In recent years, significant progress has been achieved in both basic and clinical research within the field of traditional medicine, garnering increasing attention worldwide. To further promote a high-quality and international development of traditional medicine, the editorial board of Acupuncture and Herbal Medicine provided a collection of the “Top 50 High-impact Researches of Traditional Medicine” published in 2021 through objective indicators and a strict selection process. The findings of the selected articles have a significant academic influence and possess considerable academic value both nationally and internationally. The selected articles cover a wide range of topics, including clinical research, acupuncture, pharmacology, chemistry, biosynthesis, medicinal plant resources, and new formulation and drug delivery system research on traditional medicine. Therefore, this article outlines the selection process of the top 50 high-impact research articles, analyzes their research characteristics, and provides a brief summary of their new findings and perspectives in the field of traditional medicine.