Monica Majors investigates a lesser-known side of Traditional Eastern Medicine. Photo by Vinh Dao.

Google ‘cupping’ and you’ll get an array of intimidating links such as the Buzzfeed video entitled, ‘People Try Cupping Therapy for the First Time’, its thumbnail of a man in agony; or the sub-link to ‘Fire Cupping Cyst’; and the scariest by far, ‘Fire Cupping Dr Oz’. An image search is far worse: backs full of glass cups that look as if aliens have descended to suck our life force. Why, then, are so many dark circles peeking through the backless dresses of Hollywood’s elite or lurking beneath jerseys in the world’s most expensive locker rooms? What in the heck is it for? Is this just a cliche, or does it really deliver?

The What and the How
If fads come and go, this one has been around for a while – for more than 4,000 years, in fact. Brought to Vietnam from China during the lengthy interactions between their two schools of traditional medicine sometime between 2000BCE and 900CE, cupping therapy is deeply rooted in the local handling of pain relief. Today, treatments can be found in traditional medicine clinics, resort spas and wellness centres. Practitioners in Vietnam must be certified to offer massage in order to practice cupping therapy, though do not require the same level of certification as is required for acupuncture.

In treatment, glass or silicon cups are laid on the afflicted area to gently pull the skin through suction, from either a pump or by creating a vacuum. Glass cups are more commonly used professionally to alleviate pain while silicon cups are recommended for at-home use or when treating cellulite. Most commonly used throughout Southeast Asia, Europe and the Americas is the technique of fire cupping, whereby a vacuum is created within the glass cup through a small cotton-topped baton set alight, also sterilising the apparatus. The air is thereby removed from within the cup which is then placed on the afflicted area – usually the back. Depending on the purpose of the therapy, the cup is either left in the same area for up to a few minutes (called ‘fixed cupping’), or is slid with the aid of massage oil (aptly named ‘moving cupping’). At no point does the flame ever touch the client. If herbs are used to aid in the detoxification process, a protective cloth is placed between the skin and the cup. Both experiences are pain-free and are often described as a “reverse massage-like feeling.”

The Why and the Why Me?
Throughout history, cupping has been prescribed to treat pain, increase circulation, detoxify and to eradicate evil thoughts and spirits. Modern usage of the therapy is recommended to combat stress, aches and pains, allergies, fatigue, flu, colds, anxiety, skin conditions and fever, as well as to promote general relaxation. Traditional medicine works not only on the issue at hand, but through a holistic approach. Pain manifesting in one area of the body, it says, is the result of an accident and/or a blockage of chi – life’s energy flow.

Therefore it is often paired with acupuncture. When the cup is applied to the body, healers release this interruption of flow and in doing so promote muscle relaxation.

As the skin is gently pulled under the cup, blood flows freely to the localised area. This increase in circulation is the impetus for the healing process. Circulation and chi are restored, so they say, expediting healing and general wellbeing. A pink bruise may remain after the treatment due to the increased blood flow, but will dissipate within a few days, so there’s no long term scars. Because of this possible result, if you currently experience oedema, skin ulcers or haemophilia, cupping should only be undertaken after first consulting your general practitioner, and is generally not recommended during pregnancy.

Be Like Beckham
A-list celebrities and athletes from around the world have been showing their praise for cupping since the early 2000s. The list runs from Gwyneth Paltrow, Jennifer Aniston, Victoria Beckham, Lena Dunham and Justin Bieber, to Andy Murray, Chinese swimmer Wang Qun, most of the New York Mets baseball team and more, with many showing their circular endorsements of the practice at high-brow events (Greek physician Hippocrates was also a fan, if you’re against the establishment.). You need not venture all the way to NYC or London to attain such elite status. Cupping is deeply ingrained in Vietnamese traditional medicine, and is readily offered in hygienic and safe environments; some of them more lux than history once afforded.

Six Senses Spas at Evason Ana Mandara, Six Senses Ninh Van Bay and Six Senses Con Dao include cupping in every Vietnamese massage. Applied about a quarter-way into the treatment, fire cupping follows the massage along the back, as the muscles have already been stimulated to encourage detoxification and circulation. Coconut oil aids in the movement of the cups, and the treatment rarely leaves a mark, but certainly leaves a deeper sense of muscle relaxation. Tension and stress are equally dissipated.

This must-try treatment seems to only be getting the credit it deserves through paparazzi-style coverage. A visit to FITO’s Museum of Traditional Vietnamese Medicine came up void of any specific information on the therapy, mentioning only “massage”. However, if you’re ready to try something new, you’ve got plenty of endorsements on your side.

Cupping therapy is available for VND 1,320,000 for 50 minutes at Evason Ana Mandara, VND 2,300,000 at Six Senses Con Dao and VND 2,400,000 at Six Senses Ninh Van Bay for 60 minutes.