diff --git a/apps/web-antd/src/utils/prescriptionDoctorOrder.ts b/apps/web-antd/src/utils/prescriptionDoctorOrder.ts
new file mode 100644
index 00000000..b9921592
--- /dev/null
+++ b/apps/web-antd/src/utils/prescriptionDoctorOrder.ts
@@ -0,0 +1,28 @@
+/** 展示用：优先顶层合并医嘱，fallback content 纯医嘱 */
+export function formatDoctorOrderText(
+  item?: {
+    doctor_order?: string | string[];
+    content?: { doctor_order?: string };
+  } | null,
+): string {
+  const raw = item?.doctor_order ?? item?.content?.doctor_order ?? '';
+  if (Array.isArray(raw)) {
+    const list = raw.map((s) => String(s).trim()).filter(Boolean);
+    return list.length ? list.join('；') : '-';
+  }
+  const parts = String(raw)
+    .split('|')
+    .map((s) => s.trim())
+    .filter(Boolean);
+  return parts.length ? parts.join('；') : raw ? String(raw) : '-';
+}
+
+/** 复用开方输入框：detail.doctor_order 为数组时转回字符串 */
+export function detailDoctorOrderToText(
+  doctorOrder?: string | string[] | null,
+): string {
+  if (Array.isArray(doctorOrder)) {
+    return doctorOrder.map((s) => String(s).trim()).filter(Boolean).join('|');
+  }
+  return doctorOrder ?? '';
+}
diff --git a/apps/web-antd/src/utils/processRuleCascade.ts b/apps/web-antd/src/utils/processRuleCascade.ts
new file mode 100644
index 00000000..5d33f6c9
--- /dev/null
+++ b/apps/web-antd/src/utils/processRuleCascade.ts
@@ -0,0 +1,90 @@
+export type ProcessRuleListItem = { id?: number | string };
+
+export type ProcessRuleLoadedLevel = 'root' | 'child' | 'note';
+
+/**
+ * 列表仅一项且当前未选时，返回该项 id
+ * 用于委托调剂制剂/煎法/备注的默认选中
+ */
+export function getSingleProcessRuleId(
+  list: ProcessRuleListItem[] | null | undefined,
+  currentId?: number | string | null,
+): number | null {
+  if (!Array.isArray(list) || list.length !== 1) {
+    return null;
+  }
+  const cur = currentId == null || currentId === '' ? null : Number(currentId);
+  if (cur != null && Number.isFinite(cur) && cur > 0) {
+    return null;
+  }
+  const id = Number(list[0]?.id);
+  return Number.isFinite(id) && id > 0 ? id : null;
+}
+
+/** 根据 loadProcessRuleData 参数判断刚加载的是哪一级 */
+export function resolveProcessRuleLoadedLevel(
+  pid: number,
+  ruleId: number,
+): ProcessRuleLoadedLevel {
+  if (ruleId !== 0) {
+    return 'note';
+  }
+  if (pid === 0) {
+    return 'root';
+  }
+  return 'child';
+}
+
+export type ProcessRuleAutoSelectContext = {
+  ruleType: number;
+  disabled?: boolean;
+  processRuleId?: number | string | null;
+  childProcessRuleId?: number | string | null;
+  processRuleNoteId?: number | string | null;
+  processRuleList: ProcessRuleListItem[];
+  childProcessRuleList: ProcessRuleListItem[];
+  processRuleNoteList: ProcessRuleListItem[];
+  load: (pid: number, ruleId: number) => Promise<void>;
+  setProcessRuleId: (id: number) => void;
+  setChildProcessRuleId: (id: number) => void;
+  setProcessRuleNoteId: (id: number) => void;
+  clearBelowProcessRule: () => void;
+  clearBelowChild: () => void;
+};
+
+/**
+ * 子级仅一项时自动选中，并级联 load 下一级
+ * 不覆盖已有选中值（草稿恢复、用户手选、历史导入）
+ */
+export async function applySingleChildProcessRuleAutoSelect(
+  loadedLevel: ProcessRuleLoadedLevel,
+  ctx: ProcessRuleAutoSelectContext,
+): Promise<void> {
+  if (ctx.disabled || ctx.ruleType !== 2) {
+    return;
+  }
+  if (loadedLevel === 'root') {
+    const id = getSingleProcessRuleId(ctx.processRuleList, ctx.processRuleId);
+    if (id == null) {
+      return;
+    }
+    ctx.clearBelowProcessRule();
+    ctx.setProcessRuleId(id);
+    await ctx.load(id, 0);
+    return;
+  }
+  if (loadedLevel === 'child') {
+    const id = getSingleProcessRuleId(ctx.childProcessRuleList, ctx.childProcessRuleId);
+    if (id == null) {
+      return;
+    }
+    ctx.clearBelowChild();
+    ctx.setChildProcessRuleId(id);
+    await ctx.load(0, id);
+    return;
+  }
+  const noteId = getSingleProcessRuleId(ctx.processRuleNoteList, ctx.processRuleNoteId);
+  if (noteId != null) {
+    ctx.setProcessRuleNoteId(noteId);
+  }
+}
diff --git a/apps/web-antd/src/views/doctor/doctor-reception/components/ChineseMedicineConfig.vue b/apps/web-antd/src/views/doctor/doctor-reception/components/ChineseMedicineConfig.vue
new file mode 100644
index 00000000..91e51a61
--- /dev/null
+++ b/apps/web-antd/src/views/doctor/doctor-reception/components/ChineseMedicineConfig.vue
