diff --git a/apps/web-antd/src/util/address-recognizer.js b/apps/web-antd/src/util/address-recognizer.js
index 73b793c1..f2c1fd78 100644
--- a/apps/web-antd/src/util/address-recognizer.js
+++ b/apps/web-antd/src/util/address-recognizer.js
@@ -387,7 +387,8 @@ export class AddressRecognizer {
     const m = after.match(/^\s*[，,、]?\s*([\u4E00-\u9FA5]{2,6})/);
     if (!m) return null;
     const chunk = m[1];
-    for (let len = 2; len <= chunk.length; len++) {
+    // 长到短：与手机号前取名同口径，避免短姓误截
+    for (let len = chunk.length; len >= 2; len--) {
       const cand = chunk.slice(0, len);
       if (this.isValidName(cand)) {
         return { value: cand, confidence: len <= 3 ? 0.8 : 0.7 };
@@ -397,7 +398,8 @@ export class AddressRecognizer {
   }
 
   /**
-   * 从手机号前取名：短到长尝试，避免「张三杭州」整段误判；支持复姓最长 6 字
+   * 从手机号前取名：长到短优先，避免姓氏表含生僻单姓（如「朝」）时把「罗朝亮」截成「朝亮」
+   * 支持复姓最长 6 字
    */
   _nameBeforePhone(text, phoneInfo) {
     if (!phoneInfo || !phoneInfo.value) return null;
@@ -407,7 +409,7 @@ export class AddressRecognizer {
     const m = before.match(/([\u4E00-\u9FA5]{2,6})\s*$/);
     if (!m) return null;
     const chunk = m[1];
-    for (let len = 2; len <= chunk.length; len++) {
+    for (let len = chunk.length; len >= 2; len--) {
       const cand = chunk.slice(chunk.length - len);
       if (this.isValidName(cand)) {
         return { value: cand, confidence: len <= 3 ? 0.85 : 0.75 };
@@ -770,8 +772,9 @@ export class AddressRecognizer {
   normalizeEcommerceText(text) {
     const src = String(text || '');
     if (src.indexOf('\n') < 0 && src.indexOf('\r') < 0) return src;
+    // 保留标签名：展平后仍能走「收货人：xxx」关键词取名，避免只剩裸姓名被短姓截断
     const labelRe =
-      /^(?:收货人|收件人|联系人|姓名|手机号码|手机号|手机|联系电话|联系方式|电话|所在地区|详细地址|地址)\s*[：:]\s*(.+)$/;
+      /^(收货人|收件人|联系人|姓名|手机号码|手机号|手机|联系电话|联系方式|电话|所在地区|详细地址|地址)\s*[：:]\s*(.+)$/;
     const lines = src.split(/\r?\n/);
     const parts = [];
     let hitLabel = false;
@@ -779,9 +782,9 @@ export class AddressRecognizer {
       const line = String(lines[i] || '').trim();
       if (!line) continue;
       const m = line.match(labelRe);
-      if (m && m[1]) {
+      if (m && m[2]) {
         hitLabel = true;
-        parts.push(m[1].trim());
+        parts.push(`${m[1]}：${String(m[2]).trim()}`);
       } else {
         parts.push(line);
       }
diff --git a/apps/web-antd/src/views/business/order/product-order/api/index.ts b/apps/web-antd/src/views/business/order/product-order/api/index.ts
index 64ee33c8..06049dbb 100644
--- a/apps/web-antd/src/views/business/order/product-order/api/index.ts
+++ b/apps/web-antd/src/views/business/order/product-order/api/index.ts
@@ -120,6 +120,30 @@ export async function getStoreShipAddress(orderId: number) {
   });
 }
 
+/**
+ * 单独修改收货信息（不发货；后端校验未同步 ERP）
+ */
+export async function updateShipAddressApi(data: {
+  order_id: number;
+  express_name?: string;
+  express_mobile?: string;
+  express_region?: string;
+  express_address?: string;
+  province?: string;
+  city?: string;
+  area?: string;
+}) {
+  return requestClient.post<{
+    order_id: number;
+    order_no: string;
+    delivery_method: number;
+    express_name: string;
+    express_mobile: string;
+    express_region: string;
+    express_address: string;
+  }>(`${prefix}update-ship-address`, data);
+}
+
 /**
  * 订单物流追踪
  * @param data
diff --git a/apps/web-antd/src/views/business/order/product-order/components/EditShipAddressModal.vue b/apps/web-antd/src/views/business/order/product-order/components/EditShipAddressModal.vue
new file mode 100644
index 00000000..abf69f8e
--- /dev/null
+++ b/apps/web-antd/src/views/business/order/product-order/components/EditShipAddressModal.vue
@@ -0,0 +1,295 @@
+<script lang="ts" setup>
+/**
+ * 商品订单单独修改收货信息（发货前独立通道）
+ * 未同步 ERP 可改；支持粘贴识别；可一键填入诊所地址
+ */
+import type { AddressRecognizeResult } from '#/components/address-paste-block/AddressPasteBlock.vue';
+
+import { computed, ref } from 'vue';
+
+import { useVbenModal } from '@vben/common-ui';
+
+import { Button, Input, message } from 'ant-design-vue';
+
+import AddressPasteBlock from '#/components/address-paste-block/AddressPasteBlock.vue';
+import {
+  getShipReceiver,
+  getStoreShipAddress,
