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02 · The Sunnah Practice

The complete guide to Hijama therapy.

Hijama (cupping therapy) is one of the oldest healing traditions in the world — used for over 3,000 years across Greek, Egyptian, Chinese and Arabic medicine. Modern clinical practice recognises 25+ distinct types across 5 categories. This page covers what hijama is, why it's needed, the conditions it treats, and the complete classification of methods we offer at Al Shifa, Markapuram.

5
Categories
25+
Distinct Types
1,400+
Years of Practice

What is Hijama?

Hijama is a therapeutic procedure in which sterile cups are applied to specific points on the body to create suction. The suction draws stagnant blood, fluids, and metabolic waste toward the surface, where they can either be absorbed naturally (dry cupping) or removed through tiny superficial incisions (wet cupping). The technique stimulates circulation, releases tight fascia, and supports the body's natural detoxification.

Why is Hijama needed?

Modern lifestyles cause silent build-up of toxins, deep muscle tension, and reduced micro-circulation — particularly in patients with chronic pain, high blood pressure, hormonal imbalance, or sluggish metabolism. Long-term medication only manages symptoms; hijama works at the level of the blood, fascia, and lymphatic system. Patients commonly choose hijama when:

Conditions treated with Hijama

At Al Shifa Markapuram we regularly treat the following conditions using a combination of wet, dry, fire, sports and joint-area hijama (the specific protocol is selected during your consultation):

Pain & Musculoskeletal

  • • Lower back pain & sciatica
  • • Neck pain & cervical spondylosis
  • • Frozen shoulder · arthritis
  • • Knee & joint pain
  • • Migraine & tension headache
  • • Fibromyalgia & muscle stiffness
  • • Sports injuries & recovery

Cardiovascular & Metabolic

  • • High blood pressure (hypertension)
  • • High cholesterol
  • • Type-2 diabetes (supportive)
  • • Sluggish circulation
  • • Varicose veins
  • • Obesity & weight management

Women's Health

  • • PCOS · PCOD · irregular cycles
  • • Painful menstruation
  • • Infertility (supportive)
  • • Hormonal imbalance
  • • Menopause symptoms
  • • Postpartum recovery

Neurological & Mental

  • • Anxiety & stress
  • • Insomnia & disturbed sleep
  • • Mild to moderate depression
  • • Chronic fatigue syndrome
  • • Bell's palsy / facial paralysis
  • • Post-stroke rehabilitation

Skin & Detox

  • • Acne & pimples
  • • Eczema · psoriasis
  • • Hair fall & alopecia (scalp hijama)
  • • Dull or pigmented skin
  • • Liver detoxification support

Respiratory & ENT

  • • Sinusitis & sinus headache
  • • Allergic rhinitis
  • • Asthma (supportive)
  • • Chronic cough
  • • Tonsillitis

What to expect during your session

  1. 1.Consultation: the therapist reviews your medical history, current medication, and identifies the most suitable hijama type for your condition.
  2. 2.Sterile preparation: the treatment area is cleaned and disinfected. Single-use sterile cups and blades (where required) are opened in front of you.
  3. 3.Cup placement & suction: 4–12 cups are positioned on specific points and gentle suction is applied for 5–10 minutes. You'll feel a comfortable pull, not pain.
  4. 4.Wet phase (if needed): for wet hijama, tiny superficial scratches are made under the cup; the cup is replaced briefly to draw out stagnant blood. Painless and quick.
  5. 5.Aftercare: areas are cleaned, sealed, and you're given a written aftercare plan (rest, hydration, foods to enjoy/avoid for 24 hours).

How often is Hijama recommended?

For acute conditions, 2–4 sessions over 4–8 weeks usually produce clear improvement. For chronic or maintenance care, hijama is traditionally done every 1–3 months. Your specific schedule will be set during the first consultation. The 17th, 19th, and 21st of the lunar month are the traditionally preferred dates — many patients also follow this pattern.

The 25+ types · classified

01

Technical Types

Different cupping techniques classified by how the cups interact with the skin and what therapeutic effect they produce.

