This systematic review of auricular therapy for patients with hypertension provides a comprehensive summary of such therapy as an alternative and adjunct to routine treatment. The results indicate that there were no consistent results neither in reducing BP nor in efficacy rate between auricular acupressure and ADs. However, auricular acupressure showed favorable changes in efficacy rate compared with sham acupoint and statistically significant changes in BP compared with no intervention. In addition, AAPADs manifest a significantly higher efficacy rate than that of ADs alone. Although the characteristics of included trials varied substantially in both the auricular acupoint options and duration of the intervention, all of the included trials except for the comparison between auricular therapy and ADs demonstrated at least one benefit in terms of achieving better BP control.