The Medline database system and the CNKI literature database were used to evaluate the publications in acupuncture in recent years, using the key words: "acupuncture" "adverse reaction" and "risk". A number of 155 publications in Chinese were collected, including 698 cases; a number of 59 abstracts publications in English were selected, including 64 cases. The analysis of the publications shows that various causes lead to adverse reactions to acupuncture. The defective security system of acupuncture is one of the major causes. It demands to promote the safety guidelines issued by WHO or to establish a new Chinese security system of acupuncture.