THE EVOLUTION OF SAUDI ARABIA'S CUPPING THERAPY PROGRAMME FROM CONTROL TO INTEGRATION

Main Article Content

Safa Hamoud Aljameeli, Mai Hamoud Aljameeli, Turki Hamdan KahlafAlalati, Hajji Muaiteq Atqaa Alazmi, Mufreh Ayed Alyan Al-Rashidi, Ashwaq Saleh Almutiri, Faisal Fehaid Qurayban Alanazi, Alhussain Ibrahim Ahmed Moafa, Naif Nada Alharbi

Keywords

Cupping, Hijamah, IntegrationSaudi Arabia

Abstract

Hijamah, or cupping therapy, is the third most popular traditional practice in Saudi Arabia, following herbal medicine and spiritual healing. Among the several forms of cupping therapy, wet cupping predominates. As a paradigm of religious influences, interconnection, and cross-cultural impacts among diverse civilizations, hijamah in Muslim nations like Saudi Arabia serves as an example. Therefore, it is a gross simplification to compare and contrast the cupping practices of Saudi Arabia and other Muslim communities with those of other countries, such as China or Korea, based solely on the method or the locations of the cupping. In Saudi Arabia, people who utilise cupping therapy tend to be better educated, have higher work ranks, and are not limited by gender or nationality when compared to people who use traditional medicine. The National Centre for Complementary and Alternative Medicine (NCCAM) inside the Saudi Arabian Ministry of Health (MOH) is responsible for regulating and overseeing cupping therapy, following an era of unregulated use. Practitioners, practice locations, and cupping equipment are all subject to licencing and regulations. Since insurance does not pay for cupping, the private sector is the primary provider after regulation, and clients pay out of pocket. Private companies often offer licenced cupping in addition to their other services rather than as a unified package. Nevertheless, academic institutions, government hospitals, and universities do not often have models of integrated cupping clinics. In preparation for the ongoing healthcare revolution in Saudi Arabia, additional research into the health system is required to create additional models of integrated cupping services.

