Exploring the Impact of Dry Cupping and Wet Cupping Therapy on Haemoglobin Levels During Menstruation among Adolescent Females: A Preliminary Comparative Study

Aris Setyawan; I Made Moh. Yanuar Saifudin

doi:10.37287/ijghr.v5i4.2477

Aris Setyawan Sekolah Tinggi Ilmu Kesehatan Surya Global Yogyakarta
I Made Moh. Yanuar Saifudin Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada

DOI: https://doi.org/10.37287/ijghr.v5i4.2477

Keywords: adolescents, cupping therapy, haemoglobin enhancement, menstruation

Abstract

Adolescence is a critical phase of transition from childhood to adulthood, characterized by various reproductive health challenges. Anaemia is a prevalent problem, with approximately 10% of women experiencing significant haemoglobin loss through menstrual bleeding. Non-pharmacological approaches, including cupping therapy, have shown promise in managing anaemia and menstrual issues. This study aimed to compare and evaluate the effectiveness of dry cupping therapy and wet cupping therapy in improving haemoglobin levels during menstruation among late adolescents. A quasi-experiment with a pre-post test without control group design was conducted. The sample consisted of 70 respondents, with 35 participants in the dry cupping group and 35 participants in the cpc-wct cupping group, selected using purposive sampling. The data were analyzed using the paired t-test and independent t-test. Both the dry cupping group (t=-4.896, p<0.001) and the cpc-wct group (t=-12.727, p<0.001) experienced a significant increase in haemoglobin level after the implementation of cupping therapy. However, there was no statistical significant difference in haemoglobin levels between groups after the intervention (t= 0.425, p=0.534). This suggests that the outcomes or measured variables did not significantly differ between the two cupping groups following the intervention. Cupping therapy, whether applied through cpc-wct or dry techniques, has the potential to enhance haemoglobin levels in adolescents during menstruation. Cpc-wct cupping, in particular, is perceived as a more effective method compared to dry cupping. Consequently, both cpc-wct and dry cupping can be considered as viable alternative interventions for raising haemoglobin levels in adolescents during menstruation.

References

AlBedah, A. M. N., Khalil, M. K. M., Elolemy, A. T., Al Mudaiheem, A. A., Al Eidi, S., Al-Yahia, O. A., Al-Gabbany, S. A., & Henary, B. Y. (2013). The use of and out-of-pocket spending on complementary and alternative medicine in Qassim province, Saudi Arabia. Annals of Saudi Medicine, 33(3), 282–289. https://doi.org/10.5144/0256-4947.2013.282

Auerbach, M., Abernathy, J., Juul, S., Short, V., & Derman, R. (2021). Prevalence of iron deficiency in first trimester, nonanemic pregnant women. The Journal of Maternal-Fetal & Neonatal Medicine, 34(6), 1002–1005. https://doi.org/10.1080/14767058.2019.1619690

Cao, H., Li, X., & Liu, J. (2012). An Updated Review of the Efficacy of Cupping Therapy. PLoS ONE, 7(2), e31793. https://doi.org/10.1371/journal.pone.0031793

Conrad, M. (2016). The Basics of Dry Cupping: Beginners Guide on the Benefits of Dry Cupping with a Simple How-To Guide. CreateSpace Independent Publishing Platform. https://books.google.co.id/books?id=WVhsvgAACAAJ

Hallberg, L., Hôgdahl, A.-M., Nilsson, L., & Rybo, G. (1966). Menstrual Blood Loss–A Population Study: Variation at different ages and attempts to define normality. Acta Obstetricia et Gynecologica Scandinavica, 45(3), 320–351. https://doi.org/10.3109/00016346609158455

Hani, U., & Saleem, M. (2019). Review on cupping therapy (al-hijama): A miraculous alternative system of medicine, which is an unbeatable cure for all ailments. Journal of Pharmacognosy and Phytochemistry, 8(2), 2406–2414.

