Query: therapy  cupping for hypertension

title: Wet cupping for hypertension: a systematic review and meta analysis
abstract: To assess the efficacy and safety of wet cupping in adults with hypertension, we conducted a systematic review and meta analysis using 13 databases. Wet cupping alone or in combination with antihypertensive medication or acupuncture was used. Seven randomized trials were included, most not of high methodological quality. A few small studies suggested that wet cupping alone versus antihypertensive medication significantly reduced blood pressure and Traditional Chinese Medicine syndrome (hypertension related symptoms) However based on current evidence, no firm conclusions can be drawn and no clinical recommendations made. Research projects included need validation. Studies indicate that wet cupping is a safe therapy.

title: Interval Aerobic Exercise versus Cupping Therapy on Essential Hypertension in Women
abstract: Exercise and cupping therapy has been suggested to be available treatment for hypertension. This study compares the effect of interval aerobic exercise versus cupping on essential hypertensive women. To determine the effect of interval aerobic exercise versus cupping therapy on Essential Hyper tensive women. Thirty women had essential hyper tension stage: 1 (140: 160mmHg systole 90 100mmHg dias tole) were randomly assigned into two groups equal in number. Group (A) fifteen women received moderate intensity (aerobic interval) exercise (4 to 7) of modified 0 10 Borg scale, exercise session 15:20min, three times per week for a month. Group (B) fifteen women received cupping therapy session on six points in the neck and back 20min, one session at the beginning of a study month.  Significant reduction of systolic blood pressure at post treatment in comparison to pre treatment (p value= 0.0001* There was improvement of systolic blood pressure in group: A percent of change (improvement) was 13.79% There was improvement of systolic blood pressure in Group B percent of change (improvement) was 11.5% multiple pair wise comparison tests (post hoc tests) revealed that there was no significant difference of the mean values of the "post" test between both groups with (p=0.096) In spite of that there was no statistical significant difference between Group A and Group B, was clinical difference and high percent of improve ment in favor to Group A. There was improvement of diastolic blood pressure in Group A and percent of change (improve ment) was 11.96% Multiple pair wise comparison tests (post hoc tests) revealed that there was significant reduction of diastolic blood pressure at post treatment in compare to pre treatment (p value= 0.0001* this mean there was improvement of diastolic blood pressure in Group B and percent of change (improvement) was 13.19% In spite of there was no statistical significant difference between Group A and Group B, there was clinical difference and high percent of improvement in favor to Group B.Conclusion: It was concluded that participation in aerobic interval exercise or cupping therapy have positive effect on blood pressure in stage one essential hypertensive women and can be used as alternative treatment modalities.

title: Cupping Therapy for Temporary Reduction of Blood Pressure in Hypertension Patients
abstract: Hypertension is still a major problem in the field of health problems in general. One therapy to cure hypertension is cupping technique therapy.  To find a picture of a brief decrease in blood pressure in patients with hypertension using cupping therapy techniques.  This study was a descriptive study using purposive sampling totaling 85 populations and 46 samples.  The results showed that the average systolic blood pressure before cupping was 164.78 mmHg decreased by 10.87 mmHg to 153.91 mmHg after cupping and the average diastolic blood pressure before cupping was 99.78 mmHg decreased by 4.13 mmHg to 95.65 mmHg.  The results showed that cupping technique therapy can reduce blood pressure for a moment in hypertension sufferers.

title: Hypertension and its Management through Alternative Regimes of Unani Medicine
abstract: Blood pressure or hypertension has become one of the leading medical issues among people all over the world. High blood pressure, if not controlled can lead to a many other related problems. Among them are kidney disease, heart failure, eye problems, strokes, and heart attacks. Alternative traditional regimes have proved to be highly successful in lowering high blood pressure and also promoting good health and wellness among patients. Hypertension or high blood pressure is typically caused when the blood thickens and becomes heavier over time. However in few people also have a larger volume of blood circulating in their bodies that causes blood pressure levels to rise. Cupping therapy and steam bath are non invasive form of treatment, and works to eliminate the root causes of high blood pressure and draw out the thick and stagnant blood so that pure, light blood can circulate more freely.

