Patient: In July 2007, due to lack of rest, blood pressure suddenly reached 180/220, feeling spinning and vomiting, just in the hospital, after immediate treatment, blood pressure was controlled, but vertigo was relieved only after more than 20 days, the doctor said there was a problem with the cervical spine, during the treatment of the cervical spine, the blood pressure was found to be higher, 100/150, and there were multiple cavernous infarcts. In 2008, he was hospitalized in Xianyang Iron 20 Bureau Hospital and the effect of hospitalization was not obvious Laboratory and examination results: examination of right ventricular hypertrophy, right vertebral artery vascular fibrillation, multiple cavernous infarcts Last hospital visited: Shaanxi Provincial Hospital of Traditional Chinese Medicine hospitalization, Wang Shih, Department of Geriatrics, Peking University Shenzhen Hospital Wang Shih, Department of Geriatrics, Peking University Shenzhen Hospital: The correct way to record blood pressure: if the high pressure is 180 mmHg, low pressure If the high pressure is 180 mmHg and the low pressure is 100 mmHg, it should be recorded as 180/120 mmHg. i.e. high pressure is written in the front and low pressure is written in the back. When to take oral antihypertensive drugs? Answer:When the high pressure does not exceed 180mmHg, first use diet therapy such as salt reduction, good sleep and exercise such as walking, etc. After 2 – 3 months of ineffectiveness, antihypertensive drugs can be taken. The goal of blood pressure lowering: 140/90mmHg. but antihypertensive drugs do not choose to take or see others take a certain drug effective, because the six types of antihypertensive drugs used for different types of hypertension, the use of bad counterproductive. You should go to the hospital and ask your doctor to help you choose your medication and monitor it regularly. If you have symptoms such as sky spinning, nausea and vomiting, you should also do TCD (cerebral hemogram) and examination to clarify the presence of intracranial artery spasm and cerebral blood supply insufficiency, as well as cranial CT examination to clarify the presence of lacunar cerebral infarction, etc. for symptomatic treatment.