临床传统医学和药理学（英文）2025，Vol.6Issue(4)：38-45,8.DOI:10.1016/j.ctmp.2025.200253
温针灸不同灸距的安全性:一项探索性试验
Safety of different distances in warm-needling moxibustion:An exploratory trial
摘要
Abstract
Background:The moxibustion distance is a critical component that influences the thermal effects of warm-needling moxibustion therapy.Clinical recommendations regarding moxibustion distance are based on indirect inference from mild moxibustion studies due to the lack of relevant trials on the impact of moxibustion distance. Objective:Given the current understanding,we explored the influence of different moxibustion distances on thermal effects to establish a safety threshold for moxibustion distance and to guide the setting of moxibustion distance parameters in warm-needling moxibustion therapy. Methods:In this single-center randomized controlled trial,participants were randomly assigned to receive 3.0 cm distance warm-needling moxibustion and 3.5 cm distance warm-needling moxibustion at right weizhong(BL40),zhongwan(RN12),left zusanli(ST36)and right shenshu(BL23).The primary outcome was the response rate in individuals,which is the proportion of participants who experienced burning pain one or more times during the warm-needling moxibustion intervention process on four acupoints.The secondary outcomes included the highest temperature and the changed temperature from baseline at warm-needling moxibustion needle was removed immediately. Results:60 participants were randomly assigned into the 3.0 cm-distance group and 3.5 cm-distance group.The response rate in individuals at the 3.0 cm-distance group was significantly higher than that in 3.5 cm-distance group(P<0.001).The highest temperature of participants with burning pain was significantly higher than that with no burning pain(all P<0.001).There is a statistical difference between 3.0 cm-distance with no burning pain and 3.5 cm-distance with no burning pain in BL40(P=0.02).There was no significant difference in changed temperature from baseline between different moxibustion distance groups in participants with no burning pain. Conclusion:Different application distances in warm-needling moxibustion can affect its thermal effects and safety.A 3.5 cm-distance may provide an optimal balance between thermal efficacy and safety in individuals with normal thermosensitivity,though further confirmation is warranted.关键词
温针灸/施灸距离/温热效应/安全性Key words
Warm-needling moxibustion/Distance/Thermal effect/Safety引用本文复制引用
沈琼颖,郑思懿,王肖盈,胡欣毅,林力楠,梁宜..温针灸不同灸距的安全性:一项探索性试验[J].临床传统医学和药理学（英文）,2025,6(4):38-45,8.基金项目
Supported by National key research and development projects(Grant No 2024YFC3505200 and 2024YFC3505204).The Key Project of Health Science and Technology Program of the National Health Com-mission and Zhejiang Province(Grant No WKJ-ZJ-2436). （Grant No 2024YFC3505200 and 2024YFC3505204）
