Granted, I do understand that from the perspective of a western entrepreneur trying to do business in China it seems to be a lawless space, especially if you've been burnt by fake products from Alibaba etc..
Small time shipments are unlikely to be looked at (eg. if someone buys a single electronic ink display off of AliExpress), but someone actually importing many displays for resale would likely eventually get caught.
You occasionally search the market for products that contain your tech (in this case eink), then look in your records to see if they bought/licensed from you.
I remember reading about "fake" Kindle replacement displays showing up on eBay a while ago, not as good as the real thing in terms of image quality etc. but certainly usable, so someone is clearly making them...