OBJECTIVETo understand the basic level of Chinese medicine health literacy of college students in Hunan province under the background of COVID-19, and to formulate a targeted improvement path to improve the Chinese medicine health literacy of college students. METHODS A survey of 1 101 college students from 127 universities in 14 regions of Hunan province was conducted. RESULTS The average score of TCM health knowledge among the surveyed college students was 64 points, and the possession rate was 24.4%. Different genders, schools, majors, grades, family income, whether they have studied TCM re...