TCM Acupuncture and Massage

Chapter 38 Health moxibustion (1)
Health-care moxibustion is one of the unique health-preserving methods in China. It can not only be used for strengthening the body and health care, but also can be used for the rehabilitation of people who have been ill for a long time.The so-called health care moxibustion is to apply moxibustion on certain specific points of the body to achieve the purpose of harmonizing qi and blood, regulating meridians, nourishing viscera and prolonging life. "Introduction to Medicine" says: "If the medicine is not enough, if the needle is not enough, it must be moxibustion", which shows that moxibustion can play a role that sometimes needles and medicine can't.As for the health care effect of moxibustion, there is a clear record as early as in "Bian Que Xin Shu": "When people are not sick, they often moxibustion Guanyuan, Qihai, and Mingmen... Although they do not have longevity, they can also gain hundreds of thousands of years. It's more than one year old."

Since ancient times, moxibustion has been widely used in the prevention and treatment of various clinical diseases.For internal medical diseases, it has been reported that scar moxibustion at Zusanli and Quchi can prevent and treat hypertension, and moxibustion at Baihui can treat Meniere's syndrome (vertigo) and anti-shock, etc., and have received good curative effects.The curative effect of treating asthma with purulent moxibustion or Tianmoxibustion damper, Feishu, Shenshu, Dingchuan and Gaohuang is also satisfactory.Someone used ginger-partitioned moxibustion combined with electroacupuncture to treat hypospermia and achieved significant curative effect.Moxibustion has also achieved good results in headache, epigastric pain, abdominal pain, lumbago, chest pain, sciatica, rheumatoid arthritis, rheumatoid arthritis, ankylosing spondylitis, diabetes, exogenous pathogenic factors, epistaxis, impotence, premature ejaculation, etc. Better curative effect.In infectious diseases, it has been reported that it has good therapeutic and preventive effects on tuberculosis and dysentery.In surgery and dermatology diseases, light moxibustion is used to treat herpes zoster, fumigation and moxibustion is used to treat neurodermatitis and eczema, and direct moxibustion is used to treat flat warts, all of which have received certain curative effects.In gynecological and pediatric diseases, moxibustion has a good preventive effect on children's anorexia, irregular menstruation, dysmenorrhea, and breast disease.Moxibustion at Zhiyin point can correct fetal position and so on.

Health care moxibustion is simple, safe and painless, and can be operated at home. Persisting in moxibustion all year round can maintain health and prolong life. It is worth popularizing and applying.Here are some of the most commonly used acupoints and clinical applications of health care moxibustion.

Clinical Application of Main Acupoints of Health Moxibustion

[-]. Moxibustion Zusanli

Zusanli is the co-point of the Stomach Meridian of Foot Yangming. It has the effects of nourishing the spleen and stomach, reconciling qi and blood, strengthening the body and nourishing the vitality, eliminating pathogenic factors and preventing diseases. It is the first important point for health care.There are many records in ancient my country about moxibustion at Zusanli for health care.

"Medical Theory" says: "If you want to be safe, don't do it in Sanli", which means that if you want to keep your body healthy and safe, you should often moxibustion Zusanli acupoint so that the moxibustion sores often ooze pus and don't dry out to do"). "Acupuncture and Moxibustion Dacheng" records that when the aura of stroke occurs, "acute moxibustion for three miles and four places for the bones, each with three strong" to prevent the occurrence of stroke.The ancients also said that "moxibustion at Zusanli must be done for ten days every month, and the life expectancy will be more than [-] years old".

There are two methods of moxibustion: mild moxibustion and purulent moxibustion. 1. Gentle moxibustion After lighting the moxa sticks, smoke and bake them close to Zusanli. The degree of local blush and warm comfort is the degree. Moxibustion is applied for 10-20 minutes each time, and moxibustion is applied once every other day. 1. Suppurative moxibustion Perform suppurative moxibustion in Zusanli. The moxa cones are as big as soybeans or jujube pits. Moxibustion once every 2-1 days, 3-1 strong each time.After moxibustion, aseptic suppuration occurs in local tissues, which can improve physical fitness and enhance the body's ability to resist diseases. "Acupuncture and Moxibustion Zisheng Jing" said: "Where you use Ai to get moxibustion sores, the affliction will be healed. If it does not break out, the disease will not heal." Those with pus (that is, "no hair") have no effect, and the hair or not of moxibustion sores is regarded as the key to the curative effect.But nowadays, because moxibustion sores will bring inconvenience to life and work, people seldom use scar moxibustion.

