Objective To evaluate systematically the efficacy of external treatment of high-normal blood pressure by acupuncture, ear acupuncture, moxibustion, massage, foot bath and acupoint catgut embedding. Methods To search related literatures in Chinese National Knowledge Infrastructure, VIP Web, Wanfang Datebase, SinoMed, PubMed databases, Embase, and Cochrane Library. The two researchers independently and strictly searched and extracted the data according to the standard of include-exclude standard. The quality of the literatures was evaluated by using the Cochrane evaluation manual. The data were analyzed by Revman 5.1 software. Results A total of 17 randomized controlled trials including 1455 patients were included, including 726 patients in the experimental group while 729 patients in the control group. Meta-analysis result： Comparing with the control group, the experimental group had advantages in reducing systolic blood pressure[MD=-1.30， 95%CI (-1.71， -0.88)， P＜0.00001], diastolic blood pressure[MD=-3.13， 95%CI (-4.16， -2.09)， P＜0.00001], effective rate of antihypertensive therapy[RR=1.13， 95%CI (1.01， 1.28)， P=0.05], and improving TCM symptoms of patients [RR=3.07， 95%CI (1.90， 4.96)， P＜0.00001]. Conclusion Compared with simple lifestyle intervention or no intervention, external treatment of traditional Chinese medicine is effective in the treatment of High-normal blood pressure, but the analysis results show that the heterogeneity is large， and the quality of the included literature is low. So the reliability of the conclusion still needs to be further demonstrated by the larger sample size and higher quality randomized controlled clinical trials.