Looking at a sample paper (https://medium.com/@yujia_jo/2016-jiangsu-gaokao-national-hi...), it seems like the examination really tests for the ability to do math and problem solve under fairly heavy time pressure (150 minutes total for all questions if you are in the science stream).
Given decent fundamentals you can solve all these problems from first principles but you would take way too much time (unless you are a genius, of course). To solve these problems within the allotted time would require grinding a ton of problems so you can get familiar with a part of or the full question beforehand. Don't get me wrong, practicing problems is a good way to study math and I don't have any issue with this in a vacuum.
However, this is before bringing other people into the equation. The floor is raised every year and the competition is intense. You also need to study for other subjects, not just math. All in all, "memorization" became the only strategy. It's fair to debate whether it's "rote memorization" or actually "learning the material" but with how much the students study the line between the two blurs. It feels too "overfitting" if I would borrow a statistics word.
Makes the comment upthread that started this come across as just more racist prejudices about China, unless the commenter has something to back up their claim.
Completely agree regarding the Gaokao sample. This all looks like it should be well within the means of a high school senior.