Objective To analyze the current situation， hotspots and trends of foreign language teaching in Traditional Chinese Medicine （TCM） universities， and to provide reference for further research in this field. Methods CiteSpace software and Excel were used to visualize and analyze the literature on foreign language teaching in TCM universities obtained in CNKI database. Results From 2004 to 2023， a total of 1347 eligible literatures related to research on foreign language teaching in TCM universities were retrieved in CNKI， and the annual number of publications showed a trend of growth at first and then followed by a subsequent leveling off. Universities such as Beijing University of Chinese Medicine， Nanjing University of Chinese Medicine and Shanghai University of Chinese Medicine boast the highest number of publications. Most of the journals are TCM and medical education journals. The high-impact authors mainly focused their research on talent cultivation， bilingual teaching， textbook compilation and teaching reform. Keywords such as “bilingual teaching”， “TCM English”， “teaching reform” and "teaching mode" represent the research core in this field； “TCM translation”， “English for academic purpose”， “curriculum ideology” and “talent cultivation” represent the research hotspots in this field in recent years. Conclusion Scholars are continuing to do more research on foreign language teaching in TCM universities， and the field is in a steady stage of development.