Patients with simple systolic hypertension tend not to recover spontaneously. Simple systolic hypertension is common in the elderly. As the arteries harden with age, the elasticity of the arteries decreases, and the arteries cannot dilate sufficiently when the heart ejects blood during systole, resulting in excessive peripheral resistance, which leads to an increase in systolic blood pressure. However, the elasticity of the arteries during diastole is poor, so the patient’s diastolic blood pressure is relatively low. Simple systolic hypertension needs to be controlled, relying on the body’s self-regulation is difficult to self-heal. Simple systolic hypertension that is not effectively controlled for a long period of time is prone to cause chronic damage to target organs such as the heart, brain and kidneys. Patients with simple systolic hypertension are first recommended to be treated with medication to lower blood pressure, which can be calcium antagonists, such as amlodipine and nifedipine, or pulsatilla or sartan drugs, such as enalapril and valsartan. It is recommended to choose oral long-acting preparations, which is conducive to the stabilization of blood pressure. When a drug is not effective, other types of antihypertensive drugs can be added. At the same time of drug antihypertensive, it is recommended that patients adhere to a light, low-salt, high-potassium diet, appropriate increase in exercise, reduce all kinds of mental stress, and avoid frequent late nights. Regular blood pressure measurement, outpatient review, medication should follow the doctor’s instructions.