Geriatric hypertension is a common and frequent disease of the elderly. Due to the different perspectives of understanding, Chinese medicine has not had a specific discussion on hypertension since ancient times. Although there is no specific discussion on the treatment of hypertension in the elderly in Chinese medicine, according to the different clinical manifestations of patients, through long-term clinical practice, Chinese medicine has accumulated rich experience in the treatment of hypertension in the elderly and formed a theoretical understanding with its own characteristics. According to Chinese medicine, after a person is over half a century old, the function of the internal organs begins to gradually weaken, which is the fundamental cause of geriatric diseases. Hypertension in the elderly is caused by the weakening of the five viscera, of which the liver, spleen and kidney are the main ones. The weakening of the viscera produces pathological products such as wind, fire, phlegm and stagnation, and the pathological products such as wind, fire, phlegm and stagnation aggravate the weakening of the viscera, so it is difficult to treat and has many clinical symptoms. Traditional Chinese medicine treatment of hypertension in the elderly is based on deficiency, complement and diarrhea, adjustment of yin and yang, and various traditional therapies for individual differences, in order to improve clinical symptoms, restore the normal function of the body, and delay the progress of the disease. Elderly patients with hypertension should pay attention to several points when choosing TCM treatment: 1, antihypertensive Western medicine is the result of many years of research in Western medicine, and there is a large amount of evidence-based medical evidence, TCM treatment can not completely replace Western medicine treatment. 2, TCM treatment should be mainly non-pharmacological treatment, Chinese medicine treatment is mainly to improve the symptoms to achieve the purpose of improving the quality of life. 3, TCM treatment should refer to the risk stratification of Western medicine prognosis, and have a clear understanding of the changes in the condition of elderly hypertensive patients to prevent the occurrence of variable evidence. 4, the elderly are less adaptable, should be the main effect of gentle Chinese medicine, as far as possible, the use of harsh and fierce agents, to prevent fracture of the vital energy, aggravate the internal organs of the weakness. Chinese medicine treatment mainly includes the following aspects: 1. This is one of the key points of Chinese medicine treatment, through looking, smelling, asking and cutting, the four diagnoses are combined, and the treatment is divided into evidence. At different times, in different places, and for different conditions, we use the “three factors” method of treatment, and according to the needs of the patient’s condition, we take different dosage forms such as soup, pill and ointment to achieve the function of harmonizing yin and yang and improve the quality of life of the patient. For elderly patients with hypertension, it is important to consult a doctor in time when their condition changes, and herbal tonics are effective in improving clinical symptoms. 2.Qigong therapy Qigong, by harmonizing the three basic aspects of mind, body and breath, can unblock the meridians, harmonize the qi and blood, calm the yin and yang, and cultivate the vital energy, which is especially suitable for elderly patients with hypertension. By practicing gong, the symptoms can be relieved faster and the spirit can be revived, and sleep can be improved and appetite regulated. Commonly used posture is sitting, commonly used methods to induce thought into quietness are the idea method and the method of following the breath, commonly used methods to adjust breathing is the natural breathing method, there has been clear proof that practicing qigong can make the body’s metabolic rate lower, improve brain microcirculation function, enhance the body’s ability to self-regulate, and alleviate the adverse effects of a variety of cardiovascular and cerebrovascular risk factors. 3, diet therapy Diet therapy is a characteristic of Chinese medicine treatment, although a reasonable dietary structure is jointly advocated by Chinese and Western medicine, but the understanding of Chinese medicine is much more than that. Traditional Chinese medicine is concerned with the “harmony of heaven and man”, and people should follow the times of heaven, so should the food therapy and medicinal food. With the four seasons of climate change, under the guidance of physicians to carry out some dietary and medicinal food with the treatment, is also a good choice for elderly patients with hypertension. 4.Acupuncture and Tuina Acupuncture and Tuina is very suitable as an auxiliary treatment for elderly hypertension. Through acupuncture and Tuina, the blood and qi of the meridians can be unblocked, the yin and yang can be balanced, the spirit and muscles can be relaxed, so that the blood pressure can be reduced and the quality of life can be improved. However, it should be noted that not all elderly patients with hypertension are suitable for acupuncture and tui-na therapy. Specific clinical treatment should be based on the physician’s recommendation and the patient’s degree of cooperation.