Hypertension is a common and frequently-occurring disease, as well as one of main causes for disability and death. With the social and economic development and the changes in lifestyle, risk factors of hypertension have also undergone significant changes, and thus the pathogenesis evolutional rules of hypertension in traditional Chinese medicine have also changed correspondingly. According to findings, metabolic disorder is an important feature of modern hypertension, as well as a significant cause for hypertension. Complementary and alternative medicine (CAM) plays a significant role in treating hypertension, with traditional Chinese medicines as major therapy. Turbidity and resistance, and liver-yang hyperactivity are the crucial pathogenesis of hypertension with metabolic disorder. In conclusion, therapy eliminating turbidity and calming liver is used to treat hypertension, which is worth promoting in clinical practice.