CMAC211. Session 3. Cupping Therapy. Chinese Medicine Department. Endeavour College of Natural Health endeavour.edu.au 1

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1 CMAC211 Sessin 3 Cupping Therapy Chinese Medicine Department Endeavur Cllege f Natural Health endeavur.edu.au 1

Pre Readings Bentley, B. (2013). Mending the fascia with mdern cupping. The Lantern, 10(3), 4 21. Retrieved frm www.thelantern.cm.au Bentley, B. (2011).

2 Pre Readings Bentley, B. (2013). Mending the fascia with mdern cupping. The Lantern, 10(3), Retrieved frm Bentley, B. (2011). Cupping Deficiency. The Lantern, 8(2), Retrieved frm Bth are handuts n the LMS Endeavur Cllege f Natural Health 2

3 Cupping Therapy This sessin is far mre practical and will shw yu sme prtcls fr cmmn cnditins seen in the clinic Upper back Neck and shulders Lwer back Hips and buttcks Face Will be cvered Image: Chirali, 2015, p82 Endeavur Cllege f Natural Health endeavur.edu.au 3

4 Explre the Anatmy In class have a lk at Visible Bdy Visible Bdy Muscle Premium Just lg in with yur Endeavur details Argsy Publishing, 2015 Endeavur Cllege f Natural Health endeavur.edu.au 4

ther cases f decreased ROM Cupping is a great way t help release

5 Cupping fr Levatr Scapulae Active trigger pints in the levatr scapulae are very cmmn and included in may acute stiff necks and ther cases f decreased ROM Cupping is a great way t help release them Chirali, 2015, p235 Endeavur Cllege f Natural Health 5

Cupping fr Infraspinatus Active trigger pints in the Infraspinatus are very cmmn and cmmnly refer pain t the frnt f the shulder and radiate dwn the

6 Cupping fr Infraspinatus Active trigger pints in the Infraspinatus are very cmmn and cmmnly refer pain t the frnt f the shulder and radiate dwn the anterlateral aspect f the arm Cupping is a great way t help release them Chirali, 2015, p235 Endeavur Cllege f Natural Health 6

Cupping fr Supraspinatus Active trigger pints in the Supraspinatus can refer deep pain in the shulder regin, ften extending dwn t the arm and frearm,

7 Cupping fr Supraspinatus Active trigger pints in the Supraspinatus can refer deep pain in the shulder regin, ften extending dwn t the arm and frearm, cncentrating ver the lateral epicndyle f the elbw Cupping is a great way t help release them Chirali, 2015, p235 Endeavur Cllege f Natural Health 7

8 Cupping fr Trapezius The Trapezius muscles cnsist f 3 areas, upper middle and lwer. Trigger pints can ccur in all with different patterns f referral Cupping is a great way t help release them Chirali, 2015, p234 Endeavur Cllege f Natural Health 8

9 Splenius Capitus an Splenius Cervicus Splenius capitus TrPs refer pain t the vertex f the head. Upper splenius cervicus refers t the cciput ache inside the skull Lwer splenius cervicus refer pain dwn int the shulder girdle and t the angel f the neck Chirali, 2015, p234 Endeavur Cllege f Natural Health 9

Cupping the naval A cin is wrapped in a tissue with the excess paper trn ff.

the flame We use this technique t remve cld frm the abdmen There shuld be a

salt mxa technique t add warmth back in See the demnstratin here Image,

10 Cupping the naval A cin is wrapped in a tissue with the excess paper trn ff. The end is lit The cup is placed ver the tissue; the vacuum will extinguish the flame We use this technique t remve cld frm the abdmen There shuld be a palpable change in the temperature arund the navel It is ften fllwed up the salt mxa technique t add warmth back in See the demnstratin here Image, Mannix, 2016 Vide: Edtech atendeavur Endeavur Cllege f Natural Health 10

i.e., get the patient t mve the leg with the cups n Image

11 Hip Flexrs Apply cups at attachments f Tensa Fascia Lata (TFL), Rectus Femris and Sartrius Add hip extensin and knee flexin i.e., get the patient t mve the leg with the cups n Image Gldswrthy, 2014 Endeavur Cllege f Natural Health 11

12 Lumbsacral fascia Apply cups at lumbsacral fascia Patient then frward bends Lwer back Bladder channel pints Image Gldswrthy, 2014 Endeavur Cllege f Natural Health 12

