20/12/2025
(Contraindications of Hijama – Wet Cupping Therapy)
Hijama is not an act of cutting, mutilation, excess, negligence, or the unlawful wasting of human blood.
Rather, Hijama is a science and a medical practice, performed with the intention of benefit, not harm.
🔻 It is not permissible for an ignorant person to dare to practice Hijama or present himself as a practitioner, experimenting on patients’ bodies unjustly and aggressively without proper learning, study, training, and certified qualification.
🔻 Hijama must be performed according to its scientific, medical, and health regulations, in the known and correct anatomical sites, without excess, negligence, exaggeration, deception, betrayal, or misdiagnosis, and never when there is no real need.
🔻 A Hijama practitioner must study the basic principles of medicine and nursing, and possess sound knowledge, understanding, and awareness of its benefits, harms, and medical contraindications. Hijama must not be performed on everyone merely for financial gain, as this is a betrayal of the trust and ethics of the profession.
Contraindications of Hijama
Unfortunately, some people have taken up the practice of Hijama without studying it at all, merely imitating others they saw performing it. They lack even the fundamentals of Hijama, as well as the basics of medicine and nursing. Despite practicing for years, they do not master correct scarification, do not know the correct sites, and are unaware of the contraindications of Hijama, nor do they adhere to proper hygienic and medical methods.
For this reason, it is essential to clarify the contraindications for the benefit of all:
(1) Patients with kidney failure.
(2) Patients with leukemia (blood cancer).
(3) Patients with severe anemia (serious iron-deficiency anemia).
(4) Individuals suffering from extreme thinness and wasting.
(5) Patients with chronic high blood pressure, until it is properly controlled.
(6) Patients with low blood pressure, until it stabilizes.
(7) Patients with active infections or high fever, until treated and resolved.
(8) Patients with a history of blood clots who are using blood thinners such as aspirin and similar medications, until these are discontinued for several days (under medical supervision).
(9) Patients with uncontrolled type 1 diabetes, whose wounds do not heal easily.
(10) Patients with hemolytic disorders or platelet destruction disorders.
(11) Patients suffering from bleeding disorders.
(12) Pregnant women during the first three months, and cupping must not be done on the lower back or abdomen, or in cases of anemia.
(13) Patients with acute heart diseases or those using heart rhythm regulators.
(14) Diseases involving liver damage, fibrosis, enlargement, or liver cancer.
(15) Children under four years of age.
(16) Menstruating women and women in postpartum bleeding (nifās).
( THE RESEARCHER AND ARABIC MEDICINE PRACTITIONER) Drate Abdurrahman Unukajingo)*
