Objective: To analyze the application value of acupoint massage combined with psychological guidance in gestational hypertension. Methods: A total of 94 patients with gestational hypertension admitted to our hospital from June 2019 to June 2021 were selected for the study. They were divided into control group and observation group by drawing lots, 47 cases in each group. The control group was given psychological guidance, and the observation group was combined with acupoint massage on the basis of the control group at the same time to compare mental resilience, psychological state and blood pressure level. Results: There was no statistically significant difference between the two groups before nursing (P > 0.05). The total mental resilience score of the observation group was higher than that of the control group after nursing, and the anxiety score, depression score, systolic blood pressure and diastolic depression score were higher than that of the control group, and the differences between the two groups were statistically significant (P < 0.05). Conclusion: Acupoint massage combined with psychological counseling program for patients with hypertension during pregnancy can adjust mental resilience, relieve negative emotions, and have obvious antihypertensive effect, which is worthy of promotion.