Cupping Therapy vs. Bruising

Understanding Practice, Physiology, and Misconceptions

In today’s wellness landscape, cupping therapy has re-emerged as a widely used modality for relieving pain, improving circulation, and supporting holistic healing. Despite its growing popularity, many people unfamiliar with Traditional Chinese Medicine (TCM) often confuse the distinct circular marks left by cupping with bruises from injury. Though they appear similar, the mechanisms, meanings, and physiological effects are fundamentally different. This article provides a thorough understanding of cupping therapy, its roots in TCM, its interpretation through the lens of Western science, and how it compares to traumatic bruising, to clarify misconceptions and deepen appreciation for this ancient practice.

What Is Cupping Therapy?

Cupping is a technique that involves placing specially designed cups (glass, silicone, bamboo, or plastic) onto the skin to create suction. The suction pulls the skin and superficial tissue upward, promoting blood flow, stimulating lymphatic drainage, and mobilizing stagnation.

In Traditional Chinese Medicine (TCM), cupping is used to:

– Move stagnant qi and blood

– Expel pathogenic factors (wind, cold, damp)

– Open the meridians and facilitate energy flow

– Relieve pain, tightness, and toxicity

– Strengthen organ function by targeting specific meridian points

The Western Physiological View: How Cupping Works

Western medicine traditionally lacked a framework for cupping, but increasing interest has revealed several plausible mechanisms:

Increased Local Blood Flow – Suction draws blood to the surface, improving microcirculation (Lowe, 2017).

2. Fascial Decompression – Cupping lifts and separates skin, fascia, and underlying muscles, similar to myofascial release.

3. Neurovascular and Pain Modulation – Stimulation triggers responses through the Gate Control Theory of Pain (Teut et al., 2018).

4. Controlled Inflammatory Response – Mild trauma initiates a low-grade inflammatory response (Furhad et al., 2023)

5. Lymphatic Drainage – The pressure differential helps clear toxins and reduce swelling.

6. Parasympathetic Nervous System Activation – Can reduce stress and activate rest-and-digest mode (Harvard Health Publishing, 2016).

Types of Cupping

– Dry Cupping: Standard suction without bloodletting

– Wet Cupping (Hijama): Involves superficial pricking after suction

– Fire Cupping: Traditional method using heat to create vacuum inside the cup

– Gliding (Massage) Cupping: Cups are moved across oiled skin for deep tissue stimulation

Understanding Bruising from Injury

A bruise (contusion) results from accidental trauma to soft tissue, leading to rupture of capillaries and pooling of blood under the skin. This causes pain, swelling, discoloration, and inflammation. Unlike the controlled effect of cupping, bruising often involves deeper tissue damage.

Comparison: Cupping Marks vs. Bruises

Cupping Marks vs. Bruises:

– Cause: Suction-induced capillary rupture vs. blunt trauma

– Intentional: Yes vs. No

– Purpose: Healing vs. Accidental

– Appearance: Uniform circles vs. irregular, color-changing marks

– Pain: Minimal vs. often painful

– Duration: 3–10 days vs. 1–3 weeks

Final Thoughts: Healing vs. Harm

Cupping is not a bruise in the conventional sense. It’s a controlled, purposeful therapy used to stimulate the body’s self-healing mechanisms. While cupping marks may resemble bruises visually, their nature, origin, and physiological impact are completely different. Understanding these differences demystifies this ancient therapy and makes it more approachable for those seeking holistic healing.

⚖️ Side-by-Side Comparison: Cupping Marks vs. Bruises

Aspect	Cupping Marks	Bruises (Injury)
Cause	Suction-induced capillary rupture	Blunt trauma to tissues
Intentional?	Yes – therapeutic	No – accidental
Purpose	Detox, release stagnation, promote healing	None – consequence of trauma
Appearance	Uniform, circular, reddish-purple	Irregular, color changes over time
Pain Level	Minimal to none	Tender or painful, often with swelling
Color Pattern	Dark → fade gradually	Red → purple → green → yellow
Duration	3–10 days	1–3 weeks, depending on severity
Associated Symptoms	Relief, improved mobility, relaxation	Inflammation, soreness, potential joint restriction

References:

Furhad, S., Sina, R. E., & Bokhari, A. A. (2023, October 30). Cupping therapy. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK538253/

