CLINICAL EFFECTS OF CUPPING THERAPY IN PSORIASIS: A CASE


CLINICAL EFFECTS OF CUPPING THERAPY IN PSORIASIS: A CASE
By @ Dr Izharul Hasan, Consultant Unani, India

Contact for cupping therapy in delhi M 8287833547


Introduction
1Psoriasis is a chronic inflammatory skin disease. It is characterised by well-defined red, scaly plaques on the surfaces of the body. 2Psoriasis presentation patterns vary in appearance and location. The common types are plaque psoriasis, guttate psoriasis, scalp psoriasis, nail psoriasis, flexural psoriasis and psoriasis of palms and soles. Psoriasis is found throughout the world; however, there is a wide variation in its reported prevalence. 3,4The prevalence of psoriasis in the US is estimated to be approximately 2%, and in India ranges from 0.44 to 2.8%.
5The cause of psoriasis is idiopathic but the disease is thought to be a T-cell mediated inflammatory disorder and one more theory, psoriasis is due to blockages of sweat glands pore due to which sweating does not occurs and such more toxins are collected beneath the skin. 6There is, as yet, no curative regimen for the clinical management of psoriasis. Around half of psoriasis patients use some forms of traditional medicine including herbs used topically and orally.
Aim and objective: In this case aimed to evaluate the clinical efficacy of cupping therapy for psoriasis and objective of cupping therapy was imala wa tanqiya e mawad, improve subcutaneous blood flow circulation and autonomous nervous stimulation as well as sweat glands stimulation.
Methodology
The area selected for cupping therapy was disinfected by rubbing alcohol. After placing the cup manual suction was used to exclude the air inside the cup. The cup was clanged to the skin for 5 to 7 minutes. After removing the cup, multiple superficial incisions were made on the skin using sterile surgical blades. Again the cup was placed on the skin for 5 to 7 minutes, to a point it was filled with capillary vessel blood. Finally cups were removed and anti-septic lotion was applied.

Discussion and result
Patient age 39 years, gender male suffering from psoriasis since 17 years, with itching and plaques on skin. Overtime he had tried many creams, ointments and steroids which gave him short term relief and inevitably side effects. He was advised 3 months treatment of cupping therapy with an interval of 15 days, total 6 sessions as well as follow up for observation. The skin state was assessed by the size of Psoriasis Area and Severity Index (PASI) score on two occasions 2 weeks apart before the study, after 4, 6, 8, and 10 weeks of treatment and at the end of the study (3 months after therapy). All examination was performed by same doctor without access to previous protocol or PASI scores. 7Cupping therapy having the immune-modulatory effects. Due to its ability to modulate the immune system It was thus postulated that this aspect of cupping therapy can be used to treat other immune related diseases as well.
Cupping therapy was started and after the first session, lesions and plaques started to disappeared and reduced both in size and number. The patient continued for 6 sessions and more than 90% of disease had gone and no itching was felt anywhere on the skin. Condition of the skin improved and began looking healthy.
Conclusion

This case puts some light on the effectiveness of cupping therapy to treat psoriasis. This case demonstrates the efficacy of cupping therapy in treating psoriasis. However, more research and trials are needed to fully elucidate the effectiveness of this therapy for all types of psoriasis with varying degrees of severity.
Reference
1Buxton PK, Morris-Jones R. ABC of dermatology. 5th ed. Oxford: Blackwell Publishing Ltd; 2009
2Weller R, Hunter J, Savin J, Dahl M. Clinical dermatology. 4th ed. Malden (USA)/ Oxford (UK)/ Carlton (Australia): USA, UK & Australia: Blackwell Publishing; 2009
3Langley RGB, Krueger GG, Griffiths CEM. Psoriasis: epidemiology, clinical features, and quality of life. Ann Rheum Dis. 2005;64
4Dogra S, Yadav S. Psoriasis in India: Prevalence and pattern. Indian J Dermatol Venereol Leprol 2010;76:595-601
5Rahman, M., Alam, K., Zaki Ahmad, M., Gupta, G., Afzal, M., Akhter, S., Anwar, F., 2012. Classical to current approach for treatment of psoriasis: a review. Endocr. Metab. Immune Disord. Drug Targets 12(3), 287–302.
6Scottish Intercollegiate Guidelines Network. Diagnosis and management of psoriasis and psoriatic arthritis in adults: A national clinical guideline 2010.  http://www.sign.ac.uk/pdf/sign121.pdf (Access on dated 15 March 2018).
7S.M. Ahmed, N.H. Madbouly, S.S. Maklad, E.A. Abu-Shady. Immunomodulatory effect of bloodletting cupping therapy in patients with rheumatoid arthritis. Egypt. J. Immunol., 12 (2) (2005), pp. 39-51
Source: Dr Izharul Hasan, India

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