Questionnaire of medicine usage was adopted to the elderly in the rural areas of Fujian Province. The survey results suggested that the phenomenon of drug combination among elders is common and elderly patients in rural areas have limited knowledge of pharmacists and pharmaceutical care. There were significant differences for medicine usage in different age, education and income groups. To promote the rational drug use for the elderly in rural areas, it is suggested to enhance the training of medical staff, the settling of pharmacist in rural areas, the investing in rural health room, medication attention on elders and to develop drug guidelines for elderly patients.