Objective: To measure the allocation efficiency of traditional Chinese medicine (TCM) health resources in China, ana- lyze its spatial and temporal evolution trend and influencing factors, and provide a basis for optimizing the allocation of TCM medical resources. Methods: DEA-Malmquist model was used to analyze the allocation efficiency of TCM health resources in China from 2014 to 2021. The time series changes and spatial differences were revealed by visualization tools. Tobit regression model was used to fur- ther analyze the influencing factors of the allocation efficiency of TCM health resources. Results: From 2014 to 2021, the efficiency of TCM health resources in China was generally stable but showed a downward trend, and effective allocation had not yet been achieved. From the perspective of spatial distribution, there were differences in the allocation efficiency of TCM health resources in different provinces. The comprehensive efficiency of the central and western regions was generally higher than that of the eastern region, and the allocation of resources was unbalanced. Combined with total factor productivity and its decomposition results, it was found that tech- nological progress and scale efficiency restrict efficiency improvement; from the perspective of the spatial evolution of total factors, the total factor productivity of all provinces in China was on the rise as a whole, and most provinces have shifted to the positive growth of efficiency. The eastern and western regions were higher than the central region as a whole, but the western region fluctuated greatly. From the perspective of influencing factors, per capita disposable income, population density and bed utilization rate had a positive ef- fect on efficiency. Conclusion: The allocation efficiency of TCM health resources in China needs to be improved and has obvious spa- tial differentiation characteristics. Technical level and management system are the main factors restricting its development.