Research Framework for Scientific Innovation and Translational Application of Original Acupuncture Theories: A Review Based on Hand Twelve Jing-Well Points Stimulation Therapy

The field of acupuncture is currently facing paradigmatic issues, including the difficulty of turning theoretical strengths into technical discourse power, a gap between mechanistic research and clinical imperatives, and the fragmentation of research activities. Therefore, constructing a research paradigm grounded in Traditional Chinese Medicine theory and validated through contemporary scientific methods is essential. Hand Twelve Jing-Well Points (HTWP) acupuncture, an ancient therapy known for its rapid efficacy and practical application, offers an optimal solution for these challenges. In this study, the theoretical foundations, clinical effectiveness, biological explanations, and transitional applications of HTWP acupuncture were consolidated by integrating a four-step research framework. Initially, we developed the "Well point-Brain Connection" framework rooted in classical theories and informed by the "Root-Knot" concept. Subsequent clinical practice provided evidence of its effectiveness in modulating awareness and facilitating motor-cognitive rehabilitation for patients with central nervous system issues. Moreover, mechanistic research provides scientific verification of a "Sensation-Transmission-Effect" cascade that encompasses the activation of arousal circuits and the repair of the blood-brain barrier. Ultimately, the promotion of translation, standardization of systems, and the use of wearable technologies have aided the transition from passive therapy to proactive health management. This closed-loop concept offers compelling evidence for the “Well point-Brain Connection” and provides an applicable framework for scientific innovation and global distribution of innovative acupuncture hypotheses. Graphical abstract: http://links.lww.com/AHM/A221