This essay examines how the dual role of traditional Chinese medicine (TCM) during the fifth wave of the Covid-19 pandemic in Hong Kong prompts us to consider the interconnectedness of medicine and politics in the city. On the one hand, the Hong Kong Government strongly promoted the use of TCM in what arguably amounted to nationalist propaganda. On the other hand, TCM provided an alternative method of treatment when the option of hospitalisation was not available or desired, with community TCM clinics’ free consultation services and related projects demonstrating a bottom-up politics based on mutual aid.