🥛

Dry Cupping (Hijamat al-Jaffah)

Suction cups applied without incisions. Improves circulation, releases fascia, no blood drawn. Suitable for all patients.

Flash Cupping

Rapid suction-and-release cycles. Stimulates blood flow without leaving lasting marks. Ideal for sensitive skin.

🌀

Massage Cupping (Sliding)

Cups glide across oiled skin, combining cupping with myofascial release. Excellent for back pain and muscle tension.

02

By Suction Power

The strength of vacuum applied — adjusted to patient tolerance, condition severity, and treatment area sensitivity.

🌬️

Light Cupping

Gentle suction for first-time patients, sensitive areas (face, neck), and elderly. Mild therapeutic effect.

Medium Cupping

Standard suction strength for most general conditions — back pain, fatigue, stress relief. The default for most sessions.

💪

Strong Cupping

Heavy suction for chronic deep-tissue conditions — frozen shoulder, sciatica, persistent muscle knots. May leave temporary marks.

💓

Pulsatile Cupping

Rhythmic suction that pulses on and off. Mimics a heartbeat to enhance lymphatic drainage and circulation.

03

By Suction Method

How the vacuum inside the cup is created — each method offers different control, intensity, and therapeutic experience.

🔥

Fire Cupping

Traditional method using a brief alcohol flame to heat air inside the cup, creating vacuum. Iconic and classical.

Manual Suction Cupping

Hand-pump creates the vacuum — therapist controls suction strength precisely. Most common modern method.

🔌

Automatic Suction Cupping

Electric vacuum machine delivers consistent, programmable suction. Used for advanced or longer-protocol sessions.

04

Materials Inside Cup

Substances or tools combined with cupping to enhance specific therapeutic effects — from energy work to medicinal infusion.

💉

Needle Cupping

Acupuncture needles inserted first, then cup applied over them. Combines two modalities for amplified results.

🌿

Moxa Cupping

Burning mugwort (moxa) inside the cup adds gentle therapeutic warmth alongside suction. Deeply restorative.

🌱

Herbal Cupping

Medicinal herbs infused into the cup release vapours absorbed through the skin. Targeted condition support.

🧲

Magnetic Cupping

Cups with embedded magnets — combines cupping with magnetic field therapy for enhanced energy flow.

💡

Laser Cupping

Low-level laser light projected through specialised cups for non-invasive deep tissue stimulation.

Electrical Stimulation Cupping

Mild electrical current through the cup for trigger-point release and nerve stimulation. Modern hybrid.

💧

Water Cupping

Cups partially filled with warm water create unique pressure dynamics. Soothing for inflammation.

05

By Treatment Area

Cupping protocols tailored to specific body regions — each area has dedicated techniques, cup sizes, and application patterns.

🦶

Pedi Cupping (Feet)

Reflexology-based cupping on feet. Targets whole-body health through foot meridian points.

🫀

Abdominal Cupping

Targeted cupping for digestive issues, IBS, bloating, menstrual cramps and lower-body circulation.

Sports Cupping

Recovery-focused cupping for athletes — addresses muscle soreness, lactic acid buildup, and injury rehabilitation.

💆

Facial Cupping

Small specialised cups for face — boosts circulation, reduces puffiness, naturally lifts and tones skin.

Female-Specific Cupping

Protocols for women's health — menstrual disorders, PCOS support, fertility enhancement, postpartum care.

Male-Specific Cupping

Protocols for men's health — prostate support, lower-back tension, fertility and reproductive wellness.

06

Other Specialised Types

Additional cupping variations developed for niche therapeutic, aesthetic, or environmental contexts.

Cosmetic Cupping

Beauty-focused application — anti-ageing, skin rejuvenation, cellulite reduction, scar therapy.

🏃

Sports Therapy Cupping

Pre/post-event athletic performance optimisation. Used by Olympic athletes for explosive recovery.

🏊

Aquatic Cupping

Cupping performed in water (warm pool or therapeutic bath) — buoyancy enhances relaxation and accessibility.

Ready when you are

Experience traditional Hijama therapy.

Your first consultation includes a personal assessment to determine which Hijama type best suits your condition. Performed by a certified therapist — sterile, sunnah-respectful, drug-free.