Xie Xiliang: Essentials and Skills of Moxibustion

Moxibustion is one of the therapeutic methods invented and created by the Chinese nation, with a history of thousands of years. On 1953, I learned from Cheng Dan 'an, a master of acupuncture, and got his true biography of moxibustion. For more than 60 years, he has been working hard for the preservation and development of moxibustion. Here are some tips and techniques of moxibustion.

1. Do a good job in ideological work based on people.

First of all, the doctor's medical ethics, the doctor's benevolence, medical suffering is the bounden duty, don't be greedy for money and lose morality. "LingShu? Perception: "Only those who speak slowly, speak quietly, have better skills and be careful can make the needle move." "It can be seen that the requirements for acupuncturists are very strict. The second is to do the ideological work of patients well. Although moxibustion is not very painful, it is inevitable that there will be fear when it is ignited on the human body with fire. Therefore, we should patiently explain the truth and make people believe in moxibustion and be willing to accept it. Only when the two sides cooperate well can we get satisfactory results.

2. Selection of indications

Moxibustion is widely used to treat diseases, and all subjects have indications, regardless of gender, age and age. Even if there are no obvious symptoms, health care can be maintained, which is suitable for chronic diseases such as physical weakness, wind, cold and dampness. Can also be used for acute diseases; It is especially suitable for refractory diseases and diseases with low immune function or disorder or defect, and it is difficult for Chinese and western medicines to take effect. Such as viral hepatitis B, chronic nephritis (uremia), chronic tracheitis, asthma, tuberculosis, hilar lymph node tuberculosis, chronic colitis, Hashimoto thyroiditis (chronic thyroiditis), various tumors, leukemia, systemic lupus erythematosus, systemic scleroderma, AIDS, repeated colds, rheumatoid arthritis and ankylosing spondylitis.

In recent years, moxibustion has been advocated to treat malignant tumors. Moxibustion can be added in the early or middle stage, or treated with traditional Chinese medicine, or during surgery, or during the interval before and after radiotherapy and chemotherapy. It is harmless to patients and does not hinder other treatments. At least it can be used as adjuvant therapy, especially in the recovery period after operation, which has a good effect on reducing the side effects of radiotherapy and chemotherapy.

3. Moxibustion site

Direct moxibustion, long-term moxibustion will leave scars. In order not to hinder beauty, moxibustion should be avoided on the face and obviously exposed parts, the most commonly used ones are the back, abdomen and limbs. Because the muscles in these parts are plump and thick, and they are not often exposed, even small scars do not hinder them. Zang-fu diseases mostly use Shu points and Mu points, all of which are in the abdomen and back, which is just the best of both worlds.

4. Acupoint selection should be accurate and the method should be light.

When choosing acupoints, you should first talk about posture, or sit or lie down. You must relax naturally, fully expose acupoints, be reliable, comfortable and lasting, and then point moxibustion.

Acupoint selection and fixation according to bone degree method. Sensitive points, also known as Ashi points, or heat-sensitive points, or hot spots, will shift or disappear with the change of illness. With direct moxibustion, the fixed acupoints remain unchanged to avoid repeated moxibustion marks.

Acupoint selection should be simplified, focusing on treatment and using fewer points. For example, stomach diseases are mainly Shu Wei and Zhongyu, with Zusanli point, so there are only five points. Generally, 3~7 points are appropriate. Moxibustion at each acupoint requires 5-9 moxa cones, with a total of 30-60 moxa cones each time. Skilled operation only takes about 10min.

Direct moxibustion cannot use coarse moxa sticks or new moxa sticks, because it contains a lot of volatile oil, which is not easy to ignite and extinguish, and it takes a long time to burn and is more painful. Fine moxa and aged moxa are khaki, soft in texture, free of impurities, oily, flammable and easy to extinguish, and easy to be accepted by patients.

