Abstract:To observe the syndrome factors of high risk group of stroke and hypertension, so as to provide support for Traditional Chinese Medicine(TCM) syndrome differentiation and treatment. Methods:A total of 739 patients conforming to the criteria of the high risk of stroke population and hypertension were selected from Beijing Lugouqiao and Xinglong community health service centers, then were divided into three levels, I, II, III according to the levels of blood pressure. Risk of stroke was in reference to the reform of “2011 Major Projects National Stroke Highrisk Population Screening and Intervention Pilot Project”. The syndrome factors were extracted with factor analysis. Results:The main syndrome factors of the 739 patients were as follows: qi deficiency(16.0%), yin deficiency(14.6%), fire heat(14.6%), yang deficiency(11.0%). Among them, deficiency syndrome(52.8%) is the most common one, and phlegm and blood stasis are also frequent to be seen. Qi deficiency and yin deficiency were high frequency syndrome factors in all levels of hypertension. The fire heat syndrome distribution was higher in level I and level III. Conclusion:Among high risk populations with hypertension, blood, qi, yin or yang deficiency are the root cause of such disease, and dampness and stasis are the manifestations of all stages. Fire heat is the most obvious symptom.