Suatu rasa pusing yang berat dimana benda benda sekitar terasa seperti berputar putar dan dalam serangan yang berulang ulang disebut vertigo.

Vertigo bisa disebabkan oleh :

- Infeksi atau peradangan rongga telinga tengah dan dalam .

- penyakit cerebellum seperti tumor atau stroke

Terapi lintah yang kita lakukan adalah meningkatkan daya tahan tubuh, menyeimbangkan hormon serotonim
dan menstabilkan peredaran darah dan oksigen pada jaringan halus di kepala.

Melalui air liur lintah selain di atas manfaat yang kita dapatkan tetapi dapat mengurangi rasa nyeri
serta membasuh senyawa / bakteri yang menyebabkan rasa sakit dan peradangan.

Selain itu dengan terapi ini penyakit yang dapat disenbuhkan;

asma, darah tinggi, kolesterol, diabetes, vertigo, jantung, kesemutan, baal, saraf kejepit dll

Lintah yang kami gunakan 1x pakai aman,dan bersih

biaya 20.000 / titik,perlintah

dari berbagai sumber

Local Pain During Treatment

Perceptions of the local pain of leeching vary. Most patients describe a local dragging pain that occurs immediately after the leech bites and persists for around one to five minutes. As more and more saliva is introduced into the tissues, the anesthetic effect of leech saliva begins to take effect. The intensity of the pain of the leech bite and the first phase of feeding is generally described as mild or negligible (depending on the individual’s pain threshold), but some patients find the pain more intense, similar to that of a wasp sting. The perceived intensity of the leech bite varies from one individual to another. Subjective pain ratings range from “hardly noticeable” to “mild” (similar to the pain of stinging nettle) to “similar to a wasp sting” (very rare). A slight (or sometimes somewhat stronger) rhythmic pulling sensation is usually noticed for the first one to three minutes after the start of feeding.
Whether stimuli of exactly the same intensity are perceived as painful or are not perceived at all is certainly dependent on the individual’s personality, but also depends on that person’s concentration on the leech or attitude toward leech therapy. The size of the individual leech’s jaw, the strength of the bite, the intensity of suction, and the volume and composition of the leech saliva also play a role. Many people never even notice the leech bite, for example when they are bitten under water while their attention is focused on something else. Frequently, the more anxiously the patient focuses on the leech preparing to bite, the higher the pain perception. The leech therapist should keep this in mind during the preparation phase and during treatment. A diversion can sometimes be helpful. It is also helpful to allow the patient to “get to know” “his” or “her” leech and to reassure the patient by handling the leech in a confident manner. If latex gloves must be worn for hygienic reasons, the leech therapist should never use forceps on the leech. Many patients lose their aversion to leeches when they are shown how elegantly they swim and the beautiful colored pattern on their back is pointed out. Many people report that the patient’s attitude toward the leeches changes from negative to positive after a positive treatment experience. Most of the apprehensions projected onto the leech are based on archaic fears rather than on objective facts. We also advise against killing leeches in front of the patients. If the leech is to be killed after treatment, the animal should be frozen and placed in a 90% alcohol solution a few days later.

Local Itching

Transient itching at the site of the leech bite in the first few days after treatment is very common and should not be mistaken for an allergic reaction. In the study of the efficacy of leech therapy in patients with osteoarthritis of the knee, roughly 70% of patients treated with leeches developed local itching that lasted a mean of two days. Transient itching occurs at a comparable frequency, but stronger intensity levels in many cases where leeches were applied to more peripheral joints, for example the thumb, but at lower levels after treatment of large joints and vertebrogenic zones, according to empirical assessments. The patient could be advised of these side effects prior to treatment. The patient should never scratch the leech bite, especially after initial wound closure, because this frequently delays wound healing. We recommend local cooling remedies (curd wraps, cold moist wraps, vinegar wraps). For more severe itching, commercial antipruritic products (e.g., Fenistil ointment) or oral antihistamines may be used. Some leech therapists prescribe concurrent oral antihistamines for patients with a known history of severe reactions (itching and skin reddening) to leech therapy. Isolated reports describe brief recurrences of moderate itching in certain situations (e.g., high temperatures) over the course of several months after an otherwise uneventful course of leech therapy.

