Traditional Chinese Medicine Cupping Therapy ©2013

296 Pages·2014·10.77 MB·English

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TRADITIONAL CHINErSE MEDICINE
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Cupping Therapy
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Dedication
To my wife Emine, son Zihni and daughter Aliye
About the author
Ilkay Zihni Chirali was born in 1946 in Lemba (Qirali)
Gazi Baf, Cyprus. He grew up in a village by the sea
where people, animals and plants were dependent upon
each other. They shared the same simplicity and their
environment was always treated with conviction, respect
and love.
He eventually left Cyprus to pursue his higher education,
first in Turkey and then in Sweden and England. In 1982
he emigrated to Australia, where he studied Chinese
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Medicine with Professor Wong Lun and Master Danial
Wong. He qualified as an acupuncturist in Melobourne,

Australia, where he opened his first Acupuncture and Stressc Therapy Clinic. He
returned to England in 1987 and now runs a clinic in Bex.leyheath, Kent, where he
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treats children as well as adults.
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His wide-ranging studies have brought him expertise in Acoupuncture, Chinese
Herbal Medicine, Clinical Hypnotherapy, the Lusher Perrsonality Test, Paediatric
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Acupuncture and Western Medicine Pathology. He has studied further in Nanjing,
China, at the College of Traditional Chinese Mediecine and First Affiliated
Hospital in the Internal Medicine, Dermatologmy and Gynaecology departments.
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He has practised cupping from an early age, gaining his first experience of the
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technique when employing the traditional Turkish folklore remedy for colds. He
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has been organizing regular cupping workshops both in the UK and overseas
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since 1988 and a BBC TV programme appearing as an “Expert”. To date, he has
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given over 50 public lecturwes and a BBC World Service Radio talk on the subject of
Traditional Chinese Mwedicine and Cupping Therapy.
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For Elsevier
Commissioning Editor: Claire Wilson and Karen Morley
Development Editor: Kerry McGechie
Project Manager: Nancy Arnott
Design: Stewart Larking
Illustrator: Peter Cox
Illustration Manager: Merlyn Harvey
T r a d i t i o n a l C h i n e s e M e d i c i n e
Cupping Therapy
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S e c o n d E d i t i o n
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llkapy Zihni Chirali
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Private pgractitioner, Acupuncture and Stress Therapy Clinic, London;
e Lecturer, Cupping and Traditional Chinese Medicine.
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Member of The Register of British Acupuncture Council
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Member of The Register of Chinese Herbal Medicine
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t Dip. Acupuncture (Australia); Cert TCM (Australia);
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Dip. Clinical Hypnosis (Australia); Dip. Chinese Herbal Medicine
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w (England);
w Cert Pathology (England); Cert Paediatric Acupuncture (England);
Cert Chinese Herbal Medicine (Nanjing, PR China);
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Cert Acupuncture - Clinical (Nanjing, PR China).
Foreword by Julian Scott
Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2007
CHURCHILL
LIVINGSTONE
© 1999, 2007, Elsevier Limited. All rights reserved.
The right of Ilkay Chirali to be identified as author of this work has been asserted by him in
accordance with the Copyright, Designs and Patents Act 1988
No part of this publication may be reproduced, stored in a retrieval system, or transmitted
in any form or by any means, electronic, mechanical, photocopying, recording or otherwise,
without the prior permission of the Publishers. Permissions may be sought directly from
Elsevier’s Health Sciences Rights Department, 1600 John F. Kennedy Boulevard, Suite 1800,
Philadelphia, PA 19103-2899, USA: phone: [phone]; fax: [phone]; or,
e-mail: [email protected]. You may also complete your request on-line via the
Elsevier homepage (http://www.elsevier.com), by selecting ‘Support and contact’ and then
‘Copyright and Permission’.
First edition 1999
Second edition 2007
Reprinted 2008, 2010 (twice), 2011 (twice), 2012, 2013
ISBN: 9780443102660
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British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library o
Library of Congress Cataloging in Publication Data c
A catalog record for this book is available from the Library of Congress .
