When Hijama is needed a treatment plan will be created during which sessions will be frequent, typically monthly, in the beginning, and then reduced in frequency based on progress. For a healthy individual who exercises regularly and eats a healthy diet Hijama cleanse could be recommended once every 3 months, especially during hot weather and before the change of seasons. We typically wait to perform another Hijama therapy session until the red marks “Ecchymosis” and scratches left from the previous session disappear entirely, which usually clears up after 2 weeks.

However, Sick or unfit individuals may need Hijama on a monthly basis depending upon their condition before being put on a quarterly (once every 3 months) schedule. When Hijama is performed in the winter, it boosts your immune system in order to protect you from the cold and flu season. In cold weather, our blood vessels constrict and become narrower, increasing the vessels’ blood pressure, a major risk factor for a stroke. Additionally, the cold can thicken the blood, increasing the likelihood of clots to form. When Hijama is performed in summer, it protects you from the impact of heat on your blood pressure. Both cold and heat produce “flight or fight” symptoms which Hijama helps your body manage. When Hijama is performed in the spring season it can help alleviate allergy symptoms because it helps manage Histamine levels. When performed in fall, It can help against seasonal depression because it helps your body release endorphins and serotonin and it also prep up your immune system for the upcoming flu and cold season.

Another theory is that, Red Blood Cells (Erythrocytes), make almost half your blood. RBC age at 100 days approximately with an average life span of 120 days so that came with a 90 day Hijama interval recommendation. However, aged red blood cells are engulfed by macrophages, filtered by the kidneys and removed from circulation by the spleen and lymph nodes. Yet when we become sick, Our bodies do not recycle fully all these deformed and aged red blood cells, so they accumulate in certain points in our bodies. When the number of these aged red blood cells increase, they run in our circulatory system until they get into the capillaries. transport blood, nutrients and oxygen to cells. They also rid the cells of their waste. These capillaries get saturated and clogged, which affects the function of our organs.

A common Misconception is that Hijama is more important in the summer than in the winter. The Reality is that the the temperature of our core organs are stable at about 37° through out the year. Our need for Hijama is as important in the winter as it is in the summer specially for older people, smokers and employees who are required to sit for long periods of time. As a matter of fact, Deep Vein Thrombosis and Pulmonary Embolism are more common and cause more sudden death in the winter. This is due to the fact that in the winter, We drink less fluids and exercise less which leads to  muscle fiber contraction in our blood vessels. 

The recommended times for Hijama are on the 17th, 19th, & 21st days of the month according to the Islamic/ Hijri/ Lunar Calendar. When not feasible, then In the latter part of the lunar month.

Fact 1: Maximizing Hijama benefits is not by covering an exaggerated number of points in one session, It is rather by having more frequent sessions while adopting a better life style.

Fact 2: Blood is a by-product of the Detox process, yet exerting blood is never the goal in itself.