脾虛失運証(syndrome/pattern of spleen deficiency with failure in transportation),中醫証候名,屬脾虛証類,因脾氣不足,運化失職,清濁不分,濕蘊氣阻所致。臨床以肥胖壅腫,或面黃肌瘦,頭身困重,面浮、肢腫,晨輕暮重,勞累後明顯,腸鳴作瀉,或時秘時溏,小便不利,舌質淡胖,邊有齒痕,舌苔白或薄膩,脈虛緩或濡細,伴見胸脘痞悶,食後或多食則脹,神疲、乏力等為特徵的証候。[1]