Primary hypertension is currently recognized by the medical community as a psychosomatic disease. The psychological factors of the patient include various adverse psychological stress reactions (psychological stress is a state of stressful reaction of the organism to adapt to the environment under the effect of certain environmental stimuli due to an imbalance between objective requirements and coping ability.) Such as regular emotional tension and various loaded mental states (anxiety, fear, anger, depression, etc.) and certain personality traits. Emotions are suppressed for a long time, and life is lived in a daily contradictory psychological state (such as the psychological contradiction of a young girl choosing an object: she wants her boyfriend to be rich, but is afraid that he will be too rich.) The pathogenesis of hypertension has been recognized by medical scholars at home and abroad. Patients with hypertension are prone to these negative emotions, resulting in hypertension and negative psychological factors affecting each other, causing a vicious circle, making the disease gradually aggravated. In Europe and the United States, hypertension in childhood at the age of 15 and adolescence (adolescenee) before the age of 20 is collectively referred to as youth (jnvenile) hypertension, and sometimes also includes people around 30 years old. Unhealthy diet, lack of exercise, and stressful work are the main causes of hypertension in young people. Among them, high stress is the biggest cause of hypertension. The accelerated pace of life in modern society and the long-term stressful work or study environment can lead to dysregulation of the cortical excitation and inhibition processes, causing small arterial spasms throughout the body and increasing peripheral resistance to blood vessels, resulting in higher blood pressure. (Hypertension caused by psychological factors alone is now treated as a secondary hypertensive disease to distinguish it from primary hypertensive disease). The main pathological changes that occur in the body after the rise in blood pressure due to psychological factors are the vascular lesions that occur in the small arteries throughout the body that spasm at the beginning and sclerosis at a later stage. When anger is repressed, it causes psychological conflict, and it has been shown experimentally that norepinephrine levels in the blood of people who are frequently repressed or hostile are more than 30% higher than normal, and that people whose hostility and anger are repressed have higher levels of neuroendocrine or hemodynamic responses to stressors than people with low hostility, and that this sympathetic intervention may increase vascular lining damage and continuous atherosclerosis accumulation of substances. Long-term repeated mental irritants or strong negative emotions cause activation of the cerebral cortex, subthalamic and sympathetic-adrenal systems through the central nervous system, gradually leading to neurological disturbances in the vascular system, causing changes in heart rate, cardiac output, peripheral vascular resistance, adrenal cortex, adrenal medulla, and other functional changes, beginning with temporary paroxysmal increases in blood pressure under the influence of negative emotions, After months or years of repeated fluctuations in blood pressure, hypertension eventually develops as a persistent rise in blood pressure. It is often said that: the mountains are easy to change, but the nature is difficult to change. Therefore, among the many acquired factors that cause hypertension, “psychological factors” are the most difficult to eliminate. When the application of a variety of antihypertensive drugs, blood pressure is difficult to control to the normal range, blood pressure fluctuates and unstable, and no secondary hypertensive factors are detected, the impact of psychological factors on the effectiveness of treatment of hypertension should be considered. Therefore, it is very important for patients with hypertension to recognize their psychological state and the influence of psychological factors on blood pressure, and to resolve to make self-psychological adjustments for the treatment of hypertension. At present, for the treatment of hypertension, clinicians generally use simple antihypertensive drug therapy. However, the effect on patients with serious psychological disorders is not very satisfactory. After taking antihypertensive drugs, some people’s blood pressure remains high, while others have a drop in blood pressure but appear to fluctuate significantly. Psychological medicine experts have shown that psychotherapy is very important for patients with hypertension with severe psychological disorders. In general, hypertensive patients with mildly elevated blood pressure do not need to take blood pressure-lowering drugs, and psychotherapy alone can be used to lower blood pressure. Treatment measures are mainly in-depth analysis of the psychological factors that cause tension and depression, and take measures: on the one hand, to strengthen their own cultivation, correct bad personality, pay attention to improve interpersonal relationships, and gradually improve psychological quality; gradually change the bad work and life habits, establish a regular work, life, rest habits, and maintain sufficient sleep. For patients with moderate or above (160/100mmHg) hypertension, in addition to the above psychological treatment measures, they should start to take some antihypertensive drugs appropriately under the guidance of doctors. 