This paper conducts a matching analysis on the local catalogs of Traditional Chinese Medicine (TCM) dominant diseases from 15 provinces and prefecture-level cities and the national recommended catalog. The results show that a total of 38 diseases are matched between the local catalogs and the national one, which are mainly distributed in orthopedics, internal medicine and surgery. In addition, several TCM dominant diseases exclusive to certain regions are included in local catalogs. It is suggested to promote the orderly alignment between local and national catalogs, establish a dynamic catalog adjustment mechanism, carry out phased implementation in light of regional conditions, and formulate differentiated implementation strategies, so as to accelerate the implementation of case-based payment for dominant diseases of TCM.