For a boil with lots of heat or a sprain, One piece should be burned at a number of spots around them. This should be performed as a dispersion technique and so the moxa should be tightly twisted. Sprain Boil
Use a larger piece for more stimulation and a harder roll for a hotter temperature, blow on the moxa when it is burning, remove the ash each time, use fewer moxa threads on more points.
One should select and treat points from the distal area for Supplementation.
Palpation DX. for Moxa
Press the patient's skin to locate depressions or with indurations that should be used as tonification points.
When burning moxa on these points the patient should feel a comfortable heat soaking into them. If the moxa is not exactly on the acupuncture point for Moxibustion then it will just feel hot.
Techniques to control the heat and sensation (1)
1. To lower the temperature and stimulation, use a thinner, softer, drywell and pure moxa threat which has a tapered top and bottom.
2. Place your thumb and forefinger to either side of the moxa threat. This action lowers the temperature by decreasing the oxygen supply to the burning moxa and allows your fingers to absorb some of the heat. heat control
3. The fingers pressing down into the patient's skin also function to distract the patient form the heat. heat control by pressing
Generally one tries not to scar, this is important because it is believed that just as scars obstruct the flow of ki. Of course in certain severe chronic cases, a small amount of scarring will occur with extended use. moxa scars
Prevention of Burning and Scarring
This technique is usually seen as being more tonifying since the less the patient feels the heat the more tonifying.
Conversely removing the ashes and letting the moxa burn down to the skin might be more dispersive.
Explain direct moxa procedure and that in scarring direct moxa a scar forms. For example, in treating patients with cancer, pneumonia, or chronic sciatica, Okyu can be effective, but 100-200 moxa threads may have to burned in a treatment, so a scar is unavoidable.
Use an anti-inflammation cream if a big blister forms after the moxa treatment.
Contraindications for the Use of Moxa
In children, one generally shouldn't let the moxa burn down to the skin.
Generally burning moxa on the face is not recommended because of the risk of scarring and too sensitive.
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