Hypertension is a common disease worldwide. The prevalence of hypertension is as high as 10%-20% worldwide and can lead to cerebrovascular, cardiac, and renal pathologies, making it a major health hazard. However, the cause of hypertension has not yet been elucidated, and it is generally believed that the normal blood pressure regulation mechanism is not compensated due to the involvement of various environmental factors in a certain genetic background. The early stage of the disease is asymptomatic. Occasionally, increased blood pressure is found during physical examination, or after stress, emotional excitement or exertion, dizziness, headache, blurred vision, tinnitus, insomnia, weakness, lack of concentration, etc. As the disease progresses, blood pressure continues to rise. Organs are involved. The most common symptom of hypertension is dizziness, which is persistent rather than paroxysmal, and is usually not accompanied by visual rotation, which is different from vertigo caused by inner ear vertigo and vestibular neuritis. Some of them are transient, often appearing when suddenly squatting or standing up. The overall manifestation is a persistent dull discomfort in the head, which seriously affects the quality of life, when hypertensive crisis or insufficient blood supply to the vertebral basilar artery occurs. Symptoms similar to inner ear vertigo may occur. Hypertension belongs to the category of “pain”, “vertigo” and “stroke” in Chinese medicine. As early as in the Nei Jing, it is written that “all winds and dizziness belong to the liver” and “if the medulla oblongata is insufficient, the brain will turn to the body and whimper”, and it is believed that the vertigo of this disease is mostly related to the liver and kidney. Danxi Xinfa? It is said in the article “Sixty-seven cases of dizziness” that “no phlegm does not cause dizziness” and “no fire does not cause dizziness”, and it is believed that “phlegm” and “fire” are another cause of dizziness. The above discussion is related to dizziness caused by hypertension. Chinese medicine believes that hypertension is often related to emotional disorders, dietary disorders, internal injuries and deficiencies [. The origin of hypertension is the imbalance of yin and yang, and the symptoms are internal wind, phlegm and blood stasis; the disease is located in the clear orifices and is caused by the internal movement of wind due to liver and kidney yin deficiency or liver yang hyperactivity, or deficiency of qi and blood and loss of nourishment of the clear orifices, or deficiency of kidney essence and loss of nourishment of the brain marrow, or phlegm and turbidity and fire. This repeatedly transforms each other, forming a pathological state of mixed deficiency and deficiency, with yin and yang loss and deficiency of both yin and yang, which manifests as persistent dullness and discomfort in the head and seriously affects the quality of life. According to its pathological mechanism, the deficiency is mixed with the real. Yin and Yang deficiency is the basis, advocating the identification of evidence “deficiency and reality as the outline, yin and yang as the goal”, the first identification of deficiency and reality, the second identification of yin and yang. It is believed that hypertension is often seen in multiple ways, so it is advisable to keep it simple and manage the complexity, grasp the root, and treat the symptoms if it is urgent, and treat the root if it is slow. The symptoms are divided into Yang deficiency, blood stasis, deficiency of middle energy, deficiency of kidney essence, and Yang hyperphlegm. Accordingly, we propose the general treatment rules of helping Yang to eliminate stasis, tonifying Qi, strengthening the spleen and kidney, pacifying the liver and submerging Yang, and resolving phlegm. This type of patient has a history of cerebral infarction, cerebral hemorrhage, dizziness and heaviness, numbness of the limbs, or even unsteadiness in walking, preferring to lie still and move little, with a pale tongue and white coating, or a half-sided tongue with putrid coating. Half of the tongue is covered with white greasy moss, and the pulse is sunken or fine and astringent. It is advisable to help Yang to resolve blood stasis, and the medicine should be used to supplement Yang and return the five soup plus reduction treatment, the drug composition: astragalus, angelicae tail, dilong, peach