湿热下注证(syndrome/pattern of dampness and heat pouring downwards),中医证候名,属湿热内侵证类,因湿热内蕴,循经下注,侵及膀胱、肠道、子宫、阴部、肛门或下肢等部位所致。临床以腹胀掣痛,腹痛拒按,小便频急涩痛,或大便腥臭烂溏,带下黄臭,月经不调,或肛门、阴部湿疹、瘙痒,或下肢疮疡溃烂、滋水,舌苔黄腻,脉滑数或濡数等为特征的证候。[1]