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This refers to the depression and unevenness of the fontanelle. It is caused by heat in the intestines, where pathogenic heat steams the Zang-Fu organs, causing organ heat, which leads to thirst and a desire to drink. If accompanied by dysuria or diarrhea/dysentery, it indicates that the blood and Qi of the Fu and Zang organs are deficient and weak, unable to ascend and nourish the marrow and brain, thus resulting in the depression of the fontanelle.

The condition of double tongue (Chong She) in children is due to heat in the Heart and Spleen. The Heart opens into the tongue and governs the Blood; the collateral vessels of the Spleen also emerge from under the tongue. The Heart and Spleen are mother-son organs; when there is heat, both Blood and Qi become hyperactive. The manifestation is a growth attached under the tongue, near the root, shaped like a tongue but shorter, hence called "double tongue."

The disease known as Zhi Yi involves excessive salivation in children, flowing out and soaking the area below the chin. This is caused by cold in the Spleen leading to excessive fluids. The fluid of the Spleen is saliva; when Spleen Qi is cold, it cannot control and retain body fluids, causing saliva to flow out and stagnate in the Yi region.

Children's Blood and Qi are not yet settled, and their skin and muscles are fragile. If nursing is improper, and regulation of cold and warmth is inappropriate, the Cou Li (pores/interstices) become open and deficient, allowing Wind pathogen to strike.
Generally, Wind strikes enter through the Shu points on the back corresponding to the various organs.
If Wind strikes the Heart, the patient can only lie supine and cannot turn sideways, with sweating. If the lips are red and sweating occurs, it is treatable; urgently moxa the Xinshu (BL-15) point. If the lips are blue, white, yellow, or black, this indicates Heart failure transforming into Water pathology; if the face appears vacant and immobile, with occasional tremors, it is untreatable, and death will occur within five to six days.
If Wind strikes the Liver, the patient sits hunched and cannot lower the head. If the color around both eyes extending to the forehead is slightly blue, and the lips are blue while the face is yellow, it is treatable; urgently moxa the Ganshu (BL-18) point. If the color is deeply blue/black, and the face is half yellow and half white, the Liver is already damaged, and it is untreatable, with death occurring in a few days.
If Wind strikes the Spleen, the patient sits hunched with abdominal fullness, the whole body turns yellow, and sour/salty fluid is vomited. It is treatable; urgently moxa the Pishu (BL-20) point. If the hands and feet turn blue, it is untreatable.
If Wind strikes the Kidney, the patient sits hunched with lower back pain. If observing the left and right hypochondriac regions, there are no yellow patches the size of a cake, it is treatable; urgently moxa the Shenshu (BL-23) point. If the teeth are yellow-red, the sideburn hair stands straight, and the face has an earthy color, it is untreatable.
If Wind strikes the Lung, the patient lies supine with chest fullness and shortness of breath, experiencing dizziness, stuffiness, and sweating. If the color running down from below the eyes and on both sides of the nose to the mouth is white, it is treatable; urgently moxa the Feishu (BL-13) point. If the color is yellow, the Lung is already damaged and transformed into Blood stasis, making it untreatable. The person will exhibit hallucinations of grabbing at empty air or picking at clothes, and will die after several days. These are the conditions of Wind striking the Five Zang organs. For adolescents who have reached maturity, moxibustion consists of one hundred Zhu units; for those aged five and below down to infants, the dosage should be adjusted according to judgment. Whenever an infant suffers from Wind strike, it definitively develops into Epilepsy (Dian Xian).