Moxibustion Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Moxibustion interacts with medications. The heart of this page is the interaction list — every drug Moxibustion is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Moxibustion is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Moxibustion against your medication
Add one medicationDrugs that interact with Moxibustion
0 medications have a known interaction with Moxibustion, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Moxibustion. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.
What Severity, Likelihood & Evidence Mean
Severity — How Serious It Can Be
- Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
- Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
- Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
- No known interaction. Checked against our sources with nothing documented — not the same as proven safety.
Likelihood — How Well It’s Documented
- Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
- Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
- Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
- Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Where This Data Comes From
- Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
- Each drug listed above links to the full report for that exact Moxibustion combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Moxibustion: Uses, Safety & Side Effects
Moxibustion is a traditional Chinese medicine practice that burns dried mugwort near or on the skin to warm specific points on the body, not a supplement you swallow. Evidence for most uses is limited or low quality, though it is most studied for turning breech babies. If you are interested, work with a trained, licensed practitioner and talk with your doctor first, especially during pregnancy.
- Part used
- Dried leaves of mugwort (Artemisia species), processed into moxa
- Common forms
- Moxa sticks, moxa cones, loose moxa wool, stick-on adhesive moxa, smokeless moxa
- Breech baby positioning
- Joint and muscle pain
- Cold-related conditions in traditional medicine
- Menstrual cramps
- Digestive complaints
- General wellness and energy support
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally considered low-risk with a trained practitioner, but burns, smoke, and skin reactions are possible.
When used during pregnancy. While moxibustion has been used with apparent safety during pregnancy in most clinical studies, some clinical evidence sug...
Read the full pregnancy detailThere is insufficient reliable information available about the use of moxibustion during lactation; however, it is unlikely that maternal use of moxib...
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Moxibustion is a therapy used in traditional Chinese medicine (TCM) and related East Asian healing systems. It is not a pill, tea, or capsule. Instead, a practitioner burns dried mugwort (a plant in the Artemisia group), often called "moxa," close to or on the surface of the skin to create gentle heat over specific points on the body.
The moxa can be shaped into sticks, small cones, or loose "wool." Some forms are held above the skin (indirect moxibustion), while others are placed on the skin, sometimes on a barrier like a slice of ginger or salt (direct moxibustion). It is frequently used alongside acupuncture, and the same body points are often targeted.
People have used moxibustion for centuries to "warm" the body and stimulate energy flow, which TCM calls qi. Today it is offered in many acupuncture and integrative medicine clinics around the world.
How it works
According to traditional Chinese medicine, moxibustion works by adding warmth to the body to remove "cold" and "dampness" and to improve the flow of qi and blood along channels called meridians. These are traditional concepts, not measurements that modern science can directly confirm.
From a modern viewpoint, the proposed effects come mainly from heat applied to the skin and acupuncture points. Researchers have suggested this warmth may affect local blood flow, nerve signals, and the release of certain body chemicals. The burning mugwort may also release compounds that some lab studies have looked at, but this work is early.
Most of these mechanisms are based on laboratory, animal, or small human studies. The exact way moxibustion might produce any benefit in people is still not well understood.
Does Moxibustion work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
Possibly Effective Allergic rhinitis (hay fever)
Moxibustion administration with or without acupuncture seems to be beneficial for allergic rhinitis.
Possibly Effective Back pain
Most clinical research shows that moxibustion, when used alone or in conjunction with other treatments, may modestly reduce back pain.
Possibly Effective Dysmenorrhea
Moxibustion administration, with or without acupuncture, seems to be beneficial for dysmenorrhea.
Possibly Effective Irritable bowel syndrome (IBS)
Moxibustion administration seems to be beneficial for diarrhea-predominant IBS (IBS-D). It is unclear if it is beneficial for constipation-predominant IBS (IBS-C).
Possibly Effective Osteoarthritis
Moxibustion administration seems to be beneficial for knee osteoarthritis.
Also studied for 65 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Acne
Although there is interest in using moxibustion for acne, there is insufficient reliable information about the clinical effects of moxibustion for this purpose.
Insufficient Reliable Evidence To Rate Ankylosing spondylitis
It is unclear if moxibustion administration is beneficial for ankylosing spondylitis.
Insufficient Reliable Evidence To Rate Arrhythmia
Although there is interest in using moxibustion for arrhythmia, there is insufficient reliable information about the clinical effects of moxibustion for this purpose.
