Alopecia Areata & Acupuncture Cupping Therapy Alopecia Areata is a type of alopecia characterised by no scarring hair loss. The condition is found of the general population.1–3 The cause of AA appears to be related to the disturbance of autoimmune functioning, physical stress, genetic factors and microcirculation.1 2 AA could cause significant psychological problems, result in reduced self-esteem and negatively affect the quality of life.1 2 The first-line treatments are topical immunotherapy for extensive disease and intralesional corticosteroids for localised hair loss in patches. Acupuncture & Cupping is one of the most frequently used forms of complementary medicine.Acupuncture involves the insertion of needles into the skin and underlying tissues at acupuncture points for a therapeutic purpose. Acupuncture points (body, ear, head or tongue) could be stimulated with several types of acupuncture needles, electricity, laser, pressure or heat.