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Hip fracture in the elderly is a low-energy fragility fracture, and its incidence rate is increasing as China gradually enters the aging society. However, the traditional dialectical thinking of fracture in traditionalChinesemedicine (TCM) is dividied into three-stage treatment, which summarizes fracture healing as "blood stasis, neogenesis, and osteosynthesis", with special attention to early promoting blood circulation and removing blood stasis. However, the elderly patients with hip fracture have the dialecticalcharacteristics of deficiency of liver, spleen and kidney, and under the concept of enhanced recovery aftersurgery (ERAS), it is necessary to promote early ambulation of patients. Therefore, this paper discusses the dialectic of hip fracture in the elderly under the concept of ERAS, and proposes that it should be discussed from the movingtheory, with the muscles and bones as the pivot, and the dialectic should be based on tonifying the liver, spleen and kidney, relaxing the tendons and activating the collaterals, in order topromote action by tonifying, promote communication by moving, and promote healing by moving. [ABSTRACT FROM AUTHOR]