The treatment of hypertension is mostly based on nourishing water and wood and calming the liver to calm the wind. In clinical cases where the kidney and yang are deficient and water is overwhelming, it is less common to see the use of Zhen Wu Tang to warm and lower hypertension. Because warm medicine can help Yang rise, usually can make the blood pressure rise, not fierce wave. Therefore, must be careful to identify the evidence, master the identification of Yang deficiency points. The clinical characteristics, there should be generalized cold, or both dizziness, swelling, loose stool, etc., the pulse should be weak, the tongue should be white and smooth, the tongue should be green and light, such as the above characteristics, identify as Yang deficiency is apt, with warm lowering is appropriate. Clinically, the use of warm medicine to lower hypertension is aimed at “kidney yang deficiency, water qi up Ling” pathogenesis, warm yang and water, so that the yin and haze dispersed, heart yang invigorated, kidney level held, so that the imbalance of yin and yang can be balanced, blood pressure naturally returned to normal. Although such cases are rare, once such cases are encountered, the use of warming is not effective. Is it necessary to combine warming and hypertension with heavy sedatives in order to subdue blood pressure? Clinically, the heavy sedative drugs for hypertension, such as stone cassia, raw dragon oyster, spirit magnet, ochre, mother of pearl, etc., can play the role of heavy sedative antihypertensive, but in combination with warming drugs to lower blood pressure, it is best to choose varieties that do not hinder the stomach, and should not be used together with a variety of drugs and the amount of drugs is too large, so as not to produce adverse reactions to the spleen and stomach. The reason is that heavy town medicine such as oyster, stone cassia, mother of pearl and so on, the nature of the taste is cold, more heavy use, often on the stomach to produce the phenomenon of cold containment, stomach plank not comfortable, so that the diet is reduced. Therefore, it is necessary to choose the appropriate heavy sedative in the warming medicine. And the use of downward moving drugs such as hyoscyamus, can help the heavy town submerge, complementing each other. Is it still necessary to use warming and hypertensive drugs together with liver and gallbladder pacifiers? From practice, the use of warm yang medicine, so that it can warm yang and water, and harmonize yin and yang, can achieve the purpose of lowering blood pressure. If in this pure yang no yin medicine, plus clearing the liver and gallbladder such as bitter cold medicine, is undoubtedly out of tune. The more you can’t “counter-support” the idea of adding bitter laxatives like gentian grass to Zhenwu Tang. Example: Patient Huang, female, 49 years old, cadre. The patient has a history of hypertension, with blood pressure persistently ranging from 170 to 190/90 to 110 mmHg. He has repeatedly used compound rooibos tablets, blood pressure pills, antihypertensive spirit, compound antihypertensive tablets and other drugs, but his blood pressure has never been reduced to normal. In the past six months, the patient felt depressed, dizzy, tired, cold, colder than normal, often swollen lower extremities, short urine, loss of appetite, sunken and weak pulse, fat tongue, pale white and smooth tongue coating, and all the above symptoms, the disease belongs to lung and spleen deficiency, kidney Yang deficiency. The proposed method is to benefit Qi, tonify the spleen, warm Yang and promote water retention. The prescription is based on the following formula: 10g of Pseudostellariae, 6g of red ginseng, 20g of poria, 10g of Atractylodes Macrocephala, 10g of peony, 15g of Astragalus membranaceus, 10g of nux vomicae, 15g of ling magnetite (first decoction), 3 slices of ginger. 1 dose daily. Try 2 doses. After taking the above 2 doses, the patient’s spirit improved significantly, said the whole body has a sense of warmth, appetite increased, urine volume increased, swelling subsided, blood pressure 150/80mmHg, the pulse is sluggish and strong, tongue coating thin white, moderate fluid. After 5 doses, the patient reported that his disease was as good as lost, his body was light and refreshing, the swelling had disappeared, and his diet was normal. His pulse was calm and strong, tongue coating was normal, and blood pressure was about 135/75 mmHg. Six months later, he visited the patient without taking antihypertensive drugs and his blood pressure was normal.