立消散 敷百会疽。
龙胆草 本 西牛黄 白芷 地骨皮 雄黄 金银花藤（各等分）
共研极细，生酒调敷，中留一孔透气，自消。
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王肯堂曰∶顶门疽，一名佛顶疽，此属太阳经风热所致，穴名上星。（在神庭后入发
际一寸。）由脏腑阴阳不调，热毒上壅而成。脉大神昏，二便闭结者，不治。（《准绳》）
申斗垣曰∶顶门疽，又名佛顶疽，乃心经受毒，阴阳不和，秽热上壅，入于脑
中，遂成此证。如根脚穿过脑者，不治。（《启玄》）
蒋示吉曰∶顶疽，生巅顶上，乃任脉所主，六腑不调，热壅上焦，湿聚高巅而成。（《说约》）
澄曰∶顶门疽，有坚硬不痛者为疽，均照痈疽门施治，故不另立方法。若红肿如
桃似李，或上有黄头，脓血相亲，小儿积暑热疖，多有类此者，不可作顶门疽治之。
冯鲁瞻曰∶囟肿者，囟门肿起也。脾主肌肉，若乳哺不常，饥饱无度，或寒或
热，乘于脾家，致使脏腑不调，其气上充，为之 胀，囟突而高，如物堆垛，毛发短
黄，骨蒸自汗者。更有风热伤肝，木郁思达，所以令肿者；更有肺热生风，肺主皮
毛，亦令囟肿毛焦者；更有胎中受热所致
者。然寒气上冲而肿者，色白坚硬；热气上冲者，柔软红色。更有外因覆护过暖，阳
气不得外出，亦令赤肿。寒者温之，热者凉之，外用封囟法，可也。（《锦囊》）
澄曰∶小儿囟肿，多由肝风脾热上壅，惊风慢脾之证多见之。切不可轻用犀角磨
涂，凉药外敷，逼热人脑，多令危亡，只宜疏风平肝导热，其肿自消。
【立消散方】用于敷贴百会疽。
龙胆草、本（藁本）、西牛黄、白芷、地骨皮、雄黄、金银花藤（以上药材各取等量）。
将上述药材共同研磨成极细的粉末，用生酒调匀后外敷于患处，中间留出一个孔洞以透气，可使疮毒自行消散。
顶门疽
王肯堂说：顶门疽，又名佛顶疽，这是由于太阳经受风热邪气侵袭所致，病变穴位名为上星。（位于神庭穴后方，入发际一寸处。）由于脏腑阴阳失调，热毒向上壅滞而成。如果脉象盛大且神志昏迷，大小便闭结不通的，属于不治之症。（出自《医宗必读》）
申斗垣说：顶门疽，又名佛顶疽，这是心经受毒邪侵袭，阴阳不和，秽浊热毒向上壅滞，侵入脑中，从而形成此证。如果疮根穿透颅骨的，属于不治之症。（出自《外科启玄》）
蒋示吉说：顶疽，生于头顶之上，由任脉所主，六腑功能不调，热邪壅滞于上焦，湿气聚集于人体最高处（巅顶）而形成。（出自《疡医说约》）
顾世澄说：顶门疽中，有坚硬但不疼痛的称为疽，均按照痈疽门的通用方法进行治疗，因此不再单独设立治疗方法。如果是红肿像桃子或李子一样，或者上面有黄色脓头，脓血相混的，多为小儿因积暑热引起的疖子，大多与此相似，不可当作顶门疽来治疗。
冯鲁瞻说：囟肿，是指囟门部位肿胀突起。脾主肌肉，如果哺乳不规律，饥饱无度，寒热之气乘虚侵入脾脏，致使脏腑功能失调，其气向上充盛，导致囟门胀突而高起，如同物体堆垛，伴有毛发短少枯黄、骨蒸潮热、自汗等症状。更有因风热损伤肝脏，肝木郁结不得疏泄，从而导致肿胀的；更有因肺热生风，肺主皮毛，也会导致囟门肿胀、毛发焦枯的；更有因胎儿在母体内受热所致者。然而，寒气上冲导致的肿胀，颜色苍白且质地坚硬；热气上冲导致的肿胀，质地柔软且颜色发红。此外，还有因外部包裹覆盖过暖，阳气不能向外发散，也会导致赤色肿胀。寒性的用温法治疗，热性的用凉法治疗，外用封囟法即可。（出自《外科锦囊》）
顾世澄说：小儿囟门肿胀，多由肝风和脾热向上壅滞所致，惊风、慢脾风等证候中多见。切不可轻易使用犀角磨汁涂抹，或用凉药外敷，以免逼迫热邪深入脑部，多会导致病情危重甚至死亡，只适宜采用疏风、平肝、导热的方法，肿胀自然会消退。
[Establishing the Dissipation Method] For applying to Baihui Carbuncle (Baihui Jū).