@@ -0,0 +1,284 @@
+<script setup lang="ts">
+import { MinusOutlined, PlusOutlined } from '@ant-design/icons-vue';
+import { InputNumber } from 'ant-design-vue';
+
+/** 中药配置变更载荷 */
+export type ChineseMedicineConfigChange = {
+  ruleType?: number;
+  packageMethodId?: number | null;
+  processRuleId?: number | null;
+  childProcessRuleId?: number | null;
+  processRuleNoteId?: number | null;
+  dosage?: number;
+  dayDosage?: number;
+};
+
+const props = defineProps<{
+  ruleType: number;
+  packageMethodId?: number | null;
+  processRuleId?: number | null;
+  childProcessRuleId?: number | null;
+  processRuleNoteId?: number | null;
+  dosage: number;
+  dayDosage: number;
+  processRuleList?: Array<{ id: number; name: string }>;
+  childProcessRuleList?: Array<{ id: number; name: string }>;
+  processRuleNoteList?: Array<{ id: number; note?: string; name?: string }>;
+  disabled?: boolean;
+}>();
+
+const emit = defineEmits<{
+  change: [payload: ChineseMedicineConfigChange];
+}>();
+
+/** 包法选项（与移动端一致） */
+const packageMethodList = [
+  { id: 1, name: '味包' },
+  { id: 2, name: '剂包' },
+];
+
+/**
+ * 统一向父组件抛出配置变更
+ * 父组件负责级联加载制剂/煎法/备注列表
+ */
+function emitChange(payload: ChineseMedicineConfigChange) {
+  emit('change', payload);
+}
+
+/**
+ * 切换制剂方式：自制剂 / 委托调剂
+ */
+function handleRuleTypeChange(value: number) {
+  if (props.disabled || props.ruleType === value) return;
+  if (value === 1) {
+    emitChange({
+      ruleType: 1,
+      processRuleId: null,
+      childProcessRuleId: null,
+      processRuleNoteId: null,
+      packageMethodId: props.packageMethodId ?? packageMethodList[1].id,
+    });
+  } else {
+    emitChange({
+      ruleType: 2,
+      packageMethodId: null,
+    });
+  }
+}
+
+/** 选择包法标签 */
+function handlePackageMethodClick(id: number) {
+  if (props.disabled) return;
+  emitChange({ packageMethodId: id });
+}
+
+/** 选择制剂标签，级联清空煎法/备注 */
+function handleProcessRuleClick(item: { id: number }) {
+  if (props.disabled) return;
+  emitChange({
+    processRuleId: item.id,
+    childProcessRuleId: null,
+    processRuleNoteId: null,
+  });
+}
+
+/** 选择煎法标签，级联清空备注 */
+function handleChildProcessRuleClick(item: { id: number }) {
+  if (props.disabled) return;
+  emitChange({
+    childProcessRuleId: item.id,
+    processRuleNoteId: null,
+  });
+}
+
+/** 选择备注标签 */
+function handleProcessRuleNoteClick(item: { id: number }) {
+  if (props.disabled) return;
+  emitChange({ processRuleNoteId: item.id });
+}
+
+function updateDosage(val: number) {
+  emitChange({ dosage: val });
+}
+
+function updateDayDosage(val: number) {
+  emitChange({ dayDosage: val });
+}
+</script>
+
+<template>
+  <div class="chinese-medicine-config">
+    <!-- 制剂方式 -->
+    <div class="config-section mb-4">
+      <div class="section-title mb-2 text-sm font-bold text-gray-800 dark:text-gray-200">制剂方式</div>
+      <div class="pill-group">
+        <span
+          class="pill"
+          :class="{ active: ruleType === 1, disabled }"
+          @click="handleRuleTypeChange(1)"
+        >自制剂</span>
+        <span
+          class="pill"
+          :class="{ active: ruleType === 2, disabled }"
+          @click="handleRuleTypeChange(2)"
+        >委托调剂</span>
+      </div>
+    </div>
+
+    <!-- 自制剂：包法 -->
+    <div v-if="ruleType === 1" class="config-section mb-4 border-t border-dashed border-gray-200 dark:border-gray-700 pt-4">
+      <div class="section-title mb-2 text-sm font-bold text-gray-800 dark:text-gray-200">包法选择</div>
+      <div class="pill-group">
+        <span
+          v-for="item in packageMethodList"
+          :key="item.id"
+          class="pill outline"
+          :class="{ active: packageMethodId === item.id, disabled }"
+          @click="handlePackageMethodClick(item.id)"
+        >{{ item.name }}</span>
+      </div>
+    </div>
+
+    <!-- 委托调剂：制剂 / 煎法 / 备注 -->
+    <template v-if="ruleType === 2">
+      <div class="config-section mb-4 border-t border-dashed border-gray-200 dark:border-gray-700 pt-4">
+        <div class="section-title mb-2 text-sm font-bold text-gray-800 dark:text-gray-200">制剂要求</div>
+        <div class="pill-group">
+          <span
+            v-for="item in processRuleList"
+            :key="item.id"
+            class="pill outline"
