diff --git a/apps/web-antd/src/views/doctor/doctor-reception/components/DiagnosisModal.vue b/apps/web-antd/src/views/doctor/doctor-reception/components/DiagnosisModal.vue
index 05b90c9b..a9d12b31 100644
--- a/apps/web-antd/src/views/doctor/doctor-reception/components/DiagnosisModal.vue
+++ b/apps/web-antd/src/views/doctor/doctor-reception/components/DiagnosisModal.vue
@@ -4,11 +4,15 @@ import {ref} from 'vue';
 import {Page, useVbenModal} from '@vben/common-ui';
 
 import {
-  Badge,
+  PlusOutlined,
+  DeleteOutlined,
+} from '@ant-design/icons-vue';
+import {
   Button,
   Col,
   InputSearch,
   message,
+  Popconfirm,
   Row,
 } from 'ant-design-vue';
 
@@ -16,7 +20,11 @@ import {
   getDiseaseList,
 } from '#/views/doctor/doctor-reception/api';
 import { debounce } from 'lodash-es';
-import {getDoctorMyDiseaseListApi} from "#/views/doctor/settings/api"; // 或者使用自定义防抖函数
+import {
+  getDoctorMyDiseaseListApi,
+  addDoctorMyDiseaseApi,
+  deleteDoctorMyDiseaseApi,
+} from "#/views/doctor/settings/api";
 
 const searchKey = ref('');
 const diagnosisList = ref([]);
@@ -78,6 +86,10 @@ function getDiagnosisList(searchKey = '') {
   getDiseaseList(searchKey).then((res) => {
     diagnosisList.value = res.map((item) => {
       item.isSelect = 0;
+      // 检查是否已在常用诊断中
+      item.isInMyList = doctorMyDiseaseList.value.some(
+        (myItem) => myItem.disease.id === item.id
+      );
       if (selectDiagnosisList.value) {
         // 把values的字符串转为数组根据，分解
         const valuesArr = selectDiagnosisList.value.split('，');
@@ -96,6 +108,7 @@ function getDiagnosisList(searchKey = '') {
 const getDiagnosisListChage = debounce(async (searchText = '') => {
   getDiagnosisList(searchText);
 }, 300)
+
 /**
  * 选择诊断
  * @param item
@@ -119,10 +132,48 @@ function selectDiagnosis(item) {
   // 将数组转回字符串更新到响应式变量
   selectDiagnosisList.value = arr.join('，');
 }
+
+/**
+ * 添加到常用诊断
+ * @param item 诊断项
+ */
+async function addToMyDiagnosis(item) {
+  try {
+    await addDoctorMyDiseaseApi(item.id);
+    message.success(`已将「${item.name}」添加到常用诊断`);
+    // 刷新常用诊断列表
+    await getDoctorMyDiseaseList();
+    // 更新搜索结果中的状态
+    item.isInMyList = true;
+  } catch (error) {
+    message.error('添加失败，请重试');
+  }
+}
+
+/**
+ * 从常用诊断中删除
+ * @param item 常用诊断项（包含id和disease）
+ */
+async function removeFromMyDiagnosis(item) {
+  try {
+    await deleteDoctorMyDiseaseApi(item.id);
+    message.success(`已将「${item.disease.name}」从常用诊断中移除`);
+    // 刷新常用诊断列表
+    await getDoctorMyDiseaseList();
+    // 更新搜索结果中的状态
+    const searchItem = diagnosisList.value.find(
+      (d) => d.id === item.disease.id
+    );
+    if (searchItem) {
+      searchItem.isInMyList = false;
+    }
+  } catch (error) {
+    message.error('删除失败，请重试');
+  }
+}
 </script>
 
