表里俱实证(syndrome/pattern of dual internal and external excess),中医证候名,属实证类,因风寒暑湿或温热邪毒外袭,表邪未解而内有宿食积滞或痰饮、瘀血、脏腑郁热等,邪正相搏所致。临床以发热、恶寒,无汗,头项强痛,舌苔厚而干燥,脉滑数或弦数,伴见腹胀,便秘,尿黄,烦躁,甚或惊厥谵狂等为特征的证候。[1]