In this paper，the current situationof TCM culture in primary and secondary schools in China was analyzed，and the influencing factors of TCM culture in primary and secondary schools were discussed by PEST analysis. In order to promote the scientific and sustainable development of traditional Chinese medicine culture in primary and secondary schools，it is suggested to strengthen the top-level design，implement the mechanism establishment，standardize the teaching content，find the subject combination point，construct the DIY mode suitable for self-development with Chinese medicine as the starting point，tap the potential of teachers，improve the teacher training，refuse cramming learning，make Chinese medicine life，wisdom and fashion，and use various media It is necessary to broaden learning channels，build communication platform and build school alliance，strengthen demonstration role and perfect award mechanism，and establish tripartite linkage education among school，family and society. Form a cultural atmosphere of “believing in TCM，loving TCM and using TCM”，pass on the excellent traditional Chinese culture，and cultivate Chinese people with cultural confidence.