High pressure 148 low pressure 96 can take medication or not, dietary adjustments and exercise therapy treatment is effective, there is no need to take medication, if there is no effect, you need to take medication to lower blood pressure. If you have a high pressure of 148 and a low pressure of 96 more than three times on the same day, you can be clinically diagnosed with hypertension. When you are first diagnosed with hypertension, you need to formulate a dietary adjustment program (low-salt and low-fat diet) and an exercise program (physical exercise) based on the value of your blood pressure and the patient’s physical condition. If exercise and dietary adjustments fail to maintain normal blood pressure, the patient will need to take treatment such as enalapril maleate tablets. If there is a combination of target organ damage such as coronary artery disease, early pharmacologic control is necessary. The diagnostic criterion of hypertension is that three consecutive measurements on non-simultaneous days are higher than the upper limit of the standard value without taking antihypertensive medication, after which it has to be clarified whether it is secondary hypertension, such as renal artery stenosis. If there is any blood pressure abnormality, it is recommended to consult a doctor in time to avoid delaying the condition.