颅门肿起，谓之颅填。因乳哺失常，或寒热乘脾，其气上冲，则颅高而突。又有肝盛风热交攻，亦致颅填突起，
汗出，毛发黄而短是也。若寒气上冲则牢硬，热气上冲则柔软。然寒肿者十之一，热肿者十之九。古法用泻青丸
（如羌活、川芎、黑栀仁、龙胆草、当归、防风、锦庄黄，研末蜜丸，青黛为衣，如大豆大），每服一二丸，清
茶化下。寒肿，古法用参苏丸，或煎汤剂（如人参、茯苓、枳壳、半夏、前胡、桔梗、苏叶、葛根、陈皮、甘草，
引用生姜、葱白等味）。
〔真按〕颅门肿起，除寒气热气外，更有因包裹严密、盖覆过浓，阳气不得外出，亦现赤肿之形。只要衣被
寒暖，适合中度，即可痊愈。若寒肿者，但用吴茱萸末和水，调贴两足心。热肿者，但用黄柏末调涂两足心。即愈。
囟陷者，因脏腑有热，渴饮水浆，致成泄泻，则气血虚弱，不能上交脑髓，故囟陷成坑也。古法用参苓白术
散（如人参、白术、茯苓，山药、桔梗、薏苡、莲肉、炙甘草，引用姜、枣），或八味地黄丸（如六味地黄丸加
附子、肉桂），外用黄狗头骨炙黄为末，以鸡子清调敷，渐渐自平。
〔真按〕囟陷乃胃虚脾弱之见证。若与枕骨同陷，则尤甚于囟陷。有因禀受父精不足，母血虚羸而陷者；有
因久病而陷者，肾元不固，急宜培补气血。必使气血充足，方能上交脑髓，而陷自平。但用补气生血之法，以参
与远志二味，药虽简单，久服有益。参品不一。须视小儿之寒体热体为取裁耳。外敷之药，与解颅相同。
囟门肿起，称为“颅填”。这是由于喂养不当，或者寒热之邪侵犯脾胃，导致气机上冲，从而使囟门高突。也有因肝经风热交攻，同样会导致囟门高突，并伴有出汗、毛发黄而短少的症状。如果是寒气上冲，囟门摸起来坚硬；如果是热气上冲，囟门摸起来柔软。然而，寒性肿胀的占十分之一，热性肿胀的占十分之九。古代方法使用泻青丸（包含羌活、川芎、黑栀子仁、龙胆草、当归、防风、锦庄黄[大黄]，研成粉末后用蜂蜜制成丸剂，以青黛为衣，大小如豆粒），每次服用一到两丸，用清茶送服或化开服用。对于寒性肿胀，古代方法使用参苏丸，或者煎煮汤剂（包含人参、茯苓、枳壳、半夏、前胡、桔梗、苏叶、葛根、陈皮、甘草，煎药时加入生姜、葱白等作为药引）。
〔陈守真按语〕囟门肿起，除了因寒气和热气引起外，还有因为包裹过严、覆盖过厚，导致阳气无法向外发散，从而出现红肿的现象。只要衣物被褥的温度适宜，保持适中，即可痊愈。如果是寒性肿胀，只需将吴茱萸粉末用水调和，贴敷在两个脚心。如果是热性肿胀，只需将黄柏粉末调涂在两个脚心。这样就能痊愈。
囟门凹陷，是因为脏腑有热，口渴饮水过多，导致发生泄泻，从而造成气血虚弱，不能上输滋养脑髓，所以囟门凹陷形成坑状。古代方法使用参苓白术散（包含人参、白术、茯苓、山药、桔梗、薏苡仁、莲肉、炙甘草，煎药时加入生姜、大枣作为药引），或者八味地黄丸（即在六味地黄丸的基础上加入附子、肉桂），外用黄狗头骨烤黄后研成粉末，用鸡蛋清调和敷于患处，逐渐就会平复。
〔陈守真按语〕囟门凹陷是胃虚脾弱的证候表现。如果与枕骨部位同时凹陷，则比单纯的囟门凹陷更为严重。有的因为先天禀受父亲精气不足，母亲血液虚弱羸弱而导致凹陷；有的因为久病导致凹陷，肾元不固，急需培补气血。必须使气血充足，才能上输滋养脑髓，凹陷自然平复。仅使用补气生血的方法，用人参和远志两味药，药物虽然简单，但长期服用有益。人参品种不一，必须根据小儿体质偏寒还是偏热来选取裁量。外敷的药物，与解颅（囟门迟闭）相同。
Fontanelle swelling, known as "cranial filling" (Lutan, 颅填). This is caused by irregular feeding or cold-heat pathogens invading the spleen and stomach, leading to upward rushing of Qi, resulting in a protruding fontanelle. It may also be caused by liver wind-heat attacking together, which similarly leads to fontanelle protrusion, accompanied by sweating and yellow, short hair. If cold Qi rushes upward, the fontanelle feels hard; if heat Qi rushes upward, it feels soft. However, cold-type swelling accounts for one-tenth, while heat-type swelling accounts for nine-tenths. Ancient methods used Xieqing Wan (Draining Green Pill) [containing Qianghuo (Notopterygii Rhizoma et Radix), Chuanxiong (Chuanxiong Rhizoma), Hei Zhiren (Gardeniae Fructus), Longdancao (Gentianae Radix), Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Jin Zhuanghuang (Rhei Radix et Rhizoma), ground into powder and made into pills with honey, coated with Qingdai (Indigo Naturalis), size like soybeans], taking one or two pills per dose, dissolved and taken with clear tea. For cold-type swelling, ancient methods used Shen Su Wan (Ginseng and Perilla Pill) or decoctions [containing Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Zhiqiao (Aurantii Fructus), Banxia (Pinelliae Rhizoma), Qianhu (Peucedani Radix), Jiegeng (Platycodonis Radix), Suye (Perillae Folium), Gegen (Puerariae Lobatae Radix), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), with Shengjiang (Zingiberis Rhizoma Recens) and Congbai (Allii Fistulosi Bulbus) as guides].
