小肠实热证(syndrome/pattern of excess-heat in the small intestine),中医证候名,属小肠证类,因心火下移小肠,或湿热等邪蕴蓄,小肠里热炽盛所致。临床以脐腹胀痛,小便频数,尿道涩痛或灼痛,甚则尿血,舌质红,舌苔黄,脉数,可伴见发热、口渴,口舌生疮,心烦、失眠等为特征的证候。[1]