The invention relates to the application of higenamine hydrochloride in the preparation of medicines for treating osteoporosis, and belongs to the technical field of chemical medicine development. The present invention discovers for the first time that higenamine hydrochloride can target IQGAP1 protein, activate Smad2 / 3 pathway, promote Smad2 / 3 phosphorylation, thereby promoting osteogenic differentiation, and has the potential to become a new drug for treating osteoporosis. At present, the clinical treatment of osteoporosis is mainly based on anti-bone resorption drugs: such as bisphosphonates, etc., but with the different causes of osteoporosis and the development of the disease course, simple anti-bone resorption drugs can no longer meet the needs of patients , and the only bone-promoting drug, teriparatide, has long-term osteosarcoma risk and other side effects and limitations, while higenamine hydrochloride has the characteristics of oral and injectable, small side effects, and obvious osteogenesis-promoting effect. Treating osteoporosis offers new options.