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In the mountain streams and creeks of Jiangdong and Jiangxi, there are insects known as "Duanhu Xidu" (Short Fox Stream Poison), also called "Shegong" (Shooting Duke). These insects have wings and can fly; they possess a long horn protruding horizontally in front of their mouths, resembling the bow brace of a crossbow. The tip of this horn curves upward like a bowstring, using breath as an arrow. They lack eyes but have ears capable of hearing. Living in mountain springs and waters, upon hearing human voices, they shoot toxic breath at people, hence the name "Shegong." These insects fear geese, which can eat them. This condition resembles Taiyang disease (diseases affecting the Taiyang channel), presenting with alternating chills and fever, aversion to cold by the body, tendon stiffness, rigid physique, eye pain, headache, open-mouthed groaning, coughing, stifled and chaotic breathing, inability to speak throughout the illness, with symptoms lighter in the morning and heavier in the evening. If not bitten by locals, it is often misdiagnosed as Taiyang disease. The following description clarifies its symptoms to distinguish it from Taiyang disease.

*Luosi Ding* (Snail Carbuncle): Aversion to cold, fever, stuffiness in the chest and diaphragm, red spots appearing on the body resembling mosquito bites, similar to Taiyang disease. These spots originate from the hands and spread to the precordial region, leading to madness, confusion, and death. Unaware practitioners treating it merely as Taiyang disease with macules will find no survivors. Treatment involves pricking the head and tail of the red spots with a three-edged needle to induce bleeding, applying water ground from rusty iron nails externally, and internally administering *Xijiao Dihuang Tang* (Rhinoceros Horn and Rehmannia Decoction) for immediate recovery. (Formula see previous section)

When Yang Poison deepens, the six pulses become surging and large, with internal and external heat accumulation, tongue rolling and scorching black, and nostrils resembling soot. Fold several layers of cloth, soak them in fresh cold water, wring out slightly, and place on the patient's chest. After a moment when the cloth becomes hot, replace it with another soaked in cold water. Repeat frequently until heat subsides slightly, then administer Yang Poison medicine.

Observation of tongue forms reveals thirty-six types:

**Lihei She** (Inner Black Tongue): The tongue surface appears red, with dry, hard blackness inside, shaped like a small elongated tongue with prickles. This indicates excessive heat toxin firmly binding in the Large Intestine; Metal (Lung) is controlled by Fire (Heart) and cannot balance Wood (Liver). Urgently use *Tiaowei Chengqi Tang* (Stomach-Regulating Daoshi Decoction) to purge.
*Tiaowei Chengqi Tang* (Formula see previous section)

**Baitai She** (White-Coated Tongue): The tongue shows a slippery white coating, indicating pathogenic factors have just entered the interior. Heat exists in the Dantian, while cold resides in the chest; this is a Shaoyang half-exterior half-interior syndrome. Suitable treatments include *Xiaochaihu Tang* (Minor Bupleurum Decoction) and *Zhizi Chidui Tang* (Gardenia and Fermented Soybean Decoction).
*Xiaochaihu Tang* (Formula see previous section)
*Zhizi Chidui Tang* (Formula see following section)

**Jiangwen She** (Impending Plague Tongue): The tongue is red, indicating heat accumulating internally. Use *Touding Qingshen San* (Top-Penetrating Spirit-Clearing Powder).
*Touding Qingshen San*: *Danggui* (Angelica Sinensis Root), *Baizhi* (Angelica Dahurica Root), *Beixixin* (Asarum Sieboldii Root), *Zhuyazaojiao* (Zanthoxylum Bungeanum Fruit). Grind into powder, mix equally. Have the patient hold a mouthful of water, blow a small amount of powder into the nose, spit out the water, stopping when sneezing occurs. If no sneeze, repeat.

