Cupping therapy and acupuncture are potentially safe, and they have similar effectiveness in relieving pain.
Regardless the potential bias and limitations of this review, all of the included studies showed that cupping therapy had similar therapeutic effects with acupuncture in treating pain-related conditions (such as cervical pain, back pain, osteoarthritis, and acute soft tissue injury).
For pain-related conditions, cupping therapy and acupuncture have different choice of acupoints. Based on our review, acupuncture often use two basic acupoints which are tenderness point (Ashi) and the meridians passing through the pain area; while for cupping therapy, wet cupping uses special acupoints (such as Haoyi for cervical spondylopathy) for local pain, and flash cupping combined with moving cupping often use the meridians passing through the pain area for widespread pain.
Considering the similar therapeutic effects of these two therapies, clinical practitioners may consider to choose any of them, based on their own clinical experience and the preference of patients.
