Objective,2,To investigate the current status of frailty and its correlation with TCM syndromes among the elderly who visited the Department of TCM of General Hospitals in Beijing.,Methods,2,Convenience sampling method was used to collect the basic data of the elderly who visited the department of traditional Chinese medicine of one of the general hospitals in seven urban areas of Beijing from January 2021 to July 2021， and "FI-IM" was used to evaluate frailty， TCM syndrome differentiation was made.,Results,2,1 052 effective questionnaires were obtained. Of them，179（17.0%） were not frail，267（25.4%） were pre-frail， and 606（57.6%） were frail. IM-FI： female,>, male；heavy manual workers were lower than medium manual workers and light manual workers， and non-manual workers；the worse the degree of self-care，that is， the higher the physical disability， the higher the index IM-FI；it was positively correlated with allergy history，living alone history，multiple medication， long-term pain history， and chronic disease history. The population with IM-FI of western medicine，TCM and integrated TCM and western medicine was higher than that of no intervention（,P,<,0.05）.The top 5 chronic diseases were hypertension （508 cases，48.29%）， dyslipidemia （302 cases，28.71%）， coronary heart disease （290 cases，27.57%）， diabetes （280 cases，26.62%）， chronic gastritis （196 cases，18.63%）. The top 5 symptoms were forgetfulness，fatigue，frequent nocturia，shortness of breath，and insomnia. Qi-deficiency syndrome was the main syndrome element of the elderly cases with non-frailty， pre-frailty and frailty， accounting for 60.30% to 70.62%； blood stasis syndrome accounted for 44.57% and 58.42% respectively in pre-frailty and frailty；phlegm-turbid syndrome was the second common element of the non-frailty，accounting for 44.13%. This study involved 213 TCM syndromes，the top 3 were Qi deficiency and phlegm turbidity syndrome，Qi deficiency and blood stasis syndrome，and Yin deficiency and heat syndrome. There were 52 types of syndromes in the non-frailty group， and the qi deficiency and phlegm turbidity syndrome accounted for 20.67%. Among 93 types in pre-frailty group，10.11% of Qi deficiency and blood stasis syndrome and 9.36% of Qi deficiency and phlegm syndrome were in the top two positions； among 188 types of the frailty group， multiple and complex syndromes were more commonly seen， and no syndrome accounted for more than 5%. In "IM-FI"， the percentage of yang deficiency syndrome was the highest，followed by blood deficiency syndrome，qi stagnation syndrome， blood stasis syndrome and damp syndrome. Intervention methods of integrated TCM and western medicine were highly accepted among the elderly.,Conclusion,2,The degree of frailty of the elderly in the Department of TCM of Beijing's general hospitals is significantly correlated with the gender，age，occupation type，living alone status，allergy history， multiple medication， long-term pain， self-care level， TCM intervention， and common diseases of the elderly；the frail elderly more suffer from multiple system diseases， TCM syndromes of the frail elderly are complex and diverse，and the more syndromes are complicated，the higher the degree of frailty； the blood stasis syndrome may be an important factor affecting the frailty of the elderly；the integration of TCM and western medicine is the main mean to intervene frailty in the elderly.