Moxibustion at Zusanli is suitable for asthma, chronic gastrointestinal diseases, weak constitution, developmental disorders, high blood pressure, etc.

[-]. Moxibustion for Guan Yuan and Sea of ​​Qi

Guan Yuan, also known as Dantian, is the Ren Meridian Meridian point, and also the intersection point of the Ren Meridian Meridian and the Foot Sanyin Meridian, where the vitality of the whole body is located.The point is above the uterus below the navel, which is the source of biochemistry, where men store essence and women store blood.It has the functions of clearing up Chong Ren, regulating qi and blood, tonifying kidney and strengthening essence, returning yang and strengthening detoxification. It is mainly used to treat various diseases of the genitourinary system. .

Qihai is also an acupoint on the Renmai meridian, which has the effects of nourishing vitality, regulating qi, nourishing the kidney and strengthening essence, and is an important point for health care.

At Guanyuan and Qihai points, moxibustion in ancient times was mostly direct moxibustion with moxa sticks (suppurative moxibustion), while in modern times, mild moxibustion, direct moxibustion (non-suppurative moxibustion), ginger-partitioned moxibustion and aconite-partitioned moxibustion are mostly used.

1. Gentle moxibustion refers to Zusanli mild moxibustion.

2. Direct moxibustion (non-suppurative moxibustion) moxa cones the size of soybeans or jujube pits, 5-7 strong each time, once every other day, 10 times as a course of treatment.After resting for 5-7 days, proceed to the second course of treatment.As a health care, 2 to 3 courses of moxibustion can be given every year.

3. Ginger-separated moxibustion Take a piece of fresh ginger, cut it into a thickness of 0.2-0.4 cm, prick a few holes in the middle, place moxa cones on top for moxibustion, the moxa cones are as big as soybeans or jujube pits, and moxibustion is 3-5 strong each time. 1 time per day or every other day.

4. Aconite moxibustion Take aconite slices 0.2-0.4 cm thick. After soaking in water, prick a few holes in the middle and put them on the acupuncture points. Put soybean or jujube seed moxa cones on the aconite for moxibustion. The local warm and comfortable feeling is the best 3 to 5 strong per point, once every other day.

[-]. Moxibustion Shenque
Shenque belongs to Renmai meridian point, which has the effects of warming and nourishing Yuanyang, invigorating the spleen and stomach, and resuscitating and solidifying.Moxibustion at this point can maintain health and prolong life. It is mostly used for the symptoms of senile vitality deficiency, deficiency of central qi, and yang qi collapse.Moxibustion is generally used at this point, and acupuncture is forbidden.There are two commonly used moxibustion methods.

1. Ginger-separated moxibustion can refer to the method of ginger-separated moxibustion at Guanyuan and Qihai.

2. Salt-separated moxibustion Take an appropriate amount of clean salt, grind it into fine powder and fill it in the umbilical cord, place a small moxa cone or a middle moxa cone on top for moxibustion, take the local warmth and comfort as the degree, moxibustion 3 to 5 strong each time, once every other day.

[-]. Moxibustion Ojo, Damper

Dazhui is the Governor Vessel Meridian Point, which is the meeting point of Zhuyang Meridian and Governor Vessel. It has the function of Governor Zhuyang. It has the effects of invigorating the body's Yang Qi, strengthening health care, clearing the brain and calming the mind, and reducing fever and calming down. It is mainly used for the respiratory system Prevention and treatment of diseases, five labors and seven injuries, various deficiency and damage, febrile venereal diseases, mania and epilepsy, etc., are the key points for health care.

Fengmen is the acupoint of the Foot-Taiyang Meridian, and it is also the intersection point with the Du Meridian. Moxibustion has the effect of dredging lung qi, dispersing wind evil, and regulating qi mechanism. It is mainly used to prevent and treat various diseases of the respiratory system such as colds, coughs, and asthma , nasal disease, etc., is also one of the commonly used health care points.

Commonly used moxibustion methods include mild moxibustion with moxa sticks, direct moxibustion with moxa cones, and ginger-partitioned moxibustion.

