Abstract：Objective：To observe the clinical effect of auricular point pressing with beans and emotional nursing for Htype hypertension in the senile. Methods： A total of 90 cases of senile patients with H- type hypertension treated in our hospital were included in clinical study，and divided into the observation group and the control group according to the random number table method， 45 cases in each group. Both groups were given routine western medicine and routine nursing measures， and the observation group was additionally given auricular point pressing with beans and Chinese medicine emotional nursing. Both groups were treated for four weeks. After treatment，the antihypertensive effect in the two groups was compared. Before and after intervention，the levels of blood pressure and homocysteine(Hcy) in the two groups were measured；the psychological state was assessed by Self- rating Anxiety Scale(SAS) and the Self- rating Depression Scale (SDS)； the sleep quality was evaluated by Pittsburgh Sleep Quality Index(PSQI). Results： After intervention， the total effective rate was 93.33% in the observation group and 77.78% in the control group，the difference being significant(P＜ 0.05). After intervention，the levels of systolic blood pressure(SBP)，diastolic blood pressure(DBP) and Hcy in serum in the two groups were decreased when compared with those before intervention(P＜0.05)，and the levels of SBP and DBP in the observation group were lower than those in the control group(P＜0.05)，but there was no significant difference being found in the comparison of the Hcy levels between the two groups after intervention(P＞0.05). The scores of SAS and SDS in the two groups were decreased when compared with those before intervention(P＜0.05)，and the scores in the observation group were lower than those in the control group(P＜0.05). Each score and the total scores in PSQI in the two groups were decreased when compared with those before intervention(P＜0.05)，and the above scores in PSQI in the observation group were lower than those in the control group(P＜0.05). Conclusion： Based on routine treatment and nursing measures， auricular point pressing with beans and Chinese medicine emotional nursing has significant curative effect in treating the senile patients with H-type hypertension，which can better reduce the levels of blood pressure and Hcy in serum，relieve anxiety and depression and improve sleep quality and nursing satisfaction.