Objective：To observe the clinical effect of Huatan Huoxue prescription combined with western medicine for primary hypertension with phlegm and blood stasis type.Methods：Divided 166 cases of patients with primary hypertension with phlegm and blood stasis type into the treatment group being 84 cases and the control group being 82 cases randomly.Both groups were given amlodipine besylate tablets and enalapril maleate tablets，while the treatment group additionally receivedHuatan Huoxue prescription.Treatment for both groups lasted for 8 weeks.Observed the changes of blood pressure，heart rate，score of Chinese medicine syndrome，and blood lipid level in both groups before and after treatment.Results：After treatment，the total effective rate was 92.86%in the treatment group and 89.02%in the control group，there being no significance in the difference(P ＞ 0.05).Compared with those before treatment，systolic blood pressure and diastolic blood pressure in both groups were reduced in the 4th and 8th week of treatment(P ＜ 0.05).After 8 weeks of treatment，systolic blood pressure and the heart rate in the treatment group were lower than those in the control group(P ＜ 0.05)，and the heart rate in the treatment group was lower than that before treatment(P ＜ 0.05).After 8 weeks of treatment，the symptom scores of dizziness，heavy senation of the head，palpitation，chest distress，vomiting watery sputum，tastelessness and loss of appetite in the treatment group were all lower than those before treatment，differences being significant(P ＜ 0.05)，while in the control group only the symptom scores of dizziness was evidently reduced(P＜ 0.05).The symptom scores of dizziness，heavy senation of the head，palpitation and chest distress，vomiting watery sputum，tastelessness and loss of appetite in the treatment group were all lower than those in the control group(P ＜ 0.05).After 8 weeks of treatment，the levels of triglyceride， total cholesterol， and low density lipoprotein cholesterol were reduced in comparison with those before treatment，and the levels of high-density lipoprotein cholesterol were higher than those before treatment(P ＜ 0.05)；there was no obvious change of the above indexes in the control group after treatment(P ＞ 0.05)；differences of the above indexes of the two groups were significant after treatment(P＜0.05).Conclusion：Huatan Huoxue prescription combined with western medicine can obviously improve the clinical symptom，blood pressure，heart rate，and blood lipid level of the patients with hypertension with phlegm pattern，and there are no side effect and adverse reaction in the treatment group in this study.