diff --git a/components/custom-message/rx-open-fail-card.vue b/components/custom-message/rx-open-fail-card.vue
index 6b87ca9..7368240 100644
--- a/components/custom-message/rx-open-fail-card.vue
+++ b/components/custom-message/rx-open-fail-card.vue
@@ -17,6 +17,12 @@ import useElder from "@/hooks/useElder";
 
 const { elderVarStyle } = storeToRefs(useElder());
 
+const ERROR_SOURCES = {
+  SYSTEM: "服务暂未响应",
+  HIS: "处方开具失败",
+  RATIONAL_DRUG: "合理用药审核不通过，请点击下方按钮修改信息",
+};
+
 const props = defineProps({
   extension: {
     type: [Object, String],
@@ -49,7 +55,7 @@ const reason = computed(() => {
 });
 
 const errorSource = computed(() => {
-  return ext.value && ext.value.source === 'HIS' ? '处方开具失败' : '服务暂未响应';
+  return ext.value && ERROR_SOURCES[ext.value.source] ? ERROR_SOURCES[ext.value.source] : ERROR_SOURCES['SYSTEM'];
 });
 
 onMounted(() => {
diff --git a/package.json b/package.json
index 4cbc361..cec1b21 100644
--- a/package.json
+++ b/package.json
@@ -23,7 +23,7 @@
         "title": "【开发】支付宝",
         "env": {
           "UNI_PLATFORM": "mp-alipay",
-          "API_BASE_URL": "http://192.168.31.146:8080",
+          "API_BASE_URL": "http://192.168.31.160:8080",
           "CORP_ID": "4G7H8J2K9L0M1N3P5Q6R7S8T9U",
           "APP_ID": "2021004129669493",
           "ORDER_SOURCE": "ALIPAY_MINI",
diff --git a/pages/consult/components/recommended-disease-popup.vue b/pages/consult/components/recommended-disease-popup.vue
new file mode 100644
index 0000000..33b395a
--- /dev/null
+++ b/pages/consult/components/recommended-disease-popup.vue
@@ -0,0 +1,149 @@
+<template>
+  <uni-popup ref="popup" type="center" :mask-click="false">
+    <view class="recommended-disease-popup" :class="{ 'recommended-disease-popup--elder': elderMode }"
+      :style="elderVarStyle">
+      <view class="popup-header">
+        <text class="popup-title">选择诊断</text>
+        <uni-icons type="closeempty" color="#999" :size="elderMode ? 30 : 22" @click="close" />
+      </view>
+      <view class="popup-tip">根据所选药品为您推荐以下诊断，请选择后确认</view>
+      <scroll-view scroll-y class="disease-options">
+        <view v-for="disease in diseases" :key="disease" class="disease-option"
+          :class="{ 'disease-option--selected': selections.includes(disease) }" @click="toggle(disease)">
+          <uni-icons :type="selections.includes(disease) ? 'checkbox-filled' : 'circle'"
+            :color="selections.includes(disease) ? themeColor : '#999'" :size="elderMode ? 28 : 20" />
+          <text>{{ disease }}</text>
+        </view>
+      </scroll-view>
+      <view class="popup-footer">
+        <view class="popup-button popup-button--cancel" @click="close">取消</view>
+        <view class="popup-button popup-button--confirm" @click="confirm">确定</view>
+      </view>
