Library

Ba Zheng San (Eight-Right Decoction): See the formula in Volume 4, Section on Disorders of Urination and Defecation.
Cheng Qi Tang (Purgative Decoction): See the formula in Volume 2, Section on Cold Damage.
Mu Lan Xing Lang Wan (Buddlea and Areca Pill): See the formula in Volume 3, Section on Food Stagnation.
Bao He Wan (Preserve Harmony Pill): See the formula in Volume 3, Section on Food Stagnation.
Run Chang Wan (Moisten Intestines Pill): Treats constipation in the elderly, debilitated individuals, children, and postpartum women.
Ingredients: Huomaren (Cannabis Seed), Guang Xingren (Apricot Kernel), Guang Taoren (Peach Kernel), Dangguiwei (Tail of Angelica Sinensis Root) moistened with wine; Chen Zhiqiao (Aged Aurantium Fructus) (all above at 7.5 qian); Jinjingjiao (Colla Corii Asini processed with specific water method), Luobozhongzi (Radish Seed), Jiayezhu (Perilla Leaf) (all above at 3 qian).
Preparation and Administration: Grind all ingredients into a fine powder, mix with refined honey to form pills. Take 1–2 qian per dose, adjusting according to the patient's condition, washed down with warm water.
Mi Dao Fa (Honey Suppository Method): See the method in Volume 4, Section on Disorders of Urination and Defecation.

The *Neijing* states: "Headache, tinnitus, and dysfunction of the nine orifices are generated by disorders of the stomach and intestines." Disorders of the fontanelle in children often arise from spleen and stomach pathology. Furthermore, the head is the convergence point of the six Yang meridians, where the seven orifices reside. Therefore, the child's head should remain cool throughout the four seasons; any sign of head heat indicates the presence of pathogenic factors, necessitating preventive measures.

Jie Lu (Splitting Skull): Refers to the separation of cranial sutures with failure of the skull to close. This results from congenital insufficiency and severe depletion of Kidney Yuan (Primordial Qi). The Kidney governs brain marrow; when the Kidney is deficient, brain marrow becomes insufficient, causing the skull to split open. Without brain marrow, a person is like a tree without roots, likely becoming disabled within a thousand days. Symptoms include melancholy, lack of joy, prominent whites of the eyes, and pale complexion. If occurring after an illness, it is particularly ominous. Long-term administration of Di Huang Wan (Rehmannia Pill) is indicated, combined with external application for sealing the fontanelle.

Xiong Zhong (Fontanelle Swelling): Refers to the swelling and protrusion of the anterior fontanelle. The Spleen governs muscles; irregular feeding, excessive hunger or fullness, or invasion of cold/heat pathogens into the Spleen can cause disharmony of the zang-fu organs. Qi rushes upward, filling and distending the fontanelle, making it protrude high like stacked objects, accompanied by short yellow hair, bone-steaming fever, and spontaneous sweating. However, swelling caused by cold qi rushing upward feels firm and hard; swelling caused by hot qi rushing upward feels soft and red. Cold-type swelling accounts for one-tenth, while hot-type swelling accounts for nine-tenths. Additionally, tight wrapping or excessive covering may trap Yang Qi, preventing its dispersion and causing redness and swelling. All these conditions are treated with methods to seal the fontanelle. Hot-type swelling is treated with Xie Qing Wan (Drain Green Pill); cold-type swelling is treated with Shen Su Yin (Ginseng and Perilla Decoction).

Xiong Xian (Fontanelle Depression): Some cases result from prolonged diarrhea leading to Qi and Blood deficiency, failing to nourish the brain marrow, causing the fontanelle to sink like a pit. This represents extreme deficiency of the Stomach and weakness of the Spleen, requiring urgent support of Yuan Qi. If both the fontanelle and the occiput are depressed, there is little hope of recovery. Causes include insufficient paternal essence and maternal blood deficiency, or prolonged illness. Depression of the occiput is more severe than that of the fontanelle; both indicate exhaustion of Kidney Yuan. Treatment involves Shen Ling Bai Zhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) or Ba Wei Di Huang Wan (Eight-Ingredient Rehmannia Pill).

Tian Zhu Gu Dao (Collapse of the Heavenly Pillar Bone): Some children appear robust and not emaciated. However, excessive corpulence indicates weaker Middle Qi, representing excess externally but deficiency internally. Sudden softness and collapse of the neck indicate Wind-Heat in the Liver Meridian, treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Ge Gen (Kudzu Root), Dang Gui (Angelica Sinensis), and Bai Shao (White Peony Root).
In cases following prolonged illness or chronic diarrhea, sudden tilting of the neck is called Tian Zhu Gu Dao, a critical condition. Immediate rescue of True Yuan is required using Da Quan Da Bu Tang (Great Total Tonifying Decoction) plus Rong (Deer Antler).
Some infants have soft necks at birth due to insufficient fetal Qi, resulting from deficient and failing paternal Kidney Yuan. Severe tonification of the Congenital Foundation is needed for potential recovery; administer Bu Shen Di Huang Wan (Kidney-Tonifying Rehmannia Pill) and Liu Jun Tang (Six-Gentlemen Decoction) alternately.
Although Tian Zhu Gu Dao presents in three variations, it fundamentally signifies severe failure of True Yang and is a malignant syndrome in children. Preserving and rescuing True Yuan is paramount. External application of herbs such as Sheng Jin (Generate Tendons) may also be used.