Plant the Cereus tetragonus in a mixture of 2 parts sand to 1 part peat moss and 1 part loam.
Water the Cereus tetragonus until the water drains from the bottom of the pot, and then allow the soil to dry completely before watering again. Give the plant half the amount of water in the winter.
Fertilize the Cereus tetragonus with a 10-10-10 fertilizer, diluted to half the strength recommended on the package. Apply the fertilizer once a month while the cactus is growing. Discontinue in the winter.
Keep winter temperatures at 65 degrees Fahrenheit or above.