Moxa Therapies Flashcards
Hyochiho
Local/Symptomatic Treatment- Japanese style
Skills needed to perform a successful tx.
- Careful diagnosis through asking, observation, palpation
- Practice manual skills, focus
- Adjust skills/techniques to fit each case
When to do a local tx…
- Ev’s-
- 5 Phase-
- Shakuju-
- Divergent channels-
- after the cords are off
- after the back she’s have been treated, or between if someone has difficulty turning over
- After the abdomen is rechecked following a back tx.
- After back shu tx.
Exceptions to the rule.. when to do a local treatment
- Before a root if the symptoms are severe
- If patient cannot easily turn over
- Time restrictions
- Always try to incorporate some root tx. to balance the entire body
Who is Manase Dousan?
A Monk who founded Kanpo- Japanese Herbal Medicine and who wrote the 12 essential principles
Tsubo moves ______ when Qi is excess, and ________ when Qi is deficient.
- distally
2. proximally
Kyu-
Moxabustion
Properties of Moxa therapy
Warming
Moves Blood
Can promote healing locally
Tonifies Yang Qi
Depth of moxa treatments…
- Okyu
- Kyutoshin
- Chinetsukyu
- Blood Level
- Qi (surface of the skin) and Blood Level
- Qi Level
Sorei Yanagiya
Burned 300 moxa cones on a watermelon
Tohya Kazuo
Investigated the effects of moxa on a cellular level and found that…
- The heat creates a local inflammatory reaction
- Moxa contains beneficial chemical substances which positively affect immune cells leading to an increase in WBC
- Moca increases the body’s ability to regulate circulation and activate local immune responses through a cascade effect.
Tanioka
Needle selection
-determined that you should use moxa when skin is damp or wet.
Pure moxa vs. Semi pure
Pure moxa burns at a lower temperature (60 degrees c)
Shijokyu
Act of doing moxa
Different sizes of moxa
approx. 3mm long Base is roughly pointed half rice size- thicker moxa sesame- medium sized thread- thin and long
Oshide—-
Sashide—–
rolling threads
placing/lighting threads
When do you remove ash between threads?
When dispersing
When do you leave ash on between threads?
When tonifying
Moxa for draining..
- Can be used to disperse by venting or unblocking the point/area
- stronger stimulation
- fewer threads on more points
- stop with sweat or red skin
Reactivity to moxa
low reactivity= deficiency (cold)
high reactivity= heat condition
- the less reactive the more beneficial
Dosage guidelines for Okyu
Weak: 1-3
Normal: 3-7
Strong: over 7, maybe up to 100
*all have to be felt by the patient
Guidelines to follow when using more/larger threads:
- robust patients, with early stage illnesses
- excess conditions that require draining
- abdomen, lumbar, sacral area
Guidelines to follow when using fewer/smaller threads:
- face, head, anterior chest, extremities
- elderly, children
- weak, chronically ill patients
Contraindications to Okyu
open wounds/weeping sores
stop when skin becomes pink
areas of neuropathy
pregnancy- lumbar, abdomen, BL67
CV12+6, LI11, TW4, ST36, KD6, GV20, GV12, BL17, 18, 20, 23, 32, 52 - 7 okyu on each point
Sawada TX.
“Tai Chi”
CV12: 100 moxa
GV12: 3 moxa
LI11+ST36: 3 moxa bilaterally
Shirota treatment
“Clear Hara, clarify pulse”
TBT= total body treatment
GV20, 16, 12, BL10, LI11 -3x/pt
Birch: HA Tx
GV22, BL10, LI10, HT3 -3x/pt
Birch: Congestion TX
LU6, BL33, GV2 w/ prolapse: GV20- 3x/pt
Birch: hemorrhoids
BL12, GV12 (x21)
Birch: cold/flu
TW4, CV12, CV14 -3x/pt.
Birch: Morning sickness
KD 9
Birch: Detox with asthma
LI15, LI11, GV12, Bl12- 3x/pt
Birch: Skin problems
Uranaitei
Extra point for food poisoning, plantar surface of the food: fold back 2nd toe. 3-5 x on LESS SENSITIVE SIDE
- Hyochiho means
2. Honchiho means
- Local/symptomatic treatment
2. Root treatment/general balancing
Ohmondo Points
Kneed bent at lateral ends of the crease-bilateral, close to LV and GB channels: 3-5 x
Dr. Shimetaro Hara created what type of treatment?
Sacral treatment, 10 pt. moxabustion system
Indications for Dr. Hara’s treatment
Low back pain, pelvic problems, urinary problems, hypertension, diabetes, neurological disorders, heart diseases, chronic diseases, immune problems, GYN
TX. for Dr. Hara’s Tx.