Hypotension and Vasovagal Attacks

Patients with a history of developing vasovagal attacks or syncope (fainting) before other invasive treatment methods may also develop such a reaction at the start of or during leech therapy. One survey showed that vasovagal attack occurred in one out of 1000 leech treatments performed at our hospital. Therefore, the leech therapist should always ask about the patient’s prior history of vasovagal attack or fainting before procedures such as blood sample collection or acupuncture. To guard against vasovagal attack, the patient should drink plenty of fluids before and during treatment, and treatment should always be performed in a calming environment while the patient is lying down. Two outpatient cases of hypotension and vasodepressor syncope following leech therapy were also observed. Both patients had known arterial hypertension and were on triple antihypertensive medication, which they continued taking as usual. A few hours after leech therapy, both patients developed a brief attack of benign syncope. It is important to remember that leeching has a known antihypertensive effect when treating patients on antihypertensive medications. Patients should drink plenty of fluids. If there is a strong flow of blood from the leech bite, the patient’s blood pressure should be monitored and antihypertensive medications should be adjusted as needed.

Blood Loss

Leech therapy is always associated with a certain degree of blood loss, which is clinically irrelevant in most cases. In the clinical trial by Michalsen, the mean hemoglobin loss was 0.7 mg/dL, and clinically relevant blood loss did not occur in any of the patients studied. However, there have been isolated observations of stronger afterbleeding with a corresponding decrease in hemoglobin, particularly in cases where a leech was inadvertently applied directly to a superficial vein. According to the records of Essen-Mitte Hospital, a clinically relevant decrease in hemoglobin (> 3 mg/dL) occurred after leech therapy in two patients, one of whom required a blood transfusion (after being treated with six leeches for osteoarthritis of the knee). Asked retrospectively, one of the patients stated that she had, in her opinion, experienced prolonged wound bleeding in the past. In another case, afterbleeding from the leech bite lasted over 36 hours and had to be stopped with a cutaneous suture. Extensive coagulation tests were then performed but did not reveal any specific coagulation disorder. Prior occurrences of abnormal bleeding seem to be anamnestically important, and patients should be specifically asked about such events. Anticoagulants are important concurrent medications to watch for. If low-dose aspirin is prescribed in combination with other platelet aggregation inhibitors (clopidogrel, Iscover, Plavix) or high-dose fish oil (Omacor), a smaller number of leeches (three to four) should initially be used. Blood counts should always be obtained before starting leech therapy. To reliably prevent the loss of relevant quantities of blood, the leech therapist should never use more than 12 leeches in a single treatment session.

Impaired Wound Healing, Superinfection, and Allergies

After the leech drops off, the edges of the three-pronged wound generally swell for 12-48 hours accompanied by a feeling of local tension, heat, and reddening. Small blood spots (ecchymoses) develop below the skin around the leech bite. Larger collections of blood rarely develop. As with superficial bruising, the blood spots are initially reddish violet, then turn yellowish, and finally disappear within around two weeks. Localized inflammation, sometimes with papulous elevation of the bite sites, is a relatively common problem that is often accompanied by itching . These inflammations usually subside quickly when iced and left undisturbed. The cause of this wound-healing disorder is unknown. Improper handling, especially early stoppage of afterbleeding from the wound, squeezing the head of the leech with forceps, forceful removal of the leech before it has finished feeding, and failure to keep the animals in fresh water, have frequently been implicated as potential causes. However, this has also been observed to occur after proper leech handling in isolated cases. Theoretically, local infection with Aeromonas hydrophila is a potential cause, but there has been no microbiological evidence so far of the presence of Aeromonas hydrophila in the wound secretions from the affected patients. More severe local inflammations are most commonly caused by secondary wound contamination or irritation due to mechanical irritation, such as scratching and rubbing. The patient should be thoroughly advised of the importance of protecting the wound from mechanical irritation. According to the hospital survey, more severe localized inflammations occurred in three isolated cases: One patient developed erysipelas and two developed moderate lymphangitis. All cases resolved quickly in response to antibiotic treatment with cephalosporins and/or gyrase inhibitors. Strict adherence to contraindications and localization recommendations minimizes the risk of localized inflammation. In unclear cases where progressive and painful skin reddening develops, especially if associated with increased temperature, the leech therapist should know to administer antibiotics immediately. Pseudolymphomas may occur in rare cases; these papulous efflorescences are caused by an arthropod reaction to the leech bite. Currently, there is no data by which to assess the precise frequency of this adverse effect. To our knowledge, a total of three documented and confirmed cases have been reported.
It is difficult to distinguish secondary wound-healing disorders from potential allergic reactions. Precise data on the frequency of allergic reactions to leech bites are not available. Local itching, a common side effect of leeching, should not be interpreted as an allergic reaction. Unequivocal allergic reactions such as transient urticaria and locodistant swelling have been reported in a few isolated cases. However, localized symptoms, reflex erythema, and urticarial dermographism in psychovegetatively labile individuals have been observed more often. An older case report describes the occurrence of a short-term anaphylactic shock after application of six leeches to the temple region. Some leech therapists administer systemic antihistamines for treatment of local allergic reactions with (empirically) good success. However, the good response rate to antihistamines is not proof per se of an allergic cause: A certain rate of placebo response to antihistamines must also be taken into account. The possible boosting of an existing antibiotic allergy by leech therapy was also proposed in a case report.
When interpreting local reactions that occur following leech therapy, it is important to remember that the proteases in leech saliva release various types of nonimmunological mediators. Furthermore, such reactions can be aggravated by psychovegetative factors. All in all, there are only a few cases in which an association between leech therapy and the occurrence of allergic reactions has been proved with sufficient certainty. However, allergic reactions may potentially occur after exposure to any foreign proteins. Contact dermatitis has also been observed after use of leech ointment.
Short-term reactive swelling and/or tenderness of proximal lymph nodes has occasionally been reported, but most commonly in patients with delayed wound healing. These symptoms have most frequently developed in the groin region after application of leeches for treatment of the knee joint, hip joint, or varicose veins. Rapid and uneventful disappearance of lymph node swelling is described in all of the case reports.

