The invention discloses a health service system based on an intelligentized set-top box. The system comprises a health service center established on the server side, the intelligentized set-top box and a health sign examination device. The system, according to the changing process of sign examination information of users, actual exercise and body-building conditions of the users, specific data in hospital health electronic archives of the users and with the habitual life-styles of individuals fully taken into account, provides the users with reasonable, complete, targeted health guidance scheme. Meanwhile, in the health service system, the health guidance scheme is combined with the changing trend of the health sign target, the health guidance scheme and the changing trend of the health sign target are displayed comparably in a visual-image manner and health benefits are evaluated quantitatively, so that the users really feel the advantages of healthy life styles and take an active part in the healthy life styles; at the same time, health managers, general practitioners and rehabilitation physicians trace and supervise the users in time, so that a real personalized service management mode is realized.