diff --git a/Users/lingma/workspace/xk-admin/apps/web-antd/src/views/business/chat/components/MessageInput.vue b/Users/lingma/workspace/xk-admin/apps/web-antd/src/views/business/chat/components/MessageInput.vue
new file mode 100644
index 00000000..e938200c
--- /dev/null
+++ b/Users/lingma/workspace/xk-admin/apps/web-antd/src/views/business/chat/components/MessageInput.vue
@@ -0,0 +1,617 @@
+<script setup>
+import { ref, provide, nextTick, onMounted, onUnmounted } from 'vue';
+
+import { message } from 'ant-design-vue';
+
+import { useFileUpload } from '../composables/useFileUpload.ts';
+import { useRecording } from '../composables/useRecording.ts';
+import { useChatStore } from '../stores/chat.ts';
+import { useThemeStore } from '../stores/theme.ts';
+import { useUserStore } from '../stores/user.ts';
+import { sendMessage } from '../utils/request.ts';
+import CustomTextarea from './CustomTextarea.vue';
+import EmojiPicker from './EmojiPicker.vue';
+import FileUploadPreview from './FileUploadPreview.vue';
+
+// 定义 props
+const props = defineProps({
+  currentFriend: {
+    type: Object,
+    default: () => ({})
+  }
+});
+
+const userStore = useUserStore();
+const chatStore = useChatStore();
+const themeStore = useThemeStore();
+
+const messageText = ref('');
+const messageInputRef = ref(null);
+const showEmojiPicker = ref(false);
+
+// 使用文件上传组合式函数
+const {
+  uploadPreview,
+  imageInput,
+  videoInput,
+  triggerFileInput,
+  handleFileUpload,
+  cancelUpload,
+} = useFileUpload();
+
+// 使用录音组合式函数
+const { isRecording, startRecording, stopRecording } = useRecording();
+
+// 发送上传的文件
+const sendUploadedFile = () => {
+  if (!uploadPreview.value) return;
+
+  const messageObj = {
+    type: uploadPreview.value.type,
+    content: uploadPreview.value.url,
+    time: new Date().toLocaleTimeString().slice(0, 5),
+    senderId: `${userStore.currentUser.id}`,
+    receiverId: chatStore.currentFriend.id,
+    read: true,
+    duration: 0,
+  };
+
+  chatStore.addMessage(messageObj, userStore.currentUser.id);
+
+  // 发送到服务器
+  sendMessage({
+    senderId: userStore.currentUser.id,
+    receiverId: chatStore.currentFriend.id,
+    type: uploadPreview.value.type,
+    content: uploadPreview.value.url,
+  }).catch((error) => {
+    console.error('发送文件失败:', error);
+    message.error('文件发送失败');
+  });
+
+  uploadPreview.value = null;
+};
+
+// 提供给子组件
+provide('uploadPreview', uploadPreview);
+provide('cancelUpload', cancelUpload);
+provide('sendFile', sendUploadedFile);
+
+// 发送文本消息
+const sendTextMessage = async () => {
+  const content = messageText.value.trim();
+  if (!content && !uploadPreview.value) return;
+
+  let messageContent = content;
+  let messageType = 'text';
+
+  // 如果有文件预览，发送文件
+  if (uploadPreview.value) {
+    messageContent = uploadPreview.value.url;
+    messageType = uploadPreview.value.type;
+    uploadPreview.value = null;
+  }
+
+  // 创建消息对象
+  const messageObj = {
+    type: messageType,
+    content: messageContent,
+    time: new Date().toLocaleTimeString().slice(0, 5),
+    senderId: `${userStore.currentUser.id}`,
+    receiverId: chatStore.currentFriend.id,
+    isSent: true,
+    read: true,
+    duration: 0,
+  };
+
+  // return console.log('发送消息:' + userStore.currentUser.id, messageObj);
+  // 添加到本地消息列表
+  chatStore.addMessage(messageObj, userStore.currentUser.id);
+
+  // 发送到服务器
+  try {
+    await sendMessage({
+      senderId: userStore.currentUser.id,
+      receiverId: chatStore.currentFriend.id,
+      roomId: chatStore.currentFriend.room_id,
+      type: messageType,
+      content: messageContent,
+    });
+  } catch (error) {
+    console.error('发送消息失败:', error);
+    message.error('消息发送失败');
+  }
+
+  // 清空输入框
+  messageText.value = '';
+
+  // 重置焦点
+  nextTick(() => {
+    if (messageInputRef.value) {
+      messageInputRef.value.focus();
+    }
+  });
+};
+
+// 处理键盘事件
+const handleKeydown = (event) => {
+  if (event.key === 'Enter' && !event.shiftKey) {
+    event.preventDefault();
+    sendTextMessage();
+  }
+};
+
+// 处理粘贴文件
+const handlePasteFile = (file) => {
+  console.log('检测到粘贴文件:', file);
+
+  // 根据文件类型自动选择处理方式
+  if (file.type.startsWith('image/')) {
+    handleFileFromPaste(file, 'image');
+  } else if (file.type.startsWith('video/')) {
+    handleFileFromPaste(file, 'video');
+  } else {
+    message.warning('不支持的文件类型');
+  }
+};
+
+// 处理粘贴的文件
+const handleFileFromPaste = (file, type) => {
+  // 文件大小检查
+  const maxSize = type === 'image' ? 10 * 1024 * 1024 : 50 * 1024 * 1024;
+  if (file.size > maxSize) {
+    const maxSizeMB = maxSize / 1024 / 1024;
+    message.error(
+      `文件大小超过限制！${type === 'image' ? '图片' : '视频'}最大${maxSizeMB}MB`,
+    );
+    return;
+  }
+
+  const reader = new FileReader();
+  reader.addEventListener('load', (e) => {
+    uploadPreview.value = {
+      type,
+      url: e.target.result,
+      name: file.nick_name,
+      size: file.size,
+      file,
+    };
+  });
+
+  reader.onerror = (error) => {
+    console.error('文件读取失败:', error);
+    message.error('文件读取失败，请重试');
+  };
+
+  reader.readAsDataURL(file);
+};
+
+// 切换表情选择器
+const toggleEmojiPicker = () => {
+  showEmojiPicker.value = !showEmojiPicker.value;
+};
+
+// 插入表情
+const insertEmoji = (emoji) => {
+  messageText.value += emoji;
+  showEmojiPicker.value = false;
+
+  nextTick(() => {
+    if (messageInputRef.value) {
+      messageInputRef.value.focus();
+    }
+  });
+};
+
+// 监听录音完成事件
+const handleAudioRecorded = (event) => {
+  const { url, duration } = event.detail;
+
+  const messageObj = {
+    type: 'audio',
+    content: url,
+    time: new Date().toLocaleTimeString().slice(0, 5),
+    senderId: `${userStore.currentUser.id}`,
+    receiverId: chatStore.currentFriend.id,
+    isSent: true,
+    read: true,
+    duration,
+  };
+
+  chatStore.addMessage(messageObj, userStore.currentUser.id);
+
+  // 发送到服务器
+  sendMessage({
+    senderId: userStore.currentUser.id,
+    receiverId: chatStore.currentFriend.id,
+    roomId: chatStore.currentFriend.room_id,
+    isSent: true,
+    type: 'audio',
+    content: url,
+    duration,
+  }).catch((error) => {
+    console.error('发送音频失败:', error);
+    message.error('音频发送失败');
+  });
+};
+
+onMounted(() => {
+  window.addEventListener('audioRecorded', handleAudioRecorded);
+
+  // 点击外部关闭表情选择器
+  document.addEventListener('click', (event) => {
+    if (
+      !event.target.closest('.emoji-picker') &&
+      !event.target.closest('.function-btn')
+    ) {
+      showEmojiPicker.value = false;
+    }
+  });
+});
+
+onUnmounted(() => {
+  window.removeEventListener('audioRecorded', handleAudioRecorded);
+});
+
+// 定义 emits
+const emit = defineEmits([
+  'sendMessage',
+  'openPrescription' // 添加开方事件
+]);
+
+// 开方功能触发函数
+const handleOpenPrescription = () => {
+  // 获取当前会话的register_id，这里假设可以通过某种方式获取
+  // 例如从聊天存储或props中获取
+  const registerId = props.currentFriend?.register_id || 0;
+  
+  if (registerId) {
+    emit('openPrescription', registerId);
+  } else {
+    console.warn('无法获取当前会话的register_id');
+    // 可以添加一个提示或使用默认值
+    emit('openPrescription', 0);
+  }
+};
+
+</script>
+
+<template>
+  <div class="message-input-container" :class="{ dark: themeStore.isDarkMode }">
+    <!-- 工具栏 -->
+    <div class="toolbar">
+      <button 
+        class="toolbar-button prescription-button" 
+        @click="handleOpenPrescription"
+        title="开方"
+      >
+        <i class="iconfont icon-prescription"></i>
+        开方
+      </button>
+      <button 
+        class="toolbar-button" 
+        @click="triggerFileInput('image')"
+        title="发送图片"
+      >
+        <i class="fas fa-image"></i>
+        图片
+      </button>
+      <button 
+        class="toolbar-button" 
+        @click="triggerFileInput('video')"
+        title="发送视频"
+      >
+        <i class="fas fa-video"></i>
+        视频
+      </button>
+      <button 
+        :class="{ active: showEmojiPicker }"
+        class="toolbar-button"
+        title="选择表情"
+        @click="toggleEmojiPicker"
+      >
+        <i class="fas fa-smile"></i>
+        表情
+      </button>
+      <button 
+        :class="{ recording: isRecording }"
+        class="toolbar-button record-btn"
+        title="按住录音"
+        @mousedown="startRecording"
+        @mouseleave="stopRecording"
+        @mouseup="stopRecording"
+        @touchend="stopRecording"
+        @touchstart="startRecording"
+      >
+        <i class="fas fa-microphone"></i>
+        录音
+      </button>
+    </div>
+    
+    <!-- 文件上传预览 -->
+    <FileUploadPreview v-if="uploadPreview" />
+    <!-- 表情选择器 -->
+    <EmojiPicker v-if="showEmojiPicker" class="mb-10" @select="insertEmoji" />
+
+    <div class="input-container">
+      <!-- 输入框区域 -->
+      <div class="input-section">
+        <CustomTextarea
+          ref="messageInputRef"
+          v-model="messageText"
+          :auto-resize="true"
+          :detect-paste="true"
+          :max-rows="4"
+          class="message-textarea"
+          placeholder="输入消息... (支持拖拽文件)"
+          @keydown="handleKeydown"
+          @paste-file="handlePasteFile"
+        />
+
+        <button
+          :disabled="!messageText.trim() && !uploadPreview"
+          class="send-btn"
+          title="发送消息"
+          @click="sendTextMessage"
+        >
+          <i class="fas fa-paper-plane"></i>
+          <div class="send-ripple"></div>
+        </button>
+      </div>
+    </div>
+
+    <!-- 隐藏的文件输入框 -->
+    <input
+      ref="imageInput"
+      accept="image/*"
+      class="hidden"
+      type="file"
+      @change="handleFileUpload"
+    />
+    <input
+      ref="videoInput"
+      accept="video/*"
+      class="hidden"
+      type="file"
+      @change="handleFileUpload"
+    />
+  </div>
+</template>
+
+<style scoped>
+.message-input-container {
+  padding: 20px;
+  border-top: 1px solid #e2e8f0;
+  background: linear-gradient(135deg, #ffffff 0%, #f8fafc 100%);
+  position: relative;
+}
+
+.message-input-container.dark {
+  border-top-color: #374151;
+  background: linear-gradient(135deg, #2d2d2d 0%, #1f2937 100%);
+}
+
+.input-container {
+  display: flex;
+  flex-direction: column;
+  gap: 16px;
+}
+
+.toolbar {
+  display: flex;
+  align-items: center;
+  padding: 8px;
+  border-top: 1px solid #eee;
+}
+
+.toolbar-button {
+  background: none;
+  border: none;
+  cursor: pointer;
+  padding: 5px 10px;
+  border-radius: 4px;
+  margin-right: 5px;
+  display: flex;
+  align-items: center;
+  color: #666;
+}
+
+.toolbar-button:hover {
+  background-color: #f0f0f0;
+}
+
+.prescription-button {
+  color: #455cda;
+  font-weight: 500;
+}
+
+.prescription-button:hover {
+  background-color: #e6e9ff;
+}
+
+.function-buttons {
+  display: flex;
+  gap: 12px;
+  align-items: center;
+}
+
+.function-btn {
+  position: relative;
+  width: 44px;
+  height: 44px;
+  border-radius: 50%;
+  border: none;
+  background: linear-gradient(135deg, #f1f5f9, #e2e8f0);
+  color: #64748b;
+  cursor: pointer;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  font-size: 18px;
+  transition: all 0.3s cubic-bezier(0.4, 0, 0.2, 1);
+  overflow: hidden;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.1);
+}
+
+.function-btn:hover {
+  background: linear-gradient(135deg, #4361ee, #3f37c9);
+  color: white;
+  transform: translateY(-2px) scale(1.05);
+  box-shadow: 0 8px 20px rgba(67, 97, 238, 0.3);
+}
+
+.function-btn.active {
+  background: linear-gradient(135deg, #4361ee, #3f37c9);
+  color: white;
+  transform: scale(1.1);
+}
+
+.function-btn.recording {
+  background: linear-gradient(135deg, #ff6b6b, #ee5a52);
+  color: white;
+  animation: pulse-recording 1s infinite;
+}
+
+@keyframes pulse-recording {
+  0% {
+    transform: scale(1);
+  }
+  50% {
+    transform: scale(1.1);
+  }
+  100% {
+    transform: scale(1);
+  }
+}
+
+.recording-wave {
+  position: absolute;
+  top: 50%;
+  left: 50%;
+  transform: translate(-50%, -50%);
+  width: 60px;
+  height: 60px;
+  border: 2px solid rgba(255, 255, 255, 0.3);
+  border-radius: 50%;
+  animation: wave-expand 1.5s infinite;
+}
+
+@keyframes wave-expand {
+  0% {
+    transform: translate(-50%, -50%) scale(0.8);
+    opacity: 1;
+  }
+  100% {
+    transform: translate(-50%, -50%) scale(1.5);
+    opacity: 0;
+  }
+}
+
+.btn-ripple {
+  position: absolute;
+  top: 50%;
+  left: 50%;
+  width: 0;
+  height: 0;
+  border-radius: 50%;
+  background: rgba(255, 255, 255, 0.3);
+  transform: translate(-50%, -50%);
+  transition: all 0.6s ease;
+}
+
+.function-btn:active .btn-ripple {
+  width: 100px;
+  height: 100px;
+}
+
+.message-input-container.dark .function-btn {
+  background: linear-gradient(135deg, #374151, #4b5563);
+  color: #9ca3af;
+}
+
+.message-input-container.dark .function-btn:hover {
+  background: linear-gradient(135deg, #4361ee, #3f37c9);
+  color: white;
+}
+
+.input-section {
+  display: flex;
+  align-items: end;
+  gap: 12px;
+  position: relative;
+}
+
+.message-textarea {
+  flex: 1;
+}
+
+.send-btn {
+  position: relative;
+  width: 52px;
+  height: 52px;
+  border-radius: 50%;
+  border: none;
+  background: linear-gradient(135deg, #4361ee, #3f37c9);
+  color: white;
+  cursor: pointer;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  font-size: 18px;
+  transition: all 0.3s cubic-bezier(0.4, 0, 0.2, 1);
+  overflow: hidden;
+  box-shadow: 0 4px 12px rgba(67, 97, 238, 0.3);
+}
+
+.send-btn:hover:not(:disabled) {
+  transform: translateY(-2px) scale(1.05);
+  box-shadow: 0 8px 20px rgba(67, 97, 238, 0.4);
+}
+
+.send-btn:disabled {
+  background: #94a3b8;
+  cursor: not-allowed;
+  transform: none;
+  box-shadow: none;
+}
+
+.send-ripple {
+  position: absolute;
+  top: 50%;
+  left: 50%;
+  width: 0;
+  height: 0;
+  border-radius: 50%;
+  background: rgba(255, 255, 255, 0.4);
+  transform: translate(-50%, -50%);
+  transition: all 0.6s ease;
+}
+
+.send-btn:active:not(:disabled) .send-ripple {
+  width: 80px;
+  height: 80px;
+}
+
+.hidden {
+  display: none;
+}
+
+/* 响应式设计 */
+@media (max-width: 768px) {
+  .function-buttons {
+    gap: 8px;
+  }
+
+  .function-btn {
+    width: 40px;
+    height: 40px;
+    font-size: 16px;
+  }
+
+  .send-btn {
+    width: 48px;
+    height: 48px;
+    font-size: 16px;
+  }
+}
+</style>
\ No newline at end of file
diff --git a/Users/lingma/workspace/xk-admin/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue b/Users/lingma/workspace/xk-admin/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
new file mode 100644
index 00000000..65401635
--- /dev/null
+++ b/Users/lingma/workspace/xk-admin/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
@@ -0,0 +1,793 @@
+<script setup lang="ts">
+import { ref, watch, computed, onMounted } from 'vue';
+import {
+  Button,
+  Card,
+  Col,
+  Descriptions,
+  Image,
+  ImagePreviewGroup,
+  InputNumber,
+  message,
+  Modal,
+  notification,
+  RadioGroup,
+  RadioButton,
+  Row,
+  Select,
+  SelectOption,
+  Tag,
+  Textarea,
+  Timeline,
+  TimelineItem
+} from 'ant-design-vue';
+import { DeleteTwoTone, MinusOutlined, PlusOutlined } from '@ant-design/icons-vue';
+import { debounce } from 'lodash-es';
+
+import { getRegisterStatus } from '#/util/tool';
+import {
+  addWestPrescription,
+  checkChineseMedicineConflictApi,
+  getDrugUseList,
+  getMyStoreListApi,
+  getPatientItem,
+  getProcessRuleList,
+  getProductListDoctorReception,
+  switchStoreApi,
+} from '#/views/doctor/doctor-reception/api';
+
+// 定义 props
+const props = defineProps({
+  visible: {
+    type: Boolean,
+    default: false
+  },
+  registerId: {
+    type: [Number, String],
+    required: true
+  }
+});
+
+// 定义 emits
+const emit = defineEmits(['update:visible', 'prescriptionSent']);
+
+// 患者数据
+const patientInfo = ref<null | any>(null);
+const userPatientHealthInquiry = ref<null | any>(null);
+const prescriptionList = ref([]);
+
+// 药品使用相关数据
+const drugUseNum = ref([]);
+const drugUseFrequency = ref([]);
+const drugUseType = ref([]);
+const drugUnit = ref([]);
+const drugTime = ref([]);
+const drugUseWay = ref([]);
+const myStoreList = ref([]);
+
+const myStoreId = ref(0);
+const activeCategory = ref(2);
+const diagnosis = ref('');
+const medicalAdvice = ref('');
+const treatmentPrice = ref(0);
+const ruleType = ref(1);
+const drugList = ref([]);
+
+// 计算商品总价
+const totalProductCost = computed(() => {
+  if (currentDrugs.value.length === 0) {
+    return 0;
+  }
+  // 如果是中药的时候，计算总价格
+  if (activeCategory.value === 1) {
+    return currentDrugs.value.reduce(
+      (sum, drug) => sum + drug.price * (drug.number || 1) * dosage.value,
+      0,
+    );
+  }
+  return currentDrugs.value.reduce(
+    (sum, drug) => sum + drug.price * (drug.select_number || 1),
+    0,
+  );
+});
+
+// 计算总价
+const totalCost = computed(() => {
+  return totalProductCost.value + processingFee.value;
+});
+
+const processRulePrice = ref(0);
+const calcMethod = ref(0);
+
+// 计算加工费
+const processingFee = computed(() => {
+  if (ruleType.value === 1) {
+    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3：单价*用量*数量
+  if (calcMethod.value === 3) {
+    const number = currentDrugs.value.reduce(
+      (sum, drug) => sum + drug.number,
+      0,
+    );
+    return processRulePrice.value * dosage.value * number;
+  }
+  return 0;
+});
+
+const visible = ref<boolean>(false);
+const previewImage = ref([]);
+
+// 说明书预览
+const setVisible = (value, instruction = ''): void => {
+  previewImage.value = [];
+  if (instruction == '') {
+    message.error('该产品没有说明书！');
+  } else {
+    if (typeof instruction === 'string') {
+      // 如果有逗号，则进行分割 没有则追加到previewImage
+      if (instruction.includes(',')) {
+        instruction = instruction.split(',');
+        previewImage.value = instruction;
+      } else {
+        previewImage.value.push(instruction);
+      }
+    }
+    visible.value = value;
+  }
+};
+
+// 数量增加
+const increment = (index: number) => {
+  currentDrugs.value[index].select_number++;
+  saveToLocalStorage();
+};
+
+// 数量减少
+const decrement = (index: number) => {
+  if (currentDrugs.value[index].select_number > 1) {
+    currentDrugs.value[index].select_number--;
+    saveToLocalStorage();
+  }
+};
+
+// 保存到本地存储
+const saveToLocalStorage = () => {
+  localStorage.setItem(
+    `prescriptionData-chat-${props.registerId}`,
+    JSON.stringify(currentDrugs.value),
+  );
+};
+
+// 删除药品（本地）
+const removeDrug = (index: number) => {
+  currentDrugs.value.splice(index, 1);
+  updateLocalStorage();
+};
+
+// 修改缓存的处方信息
+const updateLocalStorage = () => {
+  localStorage.setItem(
+    `prescriptionData-chat-${props.registerId}`,
+    JSON.stringify(currentDrugs.value),
+  );
+  getCurrentDrugs();
+};
+
+const currentDrugs = ref([]);
+const selectProductId = ref(0);
+
+// 获取缓存的处方信息
+const getCurrentDrugs = () => {
+  currentDrugs.value = JSON.parse(
+    localStorage.getItem(`prescriptionData-chat-${props.registerId}`) || '[]',
+  );
+};
+
+const doctorSecondSign = ref(0);
+const checkData = ref([]);
+
+// 检查中药的相冲
+const checkChineseMedicineConflict = () => {
+  if (activeCategory.value === 2) {
+    sendPrescription();
+    return;
+  }
+  notification.info({
+    message: '正在检查药物相冲',
+    duration: 1,
+    description: '正在检查药物相冲，请稍等...',
+  });
+  const names = currentDrugs.value.map((item) => item.drug_name);
+  checkChineseMedicineConflictApi({names: names}).then((res) => {
+    if (res.is_exist === true) {
+      checkData.value.message = res.message;
+      doctorSecondSignModal.value = true;
+    } else {
+      notification.success({
+        message: '检查成功',
+        duration: 3,
+        description: '暂无相冲药品',
+      });
+      sendPrescription();
+    }
+  });
+  return;
+};
+
+// 发送处方
+const sendPrescription = () => {
+  if (currentDrugs.value.length === 0) {
+    message.error('请选择药品');
+    return;
+  }
+  if (activeCategory.value === 1) {
+    if (ruleType.value === 1) {
+      if (packageMethodId.value == null) {
+        message.error('请选择包法');
+        return;
+      }
+    } else {
+      if (processRuleId.value == null) {
+        message.error('请选择制剂');
+        return;
+      }
+      if (processRuleNoteId.value == null) {
+        message.error('请选择规格');
+        return;
+      }
+      if (childProcessRuleId.value == null) {
+        message.error('请选择备注');
+      }
+    }
+  }
+  if (diagnosis.value === '') {
+    message.error('诊断结果不能为空');
+    return;
+  }
+  if (medicalAdvice.value === '') {
+    message.error('医嘱不能为空');
+    return;
+  }
+
+  // 发送处方逻辑
+  addWestPrescription({
+    // 当前活动患者的个人信息
+    patient: patientInfo.value,
+    // 当前处方中的药品列表
+    drugs: currentDrugs.value,
+    // 诊断信息
+    diagnosis: diagnosis.value,
+    // 医嘱信息
+    medicalAdvice: medicalAdvice.value,
+    // 总费用
+    total: totalCost.value,
+    // 费用类别
+    category: category.value,
+    // 药品类型
+    drug_type: 2, // 默认为处方类型
+    // 从props获取的挂号ID
+    register_id: props.registerId,
+    // 治疗费用
+    treatment_price: treatmentPrice.value,
+    // 包装方式ID
+    package_method_id: packageMethodId.value,
+    // 加工规则ID
+    process_rule_id: processRuleId.value,
+    // 加工规则备注ID
+    process_rule_note_id: processRuleNoteId.value,
+    // 子加工规则ID
+    child_process_rule_id: childProcessRuleId.value,
+    // 加工规则类型
+    process_rule_type: ruleType.value,
+    // 处方类型
+    prescription_type: activeCategory.value,
+    // 加工费
+    processing_fee: processRulePrice.value,
+    // 用药剂量
+    dosage: dosage.value,
+    // 每日用药次数
+    day_dosage: dayDosage.value,
+    // 是否二次签名
+    doctor_second_sign: doctorSecondSign.value,
+  }).then(() => {
+    message.success('处方已发送');
+    // 清空当前数据
+    currentDrugs.value = [];
+    diagnosis.value = '';
+    medicalAdvice.value = '';
+    packageMethodId.value = 2;
+    processRulePrice.value = 0;
+    dosage.value = 7;
+    dayDosage.value = 2;
+    newDrugInfo.value = {};
+    updateLocalStorage();
+    emit('prescriptionSent');
+  });
+};
+
+// 药品分类
+const categories = [
+  {label: '中药', value: 1},
+  {label: '中成(西)药', value: 2},
+];
+
+const category = ref(1);
+
+// 基础配置
+const processRuleList = ref([]);
+// 子配置
+const childProcessRuleList = ref([]);
+// 规格
+const processRuleNoteList = ref([]);
+const processRuleId = ref();
+const processRuleNoteId = ref();
+const childProcessRuleId = ref();
+
+function getProcessRuleListByDoctor(pid = 0, ruleId = 0) {
+  let data = {};
+  data =
+    ruleId === 0
+      ? {
+        pid,
+      }
+      : {
+        rule_id: ruleId,
+      };
+  getProcessRuleList(data).then((value) => {
+    if (ruleId !== 0) {
+      processRuleNoteList.value = value;
+    } else if (pid === 0) {
+      processRuleList.value = value;
+    } else {
+      childProcessRuleList.value = value;
+    }
+  });
+}
+
+// 选择煎法
+function selectProcessRule(id) {
+  processRuleId.value = id;
+  getProcessRuleListByDoctor(id);
+}
+
+// 选择规格
+function selectProcessRuleNot(id) {
+  childProcessRuleId.value = id;
+  getProcessRuleListByDoctor(0, id);
+}
+
+// 选择备注
+function selectProcessRuleNotCommit(id) {
+  processRuleNoteId.value = id;
+}
+
+const packageMethodId = ref(2);
+const packageMethod = [
+  {label: '味包', value: 1},
+  {label: '剂包', value: 2},
+];
+
+function selectPackageMethod(id) {
+  packageMethodId.value = id;
+}
+
+// 剂量
+const dosage = ref(7);
+const dayDosage = ref(2);
+
+function updateChineseNumber() {
+  updateLocalStorage();
+}
+
+// 新药品确认弹窗
+const showNewDrugModal = ref(false);
+// 二次签名确认弹窗
+const doctorSecondSignModal = ref(false);
+
+// 在新的药品数量框失去焦点后弹出新药品弹窗
+function newDrugBlur() {
+  if (newDrugInfo.value.id > 0 && newDrugInfo.value.number > 0) {
+    showNewDrugModal.value = true;
+  }
+}
+
+function newDrugModalOk() {
+  addDrugByChinese();
+  showNewDrugModal.value = false;
+}
+
+function doctorSecondSignModalOk() {
+  doctorSecondSign.value = 1;
+  doctorSecondSignModal.value = false;
+  sendPrescription();
+}
+
+function updateChineseNumberGoNewDrug(event: KeyboardEvent) {
+  if (event.key === 'Enter') {
+    updateLocalStorage();
+    setTimeout(() => {
+      // 获取新药品卡片中的克数输入框并聚焦
+      const newDrugNumberInput = document.querySelector(
+        '.new-select-drug-name input',
+      );
+      if (newDrugNumberInput) {
+        (newDrugNumberInput as HTMLElement).focus();
+      }
+    }, 100);
+  }
+}
+
+// 获取药品列表
+const getDrugListByWesternModal = debounce(async (searchText = '') => {
+  if (searchText === '' && activeCategory.value === 1) {
+    drugList.value = [];
+    return;
+  }
+
+  getCurrentDrugs();
+
+  try {
+    const res = await getProductListDoctorReception({
+      store_id: myStoreId.value,
+      type: activeCategory.value,
+      name: searchText,
+    });
+
+    drugList.value = res.map((item) => {
+      const matched = currentDrugs.value.find((v) => v.index_id === item.id);
+      return {
+        ...item,
+        select_number: matched?.select_number || 0,
+        drug: {
+          ...item.drug,
+          number: matched?.number || 1,
+        },
+      };
+    });
+  } catch (error) {
+    console.error('获取药品列表失败:', error);
+    message.error('获取药品列表失败');
+  }
+}, 300);
+
+// 选择药品
+function selectNewDrugInfo() {
+  // 如果是新药品输入框，调用添加新药品方法
+  const check = currentDrugs.value.find((v) => v.id === newDrugInfo.value.id);
+  if (check) {
+    newDrugInfo.value.id = '';
+    message.error('该药品已经在处方中了！');
+    return;
+  }
+
+  const data = drugList.value.find((v) => v.drug_id === newDrugInfo.value.id);
+  newDrugInfo.value.price = data.price;
+  newDrugInfo.value.name = data.drug.drug_name;
+  setTimeout(() => {
+    // 获取新药品卡片中的克数输入框并聚焦
+    const newDrugNumberInput = document.querySelector(
+      '.new-number-input input',
+    );
+    if (newDrugNumberInput) {
+      (newDrugNumberInput as HTMLElement).focus();
+    }
+  }, 100);
+}
+
+const selectChineseIndex = ref(-1);
+const selectChineseId = ref(0);
+
+// 选择药品
+function selectOldDrugInfo(id) {
+  const check = JSON.parse(
+    localStorage.getItem(`prescriptionData-chat-${props.registerId}`) || '[]',
+  ).find((v) => v.id === id);
+  if (check) {
+    currentDrugs.value[selectChineseIndex.value].id = selectChineseId.value;
+    drugList.value = [];
+    message.error('该药品已经在处方中了！');
+    return;
+  }
+  const oldDrugInfo = currentDrugs.value[selectChineseIndex.value];
+  // 如果是新药品输入框，调用添加新药品方法
+  const data = drugList.value.find((v) => v.drug_id === id);
+
+  // 创建新的商品对象（避免直接修改原始数据）
+  const newProduct = {
+    // 索引ID（用于在列表中查找）
+    index_id: data.id,
+    // 药品ID
+    id: data.drug.id,
+    // 药品名称
+    drug_name: data.drug.drug_name,
+    // 药品数量
+    number: data.drug.number,
+    // 药品使用数量信息
+    use_num: drugTime.value.find((item) => item.id === data.drug.time_id),
+    // 药品使用类型信息
+    use_type: drugUseType.value.find((item) => item.id === data.drug.type_id),
+    // 药品使用频率信息
+    use_frequency: drugUseFrequency.value.find(
+      (item) => item.id === data.drug.frequency_id,
+    ),
+    // 药品单位信息
+    unit: drugUnit.value.find((item) => item.id === data.drug.unit_id),
+    // 药品价格
+    price: data.price,
+    // 药品使用方式ID
+    way_id: data.drug?.way_id,
+    // 药品使用方式信息
+    use_ways: drugUseWay.value.find((item) => item.id === data.drug.way_id),
+    // 药品使用时间ID
+    time_id: data.drug.time_id,
+    // 药品类型ID
+    type_id: data.drug.type_id,
+    // 药品使用频率ID
+    frequency_id: data.drug.frequency_id,
+    // 药品单位ID
+    unit_id: data.drug.unit_id,
+    // 药品图片
+    image: data.drug.image,
+    // 药品说明书
+    instruction: data.drug.instruction,
+    // 药品类型
+    type: data.drug.type,
+  };
+  currentDrugs.value[selectChineseIndex.value] = newProduct;
+  updateLocalStorage();
+  setTimeout(() => {
+    // 获取新药品卡片中的克数输入框并聚焦
+    const newDrugNumberInput = document.querySelector(
+      `.old-number-input-${selectChineseIndex.value} input`,
+    );
+    if (newDrugNumberInput) {
+      (newDrugNumberInput as HTMLElement).focus();
+    }
+  }, 100);
+}
+
+// 写入当前修改的下标
+function setSelectChineseIndex(index, id) {
+  selectChineseIndex.value = index;
+  selectChineseId.value = id;
+}
+
+// 查询中药列表
+function searchOption(inputValue) {
+  getDrugListByWesternModal(inputValue);
+}
+
+// 添加中药
+function addDrugByChinese() {
+  // 如果是新药品输入框，调用添加新药品方法
+  const check = currentDrugs.value.find(
+    (v) => v.id === newDrugInfo.value.id,
+  );
+  if (check) {
+    message.error('该药品已经在处方中了！');
+    return;
+  }
+  const data = drugList.value.find(
+    (v) => v.drug_id === newDrugInfo.value.id,
+  );
+  if (data === null || data === undefined) {
+    message.error('请选择药品');
+    return;
+  }
+  data.drug.number = newDrugInfo.value.number;
+  data.drug.way_id = newDrugInfo.value.way_id;
+  addProducts(data);
+  newDrugInfo.value = {};
+}
+
+// 添加操作
+function selectDrugByNewDrugInfo(event: KeyboardEvent, isNewDrug: boolean) {
+  // 如果按下的是回车键
+  if (event.key === 'Enter') {
+    // 阻止默认行为（防止表单提交）
+    event.preventDefault();
+
+    if (isNewDrug) {
+      // 如果是新药品输入框，调用添加新药品方法
+      addDrugByChinese();
+    } else {
+      // 如果是已有药品输入框，调用更新数量方法
+      updateChineseNumber();
+    }
+    setTimeout(() => {
+      // 获取新药品卡片中的克数输入框并聚焦
+      const newDrugNumberInput = document.querySelector(
+        '.new-select-drug-name input',
+      );
+      if (newDrugNumberInput) {
+        (newDrugNumberInput as HTMLElement).focus();
+      }
+    }, 100);
+  }
+}
+
+// 添加商品到处方
+function addProducts(data) {
+  // 查找是否已存在于选择列表中
+  const existItem = currentDrugs.value.find(
+    (item) => item.index_id === data.id,
+  );
+
+  if (existItem) {
+    message.warn('已经存在了');
+    return;
+  }
+  // 创建新的商品对象（避免直接修改原始数据）
+  const newProduct = {
+    // 索引ID（用于在列表中查找）
+    index_id: data.id,
+    // 药品ID
+    id: data.drug.id,
+    // 药品名称
+    drug_name: data.drug.drug_name,
+    // 药品数量
+    number: data.drug.number,
+    // 药品使用数量信息
+    use_num: drugTime.value.find((item) => item.id === data.drug.time_id),
+    // 药品使用类型信息
+    use_type: drugUseType.value.find((item) => item.id === data.drug.type_id),
+    // 药品使用频率信息
+    use_frequency: drugUseFrequency.value.find(
+      (item) => item.id === data.drug.frequency_id,
+    ),
+    // 药品单位信息
+    unit: drugUnit.value.find((item) => item.id === data.drug.unit_id),
+    // 药品价格
+    price: data.price,
+    // 药品使用方式ID
+    way_id: data.drug?.way_id,
+    // 药品使用方式信息
+    use_ways: drugUseWay.value.find((item) => item.id === data.drug.way_id),
+    // 药品使用时间ID
+    time_id: data.drug.time_id,
+    // 药品类型ID
+    type_id: data.drug.type_id,
+    // 药品使用频率ID
+    frequency_id: data.drug.frequency_id,
+    // 药品单位ID
+    unit_id: data.drug.unit_id,
+    // 药品图片
+    image: data.drug.image,
+    // 药品说明书
+    instruction: data.drug.instruction,
+    // 药品类型
+    type: data.drug.type,
+  };
+
+  // 首次添加，初始化数量为1
+  newProduct.select_number = 1;
+
+  // 添加到选中列表
+  currentDrugs.value.push(newProduct);
+
+  // 更新本地存储
+  updateLocalStorage();
+
+  // 提示成功
+  message.success(`已将${newProduct.drug_name}添加到清单中！`);
+}
+
+const newDrugInfo = ref({});
+
+function selectProductChange(id) {
+  selectProductId.value = id;
+}
+
+// 选择中药用法
+function selectDrugUseWayChange(id) {
+  currentDrugs.value = currentDrugs.value.map((item) =>
+    // 修改item下面drug的 frequency_id = id
+    item.index_id === selectProductId.value
+      ? {
+        ...item,
+        way_id: id,
+        use_ways: drugUseWay.value.find((value) => value.id === id),
+      }
+      : item,
+  );
+  updateLocalStorage();
+}
+
+// 切换tab
+function tabChange(id) {
+  localStorage.setItem(`activeCategory-chat-${props.registerId}`, id);
