Journal of - International Society for the History of Islamic Medicine

Journal of - International Society for the History of Islamic Medicine Journal of - International Society for the History of Islamic Medicine

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Mohd NAYAB, Mohd ANWAR, A.M.K.SHERWANI History of Hijamat In another Arabic dictionary, Mukhtar-ul-Sehah it has been mentioned as follows. 5 The noun is Hijāmat with Kserah. According to Kabīruddēn when the word, Hijāmat is merely used, it means Hijāmat-bil-Shurt. 6 Ihtijām: This is an infinitive of an Arabic verb ‘Ihtajama’. It means to be cupped. Muhtajim: this is active particle; derived from the infinitive ‘Ihtijām ‘which means person to be cupped. Hajjām: This is an exaggerative noun of verb ‘Hajama’, which means Cupping-performer or Cupping-operator. Mihjamah and Mihjam (Pl. Mahājim): The instrument which is used during Hijamat is called Mihjamah. 7 The instrument which is used for the scarification or pricking the skin in case of Hijāmat-bil-Shart is also called Mihjamah, as it is mentioned in Lisān-ul-Arab: Al-Mihjam is the instrument in which blood of Hijāmat is collected during suction and the scarificator of cupping performer also is known as Mihjam. 1 o Mahjam (Pl. Mahaajim): This is adverb of Hajama, denoting the site of Hijamat. o Mishrat (Pl. Mashārit): This is the instrument, which is used for the scarification or pricking the skin (Blade, Scalpel). 8 Some New Arabic Terms relevant to Hijamat ‣ Al-Moālajāt bil-Kāsāt (Cupping Therapy): This word is used to denote the Dry Cupping, in which no blood is sucked out. 9 ‣ Al-Moālajāt be-Massin wa-Tasrēb-il-Dam (Blood Letting): this word is used to denote the wet cupping, in which the morbid materials are sucked out from the site of Hijāmat. 9 ‣ Al-Moālajāt bil-Kāsāt-wa-Mass-il-Dam (Cupping and Bloodletting): this word is used when we perform dry cupping and wet cupping simultaneously. 9 ‣ Al-Moālajāt bil-Kāsāt ma’ Amle Kudūsin au-Wakhzin (Prick Cupping): this word also indicates the wet cupping. 9 ‣ Al-Hijāmat-ul-Jāffah: It is used for dry cupping. 9 ‣ Al-Hijāmat-ul-Ratabah: It is used for wet cupping. 9 154 Hijāmat in ancient period In history the time span since prehistoric period to the sixth century AD is known as ancient period. 10 A long duration of early human life and culture is almost obscure and beyond the approach of history, so it is very difficult to say anything exactly about that period. But this fact also may not be denied that the human being, since its existence on this terrestrial globe has been making efforts to get relief from the pain and ailments and also has been trying to develop various new methods of treatment, which can help overcome the health problems. So Hijāmat may also be the result of those efforts. Whatever information is available in the record of history in form of monuments and pictures shows that the Hijāmat is an ancient method which was particularly used among the Chinese, Babylonians, Egyptians and Greeks etc. The pottery cups, hollowed out animal horns and bamboo cups were used commonly for the purpose. 11 Regarding the earliest evidence of use of Hijāmat in Egypt a noble writer says “the earliest recorded evidence was discovered in Egypt in a document Eber’s Papyrus dating from 1550 BC. 12, 13 In China also Hijāmat was used as a treatment for various ailments. Its use among Chinese dates bake about 2000 BC. According to Dr. Ghassan Jafer,” the treatment by the air cups in the internal diseases has been mentioned in the book of Al - Ambratoor al - seeni about 4000 years’ ago. 11 But another writer Subooti Dhamanenda, Director, Institute of Traditional Medicine, Portland, describing about the Chinese cupping therapy, writes regarding in history in China “ the earliest use of cupping is recorded, is from the famous Taoist, alchemist and herbalist, Ge Kong (281-341 AD). The method was described in his book named ‘A hand book of prescriptions for emergencies’ in which the cups were actually animal horns used for draining pustules.” 3 In Greece (Unan) the use of Hijāmat dates back to that period when most of the physicians were trapped in the superstitious believes. They assumed that diseases were caused by penetrating of devils in to the body of patients. Therefore, they used to perform the Taqwēr (trephination) to drive away the devils from the body. Some times Hijāmat was also done to expel out the devils along with the blood. But when Hippocrates (Buqrāt), Father of Medicine, appeared in the medical world, he directed the medicine towards the scientific bases and gave the concept of Akhlāt (humors). He believed that the health is based on the correct balance of four Akhlāt and any imbalance in its quantity or quality may cause the diseases. Thereafter, in the light of this concept, it was hypothesized by the physicians, following Hippocrates, like Galen (Jālīnūs) that the blood letting through this method might maintain that balance of Akhlāt, mentioned by him 9 . A book also has been written ISHIM 2011-2012

