Abstract: The packaging and storage preservation techniques for traditional Chinese medicine decoction pieces have not received sufficient attention compared to the decoction pieces themselves. Overall research in this area lags behind, with relatively backward key technologies. There is a lack of clear classification and storage conditions, unified technical standards and operating procedures for traditional Chinese medicine decoction pieces. Additionally, there has been a long-standing absence of expiration date regulations, and a quality traceability system for the packaging and storage of decoction pieces has yet to be established. Based on a review and analysis of the current research status of packaging and storage preservation techniques for traditional Chinese medicine decoction pieces, this study delves into the key issues present and proposes scientific development strategies for the next steps. To comprehensively enhance the quality of traditional Chinese medicine decoction pieces in China, this study suggests introducing modern new materials and technologies from food packaging, combined with storage preservation techniques, to develop green, environmentally friendly, and economical new packaging materials and storage preservation techniques for traditional Chinese medicine decoction pieces. Meanwhile, the research and application of intelligent storage preservation technologies and equipment for traditional Chinese medicine decoction pieces should be accelerated, thereby establishing scientific technical standards and a quality traceability system for the packaging and storage preservation of traditional Chinese medicine decoction pieces.