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What is in the blood of Hijama

When this blood is examined from the sites of incision before application of suction (so as not to alter the cell structure), the blood is found to have the following qualities:
The red blood cells were predominantly abnormal, including:
Hypochromic cells – these cells are normally seen in higher concentrations in patients with anemia, they appear paler than normal red blood cells. The concentration of these types of cells in healthy individuals is less than 5%. Blood removed in Hijamah however has a high number of these cells.
Burr cells – These cells are recognized by their irregular prickly shaped membrane  and are regarded as aged red blood cells. Because these cells are regarded as “aged” red blood cells, they are not efficient in their function and there presence in the circulation diminishes the proper functioning of blood in the body. Hijamah blood tends to have more of these cells and when they are removed this leaves the remaining blood with a higher concentration of more efficient and younger red blood cells.
Target cells – (codocytes or leptocytes) have a “lump” of hemoglobinized cytoplasm within the area of normal central pallor, causing them to resemble a “bullseye” target. Target cells almost always indicate a pathological process when seen in higher than normal concentrations in regular blood samples. This is normally related to an imbalance between cholesterol and red blood cells ratios and may appear in association with the following conditions:
i. Liver disease
ii. Iron deficiency
iii.Thalassemias,
iv.Hemoglobin C diseases
v. Post-splenectomy: A major function of the spleen is the clearance of deformed, and damaged red blood cells. If splenic function is abnormal or absent because of splenectomy, abnormal RBC’s will not be removed from the circulation efficiently. Therefore, increased numbers of target cells may be observed.
White blood cells-  are less  (525 to 950 per mm3) than found in general blood samples. In adult humans, the normal range of white blood cell counts is 4500 to 11 000 per mm3.
This indicates that Hijamah while removing unhealthy and aged cells does not adversely affect the concentration of healthy white blood cells which are responsible for immune functions within the blood. Amongst the WBC, it was found that lymphocytes were of greater ratio, in the region of 52% to 88%. The significance of this is not yet clear.
Total Iron Binding Capacity (TIBC)– is significantly raised in the blood sample and indicates a very high level of transferrin present in the Hijamah blood. This may be the reason why TIBC levels are normalized in the general blood after Hijamah is performed but requires further study to elucidate its full significance.
Studies have showed that high transferrin saturation in the blood is correlated with increased incidence of cancer.
Hijamah therefore may be playing an important role in cancer prevention as it acts to remove a larger proportion of transferring than is present in regular blood samples or blood donation.
Creatinine levels are high in the Hijamah sample. This substance is a breakdown product of creatine phosphate in muscle, and normally cleared from the body by the kidneys. Hijamah seems to assist in reducing the creatinine load and thereby help “detox” the blood of this substance.
The plasma ratio of the Hijamah blood was approximately 20%, indicating that the process does not remove blood plasma detrimentally.
(Islamic cupping and hijama by Dr Feroz Osman-Latib of 57-62)

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How long does a Hijama session take?

The first session takes  around one hour and 30 minutes, any sessions after that takes around 45 minutes.


Does Hijama hurt?

Hijama incisions are shallow scratches on the surface of the skin that may cause slight discomfort depending on the person’s skin sensitivity.


Where Hijama is done?

Hijama cupping is administered in many different locations of the body.  There are many Sunnah points. The three main Sunnah points are located on the back: in the hump of the neck , heart and lung.


When can Hijama be done?

According to the scholars of Hadeeth;  the saying of the prophet Muhammed regarding timing of Hijama are weak.  The Prophet peace be upon him recommended Hijama and did it as needed.