Based on the Seven-in-one constitution theory of traditional Chinese medicine and performance evaluation theory of health system，the report defined the weight of each evaluation index by Delphi expert consultation method，and made comprehensive evaluation on the inter-provincial competitiveness of traditional Chinese medicine in China using national statistical data of traditional Chinese medicine field. The results showed that the eastern region ranked higher among the three regions in the inheritance and innovation development of Traditional Chinese medicine，with the most obvious extreme disparity. The central region has the most balanced development，while the overall development of the western region is the lowest among the three regions，with the middle extreme disparity. The policy of strengthening the province of TCM is beneficial to the development of TCM，but the effect is not obvious in TCM medical service and TCM health care. 24 of 31 regions’ rankings had been changed over the past two years. Therefore，we should give full play to the regional characteristics of TCM development，formulate the development direction of TCM in accordance with local characteristics，and strengthen the policy support.