Indirect moxibustion: The most popular form of moxibustion in many countries including China is the indirect form, because there is a much lower risk of pain or burning. In indirect moxibustion, a practitioner lights one end of a moxa stick (roughly the shape and size of a cigar) and holds it an inch or two away from the skin, usually around the inserted needles to bring mild warmth to the area without burning, until the skin becomes slightly red. The intensity of the heat is adjusted according to the patient’s condition and comfort. Indirect moxa is considered to induce a gradual localized vasodilatation response. In addition to increasing the local blood flow, skillful indirect moxibustion is extremely comforting and can create a deep relaxation response.