The aim is to change the passive aspect of clinical acupuncture and make it better integrated into the modern medical system. Acupuncture has a history of thousands of years, and its contribution to human health is recognized worldwide. In the decades since the founding of the PRC, acupuncture has developed rapidly and has made remarkable achievements. Nowadays, technology is developing rapidly and modern medicine is changing rapidly, but acupuncture and moxibustion are lagging behind compared with modern medicine. With China’s accession to the WTO, the most urgent task in front of us is to bring clinical acupuncture into line with modern medicine. Modern clinical acupuncture should not be simply fused with modern medicine, or in a certain aspect than the high and low; but should be in the “mutual complement” on the right position, in the “mutual inspiration” on the discovery of a breakthrough, in the play characteristics and advantages to improve and develop. This is the requirement of the times for acupuncture, is one of the important conditions for acupuncture to better meet the needs of society. The world is constantly evolving and improving, acknowledging the gaps and finding them, and so is acupuncture. The article “Reflections on the nature of modern clinical acupuncture” is my perception of my twenty years of practice, trying to add luster to acupuncture. Acupuncture Needle (stabbing) tools have changed a lot with the progress of the times. From the history of needle development, the ancient acupuncture needles excavated in modern times are as thick and thin as woolen needles! Not to mention that the manufacturing materials are made of bone, copper, iron, gold, silver and other substances; its manufacturing process, even if it is then brilliant, compared with the current use of stainless steel wire needles can not be compared to the same day. And now the use of stainless steel silk needle milli-needle less than a hundred years old, so you should use a developmental perspective to look at the “Acupuncture and Moxibustion A B Jing”, “Acupuncture and Moxibustion Dacheng” and other masterpieces of acupuncture; especially the acupuncture operation part, to think about the limitations of its described content. In the study, cited (should) use should be based on the current status of needle improvement, to draw our attention to the operation of copying the original text will lose the original color of modern clinical acupuncture. At present, there is no clearer unified understanding of this point in the acupuncture community. Of course, the operation described in recent acupuncture magazines, the depth of the needles, the angle, can be completely used, which is the prominent nature of acupuncture more modern than moxibustion. Stainless steel wire needle milli-needle is also not the ultimate in the development of needle (prick) tool, the microwave needle, infrared needle and magnetic pole needle appeared in previous years are very good seedlings, the key lies in the absence of human leadership organization system, formal argumentation. Moxibustion treatment methods have a long history, and over the years, the scope of its treatment is still as ancient records basically not much change. Although there are many alternatives to moxibustion (moxibustion therapy instrument), but the efficacy is not satisfactory. To correct the reason, these may simply imitate the temperature of moxibustion. We know that “light (heat) has fluctuation (spectrum) and particle nature”. It has been proven that the radiation energy spectrum of moxibustion is between 0.8-5.0 μm, and the human body is a natural source of infrared radiation, while constantly absorbing infrared light from the outside world. This radiation heat metabolism of the human body will maintain the balance between the organism and the external environment, and maintain the normal function of all systems and organs in the human body. The difference between the infrared radiation spectra of acupuncture points and non-acupuncture points is large, and moxibustion must act on human acupuncture points to play its therapeutic effect. The analysis and comparison of traditional moxibustion and human infrared radiation spectra reveals that moxibustion has a striking consistency with the infrared radiation spectra of human acupuncture points; the spectral (frequency) energy produced by moxibustion is highly absorbable and biologically effective by biological tissues. The temperature emitted from the burning of moxa leaves is highly permeable to tissues, i.e., the tissue affinity of thermal frequencies is high, which can directly increase the energy metabolic effect of local weaving. Clinically, we use mild moxibustion to treat patients with acute stage asthma, which can effectively improve the clinical symptoms produced by the three S’s (airway smooth muscle spasm, airway mucous membrane edema, and mucus emboli in the airway). It is very effective for cervical spondylosis and aseptic arthritis of various kinds. Moxibustion therapeutic operation is still the original nature of what it has, which more or less affects the more widespread use of it. Therefore, this should be used as an entry point to study the mechanism of moxibustion treatment to produce good effects on the body. Meridians The doctrine of meridians, which guides clinical acupuncture, has reached an ultimate explanation after a thousand years of development. Its current reality is manifested in the absolute solidity of the meridian theory, which makes it difficult for any new theory to intervene. Once faced with the infiltration of other theories, it is reflected by either a strenuous effort to reject them or an inability to cover them, which ultimately affects the renewal and development of the entire theoretical system. The fact is that the state has invested a great deal in meridian research over the years, although the objective existence of the phenomenon of meridians following the meridian sensation and the objective law of research, as well as various insights into meridians, have been enriched and developed. However, this is only a repetition of the classical meridian descriptions, and no specific tissues independent of nerves and blood vessels have been discovered. There has been no significant breakthrough or substantial progress in the study of the meridians’ substance, and using them to guide modern clinical acupuncture seems very difficult. The formation of meridian theory is a general summary of the ancient people’s description of a series of present (signs) appearing by the nervous system during the practice of acupuncture and moxibustion treatment. The reason why it has not been replaced by other theories is probably related to the advancement of the holistic concept of Chinese medicine and the limitations of the study of the nervous system, which has only a hundred years of development. In particular, the meridian