1.Psychological factors that can induce an increase in blood pressure: There are various cases of psychological factors that affect blood pressure. Personality traits of primary hypertension: Patients with hypertension have a contradiction between repressed hostile aggression and dependence, anxiety and to depression that is polymorphic. It has been observed that exposed to competitive situations, type A personalities (characterized by competitiveness, time urgency, impatience and hostility) have a more pronounced increase in blood pressure and plasma renin activity and present high reactivity to stress. I. If there is an emotional factor in it: emotional reactions are mainly caused by specific external events. The emotional reactions that people generate in response to events in their lives have a significant effect on a person’s blood pressure. Anxiety, stress, depression, anger, and fear can all lead to increased blood pressure (anxiety and depression are both classified as a separate disorder in psychiatry). The most closely related to hypertension are the emotional states of anxiety, anger, and hostility. Anxiety and fear mainly affect the increase in cardiac output and cause a higher increase in systolic blood pressure. Anger and hostility lead to a significant increase in arterial resistance, also dominated by an increase in diastolic blood pressure. For example, in pain and anger, diastolic blood pressure rises significantly due to increased peripheral arterial resistance, while in fear, systolic blood pressure rises due to increased cardiac output. Panic is not only a cause of hypertension, but also an important reason for the episodic rise in blood pressure, as well as the fluctuation of blood pressure. The second is the personality traits of hypertensive patients: personality traits are the result of genetic factors and have a lot to do with the family environment after birth. Patients with hypertension have a common behavioral characteristic of being aggressive and overly restrained, mostly type A personality. They are easily agitated and have impulsive and compulsive tendencies. It is observed that hypertensive patients typically show hostility, but must suppress this emotion and not show their aggressiveness. Most patients with primary hypertension are aggressive, excitable, excessively straightforward, serious, stubborn, all-seeking, compulsive and absolutely authoritative, and overly strict with themselves; some feel pressured to achieve, not easily expose their thoughts, often accompanied by worries and anxiety; often unsatisfied with their current situation, always want to make a difference in their work, and often have a sense of urgency and pressure; some individuals show introversion Some individuals are introverted, suspicious and sensitive, inferior and timid, insecure and so on. However, this personality trait is not unique to hypertension and can occur in people with a variety of personality traits. People who are anxious and prone to psychological conflicts are prone to hypertension. Third, then there are social environmental factors: social factors include social structure, political status, economic conditions, occupational division of labor and certain social life events. Social factors and psychological factors often work together in the development of hypertension. Studies have shown that in the course of socioeconomic development history, the more economically developed regions and countries have a relatively higher incidence of hypertension. During the period of social transformation, rapid industrialization, information technology, and urbanization are directly affecting people’s lifestyles. High-speed transportation, factory production lines, and delicate and difficult technical operations all require people to be highly focused and undergo constant mental stress. Noise in cities with high concentrations of people, congested traffic and crowded living environments in cities, and the oppressive skyscrapers. All of these social environments have a negative impact on the psychosocial environment and lead to psychological imbalance, which is a factor of hypertension. Foreign Friedman on a pair of twins of one egg blood pressure survey found: although the two genes are identical, individuals living in a stressful environment suffered from hypertension, measured blood pressure reached 180/110mmHg; while another person living in a calm and comfortable environment blood pressure of 138/80mmHg. from the same genetic background, such as living in a different class of cultural background , the prevalence rates are also different. It has been suggested that the proportion of the difference is attributed to the different cultures and the different stresses to which they are subjected, changes in the living environment (immigration, etc.), and the different work environments and the nature of the work producing different levels of psychological tension, factors that should not be ignored. Studies have proved that regular emotional tension and various burdens of stress, so that the cerebral cortex and vasomotor center excitability increased, excessive release of catecholamines, resulting in increased blood pressure. 