1. Discussion: 'In the new era of highly globalized world, the international dissemination of acupuncture faces problems such as theoretical localization, inadequate standard system, and marginalization in the global medical system. In response to these issues, at the current stage, international disseminators of acupuncture should focus on promoting the dissemination of acupuncture theories, utilize international organizations to strengthen cooperation, and take the lead in acupuncture legislation and standard construction. They should also emphasize the integration of acupuncture with Chinese herbal medicine to improve the Chinese medical treatment system and expand the international market. Furthermore, based on addressing specific issues in the spread of acupuncture to the West, a new dissemination system should be constructed that advances both medical skills and medical ethics, with the aim of enhancing the international recognition of Chinese medical efficacy and theoretical culture.'

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