小儿遗尿者，乃膀胱虚冷不能禁约，故尿自出也。夫肾主水，下通于阴，小便者津液之余也。膀胱为津液之腑，因
虚弱内寒不能约制，其尿出而不禁，故云遗溺也。又有尿床者，亦由膀胱虚冷，夜间不禁，小便睡中自出谓之尿床。宜
用温补之药即效。下贱之辈，有此疾者多，此亦非病，药不能疗也。
加味地黄丸 治肾虚冷，膀胱遗溺。
白茯苓 山药 山茱萸 熟地黄（各一两） 丹皮（五钱） 大附子（五钱，炮） 官桂（三钱） 益智仁（六钱）
为末，蜜丸。空心、午前，日服二次，盐汤下。
破故纸散 治遗溺。
破故纸（一两，炒） 白茯苓 益智仁（各五钱）
为末，每服一钱，米汤下。
鸡肠散 治小儿尿床。
鸡肠（一具，炙干） 牡蛎（ 醋淬） 白茯苓 真桑螵蛸（炒。各五钱） 龙骨 官桂（各一钱五分）
为末。每服一二钱，生姜、黑枣煎汤，室心下。一方将药为末，灌入猪尿胞内煮熟，捣为丸，盐汤下。
散 治同前症。
鸡 （一具，炙） 鸡肠（炙干） 猪胞（炙焦）
共为末。每服一钱，温酒下。男用雌，女用雄。
肾主骨髓以藏精，故脑为髓海，乃人之根本也。解颅者，原儿禀受胎气不足，肾气衰弱，其囟常开而不合，名曰解
颅。宝鉴云∶父精不足，则头叵而囟开；母气衰微，则体虚肉瘠。其儿目睛 白，多愁少喜，精神困惫。有此症者，儿
多不寿。宜早用温补之药治之。又有囟填、囟陷二症。经云∶寒气上冲则牢靳，热气上冲则浮肿。或吐泻脾虚，元气暴
脱，其囟陷而凹；或风邪内蓄，郁热上攻，愿肿而凸。二症俱为恶候，急用散惊，随其寒热而治之。休视小疾，否则不
可救矣。
寒症，益脾、温胃、散惊为主。（方在脾胃泄泻门选用）
热症，消风、清热、镇惊为主。（方在风寒急惊门选用）
加味四君子汤 治寒症解颅囟陷。
人参 白术 茯苓 甘草（炙） 熟地 鹿茸（酥炙） 山茱萸 枸杞子 诃子（煨） 丁香（三分） 山药（各
一钱）
生姜三片，枣一枚，水煎。手足厥，加附子三分。
加味惺惺散 治热症囟肿。
陈皮 半夏 茯苓 甘草 羌活 防风 天麻 钩藤 薄荷 桔梗 枳壳 僵蚕（炒。各等分）
生姜三片，水煎。惊搐，加全蝎；痰甚，加贝母。
地黄丸 治气虚解颅。
鹿茸（酥炙） 山药 茯苓 人参 熟地 山茱萸（各一两） 牡丹皮 官桂（各五钱）
为末，蜜丸。清米汤下，日服两三次。
玉乳丹 治解颅囟陷。
钟乳粉（五钱， ） 柏子仁 熟地 当归 补骨脂 白茯苓 黄 防风（各二钱）
为末，蜜丸，茴香汤下。
南星散 治囟肿、囟陷并效。
南星（二钱） 北细辛（五分） 共为末。
寒症，葱汤加生姜汁调敷；泄泻下陷，醋调敷；热症，薄荷、甘草汤调敷。
乌附膏 治气虚囟陷。
川乌 附子（各二钱） 雄黄（一钱）
碾为末，葱白煨熟，捣成小饼，贴囟上。
单方 黄狗头骨烧灰，为末，鸡子清调敷。
Pediatric enuresis is caused by deficiency-cold of the Bladder (Bladder), which fails to restrain urine, leading to involuntary urination. The Kidney (Kidney) governs water metabolism and connects downward to the genitalia; urine is the surplus of body fluids. The Bladder (Bladder) is the fu-organ storing body fluids. Due to weakness and internal cold, it cannot control urine, resulting in leakage and lack of restraint, hence termed "enuresis." Another condition is bedwetting, also due to deficiency-cold of the Bladder (Bladder). At night, restraint fails, and urine flows involuntarily during sleep, known as bedwetting. It is suitable to use warming and tonifying medicines for effective results. This condition is common among people of low status; it is not considered a true disease, and medicinal treatment is difficult.