+  updateShipAddressApi,
+} from '#/views/business/order/product-order/api';
+
+const gridApi = ref();
+const orderId = ref(0);
+const orderNo = ref('');
+const loading = ref(false);
+const storeAddrLoading = ref(false);
+/** 粘贴识别拆出的省市区，提交时写入 address 快照 */
+const regionParts = ref({ province: '', city: '', area: '' });
+
+const form = ref({
+  express_name: '',
+  express_mobile: '',
+  express_region: '',
+  express_address: '',
+});
+
+const pasteCurrentValues = computed(() => ({
+  name: String(form.value.express_name || '').trim(),
+  phone: String(form.value.express_mobile || '').trim(),
+  region: String(form.value.express_region || '').trim(),
+  detail: String(form.value.express_address || '').trim(),
+}));
+
+const pasteFilled = computed(() => ({
+  name: !!pasteCurrentValues.value.name,
+  phone: !!pasteCurrentValues.value.phone,
+  region: !!pasteCurrentValues.value.region,
+  detail: !!pasteCurrentValues.value.detail,
+}));
+
+/** 规范化收件四字段 */
+function normalizeReceiver(next: {
+  express_address?: string;
+  express_mobile?: string;
+  express_name?: string;
+  express_region?: string;
+}) {
+  return {
+    express_name: String(next.express_name || ''),
+    express_mobile: String(next.express_mobile || ''),
+    express_region: String(next.express_region || ''),
+    express_address: String(next.express_address || ''),
+  };
+}
+
+/**
+ * 打开后拉库内最新收件；失败回落列表行字段
+ */
+async function loadReceiver(fallback?: Record<string, any>) {
+  if (!orderId.value) return;
+  loading.value = true;
+  try {
+    const res = await getShipReceiver(orderId.value);
+    form.value = normalizeReceiver(res || {});
+  } catch (error) {
+    console.error(error);
+    if (fallback) {
+      const addr =
+        fallback.address && typeof fallback.address === 'object'
+          ? fallback.address
+          : {};
+      form.value = normalizeReceiver({
+        express_name: fallback.express_name || addr.name || '',
+        express_mobile: fallback.express_mobile || addr.mobile || '',
+        express_region: fallback.express_region || addr.region || '',
+        express_address: fallback.express_address || addr.detail_address || '',
+      });
+      regionParts.value = {
+        province: String(addr.province || ''),
+        city: String(addr.city || ''),
+        area: String(addr.area || ''),
+      };
+    }
+  } finally {
+    loading.value = false;
+  }
+}
+
+/**
+ * 粘贴识别回填：有值才覆盖；省市区拼进 express_region，并缓存拆分字段
+ */
+function onAddressRecognized(result: AddressRecognizeResult) {
+  if (!result) return;
+  if (result.name) {
+    form.value.express_name = String(result.name).slice(0, 50);
+  }
+  if (result.phone) {
+    form.value.express_mobile = result.phone;
+  }
+  if (result.detail) {
+    form.value.express_address = result.detail;
+  }
+  if (result.province || result.city || result.area) {
+    regionParts.value = {
+      province: String(result.province || '').trim(),
+      city: String(result.city || '').trim(),
+      area: String(result.area || '').trim(),
+    };
+    form.value.express_region = [
+      regionParts.value.province,
+      regionParts.value.city,
+      regionParts.value.area,
+    ]
+      .filter(Boolean)
+      .join(' ');
+  }
+}
+
+/** 一键填入订单所属诊所地址 */
+async function fillStoreAddress() {
+  if (!orderId.value) {
+    message.warning('订单信息缺失');
+    return;
+  }
+  storeAddrLoading.value = true;
+  try {
+    const res = await getStoreShipAddress(orderId.value);
+    form.value = normalizeReceiver(res || {});
+    regionParts.value = { province: '', city: '', area: '' };
+    message.success('已填入诊所地址');
+  } catch (error) {
+    console.error(error);
+  } finally {
+    storeAddrLoading.value = false;
+  }
+}
+
+const [Modal, modalApi] = useVbenModal({
+  fullscreenButton: false,
+  draggable: true,
+  confirmText: '保存',
+  onConfirm: async () => {
+    const mobile = String(form.value.express_mobile || '').trim();
+    if (!mobile) {
+      message.warning('请填写收件手机号');
+      return;
+    }
+    if (!/^\d{11}$/.test(mobile)) {
+      message.warning('请填写正确的11位手机号');
+      return;
+    }
+    modalApi.setState({ loading: true, confirmLoading: true });
+    try {
