diff --git a/apps/web-antd/src/store/prescription.ts b/apps/web-antd/src/store/prescription.ts
index 25f1bf4a..326dec7c 100644
--- a/apps/web-antd/src/store/prescription.ts
+++ b/apps/web-antd/src/store/prescription.ts
@@ -22,6 +22,11 @@ import {
   calcTotalMarginPercent,
   isSeeRateEnabled,
 } from '#/utils/chinesePrescriptionMargin';
+import { calculateProcessingFee, parsePriceValue } from '#/utils/formatPrice';
+import {
+  applySingleChildProcessRuleAutoSelect,
+  resolveProcessRuleLoadedLevel,
+} from '#/utils/processRuleCascade';
 import { getRegisterStoreInfo as getRegisterStoreInfoPharmacy } from '#/views/doctor/online-consultation/api';
 import { getRegisterStoreInfo as getRegisterStoreInfoClinic } from '#/views/doctor/online-consultation-clinic/api';
 import traditionalJson from '#/views/business/chat/config/traditional.json';
@@ -121,31 +126,16 @@ export const usePrescriptionStore = defineStore('prescription', () => {
     );
   });
 
-  const processRulePrice = ref(0);
-  const calcMethod = ref(0);
-
   const processingFee = computed(() => {
-    if (ruleType.value === 1) return 0;
-    if (currentDrugs.value.length === 0) return 0;
-
+    if (ruleType.value !== 2 || currentDrugs.value.length === 0) return 0;
     const processRule = childProcessRuleList.value.find(
       (item) => item.id === childProcessRuleId.value,
     );
-    if (!processRule) return 0;
-
-    calcMethod.value = processRule.calc_method;
-    processRulePrice.value = processRule.price;
-
-    if (calcMethod.value === 1) return processRulePrice.value;
-    if (calcMethod.value === 2) return processRulePrice.value * dosage.value;
-    if (calcMethod.value === 3) {
-      const totalNumber = currentDrugs.value.reduce(
-        (sum, drug) => sum + drug.number,
-        0,
-      );
-      return processRulePrice.value * dosage.value * totalNumber;
-    }
-    return 0;
+    const totalQty = currentDrugs.value.reduce(
+      (sum, drug) => sum + parsePriceValue(drug.number ?? 1),
+      0,
+    );
+    return calculateProcessingFee(processRule, dosage.value, totalQty);
   });
 
   const totalCost = computed(() => {
@@ -393,6 +383,38 @@ export const usePrescriptionStore = defineStore('prescription', () => {
       } else {
         childProcessRuleList.value = res;
       }
+      await applySingleChildProcessRuleAutoSelect(
+        resolveProcessRuleLoadedLevel(pid, ruleId),
+        {
+          ruleType: ruleType.value,
+          processRuleId: processRuleId.value,
+          childProcessRuleId: childProcessRuleId.value,
+          processRuleNoteId: processRuleNoteId.value,
+          processRuleList: processRuleList.value,
+          childProcessRuleList: childProcessRuleList.value,
+          processRuleNoteList: processRuleNoteList.value,
+          load: getProcessRuleListData,
+          setProcessRuleId: (id) => {
+            processRuleId.value = id;
+          },
+          setChildProcessRuleId: (id) => {
+            childProcessRuleId.value = id;
+          },
+          setProcessRuleNoteId: (id) => {
+            processRuleNoteId.value = id;
+          },
+          clearBelowProcessRule: () => {
+            childProcessRuleId.value = undefined;
+            processRuleNoteId.value = undefined;
+            childProcessRuleList.value = [];
+            processRuleNoteList.value = [];
+          },
+          clearBelowChild: () => {
+            processRuleNoteId.value = undefined;
+            processRuleNoteList.value = [];
+          },
+        },
+      );
       console.log('获取加工规则成功');
     } catch (error) {
       console.error('获取加工规则失败:', error);
@@ -796,6 +818,62 @@ export const usePrescriptionStore = defineStore('prescription', () => {
     packageMethodId.value = id;
   };
 
