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To understand the development status of Traditional Chinese Medicine(TCM) hospitals in Northwest China under the background of the Belt and Road initiative(B&R), this study analyses the health resource index of TCM hospitals in Northwest China, and finds that the development of TCM hospitals in Qinghai and Ningxia is relatively slow, the recognition of ethnomedical services is relatively low among the residents. Regional linkage could be used to co-ordinately facilitate the development of TCM hospitals in Northwest China. B&R could be taken advantage of to promote the high-quality development of local ethnic medicine. Cultivating composite TCM talents, promoting poverty alleviation with TCM services, advocating TCM culture could all be utilized to build the People-to-people bonds along the new Silk Road.