To observe the correlation between TCM Pattern and the pulse pressure (PP) of the patients with hypertension-related cerebral apoplexy. Methods:The patients were differentiated in terms of TCM patterns, and divided to 3 PP groups (<60mm Hg, 60～75mm Hg, >75mm Hg). Results:We found hypertension -related cerebral apoplexy was of complicated TCM patterns, and the combination of two or three, or more patterns are very common. The number of TCM patterns that coexist varied according to different pulse pressure levels: higher level of PP was usually accompanied by multiple patterns and more critical conditions. Conclusion:stirring wind due to yin deficiency and obstruction of wind-phlegm are the main pattern for hypertension-related cerebral apoplexy.