+  /**
+   * 中药配置变更（标签选择，对齐移动端级联逻辑）
+   */
+  const handleChineseConfigChange = async (payload: {
+    ruleType?: number;
+    packageMethodId?: number | null;
+    processRuleId?: number | null;
+    childProcessRuleId?: number | null;
+    processRuleNoteId?: number | null;
+    dosage?: number;
+    dayDosage?: number;
+  }) => {
+    const oldRuleType = ruleType.value;
+    const oldProcessRuleId = processRuleId.value;
+    const oldChildProcessRuleId = childProcessRuleId.value;
+
+    if (payload.ruleType === 2 && payload.ruleType !== oldRuleType) {
+      if (processRuleList.value.length === 0) {
+        await getProcessRuleListData();
+      }
+    }
+    if (payload.ruleType === 1 && oldRuleType === 2) {
+      processRuleId.value = undefined;
+      childProcessRuleId.value = undefined;
+      processRuleNoteId.value = undefined;
+      processRuleList.value = [];
+      childProcessRuleList.value = [];
+      processRuleNoteList.value = [];
+    }
+    if (payload.processRuleId != null && payload.processRuleId !== oldProcessRuleId) {
+      childProcessRuleId.value = undefined;
+      processRuleNoteId.value = undefined;
+      childProcessRuleList.value = [];
+      processRuleNoteList.value = [];
+    }
+    if (payload.childProcessRuleId != null && payload.childProcessRuleId !== oldChildProcessRuleId) {
+      processRuleNoteId.value = undefined;
+      processRuleNoteList.value = [];
+    }
+
+    if (payload.ruleType != null) ruleType.value = payload.ruleType;
+    if (payload.packageMethodId !== undefined) packageMethodId.value = payload.packageMethodId ?? 2;
+    if (payload.processRuleId !== undefined) processRuleId.value = payload.processRuleId ?? undefined;
+    if (payload.childProcessRuleId !== undefined) childProcessRuleId.value = payload.childProcessRuleId ?? undefined;
+    if (payload.processRuleNoteId !== undefined) processRuleNoteId.value = payload.processRuleNoteId ?? undefined;
+    if (payload.dosage != null) dosage.value = payload.dosage;
+    if (payload.dayDosage != null) dayDosage.value = payload.dayDosage;
+
+    if (payload.processRuleId != null && payload.processRuleId !== oldProcessRuleId) {
+      await getProcessRuleListData(payload.processRuleId);
+    }
+    if (payload.childProcessRuleId != null && payload.childProcessRuleId !== oldChildProcessRuleId) {
+      await getProcessRuleListData(0, payload.childProcessRuleId);
+    }
+  };
+
   // 中药相冲检查
   const checkChineseMedicineConflict = async () => {
     if (activeCategory.value === 2) {
@@ -897,7 +975,7 @@ export const usePrescriptionStore = defineStore('prescription', () => {
         child_process_rule_id: childProcessRuleId.value,
         process_rule_type: ruleType.value,
         prescription_type: activeCategory.value,
-        processing_fee: processRulePrice.value,
+        processing_fee: processingFee.value,
         dosage: dosage.value,
         day_dosage: dayDosage.value,
         doctor_second_sign: doctorSecondSignValue,
@@ -958,7 +1036,6 @@ export const usePrescriptionStore = defineStore('prescription', () => {
     diagnosis.value = '';
     medicalAdvice.value = '';
     packageMethodId.value = 2;
-    processRulePrice.value = 0;
     dosage.value = 7;
     dayDosage.value = 2;
     newDrugInfo.value = {};
@@ -1084,6 +1161,7 @@ export const usePrescriptionStore = defineStore('prescription', () => {
     selectProcessRuleNot,
     selectProcessRuleNotCommit,
     selectPackageMethod,
+    handleChineseConfigChange,
     checkChineseMedicineConflict,
     sendPrescription,
     resetForm,
diff --git a/apps/web-antd/src/store/usePrescription.ts b/apps/web-antd/src/store/usePrescription.ts
index 15f6442a..d6000890 100644
--- a/apps/web-antd/src/store/usePrescription.ts
+++ b/apps/web-antd/src/store/usePrescription.ts
@@ -2,6 +2,7 @@ import { computed, ref, nextTick } from "vue"
 import { message, notification } from "ant-design-vue"
 import { debounce } from "lodash-es"
 
+import { calculateProcessingFee, parsePriceValue } from '#/utils/formatPrice'
 import {
   addWestPrescription,
   checkChineseMedicineConflictApi,
@@ -75,26 +76,14 @@ export const usePrescriptionStore = () => {
     return currentDrugs.value.reduce((sum, drug) => sum + drug.price * (drug.select_number || 1), 0)
   })
 
-  const processRulePrice = ref(0)
-  const calcMethod = ref(0)
-
   const processingFee = computed(() => {
-    if (ruleType.value === 1) return 0
-    if (currentDrugs.value.length === 0) return 0
-
+    if (ruleType.value !== 2 || currentDrugs.value.length === 0) return 0
     const processRule = childProcessRuleList.value.find((item) => item.id === childProcessRuleId.value)
-    if (!processRule) return 0
-
-    calcMethod.value = processRule.calc_method
-    processRulePrice.value = processRule.price
-
-    if (calcMethod.value === 1) return processRulePrice.value
-    if (calcMethod.value === 2) return processRulePrice.value * dosage.value
-    if (calcMethod.value === 3) {
-      const totalNumber = currentDrugs.value.reduce((sum, drug) => sum + drug.number, 0)
-      return processRulePrice.value * dosage.value * totalNumber
-    }
-    return 0
+    const totalQty = currentDrugs.value.reduce(
+      (sum, drug) => sum + parsePriceValue(drug.number ?? 1),
+      0,
+    )
+    return calculateProcessingFee(processRule, dosage.value, totalQty)
   })
 
   const totalCost = computed(() => {
@@ -548,7 +537,7 @@ export const usePrescriptionStore = () => {
         child_process_rule_id: childProcessRuleId.value,
         process_rule_type: ruleType.value,
         prescription_type: activeCategory.value,
-        processing_fee: processRulePrice.value,
+        processing_fee: processingFee.value,
         dosage: dosage.value,
         day_dosage: dayDosage.value,
         doctor_second_sign: doctorSecondSignValue,
@@ -569,7 +558,6 @@ export const usePrescriptionStore = () => {
     diagnosis.value = ""
     medicalAdvice.value = ""
     packageMethodId.value = 2
-    processRulePrice.value = 0
     dosage.value = 7
     dayDosage.value = 2
     newDrugInfo.value = {}
diff --git a/apps/web-antd/src/utils/formatPrice.ts b/apps/web-antd/src/utils/formatPrice.ts
index 9bd55c04..dcf0497d 100644
--- a/apps/web-antd/src/utils/formatPrice.ts
+++ b/apps/web-antd/src/utils/formatPrice.ts
@@ -67,3 +67,35 @@ export function calculateChineseProductPriceLikeBackend(
 export function formatPriceDisplay(value: unknown): string {
   return formatPriceLikeBackend(value).toFixed(2);
 }
+
+type ProcessRuleLine = {
+  calc_method?: number;
+  price?: unknown;
+};
+
+/**
+ * 计算委托调剂加工费（与移动端 PrescriptionCalculator.calculateProcessingFee 一致）
+ * calc_method: 1=固定价格，2=按剂数，3=按数量
+ */
+export function calculateProcessingFee(
+  processRule: ProcessRuleLine | null | undefined,
+  dosage = 7,
+  totalDrugQuantity = 0,
+): number {
+  if (!processRule?.calc_method) {
+    return 0;
+  }
+  const price = parsePriceValue(processRule.price);
+  const dose = parsePriceValue(dosage);
+  const qty = parsePriceValue(totalDrugQuantity);
+  switch (processRule.calc_method) {
+    case 1:
+      return price;
+    case 2:
+      return price * dose;
+    case 3:
+      return price * dose * qty;
+    default:
+      return 0;
+  }
+}
diff --git a/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue b/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
index c940f0c8..4bc29baa 100644
--- a/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
+++ b/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
@@ -53,7 +53,8 @@ import CommonPrescriptionModal from '#/views/doctor/doctor-reception/components/
 // 信息提示模态框
 import InfoModal from '#/components/modal/InfoModal.vue';
 // 药品搜索选择组件
-import { DrugSearchSelect } from '#/components/drug-search-select';
+import { formatPriceDisplay } from '#/utils/formatPrice';
+import ChineseMedicineConfig from '#/views/doctor/doctor-reception/components/ChineseMedicineConfig.vue';
 
 const splitString = (input: string) => input.split(',');
 
