As an important part of the traditional Chinese medicine of the Chinese nation, Traditional Chinese Veterinary Medicine (TCVM) has a development history of thousands of years and has accumulated rich theoretical and practical experience in the prevention and treatment of animal diseases, animal health care, and other aspects. This paper conducts an in-depth discussion on the practical teaching of the TCVM course in colleges and universities, and analyzes the existing problems in current teaching, such as outdated practical content, a single teaching method, and an imperfect assessment and evaluation system. By introducing diversified teaching models such as case teaching, simulated diagnosis and treatment, and school-enterprise cooperation, and optimizing practical teaching content and assessment mechanisms, this paper aims to improve students’ practical operation ability and clinical thinking level, promote the organic integration of traditional TCVM theories and modern veterinary clinical practice, and provide teaching reform ideas and practical references for cultivating high-quality TCVM professionals who meet the needs of the new era.