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患者表里同病，表有 [[ 热里 ]] 有寒的一种证候。常见于素有里寒而复感[[风热]]；或表热证未解，误下以致脾胃阳气损伤的病证。如平素脾胃虚寒，又感风热，临床上既能见到发热，头痛、咳嗽、咽喉肿瘤的表热证，又可见到大便溏泄，小便清长，四肢不温的里寒证。