Types of Moxibustion: Cone- Indirect Moxibustion

I. Moxa-cone moxibustion

2. Indirect Moxibustion
Indirect moxibustion is also called sandwiched moxibustion- before performing moxibustion, put ginger, garlic, salt, etc. on the skin at the acupoint, and then put moxa on top of it. The heat of indirect moxibustion is milder compared to direct moxibustion. Depending on the padding material and indication, it can be divided into the following categories:

(1) Ginger moxibustion (Ginger separated moxibustion):
Cut ginger into pieces of 1-2 mm in thickness, place them on acupoints, and ignite moxa cone on them. One could use a needle to puncture several small holes in the ginger slice to facilitate downward penetration of the heat. When patient feels a strong burning sensation on the skin, the moxa cone could be removed and substitute with another cone. Thickness of ginger slices can be adjusted appropriately according to strength of heat. Ginger moxibustion is mainly used to treat debilitating gastrointestinal diseases, such as indigestion, abdominal pain, diarrhea, gastrointestinal neuralgia, chronic arthritis, etc.

Ginger-separated moxibustion
Ginger-separated moxibustion

(2) Garlic moxibustion (Garlic-separated moxibustion):
Garlic slices with a thickness of about 1 mm are placed on the skin, and subsequent operations are the same as ginger-separated moxibustion. This method has a significant effect on early stages of tuberculosis, non-purulent edema, insect bite, etc.

(3) Salt moxibustion (Salt-separated moxibustion):
Fill the umbilical opening with table salt, put moxa cone on the salt and perform moxibustion until sweat is out, body temperature rises, and the symptoms improve. This method is mainly suitable for treatment of prostration, deficiency and vomiting, etc.

(4) Onion moxibustion:
Cut green Chinese onion stalk into 3 to 4 mm slices, or mash onion stalk into paste, and apply it on the umbilicus and its surrounding, or directly on the affected area, and place moxa on top of it. Usually upon perform moxibustion of 5-7 cones, till patient feels warm and comfortable, but not burning pain. Onion moxibustion is suitable for symptoms such as collapse, abdominal pain, anuresis, hernia, mastitis, etc.

Onion + Salt moxibustion
Onion + Salt moxibustion

(5) Pepper moxibustion: 
Take proper amount of white pepper powder, mix with flour and water to make a coin-sized cake which sags in the center; fill with a suitable amount of powdered medicine (such as cloves, cinnamon, musk, etc.) till the center is even with the perimeter. Then place moxa cone on top and perform moxibustion. Each time do 5 to 7 cones till patient feels warm and comfortable. This method is mainly suitable for vomiting caused by cold stomach, abdominal pain and diarrhea, wind-cold-dampness arthralgia, local numbness, etc.

(6) Aconite/monkshood moxibustion: 
Soak cooked aconite/monkshood thoroughly in water, cut into slices of thickness of 3 to 5 mm, puncture small holes with a needle in the middle, place it at corresponding acupoints, and place moxa on the top. One can also cut the aconite/monkshood into small pieces, grind them, and use rice wine to make cake with size of a nickle and thickness of 4 mm, and place it on the acupoints for moxibustion. This method has a significant effect on various Yang deficiency disorders, such as impotence, premature ejaculation, nocturnal emission, chronic collapse of sores and some Yin deficiency syndromes.

Other items used for moxibustion include chives, castor bean, loess, dried orange peel, rhizoma atractylodis, euphorbia kansui, and Chinese honeylocust fruit.


Types of Moxibustion: Cone- Direct Moxibustion

Moxibustion therapy is mainly divided according to the kind of tool that is used, e.g. moxa cone, moxa stick, moxa box, fume moxa, sunlight moxa, etc.

I. Moxa-cone moxibustion

Moxa cone is a conical body made of moxa, which is generally divided into three types: large, medium and small. Its operation can be divided into two types: direct and indirect moxibustion.

Moxa cones
Moxa cones

1. Direct moxibustion
Direct moxibustion, also called direct contact moxibustion, is a method where a lit moxa is put directly on the skin. This method is characterized by direct contact between moxa and the skin and strong heat. Direct moxibustion can be further divided into three types: scarless moxibustion, scar moxibustion and blister moxibustion.

(1) Scarless moxibustion: 
Place moxa directly on the skin at the acupoint, ignite the tip of the moxa; as the moxa burns down, heat sensation on the skin gradually increases. When the moxa stick burns to about 2/3, or when the patient’s skin underneath feels excessive heat, the moxa should be replaced immediately to avoid burning the skin. This method applies best to chronic debilitating diseases.

Direct Moxibustion
Direct Moxibustion

(2) Scarring moxibustion: 
Compared with scarless moxibustion, this method features moxa not to be removed from the skin until it is completely burned out. Scarring moxibustion is more intense and requires producing purulence to achieve best treatment result, so it is also called blistering moxibustion. During the operation, in order to reduce patient’s pain, the skin around the moxibustion area could be patted gently to reduce the patient’s tension. Conditions not suitable for scarring moxibustion include physical weakness, diabetes, skin diseases, and acupoints on the face and joints. This method works well on asthma, pulmonary tuberculosis, epilepsy, ulcers and developmental disorders.

Scarring moxibustion
Scarring moxibustion

(3) Vesiculating moxibustion: 
Use small moxa cone for moxibustion; when moxa fire burns to the skin and the patient feels slight pain, it could either be suppressed immediately, or stay for 3 to 5 seconds more. A small piece of skin flush slightly larger than the moxa cone would appear, and accompanied by sweating; within 1 to 2 hours vesiculation would form. Do not break it, but let it be absorbed naturally. If the vesiculation is large, it could be pierced with a sterilized needle to let the liquid out, and then apply some gentian violet. This method is suitable for asthma, skin warts, dizziness, tuberculosis and so on.

Vesiculating moxibustion
Vesiculating moxibustion


What is moxibustion?

Moxibustion is a type of TCM therapy, which is usually mentioned in the same breath with acupuncture. Moxibustion refers to a natural remedy that stimulates acupoints on the body surface by use of mild heat of burning wormwood, which further stimulates function of the viscera and meridians within human body through meridian conduction, and regulates operation of the body’s Yin/Yang and Qi/Blood.

By performing moxibustion on different acupoints, not only can it treat and prevent diseases but also strengthen the body.

After thousands of years’ practice, it has been proved that moxibustion bears certain irreplaceable and unique advantages, and become an important means of health maintainance and disease treatment. It could only achieve function of systematic therapy when the medicinal and warming effects of moxibustion are applied on acupoints of meridians.

The following painting was from the Song Dynasty of China, which was painted around 1100AD. It depicted scene of a physician performing moxibustion on a patient.

Moxibustion Painting from 1100 AD
Moxibustion Painting from 1100 AD

The benefits of moxibustion are really difficult to express by words, it’s magical efficacy can only be discovered by experiencing it in person.