Does moxibustion promote tumor metastasis? I think correct moxibustion will not promote tumor metastasis! First of all, we should recognize why tumors metastasize. There are three factors for metastasis: 1) the metastasis site is blocked, local blockage, cancer cells tend to hoard up and accumulate, which will easily cause metastasis; 2) the flow of blood and lymphatic fluid is slow, it must stay when it is slow, Professor Hoffman in the United States has made an observation, he made fluorescent markings on tumor cells in animals, and then observed the circulation in their bodies, when the cancer cells are blocked, they go slowly and tend to accumulate, but if the blood and lymphatic vessels are not smooth, they will not accumulate. If the blood and lymphatic vessels are not so smooth, cancer cells will easily accumulate and form metastases; 3, bad mental stimulation, such as anger will lead to qi upward. or pelvic metastasis. Theoretically, it is not easy to cause metastasis; moreover, the subcutaneous temperature of moxibustion can reach 110 degrees, which will not cause metastasis. General heat therapy requires a temperature of 43 degrees, which is a sub-lethal damage to the tumor, causing apoptosis of cancer cells; like our radiofrequency ablation, which is a kind of thermal damage, the temperature can generally reach more than 60 degrees, it will not promote metastasis, which is a lethal damage. So the temperature of moxibustion reaches 110 degrees it will not cause metastasis. The moxibustion is strong enough, the white blood cells will come up, the human body will be better, but not strong enough to come up, the moxibustion box is sometimes difficult to reach this temperature, so it may also be counterproductive, the temperature does not go up, and promote the metastasis of the tumor. We always emphasize direct moxibustion, to the extent that the skin tolerated, the skin can not stand, and then lift a little up, the temperature is a little cooler, and immediately close to the skin. It is important to emphasize here that moxibustion is applied to the skin as tolerated. Will inappropriate or improper moxibustion stimulate tumor development? Improper moxibustion or inappropriate moxibustion is likely to stimulate tumor development. That is why we always emphasize the temperature and site of moxibustion. If the site is not right, the effect may not be very good; but when the temperature comes up and the skin tolerates it, it will have a good curative effect. There are many examples of abdominal tumors, especially retroperitoneal tumors, where moxibustion can reduce the size of the mass. Can moxibustion be applied directly to the lesion? Most tumors can be moxibustion against the lesion, for example, if there is a tumor in the abdomen, the tumor is just below the acupuncture point, most tumors in the abdominal and pelvic cavity are cold, you moxibustion patients feel very comfortable, you can moxibustion directly, not around the lesion. For example, if endometrial cancer has metastasized to the abdominal cavity and the intestinal wall, can you do moxibustion? The answer is yes, you can do qihai, guanyuan and sesanli, which not only replenish the vital energy, but also improve the local immune function, so it will not be easy to metastasize. Can I do moxibustion if I have had surgery on the Qihai and Guan Yuan area? The most important thing is that you have to be able to get the best results. The effect will be worse because the meridian conduction is not as good as before after the surgery, but it is still possible to moxibustion. It is important to note that, for example, superficial skin tumors, such as skin metastases, the skin is red, you can not moxibustion it, because skin metastases on the fire, you moxibustion it is not good for it, may have the opposite effect. The tumors under the skin and in the abdominal and pelvic cavities can be moxibuted directly. For many ovarian cancer patients, direct moxibustion with our ascending white moxa is also good for the lesion. Why can moxibustion relieve cancer pain? From the word form, pain is the disease in winter, which is cold; pain is the disease in the canal, the road is not passable. This shows that pain is related to coldness and inaccessibility. Moxibustion is pungent and warm, pungent can pass, and warm can disperse cold, so it can treat pain. For example, in the case of pancreatic cancer pain, there is a painful point at the location of the pancreatic yu, so moxibustion is used directly until it doesn’t hurt anymore, which is very effective for the pain of stubborn pancreatic cancer, and also for many pains. About heavy moxibustion, what is considered heavy moxibustion? This is not a strict concept. There is an old-timer in Tangshan who proposed the term “moxibustion”, which means moxibustion of the entire bladder meridian, three strokes in one place. In general, heavy moxibustion means that the moxibustion is stronger. The most important thing is that you should be able to get to the acupuncture point and how far away from it is appropriate. This is not a strict concept. Generally, the distance from two centimeters to three centimeters, the thickness and quality of the moxa stick are different, so the temperature feeling is different. The