@@ -82,11 +83,6 @@ const categories = [
   { label: '医疗器械', value: 7 },
 ];
 
-const packageMethod = [
-  { label: '味包', value: 1 },
-  { label: '剂包', value: 2 },
-];
-
 // 使用 Pinia store
 const prescriptionStore = usePrescriptionStore();
 
@@ -1361,165 +1357,21 @@ const cancelSaveCommonPrescription = () => {
             />
           </div>
 
-          <!-- 中药配置 -->
-          <div v-if="prescriptionStore.activeCategory === 1" class="mb-5 border-t pt-4">
-            <RadioGroup v-model:value="prescriptionStore.ruleType">
-              <RadioButton :value="1">自制剂</RadioButton>
-              <RadioButton :value="2">委托调剂</RadioButton>
-            </RadioGroup>
-
-            <div v-if="prescriptionStore.ruleType === 1" class="mt-3">
-              <Select
-                :value="prescriptionStore.packageMethodId"
-                class="w-1/3"
-                placeholder="请选择包法"
-                @change="prescriptionStore.selectPackageMethod"
-              >
-                <SelectOption
-                  v-for="(value, index) in packageMethod"
-                  :key="index"
-                  :value="value.value"
-                >
-                  {{ value.label }}
-                </SelectOption>
-              </Select>
-            </div>
-
-            <div v-else-if="prescriptionStore.ruleType === 2" class="mt-3 flex gap-2">
-              <Select
-                :value="prescriptionStore.processRuleId"
-                class="flex-1"
-                placeholder="请选择制剂"
-                @change="prescriptionStore.selectProcessRule"
-              >
-                <SelectOption
-                  v-for="(value, index) in prescriptionStore.processRuleList"
-                  :key="index"
-                  :value="value.id"
-                >
-                  {{ value.name }}
-                </SelectOption>
-              </Select>
-
-              <Select
-                :value="prescriptionStore.childProcessRuleId"
-                class="flex-1"
-                placeholder="请选择煎法"
-                @change="prescriptionStore.selectProcessRuleNot"
-              >
-                <SelectOption
-                  v-for="(value, index) in prescriptionStore.childProcessRuleList"
-                  :key="index"
-                  :value="value.id"
-                >
-                  {{ value.name }}
-                </SelectOption>
-              </Select>
-
-              <Select
-                :value="prescriptionStore.processRuleNoteId"
-                class="flex-1"
-                placeholder="请选择备注"
-                @change="prescriptionStore.selectProcessRuleNotCommit"
-              >
-                <SelectOption
-                  v-for="(value, index) in prescriptionStore.processRuleNoteList"
-                  :key="index"
-                  :value="value.id"
-                >
-                  {{ value.note }}
-                </SelectOption>
-              </Select>
-            </div>
-
-            <div class="mt-5 flex gap-4 items-center flex-wrap">
-              <div class="flex items-center gap-2">
-                <span class="mr-2 whitespace-nowrap">用量：</span>
-                <div class="flex items-center border rounded" style="border-color: #d9d9d9;">
-                  <Button
-                    type="text"
-                    size="small"
-                    class="border-0 border-r rounded-l"
-                    style="border-color: #d9d9d9;"
-                    @click="
-                      prescriptionStore.dosage =
-                        prescriptionStore.dosage > 1
-                          ? prescriptionStore.dosage - 1
-                          : 1
-                    "
-                  >
-                    <MinusOutlined />
-                  </Button>
-                  <InputNumber
-                    v-model:value="prescriptionStore.dosage"
-                    :controls="false"
-                    :min="1"
-                    :max="100"
-                    class="border-0"
-                    style="width: 80px; text-align: center;"
-                  />
-                  <Button
-                    type="text"
-                    size="small"
-                    class="border-0 border-l rounded-r"
-                    style="border-color: #d9d9d9;"
-                    @click="
-                      prescriptionStore.dosage =
-                        prescriptionStore.dosage < 100
-                          ? prescriptionStore.dosage + 1
-                          : 100
-                    "
-                  >
-                    <PlusOutlined />
-                  </Button>
-                </div>
-                <span class="ml-2 whitespace-nowrap">天 / {{ prescriptionStore.dosage }} 剂</span>
-              </div>
-
-              <div class="flex items-center gap-2">
-                <span class="mr-2 whitespace-nowrap">频次：</span>
-                <div class="flex items-center border rounded" style="border-color: #d9d9d9;">
-                  <Button
-                    type="text"
-                    size="small"
-                    class="border-0 border-r rounded-l"
-                    style="border-color: #d9d9d9;"
-                    @click="
-                      prescriptionStore.dayDosage =
-                        prescriptionStore.dayDosage > 1
-                          ? prescriptionStore.dayDosage - 1
-                          : 1
-                    "
-                  >
-                    <MinusOutlined />
-                  </Button>
-                  <InputNumber
-                    v-model:value="prescriptionStore.dayDosage"
-                    :controls="false"
-                    :min="1"
-                    :max="100"
-                    class="border-0"
-                    style="width: 80px; text-align: center;"
-                  />
-                  <Button
-                    type="text"
-                    size="small"
-                    class="border-0 border-l rounded-r"
-                    style="border-color: #d9d9d9;"
-                    @click="
-                      prescriptionStore.dayDosage =
-                        prescriptionStore.dayDosage < 100
-                          ? prescriptionStore.dayDosage + 1
-                          : 100
-                    "
-                  >
-                    <PlusOutlined />
-                  </Button>
-                </div>
-                <span class="ml-2 whitespace-nowrap">次/天</span>
-              </div>
-            </div>
-          </div>
+          <ChineseMedicineConfig
+            v-if="prescriptionStore.activeCategory === 1"
+            :rule-type="prescriptionStore.ruleType"
+            :package-method-id="prescriptionStore.packageMethodId"
+            :process-rule-id="prescriptionStore.processRuleId"
+            :child-process-rule-id="prescriptionStore.childProcessRuleId"
+            :process-rule-note-id="prescriptionStore.processRuleNoteId"
+            :dosage="prescriptionStore.dosage"
+            :day-dosage="prescriptionStore.dayDosage"
+            :process-rule-list="prescriptionStore.processRuleList"
+            :child-process-rule-list="prescriptionStore.childProcessRuleList"
+            :process-rule-note-list="prescriptionStore.processRuleNoteList"
+            class="mb-5 border-t pt-4"
+            @change="prescriptionStore.handleChineseConfigChange"
+          />
 
