Herb & supplement monograph

Moxibustion Drug Interactions, Uses, Effectiveness, Safety & More

Check Moxibustion against your medication

Add one medication
Moxibustion
+
Start typing any prescription or over-the-counter drug name.
Reviewed by licensed pharmacists Sourced from Natural Medicines
Interaction report

Drugs 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.

Read The List Like a Pharmacist

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.
Monograph

Moxibustion: Uses, Safety & Side Effects

The bottom line

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
People commonly use it for
  • 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.

Safety at a glance
OverallUse caution

Generally considered low-risk with a trained practitioner, but burns, smoke, and skin reactions are possible.

PregnancyPossibly Unsafe

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 detail
BreastfeedingInsufficient reliable information

There 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 detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Jump to a section

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.

Effectiveness

Does Moxibustion work?

Evidence overview · 70 uses evaluated
5 Possibly effective 65 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.
Possibly Effective Allergic rhinitis (hay fever)
Rating & evidence shown verbatim from Natural Medicines

Moxibustion administration with or without acupuncture seems to be beneficial for allergic rhinitis.

Possibly Effective Back pain
Rating & evidence shown verbatim from Natural Medicines

Most clinical research shows that moxibustion, when used alone or in conjunction with other treatments, may modestly reduce back pain.

Possibly Effective Dysmenorrhea
Rating & evidence shown verbatim from Natural Medicines

Moxibustion administration, with or without acupuncture, seems to be beneficial for dysmenorrhea.

Possibly Effective Irritable bowel syndrome (IBS)
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

Moxibustion administration seems to be beneficial for knee osteoarthritis.

Also studied for 65 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Acne
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for ankylosing spondylitis.

Insufficient Reliable Evidence To Rate Arrhythmia
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for asthma.

Insufficient Reliable Evidence To Rate Atherosclerosis
Rating & evidence shown verbatim from Natural Medicines

Moxibustion administration has only been evaluated in combination with acupuncture; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Athletic performance
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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)
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for CINV.

Insufficient Reliable Evidence To Rate Child growth
Rating & evidence shown verbatim from Natural Medicines

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)
Rating & evidence shown verbatim from Natural Medicines

Early research suggests that moxibustion administration can improve symptoms of CFS.

Insufficient Reliable Evidence To Rate Chronic kidney disease (CKD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for CKD.

Insufficient Reliable Evidence To Rate Chronic obstructive pulmonary disease (COPD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for COPD.

Insufficient Reliable Evidence To Rate Chronic prostatitis and chronic pelvic pain syndrome (CP/CPPS)
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for constipation.

Insufficient Reliable Evidence To Rate Crohn disease
Rating & evidence shown verbatim from Natural Medicines

Moxibustion administration has only been evaluated in combination with acupuncture; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Dementia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for dementia.

Insufficient Reliable Evidence To Rate Depression
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for diabetic neuropathy.

Insufficient Reliable Evidence To Rate Diarrhea
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for acute diarrhea in children.

Insufficient Reliable Evidence To Rate Dry eye
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for dry eye.

Insufficient Reliable Evidence To Rate Epilepsy
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for fibromyalgia.

Insufficient Reliable Evidence To Rate Frozen shoulder
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for frozen shoulder.

Insufficient Reliable Evidence To Rate Gastritis
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for hemiplegic shoulder pain.

Insufficient Reliable Evidence To Rate Herpes zoster (shingles)
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for hypertension.

Insufficient Reliable Evidence To Rate Infertility
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

Early research suggests that moxibustion administration is beneficial for insomnia.

Insufficient Reliable Evidence To Rate Labor pain
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for labor pain.

Insufficient Reliable Evidence To Rate Laryngitis
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for lymphedema.

Insufficient Reliable Evidence To Rate Malaria
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for hot flashes.

Insufficient Reliable Evidence To Rate Migraine headache
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for treating migraine headache.

Insufficient Reliable Evidence To Rate Mumps
Rating & evidence shown verbatim from Natural Medicines

Moxibustion administration has only been evaluated in combination with acupuncture; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Neurodermatitis
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for weight loss.

