Cupping in Traditional Chinese Medicine

Why is cupping an important modality in East Asian medicine?

Cupping is a traditional therapy that has been used for centuries and continues to be an important part of modern practice. It is warming in nature and supports the movement of Qi and blood. From a Western perspective, this can be understood as enhancing circulation and supporting the body’s natural healing processes.

Cupping is Warming & Reducing in Nature

In Traditional Chinese Medicine (TCM), cupping is also used to help dispel cold and dampness. Cold is often associated with pain, stiffness, and reduced circulation, along with a general sensation of cold. Dampness tends to present as a feeling of heaviness in the body. It can also affect the body’s fluid metabolism, leading to accumulation where it is not needed. This may show up as symptoms such as a heavy sensation in the head, like a damp cloth wrapped around it, low thirst, or only wanting to sip fluids, as drinking larger amounts can feel uncomfortable.

In practice, these patterns are always considered in context. A single symptom can have different meanings depending on the individual, which is why diagnosis in TCM looks at the full picture.

Cupping & the Lungs in TCM

It is also especially beneficial for the respiratory system. In TCM, the Lungs are closely related to the skin. Cupping on the upper back can help open the chest and support conditions such as cough and asthma. There are important Lung organ and spirit points located on the upper back, which is often treated, even when addressing musculoskeletal concerns.

Types of Cupping

There are several types of cupping used in practice. Historically, early forms included horn cupping (Jiao Fa) and bamboo cups. Today, glass cups are most commonly used by acupuncturists in California. Plastic suction cups are also used in some settings and can be effective, though they create suction differently. With glass cups, a flame is used briefly inside the cup to create a vacuum before placing it on the skin.

Cupping can be applied in different ways. It may be stationary, where the cups rest in one place, or it may be used as running cups, where the cups are gently moved across the skin. This technique is often used on the back and can help release tension across a larger area.

Cupping Precautions

While cupping is a valuable therapy, there are some precautions. It should not be performed over skin ulcers, large blood vessels, or in cases of high fever. Cupping is avoided on the low back, sacrum, and abdomen during pregnancy, though the upper back may be treated in early pregnancy when appropriate. Extra care is also taken for patients with bleeding disorders or those taking blood thinners, as bruising can occur more easily.

Cupping in the Spring

With the return of cooler, damp spring weather, cupping can be especially supportive. It is a great option for cold-water surfers and anyone experiencing tension or heaviness in the body during this season.

Cupping is available as an add-on to both Initial Acupuncture Visits and Follow-Up Acupuncture Visits. It is already included in Sports Acupuncture sessions. I also offer a dedicated Follow-Up Cupping & Gua Sha Visit for those who would like to focus more specifically on these therapies.

If you are feeling tight, heavy, or in need of support this season, you are welcome to come in.

I look forward to working with you!

With love & gratitude,

Dr. Darla Chenin, LAc