diff --git a/components/AssistantConsultationShell.vue b/components/AssistantConsultationShell.vue
index a3b3c38..a48f2fc 100644
--- a/components/AssistantConsultationShell.vue
+++ b/components/AssistantConsultationShell.vue
@@ -111,6 +111,30 @@
     </scroll-view>
 
     <slot v-if="customFooterActive && $slots.footer" name="footer"></slot>
+    <view
+      v-else-if="showQuestionButtons && currentQuestion && !isSubmitting && !showWaiting && answerMode === 'multi'"
+      class="action-footer multi-footer safe-area-inset-bottom"
+    >
+      <!-- 多选适用症：点选 toggling，确认后再提交 -->
+      <view class="multi-options">
+        <button
+          v-for="(answer, index) in currentQuestionAnswers"
+          :key="index"
+          :class="['multi-option-btn', { selected: !!multiSelectedMap[index] }]"
+          @click="toggleMultiAnswer(index)"
+        >
+          {{ answer }}
+        </button>
+      </view>
+      <button
+        class="action-btn yes-btn confirm-btn"
+        :disabled="multiSelectedCount === 0"
+        :class="{ disabled: multiSelectedCount === 0 }"
+        @click="confirmMultiAnswer"
+      >
+        确认
+      </button>
+    </view>
     <view
       v-else-if="showQuestionButtons && currentQuestion && !isSubmitting && !showWaiting"
       class="action-footer safe-area-inset-bottom"
@@ -224,6 +248,29 @@ export default {
       type: Boolean,
       default: false,
     },
+    /**
+     * 答题模式：single 点一下即提交；multi 可多选后点确认
+     * 诊所复诊按药选适用症用 multi
+     */
+    answerMode: {
+      type: String,
+      default: 'single',
+    },
+  },
+  data() {
+    return {
+      /** 多选模式下已选中的选项下标映射，避免模板里写 indexOf */
+      multiSelectedMap: {},
+    };
+  },
+  watch: {
+    // 题目切换时清空多选，避免上一题选中态残留
+    currentQuestion() {
+      this.multiSelectedMap = {};
+    },
+    answerMode() {
+      this.multiSelectedMap = {};
+    },
   },
   computed: {
     agreementPopupVisible: {
@@ -234,6 +281,9 @@ export default {
         this.$emit('update:showAgreement', val)
       },
     },
+    multiSelectedCount() {
+      return Object.keys(this.multiSelectedMap).filter((k) => this.multiSelectedMap[k]).length;
+    },
   },
   methods: {
     handleHeaderBack() {
@@ -256,6 +306,28 @@ export default {
       if (index === 0) return 'yes-btn'
       return 'no-btn'
     },
+    /** 多选：切换某个适用症的选中状态 */
+    toggleMultiAnswer(index) {
+      if (this.multiSelectedMap[index]) {
+        this.$delete(this.multiSelectedMap, index);
+      } else {
+        this.$set(this.multiSelectedMap, index, true);
+      }
+    },
+    /** 多选确认：把选中标签用顿号拼接后交给父组件 */
+    confirmMultiAnswer() {
+      const indexes = Object.keys(this.multiSelectedMap)
+        .filter((k) => this.multiSelectedMap[k])
+        .map((k) => Number(k))
+        .sort((a, b) => a - b);
+      if (!indexes.length) return;
+      const labels = indexes
+        .map((i) => this.currentQuestionAnswers[i])
+        .filter(Boolean);
+      if (!labels.length) return;
+      this.$emit('answer', labels.join('、'));
+      this.multiSelectedMap = {};
+    },
   },
 }
 </script>
@@ -450,12 +522,15 @@ export default {
 
   .action-btn {
     flex: 1;
-    height: 88rpx;
-    line-height: 88rpx;
+    min-height: 88rpx;
+    height: auto;
+    line-height: 1.35;
+    padding: 20rpx 16rpx;
     border-radius: 44rpx;
-    font-size: 32rpx;
+    font-size: 30rpx;
     font-weight: 500;
     border: none;
+    white-space: normal;
 
     &::after {
       border: none;
@@ -471,6 +546,48 @@ export default {
       color: #333;
