This study aims to explore the logic behind the integrated development of agriculture, forestry, culture, tourism and health industries in Shanxi Province. Taking the Wutai Mountain Scenic Area as an example, an evaluation system was constructed, and entropy weight TOPSIS model and coupling coordination degree model were applied to assess its level of development and the extent of coupling and coordination from 2018 to 2022. The results show that Wutai Mountain takes agriculture and forestry as the starting point, landscape as the background, ecology as the foundation, culture as the soul, health care as the carrier, tourism as the link, and new quality productive forces enabling industrial integration. Affected by the epidemic, the change of tourist arrivals and income fluctuated greatly. In 2022, the C value of the industry integration of agriculture, forestry, culture, tourism and recreation in Wutai Mountain was 0.664, indicating the highest development level. All development aspects show the economic level > ecological level > social level > cultural level, but also need to focus on the social and cultural aspects. The degree of coupling coordination in 2021 and 2022 was good coordination. Development optimization paths, such as improving industrial quality, enriching product formats, expanding marketing models, revitalizing stock assets, strengthening scientific and technological support and cohesion of industrial integration are put forward. This study provides an evaluation system and scientific basis for the integrated development of agriculture, forestry, culture, tourism and health industries.