 <template>
-  <!--  <Modal class="w-[60%]" title="西（中成）药列表">-->
   <Modal class="w-[60%]" title="常用诊断">
     <Page>
       <Row :gutter="12">
@@ -136,19 +187,152 @@ function selectDiagnosis(item) {
           />
         </Col>
         <Col :span="24">
-          <h1 class="mt-3" v-if="doctorMyDiseaseList.length > 0">常用</h1>
-          <Badge v-for="item in doctorMyDiseaseList" :count="0" class="mt-5">
-            <Button style="margin: 0 10px;" type="primary" :ghost="item.disease.isSelect !== 1" @click="selectDiagnosis(item.disease)">{{ item.disease.name }}</Button>
-          </Badge>
+          <!-- 常用诊断列表 -->
+          <h1 class="diagnosis-section-title" v-if="doctorMyDiseaseList.length > 0">常用</h1>
+          <div class="diagnosis-list">
+            <div
+              v-for="item in doctorMyDiseaseList"
+              :key="item.id"
+              class="diagnosis-item"
+              :class="{ 'is-selected': item.disease.isSelect === 1 }"
+            >
+              <Button
+                type="primary"
+                :ghost="item.disease.isSelect !== 1"
+                @click="selectDiagnosis(item.disease)"
+              >
+                {{ item.disease.name }}
+              </Button>
+              <div class="diagnosis-actions" @click.stop>
+                <Popconfirm
+                  title="确定从常用诊断中移除吗？"
+                  @confirm="removeFromMyDiagnosis(item)"
+                >
+                  <Button
+                    type="text"
+                    size="small"
+                    danger
+                    class="action-btn"
+                  >
+                    <template #icon><DeleteOutlined /></template>
+                  </Button>
+                </Popconfirm>
+              </div>
+            </div>
+          </div>
 
-          <h1 class="mt-3" v-if="diagnosisList.length > 0">搜索结果</h1>
-          <Badge v-for="item in diagnosisList" :count="0" class="mt-5">
-            <Button style="margin: 0 10px;" type="primary" :ghost="item.isSelect !== 1" @click="selectDiagnosis(item)">{{ item.name }}</Button>
-          </Badge>
+          <!-- 搜索结果列表 -->
+          <h1 class="diagnosis-section-title" v-if="diagnosisList.length > 0">搜索结果</h1>
+          <div class="diagnosis-list">
+            <div
+              v-for="item in diagnosisList"
+              :key="item.id"
+              class="diagnosis-item"
+              :class="{ 'is-selected': item.isSelect === 1 }"
+            >
+              <Button
+                type="primary"
+                :ghost="item.isSelect !== 1"
+                @click="selectDiagnosis(item)"
+              >
+                {{ item.name }}
+              </Button>
+              <div class="diagnosis-actions" @click.stop>
+                <Button
+                  v-if="!item.isInMyList"
+                  type="text"
+                  size="small"
+                  class="action-btn add-btn"
+                  @click="addToMyDiagnosis(item)"
+                >
+                  <template #icon><PlusOutlined /></template>
+                  <span class="action-text">加入常用</span>
+                </Button>
+                <span v-else class="already-added">已添加</span>
+              </div>
+            </div>
+          </div>
         </Col>
       </Row>
     </Page>
   </Modal>
 </template>
-<style lang="scss">
+
+<style lang="scss" scoped>
+.diagnosis-section-title {
+  margin-top: 12px;
+  margin-bottom: 8px;
+  font-size: 14px;
+  font-weight: 600;
+  color: #333;
+}
+
+.dark .diagnosis-section-title {
+  color: #e5e7eb;
+}
+
+.diagnosis-list {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 8px;
+}
+
+.diagnosis-item {
+  position: relative;
+  display: inline-flex;
+  align-items: center;
+  margin: 4px 0;
+
+  &:hover .diagnosis-actions {
+    opacity: 1;
+    visibility: visible;
+  }
+}
+
+.diagnosis-actions {
+  position: absolute;
+  right: -8px;
+  top: -8px;
+  display: flex;
+  align-items: center;
+  gap: 2px;
+  opacity: 0;
+  visibility: hidden;
+  transition: all 0.2s ease;
+  background: #fff;
+  border-radius: 4px;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.15);
+  padding: 2px;
+}
+
+.dark .diagnosis-actions {
+  background: #374151;
+}
+
+.action-btn {
+  display: flex;
+  align-items: center;
+  font-size: 12px;
+  padding: 2px 6px;
+  height: auto;
+}
+
+.add-btn {
+  color: #1890ff;
+
+  &:hover {
+    color: #40a9ff;
+    background: rgba(24, 144, 255, 0.1);
+  }
+}
+
+.action-text {
+  margin-left: 2px;
+}
+
+.already-added {
+  font-size: 11px;
+  color: #999;
+  padding: 2px 6px;
+}
 </style>
diff --git a/apps/web-antd/src/views/doctor/doctor-reception/components/DoctorOrderModal.vue b/apps/web-antd/src/views/doctor/doctor-reception/components/DoctorOrderModal.vue
index 70d029fb..1edb5388 100644
--- a/apps/web-antd/src/views/doctor/doctor-reception/components/DoctorOrderModal.vue
+++ b/apps/web-antd/src/views/doctor/doctor-reception/components/DoctorOrderModal.vue
@@ -4,23 +4,36 @@ import {ref} from 'vue';
 import {Page, useVbenModal} from '@vben/common-ui';
 
