Does your moxibustion technique hurt?

A bit. If I use indirect moxibustion, it does not hurt at all. You will only feel a comfortable heat. With direct moxibustion, you'll feel an intense, localized heat for a second or two and you might get a blister with a minor burn (less than 2mm in diameter). Having said that, direct moxibustion is much more effective than indirect because of the longer lasting acupuncture point stimulation due to blistering. Blistering elicits the body's healing process and with direct moxibustion, the body's self-healing power is focused on a selected acupuncture point (and its associated area) for an extended period of time.