脾腎不固証(syndrome/pattern of insecurity of spleen and kidney),中醫証候名,屬脾腎兼証類,因脾腎氣虛,清氣下陷,下元不固所致。臨床以小便滴瀝不盡,夜尿頻多,大便失禁,呼吸氣短,腰酸膝軟,神疲、乏力,納少、便溏,舌質淡,脈沉弱或緩,可伴見精關不固,遺精、滑泄,血崩、漏下,白崩清稀,屢孕屢墮,脫肛、漏血等為特徵的証候。[1]