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Note
Knowledge and best practice in this field are constantly changing. As new research and u
experience broaden our knowledge, changes in practice, treatment and drug therapy o
may become necessary or appropriate. Readers are advised to check the most currentr
information provided (i) on procedures featured or (ii) by the manufacturer of eachg product
to be administered, to verify the recommended dose or formula, the method aned duration
of administration, and contraindications. It is the responsibility of the practitioner, relying
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on their own experience and knowledge of the patient, to make diagnoses, to determine
dosages and the best treatment for each individual patient, and to takoe all appropriate safety
precautions. To the fullest extent of the law, neither the publisher nor the authors assume
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any liability for any injury and/or damage to persons or property arising out or related to
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any use of the material contained in this book. p
The Publisher
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The
publisher’s
policy is to use
paper manufactured
from sustainable forests
Printed in China
Contents
Foreword vi
Preface to 1st edition viii
Preface to 2nd edition x
Acknowledgements xi
Glossary xii
Acupuncture!acupressure points xiii
Chapter 1 History of Cupping 1
Chapter 2 Benefits of Cupping Therapy 29
Chapter 3 Preparing for Cupping 55
Chapter 4 Therapies that Benefit From Cupping 59
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Chapter 5 The Cupping Procedure 67
Chapter 6 What to Expect During oand After Cupping
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Therapy 73
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Chapter 7 Eleven Methods of Cupping Therapy
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Chapter 8 Cupping Thoerapy on Children 97
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Chapter 9 Cuppingg Therapy on Adults 99
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Chapter 10 How Often can Cupping be Applied? 101
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Chapter 11 Cupping Therapy in The Treatment of
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h Common Disorders 103
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Chappter 12 Notes on Miscellaneous Disorders 187
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wChapter 13 Precautions and Contraindications 209
w Chapter 14 Sports Injuries 211
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Chapter 15 Myofascial Trigger Points Cupping Therapy 241
Colour Plate Section
Index 261
NOTE The DVD accompanying this text includes video sequences
of the different cupping techniques indicated in the text by the DVD
icon. To look at the video for a given technique, click on the relevant
icon in the contents list on the DVD. The DVD is designed to be used

in conjunction with the text and not as a stand-alone product.
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Foreword
Cupping has a long and noble history. It has been used
throughout the world since the earliest times, and was part of
mainstream medicine in Europe until the 1900s. It stayed on for
a lot longer as part of alternative or ‘folk’ medicine. As recently
as our grandparents’ generation (before the Second World War)
it was used extensively in the Mediterranean and throughout
Eastern Europe. Yet now it is almost unknown outside a small
circle, those who know about ‘alternative’ medicine.
There has always been an ‘alternative’ medicine. One reason is
that until the recent past there were no subsidies for medicine,
so that establishment medicine was reserved for the rich. The
poorer people could not afford doctors’ fees, as the cost of a m
consultation corresponded to several weeks’ wages. Their needs
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were met by an alternative medicine, a medicine passed down
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through the generations, usually in families. Ilkay C.hirali is an
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heir to this tradition, having learnt at his grandmother’s knee and
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further augmented his knowledge and wisdom by studying in
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China.
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The tradition of alternative medicine, with its healers and reliance
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on herbal medicine and low-tech equipment, still survives in
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spite of, or perhaps because of, the rise of scientific medicine.
My own life, first in research socience and then in acupuncture,
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has shown me how a purely scientific approach can lead far
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away from what people pneed. The invasive techniques and the
coldness of modern m.edicine stand in contrast to the warmth
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and humanity of alternative medicine. In alternative medicine
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it is taken for granted that humans are living beings with loves
and hates, drweams and aspirations, and it takes account of the
simple experiences of getting cold or hot, and feeling sad or
happy. Cupping is part of this medicine and Ilkay Chirali gives
some good examples, such as warm cupping techniques for
rheumatism which is worse in cold weather, wet cupping for dry
asthma and his technique for using Gua Sha on the sternum to
‘open the heart’ when people are very upset about things, but
dare not show it.
This is a practical book, and throughout there is concern for the
patient - for example the advice not to use cupping on patients
during the week preceding a holiday on the beach for the marks
may well be unsightly. I had an experience of this kind when I
used cupping on a child who later had to go into hospital. When
the doctors saw the circular marks on the child’s back, they were
horrified and suspected child abuse. It was only with difficulty
that the mother explained how her child had in fact been greatly
helped by this alternative therapy!
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What is so special about this book is that it gives treatments
for a wide range of illnesses and conditions. For some of these,
like treating the after-effects of stroke, there is nothing that
can be done in orthodox medicine. In others, such as asthma,
the orthodox treatment only relieves the symptoms and does
nothing to cure the condition. Even for something as simple as
rheumatism cupping is so much more effective.
In this second edition there are two new chapters: one on
myofascial trigger points and one on treating sports injuries.
These are welcome additions. There are so many people suffering
from sports injuries and so little that can be done in orthodox
medicine. By contrast, cupping is astonishingly effective for a
wide variety of injuries and simple to learn. I am sure that this
new chapter will lead to the rapid expansion of cupping and
its adoption as one of the main techniques for treating sports
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injuries.
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The benefits of cupping are many: it is non-invasive, it can be
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used for a wide variety of problems, it is simple to perform, and
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above all it is effective Also, to use Ilkay’s words: ‘Nothing moves
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Qi and blood faster than cupping.’