13 Distal ITB Image Gldswrthy, 2014 Endeavur Cllege f Natural Health 13

14 Trchanteric regin Cup Placement 7 cups are placed n different attachment sites. TFL, Glute Min/Max, vast lat and hip rtatrs. The hip must start in slight abductin r neutral. Mvements: hip rtatins, flexin r extensin Image Gldswrthy, 2014 Endeavur Cllege f Natural Health 14

Rhmbid (Majr and Minr) Cup Placement One placed at the levatr scapula attachment, tw placed at the rhmbids attachments n medial brder f scapula Active r Passive

15 Rhmbid (Majr and Minr) Cup Placement One placed at the levatr scapula attachment, tw placed at the rhmbids attachments n medial brder f scapula Active r Passive Mvement Shulder abductin Additinally, add a levatr scapula stretch Lev Scap Rhm Min Rhm Maj Image Gldswrthy, 2014 Endeavur Cllege f Natural Health 15

16 Rhmbs/Lev scap Images Gldswrthy, 2014 Endeavur Cllege f Natural Health 16

17 Dn t be afraid t use multiple cups Image Mannix, 2004 Endeavur Cllege f Natural Health 17

Practical tips fr multiple cupping Cupping in triangular patterns as this will have the smallest pssible gaps between the cups Get peple t slw dwn their breathing Warn them abut what may happen; the

18 Practical tips fr multiple cupping Cupping in triangular patterns as this will have the smallest pssible gaps between the cups Get peple t slw dwn their breathing Warn them abut what may happen; the feeling can be intense Dn t cup t large an area in ne sessin; yu can break it up and see the patient mre than nce Cup the gaps frm the first treatment sessin in subsequent sessins Jhnsn, 2012 Image: Clipart Endeavur Cllege f Natural Health 18

Txin Pints These are specifics areas f the bdy that the bdy places txins that are difficult t break dwn These areas can turn very dark, and the patient desn t cmplain f these sites.

19 Txin Pints These are specifics areas f the bdy that the bdy places txins that are difficult t break dwn These areas can turn very dark, and the patient desn t cmplain f these sites. Sme cmmn lcatins include, where the neck jins the shulders lcatin is shwn in next slide The lateral aspects f the scapula, (area in between SI11 and SI9) And right behind the ear arund TE17 Jhnsn, 2012 Image: Wikimedia Cmmns Endeavur Cllege f Natural Health 19

20 Upper Txin Pint crrespnds t Mtr Pint Trapezius (upper fibres) Halfway between SI15 and SI16 n the anterir edge f the upper trapezius fibres. Where the neck jins the shulders When cupping this pint have it at an angle f 45 fr maximum suctin Yu will learn mre abut Mtr Pints in CMAC222 Callisn 2012 Endeavur Cllege f Natural Health 20

21 Scapula Txin pints Can be bled and cupped r just cupped Jhnsn, 2012 Endeavur Cllege f Natural Health 21

22 Cupping the neck and shulders Use small cups n the neck as the fine muscles and ther tissues cant handle a strng suctin GB21 is cupped last because it can be quite painful. Plan the treatment accrdingly. Jhnsn, 2012 Endeavur Cllege f Natural Health 22

23 Cupping the Scapula If the areas arund an area have been cupped and sme place hasn t it can spasm due t the lack f Oxygen Jhnsn, 2012 Endeavur Cllege f Natural Health 23

24 Cupping the SCM Cupping sitting up gets a better suctin and mre muscles, nt just skin if in a face cradle. Allws fr a neutral neck psitin Dn t cme in frnt f the SCM muscle as this is tissue is t fragile and peple can start cughing r feel that they are chking Jhnsn, 2012 Endeavur Cllege f Natural Health 24

25 Cupping the Upper Back When cupping in between the scapula get the patient t have the arms hang ff the table t pen up the area Jhnsn, 2012 Endeavur Cllege f Natural Health 25

26 Cupping the Lwer Back PSIS Jhnsn, 2012 Endeavur Cllege f Natural Health 26

27 Cupping the Lwer Back and Hips Start with the lwer back and wrk yur way dwn. If ding this type f treatment dn t g further that GB31. As this is very painful GB 30 Lwer ITB prblems (ITB frictin syndrme) can be cupped as per slide 11 Jhnsn, 2012 Endeavur Cllege f Natural Health 27