+      await updateShipAddressApi({
+        order_id: orderId.value,
+        express_name: String(form.value.express_name || '').trim(),
+        express_mobile: mobile,
+        express_region: String(form.value.express_region || '').trim(),
+        express_address: String(form.value.express_address || '').trim(),
+        province: regionParts.value.province,
+        city: regionParts.value.city,
+        area: regionParts.value.area,
+      });
+      message.success('收货信息已更新');
+      gridApi.value?.reload?.();
+      modalApi.close();
+    } catch (error) {
+      console.error(error);
+    } finally {
+      modalApi.setState({ loading: false, confirmLoading: false });
+    }
+  },
+  onOpenChange(isOpen: boolean) {
+    if (!isOpen) return;
+    const data = modalApi.getData<Record<string, any>>() || {};
+    gridApi.value = data.gridApi || null;
+    const values = data.values || {};
+    orderId.value = Number(values.order_id || values.id || 0);
+    orderNo.value = String(values.order_no || '');
+    regionParts.value = { province: '', city: '', area: '' };
+    form.value = normalizeReceiver(values);
+    void loadReceiver(values);
+  },
+});
+</script>
+
+<template>
+  <Modal
+    :title="`修改收货信息${orderNo ? ` · ${orderNo}` : ''}`"
+    class="w-[560px] max-w-[95vw]"
+  >
+    <div class="ship-edit">
+      <div class="ship-edit__toolbar">
+        <Button
+          type="link"
+          size="small"
+          class="!px-0"
+          :loading="storeAddrLoading"
+          :disabled="loading"
+          @click="fillStoreAddress"
+        >
+          用诊所地址
+        </Button>
+        <span v-if="loading" class="ship-edit__loading">加载中…</span>
+      </div>
+      <AddressPasteBlock
+        :filled="pasteFilled"
+        :current-values="pasteCurrentValues"
+        @recognized="onAddressRecognized"
+      />
+      <div class="ship-edit__field">
+        <label class="ship-edit__label">收件人</label>
+        <Input
+          v-model:value="form.express_name"
+          placeholder="选填"
+          :maxlength="50"
+          allow-clear
+        />
+      </div>
+      <div class="ship-edit__field">
+        <label class="ship-edit__label">手机号</label>
+        <Input
+          v-model:value="form.express_mobile"
+          placeholder="必填，11 位手机号"
+          :maxlength="11"
+          allow-clear
+        />
+      </div>
+      <div class="ship-edit__field">
+        <label class="ship-edit__label">所在地区</label>
+        <Input
+          v-model:value="form.express_region"
+          placeholder="省市区，可粘贴识别自动填入"
+          :maxlength="100"
+          allow-clear
+        />
+      </div>
+      <div class="ship-edit__field">
+        <label class="ship-edit__label">详细地址</label>
+        <Input.TextArea
+          v-model:value="form.express_address"
+          placeholder="街道门牌等"
+          :rows="3"
+          :maxlength="255"
+          show-count
+        />
+      </div>
+      <p class="ship-edit__hint">
+        仅未同步 ERP 的订单可改；保存后写回订单收件信息，不触发发货
+      </p>
+    </div>
+  </Modal>
+</template>
+
+<style scoped>
+.ship-edit {
+  display: flex;
+  flex-direction: column;
+  gap: 12px;
+}
+.ship-edit__toolbar {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  gap: 8px;
+}
+.ship-edit__loading {
+  font-size: 12px;
+  color: hsl(var(--muted-foreground));
+}
+.ship-edit__field {
+  display: flex;
+  flex-direction: column;
+  gap: 6px;
+}
+.ship-edit__label {
+  font-size: 13px;
+  color: hsl(var(--foreground));
+}
+.ship-edit__hint {
+  margin: 0;
+  font-size: 12px;
+  line-height: 1.5;
+  color: hsl(var(--muted-foreground));
+}
+</style>
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 2e698c22..afbdcd50 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
@@ -296,7 +296,12 @@ const [Modal, modalApi] = useVbenModal({
     gridApi.value = isOpen ? modalApi.getData()?.gridApi : null;
     if (isOpen) {
       const modalData = modalApi.getData<Record<string, any>>() || {};
-      const { values, id, onShipPackage: shipFn } = modalData;
+      const {
+        values,
+        id,
+        onShipPackage: shipFn,
+        onEditShipAddress: editShipFn,
+      } = modalData;