title: Pengaruh Terapi Bekam Kering Terhadap Tekanan Darah Pada Ibu Preeklampsia Postpartum
abstract: Preeklampsia selama kehamilan bisa menetap pada masa postpartum dan biasanya akan kembali normal pada minggu pertama postpartum. Angka kejadian preeklampsia atau hipertensi postpartum secara keseluruhan terjadi sekitar 57,1% Teknik non farmakologis untuk mengatasi hipertensi telah dikembangkan, salah satunya adalah bekam kering sebagai pilihan menurunkan tekanan darah. Penelitian quasy experiment dengan non equivalent control group design. Lokasi penelitian di RSUD Dr. Saiful Anwar Malang. Waktu penelitian dimulai bulan agustus september 2018. Populasi dalam penelitian ini adalah 34 ibu preeklampsia postpartum dengan kriteria tekanan darah sistolik minimal 140 mmHg dan telah mendapatkan terapi MgSO4 sebelumnya. Sampel penelitian terdiri dari 17 sampel pada kelompok perlakuan dan 17 sampel pada kelompok kontrol. Teknik pengambilan sampel menggunakan consecutive sampling. Variabel independen penelitian ini adalah terapi bekam kering, sedangkan variabel dependen adalah tekanan darah. Uji statistik yang digunakan paired t test dan uji wilcoxon untuk menganalisis perbedaan sebelum dan setelah perlakuan. uji independent sampel t test dan uji mann whitney untuk menganalisis perbedaan antara kedua kelompok. Hasil uji beda dengan uji wilcoxon didapatkan nilai p value pada tekanan darah sistolik dan diastolik lebih kecil dari taraf signifikansi a 0,05, maka dapat disimpulkan bahwa ada perbedaan bermakna tekanan darah ibu preeklampsia postpartum sebelum dan setelah diberikan terapi bekam kering dan terapi standar. Hasil analisis mann whitney diperoleh data bahwa terdapat perbedaan bermakna pada selisih tekanan darah sistolik antara kelompok yang diberi terapi standar dan kelompok yang diberi terapi standar ditambah terapi bekam kering. Berdasarkan hasil penelitian tersebut maka terapi bekam kering bisa digunakan sebagai terapi pendamping untuk menurunkan tekanan darah pada ibu preeklampsia postpartum.

title: Taibah mechanism (Taibah Theory)
abstract: Wet cupping therapy (WCT is a simple and economic treatment that still needs scientific interpretation. It treated effectively diseases with different etiologies and pathogeneses e.g. rheumatoid arthritis (RA) hypertension, migraine, carpal tunnel syndrome (CT S) fibromyalgia, cellulitis and others. Here, we review medical and scientific bases underlying cupping therapy and introduce T aibah theory as a novel evidence based scientific mechanism to explain it. Briefly, in T aibah theory, WCT is a minor surgical excretory procedure related scientifically to the principles of renal glomerular filtration and abscess evacuation, where a pressure dependent excretion of causative pathological substances (CPS) occurs. CPS include disease causing substances and disease related substances (that result during disease pathogenesis) Negative pressure applied to skin surface causes local collection of filtered and interstitial fluids containing CPS at skin upliftings inside cups. Scarifying skin upliftings followed by cupping causes a pressure gradient and a traction force across the skin and capillaries to excrete collected fluids with CPS and cause bleeding at puncture sites. T his increases filtration at both capillary ends and causes clearance of blood and interstitial spaces from CPS. WCT benefits from the suction pressure, phenomenon of reactive hyperemia, nitric oxide production and skin scarifications (openings in skin barrier) in enhancing natural excretory skin functions, improving lymphatic and capillary circulations and restoring homeostasis. Reported CPS of RA include autoantibodies, immune complexes, soluble interleukin 2 receptors, inflammatory mediators, certain cytokines, prostaglandins, toxic cellular products and rheumatoid factor, while CPS of CT S include malondialdehyde, interleukin 6, prostaglandin PGE2 and progressive edema (causing pain) WCT induced filtration pressure may excrete those CPS in cupped blood. Qeios Definition, June 6, 2018

title: Pengaruh Terapi Bekam Terhadap Penurunan Tekanan Darah Pada Klien Hipertensi
abstract: Hypertension or high blood pressure is one of the major health problems that require special attention. Cupping therapy is a process to remove dirty blood from the body through the skin surface. Cupping is an alternative to lower blood pressure. The purpose of this study was to determine the effect of therapy bruise to the decrease of blood pressure in hypertensive clients. This research is taking pre experimental one group pretest post test design. The sample was selected based on inclusion criteria using accidental sampling with total respondent 14 people. Here is the independent variable and dependent variable bleed therapy is to decrease blood pressure. Collect data by observation. Collecting and using data pengolahahan T test with a significant a 0.05. The results showed that there was a significant decrease in blood pressure between pre test and post test for systolic blood pressure decreased by an average of 22.857 mmHg and pre test and post test diastolic blood pressure by an average of 21.429 mmHg and testing with the T test indicates p 0001 and 0003 (a <0.05) It can be concluded that there are significant bruise therapy to decrease blood pressure in hypertension patients. Doing the right skin bruise location will be on the mast cell, which will produce substances such as serotonin, histamine, bradykinin, slow reacting substance, Nitric Oxide (NO) and endorphins. These substances will make repairs and reduce the capillary pressure darah.Hasilnya relaxing effect on muscle and vasodilatation of blood vessels, and eventually the blood pressure decrease. Needs further research with more respondents and considers factors confounding factor in research. With this result can bleed into one alternative way of treatment of hypertension

