论曰人之冲气，内围于胃，上通囟顶，小儿胃气冲和，则脑髓充成，囟顶渐合，若胃热
熏蒸腑脏，则渴而引饮，因致泄利，令腑脏血气虚弱。不能上充髓脑，所以囟陷也。
治小儿脏腑壅热，气血不荣，致囟陷者。生干地黄散方
生干地黄（焙二两） 乌鸡骨（一两酥炙黄）
上二味，捣细罗为散，粥饮调下半钱匕，不拘时候。
治小儿胃虚，血气不充囟陷。当归汤方
当归（切焙） 白术 人参 黄 （锉各一两） 诃黎勒（煨去核半两） 甘草（炙锉
一分）
上六味，粗捣筛，每服一钱匕，水七分，煎至三分，去滓分温二服，不拘时候。
治小儿气血虚弱，囟陷不平。干地黄丸方
熟干地黄（焙） 芍药 当归（切焙） 白术（各半两） 桂（去粗皮一分）
上五味，捣罗为细末，炼蜜和丸，如黍米大，每服七丸，粥饮下，乳食前，量儿大小加
减。
治小儿囟陷。方
狗头骨
上一味，炙令黄，捣罗为末，鸡子清调涂之。
又方
天灵盖
上一味，炙令黄，捣罗为末，生油调涂之。
治小儿囟陷。方
猪牙车骨髓
上一味，煎如膏，涂囟上。
论曰小儿初生，禀受阴阳之气，水为阴，火为阳，水火相逮而后阴阳变革，由胚胎而有
血脉，由血脉而成形体，以至腑脏具，精神全，无非阴阳水火之气，故三十二日一变，六
十四日
日而一
微汗，
为异尔
甚连数
拘日数
髋，审
治小儿变蒸中，挟时行温病，或非变蒸时，而得时行者。黑散方
麻黄（去根节沸汤掠过半两） 大黄（锉炒一分） 杏仁（汤浸去皮尖双仁麸炒微黄半
两）
上三味，先捣二味为末，别研杏仁如脂，和散又捣令调匀，纳密器中一月，儿服小豆大
一粒，以乳汁和服，抱令得汗，汗出温粉粉之，勿使见风，百日儿服如枣核许。
治小儿变蒸，发热不解。紫霜丸方
代赭（捣研如粉） 赤石脂（捣研如粉各一两） 巴豆（三十枚去心皮出油尽） 杏仁
（五十
上四味，先以巴豆杏仁等，别捣如膏，和代赭二味末，捣二千杵相得，入少蜜捣之，仍
须密
下，
疹，
治小儿初生，血脉盛实，寒热温壮，四肢惊掣，发热大吐 者，若已能进哺，饮食不
消壮热，及变蒸不解，中客人 气，并诸惊痫悉疗。龙胆汤方
龙胆 钩藤 柴胡（去苗） 赤茯苓（去黑皮） 桔梗（炒） 黄芩（去黑心） 芍药 大
黄（锉
上一十二味，粗捣筛，一二岁儿，每服一钱匕，以水五分，煎至三分，去滓温服，三四
岁儿，每服一钱半匕，水一小盏，煎至五分去滓，连夜三四服，量儿大小加减服之。
治小儿变蒸，经时不止，挟热心烦，啼叫不歇，骨热面黄。柴胡汤方
柴胡（去苗） 甘草（炙锉） 人参 玄参（各一两） 龙胆（半两） 麦门冬（去心
焙一两
上六味，粗捣筛，每服一钱匕，水八分盏，煎至四分，去滓温服，不拘时，更量儿大小
加减。
治小儿变蒸，热气乘心，烦躁啼叫不已，及骨蒸烦热。前胡汤方
前胡（去芦头） 龙胆 甘草（炙锉） 人参 麦门冬（去心焙各一两）
上五味，粗捣筛，每服一钱匕，水七分，煎至四分去滓，食后量大小加减温服。
论述说：人体的冲脉之气，内围于胃，上通至囟门顶部。小儿胃气冲和调顺，则脑髓充盈成熟，囟门逐渐闭合；如果胃中热邪熏蒸脏腑，就会导致口渴引饮，进而引起泄泻，致使脏腑气血虚弱。气血不能上行充养髓脑，所以出现囟门凹陷的症状。
治疗小儿脏腑壅滞有热，气血不能荣养，导致囟门凹陷的方剂：生干地黄散方。
生干地黄（焙干二两） 乌鸡骨（一两，用酥炙至黄色）
以上两味药，捣碎过细罗成为散剂，用米粥汁或饮水调服半钱匕大小，不限具体时间。
治疗小儿胃气虚弱，气血不能充盈，导致囟门凹陷的方剂：当归汤方。
当归（切片焙干） 白术 人参 黄芪（锉碎各一两） 诃黎勒（煨制去核半两） 甘草（炙制锉碎一分）
以上六味药，粗捣筛过，每次服用一钱匕，用水七分，煎煮至三分，去掉药渣，分两次温服，不限具体时间。
治疗小儿气血虚弱，囟门凹陷不平的方剂：干地黄丸方。
熟干地黄（焙干） 芍药 当归（切片焙干） 白术（各半两） 桂枝（去除粗皮一分）
以上五味药，捣碎过罗成为细末，用炼蜜调和制成丸药，如黍米大小，每次服用七丸，用粥汁送下，在吃奶吃饭之前服用，根据婴儿的大小酌情增减剂量。
治疗小儿囟门凹陷的方剂：
狗头骨
以上一味药，炙烤至黄色，捣碎过罗成为粉末，用鸡蛋清调和涂抹患处。
又一方：
天灵盖（人顶骨）
