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Direct and Indirect Moxibustion

Moxibustion uses the combustion of dried mugwort (Artemisia vulgaris) to heat acupuncture points, tonify Yang, warm meridians and dispel Cold and Dampness.

Updated
Direct and Indirect Moxibustion

Presentation

Moxibustion (灸法, jiǔ fǎ) is one of the fundamental branches of traditional Chinese medicine, as ancient as acupuncture itself. The Chinese term for acupuncture, 针灸 (zhēnjiǔ), literally means 'needle and moxa,' underscoring the inseparability of both practices. Moxa is made from dried, ground mugwort leaves (Artemisia argyi or Artemisia vulgaris), whose specific therapeutic properties (penetrating heat, particular infrared spectrum, volatile compounds) make it a unique material.

Moxibustion is classified into two major categories: direct (moxa placed directly on the skin) and indirect (moxa separated from skin by a medium or held at a distance).

Core Principles

  • Yang tonification: moxa heat strengthens Yang Qi, combating Yang deficiency syndromes.
  • Meridian warming: dispersing pathogenic Cold and Dampness in meridians.
  • Disease prevention: regular moxibustion on specific points (ST36, CV4) is traditionally used for longevity.
  • Specific infrared spectrum: mugwort combustion emits near-infrared wavelengths (1–5.5 µm) that penetrate deeply into tissues.

Main Indications

  • Yang deficiency syndromes: extreme cold sensitivity, morning diarrhea
  • Cold/damp-aggravated pain: osteoarthritis, rheumatism
  • Digestive disorders from Spleen deficiency
  • Dysmenorrhea from Cold in the Uterus
  • Breech presentation (point BL67 — Cochrane Library validated)
  • Prevention and immune strengthening
  • Chronic fatigue, convalescence

Session Overview

Indirect moxibustion with slices (ginger, garlic, salt) placed between moxa and skin. Stick moxibustion (moxa cigar) held 2–3 cm from skin in circular, back-and-forth or fixed position. Duration per point: 5–15 minutes. Efficacy signs: local skin redness, deep pleasant warmth.

Contraindications

  • Heat and Excess syndromes (fever, acute inflammation)
  • Uncontrolled hypertension
  • Facial area (burn and scar risk)
  • Pregnancy: abdominal and lumbosacral points forbidden
  • Diabetes with neuropathy (unperceived burn risk)
  • Damaged, ulcerated or inflamed skin

Medical Disclaimer

The information presented in this article is provided for educational and informational purposes only. It does not constitute medical advice, diagnosis, or treatment prescription. If in doubt, always consult your physician or a qualified healthcare professional. The techniques described do not replace conventional medical treatment.

Direct & Indirect Moxibustion: Mugwort, Techniques & Indications | PratiConnect | PratiConnect