Development of acupuncture worldwide has met cultural ‘shocks’ between Chinese culture and the western cultures. There are two main categories of issues: 1) traditional acupuncture culture has become less of its original Chinese features and more of western culture. 2) Difference of knowledge system between East and West become an obstacle of acupuncture acceptance. In order to solve these problems, we should enhance the domestic cultural environment and pay more attention to the mode of transmission in foreign countries.