In recent years

acupuncture has gained great progress in the treatment of chronic respiratory diseases(CRD)

and the clinical effect is remarkable

but its underlying mechanisms are relatively complex

with the anti-inflammatory effect being the primary aspect. Based on the literature both at home and abroad

we found that the anti-inflammatory mechanism of acupuncture mainly involves chemokines

kinase-related pathways

helper T cells

epigenetic modification

autophagy

vagal-mediated cholinergic anti-inflammatory pathway

etc. The researches on some anti-inflammatory mechanisms are still in the initial stage

the relationship among various pathways

and the key factors affecting the effect of acupuncture

such as acupoint selection

stimulation intensity and needling depth

etc. warrant further exploration in the future.