       fromTrace.value = !!modalData.fromTrace;
       onOpenTraceFn.value =
         typeof modalData.onOpenTrace === 'function'
@@ -308,6 +313,8 @@ const [Modal, modalApi] = useVbenModal({
           : null;
       // 列表传入：按 warehouse_id 打开发货弹窗（平台包=0）
       onShipPackage.value = typeof shipFn === 'function' ? shipFn : null;
+      onEditShipAddress.value =
+        typeof editShipFn === 'function' ? editShipFn : null;
       if (id) {
         getOrderInfo(id).then((res) => {
           data.value = res;
@@ -322,6 +329,7 @@ const [Modal, modalApi] = useVbenModal({
       }
     } else {
       onShipPackage.value = null;
+      onEditShipAddress.value = null;
       fromTrace.value = false;
       onOpenTraceFn.value = null;
       onOpenPrescriptionFn.value = null;
@@ -352,6 +360,18 @@ const packageTabs = computed(() => {
 const activePkg = ref('0');
 /** 详情内「发本包」回调（由列表传入时仅平台包裹可发） */
 const onShipPackage = ref<((warehouseId: number) => void) | null>(null);
+/** 详情内打开「修改收货信息」（未同步 ERP） */
+const onEditShipAddress = ref<((row: Record<string, any>) => void) | null>(
+  null,
+);
+/** 快递且未同步 ERP 时可改收货 */
+const canEditShipAddress = computed(
+  () =>
+    deliveryMethod.value === 0 &&
+    data.value &&
+    Number(data.value.is_sync_erp) !== 1 &&
+    typeof onEditShipAddress.value === 'function',
+);
 
 /**
  * Tab 文案：有仓名才拼括号；空串不兜底「平台/仓」
@@ -614,15 +634,25 @@ function prescriptionStatusColor() {
           <h3 class="m-0">
             {{ deliveryMethod === 0 ? '收货人' : '就诊人' }}信息
           </h3>
-          <Button
-            v-if="deliveryMethod === 0"
-            type="link"
-            size="small"
-            class="px-0"
-            @click="copyOrderShipAddress"
-          >
-            一键复制
-          </Button>
+          <Space v-if="deliveryMethod === 0" :size="4">
+            <Button
+              v-if="canEditShipAddress"
+              type="link"
+              size="small"
+              class="px-0"
+              @click="onEditShipAddress?.(data)"
+            >
+              修改收货
+            </Button>
+            <Button
+              type="link"
+              size="small"
+              class="px-0"
+              @click="copyOrderShipAddress"
+            >
+              一键复制
+            </Button>
+          </Space>
         </div>
         <Descriptions
           :column="{ xxl: 2, xl: 2, lg: 2, md: 1, sm: 1, xs: 1 }"
diff --git a/apps/web-antd/src/views/business/order/product-order/index.vue b/apps/web-antd/src/views/business/order/product-order/index.vue
index 4cb24ca2..005e60d9 100644
--- a/apps/web-antd/src/views/business/order/product-order/index.vue
+++ b/apps/web-antd/src/views/business/order/product-order/index.vue
@@ -83,6 +83,7 @@ import { isPlatformSuperAdmin } from '#/views/system/admin/_shared/platform-admi
 import OrderUserInfoCell from './components/cells/OrderUserInfoCell.vue';
 import DetailModal from './components/detail.vue';
 import LogisticsModal from './components/logistics-modal.vue';
+import EditShipAddressModal from './components/EditShipAddressModal.vue';
 import FormModalDemo from './components/modal.vue';
 import ProductOrderCardList from './components/ProductOrderCardList.vue';
 import ProductOrderExportModal from './components/ProductOrderExportModal.vue';
@@ -365,6 +366,10 @@ onMounted(() => {
 const [FormModal, formModalApi] = useVbenModal({
   connectedComponent: FormModalDemo,
 });
+/** 发货前单独改收货信息（未同步 ERP） */
+const [EditShipAddressModalComp, editShipAddressModalApi] = useVbenModal({
+  connectedComponent: EditShipAddressModal,
+});
 const [Modal, modalApi] = useVbenModal({
   connectedComponent: DetailModal,
 });
@@ -400,6 +405,11 @@ const infoModal = (data: Record<string, any> = {}) => {
       modalApi.close();
       wareSend(data, warehouseId);
     },
+    // 详情内改收货：关详情后打开改址弹窗（避免叠层）
+    onEditShipAddress: (row: Record<string, any>) => {
+      modalApi.close();
+      openEditShipAddress(row || data);
+    },
     // 二级弹窗必须页面级挂载，详情里再嵌溯源会被盖住
     onOpenTrace: (payload: Record<string, any>) => {
       openOrderPopup(traceDrawerApi, payload, ORDER_POPUP_Z_INDEX.NESTED);
@@ -421,6 +431,27 @@ const openLogisticsModal = (data: Record<string, any> = {}) => {
