Short answer: the main hijama points are the Sunnah points — the upper back between the shoulders (al-kahil) and the two sides of the neck — plus points over the shoulders, shoulder blades, spine, lower back, hips and legs. Tap the interactive chart below to see each point, what it is often chosen for, and how Dr. Siddiqui decides your points.
Tap a numbered point on the body, or choose a concern to highlight the points most often used for it. Gold points with a star are the Sunnah points.
Show points for:
Back view
Tap a numbered point on the body or in the list to read about it.
1 Sunnah point
Al-kahil — upper back · الكاهل
Between the shoulders, below the base of the neck
The best-known Sunnah point, where the Prophet ﷺ was cupped (Jami’ at-Tirmidhi 2051). It is the usual first cup of a Sunnah hijama and a central point for neck and upper-back tension.
Often chosen for: Neck & shoulders · Headache · General wellbeing
2 Sunnah point
Al-akhda‘ayn — sides of the neck · الأخدعين
The two sides of the back of the neck
Named in the same narration of Anas (Tirmidhi 2051). Used with gentle suction and only after examination, because the neck needs a careful hand.
Often chosen for: Neck & shoulders · Headache
3 Doctor decides
Top of the head · اليافوخ
Crown of the head
A traditional point in Unani practice, often asked about for headaches and heaviness of the head. A small area of hair is trimmed. At our clinic head cupping is used only when Dr. Siddiqui judges it suitable, under his supervision.
Often chosen for: Headache
4 Common point
Tops of the shoulders
Over the trapezius muscle, left and right
The muscle that tightens with desk work, phone use and stress. A favourite point for shoulder stiffness and the tension that often runs up into the head.
Used for upper-back pain, frozen or stiff shoulders and posture strain. Often combined with al-kahil.
Often chosen for: Neck & shoulders · Upper back pain · Sports recovery
6 Common point
Mid back
Either side of the spine, middle of the back
Points beside — never on — the spine, for mid-back stiffness and general wellbeing sessions.
Often chosen for: Upper back pain · General wellbeing
7 Common point
Lower back
Either side of the spine, at the waist
The most requested area after the Sunnah points. Used for lower-back pain and stiffness, often with the hip points.
Often chosen for: Lower back pain · Sciatica · Sports recovery
8 Common point
Hips and buttocks
Over the buttock muscles, left and right
Chosen for pain that spreads from the lower back into the buttock and leg, such as sciatica-type pain.
Often chosen for: Lower back pain · Sciatica
9 Common point
Back of the thighs
Hamstring muscles, left and right
Used along the path of leg pain and for tight hamstrings in active patients. The area behind the knee is avoided.
Often chosen for: Sciatica · Sports recovery
10 Common point
Calves
Calf muscles, left and right
For calf tightness and cramps, usually as dry cupping. Never over varicose (swollen) veins.
Often chosen for: Sports recovery · Leg cramps
★ Sunnah point1 Common point1 Doctor decides
This chart is a guide. Your actual points are chosen by Dr. Siddiqui after taking your history and examining you — most sessions use about 5 cups.
By concern
Which points for which complaint
Concern
Points often chosen
Typical number of cups
Sunnah hijama (general)
Al-kahil, plus points chosen at examination
3–7
Neck and shoulder stiffness
Al-kahil, tops of the shoulders, shoulder blades
5–7
Headache and heaviness of the head
Al-kahil, sides of the neck, tops of the shoulders; head point only if the doctor advises
3–7
Upper and mid-back pain
Shoulder blades, mid back
4–8
Lower back pain
Lower back, hips
4–8
Sciatica-type leg pain
Lower back, hips, back of the thighs
6–10
Sports recovery
Shoulders, back, thighs or calves — where you train hardest
4–10
₹200 per cup, consultation free. Use the price calculator to estimate your session.
How points are chosen
How Dr. Siddiqui chooses your points
Points are never picked from a chart alone. This is how your plan is made.
1
Your history
Where it hurts, how long, what makes it worse, your medicines and reports.
2
Examination
Posture, tender and tight areas, range of movement, and the skin where cups will go.
3
Points marked
Sunnah points if you wish, plus the points for your complaint — usually about 5 cups.
4
Wet or dry
Wet cupping (hijama) or dry cupping on each point, depending on your health and the area.
5
Review next visit
Points are adjusted at follow-up sessions according to how you have responded.
Cupping marks colour chart
What the colour of cupping marks means
Mark colour
What it usually means
Typically fades in
Light pink or no mark
Little tightness under the cup; good circulation in that area
Hours to 1 day
Bright red
Increased blood flow to the area — very common
2–4 days
Dark red
More congestion or muscle tightness in the area
4–7 days
Purple or dark purple
Long-standing tightness; often lighter at later sessions
5–10 days
Very dark or black-purple
Marked congestion, often in a first session
7–14 days
Marks are not burns or injuries — they come from the suction and fade on their own. In Unani and traditional practice, darker marks are read as more stagnation, and patients often see them become lighter over a course of sessions. More: what cupping colours mean.
Areas we avoid
Where cups are never placed
Knowing where not to cup is as important as knowing the points. Our clinic follows clear rules, so every session is safe and comfortable.
If you have any of these, tell us at booking: blood thinners, diabetes with skin problems, pregnancy, a recent operation, or a skin condition in the area.
Directly on the spine, bones or joints
Varicose (swollen) veins and the back of the knee
Broken, infected, burnt or very thin skin
The abdomen and lower back during pregnancy
Over a fresh injury, wound or scar
What research shows
Why these points work for pain
The commonest hijama points sit over the large muscles of the neck, shoulders and back — exactly the areas where published studies show cupping relieves pain and stiffness.
Published research
Neck pain
A meta-analysis of 18 trials found cupping reduced neck pain and improved function compared with no treatment. Side effects were mostly mild and temporary.
A review of 22 studies found evidence that cupping improves soft-tissue flexibility and supports its use for back and neck pain, with a very low rate of side effects.
A review of 135 randomised trials found cupping — alone or combined with other treatment — effective for conditions including herpes zoster, facial paralysis, acne and cervical spondylosis, with no serious side effects reported.
The upper back between the shoulders (al-kahil) and the two sides of the neck (al-akhda‘ayn), from the narration of Anas in Jami’ at-Tirmidhi 2051. See hijama in Islam.
Which is the first point in hijama?
Usually al-kahil, between the shoulders. Other points are added for your complaint.
How many points are used in one session?
Most sessions use about 5 cups; it can range from 3 to 10 depending on your examination.
What are the hijama points for back pain?
Lower-back points either side of the spine, often with the hip points; for upper-back pain, the shoulder blades and mid back.
What are the points for neck and shoulder pain?
Al-kahil, the tops of the shoulders and the shoulder blades are the core points.
Are there hijama points on the head?
Yes, the crown of the head is a traditional point. At our clinic it is used only when Dr. Siddiqui judges it suitable.
Are the points different for women?
No, the points are the same. Female therapists and a private room are available.
What do the colours of cupping marks mean?
Light marks mean little tightness; darker red or purple marks usually mean more congestion. They fade in a few days to two weeks — see the colour chart above.
Can I choose my own points?
You can tell us what you would like, such as the Sunnah points. The doctor then confirms the points that are safe and suitable for you.
Is the hijama on the points painful?
Most patients feel a tight pulling from the suction and small quick scratches in wet cupping; it is well tolerated.
Is the points chart the same for dry and wet cupping?
Largely yes. Some areas, such as the calves, are usually treated with dry cupping.
How much does it cost?
₹200 per cup, consultation free — about ₹1,000 for a typical 5-cup session.