When you use direct moxibustion for the first time, you must use a little moxa stick instead of a few strong ones. This is the same as medication. "I would rather have two doses than one heavy dose." The ancients used a big moxa cone to moxibustion once or twice, demanding that the pus be turned into a moxibustion sore, and it would take more than a month to heal after cleaning it every day. This is very painful and troublesome. Although the curative effect is good, it is difficult for modern people to accept it. Therefore, it is equally effective to use light moxibustion with little moxa core, more moxibustion and long moxibustion, and it is also the result of keeping pace with the times and constantly innovating.

Moreover, the body's immunity, endocrine regulation, and physical improvement are not achieved overnight, but are gradually formed, and there is no need to require quick results. If you want to make the moxa cone into a pagoda shape, you must pay attention to it if it is not loose or tight, too loose and easy to disperse, too tight and burns for a long time.

Direct moxibustion was called purulent moxibustion in ancient times, but now it is not purulent after improvement. Long-term moxibustion is called heavy straight moxibustion, and temporary moxibustion is called light straight moxibustion several times. This method can reduce the burning pain, so pay attention to the operation skills. After positioning yourself and locating the acupoints, disinfect the skin with 75% alcohol cotton ball, put moxa cone on the acupoints, and ignite the tip with fine thread incense to make it burn evenly downward.

In the early stage of moxibustion, pinch or press when the heat reaches half. The performer should operate quickly and boldly with his thumb and fingers, so that the patient can stop the pain immediately. When moxibustion burns to high fever, pinch or press it; Repeated moxibustion will pinch or pinch out when burned, and there will be no pain after repeated times. After moxibustion, the patient is not afraid of pain. After a long time, some people will feel and feel comfortable, just like a warm enjoyment.

If there is secretion under the scab, moxibustion should be done as usual. If there is infection and suppuration, it will be cured quickly by surgical dressing change, and then don't interrupt moxibustion to avoid laying the foundation again. When underwear is clean, it will not fester, and some will even be safe after moxibustion for several months to one or two years. As for light straight moxibustion, you don't have to consider it, otherwise it will be absorbed quickly if it is just a small blister.

Moxibustion, from a long time to a fire, must be patient moxibustion for a long time. Especially for chronic diseases and difficult diseases, moxibustion can be used for several months to several years. For the health care of the elderly, moxibustion should be more frequent. If the condition is stable or for other reasons, such as hot weather, you can rest for a while before moxibustion.

5. Preventive measures

5. 1 Pay attention to the adjustment of room temperature.

In the case of avoiding the wind blowing on the patient, the window can be opened for ventilation when moxibustion is applied, and special attention should be paid to the temperature difference between indoor and outdoor, especially the Leng Xia fever in winter, so as to make the patient comfortable.

5.2 Moxibustion and disinfection

Moxibustion skin is generally not strict with disinfection requirements. However, in direct moxibustion, 75% ethanol cotton balls should be used for disinfection, and the area should be larger to prevent skin ulceration and secondary infection after moxibustion. As for the raw materials of moxibustion, just dry the moxa stick and wash the ginger when using it.

5.3 Prevention and treatment of halo moxibustion

Halo moxibustion is rare, mostly due to factors such as initial moxibustion or fasting, fatigue, fear, weakness, improper posture, excessive moxa, excessive stimulation and so on. Once found, moxibustion will not be stopped immediately and the patient will lie flat. In the process of moxibustion, we should always pay attention to observation, strive for early detection and early treatment, and prevent fainting moxibustion.

5.4 Moxibustion and Maintenance

After moxibustion, we should pay attention to maintaining an optimistic and happy mood, carefully recuperating, abstaining from lust, and not overworking. A light vegetarian diet is helpful to the curative effect.