           <!-- 诊疗费用 -->
           <div class="mt-3 flex items-center">
@@ -1539,10 +1391,10 @@ const cancelSaveCommonPrescription = () => {
         <div class="price-box mb-10">
           <div class="flex justify-end gap-4 font-bold text-base mt-4">
             <div v-if="prescriptionStore.processingFee > 0">
-              加工费：¥{{ prescriptionStore.processingFee.toFixed(2) }}
+              加工费：¥{{ formatPriceDisplay(prescriptionStore.processingFee) }}
             </div>
             <div>
-              商品价格：¥{{ prescriptionStore.totalProductCost.toFixed(2) }}
+              商品价格：¥{{ formatPriceDisplay(prescriptionStore.totalProductCost) }}
               <span
                 v-if="prescriptionStore.chineseGrossMarginPercent !== null"
                 class="ml-3 text-orange-600"
@@ -1551,7 +1403,7 @@ const cancelSaveCommonPrescription = () => {
               </span>
             </div>
             <div class="text-red-500">
-              总计：¥{{ prescriptionStore.totalCost.toFixed(2) }}
+              总计：¥{{ formatPriceDisplay(prescriptionStore.totalCost) }}
             </div>
           </div>
         </div>
diff --git a/apps/web-antd/src/views/business/order/product-order/components/detail.vue b/apps/web-antd/src/views/business/order/product-order/components/detail.vue
index 888a65cd..3b45118c 100644
--- a/apps/web-antd/src/views/business/order/product-order/components/detail.vue
+++ b/apps/web-antd/src/views/business/order/product-order/components/detail.vue
@@ -14,6 +14,7 @@ import { formatPriceDiscountLabel, normalizeQuickOptions } from '#/utils/pricePe
 
 import { expressDetailByOrderId, getOrderInfo } from '../api';
 import SensitiveText from '#/components/sensitive-text/SensitiveText.vue';
+import { formatDoctorOrderText } from '#/utils/prescriptionDoctorOrder';
 
 defineOptions({
   name: 'DetailModal',
@@ -414,7 +415,7 @@ function prescriptionStatusColor() {
             {{ data.prescription.content.clinical_diagnose }}
           </Descriptions.Item>
           <Descriptions.Item label="医嘱">
-            {{ data.prescription.content.doctor_order }}
+            {{ formatDoctorOrderText(data.prescription) }}
           </Descriptions.Item>
           <Descriptions.Item label="开药医生">
             {{ data.prescription.content.doctor.name }}
diff --git a/apps/web-antd/src/views/doctor/doctor-reception/components/PrescriptionDetail.vue b/apps/web-antd/src/views/doctor/doctor-reception/components/PrescriptionDetail.vue
index 96390e54..9517912a 100644
--- a/apps/web-antd/src/views/doctor/doctor-reception/components/PrescriptionDetail.vue
+++ b/apps/web-antd/src/views/doctor/doctor-reception/components/PrescriptionDetail.vue
@@ -6,6 +6,7 @@ import { Page, useVbenModal } from '@vben/common-ui';
 import { Button } from 'ant-design-vue';
 
 import { getPrescriptionInfoApi } from '#/views/doctor/doctor-reception/api';
+import { formatDoctorOrderText } from '#/utils/prescriptionDoctorOrder';
 
 const item = ref<Record<string, any>>({});
 
@@ -228,7 +229,7 @@ function parseRecipeContent(content: string | Record<string, unknown>) {
         <div class="footer-section">
           <div class="medical-advice">
             <label>医嘱:</label>
-            {{ item.content?.doctor_order }}
+            {{ formatDoctorOrderText(item) }}
           </div>
           <div class="signature-area">
             <div class="signature">
diff --git a/apps/web-antd/src/views/doctor/doctor-reception/index.vue b/apps/web-antd/src/views/doctor/doctor-reception/index.vue
index 8646df7c..86a2e1e9 100644
--- a/apps/web-antd/src/views/doctor/doctor-reception/index.vue
+++ b/apps/web-antd/src/views/doctor/doctor-reception/index.vue
@@ -6,8 +6,6 @@ import {useUserStore} from '@vben/stores';
 
 import {
   DeleteTwoTone,
-  MinusOutlined,
-  PlusOutlined,
   SaveOutlined,
 } from '@ant-design/icons-vue';
 import {
@@ -67,6 +65,7 @@ import ConfirmModal from './components/ConfirmModal.vue';
 // 信息提示模态框组件
 import InfoModal from '#/components/modal/InfoModal.vue';
 import SensitiveText from '#/components/sensitive-text/SensitiveText.vue';
+import { detailDoctorOrderToText } from '#/utils/prescriptionDoctorOrder';
 // 药品搜索选择组件
 import { DrugSearchSelect } from '#/components/drug-search-select';
 // 保存常用方API
@@ -96,7 +95,12 @@ import {
   formatPriceDiscountLabel,
   normalizeQuickOptions,
 } from '#/utils/pricePercentAdjust';
-import { calculateChineseProductPriceLikeBackend } from '#/utils/formatPrice';
+import { calculateChineseProductPriceLikeBackend, calculateProcessingFee, formatPriceDisplay, parsePriceValue } from '#/utils/formatPrice';
+import {
+  applySingleChildProcessRuleAutoSelect,
+  resolveProcessRuleLoadedLevel,
+} from '#/utils/processRuleCascade';
+import ChineseMedicineConfig, { type ChineseMedicineConfigChange } from './components/ChineseMedicineConfig.vue';
 
 interface Patient {
   id: number;
@@ -533,43 +537,21 @@ const totalCost = computed(() => {
   return totalProductCost.value + processingFee.value;
 });
 
