Journal of Health and Medical Sciences
ISSN 2622-7258
Published: 09 December 2023
The Role of Al-Hijamah in Efforts to Prevent Heart Disease and Blood Vessels: A Systematic Review and Meta-analysis
Angki Perdiyana, Dian Andriani Ratna Dewi, Lila Irawati Tjahjo Widuri, Arohid Allatib, Kelvin Dewantara, Ni Made Wiliantari, Karina Rahmawati Editya Putri, Lucy Laila Felicia, Farida Ulfa, Alexander
The Republic of Indonesia Defense University, Indonesia Army Central Hospital, Ratna Dewi Principal Clinic
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10.31014/aior.1994.06.04.288
Pages: 154-165
Keywords: Al-hijamah, Cholesterol, Low-Density Lipoprotein, High-Density Lipoprotein, Triglycerides, Cardiovascular Disease
Abstract
Background: Cupping therapy or Al-Hijamah is a traditional treatment the Prophet Muhammad SAW recommended. It has also become an effective alternative for ridding blood plasma of disease-causing substances, including cholesterol, which plays a role in cardiovascular disease. Purpose: To analyze the role of Al-Hijamah therapy or cupping in reducing cholesterol levels in the body as a preventive measure against heart disease and blood vessel disorders. Methods: Of the 513 articles collected, three articles were selected for analysis. Risk of Bias evaluated study quality for Randomized or RoB2 and ROBINS-I. Quantitative analysis using Review Manager 5.4.1, focusing on changes in total cholesterol, low-density lipoprotein, high-density lipoprotein, and triglycerides concentrations due to cupping therapy in healthy people. Results and discussion: Wet cupping therapy effectively reduced total cholesterol concentration (Pooled MD = -16.20, 95% CI (-16.20, -0.85), p=0.03, I2 = 0%). Wet cupping effectively reduced low-density lipoprotein levels (Pooled MD = -17.48, 95% CI (-30.67, -4.30), p=0.009, I2 = 0%), showing statistical significance. Wet cupping therapy effectively increased high-density lipoprotein levels (Pooled MD = 3.54, 95% CI (0.34,6.73), p=0.03, I2 = 19%). Then, insignificant meta-analysis results for triglycerides concentration outcomes (Pooled MD = 3.58, 95% CI (-55.03,62.18), p=0.90, I2 = 86%). Conclusion: Results from a systematic review and meta-analysis indicate that cupping therapy may be beneficial in managing cholesterol in healthy individuals, especially low-density lipoprotein. Further research with high-quality randomized control trials must confirm these findings and consider cupping a non-pharmacological intervention.
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