What’s the difference between medicine and
superstition? Medicine works most of the
time for most people because it has been carefully tested in controlled studies
comparing treatment results to no medicine (a sugar pill) or to no treatment at
all. It is also tested for safety and
side effects.
Superstition sometimes works for some people for one or more
of three reasons. The ailment is often
not diagnosed in the first place, so it may or may not exist at all. The power of the mind is very strong and
people can sometimes think themselves well, showing improvement even when given
only a sugar pill (the placebo effect).
Many ailments go away over time with the “cure” attributed to whatever
someone happens to be doing at the time – valid or not.
This month people watching the Olympics see Michael Phelps
and others with marks on their bodies from cupping. Those who are not critical thinkers will
likely decide to spend their money (around $70 per session) for this
traditional Chinese practice figuring if Michael Phelps does it, it must be
good. But last time I checked, Michael
Phelps did not earn a medical degree between swimming laps. What he does to prepare for swimming is
equivalent to the motions a batter might go through before stepping up to the
plate. Neither is a prescription.
The cupping practitioner, places an array of suction cups
(glass, rubber, silicone, earthenware or plastic) on the body for five to 20
minutes where they suck at your flesh with the help of a flame or pump. In the practice called dry cupping (as seen
on the Olympics) no blood is involved, but wet cupping is akin to the obsolete
medical art of bleeding (where they sometimes used leeches) that cured or
killed many in the Middle Ages.
When I saw a TV news spot on cupping they said that it draws
the impurities in your blood to the surface.
This seemed a bit far-fetched.
How does it separate the impurities from the blood itself and how do you
know there are impurities in your blood in the first place? Likely, they assumed everyone has these
impurities. The reporter said the
effects last for about three days. What
then, go back for another $70 session to draw out new impurities? It smacks of a scam.
Other sources tell a different story. GQ.com says this alternative therapy has gone
mainstream as a treatment for “improving circulation, pain relief, giving you
energy” after Phelps and Gwyneth Paltrow (another medical expert) backed it –
no mention of impurities. On sciencebasedmedicine.org
we find it targets common complaints like “low back pain, muscle pain, joint
pain, fatigue, and headaches.” (Targeting
these common, subjective complaints is an easier sale.) According to webmd.com one source claims that
cupping helps acne, herpes zoster, pain management, facial paralysis and
cervical spondylosis; and another claims that it treats blood disorders,
fertility, anxiety, depression, high blood pressure – and the list goes on. They then go on to warn of side effects. (Yes, even traditional Chinese medicine can
have side effects, like burning and bruising in this case.)
When some medicine claims to cure so many disparate
ailments, it is wise to be skeptical. So
it comes as no surprise that evidence for it’s effectiveness is slim at best.
The GQ article says, “Studies to support cupping’s efficacy
either have been poorly designed (lacking control groups, etc.) or were
hilariously biased. This week alone, Slate called cupping ‘another expensive
placebo,’ while ScienceBlogs thanked Phelps for ‘glamourizing cupping
quackery.’” Sciencebasedmedicine.org
agrees, saying, “The higher quality studies tend to be negative. There is no good compelling evidence for any
real physiological effect from cupping.”
Wikipedia sums it up: Cupping is a pseudoscience, lacking
good evidence it has any beneficial health effects, with some risk that it may
be harmful…Neither [dry cupping nor wet cupping] have [sic] any verifiable
health benefit.” The site quotes various medical experts, who call it nonsense, a
celebrity fad, gibberish, utterly implausible and laughable.
What we have then is another case of traditional Chinese medicine, purporting to cure a whole host of ailments but with no evidence of effectiveness, going mainstream based on a fad and an indirect celebrity endorsement. As Pete Seeger would say, “When will they ever learn?”
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