Traditional Chinese medicine (TCM) has been shown to be effective in the treatment of diseases such as malaria, being better understood and accepted by the world. TCM physical health management is based on the policy of “preventive disease,” comprehensively collects patients’ information, and provides timely and appropriate rehabilitation guidance to achieve the best nursing effect. However, the current TCM physical health management has not been understood by the public, and the effect of its nursing evaluation has not been concluded yet. Therefore, this paper aims to design a TCM physical health management training and learning system based on digital twin technology and to evaluate and analyze the nursing effect. For TCM physical health management training, this paper designed a training system based on the VIKOR algorithm. Based on digital twin technology, the training can be carried out at different times and places, and the teaching content can also be displayed in real time through the cloud platform, which intuitively and comprehensively reflects the teaching content. For the evaluation of nursing effect, this paper selected 100 patients and divided them into two groups to compare the nursing effect of TCM physical health management and general Western medicine nursing. The experimental results of this paper found that the nursing effect of TCM physical health management is 20%–60% better than that of Western medicine nursing in terms of blood pressure, TCM syndromes, exercise tolerance, and quality of life.