Put pure moxa on a flat plate, knead and rotate with thumb, forefinger and middle finger, and squeeze moxa into cone-shaped moxa cones with different sizes (Figure 8- 128). During the treatment, every moxa stick is called Qiang. Moxa cone moxibustion can be divided into direct moxibustion and indirect moxibustion.
Figure 8- 128 Ivy
1. Direct moxibustion
Also known as Ming Moxibustion and Skin Moxibustion, it is a moxibustion method that moxa cone is directly placed on the skin (Figure 8- 129).
According to the degree of skin irritation after moxibustion, it can be divided into two types: seamless moxibustion and scar moxibustion.
Fig. 8- 129 direct moxibustion
(1) Non-trace moxibustion: also known as non-purulent moxibustion, commonly used in clinic. Put the moxa stick on your skin and light it from above. When there are about 2/5 burn residues and the patient feels fever, the moxa cone is taken out with tweezers and changed to moxibustion. Generally, moxibustion is 3 ~ 7 strong, and local skin is congested and flushed. After moxibustion, the skin will not blister, or moxibustion sores will not form after foaming.
(2) Scar moxibustion: also known as purulent moxibustion, it is commonly used in clinical practice with small moxa and middle moxa. Before moxibustion, apply a small amount of Fantulin or garlic solution to the moxibustion site to increase the adhesion and stimulation, then place the moxa cone and light it from above. When it burns near the skin, the patient will feel burning pain, so he can gently pat around the acupoint with his hand to relieve the pain (Figure 8- 130). When this method is used, generally, after each strong moxa cone is burnt out, the ash must be removed before it can be replaced. Every 1 strong cone, apply vaseline or garlic solution 1 time, and moxibustion can be performed on 7-9 strong cones each time. After moxibustion, apply fresh water ointment on the moxibustion point, and it will fester in about 1 week. Change the ointment/kloc-0 times a day when suppurating, and the moxibustion sore healed in about 45 days, leaving scars. During suppuration, the local area should be cleaned to avoid infection. This method is not suitable for patients who are too weak, or patients with diabetes or skin diseases. Scar moxibustion is often used to treat asthma, chronic gastroenteropathy and scrofula. Because there are scars after moxibustion in this way, the patient's consent and cooperation must be obtained before moxibustion.
Fig. 8- 130 Punching Moxibustion for Pain Relief
2. Indirect moxibustion
Also known as interval moxibustion, interval moxibustion means that something is placed at the interval between moxa cone and skin for moxibustion (Figure 8- 13 1).
There are many methods of moxibustion. Here are some commonly used clinical methods:
(1) Ginger-separated moxibustion: Cut fresh ginger into thin slices with a diameter of 2-3 cm and a thickness of 0.2-0.3 cm, punch a hole in the middle with a needle, place the moxa cone on the part to be moxibustion, and then light the moxibustion. When the moxa cone burns out, you can easily apply moxibustion again, usually 5 ~ 65438. In the process of moxibustion, if the patient feels unbearable burning sensation, the ginger slices can be lifted upward or moved slowly. This method is suitable for all deficiency-cold syndromes, such as vomiting, abdominal pain, diarrhea, nocturnal emission, impotence, premature ejaculation, infertility, dysmenorrhea, wind-cold-dampness arthralgia and so on.
Fig. 8- 13 1 indirect moxibustion
(2) Garlic-separated moxibustion: cut fresh garlic into 0.2-0.3 cm thin slices, puncture a few holes in the middle with a needle, place the moxa stick on the acupoint or the affected part, and then light the moxibustion. When the moxa stick burns out, it is easy to moxibustion again. General moxibustion is 5-7 strong. Because garlic is irritating, it is easy to blister after moxibustion. If there is no bubble, you can lift the garlic slices or move them slowly. This method can be used to treat pulmonary tuberculosis, abdominal mass and ulcer.
(3) Salt-separated moxibustion: Fill the umbilical region with pure and dry salt to make it flush with the umbilical region, and put moxa stick moxibustion on it. If the patient feels a little sick, replace the moxa cone. You can also put ginger slices on salt and then moxibustion to prevent salt from being hurt by heat. General moxibustion is 5 ~ 9 strong. This method has the functions of restoring yang, saving adverse events and strengthening the body, but it needs continuous moxibustion, no matter how strong it is, until the pulse starts, the limb temperature and the syndrome improve. Clinically, it is often used to treat acute cold abdominal pain, vomiting and diarrhea, dysentery, gonorrhea, stroke and so on.
(4) aconite moxibustion: taking aconite slices or aconite cakes as spacers. The making method of medicinal cake is to grind aconite into fine powder, blend it with yellow wine, and make it into a cake with a diameter of about 3 cm and a thickness of about 0.9 cm. Punch several holes in the middle with a needle, put an moxa cone on it, and point it on the acupuncture point to be moxibustion. Because aconite is pungent and hot, it has the function of warming kidney and strengthening yang, so it is often used to treat chronic ulcers caused by impotence, premature ejaculation, nocturnal emission and qi failure.
(2) Moxibustion with moxa sticks
Also known as moxa stick moxibustion, that is, wrapping moxa sticks with mulberry paper and rolling them into cylindrical moxa sticks, also known as moxa sticks, igniting one end and applying moxibustion to acupoints or affected areas.
According to different operation methods, moxa stick moxibustion can be divided into hanging moxibustion and pressing moxibustion.
1. Suspension moxibustion: Suspension moxibustion can be divided into mild moxibustion, bird pecking moxibustion and rotary moxibustion.
(1) Mild moxibustion: light one end of the moxa stick, aim it at the acupoint or the affected part, and smoke it at a distance of 2 ~ 3 cm from the skin. Generally, moxibustion is applied at each acupoint for 10 ~ 15 min until the skin turns red to a certain extent (Figure 8- 132).
Fig. 8- 132 mild moxibustion
(2) Bird-pecking moxibustion: During moxibustion, the lighting end of the moxa stick is not fixed at a certain distance from the skin of the moxibustion site, but moxibustion is performed up and down like a bird pecking (Figure 8- 133).
Figure 8- 133 Bird pecking moxibustion
(3) Rotating moxibustion: During moxibustion, the luminous end of the moxa stick keeps a certain distance from the skin of the moxibustion site, but it is not fixed, but moves left and right or rotates repeatedly (Figure 8- 134).
Fig. 8- 134 rotary moxibustion
2. When applying moxibustion, first spread several layers of cloth or paper on the acupoint or the affected area, then light one end of the moxa stick containing medicine, and press it on the surgical site with heat to deepen the heat. If the moxa fire goes out, click and press again (Figure 8- 135).
Figure 8- 135 solid moxibustion
(3) Warm acupuncture
Warm acupuncture is a combination of acupuncture and moxibustion, that is, after acupuncture gets angry, leave the needle at an appropriate depth, put a moxa stick with a length of about 2cm on the needle handle for moxibustion, or rub a little moxa stick at the end of the needle and light it for moxibustion until it burns out and ashes, and then take out the needle (Figure 8- 136).
Figure 8- 136 Warm Acupuncture
(4) Warm moxibustion and moxibustion
Warm moxibustion apparatus is a special moxibustion apparatus. Warm moxibustion box and warm moxibustion tube are commonly used in clinic (Figure 8- 137, Figure 8- 138).
During moxibustion, the moxa stick is lit and placed on the iron net of the warm moxibustion tube or box, and then the warm moxibustion tube or box is placed at the moxibustion site 15 ~ 20min. This method is suitable for moxibustion to treat common abdominal and lumbar diseases.
Figure 8- 137, Figure 8- 138