**Zhongbei She** (Middle-Baked Tongue): The tongue is purely red with black shapes inside resembling a small tongue. This signifies evil heat binding in the interior, with Sovereign Fire blazing excessively, counteracting with Water transformation. Take *Liangge San* (Cooling the Diaphragm Powder) and *Dada Chaihu Tang* (Great Bupleurum Decoction).
*Dada Chaihu Tang* (Formula see previous section)
*Liangge San* (Formula see following section)

**Sheng [Hei] She** (Raw [Black] Tongue): The tongue is red with small black spots. Heat toxin enters the Stomach through deficiency, accumulating heat causes disease. Use *Shengma Gegen Tang* (Kudzu and Rhizoma Cimicifugae Decoction) plus *Xuanshen Hua [Ban] Tang* (Scrophularia Spot-Resolving Decoction) to resolve.
*Shengma Gegen Tang* (Formula see previous section)
*Hua [Ban] Tang* (Formula see previous section)

**Hongxing She** (Red Star Tongue): Pale red tongue with large red stars indicates excessive heat of Shaoyin Sovereign Fire. The non-conquering element (Kidney Water) borrows fire to insult Spleen Earth, a precursor to jaundice. Treat with *Yinchen Wuling San* (Artemisia Capillaris and Five-Ingredient Poria Powder).
*Yinchen Wuling San* (Formula see following section)

**Heijian She** (Black-Tipped Tongue): Red tongue with cyan-black tip indicates Kidney heat due to Yin deficiency and Fire excess. Treat with *Zhuye Shigao Tang* (Bamboo Leaf and Gypsum Decoction).
*Zhuye Shigao Tang* (Formula see previous section)

**Liquan She** (Inner-Ring Tongue): Pale red tongue with a central red ring surrounded by pure black. Residual toxins remain in the Pericardium collaterals,郁结 with evil fire, causing extreme亢 of two fires. Purge with *Chengqi Tang* (Daoshi Decoction).
*Chengqi Tang* (Formula see previous section)

**Renlie She** (Human-Crack Tongue): Red tongue with cracks resembling the character "human." Sovereign Fire blazes, heat toxin flares upward, causing cracks. Take *Liangge San*.
*Liangge San* (Formula see following section)

**Chongsui She** (Bug-Eaten Tongue): Red tongue with deep red spots resembling bug-eaten patterns. Heat toxin is excessive, Fire above and Water below fail to assist each other. Purge with *Xiao Chengqi Tang* (Minor Daoshi Decoction).
*Xiao Chengqi Tang* (Formula see previous section)

**Jueyin She** (Jueyin Tongue): Red tongue with black striations. Yin poison reverses into the Liver channel. The Liver governs tendons, hence the silk-like appearance. Treat with *Lizhong Tang* (Regulate the Middle Decoction) and *Sini Tang* (Reverse the Collapse Decoction).
*Lizhong Tang*
*Sini Tang* (Both formulas see previous section)

**Sixian She** (Death-Appearance Tongue): Black tongue clearly showing Water conquering Fire. No survivors. Practitioners must exercise caution.

**Huangtai She** (Yellow-Coated Tongue): White tip, yellow root indicates exterior syndrome remains. Resolve the exterior first, then attack the interior. For constipation, use *Liangge San* with *Mangxiao* (Mirabilite) and *Dahuang* (Rhubarb Root) soaked. For scanty urine, use *Wuling San* (Five-Ingredient Poria Powder) with *Mutong* (Akebia Stem) combined with *Yiyuan San* (Benefit Origin Powder) and a little ginger juice mixed in boiled water.
*Liangge San*
*Wuling San* (Both formulas see previous section)

**Heixin She** (Black-Heart Tongue): White edges, black center with sinking-micro pulse is difficult to treat. Floating-slippery pulse allows sweating; sinking-solid pulse allows purging. Appearance at onset indicates critical danger. Quickly administer *Tiaowei Chengqi Tang*.
*Tiaowei Chengqi Tang* (Formula see previous section)

**Fushi She** (Fifteenth Tongue): White coating on tip (2 parts), black on root (1 part). Accompanied by body ache and aversion to cold. If drinking is not excessive, use *Wuling San*. For spontaneous sweating and thirst, use *Baihu Tang* (White Tiger Decoction). For dysentery, use *Jiedu Tang* (Detoxification Decoction). This is also critical.
*Baihu Tang* (Formula see previous section)
*Jiedu Tang* (Formula see following section)

