Objective: This paper is to construct the comprehensive evaluation index of Chinese medical service system and evaluate the China's TCM health service development level. Method: According to health statistics yearbook from 2013 to 2018 and 2012-2017 national statistics of Chinese medicine, with 31 provinces’TCM hospital as research objects, we has constructed the main indicators of Chinese medicine medical service system and evaluated the development level of Chinese medicine medical service in various provinces by using the exploratory factor analysis and topsis. Results: It is found that the comprehensive evaluation indexes of TCM medical service system could be divided into 4 first-level indexes and 14 second-level indexes. Conclusion: The development of TCM medical service system in China is unbalanced and inadequate. North China and East China are generally superior to Northwest and Southwest China in terms of revenue and expenditure of TCM medical services. The per capita of medical resources in southwest and northwest are stronger than those in central and south China, but the overall medical resources are weaker than those in east China and north China. TCM medical service institutions in East China, South China and Central China have achieved better service effects and higher economic benefits with less resources input, which further indicates the efficient allocation of resources and the balanced operation of TCM medical service institutions.