-const processRulePrice = ref(0);
-const calcMethod = ref(0);
 /**
- * 计算加工费
+ * 计算加工费（委托调剂）
  */
 const processingFee = computed(() => {
-  if (ruleType.value === 1) {
+  if (ruleType.value !== 2 || currentDrugs.value.length === 0) {
     return 0;
   }
-  // 已选择药品为空的时候是0
-  if (currentDrugs.value.length === 0) {
-    return 0;
-  }
-  // 获取本次选择的加工规则
-  childProcessRuleList.value.find((item) => {
-    if (item.id === childProcessRuleId.value) {
-      calcMethod.value = item.calc_method;
-      processRulePrice.value = item.price;
-    }
-  });
-  // 模式1：固定价格模式
-  if (calcMethod.value === 1) {
-    return processRulePrice.value;
-  }
-  // 模式2：单价*用量
-  if (calcMethod.value === 2) {
-    return processRulePrice.value * dosage.value;
-  }
-  // 模式2：单价*用量
-  if (calcMethod.value === 3) {
-    const number = currentDrugs.value.reduce(
-      (sum, drug) => sum + drug.number,
-      0,
-    );
-    return processRulePrice.value * dosage.value * number;
-  }
-  return 0;
+  const processRule = childProcessRuleList.value.find(
+    (item) => item.id === childProcessRuleId.value,
+  );
+  const totalQty = currentDrugs.value.reduce(
+    (sum, drug) => sum + parsePriceValue(drug.number ?? 1),
+    0,
+  );
+  return calculateProcessingFee(processRule, dosage.value, totalQty);
 });
 
 const visible = ref<boolean>(false);
@@ -602,7 +584,7 @@ const setVisible = (value, instruction = ''): void => {
  * @param patient
  * @param isUpdateTabType
  */
-const selectPatient = (patient: Patient, isUpdateTabType = true) => {
+const selectPatient = async (patient: Patient, isUpdateTabType = true) => {
   clearAppliedSpecialPrescription();
   selectPatientId.value = patient.id;
   receptionStatus.value = patient.status;
@@ -620,7 +602,7 @@ const selectPatient = (patient: Patient, isUpdateTabType = true) => {
 
   const registerId = patient.id;
   // 优先恢复完整草稿（诊断、医嘱、诊疗费、中药配置等）
-  const hasDraft = restoreReceptionDraft(registerId);
+  const hasDraft = await restoreReceptionDraft(registerId);
   if (!hasDraft) {
     const savedCategory = localStorage.getItem(`activeCategory${registerId}`);
     if (savedCategory) {
@@ -735,7 +717,7 @@ function saveReceptionDraft() {
 }
 
 /** 恢复接诊草稿 */
-function restoreReceptionDraft(registerId: number) {
+async function restoreReceptionDraft(registerId: number) {
   if (!registerId) return false;
   const raw = localStorage.getItem(getDraftKey(registerId));
   if (!raw) return false;
@@ -747,22 +729,25 @@ function restoreReceptionDraft(registerId: number) {
     diagnosis.value = draft.diagnosis ?? '';
     medicalAdvice.value = draft.medicalAdvice ?? '';
     treatmentPrice.value = draft.treatmentPrice ?? 0;
-    ruleType.value = draft.ruleType ?? 1;
+    ruleType.value = Number(draft.ruleType ?? 1);
     if (draft.packageMethodId != null) {
-      packageMethodId.value = draft.packageMethodId;
+      packageMethodId.value = Number(draft.packageMethodId);
     }
     if (draft.processRuleId != null) {
-      processRuleId.value = draft.processRuleId;
+      processRuleId.value = Number(draft.processRuleId);
     }
     if (draft.childProcessRuleId != null) {
-      childProcessRuleId.value = draft.childProcessRuleId;
+      childProcessRuleId.value = Number(draft.childProcessRuleId);
     }
     if (draft.processRuleNoteId != null) {
-      processRuleNoteId.value = draft.processRuleNoteId;
+      processRuleNoteId.value = Number(draft.processRuleNoteId);
     }
     if (draft.dosage != null) dosage.value = draft.dosage;
     if (draft.dayDosage != null) dayDosage.value = draft.dayDosage;
     if (draft.priceDiscount != null) priceDiscount.value = draft.priceDiscount;
+    if (activeCategory.value === 1 && ruleType.value === 2) {
+      await hydrateChineseProcessRuleListsFromConfig();
+    }
     return true;
   } catch {
     return false;
@@ -922,12 +907,13 @@ const sendPrescription = () => {
         message.error('请选择制剂');
         return;
       }
-      if (processRuleNoteId.value == null) {
-        message.error('请选择规格');
+      if (childProcessRuleId.value == null) {
+        message.error('请选择煎法');
         return;
       }
-      if (childProcessRuleId.value == null) {
+      if (processRuleNoteId.value == null) {
         message.error('请选择备注');
+        return;
       }
     }
   }
@@ -972,7 +958,7 @@ const sendPrescription = () => {
     // 处方类型
     prescription_type: activeCategory.value,
     // 加工费
-    processing_fee: processRulePrice.value,
+    processing_fee: processingFee.value,
     // 用药剂量
     dosage: dosage.value,
     // 每日用药次数
@@ -1003,7 +989,6 @@ const sendPrescription = () => {
     clearReceptionDraft(getRegisterId());
     tabType.value = 1;
     salespersonTransferPrescriptionId.value = 0;
-    processRulePrice.value = 0;
     checkSalespersonTransfer();
 
