痰火上擾証(syndrome/pattern of phlegm and fire harassing the upper),中醫証候名,屬痰火壅結証類,因痰火壅盛,上擾清空,或痰濕內蘊,沖任失調,肝火、沖氣上逆所致。臨床以頭脹昏痛,或痛如刀劈,耳鳴或腦鳴作響,如雷似風,或經行頭痛、躁狂,心煩、失眠,舌質紅,舌苔黃膩,脈弦滑等為特徵的証候。[1]