+  currentDrugs.value = [];
+  updateLocalStorage();
+  activeCategory.value = id;
+}
+
+// 根据创制string来把字符串的逗号分开变成数组
+function splitString(str: string) {
+  if (!str) {
+    return [];
+  }
+  return str.split(',');
+}
+
+// 获取我的诊所列表
+function getMyStoreList() {
+  getMyStoreListApi().then((res) => {
+    myStoreList.value = res;
+    if (res.length > 0) {
+      myStoreId.value = res[0].id;
+    }
+  });
+}
+
+// 获取药品使用方式列表
+function getDrugUseListByWesternModal() {
+  getDrugUseList().then((res) => {
+    // 更新各种药品使用相关数据
+    drugUseNum.value = res.drug_use_num;
+    drugUseFrequency.value = res.drug_use_frequency;
+    drugUseType.value = res.drug_use_type;
+    drugUnit.value = res.drug_unit;
+    drugTime.value = res.drug_time;
+    drugUseWay.value = res.drug_use_way;
+  });
+}
+
+// 获取患者信息
+async function getPatientInfo() {
+  try {
+    const res = await getPatientItem(props.registerId);
+    patientInfo.value = res;
+    userPatientHealthInquiry.value = res.user_patient_health_inquiry;
+    prescriptionList.value = res.prescription;
+  } catch (error) {
+    console.error('获取患者信息失败:', error);
+  }
+}
+
+// 监听 visible prop 变化
+watch(() => props.visible, (newVal) => {
+  visible.value = newVal;
+});
+
+onMounted(() => {
+  getMyStoreList();
+  getDrugUseListByWesternModal();
+  getProcessRuleListByDoctor();
+  getPatientInfo();
+  getCurrentDrugs();
+});
+</script>
+
+<template>
+  <Modal
+    :open="visible"
+    :width="1200"
+    title="开方模块"
+    @cancel="emit('update:visible', false)"
+    @ok="sendPrescription"
+  >
+  </Modal>
+</template>
+
+<style scoped>
+</style>
\ No newline at end of file
diff --git a/Users/lingma/workspace/xk-admin/apps/web-antd/src/views/business/chat/components/PrescriptionModule.vue b/Users/lingma/workspace/xk-admin/apps/web-antd/src/views/business/chat/components/PrescriptionModule.vue
new file mode 100644
index 00000000..4fa515d4
--- /dev/null
+++ b/Users/lingma/workspace/xk-admin/apps/web-antd/src/views/business/chat/components/PrescriptionModule.vue
@@ -0,0 +1,724 @@
+<script setup lang="ts">
+</script>
+
+<template>
+  <div class="prescription-module">
+    <div style="width: 0; height: 0; overflow: hidden">
+      <ImagePreviewGroup
+        :preview="{
+          visible,
+          onVisibleChange: setVisible,
+        }"
+        :style="{ display: 'none' }"
+      >
+        <Image
+          v-for="image in previewImage"
+          v-if="visible === true"
+          :src="image"
+          :width="200"
+        />
+      </ImagePreviewGroup>
+    </div>
+
+    <!-- 患者信息 -->
+    <Descriptions
+      v-if="patientInfo"
+      :column="{ xxl: 2, xl: 2, lg: 2, md: 2, sm: 2, xs: 2 }"
+      bordered
+      title="患者信息"
+      class="mb-5"
+    >
+      <Descriptions.Item label="患者姓名">
+        {{ patientInfo.user_patient?.name }}
+      </Descriptions.Item>
+      <Descriptions.Item label="患者年龄">
+        {{ patientInfo.user_patient?.age }}
+      </Descriptions.Item>
+      <Descriptions.Item label="患者性别">
+        {{
+          patientInfo.user_patient?.sex === 1
+            ? '男'
+            : patientInfo.user_patient?.sex === 2
+              ? '女'
+              : '未填写'
+        }}
+      </Descriptions.Item>
+    </Descriptions>
+
+    <Descriptions
+      v-if="userPatientHealthInquiry"
+      :column="{ xxl: 2, xl: 2, lg: 2, md: 2, sm: 2, xs: 2 }"
+      bordered
+      class="mt-5 mb-5"
+      title="健康信息"
+    >
+      <Descriptions.Item label="肝功能">
+        <span>{{
+            userPatientHealthInquiry.liver_function === 0 ? '正常' : '异常'
+          }}</span>
+        <p
+          v-if="userPatientHealthInquiry.liver_function === 1"
+          class="mt-3"
+        >
+          <Tag
+            v-for="item in splitString(
+              userPatientHealthInquiry.liver_index,
+            )"
+            color="#455cda"
+          >
+            {{ item }}
+          </Tag>
+        </p>
+      </Descriptions.Item>
+      <Descriptions.Item label="肾功能">
+        <span>{{
+            userPatientHealthInquiry.renal_function === 0 ? '正常' : '异常'
+          }}</span>
+        <p
+          v-if="userPatientHealthInquiry.renal_function === 1"
+          class="mt-3"
+        >
+          <Tag
+            v-for="item in splitString(
+              userPatientHealthInquiry.renal_index,
+            )"
+            color="#455cda"
+          >
+            {{ item }}
+          </Tag>
+        </p>
+      </Descriptions.Item>
+      <Descriptions.Item label="既往史">
+        <span>{{
+            userPatientHealthInquiry.person_status === 0 ? '无' : '有'
+          }}</span>
+        <p v-if="userPatientHealthInquiry.person_status === 1" class="mt-3">
+          <Tag
+            v-for="item in splitString(
+              userPatientHealthInquiry.person_history,
+            )"
+            color="#455cda"
+          >
+            {{ item }}
+          </Tag>
+        </p>
+      </Descriptions.Item>
+      <Descriptions.Item label="过敏史">
+        <span>{{
+            userPatientHealthInquiry.allergic_status === 0 ? '无' : '有'
+          }}</span>
+        <p
+          v-if="userPatientHealthInquiry.allergic_status === 1"
+          class="mt-3"
+        >
+          <Tag
+            v-for="item in splitString(
+              userPatientHealthInquiry.allergic_history,
+            )"
+            color="#455cda"
+          >
+            {{ item }}
+          </Tag>
+        </p>
+      </Descriptions.Item>
+      <Descriptions.Item label="家庭遗传史">
+        <span>{{
+            userPatientHealthInquiry.family_status === 0 ? '无' : '有'
+          }}</span>
+        <p v-if="userPatientHealthInquiry.family_status === 1" class="mt-3">
+          <Tag
+            v-for="item in splitString(
+              userPatientHealthInquiry.family_history,
+            )"
+            color="#455cda"
+          >
+            {{ item }}
+          </Tag>
+        </p>
+      </Descriptions.Item>
+    </Descriptions>
+
+    <Descriptions
+      :column="{ xxl: 1, xl: 1, lg: 1, md: 1, sm: 1, xs: 1 }"
+      class="mt-5 mb-5"
+      title="处方记录"
+    >
+      <Descriptions.Item>
+        <Timeline>
+          <TimelineItem v-for="item in prescriptionList" :key="item.id">
+            <Tag color="#455cda">{{ item.prescription_no }}</Tag>
+            <span class="time-line-item-created">{{
+                item.created_at
+              }}</span>
+            <Tag class="ml-5" :color="item.category === 1? '' : '#455cda'">
+              {{ item.prescription_type === 1 ? '中药处方' : item.prescription_type === 5 ? '产品服务包' : '西药处方' }} /
+              {{ item.category === 1 ? '自费' : '医保' }}
+            </Tag>
+
+            <Tag v-if="item.status === 0" color="warning">待审核</Tag>
+            <Tag v-else-if="item.status === 1" color="success">已通过</Tag>
+            <Tag v-else-if="item.status === 2" color="error">未通过</Tag>
+            <Tag v-else-if="item.status === 3" color="#455cda">无需审核</Tag>
+            <Tag v-else-if="item.status === 4" color="#455cda">无需审核</Tag>
+            <Tag color="#455cda">处方ID：{{ item.id }}</Tag>
+          </TimelineItem>
+        </Timeline>
+      </Descriptions.Item>
+    </Descriptions>
+
+    <!-- 药品分类导航 -->
+    <div class="drug-categories">
+      <button
+        v-for="categoryItem in categories"
+        :key="categoryItem.value"
+        :class="{ active: activeCategory === categoryItem.value }"
+        @click="tabChange(categoryItem.value)"
+      >
+        {{ categoryItem.label }}
+      </button>
+    </div>
+
+    <div class="mt-5">
+      <RadioGroup
+        v-model:value="category"
+      >
+        <RadioButton :value="1">自费</RadioButton>
+        <RadioButton :value="2">医保</RadioButton>
+      </RadioGroup>
+    </div>
+
+    <!-- 已选药品列表 -->
+    <!-- 中药 -->
+    <div v-if="activeCategory === 1" class="mb-5 mt-3 flex" style="flex-wrap: wrap; width: 100%;">
+      <Row :gutter="[16, 16]">
+        <Col
+          v-for="(drug, index) in currentDrugs"
+          :key="drug.id"
+          :lg="12"
+          :md="24"
+          :sm="24"
+          :xl="12"
+          :xs="24"
+          :xxl="8"
+        >
+          <Card class="mt-0 prescription-card" title="">
+            <div>
+              <span class="card-index">{{ index + 1 }}、</span>
+              <p>
+                <Select
+                  v-model:value="drug.id"
+                  :filter-option="false"
+                  class="old-select-drug-name"
+                  style="min-width: 100px"
+                  placeholder="药名"
+                  show-search
+                  @change="selectOldDrugInfo"
+                  @dropdown-visible-change="
+                    setSelectChineseIndex(index, drug.id)
+                  "
+                  @search="searchOption"
+                >
+                  <SelectOption v-if="drugList.length === 0" :value="drug.id">
+                    {{ drug.drug_name }}
+                  </SelectOption>
+                  <SelectOption
+                    v-for="(value, index) in drugList"
+                    v-else
+                    :key="index"
+                    :value="value.drug.id"
+                  >
+                    {{ value.drug.drug_name }}
+                  </SelectOption>
+                </Select>
+                ,
+                <InputNumber
+                  v-model:value="drug.number"
+                  :class="`w-1/5 old-number-input-${index}`"
+                  style="min-width: 100px"
+                  :controls="false"
+                  @blur="updateChineseNumber"
+                  @keydown="updateChineseNumberGoNewDrug($event)"
+                >
+                  <template #addonAfter> g</template>
+                </InputNumber>
+                ,
+                <span>
+                  <Select
+                    :value="drug?.way_id"
+                    placeholder="用法"
+                    @change="selectDrugUseWayChange"
+                    @dropdown-visible-change="
+                      selectProductChange(drug.index_id)
+                    "
+                  >
+                    <SelectOption :value="0">煎服</SelectOption>
+                    <SelectOption
+                      v-for="(value, index) in drugUseWay"
+                      :key="index"
+                      :value="value.id"
+                    >
+                      {{ value.name }}
+                    </SelectOption>
+                  </Select>
+                </span>
+                <p class="card-price">
+                  ￥<span>{{ (drug.price * drug.number).toFixed(2) }}</span>
+                </p>
+                <Button
+                  class="card-delete"
+                  type="link"
+                  @click="removeDrug(index)"
+                >
+                  <DeleteTwoTone/>
+                </Button>
+              </p>
+            </div>
+          </Card>
+        </Col>
+        <Col
+          :lg="12"
+          :md="24"
+          :sm="24"
+          :xl="12"
+          :xs="24"
+          :xxl="8"
+        >
+          <Card class="prescription-card" title="">
+            <div>
+              <span class="card-index">{{ currentDrugs.length + 1 }}、</span>
+              <div>
+                <Select
+                  v-model:value="newDrugInfo.id"
+                  :filter-option="false"
+                  class="new-select-drug-name w-1/5"
+                  style="min-width: 100px"
+                  placeholder="药名"
+                  show-search
+                  @change="selectNewDrugInfo"
+                  @search="searchOption"
+                >
+                  <SelectOption
+                    v-for="(value, index) in drugList"
+                    :key="index"
+                    :value="value.drug_id"
+                  >
+                    {{ value.drug.drug_name }}
+                  </SelectOption>
+                </Select>
+                ,
+                <InputNumber
+                  v-model:value="newDrugInfo.number"
+                  class="new-number-input w-1/5"
+                  style="min-width: 100px"
+                  @blur="newDrugBlur"
+                  @keydown="selectDrugByNewDrugInfo($event, true)"
+                >
+                  <template #addonAfter> g</template>
+                </InputNumber>
+                ,
+                <span>
+                  <Select
+                    v-model:value="newDrugInfo.way_id"
+                    placeholder="用法"
+                    @keydown="selectDrugByNewDrugInfo($event, true)"
+                  >
+                    <SelectOption :value="0">煎服</SelectOption>
+                    <SelectOption
+                      v-for="(value, index) in drugUseWay"
+                      :key="index"
+                      :value="value.id"
+                    >
+                      {{ value.name }}
+                    </SelectOption>
+                  </Select>
+                </span>
+                <p class="card-price">
+                  ￥<span>{{
+                    (
+                      (newDrugInfo.price || 0) * (newDrugInfo.number || 1)
+                    ).toFixed(2)
+                  }}元</span>
+                </p>
+              </div>
+            </div>
+          </Card>
+        </Col>
+      </Row>
+    </div>
+
+    <!-- 西（中成）药列表 -->
+    <div v-else class="selected-drugs">
+      <div class="drug-table">
+        <div class="table-header">
+          <span v-if="activeCategory !== 1">商品图片</span>
+          <span>商品名称</span>
+          <span>数量</span>
+          <span>单价</span>
+          <span>操作</span>
+        </div>
+        <div class="table-body">
+          <div
+            v-for="(drug, index) in currentDrugs"
+            :key="drug.id"
+            class="table-row"
+          >
+            <div
+              v-if="activeCategory !== 1"
+              style="width: 120px; margin: 0 auto"
+            >
+              <Image :src="drug.image"/>
+            </div>
+            <div>
+              <p>
+                <span>药品名称：{{ drug.drug_name }}</span>
+              </p>
+              <p>
+                <span>用法：{{
+                    `${drug.use_type?.name}，${drug.use_frequency?.name}，${drug.use_num?.name}，每次${drug.number}${drug.unit?.name}`
+                  }}</span>
+              </p>
+            </div>
+            <div>
+              <div v-if="activeCategory === 1" class="quantity-control">
+                <InputNumber
+                  v-model:value="drug.select_number"
+                  class="w-full"
+                  @blur="updateChineseNumber"
+                >
+                  <template #addonAfter> g</template>
+                </InputNumber>
+              </div>
+              <div v-else class="quantity-control">
+                <Button type="primary" @click="decrement(index)">-</Button>
+                <span style="margin: 0 20px">{{ drug.select_number }}</span>
+                <Button type="primary" @click="increment(index)">+</Button>
+              </div>
+            </div>
+            <span>{{ drug.price }}</span>
+            <div>
+              <Button type="link" @click="removeDrug(index)">删除</Button>
+              <Button
+                v-if="drug.instruction !== ''"
+                type="link"
+                @click="setVisible(true, drug.instruction)"
+              >
+                查看说明书
+              </Button>
+            </div>
+          </div>
+        </div>
+      </div>
+    </div>
+
+    <!-- 诊断和医嘱 -->
+    <div class="diagnosis-area">
+      <div v-if="activeCategory === 1" class="mb-5">
+        <RadioGroup v-model:value="ruleType">
+          <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"
+            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"
+            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"
+            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"
+            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" class="w-1/5">
+            <template #addonBefore>
+              <MinusOutlined
+                key="prop"
+                @click="dosage = dosage > 1 ? dosage - 1 : 1"
+              />
+            </template>
+            <template #addonAfter>
+              <PlusOutlined
+                key="add"
+                @click="dosage = dosage < 100 ? dosage + 1 : 100"
+              />
+            </template>
+          </InputNumber>
+          天 / {{ dosage }} 剂
+        </div>
+        <div class="mt-5">
+          频次：
+          <InputNumber v-model:value="dayDosage" class="w-1/5">
+            <template #addonBefore>
+              <MinusOutlined
+                key="prop"
+                @click="dayDosage = dayDosage > 1 ? dayDosage - 1 : 1"
+              />
+            </template>
+            <template #addonAfter>
+              <PlusOutlined
+                key="add"
+                @click="dayDosage = dayDosage < 100 ? dayDosage + 1 : 100"
+              />
+            </template>
+          </InputNumber>
+          次/天
+        </div>
+      </div>
+
+      <Textarea v-model:value="diagnosis" placeholder="输入诊断结果..." class="mb-3"/>
+      <Textarea v-model:value="medicalAdvice" placeholder="输入医嘱..." class="mb-3"/>
+
+      诊疗费用：
+      <InputNumber
+        v-model:value="treatmentPrice"
+        placeholder="请输入诊疗价格"
+        class="mb-3"
+      >
+        <template #addonAfter> /元</template>
+      </InputNumber>
+    </div>
+
+    <!-- 费用总计 -->
+    <div class="price-box">
+      <div class="total-cost">加工费：¥{{ processingFee.toFixed(2) }}</div>
+      <div class="total-cost">
+        商品价格：¥{{ totalProductCost.toFixed(2) }}
+      </div>
+      <div class="total-cost">总计：¥{{ totalCost.toFixed(2) }}</div>
+
+      <Button class="mt-5 w-full" style="display: block" type="primary" @click="checkChineseMedicineConflict">
+        发送处方
+      </Button>
+    </div>
+
+    <Modal v-model:open="showNewDrugModal" @ok="newDrugModalOk">
+      要把【{{ newDrugInfo.name }}】添加到清单吗？
+    </Modal>
+    <Modal title="二次签名" v-model:open="doctorSecondSignModal" @ok="doctorSecondSignModalOk">
+      <div class="doctor-second-sign-title">有毒：</div>
+      <p v-for="item in checkData.message?.poisonous || []">【{{ item }}】</p>
+      <div class="doctor-second-sign-title">十八反：</div>
+      <p v-for="item in checkData.message?.opposition || []">【{{ item }}】</p>
+      <div class="doctor-second-sign-title">十九畏：</div>
+      <p v-for="item in checkData.message?.conflict || []">【{{ item }}】</p>
+      <p class="mt-5" style="color: red;">如需继续开方需要二次签名，确认要二次签名吗？</p>
+    </Modal>
+  </div>
+</template>
+
+<style scoped>
+.doctor-second-sign-title {
+  font-size: 16px;
+  margin: 10px 0;
+  font-weight: bold;
+  border-left: 5px solid rgb(55, 71, 162);
+  padding-left: 10px;
+}
+
+.card-index {
+  font-size: 20px;
+  font-weight: bold;
+  position: absolute;
+  left: 10px;
+  top: 0;
+}
+
+.card-price {
+  position: absolute;
+  bottom: 10px;
+  right: 8px;
+  color: red;
+}
+
+.card-delete {
+  position: absolute;
+  top: 3px;
+  right: 0;
+}
+
+.prescription-card {
+  position: relative;
+  min-height: 120px;
+}
+
+.drug-categories {
+  display: flex;
+  gap: 1rem;
+  margin: 1rem 0;
+}
+
+.drug-categories button {
+  padding: 8px 16px;
+  border: 1px solid #ddd;
+  border-radius: 10px;
+  cursor: pointer;
+  background: transparent;
+  color: inherit;
+}
+
+.dark .drug-categories button {
+  border: 1px solid #333;
+}
+
+.drug-categories button.active {
+  color: #fff;
+  border-color: transparent;
+  animation: pulse 0.5s /*infinite*/;
+  animation-fill-mode: forwards;
+}
+
+@keyframes pulse {
+  0% {
+    transform: scale(1);
+  }
+  50% {
+    transform: scale(1.1);
+  }
+  100% {
+    background: #455cda;
+    transform: scale(1);
+  }
+}
+
+.selected-drugs {
+  margin: 1rem 0;
+  border: 1px solid #eee;
+  border-radius: 8px;
+}
+
+.dark .selected-drugs {
+  border: 1px solid #333;
+}
+
+.table-body {
+  max-height: 30vh;
+  overflow-y: auto;
+}
+
+.table-header {
+  display: grid;
+  grid-template-columns: 0.5fr 1fr 1fr 1fr 1fr;
+  padding: 12px;
+  font-weight: bold;
+  text-align: center;
+}
+
+.table-row {
+  display: grid;
+  grid-template-columns: 0.5fr 1fr 1fr 1fr 1fr;
+  padding: 12px;
+  border-bottom: 1px solid #eee;
+  text-align: center;
+  height: auto;
+  align-items: center;
+}
+
+.dark .table-row {
+  border-bottom: 1px solid #333;
+}
+
+.diagnosis-area textarea {
+  width: 100%;
+  height: 100px;
+  padding: 8px;
+  margin: 8px 0;
+  border: 1px solid #ddd;
+  border-radius: 4px;
+  background: transparent;
+  color: inherit;
+}
+
+.dark .diagnosis-area textarea {
+  border: 1px solid #333;
+}
+
+.price-box {
+  margin-top: 20px;
+}
+
+.total-cost {
+  text-align: right;
+  font-size: 1.2em;
+  font-weight: bold;
+  color: #f56c6c;
+  margin-top: 1rem;
+}
+
+.time-line-item-created {
+  color: #909399;
+  font-size: 0.8em;
+}
+
+/* 响应式设计 */
+@media (max-width: 768px) {
+  .drug-categories {
+    flex-wrap: wrap;
+  }
+
+  .table-header,
+  .table-row {
+    grid-template-columns: 1fr 1fr 1fr;
+  }
+
+  .table-header span:nth-child(4),
+  .table-header span:nth-child(5),
+  .table-row > span:nth-child(4),
+  .table-row > div:nth-child(5) {
+    display: none;
+  }
+}
+</style>
\ No newline at end of file
diff --git a/apps/web-antd/src/store/prescription.ts b/apps/web-antd/src/store/prescription.ts
new file mode 100644
index 00000000..eb1f7186
--- /dev/null
+++ b/apps/web-antd/src/store/prescription.ts
@@ -0,0 +1,802 @@
+import { computed, nextTick, ref } from 'vue';
+
+import { message, notification } from 'ant-design-vue';
+import { debounce } from 'lodash-es';
+import { defineStore } from 'pinia';
+
+import { useChatStore } from '#/views/business/chat/stores/chat';
+import { useUserStore } from '#/views/business/chat/stores/user';
+import { sendMessage } from '#/views/business/chat/utils/request';
+import {
+  addWestPrescription,
+  checkChineseMedicineConflictApi,
+  getDrugUseList,
+  getMyStoreListApi,
+  getPatientItem,
+  getProcessRuleList,
+  getProductListDoctorReception,
+} from '#/views/doctor/doctor-reception/api';
+
+export const usePrescriptionStore = defineStore('prescription', () => {
+  // 基础数据
+  const patientInfo = ref<any | null>(null);
+  const userPatientHealthInquiry = ref<any | null>(null);
+  const prescriptionList = ref([]);
+  const currentRegisterId = ref<number | string>('');
+  const activePatient = ref<any | null>(null);
+
+  const userStore = useUserStore();
+  const chatStore = useChatStore();
+
+  // 药品使用相关数据
+  const drugUseNum = ref([]);
+  const drugUseFrequency = ref([]);
+  const drugUseType = ref([]);
+  const drugUnit = ref([]);
+  const drugTime = ref([]);
+  const drugUseWay = ref([]);
+  const myStoreList = ref([]);
+
+  // 处方状态
+  const myStoreId = ref(0);
+  const activeCategory = ref(2);
+  const diagnosis = ref('');
+  const medicalAdvice = ref('');
+  const treatmentPrice = ref(0);
+  const ruleType = ref(1);
+  const drugList = ref([]);
+  const currentDrugs = ref([]);
+  const category = ref(1);
+  const selectProductId = ref(0);
+
+  // 中药相关配置
+  const processRuleList = ref([]);
+  const childProcessRuleList = ref([]);
+  const processRuleNoteList = ref([]);
+  const processRuleId = ref();
+  const processRuleNoteId = ref();
+  const childProcessRuleId = ref();
+  const packageMethodId = ref(2);
+  const dosage = ref(7);
+  const dayDosage = ref(2);
+
+  // 新药品相关
+  const newDrugInfo = ref<any>({});
+  const selectChineseIndex = ref(-1);
+  const selectChineseId = ref(0);
+
+  // 二次签名相关
+  const doctorSecondSign = ref(0);
+  const checkData = ref<any>({});
+
+  // 初始化状态标记
+  const isInitialized = ref(false);
+  const isPatientInfoLoaded = ref(false);
+
+  // 获取localStorage key
+  const getStorageKey = () =>
+    `prescriptionData-chat-${currentRegisterId.value}`;
+
+  // 计算属性
+  const totalProductCost = computed(() => {
+    if (currentDrugs.value.length === 0) {
+      return 0;
+    }
+    if (activeCategory.value === 1) {
+      return currentDrugs.value.reduce(
+        (sum, drug) => sum + drug.price * (drug.number || 1) * dosage.value,
+        0,
+      );
+    }
+    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;
+
+    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 totalCost = computed(() => {
+    return totalProductCost.value + processingFee.value;
+  });
+
+  // localStorage同步方法
+  const syncToLocalStorage = () => {
+    try {
+      const storageKey = getStorageKey();
+      localStorage.setItem(storageKey, JSON.stringify(currentDrugs.value));
+      console.log('已同步到localStorage:', storageKey, currentDrugs.value);
+    } catch (error) {
+      console.error('保存到localStorage失败:', error);
+    }
+  };
+
+  const loadFromLocalStorage = () => {
+    try {
+      const storageKey = getStorageKey();
+      const stored = localStorage.getItem(storageKey);
+      console.log('从localStorage加载:', storageKey, stored);
+
+      if (stored) {
+        const parsedData = JSON.parse(stored);
+        currentDrugs.value.splice(0, currentDrugs.value.length, ...parsedData);
+      } else {
+        currentDrugs.value.splice(0, currentDrugs.value.length);
+      }
+    } catch (error) {
+      console.error('从localStorage加载失败:', error);
+      currentDrugs.value.splice(0, currentDrugs.value.length);
+    }
+  };
+
+  // 更新currentDrugs并同步到localStorage
+  const updateCurrentDrugs = (newDrugs: any[]) => {
+    currentDrugs.value.splice(0, currentDrugs.value.length, ...newDrugs);
+    // 更新总价
+    syncToLocalStorage();
+  };
+
+  // 基础数据初始化（不包含患者信息）
+  const initializeBasicData = async () => {
+    if (isInitialized.value) {
+      console.log('基础数据已初始化，跳过重复请求');
+      return;
+    }
+
+    try {
+      await Promise.all([
+        getMyStoreList(),
+        getDrugUseListData(),
+        getProcessRuleListData(),
+      ]);
+      isInitialized.value = true;
+      console.log('基础数据初始化完成');
+    } catch (error) {
+      console.error('基础数据初始化失败:', error);
+    }
+  };
+
+  // 完整初始化（包含患者信息，仅用于 PrescriptionModal）
+  const initializePrescription = async (registerId: number | string) => {
+    console.log('初始化处方，registerId:', registerId);
+
+    // 设置当前注册ID
+    currentRegisterId.value = registerId;
+
+    // 加载localStorage数据
+    loadFromLocalStorage();
+
+    // 如果基础数据未初始化，先初始化基础数据
+    if (!isInitialized.value) {
+      await initializeBasicData();
+    }
+
+    // 获取患者信息（只在 PrescriptionModal 中调用）
+    if (
+      !isPatientInfoLoaded.value ||
+      patientInfo.value?.register_id !== registerId
+    ) {
+      await getPatientInfo();
+      isPatientInfoLoaded.value = true;
+    }
+  };
+
+  // 轻量级初始化（仅用于 WesternModal 等子组件）
+  const initializeForModal = async (registerId: number | string) => {
+    console.log('轻量级初始化，registerId:', registerId);
+
+    // 设置当前注册ID
+    currentRegisterId.value = registerId;
+
+    // 加载localStorage数据
+    loadFromLocalStorage();
+
+    // 如果基础数据未初始化，先初始化基础数据
+    if (!isInitialized.value) {
+      await initializeBasicData();
+    }
+  };
+
+  const getMyStoreList = async () => {
+    try {
+      const res = await getMyStoreListApi();
+      myStoreList.value = res;
+      if (res.length > 0) {
+        myStoreId.value = res[0].id;
+      }
+      console.log('获取诊所列表成功');
+    } catch (error) {
+      console.error('获取诊所列表失败:', error);
+    }
+  };
+
+  const getDrugUseListData = async () => {
+    try {
+      const res = await getDrugUseList();
+      drugUseNum.value = res.drug_use_num;
+      drugUseFrequency.value = res.drug_use_frequency;
+      drugUseType.value = res.drug_use_type;
+      drugUnit.value = res.drug_unit;
+      drugTime.value = res.drug_time;
+      drugUseWay.value = res.drug_use_way;
+      console.log('获取药品使用列表成功');
+    } catch (error) {
+      console.error('获取药品使用列表失败:', error);
+    }
+  };
+
+  const getProcessRuleListData = async (pid = 0, ruleId = 0) => {
+    try {
+      const data = ruleId === 0 ? { pid } : { rule_id: ruleId };
+      const res = await getProcessRuleList(data);
+
+      if (ruleId !== 0) {
+        processRuleNoteList.value = res;
+      } else if (pid === 0) {
+        processRuleList.value = res;
+      } else {
+        childProcessRuleList.value = res;
+      }
+      console.log('获取加工规则成功');
+    } catch (error) {
+      console.error('获取加工规则失败:', error);
+    }
+  };
+
+  const getPatientInfo = async () => {
+    try {
+      console.log('开始获取患者信息，registerId:', currentRegisterId.value);
+      const res = await getPatientItem(currentRegisterId.value);
+      patientInfo.value = res;
+      activePatient.value = res.user_patient;
+      userPatientHealthInquiry.value = res.user_patient_health_inquiry;
+      prescriptionList.value = res.prescription;
+      console.log('获取患者信息成功:', activePatient.value);
+    } catch (error) {
+      console.error('获取患者信息失败:', error);
+    }
+  };
+
+  // 药品搜索
+  const getDrugList = debounce(async (searchText = '') => {
+    if (searchText === '' && activeCategory.value === 1) {
+      drugList.value = [];
+      return;
+    }
+
+    try {
+      const res = await getProductListDoctorReception({
+        store_id: myStoreId.value,
+        type: activeCategory.value,
+        name: searchText,
+      });
+
+      drugList.value = res.map((item) => {
+        const matched = currentDrugs.value.find((v) => v.index_id === item.id);
+        return {
+          ...item,
+          select_number: matched?.select_number || 0,
+          drug: {
+            ...item.drug,
+            number: matched?.number || 1,
+          },
+        };
+      });
+    } catch (error) {
+      console.error('获取药品列表失败:', error);
+      message.error('获取药品列表失败');
+    }
+  }, 300);
+
+  // 药品操作
+  const addProducts = (data: any) => {
+    const existItem = currentDrugs.value.find(
+      (item) => item.index_id === data.id,
+    );
+    if (existItem) {
+      message.warn('已经存在了');
+      return false;
+    }
+
+    const newProduct = {
+      index_id: data.id,
+      id: data.drug.id,
+      drug_name: data.drug.drug_name,
+      number: data.drug.number,
+      use_num: drugTime.value.find((item) => item.id === data.drug.time_id),
+      use_type: drugUseType.value.find((item) => item.id === data.drug.type_id),
+      use_frequency: drugUseFrequency.value.find(
+        (item) => item.id === data.drug.frequency_id,
+      ),
+      unit: drugUnit.value.find((item) => item.id === data.drug.unit_id),
+      price: data.price,
+      way_id: data.drug?.way_id,
+      use_ways: drugUseWay.value.find((item) => item.id === data.drug.way_id),
+      time_id: data.drug.time_id,
+      type_id: data.drug.type_id,
+      frequency_id: data.drug.frequency_id,
+      unit_id: data.drug.unit_id,
+      image: data.drug.image,
+      instruction: data.drug.instruction,
+      type: data.drug.type,
+      select_number: 1,
+    };
+
+    const newDrugs = [...currentDrugs.value, newProduct];
+    updateCurrentDrugs(newDrugs);
+
+    message.success(`已将${newProduct.drug_name}添加到清单中！`);
+    return true;
+  };
+
+  const removeDrug = (index: number) => {
+    const newDrugs = currentDrugs.value.filter((_, i) => i !== index);
+    updateCurrentDrugs(newDrugs);
+  };
+
+  const updateDrugQuantity = (index: number, quantity: number) => {
+    if (quantity > 0) {
+      const newDrugs = [...currentDrugs.value];
