Hypertension is a very common disease of the elderly. It requires special design because of the physiological decline of the elderly and the frequent concurrent underlying diseases such as coronary heart disease, diabetes and bronchitis. The Chinese hypertension guidelines explain the purpose, significance and treatment principles of hypertension in the elderly, let’s learn them together. The concept of treatment of hypertension in the elderly has undergone a process from indulgence to active control. In the past, elevated blood pressure was considered to be a physiological phenomenon and a normal manifestation of the aging process. Therefore, the antihypertensive treatment of hypertension in the elderly was mostly cautious, and it was even believed that the elevated blood pressure in the elderly did not require treatment. At the same time, in view of the poor tolerance of the elderly to drugs and their susceptibility to adverse reactions, and the concern that antihypertensive drugs may lead to postural hypotension, cerebral hypoperfusion or even induce cardiovascular and cerebrovascular events, the elevated blood pressure in the elderly is treated with caution, leading to the current situation that the treatment rate and control rate of elderly hypertensive patients are low. In the past, because of the over-cautious treatment of the elderly, many cardiovascular and cerebrovascular diseases have been aggravated by patients who are afraid to lower their blood pressure. So is hypertension in the elderly treated or not treated? Evidence-based medicine tells us that the elderly benefit from antihypertensive treatment. A large number of clinical trials have shown that antihypertensive treatment significantly reduces the incidence of cardiovascular and cerebrovascular disease and death rates in elderly patients with hypertension, and that antihypertensive treatment is not only safe and feasible, but also relatively more beneficial in elderly people with a high incidence of cardiovascular and cerebrovascular disease. Therefore, we should actively treat hypertension in the elderly. Our aim in treating hypertension in the elderly is to protect the heart, brain, kidneys and other important organs, improve symptoms, improve the quality of life of the elderly, and minimize the risk of cardiovascular events and death. 2011 Chinese guidelines for the prevention and treatment of hypertension propose a target blood pressure reduction of 140/90 mmHg for those under 65 years of age, and for the elderly over 80 years of age, the target value for blood pressure reduction is 150/ Some elderly people have high systolic blood pressure, but low diastolic blood pressure, they have questions, my low pressure is so low, will it be even lower if I take antihypertensive drugs? Usually, antihypertensive drugs lower systolic and pulse pressure more, and under the premise that the patient can tolerate, gradually and smoothly lowering blood pressure can get more benefits. After the elderly have lowered their blood pressure, they should avoid lowering their blood pressure too low, too fast, or fluctuating too much, and should continue to adjust their blood pressure smoothly to reduce the impact of blood pressure fluctuations on the heart and brain. Older people should still go to a professional and regular hospital to seek expert advice on adjusting their blood pressure medication, and not to add or stop medication without permission to avoid danger. You can also use Chinese herbal medicine for comprehensive whole body conditioning to keep the elderly healthy.