"Skin wound" refers to damage or disruption of skin tissue caused by trauma, burns, surgeries, or other factors. Currently available treatment systems are relatively limited, and traditional methods such as debridement using basic materials like gauze, bandages, or vacuum sealing drainage are commonly employed. These approaches often overlook individual patient differences, leading to prolonged pain and recurrent infections. Consequently, there is an urgent need for safe and effective new materials to optimize existing treatment systems in order to enhance the management of skin wounds. In recent years, studies have reported the effects of polysaccharides derived from traditional Chinese medicine (TCMPs) including hemostatic, anti-inflammatory, antioxidative, cell migration, angiogenesis enhancement, and collagen deposition stimulation effects. These findings underscore their potential in treating skin wounds. The aim of this review is to investigate the therapeutic effects of TCMPs in skin wound healing. This investigation aims to analyze recent research advancements in this field by classifying and summarizing existing findings based on different mechanisms of action. Furthermore, various drug delivery methods for TCMP will also be reviewed to provide a theoretical foundation for future developments concerning the application of these compounds in skin wound treatment.