+      newDrugs[index].select_number = quantity;
+      updateCurrentDrugs(newDrugs);
+    }
+  };
+
+  const increment = (index: number) => {
+    const newDrugs = [...currentDrugs.value];
+    newDrugs[index].select_number++;
+    updateCurrentDrugs(newDrugs);
+  };
+
+  const decrement = (index: number) => {
+    if (currentDrugs.value[index].select_number > 1) {
+      const newDrugs = [...currentDrugs.value];
+      newDrugs[index].select_number--;
+      updateCurrentDrugs(newDrugs);
+    }
+  };
+
+  // 新药品操作
+  const selectNewDrugInfo = () => {
+    const check = currentDrugs.value.find((v) => v.id === newDrugInfo.value.id);
+    if (check) {
+      newDrugInfo.value.id = '';
+      message.error('该药品已经在处方中了！');
+      return;
+    }
+
+    const data = drugList.value.find((v) => v.drug_id === newDrugInfo.value.id);
+    if (data) {
+      newDrugInfo.value.price = data.price;
+      newDrugInfo.value.name = data.drug.drug_name;
+      nextTick(() => {
+        const input = document.querySelector(
+          '.new-number-input input',
+        ) as HTMLElement;
+        input?.focus();
+      });
+    }
+  };
+
+  const selectOldDrugInfo = (id: number) => {
+    const check = currentDrugs.value.find((v) => v.id === id);
+
+    if (check) {
+      const newDrugs = [...currentDrugs.value];
+      newDrugs[selectChineseIndex.value].id = selectChineseId.value;
+      updateCurrentDrugs(newDrugs);
+      drugList.value = [];
+      message.error('该药品已经在处方中了！');
+      return;
+    }
+
+    const data = drugList.value.find((v) => v.drug_id === id);
+    if (data) {
+      const newProduct = {
+        index_id: data.id,
+        id: data.drug.id,
+        drug_name: data.drug.drug_name,
+        number: data.drug.number,
+        use_num: drugTime.value.find((item) => item.id === data.drug.time_id),
+        use_type: drugUseType.value.find(
+          (item) => item.id === data.drug.type_id,
+        ),
+        use_frequency: drugUseFrequency.value.find(
+          (item) => item.id === data.drug.frequency_id,
+        ),
+        unit: drugUnit.value.find((item) => item.id === data.drug.unit_id),
+        price: data.price,
+        way_id: data.drug?.way_id,
+        use_ways: drugUseWay.value.find((item) => item.id === data.drug.way_id),
+        time_id: data.drug.time_id,
+        type_id: data.drug.type_id,
+        frequency_id: data.drug.frequency_id,
+        unit_id: data.drug.unit_id,
+        image: data.drug.image,
+        instruction: data.drug.instruction,
+        type: data.drug.type,
+      };
+
+      const newDrugs = [...currentDrugs.value];
+      newDrugs[selectChineseIndex.value] = newProduct;
+      updateCurrentDrugs(newDrugs);
+
+      nextTick(() => {
+        const input = document.querySelector(
+          `.old-number-input-${selectChineseIndex.value} input`,
+        ) as HTMLElement;
+        input?.focus();
+      });
+    }
+  };
+
+  const setSelectChineseIndex = (index: number, id: number) => {
+    selectChineseIndex.value = index;
+    selectChineseId.value = id;
+  };
+
+  const addDrugByChinese = () => {
+    const check = currentDrugs.value.find((v) => v.id === newDrugInfo.value.id);
+    if (check) {
+      message.error('该药品已经在处方中了！');
+      return false;
+    }
+
+    const data = drugList.value.find((v) => v.drug_id === newDrugInfo.value.id);
+    if (!data) {
+      message.error('请选择药品');
+      return false;
+    }
+
+    data.drug.number = newDrugInfo.value.number;
+    data.drug.way_id = newDrugInfo.value.way_id;
+    const success = addProducts(data);
+    if (success) {
+      newDrugInfo.value = {};
+    }
+    return success;
+  };
+
+  const selectDrugByNewDrugInfo = (
+    event: KeyboardEvent,
+    isNewDrug: boolean,
+  ) => {
+    if (event.key === 'Enter') {
+      event.preventDefault();
+      if (isNewDrug) {
+        addDrugByChinese();
+      } else {
+        syncToLocalStorage();
+      }
+      nextTick(() => {
+        const input = document.querySelector(
+          '.new-select-drug-name input',
+        ) as HTMLElement;
+        input?.focus();
+      });
+    }
+  };
+
+  const updateChineseNumber = () => {
+    syncToLocalStorage();
+  };
+
+  const updateChineseNumberGoNewDrug = (event: KeyboardEvent) => {
+    if (event.key === 'Enter') {
+      syncToLocalStorage();
+      nextTick(() => {
+        const input = document.querySelector(
+          '.new-select-drug-name input',
+        ) as HTMLElement;
+        input?.focus();
+      });
+    }
+  };
+
+  // 药品用法选择
+  const selectProductChange = (id: number) => {
+    selectProductId.value = id;
+  };
+
+  const selectDrugUseWayChange = (id: number) => {
+    const newDrugs = currentDrugs.value.map((item) =>
+      item.index_id === selectProductId.value
+        ? {
+            ...item,
+            way_id: id,
+            use_ways: drugUseWay.value.find((value) => value.id === id),
+          }
+        : item,
+    );
+    updateCurrentDrugs(newDrugs);
+  };
+
+  // 加工规则操作
+  const selectProcessRule = (id: number) => {
+    processRuleId.value = id;
+    getProcessRuleListData(id);
+  };
+
+  const selectProcessRuleNot = (id: number) => {
+    childProcessRuleId.value = id;
+    getProcessRuleListData(0, id);
+  };
+
+  const selectProcessRuleNotCommit = (id: number) => {
+    processRuleNoteId.value = id;
+  };
+
+  const selectPackageMethod = (id: number) => {
+    packageMethodId.value = id;
+  };
+
+  // 中药相冲检查
+  const checkChineseMedicineConflict = async () => {
+    if (activeCategory.value === 2) {
+      return { hasConflict: false };
+    }
+
+    notification.info({
+      message: '正在检查药物相冲',
+      duration: 1,
+      description: '正在检查药物相冲，请稍等...',
+    });
+
+    try {
+      const names = currentDrugs.value.map((item) => item.drug_name);
+      const res = await checkChineseMedicineConflictApi({ names });
+
+      if (res.is_exist === true) {
+        checkData.value = { message: res.message };
+        return { hasConflict: true, message: res.message };
+      } else {
+        notification.success({
+          message: '检查成功',
+          duration: 3,
+          description: '暂无相冲药品',
+        });
+        return { hasConflict: false };
+      }
+    } catch (error) {
+      console.error('检查药物相冲失败:', error);
+      return { hasConflict: false };
+    }
+  };
+
+  // 发送处方
+  const sendPrescription = async (doctorSecondSignValue = 0) => {
+    if (currentDrugs.value.length === 0) {
+      message.error('请选择药品');
+      return false;
+    }
+
+    if (activeCategory.value === 1) {
+      if (ruleType.value === 1 && packageMethodId.value == null) {
+        message.error('请选择包法');
+        return false;
+      }
+      if (ruleType.value === 2) {
+        if (processRuleId.value == null) {
+          message.error('请选择制剂');
+          return false;
+        }
+        if (processRuleNoteId.value == null) {
+          message.error('请选择规格');
+          return false;
+        }
+        if (childProcessRuleId.value == null) {
+          message.error('请选择备注');
+          return false;
+        }
+      }
+    }
+
+    if (!diagnosis.value) {
+      message.error('诊断结果不能为空');
+      return false;
+    }
+
+    if (!medicalAdvice.value) {
+      message.error('医嘱不能为空');
+      return false;
+    }
+
+    try {
+      await addWestPrescription({
+        patient: activePatient.value,
+        drugs: currentDrugs.value,
+        diagnosis: diagnosis.value,
+        medicalAdvice: medicalAdvice.value,
+        total: totalCost.value,
+        category: category.value,
+        drug_type: 2,
+        register_id: patientInfo.value.id,
+        treatment_price: treatmentPrice.value,
+        package_method_id: packageMethodId.value,
+        process_rule_id: processRuleId.value,
+        process_rule_note_id: processRuleNoteId.value,
+        child_process_rule_id: childProcessRuleId.value,
+        process_rule_type: ruleType.value,
+        prescription_type: activeCategory.value,
+        processing_fee: processRulePrice.value,
+        dosage: dosage.value,
+        day_dosage: dayDosage.value,
+        doctor_second_sign: doctorSecondSignValue,
+      }).then((res) => {
+        message.success('处方已发送');
+        sendMessage({
+          roomId: chatStore.currentFriend.room_id,
+          senderId: userStore.currentUser.id,
+          receiverId: chatStore.currentFriend.id,
+          type: 'prescription',
+          content: JSON.stringify(res),
+        });
+        chatStore.addMessage(
+          {
+            roomId: chatStore.currentFriend.room_id,
+            senderId: userStore.currentUser.id,
+            receiverId: chatStore.currentFriend.id,
+            type: 'prescription',
+            content: JSON.stringify(res),
+            isSent: true,
+            time: new Date().toLocaleTimeString().slice(0, 5),
+          },
+          userStore.currentUser.id,
+        );
+        resetForm();
+      });
+      return true;
+    } catch (error) {
+      console.error('发送处方失败:', error);
+      message.error('发送处方失败');
+      return false;
+    }
+  };
+
+  const resetForm = () => {
+    updateCurrentDrugs([]);
+    diagnosis.value = '';
+    medicalAdvice.value = '';
+    packageMethodId.value = 2;
+    processRulePrice.value = 0;
+    dosage.value = 7;
+    dayDosage.value = 2;
+    newDrugInfo.value = {};
+    doctorSecondSign.value = 0;
+  };
+
+  const changeCategory = (categoryValue: number) => {
+    activeCategory.value = categoryValue;
+    updateCurrentDrugs([]);
+    localStorage.setItem(
+      `activeCategory-chat-${currentRegisterId.value}`,
+      categoryValue.toString(),
+    );
+  };
+
+  // 工具函数
+  const splitString = (str: string) => {
+    if (!str) return [];
+    return str.split(',');
+  };
+
+  const refreshCurrentDrugs = () => {
+    loadFromLocalStorage();
+  };
+
+  // 重置初始化状态（用于切换患者时）
+  const resetInitializationState = () => {
+    isInitialized.value = false;
+    isPatientInfoLoaded.value = false;
+    patientInfo.value = null;
+    activePatient.value = null;
+    userPatientHealthInquiry.value = null;
+    prescriptionList.value = [];
+    console.log('重置初始化状态');
+  };
+
+  return {
+    // 状态
+    patientInfo,
+    userPatientHealthInquiry,
+    prescriptionList,
+    currentRegisterId,
+    activePatient,
+    drugUseNum,
+    drugUseFrequency,
+    drugUseType,
+    drugUnit,
+    drugTime,
+    drugUseWay,
+    myStoreList,
+    myStoreId,
+    activeCategory,
+    diagnosis,
+    medicalAdvice,
+    treatmentPrice,
+    ruleType,
+    drugList,
+    currentDrugs,
+    category,
+    selectProductId,
+    processRuleList,
+    childProcessRuleList,
+    processRuleNoteList,
+    processRuleId,
+    processRuleNoteId,
+    childProcessRuleId,
+    packageMethodId,
+    dosage,
+    dayDosage,
+    newDrugInfo,
+    selectChineseIndex,
+    selectChineseId,
+    doctorSecondSign,
+    checkData,
+
+    // 计算属性
+    totalProductCost,
+    processingFee,
+    totalCost,
+
+    // 方法
+    initializePrescription,
+    initializeForModal,
+    initializeBasicData,
+    resetInitializationState,
+    getDrugList,
+    addProducts,
+    removeDrug,
+    updateDrugQuantity,
+    increment,
+    decrement,
+    selectNewDrugInfo,
+    selectOldDrugInfo,
+    setSelectChineseIndex,
+    addDrugByChinese,
+    selectDrugByNewDrugInfo,
+    updateChineseNumber,
+    updateChineseNumberGoNewDrug,
+    selectProductChange,
+    selectDrugUseWayChange,
+    selectProcessRule,
+    selectProcessRuleNot,
+    selectProcessRuleNotCommit,
+    selectPackageMethod,
+    checkChineseMedicineConflict,
+    sendPrescription,
+    resetForm,
+    changeCategory,
+    getProcessRuleListData,
+    splitString,
+    refreshCurrentDrugs,
+    syncToLocalStorage,
+    loadFromLocalStorage,
+    updateCurrentDrugs,
+  };
+});
diff --git a/apps/web-antd/src/store/usePrescription.ts b/apps/web-antd/src/store/usePrescription.ts
new file mode 100644
index 00000000..1ec90915
--- /dev/null
+++ b/apps/web-antd/src/store/usePrescription.ts
@@ -0,0 +1,674 @@
+import { computed, ref, nextTick } from "vue"
+import { message, notification } from "ant-design-vue"
+import { debounce } from "lodash-es"
+
+import {
+  addWestPrescription,
+  checkChineseMedicineConflictApi,
+  getDrugUseList,
+  getMyStoreListApi,
+  getPatientItem,
+  getProcessRuleList,
+  getProductListDoctorReception,
+} from "#/views/doctor/doctor-reception/api"
+
+export const usePrescriptionStore = () => {
+  // 基础数据
+  const patientInfo = ref<any | null>(null)
+  const userPatientHealthInquiry = ref<any | null>(null)
+  const prescriptionList = ref([])
+  const currentRegisterId = ref<number | string>("")
+  const activePatient = ref<any | null>(null)
+
+  // 药品使用相关数据
+  const drugUseNum = ref([])
+  const drugUseFrequency = ref([])
+  const drugUseType = ref([])
+  const drugUnit = ref([])
+  const drugTime = ref([])
+  const drugUseWay = ref([])
+  const myStoreList = ref([])
+
+  // 处方状态
+  const myStoreId = ref(0)
+  const activeCategory = ref(2)
+  const diagnosis = ref("")
+  const medicalAdvice = ref("")
+  const treatmentPrice = ref(0)
+  const ruleType = ref(1)
+  const drugList = ref([])
+  const currentDrugs = ref([])
+  const category = ref(1)
+  const selectProductId = ref(0)
+
+  // 中药相关配置
+  const processRuleList = ref([])
+  const childProcessRuleList = ref([])
+  const processRuleNoteList = ref([])
+  const processRuleId = ref()
+  const processRuleNoteId = ref()
+  const childProcessRuleId = ref()
+  const packageMethodId = ref(2)
+  const dosage = ref(7)
+  const dayDosage = ref(2)
+
+  // 新药品相关
+  const newDrugInfo = ref<any>({})
+  const selectChineseIndex = ref(-1)
+  const selectChineseId = ref(0)
+
+  // 二次签名相关
+  const doctorSecondSign = ref(0)
+  const checkData = ref<any>({})
+
+  // 获取localStorage key
+  const getStorageKey = () => `prescriptionData-chat-${currentRegisterId.value}`
+
+  // 计算属性
+  const totalProductCost = computed(() => {
+    if (currentDrugs.value.length === 0) {
+      return 0
+    }
+    if (activeCategory.value === 1) {
+      return currentDrugs.value.reduce((sum, drug) => sum + drug.price * (drug.number || 1) * dosage.value, 0)
+    }
+    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
+
+    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 totalCost = computed(() => {
+    return totalProductCost.value + processingFee.value
+  })
+
+  // 重新设计的localStorage同步方法
+  const syncToLocalStorage = () => {
+    try {
+      const storageKey = getStorageKey()
+      localStorage.setItem(storageKey, JSON.stringify(currentDrugs.value))
+      console.log("已同步到localStorage:", storageKey, currentDrugs.value)
+    } catch (error) {
+      console.error("保存到localStorage失败:", error)
+    }
+  }
+
+  const loadFromLocalStorage = () => {
+    try {
+      const storageKey = getStorageKey()
+      const stored = localStorage.getItem(storageKey)
+      console.log("从localStorage加载:", storageKey, stored)
+
+      if (stored) {
+        const parsedData = JSON.parse(stored)
+        // 直接替换整个数组以确保响应式更新
+        currentDrugs.value.splice(0, currentDrugs.value.length, ...parsedData)
+      } else {
+        // 清空数组
+        currentDrugs.value.splice(0, currentDrugs.value.length)
+      }
+    } catch (error) {
+      console.error("从localStorage加载失败:", error)
+      currentDrugs.value.splice(0, currentDrugs.value.length)
+    }
+  }
+
+  // 更新currentDrugs并同步到localStorage
+  const updateCurrentDrugs = (newDrugs: any[]) => {
+    // 使用splice确保响应式更新
+    currentDrugs.value.splice(0, currentDrugs.value.length, ...newDrugs)
+    syncToLocalStorage()
+  }
+
+  // 方法
+  const initializePrescription = async (registerId: number | string) => {
+    currentRegisterId.value = registerId
+
+    // 先加载localStorage数据
+    loadFromLocalStorage()
+
+    await Promise.all([getMyStoreList(), getDrugUseListData(), getProcessRuleListData(), getPatientInfo()])
+  }
+
+  const getMyStoreList = async () => {
+    try {
+      const res = await getMyStoreListApi()
+      myStoreList.value = res
+      if (res.length > 0) {
+        myStoreId.value = res[0].id
+      }
+    } catch (error) {
+      console.error("获取诊所列表失败:", error)
+    }
+  }
+
+  const getDrugUseListData = async () => {
+    try {
+      const res = await getDrugUseList()
+      drugUseNum.value = res.drug_use_num
+      drugUseFrequency.value = res.drug_use_frequency
+      drugUseType.value = res.drug_use_type
+      drugUnit.value = res.drug_unit
+      drugTime.value = res.drug_time
+      drugUseWay.value = res.drug_use_way
+    } catch (error) {
+      console.error("获取药品使用列表失败:", error)
+    }
+  }
+
+  const getProcessRuleListData = async (pid = 0, ruleId = 0) => {
+    try {
+      const data = ruleId === 0 ? { pid } : { rule_id: ruleId }
+      const res = await getProcessRuleList(data)
+
+      if (ruleId !== 0) {
+        processRuleNoteList.value = res
+      } else if (pid === 0) {
+        processRuleList.value = res
+      } else {
+        childProcessRuleList.value = res
+      }
+    } catch (error) {
+      console.error("获取加工规则失败:", error)
+    }
+  }
+
+  const getPatientInfo = async () => {
+    try {
+      const res = await getPatientItem(currentRegisterId.value)
+      patientInfo.value = res
+      activePatient.value = res.user_patient
+      userPatientHealthInquiry.value = res.user_patient_health_inquiry
+      prescriptionList.value = res.prescription
+    } catch (error) {
+      console.error("获取患者信息失败:", error)
+    }
+  }
+
+  // 药品搜索
+  const getDrugList = debounce(async (searchText = "") => {
+    if (searchText === "" && activeCategory.value === 1) {
+      drugList.value = []
+      return
+    }
+
+    try {
+      const res = await getProductListDoctorReception({
+        store_id: myStoreId.value,
+        type: activeCategory.value,
+        name: searchText,
+      })
+
+      drugList.value = res.map((item) => {
+        const matched = currentDrugs.value.find((v) => v.index_id === item.id)
+        return {
+          ...item,
+          select_number: matched?.select_number || 0,
+          drug: {
+            ...item.drug,
+            number: matched?.number || 1,
+          },
+        }
+      })
+    } catch (error) {
+      console.error("获取药品列表失败:", error)
+      message.error("获取药品列表失败")
+    }
+  }, 300)
+
+  // 药品操作
+  const addProducts = (data: any) => {
+    const existItem = currentDrugs.value.find((item) => item.index_id === data.id)
+    if (existItem) {
+      message.warn("已经存在了")
+      return false
+    }
+
+    const newProduct = {
+      index_id: data.id,
+      id: data.drug.id,
+      drug_name: data.drug.drug_name,
+      number: data.drug.number,
+      use_num: drugTime.value.find((item) => item.id === data.drug.time_id),
+      use_type: drugUseType.value.find((item) => item.id === data.drug.type_id),
+      use_frequency: drugUseFrequency.value.find((item) => item.id === data.drug.frequency_id),
+      unit: drugUnit.value.find((item) => item.id === data.drug.unit_id),
+      price: data.price,
+      way_id: data.drug?.way_id,
+      use_ways: drugUseWay.value.find((item) => item.id === data.drug.way_id),
+      time_id: data.drug.time_id,
+      type_id: data.drug.type_id,
+      frequency_id: data.drug.frequency_id,
+      unit_id: data.drug.unit_id,
+      image: data.drug.image,
+      instruction: data.drug.instruction,
+      type: data.drug.type,
+      select_number: 1,
+    }
+
+    // 使用新的更新方法
+    const newDrugs = [...currentDrugs.value, newProduct]
+    updateCurrentDrugs(newDrugs)
+
+    message.success(`已将${newProduct.drug_name}添加到清单中！`)
+    return true
+  }
+
+  const removeDrug = (index: number) => {
+    const newDrugs = currentDrugs.value.filter((_, i) => i !== index)
+    updateCurrentDrugs(newDrugs)
+  }
+
+  const updateDrugQuantity = (index: number, quantity: number) => {
+    if (quantity > 0) {
+      const newDrugs = [...currentDrugs.value]
+      newDrugs[index].select_number = quantity
+      updateCurrentDrugs(newDrugs)
+    }
+  }
+
+  const increment = (index: number) => {
+    const newDrugs = [...currentDrugs.value]
+    newDrugs[index].select_number++
+    updateCurrentDrugs(newDrugs)
+  }
+
+  const decrement = (index: number) => {
+    if (currentDrugs.value[index].select_number > 1) {
+      const newDrugs = [...currentDrugs.value]
+      newDrugs[index].select_number--
+      updateCurrentDrugs(newDrugs)
+    }
+  }
+
+  // 新药品操作
+  const selectNewDrugInfo = () => {
+    const check = currentDrugs.value.find((v) => v.id === newDrugInfo.value.id)
+    if (check) {
+      newDrugInfo.value.id = ""
+      message.error("该药品已经在处方中了！")
+      return
+    }
+
+    const data = drugList.value.find((v) => v.drug_id === newDrugInfo.value.id)
+    if (data) {
+      newDrugInfo.value.price = data.price
+      newDrugInfo.value.name = data.drug.drug_name
+      nextTick(() => {
+        const input = document.querySelector(".new-number-input input") as HTMLElement
+        input?.focus()
+      })
+    }
+  }
+
+  const selectOldDrugInfo = (id: number) => {
+    const check = currentDrugs.value.find((v) => v.id === id)
+
+    if (check) {
+      const newDrugs = [...currentDrugs.value]
+      newDrugs[selectChineseIndex.value].id = selectChineseId.value
+      updateCurrentDrugs(newDrugs)
+      drugList.value = []
+      message.error("该药品已经在处方中了！")
+      return
+    }
+
+    const data = drugList.value.find((v) => v.drug_id === id)
+    if (data) {
+      const newProduct = {
+        index_id: data.id,
+        id: data.drug.id,
+        drug_name: data.drug.drug_name,
+        number: data.drug.number,
+        use_num: drugTime.value.find((item) => item.id === data.drug.time_id),
+        use_type: drugUseType.value.find((item) => item.id === data.drug.type_id),
+        use_frequency: drugUseFrequency.value.find((item) => item.id === data.drug.frequency_id),
+        unit: drugUnit.value.find((item) => item.id === data.drug.unit_id),
+        price: data.price,
+        way_id: data.drug?.way_id,
+        use_ways: drugUseWay.value.find((item) => item.id === data.drug.way_id),
+        time_id: data.drug.time_id,
+        type_id: data.drug.type_id,
+        frequency_id: data.drug.frequency_id,
+        unit_id: data.drug.unit_id,
+        image: data.drug.image,
+        instruction: data.drug.instruction,
+        type: data.drug.type,
+      }
+
+      const newDrugs = [...currentDrugs.value]
+      newDrugs[selectChineseIndex.value] = newProduct
+      updateCurrentDrugs(newDrugs)
+
+      nextTick(() => {
+        const input = document.querySelector(`.old-number-input-${selectChineseIndex.value} input`) as HTMLElement
+        input?.focus()
+      })
+    }
+  }
+
+  const setSelectChineseIndex = (index: number, id: number) => {
+    selectChineseIndex.value = index
+    selectChineseId.value = id
+  }
+
+  const addDrugByChinese = () => {
+    const check = currentDrugs.value.find((v) => v.id === newDrugInfo.value.id)
+    if (check) {
+      message.error("该药品已经在处方中了！")
+      return false
+    }
+
+    const data = drugList.value.find((v) => v.drug_id === newDrugInfo.value.id)
+    if (!data) {
+      message.error("请选择药品")
+      return false
+    }
+
+    data.drug.number = newDrugInfo.value.number
+    data.drug.way_id = newDrugInfo.value.way_id
+    const success = addProducts(data)
+    if (success) {
+      newDrugInfo.value = {}
+    }
+    return success
+  }
+
+  const selectDrugByNewDrugInfo = (event: KeyboardEvent, isNewDrug: boolean) => {
+    if (event.key === "Enter") {
+      event.preventDefault()
+      if (isNewDrug) {
+        addDrugByChinese()
+      } else {
+        syncToLocalStorage()
+      }
+      nextTick(() => {
+        const input = document.querySelector(".new-select-drug-name input") as HTMLElement
+        input?.focus()
+      })
+    }
+  }
+
+  const updateChineseNumber = () => {
+    syncToLocalStorage()
+  }
+
+  const updateChineseNumberGoNewDrug = (event: KeyboardEvent) => {
+    if (event.key === "Enter") {
+      syncToLocalStorage()
+      nextTick(() => {
+        const input = document.querySelector(".new-select-drug-name input") as HTMLElement
+        input?.focus()
+      })
+    }
+  }
+
+  // 药品用法选择
+  const selectProductChange = (id: number) => {
+    selectProductId.value = id
+  }
+
+  const selectDrugUseWayChange = (id: number) => {
+    const newDrugs = currentDrugs.value.map((item) =>
+      item.index_id === selectProductId.value
+        ? {
+          ...item,
+          way_id: id,
+          use_ways: drugUseWay.value.find((value) => value.id === id),
+        }
+        : item,
+    )
+    updateCurrentDrugs(newDrugs)
+  }
+
+  // 加工规则操作
+  const selectProcessRule = (id: number) => {
+    processRuleId.value = id
+    getProcessRuleListData(id)
+  }
+
+  const selectProcessRuleNot = (id: number) => {
+    childProcessRuleId.value = id
+    getProcessRuleListData(0, id)
+  }
+
+  const selectProcessRuleNotCommit = (id: number) => {
+    processRuleNoteId.value = id
+  }
+
+  const selectPackageMethod = (id: number) => {
+    packageMethodId.value = id
+  }
+
+  // 中药相冲检查
+  const checkChineseMedicineConflict = async () => {
+    if (activeCategory.value === 2) {
+      return { hasConflict: false }
+    }
+
+    notification.info({
+      message: "正在检查药物相冲",
+      duration: 1,
+      description: "正在检查药物相冲，请稍等...",
+    })
+
+    try {
+      const names = currentDrugs.value.map((item) => item.drug_name)
+      const res = await checkChineseMedicineConflictApi({ names })
+
+      if (res.is_exist === true) {
+        checkData.value = { message: res.message }
+        return { hasConflict: true, message: res.message }
+      } else {
+        notification.success({
+          message: "检查成功",
+          duration: 3,
+          description: "暂无相冲药品",
+        })
+        return { hasConflict: false }
+      }
+    } catch (error) {
+      console.error("检查药物相冲失败:", error)
+      return { hasConflict: false }
+    }
+  }
+
+  // 发送处方
+  const sendPrescription = async (doctorSecondSignValue = 0) => {
+    // 验证表单
+    if (currentDrugs.value.length === 0) {
+      message.error("请选择药品")
+      return false
+    }
+
+    if (activeCategory.value === 1) {
+      if (ruleType.value === 1 && packageMethodId.value == null) {
+        message.error("请选择包法")
+        return false
+      }
+      if (ruleType.value === 2) {
+        if (processRuleId.value == null) {
+          message.error("请选择制剂")
+          return false
+        }
+        if (processRuleNoteId.value == null) {
+          message.error("请选择规格")
+          return false
+        }
+        if (childProcessRuleId.value == null) {
+          message.error("请选择备注")
+          return false
+        }
+      }
+    }
+
+    if (!diagnosis.value) {
+      message.error("诊断结果不能为空")
+      return false
+    }
+
+    if (!medicalAdvice.value) {
+      message.error("医嘱不能为空")
+      return false
+    }
+
+    try {
+      await addWestPrescription({
+        patient: activePatient.value,
+        drugs: currentDrugs.value,
+        diagnosis: diagnosis.value,
+        medicalAdvice: medicalAdvice.value,
+        total: totalCost.value,
+        category: category.value,
+        drug_type: 2,
+        register_id: currentRegisterId.value,
+        treatment_price: treatmentPrice.value,
+        package_method_id: packageMethodId.value,
+        process_rule_id: processRuleId.value,
+        process_rule_note_id: processRuleNoteId.value,
+        child_process_rule_id: childProcessRuleId.value,
+        process_rule_type: ruleType.value,
+        prescription_type: activeCategory.value,
+        processing_fee: processRulePrice.value,
+        dosage: dosage.value,
+        day_dosage: dayDosage.value,
+        doctor_second_sign: doctorSecondSignValue,
+      })
+
+      message.success("处方已发送")
+      resetForm()
+      return true
+    } catch (error) {
+      console.error("发送处方失败:", error)
+      message.error("发送处方失败")
+      return false
+    }
+  }
+
+  const resetForm = () => {
+    updateCurrentDrugs([])
+    diagnosis.value = ""
+    medicalAdvice.value = ""
+    packageMethodId.value = 2
+    processRulePrice.value = 0
+    dosage.value = 7
+    dayDosage.value = 2
+    newDrugInfo.value = {}
+    doctorSecondSign.value = 0
+  }
+
+  const changeCategory = (categoryValue: number) => {
+    activeCategory.value = categoryValue
+    updateCurrentDrugs([])
+    localStorage.setItem(`activeCategory-chat-${currentRegisterId.value}`, categoryValue.toString())
+  }
+
+  // 工具函数
+  const splitString = (str: string) => {
+    if (!str) return []
+    return str.split(",")
+  }
+
+  // 强制刷新currentDrugs（用于调试或特殊情况）
+  const refreshCurrentDrugs = () => {
+    loadFromLocalStorage()
+  }
+
+  return {
+    // 状态
+    patientInfo,
+    userPatientHealthInquiry,
+    prescriptionList,
+    currentRegisterId,
+    activePatient,
+    drugUseNum,
+    drugUseFrequency,
+    drugUseType,
+    drugUnit,
+    drugTime,
+    drugUseWay,
+    myStoreList,
+    myStoreId,
+    activeCategory,
+    diagnosis,
+    medicalAdvice,
+    treatmentPrice,
+    ruleType,
+    drugList,
+    currentDrugs,
+    category,
+    selectProductId,
+    processRuleList,
+    childProcessRuleList,
+    processRuleNoteList,
+    processRuleId,
+    processRuleNoteId,
+    childProcessRuleId,
+    packageMethodId,
+    dosage,
+    dayDosage,
+    newDrugInfo,
+    selectChineseIndex,
+    selectChineseId,
+    doctorSecondSign,
+    checkData,
+
+    // 计算属性
+    totalProductCost,
+    processingFee,
+    totalCost,
+
+    // 方法
+    initializePrescription,
+    getDrugList,
+    addProducts,
+    removeDrug,
+    updateDrugQuantity,
+    increment,
+    decrement,
+    selectNewDrugInfo,
+    selectOldDrugInfo,
+    setSelectChineseIndex,
+    addDrugByChinese,
+    selectDrugByNewDrugInfo,
+    updateChineseNumber,
+    updateChineseNumberGoNewDrug,
+    selectProductChange,
+    selectDrugUseWayChange,
+    selectProcessRule,
+    selectProcessRuleNot,
+    selectProcessRuleNotCommit,
+    selectPackageMethod,
+    checkChineseMedicineConflict,
+    sendPrescription,
+    resetForm,
+    changeCategory,
+    getProcessRuleListData,
+    splitString,
+    refreshCurrentDrugs,
+
+    // 新增的方法
+    syncToLocalStorage,
+    loadFromLocalStorage,
+    updateCurrentDrugs,
+  }
+}
diff --git a/apps/web-antd/src/views/business/chat/components/ChatArea.vue b/apps/web-antd/src/views/business/chat/components/ChatArea.vue
index 37955b6c..f848c3b5 100644
--- a/apps/web-antd/src/views/business/chat/components/ChatArea.vue
+++ b/apps/web-antd/src/views/business/chat/components/ChatArea.vue
@@ -1,18 +1,37 @@
+<script setup>
+import { defineEmits, defineProps } from 'vue';
+
+import ChatHeader from './ChatHeader.vue';
+import MessageInput from './MessageInput.vue';
+import MessageList from './MessageList.vue';
+
+// 定义 props 和 emits
+const props = defineProps({
+  // ... existing props
+});
+
+const emit = defineEmits([
+  // ... existing emits
+  'openPrescription',
+]);
+
+// 开方功能触发函数
+const handleOpenPrescription = (registerId) => {
+  emit('openPrescription', registerId);
+};
+
+// ... rest of the component
+</script>
+
 <template>
-  <div class="flex flex-col h-full">
+  <div class="flex h-full flex-col">
     <!-- 聊天头部 -->
-    <ChatHeader/>
+    <ChatHeader />
 