5.5 Moxibustion program

If there are matching points at the top, bottom, front and back, moxibustion should be applied to the Yang meridian, then to the Yin meridian, first to the upper part and then to the lower part, that is, first to the back, then to the chest and abdomen, first to the head and then to the limbs. Taking it to attract yin by yang without hyperactivity, if you don't talk about the order, you will often have sequelae or discomfort such as face heat, dry throat and dry mouth. Even if there is no such reaction, moxibustion should be from top to bottom, orderly and not forgotten. In this way, patients don't need to change their positions repeatedly, which saves trouble and time.

5.6 moxibustion time

Morning or afternoon is fine. Generally, it is not taboo on cloudy or sunny days. Insomnia can be moxibustion before going to bed, and hemorrhagic diseases can be moxibustion at any time. After stopping bleeding, moxibustion should be continued for a period of time to avoid recurrence.

5.7 Side effects of moxibustion

Due to different constitutions and symptoms, fever, fatigue, dry mouth and general malaise may occur at the beginning of moxibustion, but generally there is no need to worry, and it will disappear after continuing moxibustion. If necessary, the interval can be extended. If you have symptoms such as thirst, constipation and yellow urine, you can take Jiawei Zengye Decoction. Medicinal Radix Rehmanniae 15g, Radix Ophiopogonis 15g, Radix Scrophulariae 15g, Herba Cistanches 15g, decocted in water.

5.8 About taking a bath after moxibustion

All non-suppurative moxibustion (light direct moxibustion) can take a bath normally. If there is a moxibustion sore, avoid the sore surface, be careful not to elute the moxibustion scab and soak it more. Or cover it with a band-aid and then wash it, or apply a protective moxibustion surface with anti-inflammatory ointment. In short, you can take a shower.

5.9 Pay attention to the amount of stimulation.

The general principle is that there are few strong men first and then many, and the moxa sticks are small and then big, and gradually increase. Sudden large-dose moxibustion is not allowed.

6. Introduction of acupoint prescription for refractory diseases

According to the syndrome differentiation of zang-fu organs and meridians in traditional Chinese medicine, points are selected according to the formula of meridian or local, Shu, mu, Yuan, collateral and Xiahe points.

For viral hepatitis B, the main points are Ganshu, Pishu and Zusanli, and the matching points are Qimen, Taichong and Neiguan.

Chronic nephritis (uremia), the main points are Shenshu, Pishu, Mingmen, Dazhui and Guanyuan, and the matching points are Sanyinjiao, Shuishui, Zusanli, Zhubin and Sanjiaoshu.

For chronic tracheitis, the main points are Shu Fei, Zhongfu, Zusanli and Zhongshan, and the auxiliary points are Fenglong and thenar.

For asthma, the main points are Dingchuan, Dazhui, Shu Fei, Zhongshan and Zusanli, and the auxiliary points are Fenglong, Zhongwan and Neiguan.

For pulmonary tuberculosis, the main points are Shu Fei, Gaojia, Zusanli and Pishu, and the auxiliary points are Zhongfu, Fenglong, Dazhui and Quchi.

For hilar lymph node tuberculosis, the main points are Shen Zhu and Shu Fei (or only moxibustion Shen Zhu), and the matching points are Zhongwan and Zusanli.

For chronic colitis, the main points are Pishu, Dachangshu and Shu Tian, and the auxiliary points are Zusanli and Shangjuxu.

Hashimoto's thyroiditis (chronic thyroiditis), the main points are Ren Ying, Dazhui and Zusanli, and the matching points are Hegu and Zhongwan.

For esophageal cancer (all kinds of tumors), the main points are selected on the corresponding surface or sensitive points of the chest and abdomen lesions, and the corresponding points are selected on the back of the lesions, or on the body column, Lingtai, Zhongyu, Zusanli and Neiguan.

For leukemia, the main points are Shu Ge (Xue Hui), Dazhui and Guanyuan, and the matching points are Zusanli, Zhongwan and Quchi.

Systemic lupus erythematosus, the main points are Dazhui, Guanyuan, Zusanli and Xue Hai, and the matching points are Zhongwan, Neiguan, Sanyinjiao, Yinlingquan, Baihui and Fengchi.

