This study explores international promotion strategies for acupuncture from a health economics perspective, aiming to provide both theoretical support and practical pathways for its global dissemination. As a key component of Traditional Chinese Medicine (TCM), acupuncture has gained increasing global recognition due to its simplicity, affordability, effectiveness, and safety. With the advancement of initiatives such as “Healthy China” and the One Belt One Road Initiative, acupuncture has played a leading role in TCM’s international outreach. Research indicates that acupuncture offers notable cost-effectiveness across various diseases and shows considerable potential in cost-utility. However, its international promotion still faces challenges, including insufficient economic evidence, legal and policy barriers, limited insurance coverage, lack of standardized practices, and cultural differences. To address these issues, this study recommends enhancing the quality of health economic evaluations, prioritizing high-burden diseases, increasing localized research in target countries, and strengthening international collaboration, with the goal of achieving high-quality global integration of acupuncture.