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Eurasian Journal of Medicine and
            Oncology
                                                                                        Integrative prophetic medicine


              Scientists continue to investigate how cupping therapy   qualified complementary practitioners into the healthcare
            works. Recent theories suggest that suction increases   system. 130
            blood flow to the treated area, improves circulation, and   Several countries, including China, Korea, Vietnam,
            boosts the immune system. Studies indicate that cupping   and Australia, are successfully integrating CAM practices,
            may enhance blood flow to the skin, alter skin properties,   such as TCM, into their healthcare systems.  This
                                                                                                       131
            increase pain tolerance, and reduce inflammation. 119,120    integration often involves offering both conventional
            Other theories propose that cupping may release nitric   treatments, such as surgery and chemotherapy, and CAM
            oxide, stimulate reflex zones, or affect genes and meridians   therapies, such as acupuncture and herbal remedies,
            (energy pathways in TCM). However, further research is   simultaneously, as exemplified by China’s approach to
            needed to confirm these findings. 121              cancer  care.  In  some  countries,  like  Korea,  traditional
              Cupping therapy is used for various health reasons,   practitioners are permitted to work within mainstream
            including prevention, treatment, and overall well-being.   healthcare settings. 132
            Studies suggest that it may be effective for pain management   More precisely, the integration of CAM into healthcare
            in individuals with conditions such as shingles, facial   systems is a global trend, with diverse examples across
            paralysis,  and  neck  pain.  Some  research  shows  promise   Europe, North America, Asia, and South America. 133-135
            for wet cupping in treating lower back pain and carpal   This integration encompasses a range of CAM therapies,
            tunnel syndrome. In addition to pain, cupping has been   reflecting the growing recognition of their potential role
            explored for headaches, allergies, skin issues such as acne,   in patient care. It is noteworthy that while no universal
            and chronic diseases such as diabetes and arthritis. Studies   consensus exists on the optimal CAM therapies for
            on headaches have reported significant reductions in both   integration, commonly explored modalities include
            the severity and frequency of headaches. While research   herbal remedies, dietary supplements, homeopathy,
            is  ongoing,  cupping  therapy  appears  to  offer  potential   aromatherapy, and relaxation techniques. 136,137
            benefits for a wide range of conditions. 122-126
              In summary, studies indicate that both dry and wet   5.2. Challenges in implementing IM
            cupping can help individuals manage pain; however, they   Although there is growing evidence and real-world
            may  be  more  effective  for  different  types  of  pain.  Dry   examples supporting IM and its potential benefits, there
            cupping seems beneficial for general pain relief, while wet   is currently no consensus about which CAM treatments
            cupping may be more effective for pain associated with   should be integrated into healthcare systems. For example,
            inflammation.  More high-quality research is needed   there is considerable disagreement among healthcare
                       127
            to understand the efficacy of cupping therapy, its safety   professionals  regarding  the  use  of  acupuncture  for  pain
            profile, and its mechanism of action in pain relief.  management. Finding a model that satisfies the diverse
                                                               needs of different regulatory systems presents significant
            5. IM                                              challenges. Integrating CAM services into conventional
            5.1. Acceptance and prevalence                     healthcare faces several hurdles, including: 138
                                                               (i)  Limited scientific  evidence:  There  is often a  lack  of
            Modern medicine is increasingly embracing a holistic   robust  scientific  data  on  the  effectiveness  of  CAM
            approach known as IM, which considers a patient’s mind,   therapies.
            spirit, and community alongside their physical health. IM   (ii)  Standardization of practices: There is a lack of
            is  gaining  popularity  in  primary  care  settings,  specialty   standardization in the practices and terminologies
            clinics such as those focused on cancer treatment, and   used in CAM, making it difficult to compare results
            among some doctors incorporating complementary        across different studies and to develop evidence-based
            therapies into their practices. In addition, insurance   guidelines for clinical practice.
            coverage for these therapies is expanding. This trend is   (iii) Healthcare provider attitudes: Many conventional
            reflected by the growth of IM institutes and clinics, often   healthcare professionals may be skeptical of CAM
            affiliated with major medical institutions. 128,129
                                                                  therapies.
              The  World  Health  Organization  has  encouraged   (iv)  The CAM expertise gap: The conventional healthcare
            countries to include safe and effective complementary   system may have insufficient qualified CAM
            therapies in their healthcare systems to promote overall well-  practitioners.
            being and patient-centered care. The WHO emphasizes the   (v)  Practical challenges: Integrating CAM services can be
            importance of improving safety and effectiveness through   difficult logistically and financially within the existing
            regulations, education, and research, as well as integrating   healthcare structure.


            Volume 9 Issue 1 (2025)                         53                              doi: 10.36922/ejmo.6765
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