title: PENGARUH TERAPI BEKAM TERHADAP PERUBAHAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DI DUSUN TAMBAK REJO DESA GAYAMAN MOJOKERTO
abstract: Hypertension usually has no symptoms. That is why high blood pressure is called the silent killer. Hypertension that experienced by the public has been increase because most of them breaking treatment due to the high cost of treatment. One of the efforts made to resolve the issue with a non pharmacological therapy but with cupping therapy. This study aimed to determine the effect of cupping therapy to changes in blood pressure on the patients with hypertension. This reseach used design is Quasy experiment Pre Test Post Test Control Group. The population is patients with hypertension in the Tambak Rejo Village Gayaman District Mojokerto Regency were 28 people, sample in this study are 28 respondents and divided into two groups: experiment and control groups, with total sampling technique. The data obtained through observation sheet blood pressure were analyzed descriptively to determine differences in mean changes of blood pressure. The result show that there are differences between the mean of blood pressure on Pretest and Post Test. The experiment group average value of SBP change is 28.57 mmHg, DBP 10.71 mmHg and MAP 16.66 mmHg. In the otherside control group SBP 8.57 mmHg, DBP 3.57 mmHg and MAP 5.23 mmHg. The reseach show that there is significant effect of cupping therapy for the patient with hypertension. And cupping therapy can be use as alternative therapy for patient with hypertension.

title: Terapi Bekam dan Akupunktur Terhadap Penurunan Tekanan Darah pada Penderita Hipertensi Primer (Esensial) di Klinik Herbal El Zahra Kota Tarakan
abstract: Hypertension is health problems are often happens in society, both of urban and rural community. Prevalence in Indonesia reached was 75.8% quite high, the long term medical treatment make it more difficult to handled properly. Alternative treatment like cupping and acupuncture are patients hypertension efforts to be free from side effects inflicted by chemical medicines. The purpose of this study was to determine the effect of cupping and acupuncture therapy effectiveness in blood pressure reduction among patients with primary hypertension. Study design used in this study was pre experimental designs with pretest posttest, used statistics of paired t test and independent t test. The Results of paired test showed that value of p were 0.003 for systole blood pressure of cupping and 0.000 for systole blood pressure of acupuncture while diastole blood pressure of cupping obtained by value of p were 0.065 and 0.775 for diastole blood pressure of acupuncture, it means that cupping and acupuncture only had an affect on systole blood pressure reduction. Analysis results of independent t test showed that value of p were 0.051 for systole blood pressure and 0.511 for diastole blood pressure, it means that there was no differences between cupping and acupuncture therapy. Based on average of blood pleasure reduction, acupuncture can reduce of 17 mmHg of systole blood pressure while cupping only 10 mmHg, in acupuncture also reduce of 16 mmHg diastole blood pressure while cupping canl 19 mmHg.

title: Pulmonary hypertension in bronchopulmonary dysplasia
abstract: Bronchopulmonary dysplasia (BPD) is a major complication in prematurely born infants. Pulmonary hypertension (PH) associated with BPD (BPD PH) is characterized by alveolar diffusion impairment, abnormal vascular remodeling, and rarefication of pulmonary vessels (vascular growth arrest) which lead to increased pulmonary vascular resistance and right heart failure. About 25% of infants with moderate to severe BPD develop BPD PH that is associated with high morbidity and mortality. The recent evolution of broader PH targeted pharmacotherapy in adults has opened up new treatment options for infants with BPD PH. Sildenafil became the mainstay of contemporary BPD PH therapy. Additional medications, such as endothelin receptor antagonists and prostacyclin analogs/mimetics, are increasingly being investigated in infants with PH. However, pediatric data from prospective or randomized controlled trials are still sparse. We discuss comprehensive diagnostic and therapeutic strategies for BPD PH and briefly review the relevant differential diagnoses of parenchymal and interstitial developmental lung diseases. In addition, we provide a practical framework for the management of children with BPD PH, incorporating the modified definition and classification of pediatric PH from the 2018 World Symposium on Pulmonary Hypertension, and the 2019 EPPVDN consensus recommendations on established and newly developed therapeutic strategies. Finally, current gaps of knowledge and future research directions are discussed. Impact PH in BPD substantially increases mortality. Treatment of BPD PH should be conducted by an interdisciplinary team and follow our new treatment algorithm while still kept tailored to the individual patient. We discuss recent developments in BPD PH, make recommendations on diagnosis, monitoring and treatment of PH in BPD, and address current gaps of knowledge and potential research directions. We provide a practical framework, including a new treatment algorithm, for the management of children with BPD PH, incorporating the modified definition and classification of pediatric PH (2018 WSPH) and the 2019 EPPVDN consensus recommendations on established and newly developed therapeutic strategies for BPD PH.