Primary hypertension is a type of psychosomatic disease that is closely related to both psychological and physiological. Primary hypertension, also called idiopathic hypertension, or simply hypertension, is a syndrome in which all known causes are excluded and in which the main clinical manifestation is an elevation of blood pressure, with or without physiologic or pathologic changes in the vasculature, heart, brain, kidneys, and other organs. Hypertension is defined as a persistent elevation of arterial and/or diastolic blood pressure in the body circulation. In China, hypertension is defined as a systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg without the use of antihypertensive drugs. Hypertension is a common disease worldwide, and according to the World Health Organization, 8%-10% of the adult population has hypertension, with varying prevalence rates in different regions, lifestyles, and cultures. Hypertension is characterized by high morbidity, high mortality, high disability and many complications. The causes of hypertension are mainly genetic, dietary and psychosocial factors. There is a clear family aggregation of hypertension, and about 60% of hypertensive patients can be asked about their family history of hypertension. The correlation of blood pressure between foster parents and foster children is significantly lower than the correlation between parents and biological children. The blood pressure correlation was greater among monozygotic twins than among dizygotic twins. In terms of the type of inheritance, heritability was evident not only in the prevalence of elevated blood pressure, but also in the height of blood pressure, complications, and other related factors, such as obesity. The prevalence of hypertension was significantly related to sodium intake, with higher salt intake resulting in higher blood pressure levels and prevalence, and potassium intake negatively correlated with blood pressure. Alcohol consumption was comparable to the horizontal line, especially with systolic blood pressure. Psychological factors, mood disorders and personality factors constitute the three basic psychological mechanisms of hypertension. Personality factors are the internal basis, psychosocial factors are the external conditions, emotional factors are in between, and all three are interrelated in that an individual’s response to stress depends on the individual’s appraisal of the stress. High evaluation is influenced by personality. Personality is in turn influenced by heredity, early environment, and acquired knowledge and experience. Psychological and social factors can also influence the emotions of the individual, which as stress will act on the individual, and together these factors influence the development of hypertension. If a person is viewed as a form of energy, the person as an isolated individual has limited energy. As the mobilization of energy, transportation, the main consumption of the nervous system function is also limited, the human body energy conversion has a certain law. The human psyche is not a general movement of matter, but the human organism, first of all, the human brain is organized in a special way of the functional activity of the material process or movement, once the person leaves the brain there is no mental activity, the human organism is a whole, the human brain is a component of it, is the main organ of mental activity, any mental activity is accompanied by energy consumption. People as a whole in the normal functioning of the body, through food to replenish energy, to maintain the normal functioning of the body, and physical activity and mental labor consumption, if the consumption is greater than the body has the energy, the nervous system will be in a constant state of work, beyond the normal working capacity to a certain limit to drive the body’s arterial circulation and the diastolic blood pressure of the continuous rise, in order to provide more energy, the long term continued for a period of time after the nervous system After a prolonged period of time the nervous system changes to adapt to the new equilibrium. Initially, if the effective reduction of energy expenditure, so that the nervous system from the state of tension gradually return to normal working conditions, to avoid adaptive changes in the nervous system can delay the progression of hypertension, but with the age of the individual, gradually the body’s energy from the growth of the equilibrium, and then to the individual can provide a gradual decrease in energy, but the body consumption is still maintained at a high level, the blood pressure upward momentum increases, if the individual energy supply reduced to a certain level , not enough to maintain conscious awareness, a state of delirium will occur. The consumption of energy in addition to the functioning of the body, physical activity expenditure is easy to control, but brain activity is not easy to regulate, brain activity in the active brain activity is easy to control, passive brain work in a variety of events that cause energy consumption is not easy to control, is not easy to regulate. In recent years, “white coat hypertension” has attracted people’s attention, due to environmental stimuli in the clinic measured blood pressure value is higher than normal, while the actual is not high blood pressure. However, the individual’s nervous system is actually close to a state of tension, when psychological tension can already cause nervous tension, resulting in elevated blood pressure. Therefore, primary hypertension, as a kind of psychosomatic disease, has a close relationship with psychology and physiology, and its onset is related to heredity, poor diet and psychosocial factors. If one develops good dietary habits, a healthy mentality, exercises appropriately, and reduces unnecessary exertion, and forms the corresponding living habits according to different ages, one can maximize the balance of bodily functions, try to slow down the occurrence of hypertension, and improve the quality of life, and Reduce the amount and type of antihypertensive drugs, reduce the occurrence of complications. Clinical treatment emphasizes more on drug treatment, and the very important psychosomatic treatment is often neglected.Primary hypertension within grade 2 can be treated with psychosomatic treatment within 6 months. However, if the target for hypertension grade 2 or above patients; hypertension combined with diabetes mellitus or already have heart, brain, kidney target organ damage and complications patients; where the blood pressure continues to rise for more than 6 months, to improve the life behavior of patients whose blood pressure has not yet gained effective control of the need for drug treatment.