The effect of wet cupping on quality of life of adult patients with chronic medical conditions in King Abdulaziz University Hospital

Soad K. Al Jaouni, Eman A. El-Fiky, Samiha A. Mourad, Nahla Khamis Ibrahim, Abdullah M. Kaki, Sawsan M. Rohaiem, Mohamad H. Qari, Laila M. Tabsh, Adel A. Aljawhari


Objectives: To assess the effect of wet cupping on health-related quality of life (HRQOL) of adult patients with chronic medical conditions, who were referred to the Cupping Clinic of King Abdulaziz University Hospital (KAUH), Jeddah, Kingdom of Saudi Arabia.


Methods: A controlled, quasi-experimental study design was carried out among 629 patients referred for cupping from the KAUH Specialty Clinics, during the period from January to December 2014. Patients in the intervention group (309 patients) completed a pre-test included WHO quality of life-BREF, received one wet-cupping session, and filled-out the post-test (1 month later). Patients in the control group (320 patients) completed the pre-test during their enrollment in the study and post-test one month later. Both groups received their ordinary treatment. Descriptive and inferential statistics were performed. 


Results: Pain was the most common cause for cupping referral. After cupping intervention, the mean scores of most of the HRQOL domains, especially the physical domain, improved significantly among patients in the intervention group. The mean total score of physical HRQOL domain was 61.6 ± 13.6 before cupping, and reached 69.7 ± 12.6 after intervention (paired t-test=11.3, p=0.000). Improvements in HRQOL were noticed for almost all types of pain and other medical conditions. 


Conclusion: There are promising effects in favor of using wet cupping for improving HRQOL of patients with chronic conditions. Cupping is recommended as a complementary treatment modality for chronic medical conditions, especially pain.


Saudi Med J 2017; Vol. 38 (1): 53-62

doi: 10.15537/smj.2017.1.15154

How to cite this article:


Al Jaouni SK, El-Fiky EA, Mourad SA, Ibrahim NK, Kaki AM, Rohaiem SM, Qari MH, Tabsh LM, Aljawhari AA. The effect of wet cupping on quality of life of adult patients with chronic medical conditions in King Abdulaziz University Hospital. Saudi Med J. 2017 Jan;38(1):53-62. doi: 10.15537/smj.2017.1.15154.


wet cupping; quality of life; chronic medical conditions; WHO quality of life-BREF; pain

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Kummet CM, Spector ML, Dawson DV, Fischer M, Holmes DC, Warren J, et al. Patterns of complementary and alternative medicine (CAM) use among dental patients. J Public Health Dent 2015; 75: 109-117.

Refaat B, El-Shemi AG, Ebid AA, Ashshi A, BaSalamah MA. Islamic Wet Cupping and Risk Factors of Cardiovascular Diseases: Effects on Blood Pressure, Metabolic Profile and Serum Electrolytes in Healthy Young Adult Men. Alternative & Integrative Medicine 2014; 3: 1-7.

Bhalerao MS, Bolshete PM, Swar BD, Bangera TA, Kolhe VR, Tambe MJ, et al. Use of and satisfaction with complementary and alternative medicine in four chronic diseases: a cross-sectional study from India. Natl Med J India 2013; 26: 75-78.

Ahmadi A, Schwebel DC, Rezaei M. The efficacy of wet-cupping in the treatment of tension and migraine headache. Am J Chin Med 2008; 36: 37-44.

Mehta P, Dhapte V. upping therapy: A prudent remedy for a plethora of medical ailments. J Trad Complement Med 2015; 5: 127-134.

Lauche R, Cramer H, Hohmann C, Choi KE, Rampp T, Saha FJ, et al. The effect of traditional cupping on pain and mechanical thresholds in patients with chronic nonspecific neck pain: a randomised controlled pilot study. Evid Based Complement Alternat Med 2012; 2012: 429718.

Cao H, Zhu C, Liu J. Wet cupping therapy for treatment of herpes zoster: a systematic review of randomized controlled trials. Altern Ther Health Med 2010; 16: 48-54.

Kim JI, Lee MS, Lee DH, Boddy K, Ernst E. Cupping for treating pain: a systematic review. Evid Based Complement Alternat Med 2011; 2011: 467014.

Farhadi K, Schwebel DC, Saeb M, Choubsaz M, Mohammadi R, Ahmadi A. The effectiveness of wet-cupping for nonspecific low back pain in Iran: a randomized controlled trial. Complement Ther Med 2009; 17: 9-15.

Barcaccia B, Esposito G, Matarese M, Bertolaso M, Elvira M, De Marinis MG. Defining Quality of Life: A Wild-Goose Chase? Europe’s Journal of Psychology 2013; 9: 185-203.

Kim JI, Kim TH, Lee MS, Kang JW, Kim KH, Choi JY, 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 2011; 12: 146.

Trompenaars FJ, Masthoff ED, Van Heck GL, Hodiamont PP, De Vries J. Content validity, construct validity, and reliability of the WHOQOL-Bref in a population of Dutch adult psychiatric outpatients. Qual Life Res 2005; 14: 151-160.

Skevington SM, Lotfy M, O’Connell KA; WHOQOL Group. The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual life Res 2004; 13: 299-310.

Huang YL. [Cupping-bloodletting therapy of Saudi Arabia and its clinical application]. Zhongguo Zhen Jiu 2008; 28: 375-377. Chinese

Toye F, Seers K, Allcock N, Briggs M, Carr E, Andrews J, et al. Patients’ experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review. Br J Gen Pract 2013; 63: e829-e841.

Cao H, Han M, Li X, Dong S, Shang Y, Wang Q, et al. Clinical research evidence of cupping therapy in China: a systematic literature review. BMC Complement Altern Med 2010; 10: 70.

Cao HJ, Liu JP, Hu H, Wang NS. Using a partially randomized patient preference study design to evaluate the therapeutic effect of acupuncture and cupping therapy for fibromyalgia: study protocol for a partially randomized controlled trial. Trials 2014; 15: 280.

Lauche R, Cramer H, Langhorst J, Dobos G. Cupping for chronic nonspecific neck pain: a 2-year follow-up. Forsch Komplementmed 2013; 20: 328-333.

Teut M, Kaiser S, Ortiz M, Roll S, Binting S, Willich SN, et al. Pulsatile dry cupping in patients with osteoarthritis of the knee - a randomized controlled exploratory trial. BMC Complement Altern Med 2012; 12: 184.

Al-Bukhari M. Sahih Al-Bukhari. Hadith No: 5758.


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