Jiawei Dihuang Wan (Modified Rehmannia Pill): Treats enuresis due to Kidney (Kidney) deficiency-cold affecting the Bladder (Bladder).
Ingredients: Bai Fuling (Poria, *Poria cocos*), Shanyao (Chinese Yam, *Dioscorea opposita*), Shanzhuyu (Cornus Fruit, *Cornus officinalis), Shudihuang (Prepared Rehmannia Root, *Rehmannia glutinosa*) (each 1 liang), Danpi (Moutan Bark, *Paeonia suffruticosa*) (5 qian), Dafuzi (Aconite Root, *Aconitum carmichaelii*) (5 qian, processed), Guanzi Gui (Cinnamon Twig, *Cinnamomum cassia*) (3 qian), Yizhiren (Bitter Almond, *Alpinia oxyphylla*) (6 qian).
Grind into powder, form pills with honey. Take on an empty stomach and before noon, twice daily, with salted water.
Poguzhi San (Psoralea Powder): Treats enuresis.
Ingredients: Poguzhi (Psoralea Fruit, *Psoralea corylifolia*) (1 liang, stir-fried), Bai Fuling (Poria, *Poria cocos*), Yizhiren (Bitter Almond, *Alpinia oxyphylla*) (each 5 qian).
Grind into powder. Take 1 qian per dose, with rice water.
Jichang San (Chicken Intestine Powder): Treats pediatric bedwetting.
Ingredients: Jichang (Chicken Intestine, *Gallus gallus domesticus*) (one set, roasted dry), Muli (Oyster Shell, *Ostrea gigas*) (processed with vinegar), Bai Fuling (Poria, *Poria cocos*), Zhen Sangpiaoxiao (Mantis Egg Case, *Mantidis oötheca*) (stir-fried, each 5 qian), Longgu (Fossilized Bone, *Os fossile*), Guanzi Gui (Cinnamon Twig, *Cinnamomum cassia*) (each 1.5 qian).
Grind into powder. Take 1-2 qian per dose, decocted with fresh ginger and black dates. Alternatively, grind medicine into powder, stuff into a pig bladder, boil until cooked, mash into pills, and take with salted water.
[Name Missing] San: Treats the same symptoms as above.
Ingredients: Ji (Chicken, *Gallus gallus domesticus*) (one set, roasted), Jichang (Chicken Intestine, *Gallus gallus domesticus*) (roasted dry), Zhu Bao (Pig Bladder, *Sus scrofa domestica*) (roasted until charred).
Grind together into powder. Take 1 qian per dose, with warm wine. Use female chicken for male patients, and male chicken for female patients.
The Kidney (Kidney) governs bone marrow and stores essence; thus, the brain is the sea of marrow and serves as the root of human life. Jie Lu (Split Skull/Open Fontanelle) originates from insufficient congenital endowment and weak Kidney (Kidney) qi, causing the fontanelle to remain open and not close, named Jie Lu. *Baojian* states: If the father's essence is insufficient, the head becomes abnormal and the fontanelle opens; if the mother's qi declines, the body becomes weak and muscles emaciated. The child shows white sclera, is prone to sorrow rather than joy, and suffers from mental fatigue. Children with this symptom often have short lifespans. Warming and tonifying medicines should be used early. There are also two other conditions: Xian Tian (Fontanelle Bulging) and Xian Xian (Fontanelle Depression). Classics state: Upward rushing of cold qi causes hardness and stiffness; upward rushing of heat qi causes swelling. Or, due to vomiting and diarrhea causing Spleen (Spleen) deficiency and sudden collapse of Yuan Qi, the fontanelle depresses. Or, due to internal accumulation of wind pathogen and stagnant heat attacking upward, the fontanelle bulges. Both conditions are ominous signs requiring urgent dispersal of fright, treating according to cold or heat. Do not treat them as minor illnesses, or they will become incurable.
Cold syndrome: Focus on benefiting the Spleen (Spleen), warming the Stomach (Stomach), and dispersing fright. (Formulas selected from the Spleen-Stomach Diarrhea section.)
Heat syndrome: Focus on eliminating wind, clearing heat, and calming fright. (Formulas selected from the Wind-Cold Acute Fright section.)
Jiawei Sijunzi Tang (Modified Four Gentlemen Decoction): Treats Jie Lu and Xian Xian due to cold syndrome.
