Yi Qi Gu Biao Jiu (Moxibustion for Qi Tonification and Surface Protection) From the perspective of moxibustion’s effects, it primarily benefits Qi and solidifies the exterior. Certain acupuncture points can enhance Qi and protect the exterior. For the general population, points such as Feng Men (Wind Gate), Fei Shu (Lung Shu), Da Zhui (Great Vertebra), and He Gu (Union Valley) can be used. For individuals with weaker constitutions, especially the elderly, Zu San Li (Leg Three Miles) can also be added.
The Da Zhui point is well-known for its heat-clearing effects; however, it also has a significant role in invigorating Yang Qi. This point is particularly beneficial when Yang Qi is deficient and cold. As Da Zhui is a point on the Du Mai (Governing Vessel) and intersects with six Yang meridians, it is a crucial point for invigorating Yang Qi in the body.
He Gu is a point on the Hand Yangming Large Intestine Meridian and is a source point. It is particularly sensitive to both needle and moxibustion stimulation; even light pressure can cause soreness. When pressing, it is important to push towards the phalanges for stronger stimulation. The source point has a significant characteristic of replenishing the Qi and blood of its respective meridian. He Gu is associated with the Large Intestine Meridian and is interrelated with the Lung Meridian, making it an excellent point for dispelling wind and resolving the exterior, as well as protecting Wei Qi. If it is inconvenient to access Da Zhui, Fei Shu, or Feng Men, Zu San Li and He Gu can also be used.
For Qi tonification and surface protection, the method of ginger moxibustion is emphasized. First, slice ginger into 0.3 to 0.4 cm thick pieces, with a diameter that corresponds to the size of the moxa cone, generally around 2 cm. The second step is to prepare the moxa cone. Roll the moxa fluff in one direction to form a cone shape, or use a tool to compress it into a cone, ensuring it is tightly packed to slow the burning rate and minimize ash fallout. The third step is to place the ginger slice on the selected acupuncture point, then ignite the moxa. It is generally recommended to light from the tip of the cone, allowing the fire to burn inward. Once the skin around the treated point turns red and the patient feels warmth penetrating into the deeper tissues, the treatment is effective. For health maintenance, the standard moxibustion duration is 15 to 25 minutes per point, as individual sensitivity and response to stimulation can vary.
Jian Pi He Wei Jiu (Moxibustion for Strengthening the Spleen and Stomach)
How can moxibustion be used to harmonize the spleen and stomach? When there is a blockage in the epigastric region and fullness in the spleen, one may experience a lack of appetite and a sensation of water sloshing in the stomach after eating. This indicates a certain degree of spleen and stomach deficiency, where Yang Qi is insufficient, leading to water retention. While acupuncture can help strengthen the spleen and stomach, if there is a sloshing sound, it indicates the accumulation of Yin water, thus requiring moxibustion treatment. The main acupuncture points for treating the epigastric area include Pi Shu (Spleen Shu), Wei Shu (Stomach Shu), Zhong Wan (Middle Cavity), and Zu San Li.
If there are symptoms of abdominal distension and abnormal bowel movements, spleen and stomach deficiency often leads to diarrhea, though in some cases, constipation may occur, characterized by weak bowel movements but the ability to pass soft stools. For this type of constipation, Tian Shu (Heavenly Pivot) can be added.
For harmonizing the spleen and stomach, the method of circular moxibustion is recommended. The specific technique involves igniting the moxa stick and holding it 2 to 3 cm away from the skin, then moving it in a circular motion above the acupuncture point at a gentle speed, or following the direction of the meridian in a linear circular motion. Depending on individual circumstances, moxibustion can be performed for 15 to 30 minutes until the warmth penetrates.
An Shen Ding Zhi Jiu (Moxibustion for Calming the Spirit and Settling the Mind)
Currently, 35% of women are troubled by insomnia, and this number continues to rise globally. Moxibustion can also be used to treat insomnia, providing a calming and sedative effect.
