Primary hypertension in young people cannot be cured, but by improving the lifestyle medication can keep the blood pressure within the normal range, and there can be no complications or aggravation for a long time. Primary hypertension is generally related to heredity, young people’s primary hypertension is generally manifested as mild and moderate blood pressure increase, usually no more obvious clinical manifestations, some patients even have no manifestations, it is difficult to cure hypertension through the treatment of primary disease, so young people’s primary hypertension is generally not curable. Current research shows that there is a certain relationship between obesity and primary hypertension in young people. If the weight is controlled within a reasonable range by improving the lifestyle, such as increasing exercise and improving diet, a cure can be achieved, making the patient free of hypertension symptoms for a long time. If there are already obvious clinical manifestations of patients, they can be treated with captopril and chlorosartan. If there are clinical manifestations, it is recommended to consult the cardiovascular internal medicine department in a timely manner and actively treat them so as not to delay the treatment.