目的　观察中西医结合治疗高血压病微循环障碍的疗效。方法　 10 1例高血压病病人随机分为治疗组 53例 ,对照组 4 8例 ,在降血压治疗的同时 ,治疗组加服消粘散袋泡剂 ,对照组配合服用阿司匹林片 ,观察 2组治疗前后血液流变学及甲襞微循环。结果　治疗组总有效率92 .5% ,对照组 6 4 .6 % ,2组比较有极显著差异 (P <0 .0 1)。结论　消黏散对改善高血压微循环障碍疗效确切。 Objective To observe the curative effect of integrated traditional Chinese and western medicine on microcirculation disturbance of hypertension. Methods One hundred and one patients with essential hypertension were randomly divided into treatment group (n = 53) and control group (n = 48). At the same time of lowering blood pressure, the patients in treatment group were treated with Xiaozhai Sanpi powder, and the control group were given aspirin tablets. Hemorheology and nailfold microcirculation before and after treatment. Results The total effective rate was 92.5% in the treatment group and 6.4% in the control group. There was a significant difference between the two groups (P <0.01). Conclusion Xiaoyan is effective in improving microcirculation disturbance of hypertension.