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functions of cupping
- -warms and promotes the free flow of qi and xue in the meridians
- -draws out pathogenic factors, wind, cold and dampness
- - diminshes swelling and pain
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Indications for cupping
- arthritic pain
- abdominal pain
- xu stomach ache
- indigestion
- headache
- hypertention
- common cold
- cough
- low back pain
- painful menstruation
- eyes red, swollen, and painful
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cautions for cupping
- patient is weak
- patient has not eaten
- where muscle is thin
- on elderly
- steroid users
- diabetic patient
- too many cups
- where skin is not level because of bony angles or depressions
- patient with very thin skin, bruises easily
- patient is on blood thinners
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contraindications for cupping
- patient during convulsions
- allergy skin condition
- patient with high fever
- on open wounds, moles, scars, raised lesions, ulcerated sores
- over swelling, edema, varicose veins, large blood vessels, malignant tumors, acute trauma
- ren 8, st 17, over eyes, ears, nose, mouth
- pregnant womens abdomen or lower back
- sciatica due to pregnancy
- on someone with hemophilia
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timing for cupping
- 5-15 min supplementing
- more time is draining (20 min)
- Not over 30 min (blisters may form)
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aftercare instructions for cupping
- no greasy foods
- no alcohol
- don't go in ocean
- avoid elements, esp wind and cold
- keep area covered
- drink lots of water
- eat a bland diet
- avoid sex
- *marks may stay 1-3 weeks
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cupping does what
- -brings up pathogens or stagnation from a deeper layer to cutaneous layer so it can be released from body
- -this is a form of releasing the exterior (which is why we have aftercare instructions so that the area is protected)
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cupping safety and best practices
- have a system and follow it
- communicate with patient
- Be alert, focused, and on task
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accident procedure : patient bleeds under cup
- -if you can, wait for blood to coagulate
- -put gloves on
- -wrap edges with paper towel
- -break seal away from face, slowly
- - take off cup, wrap in towels
- - wipe patient's skin first with towel then with alcohol
- -make sure bleeding stops (pressure)
- -clean cup with utility gloves on , remove blood, then disinfect
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accident: cup breaks
- -make sure patient and you are ok
- -tend to cuts or bleeding
- -pick up all pecies of glass hemostats, tweezers, or dustban (do not use hands or gloves)
- -dispose of broken glass into sharps container
- or in a cardboard box , tape it up, put into red medical waste trashcan
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patient gets burned by cup or cotton ball
- apologize
- if there are needles, remove immediately
- remove cup\cotton ball asap
- tend to patients burn (clean gently)
- tell supervisor or clinic staff
- have supervisor assess tissue damage
- work with patient and supervisor to see if additional medical attention is needed
- apologize
- call patient next day
- fill out incident report have supervisor sign it!
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accident: cup with blood drops on floor, splatters blood
- -take inventory of damage
- - manage area so no one gets hurt or makes situation worse
- -notify supervisor
- -clean up per osha guidelines ( spill kit in clinic)
- - put on utility gloves
- -if cup is broken clean it up
- -soak up excess blood from area with paper towels
- -clean area with soap and water, breaks up blood
- -then soak with appropriate disinfecting solution
- 1:10 for non porous 1:100 for porous. Soak for 2 hours or more.
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light cupping
- supplementing
- up to 20 min (less time more supp)
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medium cupping
- supplementing
- up to 20 min
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strong cupping
- draining
- 1st time 10 min, more later longer time, more draining
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sliding cupping
- draining
- patient must have strong constitution
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light moving cupping
supplementing
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moxa cupping hot needle
supplementing
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empty (flash) cupping
supplementing
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full (bleeding) cupping
draining
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cuppingn techniques not allowed at pcom
draining pus with cup
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where can you cup
- back
- neck
- face (not over eyes)
- chest (not over st 17)
- arms
- abdomen
- buttocks
- legs
- feet
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