       border: 2rpx solid #ddd;
     }
+
+    &.disabled,
+    &[disabled] {
+      opacity: 0.45;
+    }
+  }
+
+  &.multi-footer {
+    flex-direction: column;
+    gap: 16rpx;
+
+    .multi-options {
+      display: flex;
+      flex-wrap: wrap;
+      gap: 16rpx;
+    }
+
+    .multi-option-btn {
+      min-width: 140rpx;
+      padding: 0 28rpx;
+      height: 64rpx;
+      line-height: 64rpx;
+      border-radius: 32rpx;
+      font-size: 26rpx;
+      background: rgba(10, 132, 255, 0.08);
+      color: #475569;
+      border: 2rpx solid transparent;
+
+      &::after {
+        border: none;
+      }
+
+      &.selected {
+        background: #0a84ff;
+        color: #fff;
+      }
+    }
+
+    .confirm-btn {
+      width: 100%;
+      flex: none;
+    }
   }
 }
 
diff --git a/subPackages/chat/components/MessageBubble.vue b/subPackages/chat/components/MessageBubble.vue
index dd9e7b8..70ffa0f 100644
--- a/subPackages/chat/components/MessageBubble.vue
+++ b/subPackages/chat/components/MessageBubble.vue
@@ -184,6 +184,14 @@
                 <text class="label">您的选择</text>
                 <text class="value">{{ followUpAnsweredLabel }}</text>
               </view>
+              <view class="text-block" v-if="parsedContent.illness_info">
+                <text class="block-label">适用症/症状</text>
+                <text class="block-content">{{ parsedContent.illness_info }}</text>
+              </view>
+              <view class="text-block" v-if="parsedContent.supplement">
+                <text class="block-label">补充信息</text>
+                <text class="block-content">{{ parsedContent.supplement }}</text>
+              </view>
               <view v-if="parsedContent.answer_status === 'pending'" class="follow-up-pending-readonly">
                 <text class="follow-up-pending-tip">请在挂号后的用药确认页完成选择，此处不可更改</text>
               </view>
@@ -221,7 +229,7 @@
             </view>
             <view class="card-footer split">
               <text class="link-btn" @click="$emit('viewPrescription', parsedContent.id, parsedContent.order_no)">详情</text>
-              <button class="action-btn primary" @click="$emit('goToOrderMedicine', parsedContent.order_id, parsedContent.order_no)">一键购药</button>
+              <button class="action-btn primary" @click="$emit('goToOrderMedicine', parsedContent.order_id, parsedContent.order_no)">立即支付</button>
             </view>
           </block>
 
diff --git a/subPackages/doctor/components/FollowUpDrugDrawer.vue b/subPackages/doctor/components/FollowUpDrugDrawer.vue
index 18b09b7..115ce98 100644
--- a/subPackages/doctor/components/FollowUpDrugDrawer.vue
+++ b/subPackages/doctor/components/FollowUpDrugDrawer.vue
@@ -260,6 +260,9 @@ export default {
             id,
             drug_name: meta.drug_name || '',
             quantity: q,
+            // 适用症随选药带入，复诊助手按药出题用
+            indications: meta.indications || '',
+            indications_array: Array.isArray(meta.indications_array) ? meta.indications_array : [],
           });
         }
       }
diff --git a/subPackages/follow-up/medication-info.vue b/subPackages/follow-up/medication-info.vue
index 390a29a..3054ee6 100644
--- a/subPackages/follow-up/medication-info.vue
+++ b/subPackages/follow-up/medication-info.vue
@@ -17,12 +17,32 @@
       :show-question-buttons="postRegisterStep === 'await_answer'"
       :current-question="postRegisterCurrentQuestion"
       :current-question-answers="postRegisterQuestionAnswers"
+      :answer-mode="postRegisterAnswerMode"