8 points on an inverted triable on the sacrum + ST36
-first treat ST36 bilaterally
Dosage for Dr. Hara’s Tx.
Age 1: 2
Age 3: 4
Age 5: 6
Age 7: 7 and up
Dr. Tanika created what type of treatment?
Kaden-Kyuho/ another sacral tx. use 3 finger widths and palpate for P/P
Indications for Dr. Tanika’s treatment
back pain or spasm, inguinal pain, pelvic pain, induction of labor, infertility, difficulty walking, lower limb neuropathy
Dosae for Dr. Tanika’s treatment
3x on A, B points with half rice sized threads
Isabune Kukaya created what type of treatment?
Ankle tx. for GYN problems using ankle points on medial malleolus
Indications for Isabune Kukaya treatment
Cold abdomen, fertility, regulation of menopause, aid in induction, reproductive regulations, hormones `
Is Isabune Kukaya’s treatment contraindicated in pregnancy?
NO- even though it is on the ankle
Point location in Isabune Kukaya’s tx:
Ankle Treatment-
Kohgi- 2 fun above SP 6 (LV5)
Eichi- lateral to the widest part of the maleolus
Roin-directly under medial malleolus
Bl13, 15, 42 - insomnia, dream disturbed sleep, emotional upset, manic, stiff and painful shoulders, asthma, chest pain
Fukaya
GV23 x7 -cranial nerve problems, cerebella, cerebrum, stroke, paralysis, trigeminal neuralgia, TMJ, epilepsy, dementia, facial paralysis, HA, Visual abdnormalities, sinusitius, tinnitus, allergies, etc.
Fukaya
Chinetsukyu properties:
“heat knowing moxa”
cone moxa
treats the Qi level
generally used for hyochiho (local tx)
A form of indirect moxa: cone is not burned down all the way to the skin, 2/3 of the way down or until the patient says it is hot.
Effects of Chinetsukyu
Tonifies Qi (esp. Wei Qi)
Warms cold area on the skin and the muscle level
Can be used to release stasis in an inflamed area (signs include pressure, pain, tightness, swelling, indurations)
Dosage for Chinetsukyu
Generally 1-3/spot
Use the skin color as a guide (stop when pink)
Ask for feedback
Gently warming= tonifying
More of a hot sensation= dispersive
*density affects burning temperature
Ikeda dosage guidelines
Excess= less cold: 1x/point Deficient= more cold: 3-5x/point
Chinetsukyu contraindications
- overly dry and tight areas
- If done on an inflamed area: monitor the dryness- stop when sweating
- over large blood vessels
*used when quicker and less penetrating moxa is needed
Size of chinetskuyu
NO LARGER THAN A DIME
- 5 cm. high
* consistency matters: size, density, shape
Kyutoshin properties
“moxa needle-head”
semipure moxa is used (wakakusa)
Treats blood and Qi level
Indications for Kyutoshin
- Cold in the muscles and the channels
- Chronic, deep, cold
- Sx. of Yang deficiency
- Numbness/paralysis
- Tonifying Yang and Blood in an area or point
Dosage of Kyutoshin
Mild= 1 ball Worse/Cold= up to 3 balls
Contraindications of Kyutoshin
Above L4 Abdomen of pregnant women Cases of excess heat or high fever numb areas open wounds Do not take a hot shoer 24 after if using several balls
40 mm needle- can use a 30 mm if making smaller balls
max size= 1 inch in diameter
AT LEAST 1 inch above the skin
When balls are close together: stagger by lighting
Signs of Cold/deficiency
Cold to the touch dull pain contracting cold pain numbness weakness achiness
Kytoshin is overall more _____ than Okyu
WARMING- use it for stiff, cold, tight areas, can re-supply the areas of blood (old injuries or stasis)
TX: Frz. shoulder: LI15, TW4, SI10, ST38, on 2-3 reactive points
Kyutoshin on sd. of the injury, dispersive needle on the other side, leave an intradermal (hinaishin) on affected side.
Akabane Sensei’s techinque
Acute/Chronic Diarrhea: CV12 or CV10, 14, ST36, L-ST26, back shu’s : look for kori’s
Akabane Sensei
Inventor of the intradermal
Akabane Sensei
TX: muscle/neuralfic problems: Needle into the Kori, slightly withdraw- “flick” follow with kyutoshin 1x/ Repeat up to 20 x.
Ikeda
Indications for a Belly Bowl
Popular in Japan
Deep internal cold Rising Yang Tonsilitis Cold Type Diarrhea disconnected head/body *avoid showering 12 hours after use.
Tiger warmer indications/ cautions:
muscle, channel, problems (achy, numb, cold)
face
pediatric (GV14- insomnia, colic)
Can treat either the Blood of the Qi Level
caution: monitor skin for redness, numb areas, open wounds
