CHP Contraindications & Precautions 3

Question 1

Hijama should NEVER be applied directly over which of the following?

Accepted Answer

Active skin infections, open wounds, or ulcerated tissue

Answer

Applying cups over broken or infected skin introduces pathogens into the bloodstream and worsens local infection.

Question 2

A patient presents with active psoriasis plaques across the mid-back. The practitioner should:

Accepted Answer

Avoid cupping over plaques and treat only adjacent healthy skin if appropriate

Answer

Cupping over psoriatic plaques risks koebnerization — triggering new plaques — and may break already fragile skin.

Question 3

Why are varicose veins on the lower limbs a local contraindication to hijama at those sites?

Accepted Answer

Direct cupping could rupture fragile vein walls, causing hemorrhage or deep vein thrombosis

Answer

Varicose veins have weakened, tortuous walls that can rupture under suction, and stagnant blood increases thrombosis risk.

Question 4

A patient has a burn injury on the right shoulder that is 2 weeks old with incomplete healing. The practitioner should:

Accepted Answer

Avoid the burned area entirely until skin is fully healed and cleared by a physician

Answer

Incompletely healed burns lack intact skin integrity; cupping risks infection, scarring, and graft damage if applicable.

Question 5

Which skin condition over the intended cupping site requires absolute avoidance of hijama at that location?

Accepted Answer

Active eczema with weeping, broken skin

Answer

Weeping eczema involves broken skin barriers, and cupping would introduce pathogens and significantly worsen the condition.

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