To investigate the cognition status of TCM “preventive treatment of disease” among community residents of Hebei province，and to explore strategies in the development，promotion and improvement of TCM “preventive treatment of disease”. Methods:Self-designed questionnaire was used to conduct survey on 3300 community residents who received treatment in 33 community health service settings in 11 prefecture-level cities in Hebei province from March 2015 to March 2016.The content of the questionnaire included the general information of the residents, the awareness of TCM “preventive treatment of disease”, the Cognitive Level of Implementing the Meaning of TCM “preventive treatment of disease”, their will to try the TCM “preventive treatment of disease”, the demand situation of content of TCM “preventive treatment of disease”. Results:A total of 3300 questionnaires were distributed, and 3203 effective questionnaires were collected, with an effective rate of 97.06%. Among respondents, 37.2% heard about the concept, 1.3% heard about it and know about it, and 61.5% didn’t’ t hear about it. Community residents who were considered the service of TCM “preventive treatment of disease” meaningful accounted for 68.4%. and community residents with different education background, household registration, monthly income and medical insurance form were significantly different in the consideration of being meaningful to receive the service （ P<0.05） .Community residents who were willing to receive the service of TCM “preventive treatment of disease” accounted for 74.6%，and community residents with different education background，household registration，monthly income and medical insurance form were significantly different in the proportion of being willing to receive the service （ P<0.05）. Conclusion Community residents generally have good room for improvement on TCM “preventive treatment of disease”. In order to satisfy community residents’ demand and combine TCM “preventive treatment of disease” with community health service，we put forward the following strategies:To strengthen the publicity of “preventing disease”, improve the cognitive level of community residents; Innovate the service mode of TCM “preventive treatment of disease” service in the community medical and healthcare institutions to protect the health of community residents; To meet community residents’ high demand for disease-free services to make the TCM “preventive treatment of disease” service in communities substantial and effective.