kernel, cinnamon, dry ginger, cinnamon branch, Chuanxiong, Dan Shen, safflower, etc. 2, dizziness and blurred vision in the type of deficiency of middle energy, like to lie down. Standing is aggravated. In case of labor, it is hairy, tired and lazy, less energy and weakness, sweating, loose stools, light tongue and thin pulse. It is advisable to nourish the middle energy, the medicine is used to tonify the middle and benefit the qi soup combined with the spleen soup plus reduction treatment. Drug composition: Radix et Rhizoma Ginseng, Radix Astragali, Radix Angelicae Sinensis, Rhizoma Atractylodes Macrocephala, Fu Shen, Yuan Zhi, Pericarpium Citri Reticulatae, Radix Ziziphi, Radix Bupleurum, Radix et Rhizoma Glycyrrhiza Uralensis. 3, kidney essence deficiency type dizziness and ear, mental depression, memory loss. The waist and knees are sore and weak, or there is unilateral limb weakness, spermatorrhea and impotence, thin and light red tongue, sunken pulse and weak ulna. It is advisable to tonify the kidneys and benefit the essence, and the medicine is treated with Six Flavored Dihuang Pill with addition and subtraction, the composition of the medicine: Shu Di, Cornu Cervi Pantotrichum, Dan Pi, Fu Ling, Ze Di, Cuscuta, Fructus Lycii, Che Qian Zi, Cistanches, Eucommia, Niubizi, etc. 4, Yang hyper-phlegm obstruction type dizziness heavy as a cloud, chest distension and stuffiness, vomiting phlegm, or dizziness and pain, red eyes and bitter mouth, irritability, sleep less and dream more, red tongue with yellow coating, smooth pulse. It is advisable to submerge Yang and resolve phlegm, and the medicine is treated with Tianma and Hooked Vine Drink combined with the addition and subtraction of Tianma and Atractylodis Macrocephalae Soup with the following ingredients: Tianma, Hooked Vine, Shijiazhuang, Scutellaria, Mulberry, Nightshade, Fu Shen, Semen, Chen Pi, Atractylodis Macrocephalae, and roasted licorice. Third, the characteristics of the treatment 1, subtle Yang, help Yang, detailed identification of the root of Yang hypertension is located in the clear orifices, liver Yang hyperactivity or Yang deficiency can cause dizziness. The dizziness in hypertension is due to Yin deficiency and Yang hyperactivity, however, we need to distinguish whether it is due to Liver-Yang hyperactivity or Yang deficiency. It is necessary to consider the original cause of its occurrence and finally establish the correct treatment rule to effect its case. Liver-Yin deficiency, liver depression and fire can lead to hyperactivity of Liver-Yang. Or, spleen deficiency and phlegm production, phlegm and saliva, which turn into fire and lead to liver fire can also lead to dizziness in hypertension with liver-yang hyperactivity. Inadequate diet, damage to the spleen and stomach, no source of Qi and blood biochemistry, dampness and phlegm, phlegm and turbidity blocking the middle jiao, clear yang does not rise, obscuring the clear orifices and causing dizziness. Therefore, it is necessary to identify the origin of Yang in order to facilitate its effect. Commonly used Tianma hook vine drink plus reduction treatment to submerge Yang and pacify the liver, with products to strengthen the spleen and stomach to resolve phlegm and remove dampness, healthy transportation of biochemical sources, to relieve depression and help Yang, replenish Qi and blood, commonly used drugs are Fu Ling, Atractylodes, Bai Shao, Radix Codonopsis, Semen, Chen Pi, Qing Pi, etc. 2.Deficiency and supplementation of actual diarrhea, deeper investigation of the disease mechanism The disease involves the liver, spleen and kidney, of which the liver is the most closely related, dizziness and dizziness are not far from the cranial clearing place. Among the three organs involved in this disease, the liver should be given priority, the spleen and stomach should be protected and the kidneys should be nourished, and the disease mechanism should be investigated deeply, and the deficiency should be supplemented and the reality should be diarrhea to achieve a miraculous effect. The key to the pathogenesis of this disease is that it is an intricate and complex syndrome with a protracted course, deficiency of both spleen and kidney, internal obstruction of dampness, and obstruction of clear channels by liver wind and phlegm. The clinical evidence often uses Astragalus, Shou Wu, chicken blood vine, yam and other drugs