Sepsis

Sepsis due to systemic infection with Aeromonas hydrophila has been repeatedly observed after leech application in reconstructive surgery indications, but not in any of the other relevant fields of use. This supports the conclusion that the risk of Aeromonas hydrophila sepsis is increased only in patients with severe underlying diseases or immunosuppression, which is often the case in surgical candidates for leech therapy. We therefore recommend concurrent antibiotic treatment for all surgical patients receiving leech therapy . In the remaining fields of use, primary antibiotic therapy does not appear to be necessary according to the current state of knowledge, but relevant contraindications must be observed.

Transmission of Infectious Diseases

Today, medicinal leeches are generally only used once. Therefore, there is no risk of the indirect transfer of infectious diseases from one patient to another. Primary infection with Aeromonas hydrophila is clinically relevant only when leeches are applied to surgical transplants. Concurrent antibiotic treatment is therefore recommended for infection prophylaxis in these cases (see above). The transmission of other bacterial or viral pathogens to humans within the context of leech therapy has not been observed so far.

Scarring

When left undisturbed, leech scars usually quickly shrink to hardly visible or invisible tiny three-pronged marks that disappear completely within one to three weeks. However, if wound healing is impaired due to scratching or secondary wound infection, the scars may remain visible for significantly longer periods of time. Papulous skin changes persisting for several months have also been reported in isolated cases. In one case, a permanent “arthropod reaction” was also reported to occur after leech treatment. Significant scarring may occur particularly when leeches are applied to
areas with thin skin and thin layers of subcutaneous tissue or joint regions where the skin is in constant motion. The wearing of restrictive clothing after treatment, for example around the knees, can also result in scar formation.
For esthetic reasons, restraint is advised when using leeches in the facial region or in other clearly visible and cosmetically relevant parts of the body. Here, we again stress that it is necessary to thoroughly inform the patient about the potential risks of treatment, including scarring, and to obtain written informed consent from the patient before going ahead with the treatment.

sumber : http://www.leeches.biz/safety-adverse-effects.htm

Klinik Asy-Syarif  021-96923413 / 021-93074811
Ciputat Raya, Jl.H.Goden ujung Rt.08/011 no.23B pondok pinang keb.lama jakarta selatan

Orchitis

Terjadi jika terapist kurang ilmu sehingga mengakibatkan malpraktek hijamah seperti:

-bekam diwajah menyayat/menusuk syaraf wajah sayatan/tusukan terlalu dalam shg mengenai pembuluh darah besar sehingga terjadi blooding. membekam disambungan sendi seperti lutut sampe mengeluarkan cairan sendi sehingga pasien untuk beberapa waktu tidak bisa berjalan,membekam orang yg sudah tua renta dengan banyak bekaman, terjadi pingsan akibat org yg di bekam terlalu banyak dan mengidap darah rendah…dan banyak hal2 lain yg perlu diperhatikan dalam membekam.

terapi bekam

Pengobatan KLINIK ASSYARIF
Layanan pengobatan dengan multiterapi :
Bekam
Terapi Lintah
Pijat Sehat -Pijat refleksi -
Akupresur
Terapi Ruqyah
Terapi Lilin ( ear candle )
Terapi Listrik
dan Terapi Herbal
LAYANAN KURSUS :

inilah sahabat praktisi terapi lintah yg handal

terapi lintah buat jantung dan darah tinggi

berfungsi buat jantung,darah tinggi

Bekam Basah (Wet Cupping)

bekam basah

Yaitu metode pengeluaran darah kotor (blood letting) dengan cara disayat dengan silet, lanset, pisau bedah atau jarum steril pada bagian yang dibekam.