     // 刷新患者信息
@@ -1205,7 +1190,7 @@ async function handleSelectCommonPrescription(data: any, type: number) {
     diagnosis.value = prescription.clinical_diagnose;
   }
   if (prescription.doctor_order !== undefined && prescription.doctor_order !== null) {
-    medicalAdvice.value = prescription.doctor_order;
+    medicalAdvice.value = detailDoctorOrderToText(prescription.doctor_order);
   }
 
   // 保存到本地存储
@@ -1584,6 +1569,57 @@ async function loadProcessRuleData(pid = 0, ruleId = 0) {
   } else {
     childProcessRuleList.value = value;
   }
+  await applySingleChildProcessRuleAutoSelect(
+    resolveProcessRuleLoadedLevel(pid, ruleId),
+    {
+      ruleType: ruleType.value,
+      disabled: isSpecialPrescriptionCartLocked.value,
+      processRuleId: processRuleId.value,
+      childProcessRuleId: childProcessRuleId.value,
+      processRuleNoteId: processRuleNoteId.value,
+      processRuleList: processRuleList.value,
+      childProcessRuleList: childProcessRuleList.value,
+      processRuleNoteList: processRuleNoteList.value,
+      load: loadProcessRuleData,
+      setProcessRuleId: (id) => {
+        processRuleId.value = id;
+      },
+      setChildProcessRuleId: (id) => {
+        childProcessRuleId.value = id;
+      },
+      setProcessRuleNoteId: (id) => {
+        processRuleNoteId.value = id;
+      },
+      clearBelowProcessRule: () => {
+        childProcessRuleId.value = undefined;
+        processRuleNoteId.value = undefined;
+        childProcessRuleList.value = [];
+        processRuleNoteList.value = [];
+      },
+      clearBelowChild: () => {
+        processRuleNoteId.value = undefined;
+        processRuleNoteList.value = [];
+      },
+    },
+  );
+}
+
+/**
+ * 从草稿 ID 级联拉取委托调剂选项列表（刷新恢复用，对齐移动端 hydrateChineseProcessRuleListsFromConfig）
+ */
+async function hydrateChineseProcessRuleListsFromConfig() {
+  if (activeCategory.value !== 1 || ruleType.value !== 2) {
+    return;
+  }
+  if (processRuleList.value.length === 0) {
+    await loadProcessRuleData();
+  }
+  if (processRuleId.value) {
+    await loadProcessRuleData(Number(processRuleId.value));
+  }
+  if (childProcessRuleId.value) {
+    await loadProcessRuleData(0, Number(childProcessRuleId.value));
+  }
 }
 
 function parsePrescriptionDetailContent(detail: any): Record<string, any> {
@@ -1765,13 +1801,12 @@ async function applyHistoricalPrescriptionDetail(detail: any): Promise<boolean>
 
   diagnosis.value =
     detail.clinical_diagnose ?? content.clinical_diagnose ?? '';
-  medicalAdvice.value = detail.doctor_order ?? content.doctor_order ?? '';
+  medicalAdvice.value = content.doctor_order ?? detailDoctorOrderToText(detail.doctor_order) ?? '';
   category.value =
     detail.category === 2 || detail.category === '2' || content.category === '医保'
       ? 2
       : 1;
   doctorSecondSign.value = 0;
-  processRulePrice.value = 0;
 
   localStorage.setItem(
     getStorageKey(pid, activeCategory.value),
@@ -1853,46 +1888,55 @@ function confirmWithdrawPrescription(item: any) {
 loadProcessRuleData();
 
 /**
- * 选择煎法
- * @param id
+ * 中药配置变更（对齐移动端级联逻辑）
  */
-function selectProcessRule(id) {
+async function handleChineseConfigChange(payload: ChineseMedicineConfigChange) {
   if (guardSpecialPrescriptionCartEdit()) return;
-  processRuleId.value = id;
-  loadProcessRuleData(id);  // 加载煎法选项
-}
+  const oldRuleType = ruleType.value;
+  const oldProcessRuleId = processRuleId.value;
+  const oldChildProcessRuleId = childProcessRuleId.value;
 
-/**
- * 选择规格
- * @param id
- */
-function selectProcessRuleNot(id) {
-  if (guardSpecialPrescriptionCartEdit()) return;
-  childProcessRuleId.value = id;
-  loadProcessRuleData(0, id);  // 加载备注选项
-}
+  if (payload.ruleType === 2 && payload.ruleType !== oldRuleType) {
+    if (processRuleList.value.length === 0) {
+      await loadProcessRuleData();
+    }
+  }
+  if (payload.ruleType === 1 && oldRuleType === 2) {
+    processRuleId.value = undefined;
+    childProcessRuleId.value = undefined;
+    processRuleNoteId.value = undefined;
+    processRuleList.value = [];
+    childProcessRuleList.value = [];
+    processRuleNoteList.value = [];
+  }
+  if (payload.processRuleId != null && payload.processRuleId !== oldProcessRuleId) {
+    childProcessRuleId.value = undefined;
+    processRuleNoteId.value = undefined;
+    childProcessRuleList.value = [];
+    processRuleNoteList.value = [];
+  }
+  if (payload.childProcessRuleId != null && payload.childProcessRuleId !== oldChildProcessRuleId) {
+    processRuleNoteId.value = undefined;
+    processRuleNoteList.value = [];
+  }
 
