心腎火熱証(syndrome/pattern of fire-heat in the heart and kidney),中醫証候名,屬心腎兼証類,因火熱內盛,循經客擾心腎所致。臨床以發熱,口渴,心煩,失眠,甚或神昏、譫語,舌質紅,舌苔黃燥,脈洪數或滑數有力,可伴見小便黃赤、灼痛淋濁,腰腹脹痛、絞痛,溺則莖痛,或耳痛、耳塞,耳溢膿血,或咽喉腫痛,聲音嘶啞等為特徵的証候。[1]