1. Mild moxibustion is based on local warmth and comfort, 5 to 10 minutes each time, once every other day.

2. Directly moxibustion moxa pillars as big as jujube pits, 5-7 strong each time, once every other day.

3. Ginger-separated moxibustion Take ginger slices with a thickness of 0.2-0.4 cm, acupuncture several holes, place them on the acupuncture points, moxibustion with moxa cones the size of jujube cores, once every other day.1. Moxibustion at Shenzhu Shenzhu acupoint is produced by the pulse of the Governor Channel. It is located under the spinous process of the third thoracic vertebra in the middle of the back, close to the lungs. It belongs to the Governor Channel and passes through the brain. Qi, invigorating deficiency, detoxifying furuncle, and calming the mind. It is often used clinically to treat nervous system diseases, such as neurasthenia, headache, cerebrovascular disease, epilepsy, etc., as well as pediatric indigestion, diarrhea, loss of appetite, and asthma in children. etc. In addition, regular moxibustion body column can still be used to prevent and treat colds.Moxibustion can be treated with mild moxibustion, direct moxibustion or ginger-partitioned moxibustion.

[-]. Moxibustion on Shenshu and Mingmen

Shenshu belongs to the Bladder Meridian of Foot Taiyang and is the backshu point of the kidney.The kidney is the innate foundation and the source of the entry and exit of human essence.This acupoint is one of the main acupoints for health care. It has the effects of nourishing kidney qi, strengthening the waist, strengthening the brain, and strengthening the body. It is often used for the elderly, those with weak kidneys, and the prevention and treatment of genitourinary system diseases, such as enuresis, spermatorrhea, impotence, Irregular menstruation, soreness of the waist and knees, tinnitus, deafness, etc.

Mingmen belongs to the Du Meridian and is the gate of life. It has the function of invigorating the kidney and strengthening yang. It is one of the key points for strengthening and health care. Impotence, premature ejaculation, etc.

二穴灸法可用温和灸10～15分钟，每日或隔日1次；或直接灸，每穴5～7壮，隔日1次。

[-]. Moxibustion
Gaohuang belongs to the Bladder Meridian of Foot Taiyang, one of the commonly used acupuncture points for health care in ancient times. It has the effect of regulating lung qi, replenishing qi and tonifying deficiency.

Moxibustion can be used for direct moxibustion with 5 to 7 strong points per point; mild moxibustion for 15 to 30 minutes.

[-]. Moxibustion Yongquan
Yongquan is the well point of the Foot Shaoyin Meridian. Moxibustion has the effects of calming the mind and refreshing the brain, nourishing the kidney and essence, regulating the liver qi, and improving health and longevity. It is an important point for elderly health care.Moxibustion can be treated with mild moxibustion, direct moxibustion or ginger-partitioned moxibustion.

[-]. Moxibustion for bones
Juegu is the marrow of Bahui acupoint, which has the effect of tonifying kidney and essence, and strengthening muscles and bones. Regular moxibustion at Juegu and Zusanli acupoint can prevent stroke, hemiplegia, and paralysis of lower limbs.

Moxibustion can be used for direct moxibustion of 3 to 5 strong points per point; mild moxibustion for 5 to 15 minutes per point.

Selected Moxibustion Secret Recipes and Proven Prescriptions

There are thousands of acupuncture and moxibustion prescriptions recorded in the literature of traditional Chinese medicine in the past dynasties, and the number of acupuncture and moxibustion prescriptions formulated in modern times is also considerable, involving almost all diseases. It is common for one disease to have multiple prescriptions, or one prescription to treat multiple diseases and multiple syndromes. It embodies the TCM thought of syndrome differentiation and treatment for the same disease with different treatments and different diseases with the same treatment, making acupuncture prescriptions have obvious TCM characteristics.However, acupuncture and moxibustion prescriptions must be closely related to acupuncture and moxibustion in the process of clinical application. Without the correct cooperation of acupuncture and moxibustion, the prescription will not achieve the expected effect, or even reverse the effect, which shows that acupuncture has obvious acupuncture and moxibustion. feature.The commonly used and effective acupuncture and moxibustion prescriptions are introduced below.

[-]. Prescriptions for Preserving and Prolonging Life ("Bian Que Xin Shu")
Prescription: Guanyuan, Qihai, Zhongwan, Mingguan.

Usage: Moxibustion at Guanyuan, Qihai, Zhongwan, and Mingguan (Shidou points) in sequence, moxibustion at each point for 10-15 minutes or 5-10 strong points, or needles can be used, shallowly puncture about 1 inch.

