The work aims to explore the concept and practice of using image narrative methods in the cultural and creative development of guided graphic, to design and develop innovative products with health and wellness cultural characteristics. Firstly, the operational logic and advantages of the image narrative method was outlined as a prerequisite for its application in the development of guided graphic and cultural creativity. Secondly, the narrative plot of the guide map was summarized and interpreted, and key symbolic elements were selected to provide material reserves for development. Subsequently, the narrative intention of the guided graphic and cultural creation was analyze to establish precise audience positioning and development motivation. Finally, a model of using image narrative methods in the development of guided graphic and cultural creativity was constructed, and under the guidance of the model, the creativity was presented from four dimensions:shape, strategy, material, and presentation. The development of guided graphic cultural and creative works from the perspective of image narrative not only meets the current vision of community health and longevity, but also broadens the dissemination path of traditional Chinese medicine health culture. This method provides an excellent example for the development of cultural and creative industries, corrects the extreme path of indifference and artificiality in current development, and achieves a dual effect of cultural popularization and precise product promotion.