**Shiliu She** (Sixteenth Tongue): White coating with chaotic small black dots in the middle. Exterior syndrome remains. Though severe, use *Liangge San* to mildly release the exterior, which will recede. Quickly purge with *Tiaowei Chengqi Tang*.
*Tiaowei Chengqi Tang* (Formula see previous section)

**Shiqi She** (Seventeenth Tongue): Grayish tongue with two black halos in the middle. Heat invades the Kidney and Mingmen. Purge urgently. Take *Jiedu Tang*, purging 3-5 times. Delay makes treatment difficult. Increase dosage of *Dahuang* initially.
*Jiedu Tang* (Formula see following section)

**Shiba She** (Eighteenth Tongue): Slightly yellow tongue. Onset with delirium due to missed sweating, exterior pathogen entering interior. Must use simultaneous sweating and purging. Use *Shuangjie San* (Double Release Powder) plus *Jiedu Tang*, equal parts.
*Shuangjie San*
*Jiedu Tang* (Both formulas see following section)

**Shijiu She** (Nineteenth Tongue): White coating in center, slightly yellow outside. Will cause diarrhea. Take *Jiedu Tang*. For aversion to cold, use *Wuling San*.
*Jiedu Tang*
*Wuling San* (Both formulas see following section)

**Shier She** (Twentieth Tongue): Slightly yellow tongue, exterior syndrome not resolved. Use *Xiaochaihu Tang* combined with *Tianshui San* (Heaven-Water Powder). If purgable, use *Daxiehu Tang* (Major Bupleurum Decoction) to purge. Resolve both exterior and interior; apply cautiously clinically.
*Daxiehu Tang* (Formula see previous section)

**Shiyi She** (Twenty-first Tongue): Yellow tongue, likely changed from white. Exterior transmitting to interior, heat entered Stomach. Purge urgently. Delay leads to black color, malignant syndrome, excessive harm, deep ghost-pathogen qi. Use *Tiaowei Chengqi Tang*.
*Tiaowei Chengqi Tang* (Formula see previous section)

**Shier She** (Twenty-second Tongue): Left side white coating with spontaneous sweating. Do not purge. Use *Baihu Tang* with 3 qian of *Renshen* (Ginseng Root).
*Baihu Tang* (Formula see previous section)

**Shisan She** (Twenty-third Tongue): Right side white slippery coating. Disease in muscles, pathogen in half-exterior half-interior. Alternating chills and fever. Use *Xiaochaihu Tang* to harmonize.
*Xiaochaihu Tang* (Formula see previous section)

**Shisi She** (Twenty-fourth Tongue): Left side white slippery coating. Zang-Jie syndrome (Zang binding). Pathogen merges into Zang, difficult to treat.

**Shiwu She** (Twenty-fifth Tongue): White perimeter, yellow center. Causes irritability, thirst, vomiting. With exterior signs, take *Wuling San* and *Yiyuan San* together until yellow disappears.
*Yiyuan San* (Formula see previous section)
*Wuling San* (Formula see following section)