+    </view>
+  </uni-popup>
+</template>
+
+<script setup>
+import { ref, watch } from 'vue';
+import { themeColor } from '@/utils/theme-config';
+
+const emits = defineEmits(['close', 'confirm']);
+const props = defineProps({
+  visible: { type: Boolean, default: false },
+  diseases: { type: Array, default: () => [] },
+  elderMode: { type: Boolean, default: false },
+  elderVarStyle: { type: String, default: '' },
+});
+
+const popup = ref();
+const selections = ref([]);
+
+function toggle(disease) {
+  selections.value = selections.value.includes(disease)
+    ? selections.value.filter(item => item !== disease)
+    : [...selections.value, disease];
+}
+
+function close() {
+  emits('close');
+}
+
+function confirm() {
+  if (!selections.value.length) {
+    uni.showToast({ title: '请选择诊断', icon: 'none' });
+    return;
+  }
+  emits('confirm', selections.value);
+}
+
+watch(() => props.visible, visible => {
+  if (visible) {
+    selections.value = [];
+    popup.value && popup.value.open();
+  } else {
+    popup.value && popup.value.close();
+  }
+});
+</script>
+
+<style lang="scss" scoped>
+.recommended-disease-popup {
+  width: 650rpx;
+  max-height: 75vh;
+  padding: 32rpx 30rpx 28rpx;
+  box-sizing: border-box;
+  background: #fff;
+  border-radius: 20rpx;
+}
+
+.recommended-disease-popup--elder {
+  width: 690rpx;
+  padding: 42rpx 36rpx 36rpx;
+}
+
+.popup-header,
+.popup-footer,
+.disease-option {
+  display: flex;
+  align-items: center;
+}
+
+.popup-header {
+  justify-content: space-between;
+}
+
+.popup-title {
+  font-size: var(--text-base, 32rpx);
+  font-weight: bold;
+  color: #333;
+}
+
+.popup-tip {
+  margin: 18rpx 0;
+  font-size: var(--text-sm, 26rpx);
+  line-height: 1.5;
+  color: #999;
+}
+
+.disease-options {
+  max-height: 55vh;
+  border-top: 1rpx solid #eee;
+}
+
+.disease-option {
+  gap: 16rpx;
+  min-height: 84rpx;
+  padding: 0 8rpx;
+  border-bottom: 1rpx solid #eee;
+  font-size: var(--text-base, 30rpx);
+  color: #333;
+}
+
+.disease-option--selected {
+  color: $theme-brown-primary;
+}
+
+.popup-footer {
+  gap: 20rpx;
+  margin-top: 28rpx;
+}
+
+.popup-button {
+  flex: 1;
+  height: 76rpx;
+  border-radius: 12rpx;
+  text-align: center;
+  line-height: 76rpx;
+  font-size: var(--text-base, 30rpx);
+}
+
+.popup-button--cancel {
+  border: 1rpx solid $theme-brown-border;
+  color: $theme-brown-secondary;
+}
+
+.popup-button--confirm {
+  color: #fff;
+  background: $theme-brown-primary;
+}
+</style>
diff --git a/pages/consult/history-drugs/history-drugs.vue b/pages/consult/history-drugs/history-drugs.vue
index 337c026..40e0d6f 100644
--- a/pages/consult/history-drugs/history-drugs.vue
+++ b/pages/consult/history-drugs/history-drugs.vue
@@ -80,7 +80,7 @@ function cancel() {
   uni.navigateBack()
 }
 