+      :custom-footer-active="postRegisterStep === 'await_supplement'"
       :is-submitting="postRegisterSubmitting"
       :show-waiting="postRegisterWaiting"
       @back="handlePostRegisterBack"
       @answer="onPostRegisterShellAnswer"
       @view-agreement="viewPostRegisterAgreement"
-    />
+    >
+      <!-- 有补充：底部输入框，填完再转接医生 -->
+      <view slot="footer" class="supplement-footer safe-area-inset-bottom">
+        <textarea
+          class="supplement-input"
+          v-model="postRegisterSupplementText"
+          placeholder="请补充您的病情或用药相关信息"
+          :maxlength="500"
+          :disabled="postRegisterSubmitting"
+        />
+        <button
+          class="supplement-submit"
+          :disabled="postRegisterSubmitting || !postRegisterSupplementCanSubmit"
+          @click="onPostRegisterSupplementSubmit"
+        >
+          提交补充
+        </button>
+      </view>
+    </AssistantConsultationShell>
     <u-toast ref="uToast" />
   </view>
 
@@ -116,7 +136,7 @@
 <script>
 import { getStoreDrugDetailApi, checkOnlineConsultationConfigApi } from '@/request/api/product';
 import request from '@/request/api/request';
-import { confirmFollowUpDrugUseApi } from '@/request/api/order';
+import { confirmFollowUpDrugUseApi, getWesternDrugsForFollowUpApi } from '@/request/api/order';
 import {
   CLINIC_POST_REGISTER_STORAGE_KEY,
   markFollowUpAssistSent,
@@ -132,6 +152,12 @@ import {
 
 const FOLLOWUP_PAYLOAD_KEY = '__medication_followup_payload';
 
+/** 收尾确认题：确诊/无禁忌后是否还有补充 */
+const POST_REGISTER_CONFIRM_QUESTION =
+  '您已确诊过此疾病，并使用过药，且无相关禁忌症和不良反应。请问您是否还有信息需要补充?如无，我将依据病情为您开具处方。';
+const POST_REGISTER_CONFIRM_NO_MORE = '无需补充，立即开方';
+const POST_REGISTER_CONFIRM_HAS_MORE = '有补充';
+
 export default {
   components: { AssistantConsultationShell },
   data() {
@@ -175,10 +201,14 @@ export default {
       postRegisterQuestionList: [],
       postRegisterQuestionIndex: -1,
       postRegisterUserAnswers: [],
+      /** 按药收集的适用症：{ drug_id, name, symptoms }[] */
+      postRegisterSymptomAnswers: [],
+      postRegisterSupplementText: '',
+      postRegisterFinalSupplement: '',
       postRegisterReplyDelay: 0.65,
       postRegisterIsTyping: false,
       postRegisterShowWelcome: true,
-      /** idle | await_answer | typing_after | submitting */
+      /** idle | await_answer | await_supplement | typing_after | submitting */
       postRegisterStep: 'idle',
       postRegisterScrollIntoView: '',
       postRegisterSubmitting: false,
@@ -233,6 +263,15 @@ export default {
           });
         }
       }
+      // 有补充输入提交后追加一条补充内容气泡
+      if (this.postRegisterFinalSupplement) {
+        messages.push({
+          type: 'answer',
+          id: 'answer-supplement',
+          content: this.postRegisterFinalSupplement,
+          timestamp: messages.length,
+        });
+      }
       if (this.postRegisterWaiting) {
         messages.push({
           type: 'waiting',
@@ -244,11 +283,24 @@ export default {
     },
     postRegisterCurrentQuestion() {
       if (this.postRegisterStep !== 'await_answer') return null;
-      if (!this.postRegisterQuestionList.length) return null;
-      return this.postRegisterQuestionList[0];
+      const qs = this.postRegisterQuestionList;
+      const idx = this.postRegisterQuestionIndex;
+      if (idx < 0 || idx >= qs.length) return null;
+      return qs[idx];
     },
     postRegisterQuestionAnswers() {
-      return ['是', '否'];
+      const q = this.postRegisterCurrentQuestion;
+      if (!q || !Array.isArray(q.answers)) return ['是', '否'];