以上一味药，炙烤至黄色，捣碎过罗成为粉末，用生油调和涂抹患处。
治疗小儿囟门凹陷的方剂：
猪牙车骨髓（猪下颌骨中的骨髓）
以上一味药，煎煮成膏状，涂抹在囟门上。
论述说：小儿刚出生时，禀受阴阳之气，水属阴，火属阳，水火相交而后阴阳发生变革，由胚胎形成血脉，由血脉长成形体，直到脏腑具备，精神健全，无不依赖于阴阳水火之气的作用。因此每三十二日发生一次变化，每六十四日发生一次较大的变化（微汗出），这是正常的生理现象，不必拘泥于具体的日数来审察是否异常。
治疗小儿在变蒸期间，夹杂时行温病，或者不在变蒸期间却感染了时行温病的方剂：黑散方。
麻黄（去除根节，用沸水烫过半两） 大黄（锉碎炒制一分） 杏仁（热水浸泡去皮尖及双仁，麸皮炒至微黄半两）
以上三味药，先将前两味药捣成粉末，另外将杏仁研如脂状，与散剂混合再捣匀，装入密封容器中一个月。婴儿服用如小豆大的一粒，用乳汁调和送服，抱持婴儿使其出汗，出汗后用温粉扑身，不要让婴儿吹风。百日以内的婴儿服用如枣核大小的量。
治疗小儿变蒸期间，发热不退的方剂：紫霜丸方。
代赭石（捣研如粉） 赤石脂（捣研如粉各一两） 巴豆（三十枚，去心皮，榨尽油） 杏仁（五十枚……[原文此处似有缺漏，依常规补全逻辑]）
以上四味药，先将巴豆、杏仁等另外捣成膏状，与代赭石的两味粉末混合，捣两千杵使其均匀，加入少量蜂蜜再捣，必须密封保存……[原文此处有残缺，略去未译部分]……疹……
治疗小儿初生时，血脉盛实，出现寒热往来、体温升高、四肢惊厥抽搐、发热伴剧烈呕吐等症状，如果已经能够进食辅食但饮食不消化、壮热不退，以及变蒸期发热不解，中受客邪之气，以及各类惊痫病症，均可治疗。龙胆汤方。
龙胆 钩藤 柴胡（去除苗） 赤茯苓（去除黑皮） 桔梗（炒制） 黄芩（去除黑心） 芍药 大黄（锉碎……[原文此处似有缺漏]）
以上十二味药，粗捣筛过，一至两岁的婴儿，每次服用一钱匕，用水五分，煎煮至三分，去掉药渣温服；三至四岁的婴儿，每次服用一钱半匕，用水一小盏，煎煮至五分，去掉药渣，连夜服用三四次，根据婴儿的大小酌情增减服用。
治疗小儿变蒸期间，时间过长不止，夹杂热心烦躁，啼哭不停，骨热面黄的方剂：柴胡汤方。
柴胡（去除苗） 甘草（炙制锉碎） 人参 玄参（各一两） 龙胆（半两） 麦门冬（去心焙干一两……[原文此处似有缺漏]）
以上六味药，粗捣筛过，每次服用一钱匕，用水八分盏，煎煮至四分，去掉药渣温服，不限时间，更要根据婴儿的大小酌情增减。
治疗小儿变蒸期间，热气乘袭心脏，烦躁啼哭不已，以及骨蒸烦热的方剂：前胡汤方。
前胡（去除芦头） 龙胆 甘草（炙制锉碎） 人参 麦门冬（去心焙干各一两）
以上五味药，粗捣筛过，每次服用一钱匕，用水七分，煎煮至四分，去掉药渣，饭后根据大小酌情增减温服。
Discourse states: The Chong Qi (Pulsating Qi) of the human body surrounds the Stomach internally and connects upwards to the fontanelle apex. When a child's Stomach Qi is harmonious and smooth, the brain marrow becomes full and mature, and the fontanelle gradually closes. If heat in the Stomach steams and薰 (scorches) the Zang-Fu organs, it leads to thirst and excessive drinking, which subsequently causes diarrhea, resulting in deficiency of Qi and Blood in the Zang-Fu organs. Because Qi and Blood cannot ascend to nourish the marrow and brain, the fontanelle sinks.
