The Chinese are masters of acupuncture, so it's only fitting that this is made in China. Included is a 34 page booklet that explains all the numbered spots (references in both English and Chinese). Do a little research and find out what your maladies are and find the spot you need to press. It's that simple. If it helps get the Crainial 4D Nerve Skull Anatomy Model and you're well on your way to being an acupuncturist/brain surgeon.