acupoints with the most ‘forward-looking’ understanding, the foot solar bladder meridian (acupoints), have names and distributions that match the internal organs innervated by the vegetative nerves of the spinal nerve segments! The accuracy of the internal organs described by the bladder meridian (acupuncture points) is high, and although the elaboration is not as precise as modern biology, its use in explaining the principles of acupuncture in the treatment of internal diseases makes it easy to understand from the aspect of modern medicine. For example, the stimulation of acupuncture points on the auricle to treat internal diseases is difficult for the general public to understand, but if one knows that there are vagus nerve endings distributed under the skin of the auricle, everything will be easily understood. The response points of the internal organs of the human body in the corresponding parts of the auricle are precisely within the subdivisions of the auricular branch of the vagus nerve, and the auricular points innervated by the vagus nerve have the characteristics of responding to and treating internal diseases. The traditional classical meridian theory is often illogical and fragmented in its explanation. The most unknown area of the nervous system in modern medicine, it has not been able to fully explain certain meridian phenomena. In particular, the central nervous system cells are highly stable, poorly regenerated, difficult to repair, and almost incurable, so they are mostly called chronic diseases, which is the strong point of acupuncture treatment. In addition to the treatment of stroke, in recent years we have applied the published clinical research results of acupuncture, such as “acupuncture for pseudobulbar palsy” and “acupuncture for aphasia”, to achieve good results. Inspired by the location of electrodes for somatosensory evoked electrical detection, I have achieved good results in treating stroke hemiplegia by acupuncture at nerve trunk points (the main nerve trunk that governs the movement of the limbs is dissected under the points). After the acupuncture information is transmitted to the spinal cord via nerves, it enters the brain through the upstream conduction pathway, prompting the relief of vascular spasm in the brain tissue of the corresponding lesion area, unblocking the blood flow and establishing the collateral circulation in the lesion area; prompting the recovery of electrical failure of brain cells around the lesion. It has been demonstrated that acupuncture can alter the somatosensory evoked electricity (slsEP) in the affected limb of stroke, resulting in shorter slsEP wave latency and interwave interval and improved wave differentiation. It can be said that the development of neurology has driven and expanded modern clinical acupuncture. Most people have difficulty understanding the meridian qi that runs through the meridians. As the ancients say, “Qi and blood are synonymous and similar. If we understand “qi” as the bioelectric activity level of the internal organs and tissues. The ‘meridians’ are understood as nerves; the ‘veins’ are understood as blood (veins) tubes, and the integrity of the function of the nerves and blood vessels (meridians) is emphasized as inseparability, so that the doctrine of meridians can be better understood. In practice, nerve conduction is an “electrical (N synapse) chemical (N junction) electrical” process, and its synaptic junction chemical process is closely related to the blood (vascular) vessels and is inseparable. It can be said that the nerves and their conduction mechanism represent most of the meridians’ original color. The structures with regulatory functions known in modern physiology are the nerves and endocrine, which cooperate together to accomplish the whole body’s balancing and regulating role. Meridian activities cannot be independent of each other. Therefore, the study of meridians should be based on the known part of modern physiology, and analyze and study the phenomena of the meridians of acupuncture that are not yet covered by modern physiology. Principles of acupuncture treatment One of the characteristics of modern science is standardization, reproducibility, and reduction of human influence. As a science and technology, a discipline should not only be mastered by one individual, but also by more individuals, i.e., it should be verifiable, falsifiable, repeatable, and universally useful. The so-called “era of famous doctors” currently popular in the acupuncture community is essentially a stage of clinical experience development, and its theoretical and generalizable nature is not strong. One of the fatal drawbacks of this model is that the technique is inseparable from the person, and once a specific person passes away, his or her technique disappears, and other people have to develop the same technique from scratch. This is directly reflected in the fact that most of the papers published in acupuncture journals today are low-level repetitive clinical validation reports. To improve the efficacy of acupuncture, it is necessary to leapfrog this paradigm and develop the inductive model from the individual to the general to the deductive model from the general to the individual. This is one of the requirements of the times for acupuncture and is one of the important conditions for acupuncture to better meet the needs of society. The systematic research of modern clinical acupuncture basic theories is obviously lagging behind, resulting in several (ten) treatments for the same disease, each with its own set of explanations of treatment principles. The arbitrariness and lack of rigor in treatment, which is directly manifested in the low reproducibility of clinical acupuncture, seriously affecting the overall level of acupuncture. For the vast majority of Western medical colleagues, in the 1960s and 1970s, many Western surgeons used acupuncture (acupuncture) anesthesia during surgery, and it has been confirmed that acupuncture (acupuncture) can produce morphine-like analgesic substances, and the principle of acupuncture (acupuncture) analgesia is widely accepted. In the current medical process, the patient’s right to know is strongly emphasized, and Western medical treatment often has a clear point of action, such as inhibiting, blocking, or enhancing the effect. The same disease with the same medicine has a million variations on its inherent principles. The current explanation of the principle of acupuncture treatment mostly uses traditional Chinese medicine yin and yang, internal organs, meridians, etc., which is understandable only to Chinese medicine colleagues; and intuitive quantitative results are few and far between, and only pay attention to purely theoretical derivation, ignoring the study of the physiological effects produced by acupuncture treatment (to improve the body’s ability to repair itself), and even if there is, it is not a system.