一论小儿解颅者。生下囟门不合也。长必多愁少笑。目白睛多。面色 白。肢体消瘦。
皆肾虚也。
一治小儿颅开解。头缝不合。此乃肾气不成。肾主骨髓。脑为髓海。肾气不胜。所以脑
髓不
足。故不能合。丹溪治解颅以八物汤。有热。加酒炒黄连、黄芩、甘草。水煎服。外用布帛
紧束。又以白芨末敷之。
人参地黄丸
人参（二钱） 怀熟地黄（四钱） 嫩鹿茸 山药 白茯苓（去皮） 牡丹皮 山茱萸（酒蒸
去核各三钱）
上为细末。炼蜜为丸。如芡实大。用人参煎汤研化。食远服。
一论小儿鹤节。因气血不充。故肌瘦薄。骨节呈露。如鹤之膝。
当归地黄丸
怀熟地黄（酒蒸八钱） 山茱萸（酒蒸去核） 干山药 泽泻（去毛） 牡丹皮（去梗） 白茯
苓（去皮） 当归（酒洗各二钱） 一方。加鹿茸酥炙。牛膝去芦酒洗。各二钱。
上为细末。炼密为丸。如芡实大。每用热水研化。食前服。仍以天南星炮去皮脐。研细
末。入米醋调。敷绢帛上烘热。贴之。亦良法。
一论小儿行迟。肝肾虚弱。骨髓不充。不能行步。
加味地黄丸
怀熟地黄（八钱） 山药（四钱） 山茱萸（酒蒸去核四钱） 白茯苓（去皮） 牡丹皮 泽泻
（各三钱） 嫩鹿茸（酥炙二钱） 怀牛膝（去芦酒浸二钱） 五加皮（三钱）
上为细末。炼蜜为丸。如黍米大。每服一钱。空心。盐汤送下。
一论小儿禀受元气不足。颅囟开解。肌肉消瘦。腹大面肿。语迟行迟。手足如筒。神色
昏慢。牙齿生迟诸虚。
调元散
干山药（五钱） 人参 白茯苓（去皮） 白茯神（去皮木各二钱） 白术（去芦二钱） 石
菖蒲（一钱） 白芍药（炒） 熟地黄 当归 川芎 黄 （蜜炙各二钱半） 甘草（炙一钱半）
上锉。姜、枣煎。不拘时服。婴儿乳母同服。
Discussion on Infant Fontanelle Delayed Closure (Jie Lu): This refers to the condition where the fontanelle remains unclosed long after birth. As the child grows, they tend to be melancholic and smile less, have prominent whites of the eyes, a pale complexion, and emaciated limbs. These are all caused by Kidney Deficiency.
Discussion on treating infant cranial separation and unclosed sutures: This is due to insufficient Kidney Qi. The Kidneys govern the bone marrow, and the brain is the Sea of Marrow. If Kidney Qi is weak and unable to function properly, it leads to an insufficiency of brain marrow, thus preventing closure. Zhu Danxi treated Jie Lu using Ba Wu Tang (Eight Substance Decoction); if heat signs are present, add Rhizoma Coptidis (Huanglian), Cortex Scutellariae (Huangqin), and Radix Glycyrrhizae (Gancao) stir-fried with wine, decocted in water for oral administration. Externally, tightly bind the head with cloth and apply powder of Rhizoma Bletillae (Baiji).
Renshen Dihuang Wan (Ginseng and Rehmannia Pill)
Ingredients: Radix Ginseng (2 qian), Huai Shu Dihuang (Prepared Rehmanniae Radix, 4 qian), young Antler (Lurong), Rhizoma Dioscoreae (Shanyao), Poria (Fuling, peeled), Cortex Moutan (Mudanpi), Fructus Corni (Shanzhuyu, steamed with wine and pitted, each 3 qian).
Preparation and Administration: Grind the above ingredients into fine powder, mix with refined honey to form pills the size of a Chinese bayberry (Qianshi). Take one pill dissolved in a decoction of Radix Ginseng, administered after meals.
Discussion on Infant Crane Joint (He Jie): Due to insufficient Qi and Blood, muscles become thin, and joints protrude, resembling the knee of a crane.
Danggui Dihuang Wan (Angelica and Rehmannia Pill)
Ingredients: Huai Shu Dihuang (Prepared Rehmanniae Radix, steamed with wine, 8 qian), Fructus Corni (Shanzhuyu, steamed with wine and pitted), dried Rhizoma Dioscoreae (Shanyao), Rhizoma Alismatis (Zexie, de-haired), Cortex Moutan (Mudanpi, de-stemmed), Poria (Fuling, peeled), Radix Angelicae Sinensis (Danggui, washed with wine, each 2 qian). Alternative prescription: add Young Antler (Lurong, roasted in butter) and Radix Achyranthis Bidentatae (Niuxi, de-radicle and washed with wine), each 2 qian.
Preparation and Administration: Grind the above ingredients into fine powder, mix with refined honey to form pills the size of a Chinese bayberry. For each dose, dissolve in hot water and take before meals. Additionally, process Arisaema Cum Bile (Tiannanxing) by removing skin and navel, grind into fine powder, mix with rice vinegar, apply to silk fabric, warm it, and patch it onto the affected area; this is also an effective method.
Discussion on Infant Delayed Walking (Xing Chi): Due to weakness of the Liver and Kidneys and insufficiency of bone marrow, the child is unable to walk.
Jiawei Dihuang Wan (Modified Rehmannia Pill)
Ingredients: Huai Shu Dihuang (Prepared Rehmanniae Radix, 8 qian), Rhizoma Dioscoreae (Shanyao, 4 qian), Fructus Corni (Shanzhuyu, steamed with wine and pitted, 4 qian), Poria (Fuling, peeled), Cortex Moutan (Mudanpi), Rhizoma Alismatis (Zexie, each 3 qian), young Antler (Lurong, roasted in butter, 2 qian), Huai Niuxi (Radix Achyranthis Bidentatae, de-radicle and soaked in wine, 2 qian), Cortex Acanthopanacis (Wujiapi, 3 qian).
Preparation and Administration: Grind the above ingredients into fine powder, mix with refined honey to form pills the size of a millet seed. Take 1 qian per dose, on an empty stomach, with salt water.
Discussion on Infant Congenital Yuan Qi Insufficiency: Manifestations include open fontanelles, emaciated muscles, distended abdomen and swollen face, delayed speech and walking, limbs thin like tubes, dull and sluggish spirit, delayed tooth eruption, and various other deficiency syndromes.
Tianyuan San (Yuan Qi Regulating Powder)
Ingredients: Dried Rhizoma Dioscoreae (Shanyao, 5 qian), Radix Ginseng, Poria (Fuling, peeled), Spirit of Poria (Fushen, peeled wood, each 2 qian), Rhizoma Atractylodis Macrocephalae (Baizhu, de-radicle, 2 qian), Rhizoma Acori Tatarinowii (Shichangpu, 1 qian), Radix Paeoniae Alba (Baishao, stir-fried), Prepared Rehmanniae Radix (Shudihuang), Radix Angelicae Sinensis (Danggui), Radix Angelicae Pubescentis (Chuanxiong), Radix Astragali Membranacei (Huangqi, honey-roasted, each 2.5 qian), Radix Glycyrrhizae Uralensis (Gancao, roasted, 1.5 qian).
Preparation and Administration: Cut the herbs into pieces, decoct with Ginger (Shengjiang) and Jujube (Dazao). Take at any time. Both the infant and the nursing mother should take the medicine simultaneously.