We evaluated the effects of self­care with indirect moxibustion (moxibustion group : MG) on hiesho (cold disorder) in mature females in a prospective multicenter randomized controlled trial using leg warmers (leg warmers group : LG) as a control. Subjects were 49 women aged 18 to 39 years who were judged to suffer from hiesho as measured by the hiesho sensation scale (Kusumi and Emori). Subjects were sorted by age and block-­randomized at each of the four facilities. Before going to bed, subjects in the MG (N = 25) performed two moxibustions on both sides of kI 1, SP 6, and ST 36. Subjects in the LG (N = 24) wore leg warmers while sleeping. Each intervention lasted for one month. The primary endpoint was the degree of hiesho by visual analogue scale (VAS) ; secondary endpoints were mainly suffering scores for comorbid symptoms and body temperature difference between forehead and peripheries. Two subjects in the LG dropped out due to preg­nancy and skin pruritus, respectively. The change in VAS and suffering scores was larger in the MG, showing small ES in VAS and medium ES in suffering scores. Body temperature difference between the forehead and LI 4 on both sides was reduced in the MG, and medium ES was observed. It was suggested that self-care of indirect moxibustion for hiesho in mature females could reduce the degree of hiesho and comorbid symptoms, and could suppress the expansion of body temperature difference between forehead and peripheries compared to wearing leg warmers.

A symposium was organized by the Meridians and Acupuncture Points Committee of the Japan Society of Acupuncture and Moxibustion (JSAM) with the theme "A detailed explanation of acupuncture points from the viewpoints of education, clinical practice and research - about SP6 (Sanyinjiao), LI4 (Hegu), and GV20 (Baihui)" at the 73rd Annual Meeting of JSAM in Miyagi. During the symposium, Commissioner Nakamura elucidated the significance of acupuncture points from an educational standpoint, highlighting their importance in the training of acupuncture and moxibustion practitioners. He expounded upon the meanings and precise locations of the three acupuncture points, emphasizing the importance of safe acupuncture practices. Additionally, he underscored the pivotal role of education in bridging the gap between clinical practice and research. From a clinical perspective, Commissioner Yamami provided an in-depth explanation of the fundamental tenets of acupuncture points, including their primary modalities, distinctive attributes, and the extraction of acupuncture points from authoritative texts on meridians and acupuncture points. He further elaborated on the specific reactions, treatment modalities, and indications of the three acupuncture points in clinical practice, noting that the ideas underpinning research originate from clinical experiences. Standardization and accuracy of education are necessary to enhance safety and effectiveness in clinical practice. From a research perspective, Commissioner Koido analyzed data from 2019 to 2023 using national and international databases to elucidate the status of target diseases and stimulation methods in clinical trials involving the three meridians. The findings revealed that the three acupuncture points are extensively employed in both national and international clinical trials across a broad spectrum of diseases, with various stimulation techniques being utilized.

[Background] Moxibustion has contributed to better health outcomes of the Japanese people. But only a small number of reports are available regarding the current practice of moxibustion in recent years. We therefore surveyed moxibustion practitioners.[Methods] Through academic societies, professional organizations, and other associations related to the disciplines of acupuncture and moxibustion, practitioners were asked to respond to the questionnaire via Google Forms. [Results] Valid responses were obtained from 1,507 practitioners with the following demographics: 67.8% had been engaged in clinical practice for less than 20 years; 71.9% ran their own clinics; 43.6% belonged to academic societies; 69.3% belonged to industrial organizations, etc. The proportion of practitioners conducting various methods of moxibustion were as follows: 66.3% warming moxibustion and 53.4% for heating-through moxibustion, and regarding processed moxibustion, 79.5% included moxibustion with tube and 37.0% used smokeless moxibustion. Regarding the effectiveness of moxibustion, 98.9% responded as "highly effective" or "moderately effective." The proportion of respondents who experienced "patient's refusal of moxibustion" was 45.6% before patients experienced moxibustion and 33.2% after their experience. The patients refused it primarily because of "heat," "burns," and "uncomfortableness with smoke." Regarding the activities necessary to promote the spread of self-care moxibustion, "proving effectiveness through clinical research" (75.6%), "providing scientific evidence through basic research" (68.3%), and "awareness-building activities" (63.9%) were indicated among 1,495 respondents.[Discussion] The survey revealed that, due to the shift in societal awareness, there is also a shift in the use of moxibustion from direct moxibustion to more indirect moxibustion. Many clinical practitioners of moxibustion conducted the therapy because they considered it effective. The survey reconfirmed that heat, burns, and smoke represent major reasons why patients do not want to receive the moxibustion therapy. The challenging issues to be addressed for the purpose of spreading and developing moxibustion include maintenance of "safety," research to prove "clinical efficacy" and provide "scientific evidence," and "awareness-building activities."