ObjectiveTo identify the barriers and facilitators to acupuncture implementation using the consolidated framework for implementation research (CFIR), provide a reference for proposing a "CFIR framework adapted for acupuncture", and adjust the CFIR-ERIC matching tool to develop specific implementation strategies for acupuncture. MethodsThe CNKI, WanFang Data, VIP, PubMed, Web of Science, and Embase databases were electronically searched to collect studies on influencing factors in acupuncture implementation. The barriers and facilitators in the included studies were analyzed using the CFIR as a guide. Results38 studies were included. Based on the five domains (innovation, outer setting, inner setting, individuals, and implementation process) of the CFIR 2.0 framework, 49 facilitators and 54 barriers were summarized. ConclusionAcupuncture implementation is influenced by multiple layers of factors. According to the CFIR framework, many obstructive factors are concentrated in internal factors and individual characteristics, and the obstructive and promoting factors in different countries and medical systems are not exactly the same. However, the existing CFIR framework can well identify the barriers and promotion factors of acupuncture therapy, it is suggested that the CFIR framework should consider the characteristics of acupuncture. This study proposes a revised idea of the "acupuncture version of the CFIR framework", and future research should further improve the framework and adjust the CFIR-ERIC integrated model on this basis to identify and develop specific practical strategies in the acupuncture field.