The influence of the chieftain system on politics, economy and culture in Zhuang area is various. The central dynasty conferred the prestigious and influential leaders of local ethnic minorities as official posts, divided their boundaries, made them lead their land and have their people in the world, maintained their original social structure, economic form and customs, eased the contradictions between the central dynasty and the border ethnic minorities, maintained social stability in ethnic areas, and promoted their economic and cultural development. At the same time, the two-way cultural exchange between the Zhuang area and the Han nationality has also had a far-reaching impact on the politics and culture of the Zhuang area.
The book Zhuang Traditional Culture and Modernization, edited by Guangda Zhou, summarizes the basic characteristics of Zhuang traditional culture into four aspects: uniqueness, * * * Chinese characteristics, inclusiveness and duality. Its inclusiveness is mainly reflected in: ① Many Tusi people have a high level of Chinese culture and have absorbed a lot of Chinese cultural knowledge. ② Some non-commissioned officers and natives in Zhuang area were originally Han Chinese or other ethnic minorities, but they were melted by the powerful Zhuang culture. The chieftain system was originally a tool for the feudal dynasty to oppress the people, but the people's feelings changed easily, so it can exist for a long time. Combined with historical facts, it can be affirmed that the cultural exchange between the strong man and the weak man during the Tusi system has developed more than before, and medicine is an important part of culture. Therefore, in the two-way communication between the strong man and the weak man, Zhuang medicine has also developed greatly.