The pear-shaped muscle can be treated with moxibustion. The pear-shaped muscle is part of the posterior external rotation muscle group of the hip joint, and the pear-shaped muscle travels below the inferior gluteal artery and vein and sciatic nerve and other important tissues. The injury to the pear-shaped muscle and surrounding tissues, edema and sciatic nerve travel abnormalities can lead to sciatic nerve compression, that is, the pear-shaped muscle syndrome. The symptoms are mainly radiating pain from the hip to the lower extremity, numbness in the lower extremity, and intermittent rheumatism. Moxibustion mainly improves local blood circulation by burning heat, thus increasing the metabolic rate of local tissues, accelerating the absorption and dissipation of inflammatory edema tissues such as exudation and hematoma, and promoting the repair of soft tissues. In addition, moxibustion has the effects of warming the meridians and dispersing cold, warming the middle and replenishing deficiency, supporting Yang and fixing deficiency, raising Yang and lifting traps, and also reducing the excitability of the nervous system and the pain threshold, thus playing a sedative and analgesic role.