The paper analyzes China's top designs including the “One Belt and One Road” (B&R) Initiative and the B&R Development Plan of TCM, and discusses measures of actors including governmental institutions, academic groups, medical institutions, and research institutes. Survey to foreigners in Shanghai on acupuncture and moxibustion of traditional Chinese medicine (TCM) reflects the recognition level, advantages and disadvantages, and overseas spread of Chinese Acu-moxi internationally. Based on the above as well as comprehensive inspection on various factors, the paper provides several suggestions to Chinese Acu-moxi development under the background of the B&R Initiative.