Hypertension is one of the most common internal medicine diseases today. There are now more than 200 million hypertensive patients in China. Hypertension can cause strokes (mainly thrombosis, 80%, and bleeding, 20%), heart failure, coronary heart disease, renal failure, and peripheral vascular occlusive disease. The current status of hypertension in China is quite unpromising, with the true blood pressure control rate (blood pressure meeting standards) being less than 20% in major cities. The number of new cerebral thrombosis each year exceeds 2 million, and the number of surviving cerebrovascular patients is about 7 million, while the incidence of coronary heart disease and heart failure is rising steeply. I think all of you are not unfamiliar with the neighborhood relatives are too common. Does early mild hypertension (systolic pressure within 160, diastolic pressure within 100) require treatment? A few suggestions: 1, if it is the first time the above mild high blood pressure, and there are clear causes, such as recent stress, poor rest, indulge in tobacco and alcohol consumption, exercise less, weight short time out of control, you can try to control the above factors, observe 1-3 months, blood pressure is completely normal, congratulations, you can temporarily do not use drugs, but to remain vigilant, once a month to test blood pressure. If you pay attention to the above and your blood pressure is still higher than 140/90mmHg after observation, it is recommended to see your doctor and start medication. Before starting treatment for the first time, your doctor will check you very carefully for secondary hypertension and other risk factors (lipids, blood sugar, smoking, obesity, etc.), starting with the simplest effective medication, and the specific kind of medication that is best for you will be carefully chosen by the doctor according to the patient’s condition. Do not use your own medication, your neighbor’s experience with medication, and blindly believe in some advertising media to avoid being fooled by losses. Hypertension generally requires lifelong medication, and the start of treatment should be assisted by an experienced doctor. 2, some patients are very worried about the use of drugs, afraid of drug injury to the liver and kidneys, afraid of trouble, afraid to wear the “disease” hat, which is understandable, but we can tell you that most of the regular hospital hypertension drugs are now strictly screened, most of them are safe, the doctor according to the patient’s situation, the target is stronger. In addition, many hypertension medications are now long-acting, once a day, which is convenient to use. If you have concerns, you should talk to your doctor in person, and he or she will consider and explain. 3. Some patients say, “My neighbor has had high blood pressure for many years without medication and is fine now. But scientific research and medical practice has proved: at the population level, treatment and no treatment will be two endings, the individual case is not representative, I have been engaged in clinical 26 years, watched some patients hypertension without treatment, a few years later originally a drug can control the blood pressure, can only use three or four drugs to control, because of vascular sclerosis, kidney damage, antihypertensive drugs are no longer sensitive. Others do not come to cardiology anymore, because of cerebral thrombosis, family wheelchair push others to neurology. 4, hypertension is a comprehensive management, drugs are only one side, light and moderate diet, more vegetables and fruits, more exercise, relax after work, quit smoking and limit alcohol, psychological balance, are very important to control blood pressure.