Objective To explore the current research status, hotspots, and trends of Traditional Chinese Medicine for the treatment of polycystic ovary syndrome (PCOS) based on CiteSpace software. Methods Literature related to Traditional Chinese Medicine for the treatment of PCOS from 2000 to 2023 was retrieved from the China National Knowledge Infrastructure and PubMed databases. NoteExpress V3.X software was used for literature management, WPS Office software for data statistics, and CiteSpace 6.1.R6 software for visual analysis of number of annual publication, and publishing journals, authors, institutions, as well as keywords. Results A total of 885 Chinese articles and 56 English articles were included. From 2000 to 2023, the number of annual publication of literature on Traditional Chinese Medicine for treating PCOS revealed an overall upward trend. Chinese articles were published in 227 Chinese journals, with Hebei Journal of Traditional Chinese Medicine having the most publications (28 articles). English articles were published in 35 English journals, with Journal of Ethnopharmacology having the most publications (9 articles). The Chinese literature involved 2040 authors, with 126 core authors who published 252 articles; the collaboration density among authors was low, and no core author group had formed. The English literature involved 311 authors, with 39 core authors who published 24 articles; collaboration density was also relatively low, and no core author group had formed. The top three research institutions for Chinese literature were Nanjing University of Chinese Medicine (23 articles), The First Affiliated Hospital of Guangzhou University of Chinese Medicine (20 articles), and The First Affiliated Hospital of Heilongjiang University of Chinese Medicine (18 articles). The top three research institutions for English literature were Kyung Hee University (3 articles), Chengdu University of Traditional Chinese Medicine (3 articles), and Women's Hospital School of Medicine Zhejiang University (3 articles). Current research hotspots in this field included the exploration and optimization of diagnosis and treatment methods for PCOS and related diseases, and related mechanism studies. Future research trends mainly include data mining, medication rules, gut microbiota, network pharmacology, and molecular docking, etc. Conclusion Traditional Chinese Medicine has unique advantages for treating PCOS. Relevant research, both domestically and internationally, has shown phased growth. However, collaboration density among authors is relatively low, a core author group has not yet formed, and cross⁃regional communication is rare. Current research focuses on the pathogenesis and treatment of PCOS and its related complications. Future research will further explore these areas with a focus on molecular mechanisms.