History of Hijamat Mohd NAYAB, Mohd ANWAR, A.M.K.SHERWANI by Hippocrates on Hijāmat and Fasd which was later translated by Yuhannā-bin-Māswaih into Arabic and named as 14, 15, 16, 17 Kitāb fil-Fasd wa’al-Hijāmat. Among the Indians mostly horn cups were used for this purpose. 89 Later, the horn was replaced with the bamboo, pottery and glass cups but the previous method is still used in rural areas. The ancient Arabs although were living in desert, but were much developed in culture, literature and various fields of knowledge. They were much familiar with the medical science also, but the medical science was confined only up to the knowledge of Hijāmat, Kayy (cauterization) and the properties of some herbs and plants. Hijāmat was the most popular mode of treatment in comparison to others. It has been reported that its largest use was in Āshūrī tribe among the Arabs. 11 After the migration of Muslim Physicians with their medical literature including Hijamat therapy, introduced to the Europe through Spain. 11 Hijāmat during the Days of Holy Prophet (( ) More than sixty Ahādēth (traditions) related to cupping are attributed to the Prophet ( ). According to these Ahādēth the Prophet ( ) not only confirmed its effectiveness but also advised people to cure themselves through it, he determined its sites on the body and explained the most favorable time for it, indicating the specific day time, week’s days and dates of lunar month, and precautions to be taken by the person to be cupped before and after the treatment. Some sayings of the Prophet ( ) are mentioned below: Narrated Jabir bin Abdullah “I heard the Prophet ( ) saying, “If there is any healing in your medicines, then it is in cupping, a gulp of honey or branding with fire (cauterization) that suits the ailment, but I don’t like to be (cauterized) branded with fire”. 18 Mālik told me that he was informed that the Prophet ( ) said, “If any medicine can cure the disease, that is cupping which is very effective”. 19 It is narrated by Anas that the Prophet ( ) said, “In fact, the best of treatments, which you carry out, is the cupping and marine Saussurea”. 20, 21, 22, 23 The Prophet ( ) said, “Indeed, the best of the treatments which you carry out are the cupping and Venesection”. 9 It is narrated by Anas that the Prophet (PBUH.) got cupped on Akhd’ain (both side of the neck) and Kāhil (Inter scapular region), on the 17 th , 19 th and 21 st day (of a lunar month). 24 It is narrated by Abu Hurairah that the Prophet ( ) said, “If there is any beauty in the treatments, which you 25, 26 carry out, that is cupping”. It is narrated Ibne Abbas “The Prophet ( ) was cupped 20, 27, 28, 29 while he was in a state of Ihram”. It is reported by Ibne Abbās that the Prophet ( ) got cupping, while he was Muhrim and also got cupping, when 20, 28, 29 he was Sāim (On fast). Hijamat during middle era: - The Muslim physicians during the middle ages used and further developed the Ilāj bil-Hijāmat theoretically as well as practically. The history and Unani medical books reveal that it was among the most popular methods of treatment in all communities of that period. Even a full-fledged book kitāb fil-Hiājmat was written by Rabban Tabari, which is available in the library of Bāsil Halab. 30 Nearly in all and every medical book of that time, containing the chapter of Usūl-e-Ilāj Hijāmat has been mentioned in detail. In further development of this aspect, there are so many valuable contribution of different physicians of that time as Zakariya Razi, known as Razes in west (850-923 A.D), Ali Ibn Abbās Majūsī, known as Haly Abbās in West (930-994 A.D), Abulqāsim Zahrāwi, known as Abacuses in West (936-1036 A.D), Ibn Sina, known as Avicenna in West (980-1037 A.D), Ismāil Jurjāni (1136 A.D), Ibn Hubal (1213A.D) and Ibn-ul-Quf al-Masēhī (1233-1286 A.D). Rāzi has described the cure of various diseases by Hijāmat in his book Al Hāwi and Al Mansoori. He writes under the treatment of Irq-ul-Nisā’ (Sciatica) in Al Hāwi “if the thick and hard morbid materials are collected in hip, Hijāmat becomes necessary and has a significant role also. 31 Ali Ibne Abbās Majusi has also described the types, sites, indications, precautions and the most accurate time about Hijāmat, in the second volume of Kamil-ul-Sana’a under the chapter of Ilāj-bil-Yad which is done in muscles. 32 Abul Qasim Zahrāwi has described the Hijamat in his book Al Tasreef. Apart from its types he has also mentioned the following sites of Hijamat. ‣ Nuqrah (Nape) ‣ Kāhil (upper part of the back/inter scapular region) ‣ Akhd’ain (both lateral margins of the neck ‣ Zaqan/Ziqan (chin) ISHIM 2011-2012 155

