A 36 year old male, short in height and healthy looking presented with chronic sinusitis with tinnitus. The tinnitus was worse when driving the car. He had minimal exercise. His occupation was a software consultant. He had a mixed healthy diet with good proportion of vegetables. However, he did not have much fruit.

Sinuses are small air filled spaces in the cheeks and forehead. Sinusitis is inflammation within the sinus. It could be bacterial or viral infection. It could last for a few days to a few weeks. It normally resolves quickly depending on the health and anatomy of the person. Causes for sinusitis are varied and many: Allergic rhinitis, blockage of sinus channels by foreign object or polyps, Anatomical anomalies, depressed immune system, asthma, injuries, dental infections, and smoking.

Chronic cases would suffer symptoms for long periods, sometimes years too. Treatment is normally self limiting and resolves with treatment of the underlying cause. It is interesting in this case as the patient has a chronic form of sinusitis and driving affected the inflammation within the sinus causing the tinnitus. When the patient stops driving there is no tinnitus.


A 32 year old male, tall, physically strong and healthy looking presented in the clinic for prophylactic treatment. He is a teacher by profession and trained three times a week at the gym. He had a mixed healthy diet with good proportion of vegetables. However, he seldom had fruit. He smoked 5 cigarettes a day. He did not take any medication.

The health screen did not reveal any medical complications. He appeared fit and healthy. On examination there were no abnormalities noted. His blood pressure was recorded as 99/65, which was normal.

I proposed 1 sessions of wet cupping at C7, 2 between the scapulae, and on the occipital fontanel. This would remove toxins and stimulate the circulatory and immune systems and clear the head region.

The treatment was agreed upon and carried out the same day. Treatment was uneventful with a large amount of moderately thick blackish blood removed from all the areas. After treatment the patient felt energised.

Management of this case was simple and easy. Prophylactic treatment has been advised by physicians to ensure good health. Removing toxins and ineffective blood cells ensures that the body systems remain at optimum function. In this way there is less chance of infections and disease. The cupping on the head is particularly useful. It improves memory, clears the eyesight and sinuses and ensures optimum blood flow to the brain.

Prevention of disease and illness is better than any cure. This fact was taught to us by the prophet SAW and our learned scholars have consistently advised on regular medical checks. The prophet SAW especially encouraged cupping before the hot months. This shows the benefit of prophylactic treatment in maintaining body temperature and health. According to the scholars of Tibb there are six major causes of disease: Air, food and drink, bodily movement and rest, wakefulness and sleep, emotions, and emission and retention. A balance of each of these factors will give us health that is balanced and beneficial to ourselves and those around us at home and in the community.


 A 37 year old male of Asian origin, short, healthy looking teacher of Qur’an attended he clinic for hijama. He had a varied and balanced diet of meat, chicken, fish, fruit and vegetables, and milk and dairy products. He had no known allergies and was a non-smoker.

The patient presented with blistering of the palms and soles of the feet. He has no history of any medical conditions nor any sport or personal injury. The blisters appear in the summer months. The onset was 14 years ago. It is not getting worse and there is no need for any medication. The blistering is self limiting and disappears within two weeks. They do not appear again in the same year.

Blistering of the palms and feet is common. Causes are viral, bacterial or environmental such as contact with irritants in soaps or dust mites, etc. Careful consideration must be given to the cause and recurrence of the blisters. In this case it was unclear. The only possible explanation would be sweating as would occur in the summer months.

There is a condition known as Dishydrosis. It is characterised by vesiculobullous lesion that are deep seated. The lesions form blisters which eventually crack open on the surface of the skin. However, sweating is not the cause as suggested by the name. It is thought to be caused by the allergen of house dust mites. Typically there is itching of the lesions. Scratching leads to crusting and cracking of the skin. Soaps aggravate the condition. When the skin cracks it may take weeks to heal. It is treated with topical steroidal creams.

On examination there were no skin lesions. There are no further complaints from the patient. His blood pressure was recorded within the normal range. There were no concerns in respect to iron levels and clotting. He was not diabetic and had no known medical conditions that would affect treatment.

Hijama of 4 wet cups was proposed to boost immunity and blood circulation. These points would invariably help treat allergies too. With consent from the patient treatment was carried out on the day of examination. The process of the cupping was explained and the treatment was successfully completed. The patient reported feeling a sense of wellbeing after treatment and there was no evidence of any weakness or weeping from the incisions. He was advised to take a rest.

Hijama treatment is beneficial in reducing the inflammation and removing the toxins from the circulatory system. This allows the blood circulation to quickly re-establish itself and to boost immunity.