Heat-sensitive moxibustion for bronchial asthma

A facility-based heat-sensitive moxibustion adjunct for a nonpregnant adult with chronic persistent asthma outside an acute exacerbation and a cold-pattern tendency, with cough and wheeze, aversion to cold and cold limbs, and worsening in cold air. A professional searches for heat-sensitive points around the Feishu-Geshu level or relevant anterior chest area, applies suspended moxibustion, and adjusts it to the heat-sensitive response and skin tolerance. A 2023 guideline gives grade C evidence and a strong recommendation, but included studies combined it with inhaled treatment; effects cannot be attributed independently or extrapolated to an acute exacerbation.

This plan is for a nonpregnant adult with chronic persistent asthma outside an acute exacerbation and a cold-pattern tendency, including cough and wheeze, aversion to cold and cold limbs, and worsening in cold air. A professional identifies heat-sensitive points around the Feishu-Geshu level or relevant anterior chest area, applies suspended moxibustion, and adjusts it to the response and skin tolerance. A qualified institution follows its standard operating procedures for products, equipment, and skin safety. Patient-replicable distance, duration, preparation, and stimulation parameters are not provided. It cannot replace asthma controller inhalers, a written action plan, or emergency treatment of an exacerbation. The 2023 guideline gives grade C evidence and a strong recommendation, but included research combined it with inhaled treatment, so effects cannot be attributed independently or extrapolated to acute exacerbation. Risks include burn, smoke-triggered bronchospasm, syncope, and fire. It should not routinely be performed with smoke sensitivity, sensory impairment, broken skin, or in an oxygen-use environment.