Mohd NAYAB, Mohd ANWAR, A.M.K.SHERWANI<br />

<strong>History</strong> <strong>of</strong> Hijamat<br />

In ano<strong>the</strong>r Arabic dictionary, Mukhtar-ul-Sehah it has<br />

been mentioned as follows. 5<br />

The noun is Hijāmat with Kserah.<br />

According to Kabīruddēn when <strong>the</strong> word, Hijāmat is<br />

merely used, it means Hijāmat-bil-Shurt. 6<br />

Ihtijām: This is an infinitive <strong>of</strong> an Arabic verb ‘Ihtajama’.<br />

It means to be cupped.<br />

Muhtajim: this is active particle; derived from <strong>the</strong> infinitive<br />

‘Ihtijām ‘which means person to be cupped.<br />

Hajjām: This is an exaggerative noun <strong>of</strong> verb ‘Hajama’,<br />

which means Cupping-per<strong>for</strong>mer or Cupping-operator.<br />

Mihjamah and Mihjam (Pl. Mahājim): The instrument<br />

which is used during Hijamat is called Mihjamah. 7<br />

The instrument which is used <strong>for</strong> <strong>the</strong> scarification or<br />

pricking <strong>the</strong> skin in case <strong>of</strong> Hijāmat-bil-Shart is also<br />

called Mihjamah, as it is mentioned in Lisān-ul-Arab:<br />

Al-Mihjam is <strong>the</strong> instrument in which blood <strong>of</strong> Hijāmat<br />

is collected during suction and <strong>the</strong> scarificator <strong>of</strong> cupping<br />

per<strong>for</strong>mer also is known as Mihjam. 1<br />

o Mahjam (Pl. Mahaajim): This is adverb <strong>of</strong> Hajama,<br />

denoting <strong>the</strong> site <strong>of</strong> Hijamat.<br />

o Mishrat (Pl. Mashārit): This is <strong>the</strong> instrument,<br />

which is used <strong>for</strong> <strong>the</strong> scarification or pricking <strong>the</strong><br />

skin (Blade, Scalpel). 8<br />

Some New Arabic Terms relevant to Hijamat<br />

‣ Al-Moālajāt bil-Kāsāt (Cupping Therapy): This word is<br />

used to denote <strong>the</strong> Dry Cupping, in which no blood is<br />

sucked out. 9<br />

‣ Al-Moālajāt be-Massin wa-Tasrēb-il-Dam (Blood Letting):<br />

this word is used to denote <strong>the</strong> wet cupping, in<br />

which <strong>the</strong> morbid materials are sucked out from <strong>the</strong> site<br />

<strong>of</strong> Hijāmat. 9<br />

‣ Al-Moālajāt bil-Kāsāt-wa-Mass-il-Dam (Cupping and<br />

Bloodletting): this word is used when we per<strong>for</strong>m dry<br />

cupping and wet cupping simultaneously. 9<br />

‣ Al-Moālajāt bil-Kāsāt ma’ Amle Kudūsin au-Wakhzin<br />

(Prick Cupping): this word also indicates <strong>the</strong> wet cupping.<br />

