The Effect of Wet Cupping on Baroreceptor Sensitivity in Hypertensive Patients in Sidenreng Rappang Regency, South Sulawesi
DOI:
https://doi.org/10.3889/oamjms.2021.6891Keywords:
Wet cupping, Baroreceptors, Hypertension, Heart rate, Blood pressureAbstract
Wet cupping therapy removes toxins thereby increasing blood flow and stimulating baroreceptors sensitivity which provides a stimulus to the autonomic nerves. This stimulus reduces the sympathetic nerves’ work and inhibits the vasomotor center, leading to vasodilation, therefore decreasing blood pressure and pulse frequency. This research aims to determine the effect of wet cupping therapy on baroreceptors sensitivity with blood pressure and pulse frequency indicators. It was conducted in Sidenreng Rappang Regency, South Sulawesi, eastern Indonesia from February to May 2021. Randomized Controlled Trial (RCT) method was used including two groups of 31 respondents each. The intervention group used wet cupping therapy to regulate anti-hypertensive drugs and the control group used anti-hypertensive drugs with blood pressure and pulse frequency measurements until 6 weeks after the therapy. Wet cupping affects baroreceptor sensitivity by reducing the indicators. The result showed a significant difference in blood pressure measurement (systolic; diastolic) before and after the 2-week follow-up period (P = 0.000; P = 0.001), and between 2 and 4 weeks (P = 0.000; P = 0.000), but between 4 and 6 weeks there was no significant difference in the intervention group (P = 0.248; P = 0.583). There was a significant difference in pulse frequency at 2 and 4 weeks after the intervention (P = 0.016). In conclusion, wet cupping therapy effectively increases baroreceptor sensitivity by reducing blood pressure and pulse frequency indicators in hypertensive patients up to 4 weeks limit after the therapy, without any serious side effects experienced by respondents.
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Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, et al. Global disparities of hypertension prevalence and control: A systematic analysis of population-based studies from 90 countries. Circulation. 2016;134(6):441-50. https://doi.org/10.1161/CIRCULATIONAHA.115.018912 PMid:27502908 DOI: https://doi.org/10.1161/CIRCULATIONAHA.115.018912
Christiani Y, Byles JE, Tavener M, Dugdale P. Assessing socioeconomic inequalities of hypertension among women in Indonesia’s major cities. J Hum Hypertens. 2015;29(11):683-8. https://doi.org/10.1038/jhh.2015.8 PMid:25652531 DOI: https://doi.org/10.1038/jhh.2015.8
Turana Y, Tengkawan J, Soenarta AA. Asian management of hypertension: Current status, home blood pressure, and specific concerns in Indonesia. J Clin Hypertens (Greenwich). 2020;22(3):483-5. https://doi.org/10.1111/jch.13681 PMid:31680397 DOI: https://doi.org/10.1111/jch.13681
Albaghdadi M. Baroreflex control of long-term arterial pressure. Dep Intern Med. 2007;14(4):212-25.
Lohmeier TE, Iliescu R. The baroreflex as a long-term controller of arterial pressure. Physiology (Bethesda). 2015;30(2):148-58. https://doi.org/10.1152/physiol.00035.2014 PMid:25729060 DOI: https://doi.org/10.1152/physiol.00035.2014
Kazimierska A, Placek MM, Uryga A, Wachel P, Burzyńska M, Kasprowicz M. Assessment of baroreflex sensitivity using time-frequency analysis during postural change and hypercapnia. Comput Math Methods Med. 2019;2019:4875231. https://doi.org/10.1155/2019/4875231 PMid:30863454 DOI: https://doi.org/10.1155/2019/4875231
Fu Q, Ogoh S. Sex differences in baroreflex function in health and disease. J Physiol Sci. 2019;69(6):851-9. https://doi.org/10.1007/s12576-019-00727-z PMid:31721084 DOI: https://doi.org/10.1007/s12576-019-00727-z
Aboushanab TS, AlSanad S. Cupping therapy: An overview from a modern medicine perspective. J Acupunct Meridian Stud. 2018;11(3):83-7. https://doi.org/10.1016/j.jams.2018.02.001 PMid:29436369 DOI: https://doi.org/10.1016/j.jams.2018.02.001
Aleyeidi NA, Aseri KS, Matbouli SM, Sulaiamani AA, Kobeisy SA. Effects of wet-cupping on blood pressure in hypertensive patients: A randomized controlled trial. J Integr Med. 2015;13(6):391-9. https://doi.org/10.1016/S2095-4964(15)60197-2 PMid:26559364 DOI: https://doi.org/10.1016/S2095-4964(15)60197-2
