论曰肾主身之骨髓，脑为髓海，肾气和平，则骨髓充足，骨髓充足，则颅囟圆成。若肾
气不足，则骨髓不充，年虽长大，头缝尚开，故名解颅，亦名囟解。
治小儿解颅囟大，身有痼热，头面汗出，腹胀咳嗽，上气肩息，足蹇胫交，三岁不行。
钟乳丸方 钟乳（研粉） 防风（去叉） 生干地黄（焙） 牛黄（研） 甘草（炙锉） 漆
花（各一分）
上六味，捣罗为末，以犬脑髓为丸，如麻子大，每服二丸至三丸，米饮下，早晨午时日
晚，各一服，更量大小，以意加减，一方以豚脑丸。
治小儿解囟。细辛散方
细辛（去苗叶） 桂（去粗皮） 干姜（炮各一分）
上三味，捣罗为散，以乳汁和，涂颅上。
治小儿脑长喜摇头，解颅。牛黄丸方
牛黄 漆花 甘草（炙锉） 白术 防风（去叉） 钟乳粉 生干地黄（焙各一分）
上七味，捣罗为末，用犬脑髓为丸，如麻子大，每服二丸，至三丸，温水下，早晨日午
晚后各一服，更量儿大小，以意加减。
治小儿解颅，囟门开解。封囟散方
柏子仁（炒） 细辛（去苗叶） 防风（去叉） 白芨（各一两） 草乌头（炮半两）
上五味，捣罗为细散，乳汁调，涂囟开处。
治小儿解颅不合。蟹足散方
生蟹足骨（焙干） 白蔹（各半两）
上二味，捣罗为散，乳汁和，涂囟上，以瘥为度。
治小儿鼻多涕，是脑门为风冷所乘。甘菊花汤方
甘菊花（一两） 甘草（炙一分） 防风（去叉半两） 山茱萸（七枚）
上四味，粗捣筛，每一钱匕，水一盏，煎至六分，去滓分温三服，早晨日午晚后各一，
量儿大小，以意加减。
治小儿鼻多涕，是脑门为风冷所客。细辛膏方
细辛（去苗叶半两）
上一味，用油一合，同煎令黑色，去滓下蜡少许，煎化停凝，每日三度，薄涂囟上。
治小儿囟开不合。合囟散方
防风（去叉） 白芨 柏子仁（各一两）
上三味，捣罗为散，用乳汁调少许，涂囟上，以合为度。
治小儿脑长发大，囟开不合，臂胫小，不能胜头。半夏散方
半夏（汤洗去滑七遍焙） 芎 桂（去粗皮各一两） 草乌头（十枚炮制去皮脐） 细
辛
上五味细锉，以酒四升，渍一宿，煮令微热漉出，绵裹温熨囟上，朝暮二三十遍、良
治小儿脑长囟不合。鸡血涂方
上取丹雄鸡一只，将就小儿囟上，割其冠，使血滴囟讫，以赤芍药末，粉血上。
治小儿解颅脑缝开不合。防风丸方
防风（去叉） 钟乳粉 牛黄研 白术（各半两） 熟干地黄（焙） 甘草（炙各三分）
上六味，捣罗为末，炼蜜丸如梧桐子大，每服二丸，温水化下，随岁数加减服。
治小儿解颅，囟缝不合。涂敷膏方
蛇蜕（烧灰） 猪颊骨髓（各少许）
上二味，调和为膏，涂囟上，日再易。
It is stated that the Kidney governs the bone marrow of the body, and the brain is the Sea of Marrow. When Kidney Qi is harmonious, the bone marrow is abundant; when the bone marrow is abundant, the cranial fontanelles (the soft spots on an infant's skull where the bones have not yet fused) develop fully. If Kidney Qi is insufficient, the bone marrow will not be充盈 (filled). Although the child grows older, the sutures of the head remain open, hence it is called Jie Lu (Split Skull), also known as Xie Jie (Open Fontanelle).
For treating pediatric Jie Lu with a large fontanelle, persistent heat in the body, sweating on the head and face, abdominal distension, cough, upward rushing of Qi with shoulder breathing (dyspnea involving accessory muscles), foot claudication with crossed shins, and inability to walk by age three: Zhongru Wan Formula. Zhongru (Calculus Lapidis, powdered), Fangfeng (Saposhnikoviae Radix, de-veined), Sheng Gan Dihuang (Rehmanniae Radix, dried and roasted), Niuhuang (Calculus Bovis, ground), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped), Qihua (Lac Japonicae Resina, each 1 fen).
The above six herbs are pounded and sieved into powder. Using dog brain marrow as a binder, form pills the size of sesame seeds. Each dose consists of 2 to 3 pills, taken with rice water. Administer once in the morning, at noon, and in the evening. Dosage should be adjusted according to the child's size and condition. An alternative method uses pig brain marrow for pill formation.
For treating pediatric Xie Jie (Open Fontanelle): Xixin San Formula.
Xixin (Asari Radix, de-stemmed and de-leaved), Gui (Cinnamomi Ramulus, de-barked), Ganjiang (Zingiberis Rhizoma, processed, each 1 fen).
