To provide a reference for the traditional Chinese medicine(TCM) syndrome differentiation of hypertension and the development and optimization of treatment strategies by systematically evaluating the characteristics of TCM syndromes of hypertension.Methods:The China National Knowledge Infrastructure(CNKI)，China Science Periodical Database(CSPD)，Chinese Citation Database(CCD)，and China Biology Medicine disc(CBMdisc) were systematically searched for related articles.Clinical research articles with a cross-sectional design on TCM syndromes in patients with hypertension were included.The Agency for Healthcare Research and Quality(AHRQ) evaluation tool and STATA 12 software were used for quality evaluation and meta-analysis of single group variable，respectively.Results:Finally，36 research articles were included.Eleven types of TCM syndromes were reported in the literature.Among them，the incidences of yin deficiency and yang hyperactivity syndrome and qi and blood deficiency syndrome were the highest，accounting for 29% and 29%，respectively，followed by combined phlegm and blood stasis syndrome with an incidence of 27%.The results found that the incidences of the following syndromes were higher in the south than in the north：liver-fire hyperactivity syndrome(16%，95%CI 0.15 to 0.18)，phlegm-dampness congestion syndrome(31%，95%CI 0.29 to 0.34)，kidney qi deficiency syndrome(22%，95%CI 0.20 to 0.24)，and liver-yang hyperactivity syndrome(10%，95%CI 0.80 to 0.12).The incidences of the following syndromes were higher in hypertensive patients with complications：liver-fire hyperactivity syndrome(13%，95%CI 0.12 to 0.13)，yin deficiency and yang hyperactivity syndrome(28%，95%CI 0.27 to 0.29)，yin and yang deficiency syndrome(16%，95%CI 0.15 to 0.16)，kidney qi deficiency syndrome(18%，95%CI 0.16 to 0.20)，phlegm-dampness internal obstruction syndrome(20%，95%CI 0.16 to 0.24)，blood stasis blocking collateral syndrome(14%，95%CI 0.13 to 0.15)，qi and blood deficiency syndrome(68%，95%CI 0.66 to 0.69)，and yin deficiency of liver and kidney syndrome(19%，95%CI 0.16 to 0.22).Conclusion:This study used evidence-based methods to investigate the TCM syndromes of hypertension and found that kidney deficiency syndrome and blood stasis syndrome were common syndromes of hypertension，and the incidence of hypertensive syndromes varied by region and complication.