Grade II hypertension is when a patient has a systolic blood pressure between 160-179 mmHg and/or a diastolic blood pressure between 100-109 mmHg. Patients with grade II hypertension should be treated aggressively with antihypertensive therapy while identifying the presence of secondary hypertension. Combined with lifestyle interventions to improve, especially for obese and mentally stressed patients, hypertension is effectively improved by weight loss, low salt and low fat diet, and relaxation. Patients with sleep disorders, such as respiratory sleep apnea syndrome, where the sleep disorder causes an increase in blood pressure, get treatment and the blood pressure improves effectively. The ideal blood pressure standard is 120/80 mmHg, which requires two drugs in a row to achieve an effective goal. It is important to live with, low salt and low fat, improve sleep, and adhere to exercise. It is also important to adhere to medication to achieve a blood pressure of 140/90mmHg, preferably within 120/80mmHg in younger patients.