To provide theoretical basis for the prevention and health care of the elderly with traditional Chinese medicine (TCM), 752 elderly people over 65 years old in a university community in Wuhan were investigated with the question form of TCM constitution combined with the judgments of the TCM doctors, then the results of constitution identification are analyzed.The elderly are more common with mixed constitutions accounting for 60.64%.Yin deficiency, Yang deficiency and blood stasis are the top three types of based constitution.As age increases, the ratio of normal constitution decreases, the ratio of biased constitution increases, and gradually tends to be deficient.It can be concluded that prevention and intervention programs targeted health guidance should be provided for different constitutions in the elderly, and an integrated health care strategy of Chinese and Western medicine should be adopted to improve their health status.