Objective <p>To observe the clinical efficacy of traditional Chinese medicine (TCM) essential oil Tuina (Chinese therapeutic massage) combined with conventional Western medication in treating hypertension and its influence on TCM symptoms and anxiety.</p> Methods <p>Eighty patients with hypertension were included and divided into an observation group and a control group using the random number table method, with 40 cases in each group. The control group was treated with conventional oral Western medication once a day. The observation group was treated with additional TCM essential oil Tuina once every other day. The two groups were treated for 4 weeks. The changes in blood pressure, TCM symptom score, and anxiety, as well as safety, were observed after treatment.</p> Results <p>After treatment, the systolic blood pressure, diastolic blood pressure, TCM symptom score, and Hamilton anxiety scale score in the two groups were lower than those before treatment (<i>P</i>&lt;0.05), and those of the observation group were lower compared to the control group with statistically significant differences (<i>P</i>&lt;0.05). There were no adverse reactions, such as allergy and dry cough, in the two groups.</p> Conclusion <p>Based on conventional Western medication, TCM essential oil Tuina was safe and effective in the treatment of hypertension, which both reduced blood pressure and improved clinical symptoms and anxiety.</p>