Japanese Moxibustion Techniques

This series of online seminars were inspired by the enthusiasm to learn shown by our South American students and colleagues during our inaugural visit to South America in 2019. We want to continue to inspire you to learn and dig deeper into the Ancient Chinese texts. Our aim is to assist you to delve into and clinically apply the Classical principles in diagnosis and enhance your clinical skills.
Based on the results of the pilot study, a sample size was estimated and a multi-center manual acupuncture RCT was conducted in 2000. In 2001, indirect moxibustion was used instead of manual acupuncture to reduce technical difficulty and possible technical variations among the centers. In 2002, different interventions were employed in each center as a pilot study and the period of interventions were increased from 2 weeks to 8–12 weeks. After conducting a series of RCTs, we employed a new experimental design, n-of-1 trials to evaluate individualized intervention.

Each type has a foundation in traditional Chinese medicine, and all are very effective. There were many comments by patients that the disc-shaped device in particular was very comfortable . This device does not emit any fumes and prevents the risk of burn injury. In Japan, there are laws regulating the practice of massage, finger pressure, acupuncture, and moxibustion. At present, there are 85 vocational colleges and 5 universities in Japan and more than 84,629 licensed moxibustion practitioners. The number of qualified moxibustion practitioners is almost equal to the number of physicians in Japan (Ministry of Health, Labour and Welfare-Japan, 2009). There are 71 schools in every prefecture that provide acupuncture and moxibustion training to persons who are visually impaired.
Direct moxa is carefully smoldered on the skin to stimulate channel or trigger points. Besides balancing meridians as its primary focus, Japanese style is unique for its manual techniques. Diagnosis includes sensitive palpation of the channels and pulse; therapy employs light and shallow needling, and is often combined with small, direct moxibustion, or moxa-needle. In addition, therapy is applied to the skin above channels using brushing and tapping techniques with metal teishin tools.

Initial incidences of the subjects with CCD yes and no of the acupuncture and control groups were 28 and 36, respectively. During the experimental period, the survivals of the acupuncture group reduced more rapidly than those of the control but this reversed at the end of the trial. No statistically significant positive effect on the prevention of common cold symptoms was found in the acupuncture group.
Clients love the fragrance and usually find it to be a great addition to their acupuncture treatments. At Rivertown Acupuncture, moxa is incorporated into many treatments. Moxibustion is basically the burning, or smoldering, of an herb over the surface of the skin. There is direct and indirect moxa –indirect moxa does not make contact with skin but rather is set atop needles or a medium such as a ginger slice or salt, or placed in a box or bowl with smoke directed toward skin.
Meridian Therapy emphasizes the treatment of the cause of disease while also addressing the symptoms . Meridian Therapy relies on six position pulse diagnosis, abdominal diagnosis and direct palpation of deficiency and excess on the meridians.

Pulse and abdominal “hara” palpation provide information about the body’s physical and energetic functioning and inform the practitioner's choice the most effective treatment. Indicator points are used to confirm an immediate beneficial response to the treatment. But for the most part, these methods do work to give the patient some immediate relief until the root treatment can begin to take effect. Both the root and the symptomatic treatments are important in order to maximize the overall effect.
the Emperor established the Imperial Medical College, offering a seven year course in acupuncture and moxibustion, and a seven year course in herbal medicine. Oriental medicine grew and thrived until the end of the 12th century, after which it stagnated. Traditional Chinese Medicine may also use something known as “scaring moxa” in which the moxa is burned directly on the skin in order to create a blister or scar. Okyu is performed by creating “dabs,” which are very small balls of pure moxa the size of half a grain of rice, that are then applied directly to the skin and burnt . The dabs are lit using special incense with multiple rounds performed to have an effective and powerful treatment. The small nature of the dabs makes the treatment minimally noticeable by the patient.

The second characteristic of Japanese acupuncture is a unique needle technique. The needles that are used are quite thin by comparison to those used in Chinese style acupuncture. Most practitioners will use needles with gauge #1 (.16 mm) or less. Many practitioners are so adept with insertion tubes, that they can pull and reinsert a needle back into the tube with one hand as they use the other hand to search for the next insertion. Many styles, particularly Meridian Therapy, use shallow insertion, sometimes as little as 1 mm. . As an example of the finesse that is possible in palpatory diagnosis, I watched a blind master of the Toyo Hari tradition give instruction. As he felt the radial pulse on a prone student, he asked another student to locate LI 11 on the opposite arm.
Figure 4 shows the formula of proportional control to determine the average of heat quantity. Acupuncture and moxibustion On/off control is used to control the preset temperature and heating rate.

Moxibustion Therapy was mentioned as an integral part of treatment in the Huang Di Nei Jing Su Wen . It is a stand-alone therapy, useful in the treatment of a wide variety of conditions. Junji will give an introduction to moxibustion, its functions and indications. This workshop will focus on many of the most widely used techniques as developed by Japanese practitioners, with examples of treatment strategies. Junji will demonstrate all techniques and there will be time for practice and questions. He will cover a variety of treatment strategies, local, whole body , special effect points, autonomic nervous system balancing, needle and moxa combinations etc. We have developed heat conduction treatment devices and radiation heating device capable of controlling temperature with a high degree of precision.
We should also consider that the subjects may have received additional acupuncture and moxibustion stimulation in the course of their training during the experimental periods. This additional treatment might have affected the results of differences among centers although the random allocation of the subjects should have reduced this variable. The analgesic properties of acupuncture are well known, however pain relief is not the only indication for acupuncture and moxibustion therapy. Basic research into acupuncture has focused on the pain inhibitory mechanism and several lines of evidence have been established. Various neurotransmitters and chemicals in the central nervous system that participate in the action of acupuncture analgesia and modification of cardiovascular function have also been clarified , .

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