Moxibustion Cases Study

Moxibustion is an important component of Acupuncture and Moxibustion in Traditional Chinese Medicine(TCM),while case histories are the wisdom of clinical practitioners,who integrated TCM theory and practice effectively. Moxibustion case histories can reflect the level of Moxibustion theory and practice development in all ages,and the therapy pattern of Moxibustion used in different kind of diseases.The moxibustion case histories,which is created before and during Qing dynasty,were collected in an all-round manner.The rule is based on the ,the addendum of edited by Peng Jianzhong.For those created in modern time,are well chosen.As a result,two monographs are selected as the major study object. They are (edited by Zhou Meisheng) and (edited by Xie Xiliang).In addition,some representative medical literatures that published in professional periodicals are chosen as supplementary.The objectives of this paper is to collect and arrange typical moxibustion cases,generalize developing process of moxibustion,provide useful experience and lessons for moxibustion development,find the general characteristics of moxibustion treatment,extract the clinical thinking and valued materials for clinic and scientific research,to apply theories to practice and eventually improve the moxibustion theoretical level.On the basis of case collection,the paper would summarize the moxibustion development distinctness at different stages,the moxibustion therapy regulation to common diseases and some controversial questions that those cases dealing with.After the collection,analysis and study of classical cases,the result shown below:1,Investigate the pattern of moxibustion development from quantity and academic value of moxibustion cases in all ages:●There is no moxibustion case was descended from Jin and Tang dynasty, this is the stage of theory exploration,development and improvement. Experience accumulation in this stag is of benefit to moxibustion development of posterity.●Moxibustion was high developed in Song dynasty.Some specialist in moxibustion such as Wang Zhizhong and Doucai were born.Cases showed that moxibustion was used to treat a wide range of disease,involving department of internal medicine,surgery,gynecology and pediatrics.●Jin and Yuan dynasty is a stage that moxibustion theory and experiment were blended together further.Practitioners began to reflect upon moxibustion.●In the Ming dynasty,moxibustion in internal medicine placed importance on pulse diagnosis,zheng differentiation-treatment,and used moxibustion together with acupuncture,traditional Chinese medicinal herbs and rubbing hot medicated compress as treatments, using their excellences.For surgical disease,moxibustion accords importance to needling response and indirect moxibustion.●During the mid-and-late Qing dynasty,the government held back moxibustion development.Caused a reduction in the amount of moxibustion case studies.However,the achievement in zheng-differentiation and creativity was obvious.●During the period of the republic of china,the government held back the development of acupuncture and moxibustion.On the other hand, persons with lofty ideals that devoted to traditional Chinese medicine worked for reservation and development of acupuncture and moxibustion.●After the founding of the People' s Republic of China in 1949,with the deeply concern from the Party' s Central Committee and supports from the government,acupuncture and moxibustion have been popularized and improved.Quality and quantity of moxibustion cases studies have made an enormous progress.2,After the collection of moxibustion cases that belong to department of internal disease,surgery,gynecology and pediatrics respectively,come to a conclusion about law of moxibusion usage:(1) Department of internal diseaseMainly collect and study the usage of moxibustion in edema,asthma,deficiency,consumption,hidrosis syndrome,stuffiness in chest and abdomen,apoplexy,lumbago,diarrhea,malaria,epidemic hemorrhagic fever(EnF) and hepatitis B(HB).From the cases,we found:Adding heat moxibustion to Shuifen(RN9) is often used to treat edema,pyretic tonification of spleen and kidney to resolve qi and move water is a commonly used method;In accordance with deficiency or excess to asthma,the treatments are pyretic tonification of spleen and kidney, regulating qi to dissipate phlegm respectively;Guanyuan(RN4),Qihai(RN6),Gaohuang(BL43),Zusanli(ST36) are commonly used in the moxibustion treatment of deficiency;Gaohuang(BL43) is the effective acupoint to consumption's cure with moxibustion and Xuechou is an experience acupoint,adding heat moxibustion to Yaoyan at 9 to 11 o' clock at night on Gui-hai day is an effective method in the treatment of pulmonary tuberculosis;Moxibustion to hidrosis syndrome,according to symptom and pathogeny,is mainly treated from the heart, from the spleen and the kidney,chose acupoints on the three lines(the heart Channel of Hand-Shaoyin,the spleen Channel of Food-Taiyin and the kidney Channel of Food-Shaoyin) respectively;Moxibustion to stuffiness in chest and abdomen should start with regulate spleen and stomach,should separate excess and deficiency,threat with moxibustion reinforcement and reduction;Warming the kidney and strenthening the waist is the point of departure to therapy of lumbago,moxibustion chose Shenshu(BL23),acupionts of Du Channel and acupoints around the navel;Diuresis,ascending up yang and rise descents are chief principles to diarrhea moxibustion;By reinforcement and strengthening the spleen to cure malaria is an advantage in moxibustion;To EHF,mainly summarize the contributions of moxibustion specialist Zhou Meisheng to EHF moxibustion;To HB,mainly summarize the contributions of moxibustion specialist Xie Xiliang to HB moxibustion.