A patient with hypertension often comes to the doctor and asks the following questions: 1) How did my hypertension come about? 2. Am I having “primary hypertension” or “secondary hypertension”? 3. My doctor says I have high blood pressure, but I have no symptoms, so can I not take any medication? 4.Western medicine has side effects, but Chinese medicine has no side effects, can I take Chinese medicine? 5.I just started to have high blood pressure, so I should take something cheap. 6.I am very inaccurate in measuring my own blood pressure. 1, the causes of hypertension First of all, hypertension has a certain degree of heredity, if both parents have hypertension, children who usually live unhealthy, such as like smoking, alcohol, high sugar and high fat diet, do not pay attention to sports, coupled with the tension of life, work pressure and often stay up late, etc., it is also easy to get hypertension at a young age. In other words, if both parents have high blood pressure, it is best to moderate their own life, do not envy others eat and drink, blood pressure as normal. 2, primary hypertension or secondary hypertension Most hypertension is “primary hypertension”, that is, no other diseases leading to high blood pressure, and only about 10% of patients with hypertension can find the cause, such as kidney disease such as chronic nephritis, nephrotic syndrome and other renal substantive diseases, blood pressure caused by narrowing of the kidney blood vessels Acute fluctuations in hypertension, adrenal tumors and other causes of partial hormone secretion of excessive blood pressure, etc., these are called “secondary hypertension”, if these secondary factors are corrected, blood pressure can be restored to normal, the future can not need to take antihypertensive drugs, and can not find the cause of blood pressure increased ” Primary hypertension” must take oral antihypertensive drugs to maintain blood pressure. 3, on the question of whether to take drugs for hypertension This depends on the situation, if the blood pressure is only mildly elevated, in the absence of complications, the first found elevated blood pressure, blood pressure in the 150/100mmHg below, you can first improve lifestyle, observe 1-3 months, if the blood pressure can be 140/90mmHg below, you can temporarily do not take antihypertensive drugs. However, if the blood pressure is higher than 150/100mmHg, or if heart, brain, kidney and vascular complications have developed, oral antihypertensive medication must be started immediately. I often talk to patients about the normalcy of blood pressure control. Hypertension is different from diabetes. In diabetes, even if the blood sugar is controlled normally, many complications are still developing, while in hypertension, as long as the blood pressure is controlled in the normal range, the quality of life and life expectancy of patients with hypertension are the same as those with normal blood pressure, while on the other hand, if the blood pressure is not controlled, serious heart, brain, kidney and vascular complications will occur in 5-10 years. renal and vascular complications. I remember a patient with a high blood pressure of 200/110 mmHg and no symptoms. The doctor told the patient to take antihypertensive medication, but the patient refused, saying that a surgeon he knew told him that he could not take medication if he had no symptoms. We had no choice but to give up because of all the persuasion. The patient came back to me a few days later and asked me to prescribe him antihypertensive drugs to eat. He said that the surgeon he knew had died suddenly of a brain hemorrhage due to his high blood pressure, and he was afraid, so he wanted to take antihypertensive drugs. 4, “lowering blood pressure is the hard truth” No matter what method is used, as long as the blood pressure is lowered to normal, the success is most of the time, whether it is with Chinese medicine or Western medicine. But from the point of view of Western medicine, I recommend the current antihypertensive drugs with evidence-based medical evidence, such as the use of angiotensin-converting enzyme inhibitors (or angiotensin receptor antagonists) doubling other receptor blockers recommended for combined cardiac hypertrophy and heart failure, calcium antagonists recommended for combined stroke, diuretics can be considered for simple systolic hypertension in the elderly, and the use of proteinuria recommended for combined Use of angiotensin-converting enzyme inhibitors or angiotensin receptor antagonists. Individualized programs are important. 5, from price considerations; currently on the market can be divided into three kinds: (1) inexpensive domestic short-acting drugs (a few dollars a month), such as nidradipine, Beijing antihypertensive 0; (2) medium-priced (1 day cost 2 yuan / tablet) of domestic long-acting drugs, such as pressure of the da, Landi, etc.; (3) expensive (1 day cost 4 yuan or more): imported or joint venture drugs: such as Dynavin, Boeotin, etc.; I personally think that according to I personally think that according to their own affordability to choose. Of course, there are reasons for the high cost. 6.How to measure blood pressure? There are currently three ways to measure blood pressure (1) clinic blood pressure, that is, to the hospital, the doctor to measure blood pressure, this blood pressure is vulnerable to the environment and mental stress caused by high blood pressure, performance of “white coat hypertension”, as the name suggests, see the doctor in a white coat, blood pressure will rise; (2) 24-hour ambulatory blood pressure, this can (2) 24-hour ambulatory blood pressure, which can monitor the fluctuation of blood pressure for 24 hours, and can detect nighttime hypertension and early morning hypertension; (3) is also my personal recommendation is the home self-measurement blood pressure, recommended automatic upper arm blood pressure machine. Some people say my own blood pressure measurement is not allowed, in fact, as long as the method is correct, home self-measurement blood pressure is still very accurate. How to use: Quiet, empty the bladder, rest 5-10 minutes, sit back chair; at least twice, sometimes need to measure multiple times, the 2 times the closest number of average (difference < 8 mmHg), such as the first 150/90, the second 140/88, the third 138/86, the latter 2 times the average, that is, the current blood pressure; morning, or afternoon, or evening; hypertensive people, before or after taking medication. Finally, again: hypertension, as long as the blood pressure is controlled in the normal range, the quality of life and life expectancy of patients with hypertension are the same as those with normal blood pressure, while on the contrary, if the blood pressure is not controlled, serious complications of heart, brain, kidney and blood vessels will occur in 5-10 years.