Treatment of osteoporosis has progressed from treatment to delay the onset and progression of osteoporosis to treatment to actively restore bone health. This has made it possible to extend life expectancy by 10-20 years in terms of bone life expectancy. In response to the dysfunction of bone resorption and bone formation in osteoporosis patients, pharmacological treatment is divided into three major categories: (1) bone resorption inhibitors to reduce further bone loss: estrogen, calcitonin, diphosphonates, and isoproterenol; (2) bone formation promoters to increase bone mass, including fluoride, vitamin K, parathyroid hormone, androgens, growth hormone, etc.; (3) bone mineralization promoters to promote bone calcium (iii) bone mineralization promoters to promote bone calcium deposition and increase bone mass, such as vitamin D with calcium. In particular, HRT (hormone replacement therapy) was previously used as the first choice for the treatment of postmenopausal osteoporosis in women, but new studies have shown that the risk-benefit ratio is not ideal for HRT (hormone replacement therapy) as a first-line agent for osteoporosis. In the prevention and treatment of osteoporosis, HRT is no longer used as first-line therapy for osteoporosis in the European context. The Academic Committee of the 2003 International Osteoporosis Congress recommended that: 1. HRT is not recommended for the prevention of chronic disease; 2. HRT should be used in patients with significant menopausal symptoms to reduce symptoms; 3. If HRT is used it should be used at the lowest possible dose; 4. If HRT is used it should be used for the shortest possible time; 5. Patients who use HRT should be examined regularly; 6. For patients with urogenital 7. For the prevention and treatment of osteoporosis, it should only be used as an optional drug for anti-resorption treatment. According to traditional Chinese medicine, “the spleen is the essence of the afterlife”, the spleen has a strong digestive and absorptive capacity and becomes the source of biochemical energy and blood; “the kidney is the essence of the afterlife”, its main function is to store essence, master bone and produce marrow, and human growth and development and reproduction mainly depend on the sound function of the kidney. The human growth and development and reproduction depend mainly on the sound function of the kidneys. If the spleen is sick for a long time, the transport and transformation is not done, the diet is not digested and absorbed, and the kidney is not nourished, the kidney essence will be deficient and eventually the spleen and kidney will be deficient, which can be manifested as weakness of the waist and knees and soreness of the back. Therefore, strengthening the spleen and nourishing the kidneys is the fundamental principle in the treatment of osteoporosis in Chinese medicine. The five misconceptions of osteoporosis prevention and treatment One is that you need to take calcium only when you are older. In fact, young people also need to pay attention to bone health. Only when you are young and supplemented with adequate amounts of calcium to increase the peak bone mass of your body, you can delay the onset of osteoporosis when you enter middle age and old age. Instead of taking calcium supplements when you get older and develop osteoporosis, it is better to take care of it when you are young by taking a balanced diet and so on to prevent it from happening in the first place. The second is to rely only on self-perception to detect osteoporosis. Some middle-aged and elderly people think that osteoporosis does not occur because their bones do not hurt and they feel good. In fact, most of the osteoporosis, in the early or even the middle stage, do not appear abnormal feeling or do not feel obvious. It is too late to seek medical treatment when you find yourself with back pain or fracture. This can be avoided if some examinations are carried out properly at an early stage. Thirdly, it is a superstition in health food stores. Nowadays, many stores selling calcium products are specially equipped with bone density testing instruments for free testing of customers in order to promote their products. Some middle-aged and elderly people often rely on this test alone to believe that they suffer from osteoporosis and buy a lot of calcium supplements to take. In fact, it is wrong to do so, because to determine whether the bone quality is osteoporosis, further quantitative CT examination is needed to confirm. At the same time, the more calcium is not the better, only to choose the right variety for yourself, and the right amount to take, in order to achieve the desired effect, but blindly supplement calcium, but harmful to the body. Fourth, it is believed that osteoporosis can only be rested at home, or lying or sitting. In fact, even the elderly who have been diagnosed with osteoporosis, should also participate in more exercise, because exercise can not only improve blood circulation, but also enhance bone density, which is more helpful to bone health. Just need to be extra careful in the exercise to avoid improper exercise accidents. Fifth, it is believed that the prevention and treatment of osteoporosis only need to supplement calcium. This is also a one-sided view. In fact, supplemental calcium tablets are effective in preventing osteoporosis, but a reasonable diet is to a certain extent more important than just supplemental calcium tablets. The reason is that a reasonable diet can not only promote calcium absorption and utilization, but also calcium supplementation through dietary supplements, such as eating more calcium containing milk, fish, shrimp, soy products, etc., the effect is better.