Trade in Traditional Chinese medicine（TCM）services is an important part of TCM inheritance and innovation，and accelerating its internationalization process is a necessary condition for high-quality development of TCM. At present，after years of exploration，China’s trade in TCM services has already reached a certain volume，covered Cross-Border Trade，Consumption Abroad，Commercial Presence，Presence of Natural Persons，and mainly presented in three major forms：TCM education service trade，TCM science and technology service trade，and TCM cultural tourism service trade. However，it is found that there are still many problems in China’s trade in TCM services，including limited coverage area，insufficient revenue capacity，restrictions from foreign regulations and standards，shortage of talents，insufficient cultural dissemination capacity and unreasonable management mechanism，which hinder the acceleration of its internationalization process. In the future，we need a multi-pronged approach，from both the main body side and policy side，encouraging diversification of forms of trade in services，actively using digital technology，optimizing the policy environment of the trade in TCM services，and in the end，enhancing the trade in TCM services to a new level.