Seahorse has been used as medicine in Asian countries such as China, Korea, Japan and Vietnam for thousands of years. However, in western countries, the ecology of seahorse has been a focus of attention of many researchers for years. The seahorse aquaculture is popular with aqua farm worldwide for the sake of the increased demand of seahorse. This review described the biology, aquaculture and medical use of seahorse. To present the ecology and highlight the role of seahorse in traditional medicine and biomedical properties, this article based on the information collected from scientific literatures from Elsevier, Wiley, Science direct and CNKI.