"Different from person to person" is mainly due to physical fitness. "Su Wen San Bu Jiu Hou Lun" said: "We must first measure the fat and thin of its shape to adjust the deficiency and excess of its qi, but actually purge its qi and make up its deficiency. Differentiation of symptoms and signs first distinguishes physique and runs through Neijing. " "On Su Wen and Hiding in the Dark" says: "When the husband is old, he will seek the fu-organs; when he is young, he will seek the classics; when he is strong, he will seek the soil. In other words, there is a difference between the viscera and meridians that emphasize different ages and pay attention to nursed back to health. The elderly with excessive spleen and stomach deficiency and cold are prone to damage the six fu-organs due to improper diet, so it is appropriate to treat the fu-organs. The elderly are deficient in viscera and vital energy, and the whole body is deficient in qi and blood, so they cannot be replenished. They can only nourish the five internal organs from the spleen and stomach by means of tonic. Young people are often tired and sweaty, which leads to colds involving meridians. It is advisable to eliminate evil and dredge collaterals. Young people have strong viscera, shallow disease and simple illness, and the treatment along meridians is effective. A strong man in his youth should rely on a strong house to consume the essence of the five zang-organs, so he should supplement them. Mature people are full of blood and can tolerate drug attacks. According to the nature of the disease, they can use heavy drugs and go straight to the disease. "Lingshu Tian Tong" also said: "In ancient times, those who made good use of acupuncture and moxa treated people with five attitudes. People who are full will excrete it, while people who are weak will replenish it. It also explains the difference between the five states of human governance: "People in the Taiyin are full of yin but not yang ... they can't move without diarrhea", "People with less yin are full of yin and less yang ... they must be carefully adjusted, their blood is easy to flow out, and their qi is easy to fail", "People in the sun are full of yang and less yin ... if they don't take off yin, they will take off yang". Therefore, we should adjust Yin and Yang, and don't be a person with five states. "

Under the guidance of the treatment idea of "adapting to local conditions", Neijing put forward specific treatment methods such as "northwest qi, dispelling cold, southeast qi, and collecting temperature". Bing Wang noted: "People in the west and the north are thick-skinned, and everyone eats hot, so it is appropriate to disperse cold;" Southeastern people, with thin skin and open skin, eat cold food and keep warm. That is, in cold regions and seasons, drugs should be used to adapt to the cold, and it is cold to disperse; In hot areas and seasons, we should first adapt to warm gas to use drugs. The reason is that people in the west and north have dense skin, and many people like to eat hot food, so it is often appropriate to dispel cold after illness. Orientals and southerners have thin skin and open skin. Many people like to eat raw and cold food, so it is often appropriate to receive appropriate temperature treatment after illness. Only when the gas is incompatible, when the gas is incompatible, should the opposite medicine be used to correct it. "Su Wenyi's Theory of Fafangyi" also said: "Therefore, saints are mixed and have their own places. Therefore, people who treat all diseases according to their differences will know the general situation of treatment. First, doctors are required to adopt different treatment methods according to different conditions such as weather, geography, living habits and physique. Second, according to the specific situation of patients, various treatment methods and measures can be combined. Third, it is emphasized that doctors should accurately analyze the condition and reasonably choose treatment methods. Therefore, the treatment should not only pay attention to the disease itself, but also pay attention to the influence of geographical environment on human physiology and pathology.

Neijing holds that no matter whether the disease has time periodicity or not, its treatment should also consider the problem of time to avoid the disadvantages of "cutting the sky", which is also an important embodiment of the treatment idea of "adapting to the time" in clinical application. Specifically, on the basis of the original prescription, you can add or subtract drugs at any time, or adjust the dirty when you are in charge, or protect the dirty when you are in charge; You can choose drugs with slower cold and heat; You can use the anti-auxiliary method and so on.

For example, Gaoli used Qianghuo Yufeng Decoction to treat stroke, and suggested that this medicine can be taken regularly, but it should not be supplemented at four seasons, so Pinellia, Ginseng, Bupleurum and so on. In spring, it is advisable to add pivot and less yang; In summer, gypsum, Anemarrhena asphodeloides and Scutellaria baicalensis Georgi are added to prevent fire and help wind; Stephania tetrandra, Atractylodes macrocephala, Poria, etc. In the long summer, strengthen the spleen and promote diuresis, and transport the four directions of Zhongzhou; In autumn, Magnolia officinalis, Pogostemon cablin and Cinnamomum cassia twig are added to promote the release of lung qi and relieve autumn stroke; Radix Aconiti Lateralis, Cortex Cinnamomi, Radix Angelicae Sinensis, etc. In winter, it supplements the fire of life gate, strengthens the foundation and cultivates the yuan, and assists the main prescription of winter and moon. Another example is Li Shizhen's cloud in "Introduction to Compendium of Materia Medica": "In spring, acid is preserved and sweetened to nourish temper; In summer, keep suffering, increase suffering and nourish lung qi; Long summer, sweet and salty to nourish kidney qi; In autumn, the province's spicy and sour taste nourishes liver qi; In winter, save salt, increase bitterness and nourish the heart. " Zhu Danxi thinks that it would be wrong if you pour warm water on a fire in summer. On the other hand, Cheng Zhongling thinks it is a big mistake for doctors to lose the cold, heat and coolness of the four seasons when taking medicine.

