Standardized Manipulations of Heat-sensitive Moxibustion Therapy Specialty Committee of Heat-sensitive Moxibustion of WFCMS

Redacted by Specialty Committee of Heat-sensitive Moxibustion of WFCMS,Standardized Manipulations of Heat-sensitive Moxibustion(HSM). Therapy states the scope,normative references,terms and definitions,preoperative preparations,operation methods and procedure,indications and notice of HSM Therapy.

Specialty Committee of Heat-sensitive Moxibustion of WFCMS; Heat-sensitive Moxibustion Therapy; Standardized Manipulations

Foreword

The main drafting units:Specialty Committee of Heat-sensitive Moxibustion of WFCMS,Jiangxi University of TCM and Affiliated Hospital of Jiangxi University of TCM.

Units involved in drafting:Anhui University of Chinese Medicine,Shaanxi Hospital of Traditional Chinese Medicine,Guangdong Hospital of TCM,Wuhan Integrated TCM & Western Medicine Hospital,Guangdong Hospital of Integrated Traditional Chinese and Western Medicine,Medicine department of Peking University,Shanxi University of TCM,Liuzhou Traditional Chinese Medical Hospital,The First Affiliated Hospital of Gannan Medical University,Affiliated Hospital of Shandong University of TCM.

The principal of this standard:Chen Rixin,Chen Mingren,Kang Mingfei,Liu Zhongyong.

Participants and review expert of this standard (Alphabetical order by last name):

China:Cheng Aiping,Chi Zhenhai,Fu Yong,Ge Baohe,Hong Ensi,Huang Guofu,Huang Xianbao,Jiao Lin,Jin Xiaofei,Lyu Zhimai,Shi Yin,Su Tao,Su Tongsheng,Tang Fuyu,Tian Ning,Tian Yuefeng,Wu Chunmei,Xie Dingyi,Xu Zhenhua,Xue Ling，Yan Ping,Yi Ming,Zhang Bo,Zhang Haifeng,Zhao Jian′an，Zhou Meiqi,Zhou Zhigang.

Portugal:Yan Chunming,Frederico Carvalho

Australia:Zhou Min

Italy:Leonardo Giovannini

Sweden:Guo Wanchun

Japan:Tian Jiu Yilong

Canada:Wang Jianxin

Belgium:Wang Zhongbin

Netherland:Yao Fengli

Malaysia:CHONG FEE LAN

Singapore:Choo Led Sin

America:Jeanny Huang

The standard drafting procedures comply with the WFCMS file SCM 0001-2009 and the WFCMS file 2011 (20)

This standard was adopted by the Council of Specialty Committee of Heat-sensitive Moxibustion of WFCMS in October 14th,2016.

This standard is issued by the Specialty Committee of Heat-sensitive Moxibution of WFCMS,and the copyright belongs to Specialty Committee of Heat-sensitive Moxibution of WFCMS.

Introduction

Heat-sensitive Moxibustion (HSM) is a new and effective therapy that involves administering suspended moxibution on heat-sensitive acpoints.Stimulation by moxibustion eliminates the penetrating heat,expanding heat and transmitting heat which can accomplish a distal heat,a deep heat or a heat on the affected part through the movement of channel qi.

Based on the tradition Chinese medicine and clinical experience,inherited and innovated,HSM is a great discovery of Professor Chen Rixin and his research team after over 20 years of scientific research,which is an original innovative technology with independent intellectual property rights.HSM is a noninvasive and safe therapy with no adverse reaction,which is easily accepted by patients.

Seven books have been published,including one English version,two Japanese versions,and 208 papers have been published,with 25 in SCI Source Journals.In 2015,“The creation and application of HSM” obtained the Second Prize of National Science and Technology Progress.Until now,HSM has been put into use in more than 500 hospitals in over 20 countries for treating degenerative spine disorder,functional gastrointestinal disorders,prostate disease,uterus cold,allergic disorders,dermatological disease,Yang deficiency,qi deficiency,etc.greatly improving the clinical efficiency.Over the past 8 years,acupuncturists from more than 20 countries have been trained the HSM.Cooperating with Traditional Medicine Institute of Portugal,we have set up the HSM department in 2015 for training professionals in Europe.Thus,there is a desperate need to establish the standardized manipulations of Heat-Sensitive Moxibustion therapy for accelerating its promotion,for standardizing its manipulation and for ensuring its efficiency.

1 Scope

This standard specifies the terms and definitions,preoperative preparations,operation methods and procedure,indications and notice of HSM Therapy.

This standard is applicable to the HSM Therapy.

2 Normative references

The following document is essential for the application of this document.For the dated references,only the dated versions are applicable to this document.Any undated references,its latest version (including all amendments) are applicable to this document.

GB/T 12346-2006 Name and Location of Acupoint the part of acupoint

GB/T21709.1-2008 the State Standard of the People′s Republic of China, Standardized manipulations of Acupuncture and Moxibustion, Chapter 1:Moxibustion

3 Terms and definitions

The following terms and definitions apply to this document.

3.1 HSM Heat-sensitive Moxibustion (HSM) is a new and effective therapy that involves administering suspended moxibution on heat-sensitive acpoints.Stimulation by moxibustion eliminates the penetrating heat,expanding heat and transmitting heat which can accomplish a distal heat,a deep heat or a heat on the affected part through the movement of channel qi[1-5].

3.2 HSM Sensation When administered suspended moxibustion on some point on his body surface,the patient would have some special sensations like penetrating or transmitting heat.

