diff --git a/pages.json b/pages.json
index 203a112..f9151e3 100644
--- a/pages.json
+++ b/pages.json
@@ -115,6 +115,12 @@
 				"navigationBarTitleText": "病历详情"
 			}
 		},
+		{
+			"path": "pages/case/medical-case-form",
+			"style": {
+				"navigationBarTitleText": "添加病历"
+			}
+		},
 		{
 			"path": "pages/case/service-record-detail",
 			"style": {
diff --git a/pages/case/medical-case-form.vue b/pages/case/medical-case-form.vue
new file mode 100644
index 0000000..c650169
--- /dev/null
+++ b/pages/case/medical-case-form.vue
@@ -0,0 +1,486 @@
+<template>
+  <view class="medical-case-form">
+    <view class="form-container">
+      <!-- 门诊病历 -->
+      <template v-if="caseType === 'outpatient'">
+        <view class="form-item required">
+          <view class="item-label">就诊机构</view>
+          <input
+            class="item-input"
+            v-model="formData.hospital"
+            placeholder="暂无"
+            :disabled="!isEditing"
+          />
+        </view>
+        
+        <view class="form-item required">
+          <view class="item-label">就诊日期</view>
+          <picker
+            mode="date"
+            :value="formData.visitTime"
+            @change="onDateChange('visitTime', $event)"
+            :disabled="!isEditing"
+          >
+            <view class="picker-value">
+              {{ formData.visitTime || '暂无' }}
+            </view>
+          </picker>
+        </view>
+        
+        <view class="form-item required">
+          <view class="item-label">门诊诊断</view>
+          <textarea
+            class="item-textarea"
+            v-model="formData.diagnosisName"
+            placeholder="请输入"
+            :disabled="!isEditing"
+          />
+        </view>
+        
+        <view class="form-item">
+          <view class="item-label">治疗方案</view>
+          <textarea
+            class="item-textarea"
+            v-model="formData.treatmentPlan"
+            placeholder="请输入"
+            :disabled="!isEditing"
+          />
+        </view>
+      </template>
+      
+      <!-- 住院病历 -->
+      <template v-if="caseType === 'inpatient'">
+        <view class="form-item required">
+          <view class="item-label">就诊机构</view>
+          <input
+            class="item-input"
+            v-model="formData.hospital"
+            placeholder="暂无"
+            :disabled="!isEditing"
+          />
+        </view>
+        
+        <view class="form-item required">
+          <view class="item-label">入院日期</view>
+          <picker
+            mode="date"
+            :value="formData.inhosDate"
+            @change="onDateChange('inhosDate', $event)"
+            :disabled="!isEditing"
+          >
+            <view class="picker-value">
+              {{ formData.inhosDate || '暂无' }}
+            </view>
+          </picker>
+        </view>
+        
+        <view class="form-item required">
+          <view class="item-label">住院主诊断</view>
+          <textarea
+            class="item-textarea"
+            v-model="formData.diagnosisName"
+            placeholder="请输入"
+            :disabled="!isEditing"
+          />
+        </view>
+        
+        <view class="form-item">
+          <view class="item-label">手术名称</view>
+          <textarea
+            class="item-textarea"
+            v-model="formData.operation"
+            placeholder="请输入"
+            :disabled="!isEditing"
+          />
+        </view>
+        
+        <view class="form-item">
+          <view class="item-label">手术日期</view>
+          <picker
+            mode="date"
+            :value="formData.operationDate"
+            @change="onDateChange('operationDate', $event)"
+            :disabled="!isEditing"
+          >
+            <view class="picker-value">
+              {{ formData.operationDate || '暂无' }}
+            </view>
+          </picker>
+        </view>
+        
+        <view class="form-item">
+          <view class="item-label">治疗方案</view>
+          <textarea
+            class="item-textarea"
+            v-model="formData.treatmentPlan"
+            placeholder="请输入"
+            :disabled="!isEditing"
+          />
+        </view>
+      </template>
+      
+      <!-- 体检记录 -->
+      <template v-if="caseType === 'physicalExam'">
+        <view class="form-item required">
+          <view class="item-label">就诊机构</view>
+          <input
+            class="item-input"
+            v-model="formData.hospital"
+            placeholder="暂无"
+            :disabled="!isEditing"
+          />
+        </view>
+        