Downloads

References


1. 1 A.M. Albedah, A.T. El-Olemy, M.K. Khalil Knowledge and attitude of health professionals in the Riyadh region, Saudi Arabia, toward complementary and alternative medicine J Family Community Med, 19 (2012), pp. 93-99 View in ScopusGoogle Scholar 2. 2 M.A. Al Mansour, A.M. Al-Bedah, M.O. AlRukban, I.S. Elsubai, E.Y. Mohamed, A.T. El Olemy, et al. Medical students’ knowledge, attitude, and practice of complementary and alternative medicine: a pre-and post-exposure survey in Majmaah University, Saudi Arabia Adv Med Educ Pract, 6 (2015), pp. 407-420 View in ScopusGoogle Scholar 3. 3 S.H. Zyoud, S.W. Al-Jabi, W.M. Sweileh Scientific publications from Arab world in leading journals of Integrative and Complementary Medicine: a bibliometric analysis BMC Complement Altern Med, 15 (2015), pp. 015-0840 Google Scholar 4. 4 Ministers BoEATCo National Center for Complementary and Alternative Medicine regulation The Council of Ministers (2018) Accessed April 18, 2008 Google Scholar 5. 5 N.A. Alrowais, N.A. Alyousefi The prevalence extent of Complementary and Alternative Medicine (CAM) use among Saudis Saudi Pharm J, 25 (2017), pp. 306-318 View PDFView articleView in ScopusGoogle Scholar 6. 6 A.M. AlBedah, M.K. Khalil, A.T. Elolemy, A.A. Al Mudaiheem, S. Al Eidi, O.A. Al-Yahia, et al. The use of and out-of-pocket spending on complementary and alternative medicine in Qassim province, Saudi Arabia Ann Saudi Med, 33 (2013), pp. 282-289 View at publisher CrossRefView in ScopusGoogle Scholar 7. 7 E.A. Al-Faris, N. Al-Rowais, A.G. Mohamed, M.O. Al-Rukban, A. Al-Kurdi, M.A. Balla Al-Noor, et al. Prevalence and pattern of alternative medicine use: the results of a household survey Ann Saudi Med, 28 (2008), pp. 4-10 View in ScopusGoogle Scholar 8. 8 S.N. Alrawi, M.D. Fetters Traditional arabic & islamic medicine: a conceptual model for clinicians and researchers Glob J Health Sci, 4 (2012), pp. 164-169 View in ScopusGoogle Scholar 9. 9 H. Azaizeh, B. Saad, E. Cooper, O. Said Traditional Arabic and Islamic medicine, a re-emerging health aid Evid Based Complement Alternat Med, 7 (2010), pp. 419-424 View at publisher CrossRefView in ScopusGoogle Scholar 10. 10 M.K.M. Khalil Importing well-researched practices from other traditions: thoughts from a conservative society J Altern Complement Med, 23 (2017), pp. 829-830 View at publisher CrossRefView in ScopusGoogle Scholar 11. 11 M. Monette The medicine of the prophet CMAJ: Can Med Assoc J, 184 (2012), pp. E649-E650 View at publisher CrossRefGoogle Scholar 12. 12 A. AlBedah, M. Khalil, A. Elolemy, I. Elsubai, A. Khalil Hijama (cupping): a review of the evidence Focus Altern Complement Ther, 16 (2011), pp. 12-16 View at publisher CrossRefView in ScopusGoogle Scholar 13. 13 B.Y. Sheikh, M.M.R. Sarker, M.N.A. Kamarudin, A. Ismail Prophetic medicine as potential functional food elements in the intervention of cancer: a review Biomed Pharmacother, 95 (2017), pp. 614-648 View PDFView articleView in ScopusGoogle Scholar 14. 14 H. Ijaz, U.R. Tulain, J. Qureshi, Z. Danish, S. Musayab, M.F. Akhtar, et al. Review: Nigella sativa (prophetic medicine): a review Pak J Pharm Sci, 30 (2017), pp. 229-234 View in ScopusGoogle Scholar 15. 15 M. Nimrouzi, A. Mahbodi, A.M. Jaladat, A. Sadeghfard, M.M. Zarshenas Hijamat in traditional Persian medicine: risks and benefits J Evid Based Complement Altern Med, 19 (2014), pp. 128-136 View at publisher This article is free to access. CrossRefView in ScopusGoogle Scholar 16. 16 P. Mehta, V. Dhapte Cupping therapy: a prudent remedy for a plethora of medical ailments J Trad Complement Med, 5 (2015), pp. 127-134 View PDFView articleView in ScopusGoogle Scholar 17. 17 S.M. El Sayed, A. Abou-Taleb, H.S. Mahmoud, H. Baghdadi, R.A. Maria, N.S. Ahmed, et al. Percutaneous excretion of iron and ferritin (through Al-hijamah) as a novel treatment for iron overload in beta-thalassemia major, hemochromatosis and sideroblastic anemia Med Hypoth, 83 (2014), pp. 238-246 View PDFView articleView in ScopusGoogle Scholar 18. 18 K. Farhadi, D.C. Schwebel, M. Saeb, M. Choubsaz, R. Mohammadi, A. Ahmadi The effectiveness of wet-cupping for nonspecific low back pain in Iran: a randomized controlled trial Complement Ther Med, 17 (2009), pp. 9-15 View PDFView articleView in ScopusGoogle Scholar 19. 19 Y.L. Huang Cupping-bloodletting therapy of Saudi Arabia and its clinical application Zhongguo Zhen Jiu, 28 (2008), pp. 375-377 View in ScopusGoogle Scholar 20. 