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Fire heats the inside of the cup and a small amount of suction is created by the air cooling down again and contracting.

Massage oil may be applied to create a better seal as well as allow the cups to glide over muscle groups (e.g.

They may be used by themselves or placed over an acupuncture needle.

Skin may be lubricated, allowing the cup to move across the skin slowly.

The cupping procedure commonly involves creating a small area of low air pressure next to the skin.

However, there are varieties in the tools used, the methods of creating the low pressure, and the procedures followed during the treatment.

Further categories of cupping were developed later.

The fifth relates to area treated including: facial, abdominal, female, male, and orthopedic cupping therapy.

The sixth relates to "other cupping types" that include sports and aquatic cupping.

More recently, vacuum is created with a mechanical suction pump acting through a valve located at the top of the cup.

Rubber cups are also available that squeeze the air out and adapt to uneven or bony surfaces.

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The second categorisation relates to "the power of suction related types" including: light, medium, and strong cupping therapy.