Insufficient Reliable Evidence To Rate Asthma
It is unclear if moxibustion administration is beneficial for asthma.
Insufficient Reliable Evidence To Rate Atherosclerosis
Moxibustion administration has only been evaluated in combination with acupuncture; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Athletic performance
Although there is interest in using moxibustion for improving athletic performance, there is insufficient reliable information about the clinical effects of moxibustion for this purpose.
Insufficient Reliable Evidence To Rate Bell palsy
Moxibustion administration has only been evaluated in combination with acupuncture; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Cancer-related fatigue
It is unclear if moxibustion administration is beneficial for reducing fatigue in patients with cancer; the available research is conflicting.
Insufficient Reliable Evidence To Rate Cardiovascular disease (CVD)
Although there is interest in using moxibustion for CVD, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Chemotherapy-induced leukopenia
Moxibustion administration in combination with acupuncture might be beneficial for chemotherapy-induced leukopenia; however, the effect of moxibustion alone is unclear.
Insufficient Reliable Evidence To Rate Chemotherapy-induced nausea and vomiting (CINV)
It is unclear if moxibustion administration is beneficial for CINV.
Insufficient Reliable Evidence To Rate Child growth
Although there is interest in using moxibustion to improve growth in children, there is insufficient reliable information about the clinical effects of moxibustion for this use.
Insufficient Reliable Evidence To Rate Chronic fatigue syndrome (CFS)
Early research suggests that moxibustion administration can improve symptoms of CFS.
Insufficient Reliable Evidence To Rate Chronic kidney disease (CKD)
It is unclear if moxibustion administration is beneficial for CKD.
Insufficient Reliable Evidence To Rate Chronic obstructive pulmonary disease (COPD)
It is unclear if moxibustion administration is beneficial for COPD.
Insufficient Reliable Evidence To Rate Chronic prostatitis and chronic pelvic pain syndrome (CP/CPPS)
Although there is interest in using moxibustion for CP/CPPS, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Constipation
It is unclear if moxibustion administration is beneficial for constipation.
Insufficient Reliable Evidence To Rate Crohn disease
Moxibustion administration has only been evaluated in combination with acupuncture; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Dementia
It is unclear if moxibustion administration is beneficial for dementia.
Insufficient Reliable Evidence To Rate Depression
It is unclear if moxibustion administration, alone or in combination with acupuncture, is beneficial for depression, including post-stroke depression.
Insufficient Reliable Evidence To Rate Diabetes
Although there is interest in using moxibustion for diabetes, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Diabetic neuropathy
It is unclear if moxibustion administration is beneficial for diabetic neuropathy.
Insufficient Reliable Evidence To Rate Diarrhea
It is unclear if moxibustion administration is beneficial for acute diarrhea in children.
Insufficient Reliable Evidence To Rate Dry eye
It is unclear if moxibustion administration is beneficial for dry eye.
Insufficient Reliable Evidence To Rate Epilepsy
Although there is interest in using moxibustion for epilepsy, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Fibromyalgia
It is unclear if moxibustion administration is beneficial for fibromyalgia.
Insufficient Reliable Evidence To Rate Frozen shoulder
It is unclear if moxibustion administration is beneficial for frozen shoulder.
Insufficient Reliable Evidence To Rate Gastritis
Although there is interest in using moxibustion for gastritis, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Gout
Although there is interest in using moxibustion for gout, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Hearing loss
Although there is interest in using moxibustion for hearing loss, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Hemiplegic shoulder pain
It is unclear if moxibustion administration is beneficial for hemiplegic shoulder pain.
Insufficient Reliable Evidence To Rate Herpes zoster (shingles)
Although there is interest in using moxibustion for shingles, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate HIV/AIDS-related peripheral neuropathy
Although there is interest in using moxibustion for HIV/AIDS-related peripheral neuropathy, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Hypercholesterolemia
Although there is interest in using moxibustion for hypercholesterolemia, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Hypertension
It is unclear if moxibustion administration is beneficial for hypertension.
Insufficient Reliable Evidence To Rate Infertility
Although there is interest in using moxibustion for infertility, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Insomnia
Early research suggests that moxibustion administration is beneficial for insomnia.
Insufficient Reliable Evidence To Rate Labor pain
It is unclear if moxibustion administration is beneficial for labor pain.
