Moxa and Moxibustion

Acupuncture is about more than just needles. In fact, the Chinese word that typically gets translated as acupuncture, zhenjiǔ, actually means “acupuncture and moxibustion.” Though not as well known as acupuncture, moxibustion is a treatment with an important role in traditional Chinese medicine. Moxibustion involves burning moxa (a herb also known as mugwort or artemisia vulgaris) on or near an acupuncture point.  Moxibustion generates heat on the point or in the area and is thought to strengthen blood, promote the free flow of energy and blood throughout the body, and enhance wellbeing.

What is moxibustion like?

Moxibustion can be used in many ways, either as a moxa stick over an area (great for period pain, or joint aches and pains), at the end of a needle or directly on an acupuncture point. Direct moxibustion relies on placing the burning moxa on the skin, while indirect moxibustion is when the burning moxa is held an inch or so above the skin. Although generally used in conjunction with acupuncture, it can be used with or without acupuncture needles. In some cases, the moxa is set on ginger or salt to create a barrier that protects the skin.

Moxibustion is particularly effective for cold, damp and stagnant conditions and is often a calming and pleasant therapy at it creates a pleasant sensation of warmth throughout the body.

What is it used for?

Moxa typically is applied to places where there is stuck energy or pain, or where the body feels cold and can also be used to strengthen the immune system (because of its effect on the blood). Issues treated by moxibustion include obstetrical conditions, such as breech babies, menstrual cramps, pain from injury or arthritis, digestive problems, frozen shoulder, and even colds and flu.
Generally, during an acupuncture treatment, moxa is used on areas corresponding to acupuncture points, which is why moxa is said to enhance the effect of acupuncture needles. A classical Chinese text about acupuncture says, “When a disease fails to respond to medication and acupuncture, moxibustion is suggested.”

Moxibustion is however not indicated if you present symptoms of internal heat, it is therefore important to ask your practitioner if the practice is right for you.

Does moxa hurt?

Moxa should not hurt but if however the moxibustion ever feels too hot, tell your acupuncturist and he or she will remove it immediately.

What does moxa look like?

There are many different types of moxa (see image below). There is loose moxa, moxa that has been molded into sticks, and okyu (moxa that’s rolled into small pieces about the size of a rice grain). There are also moxa boxes, moxa sticks, smokeless moxa sticks, tiger warmers among others.

Certain moxa types are better suited for smaller areas while others are used to bring heat to a larger area on the body.

Can I do moxa on myself?

Yes. One of the safest ways to do moxa on yourself is to use a moxa stick, which does not get applied directly to the skin but held about an inch above the skin to produce a warming effect on the general area.
At this time of year, when we are feeling the lingering chill of winter, moxibustion can go a long way in making you feel better.