Since the beginning of “autumn”, the weather in Shenyang has turned significantly cooler, and the lowest temperature at night can be as low as about 20℃, a significant drop compared to the previous days. Many patients have responded that their blood pressure is characterized by a “sudden rise” during this period. So how should hypertensive patients adjust their medication during the summer and fall seasons? As we have said before, in summer, because of the diastole of the subcutaneous blood vessels, coupled with the hot weather and more sweating, it is equivalent to taking a calcium antagonist and a diuretic, so most hypertensive patients’ blood pressure drops a lot compared to winter, and some patients even have low blood pressure and have to stop using drugs. But since the beginning of autumn, the weather is characterized by an overall drop in temperature, especially in the morning and evening when the temperature is even lower. The effect of this temperature change on blood vessels is that blood vessels constrict in the morning and evening, and vasodilate in the heat of the afternoon. For patients with hypertension, there is often a “sudden rise” in blood pressure within a few days, which leads to symptoms such as headaches and swelling, and requires particular attention. We recommend that people with hypertension first increase the frequency of their blood pressure measurements. If you only take your blood pressure once a day in the summer, you should take it at least 4-6 times a day during the summer and fall, including in the morning, in the morning, at noon, at 2-3 p.m., before dinner, and before bedtime. If you find that your blood pressure is higher than 140/90 mmHg in most cases during the day, you will need to gradually add the antihypertensive medication you previously stopped taking or return it to the dose you took last winter. Specifically, you should visit a hospital outpatient clinic and adjust according to your doctor’s recommendations, not haphazardly. The second recommendation is to pay attention to keeping warm in the morning and evening. There are still many middle-aged and elderly people who wear thin clothes in the morning and evening, which can cause subcutaneous vasoconstriction and rapid increase of blood pressure. If there is an underlying cardiovascular disease, it is more likely to have an accident in the morning and evening hours. It is recommended to always increase clothing in the morning and evening to avoid catching cold. The third recommendation is to pay attention to the amount of exercise and exercise time when exercising in the morning and evening. Now that the temperature is more comfortable than in summer, some elderly people have increased the time and amount of outdoor exercise. If they do not pay attention to the gradual progress, the exercise time is too long, the exercise amount is too large, plus the blood pressure value is higher than in summer, then there is also an increased risk of cardiovascular and cerebrovascular accidents. Therefore, on the basis of keeping warm, appropriate exercise, each time to a slight sweating, but no fatigue is the exercise standard. As the weather in the Northeast cools quickly in autumn, I hope that all middle-aged and elderly people with high blood pressure can closely monitor their blood pressure, adjust their medication, adhere to appropriate exercise, pay attention to warmth and ventilation, and have a healthy and safe golden autumn as mentioned in the article.