Traditional Chinese medicine(TCM) syndrome outcomes are a core part of the theoretical system of TCM and a key element in clinical syndrome differentiation.With the rapid development of artificial intelligence(AI) in the field of TCM，research on the intelligentization of these outcomes has increasingly attracted attention，showing a steady growth in related studies.Within the framework of TCM concepts like “disease combined with syndrome” and “syndrome differentiation and treatment”，this study thoroughly explores the current status of AI in TCM syndrome outcomes and analyzes the relevant technologies involved in the development and construction of core TCM syndrome outcomes.Currently，research on AI in TCM syndrome outcomes is progressing rapidly but still faces challenges，such as the variability of TCM syndromes，failure of AI technologies in fully integrating TCM concepts，and the inadequacy of domain knowledge of TCM syndromes.This study reviews the current state of intelligent application of TCM syndrome outcomes in disease condition assessment，TCM intelligent diagnostic methods based on syndrome differentiation，intelligent applications of prescription prediction，and the intelligent application of Western medicine outcomes，and delves into the methodological development of core outcome sets of TCM(COS-TCM) with the support of AI，emphasizing the need for ongoing collaboration between AI technology and TCM syndrome outcomes to deepen the integration of TCM's unique syndrome differentiation thinking，thereby promoting the modernization and intelligentization of TCM.