Top innovative talents in traditional Chinese medicine （TCM） serve as the core engine for developing new-quality productive forces in TCM and represent a strategic resource for enhancing its core competitiveness. Currently， some TCM institutions have launched pilot programs for cultivating top innovative talents through extended academic systems. However， five major bottlenecks persist， including insufficient integration of the curriculum system， inadequate depth in the coordination of science and education， a homogeneous faculty structure， lack of efficacy in practical education， and a biased-oriented evaluation system. These issues have resulted in a significant gap between the quality of talent cultivation and the demands of industry development. In response to the reconfigured knowledge， competency， and attribute framework demanded by new-quality productive forces， it is essential to systemically advance the reform in cultivating top innovative talents in TCM by constructing an interdisciplinary and integrated curriculum， establishing a collaborative science-education cultivation mechanism， strengthening interdisciplinary faculty deve-lopment， establishing a problem-oriented practice system， and refining a dynamic， multi-dimensional evaluation system. These reforms aim to cultivate high-quality innovative talents who are firmly grounded in heritage and innovation of TCM， equipped with cross-disciplinary integration capabilities， and a global vision， thereby providing robust， high-level talent support for development of new quality productive forces in TCM.