里實証(syndrome/pattern of internal excess),中醫証候名,屬里証類,因外邪入里,邪犯臟腑,或因臟腑失調,氣血鬱結,痰飲內停或泛溢,宿食或蟲積等所致。臨床以壯熱、潮熱,胸背掣痛,咳喘氣急,咯吐黃痰,脘腹疼痛、拒按,噯腐、吞酸,大便秘結,或下痢、里急後重,浮腫,鼓脹,黃疸,譫語,舌苔黃褐或厚膩,脈沉實等為特徵的証候。[1]