Based on the provincial panel data from 2016 to 2020，the coupling coordination degree model is used to measure the coupling coordination degree of the two，and the relative development degree model is used to further explore the development type of coupling coordination on the basis of the entropy right TOPSIS method to evaluate the overall situation of the allocation of TCM medical resources and service utilization in China. The results showed that the overall allocation of TCM medical resources and service utilization in China and the three major regions tends to develop in a coordinated manner. In 2020，15 provinces achieve the general coordination and synchronous development. The coupling coordination development trend in the central region is better than that in the eastern and western regions，and the five ? year average growth rate of the coupling coordination index is 0.095；there are significant regional differences in the coupling and coordination relationship between the eastern and western regions，and the average coupling and coordination in the eastern region is 0.594，which is lower than that in the western region(0.679). However the phenomenon of resource allocation is serious，and there is a severe shortage of resource allocation in the western region，which should be adjusted according to local conditions to correct the misallocation of resources，and achieve coordinated development of resource allocation and utilization.