Systemic scleroderma, the main points are Dazhui, Shenshu, Zusanli and Shu Fei, and the points Guanyuan and Zhongwan are matched.

For AIDS, the main points are Dazhui, Ganshu, Shu Fei, Pishu, Shenshu and Guanyuan, and the auxiliary points are Zhongwan, Neiguan, Zusanli, Shu Tian and Dachangshu.

Often catch a cold, the main acupoints are Fengmen, Shu Fei, Dazhui and Guanyuan, and the matching acupoints are Zusanli and Waiguan.

In rheumatoid arthritis, the main acupoints are Dashu (Guhui), Dazhui, Shenshu, Mingmen, and the points related to Yuan, Zhongwan, Zusanli and Juegu (Muhui).

Ankylosing spondylitis, the main points are Dazhui, Shen Zhu, Lingtai and Huatuo Jiaji points on both sides of the focus, and the matching points are Shenshu, Juegu (medullary meeting), Taixi and Sanyinjiao.

Health moxibustion can choose Zusanli, Dazhui, Zhongyu, Shenque, Guanyuan, Sanyinjiao and 1~2 points. Or moxibustion at Zusanli alone has a good fitness effect. Children can choose the acupuncture points of the body column independently, which can promote development and strengthen the body.

7. Case introduction

7. 1 functional uterine bleeding

Patient, female, 30 years old. In the past two or three months, I have had excessive menstruation. This month, I have been dripping, and I feel very bitter. I went to the gynecology department of a big hospital, and was diagnosed with functional uterine bleeding after B-ultrasound and gynecological examination, but it was ineffective after various treatments. General weakness, dizziness, black eyes when going upstairs, shortness of breath. Moxibustion with a little moxa cone directly on the top 3 in Bai Yin. The next morning, the patient reported that the amount of bleeding decreased, and the moxibustion was top 3 each time. On the third day, every moxibustion was 3 strong, and the patient recovered.

7.2 Hepatitis B

The patient, male, 40 years old, was first diagnosed on March 19, 2003. Three years ago, the health examination showed that hepatitis B surface antigen and core antibody were positive, and they were asymptomatic and untreated, but they often had a heavy mental burden because both brothers died of liver cancer. At the end of the year, I bought goods in Guangzhou, and I had anorexia, nausea and diarrhea. Treatment by various methods of traditional Chinese and western medicine is ineffective. The psychological burden is so heavy that I can hardly support it. I turned pale when I talked about illness and wanted to cry. I went to see a doctor accompanied by my relatives. Symptoms include yellow complexion, dull and colorless eyes, green eyes, sweet mouth, loss of appetite, abdominal distension and pain, anorexia, nausea, aversion to oil and meat, fatigue, impatience, dizziness, nausea, indigestion, weight loss of 7.5kg, dark yellow urine, and defecation 1~2 times a day. Percussion pain in liver area, discomfort in spleen area, pulse string, thick tongue coating and red color.

On March 2 1 day, houma city People's Hospital detected alanine aminotransferase 583μmol/L, aspartate aminotransferase 268μmol/L, transglutaminase 230μmol/L, total bilirubin 129.7μmol/L, direct bilirubin 90. 1μmol/L and alpha-fetoprotein 25.

On April 3rd, moxibustion treatment 12d, alanine aminotransferase 8 1μmol/L, aspartate aminotransferase 5 1μmol/L, glutamyltransferase 148μmol/L, total bilirubin 47.0μmol/L and direct bilirubin 24.8μmol/L were rechecked. With an appetite, the rest of the symptoms improved, and the husband and wife were full of confidence in the treatment and continued to treat according to the treatment plan.

On April 25th, alanine aminotransferase 36μmol/L, aspartate aminotransferase 3μmol/L, transglutaminase 7μmol/L, total bilirubin 7.4μmol/L, and alpha-fetoprotein.