Longdan Cao (Gentianae Radix), Ben (Ligustici Rhizoma et Radix), Xi Niuhuang (Bovis Calculus), Baizhi (Angelicae Dahuricae Radix), Digupi (Phellodendri Cortex), Xionghuang (Realgar), Jinyinhua Teng (Lonicerae Japonicae Caulis) (all in equal parts).
Grind all ingredients into an extremely fine powder. Mix with raw wine (Shengjiu) and apply externally to the lesion, leaving a small hole in the center for ventilation. The condition will resolve spontaneously.
Dingmen Ju (Carbuncle at the Crown of the Head)
Wang Kentang stated: Dingmen Ju, also known as Foding Ju (Carbuncle at the Buddha's Crown), is caused by wind-heat invading the Taiyang Meridian (Taiyang Channel). The affected acupoint is Shangxing (located one cun posterior to Shenting, entering the hairline). It arises from disharmony of yin and yang within the Zang-Fu organs, leading to the upward stagnation of heat-toxin. If the pulse is surging and the patient is comatose, with constipation of both stool and urine, it is incurable. (From *Yi Zong Bi Du*)
Shen Douyuan stated: Dingmen Ju, also known as Foding Ju, results from toxin invasion of the Heart Meridian, with disharmony of yin and yang. Filthy heat-toxin stagnates upward and enters the brain, forming this syndrome. If the root of the carbuncle penetrates through the skull, it is incurable. (From *Waike Qixuan*)
Jiang Shiji stated: Ding Ju (Carbuncle at the Vertex) occurs on the very top of the head, governed by the Ren Mai (Conception Vessel). It is caused by dysfunction of the Six Fu Organs, with heat stagnating in the Upper Jiao and dampness accumulating at the highest point of the body (the vertex). (From *Yangyi Shuoyue*)
Gu Shicheng stated: Among Dingmen Ju cases, those that are hard but painless are classified as Ju (deep-seated carbuncles/abscesses). They should be treated according to the general methods for Yong and Ju described in the "Yong-Ju Section," so no separate method is established here. However, if the area is red and swollen like a peach or plum, or has a yellow head with pus and blood mixed, these are often furuncles caused by accumulated summer-heat in children. Such cases resemble Dingmen Ju but must not be treated as such.
Feng Luzhan stated: Xin Zhong (Fontanelle Swelling) refers to swelling and protrusion of the fontanelle. The Spleen governs muscles. If breastfeeding is irregular, with excessive hunger or fullness, or if cold and heat pathogens invade the Spleen, causing Zang-Fu disharmony, Qi may surge upward, causing the fontanelle to bulge high like a stack of objects. This is accompanied by short, yellow, and dry hair, bone-steaming fever, and spontaneous sweating. Additionally, swelling can result from wind-heat damaging the Liver, causing Liver Wood to become depressed and unable to disperse. It can also result from Lung Heat generating Wind; since the Lung governs skin and hair, this too causes fontanelle swelling and scorched hair. Furthermore, it can be caused by heat received during fetal development. However, swelling caused by Cold Qi surging upward is pale and hard; swelling caused by Heat Qi surging upward is soft and red. Moreover, external covering that is too warm can prevent Yang Qi from dispersing outward, also leading to red and swollen conditions. Cold types are treated with warming methods; heat types are treated with cooling methods. External application using the Fontanelle Sealing Method is appropriate. (From *Waike Jinnang*)
Gu Shicheng stated: Pediatric fontanelle swelling is mostly due to Liver Wind and Spleen Heat stagnating upward, commonly seen in syndromes of Convulsive Disease (Jing Feng) and Slow Spleen Wind (Man Pi Feng). One must absolutely avoid lightly using rhinoceros horn paste applied externally or cooling herbs applied topically, as this may force heat deeper into the brain, often leading to critical danger or death. Instead, one should only employ methods to dispel wind, calm the Liver, and guide out heat, after which the swelling will subside naturally.