Traditional Chinese medicine（TCM） is of great value to pass on the academic ideas of doctors

guide clinical practice

and expand clinical thinking. This paper analyzes the limitations of the existing TCM medical record research methods

and combines the characteristics of TCM medical records that require the characteristics of truthful records of principles

laws

prescriptions

and medicines

and applies the medical record-based reasoning method to the study of TCM records. Systematic research was conducted on TCM medical record collection

medical record content characterization

similar medical record retrieval process

medical record reuse and revision realization

medical record preservation and medical record research validity verification under the medical record-based reasoning model

and proposed to build a medical record-based reasoning. The research methodological system of TCM medical records aims to lay the foundation for more effective clinical decision-making assistance of TCM medical records.