脾虛蟲積証(syndrome/pattern of spleen deficiency with worm accumulation),中醫証候名,屬脾虛兼夾証類,因感染諸蟲,蟲積聚於脾系,耗傷氣血所致。臨床以臍腹陣痛,甚或絞痛、鑽頂痛,嘔吐苦水、清水,捫之有條索狀包塊,或隨大便排蟲,舌質淡或青紫,舌苔白,脈緩細或弦緊,伴見肚腹膨大,面黃肌瘦,睡中流涎,疲乏無力等為特徵的証候。[1]