Guangyun (Guangyun) marks it as Xu Jian qie, Jiyun (Jiyun) marks it as Xin Jian qie, pronounced "xian". Guangyun explains it as "fever and chills", a type of illness. Jiyun explains it as a disease of the throat. Also, Jiyun marks it as Jian Xian qie, pronounced "jian". It is also marked as Xu Yan qie, pronounced "". It is also marked as Huo Zhan qie, pronounced "". The meaning is the same. It is also marked as Li Yan qie, pronounced "lian". It refers to a disease of emaciation.