+      return q.answers;
+    },
+    /** 适用症题用 multi，其余单选 */
+    postRegisterAnswerMode() {
+      const q = this.postRegisterCurrentQuestion;
+      return q && q.type === 'symptom' ? 'multi' : 'single';
+    },
+    /** 补充文案是否可提交（避免模板里调用 trim） */
+    postRegisterSupplementCanSubmit() {
+      return !!(this.postRegisterSupplementText && String(this.postRegisterSupplementText).trim());
     },
     productPrice() {
       const rel = this.productDetail.drug_store_relations;
@@ -289,16 +341,18 @@ export default {
       if (!this.registerInfoId || !this.postRegisterRoomId || !this.postRegisterDoctorId || !this.postRegisterRegisterId) {
         uni.showToast({ title: '参数无效', icon: 'none' });
       } else {
-        this.postRegisterQuestionList = [
-          {
-            id: 'clinic-post-reg-1',
-            question: this.clinicQuestion || '您是否曾使用过此类药品？',
-            answers: ['是', '否'],
-          },
-        ];
         this.loadPostRegisterAssistantConfig();
         this.loadPostRegisterAgreementInfo();
-        this.$nextTick(() => this.beginPostRegisterAssistantFlow());
+        // 先补齐适用症再出题，避免选药 payload 缺 indications 时跳过症状题
+        this.enrichClinicDrugsIndications()
+          .then(() => {
+            this.buildPostRegisterQuestionList();
+            this.$nextTick(() => this.beginPostRegisterAssistantFlow());
+          })
+          .catch(() => {
+            this.buildPostRegisterQuestionList();
+            this.$nextTick(() => this.beginPostRegisterAssistantFlow());
+          });
       }
       return;
     }
@@ -361,10 +415,103 @@ export default {
         this.postRegisterScrollIntoView = '';
       }, 120);
     },
+    /**
+     * 构建诊所复诊助手题目：
+     * 1) 是否用过药 2) 每个有适用症的药一题 3) 是否还需补充
+     */
+    buildPostRegisterQuestionList() {
+      const list = [
+        {
+          id: 'clinic-post-reg-used',
+          type: 'used_drug',
+          question: this.clinicQuestion || '您是否曾使用过此类药品？',
+          answers: ['是', '否'],
+        },
+      ];
+      (this.clinicDrugs || []).forEach((drug, idx) => {
+        const answers = this.normalizeDrugIndicationLabels(drug);
+        if (!answers.length) return;
+        const name = drug.name || drug.drug_name || '药品';
+        list.push({
+          id: `clinic-post-reg-symptom-${drug.drug_id || idx}`,
+          type: 'symptom',
+          drug_id: Number(drug.drug_id || drug.id) || 0,
+          drug_name: name,
+          question: `请选择「${name}」本次复诊的适用症`,
+          answers,
+        });
+      });
+      list.push({
+        id: 'clinic-post-reg-confirm',
+        type: 'confirm',
+        question: POST_REGISTER_CONFIRM_QUESTION,
+        answers: [POST_REGISTER_CONFIRM_NO_MORE, POST_REGISTER_CONFIRM_HAS_MORE],
+      });
+      this.postRegisterQuestionList = list;
+    },
+    /**
+     * 若选药 payload 未带适用症，用门店西药列表接口按 id 回填
+     * 原因：直接读 yii_drug.indications，避开商品详情对处方药清空适用症
+     */
+    async enrichClinicDrugsIndications() {
+      const drugs = this.clinicDrugs || [];
+      const need = drugs.some((d) => !this.normalizeDrugIndicationLabels(d).length);
+      if (!need || !drugs.length) return;
+      const storeId = uni.getStorageSync('store_id');
+      if (!storeId) return;
+      try {
+        const res = await getWesternDrugsForFollowUpApi({ store_id: storeId });
+        const list = Array.isArray(res.data && res.data.result) ? res.data.result : [];
+        if (!list.length) return;
+        const byId = {};
+        list.forEach((row) => {
+          if (row && row.id) byId[Number(row.id)] = row;
