One of my patients left a particularly deep impression on me. For years, his blood pressure remained stubbornly high—between 180 and 200. Despite regular doctor visits and long-term medication, his readings fluctuated, causing him constant anxiety. After just two to three months of traditional Chinese medicine (TCM) treatment, his blood pressure gradually stabilized and dropped below 140.
When the patient asked how I had managed to lower his blood pressure, I told him that I did not simply use antihypertensive drugs to suppress the numbers. Instead, I identified the real reason his blood pressure was elevated—namely, long-term accumulated emotional stress.
I always want to remind people that high blood pressure is more than a reading on a monitor—it’s a warning from the body, reflecting long-standing imbalances in the body and in one’s lifestyle.
I once read about a striking case in the book, “The Hypertension Revolution,” by Dr. Chen Zhiming, who wrote that his father had taken blood pressure medication for many years. Although his readings appeared stable, he still died of a heart attack in his 60s.
In most cases, medication alone can only control blood pressure temporarily and may not address the underlying problem. If blood vessels become stiff because of long-term oxidative stress, inflammation, or cholesterol buildup, the heart must work harder, placing a greater burden on it. Gradually, not only can hypertension become more difficult to improve, but it may also lead to cardiac hypertrophy and even heart attacks.
Chronic Anxiety Keeps Blood Pressure Consistently High
Many people are unaware that emotions are actually a major factor affecting blood pressure.When a person is angry, anxious, tense, or under excessive stress, the sympathetic nervous system remains constantly active. This causes a faster heart rate and blood vessel constriction, which in turn raises blood pressure. If this state persists over the long term, blood pressure can easily remain stubbornly high.
From a TCM perspective, “anger forces the qi [vital energy] upward.” Excessive emotional fluctuations can easily lead to liver qi stagnation or hyperactivity of liver yang, further resulting in problems such as headaches, insomnia, palpitations, and elevated blood pressure.
The patient I mentioned was not primarily struggling with diet but rather with chronic high-level anxiety, constantly worrying about work and family issues. As his emotions gradually stabilized and sleep quality improved, his blood pressure also began to return to normal.
Anti-Inflammatory Benefits of the Mediterranean Diet
What you eat every day has a greater effect on your blood pressure than you might imagine.I have a friend with hypertension who usually takes his medication on time and keeps his blood pressure fairly well controlled. However, on one occasion, he attended a banquet and ate large amounts of foods high in sodium and saturated fat. That very evening, his blood pressure spiked to 170, and the next day, he even experienced numbness in his legs and dizziness. His doctor warned him that if he continued eating like that, he could very well suffer a stroke.
High-sodium and high-saturated-fat foods increase the burden on blood vessels, promote inflammatory responses, and, in turn, affect blood pressure control.
- Eat Healthy Oils: I recommend olive oil or Taiwanese camellia oil—both are rich in monounsaturated fatty acids, which help reduce inflammation in the blood vessels. In contrast, oils that contain higher amounts of omega-6 polyunsaturated fatty acids—such as corn, sunflower, and soybean oil—should not be eaten in excess, as they may promote inflammation.
- Focus on Vegetables: Eat at least two kinds of vegetables at each meal, such as sweet potato leaves, spinach, or mushrooms, to supplement potassium and dietary fiber and to help remove excess salt from the body.
- Eat More Fish and Less Red Meat: Eat fish two to three times per week, such as mackerel, Pacific saury, or milkfish, and reduce red meat intake.
A Simple Exercise That May Lower Blood Pressure
In addition to diet, exercise is equally important.I highly recommend one particularly simple yet highly effective method—handgrip strength training.
The exercise is straightforward—clench your fist tightly for two minutes, rest for one minute, and repeat the cycle four times. Perform it three times per week.
Fist clenching is a form of isometric contraction exercise. Although it may appear that the body is not moving, the muscles remain under continuous tension. Sustained contraction can increase nitric oxide levels in the bloodstream, helping blood vessels relax and dilate.
2 Morning Habits That Can Protect Your Heart
Managing blood pressure is more than numbers on a monitor—it is also important to pay attention to high-risk periods during the day. After waking up in the morning, blood pressure, heart rate, and stress hormone levels naturally rise. As a result, the early morning hours are when cardiovascular and cerebrovascular events are most likely to occur. Studies have shown that the risk of stroke between 6 a.m. and noon is 79 percent higher than during the other 18 hours of the day.First, never jump out of bed immediately upon waking. Sudden movements can cause more pronounced fluctuations in blood pressure and may even trigger orthostatic hypotension, leading to dizziness and falls. I recommend the following routine: Upon waking, remain lying down and perform “air cycling” movements with your legs for 30 seconds. Then sit up and wait for 30 seconds before standing. Once standing, spend another 30 seconds stretching your body. This gives your blood vessels enough time to adjust gradually.
Emergency Self-Help Tip for Blood Pressure Surges
If your blood pressure suddenly spikes, apply pressure to the inner gate (neiguan, PC6) acupoint immediately. The inner gate is commonly used as an “emergency acupoint” and is believed to help relieve acute chest discomfort, palpitations, or a sudden rise in blood pressure.
The inner gate is located on the inner forearm, approximately three finger-widths above the wrist crease, between the two prominent tendons. Apply firm pressure to this point for 30 to 60 seconds. The symptoms may ease as a result.
High blood pressure is more than a number—it is often a sign that the cardiovascular system is under strain.
Medications remain an important part of treatment for many people, but long-term improvement also depends on addressing the factors that contribute to hypertension. A diet rich in vegetables, healthy fats, and fish, regular exercise, stress management, and healthy morning habits can all support better vascular health.
Small changes practiced consistently can help stabilize blood pressure, protect the heart and brain, and reduce the risk of serious complications over time.