to nourish the liver and kidney, invigorate the blood and open the veins to treat the root of the disease, and to remove phlegm and dampness to relieve depression of the medicine such as half asia, Chen Pi, Qing Pi, Chai Hu and Yu Jin to treat the symptoms. The Chinese medicine that is similar in taste and function is used in combination. In order to increase the effectiveness and reduce the toxicity. In the clinical evidence should be combined with the disease mechanism, flexible identification, change the prescription, single or isolated use of certain drugs is difficult to achieve its effect, need to cooperate with the combination of use. To play the due effect, such as commonly used Xia Gu Cao, motherwort, Che Qian Cao, Si Si Dou Cao four herbs used together can clear the liver, liver, liver live, laxative. The modern pharmacology proves that the four herbs have antihypertensive and sedative effects. The four herbs are combined in the formula. The treatment of liver fire dizziness, every get good results. In the treatment of hypertension, the combination of Chinese and Western medicine is respected, and special attention is paid to the combination of Chinese medicine and Western medicine, and the combination of macroscopic identification and microscopic identification of disease. Modern medicine confirms that the occurrence of hypertension is caused by the intertwining of many factors that contribute to the failure of the normal blood pressure regulation mechanism, and because of the weakness of the vascular structure of the brain, changes in blood pressure can easily lead to spasm, ischemia and leakage of small cerebral arteries, resulting in dizziness. It can also lead to the formation of micro thrombosis in the blood vessels of the brain. Accordingly, in patients with dizziness caused by each type of hypertension, some drugs are used to activate blood circulation and remove blood stasis, such as Danshen, Dampi, Chuanxiong, Pueraria Mirifica, Cassia, etc. Most of them have been proved by modern pharmacology. Most of them have been proven by modern pharmacology to have certain antihypertensive effects. Modern medical knowledge and traditional Chinese medicine culture are flexibly integrated and applied to clinical evidence is indeed effective. It is also in line with the principles of evidence-based medicine. His clinical evidence also focuses on the identification of symptoms. According to the typical symptoms of the disease, the addition and subtraction of drugs, such as poor appetite plus chicken naijin, jiao hawthorn, fried wheat germ; stool knots plus cypress seeds, Yu Li Ren, fire marijuana, etc.: loose stool plus poria, white lentils, white atractylodes, etc. Patients with hypertension often suffer from sleeplessness. For those who have difficulty sleeping for a long time, or those who are sleepy and wake up easily, add Chuanxiong, Nightshade, Yuanzhi and Hefei. Chuanxiong is a qi medicine in the blood. It is good at nourishing the blood and calming the mind, so it is good at quieting the mind. When the two drugs are used together, the Yang will be in the Yin, and the sleep will be peaceful at night. 2, the four diagnoses together, good identification of the tongue in the diagnosis of disease in the four diagnoses without one. But the most respected tongue diagnosis, each patient, the first check tongue image. “Tongue for the stomach mirror”, “tongue is the spleen, the stomach outside the wait”, “tongue for the heart of the seedlings”. Therefore, check the tongue to check the moss. It can tell the strength and weakness of the stomach and the depth of the evil. It is believed that in hypertension, yellowish, thick and white-moist tongue with red edges and teeth marks are most common. Add patchouli, half-xia, and calamus to clear heat and eliminate phlegm and aromatize turbidity; add raw coix seed, curcuma, and centipede to remove blood stasis and clear heat; add Zhi Mu and Dan Pi to nourish Yin and clear heat. 3.With knowledge of medical theory and scripture prescriptions, he has diligently sought ancient teachings, collected many prescriptions, and is flexible and adaptable. However, he does not stick to the ancient prescriptions. In the clinical evidence, he is able to understand the power and changes, and learn and apply them, according to the disease mechanism with the right flavor of medicine. The therapeutic effect is remarkable.