     <!-- 消息区域 -->
-    <MessageList class="flex-1"/>
+    <MessageList class="flex-1" />
 
     <!-- 输入区域 -->
-    <MessageInput/>
+    <MessageInput @open-prescription="handleOpenPrescription" />
   </div>
 </template>
-
-<script setup>
-import ChatHeader from './ChatHeader.vue';
-import MessageList from './MessageList.vue';
-import MessageInput from './MessageInput.vue';
-</script>
diff --git a/apps/web-antd/src/views/business/chat/components/MessageBubble.vue b/apps/web-antd/src/views/business/chat/components/MessageBubble.vue
index dea76785..faeaac2c 100644
--- a/apps/web-antd/src/views/business/chat/components/MessageBubble.vue
+++ b/apps/web-antd/src/views/business/chat/components/MessageBubble.vue
@@ -8,6 +8,8 @@ import {Avatar, Image} from 'ant-design-vue';
 import previewMedia from '../composables/useMediaPreview.ts';
 import {useThemeStore} from '../stores/theme.ts';
 import AudioMessage from './AudioMessage.vue';
+import { useVbenModal } from '@vben/common-ui';
+import PrescriptionDetail from '#/views/doctor/doctor-reception/components/PrescriptionDetail.vue';
 
 const props = defineProps({
   message: {
@@ -43,6 +45,10 @@ const bubbleClasses = computed(() => {
     baseClasses.push('received');
   }
 