Function: nourishing vital energy, nourishing kidney and solidifying essence.Indications: Syndrome of weak qi and blood in old age, such as lack of qi, lazy speech, palpitations, palpitations, dizziness, tinnitus, fatigue, lack of appetite, hypothermia of limbs, pale tongue, thin white fur, thready and weak pulse.It can also be used for those without obvious symptoms, and its purpose is health care.

Addition and subtraction: palpitations, palpitations plus Neiguan, Shenmen to benefit the heart and calm the mind; dizziness, tinnitus plus Baihui, Fengchi to replenish the brain; eat less and add Zusanli to invigorate the Qi of the spleen and stomach.

[-]. Recipe for invigorating qi and benefiting blood ("Selected Cases of Modern Acupuncture and Moxibustion·Jiang Dexu")
Prescription: Zusanli, Sanyinjiao, Juegu, Xuehai.

Usage: Use the method of flattening and flattening at each acupoint, mainly for tonification, and keep the needle for 30 minutes each time. Moxibustion can be 7-14 strong per acupoint, and acupuncture can be done every other day.

Function: invigorate the middle and replenish qi, nourish lean and blood.Indications: Qi and blood deficiency.Symptoms: dizziness, palpitations, tremors, poor appetite, weakness, weak voice, pale complexion, pale tongue, thready pulse.White blood cells, hemoglobin, and platelets were all lower than normal.

Addition and subtraction: If the patient is also receiving radiotherapy, when the radiotherapy reaches a certain dose, there will often be manifestations of heat and evil entering the interior and damaging the yin, and the patient will have dizziness, headache, nausea and vomiting, yin deficiency and yang hyperactivity, and disharmony between the liver and stomach. The Taixi point of the kidney meridian is used to nourish yin and suppress yang; it is matched with the Taichong point of the liver meridian to soothe the liver and harmonize the stomach.

[-]. Recipe for Strengthening the Kidney and Strengthening the Waist ("Acupuncture and Moxibustion Dacheng")
Prescription: Shenshu, Weizhong, Taixi, Baihuanshu.

Usage: Shenshu and Taixi use moxibustion, Weizhong and Baihuanshu use the method of tonifying and reducing, keep the needle for 30 minutes, and moxibustion can be used.Function: Tonify the kidney and strengthen the waist, regulate menstruation and relieve pain.

Indications: kidney deficiency low back pain.The onset of the disease is slow, with a dull, continuous pain, which is aggravated by labor, and can also include forgetfulness, tinnitus, and nocturnal emission.

Addition and subtraction: For those with obvious symptoms of kidney deficiency, you can add Guanyuan, Qihai and moxibustion with large moxa sticks to replenish vitality and kidney qi.For forgetful and nocturnal emission, add Zhishi, Qihai, and Sanyinjiao to replenish qi and consolidate essence.For those with leukorrhea, add the middle pole and belt vein to strengthen the meridian and stop the leukorrhea.

[-]. Recipe for strengthening yang ("Clinical Experience Prescription")
Prescription: Mingmen, Shenque.

Usage: Moxibustion on Mingmen and Shenque.Moxibustion with large moxa cones is used for Mingmen, and salt-partitioned moxibustion is used for Shenque, regardless of the number of strong ones.

Function: warming kidney and strengthening yang.Indications: dizziness, loss of consciousness, eye closure, mouth opening, hand dribbling, urinary enuresis, snoring or weak breathing, sweating and phlegm, cold extremities, weak pulse, etc.Addition and subtraction: for those with dizziness and loss of consciousness, add piercing into Zhong and Shixuan to rejuvenate the mind; for those with excessive phlegm, add Fenglong to invigorate the spleen and resolve phlegm; for those with extremely cold limbs, add Zusanli to restore Yang and rescue the adverse ; For those who sweat a lot, add Hegu and Yinqi, consolidate the surface and stop sweating.

[-]. Cheng's Anshen Recipe ("Experienced Recipe·Cheng Shennong")
Prescription: Shenmen, Daling, Neiguan.

Usage: supine or sitting position, Neiguan straight puncture 1.6-2.6 cm;

或艾条悬灸5～10分钟；大陵直刺1～1.6厘米，或艾条悬灸3～5分钟；神门直刺1～1.6厘米，或艾条悬灸3～5分钟。以上三穴针刺得气后留针30分钟。

Function: soothe the nerves and calm the mind.

