Objective: It analyzed the influence factors affecting use of appropriate techniques of Traditional Chinese Medicine(TCM) by primary health workers through qualitative analysis，and explored necessary conditions and combinations of conditions that affect the use of appropriate techniques of TCM，so as to provide theoretical basis for the diffusion of appropriate techniques TCM in primary health institutions. Methods: The questionnaire was generated by literature review and expert interviews. A total of 191 primary health workers were selected from 26 primary healthcare institutions in Laizhou City，Shandong Province，and Qingzhen County，Guizhou Province through the cluster random sampling method. The data were analyzed by fuzzy set qualitative comparative analysis. Results: Medical insurance and clinical efficacy were the necessary conditions that affect the use of appropriate techniques of TCM by primary health staffs. Meanwhile，title promotion type，patient orientation type and income promotion type are three high coverage paths. Conclusion: In order to improve their enthusiasm for using appropriate techniques of TCM，it is necessary to scientifically select appropriate techniques of TCM with accurate efficacy，expand the coverage of medical insurance and increase the proportion of reimbursement for appropriate techniques of TCM by multi-department cooperation. Incentive measures should be formulated from the demand of primary health workers. In the promotion of professional titles，factors such as the use of appropriate techniques of TCM should be considered.