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I can warmly recommenrd this book to the reader. It is a valuable
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addition to the library for it is a truly practical guide, being the
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distillation of Ilkay Chirali’s experience, both as a practitioner
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and as a teacher.
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. Bath, 2007
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viii
Preface
Introduction to the first edition
The first time I experienced cupping was as a 7-year-old child,
when I had a bad cold and my mother applied cups to my back.
I remember that she first rubbed my back with olive oil and,
as I lay down, she applied the cups. I could feel their edges
digging into my flesh. It was a strange feeling of my skin being
pulled away from me! With a sensation of my back becoming
increasingly warm, coupled to a rather uncomfortable feeling
of a heavy blanket covering me, I lay there. Then she removed
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the cups, only to reapply them even more vigorously! After a
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few more minutes she took the cups off and rubbed me with an
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alcohol preparation called Zivania. She put me back to bed and
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covered me with blankets. Half an hour later I was drenched p
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with sweat. My mother was pleased because there was evidence
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that the cold was out. The next day I was able to go and play
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with other boys. My cold was gone. g
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My grandmother, Rahmeli Ebe (see photo), who died in 1964,
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was a village midwife and a herbalist. Her mother, Havva Ebe,
was also the village midwife, and was even moroe popular than
my grandmother. Havva Ebe travelled on horhseback while
Rahmeli Ebe preferred walking to visit hert patients. My great
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grandmother Havva Ebe died just befo.re I was born, but we lived
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with Rahmeli Ebe and later on, when she was old and no longer
able to travel, she stayed with us win Gazi Baf (Paphos), Cyprus,
until her death in 1964. Our hwouse was always busy with people
seeking remedies for their complaints. Their payments were
usually in the form of a chicken, eggs, or home-made cheese!
Rahmeli Ebe used cups for almost all her expectant mothers.
She was a great believer in ‘removing the Cold and Wind’ from
the body. She regarded cold as the biggest threat to expectant
mothers and their babies. She would often take her clients to the
Turkish baths (Hamams) where they would spend a few hours
washing and sitting in a herbal steam room, while gaining benefit
from cupping before finally relaxing.
In more recent years as a Chinese Medicine practitioner of
acupuncture and herbal medicine, I have taken special interest
in cupping and its uses. Only now can I fully appreciate what
my grandmother and great grandmother, two ordinary village
midwives, were trying to do! They were actually getting rid
of the external pathogenic factors like Wind and Cold from
the body, which could easily penetrate through the weak Wei
Qi (Defensive or Protective energy) of a pregnant woman (see
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section on Glossary of terms at the front of the book). Not only
were they concerned with the health of the expectant mother, but
they were also equally concerned with the health of the newborn
baby. It is an old Turkish custom that the new mother has to
stay home-bound for 40 days after the delivery, so that the baby
is not exposed to external pathogenic factors such as Wind,
Cold, Heat or air pollution. These 40 days of rest and care are
thought to be enough for the child to build up his or her initial
Protective/Defensive energy. The mother is also cared for, to build
up her energies to a normal level again, during this invaluable
convalescent period. While she is establishing a special bond
between her and her child, she receives help and care from her
entire family for 40 days!
In the West, however, this early care for mother and child is
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greatly under-estimated and overlooked. It can be argued that,
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in the West, we now have much better sanitary and living
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conditions than most Eastern countries. But this relative comfort
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should not dismiss the most natural human need - to be taken
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care of - that we all need and expect from time to time, especially
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when our emotions and energies are running low.
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Health care in the West is becoming more finance orientged, and
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the care for the new mothers and their babies rapidly diminishing
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due to financial restraints. If the delivery goes smoothly and
without any complications, child and the mothoer are usually
discharged from hospital within a day or twho.
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It is also very common in the West to spee mothers going out
shopping with a baby just a few wee.ks old strapped to its pram,
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and sometimes turning blue from the effects of cold or wind.
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This clearly demonstrates that new mothers are unaware of the
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possible dangers of adverse weather conditions for their children
or themselves.
This book is intended as a valuable manual for practitioners
to use for effective cupping therapy, so that this ancient
Chinese healing art and its benefits can be made known to
many more practitioners in alternative therapies and also in
more conventional medical practice. The sense of ‘duty’ to
pass on my knowledge and experience has taken on a different
dimension and urgency, since my studies in China during 1994.
I have decided to write this book because I see a distinct lack
of knowledge on the subject by many practitioners. I have also
encountered a real enthusiasm from participants in my cupping
workshops over the years. I am convinced that this simple,
inexpensive and unsophisticated method could more frequently
and effectively be put into practice.
London 1997
Ilkay Zibni Chirali