Insufficient Reliable Evidence To Rate Osteoporosis
Rating & evidence shown verbatim from Natural Medicines

Moxibustion administration has only been evaluated in combination with acupuncture; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Overactive bladder
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for overactive bladder.

Insufficient Reliable Evidence To Rate Parturition
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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)
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for postherpetic neuralgia.

Insufficient Reliable Evidence To Rate Postoperative ileus
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for preventing postoperative ileus.

Insufficient Reliable Evidence To Rate Postoperative recovery
Rating & evidence shown verbatim from Natural Medicines

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)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for PMS.

Insufficient Reliable Evidence To Rate Psoriasis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for psoriasis.

Insufficient Reliable Evidence To Rate Respiratory tract infections
Rating & evidence shown verbatim from Natural Medicines

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)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for RA.

Insufficient Reliable Evidence To Rate Schizophrenia
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for stroke.

Insufficient Reliable Evidence To Rate Temporomandibular disorders (TMD)
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if moxibustion administration is beneficial for ulcerative colitis.

Insufficient Reliable Evidence To Rate Urethral syndrome
Rating & evidence shown verbatim from Natural Medicines

Moxibustion administration has only been evaluated in combination with acupuncture; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Vertigo
Rating & evidence shown verbatim from Natural Medicines

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.

Reports by condition
Allergic rhinitis (hay fever) Immunologic
Asthma Pulmonary/Respiratory
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.

  1. 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.
  2. 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.
  3. 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.
  4. Kim JI, Choi JY, Lee H, et al. Moxibustion for hypertension: a systematic review. BMC Cardiovasc Disord 2010;10:33.
  5. 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.
  6. Conde-Salazar L, Gonzalez MA, Guimarens D, Fuente C. Burns due to moxibustion. Contact Dermatitis 1991;25(5):332-3.
  7. 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.
  8. Park JE, Lee SS, Lee MS, et al. Adverse events of moxibustion: a systematic review. Complement Ther Med 2010;18(5):215-23.
  9. 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.
  10. 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.
  11. 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.
  12. 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.
  13. 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.
  14. 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.
  15. 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.
  16. 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.
  17. 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.
  18. 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.
  19. 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.
  20. 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.
  21. 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.
  22. 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
Fatigue Neurologic/CNS
Hepatitis Other
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

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.

Pregnancy & Breastfeeding

Moxibustion & Pregnancy

Possibly Unsafe

When used during pregnancy. While moxibustion has been used with apparent safety during pregnancy in most clinical studies, some clinical evidence suggests that moxibustion may be associated with premature birth, premature membrane rupture, increased rate of contractions, abdominal pain due to contractions, placental bleeding, reduced or increased fetal movement, and reduced fetal heart rate.

  1. Jin ZH, Zhang P, Ma SX. [Effect of moxibustion at sanyinjiao (SP 6) on the process of childbirth: a randomized controlled study]. Zhongguo Zhen Jiu 2011;31(1):7-10.
  2. Cui JM, Yang XX, Jin ZH, et al. Effect of acupoint Sanyinjiao (SP6) moxibustion on the first stage of labor and uterine contractive pain in primiparae. Chin J Integr Med 2011;17(6):464-6.
  3. Ma SX, Wu FW, Cui JM, et al. [Effect on moxibustion at Sanyinjiao (SP 6) for uterine contraction pain in labor: a randomized controlled trial]. Zhongguo Zhen Jiu 2010;30(8):623-6.
  4. Cui JM, Ma SX, Jin ZH, Dong LH. [Effect of moxibustion at Sanyinjiao (SP 6) on delivery stage and postpartum bleeding of primipara]. Zhongguo Zhen Jiu 2011;31(10):898-900.
  5. Coyle, M. E., Smith, C. A., and Peat, B. Cephalic version by moxibustion for breech presentation. Cochrane Database Syst Rev 2005;(2):CD003928.
  6. Sarsmaz K, Kulah BB, Orgul G, Tonyali NV, Yucel A, Tekin OM. Effectiveness of moxibustion for breech presentation: A prospective study. Z Geburtshilfe Neonatol 2022;226(2):112-120.
  7. 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.
  8. 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.
  9. Park JE, Lee SS, Lee MS, et al. Adverse events of moxibustion: a systematic review. Complement Ther Med 2010;18(5):215-23.
  10. Neri I, Fazzio M, Menghini S, et al. Non-stress test changes during acupuncture plus moxibustion on BL67 point in breech presentation. J Soc Gynecol Investig 2002;9(3):158-62.
  11. Neri, I., De, Pace, V, Venturini, P., and Facchinetti, F. Effects of three different stimulations (acupuncture, moxibustion, acupuncture plus moxibustion) of BL.67 acupoint at small toe on fetal behavior of breech presentation. Am J Chin Med 2007;35(1):27