28 Cupping the Flank Avid the breast tissue. Only cup ver the ribs Start at the spine and cup arund staying within the ribcage. Dn t cup ver the flating ribs Jhnsn, 2012 Endeavur Cllege f Natural Health 28

29 Cupping the Shulder *Cautin with shulders as smetimes they can be wrse after cupping Start just belw the acrmin prcess Cup the lung channel gently Stp at the deltid attachment, level with LI14 and TE13 Jhnsn, 2012 Endeavur Cllege f Natural Health 29

30 Cupping the jaw Start in frnt f the ear GB2/SI19/TE21 Use il and be gentle n the face. This can be used fr Bells Palsy/Facial paralysis r TMD One cup at a time Jhnsn, 2012 Endeavur Cllege f Natural Health 30

Scapula (rtatr cuff) Lwer back and hips Shulder Face (flash cupping) Images:

31 Practical Lecturer t demnstrate different cupping techniques Practice different styles f cupping Upper back and neck (include different muscles) Scapula (rtatr cuff) Lwer back and hips Shulder Face (flash cupping) Images: Chirali, 2015, plate 37, plate 46A Endeavur Cllege f Natural Health 31

32 References Gldswrthy E, 2014, Hip Flexrs cupping, private cllectin Gldswrthy E, 2014, Lwer back fascia, private cllectin Gldswrthy E, 2014, Distal ITB cupping, private cllectin Gldswrthy E, 2014, Greater trchanteric regin with cupping, private cllectin Gldswrthy E, 2014, Rhmbids cupping n mvement, private cllectin Gldswrthy E, 2014, Rhmbids cupping with mvement, private cllectin Gldswrthy E, 2014, Levatr Scapulae with mvement, private cllectin Chirali, IZ, 2007, Traditinal Chinese medicine cupping therapy secnd editin DVD, Churchill Livingstne, Elsevier, Edinburgh Chirali, IZ, 2015, Traditinal Chinese medicine cupping therapy third editin, Churchill Livingstne, Elsevier, Edinburgh Argsy publishing, 2015, Visible bdys human anatmy atlas, viewed 24 th June 2015, < Argsy publishing, 2015, Visible Bdys muscle premium anatmy atlas, viewed 24 th June 2015, < Jhnsn, S, 2012, The ancient art f cupping, viewed 7 th Jan 2016, < Callisn, M 2012, Mtr Pint Index An Acupuncturist s Guide t Lcating and Treating Mtr Pints, AcuSprt Seminar Series LLC Sprts Medicine Acupuncture, San Dieg, Califrnia, viewed 24 th June 2015, < "GHS-pictgram-skull" by Unknwn - EPS file skull.eps frm UNECE web site cnverted with ImageMagick cnvert and with ptrace, edited in inkscape. Licensed under Public Dmain via Cmmns viewed 18 th Jan 2016, Mannix, B, 2004, Cupping in China, private Cllectin Edtech atendeavur, 2016, Cupping the navel, viewed 9 th Mar 2016, Mannix, B, 2016, Cupping the navel, private cllectin Endeavur Cllege f Natural Health 32

33 COMMONWEALTH OF AUSTRALIA Cpyright Regulatins 1969 WARNING This material has been reprduced and cmmunicated t yu by r n behalf f the Endeavur Cllege f Natural Health pursuant t Part VB f the Cpyright Act 1968 (the Act). The material in this cmmunicatin may be subject t cpyright under the Act. Any further reprductin r cmmunicatin f this material by yu may be the subject f cpyright prtectin under the Act. D nt remve this ntice. Endeavur Cllege f Natural Health 33

BROCKTON AREA MULTI-SERVICES, INC. MEDICAL PROCEDURE GUIDE. Date(s) Reviewed/Revised:

BROCKTON AREA MULTI-SERVICES, INC. MEDICAL PROCEDURE GUIDE. Date(s) Reviewed/Revised: Page 1 f 6 Subject: Range f Mtin Exercises Date Develped: 4/2010 PROTOCOL FOR: All trained staff PURPOSE: Range f Mtin (ROM) exercises are very imprtant if an individual has t stay in bed r in a wheelchair.