Cara Melakukan Bekam Basah :

Pilih titik bekam berdasarkan kondisi pasien.

Pilih gelas bekam (cup) berdasarkan tingkat penyakit pasien dan postur tubuh. Semakin besar gelas yang digunakan maka tingkat rasa sakit akan semakin besar, namun efeknya akan semakin baik.

Bersihkan bagian kulit yang akan dibekam dengan desinfektans/alkohol.

Pompa gelas bekam dengan piston pada posisi yang dikehendaki sebanyak 2-3 kali tarikan, atau sampai piston tidak dapat ditarik lagi.

Biarkan selama 3-5 menit.

Lepas gelas bekam dan sayat bagian bekas bekam dengan silet, lanset, pisau bedah atau jarum steril.

Bekam lagi posisi yang disayat tadi.

Tunggu selama lebih kurang 3 menit sampai darah keluar dan menumpuk pada gelas bekam.

Lepas gelas bekam dan buang darah kotor yang keluar, bersihkan kembali gelas bekam dan desinfeksi.

Bekam lagi sebanyak 3-5 kali, atau sampai keluar cairan putih dari kulit.

Oles bekas sayatan dan bekam dengan minyak habbatus sauda’ (jinten hitam).

Lakukan setiap bulan atau setiap 2 minggu bagi yang penyakitnya parah.

Bekam Kering (Dry Cupping)

Yaitu metode bekam yang tidak mengeluarkan darah dari tubuh.

Cara Melakukan Bekam Kering :

bekam kering

Pilih titik bekam berdasarkan kondisi pasien.

Pilih gelas bekam (cup) berdasarkan tingkat penyakit pasien dan postur tubuh. Semakin besar gelas yang digunakan maka tingkat rasa sakit akan semakin besar, namun efeknya akan semakin baik.

Pijat bagian yang akan dibekam dengan dilumuri minyak zaitun atau minyak jinten hitam selama lebih kurang 5 menit.

Pompa gelas bekam dengan piston pada posisi yang dikehendaki sebanyak 2-3 kali tarikan, atau sampai piston tidak dapat ditarik lagi.

Biarkan selama 10 menit (bagi pria), 7 menit (bagi wanita) atau 3 menit (bagi anak-anak).

Lepas gelas bekam dan pijat kembali dengan minyak zaitun atau minyak jinten hitam selama 2-3 menit untuk menghilangkan bercak-bercak hitam atau blister.

Lakukan selama 7 hari bagi orang dewasa dan 5 hari bagi anak-anak, kemudian diselingi masa interval selama 3 hari, lalu dilanjutkan lagi pembekaman.

Bekam Seluncur (Sliding Cupping)

Yaitu metode bekam yang mana gelas bekam diseluncurkan di atas permukaan kulit yang rata (tidak tebal ototnya). Metode ini serupa dengan Guasha (cina), scrapping (inggris) atau kerokan (jawa), namun lebih aman karena tidak merusak pori-pori sebagaimana kerokan.

Cara Melakukan Bekam Seluncur :

Pilih titik bekam sebagai awalan seluncur, biasanya bagian atas pundak.

Pilih gelas bekam (cup) berdasarkan tingkat penyakit pasien dan postur tubuh. Semakin besar gelas yang digunakan maka tingkat rasa sakit akan semakin besar, namun efeknya akan semakin baik.

Pijat bagian yang akan dibekam dengan dilumuri minyak zaitun atau minyak jinten hitam selama lebih kurang 5 menit. Oleskan minyak agak banyak sebagai pelumas

Pompa gelas bekam dengan piston pada posisi yang dikehendaki sebanyak 2-3 kali tarikan kemudian gerakkan/seluncurkan perlahan-lahan sampai tampak bruise (memar) kemerahan.

Lepas gelas bekam dan pijat kembali dengan minyak zaitun atau minyak jinten hitam selama 2-3 menit.

