The development of Traditional Chinese Medicine (TCM) is becoming vibrant as a growing number of Americans receives TCM treatment in the USA. Since acupuncture became popular in the 1970s， TCM has ensured its significance and influence. By going through journals in the latest ten years， this paper discusses the development status of TCM in the USA in the following aspects: 1) the development of TCM in the USA; 2) the development of acupuncture in the USA; 3) opportunities and challenges TCM faces in the USA.