Abstract: Taking Malaysia as an example, through questionnaires, surveys, interviews and other ways, we understand the current situation of the development of Chinese medicine in the region, explore the practical difficulties of the development of Chinese medicine in Southeast Asia, found that Chinese medicine in Malaysia mainly exists the lack of high-quality translation, the transmission channels of new media have not been fully developed, have not been included in the local medical insurance. Therefore, we propose to explore effective ways to solve the obstacles to the development of Chinese medicine from the aspects of interaction with Chinese social forces, strengthening the training of diversified international Chinese medicine talents, expanding the scope of Chinese medicine dissemination through new media, so as to accelerate the construction of the "the Belt and Road", promote the exchange of Chinese medicine and health undertakings in countries along the line, and bring benefits to people around the world.