Purpose/Significance To explore the policy themes in the field of elderly health care and recreation with traditional Chinese medicine (TCM) in China, and to analyze the distribution and synergy of policy tools under different themes, so as to provide references for policy formulation and optimization. Method/Process Using the BERTopic model, topic mining is conducted on 429 policy items of TCM for elderly health care and recreation from 2012 to 2025. The number of various policy tools of different themes is counted, and their synergy is calculated through mathematical statistics. Result/Conclusion The policies of TCM for elderly health care and recreation cover 12 themes and show different development trends. The distribution of policy tools is unbalanced and their synergy is relatively low. It is necessary to expand the types and application scope of demand-oriented policy tools, promote the deep integration of digital and intelligent technologies with specific policy areas, increase policy support for the cultivation of talents in TCM health care and recreation, and strengthen the rational allocation and synergy effect of multiple types of policy tools.