Purpose: Symptoms with highly agreed definitions are essential for establishment of an objective traditional Chinese medicine (TCM) system. This study was intended to standardize definitions of ten symptoms of exogenous febrile disease in TCM. We attempted to build a preliminary consensus of definitions of these symptoms within the group of TCM physicians in Taiwan. Methods: We adapted methods of literature collection and panel meeting to build a preliminary consensus of definitions of these symptoms. The result was transformed to questionnaire in the form of Likert scale. Then we used purposive sampling to select TCM physicians work in teaching hospital and delivered questionnaire to them. After return of questionnaires, average value and Cronbachs alpha were calculated for testing the agreement and consistency, respectively. Results: The standardization of meaning and operational procedure of ten symptoms were performed, they were aversion to wind, aversion to cold, spontaneous sweating, sputum, thirsty, dyspnea, cough, sore throat, stiffness of the neck and headache. Conclusion: The result revealed that survey respondents were in high agreement with the preliminary consensus built by experts. The consistency also had statistical significance. For increasing the reliability and objectivity of TCM diagnosis, definitions of other symptoms should keep be standardized, and methodology of this study was recommended to the following researcher.