Indications: Insomnia caused by various etiologies.Addition and subtraction: This prescription is the basic prescription for treating insomnia. If the heart yin is insufficient and insomnia, you can add Xinshu, Zusanli, etc. to nourish the heart yin and nourish the mind; Nourishes the kidney water, lowers the heart fire, communicates the heart and the kidney; for insomniacs with heart and spleen deficiency, add Zusanli, Xinshu, and Pishu to invigorate the spleen and nourish qi, nourish blood and soothe the nerves; for insomnia with gallbladder qi deficiency, add Danshu, Ganshu, Fengchi is used to warm the gallbladder, nourish qi and calm the mind; for insomnia caused by stagnant liver meridian, add Ganshu and Danshu to clear away heat and relieve fire; for insomnia caused by phlegm heat disturbing the heart, add Fenglong, Xinshu and Juque to clear away heat and resolve phlegm For insomnia with hyperactive heart-fire, add Zhui, Quchi, Hegu, and Xinshu to clear the heart and calm the nerves; for insomnia with stomach-fu disharmony, add Lidui, Zhongwan, and Fenglong to reduce phlegm and harmonize the stomach.

[-]. Lumbago Prescription of Second Middle School ("Acupuncture and Moxibustion Dacheng")
Prescription: Renzhong, Weizhong, Chize.

Usage: First stab Ren Zhong and Wei Zhong, then Chi Ze.Acute lumbar sprain, severe pain, severe diarrhea, bleeding in the pricking committee, then prick Chize, use the method of purging, keep the needle for 30 minutes after deqi.

Function: dispelling blood stasis and dredging collaterals, strengthening waist and relieving pain.

Indications: There are many old injuries and chronic diseases, which are exacerbated by fatigue, or sudden setbacks and impacts, damage to the meridian, rigidity and soreness in the waist, the pain is fixed, and it is unfavorable to turn and pitch.Addition and subtraction: For those with low back pain due to chronic injuries, add Shenshu, Yaoyangguan, and Mingmen; for severe low back pain due to twisting and flashing, add Zhigou, Kunlun, Shugu, and Yanglingquan; for those with fever, prick Dazhui to relieve heat evil.

[-]. Prescription for Lumbar Spinal Pain ("Prescriptions for Prescriptions for Emergencies")
Prescription: Yaoshu, Bladdershu, Changqiang, Qichong, Shangiliac, Xialiao, Juliao.Usage: firstly pierce Yaoshu, Bladdershu, Shangliao, and Xialiao, all using the tonifying method, then pierce Changqiang, Juiliac, and Qichong, all using the reducing method, and keep the needle for 20 minutes; for those with coldness in the waist and spine, moxibustion can be done on the waist Yu and Bladder Yu are 5-7 strong.Function: tonify kidney and strengthen yang, stimulate menstruation and relieve pain.

Indications: Lumbar cold pain, or urgent and cannot be pitched, or even sacrum, buttocks, thighs, knees, pain can be mild or severe, warm and then aggravated, cold and aggravated, pale tongue, deep pulse.

Addition and subtraction: if the kidney yang deficiency is severe and the waist and spine are cold and painful, add Shenshu and Guanyuan, and add moxibustion on the needle for 5 to 7 strong points; for frequent urination, add water, Qihai, and Guanyuan; for diarrhea, add Tianshu, Yanglingquan, Dachangshu.

[-]. Cheng's Lumbago Prescription ("Clinical Experience·Cheng Shennong")
Prescription: Yaoyangguan, Shenshu, Ciliao, Weizhong.

Usage: first pierce Yaoyangguan, Shenshu, Ciliao, use the tonifying method, and keep the needle for 30 minutes;

Function: strengthen the waist and strengthen the kidney, stimulate the menstrual flow and relieve pain.Indications: Cold pain in the waist and spine, severe when it is cold, slow when it is hot, cold limbs, frequent urination, edema of lower limbs, loose stool, pale tongue, thin white fur, deep and slow pulse.Addition and subtraction: For severe kidney yang deficiency, cold pain in the waist and spine, and rebellious limbs, add Guanyuan, Qihai, and moxibustion; for frequent urination, add Pishu, Qihai, and water, and add moxibustion on the needle ; Diarrhea, add Tianshu, Dachangshu.

(End of this chapter)