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10 Conditions Where Cupping Therapy May Not Be Suitable

Discover 10 conditions where TCM cupping therapy may not be suitable. Learn who should avoid cupping, potential risks, and how to ensure safe cupping treatment.

Chinese Medicine

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Published on 6 Nov 2024

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By Thomson Team

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Cupping therapy in Traditional Chinese Medicine (TCM) is a popular treatment known for improving circulation, relieving muscle tension, and promoting detoxification. However, it may not be suitable for everyone.


Here are 5 conditions where cupping therapy should be approached with caution

1. People with severe Qi Deficiency

Individuals with significant Qi deficiency often experience fatigue, weakness, and a compromised immune system. Cupping may further deplete their energy, leading to dizziness or increased exhaustion.

2. People who are Very Thin

Cupping can be intense on the skin and underlying tissue. People with very little muscle mass or fat, typically individuals who are underweight, may find cupping uncomfortable due to increased sensitivity. The lack of tissue ‘cushioning’ can raise the risk of bruising and skin damage.

3. Women on Their Menstrual Cycle

Women who are menstruating (especially on days with heavy flow) should inform their TCM physician before undergoing cupping. In some cases, cupping may be too draining or overly stimulating during this time, potentially exacerbating symptoms of fatigue or discomfort.

4. Pregnant Women

While cupping can be safe for pregnant women, they are advised to avoid cupping on the abdomen and lower back, particularly in the later stages of pregnancy. The suction could potentially stimulate uterine contractions or cause discomfort.

5. Children Under the Age of Four

Due to their delicate skin and underdeveloped immune systems, cupping therapy is not recommended for children under four. Instead, paediatric massage is a gentler alternative.

Here are 5 conditions where cupping therapy should be avoided

6. People with Skin Conditions

Individuals with sensitive skin, or conditions such as eczema, psoriasis, and other skin conditions should reconsider cupping. The nature of the treatment may irritate the skin further or cause infections. Open wounds, rashes, or inflamed areas are especially vulnerable to cupping, making the therapy unsuitable for these individuals.

7. People with Fragile Skin

Individuals with fragile blood vessels, such as the elderly or those with chronic conditions like diabetes, hypertension, or those on medications such as blood thinners (such as warfarin and aspirin), may experience excessive bruising, broken capillaries, or even scarring. These conditions can weaken blood vessels over time, making the skin more vulnerable to damage and less able to recover from the intense suction involved in cupping.

8. People with Bleeding Disorders

As cupping can cause bruising, individuals with bleeding disorders like hemophilia, or individuals taking blood thinners, may experience excessive bleeding or difficulty healing after a session.

9. People with High Fevers or Convulsions

Individuals experiencing high fevers or convulsions should avoid cupping as it could worsen these conditions. Cupping may add additional stress to the body, further compromising the immune response.

10. People with Severe Acute Infections

In some cases, individuals suffering from severe acute infections, such as the flu, bronchitis, or any bacterial or viral illness, should avoid cupping. During an infection, the body's immune system is already working hard to fight off pathogens. Cupping can increase circulation and stimulate metabolic processes, which may overwhelm the immune system, potentially worsening symptoms or prolonging the illness.


Our experienced TCM practitioners carefully evaluate each patient’s condition to ensure safe cupping therapy. If you’re unsure whether cupping is right for you, consult our team for a personalized recommendation.

It’s important to remember that this list of conditions is not exhaustive; suitability for cupping varies between individuals. Each person is unique, and our practitioners will make sure to provide the most appropriate care, and prioritise safety in every situation.

For more information, contact us:

Thomson Chinese Medicine

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Physician Jun Negoro

Traditional Chinese Medicine

Thomson Chinese Medicine (TCM Paragon Medical Centre) and 1 other

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Physician Jun Negoro