Abstract: Exploring the integration pathways of traditional Chinese medicine (TCM) culture and university's reading therapy services can help promote the development of library reading therapy services with Chinese characteristics. By applying literature research and empirical research, this paper examines the positive role of TCM culture in promoting the mental health development of college students. Taking the “Yuanzhi Xinzhai” reading therapy service of Zhejiang Chinese Medical University as an example, the study constructs a TCM-featured reading therapy bibliographay system, develops symptom-based reading therapy book prescriptions with TCM characteristics, and implements a series of mental health activities, achieving practical outcomes and demonstrating good value for wider application in developing reading therapy services with Chinese characteristics. It proposes four approaches to further promote the integration of TCM culture into library reading therapy services: constructing a trinity integrated model, promoting cross-disciplinary integration and innovation, providing multi-sensory reading therapy experiences, and facilitating the localization of reading therapy.