+  if (props.message.type === 'text') {
+    baseClasses.push('bubble-bg');
+  }
+
   if (themeStore.isDarkMode) {
     baseClasses.push('dark');
   }
@@ -94,6 +100,26 @@ const handleImageError = (event) => {
 const handleVideoError = (event) => {
   console.error('视频加载失败:', event);
 };
+
+
+
+// 添加处方状态映射
+const prescriptionStatusMap = {
+  0: '待审核',
+  1: '已审核',
+  2: '未通过',
+};
+
+const [PrescriptionDetailModal, PrescriptionDetailModalApi] = useVbenModal({
+  connectedComponent: PrescriptionDetail,
+});
+
+const viewPrescription = (item) => {
+  PrescriptionDetailModalApi.setData({
+    values: item.id,
+  })
+  PrescriptionDetailModalApi.open();
+}
 </script>
 
 <template>
@@ -101,6 +127,7 @@ const handleVideoError = (event) => {
     :class="isSent ? 'flex-row-reverse' : 'flex-row'"
     class="mb-4 flex items-start gap-3"
   >
+    <PrescriptionDetailModal />
     <!-- 头像 -->
 <!--    <div-->
 <!--      :style="avatarStyle"-->
@@ -211,6 +238,61 @@ const handleVideoError = (event) => {
           :message="message"
         />
 