The above three herbs are pounded and sieved into powder. Mix with breast milk and apply to the cranial fontanelle.
For treating pediatric cerebral overgrowth with frequent head shaking and Jie Lu: Niuhuang Wan Formula.
Niuhuang (Calculus Bovis), Qihua (Lac Japonicae Resina), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped), Baizhu (Atractylodis Macrocephalae Rhizoma), Fangfeng (Saposhnikoviae Radix, de-veined), Zhongru Fen (Calculus Lapidis, powdered), Sheng Gan Dihuang (Rehmanniae Radix, dried and roasted, each 1 fen).
The above seven herbs are pounded and sieved into powder. Using dog brain marrow as a binder, form pills the size of sesame seeds. Each dose consists of 2 to 3 pills, taken with warm water. Administer once in the morning, at noon, and after dusk. Dosage should be adjusted according to the child's size and condition.
For treating pediatric Jie Lu with open fontanelles: Fengxin San Formula.
Baizi Ren (Bi Semen, stir-fried), Xixin (Asari Radix, de-stemmed and de-leaved), Fangfeng (Sapothnikoviae Radix, de-veined), Baiji (Bletillae Rhizoma, each 1 liang), Caowutou (Aconiti Kusnezoffii Radix, processed, 0.5 liang).
The above five herbs are pounded and sieved into fine powder. Mix with breast milk and apply to the open fontanelle area.
For treating pediatric Jie Lu with non-closing sutures: Xiezu San Formula.
Sheng Xiezu Gu (Crab Chela Bone, dried by roasting), Bailian (Paeoniae Radix Rubra, each 0.5 liang).
The above two herbs are pounded and sieved into powder. Mix with breast milk and apply to the fontanelle. Continue until healed.
For treating pediatric rhinorrhea caused by wind-cold invading the cranial region: Ganjuhua Tang Formula.
Ganjuhua (Chrysanthemi Flos, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 fen), Fangfeng (Sapothnikoviae Radix, de-veined, 0.5 liang), Shanzhuyu (Corni Fructus, 7 pieces).
The above four herbs are coarsely crushed and sieved. Take one qianbi (a spoonful measure), add one zhan (unit of volume) of water, decoct until reduced to 6/10 parts. Strain and divide into three warm doses. Administer once in the morning, at noon, and after dusk. Adjust dosage according to the child's size and condition.
For treating pediatric rhinorrhea caused by wind-cold lodging in the cranial region: Xixin Gao Formula.
Xixin (Asari Radix, de-stemmed and de-leaved, 0.5 liang).
Take this single herb and decoct with one he (unit of volume) of oil until black. Strain and add a small amount of beeswax, melt and let cool to congeal. Apply thinly to the fontanelle three times daily.
For treating pediatric fontanelle opening without closure: Hexin San Formula.
Fangfeng (Sapothnikoviae Radix, de-veined), Baiji (Bletillae Rhizoma), Baizi Ren (Bi Semen, each 1 liang).
The above three herbs are pounded and sieved into powder. Mix with a small amount of breast milk and apply to the fontanelle until closed.
For treating pediatric cerebral overgrowth, open fontanelle, small arms and shins unable to support the head weight: Banxia San Formula.
Banxia (Pinelliae Rhizoma, washed in hot water to remove slipperiness seven times, then dried), Xiong (Ligustici Chuanxiong Rhizoma), Gui (Cinnamomi Ramulus, de-barked, each 1 liang), Caowutou (Aconiti Kusnezoffii Radix, ten pieces, processed, skin and navel removed), Xixin (Asari Radix).
Finely chop the above five herbs. Soak in four sheng (units of volume) of wine overnight. Decoct until slightly warm, strain out the herbs. Wrap in cotton cloth and apply warm compresses to the fontanelle, 20-30 times in the morning and evening. This yields excellent results.
For treating pediatric cerebral growth and unclosed fontanelle: Jixue Tu Method.
Take one red rooster. Hold it near the infant's fontanelle, cut its comb, and let the blood drip onto the fontanelle. Then cover the blood with powder of Chishao Yao (Paeoniae Radix Rubra).
For treating pediatric Jie Lu with unclosed cranial sutures: Fangfeng Wan Formula.
Fangfeng (Sapothnikoviae Radix, de-veined), Zhongru Fen (Calculus Lapidis, powdered), Niuhuang (Calculus Bovis, ground), Baizhu (Atractylodis Macrocephalae Rhizoma, each 0.5 liang), Shu Gan Dihuang (Rehmanniae Radix, prepared and dried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 3 qian).
The above six herbs are pounded and sieved into powder. Use refined honey to form pills the size of Sophora japonica seeds. Each dose is 2 pills, dissolved in warm water and taken. Adjust dosage according to the child's age.
For treating pediatric Jie Lu with unclosed fontanelle sutures: Tufu Gao Formula.
Shetui (Ophichthidis Skin, burned to ash), Zhu Jianguisu (Porcine Cheek Bone Marrow, each a small amount).
Mix the above two ingredients to form a paste. Apply to the fontanelle and change twice daily.