Osteoporosis in the elderly is a systemic skeletal disease that reduces bone mass, degrades bone microstructure, decreases bone strength and increases bone fragility, and should be prevented and treated with “five preferences and five disadvantages”. Modern medicine believes that the age of bone loss is 35 years old for women and 40 years old for men, and the prevention and treatment of osteoporosis also places special emphasis on the age group, the earlier the better. 70 years old and above, ‘the five organs are decaying, tendons and bones are slackening’, and it is much more difficult to delay the loss of bone mass through treatment. Therefore, after middle age, you should check your bone density once a year to understand your peak bone mass and prevent problems before they occur. It is better to move than to be still Long-term gradual exercise can not only slow down the loss of bone mass, but also significantly improve the bone salt content. Exercise can also promote the activity of bone cells. It has been reported that over 60 years old people adhere to daily long-distance running, can make the bone age 20 years younger. It is advisable to tonify the kidney and not to cut it Experiments have proved that kidney tonics can inhibit the bone resorption activity of osteoclasts, while also proliferating osteoblasts and promoting bone formation. To a certain extent, kidney tonics can also stabilize and improve the level of human sex hormones. Therefore, when people reach middle age, they should take kidney tonics often according to the yin and yang bias of their physique. If the kidney yang deficiency, then ‘the form is not enough, warmed with qi’, taking kidney qi pill, right return pill, etc.; such as kidney yin deficiency, then ‘the essence is not enough, tonic with taste’, taking Liu Wei Di Huang pill, large tonic yin pill, etc. It is advisable to strengthen the spleen and not to damage it. In the metabolic process of bone tissue, appropriate amounts of calcium, phosphorus and vitamin D are needed. Certain gastrointestinal diseases that cause digestive malabsorption affect the absorption of calcium and vitamin D, resulting in osteoporosis. In the elderly, the absorption of calcium by the intestinal mucosa is reduced, which is also a spleen deficiency. Clinical application of the method of strengthening the spleen and regulating the spleen to treat gastrointestinal disorders and improve the digestive and absorption functions of the elderly is effective, such as Ginseng and Spleen Pill and Ginseng and Atractylodes Pill. The symptoms of osteoporosis in the elderly are pain in the lower back, radiating pain in the limbs, band pain, numbness and weakness in the limbs, or muscle pain and spasm in the gastrocnemius muscle of the lower limbs. The blood stagnation must be treated with the method of circulation, but it is advisable to nourish and invigorate the blood in order to pass it, using angelica, Chuanxiong, Bai Shao, Huai Niu Kne, and Chicken Blood Vine.