First, the acupuncture points with calming effects can be divided into two groups for alternating use. The first group includes Bai Hui (Hundred Meetings), Yin Tang (Hall of Impression), San Yin Jiao (Three Yin Intersection), Tai Xi (Great Stream), and Shen Men (Spirit Gate). The second group consists of Xin Shu (Heart Shu), Pi Shu (Spleen Shu), Gan Shu (Liver Shu), Shen Shu (Kidney Shu), and Ge Shu (Diaphragm Shu), which are relatively easy to locate as they are on the back.
Among these points, it is crucial to emphasize Bai Hui, Shen Men, and San Yin Jiao, as they are particularly important for treating insomnia, functioning similarly to sedatives. Regardless of the cause of insomnia, these three points are generally used together.
For treating insomnia, the gentle moxibustion method is recommended. This method involves using ignited moxa sticks to produce warmth that stimulates the acupuncture points for therapeutic purposes. Key considerations for gentle moxibustion include the distance from the skin, any hand movements during the process, and observing the skin color, as the patient’s sensations will determine the duration of moxibustion.
In gentle moxibustion, maintain a relatively fixed distance of 2 to 3 cm from the ignited moxa stick to the skin. The duration of moxibustion should be determined based on the acupuncture point, condition, and patient situation, such as when the skin turns slightly red and the patient feels warmth penetrating. The body should be relaxed to a comfortable state to allow smooth Qi and blood flow.
When performing gentle moxibustion on these calming points, there are some precautions. When moxibustion is applied to the head, timing is crucial to avoid dizziness. If the patient is very deficient or sensitive, the duration of moxibustion on the head points should not be too long, particularly for Bai Hui. Secondly, when moxibustion is applied to Yin Tang, it is best to have some support to avoid fatigue, allowing the wrist to move freely. The most critical aspect of gentle moxibustion is maintaining a relatively fixed distance from the skin at the acupuncture point, which can be adjusted slightly within the first five minutes. If the heat sensation is strong, the distance should be increased.
Hua Tan Jiang Zhi Jiu (Moxibustion for Resolving Phlegm and Reducing Lipids)
Hyperlipidemia is closely related to cardiovascular diseases, obesity, diabetes, and other conditions. This state is associated with high blood lipids and phlegm. In TCM, phlegm can be both tangible and intangible; the phlegm that is coughed up is tangible, while some individuals may be overweight or have a thick, greasy tongue coating without any other symptoms, yet feel dizzy and have tinnitus, which may also be considered phlegm. Hyperlipidemia can also be classified as a type of phlegm. Moxibustion for resolving phlegm and reducing lipids is aimed at individuals who are relatively overweight or feel sluggish and sleepy, as well as those who may not yet exhibit symptoms but have elevated blood lipid levels upon testing.
In moxibustion, certain acupuncture points can help reduce blood lipids and resolve phlegm. The points for reducing lipids and resolving phlegm are divided into two groups: the first group includes Gong Sun (Public Mountain), Zhong Wan (Middle Cavity), Zhang Men (Chapter Gate), Feng Long (Abundant Dragon), and Yin Ling Quan (Yin Mound Spring); the second group includes Lie Que (Broken Sequence), Wei Shu (Stomach Shu), Pi Shu (Spleen Shu), Ge Shu (Diaphragm Shu), and San Jiao Shu (Triple Burner Shu). Zhong Wan is the first choice for many digestive system diseases, as it can strengthen the stomach and spleen and enhance internal transformation functions, making it the first choice for lipid reduction. Feng Long is known for resolving phlegm, while Yin Ling Quan is more focused on eliminating dampness. Since phlegm and dampness are interconnected, combining these three points can effectively strengthen the spleen and resolve phlegm, with Feng Long having a stronger effect on reducing triglycerides. Other points that family members can help with at home include Wei Shu, Pi Shu, Ge Shu, and San Jiao Shu, which all help strengthen the spleen and stomach while resolving phlegm.
The most suitable moxibustion method for resolving phlegm and reducing lipids is Que Zhuo Jiu (Sparrow Pecking Moxibustion), where the hand holding the moxa resembles a small bird pecking. The technique involves varying the distance from the acupuncture point, getting closer when descending and further away when lifting, creating a cycle of strong and weak stimulation. The previously mentioned gentle moxibustion is more tonifying, while Que Zhuo Jiu is more dispersing. The duration of moxibustion is generally 15 to 30 minutes, and for patients with cold deficiency, the time can be extended, with the goal being to achieve skin redness or warmth penetrating.
