Hypertension is a systemic disease characterized by elevated arterial pressure, which can be accompanied by functional or organic changes in organs such as the heart, blood vessels, brain and kidneys, and can be divided into primary hypertension and secondary line hypertension. Hypertension is defined as a systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg, and is further classified into grades 1 to 3 according to the level of elevated blood pressure. Clinical manifestations include headache, vertigo, palpitations, and insomnia. The prognosis of hypertension is not only related to the level of elevated blood pressure, but also to the presence of other cardiovascular risk factors and the degree of target organ damage, etc. Cardiovascular risk stratification is done for hypertensive patients, and hypertensive patients are classified as low risk, intermediate risk, high risk and very high risk. Secondary hypertension is common in diseases such as renal solid hypertension, renal vascular hypertension, primary aldosteronism, cortisolism, and aortic stenosis. Patients with hypertension should have timely blood pressure testing, regular review of blood and urine routine, biochemical routine, cardiovascular and renal ultrasound, electrocardiogram, and fundus lesions. Chinese medicine believes that hypertension is the result of an imbalance between yin and yang in the body. Yin deficiency is the main cause and Yang hyperactivity is the symptom. The lesions are related to the five organs, mainly involving the heart, liver and kidney. Although hypertension is a modern medical name, it is not recorded in Chinese medicine, but according to its clinical manifestations, it can be classified as “headache” and “vertigo” in Chinese medicine. In the Su Wen – Zhi Zhen Yao Da Lun, it is said that “all wind and dizziness belong to the liver.” It is believed that the occurrence of this disease is related to the liver, which laid the foundation for the treatment of hypertension from the liver. Zhang Jingyue proposed that lower deficiency causes dizziness, “Although head dizziness belongs to upper deficiency, it cannot be uninvolved with the lower. The upper deficiency is the Yang deficiency in the Yang; the lower deficiency is the Yang deficiency in the Yin.” According to Zhu Danxi, “No phlegm does not make dizziness; phlegm is moved by fire.” According to the clinical symptoms such as headache, heavy head, dizziness, insomnia and other physical signs such as tongue and pulse, Chinese medicine focuses on the combination of disease identification and evidence identification, taking disease identification as the first step to determine the cause of hypertension, the pathological pattern and the prognosis of regression, and treating from evidence identification. By adjusting the balance of yin and yang of the body, we can effectively improve the symptoms and quality of life. According to individual differences, we apply the theory of diagnosis and treatment, and individualize the treatment according to the time, place and person, which can receive satisfactory clinical results. The prevention and treatment of hypertension adopts a three-level prevention strategy: primary prevention is etiological prevention, eliminating the causes or susceptibility factors of hypertension, keeping people away from the risk factors of the disease; secondary prevention, i.e. to achieve early detection, early diagnosis and early treatment, stopping the further development of the disease; tertiary prevention, tertiary prevention, i.e. to reduce disability or death and to promote the recovery of their self-care ability. Health education should be provided to the whole population to avoid risk factors, advocate healthy lifestyles for high-risk groups, strengthen education, and guide them to change their bad lifestyles, quit smoking, limit alcohol, limit salt, eat reasonably, and exercise appropriately. Western medicine antihypertensive drugs need to consider hypertension comorbidities and minimize adverse reactions. Select drugs with different mechanisms according to the characteristics of patients to achieve synergistic antihypertensive, reduce adverse reactions and protect target organs. The six major classes of antihypertensive drugs include diuretics, calcium channel antagonists, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, receptor blockers, and receptor blockers. During treatment, attention must be paid to monitoring adverse drug reactions and treatment of other cardiovascular risk factors and co-morbidities, and long-term adherence to treatment. Chinese medicine treatment for hypertension can be chosen from drugs such as Qiju Dihuang Wan, Dihuang Drink, Tianma Hooked Vine Drink, Niuhuang Qingxin Wan, Niuhuang Hypotensive Pill, etc., which should be used under the guidance of doctors. If you apply some non-drug therapies of traditional Chinese medicine, you will also get better results, such as acupuncture, diet therapy, qigong therapy, auricular pressure, acupuncture point patching, antihypertensive pillow, Chinese medicine foot dipping, Chinese medicine psychotherapy, etc.