The academic thoughts and clinical experience of veteran doctors in the past dynasties are an important part of traditional Chinese Medicine (TCM) , which can highlight the characteristics and advantages of TCM diagnosis and treatment and is an important source of academic innovation. In modern times, zhang taiyan once said, "Among the achievements of TCM, the veteran medical case is the most inportant part. to seek the experience of the predecessors, medical case has the most clues to find, follow this study, twice the result with half the effort.Therefore, medical cases have an extremely important and irreplaceable academic status in the inheritance and development of the experience of veteran TCM doctors and the academic research of Chinese medicine, and play an extremely important role in the study, clinical experience and scientific research of Chinese medicine.The medical case is rich in content, long in inheritance and broad in coverage. It is a traditional clinical text that records and analyzes the whole process of diagnosis and treatment of individual cases and combines description with discussion. It embodies the comprehensive application of Chinese medical theory, treatment method and herbs.The medical record is the record of the medical activity process such as examination, diagnosis and treatment, as well as the medical records of the patients written according to the prescribed format and requirements. Medical record is usually used for medical text records fror consulting, tracing ;the cases records are academic, while collecting the key contents of diagnosis and treatment, they are formed through sorting and refining in the later stage. They often have introductory remarks and analyze with important academic value, which are used to summarize the academic thoughts of veteran doctors of TCM. Medical record is the foundation and belongs to the category of data, while medical record is the sublimation of medical record and has the characteristics of knowledge. Based on the achievements of the famous TCM heritage project in the past 30 years, this paper proposes that medical case arrangement can promote the inheritance of famous TCM experience, promote effective prescription discovery and achievement transformation, promote the formation of innovative theory, and be used for clinical decision support. The main quality problems are lack of incomplete information, records are not standardized, there is no narrative, traceability is insufficient, evidence-based evidence is insufficient, and high-level results transformation cannot be supported. Coping strategies can adopt policy guidance, strengthen management, strengthen standardized construction, strengthen methodological research, improve scientific research transformation, and build a co-construction and sharing mechanism for the field.