调元散 治禀受不足，颅囟开解，肌肉消瘦，齿语行迟。
山药（一钱） 白茯神 人参 白茯苓 黄 （蜜炙） 熟地黄 白术 白芍药（各五分）
川芎 炙甘草（各六分） 石菖蒲（四分） 姜、枣煎。
人参地黄丸 婴孩颅囟开解，此乃肾气不成，肾主骨髓，脑为髓海，肾气不
成，所以脑髓不足，故不合。
人参（二钱） 熟地（四钱） 鹿茸（酒焙） 怀山药 白茯苓 山萸肉（去核） 牡丹皮（各三钱）
为末，蜜丸芡实大。参汤调化，食远服，神效。
治解颅（庄氏）
山茵陈 百合 车前子（各五钱）
研末，乌牛乳汁调涂两足心及头缝开处，帛裹，三日一换。
封囟法 驴头骨不拘多少，烧灰研细，以清油调敷头缝中。
又法 狗头骨炙黄为末，鸡子清调涂。
河车地黄丸
紫河车（一具） 熟地（捣膏，八两） 怀山药（炒，四两） 丹皮 白茯苓 泽泻（盐水炒，各三两）
山萸肉（去核、酒炒，四两）
上为末，炼蜜为丸，芡实大，每早晚白汤调服一丸。囟门不合，头疮不干，败龟版 灰搽之。
陈实功曰∶鳝拱头，俗名脑猪。患小而禀受悠远，此皆父精母血蓄毒而成。生
后受毒，只发一次，其患肿高，破之又肿，皆由禀受时，原有衣膜相裹，毒虽出而膜
未除，故愈而又发，脓熟肿甚者，用针刺破。又有风袭外口，患虽不肿，而不收口
者，败铜散主之。（《正宗》）
澄曰∶亦有小儿夜间以头藏在乳母怀中睡觉，热气熏蒸而成。亦有小儿不避烈
日暑毒而成者，初起甘草熬膏敷之，自消；已成逐个须用围住根脚，庶不致相串难干，
此不易之法也。
又曰∶凡患鳝拱头收功后，当戒鳝鱼，否则次年必发。
《心法》曰∶鳝拱头，又名蝼蛄疖，俗名貉 。
调元散：治疗先天禀赋不足，导致颅囟开解（婴儿头顶骨缝未合），肌肉消瘦，牙齿萌出、言语和行走发育迟缓。
山药（一钱） 白茯神 人参 白茯苓 黄芪（用蜜炙） 熟地黄 白术 白芍药（各五分）
川芎 炙甘草（各六分） 石菖蒲（四分） 加生姜、大枣煎服。
人参地黄丸：针对婴幼儿颅囟开解，这是由于肾气未充所致。肾主司骨髓，脑为髓之海，肾气不成则脑髓不足，因此囟门无法闭合。
人参（二钱） 熟地黄（四钱） 鹿茸（酒焙干） 怀山药 白茯苓 山茱萸肉（去核） 牡丹皮（各三钱）
研成细末，用蜂蜜制成如芡实大小的丸剂。用人参汤送服，在饭后服用，效果显著。
治疗解颅的方法（出自庄氏）：
茵陈 百合 车前子（各五钱）
研成细末，用黑牛乳汁调和，涂抹于两足心及头缝开裂处，用布包裹，每三天更换一次。
封囟法：驴头骨不限数量，烧成灰后研细，用清油调和敷于头缝中。
另一种方法：狗头骨烤黄后研成末，用鸡蛋清调和涂抹。
河车地黄丸：
紫河车（一个） 熟地黄（捣成膏状，八两） 怀山药（炒制，四两） 牡丹皮 白茯苓 泽泻（盐水炒，各三两）
山茱萸肉（去核、酒炒，四两）
以上药材研成细末，用炼蜜制成如芡实大小的丸剂，早晚各用白开水送服一丸。若囟门不合或头疮不干，可用败龟版灰外搽。
陈实功说：鳝拱头，俗称“脑猪”。患儿年幼但禀受深远，这都是由于父母精血中蓄积毒邪而成。出生后受毒，只发作一次，患处肿胀高耸，破溃后又重新肿胀，这都是因为禀受时原有衣膜包裹，毒邪虽排出但膜未去除，所以愈合后又复发。脓液成熟且肿胀严重时，用针刺破。又有风邪侵袭伤口，患处虽然不肿，但不能收口者，用败铜散主治。（《外科正宗》）
顾世澄说：也有小儿夜间将头藏在乳母怀中睡觉，被热气熏蒸而形成的。也有小儿不躲避烈日暑毒而形成的。初起时用甘草熬膏外敷，可自行消退；已成形的逐个需用药物围住根部，以防止相互串连难以干燥，这是不易改变的方法。
又说：凡是患鳝拱头痊愈后，应当忌食鳝鱼，否则次年必定复发。
《医宗金鉴·心法要诀》说：鳝拱头，又名蝼蛄疖，俗称貉脐。
Diao Yuan San: Treats congenital insufficiency, resulting in the separation of the cranial fontanelles (failure of the infant's skull sutures to close), emaciation, and delayed development of teeth, speech, and walking.
