Sympathetic excitatory hypertension needs to be comprehensively analyzed and judged based on the patient’s clinical features. Sympathetic excitatory hypertension can be considered when the patient has symptoms such as elevated blood pressure, tachycardia, shortness of breath, chest tightness, anxiety and insomnia. Hypertension caused by sympathetic excitation is a condition in which a person’s internal environment, such as neuroendocrine disorders, prompts sympathetic excitation, causing symptoms such as elevated blood pressure and accelerated heart rate. These patients tend to be easily agitated, nervous and anxious, usually accompanied by a series of sympathetic symptoms such as tachycardia, panic, shortness of breath, chest tightness and insomnia. Sympathetic excitatory hypertension commonly used drugs such as central antihypertensive drugs such as colistin, as well as drugs to regulate nerve function such as ghrelin, etc., but also can take some sedative sleeping drugs such as eszopiclone. Patients should pay attention to their emotional management, maintain a good state of mind, and avoid the stimulation of bad moods. In addition, it is also necessary to regular work and rest, ensure sufficient sleep, pay attention to light diet, avoid smoking and alcohol. Once the symptoms of elevated blood pressure, tachycardia, chest tightness, anxiety, etc. occur, they should consult a doctor in time and make a diagnosis under the guidance of the doctor, do not blindly judge on their own, so as to avoid misjudgment and affect the condition.