**Shiliu She** (Twenty-sixth Tongue): Yellow tongue with small black dots. Pathogen pervades Six Fu organs, about to enter Five Zang organs. Urgently purge with *Tiaowei Chengqi Tang*. Then administer *Hejie San* (Harmonizing Powder).
*Tiaowei Chengqi Tang* (Formula see previous section)
*Hejie San*: *Bencao*?, *Jiegeng* (Platycodon Root), *Gancao* (Licorice Root, honey-fried, 5 qian each), *Cangzhu* (Atractylodes Rhizome, 3 qian), *Chenpi* (Tangerine Peel), *Nanpu* (Magnolia Bark, ginger-processed, 1 qian each). Boil 2 zhong water with 3 slices ginger and 2 dates to 0.7 portion, strain, drink anytime. *Jiedu Tang*: *Huanglian* (Coptis Rhizome, 1 liang), *Huangbai* (Phellodendron Bark, 5 qian), *Huangqin* (Scutellaria Root, 5 qian), *Shanzhi* (Gardenia Fruit, 6 qian). Take 5 qian per dose, boil 1.5 zhong water to 1 zhong, drink hot. *Wuling San* (add *Yinchen* to make *Yinchen Wuling San*): *Zexie* (Alisma Rhizome, 2.5 qian), *Fuling* (Poria), *Zhuling* (Polyporus, *Baizhu* (Atractylodes Macrocephala Rhizome, 1 liang each), *Rougui* (Cinnamon Bark, 5 qian). Take 6 qian per dose, boil 2 zhong water to 1 zhong, drink warm. *Liangge San*: *Sheng Gancao* (Raw Licorice Root, 2 qian), *Lianqiao* (Forsythia Fruit, 4 qian), *Shanzhiren* (Gardenia Seed, 8 qian), *Dahuang* (Rhubarb Root, 2 qian), *Huangqin* (Scutellaria Root), *Bohe* (Mint), *Pu Xiao* (Mirabilite, 1 qian each). One dose, boil 2 zhong water with 20 leaves of *Dan Zhuye* (Bamboo Leaf) to 1 zhong, drink anytime, stop when purged. *Zhizi Chidui Tang*: *Zhizi* (Gardenia Fruit, 2 qian), *Dan Douchi* (Fermented Soybean, 5 qian). Boil 2 zhong water to 0.7 portion, strain, drink. *Shuangjie San* (plus *Jiedu Tang*): *Fangfeng* (Saposhnikovia Root), *Chuanxiong* (Ligusticum Rhizome), *Danggui* (Angelica Sinensis Root), *Baishao* (White Peony Root), *Dahuang* (Rhubarb Root), *Mahuang* (Ephedra Herb), *Lianqiao* (Forsythia Fruit), *Mangxiao* (Mirabilite, 5 qian each), *Shigao* (Gypsum Fibrosum), *Huangqin* (Scutellaria Root), *Jiegeng* (Platycodon Root, 1 liang each), *Huashi* (Talcum, 3 liang), *Gancao* (Licorice Root, 2 liang), *Jingjie* (Schizonepeta Spike), *Baizhu* (Atractylodes Macrocephala Rhizome), *Shanzhi* (Gardenia Fruit, 5 qian each). Take 1 liang per dose, boil 1.5 zhong water with 3 slices ginger to 0.8 portion, strain, drink. *Yinchen Tang*: *Yinchen* (Artemisia Capillaris Herba, 5 qian), *Dahuang* (Rhubarb Root, 3 qian), *Shanzhiren* (Gardenia Seed, 2 qian). Boil 1.5 zhong water to 1 zhong, strain, drink. *Didang Tang*: *Dahuang* (Rhubarb Root, 3 qian), *Shuizhi* (Leech, stir-fried with glutinous rice, 7 pieces), *Mengchong* (Blue Bottle Fly Larva, stir-fried removing wings/legs, 7 pieces). One dose, boil 1.5 zhong water to 1 zhong, strain, drink. *Shizao Tang*: *Wanhua* (Genkwa Flower, vinegar-soaked stir-fried), *Daji* (Euphorbia Lathyris Root), *Gansui* (Kansui Root, baked, equal parts). Take 2 qian per dose, half for weak persons. Boil 2 zhong water with 10 Jujubes to 0.8 portion, strain, drink.

**Ershiqi She** (Twenty-seventh Tongue): Yellow tongue with white tip. Less exterior, more interior. Take one dose of *Tianshui San* and two doses of *Liangge San* together. If pulse is wiry, use *Fangfeng Tongsheng San* (Saposhnikovia Universal Life Powder).
*Fangfeng Tongsheng San* (Formula see previous section)

**Ershiba She** (Twenty-eighth Tongue): Yellow tongue with partitioned color. Heat entered Stomach, pathogen toxin deep. Heart fire causes irritability and thirst. Urgently purge with *Dachengqi Tang* (Major Daoshi Decoction). For jaundice, use *Yinchen Tang*. For blood stasis, use *Didang Tang*. For fluid retention in hypochondrium, use *Shizao Tang*. For severe Jie Xiong (Chest Binding), add *Xianxiong Tang* (Trap-in-the-Chest Decoction).
*Dachengqi Tang*, *Yinchen Tang*, *Didang Tang*, *Shizao Tang*, *Daxianxiong Tang* (All five formulas see previous section)