(HSM sensation includes six categories,which are penetrating heat,expanding heat,transmitting heat,distal but not local heat,deep but not superficial heat and non-heat sensations,accompanied with a comfortable feeling.When moxibustion on the spot near the acupoint or other part on the body surface,patient would only have local or superficial heat with no special feelings)[6-8].

3.3 Heat-sensitive Acupoints Heat-sensitive acupoints are the points on which the HSM sensations can be elicited by moxibustion.

3.4 Moxa stick Its main component is moxa which is rolled into a cylindrical stick.

(General specifications of moxa stick used in HSM:Diameter:16 mm-40 mm; moxa precision:1∶5-1∶8.)

4 Preoperative preparations

4.1 Moxa stick selection Moxa stick with different diameter is selected according to the seriousness of the illness and the range of acupoint heat-sensitization.

4.2 HSM spot selection The HSM spot are selected according to the methods and principles of Acupoint Location.

4.3 Body posture selection HSM receiver should feel comfortable,fully expose the therapeutic spot and be relax on muscle.Common body postures are recumbent and sitting positions.It is recommended preferred recumbent position.

4.4 Environmental requirement It is the same to outpatient treatment room requirements.In addition,there should be a fume extractor or smoke eliminating equipment.The temperature should be kept in 24-30 ℃.

4.5 HSM sensations acknowledgement Receiver should be acknowledged to relax and focus on feeling the sensations during moxibustion,and communicate about the sensations with operator.

5 Operation methods and procedure

5.1 Operation methods

5.1.1 Locating heat-sensitive acupoints It locates the heat-sensitive acupoints based on the sensations.Keeping 3 cm between the burning moxa stick and body surface,the exploration of heat-sensitive acupoints involves back-and forth moxibustion,circling moxibustion,sparrow-pecking moxibusiton and mild moxibusiton in traditional acupoints as the center,within its range of vertical and horizontal.When receiver feels a moderate heat without burning,and then has one or more than one kind of those HSM sensations,the HSM acupoint is selected out,whether it is on the general position of traditional acupoint[9-13].

5.1.2 Manipulating with identifying method This method is to select the optimized heat-sensitive acupoints by identifying the HSM sensation characteristics on acupoints.The order of selecting preference:acupoints that exhibit non-heat sensations as the preferred heat-sensitive acupoints; acupoints on which HSM sensations appear and arrive to disease area; acupoints on which a strong HSM sensation appears[14-15].

5.1.3 Varying the moxibustion dosage individually Moxibustion each time on each acupoint is finished when HSM sensation disappeared,it varies from disease to disease,from person to person,from acupoint to acupoint.The average time is about 40 minutes,which is the best individual amount of time of HSM[16-17].

5.1.4 Stopping when heat-sensitization disappears As long as heat-sensitive acupoints associated with diseases exist,there is in need for moxibustion treatment until the HSM sensations on all acupoints associated with disease eliminate,which is regarded as the sufficient dosage of HSM therapy[16-17].

5.2 Operation procedure (Fig.1)

6 Indications

It is suitable for various symptoms on which Heat-sensitive Acupoints can be found,irrespective of cold symptoms,febrile symptoms,deficiency syndrome,excess syndrome,exogenous syndrome or endogenous syndrome.

7 Notice

7.1 Before therapy Receiver should be acknowledged the operation process and eliminate the fear or anxiety.

Fig.1 Operation procedure of HSM therapy

7.2 During therapy Receiver should take a comfortable body posture according to the age,gender,constitution and condition with the spot to receive moxibustion fully exposed; the therapy should keep the thermal strength appropriate to avoid burns and the burning stick should be prevented from falling off and burning patients,clothing or other things.

7.3 After therapy Receiver should be acknowledged to keep warm and shy away from cold wind,and it is inadvisable to take a shower in two hours after therapy.If there are some local blisters,when the blister is small,it should be protected from broking,and it would absorb and heal itself generally a few days later; when the blister is too large,it should be punctured at the bottom with a syringe.After the exudation is sucked out,local clean should be kept to prevent infection.After therapy,the burning moxa must be completely extinguished to prevent further recovery.

7.4 Unfavorable object for moxibustion Infant,people with expression disorder,patients with coma or acute phase of cerebral hemorrhage or massive hematemesis; Abdomen and lumbosacral region of a pregnant woman,skin ulcers region,patients with sensory dysfunction; patient in the state of hunger,hyperplasia,fatigue or drunckness.

Bibliography

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[11]Chen M,Chen R,Xiong J,et al.Effectiveness of heat-sensitive moxibustion in the treatment of lumbar disc herniation:study protocol for a randomized controlled trial[J].Trials,2011,12:226.

[12]Chen R,Xiong J,Chi Z,et al.Heat-sensitive moxibustion for lumbar disc herniation:a meta-analysis of randomized controlled trials[J].J Tradit Chin Med,2012,32(3):322-328.

[13]Chen R,Chen M,Su T,et al.A 3-Arm,Randomized,Controlled Trial of Heat-Sensitive Moxibustion Therapy to Determine Superior Effect among Patients with Lumbar Disc Herniation[J].Evid Based Complement Alternat Med,2014,2014:154941.

[14]Xie DY.Heat-Sensitive Moxibustion:Inheritance and Innovation of Moxibustion Theory [J].Journal of Traditional Chinese Medicine,2016,57(11):904-907.

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[16]Chen R,Chen M,Xiong J,et al.Is There Difference between the Effects of Two-Dose Stimulation for Knee Osteoarthritis in the Treatment of Heat-Sensitive Moxibustion?[J].Evid Based Complement Alternat Med,2012,2012:696498.

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(2016-12-23收稿 責(zé)任編輯：Wang Ming)