Sarcopenia is an age-related geriatric syndrome characterized by decreases in the strength and quality of skeletal muscle, and it exerts significant negative impact on the patient′s life. Therefore, how to scientifically and effectively prevent and treat sarcopenia for elderly patients becomes a global concern. Traditional Chinese medicine exercises, as one type of non-pharmacological therapies, can effectively prevent and treat the occurrence and development of senile sarcopenia. In this article, we mainly review the current status of traditional Chinese medicine exercises in the prevention and treatment of senile sarcopenia, elucidate the molecular mechanism of their improving muscle function, and introduce the problems and suggestions in their application, in order to provide a theoretical reference for medical staff to carry out the exercise interventions in the elderly patients in the future.