Insufficient Reliable Evidence To Rate Laryngitis
Although there is interest in using moxibustion for laryngitis, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Lymphedema
It is unclear if moxibustion administration is beneficial for lymphedema.
Insufficient Reliable Evidence To Rate Malaria
Although there is interest in using moxibustion for malaria, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Menopausal symptoms
It is unclear if moxibustion administration is beneficial for hot flashes.
Insufficient Reliable Evidence To Rate Migraine headache
It is unclear if moxibustion administration is beneficial for treating migraine headache.
Insufficient Reliable Evidence To Rate Mumps
Moxibustion administration has only been evaluated in combination with acupuncture; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Neurodermatitis
Although there is interest in using moxibustion for neurodermatitis, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Obesity
It is unclear if moxibustion administration is beneficial for weight loss.
Insufficient Reliable Evidence To Rate Osteoporosis
Moxibustion administration has only been evaluated in combination with acupuncture; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Overactive bladder
It is unclear if moxibustion administration is beneficial for overactive bladder.
Insufficient Reliable Evidence To Rate Parturition
It is unclear if moxibustion administration is beneficial for reducing the risk of breech birth; the available research is conflicting.
Insufficient Reliable Evidence To Rate Pelvic pain
Although there is interest in using moxibustion for pelvic pain, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Polycystic ovary syndrome (PCOS)
Moxibustion administration has only been evaluated in combination with other treatments; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Postherpetic neuralgia
It is unclear if moxibustion administration is beneficial for postherpetic neuralgia.
Insufficient Reliable Evidence To Rate Postoperative ileus
It is unclear if moxibustion administration is beneficial for preventing postoperative ileus.
Insufficient Reliable Evidence To Rate Postoperative recovery
Moxibustion administration has only been evaluated in combination with acupuncture; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Premenstrual syndrome (PMS)
It is unclear if moxibustion administration is beneficial for PMS.
Insufficient Reliable Evidence To Rate Psoriasis
It is unclear if moxibustion administration is beneficial for psoriasis.
Insufficient Reliable Evidence To Rate Respiratory tract infections
Although there is interest in using moxibustion for treating or preventing respiratory tract infections, there is insufficient reliable information about the clinical effects of moxibustion for this purpose.
Insufficient Reliable Evidence To Rate Rheumatoid arthritis (RA)
It is unclear if moxibustion administration is beneficial for RA.
Insufficient Reliable Evidence To Rate Schizophrenia
Although there is interest in using moxibustion for schizophrenia, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Stroke
It is unclear if moxibustion administration is beneficial for stroke.
Insufficient Reliable Evidence To Rate Temporomandibular disorders (TMD)
Although there is interest in using moxibustion for TMD, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Tuberculosis
Although there is interest in using moxibustion for tuberculosis, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Insufficient Reliable Evidence To Rate Ulcerative colitis
It is unclear if moxibustion administration is beneficial for ulcerative colitis.
Insufficient Reliable Evidence To Rate Urethral syndrome
Moxibustion administration has only been evaluated in combination with acupuncture; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Vertigo
Although there is interest in using moxibustion for vertigo, there is insufficient reliable information about the clinical effects of moxibustion for this condition.
Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.
Safety & precautions
When performed by a trained, licensed practitioner, moxibustion is generally considered low-risk. However, because it involves burning material near or on the skin, there is a real risk of burns, blisters, and scarring, especially with direct moxibustion.
People with reduced skin sensation (for example from diabetes or nerve problems) should be especially cautious, since they may not feel a burn developing. People with breathing conditions like asthma or COPD may be bothered by the smoke; smokeless moxa products are an option. Those with bleeding disorders, fragile skin, or skin infections should check with a doctor first.
Pregnancy: Moxibustion is sometimes used to help turn breech babies, but it should only be done under the care of a qualified practitioner and with your obstetric provider's knowledge. Do not attempt it on your own. Breastfeeding: There is very little specific safety information, so caution is advised. Always tell your pharmacist or doctor before trying moxibustion if you are pregnant or nursing.
Side effects
The most common problems are burns, blisters, redness, and skin irritation at the treated area. Direct moxibustion can leave scars. Some people dislike the strong smoke and smell, which can cause coughing, throat irritation, or watery eyes.
Less commonly, people may feel dizzy, nauseated, or develop a headache. Allergic skin reactions are possible. Rarely, a burn can become infected if not cared for properly.
