Based on the provincial panel data from 2016 to 2020, 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 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. The results show 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 will achieve general coordination and achieve 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 0.0953; 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 lower than that in the western region, but the phenomenon of resource allocation is serious, and there is a serious shortage of resource allocation in the western region, which should be adjusted according to local conditions, correct the misallocation of resources, and achieve coordinated development of resource allocation and utilization.