Objective To analyze the current status， research hotspots， and future trends in the teaching of classical medical Chinese and to propose solutions. Methods Literature related to classical medical Chinese teaching research was retrieved from the China National Knowledge Infrastructure （CNKI） database. CiteSpace （version 6.1.R6） was used to perform a visual analysis of publication volume， journals， authors， and keywords， summarizing the overall research landscape. Results A total of 300 articles were included， showing a fluctuating yet upward trend in publications， peaking in 2011. The journals with the highest publication volumes were Education of Chinese Medicine and Modern Distance Education of Chinese Medicine. Based on Price's Law， 36 authors were identified as prolific； however， the collaboration network among authors was dispersed， and a core research team has not yet formed. The top five keywords were “teaching method，” “quality education，” “humanistic quality，” “curriculum ideology and politics，” and “traditional culture.” Research hotspots focused primarily on medical ethics education and the cultivation of traditional cultural and humanistic qualities. Conclusion Medical ethics education and traditional cultural education remain key areas of focus in classical medical Chinese teaching research. It is recommended to draw upon traditional Chinese classics and educational philosophies to both address the unique needs of Chinese students studying classical Chinese texts and return to the fundamental purpose of education.