+        <!-- 处方卡片消息 -->
+        <!-- 处方卡片消息 -->
+        <div
+          v-else-if="message.type === 'prescription'"
+          class="prescription-card"
+          @click="viewPrescription(message.content)"
+        >
+          <div class="flex items-center gap-3">
+            <div class="w-12 h-12 rounded-full bg-blue-100 dark:bg-blue-900 flex items-center justify-center flex-shrink-0">
+              <i class="fas fa-file-prescription text-blue-500 dark:text-blue-300 text-xl"></i>
+            </div>
+
+            <div class="flex-1 min-w-0">
+              <div class="flex items-center justify-between">
+                <div class="font-semibold text-gray-800 dark:text-gray-100">电子处方</div>
+                <div
+                  class="text-xs px-2 py-1 rounded-full font-medium"
+                  :class="{
+                  'bg-yellow-100 text-yellow-800': message.content.status === 0,
+                  'bg-green-100 text-green-800': message.content.status === 1,
+                  'bg-blue-100 text-blue-800': message.content.status === 2,
+                  'bg-gray-100 text-gray-800': message.content.status === 3,
+                  'bg-red-100 text-red-800': message.content.status === 4
+                }"
+                >
+                  {{ prescriptionStatusMap[message.content.status] }}
+                </div>
+              </div>
+
+              <div class="mt-1 flex flex-wrap gap-2 text-xs text-gray-600 dark:text-gray-300">
+                <div class="flex items-center gap-1">
+                  <i class="fas fa-hashtag text-xs"></i>
+                  <span class="truncate max-w-[100px]">{{ message.content.order_no }}</span>
+                </div>
+
+                <div class="flex items-center gap-1">
+                  <i class="fas fa-truck text-xs"></i>
+                  <span>{{ message.content.express_name }}</span>
+                </div>
+              </div>
+            </div>
+          </div>
+
+          <div class="mt-3 pt-2 border-t border-gray-200 dark:border-gray-600 flex items-center justify-between">
+            <div class="text-sm font-medium text-gray-700 dark:text-gray-200">
+              支付金额: <span class="text-red-500 dark:text-red-400">¥{{ message.content.total_pay_price }}</span>
+            </div>
+
+            <div class="flex items-center text-blue-500 dark:text-blue-300 hover:text-blue-600 dark:hover:text-blue-200 transition-colors">
+              <span class="text-sm font-medium">查看处方</span>
+              <i class="fas fa-chevron-right ml-1 text-xs"></i>
+            </div>
+          </div>
+        </div>
+
         <!-- 通话消息 -->
         <div
 v-else-if="message.type === 'video-call' || message.type === 'voice-call'"
@@ -262,19 +344,25 @@ v-else-if="message.type === 'video-call' || message.type === 'voice-call'"
 }
 
 .message-bubble.sent {
-  background: linear-gradient(135deg, #4361ee, #3f37c9);
   color: white;
   border-bottom-right-radius: 4px;
 }
 
-.message-bubble.received {
+.bubble-bg {
+  background: linear-gradient(135deg, #4361ee, #3f37c9);
+}
+.bubble-bg.dark {
+  background: linear-gradient(135deg, #4361ee, #3f37c9);
+}
+
+.message-bubble.received.bubble-bg {
   background: white;
   color: #1a202c;
   border: 1px solid #e2e8f0;
   border-bottom-left-radius: 4px;
 }
 
-.message-bubble.received.dark {
+.message-bubble.received.dark.bubble-bg {
   background: #374151;
   color: #f7fafc;
   border-color: #4b5563;
@@ -514,4 +602,19 @@ v-else-if="message.type === 'video-call' || message.type === 'voice-call'"
 .message-bubble.sent :deep(.text-link:hover) {
   color: white;
 }
+
+
+/* 处方卡片样式 - 使用TailwindCSS类替代 */
+.prescription-card {
+  @apply w-full max-w-xs md:max-w-sm cursor-pointer rounded-xl bg-white dark:bg-gray-700 p-4 shadow-sm transition-all duration-300;
+  @apply border border-gray-200 dark:border-gray-600 hover:shadow-md hover:border-blue-300 dark:hover:border-blue-500;
+}
+
+.message-bubble.sent .prescription-card {
+  @apply bg-blue-50/30 dark:bg-blue-900/30 border-blue-200/50 dark:border-blue-700/70;
+}
+
+.prescription-card:hover {
+  @apply transform -translate-y-0.5;
+}
 </style>
diff --git a/apps/web-antd/src/views/business/chat/components/MessageInput.vue b/apps/web-antd/src/views/business/chat/components/MessageInput.vue
index b56e2d68..9e869c71 100644
--- a/apps/web-antd/src/views/business/chat/components/MessageInput.vue
+++ b/apps/web-antd/src/views/business/chat/components/MessageInput.vue
@@ -1,5 +1,5 @@
 <script setup>
-import { nextTick, onMounted, onUnmounted, provide, ref } from 'vue';
+import { ref, provide, nextTick, onMounted, onUnmounted } from 'vue';
 
 import { message } from 'ant-design-vue';
 
@@ -13,6 +13,14 @@ import CustomTextarea from './CustomTextarea.vue';
 import EmojiPicker from './EmojiPicker.vue';
 import FileUploadPreview from './FileUploadPreview.vue';
 
+// 定义 props
+const props = defineProps({
+  currentFriend: {
+    type: Object,
+    default: () => ({})
+  }
+});
+
 const userStore = useUserStore();
 const chatStore = useChatStore();
 const themeStore = useThemeStore();
@@ -244,65 +252,84 @@ onMounted(() => {
 onUnmounted(() => {
   window.removeEventListener('audioRecorded', handleAudioRecorded);
 });
+
+// 定义 emits
+const emit = defineEmits([
+  'sendMessage',
+  'openPrescription' // 添加开方事件
+]);
+
+// 开方功能触发函数
+const handleOpenPrescription = () => {
+  // 获取当前会话的register_id，这里假设可以通过某种方式获取
+  // 例如从聊天存储或props中获取
+  const registerId = props.currentFriend?.register_id || 66;
+
+  if (registerId) {
+    emit('openPrescription', registerId);
+  } else {
+    console.warn('无法获取当前会话的register_id');
+    // 可以添加一个提示或使用默认值
+    emit('openPrescription', 0);
+  }
+};
+
 </script>
 
 <template>
-  <div :class="{ dark: themeStore.isDarkMode }" class="message-input-area">
+  <div class="message-input-container" :class="{ dark: themeStore.isDarkMode }">
+
     <!-- 文件上传预览 -->
     <FileUploadPreview v-if="uploadPreview" />
     <!-- 表情选择器 -->
     <EmojiPicker v-if="showEmojiPicker" class="mb-10" @select="insertEmoji" />
+    <!-- 工具栏 -->
+    <div class="toolbar">
+      <button
+        class="function-btn prescription-button"
+        @click="handleOpenPrescription"
+        title="开方"
+      >
+        <i class="fas fa-file-medical"></i>
+<!--        <i class="fas fa-prescription"></i>-->
+      </button>
+      <button
+        class="function-btn"
+        @click="triggerFileInput('image')"
+        title="发送图片"
+      >
+        <i class="fas fa-image"></i>
+      </button>
+      <button
+        class="function-btn"
+        @click="triggerFileInput('video')"
+        title="发送视频"
+      >
+        <i class="fas fa-video"></i>
+      </button>
+      <button
+        :class="{ active: showEmojiPicker }"
+        class="function-btn"
+        title="选择表情"
+        @click="toggleEmojiPicker"
+      >
+        <i class="fas fa-smile"></i>
+      </button>
+      <button
+        :class="{ recording: isRecording }"
+        class="function-btn record-btn"
+        title="按住录音"
+        @mousedown="startRecording"
+        @mouseleave="stopRecording"
+        @mouseup="stopRecording"
+        @touchend="stopRecording"
+        @touchstart="startRecording"
+      >
+        <i class="fas fa-microphone"></i>
+      </button>
+    </div>
 
     <div class="input-container">
-      <!-- 功能按钮区域 -->
-      <div class="function-buttons">
-        <button
-          class="function-btn"
-          title="发送图片"
-          @click="triggerFileInput('image')"
-        >
-          <i class="fas fa-image"></i>
-          <div class="btn-ripple"></div>
-        </button>
-
-        <button
-          class="function-btn"
-          title="发送视频"
-          @click="triggerFileInput('video')"
-        >
-          <i class="fas fa-video"></i>
-          <div class="btn-ripple"></div>
-        </button>
-
-        <button
-          :class="{ active: showEmojiPicker }"
-          class="function-btn"
-          title="选择表情"
-          @click="toggleEmojiPicker"
-        >
-          <i class="fas fa-smile"></i>
-          <div class="btn-ripple"></div>
-        </button>
-
-        <button
-          :class="{ recording: isRecording }"
-          class="function-btn record-btn"
-          title="按住录音"
-          @mousedown="startRecording"
-          @mouseleave="stopRecording"
-          @mouseup="stopRecording"
-          @touchend="stopRecording"
-          @touchstart="startRecording"
-        >
-          <i class="fas fa-microphone"></i>
-          <div class="btn-ripple"></div>
-          <div v-if="isRecording" class="recording-wave"></div>
-        </button>
-
-        <!-- 录音状态指示器 -->
-        <!--        <RecordingIndicator />-->
-      </div>
-
       <!-- 输入框区域 -->
       <div class="input-section">
         <CustomTextarea
@@ -348,14 +375,14 @@ onUnmounted(() => {
 </template>
 
 <style scoped>
-.message-input-area {
+.message-input-container {
   padding: 20px;
   border-top: 1px solid #e2e8f0;
   background: linear-gradient(135deg, #ffffff 0%, #f8fafc 100%);
   position: relative;
 }
 
-.message-input-area.dark {
+.message-input-container.dark {
   border-top-color: #374151;
   background: linear-gradient(135deg, #2d2d2d 0%, #1f2937 100%);
 }
@@ -366,6 +393,38 @@ onUnmounted(() => {
   gap: 16px;
 }
 
+.toolbar {
+  display: flex;
+  align-items: center;
+  padding: 8px;
+  border-top: 1px solid #666666;
+}
+
+.function-btn {
+  background: none;
+  border: none;
+  cursor: pointer;
+  padding: 5px 10px;
+  border-radius: 4px;
+  margin-right: 5px;
+  display: flex;
+  align-items: center;
+  color: #666;
+}
+
+.function-btn:hover {
+  background-color: #f0f0f0;
+}
+
+.prescription-button {
+  color: #455cda;
+  font-weight: 500;
+}
+
+.prescription-button:hover {
+  background-color: #e6e9ff;
+}
+
 .function-buttons {
   display: flex;
   gap: 12px;
@@ -461,12 +520,12 @@ onUnmounted(() => {
   height: 100px;
 }
 
-.message-input-area.dark .function-btn {
+.message-input-container.dark .function-btn {
   background: linear-gradient(135deg, #374151, #4b5563);
   color: #9ca3af;
 }
 