In addition to resolving phlegm and reducing lipids, Que Zhuo Jiu is also commonly used for the following conditions: emergencies, certain pediatric diseases, correcting fetal position, and even for cases of insufficient lactation.
Qiang Shen Pei Ben Jiu (Moxibustion for Strengthening the Kidneys and Nourishing the Essence)
How can moxibustion be used to harmonize the spleen and stomach? When there is a blockage in the epigastric region and fullness in the spleen, one may experience a lack of appetite and a sensation of water sloshing in the stomach after eating. This indicates a certain degree of spleen and stomach deficiency, where Yang Qi is insufficient, leading to water retention. While acupuncture can help strengthen the spleen and stomach, if there is a sloshing sound, it indicates the accumulation of Yin water, thus requiring moxibustion treatment. The main acupuncture points for treating the epigastric area include Pi Shu (Spleen Shu), Wei Shu (Stomach Shu), Zhong Wan (Middle Cavity), and Zu San Li.
If there are symptoms of abdominal distension and abnormal bowel movements, spleen and stomach deficiency often leads to diarrhea, though in some cases, constipation may occur, characterized by weak bowel movements but the ability to pass soft stools. For this type of constipation, Tian Shu (Heavenly Pivot) can be added.
For harmonizing the spleen and stomach, the method of circular moxibustion is recommended. The specific technique involves igniting the moxa stick and holding it 2 to 3 cm away from the skin, then moving it in a circular motion above the acupuncture point at a gentle speed, or following the direction of the meridian in a linear circular motion. Depending on individual circumstances, moxibustion can be performed for 5 to 10 minutes until the warmth penetrates.
Shu Gan Li Qi Jiu (Moxibustion for Smoothing the Liver and Regulating Qi)
From a physiological perspective, the liver has two main functions: it governs the smooth flow of Qi and stores blood. The smooth flow refers to the unique functional characteristics of the five zang and six fu organs, with the liver playing a role in regulating their functions.
For smoothing the liver, there are two groups of acupuncture points. The first group includes Ge Shu (Diaphragm Shu), located at the lower corner of the scapula, Gan Shu (Liver Shu), located beside the ninth thoracic vertebra, and Pi Shu (Spleen Shu), located beside the eleventh thoracic vertebra. These three points are located on the back. The other point in the front is called Qi Men (Liver Gate), located in the sixth intercostal space. These points are commonly used for smoothing the liver.
The second group of points includes Tai Chong (Great Surge), Nei Guan (Inner Pass), and San Yin Jiao (Three Yin Intersection). Tai Chong is located between the big toe and the second toe, Nei Guan is 2 cun above the wrist crease between the two tendons, and San Yin Jiao is located 3 cun above the medial malleolus.
It is recommended to alternate between these two groups of points. Gan Shu and Qi Men can be paired, while Tai Chong and Nei Guan can be paired, primarily to regulate Qi. Points like San Yin Jiao, Ge Shu, and Pi Shu mainly nourish Yin and blood. Since Qi and blood are closely related, Qi stagnation can lead to blood stasis, which may manifest as rib pain, purple tongue, or small spots on the liver, indicating that the liver’s smooth flow function significantly affects multiple organs responsible for blood production, storage, and circulation. Therefore, while smoothing the liver and regulating Qi, it is essential to include points that nourish blood and Yin, such as San Yin Jiao, Ge Shu, and Pi Shu.
For smoothing the liver and regulating Qi, the method of Ai Zhuo Jiu (Moxa Cone Moxibustion) is introduced, where the moxa cone is placed directly on the skin without any padding. When the moxa cone burns down to half or two-thirds, it should be removed to avoid burning the skin. Generally, 5 to 7 cones are used until the heat penetrates and the skin turns red.
