Please remember the following points regarding hygiene in hijama
1) If you are doing hijama while patient is leaning.lying on the bed, floor or any other thing , please make sure to put some disposable paper sheet under the patient. You may charge the patient for this but this is must.
2) You should wear gloves
3) When the cup gets filled with blood you should not suck from the gun futhur because at that point the blood may enter the gun and that very dangerous
4) Many hijama practitioners apply the same cup twice at the same point to suck more blood, thats nothing wrong in it but make sure that no blood touches your gloves doing so because if the blood touches your gloves it will eventually touch the gun.