-.message-input-area.dark .function-btn:hover {
+.message-input-container.dark .function-btn:hover {
   background: linear-gradient(135deg, #4361ee, #3f37c9);
   color: white;
 }
diff --git a/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue b/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
new file mode 100644
index 00000000..dcc61fe5
--- /dev/null
+++ b/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
@@ -0,0 +1,1312 @@
+<script setup lang="ts">
+import { ref, watch } from 'vue';
+
+import { useVbenModal } from '@vben/common-ui';
+
+import {
+  DeleteTwoTone,
+  DownOutlined,
+  MinusOutlined,
+  PlusOutlined,
+  UpOutlined,
+} from '@ant-design/icons-vue';
+import {
+  Modal as AntModal,
+  Button,
+  Card,
+  Col,
+  Descriptions,
+  Image,
+  ImagePreviewGroup,
+  InputNumber,
+  message,
+  RadioButton,
+  RadioGroup,
+  Row,
+  Select,
+  SelectOption,
+  Tag,
+  Textarea,
+  Timeline,
+  TimelineItem,
+} from 'ant-design-vue';
+
+import { usePrescriptionStore } from '#/store/prescription';
+
+// 导入子组件
+import DiagnosisModal from '#/views/doctor/doctor-reception/components/DiagnosisModal.vue';
+import DoctorOrderModal from '#/views/doctor/doctor-reception/components/DoctorOrderModal.vue';
+import PrescriptionDetail from '#/views/doctor/doctor-reception/components/PrescriptionDetail.vue';
+import WesternModal from '#/views/doctor/doctor-reception/components/WesternModal.vue';
+
+const splitString = (input: string) => input.split(',');
+
+const modalData = ref<any>();
+const isPatientInfoCollapsed = ref(false);
+const visible = ref(false);
+const previewImage = ref([]);
+const showNewDrugModal = ref(false);
+const doctorSecondSignModal = ref(false);
+
+const categories = [
+  { label: '中药', value: 1 },
+  { label: '中成(西)药', value: 2 },
+];
+
+const packageMethod = [
+  { label: '味包', value: 1 },
+  { label: '剂包', value: 2 },
+];
+
+// 使用 Pinia store
+const prescriptionStore = usePrescriptionStore();
+
+const submittingType = ref(false);
+const [Modal, modalApi] = useVbenModal({
+  draggable: true,
+  confirmText: '发送处方',
+  submitting: submittingType.value,
+  onCancel() {
+    modalApi.close();
+  },
+  onConfirm: async () => {
+    submittingType.value = true;
+    await handleCheckChineseMedicineConflict();
+  },
+  async onOpenChange(isOpen: boolean) {
+    if (isOpen) {
+      modalData.value = modalApi.getData<Record<string, any>>();
+
+      if (modalData.value?.registerId) {
+        // 使用完整初始化，包含患者信息
+        await prescriptionStore.initializePrescription(
+          modalData.value.registerId,
+        );
+        prescriptionStore.loadFromLocalStorage()
+      } else {
+        console.warn('未提供registerId');
+      }
+    }
+  },
+});
+
+watch(
+  () => prescriptionStore.currentDrugs,
+  (newValue) => {
+    console.log('currentDrugs updated:', newValue);
+  },
+  { deep: true },
+);
+
+// 创建子模态框
+const [WesternDrugModal, WesternDrugModalApi] = useVbenModal({
+  connectedComponent: WesternModal,
+});
+
+const [DiagnosisModals, DiagnosisModalApi] = useVbenModal({
+  connectedComponent: DiagnosisModal,
+});
+
+const [DoctorOrderModals, DoctorOrderModalApi] = useVbenModal({
+  connectedComponent: DoctorOrderModal,
+});
+
+const [PrescriptionDetailModal, PrescriptionDetailModalApi] = useVbenModal({
+  connectedComponent: PrescriptionDetail,
+});
+
+const setVisible = (value: boolean, instruction = ''): void => {
+  previewImage.value = [];
+  if (instruction === '') {
+    message.error('该产品没有说明书！');
+    return;
+  }
+
+  if (typeof instruction === 'string') {
+    if (instruction.includes(',')) {
+      previewImage.value = instruction.split(',');
+    } else {
+      previewImage.value.push(instruction);
+    }
+  }
+  visible.value = value;
+};
+
+const handleCheckChineseMedicineConflict = async () => {
+  const result = await prescriptionStore.checkChineseMedicineConflict();
+  if (result.hasConflict) {
+    doctorSecondSignModal.value = true;
+  } else {
+    await handleSendPrescription();
+  }
+};
+
+const handleSendPrescription = async (doctorSecondSignValue = 0) => {
+  const success = await prescriptionStore.sendPrescription(
+    doctorSecondSignValue,
+  );
+  if (success) {
+    if (modalData.value?.onPrescriptionSent) {
+      modalData.value.onPrescriptionSent();
+    }
+    submittingType.value = false;
+    modalApi.close();
+  }
+};
+
+const newDrugBlur = () => {
+  if (
+    prescriptionStore.newDrugInfo.id > 0 &&
+    prescriptionStore.newDrugInfo.number > 0
+  ) {
+    showNewDrugModal.value = true;
+  }
+};
+
+const newDrugModalOk = () => {
+  prescriptionStore.addDrugByChinese();
+  showNewDrugModal.value = false;
+};
+
+const doctorSecondSignModalOk = () => {
+  doctorSecondSignModal.value = false;
+  handleSendPrescription(1);
+};
+
+const searchOption = (inputValue: string) => {
+  prescriptionStore.getDrugList(inputValue);
+};
+
+const tabChange = (id: number) => {
+  prescriptionStore.changeCategory(id);
+};
+
+const togglePatientInfo = () => {
+  isPatientInfoCollapsed.value = !isPatientInfoCollapsed.value;
+};
+
+// 打开西药模态框
+const openWesternModal = () => {
+  WesternDrugModalApi.setData({
+    values: prescriptionStore.activeCategory,
+    isChat: 'chat',
+    activePatient_id: prescriptionStore.currentRegisterId,
+    getCurrentDrugs: () => {
+      // 这里可以添加获取当前药品的逻辑
+      console.log('getCurrentDrugs called from WesternModal');
+    },
+  });
+  WesternDrugModalApi.open();
+};
+
+// 打开诊断模态框
+const openDiagnosisModal = () => {
+  DiagnosisModalApi.setData({
+    values: prescriptionStore.diagnosis,
+    updateDiagnosis: (values: string) => {
+      prescriptionStore.diagnosis = values;
+    },
+  });
+  DiagnosisModalApi.open();
+};
+
+// 打开医嘱模态框
+const openDoctorOrderModal = () => {
+  DoctorOrderModalApi.setData({
+    values: prescriptionStore.medicalAdvice,
+    updateDoctorOrder: (values: string) => {
+      prescriptionStore.medicalAdvice = values;
+    },
+  });
+  DoctorOrderModalApi.open();
+};
+
+// 打开处方详情模态框
+const openPrescriptionDetail = (prescription: any) => {
+  PrescriptionDetailModalApi.setData({
+    values: prescription.id,
+  });
+  PrescriptionDetailModalApi.open();
+};
+</script>
+
+<template>
+  <Modal class="w-[90%]" title="电子处方">
+    <div class="prescription-module">
+      <!-- 说明书预览 -->
+      <div style="width: 0; height: 0; overflow: hidden">
+        <ImagePreviewGroup
+          :preview="{ visible, onVisibleChange: setVisible }"
+          :style="{ display: 'none' }"
+        >
+          <Image
+            v-for="image in previewImage"
+            v-if="visible === true"
+            :key="image"
+            :src="image"
+            :width="200"
+          />
+        </ImagePreviewGroup>
+      </div>
+
+      <!-- 患者信息区域 - 可折叠 -->
+      <div class="patient-info-section mb-4 border-b pb-4">
+        <div
+          class="flex cursor-pointer items-center justify-between"
+          @click="togglePatientInfo"
+        >
+          <h2 class="text-lg font-semibold">
+            患者信息
+            <span
+              v-if="!prescriptionStore.activePatient"
+              class="ml-2 text-sm text-red-500"
+              >(未加载)</span>
+            <span v-else class="ml-2 text-sm text-green-500">(已加载)</span>
+          </h2>
+          <Button type="text">
+            <UpOutlined v-if="!isPatientInfoCollapsed" />
+            <DownOutlined v-if="isPatientInfoCollapsed" />
+          </Button>
+        </div>
+
+        <div v-show="!isPatientInfoCollapsed" class="mt-4">
+          <!-- 调试信息 -->
+          <div
+            v-if="!prescriptionStore.activePatient"
+            class="mb-4 rounded border border-yellow-200 bg-yellow-50 p-4"
+          >
+            <p class="text-yellow-800">
+              <strong>调试信息：</strong>
+            </p>
+            <p>当前注册ID: {{ prescriptionStore.currentRegisterId }}</p>
+            <p>
+              患者信息状态:
+              {{ prescriptionStore.activePatient ? '已加载' : '未加载' }}
+            </p>
+            <p>
+              处方列表长度:
+              {{ prescriptionStore.prescriptionList?.length || 0 }}
+            </p>
+          </div>
+
+          <!-- 患者信息 -->
+          <Descriptions
+            v-if="prescriptionStore.activePatient"
+            :column="{ xxl: 2, xl: 2, lg: 2, md: 2, sm: 2, xs: 2 }"
+            bordered
+            class="mb-5"
+            title="患者信息"
+          >
+            <Descriptions.Item label="患者姓名">
+              {{ prescriptionStore.activePatient.name || '未填写' }}
+            </Descriptions.Item>
+            <Descriptions.Item label="患者年龄">
+              {{ prescriptionStore.activePatient.age || '未填写' }}
+            </Descriptions.Item>
+            <Descriptions.Item label="患者性别">
+              {{
+                prescriptionStore.activePatient.sex === 1
+                  ? '男'
+                  : prescriptionStore.activePatient.sex === 2
+                    ? '女'
+                    : '未填写'
+              }}
+            </Descriptions.Item>
+          </Descriptions>
+
+          <!-- 健康信息 -->
+          <Descriptions
+            v-if="prescriptionStore.userPatientHealthInquiry"
+            :column="{ xxl: 2, xl: 2, lg: 2, md: 2, sm: 2, xs: 2 }"
+            bordered
+            class="mb-5 mt-5"
+            title="健康信息"
+          >
+            <Descriptions.Item label="肝功能">
+              <span>{{
+                prescriptionStore.userPatientHealthInquiry.liver_function === 0
+                  ? '正常'
+                  : '异常'
+              }}</span>
+              <p
+                v-if="
+                  prescriptionStore.userPatientHealthInquiry.liver_function ===
+                    1 && prescriptionStore.userPatientHealthInquiry.liver_index
+                "
+                class="mt-3"
+              >
+                <Tag
+                  v-for="item in splitString(
+                    prescriptionStore.userPatientHealthInquiry.liver_index,
+                  )"
+                  :key="item"
+                  color="#455cda"
+                >
+                  {{ item }}
+                </Tag>
+              </p>
+            </Descriptions.Item>
+            <Descriptions.Item label="肾功能">
+              <span>{{
+                prescriptionStore.userPatientHealthInquiry.renal_function === 0
+                  ? '正常'
+                  : '异常'
+              }}</span>
+              <p
+                v-if="
+                  prescriptionStore.userPatientHealthInquiry.renal_function ===
+                    1 && prescriptionStore.userPatientHealthInquiry.renal_index
+                "
+                class="mt-3"
+              >
+                <Tag
+                  v-for="item in splitString(
+                    prescriptionStore.userPatientHealthInquiry.renal_index,
+                  )"
+                  :key="item"
+                  color="#455cda"
+                >
+                  {{ item }}
+                </Tag>
+              </p>
+            </Descriptions.Item>
+            <Descriptions.Item label="既往史">
+              <span>{{
+                prescriptionStore.userPatientHealthInquiry.person_status === 0
+                  ? '无'
+                  : '有'
+              }}</span>
+              <p
+                v-if="
+                  prescriptionStore.userPatientHealthInquiry.person_status ===
+                    1 &&
+                  prescriptionStore.userPatientHealthInquiry.person_history
+                "
+                class="mt-3"
+              >
+                <Tag
+                  v-for="item in splitString(
+                    prescriptionStore.userPatientHealthInquiry.person_history,
+                  )"
+                  :key="item"
+                  color="#455cda"
+                >
+                  {{ item }}
+                </Tag>
+              </p>
+            </Descriptions.Item>
+            <Descriptions.Item label="过敏史">
+              <span>{{
+                prescriptionStore.userPatientHealthInquiry.allergic_status === 0
+                  ? '无'
+                  : '有'
+              }}</span>
+              <p
+                v-if="
+                  prescriptionStore.userPatientHealthInquiry.allergic_status ===
+                    1 &&
+                  prescriptionStore.userPatientHealthInquiry.allergic_history
+                "
+                class="mt-3"
+              >
+                <Tag
+                  v-for="item in splitString(
+                    prescriptionStore.userPatientHealthInquiry.allergic_history,
+                  )"
+                  :key="item"
+                  color="#455cda"
+                >
+                  {{ item }}
+                </Tag>
+              </p>
+            </Descriptions.Item>
+            <Descriptions.Item label="家庭遗传史">
+              <span>{{
+                prescriptionStore.userPatientHealthInquiry.family_status === 0
+                  ? '无'
+                  : '有'
+              }}</span>
+              <p
+                v-if="
+                  prescriptionStore.userPatientHealthInquiry.family_status ===
+                    1 &&
+                  prescriptionStore.userPatientHealthInquiry.family_history
+                "
+                class="mt-3"
+              >
+                <Tag
+                  v-for="item in splitString(
+                    prescriptionStore.userPatientHealthInquiry.family_history,
+                  )"
+                  :key="item"
+                  color="#455cda"
+                >
+                  {{ item }}
+                </Tag>
+              </p>
+            </Descriptions.Item>
+          </Descriptions>
+
+          <!-- 处方记录 -->
+          <Descriptions
+            :column="{ xxl: 1, xl: 1, lg: 1, md: 1, sm: 1, xs: 1 }"
+            class="mb-5 mt-5"
+            title="处方记录"
+          >
+            <Descriptions.Item>
+              <div
+                v-if="
+                  prescriptionStore.prescriptionList &&
+                  prescriptionStore.prescriptionList.length > 0
+                "
+              >
+                <Timeline>
+                  <TimelineItem
+                    v-for="item in prescriptionStore.prescriptionList"
+                    :key="item.id"
+                  >
+                    <Tag color="#455cda">{{ item.prescription_no }}</Tag>
+                    <Button type="link" @click="openPrescriptionDetail(item)">
+                      查看处方
+                    </Button>
+                    <span class="time-line-item-created">{{
+                      item.created_at
+                    }}</span>
+                    <Tag
+                      :color="item.category === 1 ? '' : '#455cda'"
+                      class="ml-5"
+                    >
+                      {{
+                        item.prescription_type === 1
+                          ? '中药处方'
+                          : item.prescription_type === 5
+                            ? '产品服务包'
+                            : '西药处方'
+                      }}
+                      /
+                      {{ item.category === 1 ? '自费' : '医保' }}
+                    </Tag>
+                    <Tag v-if="item.status === 0" color="warning">待审核</Tag>
+                    <Tag v-else-if="item.status === 1" color="success">
+                      已通过
+                    </Tag>
+                    <Tag v-else-if="item.status === 2" color="error">
+                      未通过
+                    </Tag>
+                    <Tag v-else-if="item.status === 3" color="#455cda">
+                      无需审核
+                    </Tag>
+                    <Tag v-else-if="item.status === 4" color="#455cda">
+                      无需审核
+                    </Tag>
+                    <Tag color="#455cda">处方ID：{{ item.id }}</Tag>
+                  </TimelineItem>
+                </Timeline>
+              </div>
+              <div v-else class="py-4 text-center text-gray-500">
+                暂无处方记录
+              </div>
+            </Descriptions.Item>
+          </Descriptions>
+        </div>
+      </div>
+
+      <!-- 药品分类导航 -->
+      <div class="drug-categories">
+        <button
+          v-for="categoryItem in categories"
+          :key="categoryItem.value"
+          :class="{
+            active: prescriptionStore.activeCategory === categoryItem.value,
+          }"
+          @click="tabChange(categoryItem.value)"
+        >
+          {{ categoryItem.label }}
+        </button>
+      </div>
+
+      <!-- 费用类型选择和添加商品按钮 -->
+      <div class="mt-5 flex items-center justify-between">
+        <RadioGroup v-model:value="prescriptionStore.category">
+          <RadioButton :value="1">自费</RadioButton>
+          <RadioButton :value="2">医保</RadioButton>
+        </RadioGroup>
+
+        <Button
+          v-if="prescriptionStore.activeCategory !== 1"
+          type="primary"
+          @click="openWesternModal"
+        >
+          <PlusOutlined />
+          添加商品
+        </Button>
+      </div>
+
+      <!-- 中药药品列表 -->
+      <div
+        v-if="prescriptionStore.activeCategory === 1"
+        class="mb-5 mt-3 flex"
+        style="flex-wrap: wrap; width: 100%"
+      >
+        <Row :gutter="[16, 16]">
+          <Col
+            v-for="(drug, index) in prescriptionStore.currentDrugs"
+            :key="drug.id"
+            :lg="12"
+            :md="24"
+            :sm="24"
+            :xl="12"
+            :xs="24"
+            :xxl="8"
+          >
+            <Card class="prescription-card mt-0" title="">
+              <div>
+                <span class="card-index">{{ index + 1 }}、</span>
+                <p>
+                  <Select
+                    v-model:value="drug.id"
+                    :filter-option="false"
+                    class="old-select-drug-name"
+                    placeholder="药名"
+                    show-search
+                    style="min-width: 100px"
+                    @change="prescriptionStore.selectOldDrugInfo"
+                    @dropdown-visible-change="
+                      prescriptionStore.setSelectChineseIndex(index, drug.id)
+                    "
+                    @search="searchOption"
+                  >
+                    <SelectOption
+                      v-if="prescriptionStore.drugList.length === 0"
+                      :value="drug.id"
+                    >
+                      {{ drug.drug_name }}
+                    </SelectOption>
+                    <SelectOption
+                      v-for="(value, drugIndex) in prescriptionStore.drugList"
+                      v-else
+                      :key="drugIndex"
+                      :value="value.drug.id"
+                    >
+                      {{ value.drug.drug_name }}
+                    </SelectOption>
+                  </Select>
+                  ,
+                  <InputNumber
+                    v-model:value="drug.number"
+                    :class="`w-1/5 old-number-input-${index}`"
+                    :controls="false"
+                    style="min-width: 100px"
+                    @blur="prescriptionStore.updateChineseNumber"
+                    @keydown="
+                      prescriptionStore.updateChineseNumberGoNewDrug($event)
+                    "
+                  >
+                    <template #addonAfter> g</template>
+                  </InputNumber>
+                  ,
+                  <span>
+                    <Select
+                      :value="drug?.way_id"
+                      placeholder="用法"
+                      @change="prescriptionStore.selectDrugUseWayChange"
+                      @dropdown-visible-change="
+                        prescriptionStore.selectProductChange(drug.index_id)
+                      "
+                    >
+                      <SelectOption :value="0">煎服</SelectOption>
+                      <SelectOption
+                        v-for="(
+                          value, wayIndex
+                        ) in prescriptionStore.drugUseWay"
+                        :key="wayIndex"
+                        :value="value.id"
+                      >
+                        {{ value.name }}
+                      </SelectOption>
+                    </Select>
+                  </span>
+                </p>
+                <p class="card-price">
+                  ￥<span>{{ (drug.price * drug.number).toFixed(2) }}</span>
+                </p>
+                <Button
+                  class="card-delete"
+                  type="link"
+                  @click="prescriptionStore.removeDrug(index)"
+                >
+                  <DeleteTwoTone />
+                </Button>
+              </div>
+            </Card>
+          </Col>
+
+          <!-- 新增药品卡片 -->
+          <Col :lg="12" :md="24" :sm="24" :xl="12" :xs="24" :xxl="8">
+            <Card class="prescription-card" title="">
+              <div>
+                <span class="card-index">{{ prescriptionStore.currentDrugs.length + 1 }}、</span>
+                <div>
+                  <Select
+                    v-model:value="prescriptionStore.newDrugInfo.id"
+                    :filter-option="false"
+                    class="new-select-drug-name w-1/5"
+                    placeholder="药名"
+                    show-search
+                    style="min-width: 100px"
+                    @change="prescriptionStore.selectNewDrugInfo"
+                    @search="searchOption"
+                  >
+                    <SelectOption
+                      v-for="(value, drugIndex) in prescriptionStore.drugList"
+                      :key="drugIndex"
+                      :value="value.drug_id"
+                    >
+                      {{ value.drug.drug_name }}
+                    </SelectOption>
+                  </Select>
+                  ,
+                  <InputNumber
+                    v-model:value="prescriptionStore.newDrugInfo.number"
+                    class="new-number-input w-1/5"
+                    style="min-width: 100px"
+                    @blur="newDrugBlur"
+                    @keydown="
+                      prescriptionStore.selectDrugByNewDrugInfo($event, true)
+                    "
+                  >
+                    <template #addonAfter> g</template>
+                  </InputNumber>
+                  ,
+                  <span>
+                    <Select
+                      v-model:value="prescriptionStore.newDrugInfo.way_id"
+                      placeholder="用法"
+                      @keydown="
+                        prescriptionStore.selectDrugByNewDrugInfo($event, true)
+                      "
+                    >
+                      <SelectOption :value="0">煎服</SelectOption>
+                      <SelectOption
+                        v-for="(
+                          value, wayIndex
+                        ) in prescriptionStore.drugUseWay"
+                        :key="wayIndex"
+                        :value="value.id"
+                      >
+                        {{ value.name }}
+                      </SelectOption>
+                    </Select>
+                  </span>
+                  <p class="card-price">
+                    ￥<span>{{
+                        (
+                          (prescriptionStore.newDrugInfo.price || 0) *
+                          (prescriptionStore.newDrugInfo.number || 1)
+                        ).toFixed(2)
+                      }}元</span>
+                  </p>
+                </div>
+              </div>
+            </Card>
+          </Col>
+          <Col v-if="prescriptionStore.currentDrugs.length < 3" style="opacity: 0" :lg="12" :md="24" :sm="24" :xl="12" :xs="24" :xxl="8">
+            <Card class="prescription-card" title="">
+              <div>
+                <span class="card-index">{{ prescriptionStore.currentDrugs.length + 1 }}、</span>
+                <div>
+                  <Select
+                    v-model:value="prescriptionStore.newDrugInfo.id"
+                    :filter-option="false"
+                    class="new-select-drug-name w-1/5"
+                    placeholder="药名"
+                    show-search
+                    style="min-width: 100px"
+                    @change="prescriptionStore.selectNewDrugInfo"
+                    @search="searchOption"
+                  >
+                    <SelectOption
+                      v-for="(value, drugIndex) in prescriptionStore.drugList"
+                      :key="drugIndex"
+                      :value="value.drug_id"
+                    >
+                      {{ value.drug.drug_name }}
+                    </SelectOption>
+                  </Select>
+                  ,
+                  <InputNumber
+                    v-model:value="prescriptionStore.newDrugInfo.number"
+                    class="new-number-input w-1/5"
+                    style="min-width: 100px"
+                    @blur="newDrugBlur"
+                    @keydown="
+                      prescriptionStore.selectDrugByNewDrugInfo($event, true)
+                    "
+                  >
+                    <template #addonAfter> g</template>
+                  </InputNumber>
+                  ,
+                  <span>
+                    <Select
+                      v-model:value="prescriptionStore.newDrugInfo.way_id"
+                      placeholder="用法"
+                      @keydown="
+                        prescriptionStore.selectDrugByNewDrugInfo($event, true)
+                      "
+                    >
+                      <SelectOption :value="0">煎服</SelectOption>
+                      <SelectOption
+                        v-for="(
+                          value, wayIndex
+                        ) in prescriptionStore.drugUseWay"
+                        :key="wayIndex"
+                        :value="value.id"
+                      >
+                        {{ value.name }}
+                      </SelectOption>
+                    </Select>
+                  </span>
+                  <p class="card-price">
+                    ￥<span>{{
+                        (
+                          (prescriptionStore.newDrugInfo.price || 0) *
+                          (prescriptionStore.newDrugInfo.number || 1)
+                        ).toFixed(2)
+                      }}元</span>
+                  </p>
+                </div>
+              </div>
+            </Card>
+          </Col>
+          <Col v-if="prescriptionStore.currentDrugs.length < 3" style="opacity: 0" :lg="12" :md="24" :sm="24" :xl="12" :xs="24" :xxl="8">
+            <Card class="prescription-card" title="">
+              <div>
+                <span class="card-index">{{ prescriptionStore.currentDrugs.length + 1 }}、</span>
+                <div>
+                  <Select
+                    v-model:value="prescriptionStore.newDrugInfo.id"
+                    :filter-option="false"
+                    class="new-select-drug-name w-1/5"
+                    placeholder="药名"
+                    show-search
+                    style="min-width: 100px"
+                    @change="prescriptionStore.selectNewDrugInfo"
+                    @search="searchOption"
+                  >
+                    <SelectOption
+                      v-for="(value, drugIndex) in prescriptionStore.drugList"
+                      :key="drugIndex"
+                      :value="value.drug_id"
+                    >
+                      {{ value.drug.drug_name }}
+                    </SelectOption>
+                  </Select>
+                  ,
+                  <InputNumber
+                    v-model:value="prescriptionStore.newDrugInfo.number"
+                    class="new-number-input w-1/5"
+                    style="min-width: 100px"
+                    @blur="newDrugBlur"
+                    @keydown="
+                      prescriptionStore.selectDrugByNewDrugInfo($event, true)
+                    "
+                  >
+                    <template #addonAfter> g</template>
+                  </InputNumber>
+                  ,
+                  <span>
+                    <Select
+                      v-model:value="prescriptionStore.newDrugInfo.way_id"
+                      placeholder="用法"
+                      @keydown="
+                        prescriptionStore.selectDrugByNewDrugInfo($event, true)
+                      "
+                    >
+                      <SelectOption :value="0">煎服</SelectOption>
+                      <SelectOption
+                        v-for="(
+                          value, wayIndex
+                        ) in prescriptionStore.drugUseWay"
+                        :key="wayIndex"
+                        :value="value.id"
+                      >
+                        {{ value.name }}
+                      </SelectOption>
+                    </Select>
+                  </span>
+                  <p class="card-price">
+                    ￥<span>{{
+                        (
+                          (prescriptionStore.newDrugInfo.price || 0) *
+                          (prescriptionStore.newDrugInfo.number || 1)
+                        ).toFixed(2)
+                      }}元</span>
+                  </p>
+                </div>
+              </div>
+            </Card>
+          </Col>
+        </Row>
+      </div>
+
+      <!-- 西（中成）药列表 -->
+      <div v-else class="selected-drugs">
+        <div class="drug-table">
+          <div class="table-header">
+            <span>商品图片</span>
+            <span>商品名称</span>
+            <span>数量</span>
+            <span>单价</span>
+            <span>操作</span>
+          </div>
+          <div class="table-body">
+            <div
+              v-for="(drug, index) in prescriptionStore.currentDrugs"
+              :key="drug.id"
+              class="table-row"
+            >
+              <div style="width: 120px; margin: 0 auto">
+                <Image :src="drug.image" />
+              </div>
+              <div>
+                <p>
+                  <span>药品名称：{{ drug.drug_name }}</span>
+                </p>
+                <p>
+                  <span>用法：{{
+                      `${drug.use_type?.name}，${drug.use_frequency?.name}，${drug.use_num?.name}，每次${drug.number}${drug.unit?.name}`
+                    }}</span>
+                </p>
+              </div>
+              <div>
+                <div class="quantity-control">
+                  <Button
+                    type="primary"
+                    @click="prescriptionStore.decrement(index)"
+                  >
+                    <MinusOutlined />
+                  </Button>
+                  <span style="margin: 0 20px">{{ drug.select_number }}</span>
+                  <Button
+                    type="primary"
+                    @click="prescriptionStore.increment(index)"
+                  >
+                    <PlusOutlined />
+                  </Button>
+                </div>
+              </div>
+              <span>{{ drug.price }}</span>
+              <div>
+                <Button
+                  type="link"
+                  @click="prescriptionStore.removeDrug(index)"
+                >
+                  删除
+                </Button>
+                <Button
+                  v-if="drug.instruction !== ''"
+                  type="link"
+                  @click="setVisible(true, drug.instruction)"
+                >
+                  查看说明书
+                </Button>
+              </div>
+            </div>
+          </div>
+        </div>
+      </div>
+
+      <!-- 诊断和医嘱区域 -->
+      <div class="diagnosis-area">
+        <!-- 诊断输入 -->
+        <div class="mb-3">
+          <div class="mb-2 flex items-center justify-between">
+            <label class="font-medium">诊断结果</label>
+            <Button type="primary" @click="openDiagnosisModal">常用诊断</Button>
+          </div>
+          <Textarea
+            v-model:value="prescriptionStore.diagnosis"
+            placeholder="输入诊断结果..."
+          />
+        </div>
+
+        <!-- 医嘱输入 -->
+        <div class="mb-3">
+          <div class="mb-2 flex items-center justify-between">
+            <label class="font-medium">医嘱</label>
+            <Button type="primary" @click="openDoctorOrderModal">
+              常用医嘱
+            </Button>
+          </div>
+          <Textarea
+            v-model:value="prescriptionStore.medicalAdvice"
+            placeholder="输入医嘱..."
+          />
+        </div>
+
+        <!-- 中药配置 -->
+        <div v-if="prescriptionStore.activeCategory === 1" class="mb-5">
+          <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">
+            <Select
+              :value="prescriptionStore.packageMethodId"
+              class="mt-3 w-1/5"
+              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">
+            <Select
+              :value="prescriptionStore.processRuleId"
+              class="mt-3 w-1/5"
+              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="ml-3 mt-3 w-1/5"
+              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="ml-3 mt-3 w-1/5"
+              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">
+            用量：
+            <InputNumber v-model:value="prescriptionStore.dosage" class="w-1/5">
+              <template #addonBefore>
+                <MinusOutlined
+                  @click="
+                    prescriptionStore.dosage =
+                      prescriptionStore.dosage > 1
+                        ? prescriptionStore.dosage - 1
+                        : 1
+                  "
+                />
+              </template>
+              <template #addonAfter>
+                <PlusOutlined
+                  @click="
+                    prescriptionStore.dosage =
+                      prescriptionStore.dosage < 100
+                        ? prescriptionStore.dosage + 1
+                        : 100
+                  "
+                />
+              </template>
+            </InputNumber>
+            天 / {{ prescriptionStore.dosage }} 剂
+          </div>
+
+          <div class="mt-5">
+            频次：
+            <InputNumber
+              v-model:value="prescriptionStore.dayDosage"
+              class="w-1/5"
+            >
+              <template #addonBefore>
+                <MinusOutlined
+                  @click="
+                    prescriptionStore.dayDosage =
+                      prescriptionStore.dayDosage > 1
+                        ? prescriptionStore.dayDosage - 1
+                        : 1
+                  "
+                />
+              </template>
+              <template #addonAfter>
+                <PlusOutlined
+                  @click="
+                    prescriptionStore.dayDosage =
+                      prescriptionStore.dayDosage < 100
+                        ? prescriptionStore.dayDosage + 1
+                        : 100
+                  "
+                />
+              </template>
+            </InputNumber>
+            次/天
+          </div>
+        </div>
+
+        <!-- 诊疗费用 -->
+        诊疗费用：
+        <InputNumber
+          v-model:value="prescriptionStore.treatmentPrice"
+          class="mb-3"
+          placeholder="请输入诊疗价格"
+        >
+          <template #addonAfter> /元</template>
+        </InputNumber>
+      </div>
+
+      <!-- 费用总计 -->
+      <div class="price-box">
+        <div class="total-cost">
+          加工费：¥{{ prescriptionStore.processingFee.toFixed(2) }}
+        </div>
+        <div class="total-cost">
+          商品价格：¥{{ prescriptionStore.totalProductCost.toFixed(2) }}
+        </div>
+        <div class="total-cost">
+          总计：¥{{ prescriptionStore.totalCost.toFixed(2) }}
+        </div>
+      </div>
+
+      <!-- 新药品确认模态框 -->
+      <AntModal v-model:open="showNewDrugModal" @ok="newDrugModalOk">
+        要把【{{ prescriptionStore.newDrugInfo.name }}】添加到清单吗？
+      </AntModal>
+
+      <!-- 二次签名确认模态框 -->
+      <AntModal
+        v-model:open="doctorSecondSignModal"
+        title="二次签名"
+        @ok="doctorSecondSignModalOk"
+      >
+        <div class="doctor-second-sign-title">有毒：</div>
+        <p
+          v-for="item in prescriptionStore.checkData.message?.poisonous || []"
+          :key="item"
+        >
+          【{{ item }}】
+        </p>
+        <div class="doctor-second-sign-title">十八反：</div>
+        <p
+          v-for="item in prescriptionStore.checkData.message?.opposition || []"
+          :key="item"
+        >
+          【{{ item }}】
+        </p>
+        <div class="doctor-second-sign-title">十九畏：</div>
+        <p
+          v-for="item in prescriptionStore.checkData.message?.conflict || []"
+          :key="item"
+        >
+          【{{ item }}】
+        </p>
+        <p class="mt-5" style="color: red">
+          如需继续开方需要二次签名，确认要二次签名吗？
+        </p>
+      </AntModal>
+    </div>
+
+    <!-- 子模态框组件 - 按照VbenAdmin的方式声明 -->
+    <WesternDrugModal />
+    <DiagnosisModals />
+    <DoctorOrderModals />
+    <PrescriptionDetailModal />
+  </Modal>
+</template>
+
+<style scoped>
+.doctor-second-sign-title {
+  font-size: 16px;
+  margin: 10px 0;
+  font-weight: bold;
+  border-left: 5px solid rgb(55, 71, 162);
+  padding-left: 10px;
+}
+
+.card-index {
+  font-size: 20px;
+  font-weight: bold;
+  position: absolute;
+  left: 10px;
+  top: 0;
+}
+
+.card-price {
+  position: absolute;
+  bottom: 10px;
+  right: 8px;
+  color: red;
+}
+
+.card-delete {
+  position: absolute;
+  top: 3px;
+  right: 0;
+}
+
+.prescription-card {
+  position: relative;
+  min-height: 120px;
+}
+
+.drug-categories {
+  display: flex;
+  gap: 1rem;
+  margin: 1rem 0;
+}
+
+.drug-categories button {
+  padding: 8px 16px;
+  border: 1px solid #ddd;
+  border-radius: 10px;
+  cursor: pointer;
+  background: transparent;
+  color: inherit;
+}
+
+.dark .drug-categories button {
+  border: 1px solid #333;
+}
+
+.drug-categories button.active {
+  color: #fff;
+  border-color: transparent;
+  animation: pulse 0.5s;
+  animation-fill-mode: forwards;
+}
+
+@keyframes pulse {
+  0% {
+    transform: scale(1);
+  }
+  50% {
+    transform: scale(1.1);
+  }
+  100% {
+    background: #455cda;
+    transform: scale(1);
+  }
+}
+
+.selected-drugs {
+  margin: 1rem 0;
+  border: 1px solid #eee;
+  border-radius: 8px;
+}
+
+.dark .selected-drugs {
+  border: 1px solid #333;
+}
+
+.table-body {
+  max-height: 30vh;
+  overflow-y: auto;
+}
+
+.table-header {
+  display: grid;
+  grid-template-columns: 0.5fr 1fr 1fr 1fr 1fr;
+  padding: 12px;
+  font-weight: bold;
+  text-align: center;
+}
+
+.table-row {
+  display: grid;
+  grid-template-columns: 0.5fr 1fr 1fr 1fr 1fr;
+  padding: 12px;
+  border-bottom: 1px solid #eee;
+  text-align: center;
+  height: auto;
+  align-items: center;
+}
+
+.dark .table-row {
+  border-bottom: 1px solid #333;
+}
+
+.diagnosis-area textarea {
+  width: 100%;
+  height: 100px;
+  padding: 8px;
+  margin: 8px 0;
+  border: 1px solid #ddd;
+  border-radius: 4px;
+  background: transparent;
+  color: inherit;
+}
+
+.dark .diagnosis-area textarea {
+  border: 1px solid #333;
+}
+
+.price-box {
+  margin-top: 20px;
+}
+
+.total-cost {
+  text-align: right;
+  font-size: 1.2em;
+  font-weight: bold;
+  color: #f56c6c;
+  margin-top: 1rem;
+}
+
+.time-line-item-created {
+  color: #909399;
+  font-size: 0.8em;
+}
+
+.quantity-control {
+  display: flex;
+  align-items: center;
+  justify-content: center;
+}
+
+@media (max-width: 768px) {
+  .drug-categories {
+    flex-wrap: wrap;
+  }
+
+  .table-header,
+  .table-row {
+    grid-template-columns: 1fr 1fr 1fr;
+  }
+
+  .table-header span:nth-child(4),
+  .table-header span:nth-child(5),
+  .table-row > span:nth-child(4),
+  .table-row > div:nth-child(5) {
+    display: none;
+  }
+}
+</style>
diff --git a/apps/web-antd/src/views/business/chat/index.vue b/apps/web-antd/src/views/business/chat/index.vue
index 82ba4a19..66a3ccbc 100644
--- a/apps/web-antd/src/views/business/chat/index.vue
+++ b/apps/web-antd/src/views/business/chat/index.vue
@@ -1,5 +1,7 @@
 <script setup>
-import { onMounted, onUnmounted, ref, watch } from 'vue';
+import { onUnmounted, ref, watch } from 'vue';
+
+import { useVbenModal } from '@vben/common-ui';
 
