Fire, moving & wet cupping
How ba guan is performed: retained cups, sliding cups with oil, flash cupping, and blood-letting cupping when indicated.
See methodsBa guan (拔罐) as practiced in Chinese medicine clinics—qi and blood, channel theory, pattern diagnosis, and the fire-cupping methods a TCM practitioner uses.
Educational guide for patients and students of Chinese medicine. Not a substitute for clinical care.
In a Chinese medicine clinic, cups are not random wellness tools. They are chosen after pattern diagnosis—alongside acupuncture, herbs, and lifestyle advice when appropriate.
Balance, movement, and the free flow of qi and blood.
Cups placed along jing-luo pathways and local ashi areas.
Looking, listening, asking, and palpation guide the plan.
Fire, retaining, moving, flash, and wet cupping.
A traditional Chinese medicine visit typically begins with the four examinations: observation (including tongue), listening and smelling, inquiry, and pulse/palpation. From that picture, the practitioner identifies a pattern—such as blood stasis, cold-damp obstruction, or exterior wind-cold—and then selects cupping style, strength, and locations.
That is why two people with “back pain” may receive different cupping approaches in a TCM clinic.
Diagnosis & cup marks
How ba guan is performed: retained cups, sliding cups with oil, flash cupping, and blood-letting cupping when indicated.
See methods
Bladder channel, Governing Vessel, shoulder and low-back regions—where practitioners often place cups.
Explore channels
In TCM, shade and quality of sha (marks) are discussed as clues to stagnation, cold, heat, or damp—not as “toxins.”
Learn about marksClassical Chinese medicine teaches that pain and many chronic discomforts relate to obstruction or emptiness of qi and blood. Cupping is used to invigorate blood, move qi, expel exterior pathogens, and dispel cold or damp—depending on the pattern.
“Where there is free flow, there is no pain.”Read TCM foundations
From intake and tongue/pulse to cup placement, duration, and aftercare in a Chinese medicine clinic.
Session guideWind-cold, bi syndrome, blood stasis, wei-level invasion, and more—as framed in TCM language.
Browse patternsLicensure, questions to ask, and how cupping fits with acupuncture and herbal medicine.
Find careWho should avoid ba guan, wet-cupping hygiene, and how to care for the skin afterward.
Safety guideStart with the foundations of Chinese medicine, then see how practitioners apply cups in clinic.