According to the 2002 National Nutrition and Health Survey, the prevalence of hypertension among adults over 18 years of age in China was 18.8%, of which the prevalence rates of the three age groups under 45, 45-59 and over 60 were 9.1%, 29.3% and 49.1%, respectively, compared with the results of the 1991 National Sample Survey on Hypertension (5.0%, 20.7% and 40.4%, respectively). The prevalence of hypertension in the under-45 age group increased twice as fast as in the 45-59 age group and four times as fast as in the over-60 age group, making it the main group with the rising prevalence of hypertension. These hypertensive patients often have unhealthy lifestyles, such as high life or work stress, excessive sodium and salt intake, excessive calorie intake, insufficient exercise, obesity, smoking, alcohol consumption, etc. Therefore, for these young and middle-aged hypertensive patients, timely and effective lifestyle changes along with drug therapy may be the most effective and affordable way to prevent, control, and cure young and middle-aged hypertension. The clinical features of hypertension in young and middle-aged people are mainly elevated diastolic blood pressure: the main reason is the increase in total peripheral vascular resistance in patients, but the elasticity of the large arteries is not yet obvious abnormalities. It is often manifested as ‘insidious hypertension: difficult to detect clinically. The patient’s blood pressure is often normal when measured in the office, but is often significantly elevated outside the office, either by ambulatory blood pressure monitoring or home blood pressure monitoring. This is often accompanied by an unhealthy lifestyle: chronic sympathetic activation due to stressful life or work; elevated blood pressure due to excessive sodium intake, smoking or alcohol consumption; obesity and metabolic disorders due to excessive caloric intake, low physical activity or physical activity, and chronic high consumption of fructose drinks. The interaction of excessive sodium intake, chronic sympathetic activation, obesity and metabolic disorders can cause an increase in blood pressure when there are no significant abnormalities in the structure and function of the organs and arteries. If these “causative factors” can be effectively controlled or removed in a timely manner, it is not only beneficial for blood pressure control, but may also “cure” these hypertension. Pharmacological treatment of hypertension in young and middle-aged people Young and middle-aged people with hypertension often have a clear cause or risk factors, so removing the causative factors through lifestyle changes is the most effective treatment. For example, intensive sodium intake restriction, smoking cessation, alcohol restriction, and physical exercise. Antihypertensive drug therapy is still the most reliable method to control blood pressure. Strengthen the prevention of hypertension in young and middle-aged people 1, reduce sodium intake; 2, appropriate aerobic exercise; 3, maintain a proper weight; 4, reasonable nutrition; 5, quit smoking and alcohol as early as possible; Young and middle-aged people with hypertension early onset, not only is it harmful, the cost of diagnosis and treatment is greater so take various effective measures to actively prevent it as early as possible, or intervene in it early onset by improving lifestyle and cure it.