脾腎陽衰証(syndrome/pattern of yang debilitation in spleen and kidney),中醫証候名,屬脾腎兼証類,因脾腎陽氣衰憊,陽不化氣,水濕泛溢所致。臨床以面浮、肢腫,腰以下為甚,按之沒指,尿少或閉,或臍腹冷痛、絞痛,洞瀉不止,水谷不分,汗出或喘,舌質淡胖,舌苔白滑或垢膩,脈沉遲或微細無力,伴見神疲、嗜睡,面色㿠白或灰滯,腰冷酸痛,畏寒,四肢厥冷等為特徵的証候。[1]