You can use indirect moxa with these needles. When moxa on the needle is required, then we recommend using a moxa needle cap. These little stainless steel holders slip over the handle of the needle. The convenient moxa holding tray that forms the lower part of the holder ensures that the moxa punk does not slip off the handle. All regular consent and precautions are still required when using these moxa holders as risks associated with ash and burning substances need to be appropriately managed.