-function changeDrugs(list) {
+async function changeDrugs(list) {
   visible.value = false;
   const preDrugIds = order.value.drugs.map(i => i._id);
   const drugIds = list.map(i => i._id);
@@ -93,7 +93,11 @@ function changeDrugs(list) {
       order.value.drugs.push(i);
     }
   })
-  autoFillDisease(newDrugIds);
+  try {
+    await autoFillDisease(newDrugIds);
+  } catch (error) {
+    console.error('获取药品推荐诊断失败:', error);
+  }
   uni.navigateBack()
 }
 
@@ -293,4 +297,4 @@ onLoad(() => {
     }
   }
 }
-</style>
\ No newline at end of file
+</style>
diff --git a/pages/consult/index.vue b/pages/consult/index.vue
index acda04a..2953fb0 100644
--- a/pages/consult/index.vue
+++ b/pages/consult/index.vue
@@ -148,20 +148,24 @@ async function scanInsuranceCode() {
 	try {
 		const scanResult = await scanCode();
 		const content = scanResult && typeof scanResult.result === 'string' ? scanResult.result : '';
-		const [Name, IDNum, CardNum, CardIDCode] = content.split('|');
-		if (!Name || !IDNum || !CardNum || !CardIDCode) {
+		const [source, encodedName, IDNum, value1, value2] = content.split('|');
+		if (!['SC', 'EC'].includes(source) || !encodedName || !IDNum || !value1 || (source === 'SC' && !value2)) {
+			scanning.value = false;
 			toast("医保信息不完整，请重新读卡");
 			return;
 		}
 		if (userInfo.value.certNo === IDNum) {
+			scanning.value = false;
 			toast("当前操作仅支持非本人医保码");
 			return;
 		}
 		set("current-scanned-card", {
-			Name: decodeURIComponent(Name),
+			Source: source,
+			Name: decodeURIComponent(encodedName),
 			IDNum,
-			CardNum,
-			CardIDCode
+			...(source === 'SC'
+				? { CardNum: value1, CardIDCode: value2 }
+				: { ECToken: value1 }),
 		}, 300);
 		uni.navigateTo({
 			url: `/pages/member/detail?type=ybQrcode&feeType=${feeType.value}`,
diff --git a/pages/consult/info.vue b/pages/consult/info.vue
index 19a34d1..20c7549 100644
--- a/pages/consult/info.vue
+++ b/pages/consult/info.vue
@@ -134,10 +134,13 @@
     @cancel="customConfirmData.onCancel" @close="customConfirmVisible = false" />
   <confirm-import-popup :consultType="order.consultType" :drugs="displayDrugs" :visible="visible"
     @close="visible = false" @confirm="changeDrugs($event)" />
+  <recommended-disease-popup :visible="showRecommendedDiseasePopup" :diseases="recommondDiseases"
+    :elderMode="elderMode" :elderVarStyle="elderVarStyle" @close="closeRecommendedDiseasePopup"
+    @confirm="confirmRecommendedDiseases" />
 </template>
 <script setup>
 import { ref, onMounted, nextTick } from 'vue'
-import { onLoad, onUnload } from '@dcloudio/uni-app';
+import { onLoad, onShow, onUnload } from '@dcloudio/uni-app';
 import { storeToRefs } from "pinia";
 import BigNumber from "bignumber.js";
 import useElder from '@/hooks/useElder';
@@ -159,6 +162,7 @@ import UnsuitDrugPopup from './components/unsuit-drug-popup.vue';
 import RepeatDrugPopup from './components/repeat-drug-popup.vue';
 import confirmPopup from '@/components/confirm-popup.vue';
 import confirmImportPopup from './history-drugs/confirm-popup.vue'
+import recommendedDiseasePopup from './components/recommended-disease-popup.vue'
 
 
 const editDrug = ref({})
@@ -169,8 +173,9 @@ const showUnsuitDrugPopup = ref(false);
 const showRepeatDrugPopup = ref(false);
 const displayDrugs = ref([])
 const visible = ref(false);
+const showRecommendedDiseasePopup = ref(false);
 
-const { order, repeatDrugs, ybVisitRecord, inappropriateDrugs, formatDrugs } = storeToRefs(orderStore());
+const { order, repeatDrugs, ybVisitRecord, inappropriateDrugs, formatDrugs, recommondDiseases } = storeToRefs(orderStore());
 const { autoFillDisease } = orderStore();
 const { storeId } = useUser();
 const waiting = ref(false);
@@ -232,10 +237,10 @@ function validateDrugs() {
       toast(`${drugName}：请选择用药频率`);
       return false;
     }
-    if (!isInOptionList(drug.dose_time_name, medicine.timeList)) {
-      toast(`${drugName}：请选择用药时机`);
-      return false;
-    }
+    // if (!isInOptionList(drug.dose_time_name, medicine.timeList)) {
+    //   toast(`${drugName}：请选择用药时机`);
+    //   return false;
+    // }
     if (!isPositiveInteger(drug.days)) {
       toast(`${drugName}：用药天数必须为正整数`);
       return false;
@@ -245,15 +250,24 @@ function validateDrugs() {
   return true;
 }
 
-function changeDrug(drug) {
+async function changeDrug(drug) {
+  let newDrugId = '';
   const index = order.value.drugs.findIndex(item => item._id === drug._id)
   if (index >= 0) {
     order.value.drugs.splice(index, 1, drug)
   } else if (drug && drug._id) {
     order.value.drugs.push(drug);
-    autoFillDisease([drug._id]);
+    newDrugId = drug._id;
   }
   showEditPopup.value = false
+  if (newDrugId) {
+    try {
+      await autoFillDisease([newDrugId]);
+      openRecommendedDiseasePopup();
+    } catch (error) {
+      console.error('获取药品推荐诊断失败:', error);
+    }
+  }
 }
 
 function confirmDrug(drugs) {
@@ -348,6 +362,28 @@ function removeDisease(index) {
   order.value.diseases.splice(index, 1);
 }
 
