Abstract： The clinical application of heat-sensitive moxibustion faces three major dilemmas： difficulty in detection， quantification， and standardization. Based on the theory of "inspecting the exterior to predict the interior" from the Huang Di Nei Jing·Ling Shu （The Yellow Emperor's Inner Classic： The Spiritual Pivot），and combined with clinical observation and theoretical reflection， this study proposes a three-step diagnostic and examination method under the guidance of infrared thermography， namely the temperature-difference visualization method， the moxibustion-trace correspondence method，and the moxibustion-dose moderation method. Based on the above methods， a meridian qi dynamic model of penetration-conduction-balance for heat-sensitive moxibustion is constructed， thus enabling visualization and dynamic monitoring of meridian qi conduction. Infrared thermography can provide an objective and visualizable verification approach for the "qi arriving at the disease location" phenomenon in heat-sensitive moxibustion， offer a new paradigm for clinical decision-making in heat-sensitive moxibustion， so as to improve its application efficiency.