A, “blood pressure to meet the standard” should be more timely When the temperature drops, the body in order to maintain a constant body temperature, reduce heat dissipation, capillary constriction, sympathetic nerve excitement, which will increase peripheral vascular resistance, the left ventricle and brain load increased, causing blood pressure to rise. At the same time, the low temperature, people sweat less, plus after the autumn cold, people’s appetite will automatically increase, people tend to eat excessive carbohydrates, fat, these foods will increase water intake and retention at the same time, resulting in increased blood volume, which is also the basis for the increase in blood pressure. Therefore, when the weather becomes colder, it makes more sense to get your blood pressure up to par. The theme of this year’s Hypertension Day is “Blood Pressure Achieved”, and the reason for this theme has a lot to do with the current state of treatment of hypertension in China. China’s 1991 census showed that the awareness rate of hypertension among hypertensive patients was only 36.3% in urban areas and 13.7% in rural areas; the treatment rate of hypertension was 17.4% in urban areas and 5.4% in rural areas; the control rate of hypertension (treated systolic blood pressure <140 and diastolic blood pressure <90mmHg) was only 2.9% (4.2% in urban areas and 0.9% in rural areas). Elevated blood pressure is an independent risk factor for the development of stroke and coronary heart disease, as judged by the criteria of epidemiological studies and some clinical trials in the Chinese population, which also provide evidence for this. According to a comprehensive analysis of four clinical trials in China, for every 9 mmHg reduction in systolic blood pressure and 4 mmHg reduction in diastolic blood pressure, there is a 36% reduction in stroke, a 3% reduction in coronary heart disease, and a 34% reduction in total major cardiovascular events in the population. Therefore, in order to reduce the morbidity and mortality of cardiovascular diseases, young people, middle-aged people or diabetics should lower their blood pressure to ideal or normal blood pressure (<130/85mmHg), and elderly people should lower their blood pressure to at least normal high value (140/90mmHg). This is not only the standard of "Chinese hypertension guidelines", but also the common standard adopted by the United States and Europe. Second, the "blood pressure standard" is to protect vital organs The mortality rate of cardiovascular disease caused by hypertension has become an important cause of death, but this chronic disease caused by unhealthy lifestyles has not attracted sufficient attention. In fact, one data is very shocking: the mortality rate of chronic heart failure within 5 years is even higher than that of cancer, which is one of the consequences of hypertension. But people can talk about cancer, but hypertension, which is no less harmful than cancer, does not get the "treatment" it deserves. The reason for this is related to the misconceptions about hypertension: many people with hypertension have only mild symptoms or few symptoms, and they think they can get away with lowering their blood pressure, which is absolutely wrong. Blood pressure is the lateral pressure of blood flow to blood vessels, which is obtained by measurement, and the presence or absence or severity of symptoms should not be used to measure blood pressure. Some patients with mild or no symptoms have to be treated for elevated blood pressure and to bring their blood pressure up to standard. This is because high blood pressure, whether symptomatic or asymptomatic, can cause damage to the heart, brain, kidneys and other organs, and the consequences of failure of these critical organs are definitely not as bad as cancer. The aim of treating hypertension is not only to lower blood pressure itself, but also to reduce the overall morbidity and mortality of cardiovascular disease. The main purpose of treating hypertensive patients is to minimize the total risk of death and disability from cardiovascular disease. Third, the advantage of Chinese medicine lies in the prevention of hypertension and improvement of symptoms It must be said objectively that, compared with the efficacy, accurate dosage and clear direction of Western antihypertensive drugs, the advantage of Chinese medicine lies more in the prevention of hypertension and improvement of symptoms to improve the quality of life of patients with hypertension and its sequelae. Chinese medicine has always had a preventive theory of "not treating the disease before it happens", such as taking herbal medicines to clear heat and remove plague before entering the high season of infectious diseases in spring. For hypertension, which is becoming more and more prevalent and younger, it is necessary and possible to change the physique of people at risk of hypertension through Chinese medicine. According to current surveys, the occurrence of hypertension is strongly related to lifestyle and diet, so prevention in Western medicine already starts with controlling daily salt intake, weight control and moderate exercise. A wrong lifestyle can lead to a biased physique. From the perspective of TCM, a physique with liver and kidney yin deficiency or liver and yang hyperactivity can occur, which may not be hypertensive at the moment, but already have symptoms such as short temper, dizziness, soreness and weakness of the waist and knees, dry throat and mouth, and irritable heat in the five hearts. Therefore, the prevention of hypertension in TCM starts with changing the body constitution. In our major research project funded by the Beijing Municipal Administration of Traditional Chinese Medicine, which is about to start, we will combine an epidemiological survey of Beijingers to screen out people at risk for hypertension, and by giving herbs that nourish the liver and kidneys, calm the liver and subdue the yang, supplemented by acupuncture and qigong exercises, with a view to improving the susceptibility of people at risk for hypertension and reducing or delaying the occurrence of hypertension. In fact, it is to shift the "defense line" of Chinese medicine to prevent and treat hypertension, and to control the incidence of hypertension through the comprehensive intervention of Chinese medicine. There are many hypertensive patients who have their blood pressure well controlled after taking western antihypertensive drugs, but still feel dizziness and headache, weakness of the back and legs, insomnia and dreaminess, etc. Some patients even have no obvious discomfort when their blood pressure is high, but feel uncomfortable after their blood pressure is lowered to normal. Fourth, common misconceptions of hypertensive patients Many hypertensive patients believe that western antihypertensive drugs have great side effects, and therefore have great concerns about long-term regular use of antihypertensive drugs. In fact, because there is no cure for hypertension so far, patients with hypertension need to take antihypertensive drugs for life, and if blood pressure is not controlled within the ideal range, hypertension will have very serious consequences for the heart, brain, kidneys and other important organs; on the other hand, the antihypertensive drugs commonly used in clinical practice have undergone large-scale clinical trials, and their efficacy is very certain if they can be used under the guidance of On the other hand, all the commonly used clinical antihypertensive drugs have undergone large-scale clinical trials, and their efficacy is very certain. Some patients wish to replace Western antihypertensive drugs with Chinese medicine. Objectively speaking, lowering blood pressure level is not an advantage of TCM and cannot be compared with western antihypertensive drugs in this regard; TCM believes that the reason why diseases occur in the human body is because of the loss of internal balance, and the advantage of TCM treatment is to adjust the imbalance of the human body comprehensively so that the body can reach a relative balance at a new level. Therefore, Chinese medicine and Western medicine have their own advantages. Western medicine is effective in lowering blood pressure, with rapid onset of action and strong targeting, while Chinese medicine improves symptoms significantly, and the combination of Chinese and Western medicine will play a complementary role. For patients with mild to moderate hypertension, if there are no other risk factors such as diabetes and coronary heart disease, they can consider using Chinese medicine alone; for patients with severe hypertension, especially those with more risk factors, whose symptoms do not improve even after applying western antihypertensive drugs, or whose blood pressure still fluctuates after applying multiple antihypertensive drugs, they can use Chinese medicine in addition to western medicine to improve their symptoms and stabilize their The blood pressure can be stabilized by adding Chinese herbal medicine. For those who are prone to hypertension, such as those with a family history of hypertension and those whose blood pressure is currently at a critical level, the preventive role of Chinese medicine is indispensable, in addition to the need to change poor lifestyles.