The initial stage of hypertensive nephropathy is treatable, and early active intervention can prevent further aggravation of hypertensive nephropathy. Long-term sustained hypertension increases the pressure in the glomerular endocapsules, glomerular fibrosis and atrophy, and renal arteriolar sclerosis, leading to renal parenchyma ischemia and continuous reduction of renal units. Early stage of hypertensive nephropathy can be prevented from further deterioration by actively improving lifestyle such as low salt diet, smoking cessation, weight loss, etc., and taking antihypertensive medications such as propranolol, benadryl, amlodipine, etc., to keep the blood pressure within the normal range. Early active intervention can avoid kidney function damage, if not actively control the blood pressure, the condition continues to progress, kidney function is severely reduced, anemia, hyperkalemia, arrhythmia, uremia, etc., will seriously threaten the patient’s life safety. In the early stage of hypertensive nephropathy, patients should go to the hospital in time and receive standardized treatment under the guidance of professional doctors to avoid further progression of the disease.