Objective:To observe the clinical efficacy of auricular point pressing combined with western medicine in the treatment of essential hypertension in community. Methods180 patients of essential hypertension in community were randomly divided into the treatment group and control group, 90 cases in each group. The control group was orally treated with single hypotensive drug, and the treatment group was treated with therapy of auricular point pressing based on oral administration of single hypotensive drug, with a course of 5 months. The clinical efficacy was observed, the changes of blood pressure related indicators (systolic pressure, diastolic pressure, pulse pressure) were compared.  Results:①Finally, 79 cases in the control group and 87 cases in the treatment group completed the trial. ②The total effective rates were 85.1% in the treatment group and 58.2% in the control group. The clinical efficacy of the treatment group was significantly better than that of the control group (P<0.05). ③Compared with treatment before, the systolic pressure, diastolic pressure and pulse pressure were obviously decreased in the treatment group after treatment, with statistically significant differences (P<0.05), and the systolic pressure, diastolic pressure and pulse pressure in the control group showed the decreasing tendency, but with no statistically significant differences (P>0.05). After treatment, the systolic pressure, diastolic pressure and pulse pressure in the treatment group were significantly lower than those in the control group (P<0.05). ④In the treatment group, the decrease of systolic pressure in patients with syndrome of excessive phlegm-dampness was greater than that in patients with syndrome of deficiency of both yin and yang (P<0.05), there was no statistically significant difference among other syndromes (P>0.05). The decrease of diastolic pressure in patients with syndrome of exuberance of liver fire was greater than that in patients with syndrome of hyperactivity of yang due to yin deficiency (P<0.05), there was no statistically significant difference among other syndromes (P>0.05). After treatment, there was no statistically significant difference on the decrease of pulse pressure among different syndromes (P>0.05).  Conclusion:The therapy of auricular point pressing combined with western medicine shows satisfactory efficacy in the treatment of essential hypertension, which can more effectively lower blood pressure (systolic pressure, diastolic pressure and pulse pressure) compared with western medicine alone, and according to the different TCM syndrome patterns of patients, there are some differences in the effect of blood pressure lowering.