We get lots of questions that come through our office, and many of them are quite interesting. In 2025, my hope is to share some of these questions and answers to provide insights and helpful information. Let’s start with a question about cupping:
Q: I came in for cupping recently. The next day I noticed I didn’t have any marks on my back. I typically have very dark circles, some darker than others, so I was curious if you have any insights on this. Does this mean that cupping is no longer needed?
A: Not having cupping marks does not mean the session was ineffective. My first question would be: Did you feel the pressure from the cups? Was it any different than usual?
The absence of marks can often signify good circulation, less congestion, minimal stagnation, and reduced toxicity. On the other hand, darker marks can represent several things, including very tight muscles that are congested and holding on to blood and toxins. It can also reflect Spleen qi deficiency, which may arise from over-worry or digestive weakness, to name a few examples. Stress, alcohol, hormonal imbalances, PMS, and emotions such as anger and frustration—often linked to Liver qi stagnation that creates internal heat and stagnant blood—can also contribute to more pronounced marks. Dehydration is another factor that can lead to darker circles.
Whether or not marks appear, cupping is highly effective for promoting the circulation of qi, blood, and lymph. It serves both immediate and preventative purposes, helping to alleviate muscular tension in the moment while preventing congestion and stagnation. It can also support the immune system and overall health.
This is just a brief overview of cupping and cupping marks based on my personal and professional perspective. There can be more to it, but this summary may be the easiest to understand.
If you enjoy the benefits of cupping, I recommend continuing with it to optimize your overall health and well-being.
Christina Morris, founder of Element Natural Healing Arts, is an acupuncturist, herbalist, Maya abdominal practitioner, reflexologist, and practitioner of functional medicine. Writing about health and wellness provides her with a meaningful way to connect with and support her beloved community. She is deeply committed to the belief that everyone has the potential to achieve greater health and happiness—emotionally, physically, mentally, and spiritually.