diff --git a/src/TUIKit/customComponents/custome-message-custom/index.vue b/src/TUIKit/customComponents/custome-message-custom/index.vue
index c45d868..5bc1739 100644
--- a/src/TUIKit/customComponents/custome-message-custom/index.vue
+++ b/src/TUIKit/customComponents/custome-message-custom/index.vue
@@ -56,6 +56,17 @@ function parseVideoRecordExtension(ext) {
   }
 }
 
+function parseSystemReason(ext) {
+  try {
+    const message = JSON.parse(ext);
+    return message && typeof message === "object" && typeof message.reason === "string"
+      ? message.reason
+      : null;
+  } catch {
+    return null;
+  }
+}
+
 // 解析并格式化系统提示消息的 extension 字段
 const formattedExtension = computed(() => {
   const pl = payload.value || {};
@@ -68,6 +79,8 @@ const formattedExtension = computed(() => {
   if (record && (record.doctorText || record.patientText)) {
     return flow === "in" ? record.patientText : record.doctorText;
   }
+  const reason = parseSystemReason(ext);
+  if (reason !== null) return reason;
   // 不是JSON或解析失败，直接返回原文本
   return ext;
 });
diff --git a/src/views/hlw-hospital/chat-home/diagnosis-drawer/advice-modal.vue b/src/views/hlw-hospital/chat-home/diagnosis-drawer/advice-modal.vue
index 6861ee5..9334595 100644
--- a/src/views/hlw-hospital/chat-home/diagnosis-drawer/advice-modal.vue
+++ b/src/views/hlw-hospital/chat-home/diagnosis-drawer/advice-modal.vue
@@ -1,21 +1,18 @@
 <template>
-  <el-dialog :model-value="visible" :width="width" title="医保审核提示" @close="close()">
+  <el-dialog :model-value="visible" :width="width" title="合理用药提示" @close="close()">
     <el-scrollbar v-if="visible" wrap-class="el-dialog-body-full-scroll">
       <div class="px-15px py-12px">
         <div class="text-16px">
           当前处方存在以下问题，请确认:
         </div>
-        <div v-for="(item, idx) in advices" :key="idx"
-          class="mt-12px p-12px rounded bg-gray-100 text-15px text-dark-500 ">
-          <div class="text-16px font-bold text-dark-500 leading-24px">{{ idx + 1 }}、{{ item.name }}</div>
-          <div class="mt-4px text-15px text-dark-500 leading-24px">{{ item.text }}</div>
+        <div class="mt-12px p-12px rounded bg-gray-100 text-15px text-dark-500 ">
+          {{ advices[0] }}
         </div>
       </div>
     </el-scrollbar>
     <template #footer>
       <div text-center>
-        <el-button size="large" plain class="w-140px" type="primary" @click="close()">返回修改</el-button>
-        <el-button size="large" class="w-140px" type="primary" @click="confirm()">忽略并继续提交</el-button>
+        <el-button size="large" plain class="w-140px" type="primary" @click="close()">确认</el-button>
       </div>
     </template>
   </el-dialog>
diff --git a/src/views/hlw-hospital/chat-home/diagnosis-drawer/diagnosis-drawer.vue b/src/views/hlw-hospital/chat-home/diagnosis-drawer/diagnosis-drawer.vue
index 900b5ce..bd36445 100644
--- a/src/views/hlw-hospital/chat-home/diagnosis-drawer/diagnosis-drawer.vue
+++ b/src/views/hlw-hospital/chat-home/diagnosis-drawer/diagnosis-drawer.vue
@@ -719,6 +719,13 @@ async function submit() {
       limitUsageScope: typeof i.usage_restriction_desc === 'string' && i.usage_restriction_desc.trim() ? 'Y' : 'N'
     }))
   }
+  const result = await getYbReviewResult(params);
+  if (!result || !result.success) {
+    adviceList.value = [result?.message || '查询合理用药结果失败']
+    loading.value = false;
+    showAdviceModal()
+    return
+  }
   const { success, data, message } = await addConsultDiagnosis(params);
   loading.value = false
   if (success) {
diff --git a/src/views/login/index.vue b/src/views/login/index.vue
index 063e0bc..ea98160 100644
--- a/src/views/login/index.vue
+++ b/src/views/login/index.vue
@@ -301,10 +301,10 @@ async function loginSuccess(user) {
     const path = firstMenu ? firstMenu.path : "";
     sessionStorage.setItem("doctorNo", user.doctorNo || "");
     sessionStorage.setItem("isLogin", true);
-    if (import.meta.env.VITE_NEED_CA && (user.doctorNo || user.workNo)) {
-      sessionStorage.setItem("uniqueId", user.doctorNo || user.workNo);
-      caStore().getUserCaInfo();
-    }
+    // if (import.meta.env.VITE_NEED_CA && (user.doctorNo || user.workNo)) {
+    //   sessionStorage.setItem("uniqueId", user.doctorNo || user.workNo);
+    //   caStore().getUserCaInfo();
+    // }
     if (user.doctorNo) {
       const { imLogin } = useImStore();
       await imLogin();