全生汤 感热囟门忽肿。
远志肉 蝉蜕 明天麻 防风 羌活（各五分） 川芎 桔梗（各四分） 牛蒡子（炒，三分）
甘草（一分） 灯心水煎服。
冯鲁瞻曰∶囟陷者，有因脏腑蓄热，渴饮水浆，致成泻痢，久则血气虚弱，不能
上充髓脑，故下陷如坑。此乃胃虚脾弱之极，宜急扶元，若与枕骨并陷，百难救一。
亦有父精有损，母血虚衰，禀元不足，是以形容枯瘦，阴阳两亏，无时温热而囟陷
者；有因蓄热不除，渐至身羸发落，脚缩手拳，皮焦鹤膝，血绝筋衰而囟陷者。宜
各随证调治，枕陷尤重于囟陷，不独小儿也。盖耳后方圆一寸，皆属于肾，陷则肾元败矣。（《锦囊》）
澄曰∶囟陷，乃病后元气不振，所以陷也。惟内服异功散，扶脾保元，此为良策。
婴宁汤 治吐泻后感寒囟陷。
人参（五分） 白茯苓 木通（各七分） 炙甘草（一分） 川芎 酸枣仁（炒，各四分） 升麻（煨）
制附子（各三分） 姜引
乌附汤 治囟陷。
生附子（五钱） 雄黄 绵川乌（生用，各二钱）
研末，用连根、叶生葱捣成膏，空心贴囟上。
冯鲁瞻曰∶解颅者，头缝开解而颅不合也。书曰∶母虚羸瘦，父虚解颅。是由
禀气不足，先天肾元大亏，肾主脑髓，肾亏则脑气不足，故颅解开。然人无脑髓，犹
树无根，不过千日，则成废人。有以父精不足则解颅，眼白睛多为论者，有以属母
之血虚热多而论者，其候多愁少喜，目白睛多，面 白色，若成于病后者尤凶。宜
久服地黄丸，外用封囟法可也。亦有因怀胎五月，忽被大风大雨，雷电惊胎，以致
颅骨开解者。然是证若至年长不合，必至骨中蒸热，肉干皮黑，肢体柴瘦，骨节皆
露，成鹤膝者，大宜调补天元，以图万一。（《锦囊》）
陆亭川曰∶六味地黄丸，本滋肝养肾之仙丹，用之于初生婴孩，其功更大。凡
小儿百日外，每早白汤化服一丸，此时小儿知识未开，服之培补先天，极有神功。盖
肝主筋，肾主骨，自幼服之，不但无解颅之患，且强其筋骨，膝盖易满，行走亦快，
此发前人未发之论，故标之于此，以为保婴之一助也。但小儿服丸后，隔一时再与
乳吃，如外感风暑，内伤乳食，即暂停，愈后再服。
澄曰∶解颅乃先天禀受本亏，乳食不调，生而多病，是以头颅分解。惟六味地
黄加紫河车为丸，服之自合，用之屡效。
全生汤：治疗因感受热邪导致囟门突然肿胀。
配方：远志肉、蝉蜕、明天麻、防风、羌活（各五分），川芎、桔梗（各四分），牛蒡子（炒，三分），甘草（一分）。用灯心草煎水服用。
冯鲁瞻说：囟门凹陷，有的是因为脏腑蓄积热邪，口渴想喝水浆，导致腹泻痢疾，时间久了血气虚弱，不能向上充养髓脑，所以向下凹陷像坑一样。这是胃虚脾弱到了极点，应当紧急扶助元气，如果枕骨也同时凹陷，百难救一。也有的是因为父亲精气受损，母亲血液虚衰，禀赋元气不足，所以形体枯瘦，阴阳两亏，没有固定时间却出现温热感且囟门凹陷的情况；有的是因为蓄积的热邪不除，逐渐导致身体消瘦、头发脱落、腿缩手拳、皮肤焦黑如鹤膝，血绝筋衰而囟门凹陷的。应当各自根据证候调治，枕骨凹陷比囟门凹陷更严重，不仅限于小儿如此。大概耳后方圆一寸的地方，都归属于肾，凹陷说明肾元败坏了。（《锦囊》）
顾世澄说：囟门凹陷，是病后元气不振，所以凹陷。只有内服异功散，扶助脾胃、保护元气，这才是好办法。