   logisticsModalApi.open();
 };
 
+/**
+ * 打开「修改收货信息」弹窗（不发货；仅未同步 ERP）
+ */
+const openEditShipAddress = (data: Record<string, any> = {}) => {
+  const addr =
+    data?.address && typeof data.address === 'object' ? data.address : {};
+  editShipAddressModalApi.setData({
+    values: {
+      order_id: data?.id,
+      order_no: data?.order_no,
+      express_name: data?.express_name || addr.name || '',
+      express_mobile: data?.express_mobile || addr.mobile || '',
+      express_region: data?.express_region || addr.region || '',
+      express_address: data?.express_address || addr.detail_address || '',
+      address: addr,
+    },
+    gridApi: gridApiProxy,
+  });
+  editShipAddressModalApi.open();
+};
+
 /**
  * 打开发货弹窗。
  * 列表不传 warehouse_id（后端平台默认 0）；详情按包发时仅传合法非负整数。
@@ -1328,6 +1359,15 @@ function buildRowActions(row: Record<string, any>): {
           (Number(row.status) === 2 || Number(row.status) === 7),
         onClick: handleRetryConfirmReceive.bind(null, row),
       },
+      {
+        // 发货前独立改址通道；已同步 ERP 后端也会拒绝
+        label: '改收货',
+        type: 'link',
+        icon: 'mdi:map-marker-path',
+        auth: ['Super Admin', 'Admin'],
+        ifShow: row.is_sync_erp !== 1,
+        onClick: () => openEditShipAddress(row),
+      },
       {
         label: '发货',
         type: 'link',
@@ -1362,6 +1402,7 @@ function buildRowActions(row: Record<string, any>): {
 <template>
   <Page auto-content-height title="订单管理">
     <FormModal />
+    <EditShipAddressModalComp />
     <PublicAccountConfirmModals />
     <ApplyPublicAccountPayModals />
     <Modal />
diff --git a/apps/web-antd/src/views/doctor/doctor-reception/components/CreateUserPatientModal.vue b/apps/web-antd/src/views/doctor/doctor-reception/components/CreateUserPatientModal.vue
index 4bff6495..4958084a 100644
--- a/apps/web-antd/src/views/doctor/doctor-reception/components/CreateUserPatientModal.vue
+++ b/apps/web-antd/src/views/doctor/doctor-reception/components/CreateUserPatientModal.vue
@@ -39,11 +39,14 @@ import {
   formatAddressDisplay,
   resolveAddressPairFromNames,
 } from '#/util/address-index';
+import { formatShipAddressCopyText } from '#/util/ship-address-copy';
 import {
   checkCreatedUserPatientDuplicateApi,
   createUserPatientApi,
+  getCreatedUserPatientDetailApi,
   getCurrentStoreTypeApi,
   startOfflineReceptionByPatientApi,
+  updateCreatedUserPatientApi,
 } from '#/views/doctor/doctor-reception/api';
 import {
   ALLERGIC_HISTORY_OPTIONS,
@@ -96,6 +99,11 @@ const submitting = ref(false);
 /** 部分重复时用户确认仍新建 */
 const forceCreate = ref(0);
 const form = ref(buildEmptyForm());
+/**
+ * 中文省市区兜底：粘贴识别/诊所地址写入；ID 解析失败时仍能提交 ship_*
+ * 为什么：ensureResolvedAddress 失败只回 ID、无 label，旧逻辑会静默丢掉整段地址
+ */
+const shipLabels = ref({ province: '', city: '', area: '' });
 const onSuccessCb = ref<((res: CreateUserPatientResult) => void) | null>(null);
 const onSelectExistingCb = ref<
   ((res: DoctorCreatedPatientStartResult) => Promise<void> | void) | null
@@ -117,6 +125,15 @@ const dupItems = ref<
   }>
 >([]);
 const dupStartingId = ref(0);
+/** 选择并接诊：本次填了地址时，预览确认是否导入到已有就诊人 */
+const importConfirmVisible = ref(false);
+const importConfirmLoading = ref(false);
+const pendingDupItem = ref<{ id: number; mobile?: string; name?: string } | null>(
+  null,
+);
+const importHasOld = ref(false);
+const importOldText = ref('');
+const importNewText = ref('');
 /** 识别回填字段高亮 */
 const flashMap = ref({
   name: false,
@@ -332,6 +349,52 @@ function setHistoryTags(
   (form.value[historyField] as string[]) = tags || [];
 }
 
+/**
+ * 组装本次填写的收货 ship_*（有详细地址 + 省市区才返回；解析失败抛错）
+ * 供创建提交、以及「选择并接诊」导入已有就诊人地址复用
+ */
+async function buildShipPayloadFromForm(): Promise<Record<string, string>> {
+  const f = form.value;
+  const detail = String(f.ship_detail_address || '').trim();
+  const hasRegion = !!(f.ship_region && f.ship_region.length >= 2);
+  if (!detail || !hasRegion) return {};
+  const resolved = await ensureResolvedAddress(f.ship_region);
+  const province = resolved.province?.label || shipLabels.value.province || '';
+  const city = resolved.city?.label || shipLabels.value.city || '';