+        });
+        this.clinicDrugs = drugs.map((d) => {
+          const id = Number(d.drug_id || d.id);
+          if (this.normalizeDrugIndicationLabels(d).length) return d;
+          const meta = byId[id];
+          if (!meta) return d;
+          return {
+            ...d,
+            indications: meta.indications || '',
+            indications_array: Array.isArray(meta.indications_array) ? meta.indications_array : [],
+          };
+        });
+      } catch (e) {
+        console.warn('enrichClinicDrugsIndications', e);
+      }
+    },
+    /** 把药品 indications / indications_array 规范成可选标签文案数组 */
+    normalizeDrugIndicationLabels(drug) {
+      if (!drug) return [];
+      let arr = Array.isArray(drug.indications_array) ? drug.indications_array : [];
+      if (!arr.length && drug.indications) {
+        arr = String(drug.indications)
+          .split(',')
+          .map((s) => s.trim())
+          .filter(Boolean)
+          .map((s) => ({ value: s, label: s }));
+      }
+      return arr
+        .map((item) => (typeof item === 'string' ? item : item.label || item.value || ''))
+        .map((s) => String(s).trim())
+        .filter(Boolean);
+    },
+    /** 聚合「药名:症状1、症状2」写入 illnessInfo */
+    buildPostRegisterIllnessInfo() {
+      return (this.postRegisterSymptomAnswers || [])
+        .filter((row) => row && row.symptoms)
+        .map((row) => `${row.name || '药品'}:${row.symptoms}`)
+        .join('；');
+    },
     beginPostRegisterAssistantFlow() {
       this.postRegisterStep = 'idle';
       this.postRegisterShowWelcome = true;
       this.postRegisterUserAnswers = [];
+      this.postRegisterSymptomAnswers = [];
+      this.postRegisterSupplementText = '';
+      this.postRegisterFinalSupplement = '';
       this.postRegisterWaiting = false;
       this.postRegisterQuestionIndex = -1;
       this.postRegisterIsTyping = true;
@@ -376,10 +523,72 @@ export default {
         this.$nextTick(() => this.postRegisterScrollToBottom());
       }, delayMs);
     },
+    /**
+     * 推进到下一题或结束提交；typing 延迟与转诊一致
+     */
+    advancePostRegisterAfterAnswer() {
+      this.postRegisterStep = 'typing_after';
+      this.postRegisterIsTyping = true;
+      this.$nextTick(() => this.postRegisterScrollToBottom());
+      const typingMs = Math.max(200, (this.postRegisterReplyDelay || 0.65) * 1000);
+      setTimeout(() => {
+        this.postRegisterIsTyping = false;
+        const nextIdx = this.postRegisterQuestionIndex + 1;
+        if (nextIdx < this.postRegisterQuestionList.length) {
+          this.postRegisterQuestionIndex = nextIdx;
+          this.postRegisterStep = 'await_answer';
+          this.$nextTick(() => this.postRegisterScrollToBottom());
+          return;
+        }
+        // 全部答完 → 提交转接
+        this.$nextTick(() => this.postRegisterScrollToBottom());
+        setTimeout(() => {
+          this.submitClinicPostRegister();
+        }, 500);
+      }, typingMs);
+    },
     onPostRegisterShellAnswer(answer) {
       if (this.postRegisterStep !== 'await_answer' || this.submitted) return;
-      this.postRegisterUserAnswers = [answer];
-      this.clinicForm.hasUsedDrug = answer === '是' ? '1' : '0';
+      const q = this.postRegisterCurrentQuestion;
+      if (!q) return;
+      this.postRegisterUserAnswers = this.postRegisterUserAnswers.concat([answer]);
+      if (q.type === 'used_drug') {
+        this.clinicForm.hasUsedDrug = answer === '是' ? '1' : '0';
+        this.advancePostRegisterAfterAnswer();
+        return;
