AUTHOR=He Jianbo , Li Xiaojuan , Wang Ziyi , Bennett Samuel , Chen Kai , Xiao Zhifeng , Zhan Jiheng , Chen Shudong , Hou Yu , Chen Junhao , Wang Shaofang , Xu Jiake , Lin Dingkun TITLE=Therapeutic Anabolic and Anticatabolic Benefits of Natural Chinese Medicines for the Treatment of Osteoporosis JOURNAL=Frontiers in Pharmacology VOLUME=Volume 10 - 2019 YEAR=2019 URL=https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2019.01344 DOI=10.3389/fphar.2019.01344 ISSN=1663-9812 ABSTRACT=Abstract: Osteoporosis is a bone disease characterized by increasing osseous fragility and fracture due to the reduced bone mass and microstructural degradation. Primary pharmacological strategies for the treatment of osteoporosis, hormone replacement (HRT) and alendronate therapies, may produce adverse side-effects and may not be recommended for long-term usage. Complementary and alternative medicines may provide effective treatment for osteoporosis without the risk of adverse side-effects. Current evidence suggests that natural herbs may be used to treat osteoporosis effectively and without adverse side-effects. Herbal therapies appear to improve bone metabolism, and attenuate the osteoporotic imbalance between bone formation and bone resorption at a cellular level by promoting osteoblast activity and inhibiting the effects of osteoclasts. Herbal therapies might therefore provide an effective and safer alternative to primary pharmacological strategies. The purpose of this article is to comprehensively review the natural Chinese herbs that have been reported with bone formation and anti-resorption effects, thus providing evidence for the use of natural herbal therapies to effectively treat osteoporosis.