degree of skin tolerance, that is, the skin feels hot, but not unbearable when you can not feel a little heat to move away, so moxibustion does not make any sense. The moxibustion method we generally use is similar to sparrow pecking, like sparrow pecking, up and down back and forth, but there is no limit to the frequency, it is focused on one part of moxibustion, and the rotary moxibustion is not the same, rotary moxibustion there is no way to make a part of the temperature to meet the required. Should moxibustion continue or stop at a certain point? How can I control this? Should moxibustion be continuous? If the white blood cells have risen, the time interval can be extended, once every two days or once every three days, if I have not risen, you can continue to do moxibustion. If the tumor is suppressed, you have to do moxibustion every day. If there is no tumor, I can do it once every two or three days. However, I especially emphasize that moxibustion for ascites, must be moxibustion Shen Que at the same time to pay proper attention to the Tianshu point, or the abdominal node point, why? This is because when the ascites disappears, the protein in the ascites will be attached to the intestinal lining, which will easily cause intestinal adhesions, so moxibustion is not the longer the moxibustion time, the better, according to different conditions, according to different comorbidities to add different points or subtract some points, this needs to be grasped by our clinicians, not by our patients themselves. Why is moxibustion sometimes not effective? The efficacy of moxibustion has a lot to do with the accuracy of the selected acupoints, the quality of the moxa strips, and the strength of the moxa, and poor quality of the moxa strips, inaccurate selection of the moxa, insufficient strength of the moxa, and insufficient frequency of the moxa will lead to ineffective treatment. In the clinic, we found that the quality of moxa strips is closely related to the efficacy, and in order to achieve better efficacy, we also carefully selected and screened high-quality moxa strips, and formulated functional moxa strips according to different conditions, which are provided to patients in our department. What is the difference in effectiveness between smokeless moxa strips and smoked moxa strips? I especially emphasize that smoked moxa strips are used whenever possible, not smokeless moxa strips! We have been using moxibustion to treat tumors for more than 10 years, and we have had many experiences during this 10-year period. So we should definitely choose smoky moxa strips, smoky moxa strips inside to choose good moxa velvet, the effect is guaranteed. Some people say that smokeless moxa strips are made with glutinous rice and moxa to get the charcoal, if there is moxa, then there is a certain penetrating effect, but nowadays, many people use coke to make smokeless moxa strips, it only has a warming effect. We use moxa, not only for its warming effect, but also for its penetration, which is pungent, and the stronger the penetration, the stronger the drug effect. The stronger the penetrating power, the stronger the drug action. Like our Zhuang Yuan mugwort, we add some Hsiang Xin and Pei Zi, which penetrate through the mugwort to the inside and let it tonic. I do not advocate the use of smokeless moxa, if there is really no smoky moxa in the case can be used. Moxibustion for half a year still do not feel the heat flow in the meridians is not the right method? There is no right or wrong way to say this. Some people have obvious meridian sensing and some people do not have obvious meridian sensing. The heat-sensitive moxibustion proposed by Mr. Chen Rixin is to find a place around the acupuncture point that is not particularly hot, but has meridian sensation. Because tumor patients are heavily stagnant, it is not easy for meridian sensing to occur, and they are prone to moxibustion pain. What is the reason for the patient’s chest tightness after moxibustion when the stagnation is heavy? That must be the qi neither down nor up, then you can moxibustion period door. We talk about the lift and entry and exit of the qi: the Periodic Gate, which is in charge of the lift and entry, usually we use acupuncture or moxibustion; the Fu She, which is the door of internal and external communication. After moxibustion, the qi will flow smoothly and the patient will be comfortable. Are there any moxibustion techniques for tonicity and diarrhea? Are there any special techniques? It is said in the Nei Jing that moxibustion can be both a tonic and a diarrhea. I think if you want to get rid of the fire, the moxibustion time should be shorter, and if you want to tonify, the moxibustion time should be longer. In the Nei Jing, it is explained that the fire is drawn out by the fire. For example, if you have a cold, I moxibustion point, Dazhi point is the sink of six yang, that is, the sink of six Yang meridians, moxibustion time is not too long, promote the skin flushed, permeability is strong, heat will be easy to disperse, is to fire to attract fire. On the contrary, if the body is weak and wants to warm up, the time of moxibustion should be longer. Generally speaking, special acupuncture points to have special techniques.