In moxa cone moxibustion, the most critical aspect is to remove the moxa cone before it burns completely to prevent skin burns. The moxa cone should be removed when it is half or two-thirds burned, and a new cone should be placed and ignited.
Bu Fei Tuo Min Jiu (Moxibustion for Nourishing the Lungs and Reducing Sensitivity)
Allergic diseases are among the most common conditions in spring, such as allergic rhinitis, allergic asthma, and skin diseases. Although allergic rhinitis is relatively minor, it can lead to severe allergic asthma. The primary cause of asthma is insufficient lung Qi, and some individuals may develop spleen deficiency over time, while others may progress to kidney Yang deficiency. Overall, this condition is closely related to the lungs, spleen, and kidneys. Asthma can be classified into two situations: acute attacks and remission periods, where the symptoms are less severe but still require attention, as this period resembles allergic rhinitis and may exhibit characteristics of lung Qi deficiency, spleen Qi deficiency, or a combination of lung and spleen deficiency, as well as kidney Qi deficiency.
For patients with allergic rhinitis and these two types of asthma, especially during the remission period, two groups of acupuncture points are particularly suitable for helping to nourish the spleen and strengthen the kidneys. The first group includes Fei Shu (Lung Shu), Feng Men (Wind Gate), and Da Zhui (Great Vertebra), which are crucial for tonifying lung Qi and preventing external pathogens from invading the lungs. Additionally, for spleen Qi deficiency, Pi Shu can be added, and for kidney Qi deficiency, Shen Shu can be included. The second group of points includes Lie Que (Broken Sequence), He Gu (Union Valley), Zu San Li (Leg Three Miles), along with Yin Ling Quan (Yin Mound Spring), Shen Que (Spirit Gate), or Guan Yuan (Origin Pass). Shen Que and Guan Yuan have similar effects, so one can be selected. Lie Que is a point on the Lung Meridian, located 1.5 cun above the wrist crease, where a bone can be felt in the gap. Yin Ling Quan is a point on the Spleen Meridian, which has a strong effect in resolving dampness and water retention, whether through acupuncture or moxibustion. Zu San Li is located about 1 cun lateral to the anterior border of the tibia and is a major tonifying point.
For asthma and allergic rhinitis, Hua Nong Jiu (Suppurative Moxibustion) can be used. This involves repeatedly moxibusting the Zu San Li point until it forms a blister, which can enhance the body’s immune response. This method is particularly effective at Zu San Li, a major tonifying point, as it significantly boosts the tonifying effect.
Hua Nong Jiu involves placing moxa cones the size of wheat grains directly on the acupuncture point, causing local skin burns that lead to blistering and suppuration, resulting in moxibustion sores that heal with scarring. The specific procedure includes disinfecting the moxa cone with an alcohol swab, optionally applying garlic juice to the treatment area to enhance adhesion and stimulation. After placing the moxa cone, ignite the tip with an incense stick. When the moxa cone causes a burning sensation on the skin, the practitioner can gently pat around the acupuncture point to alleviate pain. After each moxa cone, the ash can be wiped clean with a cotton ball soaked in water, and further moxibustion can continue as needed. After moxibustion, a medicinal ointment can be applied to the treated area to protect it from friction and promote healing. This should be done once daily for 1 to 2 weeks, increasing to twice daily if there is significant suppuration. As the suppuration decreases, the scab will eventually fall off, leaving a scar.
There are some contraindications for using Hua Nong Jiu. First, it should not be excessively painful; gentle patting is crucial. If there are contraindications such as diabetes, it is essential to keep the wound clean after moxibustion. The goal is to induce blistering and suppuration, which should be clear and proteinaceous, without foul odor. It is advisable to avoid breaking the blister. Some individuals may blister easily, enhancing their immune response, while others may not. During this period, it is beneficial to consume nutritious foods like tofu and milk to facilitate blister formation. For general health maintenance, this can be done once every six months to a year.
