To give full play to the inherent strengths of traditional Chinese medicine（TCM）and improve the efficiency of medical resource allocation，this study evaluates the operational efficiency of TCM - related healthcare institutions in China over the past decade. Based on the BCC model under the Data Envelopment Analysis （DEA） framework，a horizontal evaluation is conducted on the static characteristics of resource allocation efficiency. Meanwhile，the Malmquist index model is used to conduct a longitudinal measurement of the inter -temporal dynamic evolution of efficiency. The study finds that the changes in the resource allocation efficiency of Chinese TCM healthcare institutions over the past decade are mainly divided into three stages：the adjustment and adaptation period from 2013 to 2017，the coordinated break through period from 2017 to 2020， and the resilience reconstruction period from 2020 to 2022. The overall resource level of TCM healthcare institutions is relatively low，with significant disparities across provinces. Their resource allocation efficiency is restricted by the unbalanced regional development，with over half of the provinces experiencing serious resource input redundancy and insufficient output，and such inefficiency is significantly impacted by public health emergencies and structural imbalances in input.