 import {
-  Badge,
+  PlusOutlined,
+  DeleteOutlined,
+} from '@ant-design/icons-vue';
+import {
   Button,
   Col,
-  InputSearch,
+  Input,
   message,
+  Popconfirm,
   Row,
 } from 'ant-design-vue';
 
 import {
-  getDiseaseList, getDoctorOrderList,
+  getDoctorOrderList,
 } from '#/views/doctor/doctor-reception/api';
+import {
+  createDoctorOrderApi,
+  deleteDoctorOrderApi,
+} from '#/views/doctor/settings/api';
 
 const searchKey = ref('');
 const doctorOrderCommonList = ref([]);
 const doctorOrderMyList = ref([]);
 const selectDiagnosisList = ref('');
 const setUpdateDoctorOrder = ref();
+
+// 新增医嘱相关
+const newOrderContent = ref('');
+const showAddInput = ref(false);
+
 const [Modal, modalApi] = useVbenModal({
   fullscreenButton: false,
   draggable: true,
@@ -40,16 +53,15 @@ const [Modal, modalApi] = useVbenModal({
       if (values) {
         selectDiagnosisList.value = values;
       }
-      getDiagnosisList();
+      getDoctorOrderListData();
     }
   },
 });
 
 /**
- * 获取诊断列表
- * @param searchKey
+ * 获取医嘱列表
  */
-function getDiagnosisList() {
+function getDoctorOrderListData() {
   getDoctorOrderList().then((res) => {
     doctorOrderCommonList.value = res.common.map((item) => {
       item.isSelect = 0;
@@ -83,10 +95,11 @@ function getDiagnosisList() {
 }
 
 /**
- * 选择诊断
+ * 选择医嘱
  * @param item
+ * @param type 1=我的医嘱(content字段), 2=公共医嘱(name字段)
  */
-function selectDiagnosis(item, type = 1) {
+function selectDoctorOrder(item, type = 1) {
   // 将当前值转换为数组（过滤空值）
   let arr = selectDiagnosisList.value ? selectDiagnosisList.value.split('，').filter(Boolean) : [];
 
@@ -119,34 +132,258 @@ function selectDiagnosis(item, type = 1) {
   // 将数组转回字符串更新到响应式变量
   selectDiagnosisList.value = arr.join('，');
 }
+
+/**
+ * 添加自定义医嘱
+ */
+async function addMyDoctorOrder() {
+  if (!newOrderContent.value.trim()) {
+    message.warning('请输入医嘱内容');
+    return;
+  }
+
+  try {
+    await createDoctorOrderApi(newOrderContent.value.trim());
+    message.success('添加成功');
+    newOrderContent.value = '';
+    showAddInput.value = false;
+    // 刷新列表
+    await getDoctorOrderListData();
+  } catch (error) {
+    message.error('添加失败，请重试');
+  }
+}
+
+/**
+ * 删除我的医嘱
+ * @param item 医嘱项
+ */
+async function deleteMyDoctorOrder(item) {
+  try {
+    await deleteDoctorOrderApi(item.id);
+    message.success('删除成功');
+    // 刷新列表
+    await getDoctorOrderListData();
+  } catch (error) {
+    message.error('删除失败，请重试');
+  }
+}
+
+/**
+ * 取消添加
+ */
+function cancelAdd() {
+  newOrderContent.value = '';
+  showAddInput.value = false;
+}
 </script>
 
