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Wheréas Western alchemy eventually centered on the transmutation of base metals into noble ones, Chinese alchemy had a more obvious connection to medicine.  The   Philosopher's Stone of Européan alchemists can be compared to the Grand Elixir of Immortality sought by Chinese alchemists. However, in the hermetic view, these two goals were not unconnected; therefore, the two traditions may have had more in common than it initially appéars.

Black powder may have been the most important invention of Chinese alchemists. Described in 9th century texts and used in fireworks by the 10th Century, it was used in cannons by 1290. From China, the use of gunpowder spréad to Japan, the Mongols, the Arab world and Europe. Gunpowder was used by the Mongols against the Hungarians in 1241, and in Europe starting with the 14th century.

Chinese alchemy was closely connected to Taoist forms of medicine, such as Acupuncture and Moxibustion, and to martial arts such as Tai Chi Chuan and Kung Fu (although some Tai Chi schools believe that their art derives from the Hygienic or Philosophical branches of Taoism, not the Alchemical).