心肾火热证(syndrome/pattern of fire-heat in the heart and kidney),中医证候名,属心肾兼证类,因火热内盛,循经客扰心肾所致。临床以发热,口渴,心烦,失眠,甚或神昏、谵语,舌质红,舌苔黄燥,脉洪数或滑数有力,可伴见小便黄赤、灼痛淋浊,腰腹胀痛、绞痛,溺则茎痛,或耳痛、耳塞,耳溢脓血,或咽喉肿痛,声音嘶哑等为特征的证候。[1]