Patients with ischemic necrosis of the femoral head are relatively common in clinical practice, and it is good to know that due to the availability of information, patients with hip pain and knee pain and low back and hip pain often ask if they are suffering from femoral head necrosis. The treatment of this disease can be divided into two categories: non-surgical and surgical. There is no doubt that surgery is the mainstay of treatment for mid- to late-stage femoral head necrosis. Since many patients are younger than 50 years old, and considering the longevity of the artificial joint, they often choose non-surgical methods of treatment, such as drugs. So is this the right choice? What is reasonable and sensible to do? First, we should understand that most of the causes of ischemic necrosis of the femoral head are clear, and in China, the main factors are still trauma, alcohol, hormones, etc., and sometimes it is a combination of factors. If there is no such causative factor, there is no need to worry. Some of the hip dysplasia will have hip pain, that is the performance of secondary osteoarthritis, and the essence of the femoral head necrosis is different. Second, early diagnosis is the key. Magnetic resonance examination is a reliable method for early diagnosis. If there are causative factors and you are not sure, you can rely on MRI to make a clear diagnosis. Third, the majority of hormonal drugs and alcohol-induced femoral head necrosis are bilateral, one in the morning and one in the evening. Four, once diagnosed, you should reduce the weight, do not be afraid to affect the bad. For bilateral disease, it is wise to use double crutches. Fifth, the effect of Chinese medicine in treating ischemic necrosis of the femoral head is currently better than that of Western medicine alone, but it is best to apply a combination of Chinese and Western medicines. Chinese herbal tonics are more effective than simple Chinese medicines, but it is not easy for patients to adhere to them, because the treatment period is too long. The type of medicine can be decided according to the specific situation of each person. The basic treatment principle of Chinese medicine for femoral head necrosis is to invigorate blood circulation, remove blood stasis, tonify liver and kidney, and strengthen tendons and bones, although the composition of drugs may be different, but according to the patient’s constitution, the combination of identification and disease is accurate, so that the treatment can be effective. Seven, the prognosis and regression of Chinese medicine for femoral head necrosis varies from person to person. The main factors affecting the efficacy are: 1. if the extent of necrosis is large, especially if the whole femoral head is necrotic, drug treatment is basically ineffective; 2. if the drug is inaccurate, or if the Chinese medicine diagnosis is inaccurate, it is useless to take the drug; 3. if the physique is not sensitive to Chinese medicine; 4. if the femoral head has collapsed; 5. if the disease factors are always present, such as hormones. 8. How to determine whether the herbal treatment is effective: If it is an early stage patient, you can start systematic herbal treatment, but you should use braces or crutches at the same time as the medication to reduce the impact of weight on the femoral head. The course of action of the drug may be related to osteogenesis and osteolysis at the same time. The details here cannot be determined, but when osteolysis or resorption reduces bone strength, even normal weight can cause cartilage and subchondral bone to collapse and deform, and once it collapses, it is basically considered a failure of non-surgical treatment. Few of the collapsed continue to take medication to maintain good function. Nine, in the treatment process can not be pain relief or disappearance as the only criteria for effective drug treatment. Drugs have an “anesthetic” effect, like the use of pain medication, symptom relief can only say that the pain relief, but whether the femoral head necrosis can be repaired, only by time to prove. A simple way to find out is to take a plain X-ray every 2 months and compare it with the before and after. If the femoral bone is repaired and the femoral head is not deformed or collapsed within 6-9 months of treatment, it is worthwhile to continue the medication, otherwise it is not necessary. Ten, there is no need to reject surgical methods. If medication does not prevent the femoral head from deforming and collapsing, it is wise to consider surgery.