2, found to have hypertensive disease after the psychological impact on patients: research found that hypertensive patients’ quality of life discomfort, life satisfaction, emotional thinking, self-evaluation of life and work status and social support is not as good as healthy people. ( Quality of life: including physical health, mental health, social function, role function, subjective health and other aspects.) It is often seen clinically that some patients have a fear of hypertension because they have seen the sudden death of their surrounding acquaintances due to cardiovascular disease caused by hypertension. This is manifested by the patient’s excessive attention to his or her condition after being diagnosed with hypertension, or fear, apprehension, or even death terror and hypochondriasis about the onset of the disease. In the middle stage of hypertensive disease, along with the increase of blood pressure in vasospasm, there may be obvious episodes of anxiety and depression, and also excitement, irritability and restlessness. I often hear patients say: “Why am I so unlucky, I am the only one in my family with hypertension”. Some do not understand the danger of hypertension, and often mistake a variety of uncomfortable symptoms caused by psychological anxiety induced by plant nerve dysfunction for hypertension. Therefore, they are overly afraid of hypertension and even say, “This disease makes my life worse than death! Does it have any effect on life? If so, how long can I live?” And so on. Some patients, after a cerebrovascular disease, are often overly concerned about their blood pressure, taking it more than ten times a day. A slight increase in blood pressure, it is very afraid, rush to take medicine; because of taking too much medicine, blood pressure is too low, resulting in high and low blood pressure, nothing is from, very nervous inside, all day in a state of anxiety. From then on, he fell into the “disease role”. The need to take medication on a daily basis changed the old habits and made them feel uncomfortable. As a result, their satisfaction with their family life decreases and they become overly worried about their health. Some people are reluctant to take medication for fear of the possible side effects of almost lifelong medication. Therefore, along with medication, patients should pay attention to the psychological impact of the “labeling effect” of their hypertension and the resulting side effects, and provide psychological support treatment. Tell the patient that most of the damage to the human body from hypertension develops slowly and unknowingly over a long period of time, and that hypertension can be controlled, can live a long life without affecting life, can live like a normal person and is not a terrible disease, and can even be cured, as long as the correct treatment is taken under the guidance of a physician and treated openly. Make the patient have a correct understanding of hypertension and eliminate the fear of hypertension. Let the patient understand that there are many kinds of antihypertensive drugs and few side effects, and that the side effects of drugs can be completely avoided as long as the medication is used under the guidance of the doctor and the physical examination is regularly reviewed. Eliminate the patient’s fear of long-term antihypertensive drugs and other misconceptions, maintain a balanced state of mind, improve the quality of life, and build confidence to overcome the disease. 3, psychological factors cause blood pressure rise mechanism: research shows that because of long-term mental stimulation, can cause the cerebral cortex excitation and inhibition imbalance, the subcortical vascular center contraction impulse dominant, through the postganglionic nerve fibers secrete norepinephrine, causing small arteries contraction or spasm to increase blood pressure. At the same time, the constrictive effect makes the kidney ischemic, which stimulates the secretion of renin from the paracellular cells of the small arteries entering the kidney, the latter into the blood to change angiotensinogen to angiotensin, which can directly cause strong contraction of the small arteries. At this time, it can also stimulate the adrenal cortex to secrete aldosterone, resulting in sodium and water retention, increased blood volume, and finally increased blood pressure. 