Objective To investigate the qualification requirements for nurses in traditional Chinese medicine (TCM) nursing clinics, as well as the content and forms of prescriptions, and to provide reference for the formulation of policies and training of the prescription authority of nurses in TCM nursing clinics. Methods The primary consultation questionnaires were developed through li-terature review, theoritical analysis and clinical interviews. Two rounds of consultation were conducted with 31 experts by Delphi method, and the results of the questionnaires were counted and analyzed. Results The response rates of experts in the two rounds were 90.3% and 100%, respectively. The authority of the consultation was 0.909. The qualification requirements for nurse prescribing authority in TCM outpatient care included a bachelor′s degree, a minimum of five years of clinical nursing experience in TCM, and holding the title of charge nurse. A total of 36 prescription categories were established, divided into five main types:10 for TCM nursing techniques, 13 for nursing interventions, 8 for treatment materials, 4 for examinations, and 1 for medication. Among the commonly used TCM nursing technique prescriptions, acupuncture was designated as an agreed prescription, while the others were classified as independent prescriptions. Both nursing intervention and treatment prescriptions were recognized as independent prescriptions, and all common examinations were categorized as either independent or agreed prescriptions. Conclusion The qualification and content of nurse prescribing authority in TCM outpatient care, developed based on the Delphi method, demonstrate scientific rigor and practicality. This framework is conducive to the further development of TCM nursing outpatient services. However, there is a need for more in-depth and detailed exploration of the specific content and forms of nurse prescribing authority. Such investigations will provide a basis for formulating and refining policies related to nurse prescribing authority.