Whether and how soon hypertensive nephropathy can progress to uremia cannot be generalized, but is mainly related to the patient’s condition. Hypertensive nephropathy refers to the damage of kidney function and structure caused by primary hypertension, which is divided into benign hypertensive nephropathy and malignant hypertensive nephropathy. Benign hypertensive nephropathy is a mild kidney damage due to long-term hypertension, where patients occasionally see proteinuria, which usually does not progress to uremia. Patients with malignant hypertensive nephropathy will have hematuria and proteinuria, and if there are changes in urine volume, renal anemia and swelling, it may suggest the onset of uremia, but there is no clear clinical conclusion on how long this process will take. The progression of hypertensive nephropathy can be delayed by combining Chinese medicine on the basis of blood pressure control. Patients with hypertensive nephropathy should monitor their urine volume, blood pressure and weight on a daily basis. If dizziness, headache, blurred consciousness and sudden rise in blood pressure occur, they should go to the nephrology department of the hospital immediately to avoid delaying their condition.