+function closeRecommendedDiseasePopup() {
+  showRecommendedDiseasePopup.value = false;
+  recommondDiseases.value = [];
+}
+
+function openRecommendedDiseasePopup() {
+  if (Array.isArray(recommondDiseases.value) && recommondDiseases.value.length) {
+    showRecommendedDiseasePopup.value = true;
+  }
+}
+
+function confirmRecommendedDiseases(diseases) {
+  if (!Array.isArray(order.value.diseases)) order.value.diseases = [];
+  const selectedDiseases = Array.isArray(diseases) ? diseases : [];
+  selectedDiseases.forEach(disease => {
+    if (typeof disease === 'string' && disease.trim() && !order.value.diseases.includes(disease)) {
+      order.value.diseases.push(disease);
+    }
+  });
+  closeRecommendedDiseasePopup();
+}
+
 async function checkStock() {
   loading('获取药品信息...')
   const { success, message, data } = await checkOnlineDrugInfoStock({
@@ -562,6 +598,10 @@ onLoad(() => {
   uni.$on('on-disease-selected', onDiseaseSelected)
 });
 
+onShow(() => {
+  openRecommendedDiseasePopup();
+});
+
 onUnload(() => {
   uni.$off('on-disease-selected', onDiseaseSelected)
 })
diff --git a/pages/consult/select-drug/select-drug.vue b/pages/consult/select-drug/select-drug.vue
index 098baf4..cd6fc90 100644
--- a/pages/consult/select-drug/select-drug.vue
+++ b/pages/consult/select-drug/select-drug.vue
@@ -218,13 +218,17 @@ function clear() {
 }
 
 const confirm = useDebounce(_confirm, 1000);
-function _confirm() {
+async function _confirm() {
   if (drugs.value.length) {
     const preDrugIds = order.value.drugs.map(i => i._id);
     const drugIds = drugs.value.map(i => i._id);
     const newDrugIds = drugIds.filter(i => !preDrugIds.includes(i));
     order.value.drugs = drugs.value.map(i => ({ ...i }))
-    autoFillDisease(newDrugIds);
+    try {
+      await autoFillDisease(newDrugIds);
+    } catch (error) {
+      console.error('获取药品推荐诊断失败:', error);
+    }
     uni.navigateBack()
   } else {
     toast('请添加药品')
diff --git a/store/order.js b/store/order.js
index 766f430..3ed7de6 100644
--- a/store/order.js
+++ b/store/order.js
@@ -153,7 +153,10 @@ export default defineStore("orderStore", () => {
     });
   });
 
+  const recommondDiseases = ref([]);
+
   function init({ feeType, socialno, hisArchive }) {
+    recommondDiseases.value = [];
     if (!FeeType.includes(feeType)) {
       toast('不支持的费用类型');
       uni.navigateBack();
@@ -165,20 +168,6 @@ export default defineStore("orderStore", () => {
       return;
     }
     const tmbxx = Array.isArray(hisArchive.tmbxx) ? hisArchive.tmbxx : [];
-    // const tmbxx = [
-    //   {
-    //   "med_type": "140201",
-    //     "diseType": "特病",
-    //     "dise_codg": "M01600",
-    //     "dise_name": "糖尿病"
-    //   },
-    //   {
-    //     "med_type": "140104",
-    //     "diseType": "慢病",
-    //     "dise_codg": "M03900",
-    //     "dise_name": "高血压"
-    //   }
-    // ]
     medTypeList.value = [outpatientMedType, ...tmbxx];
     const profile = patientList.value.find((i) => i.socialno === socialno);
     regFee.value = 0;
@@ -293,7 +282,8 @@ export default defineStore("orderStore", () => {
     const res = await getDrugMatchedDisease({ drugIds });
     const diseases = res && Array.isArray(res.list) ? res.list.filter(i => typeof i === "string" && i.trim()) : [];
     const newDiseases = diseases.filter(i => !order.value.diseases.includes(i));
-    order.value.diseases = [...order.value.diseases, ...newDiseases];
+    recommondDiseases.value = newDiseases;
+    // order.value.diseases = [...order.value.diseases, ...newDiseases];
   }
 
   watch(
@@ -326,6 +316,7 @@ export default defineStore("orderStore", () => {
     reuse,
     inappropriateDrugs,
     repeatDrugs,
-    autoFillDisease
+    autoFillDisease,
+    recommondDiseases
   };
 });