Harvard Health Publishing. (2016). What exactly is cupping? Harvard Health Blog. https://www.health.harvard.edu/blog/what-exactly-is-cupping-2016093010402

Johannes, L. (2012, November 12). Centuries-Old art of cupping may bring some pain relief. WSJ. https://www.wsj.com/articles/SB10001424127887324073504578114970824081566

Lowe, D. T. (2017). Cupping therapy: An analysis of the effects of suction on skin and the possible influence on human health. Complementary Therapies in Clinical Practice, 29, 162–168. https://doi.org/10.1016/j.ctcp.2017.09.008

Teut, M., Ullmann, A., Ortiz, M., Rotter, G., Binting, S., Cree, M., Lotz, F., Roll, S., & Brinkhaus, B. (2018). Pulsatile dry cupping in chronic low back pain – a randomized three-armed controlled clinical trial. BMC Complementary and Alternative Medicine, 18(1). https://doi.org/10.1186/s12906-018-2187-8

Modern Takeaways on Life, Success, and Choice

1. Decisions Shape Your Future

Every day we face choices, big and small. Avoiding decisions or “sitting on the fence” might feel safe, but it’s actually a form of failure. If you don’t choose, life chooses for you and that often leads to regret. Whether in business, relationships, or personal goals, progress only happens when you commit to a direction.

Example: In business, waiting too long to act on an opportunity out of fear or indecision can mean losing ground to competitors.

2. Balance Visible and Invisible Success

It’s easy to measure success by visible achievements such as money, titles, and recognition. But these are only part of the story. Invisible success is equally important: having integrity, living by values, and maintaining peace of mind. Without these, material gains feel hollow.

Example: An executive with wealth but no work-life balance, health, or ethical grounding isn’t truly successful. Real success blends external achievement with inner fulfillment.

3. Avoid the Trap of Self-Bias

Our own judgment often leans toward what feels convenient or self-serving. But right and wrong aren’t just about personal opinion, they’re tied to principles that exist beyond us. Checking decisions against values like honesty, fairness, and responsibility keeps us from rationalizing bad choices.

Example: Cutting corners for short-term profit might seem beneficial now, but long-term damage to reputation and trust will outweigh the gain.

4. Be Accountable

You can fool others with appearances, but not yourself. Guilt, stress, and dissatisfaction linger when actions don’t align with your values. Owning your choices, whether good or bad is what builds integrity.

Example: A manager might hide mistakes from their team, but the weight of dishonesty erodes confidence and effectiveness over time. Admitting the mistake early fosters trust and growth.

5. Master Yourself First

The biggest battle is internal. Self-doubt, ego, fear, and procrastination are often greater obstacles than outside competition. True success means overcoming your own limitations, staying disciplined, and not letting emotions or outside influences cloud your judgment.

Example: An athlete may win against others, but if they lack discipline in training or integrity off the field, their success is incomplete.

6. The Real Loss

Losing connection to your true self, by conforming blindly, chasing only money, or being swayed by others, is the greatest failure. Material setbacks can be rebuilt, but losing authenticity and self-respect is harder to recover.

Example: A professional who compromises values to fit into a toxic workplace might later find success elsewhere, but regaining trust in themselves can be a long process.

7. Victory vs. Success

Defeating others is external victory. But lasting fulfillment comes from internal success in discipline, self-awareness, and growth. The ultimate win is not over others but over your own weaknesses.

Example: In leadership, the best outcome isn’t outshining your colleagues but growing the whole team and developing yourself along the way.

Modern Common Sense in One Line:
Success isn’t just about what you achieve outside, but about the choices you make daily to stay true to your values, overcome yourself, and live a balanced, meaningful life.

Shintō to Buddhism

Reinventing Religious Identity in Korea After Liberation

During Japan’s colonization of Korea (1910–1945), State Shintō was forcibly introduced through the establishment of shrines and enforced participation in rituals, particularly by students and government workers (Grayson; Chōsen Shrine required attendance as a political act). This widespread imposition made Shintō highly associated with colonial authority and ideological control. In contrast, Buddhism had been part of Korean heritage for centuries and carried no stigma of foreign imposition.

After liberation in 1945, Shintō was widely rejected in Korea, while Buddhism was viewed as part of the national cultural and religious identity.

