高血压病的发病机制较为复杂，目前对针刺治疗高血压的机制研究尚不完善，且针刺疗法作为一种疗效显著的中医临床辅助疗法，因其无明显不良反应的特点，更易被大众接受，故而明确针刺对高血压的治疗机制对于指导临床具有重要意义。针刺治疗高血压病的机制涵盖了多个方面，其中包括改善血管内皮重构，调节中枢神经系统及神经内分泌系统，改善氧化应激反应，调控血管内皮相关基因表达，防止靶器官损害等。因此，本文旨在整理分析针刺治疗高血压的机制，进一步明确针刺治疗高血压的发展状况及研究进展，为临床针刺治疗高血压提供一定的理论依据。

Hypertension is the most common cardiovascular disease in clinical practice. The pathogenesis of hypertension is relatively complex and remains under ongoing research. Currently, the medical community's understanding of the mechanisms underlying acupuncture treatment for hypertension is not yet fully understood. As a remarkably effective clinical auxiliary therapy in Traditional Chinese Medicine, acupuncture is more readily accepted by the general public due to its characteristic of causing no significant adverse reactions. Therefore, elucidating the therapeutic mechanisms of acupuncture for hypertension is of great significance for guiding clinical practice. The mechanisms of acupuncture in treating hypertension encompass multiple aspects, including ameliorating vascular endothelial remodeling, regulating the central nervous system and neuroendocrine system, improving oxidative stress responses, modulating the expression of vascular endothelial-related genes, and preventing target organ damage. Thus, this article aims to review and analyze the mechanisms of acupuncture in treating hypertension, further clarify the current research progress in acupuncture therapy for hypertension, and provide a theoretical basis for the clinical application of acupuncture in hypertension treatment.