20 J.I. Kim, T.H. Kim, M.S. Lee, J.W. Kang, K.H. Kim, J.Y. Choi, et al. Evaluation of wet-cupping therapy for persistent non-specific low back pain: a randomised, waiting-list controlled, open-label, parallel-group pilot trial Trials, 12 (2011), pp. 1745-6215 View in ScopusGoogle Scholar 21. 21 A. AlBedah, M. Khalil, A. Elolemy, A.A. Hussein, M. AlQaed, A. Al Mudaiheem, et al. The use of wet cupping for persistent nonspecific low back pain: randomized controlled clinical trial J Altern Complement Med, 21 (2015), pp. 504-508 View at publisher CrossRefView in ScopusGoogle Scholar 22. 22 S.M.E. Sayed, A.-S. Al-quliti, H.S. Mahmoud, H. Baghdadi, R.A. Maria, M.M.H. Nabo, et al. Therapeutic benefits of Al-hijamah: in light of modern medicine and prophetic medicine Am J Med Biol Res, 2 (2014), pp. 46-71 Google Scholar 23. 23 H. Baghdadi, N. Abdel-Aziz, N.S. Ahmed, H.S. Mahmoud, A. Barghash, A. Nasrat, et al. Ameliorating role exerted by Al-Hijamah in autoimmune diseases: effect on serum autoantibodies and inflammatory mediators Int J Health Sci, 9 (2015), pp. 207-232 View in ScopusGoogle Scholar 24. 24 Sulaiman AlEidi AGM, Khalil M. Wet cupping (AlHijamah); double versus single cupping technique. ClinicalTrial.gov.NIH. National Library of Medicine. September 22, 2016. Available from: https://clinicaltrials.gov/ct2/show/NCT02631382. Accessed April 18, 2018. Google Scholar 25. 25 A.G.M. Sulaiman AlEidi, Abdullah M. Al-Bedah, Raid A. Abutalib, Mohammed K.M. Khalil WCIHM, Berlin 2–5 May 2017 BMC Complement Altern Med, 17 (suppl) (2017), p. 285 Conference abstract. Double cupping versus single cupping in chronic low back pain (CLBP): randomized controlled trial. WCIHM. Vol 2017, 17(suppl). Berlin, Germany: BMC Complementary and Alternative Medicine; 2017 Google Scholar 26. 26 A.T. Elolemy, A.M. Albedah Public knowledge, attitude and practice of complementary and alternative medicine in riyadh region, saudi arabia Oman Med J, 27 (2012), pp. 20-26 View at publisher CrossRefView in ScopusGoogle Scholar 27. 27 H.J. Seo, S.M. Baek, S.G. Kim, T.H. Kim, S.M. Choi Prevalence of complementary and alternative medicine use in a community-based population in South Korea: a systematic review Complement Ther Med, 21 (2013), pp. 260-271 View PDFView articleView in ScopusGoogle Scholar 28. 28 M.T. Chao, S.R. Adler Integrative medicine and the imperative for health justice J Altern Complement Med, 24 (2018), pp. 101-103 View in ScopusGoogle Scholar 29. 29 T.C. Clarke, L.I. Black, B.J. Stussman, P.M. Barnes, R.L. Nahin Trends in the use of complementary health approaches among adults: United States, 2002–2012 Natl Health Stat Rep, 10 (2015), pp. 1-16 View at publisher This article is free to access. View in ScopusGoogle Scholar 30. 30 A.E.D. Amwaj Jabir Mohanna Nada Mohammad Hakami, Mubarack Sani. Epidemiological study of the patients attending cupping therapy (CT) sessions in Jazan Area, Kingdom of Saudi Arabia Int J Healthcare Sci, 4 (2017), pp. 1387-1396 Google Scholar 31. 31 I. Sohaibani, M. Khalil, A. AlBedah Community attitudes towards cupping regulations in Saudi Arabia Paper presented at: ICIMH.acm.2016.29003.pdf, Las Vagas (2016) Google Scholar 32. 32 M.A. Laiyemo, G. Nunlee-Bland, F.A. Lombardo, R.G. Adams, A.O. Laiyemo Characteristics and health perceptions of complementary and alternative medicine users in the United States Am J Med Sci, 349 (2015), pp. 140-144 View PDFView articleCrossRefView in ScopusGoogle Scholar 33. 33 N. Al-Rowais, E. Al-Faris, A.G. Mohammad, M. Al-Rukban, H.M. Abdulghani Traditional healers in Riyadh region: reasons and health problems for seeking their advice. A household survey J Altern Complement Med, 16 (2010), pp. 199-204 View at publisher CrossRefView in ScopusGoogle Scholar 34. 34 MOH MOH approves licenses for cupping MOH (2018) 23 February 2015. Available from: https://www.moh.gov.sa/en/Ministry/MediaCenter/News/Pages/News-2015-02-17-002.aspx. Accessed April 18, 2018 Google Scholar 35. 35 L.T. Ely Nurse-managed clinics: barriers and benefits toward financial sustainability when integrating primay care and mental health Nurs Econ, 33 (2015), pp. 193-202 View in ScopusGoogle Scholar 36. 36 E.A. Zeidler Schreiter, N. Pandhi, M.D. Fondow, C. Thomas, J. Vonk, C.L. Reardon, et al. Consulting psychiatry within an integrated primary care model J Health Care Poor Underserv, 24 (2013), pp. 1522-1530 View at publisher CrossRefGoogle Scholar 37. 37 A.M. Al Bedah, M.K. Khalil, P. Posadzki, I. Sohaibani, T.S. Aboushanab, M. AlQaed, et al. Evaluation of wet cupping therapy: systematic review of randomized clinical trials J Altern Complement Med, 22 (2016), pp. 768-777 View at publisher CrossRefView in ScopusGoogle Scholar 38. 