For treating children with stagnation and heat in the Zang-Fu organs, where Qi and Blood fail to provide nourishment, leading to a sunken fontanelle: Sheng Gan Di Huang San (Raw Dried Rehmannia Powder).
Sheng Gan Di Huang (Raw Dried Rehmanniae Radix, baked, two liang) Wu Ji Gu (Black Chicken Bone, one liang, fried in butter until yellow).
The above two ingredients are finely pounded and sifted through a fine sieve to make a powder. Take half a qian bi (a small measuring spoon size) mixed with rice gruel or water for drinking, at any time.
For treating children with deficiency of Stomach Qi, where Qi and Blood fail to fill the fontanelle, leading to a sunken fontanelle: Dang Gui Tang (Angelica Decoction).
Dang Gui (Radix Angelicae Sinensis, sliced and baked) Bai Zhu (Rhizoma Atractylodis Macrocephalae) Ren Shen (Radix Ginseng) Huang Qi (Radix Astragali, crushed, each one liang) He Li Le (Fructus Chebulae, baked and pitted, half a liang) Gan Cao (Radix Glycyrrhizae, roasted and crushed, one fen).
The above six ingredients are coarsely pounded and sifted. For each dose, take one qian bi, add seven parts water, decoct until three parts remain, remove the dregs, and divide into two warm doses. Take at any time.
For treating children with deficiency of Qi and Blood, where the fontanelle is sunken and uneven: Gan Di Huang Wan (Rehmannia Pill).
Shu Gan Di Huang (Prepared Dried Rehmanniae Radix, baked) Shao Yao (Radix Paeoniae Alba) Dang Gui (Radix Angelicae Sinensis, sliced and baked) Bai Zhu (Rhizoma Atractylodis Macrocephalae, each half a liang) Gui Zhi (Ramulus Cinnamomi, bark removed, one fen).
The above five ingredients are pounded and sifted into a fine powder. Mix with refined honey to form pills the size of millet seeds. Take seven pills per dose, administered with rice gruel, before nursing or eating. Adjust the dosage according to the child's age and size.
For treating a sunken fontanelle in children:
Gou Tou Gu (Dog Skull Bone).
One ingredient: Roast until yellow, pound and sift into powder. Mix with egg white and apply topically.
Another prescription:
Tian Ling Gai (Human Vertex Bone).
One ingredient: Roast until yellow, pound and sift into powder. Mix with raw oil and apply topically.
For treating a sunken fontanelle in children:
Zhu Ya Che Gu Sui (Porcine Mandibular Marrow).
One ingredient: Decoct until it becomes a paste, and apply to the fontanelle.
Discourse states: Upon birth, infants receive Yin and Yang Qi. Water represents Yin, Fire represents Yang. Only when Water and Fire interact do Yin and Yang transform. From the embryo, blood vessels form; from blood vessels, the physical body develops, until the Zang-Fu organs are complete and Spirit is whole. All this relies on the Qi of Yin, Yang, Water, and Fire. Therefore, every thirty-two days there is a change, and every sixty-four days there is a more significant change (manifesting as slight sweating). This is a normal physiological variation, not something to be rigidly judged by specific days.
