Abstract: Objective To investigate the status and problems of the development of medical and health services in counties, and to promote the development of traditional Chinese medicine(TCM) and health services. Methods The health care service institutions of traditional Chinese medicine and health service supporting industries of traditional Chinese medicine in A and B county-level cities of Jiangxi Province in 2017 were taken as the object of study. Taking the streets of A and B county-level cities as the units, firstly, according to the scale and type of enterprises, the cluster stratified sampling method was used to select 105 TCM health care service institutions and 38 TCM health service supporting industries in the two cities at the ratio of 1:15. Then, the number of service personnel, organization area, income cost, service personnel and other data were analyzed. SPSS 25.0 software was used to analyze the maximum, minimum sum, median and upper and lower quartiles of each index. Results The development of health care service of traditional Chinese medicine in city A and city B was good, but there were differences between the health care service market of traditional Chinese medicine in medical and non-medical institutions in city A and city B. The development scale of traditional Chinese medicine industry and the industry of diagnosis and treatment equipment of traditional Chinese Medicine had great development potential. In city A and city B, there were 87.2% and 92.0% of enterprises, respectively, complained that talent introduction was difficult. The main reasons in city A were the compensation for job seekers High expectations(88.24%), insufficient TCM talents(70.59%), and limited space for job development(52.94%). In city B, the total numbers of TCM talents were insufficient(94.12%), the higher expectation of job seekers' salary(76.47%), and the geographical location of enterprises(52.94%). Conclusion Traditional Chinese medicine health care service institutions complement each other's advantages, traditional Chinese medicine health service supports the diversified development of the industry, but the increase of traditional Chinese medicine service personnel is insufficient. Strengthening the training of traditional Chinese medicine personnel is an important measure to promote the development of traditional Chinese medicine health service industry.