Can patients with appendicitis undergo moxibustion?

Jun 17, 2025 Source: Cainiu Health

Dr. Sun Lianqing

Introduction

The symptoms of chronic appendicitis are mild, and during the stable phase, without obvious abdominal pain, fever or other manifestations, moxibustion can be performed under the guidance of a qualified physician. Select acupuncture points such as Zusanli (ST36) and Lánwěixué (Appendix point), and apply gentle moxibustion using moxa sticks for 15–20 minutes each session, 2–3 times per week. This can promote local blood circulation, help alleviate mild discomfort, and enhance the body's resistance.

Whether patients with appendicitis can undergo moxibustion depends on the stage of their condition. It may be attempted during the stable phase of chronic appendicitis, but it is not recommended during acute episodes or when symptoms are severe. If in doubt, it is advisable to consult a doctor in advance. Detailed explanation is as follows:

During the stable phase of chronic appendicitis, when symptoms are mild and there are no obvious signs such as abdominal pain or fever, moxibustion may be performed under the guidance of a qualified physician. Using acupuncture points such as Zusanli (ST36) and Appendix point (EX-LE7), gentle moxibustion with moxa sticks can be applied for 15–20 minutes per session, 2–3 times per week. This may help promote local blood circulation, relieve mild discomfort, and enhance immune resistance. However, the duration and temperature of moxibustion must be strictly controlled to avoid burns.

When appendicitis is in the acute phase, presenting with severe abdominal pain, high fever, nausea, vomiting, or has progressed to abscess formation or perforation, moxibustion is strictly prohibited. The thermal stimulation from moxibustion may accelerate the spread of inflammation, worsen appendiceal congestion and swelling, and even trigger septic shock. Additionally, patients allergic to mugwort or with skin wounds or infections should not undergo moxibustion, as it may provoke allergic reactions or exacerbate local injuries.

Prior to attempting moxibustion, patients with appendicitis must have their condition fully evaluated by a physician and should only undergo the procedure at正规 medical institutions. If abdominal pain worsens, fever, or other abnormalities occur during moxibustion, it should be stopped immediately and medical attention sought. Moxibustion should not replace standard medical treatment to avoid delays in care.

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Can moxibustion be used for gallstones?

In general, whether patients with gallstones can undergo moxibustion depends on the specific condition and the purpose of the treatment. As a traditional Chinese medical therapy, the effectiveness and appropriateness of moxibustion require careful consideration. Before undergoing moxibustion, it is essential to clearly understand the stage of one's condition and avoid the procedure during acute flare-ups. Moxibustion should be performed by qualified professionals at正规 medical institutions; self-administered or arbitrary use of moxibustion should be avoided.

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Can infants receive moxibustion?

In general, moxibustion is not recommended for infants as a routine practice. It should only be considered in exceptional circumstances, and must be evaluated and performed by a qualified healthcare professional. Infants have thin and delicate skin, making them susceptible to burns from the thermal stimulation of moxibustion. Additionally, infants are unable to clearly express discomfort, which may delay timely intervention. Moreover, their thermoregulatory centers are not yet fully developed; the warming effect induced by moxibustion may disrupt body temperature stability and lead to adverse reactions.