[Chen Shouzhen's Note:] Fontanelle swelling, besides being caused by cold and heat, can also result from tight wrapping or thick covering, preventing Yang Qi from dispersing outward, thus presenting as red and swollen. As long as the temperature of clothing and bedding is moderate and suitable, recovery will occur. For cold-type swelling, simply mix Wuzhuyu (Evodiae Fructus) powder with water and apply to both soles. For heat-type swelling, simply apply Huangbai (Phellodendri Cortex) powder mixed with water to both soles. This will lead to cure.
Fontanelle depression occurs because internal organs have heat, causing excessive thirst and drinking, leading to diarrhea. This results in deficiency of Qi and Blood, which cannot ascend to nourish the brain marrow, causing the fontanelle to sink into a pit. Ancient methods used Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) [containing Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Shanyao (Dioscoreae Rhizoma), Jiegeng (Platycodonis Radix), Yiyi (Coicis Semen), Lianrou (Nelumbinis Semen), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), with Shengjiang (Zingiberis Rhizoma Recens) and Zao (Jujubae Fructus) as guides], or Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill) [which is Liudihuang Wan (Six-Ingredient Rehmannia Pill) plus Fuzi (Aconiti Lateralis Radix Praeparata) and Rougui (Cinnamomi Cortex)], externally applying roasted yellow dog skull bone powder mixed with egg white to the affected area, which will gradually flatten.
[Chen Shouzhen's Note:] Fontanelle depression is a manifestation of stomach deficiency and spleen weakness. If it sinks together with the occipital bone, it is more severe than simple fontanelle depression. Some cases arise from insufficient paternal essence or maternal blood deficiency and emaciation; others result from prolonged illness causing kidney Yuan instability, requiring urgent tonification of Qi and Blood. Only when Qi and Blood are sufficient can they ascend to nourish the brain marrow, and the depression will naturally flatten. Simply use methods to tonify Qi and generate Blood, using Renshen (Ginseng Radix et Rhizoma) and Yuanzhi (Polygalae Radix). Although the prescription is simple, long-term use is beneficial. There are various types of Renshen (Ginseng Radix et Rhizoma); selection must be based on whether the child has a cold or hot constitution. External applications are the same as those for Jielu (Delayed Closure of Fontanelle).