上寒下热证(syndrome/pattern of cold in the upper and heat in the lower),中医证候名,属寒热错杂证类,因上焦或中焦阴寒凝滞,湿热流注于下焦所致。临床以久咳痰喘,或胸痹心痛、胃寒痞痛等久病不愈,或伴见大便燥结,小便赤涩,足肢红肿疼痛等上寒与下热征象同时并现为特征的证候。[1]