The implementation of the Belt and Road Initiative has brought development opportunities to China's foreign trade cooperation in traditional Chinese medicine(TCM).By searching databases such as CNKI，MEDLINE，WanFang，and related research reports on the subject terms of “ASEAN”,“Southeast Asia”，“TCM”，“TCM Trade”，etc，we analyzes the development and demand of the TCM trade market between China and ASEAN in the past decade，combining the policy background of the Belt and Road Initiative，and combing the current TCM policies of ASEAN countries.Then we proposes strategies to further promote the trade of TCM with ASEAN.