The theoretical system of traditional Chinese medicine represented by ,Huangdi Neijing, contains rich philosophical thoughts and has far-reaching influence on later generations. ,Lingshu · Jiuzhen Shier Yuan, said that the mediocre held the senseless point while the sage seized the pivot. 'Pivot’ is the meaning of trigger points and key points. 'Seize the pivot’means that people grasp the key changes of things, and intervene in time or in advance, in order to get twice the result with half the effort. In clinical treatment, 'identify pivot’ is that doctors accurately identify the 'pivot’ of disease by collecting effective information from four diagnostic methods. 'Seizing the pivot’ of diagnosis and treatment is to formulate the corresponding treatment plan, and accurately grasp the 'treatment pivot’ based on the 'pivot’ of disease. The idea of 'seizing the pivot’ can provide new horizons for diagnosis and treatment, aiming to improve the effectiveness of traditional Chinese medicine.