+  const area = resolved.district?.label || shipLabels.value.area || '';
+  if (!province && !city && !area) {
+    throw new Error('省市区解析失败，请重新选择后再保存');
+  }
+  return {
+    ship_province: province,
+    ship_city: city,
+    ship_area: area,
+    ship_region:
+      resolved.pathLabel ||
+      formatAddressDisplay(f.ship_region) ||
+      [province, city, area].filter(Boolean).join(' '),
+    ship_detail_address: detail,
+    ship_name: String(f.ship_name || f.name || '').trim(),
+    ship_mobile: String(f.ship_mobile || f.mobile || '').trim(),
+  };
+}
+
+/** 本次收货预览文案（选择并接诊确认框用） */
+function formatDraftShipPreviewText() {
+  const f = form.value;
+  const region =
+    formatAddressDisplay(f.ship_region) ||
+    [shipLabels.value.province, shipLabels.value.city, shipLabels.value.area]
+      .filter(Boolean)
+      .join('');
+  return formatShipAddressCopyText({
+    name: f.ship_name || f.name,
+    mobile: f.ship_mobile || f.mobile,
+    region,
+    detail_address: f.ship_detail_address,
+  });
+}
+
 /**
  * 组装提交体：不展示的月经/婚育强制清零；history 仅在 status=有 时带出
  * 收货地址：有详细地址才带省市区字段，后端据此建 yii_address
@@ -340,22 +403,7 @@ async function buildSubmitPayload() {
   const f = form.value;
   const menstrualOk = showMenstrualHistory.value;
   const maritalOk = showMaritalHistory.value;
-  // 提交前按 ID 解析名称（含软删回显），避免本地树删除后取不到省市区文案
-  const resolved = await ensureResolvedAddress(f.ship_region);
-  const detail = String(f.ship_detail_address || '').trim();
-  const shipPayload =
-    detail && (resolved.province || resolved.city || resolved.district)
-      ? {
-          ship_province: resolved.province?.label || '',
-          ship_city: resolved.city?.label || '',
-          ship_area: resolved.district?.label || '',
-          ship_region:
-            resolved.pathLabel || formatAddressDisplay(f.ship_region),
-          ship_detail_address: detail,
-          ship_name: String(f.ship_name || f.name || '').trim(),
-          ship_mobile: String(f.ship_mobile || f.mobile || '').trim(),
-        }
-      : {};
+  const shipPayload = await buildShipPayloadFromForm();
   const {
     ship_region: _shipRegion,
     ship_detail_address: _shipDetail,
@@ -405,26 +453,97 @@ async function checkDuplicateBeforeCreate(): Promise<boolean> {
   }
 }
 
-/** 选择已有就诊人并接诊（exact / 部分重复「使用已有」） */
-async function selectExistingPatient(item: { id: number }) {
-  if (!item?.id) return;
+/**
+ * 真正开始接诊（可选：先把本次收货地址导入到已有就诊人）
+ */
+async function doStartWithExisting(
+  item: { id: number; mobile?: string },
+  importShip: boolean,
+) {
   dupStartingId.value = item.id;
   try {
+    if (importShip) {
+      const shipPayload = await buildShipPayloadFromForm();
+      if (Object.keys(shipPayload).length > 0) {
+        await updateCreatedUserPatientApi({
+          user_patient_id: item.id,
+          mobile: String(form.value.mobile || item.mobile || '').trim(),
+          ...shipPayload,
+        });
+      }
+    }
     const res = await startOfflineReceptionByPatientApi({
       user_patient_id: item.id,
       waive_register_fee: form.value.waive_register_fee ? 1 : 0,
     });
-    message.success('已选择已有就诊人');
+    message.success(importShip ? '已导入地址并接诊' : '已选择已有就诊人');
+    importConfirmVisible.value = false;
     dupVisible.value = false;
+    pendingDupItem.value = null;
     modalApi.close();
     await onSelectExistingCb.value?.(res as DoctorCreatedPatientStartResult);
   } catch (error: any) {
     message.error(error?.message || '接诊失败');
   } finally {
     dupStartingId.value = 0;
+    importConfirmLoading.value = false;
   }
 }
 
+/**
+ * 选择已有就诊人并接诊；本次填了收货地址时先预览确认是否导入
+ */
+async function selectExistingPatient(item: {
+  id: number;
+  mobile?: string;
+  name?: string;
+}) {
+  if (!item?.id) return;
+  // 未填本次地址：直接接诊
+  if (!hasFilledShipAddress()) {
+    await doStartWithExisting(item, false);
+    return;
+  }
+  dupStartingId.value = item.id;
+  try {
+    const detail = await getCreatedUserPatientDetailApi(item.id);
+    const oldShip = (detail?.ship_address || {}) as Record<string, string>;
+    const oldText = formatShipAddressCopyText(oldShip);
+    importHasOld.value = !!oldText;
+    importOldText.value = oldText;
