Hypertension Treatment: Which Is Better, Traditional Chinese Medicine or Western Medicine?

When it comes to treating hypertension, individualized care is essential. For patients with Stage 1 hypertension, traditional Chinese medicine (TCM) alone, combined with lifestyle improvements such as diet modification and increased physical activity, can effectively lower blood pressure to target levels. In such cases, the use of Western pharmaceuticals may not be necessary.

Combining Treatments for Better Outcomes

As the condition progresses to Stage 2 hypertension, a combination of TCM and Western medicine often yields the best results. While a small number of patients may still respond well to TCM alone, most will benefit from the complementary effects of both treatment modalities. In Stage 3 hypertension, which is characterized by significantly elevated blood pressure and increased risk of complications, a dual approach using both Western medications and TCM is strongly recommended.

Focus on Blood Pressure Control

According to the World Health Organization (WHO), regardless of the treatment method, the ultimate goal is effective blood pressure management. Whether through Western drugs, herbal remedies, or a combination of both, maintaining blood pressure within a normal and healthy range is the primary objective. The choice of treatment should be based not only on disease progression and severity but also on the patient's personal preferences and daily routine.

Practical Considerations in Medication Choice

If a patient prefers once-daily dosing, has difficulty adhering to frequent medication schedules, or is already taking multiple medications for other conditions, Western pharmaceuticals may be more convenient. On the other hand, if a patient has the flexibility to take medication three times a day and is interested in a more holistic approach, TCM can be a viable and effective option.

Addressing Hypertension-Related Complications

Treatment decisions should also consider the presence of hypertension-related complications. As the disease advances, it often affects major organs such as the heart, brain, and kidneys. In cases where serious complications arise—such as hypertensive nephropathy or hypertensive heart disease—a combined treatment strategy using both Western medicine and traditional herbal therapies is generally the most effective way to manage symptoms and slow disease progression.