Hypertension and the comorbidities that come with it are a permanent pain for our government and our nation. Why? Because the prevalence of hypertension in our country is as high as nearly 30%, and almost one in three people has hypertension; while the varieties of antihypertensive drugs in China are almost in sync with, and in some cases even exceed, those of developed countries abroad, the rate of attainment of hypertension treatment and the rate of hypertension control in China is significantly lower than that of developed countries in the West, which cannot but be said to be a sad one. According to the 2015 survey study on the mortality rate of major diseases and causes of death of urban residents in China, cardiovascular and cerebrovascular diseases caused by hypertension ranked second and third after tumors, and this conclusion is contrary to the medical investment and the hard work of medical workers in China. This is one of the reasons why I have repeatedly emphasized the importance of hypertension control. The low rate of high blood pressure control in China is closely related to the general public’s lack of awareness of high blood pressure and unhealthy dietary habits. The same antihypertensive drugs, why some people can control blood pressure very well, and some people simply do not work? In fact, antihypertensive treatment is an art in itself, and a good grasp of the tricks can bring blood pressure under good control. Anti-hypertensive treatment must master the following tricks: 1, control salt can improve the effectiveness of drugs Many hypertensive patients think that as long as I take drugs blood pressure should come down, do not pay attention to the diet of salt and other foods that have an impact on blood pressure control, the results of the antihypertensive effect is greatly reduced. As we all know, the human body’s physiological need for salt is only 3-5 grams / day, while many areas of China (mostly in the north) up to 12-15 grams or more. Such a high salt load is very difficult to control the blood pressure. 2, pay attention to the form, but also to care about the results Many people take hypertension drugs after a slight drop in blood pressure, or dizziness, chest tightness and other symptoms of hypertension slightly better thought that everything is fine, not at all concerned about whether the blood pressure down to the safe category. In fact, lowering blood pressure is only a form, its fundamental purpose is to protect the cardiovascular and cerebrovascular from harm. For this reason, the clinical standards for blood pressure control are as follows: (1) In general hypertensive patients, blood pressure (systolic/diastolic) should be lowered to below 140/90 mmHg; (2) In elderly people aged 65 and above, systolic blood pressure should be controlled to below 150 mmHg, and can be further reduced if tolerated; (3) If there is renal disease, diabetes, stable coronary artery disease, cerebrovascular disease, then the goal of blood pressure reduction is to reduce blood pressure to a safe level, (3) If there is kidney disease, diabetes, stable coronary heart disease, cerebrovascular disease, then the goal of blood pressure lowering should be more individualized, generally can lower the blood pressure to 130 / 80 mmHg below. Many people refuse to take medication after discovering hypertension, fearing that early use of medication will cause the antihypertensive effect of future medication. In fact, this mentality is more wrong than wrong. The antihypertensive drugs are not antibiotics and will not produce drug resistance. Long-term hypertension will cause the thickening of small blood vessels, when the blood vessels found so lesions, the effectiveness of antihypertensive drugs will instead be greatly affected. 4, a reasonable mix of medication Hypertension has many causes (neurological factors, vascular lesions, endocrine triggers, etc.), for different causes of hypertension patients should choose antihypertensive drugs in different categories. If you use drugs blindly, it will not only affect the antihypertensive effect, but also cause unnecessary comorbidities. 5, keep constant The process of antihypertensive treatment should not be a sudden drop in blood pressure, so doctors need to search for a reasonable dose in the process of medication. Since there are differences in the sensitivity of antihypertensive drugs between individuals, it may take some time to find the right type and dose of medication when you first start using it. Patients with hypertension should not be impatient to change their medication when the change in blood pressure is not obvious two to three days after taking it. The result is not only uncontrolled blood pressure, but also many side effects of the medication.