OBJECTIVE  To sort out the management policies on the use of traditional Chinese medicine preparations in medical institutions issued by the state and 10 provinces, identify the current policy characteristics, understand the future development trend, and provide reference for the follow-up promotion of the use of traditional Chinese medicine preparations in medical institutions.

METHODS  The policy documents at the national and provincial levels were retrieved, and the scope of adjustment, application procedures, quality management, supervision and management were summarized.

RESULTS  The legal restrictions on the scope of policy adjustment at the national level had gradually weakened, and the approval procedures had become more efficient. At the provincial level, the scope of policy adjustment varieties was more exploratory, the scope of subjects was further clarified, the declaration procedures were more operational, and the responsibilities and supervision were more stringent.

CONCLUSION  In the future policy development, should pay more attention to the stability of the quality of traditional Chinese medicine preparations, improve the relevant supporting conditions for research and development, relax the management policies for the dispensing and use of traditional Chinese medicine preparations in medical institutions, and promote the development of the transformation to new traditional Chinese medicine. It is suggested to continuously strengthen quality management, introduce the concept of risk management, pay attention to the collection of human experience data and effect evaluation, and promote the standardization and sustainable development of the transformation of traditional Chinese medicine preparations into new traditional Chinese medicine drugs in medical institutions.