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Japanese Local Treatment Moxibustion (3)
 Chinetsukyu/Cone Moxibustion


History and Terminology
Keiri Inoue started this method. Inoue was one of the founders of Keiraku Chiryo or Japanese Meridian therapy. Onkyu or "warming moxa" is another name for Chinetsu Kyu.
Chinetsu Kyu is an indirect moxa method in which you burn the top 2/3rd's of the moxa cone. The bottom 1/3rd corresponds to a heat-transfer medium such as garlic or ginger.

 


 
Function
It works on the Ki level; it moves Ki, especially it tonify the Wei Ki. Direct moxa works more on the blood level.
It is a dispersion technique.  In addition to other signs, the effect of cone moxibustion can be judged from the fact that it causes sweating and reduces heat, also alleviate the tension.  Based on such results, cone moxibustion is appropriate for use on areas that feel heat, have indurations, are tense, or that have edema.

 

Quality of Moxa
In general, use semi-pure moxa; High quality moxa will burn too quickly, leaving the goal unattained. Use pure if you want to lower the temperature (very expensive). Picture ()

 


 
Size of the Cone
Height should be about 1.5cm and the diameter should be 1cm. The size was smaller in earlier days. A more comfortable warmth is felt from a larger and softer size while a sharper and less comfortable heat is felt from a smaller and harder size. Picture

Shape of the Cone
Making a Cone
Roll some moxa between your fingers into a 1cm ball. make the ball by one hand   or  two hand
Form the cone shape by squeezing the ball between the thumb, forefinger and middle fingers while pressing down on a hard surface and making short clockwise turning movements (less than a 1/4 turn). form a cone from moxa ball
Make the cones the same size, density, and shape. An uneven shape burns unevenly. A hard cone burns too slowly. burnout speed

A cone that is too soft may disintegrate on removal. disintegrated

Media
make the moxa ball by one hand
Media
make the moxa ball by twohand
Media
form a cone from moxa ball
  Media
burnout speed
Media
too soft cone may disintegrate
Placing and Lighting
Prepare beforehand a cup with water or a wet cotton ball. 
 In order to moisten the bottom surface, so cone will stick to the skin. moisten the bottom with wet cotton      water on the hand
Do
not use too much water.

Ignite the top of the cone with an incense stick.

Media
moisten the bottom with wet cotton
Media
with water on the hand
Removing the Cone
Remove the cone when about 2/3rds of it is burned         removing the cone with 2/3rd
or when the smoke starts circulating to the bottom surface of the cone,         smoke circulating to the bottom
or when the patient feels a slight sensation of warmth (but don't wait until the patient says "hot").
Follow whichever condition comes first.
Remove by grabbing the unburned bottom with the thumb, fore-and middle fingers or by using tweezers.      grabbing the unburned bottom

Media
removing the cone with 23rd
Media
smoke circulating to the bottom
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grabbing the unburned bottom
Uses of Chinetsu Kyu - Types of Patients
Where to put them on the patient's body varies depending upon the patient, but it can be applied to almost any kind of patient.
Infants, Young children, Severely weak or very vacuous patient, Very sensitive patients: sensitive emotionally and sensitive to needles
People who've suffered yang collapse,Yang vacuity, If you have needled too much, apply Chinetsu Kyu on the points that have been needled or on GV14, ST 36, or CV 8, in order to raise the yang.

Uses of Chinetsu Kyu -Areas of the Body
In general it is used on the spots which have "pressure pain, stiffness or heat ". Basically it is used on each spot once, but sometimes more than once. If we remove it from the skin quicker (just after the patient starts feeling warm) it works as tonification, but if we wait longer to remove it (until the patient feels hot), it works as dispersion.

Areas of the Body (2)
Eye or area between eye and eyebrow (lx), Taiyang (lx) Chinetsukyu on the eyes
Nose: Yintang (1 to 3x), LI 20 (lx) (Be careful for the patient not to inhale smoke.) Chinetsukyu on the nose
GV14: a) for deficient Ki patient with tonification technique (1 to 3x)  b) for children to maintain their health GV 12 (1 to 3x)  c) for fever with dispersion technique (1 to 20x)
BL 10, GB 20: headache, stiff shoulder, tired eyes (1x)

Areas of the Body (3)
Lower back: Shu points & adjacent points (4-8 points, lx)
Abdomen: for diarrhea - 4 points around the navel (closer to it). For other cases - CV12, CV4 or CV 6, ST 25 (lx), helps. Clarify a pulse when deciding a Five Phase pattern is difficult.
Navel: for diarrhea - Make cone the size of the big toe so that it doesn't drop into the navel (many times). Sometimes put salt on the navel (CV 8), and do Chinetsu Kyu on it. Video

Areas of the Body (4)
At the site of bloodletting
For excessive dose by needling, residual feeling from needling, to get rid of reaction by extravasation and mistaken treatment, it is used with tonification technique.
At the painful site accordingly. For pain accompanying heat and swelling, it is used with dispersion technique.
At the post surgical site and the site of herpes. In these cases they are used around the site.
For rash, itchiness, insect bite with dispersion technique.

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