The control of blood pressure in hypertensive nephropathy should be carried out by lifestyle intervention combined with drug therapy such as angiotensin-converting enzyme inhibitors and angiotensin receptor antagonists. 1. Lifestyle intervention (1) Intake of sodium chloride should be <5g/d or sodium <2g/d, and assessed and adjusted according to 24h urine sodium. (2) Increase the intake of fruits and vegetables under the guidance of a nutritionist, and limit the intake of high-potassium foods if renal failure occurs. (3) Reasonably control protein intake. (4) Engage in moderate-intensity physical exercise, with a cumulative exercise time of at least 2.5 h per week, or at a level appropriate to its physical tolerance. 2. Drug treatment (1) Angiotensin receptor antagonists (ARBs) and angiotensin-converting enzyme inhibitors (ACEIs) are the preferred antihypertensive drugs for hypertensive nephropathy, but contraindications such as bilateral renal artery stenosis, isolated kidneys, and hyperkalemia must be ruled out before use. (2) For those with comorbid diabetes mellitus and cardiovascular disease, combined use of aldosterone receptor antagonists is recommended. (3) In patients with hypertensive nephropathy with increased volume load, diuretics are used in combination to control blood pressure. (4) The combination of beta-blockers can be considered for those with obvious symptoms of tachycardia such as heart failure or sympathetic excitation, and if not contraindicated, carvedilol is the preferred recommended drug. The treatment of hypertensive nephropathy patients is based on lifestyle intervention and medication, and they should take medication regularly, have a reasonable diet, and actively cooperate with the doctor. If obvious discomfort occurs, it is recommended to consult a doctor in time.