To observe clinical efficacy of the combined treatment of traditional Chinese and Western medicine for old patients with hypertension. Methods: 108 patients were randomly divided into two groups, 57 cases in treatment group, 51 cases in the control group. The control group were treated by calcium antagonist nifedipine sustained release tablets, the treatment group were treated by Yiqihuoxue component of traditional Chinese medicine, in addition to calcium antagonist. Results: The total effective rate of treatment group was 96.49%, the total effective rate of control group was 80.38%. The clinical symptoms, blood pressure was better controlled in treatment group than in control group (P<0.05). Conclusion: The combined treatment of traditional Chinese and Western medicine is more effective for treating old patients with hypertension than the mono-therapy of western medicine.