Objective To investigate the distribution of physique of traditional Chinese medicine（TCM）among different hypertensive people in Shiqiaopu community of Chongqing and explore the correlation between TCM physique and the hierarchical management of hypertension.Methods 492 cases of hypertensive patients received from 2011 June to February 2014 in Shiqiaopu Community Health Center were divided into a study group（251cases）and a control group（241cases）with a stratified random sampling method after TCM physique identification.The control group were received routine western medicine treatment

and with the therapy of the control group

the study group were also given interventions on diet

exercise and psychological counseling and traditional Chinese medication.After one-year treatment

patients in both groups were compared changes of TCM physique and the hierarchical management of hypertension.Results In different hierarchical management of hypertensive patients

TCM physique distributions were:among 15 patients in the first-level management

8mild physique（53.2%）

1qi deficiency physique（6.7%）

1qi depression physique（6.7%）

3hot-humid physique（20.0%）

1hot-humid with yin deficiency physique（6.7%）

1phlegm and hygrosis physique（6.7%）;among 218 patients in the secondary-level management

mainly mild physique（50

22.9%）

phlegm and hygrosis physique（38

17.4%）

hot-humid physique（34

15.6%）

yin deficiency physique（32

14.7%）;among 259 patients in the third-level management

mostly phlegm and hygrosis physique（54

20.8%）

mild physique（50

19.3%）

yin deficiency physique（47

18.1%）

hot-humid physique（38

14.7%）

qi deficiency physique（26

10.0%）.Before the intervention

there was no significant difference of the proportion of patients in different hierarchical management of hypertension;after the intervention

patients′hierarchical management of hypertension of the study group changed to lower levels

the proportion of patients in the third-level management was significantly lower than the control group and the difference was statistically significant（P<0.05）.Before the intervention

patients of the two groups had no significant difference in the proportion of mild physique（χ2=1.392

P=0.314）;after the intervention

the proportion of mild physique in the study group was 61.35%

significantly higher than the control group and the difference was statistically significant（χ2=5.263

P= 0.002）.Before the intervention

patients in both groups had no significant differences in systolic pressure

diastolic pressure and control rate of blood pressure;after the intervention

systolic pressure and diastolic pressure in the study group were significantly lower than the control group

but the control rate of blood pressure was significantly higher than the control group

and the differences were statistically significant（P<0.05）.Conclusion Good hierarchical management of hypertension in community is closely related to TCM physique and personalized intervention of traditional Chinese medicine and can significantly reduce the risk of hypertension.