Moxibustion

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Moxibustion
Intervention

Japanese Moxibustion ("Sketches of Japanese Manners and Customs", 1867)
MeSH D009071
Moxibustion in Michael Bernhard Valentini's Museum Museorum (Frankfurt am Main, 1714)
Traditional moxibustion set from Ibuki (Japan)
Stick–on moxa (left) and moxa rolls (right) used for indirect moxa heat treatment. The stick-on moxa is a modern product sold in Japan, Korea, and China. Usually the base is self-adhesive to the treatment point.

Moxibustion (Chinese: ; pinyin: jiǔ) is a traditional Chinese medicine therapy using moxa made from dried mugwort. It plays an important role in the traditional medical systems of China (including Tibet), Japan, Korea, Vietnam, and Mongolia. Suppliers usually age the mugwort and grind it up to a fluff; practitioners burn the fluff or process it further into a cigar-shaped stick. They can use it indirectly, with acupuncture needles, or burn it on the patient's skin.

Moxibustion has not been found to be effective for the treatment of any disease.[1]

Terminology

The word moxibustion comes from Japanese mogusa (, mugwort) (the u is not very strongly enunciated[2]) blended with the Latin word combustio (burning), hence literally "burning of mugwort." Yomogi () is the name of the herb in Japan. Chinese uses the same character as mogusa, but pronounced differently: ài, also called àiróng (艾絨, literally "velvet of ai").

The Chinese characters for moxibustion 灸術, are read jiǔshù in Chinese and kyūjutsu in Japanese.

Korean folklore attributes the development of moxibustion to the legendary emperor Dangun.[3]

Theory and practice

Practitioners use moxa to warm regions and acupuncture points with the intention of stimulating circulation through the points and inducing a smoother flow of blood and qi. It is believed by some, that mugwort acts as an emmenagogue, meaning that it stimulates blood-flow in the pelvic area and uterus. It is claimed that moxibustion militates against cold and dampness in the body, and can serve to turn breech babies.[4]

Practitioners claim moxibustion to be especially effective in the treatment of chronic problems, "deficient conditions" (weakness), and gerontology. Bian Que (fl. circa 500 BCE), one of the most famous semi-legendary doctors of Chinese antiquity and the first specialist in moxibustion, discussed the benefits of moxa over acupuncture in his classic work. He asserted that moxa could add new energy to the body and could treat both excess and deficient conditions. On the other hand, he advised against the use of acupuncture in an already deficient (weak) patient, on the grounds that needle manipulation would leak too much energy.[citation needed]

Practitioners may use acupuncture needles made of various materials in combination with moxa, depending on the direction of qi flow they wish to stimulate.

There are several methods of moxibustion. Three of them are direct scarring, direct non-scarring, and indirect moxibustion. Direct scarring moxibustion places a small cone of mugwort on the skin at an acupuncture point and burns it until the skin blisters, which then scars after it heals.[5] Direct non-scarring moxibustion removes the burning mugwort before the skin burns enough to scar, unless the burning mugwort is left on the skin too long.[5] Indirect moxibustion holds a cigar made of mugwort near the acupuncture point to heat the skin, or holds it on an acupuncture needle inserted in the skin to heat the needle.[5]

In traditional Chinese medicine there is a belief that moxibustion of mugwort is effective at increasing the cephalic positioning of fetuses who were in a breech position before the intervention. A 2012 Cochrane review stated that there is "some evidence" that moxibustion may be useful for reducing the need for external cephalic version, but well-designed randomised controlled trials were needed to evaluate the safety and efficacy of moxibustion.[6]

Medical research

According to the American Cancer Society, "available scientific evidence does not support claims that moxibustion is effective in preventing or treating cancer or any other disease".[1]

Although some positive results have been reported from studies in China, concern has been expressed that publication bias may result in a falsely positive impression.[7]

Parallel uses of mugwort

In many religions of North and South America that pre-date European colonization, mugwort is regarded as a sacred plant of divination and spiritual healing, as well as a panacea. Mugwort amongst other herbs was often bound into smudge sticks. The Chumash people from southern California have a similar ritual.[8] Europeans placed sprigs of mugwort under pillows to provoke dreams; and the herb had associations with the practice of magic in Anglo-Saxon times.[citation needed]

See also

References

  1. 1.0 1.1 "Moxibustion". American Cancer Society. 8 March 2011. Retrieved August 2013. 
  2. Portuguese missionaries in 16th-century Japan called it "botão de fogo" (fire button). Hermann Buschoff, a Dutch minister in Batavia, who wrote the first book about this remedy in 1674 used the spelling "moxa" that is close to the actual pronunciation of "mogusa".
  3. Needham, J; Lu GD (2002). Celestial lancets: a history and rationale of acupuncture and moxa. Routledge. pp. 262. ISBN 0-7007-1458-8. 
  4. American Journal of Chinese Medicine, Winter, 2001, Yoichi Kanakura, et al.; also see Cochrane Library
  5. 5.0 5.1 5.2 "Moxibustion, Acupuncture Today". Acupuncturetoday.com. Retrieved 2011-05-17. 
  6. Coyle ME, Smith CA, Peat B (2012). "Cephalic version by moxibustion for breech presentation". In Coyle, Meaghan E. Cochrane Database Syst Rev 5: CD003928. doi:10.1002/14651858.CD003928.pub3. PMID 22592693. 
  7. Lee, MS; Kang, JW; Ernst, E (2010). "Does moxibustion work? An overview of systematic reviews". BMC research notes 3: 284. doi:10.1186/1756-0500-3-284. PMC 2987875. PMID 21054851. 
  8. Timbrook, Janice (2007). Chumash Ethnobotany: Plant Knowledge among the Chumash People of Southern California. ISBN 978-1-59714-048-5. 

External links

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