湿热化火证(syndrome/pattern of dampness and heat transforming into fire),中医证候名,属湿热兼夹证类,因湿热侵犯下肢肌肤,郁结化火所致。临床以下肢皮肤红如涂丹,热如火灼,痒痛间作,迅速蔓延扩大,舌质红绛,舌苔黄,脉滑数,可伴见发热,口渴,甚则烦躁、神昏、谵语等为特征的证候。[1]