Objective: To explore the construction elements of county traditional Chinese medicine (TCM) communities in China, so as to provide reasonable recommendation on promoting the healthy development of county traditional Chinese medicine communi- ties. Methods: Using Grounded theory multi case analysis, NVivo 11 Plus software was used to conduct three-level coding analysis on the construction content of 15 typical cases of county TCM community. Results: Extract that the construction of a county TCM community should include four elements: “strengthening grassroots”, “strengthening leading enterprises”, “reforming institutional mechanisms”, and “leveraging traditional Chinese medicine advantages”, as well as 12 subclass category and 44 initial concepts covered by these four elements. Conclusion: The construction of county TCM communities in China should enhance the service ca- pacity of traditional Chinese medicine in grassroots medical and health institutions, focus on the development of county-level TCM hospitals, reform the system and mechanism as a breakthrough, and leverage the advantages of TCM as the main feature.