+      }
+      if (q.type === 'symptom') {
+        this.postRegisterSymptomAnswers = this.postRegisterSymptomAnswers.concat([
+          {
+            drug_id: q.drug_id,
+            name: q.drug_name,
+            symptoms: answer,
+          },
+        ]);
+        this.advancePostRegisterAfterAnswer();
+        return;
+      }
+      if (q.type === 'confirm') {
+        if (answer === POST_REGISTER_CONFIRM_HAS_MORE) {
+          // 进入补充输入，不立刻提交
+          this.postRegisterStep = 'await_supplement';
+          this.postRegisterSupplementText = '';
+          this.$nextTick(() => this.postRegisterScrollToBottom());
+          return;
+        }
+        this.postRegisterFinalSupplement = '';
+        this.advancePostRegisterAfterAnswer();
+      }
+    },
+    /** 有补充：校验非空后写入气泡并提交 */
+    onPostRegisterSupplementSubmit() {
+      if (this.postRegisterStep !== 'await_supplement' || this.submitted) return;
+      const text = (this.postRegisterSupplementText || '').trim();
+      if (!text) {
+        uni.showToast({ title: '请填写补充信息', icon: 'none' });
+        return;
+      }
+      this.postRegisterFinalSupplement = text;
       this.postRegisterStep = 'typing_after';
       this.postRegisterIsTyping = true;
       this.$nextTick(() => this.postRegisterScrollToBottom());
@@ -387,7 +596,6 @@ export default {
       setTimeout(() => {
         this.postRegisterIsTyping = false;
         this.$nextTick(() => this.postRegisterScrollToBottom());
-        // 与转诊一致：最后一题答完后短延迟再自动提交
         setTimeout(() => {
           this.submitClinicPostRegister();
         }, 500);
@@ -396,11 +604,11 @@ export default {
     resetPostRegisterAfterSubmitFailure() {
       this.submitted = false;
       this.postRegisterWaiting = false;
-      this.postRegisterStep = 'await_answer';
-      if (this.clinicForm.hasUsedDrug === '0' || this.clinicForm.hasUsedDrug === '1') {
-        this.postRegisterUserAnswers = [this.clinicForm.hasUsedDrug === '1' ? '是' : '否'];
+      // 失败后回到最后一题，方便用户重试
+      if (this.postRegisterFinalSupplement) {
+        this.postRegisterStep = 'await_supplement';
       } else {
-        this.postRegisterUserAnswers = [];
+        this.postRegisterStep = 'await_answer';
       }
       this.$nextTick(() => this.postRegisterScrollToBottom());
     },
@@ -608,9 +816,13 @@ export default {
       this.$nextTick(() => this.postRegisterScrollToBottom());
       const val = this.clinicForm.hasUsedDrug;
       const answerStatus = val === '1' ? 'yes' : 'no';
+      const illnessInfo = this.buildPostRegisterIllnessInfo();
+      const supplement = (this.postRegisterFinalSupplement || '').trim();
       confirmFollowUpDrugUseApi({
         register_info_id: this.registerInfoId,
         has_used_drug: val,
+        illnessInfo,
+        supplement,
       })
         .then(async (res) => {
           const d = res.data || {};
@@ -630,6 +842,8 @@ export default {
                 drugsPayload: this.clinicDrugs,
                 question: this.clinicQuestion,
                 answerStatus,
+                illnessInfo,
+                supplement,
               });
               markFollowUpAssistSent(this.postRegisterRegisterId);
             }
@@ -930,5 +1144,42 @@ export default {
 .safe-area-bottom {
   padding-bottom: calc(30rpx + env(safe-area-inset-bottom));
 }
+/* 有补充时底部输入区 */
+.supplement-footer {
+  padding: 20rpx 30rpx;
+  padding-bottom: calc(20rpx + env(safe-area-inset-bottom));
+  background: #fff;
+  border-top: 1rpx solid #f0f0f0;
+  flex-shrink: 0;