婴宁汤：治疗吐泻之后感受寒邪导致的囟门凹陷。
配方：人参（五分），白茯苓、木通（各七分），炙甘草（一分），川芎、酸枣仁（炒，各四分），升麻（煨制），制附子（各三分）。用生姜作为药引。
乌附汤：治疗囟门凹陷。
配方：生附子（五钱），雄黄、绵川乌（生用，各二钱）。
研成粉末，用带根和叶的生葱捣成膏状，空腹时贴在囟门上。
冯鲁瞻说：解颅，是指头缝开解而颅骨不合拢。书上说：母亲虚弱消瘦，父亲体虚，会导致解颅。这是由于禀受的气不足，先天肾元大亏，肾主司脑髓，肾亏则脑气不足，所以颅骨开解。然而人如果没有脑髓，就像树没有根一样，不过千日，就会成为废人。有的人认为父亲精气不足导致解颅，表现为眼白多；有的人认为是母亲的血虚热多所致，其症状多为愁苦少喜，眼白多，面色苍白，如果是病后形成的尤其凶险。应当长期服用地黄丸，外用封囟的方法也可以。也有因为怀孕五个月时，忽然遭遇大风大雨、雷电惊吓胎儿，以致颅骨开解的。但是这个病症如果到年纪大了还合不拢，必定导致骨头中蒸热，肌肉干枯皮肤变黑，肢体柴瘦，骨节全都露出，形成鹤膝症，非常需要调理补益天元，以图万一之效。（《锦囊》）
陆亭川说：六味地黄丸，本来是滋养肝肾的仙丹，用在初生的婴儿身上，功效更大。凡是小儿满百日以后，每天早晨用白开水化服一丸，此时小儿智力尚未开启，服用它可以培补先天，极有神效。大概肝主筋，肾主骨，从小服用它，不但没有解颅的祸患，而且能强健筋骨，膝盖容易丰满，行走也快，这是发掘前人未曾发表的言论，所以记录在这里，作为保婴的一点点帮助。但是小儿服用丸药后，隔一个小时再喂奶吃，如果外感风暑，内伤乳食，就暂停服用，痊愈后再继续服用。
顾世澄说：解颅是先天禀受本来亏损，乳食不调，生下来就多病，所以头颅分解。只有用六味地黄丸加紫河车制成丸药，服用后自然能合拢，使用多次都很有效。
Quansheng Decoction: Treats sudden swelling of the fontanelle due to pathogenic heat.
Ingredients: Radix Polygalae (Yuanzhi Rou), Periostracum Cicadae (Chantui), Rhizoma Gastrodiae (Miantianma), Radix Saposhnikoviae (Fangfeng), Rhizoma Notopterygii (Qianghuo) (each 5 fen), Rhizoma Chuanxiong (Chuanxiong), Fructus Platycodonis (Jiegeng) (each 4 fen), Semen Arctii (Niubangzi) (stir-fried, 3 fen), Radix Glycyrrhizae (Gancao) (1 fen). Decoct with Thunbergia Claytoniana stem and node (Dengxincao) water for oral administration.
Feng Luzhan stated: Depression of the fontanelle may be caused by heat accumulation in the zang-fu organs, thirst for drinking fluids leading to diarrhea and dysentery. Prolonged illness results in deficiency of blood and qi, which fails to ascend to nourish the marrow and brain, causing the fontanelle to sink like a pit. This indicates extreme deficiency of the stomach and spleen; it is urgent to support the primordial qi. If the occipital bone also sinks, there is little hope of recovery. Alternatively, damage to the father's essence or deficiency of the mother's blood can lead to insufficient endowment, resulting in emaciation and dual deficiency of yin and yang, presenting with intermittent warmth and sinking fontanelle without fixed timing. Another cause is persistent heat accumulation leading to wasting, hair loss, flexion of limbs, scorched skin resembling crane's knee, exhaustion of blood and tendons, and sinking fontanelle. Treatment should follow specific patterns. Sinking of the occipital bone is more critical than that of the anterior fontanelle, applicable not only to infants. The area one cun square behind the ear belongs to the Kidney; sinking here indicates failure of Kidney primordial qi. (from *Jinnang*)
Gu Shicheng stated: Sinking of the fontanelle results from weak primordial qi after illness. Internal administration of Yigong San to strengthen the spleen and preserve primordial qi is the best strategy.
Yingning Decoction: Treats sinking fontanelle following vomiting and diarrhea complicated by cold invasion.
Ingredients: Radix Ginseng (Renshen) (5 fen), Poria (Baifuling), Herba Akebiae (Mutong) (each 7 fen), Prepared Radix Glycyrrhizae (Zhigancao) (1 fen), Rhizoma Chuanxiong (Chuanxiong), Semen Ziziphi Spinosae (Suanzaoren) (stir-fried, each 4 fen), Rhizoma Cimicifugae (Shengma) (roasted), Prepared Radix Aconiti Lateralis Preparata (Zhi Fuzi) (each 3 fen). Use fresh ginger as an adjuvant.
Wufu Decoction: Treats sinking fontanelle.
Ingredients: Raw Radix Aconiti (Sheng Fuzi) (5 qian), Realgar (Xionghuang), Raw Rhizoma Aconiti Kusnezoffii (Mian Chuanwu) (each 2 qian).
Grind into powder. Mix with raw green onion (including root and leaves) pounded into a paste. Apply topically to the fontanelle on an empty stomach.
Feng Luzhan stated: Jiechu (split skull) refers to the separation of cranial sutures where the skull bones do not close. Texts state: maternal weakness and emaciation, paternal deficiency, lead to Jiechu. This arises from insufficient endowment and severe depletion of congenital Kidney primordial qi. Since the Kidney governs the brain and marrow, Kidney deficiency leads to insufficient brain qi, causing the skull to split. Without brain marrow, a person is like a tree without roots; within a thousand days, they become disabled. Some attribute Jiechu to paternal essence deficiency, characterized by excessive scleral exposure. Others attribute it to maternal blood deficiency and heat, presenting with melancholy, excessive scleral exposure, and pale complexion. Cases arising post-illness are particularly ominous. Long-term administration of Dihuang Wan combined with external fontanelle sealing methods is recommended. Also, fright from storms or thunder during the fifth month of pregnancy can cause cranial separation. If the sutures remain open into adulthood, symptoms include steaming heat in bones, dry flesh, blackened skin, emaciated limbs, exposed joints, and crane's knee deformity. Extensive tonification of Tianyuan (primordial origin) is necessary. (from *Jinnang*)
Lu Tingchuan stated: Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), originally a celestial elixir for nourishing the Liver and Kidney, is even more effective when used in newborns. For infants over one hundred days old, administer one pill dissolved in warm water every morning. At this stage, before cognitive development, it greatly benefits the congenital foundation. As the Liver governs tendons and the Kidney governs bones, early administration prevents Jiechu, strengthens tendons and bones, promotes knee fullness, and improves walking speed. This insight was previously unrecorded and is included here to aid infant care. However, milk feeding should be delayed for one hour after pill administration. If external wind-heat or internal food stagnation occurs, suspend use until recovery, then resume.
Gu Shicheng stated: Jiechu results from congenital deficiency, irregular nursing, and frequent illness from birth, leading to cranial separation. Compounding Liuhuang Dihuang Wan with Placenta Humana (Ziheche) and taking it orally will naturally promote closure and has proven highly effective in repeated use.