-/**
- * 选择备注
- * @param id
- */
-function selectProcessRuleNotCommit(id) {
-  if (guardSpecialPrescriptionCartEdit()) return;
-  processRuleNoteId.value = id;
+  if (payload.ruleType != null) ruleType.value = payload.ruleType;
+  if (payload.packageMethodId !== undefined) packageMethodId.value = payload.packageMethodId ?? 2;
+  if (payload.processRuleId !== undefined) processRuleId.value = payload.processRuleId ?? undefined;
+  if (payload.childProcessRuleId !== undefined) childProcessRuleId.value = payload.childProcessRuleId ?? undefined;
+  if (payload.processRuleNoteId !== undefined) processRuleNoteId.value = payload.processRuleNoteId ?? undefined;
+  if (payload.dosage != null) dosage.value = payload.dosage;
+  if (payload.dayDosage != null) dayDosage.value = payload.dayDosage;
+
+  if (payload.processRuleId != null && payload.processRuleId !== oldProcessRuleId) {
+    await loadProcessRuleData(payload.processRuleId);
+  }
+  if (payload.childProcessRuleId != null && payload.childProcessRuleId !== oldChildProcessRuleId) {
+    await loadProcessRuleData(0, payload.childProcessRuleId);
+  }
 }
 
 const packageMethodId = ref(2);
-const packageMethod = [
-  {label: '味包', value: 1},
-  {label: '剂包', value: 2},
-];
-
-function selectPackageMethod(id) {
-  if (guardSpecialPrescriptionCartEdit()) return;
-  packageMethodId.value = id;
-}
-
-// jishu
 const dosage = ref(7);
 const dayDosage = ref(2);
 
@@ -3320,116 +3364,22 @@ watch(
 
       <!-- 诊断和医嘱 -->
       <div class="diagnosis-area">
-        <div v-if="activeCategory === 1" class="mb-5">
-          <RadioGroup v-model:value="ruleType" :disabled="isSpecialPrescriptionCartLocked">
-            <RadioButton :value="1">自制剂</RadioButton>
-            <RadioButton :value="2">委托调剂</RadioButton>
-          </RadioGroup>
-          <div v-if="ruleType === 1">
-            <!-- 选择包法-->
-            <Select
-              :value="packageMethodId"
-              :disabled="isSpecialPrescriptionCartLocked"
-              class="mt-3 w-1/5"
-              placeholder="请选择包法"
-              @change="selectPackageMethod"
-            >
-              <SelectOption
-                v-for="(value, index) in packageMethod"
-                :key="index"
-                :value="value.value"
-              >
-                {{ value.label }}
-              </SelectOption>
-            </Select>
-          </div>
-          <div v-else-if="ruleType === 2">
-            <!-- 选择制剂-->
-            <Select
-              v-model:value="processRuleId"
-              :disabled="isSpecialPrescriptionCartLocked"
-              class="mt-3 w-1/5"
-              placeholder="请选择制剂"
-              @change="selectProcessRule"
-            >
-              <SelectOption
-                v-for="(value, index) in processRuleList"
-                :key="index"
-                :value="value.id"
-              >
-                {{ value.name }}
-              </SelectOption>
-            </Select>
-            <!-- 选择规格-->
-            <Select
-              v-model:value="childProcessRuleId"
-              :disabled="isSpecialPrescriptionCartLocked"
-              class="ml-3 mt-3 w-1/5"
-              placeholder="请选择煎法"
-              @change="selectProcessRuleNot"
-            >
-              <SelectOption
-                v-for="(value, index) in childProcessRuleList"
-                :key="index"
-                :value="value.id"
-              >
-                {{ value.name }}
-              </SelectOption>
-            </Select>
-            <!-- 选择备注-->
-            <Select
-              v-model:value="processRuleNoteId"
-              :disabled="isSpecialPrescriptionCartLocked"
-              class="ml-3 mt-3 w-1/5"
-              placeholder="请选择备注"
-              @change="selectProcessRuleNotCommit"
-            >
-              <SelectOption
-                v-for="(value, index) in processRuleNoteList"
-                :key="index"
-                :value="value.id"
-              >
-                {{ value.note }}
-              </SelectOption>
-            </Select>
-          </div>
-          <div class="mt-5">
-            用量：
-            <InputNumber v-model:value="dosage" :disabled="isSpecialPrescriptionCartLocked" class="w-1/5">
-              <template #addonBefore>
-                <MinusOutlined
-                  key="prop"
-                  @click="!isSpecialPrescriptionCartLocked && (dosage = dosage > 1 ? dosage - 1 : 1)"
-                />
-              </template>
-              <template #addonAfter>
-                <PlusOutlined
-                  key="add"
-                  @click="!isSpecialPrescriptionCartLocked && (dosage = dosage < 100 ? dosage + 1 : 100)"
-                />
-              </template>
-            </InputNumber>
-            天 / {{ dosage }} 剂
-          </div>
-          <div class="mt-5">
-            频次：
-            <InputNumber v-model:value="dayDosage" :disabled="isSpecialPrescriptionCartLocked" class="w-1/5">
-              <template #addonBefore>
-                <MinusOutlined
-                  key="prop"
-                  @click="!isSpecialPrescriptionCartLocked && (dayDosage = dayDosage > 1 ? dayDosage - 1 : 1)"
-                />
-              </template>
-              <template #addonAfter>
-                <PlusOutlined
-                  key="add"
-                  @click="!isSpecialPrescriptionCartLocked && (dayDosage = dayDosage < 100 ? dayDosage + 1 : 100)"
-                />
-              </template>
-            </InputNumber>
-            次/天
-          </div>
-        </div>
+        <ChineseMedicineConfig
+          v-if="activeCategory === 1"
+          :rule-type="ruleType"
+          :package-method-id="packageMethodId"
+          :process-rule-id="processRuleId"
+          :child-process-rule-id="childProcessRuleId"
+          :process-rule-note-id="processRuleNoteId"
+          :dosage="dosage"
+          :day-dosage="dayDosage"
+          :process-rule-list="processRuleList"
+          :child-process-rule-list="childProcessRuleList"
+          :process-rule-note-list="processRuleNoteList"
+          :disabled="isSpecialPrescriptionCartLocked"
+          class="mb-5"
+          @change="handleChineseConfigChange"
+        />
         <Button type="primary" @click="openDiagnosisModal">
           常用诊断
         </Button>
@@ -3455,7 +3405,7 @@ watch(
 