 <template>
-  <!--  <Modal class="w-[60%]" title="西（中成）药列表">-->
   <Modal class="w-[60%]" title="常用医嘱">
     <Page>
       <Row :gutter="12">
+        <!-- 我的医嘱 -->
         <Col :span="24">
-          <InputSearch
-            :model="searchKey"
-            enter-button
-            placeholder="请输想要搜索的内容..."
-            @search="getDiagnosisList"
-          />
+          <h1 class="order-section-title">我的医嘱</h1>
+          <div class="order-list">
+            <div
+              v-for="item in doctorOrderMyList"
+              :key="item.id"
+              class="order-item"
+              :class="{ 'is-selected': item.isSelect === 1 }"
+            >
+              <Button
+                type="primary"
+                :ghost="item.isSelect !== 1"
+                @click="selectDoctorOrder(item, 1)"
+              >
+                {{ item.content }}
+              </Button>
+              <div class="order-actions" @click.stop>
+                <Popconfirm
+                  title="确定删除这条医嘱吗？"
+                  @confirm="deleteMyDoctorOrder(item)"
+                >
+                  <Button
+                    type="text"
+                    size="small"
+                    danger
+                    class="action-btn"
+                  >
+                    <template #icon><DeleteOutlined /></template>
+                  </Button>
+                </Popconfirm>
+              </div>
+            </div>
+
+            <!-- 添加医嘱按钮/输入框 -->
+            <div
+              v-if="!showAddInput"
+              class="add-order-btn"
+              @click="showAddInput = true"
+            >
+              <PlusOutlined />
+              <span>添加医嘱</span>
+            </div>
+
+            <div v-else class="add-order-input">
+              <Input
+                v-model:value="newOrderContent"
+                placeholder="输入医嘱内容"
+                @pressEnter="addMyDoctorOrder"
+              />
+              <div class="add-actions">
+                <Button size="small" @click="cancelAdd">取消</Button>
+                <Button type="primary" size="small" @click="addMyDoctorOrder">
+                  添加
+                </Button>
+              </div>
+            </div>
+          </div>
         </Col>
+
+        <!-- 公共医嘱 -->
         <Col :span="24">
-          <Badge v-for="item in doctorOrderMyList" :count="0" class="mt-5">
-            <Button style="margin: 0 10px;" type="primary" :ghost="item.isSelect !== 1" @click="selectDiagnosis(item)">{{ item.content }}</Button>
-          </Badge>
-        </Col>
-        <Col :span="24">
-          <Badge v-for="item in doctorOrderCommonList" :count="0" class="mt-5">
-            <Button style="margin: 0 10px;" type="primary" :ghost="item.isSelect !== 1" @click="selectDiagnosis(item, 2)">{{ item.name }}</Button>
-          </Badge>
+          <h1 class="order-section-title" v-if="doctorOrderCommonList.length > 0">公共医嘱</h1>
+          <div class="order-list">
+            <div
+              v-for="item in doctorOrderCommonList"
+              :key="item.id"
+              class="order-item"
+              :class="{ 'is-selected': item.isSelect === 1 }"
+            >
+              <Button
+                type="primary"
+                :ghost="item.isSelect !== 1"
+                @click="selectDoctorOrder(item, 2)"
+              >
+                {{ item.name }}
+              </Button>
+            </div>
+          </div>
         </Col>
       </Row>
     </Page>
   </Modal>
 </template>
-<style lang="scss">
+
+<style lang="scss" scoped>
+.order-section-title {
+  margin-top: 12px;
+  margin-bottom: 8px;
+  font-size: 14px;
