在针灸指南制定过程中，常面临因缺乏临床研究证据而难以产生推荐的困境。 以古籍文献为载体的古代医家经验，同时也是临床研究中治疗方案的源头。 从针灸指南对证据整合利用的需求角度分析，古代医家经验对现代临床的指导价值体现在：针灸经典理论高度概括，能够启发治疗思路；针灸病案诊疗记录较为细致，能够启发治疗方案形成；针灸诊疗操作记录较为实用，能够发挥示教作用。 若能判断出某一临床研究中的治疗方案与古代医家经验中的治疗方法相关，即可作为临床研究中治疗方案的证据补充，为治疗方案的来源提供佐证，反映治疗方案的成熟程度和特异性疗效。目前，针灸指南制定方法缺乏对古代医家经验的检索和评价方法，使其难以在指南中应用，建议重视古代医家经验评价和应用方法的研究，使其成为针灸临床实践指南证据体的重要组成部分。

In the development of acupuncture-moxibustion guidelines， the lack of robust clinical research evidence presents a significant methodological challenge to support strong recommendations.Regarding the demand for evidence integration and utilization， ancient clinicians′ experience have the potential values in clinical practice.The classical acupuncture-moxibustion theory， though highly generalized，is rich in insights that can inspire treatment strategies.Furthermore， detailed case records from ancient clinicians provide valuable precedents for developing treatment protocols， while records of manipulation techniques offer practical guidance that can be instructive in modern practice.In clinical research， the experience of ancient clinicians can serve as an important source for designing interventions and may act as supplementary evidence supporting the efficacy and specificity of various treatments.However， integrating this experience into contemporary guidelines is currently hindered by the absence of established screening and evaluation methods.Therefore， we suggest the development of systematic methods for evaluating and applying ancient clinicians′ experiences， thereby incorporating them into the body of evidence for acupuncturemoxibustion clinical practice guidelines.