With the establishment of a Nationalist government in Taiwan in 1949, acupuncture started to undergo a progressive institutionalization into a healthcare system dominated by biomedicine. From the creation of a specific Chinese Medicine course at the China Medical University in 1966, to the reimbursement for acupuncture treatment under the National Health Insurance system in 1995, pressure coming from institutions to standardize acupuncture practice became stronger and influenced the way practitioners used their needles.