Review Article

Cupping Therapy for Migraine: A PRISMA-Compliant Systematic Review and Meta-Analysis of Randomized Controlled Trials

Table 1

Details of the included studies.

Study IDSample size (randomized/analyzed)Participant age (years)Duration of disease (years)The differentiated patterns(A) Treatment group intervention (n)(B) Control group intervention (n)Treatment duration/Follow-up durationMain outcomesAdverse events

Chen, 2019(A) 30/30
(B) 30/30
(A) 40.62 ± 3.55
(B) 42.45 ± 3.64
(A) 2.34 ± 0.25
(B) 2.62 ± 0.57
NoneWet cuppingDiclofenac sodium3 months/none1. TER
2. Migraine attack frequency score
3. Migraine attack intensity score
4. Migraine attack intensity score
5. Headache duration time score
6. Headache intensity (VAS)
(A) 2 (dizziness 2)
(B) 9 (dizziness 1, abdominal pain 4, vomiting 2, nausea 2)
Jiang, 2015(A) 30/30
(B) 30/30
(A)20–65
(B) 18–57
(A) 0.5–16
(B) 2–13
NoneWet cuppingFlunarizine4 weeks/none1. TERNR
Song, 2013(A) 45/45
(B) 45/45
(A) 35.4 ± 3.1
(B) 36.1 ± 2.3
(A) 4.3 ± 2.2
(B) 3.5 ± 2.8
Cold coagulation and blood stasisWet cuppingFlunarizine plus Ibuprofen (at acute attack)8 weeks/none1. TER
2. Headache intensity (VAS)
3. Migraine score
(A) 0
(B) 34 (fatigue 32, abdominal pain 2)
Jin, 2015(A) 35/35
(B) 35/35
(A) 34 ± NR
(B) 33 ± NR
(A) 7.24 ± NR
(B) 6.81 ± NR
NoneDry cupping plus acupunctureAcupuncture8 weeks/none1. TER
2. Headache intensity (VAS)
NR
Li, 2012(A) 50/50
(B) 50/50
(A) 36.5 ± NR
(B)31.2 ± NR
(A) 9.2 ± NR
(B)8.7 ± NR
NoneDry cupping plus acupunctureAcupuncture15 days/none1. TER
2. The number of days the headache has completely disappeared
NR
Zhang, 2020(A) 65/65
(B) 65/65
18–45>1NoneRizatriptan benzoate plus wet cuppingRizatriptan benzoate20 days1. TER
2. 24hMQOLQ 3. Headache intensity (VAS)
NR

24hMQOLQ: 24-hour migraine quality of life questionnaire, NR: not reported, TER: total treatment effective rate, and VAS  visual analogue scale.