Shan Yao (Chinese Yam Rhizome) (1 qian), Bai Fu Shen (Poria with Hostwood), Ren Shen (Ginseng Root), Bai Fu Ling (Poria), Huang Qi (Astragalus Root, honey-fried), Shu Di Huang (Prepared Rehmannia Root), Bai Zhu (Atractylodes Macrocephala Rhizome), Bai Shao Yao (White Peony Root) (each 5 fen);
Chuan Xiong (Ligusticum Chuanxiong Rhizome), Zhi Gan Cao (Honey-fried Licorice Root) (each 6 fen); Shi Chang Pu (Acorus Tatarinowii Rhizome) (4 fen). Decoct with fresh ginger and Chinese jujube.
Ren Shen Di Huang Wan: For infants with separated cranial fontanelles, this is due to incomplete Kidney Qi. The Kidneys govern bone marrow, and the brain is the sea of marrow. Incomplete Kidney Qi leads to insufficient brain marrow, hence the failure of closure.
Ren Shen (Ginseng Root) (2 qian), Shu Di (Prepared Rehmannia Root) (4 qian), Lu Rong (Deer Antler Velvet, baked in wine), Huai Shan Yao (Chinese Yam Rhizome), Bai Fu Ling (Poria), Shan Yu Rou (Cornus Officinalis Fruit, pitted), Mu Dan Pi (Moutan Cortex) (each 3 qian).
Grind into powder, form pills with honey the size of Euryale Seed. Dissolve and take with Ginseng decoction, taken after meals; it yields miraculous effects.
Treatment for Separated Fontanelles (from Zhuang Shi):
Shan Yin Chen (Artemisia Capillaris Herb), Bai He (Lily Bulb), Che Qian Zi (Plantago Seed) (each 5 qian).
Grind into powder, mix with black cow's milk, apply to both soles and the open cranial sutures, wrap with cloth, change once every three days.
Method to Seal the Fontanelle: Donkey head bones, any quantity, burn to ash and grind finely, mix with refined sesame oil, and apply to the cranial sutures.
Another method: Roast dog head bones until yellow, grind into powder, mix with egg white, and apply.
He Che Di Huang Wan:
Zi He Che (Human Placenta) (one piece), Shu Di (Prepared Rehmannia Root, mashed into paste, 8 liang), Huai Shan Yao (Chinese Yam Rhizome, stir-fried, 4 liang), Dan Pi (Moutan Cortex), Bai Fu Ling (Poria), Ze Xie (Alisma Rhizome, salt-water fried) (each 3 liang);
Shan Yu Rou (Cornus Officinalis Fruit, pitted, wine-fried, 4 liang).
Grind all ingredients into powder, make pills with refined honey the size of Euryale Seed. Take one pill each morning and evening with warm water. If the fontanelle does not close or scalp sores do not dry, apply ash from old turtle shell externally.
Chen Shigong stated: "Shan Gong Tou" (Leech-arched head), commonly known as "Nao Zhu" (Brain Pig). Afflicting young children but rooted in deep congenital factors, this arises from toxic accumulation in the father's essence and mother's blood. After birth, exposure to toxins causes only one episode; the lesion swells high, breaks out, and swells again. This is because during conception, there was originally a membrane wrapping the toxin; although the toxin exits, the membrane remains, causing recurrence after healing. When pus matures and swelling is severe, puncture with a needle. If wind attacks the external wound, and although it does not swell, it fails to heal, use Bai Tong San (Defective Copper Powder) as the main treatment. (*Waike Zhengzong*)
Gu Shicheng stated: There are also cases where infants sleep at night with their heads hidden in the wet nurse's embrace, formed by heat steaming. There are also cases caused by infants failing to avoid intense sunlight and summer toxicity. At the initial stage, apply licorice paste externally, and it will subside spontaneously; if fully formed, encircle the base of each lesion individually to prevent spreading and difficulty in drying, which is an unchangeable method.
He further stated: After recovering from Shan Gong Tou, one must abstain from eating leeches, otherwise, it will recur the following year.
*Xin Fa* states: Shan Gong Tou is also known as Lou Gu Ji (Mole Cricket Boil), commonly known as He Qi.