Bekam Cepat (Flash Cupping) atau Bekam Tarik

Yaitu metode bekam dengan cara tarik lepas – tarik lepas secara cepat pada bagian kulit yang sukar dibekam, atau apabila dibekam gelas cenderung jatuh. Area ini biasanya di sekitar wajah dan dahi.

Cara Melakukan Bekam Cepat :

Pilih titik bekam pada dahi atau bagian yang nyeri.

Pilih gelas bekam (cup) yang proporsional dengan lebar dahi (tidak terlalu besar).

Pompa gelas bekam dengan piston pada posisi yang dikehendaki secukupnya kemudian lepas.

Lakukan hal ini secara berulang-ulang sampai kulit berwarna kemerahan.

Diagnosis Penyakit Dengan Bekam

Diagnosa bekam/cupping dapat dilihat dari warna pigmen kulit setelah pembekaman. Di dalam buku “Canon of Internal Medicine” dikatakan, “Kondisi organ internal (organ dalam) dapat diketahui dengan cara mengobservasi (mengamati) gejala-gejala eksternal dan tanda-tanda fisik, sehingga penyakitnya dapat didiagnosa.”

Reaksi pigmen pada kulit bekas bekam adalah sebagai berikut :

Bekas bekam yang muncul berwarna ungu kegelapan atau hitam, pada umumnya hal ini mengindikasikan kondisi defisiensi (kekurangan) pasokan/suplai darah dan channel/saluran (pembuluh) darah yang tidak lancar yang disertai dengan keberadaan darah statis (darah beku).

Bekas bekam yang muncul berwarna ungu disertai plaque (bercak-bercak), pada umumnya hal ini menandakan terjadinya gangguan/ kelainan gumpalan darah yang berwarna keunguan dan adanya darah statis (darah beku).

Bekas bekam yang muncul berbentuk bintik-bintik ungu yang tersebar dengan tingkatan warna yang berbeda (ada yang tua dan ada yang ungu muda). Hal ini menandakan kelainan “Qi” dan darah statis.

Bekas bekam yang muncul berwarna merah cerah, biasanya hal ini menunjukkan terjadinya defisiensi “Yin”, defisiensi “Qi” dan darah atau rasa panas yang dahsyat yang diinduksi oleh defisiensi “Yin”.

Bekas bekam yang muncul berwerna merah gelap, hal ini mengindikasikan kondisi lemak di dalam darah yang tinggi disertai dengan adanya panas patogen.

Bekas bekam yang muncul berwarna agak pucat/putih dan tidak hangat ketika disentuh, hal ini mengindikasikan terjadinya defisiensi cold (dingin) dan adanya gas patogen.

Adanya garis-garis pecah/ruam pada permukaan bekas bekam dan rasa sedikit gatal, hal ini mengindikasikan kondisi adanya wind (lembab) patogen dan gangguan gas patogen.

Munculnya uap air pada dinding bagian dalam gelas bekam, menandakan kondisi adanya gas-gas patogen pada daerah tersebut.

Adanya blister (lepuhan/lecat) pada bekas bekam, menggambarkan kondisi gangguan gas yang parah pada tubuh. Adanya darah tipis pada blister merupakan reaksi gas panas toksin.

Beberapa hal yang perlu diperhatikan di dalam bekam

Pastikan bahwa gelas bekam sudah steril dan higinis sehingga aman untuk bekam (terutama bekam basah).

Untuk pasien yang belum pernah dibekam sebelumnya, pilihlah gelas bekam dari yang terkecil lalu ke yang besar supaya tidak terlalu sakit.

Posisi bekam dapat dilakukan dengan duduk atau berbaring menelungkup. Posisi duduk lebih baik untuk peredaran darah, namun bagi pasien yang lemah dianjurkan dengan posisi berbaring.

Untuk pasien yang baru dibekam, sering-seringlah menanyai bagaimana keadaannya, apakah merasa mulas, pusing, mual atau adanya tanda-tanda akan pingsan lainnya. Segera hentikan bekam apabila pasien mengeluh kesakitan.

Setelah bekam dihadapkan beristirahat yang cukup. Sebagian pasien segera merasa segar badannya setelah berbekam pada bagian punggung dan lutut, sehingga ia tidak mau beristirahat sebagaimana mestinya, hal ini dapat menyebabkan kembalinya penyakit.

Sebagian orang merasakan suhu badannya naik setelah 1-2 hari setelah berbekam, hal ini adalah normal dan akan segera hilang.