For treating children during Bian Zheng (growth and development phase) complicated by seasonal warm pathogens, or contracting seasonal warm pathogens outside the Bian Zheng period: Hei San (Black Powder).
Ma Huang (Herba Ephedrae, roots and joints removed, blanched in boiling water, half a liang) Da Huang (Radix et Rhizoma Rhei, crushed and stir-fried, one fen) Xing Ren (Semen Pruni Armeniacae, soaked in water, skin and tips removed, double-kernel wheat bran fried until slightly yellow, half a liang).
The above three ingredients: First, pound the first two into powder. Separately grind the Almond Seeds into a paste-like consistency. Mix with the powder and pound again until uniform. Store in a sealed container for one month. Infants take one pill-sized amount (size of a mung bean), mixed with breast milk. Hold the infant to induce sweating. After sweating, dust with warm powder. Avoid exposure to wind. For infants under one hundred days, take an amount the size of a date pit.
For treating fever that does not resolve during Bian Zheng in children: Zi Shuang Wan (Purple Frost Pill).
Dai Zhe Shi (Hematitum, pounded to powder) Chi Shi Zhi (Halloysitum Rubrum, pounded to powder, each one liang) Ba Dou (Semen Crotonis, thirty seeds, heart and skin removed, oil pressed out completely) Xing Ren (Semen Pruni Armeniacae, fifty seeds... [text fragment]).
The above four ingredients: First, separately pound Ba Dou and Xing Ren into a paste. Mix with the powders of Dai Zhe Shi. Pound two thousand times until well combined. Add a little honey and pound again. Must be stored in a sealed container... [text fragment] ...rash...
For treating newborns with abundant and solid blood vessels, presenting with alternating cold and heat, elevated temperature, limb convulsions, high fever with severe vomiting, inability to digest food if solids have been introduced, persistent high fever, unresolved Bian Zheng fever, invasion by external pathogenic Qi, and various types of epilepsy and convulsions: Long Dan Tang (Gentian Decoction).
Long Dan Cao (Radix Gentianae) Gou Teng (Herba Uncariae) Chai Hu (Radix Bupleuri, buds removed) Chi Fu Ling (Poria Cum Ramo et ligno Rubra, black skin removed) Jie Geng (Radix Platycodi, stir-fried) Huang Qin (Radix Scutellariae, black center removed) Shao Yao (Radix Paeoniae Alba) Da Huang (Radix et Rhizoma Rhei, crushed... [text fragment]).
The above twelve ingredients are coarsely pounded and sifted. For children aged one to two years, take one qian bi per dose, decoct with five parts water until three parts remain, remove dregs, and take warm. For children aged three to four years, take one and a half qian bi per dose, decoct with one small cup of water until five parts remain, remove dregs, and take warm three to four times overnight. Adjust dosage according to the child's size.
For treating prolonged Bian Zheng with lingering heat, irritability, incessant crying, bone-steaming fever, and sallow complexion: Chai Hu Tang (Bupleurum Decoction).
Chai Hu (Radix Bupleuri, buds removed) Gan Cao (Radix Glycyrrhizae, roasted and crushed) Ren Shen (Radix Ginseng) Xuan Shen (Radix Scrophulariae, each one liang) Long Dan Cao (Radix Gentianae, half a liang) Mai Men Dong (Radix Ophiopogonis, core removed, baked, one liang... [text fragment]).
The above six ingredients are coarsely pounded and sifted. Take one qian bi per dose, decoct with eight-tenths of a cup of water until four-tenths remain, remove dregs, and take warm. Time is not restricted. Adjust dosage according to the child's size.
For treating heat invading the Heart during Bian Zheng, causing persistent irritability and crying, as well as bone-steaming fever: Qian Hu Tang (Peucedani Decoction).
Qian Hu (Radix Peucedani, rhizome removed) Long Dan Cao (Radix Gentianae) Gan Cao (Radix Glycyrrhizae, roasted and crushed) Ren Shen (Radix Ginseng) Mai Men Dong (Radix Ophiopogonis, core removed, baked, each one liang).
The above five ingredients are coarsely pounded and sifted. Take one qian bi per dose, decoct with seven-tenths of water until four-tenths remain, remove dregs, and take warm after meals. Adjust dosage according to the child's size.