Objective To analyze the current status and development trends of the traditional Chinese medicine (TCM)-related projects under the national undergraduate innovation and entrepreneurship training program (NUIETP), aiming to provide evidence for optimizing policies and practices in TCM innovation and entrepreneurship education. Methods Quantitative analysis and visualization were conducted on project data of TCM-related NUIETP initiatives published on the official platform from 2019 to 2024. Results A total of 245 091 projects data were included, including 4 398 projects related to TCM. From 2019 to 2024, the number of TCM-related NUIETP showed an overall upward trend, with innovation training projects accounting for the majority. Projects in Traditional Chinese Medicine and Chinese Materia Medica disciplines dominated. The number of participating institutions continued to grow, with TCM institutions performing outstandingly. The most common team configuration consisted of five project members and one supervising instructor, with the number varying depending on the project type and discipline. Project topics were primarily focused on TCM, with clear project type positioning and distinct disciplinary characteristics. Conclusions The TCM-related NUIETP demonstrate a trend of expanding scale and innovation-driven development, reflecting the synergistic effects of policy support and institutional resources. However, challenges persist, such as weak entrepreneurial translation and insufficient interdisciplinary collaboration. Recommendations include refining management systems, fostering innovation-to-entrepreneurship pathways, strengthening multidisciplinary integration, and optimizing team structures to advance high-quality TCM innovation and entrepreneurship.