38 H. Cao, X. Li, J. Liu An updated review of the efficacy of cupping therapy PLoS One, 7 (2012), p. 28 Google Scholar 39. 39 G. Kordafshari, M.R.S. Ardakani, M. Keshavarz, M.M. Esfahani, I. Nazem, M. Moghimi, et al. Cupping therapy can improve the quality of life of healthy people in Tehran J Trad Chin Med, 37 (2017), pp. 558-562 View PDFView articleView in ScopusGoogle Scholar 40. 40 A.R. Jazieh, R. Al Sudairy, O. Abulkhair, A. Alaskar, F. Al Safi, N. Sheblaq, et al. Use of complementary and alternative medicine by patients with cancer in Saudi Arabia J Altern Complement Med, 18 (2012), pp. 1045-1049 View at publisher CrossRefView in ScopusGoogle Scholar 41. 41 A.M. AlBedah, M.K. Khalil Cancer Patients, Complementary Medicine and Unmet Needs in Saudi Arabia Asian Pac J Cancer Prev, 16 (2015), p. 6799 View at publisher CrossRefView in ScopusGoogle Scholar 42. 42 K.H. Sait, N.M. Anfinan, B. Eldeek, J. Al-Ahmadi, M. Al-Attas, H.K. Sait, et al. Perception of patients with cancer towards support management services and use of complementary alternative medicine – a single institution hospital-based study in Saudi Arabia Asian Pac J Cancer Prev, 15 (2014), pp. 2547-2554 View in ScopusGoogle Scholar 43. 43 F.L. Bishop, N. Amos, H. Yu, G.T. Lewith Health-care sector and complementary medicine: practitioners’ experiences of delivering acupuncture in the public and private sectors Prim Health Care Res Dev, 13 (2012), pp. 269-278 View at publisher CrossRefView in ScopusGoogle Scholar 44. 44 F.L. Bishop, F. Barlow, B. Coghlan, P. Lee, G.T. Lewith Patients as healthcare consumers in the public and private sectors: a qualitative study of acupuncture in the UK BMC Health Serv Res, 11 (2011), pp. 1472-6963 Google Scholar 45. 45 O.Z. Al-Sharqi, M.T. Abdullah “Diagnosing” Saudi health reforms: is NHIS the right “prescription”? Int J Health Plann Manage, 28 (2013), pp. 308-319 View at publisher CrossRefView in ScopusGoogle Scholar 46. 46 A. Albedah, I. Sohaibani, T. Babikr, A. Elolemy, M. Alqaed, M. Khalil Private sector investment in integrative health care in Saudi Arabia: implications on future health care planning Eur J Integr Med, 8 (2016), p. 59 View PDFView articleGoogle Scholar 47. 47 WHO Legal status of traditional medicine and complementary/alternative medicine: a worldwide review WHO, Geneve (2001) Google Scholar 48. 48 CCHI. the unified general insurance document. Council of Cooperative Health Insurance. Available from: . Accessed April 18, 2018. Google Scholar 49. 49 S.K. Al Jaouni, E.A. El-Fiky, S.A. Mourad, N.K. Ibrahim, A.M. Kaki, S.M. Rohaiem, et al. The effect of wet cupping on quality of life of adult patients with chronic medical conditions in King Abdulaziz University Hospital Saudi Med J, 38 (2017), pp. 53-62 View in ScopusGoogle Scholar 50. 50 M.K. AlBedah Abdulla Using research model to integrate cupping therapy in the conventional health care system in Saudi Arabia. 8th annual international congress of complementary medicine research Forsch Komplement/Res Complement Med, 20 (2013) [S1 – abstract 318] Google Scholar 51. 51 A. AlBedah, M. Khalil, A. ElOlemy, M. Alqaed Integrative medicine outcome and patient satisfaction in Saudi Governmental hospitals Integr Med Res, 4 (2015), p. 122 View PDFView articleGoogle Scholar 52. 52 vision2030. National Transformation Program 2020. VISION 2030.GOV.SA [Electronic]. Available from: http://vision2030.gov.sa/sites/default/files/NTP_En.pdf. Accessed April 18, 2018. Google Scholar 53. 53 W.B. Alonazi Exploring shared risks through public–private partnerships in public health programs: a mixed method BMC Public Health, 17 (2017), pp. 017-4489 Google Scholar 54. 54 G. Dobos, I. Tao The model of Western integrative medicine: the role of Chinese medicine Chin J Integr Med, 17 (2011), pp. 11-20 View at publisher Your institution provides access to this article. CrossRefView in ScopusGoogle Scholar 55. 55 F. Cardini, G. Guerzoni, C. Ruozi Experimental models of integrative healthcare in a regional health system: a complex innovation path Forsch Komplementmed, 21 (2014), pp. 84-86, 10.1159/000362182 Epub Mar 24, 2014 View at publisher This article is free to access. View in ScopusGoogle Scholar
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Transfer of Copyright and Permission to Reproduce Parts of Published Papers. 
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.

 

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.