Moxibustion & Breastfeeding

Insufficient reliable information

There is insufficient reliable information available about the use of moxibustion during lactation; however, it is unlikely that maternal use of moxibustion would pose a significant safety risk to breastfeeding infants.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 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.

  1. 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.
  2. 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.
  3. 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.
  4. Kim JI, Choi JY, Lee H, et al. Moxibustion for hypertension: a systematic review. BMC Cardiovasc Disord 2010;10:33. PubMed
  5. Jin ZH, Zhang P, Ma SX. [Effect of moxibustion at sanyinjiao (SP 6) on the process of childbirth: a randomized controlled study]. Zhongguo Zhen Jiu 2011;31(1):7-10.
  6. Cui JM, Yang XX, Jin ZH, et al. Effect of acupoint Sanyinjiao (SP6) moxibustion on the first stage of labor and uterine contractive pain in primiparae. Chin J Integr Med 2011;17(6):464-6. PubMed
  7. Ma SX, Wu FW, Cui JM, et al. [Effect on moxibustion at Sanyinjiao (SP 6) for uterine contraction pain in labor: a randomized controlled trial]. Zhongguo Zhen Jiu 2010;30(8):623-6.
  8. Cui JM, Ma SX, Jin ZH, Dong LH. [Effect of moxibustion at Sanyinjiao (SP 6) on delivery stage and postpartum bleeding of primipara]. Zhongguo Zhen Jiu 2011;31(10):898-900.
  9. 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. PubMed
  10. 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. PubMed
  11. Lee MS, Shin BC, Ernst E. Acupuncture for rheumatoid arthritis: a systematic review. Rheumatology (Oxford) 2008;47(12):1747-53. PubMed
  12. 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. PubMed
  13. Conde-Salazar L, Gonzalez MA, Guimarens D, Fuente C. Burns due to moxibustion. Contact Dermatitis 1991;25(5):332-3. PubMed
  14. 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. PubMed
  15. Park JE, Lee SS, Lee MS, et al. Adverse events of moxibustion: a systematic review. Complement Ther Med 2010;18(5):215-23. PubMed
Keep reading

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

Pharmacist Counseling Corner

Moxibustion: Common Questions

What is Moxibustion used for, and does it work?
People use Moxibustion for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Moxibustion for Allergic rhinitis (hay fever), Back pain, Dysmenorrhea and Irritable bowel syndrome (IBS). For most other uses it has been studied for, the evidence is currently insufficient to rate. See the graded list on this page, and always confirm with your pharmacist or doctor.
Does Moxibustion interact with prescription medications?
We do not currently list any known drug interactions for Moxibustion. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Moxibustion interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Moxibustion with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Moxibustion interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Moxibustion used for?
People traditionally use it to warm the body and ease pain, menstrual cramps, and digestive or 'cold' complaints. It is most studied for helping turn breech babies, though the evidence overall is limited.
Is Moxibustion safe?
When done by a trained, licensed practitioner it is generally low-risk, but burns, blisters, skin irritation, and smoke-related throat or breathing irritation are possible. People with diabetes, nerve problems, or lung conditions should be especially careful.
Can I use Moxibustion during pregnancy?
It is sometimes used to help turn breech babies, but only under the care of a qualified practitioner and with your obstetric provider's knowledge. Do not try it on your own during pregnancy.
Do I swallow anything with Moxibustion?
No. Moxibustion is an external therapy that uses heat from burning dried mugwort near or on the skin. It is not a pill, tea, or supplement you take by mouth.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Have a question about Moxibustion?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist