〔丹〕治小儿蛲虫攻下部痒。取扁竹叶一握，切，以水一升，煎取五合，去渣，空腹饮之。虫即下，
用其汁煮粥亦佳。（《心镜》）
治虫状如蜗牛，食下部痒。取扁竹叶一握，水二升，煮熟。五岁儿空腹服五合，隔宿不食，明日早
食之，尤佳。（杨氏《产乳》）
〔丹〕小儿解颅，乃是母气血虚与热多耳。用四君子、四物。有热，加酒炒黄连、生甘草煎服，外
以绵束紧，用白蔹末敷之。
〔田〕解颅治法，宜用生地散。
〔钱〕解颅，生下而囟不合者，肾气不成故也。长必少笑，更有目白睛多， 白色，瘦者，多愁少喜也。
〔汤〕解颅者囟大，头缝不合如开解，故曰解颅，此由肾气不成故也。肾主骨髓，而脑为髓海，肾
气不成，则脑髓不足，故不能合也。凡得此者，不过千日，其间亦有数岁者，乃废人也。人之无脑髓，
如木无根，古人虽有良方，吾所以不录者，劳而无功也。亦不可束手待毙，宜根据钱氏补肾，万一有可生
之理。（补肾地黄丸方见劳瘵。）
〔钱〕天南星散 治颅开不合，鼻塞不通。天南星大者，微泡去皮，为细末，米醋涂调绯帛上，
贴囟上，炙手频熨之，立效。
〔无〕三辛散 治小儿骨应合而不合，头骨开也，名曰解颅。
细辛 桂心（各半两） 干姜（七钱半）
上为末，以姜汁和敷颅上贴之，儿面赤即愈。
又方 用蛇蜕炒焦为末，用猪颊车中髓调敷顶上，日三四度，曾有人作头巾裹遮护之，久而自
合，亦良法也。
〔《明》〕囟门不合∶脐上、脐下各五分。（二穴各灸三壮，灸疮未发先合。）
〔世〕父精不足，则解颅，眼白多。
[Danxi] To treat itching in the lower part of children caused by pinworms (Enterobius vermicularis), take a handful of *Phragmites communis* leaf blades (Bian Zhu Ye), cut them, decoct with one sheng of water until reduced to five he, remove the dregs, and drink on an empty stomach. The worms will be expelled. It is also excellent to cook porridge with this decoction. (From *Xin Jing*)
To treat itching in the lower part caused by worms resembling snails, take a handful of *Phragmites communis* leaf blades (Bian Zhu Ye), add two sheng of water, and boil thoroughly. For a five-year-old child, administer five he on an empty stomach; fast the previous night and eat the next morning for better results. (From Yang Shi's *Chan Lu*)
[Danxi] Infant fontanelle non-closure (Jie Lu) is due to the mother's deficiency of Qi and Blood combined with excess Heat. Use Si Jun Zi Tang (Four Gentlemen Decoction) and Si Wu Tang (Four Substances Decoction). If there is Heat, add Rhizoma Coptidis (Huang Lian) stir-fried with wine and Radix Glycyrrhizae (Gan Cao) raw, decoct and administer. Externally, bind the head tightly with cotton cloth and apply powder of Radix Akebiae (Bai Lian).
[Tian] The treatment method for Jie Lu should use Sheng Di San.
[Qian] Jie Lu refers to the condition where the fontanelle fails to close after birth, which is due to incomplete development of Kidney Qi. Such children will likely speak little and laugh less when grown. If accompanied by excessive white sclera, pallor, and emaciation, they tend to be melancholic rather than joyful.
[Tang] Jie Lu is characterized by a large fontanelle and open cranial sutures as if separated, hence the name. This is also due to incomplete Kidney Qi. The Kidney governs bone marrow, and the brain is the sea of marrow. When Kidney Qi is insufficient, brain marrow is deficient, thus preventing closure. Those who suffer from this condition generally do not survive beyond a thousand days, though some may live for several years, eventually becoming invalid. A person without brain marrow is like a tree without roots. Although ancients had effective prescriptions, I do not record them because the effort yields no result. One should not wait passively for death; instead, follow Qian’s method of tonifying the Kidney, hoping for a chance of survival. (The formula for Bu Shen Di Huang Wan can be found in the section on Consumption.)
[Qian] Tian Nan Xing San: Treats open cranial sutures that fail to close and nasal congestion. Take large Rhizoma Arisaematis (Tian Nan Xing), soak slightly, peel, and grind into fine powder. Mix with rice vinegar, spread on crimson silk, apply to the fontanelle, and frequently warm-press with hands for immediate effect.
[Anonymous] San Xin San: Treats cases where pediatric bones should fuse but do not, resulting in open skull sutures, named Jie Lu.
Ingredients: Radix Asari (Xi Xin), Cortex Cinnamomi (Gui Xin) (each 0.5 liang); Rhizoma Zingiberis Recens (Gan Jiang) (0.75 liang).
Grind the above into powder, mix with ginger juice, apply to the cranium and secure. Recovery occurs when the child's face turns red.
Another prescription: Charitate Ophichus Skin (She Tui) until blackened, grind into powder, mix with medulla from the pig's mandible, and apply to the top of the head three to four times daily. Someone once wrapped the head with a turban for protection, and it healed naturally over time, which is also a good method.
[Ming Yi Zhi Zhang] Fontanelle non-closure: Moxibustion at 0.5 cun above and below the umbilicus (two acupoints, each moxibusted with three cones; the fontanelle closes before the moxa blisters erupt).
[Popular Tradition] Insufficiency of the father's essence leads to Jie Lu and excessive white sclera.