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In Traditional Chinese medicine (TCM) is based upon the meridian or channel theory of the body and is a method of creating a vacuum on the patient’s skin, the skin is gently drawn upwards by creating a vacuum in a cup over the target area of the skin by either heat or suction. The cup stays in place for five to fifteen minutes or can be used to slide over the area of concern. In Tcm it is believed that the suction from cupping relieves the stagnation of blood and chi (life-force) and opens the meridians so that qi can flow freely thereby improving the flow of chi and blood through the muscles of the back, neck, shoulder and other areas of the musculoskeletal system. Cupping also has other applications as well. Cupping is not advised over skin ulcers, broken skin, wounds, eczema, and skin rashes or to the abdominal or sacral regions of pregnant women. Dark skin discolouration in a circular shape may appear where the cups were placed this is caused by the vacuum created by the cup bringing the Chi and blood to the skin surface. In ancient Chinese medicine the use of bamboo and ox horn were also used as cupping utensils. Cupping is applied to certain acupuncture points as well as to parts of the body that have been affected by pain, and is known to promote blood circulation and help with lymphatic system in western medicine view.