Political and Social Pressures

Shintō clergy or anyone linked to Shintō were at risk of being labeled collaborators with the Japanese colonial regime. Such stigma could lead to social ostracism or worse. By contrast, those associated with Buddhism were viewed as culturally legitimate and spiritually benevolent, making Buddhist identity a favorable alternative.

Cultural Perception and Misidentification

To the general public unfamiliar with Japanese religious garb, the distinction between Shintō ceremonial attire and Buddhist robes might have been unclear. Therefore, presenting oneself as a Buddhist monk was a practical way to avoid the stigma attached to Shintō affiliation, especially in a period when religious symbols had strong political meanings.

Strategic Reinvention

In post-war Korea’s rapidly changing climate, recasting one’s religious identity was a means of social survival. Claiming Buddhist identity provided continued spiritual or communal authority without colonial taint. It was both a personal and political strategy to remain relevant and respected.

Comparative Tables

Table 1: Public Perception in Post-War Korea (circa 1945–1950)

Aspect	Shintō Priest	Buddhist Monk
Political Association	Linked to Japanese colonialism	Rooted in Korean tradition
Public Reputation	Viewed as collaborator	Respected spiritual figure
Cultural Legitimacy	Foreign-imposed, often rejected	Indigenous, normative
Social Risk	High (stigmatized)	Low (broad acceptance)
Opportunities	Severely limited	Available through religious leadership

Table 2: Religious Signifiers and Public Perception

Feature	Shintō Priest	Buddhist Monk
Attire	Layered robes with formal pattern or cut	Plain, functionally simple robes
Headgear	Black cap or crown	Shaved head (no headwear)
Ritual Objects	Wooden baton (shaku), paper streamers	Prayer beads, staff, sutra scroll
Symbolic Setting	Shrine with sacred rope, torii gates	Temple with Buddha statues, incense
Cultural Role	Representative of Japanese ideology	Spiritual and moral guide within Korean tradition

Conclusion

After Korea’s liberation, religious identity was both symbolic and strategic. In a time when Shintō was equated with colonial oppression, claiming to be a Buddhist monk offered not just spiritual cover but also cultural rehabilitation. This reframing allowed individuals to retain authority, social standing, and moral legitimacy in a society eager to distance itself from Japan’s colonial legacy.

References:

Kim, Y. T. (2025). The common ground between Japanese and Korean Buddhism in the early modern period: changes in the perception of the mechanism of the State–Buddhist relationship. Religions, 16(4), 419. https://doi.org/10.3390/rel16040419

Grisafi, J. G. (2016). Shintō in Colonial Korea: A Broadening Narrative of Imperial era Shintō. Upenn. https://www.academia.edu/28557377/Shint%C5%8D_in_Colonial_Korea_A_Broadening_Narrative_of_Imperial_Era_Shint%C5%8D?utm_source=chatgpt.com

Shinto in Korea. (2025). In Wikipedia. Retrieved from Wikipedia database. https://en.wikipedia.org/wiki/Shinto_in_Korea?utm_source=chatgpt.com

Chōsen Shrine. (2025). In Wikipedia. Retrieved from Wikipedia database. https://en.wikipedia.org/wiki/Ch%C5%8Dsen_Shrine?utm_source=chatgpt.com

Korean Buddhism. (2025). In Wikipedia. Retrieved from Wikipedia database. https://en.wikipedia.org/wiki/Korean_Buddhism?utm_source=chatgpt.com

Limbic System and the Emotional Dimension of Pain

Pain is not solely a sensory experience. It is also deeply emotional, influenced by context, memory, expectation, and mood. While the somatosensory cortex processes the discriminative (sensory) aspects of pain, such as location, intensity, and duration, the limbic system, particularly the amygdala and the anterior cingulate cortex (ACC), mediates its affective (emotional) and motivational components (Apkarian et al., 2005; Leknes & Tracey, 2008).

1. The Amygdala: Fear, Salience, and Emotional Memory

The amygdala is a central structure in emotional processing, especially in the encoding and recall of fear and threat-related memories. It plays a critical role in the emotional coloring of pain and how we anticipate and respond to it.

The amygdala receives nociceptive input via the spino-parabrachial pathway and from higher-order cortical areas, allowing it to influence both immediate emotional reactions to pain and pain-related memory (Neugebauer et al., 2004).
It activates autonomic and behavioral responses to pain (e.g., anxiety, avoidance), especially when pain is perceived as threatening or unpredictable.
Amygdala hyperactivity has been linked with chronic pain conditions, where emotional reactivity and threat perception become amplified (Simons et al., 2014).