(2) Department of SurgeryMainly collect and study the usage of moxibustion in pyocutaneous disease (include furuncle,carbuncle,carbuncle of the back,crewels),gangrene,haemorrhoids,injury by animal.Selection of nearby points is commonly used, moxibustion directly or indirectly separate by garlic,lobster sauce on the opening of sore,the treatment effects are warming and smoothing qi and blood,take poison out,promote the wound healing.(3) Department of GynecologyMainly collect and study the usage of moxibustion in postpartum anemic fainting,malposition,uterine bleeding,algomenorrhea and diseases of breast.The moxibustion cases showed:promoting blood circulation by removing blood stasis is the chief therapeutic principle to sthenia syndrome of postpartum anemic fainting,and supplementing qi to control blood is used to the asthenia syndrome;Add heat moxibustion to Zhiyin(BL67) could correcting the position of fetus,and could cure dystocia that caused by malposition also; To the therapy of uterine bleeding mainly use the principle of pyretic tonification of spleen and kidney,Yinbai(SP1) and Duanhong are effective acupoints to uterine bleeding moxibustion.Moxibustion is more effective to algomenorrhea caused by coagulated cold in uterus;To the therapy of breast diseases,heat-cleaning and pathogen-eliminating is the main principle to mammary abscess moxibustion;Dispersing the depressed liver-energy and strengthening the spleen,soften hard lumps and dispel nodes are the main principles to hyperplasia of mammary glands moxibustion;Regulating the liver and kidney,regulating qi to dissipate phlegm are the main principles to tuberculosis of breast moxibustion;Strenthening healthy qi to eliminate pathogens is the main principle to mammary carcinoma moxibustion.(4)PediatricsMainly collect and study the usage of moxibustion in infantile enuresis,infantile convulsion,varicella.Tonifying kidney to reduce urination,strengthening the lungs and spleen are the main principle to infantile enuresis moxibustion;Acute convulsion is mostly treated from the heart,chronic convulsion is mostly treated by warm tonic method;moxibustion mainly treat the severity of varicella,garlic moxibustion on the opening of sore to take poison out.(5) OtorhinolaryngologyMainly collect and study the usage of moxibustion in toothache and nosebleed.Moxibustion to toothache mainly chose the acupoint of the Large Intestine Channel of Hand-Yangming;Lvxi is an experience acupoint. Moxibustion to nosebleed often chose the acupoints of Du channel on the head or the acupoints of the Urinary Bladder Channel of Foot-Taiyang,usage of the acupoints of the Large Intestine Channel of Hand-Yangming is another effective way.3,By the collection of moxibustion cases,in the point of view of practical experience of practitioner,study some controversial questions of moxibustion:●Moxibustion Mistreatment:moxibustion is not suitable to the patients who have irregular pulse,who have extra fire-qi,who have the syndrome of asthenic yin causing excessive pyrexia,who are young and weak.If negative consequences are caused,Chinese medicine of eliminating heat by nourishing yin can be used as a redemption.●Whether moxibustion can treat pyretic syndrome or not:the evidence from moxibustion cases show that moxibustion could be used to pyretic syndrome if and only if the overall analysis of the illness and the patient's condition are correct.If necessary,moxibustion could be used with other treatment of chinese medicine.●Number and size of the moxa corn:The moxa corn should be big to great nourishment of renal qi;it need more moxa corn for the illness at inner position,and less for illness at shallow position;To emergency cases, use moxibustion until it is relieved;Use less moxa corn on head.●Reinforcing and reducing method:there is no moxibustion cases about reinforcing and reducing method in the books before and during the Qing dynasty,modern moxibustion expert Zhou Meisheng make reference to the description of reinforcing and reducing method in and use them in clinic.The curative effect is good.●Sore caused by burning moxa corn:The ancient practitioners believed that festering moxibustion could get enough amount of cure.But this method accompany with acute pain and sore,so it is not commonly used in modern clinical therapy.The recovery of the sore suggest the prognosis of disease.There are some nurse methods to the sore are found in the cases.To sum up the above arguments,moxibustion case history is the important component in moxibustion document and have high research value.Moxibustion cases in different periods have the distinct brand of the stage,and mean the theoretical and practical development level of moxibustion in different periods.Cases of different practitioners could reflect the different clinical thinking.In these cases,we could found some peculiar ways of treatment and effective acupoints that used in moxibustion.Meanwhile,there is similarity in clinical analysis found in various cases when encountering an identical disease.It is worth to have further works on the exploration in clinical and scientific research.Moxibustion cases are the proofs of moxibustion usage to clinical.By the practical experiences, the moxibustion theory is demonstrated and the controversial questions,which exist for a long time,are resolved.