夫小儿囟不合者。此乃气血少弱。骨本不荣故也。皆由肾气未成。肝肺有热。壅热之气。
上
治小儿囟开不合。防风散方。
防风（一两去芦头） 白芨（一两） 柏子仁（一两）
上件药。捣罗为散。以乳汁和涂头上。以合为度。
治小儿脑长头大。囟开不合。臂胫小。不能胜头。三岁不合。熨药方。
半夏（一两汤洗七遍去滑） 芎 （一两） 细辛（二两） 桂心（一两） 川乌头（五
枚炮裂
去皮
上件药。细锉。以酒四升。渍一宿。绵裹。入器中煮令微热。温熨儿囟门上。朝暮熨二
三十
治小儿脑长。锢囟药使脑不长方。
取丹雄鸡一只。将临小儿囟上。克其冠。使血滴在囟上讫。以赤芍药末。粉血上。使血
不见
夫小儿囟上陷者。此谓囟陷不平也。由腹内有热气熏脏。脏热则渴引饮。而小便利者。
则腑
治小儿脏腑壅热。气血不荣。致囟陷不平者。生干地黄散方。
生干地黄（二两） 乌鸡骨（一两涂酥炙令黄）
上件药。捣细罗为散。不计时候。以粥饮调下半钱。
治小儿囟陷方。
上取猪牙车骨髓。煎如膏。涂囟上良。
又方。
上以狗头骨。炙令黄。捣罗为末。以鸡子清调涂之。
又方。
上以天灵盖炙令黄。捣罗为末。以生油调涂之。
小儿囟门不合，这是由于气血虚弱，骨骼得不到滋养的缘故。都是因为肾气尚未充盛，肝肺有热，壅滞的热气上冲所致。
治疗小儿囟门开敞不合的防风散方：
防风（一两，去芦头） 白芨（一两） 柏子仁（一两）
以上药材，捣碎过筛成散剂。用乳汁调和后涂抹在头上，以囟门闭合为度。
治疗小儿头颅生长过大、囟门开敞不合、手臂和小腿细小、不能支撑头部、三岁仍不闭合的熨药方：
半夏（一两，用汤水洗七遍去滑腻） 川芎（一两） 细辛（二两） 桂心（一两） 川乌头（五枚，炮裂去皮）
以上药材，细细切碎。用酒四升浸泡一夜，用绵布包裹，放入容器中煮至微热。温热时熨烫小儿囟门处，早晚各熨二三十次。
治疗小儿头颅生长过快，固护囟门使头颅不再过度生长的药物方：
取一只红冠雄鸡，将其靠近小儿囟门上方，割破其鸡冠，让血滴落在囟门上，然后用赤芍药末覆盖血迹，使血液不外露。
小儿囟门凹陷，这叫做囟陷不平。这是因为腹内有热气熏蒸脏腑，脏腑受热则口渴想饮水，如果小便通利，则会导致腑气受损。
治疗小儿脏腑壅热，气血不能荣养，导致囟门凹陷不平的生干地黄散方：
生干地黄（二两） 乌鸡骨（一两，涂酥炙至黄色）
以上药材，捣碎过筛成细散剂。不限时候，用米粥汁调服半钱。
治疗小儿囟门凹陷的方子：
取猪牙车骨髓，煎煮如膏状，涂抹在囟门上效果良好。
Infants with fontanelles that fail to close are suffering from a deficiency and weakness of Qi and Blood, resulting in the bones failing to receive nourishment. This is primarily due to the Kidney Qi not yet being fully established, while Heat exists in the Liver and Lungs. The stagnant Heat Qi rises upward.
**Fangfeng San (Saposhnikovia Powder) for treating infants with open and unclosed fontanelles:**
* Fangfeng (Radix Saposhnikoviae, 1 liang, remove rhizome head)
* Baiji (Rhizoma Bletillae, 1 liang)
* Baiziren (Semen Platycladi, 1 liang)
Pulverize the above ingredients into a powder. Mix with milk and apply to the head. Continue application until the fontanelle closes.
**Hot Compress Prescription for treating infants with enlarged heads, open and unclosed fontanelles, small arms and shins, inability to support the head, and fontanelles remaining open at age three:**
* Banxia (Rhizoma Pinelliae, 1 liang, washed seven times with hot water to remove acridity)
* Xiongqiong (Radix Chuanxiong, 1 liang)
* Xixin (Herba Asari, 2 liang)
* Guixin (Cortex Cinnamomi, 1 liang)
* Chuan Wutou (Radix Aconiti Kusnezoffii, 5 pieces, processed until cracked, peel removed)
Finely chop the above ingredients. Soak in 4 sheng of wine overnight. Wrap in cotton cloth and boil in a vessel until slightly warm. Apply as a warm compress to the infant's fontanelle area, morning and evening, for 20-30 times each session.
**Prescription for solidifying the fontanelle to prevent excessive cranial growth in infants:**
Take one red-combed rooster. Hold it near the infant's fontanelle, cut its comb, and allow blood to drip onto the fontanelle. Cover the blood with powdered Chi Shaoyao (Radix Paeoniae Rubra) so the blood is concealed.
Infants with depressed fontanelles suffer from "fontanelle depression," where the fontanelle is sunken and uneven. This is caused by Heat steaming the Zang organs within the abdomen. When the Zang organs are heated, thirst arises leading to drinking; if urination is frequent, it further depletes the Fu organs.
**Sheng Gan Dihuang San (Raw Dried Rehmannia Powder) for treating infants with organ congestion and Heat, lack of Qi and Blood nourishment, resulting in depressed and uneven fontanelles:**
* Sheng Gan Dihuang (Radix Rehmanniae Preparata, 2 liang)
* Wuji Gu (Os Gallus, 1 liang, coated with butter and roasted until yellow)
Pulverize the above ingredients into a fine powder. Take half a qian, mixed with rice broth, at any time.
**Prescription for treating infant fontanelle depression:**
Extract bone marrow from pig mandibles, simmer into a paste, and apply to the fontanelle. This is effective.
**Another prescription:**
Roast dog skull bones until yellow, pulverize into powder, mix with egg white, and apply.
**Another prescription:**
Roast Tianlinggai (Human Calvaria) until yellow, pulverize into powder, mix with raw sesame oil, and apply.