Tong Luo Fang Tong Jiu (Moxibustion for Unblocking Meridians and Alleviating Pain)
Joint pain can arise from several causes, with wind, cold, and dampness being the primary factors, particularly cold, which can cause severe pain. Another significant cause is blood stasis, where various factors lead to blood stasis that blocks the meridians, causing pain. Additionally, Qi and blood deficiency can also lead to pain. Common joint pain among the public is often related to insufficient nourishment of the liver and kidneys. If muscle pain occurs, it may relate to the spleen, while skin pain may be associated with the lungs.
For pain relief, moxibustion can be applied to points including Da Zhui (Great Vertebra), Qu Chi (Pool at the Bend), Guan Yuan (Origin Pass), Shen Que (Spirit Gate), Hou Xi (Back Stream), Shen Mai (Sinew Vessel), and Zu San Li (Leg Three Miles). Da Zhui helps to unblock the meridians and invigorate Yang Qi, while Guan Yuan tonifies kidney Yang, making these two points effective for pain relief during painful episodes and preventive during pain-free periods. Qu Chi and Zu San Li are also suitable for systemic pain. If the patient experiences upper limb pain, Hou Xi can be added, which is located in the depression at the outer edge of the wrist crease when the hand is clenched. Hou Xi is a point on the Small Intestine Meridian that helps to unblock Yang Qi in the upper limbs. Shen Mai is located in the depression below the outer ankle and can be used for lower limb pain, as it helps to extend Yang Qi.
For joint pain, the method of Shi An Jiu (Firm Press Moxibustion) can be used, where the ignited end of the moxa stick (usually medicinal moxa) is pressed tightly against the acupuncture point through several layers of cloth or cotton paper, allowing the heat to penetrate the skin. After the fire diminishes, the moxa can be reignited and pressed again. Each point can be treated several times to dozens of times. This method is suitable for various wind-cold pain. If the pain is severe, it can be performed once or twice daily; for health maintenance, once or twice a week is sufficient. Since Shi An Jiu does not burn the skin, it is generally safe for most individuals.
Qiang Jin Zhuang Gu Jiu (Moxibustion for Strengthening Muscles and Bones)
Most elderly individuals are prone to symptoms such as stooping and back pain. If the body feels weak and experiences back pain, it may indicate osteoporosis. Calcium loss is a significant cause of osteoporosis, and prolonged office work with little exercise can lead to calcium deficiency.
Thus, calcium storage is crucial for the body. Certain acupuncture points can help reduce calcium loss and strengthen bones, including Da Zhu (Great Pillar), Xuan Zhong (Suspended Bell), and Yang Ling Quan (Yang Mound Spring). Da Zhu is related to all bones and is located 1.5 cun lateral to the spinous process of the first thoracic vertebra, which can strengthen bones. Xuan Zhong is related to the marrow, as bone marrow nourishes the bones, located 3 cun above the outer ankle. Yang Ling Quan is associated with tendons and governs the entire body’s tendons. Additionally, Zu San Li and San Yin Jiao can be included, as these two points manage muscle health, which also contributes to overall strength.
For moxibustion on these points, the previously mentioned methods can be applied. If one prefers not to use hands, a warming moxibustion device can be utilized. The specific method involves inserting the ignited moxa stick from above. Initially, when the heat is not intense, it can be held closer to the skin, about 1 cm away, and after two to three minutes, it can be gradually raised. Generally, moxibustion for 5 to 10 minutes can achieve the desired effect.
In addition to dietary considerations, regular foot baths with warm mugwort tea are also beneficial. Mugwort can be used externally and internally, commonly used for various gynecological conditions and for alleviating cold-damp conditions, promoting blood circulation, and aiding in sleep.Diao Li Chong Ren Jiu (Moxibustion for Regulating the Chong and Ren Meridians)
You may have heard of the Eight Extraordinary Meridians but may not fully understand what they are, where they are located, and their functions. If issues arise in the Eight Extraordinary Meridians, the first health concern that may manifest is reproductive system diseases. Therefore, individuals suffering from gynecological issues or male prostate problems can effectively use Diao Li Chong Ren Jiu to address these concerns.
The main acupuncture points for regulating the Chong and Ren Meridians are Guan Yuan (Origin Pass) and Zhong Ji (Middle Pole), located three and four cun below the navel, respectively. Additionally, the San Yin Jiao point on the leg should be included. Another important point to recommend is Tai Chong (Great Surge), which is located similarly to He Gu (Union Valley) on the hand.