**Ershijiu She** (Twenty-ninth Tongue): Slightly red edges, gray-black center. Caused by missed purging. Purge with *Dachengqi Tang*. Heat recedes and recovers after 3-4 purges. If not receding after 5 purges, untreatable.
*Dachengqi Tang* (Formula see previous section)

**San Shi She** (Thirtieth Tongue): Yellow tongue with chaotic black dots. Symptoms: thirst, delirium. Solid pulse indicates survival; choppy pulse indicates death. Clutching clothes and bed indicates untreatable. Black stool after purging also indicates untreatable. Use *Dachengqi Tang*.
*Dachengqi Tang* (Formula see previous section)

**San Shi Yi She** (Thirty-first Tongue): Yellow with black extending to tip. Heat is deep. Seen in Lianggan (Dual Infection), 9 out of 10 die. Severe aversion to cold also dies. Non-aversion to cold with diarrhea is treatable. Use *Tiaowei Chengqi Tang*.
*Tiaowei Chengqi Tang* (Formula see previous section)

**San Shi Er She** (Thirty-second Tongue): Outer pale red, inner pale black. If aversion to wind, exterior not fully resolved. Use *Shuangjie San* plus *Jiedu Tang*, equal parts, mild sweating. After sweating, purge urgently. Chest binding, irritability, fixed gaze indicate untreatable.
*Shuangjie San* plus *Jiedu Tang* (Formula see previous section)

**San Shi San She** (Thirty-third Tongue): Gray tongue, yellow tip, no aversion to cold. Floating pulse allows purging. If aversion to wind/cold, use *Shuangjie San* plus *Jiedu Tang*. Black stool after 3-4 purges indicates untreatable.
*Shuangjie San* plus *Jiedu Tang* (Formula see previous section)

**San Shi Si She** (Thirty-fourth Tongue): Gray-black tongue with black striations. Solid pulse: urgently purge with *Dachengqi Tang*. Floating pulse with thirst/drinking: use *Liangge San*.
*Dachengqi Tang*
*Liangge San* (Formula see previous section)

**San Shi Wu She** (Thirty-fifth Tongue): Slightly black root, yellow tip, slippery pulse allows purging. Floating pulse: nourish Yin, retreat Yang. If aversion to wind/cold, mild sweating with *Shuangjie San*. If diarrhea, use *Jiedu Tang*, saving 7-8 out of 10.
*Shuangjie San*
*Jiedu Tang* (Both formulas see previous section)

**San Shi Liu She** (Thirty-sixth Tongue): Gray-black root, yellow tip, hidden or single striation. Solid pulse: urgently purge with *Dachengqi Tang*. Floating pulse with thirst/drinking: resolve with *Liangge San*. Save 2-3 out of 10. *Dachengqi Tang*.
*Liangge San* (Both formulas see previous section)

The above thirty-six tongue images are key verification methods for Taiyang disease. Clinicians must examine carefully to ensure success.

**Moxibustion on Shaoyin** (For Shaoyin vomiting/dysentery, hands/feet not cold, able to eat/drink, pulse absent):
Shaoyin refers to Taixi acupoint. Taixi points are located behind the medial malleolus in the depression of the posterior heel bone artery. Moxa 7 cones.

**Moxibustion on Guanyuan Acupoint** (For Zang-Jie death syndrome, not suitable for purging, use this):
Guanyuan point is 1 cun below the umbilicus, intersection of Shaoyin and Ren Mai.

**Moxibustion on Qimen Acupoint** (For women with Heat Entering Blood Chamber, cough/counterflow qi, hiccups):
For women, at the end of the nipple downwards to the bone gap. For men or those with small breasts, use finger measurement. Depression with arterial pulse is the point. Moxa cone size of a small bean, moxa 5-7 cones. For women with Heat Entering Blood Chamber, acupuncture: insert needle, ask patient to inhale 5 times, retain needle for a long time, then remove.