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上火是日常生活中的通俗叫法，其实指的就是中医的热证，不仅包括实热证，也包括虚热证。

实热证，通常由于外感导致，因热邪入侵，里热炽盛，或痰瘀，宿食阻滞所致，热则面红耳赤，口干舌燥，消耗津液，尿量减少。主要会出现发热、汗出、烦躁不安、口渴、喜喝冷饮、面赤、牙痛、头痛、口舌生疮、大便干燥、小便发黄、苔黄干燥、脉数有力等症状。常见疗法是清热泻火，凉血解毒，清营汤对于热入营分有比较好的治疗作用。

虚热证，正气不足所致的热证。因气血阴液不足，或邪盛伤正所致的热证。有阴虚、阳虚、气虚、血虚之分。虚热证患者通常体型肥胖，但肌肉萎缩，甚至出现肌肉无力的症状，虚热证患者通常口渴，喜欢饮水，而且经常口干舌燥，喜欢喝冷饮，还经常出现皮肤干燥、头发干枯、眼睛干涩等症状。虚热证患者也容易出现疲劳和虚弱的情况，经常表现为精神疲劳、四肢无力、腰膝酸痛等。

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