Indications and Contraindications for Moxibustion

I. Indications

The indications for moxibustion are very broad and can be summarized as follows according to its effects:

1. Warming the meridians and dispersing cold: Various conditions caused by cold coagulation and obstruction of the meridians, such as wind-cold-damp bi-syndrome, dysmenorrhea, amenorrhea, and cold hernia abdominal pain.

2. Dispelling wind and resolving the exterior: External contraction of wind-cold and deficiency-cold in the middle burner, as well as vomiting, abdominal pain, and diarrhea.

3. Reviving yang and preventing collapse: Syndromes of spleen-kidney yang deficiency and sudden collapse of vital energy, such as chronic diarrhea, chronic dysentery, enuresis, nocturnal emission, impotence, premature ejaculation, collapse, and shock.

4. Tonifying the spleen and augmenting qi: Syndromes of qi deficiency and sinking of organs, such as gastric ptosis, renal ptosis, uterine prolapse, rectal prolapse, and prolonged unhealed metrorrhagia.

5. Dispelling stasis and dispersing swelling: Initial stages of surgical abscesses (used for long-term unhealed ulcers, promoting healing and muscle growth), scrofula, initial mastitis, various pain conditions, boils not yet suppurated (can disperse stasis and swelling, draw out toxins and release heat), and other symptoms.

6. Descending rebellious qi: Conditions of qi rushing upwards, such as foot qi rushing to the heart, and liver yang hyperactivity can be regulated by moxibustion at the Yongquan acupoint.

7. Preventive health care. The "Bian Que's Heart Book" says: "When people are healthy, they often moxibust the Guanyuan acupoint, Qihai, Life Gate, and Zhongwan. Although they may not achieve immortality, they can ensure a life of over a hundred years." It can be seen that our ancestors have long recognized and valued the role of moxibustion in disease prevention and health care.

8. Fading spots, promoting hair growth, etc.

II. Contraindications

Although moxibustion has been widely used and is simple and safe, attention must still be paid when applying it.

Regarding "contraindicated" acupoints

There are a total of 47 contraindicated acupoints recorded in ancient books. These acupoints are mostly distributed on the face, near important organs and large superficial blood vessels, as well as in areas with thin skin, little muscle, and tendon gatherings. Therefore, direct moxibustion with an Ai column can have varying degrees of adverse consequences. For example: moxibustion on the head and face acupoints will leave scars that are too ugly; moxibustion on the superficial large blood vessels is prone to damaging the blood vessels; there are also some acupoints located on the palmar side of the hands or feet, such as Zhongchong, Shaoshang, and Yinbai. These acupoints may be painful and prone to damage when moxibustion is applied directly with an Ai stick.

Today, modern acupuncture and moxibustion clinics believe that the contraindicated acupoints in our country are the experience of ancient Chinese clinical practice. With the advancement of modern medicine (people have a deeper understanding of the structure of various parts of the human body through human anatomy) and the improvement of moxibustion methods, most of the contraindicated acupoints in ancient times can now be gently moxibusted, which will not cause trauma to the body and can better serve us with the therapy of moxibustion.

Contraindicated diseases

1. Syndromes of excess heat or yin deficiency with fever in the category of Traditional Chinese Medicine, such as high fever and delirium, hypertensive crisis, late-stage tuberculosis, massive hemoptysis, severe anemia, acute infectious diseases, etc., should not undergo moxibustion during the illness.

2. Patients with severe heart disease or organic heart disease with heart failure, and patients with schizophrenia should not undergo moxibustion.

3. Women during pregnancy or menstruation should not undergo moxibustion on the abdomen, lumbosacral area, nipples, or genitals.

4. Patients with severe illness, cardiovascular diseases, those who have undergone implant surgery, those who have had internal bleeding, those with pacemakers or metal implants should not undergo moxibustion.

Contraindicated timing

It mainly refers to the inappropriateness of moxibustion when one is extremely hungry, full, has consumed a large amount of alcohol, is very thirsty, is sweating profusely, is emotionally agitated, or is extremely tired.