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Rapid global population aging urgently demands effective interventions. Traditional Chinese medicine (TCM) formulas, characterized by multi\u2010component, multi\u2010target, and multi\u2010pathway synergy, offer a promising paradigm for delaying aging. This review systematically integrates recent advances in TCM formula\u2010based anti\u2010aging research, bridging classical TCM gerontology with the 14 modern hallmarks of aging. We categorize representative formulas into four mechanistic groups targeting mitochondrial homeostasis and autophagy, cellular senescence and inflammatory microenvironment, stem cell maintenance and epigenetic reprogramming, and gut microbiota and systemic metabolism, and explore their holistic efficacy, key bioactive constituents, and multi\u2010component synergy. In terms of methodological innovations, we introduced network pharmacology combined with AI\u2010driven target screening and proteomic aging clocks to assess biological age. 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