OBJECTIVE: To study the improvement effects of Zhuanggu shenjin capsules (ZGSJC) on prednisone-induced osteoporosis model rats and its mechanism. METHODS: 72 SD rats were randomly divided into 6 groups as blank control group (normal saline), model group (normal saline), Gushukang granule group [positive drug, 3 g(crude drug)/kg] and ZGSJC low-dose, medium-dose and high-dose groups [1.4, 2.7, 5.4 g (crude drug)/kg]. Except for intragastric administration of normal saline in blank control group, other groups were given Prednisone acetate tablet 4.5 mg/kg intragastricallly every Monday and Thursday to induce osteoporosis model, and given relevant medicine intragastrically from Monday to Saturday for consecutive 13 weeks. Bone density (BMD), bone histomorphometry indicators [volume percentage of bone trabecula, mineralization rate of bone trabecular (MAR) and mineralization rate of bone cortical (mAR)] and the expression of muscle segment homeebox gene Msx-2 mRNA and protein were all determined. RESULTS: Compared with blank control group, BMD, volume percentage of bone trabecula and the expression of Msx-2 mRNA and protein in renal tissue decreased, while mAR increased in model group (P<0.05 or P<0.01). Compared with model group, volume percentage of bone trabecula and the expression of Msx-2 mRNA in renal tissue increased in Gushukang granule group and ZGSJC high-dose group, while mAR decreased; BMD and the expression of Msx-2 protein increased in treatment groups, as well as the volume percentage of bone trabecula increased in ZGSJC medium-dose group, with statistical significance (P<0.05 or P<0.01), while the difference of MAR without statistic significance (P>0.05). CONCLUSIONS: ZGSJC can protect rats against prednisone-induced osteoporosis, and its mechanism may be associated with the up-regulation of Msx-2 expression in renal tissue.