Bulging fontanel gates

From The Origin and Indicators of Disease (诸病源候论 zhū bìng yuán hòu lùn). A condition characterized by bulging at the anterior fontanel (traditionally called the fontanel gate, see fontanel). Distinction is made between heat and cold patterns. A hard bulging fontanel associated with absence of heat effusion and lack of warmth in the limbs is attributable to congealing cold with stagnant qì. A soft bulging fontanel associated with red facial complexion and limbs and with purple finger veins is due to upsurge of fire qì.

Biomedical correspondence: hydrocephalus.

Medicinal therapy: For congealing cold with stagnant qì, disperse cold using Ginseng and Perilla Beverage (参苏饮 shēn sū yǐn). For upsurge of fire qì, clear heat using Green-Blue–Draining Pill (泻青丸 xiè qīng wán).