Acupuncture and Moxibustion: Precautions and Contraindications
Published 2026-05-29 · 281 words · Basics
Precautions for Moxibustion
The practitioner should be serious, focused, and meticulous in operation. Before performing moxibustion, explain the requirements to the patient and alleviate any fear. If scarring moxibustion is needed, obtain the patient's consent in advance, handle the moxibustion sore properly, and prevent infection.
Apply moxibustion according to the patient's constitution and condition. Select acupoints accurately, avoid using too many points, ensure sufficient heat and even fire intensity, and never apply excessive or violent moxibustion.
Fainting during moxibustion is rare. If it occurs, follow the same emergency procedures as for fainting during acupuncture.
During the procedure, prevent the moxa fire from burning clothing or bedding. After finishing, ensure the moxa stick or cone is completely extinguished to avoid fire hazards. For patients who are unconscious, slow to react, or have lost local sensation, be careful not to over-apply moxibustion to prevent burns.
Contraindications for Moxibustion
Contraindicated conditions: Moxibustion is prohibited for patients with a rapid pulse, whether due to external contraction or internal deficiency-heat. It is also unsuitable for high fever, convulsions, extreme debilitation, or emaciation with weak bones.
Contraindicated areas: Do not apply moxibustion over the heart (xuli), major blood vessels, areas with thin skin and little muscle, tendons and bones, the lower abdomen and lumbosacral region of pregnant women, testicles, nipples, or the perineum. Avoid suppurative moxibustion on the face, and avoid scarring moxibustion on joints.
References
World Health Organization. (2014). WHO Standard Acupuncture Point Locations. Geneva: WHO.
Maciocia, G. (2015). The Foundations of Chinese Medicine: A Comprehensive Text (3rd ed.). Elsevier.
National Center for Complementary and Integrative Health. (2021). Acupuncture: In Depth. Retrieved from https://www.nccih.nih.gov/health/acupuncture-in-depth
This article is for wellness education only. It is not a diagnosis or treatment plan. If you are pregnant, taking medication, or managing a diagnosed condition, consult a qualified healthcare professional before trying acupressure, dietary changes, or other practices described here.
