Objective This paper aims to systematically review the clinical application value and development pathways of Guizhou Miao medicine in the field of rehabilitation. Methods Through literature review and problem analysis, the current practice status of Miao medicine in rehabilitation fields such as orthopedics, neurology, and chronic diseases was summarized, and the development bottlenecks were analyzed from aspects including theory, standards, research, talent, and industry. Results Miao medicine shows significant potential in pain management, functional recovery, and chronic disease adjustment, but it faces challenges such as insufficient modernization of theory, lack of standards, weak evidence-based support, and shortage of talents. Conclusion Measures such as theoretical innovation, standardization and evidence-based research, industrial integration, and talent cultivation should be taken to promote the scientific integration of Miao medicine into rehabilitation medicine, and to support the inheritance of ethnic medicine and the development of the health and wellness industry.