热炽腑实证(syndrome/pattern of excess fu with exuberant heat),属热在气分证类,因温热邪毒等耗劫津液,燥屎内结,腑气不通所致。临床以突发脐腹硬满绞痛、拒按,腹皮挛急,大便秘结,或扪及腹中包块,舌质红,舌中裂,舌苔黄厚焦燥,或焦黑起刺,脉洪数或弦滑,伴见潮热、汗出,烦渴引饮,面红、目赤,唇裂、口臭等为特征的证候。[1]