Objective To investigate the traditional Chinese medicine（TCM） physique characteristics about the elderly patients with ischemic stroke. Methods Use of TCM health scale for 178 cases of elderly patients with ischemic stroke of TCM physique survey， and carries on the comparison to normal elderly group’s physique. Results Occurrence of ischemic stroke in elderly patients with the most physical types of qi deficiency， blood stasis， significant difference in comparison with the normal group；years group constitutional type distribution and gender have significant correlation；Different age groups most frequency bias physical distribution is as follows： 60~69 years group， blood stasis（16 times， 24.62%）， deficiency of mass（15， 23.08%）； 70~79 years group set of qi deficiency（28 times， 31.82%）， blood stasis mass（17， 19.32%）， Yang（15， 17.05%）； More than 80-year-old group， blood stasis（17， 39.53%）， qi deficiency（16 times， 37.21%）. Conclusion The elderly patients with acute ischemic stroke TCM physical distribution has certain regularity and different age of the elderly’s physique has the deficiency certain differences.