+    importNewText.value = formatDraftShipPreviewText();
+    pendingDupItem.value = item;
+    importConfirmVisible.value = true;
+  } catch (error: any) {
+    message.error(error?.message || '加载就诊人地址失败');
+  } finally {
+    dupStartingId.value = 0;
+  }
+}
+
+/** 确认框：导入地址并接诊 */
+async function confirmImportAndStart() {
+  const item = pendingDupItem.value;
+  if (!item?.id) return;
+  importConfirmLoading.value = true;
+  await doStartWithExisting(item, true);
+}
+
+/** 确认框：不导入，直接接诊 */
+async function skipImportAndStart() {
+  const item = pendingDupItem.value;
+  if (!item?.id) return;
+  importConfirmLoading.value = true;
+  await doStartWithExisting(item, false);
+}
+
+/** 关闭导入确认，回到去重列表（不接诊） */
+function closeImportConfirm() {
+  if (importConfirmLoading.value) return;
+  importConfirmVisible.value = false;
+  pendingDupItem.value = null;
+}
+
 /** 部分重复时仍创建新的 */
 async function forceCreateNew() {
   dupVisible.value = false;
@@ -507,6 +626,11 @@ async function applyClinicAddress() {
   }
   form.value.ship_region = [a.province_id, a.city_id];
   form.value.ship_detail_address = a.position;
+  shipLabels.value = {
+    province: a.province || '',
+    city: a.city || '',
+    area: '',
+  };
   await ensureResolvedAddress(form.value.ship_region);
   if (a.contact) {
     form.value.ship_name = a.contact.slice(0, 10);
@@ -589,6 +713,7 @@ const [Modal, modalApi] = useVbenModal({
   onOpenChange(isOpen: boolean) {
     if (isOpen) {
       form.value = buildEmptyForm();
+      shipLabels.value = { province: '', city: '', area: '' };
       clinicAddress.value = null;
       forceCreate.value = 0;
       dupVisible.value = false;
@@ -637,6 +762,12 @@ async function onAddressRecognized(result: AddressRecognizeResult) {
     flash.detail = true;
   }
   if (result.province || result.city || result.area) {
+    // 先缓存中文省市区，即使后续 ID 解析失败也能提交
+    shipLabels.value = {
+      province: String(result.province || '').trim(),
+      city: String(result.city || '').trim(),
+      area: String(result.area || '').trim(),
+    };
     flash.region = true;
     await resolveShipRegionIds(result.province, result.city, result.area);
   }
@@ -965,6 +1096,58 @@ function triggerFieldFlash(flash: {
         </Button>
       </div>
     </AntModal>
+    <!-- 选择并接诊：本次有收货地址时确认是否导入（自定义 footer，避免点 X 误接诊） -->
+    <AntModal
+      v-model:open="importConfirmVisible"
+      title="导入本次收货地址？"
+      :mask-closable="false"
+      :closable="!importConfirmLoading"
+      centered
+      width="520px"
+      destroy-on-close
+      :footer="null"
+      @cancel="closeImportConfirm"
+    >
+      <p class="mb-3 text-sm text-[hsl(var(--muted-foreground))]">
+        本次填写了收货地址，确认后写入所选就诊人；也可跳过仅接诊。
+      </p>
+      <div
+        v-if="importHasOld"
+        class="mb-3 rounded border border-[hsl(var(--border))] bg-[hsl(var(--muted)/0.25)] px-3 py-2"
+      >
+        <div class="mb-1 text-xs text-[hsl(var(--muted-foreground))]">
+          原地址
+        </div>
+        <div class="break-all text-sm text-[hsl(var(--foreground))]">
+          {{ importOldText }}
+        </div>
+      </div>
+      <div
+        class="rounded border border-[hsl(var(--primary)/30%)] px-3 py-2 shadow-[0_0_6px_hsl(var(--primary)/18%)]"
+      >
+        <div class="mb-1 text-xs text-[hsl(var(--muted-foreground))]">
+          {{ importHasOld ? '将覆盖为' : '将写入' }}
+        </div>
+        <div class="break-all text-sm text-[hsl(var(--foreground))]">
+          {{ importNewText || '—' }}
+        </div>
+      </div>
+      <div class="mt-4 flex justify-end gap-2">
+        <Button :disabled="importConfirmLoading" @click="closeImportConfirm">
+          返回
+        </Button>
+        <Button :loading="importConfirmLoading" @click="skipImportAndStart">
+          不导入，直接接诊
+        </Button>
+        <Button
+          type="primary"
+          :loading="importConfirmLoading"
+          @click="confirmImportAndStart"
+        >
+          导入并接诊
+        </Button>
+      </div>
+    </AntModal>
   </Modal>
 </template>
 
diff --git a/apps/web-antd/src/views/doctor/doctor-reception/components/EditCreatedUserPatientModal.vue b/apps/web-antd/src/views/doctor/doctor-reception/components/EditCreatedUserPatientModal.vue