9<br />

‣ Al-Hijāmat-ul-Jāffah: It is used <strong>for</strong> dry cupping. 9<br />

‣ Al-Hijāmat-ul-Ratabah: It is used <strong>for</strong> wet cupping. 9<br />

154<br />

Hijāmat in ancient period<br />

In history <strong>the</strong> time span since prehistoric period to <strong>the</strong><br />

sixth century AD is known as ancient period. 10<br />

A long duration <strong>of</strong> early human life and culture is almost<br />

obscure and beyond <strong>the</strong> approach <strong>of</strong> history, so it is<br />

very difficult to say anything exactly about that period. But<br />

this fact also may not be denied that <strong>the</strong> human being, since<br />

its existence on this terrestrial globe has been making ef<strong>for</strong>ts<br />

to get relief from <strong>the</strong> pain and ailments and also has<br />

been trying to develop various new methods <strong>of</strong> treatment,<br />

which can help overcome <strong>the</strong> health problems. So Hijāmat<br />

may also be <strong>the</strong> result <strong>of</strong> those ef<strong>for</strong>ts.<br />

Whatever in<strong>for</strong>mation is available in <strong>the</strong> record <strong>of</strong> history<br />

in <strong>for</strong>m <strong>of</strong> monuments and pictures shows that <strong>the</strong><br />

Hijāmat is an ancient method which was particularly used<br />

among <strong>the</strong> Chinese, Babylonians, Egyptians and Greeks<br />

etc. The pottery cups, hollowed out animal horns and bamboo<br />

cups were used commonly <strong>for</strong> <strong>the</strong> purpose. 11<br />

Regarding <strong>the</strong> earliest evidence <strong>of</strong> use <strong>of</strong> Hijāmat in<br />

Egypt a noble writer says “<strong>the</strong> earliest recorded evidence<br />

was discovered in Egypt in a document Eber’s Papyrus dating<br />

from 1550 BC.<br />

12, 13<br />

In China also Hijāmat was used as a treatment <strong>for</strong> various<br />

ailments. Its use among Chinese dates bake about 2000<br />

BC. According to Dr. Ghassan Jafer,” <strong>the</strong> treatment by <strong>the</strong><br />

air cups in <strong>the</strong> internal diseases has been mentioned in <strong>the</strong><br />

book <strong>of</strong> Al - Ambratoor al - seeni about 4000 years’ ago. 11<br />

But ano<strong>the</strong>r writer Subooti Dhamanenda, Director, Institute<br />

<strong>of</strong> Traditional <strong>Medicine</strong>, Portland, describing about<br />

<strong>the</strong> Chinese cupping <strong>the</strong>rapy, writes regarding in history in<br />

China “ <strong>the</strong> earliest use <strong>of</strong> cupping is recorded, is from <strong>the</strong><br />

famous Taoist, alchemist and herbalist, Ge Kong (281-341<br />

AD). The method was described in his book named ‘A hand<br />

book <strong>of</strong> prescriptions <strong>for</strong> emergencies’ in which <strong>the</strong> cups<br />

were actually animal horns used <strong>for</strong> draining pustules.” 3<br />

In Greece (Unan) <strong>the</strong> use <strong>of</strong> Hijāmat dates back to that<br />

period when most <strong>of</strong> <strong>the</strong> physicians were trapped in <strong>the</strong><br />

superstitious believes. They assumed that diseases were<br />

caused by penetrating <strong>of</strong> devils in to <strong>the</strong> body <strong>of</strong> patients.<br />

There<strong>for</strong>e, <strong>the</strong>y used to per<strong>for</strong>m <strong>the</strong> Taqwēr (trephination)<br />

to drive away <strong>the</strong> devils from <strong>the</strong> body. Some times Hijāmat<br />

was also done to expel out <strong>the</strong> devils along with <strong>the</strong> blood.<br />

But when Hippocrates (Buqrāt), Fa<strong>the</strong>r <strong>of</strong> <strong>Medicine</strong>, appeared<br />

in <strong>the</strong> medical world, he directed <strong>the</strong> medicine towards<br />

<strong>the</strong> scientific bases and gave <strong>the</strong> concept <strong>of</strong> Akhlāt<br />

(humors). He believed that <strong>the</strong> health is based on <strong>the</strong> correct<br />

balance <strong>of</strong> four Akhlāt and any imbalance in its quantity<br />

or quality may cause <strong>the</strong> diseases. Thereafter, in <strong>the</strong><br />

light <strong>of</strong> this concept, it was hypo<strong>the</strong>sized by <strong>the</strong> physicians,<br />

following Hippocrates, like Galen (Jālīnūs) that <strong>the</strong> blood<br />

letting through this method might maintain that balance <strong>of</strong><br />

Akhlāt, mentioned by him 9 . A book also has been written<br />

ISHIM 2011-2012

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