The cupping therapy applied to the back is currently the most commonly used cupping method in clinical practice, belonging to the category of meridian cupping, which includes the bladder meridian (pángguāng jīng) and the governor vessel (dū mài) cupping techniques. The back of the human body, also known as the spine or backbone, is often a symbol of strength and hope. In fact, the back is not only broad and powerful, being a major component of the torso, but it is also an important area for the nervous system, meridian system, and immune system, serving as a special health zone for the body. The spine, located centrally on the back, is the pathway of the governor vessel, which oversees all the Yang meridians in the body, playing a crucial role in commanding, regulating, and connecting other Yang meridians. The bladder meridian, located on either side of the spine, runs throughout the body, with corresponding reflex points for the internal organs located at its associated acupoints. Any pathological changes in the functions of the internal organs can be reflected at these back acupoints. The cupping therapy on the back is widely used in clinical applications and can treat many diseases:
Respiratory system diseases such as colds, fevers, coughs, and asthma. Cupping on the back can directly affect the Lung Shu (肺俞), Wind Gate (风门), Great Vertebra (大椎), Dingchuan (定喘), and Kidney Shu (肾俞) acupoints, invigorating Yang Qi, unblocking meridian Qi, and expelling evils such as wind, cold, dampness, and heat.
Digestive system diseases are applicable for conditions like digestive disorders, loss of appetite, and diarrhea caused by spleen and stomach deficiency. By stimulating the back Shu points for the spleen, stomach, liver, and gallbladder, it can regulate the Qi of the spleen and stomach as well as the liver and gallbladder.
Otorhinolaryngological diseases such as acne, red and swollen eyes, styes, and oral ulcers. Fire is a Yang evil that easily attacks Yang positions, and many otorhinolaryngological diseases are caused by excessive internal fire disturbing the clear orifices. Cupping on the back can draw out the stagnant internal fire and regulate the balance of Yin and Yang in the meridians.
Soft tissue diseases of the lower back and back are often caused by exposure to wind, cold, and dampness or by overexertion and strain. Cupping can effectively expel the evils of wind, cold, and dampness, promote circulation, and relieve pain.
It should be noted that after cupping, patients should keep the treated area warm to avoid re-exposure to wind and cold. In principle, after large area cupping (such as back cupping), it is advised to avoid bathing for 24 hours. After removing the cups, clean the area with a clean cotton ball or tissue to remove any residual lubricant, and drink a cup of warm water to replenish fluids, enhancing the effects of invigorating blood circulation and expelling toxins from the body. (Wanjun Li)
