If hypertension alone does not cause cold hands and feet, but hypertension will eventually cause atherosclerosis, or hypertension combined with vascular aortitis, or hypertension combined with diabetes, may cause atherosclerosis, so that poor peripheral circulation, or diabetic peripheral neuropathy, poor peripheral sensation, the patient may appear cold hands and feet. Not all patients with hypertension will have cold hands and feet. If you have cold hands and feet, you should seek prompt medical attention to clarify the condition that causes peripheral circulation, or whether it causes peripheral atherosclerosis or other rheumatic or immune diseases in combination. The treatment of hypertension combined with cold hands and feet is to first lower blood pressure, antihypertensive drugs such as calcium antagonists, ACEI, beta-blockers, alpha-blockers, diuretics. Calcium antagonist drugs may relieve cold hands and feet. Seek prompt medical attention to determine if there are other causes of cold hands and feet, such as aortitis, Raynaud’s syndrome or rheumatoid immune causes. If there is a combination of peripheral arteriosclerosis, prompt medical attention and treatment, such as interventional therapy or medication can improve circulation.