       <!-- 费用总计 -->
       <div class="price-box">
-        <div class="total-cost">加工费：¥{{ processingFee.toFixed(2) }}</div>
+        <div class="total-cost">加工费：¥{{ formatPriceDisplay(processingFee) }}</div>
         <div class="total-cost">
           商品价格：
           <Button
@@ -3464,9 +3414,9 @@ watch(
             class="!p-0"
             @click="openOrderPriceAdjust"
           >
-            ¥{{ totalProductCost.toFixed(2) }}
+            ¥{{ formatPriceDisplay(totalProductCost) }}
           </Button>
-          <template v-else>¥{{ totalProductCost.toFixed(2) }}</template>
+          <template v-else>¥{{ formatPriceDisplay(totalProductCost) }}</template>
           <span
             v-if="chineseGrossMarginPercent !== null"
             class="ml-3 text-orange-600"
@@ -3474,7 +3424,7 @@ watch(
             毛利率 {{ chineseGrossMarginPercent }}%
           </span>
         </div>
-        <div class="total-cost">总计：¥{{ totalCost.toFixed(2) }}</div>
+        <div class="total-cost">总计：¥{{ formatPriceDisplay(totalCost) }}</div>
 
         <div v-if="priceAdjustEnabled && currentDrugs.length" class="mt-2 text-sm text-gray-600">
           当前浮动：{{ priceDiscountLabel || '无' }}
diff --git a/apps/web-antd/src/views/doctor/settings/components/AddCommonPrescriptionModal.vue b/apps/web-antd/src/views/doctor/settings/components/AddCommonPrescriptionModal.vue
index 6753f81e..6a296486 100644
--- a/apps/web-antd/src/views/doctor/settings/components/AddCommonPrescriptionModal.vue
+++ b/apps/web-antd/src/views/doctor/settings/components/AddCommonPrescriptionModal.vue
@@ -53,6 +53,10 @@ import {
   getProductListDoctorReception,
   getProcessRuleList,
 } from '#/views/doctor/doctor-reception/api';
+import {
+  applySingleChildProcessRuleAutoSelect,
+  resolveProcessRuleLoadedLevel,
+} from '#/utils/processRuleCascade';
 
 // 引入诊断和医嘱选择弹窗组件
 import DiagnosisModal from '#/views/doctor/doctor-reception/components/DiagnosisModal.vue';
@@ -290,6 +294,38 @@ async function loadProcessRuleData(pid = 0, ruleId = 0) {
     } else {
       childProcessRuleList.value = res;
     }
+    await applySingleChildProcessRuleAutoSelect(
+      resolveProcessRuleLoadedLevel(pid, ruleId),
+      {
+        ruleType: ruleType.value,
+        processRuleId: processRuleId.value,
+        childProcessRuleId: childProcessRuleId.value,
+        processRuleNoteId: processRuleNoteId.value,
+        processRuleList: processRuleList.value,
+        childProcessRuleList: childProcessRuleList.value,
+        processRuleNoteList: processRuleNoteList.value,
+        load: loadProcessRuleData,
+        setProcessRuleId: (id) => {
+          processRuleId.value = id;
+        },
+        setChildProcessRuleId: (id) => {
+          childProcessRuleId.value = id;
+        },
+        setProcessRuleNoteId: (id) => {
+          processRuleNoteId.value = id;
+        },
+        clearBelowProcessRule: () => {
+          childProcessRuleId.value = null;
+          processRuleNoteId.value = null;
+          childProcessRuleList.value = [];
+          processRuleNoteList.value = [];
+        },
+        clearBelowChild: () => {
+          processRuleNoteId.value = null;
+          processRuleNoteList.value = [];
+        },
+      },
+    );
   } catch (error) {
     console.error('加载委托调剂选项失败:', error);
   }
diff --git a/apps/web-antd/src/views/doctor/settings/components/EditCommonPrescriptionModal.vue b/apps/web-antd/src/views/doctor/settings/components/EditCommonPrescriptionModal.vue
index b5a4a76f..9a614a04 100644
--- a/apps/web-antd/src/views/doctor/settings/components/EditCommonPrescriptionModal.vue
+++ b/apps/web-antd/src/views/doctor/settings/components/EditCommonPrescriptionModal.vue
@@ -52,6 +52,10 @@ import {
   getProductListDoctorReception,
   getProcessRuleList,
 } from '#/views/doctor/doctor-reception/api';
+import {
+  applySingleChildProcessRuleAutoSelect,
+  resolveProcessRuleLoadedLevel,
+} from '#/utils/processRuleCascade';
 
 // 引入诊断和医嘱选择弹窗组件
 import DiagnosisModal from '#/views/doctor/doctor-reception/components/DiagnosisModal.vue';
@@ -329,6 +333,38 @@ async function loadProcessRuleData(pid = 0, ruleId = 0) {
     } else {
       childProcessRuleList.value = res;
     }
+    await applySingleChildProcessRuleAutoSelect(
+      resolveProcessRuleLoadedLevel(pid, ruleId),
+      {
+        ruleType: ruleType.value,
+        processRuleId: processRuleId.value,
+        childProcessRuleId: childProcessRuleId.value,
+        processRuleNoteId: processRuleNoteId.value,
+        processRuleList: processRuleList.value,
+        childProcessRuleList: childProcessRuleList.value,
+        processRuleNoteList: processRuleNoteList.value,
+        load: loadProcessRuleData,
+        setProcessRuleId: (id) => {
+          processRuleId.value = id;
+        },
+        setChildProcessRuleId: (id) => {
+          childProcessRuleId.value = id;
+        },
+        setProcessRuleNoteId: (id) => {
+          processRuleNoteId.value = id;
+        },
+        clearBelowProcessRule: () => {
+          childProcessRuleId.value = null;
+          processRuleNoteId.value = null;
+          childProcessRuleList.value = [];
+          processRuleNoteList.value = [];
+        },
+        clearBelowChild: () => {
+          processRuleNoteId.value = null;
+          processRuleNoteList.value = [];
+        },
+      },
+    );
   } catch (error) {
     console.error('加载委托调剂选项失败:', error);
   }