+  font-weight: 600;
+  color: #333;
+}
+
+.dark .order-section-title {
+  color: #e5e7eb;
+}
+
+.order-list {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 8px;
+  align-items: center;
+}
+
+.order-item {
+  position: relative;
+  display: inline-flex;
+  align-items: center;
+  margin: 4px 0;
+
+  &:hover .order-actions {
+    opacity: 1;
+    visibility: visible;
+  }
+}
+
+.order-actions {
+  position: absolute;
+  right: -8px;
+  top: -8px;
+  display: flex;
+  align-items: center;
+  gap: 2px;
+  opacity: 0;
+  visibility: hidden;
+  transition: all 0.2s ease;
+  background: #fff;
+  border-radius: 4px;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.15);
+  padding: 2px;
+}
+
+.dark .order-actions {
+  background: #374151;
+}
+
+.action-btn {
+  display: flex;
+  align-items: center;
+  font-size: 12px;
+  padding: 2px 6px;
+  height: auto;
+}
+
+.add-order-btn {
+  display: inline-flex;
+  align-items: center;
+  gap: 4px;
+  padding: 6px 12px;
+  border: 1px dashed #d9d9d9;
+  border-radius: 6px;
+  cursor: pointer;
+  font-size: 13px;
+  color: #666;
+  transition: all 0.3s;
+
+  &:hover {
+    border-color: #1890ff;
+    color: #1890ff;
+  }
+}
+
+.dark .add-order-btn {
+  border-color: #4b5563;
+  color: #9ca3af;
+
+  &:hover {
+    border-color: #3b82f6;
+    color: #3b82f6;
+  }
+}
+
+.add-order-input {
+  display: flex;
+  align-items: center;
+  gap: 8px;
+  padding: 4px;
+  border: 1px solid #1890ff;
+  border-radius: 6px;
+  background: #fff;
+
+  :deep(.ant-input) {
+    flex: 1;
+    border: none;
+    outline: none;
+    box-shadow: none;
+    font-size: 13px;
+
+    &:focus {
+      box-shadow: none;
+    }
+  }
+}
+
+.dark .add-order-input {
+  background: #374151;
+  border-color: #3b82f6;
+}
+
+.add-actions {
+  display: flex;
+  gap: 4px;
+}
 </style>
diff --git a/apps/web-antd/src/views/doctor/settings/api/index.ts b/apps/web-antd/src/views/doctor/settings/api/index.ts
index 9e636f8d..10a323db 100644
--- a/apps/web-antd/src/views/doctor/settings/api/index.ts
+++ b/apps/web-antd/src/views/doctor/settings/api/index.ts
@@ -34,3 +34,27 @@ export async function saveServicePriceApi(data: Record<string, any>) {
 export async function createDoctorOrderApi(content: string) {
   return requestClient.post<any>(`${prefix}create-doctor-order`, { content });
 }
+
+/**
+ * 删除医嘱
+ * @param id 医嘱ID
+ */
+export async function deleteDoctorOrderApi(id: number) {
+  return requestClient.post<any>(`${prefix}delete-doctor-order`, { id });
+}
+
+/**
+ * 添加常用诊断
+ * @param disease_id 疾病ID
+ */
+export async function addDoctorMyDiseaseApi(disease_id: number) {
+  return requestClient.post<any>(`${prefix}add-my-disease`, { disease_id });
+}
+
+/**
+ * 删除常用诊断
+ * @param id 常用诊断记录ID
+ */
+export async function deleteDoctorMyDiseaseApi(id: number) {
+  return requestClient.post<any>(`${prefix}delete-my-disease`, { id });
+}
diff --git a/apps/web-antd/src/views/system/base-config/config/table.ts b/apps/web-antd/src/views/system/base-config/config/table.ts
index 51234dc9..84aaae10 100644
--- a/apps/web-antd/src/views/system/base-config/config/table.ts
+++ b/apps/web-antd/src/views/system/base-config/config/table.ts
@@ -24,7 +24,7 @@ export const gridOptions: VxeGridProps<RowType> = {
   columns: [
     { field: 'id', align: 'left', title: 'ID', width: 100 },
     { field: 'desc', align: 'left', title: '协议名称' },
-    { field: 'content', title: '协议介绍', slots: { default: 'content' } },
+    // { field: 'content', title: '协议介绍', slots: { default: 'content' } },
     { field: 'end_txt', title: '协议端口' },
     { field: 'created_at', title: '创建时间' },
     { type: 'html', title: '操作', slots: { default: 'action' } },