In other words, the amygdala adds emotional salience to nociceptive stimuli, transforming a mere sensory signal into a subjectively distressing experience.

2. The Anterior Cingulate Cortex (ACC): The Distress and Motivation Circuit

The ACC, particularly its rostral and dorsal regions, plays a central role in pain unpleasantness, emotional suffering, and motivational drive to escape or alleviate pain.

Studies show that ACC activation correlates with subjective pain unpleasantness, even when the physical intensity of pain is constant (Rainville et al., 1997).
The ACC is richly interconnected with limbic (amygdala, hippocampus), cognitive (prefrontal cortex), and motor systems, enabling it to integrate affective, attentional, and behavioral responses to pain (Shackman et al., 2011).
The ACC is involved in pain anticipation, which can amplify emotional distress even before the pain occurs (Koyama et al., 2005).
Chronic pain patients often show structural and functional changes in the ACC, suggesting a maladaptive feedback loop that reinforces pain-related suffering (Baliki et al., 2006).

Thus, the ACC is not responsible for detecting pain, but for how unpleasant and distressing it feels, and for driving the motivational state to take action.

3. Limbic Modulation and Homeostasis

Leknes & Tracey (2008) propose a framework for understanding how pain and pleasure share overlapping neurobiological systems, particularly in limbic circuits. They note that context, expectation, and emotional state can either amplify or dampen pain via top-down modulation of limbic and brainstem structures.

The ACC and amygdala are sensitive to emotional reappraisal, social support, and placebo analgesia, demonstrating that the emotional meaning of pain can drastically change the experience (Wager et al., 2004).
Pain that is interpreted as meaningful or self-chosen (e.g., in rituals or athletic endurance) can be experienced as less unpleasant, implicating limbic regulation of pain perception (Leknes & Tracey, 2008).

This suggests that the limbic system is central in determining whether pain is perceived as threatening and intolerable or manageable and meaningful.

4. Summary of Functional Roles

Region	Role in Pain Processing
Amygdala	Assigns emotional salience; fear, anxiety, memory of pain; enhances pain when perceived as threatening.
ACC	Encodes pain unpleasantness; mediates suffering, motivation to escape pain; modulated by expectation, attention, and emotional context.

Clinical Relevance

Chronic pain syndromes (e.g., fibromyalgia, neuropathic pain) often involve heightened activity in the amygdala and ACC, contributing to emotional suffering, catastrophizing, and avoidance behavior (Hashmi et al., 2013).
Cognitive-behavioral therapy (CBT), mindfulness, and biofeedback target these limbic circuits to reframe pain perception, reduce suffering, and restore functional coping.
The limbic-emotional dimension of pain underscores the importance of holistic and biopsychosocial models in treatment.

References:

Apkarian, A. V., Bushnell, M. C., Treede, R. D., & Zubieta, J. K. (2005). Human brain mechanisms of pain perception and regulation in health and disease. European Journal of Pain, 9(4), 463–484. https://doi.org/10.1016/j.ejpain.2004.11.001

Baliki, M. N., Geha, P. Y., Apkarian, A. V., & Chialvo, D. R. (2006). Beyond feeling: chronic pain hurts the brain, disrupting the default-mode network dynamics. Journal of Neuroscience, 28(6), 1398–1403. https://doi.org/10.1523/JNEUROSCI.4123-07.2008

Cleveland Clinic. (2024). Limbic system: What it is, function, parts & location [Illustration]. Cleveland Clinic. https://my.clevelandclinic.org/health/body/limbic-system

Hashmi, J. A., Baliki, M. N., Huang, L., Baria, A. T., Torbey, S., Hermann, K. M., … & Apkarian, A. V. (2013). Shape shifting pain: chronification of back pain shifts brain representation from nociceptive to emotional circuits. Brain, 136(9), 2751–2768. https://doi.org/10.1093/brain/awt211

Koyama, T., McHaffie, J. G., Laurienti, P. J., & Coghill, R. C. (2005). The subjective experience of pain: Where expectations become reality. Proceedings of the National Academy of Sciences of the United States of America, 102(36), 12950–12955. https://doi.org/10.1073/pnas.0408576102

