Classical Five Element Acupuncture in the West owes its beginnings to J.R. Worsley, a British osteopathic physician. He was among the first Westerners to study traditional medicine in Asia, during the mid-20th century. He learned the system in the traditional way, through apprenticeship with master physicians. He was dedicated to passing it on as it had been taught to him. While schools and programs of study have formed in subsequent years, apprenticeship and intense clinical study with master acupuncturists remains a cornerstone of the education. All certified practitioners of Classical Five Element Acupuncture ultimately trace their lineage to J.R. Worsley.

In 1999, the Worsley Institute was formed as an independent non-profit organization to promote and ensure high standards of education and practice in Classical Five Element Acupuncture. The Worsley Institute oversees a list of approved practitioners and certified training programs.

It is highly recommended that anyone seeking treatment choose an approved practitioner or a graduate of a certified training program.