脾肾阳衰证(syndrome/pattern of yang debilitation in spleen and kidney),中医证候名,属脾肾兼证类,因脾肾阳气衰惫,阳不化气,水湿泛溢所致。临床以面浮、肢肿,腰以下为甚,按之没指,尿少或闭,或脐腹冷痛、绞痛,洞泻不止,水谷不分,汗出或喘,舌质淡胖,舌苔白滑或垢腻,脉沉迟或微细无力,伴见神疲、嗜睡,面色㿠白或灰滞,腰冷酸痛,畏寒,四肢厥冷等为特征的证候。[1]