If you have severe pain, a deep or blistering burn, signs of infection (increasing redness, warmth, pus, fever), or trouble breathing, stop and seek medical care promptly.
Moxibustion: Reported Adverse Effects
Documented safety reports on Moxibustion from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Moxibustion, when administered appropriately, seems to be generally well tolerated.
Most Common Adverse Effects:
Orally: Blisters, burns, dizziness, fainting, fatigue, gastrointestinal upset, headache, hypersomnia, itching, pain, rash, redness, and respiratory discomfort.
Allergic rhinitis (hay fever) Immunologic
A case of allergic contact dermatitis has been reported with the use of a self-administered moxibustion device. Dermatitis resolved with a course of oral and topical corticosteroid therapy. Skin allergy has been reported rarely in other publications.
- Xie Z, Zhang Y, Yang YT, Su Y, Zhang H. Allergic contact dermatitis caused by a traditional Chinese medicine treatment- moxibustion. Contact Dermatitis 2021;84(2):127-130.
- Yuan T, Xiong J, Wang X, et al. Indirect moxibustion for the treatment of allergic rhinitis: A systematic review and meta-analysis of randomized controlled trials. Complement Ther Med 2022;64:102804.
- Wang CC, Han EY, Jenkins M, et al. The safety and efficacy of using moxibustion and or acupuncture for cancer-related insomnia: a systematic review and meta-analysis of randomised controlled trials. Palliat Care Soc Pract 2022;16:26323524211070569.
Asthma Pulmonary/Respiratory
Moxibustion administration may cause respiratory discomfort in some patients due to the smoke involved with moxibustion. Moxibustion smoke may also cause asthma exacerbations in some patients with asthma. However, some clinical research suggests that moxibustion treatment might reduce symptoms of asthma.
- van den Berg I, Bosch JL, Jacobs B, et al. Effectiveness of acupuncture-type interventions versus expectant management to correct breech presentation: a systematic review. Complement Ther Med 2008;16(2):92-100.
- Park JE, Lee SS, Lee MS, et al. Adverse events of moxibustion: a systematic review. Complement Ther Med 2010;18(5):215-23.
- Ogata M, Kitamura O, Kubo S, Nakasono I. An asthmatic death while under Chinese acupuncture and moxibustion treatment. Am J Forensic Med Pathol 1992;13(4):338-41.
- Xiong J, Liu Z, Chen R, Xie D, Chi Z, Zhang B. Effectiveness and safety of heat-sensitive moxibustion on bronchial asthma: a meta-analysis of randomized control trials. J Tradit Chin Med. 2014;34(4):392-400.
Burns Dermatologic
Moxibustion administration may cause burns, rash, flushing, pinhole pain, erythema, rubefaction, blistering, and itching sensations. Additionally, moxibustion may leave a temporary discoloration on the skin, which may be washed off or will disappear on its own.
Serious cases of adverse events caused by moxibustion are generally related to cases of negligence, such as not removing the moxa from the skin at the appropriate time or accidentally dropping ash onto the skin.
- Li B, Chai H, Du YH, et al. [Evaluation of therapeutic effect and safety for clinical randomized and controlled trials of treatment of acne with acupuncture and moxibustion]. Zhongguo Zhen Jiu 2009;29(3):247-51.
- Du WF, Yu L, Yan XK, Wang FC. [Met-analysis on randomized controlled clinical trials of acupuncture and moxibustion on constipation]. Zhongguo Zhen Jiu 2012;32(1):92-6.
- Yu L, Zhang Y, Chen C, et al. [Meta-analysis on randomized controlled clinical trials of acupuncture for asthma]. Zhongguo Zhen Jiu 2010;30(9):787-92.
- Kim JI, Choi JY, Lee H, et al. Moxibustion for hypertension: a systematic review. BMC Cardiovasc Disord 2010;10:33.
- Vas J, Aranda JM, Nishishinya B, et al. Correction of nonvertex presentation with moxibustion: a systematic review and metaanalysis. Am J Obstet Gynecol 2009;201(3):241-59.
- Conde-Salazar L, Gonzalez MA, Guimarens D, Fuente C. Burns due to moxibustion. Contact Dermatitis 1991;25(5):332-3.
- Park JJ, Kang M, Shin S, et al. Unexplained infertility treated with acupuncture and herbal medicine in Korea. J Altern Complement Med 2010;16(2):193-8.