In addition, taking medicine in time is also one of the contents of "adapting to the time", and different measures should be taken over time regardless of whether needles are used or not. "Shu Wei Qi Xing" said: "If you wait for the right time, the disease can be treated in time. If you lose time, you will not be cured. For example, Zhang Zhongjing emphasized that Shi Zao Tang should be taken "flat and Dan", that is, because the hands are too yin, the lungs should be yin, giving full play to the purgative effect of drugs. In Ye's "Clinical Guide Medical Records", only the taking time of various prescriptions was recorded in nearly 100 places. For example, early use of products that warm and tonify kidney-yang and later use of drugs that strengthen the spleen; Nourish kidney yin in the morning and strengthen spleen and strengthen yang in the afternoon; Suck the coke early, and dry it at dusk. There is also a theory of taking medicine before onset in Neijing, such as the treatment of malaria syndrome. Therefore, the theory of malaria says: "Fang's prosperity will be destroyed, and it will be prosperous because of its decline." 」

Here is a medical record to illustrate the use of classics. Wang Mengying Medical Records recorded that Weng Jiashun had a fever, but the monks in Qiankulin Temple were not cured. Both Dr. Wen and Dr. Gong are responsible for the addition and subtraction of biochemical soup, which is beneficial to the play. Please consult Meng Ying, the pulse is soft and slippery. Yue: The body is yin deficiency, and the heat is endogenous, producing new blood, which is fever. However, delirium is the evidence that scares doctors the most, and thirst for hot drinks is like evidence of deficiency and cold. It should be guessed that it is wind-cold exterior dispersing and blood stasis suspected attack, and ginger should be used. Everyone's peaches, cinnamon and shade were robbed, and their illness became more and more serious. Meng uses Rhinoceros Horn Dihuang Decoction, and adds honeysuckle, gypsum, Dendrobium, Gardenia, shellfish, pollen, bluegrass, calamus, Scrophularia, bamboo juice, bamboo shavings and bamboo leaves. After more than ten doses, the tongue was suddenly covered with filthy fur and the breath was ejected. It smells terrible, my hands are as cold as ice, and my head is sweating. Salty is called despair. Meng Ying said: Vitality is also. Because of yin deficiency and heat evil, he was given the method of clearing the camp and cooling the blood. After taking it for more than ten days, it gradually shook Yingyin and exorcised evil spirits. This is moss. However, this element is weak and cannot be solved by war, so the limbs are cold and sweat only comes from the head and face, not yang deficiency. After washing with sweet and cold frequently, you will sweat for more than three days, the summer heat will subside, and your limbs will be warm with fur. From beginning to end, the rhinoceros horn * * * took three or two Xu, and did not make a contradictory medicine. Sanjiang has a low humidity and warm weather. There are few syndromes of typhoid fever, but most of them are damp heat and wind temperature. The other person has a weak constitution and doesn't want to be cleaned by drugs. Therefore, he only uses drugs that are sweet and clear, and gradually seeks them, and the evil does not hurt. If you are in the north, even if you take hundreds of doses, you will know nothing about these drugs. Evil will not disappear unless you add nitrate and yellow to purify it. Therefore, Ye's method is very famous in Jiangsu and Zhejiang provinces. And beside Wu, the famous Youji. It's all the same anywhere else. It is also wise to "adapt to local conditions".

Press: The patient's postpartum fever is characterized by delirium and lethargy. Physicians are all based on the theory of deficiency and cold, and it is very beneficial to the disease to use biochemical soup to warm the meridians and dispel the cold. However, according to the treatment thought of adjusting measures to local conditions, Wang Mengying identified yin deficiency and heat evil as deep syndrome, and modified rhinoceros horn and rehmannia decoction, which had a remarkable effect. Due to the hot and humid environment in Sanjiang, people's physique is weak, mostly due to yin deficiency, which is prone to wet temperature and wind temperature. Northerners are physically strong and live in a dry and cold environment, which is prone to chills. In treatment, we must increase the medicinal properties of yellow and mirabilite to eliminate heat evil. The northern and southern regions are different, the living environment of residents is different, and the treatment methods are different.