+}
+.supplement-input {
+  width: 100%;
+  min-height: 160rpx;
+  padding: 20rpx;
+  box-sizing: border-box;
+  background: #f8fafc;
+  border-radius: 12rpx;
+  font-size: 28rpx;
+  color: #333;
+  line-height: 1.5;
+}
+.supplement-submit {
+  margin-top: 20rpx;
+  width: 100%;
+  height: 88rpx;
+  line-height: 88rpx;
+  border-radius: 44rpx;
+  font-size: 32rpx;
+  font-weight: 500;
+  background: #0a84ff;
+  color: #fff;
+  border: none;
+}
+.supplement-submit[disabled] {
+  opacity: 0.45;
+}
+.supplement-submit::after {
+  border: none;
+}
 
 </style>
diff --git a/subPackages/register/components/RegisterPatientStep.vue b/subPackages/register/components/RegisterPatientStep.vue
index a498277..80132f8 100644
--- a/subPackages/register/components/RegisterPatientStep.vue
+++ b/subPackages/register/components/RegisterPatientStep.vue
@@ -332,6 +332,9 @@ export default {
             drug_id: Number(d.id),
             name: d.drug_name || d.name || '',
             quantity: Math.min(99, Math.max(1, Number(d.quantity) || 1)),
+            // 适用症透传到挂号后助手提问页（一个药一题）
+            indications: d.indications || '',
+            indications_array: Array.isArray(d.indications_array) ? d.indications_array : [],
           }))
           .filter((d) => d.drug_id > 0);
       const followUpNumber = followUpDrugs.reduce((s, r) => s + (Number(r.quantity) || 1), 0) || 1;
diff --git a/utils/clinicFollowUpAssistantIm.js b/utils/clinicFollowUpAssistantIm.js
index 93778e0..b4fc394 100644
--- a/utils/clinicFollowUpAssistantIm.js
+++ b/utils/clinicFollowUpAssistantIm.js
@@ -5,7 +5,7 @@ export const CLINIC_POST_REGISTER_STORAGE_KEY = '__clinic_post_register_payload'
 
 /**
  * 从 r_info 解析复诊西药列表（与 register.vue 原 sendClinicFollowUpAssistantMessage 一致）
- * @returns {{ registerInfoId: string, drugsPayload: Array<{drug_id:number,name:string,quantity:number}> }}
+ * @returns {{ registerInfoId: string, drugsPayload: Array<{drug_id:number,name:string,quantity:number,indications?:string,indications_array?:Array}> }}
  */
 export function resolveFollowUpDrugsFromRInfo(rInfo) {
   const empty = { registerInfoId: '', drugsPayload: [] };
@@ -29,10 +29,21 @@ export function resolveFollowUpDrugsFromRInfo(rInfo) {
     const row = Number(d.quantity ?? d.number);
     const quantity =
       Number.isFinite(row) && row >= 1 ? Math.min(99, row) : fallbackQty;
+    // 规范化适用症数组，兼容字符串 indications
+    let indicationsArray = Array.isArray(d.indications_array) ? d.indications_array : [];
+    if (!indicationsArray.length && d.indications) {
+      indicationsArray = String(d.indications)
+        .split(',')
+        .map((s) => s.trim())
+        .filter(Boolean)
+        .map((s) => ({ value: s, label: s }));
+    }
     return {
       drug_id: Number(d.drug_id || d.id),
       name: d.name || d.drug_name || '药品',
       quantity,
+      indications: d.indications || '',
+      indications_array: indicationsArray,
     };
   });
   return { registerInfoId: String(infoId), drugsPayload };
@@ -50,6 +61,8 @@ export async function sendFollowUpDrugAssistantMessage({
   drugsPayload,
   question,
   answerStatus,
+  illnessInfo,
+  supplement,
 }) {
   const payload = {
     flow: 'follow_up_drug',
@@ -58,6 +71,9 @@ export async function sendFollowUpDrugAssistantMessage({
     drugs: drugsPayload,
     question: question || '您是否曾使用过以上药品？',
     answer_status: answerStatus,
+    // 症状摘要给医生聊天侧展示
+    illness_info: illnessInfo || '',
+    supplement: supplement || '',
   };
   await sendToUserApi({
     room_id: roomId,