Ingredients: Renshen (Ginseng Root, *Panax ginseng*), Baizhu (Atractylodes Rhizome, *Atractylodes macrocephala*), Fuling (Poria, *Poria cocos*), Gancao (Licorice Root, *Glycyrrhiza uralensis*) (roasted), Shudihuang (Prepared Rehmannia Root, *Rehmannia glutinosa*), Lurong (Deer Antler, *Cervus nippon*) (roasted with butter), Shanzhuyu (Cornus Fruit, *Cornus officinalis*), Gouqizi (Goji Berry, *Lycium barbarum*), Hezi (Chebula Fruit, *Terminalia chebula*) (roasted), Dingxiang (Clove, *Syzygium aromaticum*) (3 fen), Shanyao (Chinese Yam, *Dioscorea opposita*) (each 1 qian).
Decoct with three slices of fresh ginger and one jujube. If extremities are cold, add 3 fen of Fuzi (Aconite Root, *Aconitum carmichaelii*).
Jiawei Xingxing San (Modified Xingxing Powder): Treats fontanelle bulging due to heat syndrome.
Ingredients: Chenpi (Tangerine Peel, *Citrus reticulata*), Banxia (Pinellia Tuber, *Pinellia ternata*), Fuling (Poria, *Poria cocos*), Gancao (Licorice Root, *Glycyrrhiza uralensis*), Qianghuo (Notopterygium Rhizome, *Notopterygium incisum*), Fangfeng (Saposhnikovia Root, *Saposhnikovia divaricata*), Tianma (Gastrodia Rhizome, *Gastrodia elata*), Gouteng (Uncaria Ramulus cum Uncis, *Uncaria rhynchophylla*), Bohe (Mint Herb, *Mentha haplocalyx*), Jiegeng (Platycodon Root, *Platycodon grandiflorus*), Zhike (Bitter Orange Fruit, *Citrus aurantium*), Jiangcan (Bombyx Batryticatus, *Bombyx batryticatus*) (stir-fried, equal parts).
Decoct with three slices of fresh ginger. For convulsions, add Quanxie (Scorpion, *Scorpio*); for severe phlegm, add Beimu (Fritillaria Bulb, *Fritillaria cirrhosa*).
Dihuang Wan (Rehmannia Pill): Treats Jie Lu due to Qi deficiency.
Ingredients: Lurong (Deer Antler, *Cervus nippon*) (roasted with butter), Shanyao (Chinese Yam, *Dioscorea opposita*), Fuling (Poria, *Poria cocos*), Renshen (Ginseng Root, *Panax ginseng*), Shudihuang (Prepared Rehmannia Root, *Rehmannia glutinosa*), Shanzhuyu (Cornus Fruit, *Cornus officinalis*) (each 1 liang), Mudanpi (Moutan Bark, *Paeonia suffruticosa*), Guanzi Gui (Cinnamon Twig, *Cinnamomum cassia*) (each 5 qian).
Grind into powder, form pills with honey. Take with clear rice water, two to three times daily.
Yuru Dan (Jade Milk Pill): Treats Jie Lu and Xian Xian.
Ingredients: Zhongru Fen (Halloysite Powder, *Halloysitum rubrum*) (5 qian, ground), Baiziren (Biota Seed, *Platycladus orientalis*), Shudihuang (Prepared Rehmannia Root, *Rehmannia glutinosa*), Danggui (Angelica Sinensis Root, *Angelica sinensis*), Buguzhi (Psoralea Fruit, *Psoralea corylifolia*), Bai Fuling (Poria, *Poria cocos*), Huangqi (Astragalus Root, *Astragalus membranaceus*), Fangfeng (Saposhnikovia Root, *Saposhnikovia divaricata*) (each 2 qian).
Grind into powder, form pills with honey, take with fennel tea.
Nanxing San (Arisaema Powder): Effective for both fontanelle bulging and depression.
Ingredients: Nanxing (Arisaema Rhizome, *Arisaema erubescens*) (2 qian), Bei Xixin (Asarum Root, *Asarum heterotropoides*) (5 fen).
Grind together into powder.
For cold syndrome, mix with green onion soup and fresh ginger juice for external application; for diarrhea with depression, mix with vinegar for external application; for heat syndrome, mix with mint and licorice soup for external application.
Wufu Gao (Black Aconite Plaster): Treats Xian Xian due to Qi deficiency.
Ingredients: Chuanwu (Chuanwu Rhizome, *Aconitum carmichaelii*), Fuzi (Aconite Root, *Aconitum carmichaelii*) (each 2 qian), Xionghuang (Realgar, *Realgar*).
Grind into powder. Roast white onion until soft, mash into small cakes, and apply to the fontanelle.
Single Prescription: Burn yellow dog skull to ash, grind into powder, mix with egg white for external application.