 import ChatArea from './components/ChatArea.vue';
 import ConnectionStatus from './components/ConnectionStatus.vue';
@@ -9,7 +11,7 @@ import FriendsManagement from './components/FriendsManagement.vue';
 import GroupsManagement from './components/GroupsManagement.vue';
 import MediaPreview from './components/MediaPreview.vue';
 import MomentsView from './components/MomentsView.vue';
-// import SideNavigation from './components/SideNavigation.vue';
+import PrescriptionModal from './components/PrescriptionModal.vue';
 import VideoCallComponent from './components/VideoCallComponent.vue';
 import { useChatStore } from './stores/chat.ts';
 import { useThemeStore } from './stores/theme.ts';
@@ -25,19 +27,39 @@ const callType = ref('video');
 const isIncoming = ref(false);
 const callerInfo = ref(null);
 
-// 初始化录音功能
-// const { isRecording } = useRecording();
+// 使用 VbenModal 管理处方模态框
+const [PrescriptionModalComponent, prescriptionModalApi] = useVbenModal({
+  connectedComponent: PrescriptionModal,
+});
 
 // 处理导航切换
 const handleNavChange = (nav) => {
   currentNav.value = nav;
 };
 
+// 显示开方模块 - 使用正确的VbenModal数据传递方式
+const openPrescriptionModule = (registerId) => {
+  console.log('registerId', registerId);
+
+  // 通过 setData 传递数据，然后打开模态框
+  prescriptionModalApi.setData({
+    registerId,
+    onPrescriptionSent: handlePrescriptionSent, // 传递回调函数
+  });
+  prescriptionModalApi.open();
+};
+
+// 处理处方发送完成事件
+const handlePrescriptionSent = () => {
+  console.log('处方发送完成');
+  // 可以在这里添加其他逻辑，如刷新聊天记录等
+  // 注意：模态框会在PrescriptionModal组件内部关闭
+};
+
 // 监听通话状态变化
 watch(
   () => chatStore.callStatus,
   (status) => {
-    // 只有当通话状态是活跃状态时才显示视频组件
     showVideoCall.value =
       status === 'connecting' ||
       status === 'calling' ||
@@ -69,7 +91,6 @@ watch(
       callType.value = call.callType;
       isIncoming.value = false;
     } else {
-      // 当通话结束时重置状态
       showVideoCall.value = false;
     }
   },
@@ -85,7 +106,7 @@ const handleRejectCall = () => {
   chatStore.rejectCall();
 };
 
-// 处理结束通话 - 修复挂断逻辑
+// 处理结束通话
 const handleEndCall = () => {
   chatStore.endCall();
 };
@@ -94,33 +115,16 @@ const handleEndCall = () => {
 themeStore.loadTheme();
 
 onUnmounted(() => {
-  // disconnectWebSocket();
+  // 清理资源
 });
 </script>
 
 <template>
   <div
-    style="height: 95vh;"
-    class="flex bg-gradient-to-br from-blue-900 via-purple-900 to-pink-300 p-5"
+    class="chat-box-body flex bg-gradient-to-br from-blue-900 via-purple-900 to-pink-300 p-5"
+    style="height: 95vh"
   >
-    <!--    &lt;!&ndash; 背景装饰 &ndash;&gt;-->
-    <!--    <div class="pointer-events-none fixed inset-0 z-0">-->
-    <!--      <div-->
-    <!--        class="animate-float absolute left-10 top-10 h-72 w-72 rounded-full bg-blue-500 opacity-10"-->
-    <!--      ></div>-->
-    <!--      <div-->
-    <!--        class="right-15 animate-float-delayed absolute top-60 h-48 w-48 rounded-full bg-cyan-400 opacity-10"-->
-    <!--      ></div>-->
-    <!--      <div-->
-    <!--        class="animate-float-slow absolute bottom-10 left-20 h-36 w-36 rounded-full bg-red-400 opacity-10"-->
-    <!--      ></div>-->
-    <!--    </div>-->
-
-
-    <!--    &lt;!&ndash; 录音状态指示器 &ndash;&gt;-->
-    <!--    <RecordingIndicator />-->
-
-    <!-- 视频通话组件（移动到此处） -->
+    <!-- 视频通话组件 -->
     <VideoCallComponent
       v-if="showVideoCall"
       :call-type="callType"
@@ -137,18 +141,19 @@ onUnmounted(() => {
     >
       <!-- 连接状态指示器 -->
       <ConnectionStatus />
-<!--      &lt;!&ndash; 侧边导航 &ndash;&gt;-->
-<!--      <SideNavigation-->
-<!--        :current-view="currentNav"-->
-<!--        @nav-change="handleNavChange"-->
-<!--      />-->
 
       <!-- 好友列表 -->
       <FriendList class="w-80 min-w-80" />
 
+      <!-- 处方模态框 - 使用 VbenModal 模式 -->
+      <PrescriptionModalComponent />
+
       <!-- 聊天区域 -->
       <div class="min-w-0 flex-1">
-        <ChatArea v-if="chatStore.currentFriend && currentNav === 'chat'" />
+        <ChatArea
+          v-if="chatStore.currentFriend && currentNav === 'chat'"
+          @open-prescription="openPrescriptionModule"
+        />
         <FriendsManagement v-else-if="currentNav === 'friends'" />
         <GroupsManagement v-else-if="currentNav === 'groups'" />
         <MomentsView v-else-if="currentNav === 'moments'" />
@@ -160,6 +165,7 @@ onUnmounted(() => {
     <MediaPreview />
   </div>
 </template>
+
 <style scoped>
 /*@keyframes float {
   0% {
diff --git a/apps/web-antd/src/views/business/chat/stores/chat.ts b/apps/web-antd/src/views/business/chat/stores/chat.ts
index 94f01a8b..72c3967c 100644
--- a/apps/web-antd/src/views/business/chat/stores/chat.ts
+++ b/apps/web-antd/src/views/business/chat/stores/chat.ts
@@ -237,7 +237,10 @@ export const useChatStore = defineStore('chat', () => {
       return {
         id: message.id,
         type: getMessageType(message.message_type),
-        content: message.message_content,
+        content:
+          message.message_type === 4
+            ? JSON.parse(message.message_content)
+            : message.message_content,
         time: message.created_at_text,
         timestamp: message.created_at,
         senderId: message.sender_user_id,
@@ -261,6 +264,7 @@ export const useChatStore = defineStore('chat', () => {
       if (message.type === 'image') lastMessage = '[图片]';
       if (message.type === 'video') lastMessage = '[视频]';
       if (message.type === 'audio') lastMessage = '[语音]';
+      if (message.type === 'prescription') lastMessage = '[处方]';
       if (message.type === 'video-call' || message.type === 'audio-call')
         lastMessage = '[通话]';
 
diff --git a/apps/web-antd/src/views/business/chat/stores/theme.ts b/apps/web-antd/src/views/business/chat/stores/theme.ts
index 97d11cb7..92107c37 100644
--- a/apps/web-antd/src/views/business/chat/stores/theme.ts
+++ b/apps/web-antd/src/views/business/chat/stores/theme.ts
@@ -1,7 +1,7 @@
-import {defineStore} from "pinia"
-import {ref} from "vue"
+import { defineStore } from "pinia"
+import { ref, nextTick } from "vue"
 
-export const useThemeStore = defineStore("theme", () => {
+export const useThemeStore = defineStore('theme', () => {
   const isDarkMode = ref(false)
 
   const toggleTheme = () => {
@@ -10,24 +10,40 @@ export const useThemeStore = defineStore("theme", () => {
     updateTheme()
   }
 
+  // 修改：仅针对.chat-box-body元素应用主题
   const updateTheme = () => {
-    if (isDarkMode.value) {
-      document.documentElement.setAttribute("data-theme", "dark")
-      document.documentElement.classList.add("dark")
-    } else {
-      document.documentElement.removeAttribute("data-theme")
-      document.documentElement.classList.remove("dark")
-    }
+    nextTick(() => {
+      const chatBoxBody = document.querySelector('.chat-box-body')
+      if (!chatBoxBody) return
+
+      if (isDarkMode.value) {
+        chatBoxBody.setAttribute("data-theme", "dark")
+        chatBoxBody.classList.add("dark")
+      } else {
+        chatBoxBody.removeAttribute("data-theme")
+        chatBoxBody.classList.remove("dark")
+      }
+    })
   }
 
+  // 修改：确保DOM就绪后再加载主题
   const loadTheme = () => {
     const savedTheme = localStorage.getItem("chatTheme")
     if (savedTheme) {
       isDarkMode.value = savedTheme === "dark"
     } else {
-      isDarkMode.value = window.matchMedia && window.matchMedia("(prefers-color-scheme: dark)").matches
+      isDarkMode.value = window.matchMedia?.("(prefers-color-scheme: dark)").matches
     }
-    updateTheme()
+
+    // 等待DOM渲染完成后再更新主题
+    const applyTheme = () => {
+      if (document.querySelector('.chat-box-body')) {
+        updateTheme()
+      } else {
+        requestAnimationFrame(applyTheme)
+      }
+    }
+    applyTheme()
   }
 
   return {
diff --git a/apps/web-antd/src/views/business/chat/utils/request.ts b/apps/web-antd/src/views/business/chat/utils/request.ts
index 0f106bf6..e7c7ab42 100644
--- a/apps/web-antd/src/views/business/chat/utils/request.ts
+++ b/apps/web-antd/src/views/business/chat/utils/request.ts
@@ -126,7 +126,8 @@ export const sendMessage = (data) => {
 
   const requestData = {
     room_id: data.roomId,
-    sender_user_id: 'doctor-' + data.senderId.toString(),
+    // sender_user_id: 'doctor-' + data.senderId.toString(),
+    sender_user_id: data.senderId.toString(),
     receiver_user_id: data.receiverId.toString(),
     message_type: messageTypeMap[data.type] || 0,
     message_content: data.content || '',
diff --git a/apps/web-antd/src/views/doctor/doctor-reception/components/WesternModal.vue b/apps/web-antd/src/views/doctor/doctor-reception/components/WesternModal.vue
index bab2a076..ca84463d 100644
--- a/apps/web-antd/src/views/doctor/doctor-reception/components/WesternModal.vue
+++ b/apps/web-antd/src/views/doctor/doctor-reception/components/WesternModal.vue
@@ -23,19 +23,24 @@ import {
   Select,
   SelectOption,
 } from 'ant-design-vue';
-import { debounce } from 'lodash-es'; // 或者使用自定义防抖函数
+import { debounce } from 'lodash-es';
 
 import {
   getDrugUseList,
   getProductListDoctorReception,
 } from '#/views/doctor/doctor-reception/api';
+import { usePrescriptionStore } from '#/store/prescription'
+
+// 使用 Pinia store
+const prescriptionStore = usePrescriptionStore();
+const { currentDrugs, initializeForModal, updateCurrentDrugs } = prescriptionStore;
 
 // 搜索关键词
 const searchKey = ref('');
 // 药品类型：1-中药，2-西药
 const type = ref(1);
 // 当前药品回调函数
-const currentDrugs = ref();
+const currentDrugsWestern = ref();
 // 当前患者ID
 const activePatientId = ref(0);
 // 药品列表
@@ -51,6 +56,7 @@ const drugTime = ref([]);
 const drugUseWay = ref([]);
 // 当前选中的药品ID
 const selectProductId = ref(0);
+const ChatTypeCheck = ref('');
 // 预览图片URL
 const previewImage = ref('');
 
@@ -285,6 +291,10 @@ function propProducts(data) {
 function updateSelectStorage() {
   try {
     localStorage.setItem(storageKey.value, JSON.stringify(selectList.value));
+    if (ChatTypeCheck.value === 'chat') {
+      // 使用 Pinia store 的方法更新 currentDrugs
+      updateCurrentDrugs(selectList.value);
+    }
   } catch (error) {
     console.error('保存处方数据失败:', error);
     message.error('保存处方数据失败');
@@ -311,11 +321,9 @@ const [Modal, modalApi] = useVbenModal({
     modalApi.close();
   },
   onConfirm: async () => {
-    // 保存数据
-    updateSelectStorage();
     // 调用回调函数
-    if (typeof currentDrugs.value === 'function') {
-      currentDrugs.value();
+    if (typeof currentDrugsWestern.value === 'function') {
+      currentDrugsWestern.value();
     }
     // 关闭modal
     modalApi.close();
@@ -326,16 +334,22 @@ const [Modal, modalApi] = useVbenModal({
     if (isOpen) {
       // 获取回调函数
       const data = modalApi.getData();
-      currentDrugs.value = data?.getCurrentDrugs;
+      currentDrugsWestern.value = data?.getCurrentDrugs;
 
       // 获取参数
-      const { values, activePatient_id } = data || {};
+      const { values, activePatient_id, isChat } = data || {};
 
       if (values) {
         // 设置药品类型
         type.value = values;
         // 设置患者ID
         activePatientId.value = activePatient_id;
+        if (isChat === 'chat') {
+          ChatTypeCheck.value = isChat;
+          activePatientId.value = `-chat-${activePatient_id.value}`;
+          // 使用轻量级初始化，不获取患者信息
+          initializeForModal(activePatient_id.value);
+        }
         // 获取药品列表
         getDrugListByWesternModal();
         // 获取药品使用方式列表
@@ -362,12 +376,12 @@ function selectDrugUseWayChange(id) {
   drugList.value = drugList.value.map((item) =>
     item.id === selectProductId.value
       ? {
-          ...item,
-          drug: {
-            ...item.drug,
-            way_id: id,
-          },
-        }
+        ...item,
+        drug: {
+          ...item.drug,
+          way_id: id,
+        },
+      }
       : item,
   );
 
@@ -375,10 +389,10 @@ function selectDrugUseWayChange(id) {
   selectList.value = selectList.value.map((item) =>
     item.index_id === selectProductId.value
       ? {
-          ...item,
-          way_id: id,
-          use_ways: drugUseWay.value.find((value) => value.id === id),
-        }
+        ...item,
+        way_id: id,
+        use_ways: drugUseWay.value.find((value) => value.id === id),
+      }
       : item,
   );
 
@@ -395,12 +409,12 @@ function selectFrequencyChange(id) {
   selectList.value = selectList.value.map((item) =>
     item.index_id === selectProductId.value
       ? {
-          ...item,
-          frequency_id: id,
-          use_frequency: drugUseFrequency.value.find(
-            (value) => value.id === id,
-          ),
-        }
+        ...item,
+        frequency_id: id,
+        use_frequency: drugUseFrequency.value.find(
+          (value) => value.id === id,
+        ),
+      }
       : item,
   );
 
@@ -417,10 +431,10 @@ function selectTimeChange(id) {
   selectList.value = selectList.value.map((item) =>
     item.index_id === selectProductId.value
       ? {
-          ...item,
-          time_id: id,
-          use_num: drugTime.value.find((value) => value.id === id),
-        }
+        ...item,
+        time_id: id,
+        use_num: drugTime.value.find((value) => value.id === id),
+      }
       : item,
   );
 
@@ -437,10 +451,10 @@ function selectTypeChange(id) {
   selectList.value = selectList.value.map((item) =>
     item.index_id === selectProductId.value
       ? {
-          ...item,
-          type_id: id,
-          use_type: drugUseType.value.find((value) => value.id === id),
-        }
+        ...item,
+        type_id: id,
+        use_type: drugUseType.value.find((value) => value.id === id),
+      }
       : item,
   );
 
@@ -457,10 +471,10 @@ function selectUnitChange(id) {
   selectList.value = selectList.value.map((item) =>
     item.index_id === selectProductId.value
       ? {
-          ...item,
-          unit_id: id,
-          unit: drugUnit.value.find((value) => value.id === id),
-        }
+        ...item,
+        unit_id: id,
+        unit: drugUnit.value.find((value) => value.id === id),
+      }
       : item,
   );
 
@@ -484,9 +498,9 @@ function updateProductNumber(id, number) {
   selectList.value = selectList.value.map((item) =>
     item.index_id === id
       ? {
-          ...item,
-          number,
-        }
+        ...item,
+        number,
+      }
       : item,
   );
 
@@ -546,8 +560,7 @@ function updateProductNumber(id, number) {
                 </template>
               </CardMeta>
               <div class="card-box mt-5" style="padding: 10px 5px">
-
-                <p>单价：{{item.price}}/g</p>
+                <p>单价：{{ item.price }}/g</p>
                 <!-- 选择中药煎法 -->
                 <Select
                   :value="item.drug?.way_id"
@@ -641,7 +654,6 @@ function updateProductNumber(id, number) {
                   <p class="drug-function text-xs">
                     功效：{{ item.drug?.function }}
                   </p>
-
                   <template #content>
                     <p>功效：{{ item.drug?.function }}</p>
                     <p>用法：{{ item.drug?.usage }}</p>