasting blood glucose was significantly decreased before the treatment in the second month only. The levels of
serum triglycerides significantly decreased after the first treatment and remained low in the 2nd month. There was no
significant difference between the different time points in total cholesterol except for the 48 hours of the second month
compared to the samples collected before the procedure of the same month. There was a significant decrease in LDL
and significant increase in HDL following hejamah therapy (P<0.05). Significant decrease in sodium and significant
increase in potassium 48 hours following treatment with hejamah was observed in the 2 months (P<0.05).
Conclusions: The performance of hejamah during fasting state could represent a useful complementary method for the
regulation of diastolic blood pressure and prevention/treatment of risk factors associated with cardiovascular diseases.
Further studies are required to explore the role of hejamah in controlling blood pressure and prevention of cardiovascular
diseases.
Bassem Refaat1*, Adel Galal El-Shemi1,2, Anwar Abdelgayed Ebid3, Ahmed Ashshi1 and Mohammad A
BaSalamah4 1Laboratory Medicine Department, Faculty of Applied Medical Sciences, Umm Al-Qura University, Al
Abdeyah, Makkah, PO Box 7607, KSA 2Department of Pharmacology, Faculty of Medicine, Assiut University, Egypt
3Physiotherapy Department, Faculty of Applied Medical Sciences, Umm Al-Qura University, Al Abdeyah, Makkah, PO
Box 7607, KSA 4Pathology Department, Faculty of Medicine, Umm Al-Qura University, Al Abdeyah, Makkah, KSA To
measure the effects of hejamah treatment for 2 consecutive months in healthy young adult men on blood pressure, blood
glucose, lipid profile, serum sodium and potassium. Diastolic blood pressure, but not systolic, was significantly decreased
following therapy (P<0.05).
Wet cupping protocol
The 16 participants were divided into 3 groups as follow: Group1 included 6 participants and they were requested to attend
fasting for cup therapy on the morning of the 17th of lunar month (Islamic calendar). The second and third groups included 5
participants each and they were requested to attend on the 19th and 21st day of the lunar month, respectively. Before the
initiation of cup therapy, the participants were given instructions on the procedure and the planned steps of the protocol. Blood
pressure was measured and 5ml of venous blood was obtained before the commencement of the procedures.
Cupping therapy were performed using six points on the back of each participants and they were as follow: a) two cups for the
lower end of the neck cervical vertebrate (C7) and thoracic vertebrate (T2), b) two cups on each scapula and c) two cups lateral
to the lumbar vertebrate (L3). The sites of cupping were identified on the back of the participants and they were sterilized using
alcohol swabs. The wet-cupping procedures lasted 15 minutes per participant and the steps were as follow:
Primary sucking: The cups were placed on the designated sites and a negative pressure was created by manual suction using the
provided pump with the kit. The cups were left for a period of 5 minutes after ensuring their firm attachment to the skin.
Incision: The cups were removed and 10-12 superficial incisions were made on each designated area of the skin using sterile
surgical blades.
Blood-letting: After soaking the cups, they were replaced back on the designated areas of the skin and negative pressure was
created as previously described. The cups were left on the skin till they were filled with blood from the capillary vessels.
Removal: The cups were removed approximately after 3 minutes and new cups were placed on the same areas as previously
mentioned. The used cups were socked in betadine for sterilization.
Blood-letting: The process of blood-letting was repeated for 3 times in total.
Clean and sterilise: The cupping areas were cleaned using betadine followed by placement of clean dressing.
Following the termination of cupping therapy, each participant was offered 125 ml of fruit juice and blood pressure was
recorded 30 minutes later. Same procedures were followed for the other 2 groups and during the 2 months duration of the
study. Another 5 ml blood samples were collected from each participant 48 hours following the termination of cupping therapy
and all the participants were also fasting for 12 hours.
Wet Cupping Therapy Restores Sympathovagal Imbalances in Cardiac Rhythm
Müzeyyen Arslan, Nesibe Yeşilçam, Duygu Aydin, Ramazan Yüksel
, and Şenol Dane
Published Online:16 Apr 2014https://doi.org/10.1089/acm.2013.0291

Abstract
Objectives: A recent study showed that cupping had therapeutic effects in rats with myocardial
infarction and cardiac arrhythmias. The current studyaimed to investigate the possible useful effects of
cupping therapy on cardiac rhythm in terms of heart rate variability (HRV).
Materials and methods: Forty healthy participants were included. Classic wet cupping therapy was
applied on five points of the back. Recording electrocardiography (to determine HRV) was applied 1
hour before and 1 hour after cupping therapy.
Results: All HRV parameters increased after cupping therapy compared with before cupping therapy
in healthy persons.
Conclusions: These results indicate for the first time in humans that cupping might be
cardioprotective. In this study, cupping therapy restored sympathovagal imbalances by stimulating the
peripheral nervous system.
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