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From horns to the Olympics

The history of hijama: 3,000 years of cupping

Short answer: no single person invented cupping. It appears independently in ancient Egypt, Greece, China and India, using animal horns, gourds and later glass and bronze cups. It became a Sunnah through the Prophet ﷺ, was refined by physicians of the Islamic golden age such as Ibn Sina and al-Zahrawi, and lives on today in Unani medicine — the tradition our clinic practises — and in sports medicine worldwide.

  • Where cupping began
  • Hijama in the Sunnah and Islamic medicine
  • Unani medicine in India today
Patient lying face down with a row of cups along the back during hijama at Siddiqui Hijama Clinic, Okhla
3,000+ yearsOf recorded use
4 civilisationsEgypt, Greece, China, India
SunnahPractised and praised by the Prophet ﷺ
AYUSHUnani medicine recognised in India
Timeline

Cupping through the ages

From hollow horns to sterile single-use cups.

  1. c. 1550 BC
    Ancient Egypt

    The Ebers Papyrus, one of the oldest medical texts, is often cited as an early record of drawing out blood for treatment.

  2. c. 400 BC
    Ancient Greece

    Hippocrates described cupping; bronze cupping vessels became a symbol of the Greek physician. Galen later used it widely.

  3. c. 300 AD
    China

    The physician Ge Hong described the “horn method” — cupping with animal horns — later replaced by bamboo and glass cups.

  4. Ancient India
    Ayurveda

    The Sushruta Samhita describes raktamokshana, including blood-letting with a horn (shringa) and a gourd (alabu).

  5. 7th century
    The Sunnah

    The Prophet ﷺ was cupped and called cupping among the best remedies (Sahih al-Bukhari 5696).

  6. 10th–11th c.
    Islamic golden age

    Al-Zahrawi (Albucasis) illustrated cupping instruments; Ibn Sina set out cupping in The Canon of Medicine.

  7. 13th–19th c.
    Unani medicine in India

    Greek-Arabic (Unani) medicine reached India and flourished under the Delhi Sultanate and Mughals.

  8. Today
    Recognised and researched

    Unani is a recognised system under India’s Ministry of AYUSH; cupping is studied in hundreds of clinical trials.

  9. 2016
    Rio Olympics

    Swimmers including Michael Phelps competed with cupping marks — and the world noticed.

Who invented cupping?

One idea, many birthplaces

Cupping did not spread from a single inventor. Different cultures found the same idea: drawing, rather than pressing, helps the body.

Mediterranean
  • Egyptian medical papyri
  • Hippocrates and Galen in Greece and Rome
  • Bronze and glass cups
  • Carried into Arabic medicine
East Asia
  • Horn cupping described by Ge Hong
  • Bamboo, then glass cups
  • Fire cupping developed here
  • Still part of Chinese medicine
South Asia
  • Ayurveda: horn and gourd methods
  • Unani hijama from the Islamic world
  • Both practised in India today
  • Unani taught in Indian medical colleges
Islamic medicine

Hijama in the Sunnah and the Islamic golden age

In Islam, hijama gained a special status: the Prophet ﷺ was cupped, paid his cupper Abu Taiba, and was cupped while fasting and in Ihram (Sahih al-Bukhari 5696 and 1938). Muslim physicians then built on Greek and Persian knowledge — al-Zahrawi drew cupping instruments in his surgical encyclopedia, and Ibn Sina explained when and where to cup in The Canon of Medicine, a textbook used for centuries in both East and West.

Read the hadith with references and gradings on hijama in Islam, and find the next Sunnah dates.

Dr. Saeedul Hasan Siddiqui, B.I.M.S., at Siddiqui Hijama Clinic, Delhi
Unani medicine

Unani: the tradition our clinic practises

Unani (from Yunani, “Greek”) is the Greek-Arabic system of medicine built on Hippocrates, Galen and Ibn Sina. In Unani, cupping — ilaj bil hijamah — is one of the classic regimental therapies, used to restore balance and relieve pain.

India is today the world’s leading home of Unani medicine, with degree courses (B.U.M.S.), research councils and government hospitals. Dr. Saeedul Hasan Siddiqui trained in this tradition at Jamia Hamdard, New Delhi (B.I.M.S., 1981).

  • Greek-Arabic roots: Hippocrates, Galen, Ibn Sina
  • Hijama is a classic Unani regimental therapy
  • Recognised under India’s Ministry of AYUSH
  • Our clinic: 40+ years of Unani hijama in Delhi
Then and now

How cupping has changed

In historyAt our clinic today
CupsAnimal horns, gourds, bamboo, bronze, glassSealed single-use plastic cups with hand pumps
SuctionMouth suction or firePrecise, adjustable pump suction
Scratches (wet cupping)Knives and lancetsSterile single-use blades, superficial only
Who decidesThe cupperA doctor’s examination every time
HygieneVariedGloves, gowns, clinical-waste disposal
AftercareWord of mouthWritten aftercare and phone support
Modern day

From ancient remedy to sports medicine

Cupping never disappeared, but the 2016 Rio Olympics brought it to the world’s screens, when swimmers competed with its round marks on their shoulders. Since then, physiotherapists and athletes worldwide have adopted it for recovery — and research has grown with it.

At our clinic you get the same 3,000-year-old technique, with today’s hygiene and a doctor’s judgement.

  • Used by elite and Olympic athletes
  • Studied in hundreds of clinical trials
  • Single-use equipment, doctor-supervised
Gloved hands applying a cupping cup to a patient's upper back at Siddiqui Hijama Clinic
FAQ

History of hijama — your questions

Who invented cupping therapy?

No single person. It developed independently in ancient Egypt, Greece, China and India, more than 3,000 years ago.

Where did hijama originate?

Cupping is far older than Islam; hijama is its Arabic name, and it became a Sunnah through the practice of the Prophet ﷺ.

Is cupping part of Ayurveda?

Yes — the Sushruta Samhita describes blood-letting with a horn (shringa) and a gourd (alabu) as forms of raktamokshana.

What is Unani medicine?

The Greek-Arabic system of medicine built on Hippocrates, Galen and Ibn Sina, recognised in India under the Ministry of AYUSH.

What did Ibn Sina say about cupping?

He set out cupping in The Canon of Medicine, including when and where it should be done.

Is Chinese cupping the same as hijama?

Both use suction cups. Chinese practice is mostly dry and fire cupping; hijama usually means wet cupping.

Why did cupping become famous recently?

Olympic swimmers showed cupping marks at Rio 2016, and athletes and physiotherapists adopted it widely.

Is the old method the same as today?

The principle is the same; the tools are not. We use sealed single-use cups and sterile blades after a doctor’s examination.

Experience a 3,000-year-old therapy

Book a free consultation with a Unani-trained doctor — 100 m from Okhla Vihar metro.

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