Elizabeth MA, Yusof YB, Bin Mohamad MS, Abu Bakar MF, Ibrahim MA. Efficacy of cupping in the treatment of hypertension disease using graph colouring. J Phys Conf Ser. 2019;1366(1):12044. DOI: https://doi.org/10.1088/1742-6596/1366/1/012044
Al-Bedah AM, Elsubai IS, Qureshi NA, Aboushanab TS, Ali GI, El-Olemy AT, et al. The medical perspective of cupping therapy: Effects and mechanisms of action. J Tradit Complement Med. 2018;9(2):90-7. https://doi.org/10.1016/j.jtcme.2018.03.003 PMid:30963043 DOI: https://doi.org/10.1016/j.jtcme.2018.03.003
Darmawan B, Fatmasari D, Sri R, Pujiastuti E. Negative air pressure on wet cupping in decreasing blood pressures in hypertensive patients. Nurse Med J Nurs. 2017;7(2):116-29. DOI: https://doi.org/10.14710/nmjn.v7i2.15177
Xing M, Yan X, Yang S, Li L, Gong L, Liu H, et al. Effects of moving cupping therapy for plaque psoriasis: Study protocol for a randomized multicenter clinical trial. Trials. 2020;21(1):229. https://doi.org/10.1186/s13063-020-4155-0 PMid:32102679 DOI: https://doi.org/10.1186/s13063-020-4155-0
Subramanian SK, Sharma VK, Arunachalam V, Rajendran R, Gaur A. Comparison of baroreflex sensitivity and cardiac autonomic function between adolescent athlete and non-athlete boys-a cross-sectional study. Front Physiol. 2019;10:1043. https://doi.org/10.3389/fphys.2019.01043 PMid:31507430 DOI: https://doi.org/10.3389/fphys.2019.01043
Al-Tabakha MM, Sameer FT, Saeed MH, Batran RM, Abouhegazy NT, Farajallah AA. Evaluation of bloodletting cupping therapy in the management of hypertension. J Pharm Bioallied Sci. 2018;10(1):1-6. https://doi.org/10.4103/jpbs.JPBS_242_17 PMid:29657501 DOI: https://doi.org/10.4103/jpbs.JPBS_242_17
La Rovere MT, Pinna GD, Raczak G. Baroreflex sensitivity: Measurement and clinical implications. Ann Noninvasive Electrocardiol. 2008;13(2):191-207. https://doi.org/10.1111/j.1542-474X.2008.00219.x PMid:18426445 DOI: https://doi.org/10.1111/j.1542-474X.2008.00219.x
Tjahjono CT, Munawar M, Kaligis R, Idham I. Baroreflex sensitivity in patients with coronary artery disease who underwent percuteous coronary intervention. Indones J Cardiol. 2007;28(6):415-23.
Qureshi NA, Ali GI, Abushanab TS, El-Olemy AT, Alqaed MS, El-Subai IS, Al-Bedah AM. History of cupping (Hijama): A narrative review of literature. J Integr Med. 2017;15(3):172-81. https://doi.org/10.1016/S2095-4964(17)60339-X PMid:28494847 DOI: https://doi.org/10.1016/S2095-4964(17)60339-X
Zhang X, Tian R, Lam WC, Duan Y, Liu F, Zhao C, et al. Standards for reporting interventions in clinical trials of cupping (STRICTOC): Extending the CONSORT statement. Chin Med. 2020;15:10. https://doi.org/10.1186/s13020-020-0293-2 PMid:32021646 DOI: https://doi.org/10.1186/s13020-020-0293-2
Lu S, Du S, Fish A, Tang C, Lou Q, Zhang X. Wet cupping for hypertension: A systematic review and meta-analysis. Clin Exp Hypertens. 2019;41(5):474-80. https://doi.org/10.1080/10641963.2018.1510939 PMid:30183389 DOI: https://doi.org/10.1080/10641963.2018.1510939
Kim JE, Cho JE, Do KS, Lim SY, Kim HJ, Yim JE. Effect of cupping therapy on range of motion, pain threshold, and muscle activity of the hamstring muscle compared to passive stretching. J Korean Soc Phys Med. 2017;12(3):23-32. DOI: https://doi.org/10.13066/kspm.2017.12.3.23
Joyce B, Jane H. Keperawatan Medikal Bedah: Manajemen Klinis Untuk Hasil Yang Diharapkan. 8th ed. Singapore: Elsevier; 2014.
El-Shanshory M, Hablas NM, Shebl Y, Fakhreldin AR, Attia M, Almaramhy HH, et al. Al-hijamah (wet cupping therapy of prophetic medicine) significantly and safely reduces iron overload and oxidative stress in thalassemic children: A novel pilot study. J Blood Med. 2018;9:241-51. https://doi.org/10.2147/JBM.S170523 PMid:30588142 DOI: https://doi.org/10.2147/JBM.S170523
Almaiman AA. Proteomic effects of wet cupping (Al-Hijamah). Saudi Med J. 2018;39(1):10-6. https://doi.org/10.15537/smj.2018.1.21212 PMid:29332103 DOI: https://doi.org/10.15537/smj.2018.1.21212
Jadhav DK. Cupping therapy: An ancient alternative medicine. J Phys Fit Med Treat Sport. 2018;3(1):1-4. DOI: https://doi.org/10.19080/JPFMTS.2018.03.555601
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Copyright (c) 2021 Fadli Fadli, Sumbara Sumbara, Arabta M. Peraten Pelawi, Suratun Suratun, Rohandi Baharuddin (Author)
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