To study the application of “expelling, harmonizing and tonifying” in theory of Pingle orthopedics in treating elderly patients with femoral intertrochanteric fracture in the perioperative period.Methods:a randomized, single-blind, controlled clinical research method was used and a retrospective analysis of from 44 cases with femoral intertrochanteric fracture who had treatment in the hospital from October 2014-October 2015. All patients were divided into treatment group with 22 cases(12 males and 10 females, aged 68.1±3.1 years) and control group with 22 cases (11 males and 11 females, aged 67.9±2.8 years). Patients in the treatment group received Pingle Orthopedics III-stage medicinal treatment combined with closed reduction and internal fixation with intramedullary nail, while patients in the control groups took blank drugs and closed reduction and internal fixation with intramedullary nail. Blood loss, in-hospital duration, perioperative complications, the probability of fracture healing mineral density (BMD) and Harris scores were observed to compare the clinical effect of the two groups.Results:A total of 43 patients were followed up for 18-36 months with an average of 26.6 months and only one patient was not followed up. No difference and in-hospital duration for the patients in the two groups. There was difference in fracture healing rate, perioperative deep venous thrombosis and Harris score of 12 and 24 months after the surgery of the two groups (P<0.05). There was difference in BMD of 12 months after the surgery of the two groups (P<0.05).Conclusion:“Expelling, harmonizing and tonifying” in theory of Pingle orthopedics combined with closed reduction and internal fixation intramedullary nail for the treatment of femoral intertrochanteric fracture, with a good clinical efficacy, may reduce the incidence of complications and increase fracture healing rate, BMD and joint function in the perioperative period.