“…The negative pressure is created by heating the air within the cup and then allowing it to cool and contract while in contact with the skin. The air is heated either by swabbing the interior of the cup with alcohol and then setting it aflame, or by igniting an alcohol-soaked cotton ball or other flammable material held inside the cup (King and Davis, 1983;Kouskoukis and Leider, 1983;Kravetz, 2004;Look and Look, 1997). Just before the flame is extinguished, the mouth of the cup is positioned firmly against the skin at the desired location.…”