Abstract：Professor LIN Xiaosheng，based on the Chinese medicine theory of "tendons，muscles，and bones，" believes that senile osteoporosis （bone atrophy） primarily affects the bones and is closely related to the tendons and muscles. Its occurrence and development are closely linked to dysfunctions in the kidneys，liver，and spleen. The core pathogenesis is rooted in kidney deficiency， with liver stagnation and spleen deficiency as secondary factors， often accompanied by blood stasis and phlegm-damp. Professor LIN therefore proposed the academic perspective of "emphasizing tendons，bones，and muscles while harmonizing the liver，spleen，and kidneys." The core treatment for senile osteoporosis focuses on supplementing the kidneys，replenishing essence，strengthening bones，and nourishing marrow，flexibly combined with methods to soothe the liver and relax tendons，and strengthen the spleen and nourish the muscles， according to specific patient conditions. Professor LIN skillfully utilizes a comprehensive treatment approach combining oral Chinese medicine （such as the experienced Jiangu NO. 1 Prescription） with external treatments （such as acupoint application， moxibustion， acupuncture）. Practice has proven that this differentiated treatment system can effectively improve osteoporosis-related symptoms，enhance patients′ quality of life，and reduce the risk of fractures.