Objective To develop Elderly Frailty Assessment Scale of Integrative Medicine to provide evaluation tool for evaluating TCM symptoms of frailty of elderly patients. Methods The primary item pool was formulated according to literature review,academic opinions of TCM doctors and peer review in meeting. The items were selected through expert consultations. Results The positive coefficient of the experts was 100%,and the expert authority coefficient was 0. 87. After two rounds of consultation,the Kendall’s W coordination coefficient of the expert opinions was 0. 484,and the value of χ2 were 822. 647（ P < 0. 01）. The Elderly Frailty Assessment Scale of Integrative Medicine consisted of 42 items,including 36 items of Qi deficiency,blood deficiency,Yin deficiency,Yang deficiency,deficiency syndrome leading to excess syndrome and 5 items of western medicine,and 1 item of medication. The scale content validity index（ S-CVI） was 0. 90. The Cronbach ’s α coefficient of the scale was 0. 746. Conclusion The Elderly Frailty Assessment Scale of Integrative medicine based on the weakness index model with deficiency syndrome related symptoms of TCM as the core index is reliable and valid and can be used to evaluate elderly frailty.