卧则入腹，立则出腹，偏入囊中者是也。
〔海藏〕仲景疗阴狐疝气，有大小时时上下者，蜘蛛散主之。（狐夜伏而昼见，以见疝处厥阴之分，即
人之阴篡隐奥之所，昼下而夜上，故以狐疝名焉。
蜘蛛（十四枚，焦炒）桂（半钱，要人厥阴，取其肉浓者）
上为散，每服一钱，蜜丸亦可。雷公云∶凡使勿用五色者，兼大身上有刺毛生者，并薄小者，以上皆不堪
用。须用屋西南有网，身小尻大，腹内有苍黄脓者，真也。凡用去头足了，研如膏，投药中用，此余之方法，
若仲景炒焦用，全无功矣。
一方 治水 偏大，上下不定，疼痛不止。牡蛎不拘多少，盐泥固济，炭三斤， 令火尽，冷取二两。
干姜一两，焙为细末。二味和匀，冷水调得所，涂病处，小便大利即愈。
《内经》刺灸狐疝，但取足厥阴一经。经云∶肝足厥阴之脉，所生病者狐疝是也。随其经盛虚寒热陷下取之也。
〔《甲》〕狐疝，太冲主之。阴股内痛，气痈，狐疝，走上下引少腹痛，不可俯仰上下，商丘主之。狐疝，
惊悸少气，巨缺主之。
〔《心》〕妇人疝瘕，结核疼痛，发作无时，日出穴，夜入穴，或负重即下，稍轻即止，此狐疝也。天井
（五分。）肘尖（五分，小壮汗出则愈。）气海（三寸。又互换东西，上下向病所各进三寸，泻之。）中极（三寸，立愈。）
耳后陷者肾下，肾下则腰尻痛，不可俯仰，为狐疝。（全文见诊。）
（狐疝的特征是）平卧时疝块回纳入腹，站立时则从腹中脱出，偏向进入阴囊。
〔海藏〕张仲景治疗阴狐疝气，其特点是肿块大小不定、时时上下移动者，用蜘蛛散主治。（狐狸夜间潜伏而白天出现，因为发病部位属于足厥阴肝经的循行区域，即人体前阴隐秘之处，白天下垂而夜晚上行，所以称之为狐疝。）
蜘蛛（十四枚，炒焦），桂枝（半钱，需选用入厥阴经、肉质厚实的）。
将上述药物研为散剂，每次服用一钱，也可以制成蜜丸。雷公说：凡是使用蜘蛛，不要用五色的，也不要选用身上长有刺毛且体型较大的，以及瘦小薄弱的，以上这些都不堪使用。必须选用在房屋西南角结网的，体型小但尾部粗大，腹部内有苍黄色脓液的，才是真品。使用时去掉头脚，研磨成膏状，加入药中使用。这是我的方法，如果像张仲景那样炒焦使用，完全就没有功效了。
另一方：用于治疗偏侧肿大、上下移动不定、疼痛不止的情况。牡蛎不拘多少，用盐泥封固，用三斤炭火煅烧至火尽，冷却后取二两。干姜一两，焙干研为细末。将这两味药混合均匀，用冷水调匀，涂抹于患处，小便通利后即可痊愈。
《内经》指出针刺灸治狐疝，只取足厥阴肝经这一条经脉。经文说：“肝足厥阴之脉，所生病者狐疝是也。”应根据该经脉的盛衰、虚实、寒热及下陷等情况进行取穴治疗。
〔《甲乙经》〕狐疝，以太冲穴为主治穴位。大腿内侧疼痛，气痈，狐疝，疼痛走窜上下牵引少腹疼痛，不能俯仰，以商丘穴为主治穴位。狐疝，惊悸少气，以巨阙穴为主治穴位。
〔《千金方》〕妇人疝瘕，结核疼痛，发作没有定时，日出时突出，日落后缩回，或者负重时下坠，稍轻即停止，这就是狐疝。天井穴（五分灸量）。肘尖穴（五分灸量，小壮艾灸出汗则愈）。气海穴（三寸灸量。又法：互换东西方向，上下向病所各进三寸，用泻法）。中极穴（三寸灸量，立愈）。耳后凹陷处下方，肾气下陷则腰尻痛，不能俯仰，称为狐疝。（全文见诊法部分。）
(The characteristic of Hu Hernia is that) when lying down, the hernia retracts into the abdomen; when standing, it protrudes from the abdomen and shifts laterally into the scrotum.
[Hai Zang] Zhang Zhongjing treats Yin Hu Hernia Qi (Yin-type Fox Hernia), characterized by masses of varying size moving up and down intermittently, with Zhizhu San (Spider Powder). (Foxes hide at night and appear during the day. Since the site of the hernia belongs to the distribution of the Foot Jueyin Liver Meridian, which corresponds to the private and hidden areas of the human body, descending during the day and ascending at night, it is named "Hu Hernia" [Fox Hernia].)
Zhizhu (Spider, 14 pieces, stir-fried until charred); Guizhi (Cinnamon Twig, half a qian, preferably those entering the Jueyin meridian with thick flesh).
Grind the above ingredients into a powder. Take one qian per dose; honey pills are also acceptable. Leigong stated: When using spiders, do not use those of five colors, nor those with large bodies covered in prickly hairs, nor those that are thin and small; all of these are unsuitable. One must select those found on webs in the southwest corner of houses, which have small bodies but large tails, and contain pale yellow pus inside their abdomens; these are authentic. When used, remove the head and feet, grind into a paste, and add to the medicine. This is my method; if used stir-fried until charred as Zhang Zhongjing did, it would be completely ineffective.
Another prescription: Used for unilateral swelling, irregular movement up and down, and unceasing pain. Muli (Oyster Shell), any amount, sealed with salt mud, calcined with three jin of charcoal until the fire extinguishes, cooled, and two liang taken. Ganjiang (Dried Ginger, one liang), dried and ground into fine powder. Mix the two ingredients evenly, adjust with cold water to an appropriate consistency, and apply to the affected area. Recovery occurs once urination becomes profuse.
The *Neijing* states that for acupuncture and moxibustion treatment of Hu Hernia, only the Foot Jueyin Liver Meridian should be selected. The classic says: "The diseases generated by the Foot Jueyin Liver Meridian include Hu Hernia." Treatment should follow the principles of selecting points based on the excess or deficiency, cold or heat, and sinking conditions of the meridian.
[From *Jiayi Jing*]: For Hu Hernia, Taichong (LR3) is the primary point. For pain in the inner thigh, Qi Yong (Qi Abscess), Hu Hernia, pain radiating up and down pulling into the lower abdomen, and inability to bend or extend, Shangqiu (SP5) is the primary point. For Hu Hernia accompanied by palpitations and shortness of qi, Juque (CV14) is the primary point.
[From *Qianjin Fang*]: In women, with Shan Jia (masses and tumors), nodular pain, occurring without fixed timing, protruding at sunrise and retracting at sunset, or descending upon bearing heavy loads and stopping when lightened, this is Hu Hernia. Tianjing (SI10) (5 fen moxa cones). Zhoujian (Extra point) (5 fen moxa cones; recovery occurs with slight sweating after mild moxibustion). Qihai (CV6) (3 cun moxa cones. Alternative method: Exchange east-west orientation, advance three cuns toward the disease site both superiorly and inferiorly, apply reducing method). Zhongji (CV3) (3 cun moxa cones; immediate recovery). Below the depression behind the ear, if Kidney Qi sinks, causing pain in the waist and sacrum with inability to bend or extend, it is termed Hu Hernia. (Full text see Diagnosis section.)