The forensic clinical discipline in China has evolved from early practices of living body examination into a dedicated framework featuring a complete bachelor, master and doctoral education system, a professional forensic identification workforce, and a multi-tiered standardization system. In contrast to other countries, where forensic clinical work is mainly carried out by part-time physicians and an independent disciplinary framework has not established, China has achieved remarkable progress in discipline building, talent cultivation, technical standardization, and scientific research, supported by institutional design at the national level. From ancient times to the present, with a focus on recent decades’ developmental context, and elaborates on the coordinated evolution of the education system, professional workforce, academic ecosystem, and technical standardization. It provides an in-depth analysis of the currently active research areas, including the improvement of the forensic clinical identification standards system, the development of forensic imaging from basic imaging techniques to precision identification enabled by artificial intelligence (AI) and multi-modal fusion, and the innovative breakthroughs of visual electrophysiology for objective functional assessment. Future development will focus on further standardizing practices, integrating AI, and enhancing international collaboration to strengthen the discipline’s scientific foundation and support for building a law-based China.