+            :class="{ active: processRuleId === item.id, disabled }"
+            @click="handleProcessRuleClick(item)"
+          >{{ item.name }}</span>
+        </div>
+      </div>
+      <div v-if="childProcessRuleList?.length" class="config-section mb-4">
+        <div class="section-title mb-2 text-sm font-bold text-gray-800 dark:text-gray-200">煎法说明</div>
+        <div class="pill-group">
+          <span
+            v-for="item in childProcessRuleList"
+            :key="item.id"
+            class="pill outline"
+            :class="{ active: childProcessRuleId === item.id, disabled }"
+            @click="handleChildProcessRuleClick(item)"
+          >{{ item.name }}</span>
+        </div>
+      </div>
+      <div v-if="processRuleNoteList?.length" class="config-section mb-4">
+        <div class="section-title mb-2 text-sm font-bold text-gray-800 dark:text-gray-200">附加备注</div>
+        <div class="pill-group">
+          <span
+            v-for="item in processRuleNoteList"
+            :key="item.id"
+            class="pill outline"
+            :class="{ active: processRuleNoteId === item.id, disabled }"
+            @click="handleProcessRuleNoteClick(item)"
+          >{{ item.note || item.name }}</span>
+        </div>
+      </div>
+    </template>
+
+    <!-- 剂数与频次 -->
+    <div class="config-section border-t border-dashed border-gray-200 dark:border-gray-700 pt-4">
+      <div class="mt-2 flex flex-wrap items-center gap-4">
+        <div class="flex items-center gap-2">
+          <span class="text-sm font-bold text-gray-800 dark:text-gray-200">剂数</span>
+          <InputNumber
+            :value="dosage"
+            :disabled="disabled"
+            :min="1"
+            :max="100"
+            class="w-24"
+            @update:value="(v) => updateDosage(Number(v) || 1)"
+          >
+            <template #addonBefore>
+              <MinusOutlined @click="!disabled && updateDosage(dosage > 1 ? dosage - 1 : 1)" />
+            </template>
+            <template #addonAfter>
+              <PlusOutlined @click="!disabled && updateDosage(dosage < 100 ? dosage + 1 : 100)" />
+            </template>
+          </InputNumber>
+          <span class="text-sm text-gray-500 dark:text-gray-400">剂(天)</span>
+        </div>
+        <div class="flex items-center gap-2">
+          <span class="text-sm font-bold text-gray-800 dark:text-gray-200">用药频次</span>
+          <InputNumber
+            :value="dayDosage"
+            :disabled="disabled"
+            :min="1"
+            :max="100"
+            class="w-24"
+            @update:value="(v) => updateDayDosage(Number(v) || 1)"
+          >
+            <template #addonBefore>
+              <MinusOutlined @click="!disabled && updateDayDosage(dayDosage > 1 ? dayDosage - 1 : 1)" />
+            </template>
+            <template #addonAfter>
+              <PlusOutlined @click="!disabled && updateDayDosage(dayDosage < 100 ? dayDosage + 1 : 100)" />
+            </template>
+          </InputNumber>
+          <span class="text-sm text-gray-500 dark:text-gray-400">次/天</span>
+        </div>
+      </div>
+    </div>
+  </div>
+</template>
+
+<style scoped>
+.pill-group {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 8px;
+}
+.pill {
+  padding: 4px 16px;
+  background-color: #f4f6f8;
+  color: #6c7380;
+  border-radius: 20px;
+  font-size: 13px;
+  cursor: pointer;
+  border: 1px solid transparent;
+  transition: all 0.2s;
+  user-select: none;
+}
+.pill.active {
+  background-color: #00a88a;
+  color: #fff;
+  border-color: #00a88a;
+  font-weight: 600;
+}
+.pill.outline {
+  background-color: #fff;
+  border-color: #e2e8f0;
+}
+.pill.outline.active {
+  background-color: #e8f6f4;
+  color: #00a88a;
+  border-color: #00a88a;
+}
+.pill.disabled {
+  opacity: 0.5;
+  pointer-events: none;
+}
+/* 暗色模式：标签背景与选中态 */
+.dark .pill {
+  background-color: #2a2a2a;
+  color: #a3a3a3;
+}
+.dark .pill.active {
+  background-color: #00a88a;
+  color: #fff;
+  border-color: #00a88a;
+}
+.dark .pill.outline {
+  background-color: #1f1f1f;
+  border-color: #404040;
+  color: #a3a3a3;
+}
+.dark .pill.outline.active {
+  background-color: rgba(0, 168, 138, 0.15);
+  color: #3dd6b5;
+  border-color: #00a88a;
+}
+</style>