Abstract： Chinese medicine culture is an important symbol of the excellent culture of the Chinese nation，and a national cultural brand that promotes Chinese culture to the world. The Belt and Road Initiative brings new opportunities and challenges for the overseas dissemination of Chinese medicine culture. This paper analyzes the communication status of Chinese medicine culture in countries along the Belt and Road， and puts forward the communication strategies of artistic type，academic type，product type and service type. Through training high-quality Chinese medicine talents，strengthening cultural exchanges with other countries， and fully mobilizing social and government resources， we will better promote the spread and development of Chinese medicine culture in countries along the Belt and Road and help build a community of human health.