index 04a2e81e..7206e930 100644
--- a/apps/web-antd/src/views/doctor/doctor-reception/components/EditCreatedUserPatientModal.vue
+++ b/apps/web-antd/src/views/doctor/doctor-reception/components/EditCreatedUserPatientModal.vue
@@ -57,6 +57,8 @@ const saving = ref(false);
 const editMode = ref<'full' | 'limited'>('full');
 const userPatientId = ref(0);
 const clinicAddress = ref<ClinicAddress | null>(null);
+/** 中文省市区兜底：详情回填/粘贴写入，ID 解析失败时仍能提交 */
+const shipLabels = ref({ province: '', city: '', area: '' });
 const form = ref({
   name: '',
   mobile: '',
@@ -115,6 +117,11 @@ async function applyClinicAddress() {
   }
   form.value.ship_region = [a.province_id, a.city_id];
   form.value.ship_detail_address = a.position;
+  shipLabels.value = {
+    province: a.province || '',
+    city: a.city || '',
+    area: '',
+  };
   await ensureResolvedAddress(form.value.ship_region);
   if (a.contact) {
     form.value.ship_name = a.contact.slice(0, 10);
@@ -152,6 +159,11 @@ async function loadDetail(id: number) {
   form.value.ship_name = ship.name || '';
   form.value.ship_mobile = ship.mobile || '';
   form.value.ship_detail_address = ship.detail_address || '';
+  shipLabels.value = {
+    province: String(ship.province || '').trim(),
+    city: String(ship.city || '').trim(),
+    area: String(ship.area || '').trim(),
+  };
   if (ship.province || ship.city || ship.area) {
     const pair = await resolveAddressPairFromNames(
       ship.province,
@@ -173,6 +185,11 @@ async function onAddressRecognized(result: AddressRecognizeResult) {
   if (result.phone) form.value.ship_mobile = result.phone;
   if (result.detail) form.value.ship_detail_address = result.detail;
   if (result.province || result.city || result.area) {
+    shipLabels.value = {
+      province: String(result.province || '').trim(),
+      city: String(result.city || '').trim(),
+      area: String(result.area || '').trim(),
+    };
     const pair = await resolveAddressPairFromNames(
       result.province,
       result.city,
@@ -185,21 +202,50 @@ async function onAddressRecognized(result: AddressRecognizeResult) {
   }
 }
 
+/**
+ * 组装更新体：省市区优先 ID 解析，失败回落详情/粘贴缓存的中文名
+ * 有详细地址却无任何省市区文案时阻断，避免只写 detail、后端报错或半截更新
+ */
 async function buildPayload() {
+  const detail = String(form.value.ship_detail_address || '').trim();
   const payload: Record<string, any> = {
     user_patient_id: userPatientId.value,
     mobile: form.value.mobile,
     ship_name: form.value.ship_name,
     ship_mobile: form.value.ship_mobile,
-    ship_detail_address: form.value.ship_detail_address,
+    ship_detail_address: detail,
   };
   if (form.value.ship_region?.length) {
     const resolved = await ensureResolvedAddress(form.value.ship_region);
-    payload.ship_province = resolved.province?.label || '';
-    payload.ship_city = resolved.city?.label || '';
-    payload.ship_area = resolved.district?.label || '';
+    const province =
+      resolved.province?.label || shipLabels.value.province || '';
+    const city = resolved.city?.label || shipLabels.value.city || '';
+    const area = resolved.district?.label || shipLabels.value.area || '';
+    if (detail && !province && !city && !area) {
+      throw new Error('省市区解析失败，请重新选择后再保存');
+    }
+    payload.ship_province = province;
+    payload.ship_city = city;
+    payload.ship_area = area;
     payload.ship_region =
-      resolved.pathLabel || formatAddressDisplay(form.value.ship_region);
+      resolved.pathLabel ||
+      formatAddressDisplay(form.value.ship_region) ||
+      [province, city, area].filter(Boolean).join(' ');
+  } else if (
+    detail &&
+    (shipLabels.value.province || shipLabels.value.city || shipLabels.value.area)
+  ) {
+    // 有详情中文省市区但 ID 未解析出：仍提交中文，避免地址丢
+    payload.ship_province = shipLabels.value.province;
+    payload.ship_city = shipLabels.value.city;
+    payload.ship_area = shipLabels.value.area;
+    payload.ship_region = [
+      shipLabels.value.province,
+      shipLabels.value.city,
+      shipLabels.value.area,
+    ]
+      .filter(Boolean)
+      .join(' ');
   }
   if (editMode.value === 'full') {
     payload.name = form.value.name;