- Park JE, Lee SS, Lee MS, et al. Adverse events of moxibustion: a systematic review. Complement Ther Med 2010;18(5):215-23.
- Bao CH, Zhao JM, Liu HR, et al. Randomized controlled trial: moxibustion and acupuncture for the treatment of Crohn's disease. World J Gastroenterol. 2014;20(31):11000-11.
- Choi TY, Lee MS, Kim JI, Zaslawski C. Moxibustion for the treatment of osteoarthritis: An updated systematic review and meta-analysis. Maturitas. 2017;100:33-48.
- Li A, Wei ZJ, Liu Y, Li B, Guo X, Feng SQ. Moxibustion Treatment for Knee Osteoarthritis: A Systematic Review and Meta-Analysis. Medicine (Baltimore). 2016;95(14):e3244.
- Mao H, Mao JJ, Guo M, et al. Effects of infrared laser moxibustion on cancer-related fatigue: A randomized, double-blind, placebo-controlled trial. Cancer. 2016;122(23):3667-3672.
- Wang T, Xu C, Pan K, Xiong H. Acupuncture and moxibustion for chronic fatigue syndrome in traditional Chinese medicine: a systematic review and meta-analysis. BMC Complement Altern Med. 2017;17(1):163.
- Zhao JM, Wu LY, Liu HR, et al. Factorial study of moxibustion in treatment of diarrhea-predominant irritable bowel syndrome. World J Gastroenterol. 2014;20(37):13563-72.
- Zhao JM, Lu JH, Yin XJ, et al. Comparison of Electroacupuncture and Mild-Warm Moxibustion on Brain-Gut Function in Patients with Constipation-Predominant Irritable Bowel Syndrome: A Randomized Controlled Trial. Chin J Integr Med. 2018;24(5):328-335.
- Zhao JC, Shi K, Xue Y, Hong L, Yu JA. Moxibustion-induced burns in a burn unit in northeast china: an 8-year retrospective analysis. J Burn Care Res. 2020;41(1):184-189.
- Kang HR, Lee YS, Kim SH, et al. Effectiveness and safety of electrical moxibustion for knee osteoarthritis: A multicenter, randomized, assessor-blinded, parallel-group clinical trial. Complement Ther Med 2020;53:102523.
- You J, Ye J, Li H, Ye W, Hong E. Moxibustion for chronic fatigue syndrome: A systematic review and meta-analysis. Evid Based Complement Alternat Med 2021;2021:6418217.
- Tingting MA, Jie WU, Lijie Y, et al. Ginger-indirect moxibustion plus acupuncture versus acupuncture alone for chronic fatigue syndrome: a randomized controlled trial. J Tradit Chin Med 2022;42(2):242-249.
- Wang Z, Xu M, Shi Z, et al. Mild moxibustion for irritable bowel syndrome with diarrhea (IBS-D): A randomized controlled trial. J Ethnopharmacol 2022;289:115064.
- Yuan T, Xiong J, Wang X, et al. Indirect moxibustion for the treatment of allergic rhinitis: A systematic review and meta-analysis of randomized controlled trials. Complement Ther Med 2022;64:102804.
- Yamashita H, Tsukayama H, Tanno Y, Nishijo K. Adverse events in acupuncture and moxibustion treatment: a six-year survey at a national clinic in Japan. J Altern Complement Med 1999;5(3):229-36.
Constipation Gastrointestinal
Moxibustion administration may cause abdominal pain, diarrhea, constipation, heartburn, nausea, stomach tenderness and pressure, throat problems, and upset stomach.
- Vas J, Aranda JM, Nishishinya B, et al. Correction of nonvertex presentation with moxibustion: a systematic review and metaanalysis. Am J Obstet Gynecol 2009;201(3):241-59.
- Park JJ, Kang M, Shin S, et al. Unexplained infertility treated with acupuncture and herbal medicine in Korea. J Altern Complement Med 2010;16(2):193-8.
- Park JE, Lee SS, Lee MS, et al. Adverse events of moxibustion: a systematic review. Complement Ther Med 2010;18(5):215-23.
- Coyle ME, Smith CA, Peat B. Cephalic version by moxibustion for breech presentation. Cochrane Database Syst Rev 2012;5:CD003928.
- Sun YJ, Yuan JM, Yang ZM. Effectiveness and safety of moxibustion for primary insomnia: a systematic review and meta-analysis. BMC Complement Altern Med. 2016;16:217.
