热实结胸证(syndrome/pattern of excess-heat binding in the chest),中医证候名,属热在气分证类,因太阳病误下,热实互结,或温邪入里,夹痰痞结于胸膈所致。临床以胸膈烦热,心下硬痛、拒按,或胸腹胀痛,便秘、溺黄,舌苔黄燥或黄滑,脉弦紧或沉数有力,伴见发热或潮热,咳喘,痰黄等为特征的证候。[1]