摘要Driven by policy initiatives promoting the integration of digital-intelligent technologies with primary healthcare and the digital trans-formation of traditional Chinese medicine(TCM),Smart TCM has emerged as a pivotal strategy for enhancing primary healthcare services for major chronic diseases.This paper reviews the current status,challenges,and feasible pathways of Smart TCM in community-level management of cardiovascular-cerebrovascular diseases and tumors,which represent major chronic disease bur-dens.Our findings indicate that Smart TCM demonstrates emerging potential in primary healthcare for chronic diseases across the entire continuum of"prevention-screening-diagnosis-treatment-management."However,several significant challenges persist,including data silos and security vulnerabilities,limited applicability of existing models to real-world clinical needs,and insufficient digital literacy among primary healthcare physicians and elderly patients.To address these constraints,this paper proposes a mul-tidimensional strategy encompassing the development of secure and interoperable regional data platforms,lightweight intelligent devices and support services aligned with primary care capacity,unified technical and data standards with corresponding quality control systems,adaptive and dynamically updated artificial intelligent models,interdisciplinary workforce training and patient edu-cation programs,and enhanced policy and health insurance support.Overall,Smart TCM shows great promise for improving the efficiency of primary healthcare delivery and establishing innovative TCM-based chronic disease management paradigms.