4, the clinical manifestation of psychological symptoms: hypertension patients with hypertension often manifest mood easily impatient, often angry, memory clearly appear to be reduced, energy often can not focus, accompanied by headache discomfort, dizziness, dizziness, some appear tinnitus, eyes, palpitations, tiredness, some people can show easy to excite, restless, depressed mood: depressed, pessimistic depression: depression, pessimism, and loss of hope for the future. There are also more serious psychological symptoms such as delusions of victimization and hallucinations. These psychological symptoms and hypertension often show a parallel relationship, which means that the highest changes in blood pressure are observed when the psychological problems are most pronounced. Autonomic dysfunction manifests itself as anxiety, irritability, sweating, irritability, palpitations, weakness and accelerated breathing. 5, treatment: primary hypertension is a chronic disease that requires long-term medication. It is a disease of physical and mental disorders at the same time. Therefore, the treatment must take a combination of somatic treatment and psychological treatment of the body and mind integrated treatment approach. Somatic treatment is the application of antihypertensive, sedative, antidepressant, anti-anxiety, treatment of panic attacks and other drug therapy, these drug therapy is necessary, relying solely on psychological guidance is not to achieve the purpose of treatment, this is because patients with serious psychological disorders, the loss of self-control over their own psychology, I know they should not do that, but they can not help themselves, it is difficult to self-grasp, then the need to use the role of external forces to The role of external forces is necessary to reverse the psychological disorder, just like insomnia patients, no matter how to force themselves to sleep, it is difficult to achieve their own purposes. There are reports that some people who have experienced the psychological experience of fear, causing episodes of elevated blood pressure, blood pressure can be up to 200/110mmHg, as shown by most of the time normal blood pressure, but after a while will suddenly rise, a variety of long-acting antihypertensive drugs combined application is ineffective, given to the anti-panic drugs such as fluvoxamine to achieve very good results. Some can even stop the antihypertensive drugs. As well as the application of Chinese medicine to calm the liver and Yang, diarrhea and calm the mind, de-stress the liver, balance the yin and Yang and other drugs as the basis, to promote the body’s disorderly function recovery, which is also the precursor of psychotherapy. Psychotherapy is to change the patient’s psychological state, but also the fundamental way to eliminate the causes of hypertension. Only when the patient’s abnormal psychological state is lifted can the root cause of the disease be solved and the problems that cause high blood pressure be completely eliminated. The first step is psychological counseling by a psychiatrist to make the patient aware of his or her pathological psychology through his or her cognitive activities, and through his or her own efforts to transform some of his or her incorrect ideology, as well as confusion in his or her mind, and conscious self-psychological awareness and emotional regulation. The impact of daily life events on the individual depends not only on the number of events, but more importantly on the quality of the events and the person’s perception and evaluation of the events, i.e. on the patient’s attitude in response to these events. The number of life events and the number of negative life events in patients with a poor treatment outcome were essentially the same as in patients with a significant treatment outcome, but they showed a greater negative stimulus (volume). Therefore, in addition to understanding the stressful stimuli in the external environment, it is necessary to pay more attention to the patient’s internal reaction activity. Another aspect that needs attention when assessing stressful life events is the patients’ social support system: the results of this study showed that patients in the significant treatment group received greater social support, they felt more support and help from family, friends, and units, and they also had a greater ability to actively seek support and help; while patients in the non-significant treatment group had more problems in family relationships. The patients in the non-significant treatment group had more problems in family relationships. The assessment of emotional status also revealed that patients in the treatment-ineffective group had higher levels of anxiety, and the proportion of patients with moderate or higher anxiety was significantly higher in the treatment-ineffective group than in the treatment-effective group. Therefore, in the prevention and treatment of hypertension, a comprehensive intervention of psychosocial factors should be used, and in addition to the existing drug therapy, psychotherapy and psychological counseling should be given, and even small doses of antidepressant and anxiety drugs can be used, so as to achieve better results. The second is that patients with hypertension can consciously use measures to adjust their physiological functions: these include various relaxation exercises to restore calmness to the patient’s psychological state and relaxation of the whole body muscle tone, as well as biofeedback therapy using instruments. In recent years, behavioral therapies