Leknes, S., & Tracey, I. (2008). A common neurobiology for pain and pleasure. Nature Reviews Neuroscience, 9(4), 314–320. https://doi.org/10.1038/nrn2333

Neugebauer, V., Galhardo, V., Maione, S., & Mackey, S. C. (2009). Forebrain pain mechanisms. Brain Research Reviews, 60(1), 226–242. https://doi.org/10.1016/j.brainresrev.2008.12.014

Rainville, P., Duncan, G. H., Price, D. D., Carrier, B., & Bushnell, M. C. (1997). Pain affect encoded in human anterior cingulate but not somatosensory cortex. Science, 277(5328), 968–971. https://doi.org/10.1126/science.277.5328.968

Shackman, A. J., Salomons, T. V., Slagter, H. A., Fox, A. S., Winter, J. J., & Davidson, R. J. (2011). The integration of negative affect, pain and cognitive control in the cingulate cortex. Nature Reviews Neuroscience, 12(3), 154–167. https://doi.org/10.1038/nrn2994

Simons, L. E., Elman, I., & Borsook, D. (2014). Psychological processing in chronic pain: a neural systems approach. Neuroscience & Biobehavioral Reviews, 39, 61–78. https://doi.org/10.1016/j.neubiorev.2013.12.006

Wager, T. D., Rilling, J. K., Smith, E. E., Sokolik, A., Casey, K. L., Davidson, R. J., … & Cohen, J. D. (2004). Placebo-induced changes in FMRI in the anticipation and experience of pain. Science, 303(5661), 1162–1167. https://doi.org/10.1126/science.1093065

Post-traumatic Growth: Essays to Cultivate Healing, Integration, and Meaning

Trauma rarely arrives by invitation. For most people, it enters life unexpectedly, through loss, betrayal, illness, accidents, violence, neglect, coercion, or prolonged stress. Very few individuals seek out traumatic experiences, and just as rarely do most people consciously intend to harm or traumatize others. And yet, despite intent, all actions carry consequences. Words spoken in anger, choices made in fear, systems built on imbalance, and moments of inattention can send ripple effects outward for years, sometimes for generations. Trauma often lives in these ripples.

Long after the original event has passed, many people continue to feel unsettled inside, anxious, guarded, emotionally numb, reactive, ashamed, or unsure of who they have become. These experiences are not signs of weakness or personal failure. They are the natural imprint of overwhelming stress on the nervous system, identity, and relational trust. Trauma changes how the body responds to threat, how the mind interprets reality, how the self is organized, and how relationships are navigated.

My book Post-traumatic Growth – Essays to Cultivate Healing, Integration, and Meaning was written for those who have survived difficult experiences and now find themselves asking deeper questions, not only how to cope, but how to truly grow beyond survival. The gradual cultivation of healing and growth does not mean that trauma was good, necessary, deserved, or spiritually justified. It does not minimize suffering or attempt to frame pain as a gift. Rather, it acknowledges a well-documented truth: human beings possess a powerful capacity to adapt, integrate, mature, and rebuild their lives when safety, awareness, and agency are gradually restored.

For decades, my work has focused on the relationship between stress physiology, emotional regulation, behavior, identity, and resilience. Again and again, I have seen that trauma recovery is not only psychological. It is neurological. It is relational. It is embodied. Insight alone is not enough. Healing requires the reorganization of the nervous system, the development of emotional maturity, the rebuilding of boundaries, the restoration of agency, and the reconstruction of meaning.

This book follows the full arc of transformation. It begins with how trauma disrupts regulation, perception, and identity. It then moves into the practical foundations of recovery by using breath, posture, emotional regulation, and stress resilience. From there, it addresses the deeper psychological work of boundaries, meaning-making, emotional maturity, and agency. Finally, it turns outward toward contribution, service, and the lifelong process of integration and wholeness.

If you are reading this, it is likely because some part of your life has been shaped by adversity, sudden or prolonged, visible or hidden. This book does not offer shortcuts. It offers something more enduring: a grounded path toward rebuilding stability, identity, agency, and meaning over time. These essays are not meant to be rushed or consumed linearly, but revisited as one’s capacity for regulation, reflection, and integration deepens. Growth does not erase the past. It allows you to live no longer defined by it.