Fatigue Neurologic/CNS
Moxibustion administration may cause dizziness, fainting, fatigue, headaches, and hypersomnia in some patients.
- Li B, Chai H, Du YH, et al. [Evaluation of therapeutic effect and safety for clinical randomized and controlled trials of treatment of acne with acupuncture and moxibustion]. Zhongguo Zhen Jiu 2009;29(3):247-51.
- Yu L, Zhang Y, Chen C, et al. [Meta-analysis on randomized controlled clinical trials of acupuncture for asthma]. Zhongguo Zhen Jiu 2010;30(9):787-92.
- Lee MS, Shin BC, Ernst E. Acupuncture for rheumatoid arthritis: a systematic review. Rheumatology (Oxford) 2008;47(12):1747-53.
- Park JJ, Kang M, Shin S, et al. Unexplained infertility treated with acupuncture and herbal medicine in Korea. J Altern Complement Med 2010;16(2):193-8.
- Park JE, Lee SS, Lee MS, et al. Adverse events of moxibustion: a systematic review. Complement Ther Med 2010;18(5):215-23.
- Choi TY, Lee MS, Kim JI, Zaslawski C. Moxibustion for the treatment of osteoarthritis: An updated systematic review and meta-analysis. Maturitas. 2017;100:33-48.
- Li A, Wei ZJ, Liu Y, Li B, Guo X, Feng SQ. Moxibustion Treatment for Knee Osteoarthritis: A Systematic Review and Meta-Analysis. Medicine (Baltimore). 2016;95(14):e3244.
- Sun YJ, Yuan JM, Yang ZM. Effectiveness and safety of moxibustion for primary insomnia: a systematic review and meta-analysis. BMC Complement Altern Med. 2016;16:217.
Hepatitis Other
Moxibustion administration has been associated with fever and infections such as cellulitis, hepatitis C, and severe septic shock secondary to necrotizing fasciitis.
- Li B, Chai H, Du YH, et al. [Evaluation of therapeutic effect and safety for clinical randomized and controlled trials of treatment of acne with acupuncture and moxibustion]. Zhongguo Zhen Jiu 2009;29(3):247-51.
- Yu L, Zhang Y, Chen C, et al. [Meta-analysis on randomized controlled clinical trials of acupuncture for asthma]. Zhongguo Zhen Jiu 2010;30(9):787-92.
- Park JE, Lee SS, Lee MS, et al. Adverse events of moxibustion: a systematic review. Complement Ther Med 2010;18(5):215-23.
- Chong Y, Lee HJ, Lee SY, et al. Pasteurella multocida infection of the calf in a patient who had moxa cautery treatment for degenerative arthritis. Yonsei Med J 1982;23(1):65-70.
- Singh H, Chetha AS, Shalikar H. Moxibustion-septic shock and necrotizing fasciitis. IDCases 2020;22:e00990.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no standardized "dose" for moxibustion the way there is for a supplement. Treatment depends on the practitioner, the body points chosen, and the condition being addressed. Sessions are often repeated over several days or weeks.
Because moxibustion involves heat and smoke, it is best done by a trained, licensed acupuncturist or TCM practitioner rather than at home. If you do use a moxa product yourself, follow the package directions carefully, keep the heat at a comfortable level, and never let it touch the skin in a way that causes pain or burning.
Talk with your pharmacist or doctor before starting, especially if you are pregnant, have diabetes or nerve problems, or have a lung condition.
Moxibustion & Pregnancy
Moxibustion & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 40 references that drive our Moxibustion monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.
- Li B, Chai H, Du YH, et al. [Evaluation of therapeutic effect and safety for clinical randomized and controlled trials of treatment of acne with acupuncture and moxibustion]. Zhongguo Zhen Jiu 2009;29(3):247-51.
- Du WF, Yu L, Yan XK, Wang FC. [Met-analysis on randomized controlled clinical trials of acupuncture and moxibustion on constipation]. Zhongguo Zhen Jiu 2012;32(1):92-6.
- Yu L, Zhang Y, Chen C, et al. [Meta-analysis on randomized controlled clinical trials of acupuncture for asthma]. Zhongguo Zhen Jiu 2010;30(9):787-92.
- Kim JI, Choi JY, Lee H, et al. Moxibustion for hypertension: a systematic review. BMC Cardiovasc Disord 2010;10:33. PubMed
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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
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