Huang, Y. L. (2008). Cupping-bloodletting therapy of Saudi Arabia and its clinical application. Zhongguo Zhen Jiu = Chinese Acupuncture & Moxibustion, 28(5), 375–377. https://www.scopus.com/inward/record.uri?eid=2-s2.0-48549092033&partnerID=40&md5=22e656c6e7c05dde72211c582fc0bc0f

Jimenez, K., Kulnigg-Dabsch, S., & Gasche, C. (2015). Management of Iron Deficiency Anemia. Gastroenterology & Hepatology, 11(4), 241–250.

Koran, S., & Irban, A. (2021). Analytical Approach to the Literature of Cupping Therapy. Journal of The Korean Society of Physical Medicine, 16(3), 1–14. https://doi.org/10.13066/kspm.2021.16.3.1

Lauche, R., Cramer, H., Hohmann, C., Choi, K.-E., Rampp, T., Saha, F. J., Musial, F., Langhorst, J., & Dobos, G. (2012). The effect of traditional cupping on pain and mechanical thresholds in patients with chronic nonspecific neck pain: a randomised controlled pilot study. Evidence-Based Complementary and Alternative Medicine : ECAM, 2012, 429718. https://doi.org/10.1155/2012/429718

Lemeshow, S., Hosmer Jr, D. W., Klar, J., & Lwanga, S. K. (1990). Adequacy of Sample Size in Health Studies. Technometrics. https://doi.org/10.1080/00401706.1994.10485796

Li, T., Li, Y., Lin, Y., & Li, K. (2017). Significant and sustaining elevation of blood oxygen induced by Chinese cupping therapy as assessed by near-infrared spectroscopy. Biomedical Optics Express, 8(1), 223–229.

Liang, M., Simelane, S., Fortuny Fillo, G., Chalasani, S., Weny, K., Salazar Canelos, P., Jenkins, L., Moller, A.-B., Chandra-Mouli, V., Say, L., Michielsen, K., Engel, D. M. C., & Snow, R. (2019). The State of Adolescent Sexual and Reproductive Health. Journal of Adolescent Health, 65(6), S3–S15. https://doi.org/10.1016/j.jadohealth.2019.09.015

Maharani, R., Maigoda, T. C., & Pravita, A. (2022). The effect of green bean juice and pudding red guava on the enhancement of hemoglobin levels in adolescent girls. Proceeding B-ICON, 1(1), 296–302. https://doi.org/10.33088/bicon.v1i1.52

Manz, H., & Piotrowski-Manz, H. (2020). The art of cupping. Georg Thieme Verlag.

Ministry of Health Indonesia. (2018). Riset kesehatan dasar (Riskesdas) [Basic health research]. https://www.badankebijakan.kemkes.go.id/laporan-hasil-survei

Mirawati, P. (2020). Studi literatur review gambaran tingkat pengetahuan gizi dan kepatuhan mengonsumsi tablet tambah darah (ttd) pada remaja putri.

Ofojekwu, M.-J. N., Nnanna, O. U., Okolie, C. E., Odewumi, L. A., Isiguzoro, I. O. U., & Lugos, Moses. D. (2013). Hemoglobin and Serum Iron Concentrations in Menstruating Nulliparous Women in Jos, Nigeria. Laboratory Medicine, 44(2), 121–124. https://doi.org/10.1309/LMM7A0F0QBXEYSSI

Rahmadi, A. (2018). Integrasi kedokteran islam dan kedokteran modern: Studi bekam terhadap hemoglobin.

Setyawan, A. (2022). Cupping for nursing: Tinjauan syariyah dan ilmiah [Cupping for nursing: Syaria and scientific review] (1st ed.). Cendikia Muslim.

Shawaf, T., El-Deeb, W., Hussen, J., Hendi, M., & Al-Bulushi, S. (2018). Evaluation of wet cupping therapy on the arterial and venous blood parameters in healthy Arabian horses. Veterinary World, 11(5), 620–626. https://doi.org/10.14202/vetworld.2018.620-626

Syaifullah, S., Taufiqurrachman, T., Sumarawati, T., Trisnadi, S., Abduh, S., & Thomas, S. (2021). Pengaruh Terapi Bekam Basah (Wet Cupping) Terhadap Kadar Hemoglobin, Fe, Dan Kadar TIBC (Total Iron Binding Capacity) Pada Pasien Anemia. Jurnal Litbang Edusaintech, 2(1), 13–17.