have been advocated, including cardiovascular responsiveness control and casual control of blood pressure, of which the more rapidly developing are those based on biofeedback and relaxation of casual control. Research work has confirmed that 12 relaxation and silence or (into the quiet) training for hypertensive patients, 1 to 2 times a day for 30 min each time, the therapist instructs the patient to follow the prescribed procedures, try to relax all parts of the body method, so that blood pressure drops, and maintain the efficacy. Our non-pharmacological treatment of hypertension collaborative group used a combination of biofeedback, health education and drugs to observe the efficacy of primary hypertension patients for a period of 3 years. It was found that during biofeedback relaxation training, finger temperature increased by 2-3°C, systolic blood pressure decreased by 5-10 mmHg, and diastolic blood pressure decreased by 2-6 h blood Hg. These effects were demonstrated in the first 1-2 months of training and persisted throughout the study. These effects were demonstrated in the first 1-2 months of training and persisted throughout the study, so the hypotensive effect was more pronounced and long-lasting than that of drugs alone. In the study group, biofeedback, relaxation training, supportive psychotherapy and music therapy were applied without drugs, while the control group was treated with conventional antihypertensive drugs. After 2 months of outpatient treatment, the effect of blood pressure reduction was 80.7% in the study group, 70.0% in the control group, and 57.1% in the control group, and the improvement of emotional and clinical symptoms was more obvious in the study group than in the control group. It shows that the long-term antihypertensive efficacy of comprehensive psychotherapy is the same as that of antihypertensive drugs without any side effects, which is worth promoting in the treatment of essential hypertension. Commonly used biofeedback devices include: electromyographic feedback device, electroencephalographic feedback device, skin temperature feedback device, electrodermal feedback device, blood pressure and pulse rate feedback device, etc. Research has shown that psychotherapy has a broad future for hypertension. The main methods are our Jing Qi Gong, Indian yoga, and Japanese Zendo, as well as various mental relaxation training. The aim is to suppress the over-excitation of the sympathetic-adrenal system by consciously putting the physiological processes in a state of predominant parasympathetic activity through subjective intentional control. Taijiquan is a slow, soft, static and relaxing exercise for the whole body. Through exercise, the whole body relaxation effect is achieved. Sun Shuyin et al. (1999) used the above interventions to treat primary hypertension and showed that the total effective rate of blood pressure reduction in the intervention group was 31/40 (77.5%), which was significantly higher than that in the control group of 5/40 (12.5%). The classical Chinese medical text “Nei Jing” advocates: the law of yin and yang, and the art of number, the spirit of internal control, the disease is safe. It emphasizes the harmonization of human and natural environment, human and society, and human body and mind, and advocates the enhancement of physical fitness through changes in living habits to eliminate the factors of disease. It is emphasized that by eliminating internal distractions and keeping the spirit inside, mainly through mental and emotional regulation, the balance of yin and yang in the human body is restored and the disease state of Yang surplus and Yin deficiency in the body of hypertensive patients is eliminated, that is, sympathetic excitation is suppressed and blood pressure is stabilized and decreased. Therefore herbal medicine based on TCM theory also has a very good effect in promoting this state to return to normal. Biofeedback therapy; exercise therapy; diet therapy. A patient who has been trained for a long time to be good at grasping his mind to control his emotions, together with medication is likely to prevent the occurrence of hypertensive crisis. Psychological relaxation to induce a decrease in blood pressure occurs on the basis of the ability to improve the body’s neuroendocrine function. It is a positive process that mobilizes the body’s own strength to adjust and restore normal physiological functions, and is therefore a curative measure with advantages that drugs do not have. It is possible to cure hypertension in patients with early detection of hypertension. Health education is provided for the psychological aspects of hypertension patients to improve their cognitive ability, to keep them emotionally stable and relaxed, to improve their psychological quality, to change their bad psychological state, to pay attention to rest, to ensure sufficient sleep, to combine work and rest, to exercise appropriately, to have a reasonable diet structure, and to develop good habits. Therefore, “reasonable diet, moderate exercise, quit smoking and limit alcohol, and have a balanced mind.” This is also the secret of health care for hypertensive patients.