Major difficulties and problems in composing the national standard Standardized Manipulation of Acupuncture and Moxibustion Part II: Scalp Acupuncture are discussed in this paper. The difficulties, including the importance of standards, selection of terminology, standardization and characteristics of traditional Chinese medicine, instructions of inserting and manipulating needle, basis and science of the standards, are elaborated as well as the further research and improvements are proposed in the present paper.