湿热蒙心证(syndrome/pattern of dampness and heat clouding the heart),中医证候名,属湿热内侵证类,因湿热内蕴,或外邪引动入里,上冲心肺,蒙蔽清空所致。临床以突发心悸,胸闷,气喘,身热不扬,神志恍惚,言语错乱,舌尖红,舌苔黄腻,脉细数,可伴见头重昏蒙,呕吐、不食,小便黄赤等为特征的证候。[1]