Jian Ti Sheng Zhang Jiu (Moxibustion for Promoting Growth and Development)
Joint pain can arise from several causes, with wind, cold, and dampness being the primary factors, particularly cold, which can cause severe pain. Another significant cause is blood stasis, where various factors lead to blood stasis that blocks the meridians, causing pain. Additionally, Qi and blood deficiency can also lead to pain. Common joint pain among the public is often related to insufficient nourishment of the liver and kidneys. If muscle pain occurs, it may relate to the spleen, while skin pain may be associated with the lungs.
For pain relief, moxibustion can be applied to points including Da Zhui (Great Vertebra), Qu Chi (Pool at the Bend), Guan Yuan (Origin Pass), Shen Que (Spirit Gate), Hou Xi (Back Stream), Shen Mai (Sinew Vessel), and Zu San Li (Leg Three Miles). Da Zhui helps to unblock the meridians and invigorate Yang Qi, while Guan Yuan tonifies kidney Yang, making these two points effective for pain relief during painful episodes and preventive during pain-free periods. Qu Chi and Zu San Li are also suitable for systemic pain. If the patient experiences upper limb pain, Hou Xi can be added, which is located in the depression at the outer edge of the wrist crease when the hand is clenched. Hou Xi is a point on the Small Intestine Meridian that helps to unblock Yang Qi in the upper limbs. Shen Mai is located in the depression below the outer ankle and can be used for lower limb pain, as it helps to extend Yang Qi.
For joint pain, the method of Shi An Jiu (Firm Press Moxibustion) can be used, where the ignited end of the moxa stick (usually medicinal moxa) is pressed tightly against the acupuncture point through several layers of cloth or cotton paper, allowing the heat to penetrate the skin. After the fire diminishes, the moxa can be reignited and pressed again. Each point can be treated several times to dozens of times. This method is suitable for various wind-cold pain. If the pain is severe, it can be performed once or twice daily; for health maintenance, once or twice a week is sufficient. Since Shi An Jiu does not burn the skin, it is generally safe for most individuals.
Shu Jing Mei Rong Jiu (Moxibustion for Beautifying the Skin)
As we age, various skin issues such as melasma and wrinkles become a concern. Age, gravity, hormonal factors, and poor blood circulation can all contribute to the development of wrinkles and melasma. When the liver, spleen, and kidneys undergo pathological changes, these symptoms may arise.
For moxibustion targeting melasma, acupuncture points along the Ren Meridian can be selected to tonify both Yang and Yin. Points on the Kidney Meridian can replenish the foundation, while points on the Spleen and Stomach Meridians can tonify Qi and blood. Overall, these meridian points have a significant impact on the face. Additionally, there are many facial acupuncture points, which can be remembered as Er Zhu Er Bai (Two Bamboo, Two White), where Er Zhu refers to the eyebrows (the Can Zhu point) and the outer ends of the eyebrows (the Si Zhu Kong point), while Er Bai refers to Yang Bai and Si Bai, with Yang Bai located one cun above the midpoint of the eyebrows and Si Bai located directly below the pupils.
For facial beautification through moxibustion, it is recommended to use gentle moxibustion at home. There are also some medicinal moxa sticks available on the market that contain herbs for invigorating blood circulation and resolving stasis. Additionally, a new moxibustion method using a moxibustion box is introduced. The moxibustion box has several layers, with a metal mesh in the center and a surrounding frame. After placing the moxa sticks inside, they will not wobble. By evenly distributing the moxa fluff, the heat can be more evenly distributed throughout the box, and the moxa can be ignited. If using gentle moxibustion, only one area can be treated at a time, while using a moxibustion box allows for larger areas to be treated simultaneously.
When using a moxibustion box, it is important to note that many patients feel warm all over after treatment, and some may even sweat. Therefore, it is advisable to drink warm water after using the moxibustion box, especially after prolonged treatment, to facilitate the elimination of sweat and improve the circulation of Qi and blood in the body.
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