Pasien yang menderita sakit menular atau infeksius agar diberikan perhatian khusus. Bagi penderita penyakit infeksius, diharap gelas bekamnya adalah tersendiri (single use) dan juru bekam dianjurkan menggunakan pelindung tubuh seperti sarung tangan karet (gloves), masker dan semisalnya.

Pasien yang menderita tekanan darah rendah harus diperlakukan ekstra dan hati-hati. Tingkat kesadarannya selalu dimonitor agar tidak pingsan. Dihindarkan membekam pada areal punggung bawah yang sejajar dengan pusar ke bawah, karena hal ini bisa menurunkan tekanan darah dengan cepat.

Permukaan kulit yang timbul blister kecil, bercak-bercak, noda darah dan darah stasis adalah reaksi normal setelah bekam. Apabila blister yang timbul banyak dan besar-besar (seperti luka bakar), maka dapat dipecah dengan cara menusukkan jarum steril kering hingga keluar cairannya (cairan limfoid) lalu didesinfeksi dengan desinfektans. Lebih dianjurkan apabila bekas bekam yang berblister ini dipijat lembut dengan minyak zaitun atau jinten hitam.

Pasien yang mengalami mental stres, ketakutan, mual dan gejala mental lainnya, dihentikan pembekaman dan pasien disuruh berbaring relaks, tenang dan diberi minum dengan minuman manis (lebih baik madu) kemudian dimotivasi dan disugesti untuk menghilangkan atau meminimalisir gangguan mentalnya.

Larangan-Larangan Bekam

Tidak dianjurkan melakukan bekam basah pada penderita diabetes kecuali juru bekam yang ahli dan berpengalaman.

Jangan membekam orang yang fisiknya sangat lemah atau orang yang kelelahan (overfatigue).

Jangan membekam orang yang menderita penyakit kulit merata atau menderita alergi kulit yang parah seperti ulserasi dan edema.

Jangan membekam orang yang sudah jompo yang lemah fisiknya dan anak-anak yang tubuhnya lemah atau di bawah 3 tahun.

Penderita leukimia (kanker darah) tidak dianjurkan untuk dibekam basah.

Penderita hepatitis yang parah, TBC aktif, hemofilia, malignant anemia, trombositopenia dan penyakit lainnya yang parah tidak dianjurkan dibekam kecuali kepada juru bekam yang ahli dan berpengalaman.

Jangan memberkam pada kondisi : perut kekenyangan, kehausan, kelaparan, kelelahan, setelah beraktivitas berat, tubuh lemah dan tubuh demam (kedinginan).

Jangan membekam wanita hamil pada usia kehamilan 3 bulan pertama (trimester awal).

Jangan membekam langsung pada daerah yang luka, urat sendi robek, patah tulang, varises, tumor.

Jangan membekam wanita yang sedang haidh dan nifas.

Jangan memberkam daerah perut terlalu keras

Jangan membekam pasien yang mengkonsumsi obat pelancar dan pengencer darah semisal mengkudu, omega 3, dls.

Jangan melakukan bekam langsung setelah makan, pembekaman dapat dilakukan minimal dua jam setelah makan. Setelah bekam juga jangan langsung makan, melainkan hanya minum yang manis-manis semisal madu atau selainnya

Tidak dianjurkan melakukan pembekaman kepada orang yang menderita klep jantung, kecuali di bawah pengawasan dokter atau ahli bekam yang berpengalaman.

Jangan melakukan bekam langsung setelah mandi, terutama setelah mandi dengan air dingin. Tidak dianjurkan langsung mandi setelah bekam, melainkan setelah 2 jam. Dianjurkan mandi dengan air hangat.

Jangan membekam basah orang yang baru memberikan donor darah atau orang yang baru kecelakaan sehingga darahnya berkurang.

Jangan membekam pasien diabetes (gula darah di atas 280) kecuali oleh orang yang ahli.

Jangan membekam di area terbuka atau tempat yang dingin. Lebih baik melakukan bekam di ruang yang hangat atau bersuhu normal ruangan.

Dilarang membekam area berikut :

Lubang alamiah tubuh : mata, hidung, telinga, mulut, kemaluan, anus, puting susu.

Daerah sistem nodus limfa yang berfungsi sebagai penghasil antibodi, yaitu di submaksilari, korvikal, sudmalaonkular, aksilari, bagian detak jantung, nodus inguinalglimfa

Daerah yang dekat dengan pembuluh besar (big vessels)