+        <view class="form-item required">
+          <view class="item-label">体检日期</view>
+          <picker
+            mode="date"
+            :value="formData.inspectTime"
+            @change="onDateChange('inspectTime', $event)"
+            :disabled="!isEditing"
+          >
+            <view class="picker-value">
+              {{ formData.inspectTime || '暂无' }}
+            </view>
+          </picker>
+        </view>
+        
+        <view class="form-item">
+          <view class="item-label">体检小结</view>
+          <textarea
+            class="item-textarea"
+            v-model="formData.inspectSummary"
+            placeholder="请输入"
+            :disabled="!isEditing"
+          />
+        </view>
+        
+        <view class="form-item">
+          <view class="item-label">阳性发现及处理意见</view>
+          <textarea
+            class="item-textarea"
+            v-model="formData.positiveFind"
+            placeholder="请输入"
+            :disabled="!isEditing"
+          />
+        </view>
+      </template>
+      
+      <!-- 预问诊记录 -->
+      <template v-if="caseType === 'preConsultation'">
+        <view class="form-item">
+          <view class="item-label">主诉</view>
+          <textarea
+            class="item-textarea"
+            v-model="formData.chiefComplaint"
+            placeholder="请输入"
+            :disabled="!isEditing"
+          />
+        </view>
+        
+        <view class="form-item">
+          <view class="item-label">现病史</view>
+          <textarea
+            class="item-textarea"
+            v-model="formData.presentIllnessHistory"
+            placeholder="请输入"
+            :disabled="!isEditing"
+          />
+        </view>
+        
+        <view class="form-item">
+          <view class="item-label">既往史</view>
+          <textarea
+            class="item-textarea"
+            v-model="formData.pastMedicalHistory"
+            placeholder="请输入"
+            :disabled="!isEditing"
+          />
+        </view>
+      </template>
+      
+      <view class="tips-box">
+        <text class="tips-text">
+          1、门诊、住院病历记录生成，生成后支持医生在线编辑，并保存至档案，或者重新生成；
+        </text>
+        <text class="tips-text">
+          2、若未来集到有效信息则以模板字段中默认项写无内容生成，医生可以直接在存字段上进行编辑。
+        </text>
+      </view>
+    </view>
+    
+    <view class="footer-buttons">
+      <view class="btn-regenerate" @click="handleRegenerate">
+        <text class="btn-text">重新生成</text>
+      </view>
+      <view class="btn-save" @click="handleSave">
+        <text class="btn-text">保存至档案</text>
+      </view>
+    </view>
+  </view>
+</template>
+
+<script setup>
+import { ref, onMounted } from 'vue';
+
+const caseType = ref('');
+const formData = ref({});
+const isEditing = ref(true);
+const customerId = ref('');
+const groupId = ref('');
+
+onMounted(() => {
+  const pages = getCurrentPages();
+  const currentPage = pages[pages.length - 1];
+  const options = currentPage.options;
+  
+  caseType.value = options.caseType || '';
+  customerId.value = options.customerId || '';
+  groupId.value = options.groupId || '';
+  
+  // 从 options 中解析表单数据
+  if (options.formData) {
+    try {
+      formData.value = JSON.parse(decodeURIComponent(options.formData));
+    } catch (e) {
+      console.error('解析表单数据失败:', e);
+    }
+  }
+  
+  // 设置页面标题
+  const titles = {
+    outpatient: '添加门诊病历',
+    inpatient: '添加住院病历',
+    physicalExam: '添加体检记录',
+    preConsultation: '添加预问诊记录'
+  };
+  uni.setNavigationBarTitle({
+    title: titles[caseType.value] || '添加病历'
+  });
+});
+
+const onDateChange = (field, event) => {
+  formData.value[field] = event.detail.value;
+};
+
+const handleRegenerate = () => {
+  uni.showModal({
+    title: '提示',
+    content: '确定要重新生成吗？当前编辑的内容将被覆盖',
+    success: (res) => {
+      if (res.confirm) {
+        // 返回上一页并触发重新生成
+        uni.navigateBack({
+          success: () => {
+            uni.$emit('regenerateMedicalCase', {
+              caseType: caseType.value,
+              customerId: customerId.value,
+              groupId: groupId.value
+            });
+          }
+        });
+      }
+    }
+  });
+};
+
+const handleSave = async () => {
+  // 验证必填项
+  const requiredFields = getRequiredFields();
+  const missingFields = requiredFields.filter(field => !formData.value[field.key]);
+  
+  if (missingFields.length > 0) {
+    uni.showToast({
+      title: `请填写${missingFields[0].label}`,
+      icon: 'none'
+    });
+    return;
+  }
+  
+  try {
+    uni.showLoading({ title: '保存中...' });
+    
+    // 调用保存接口
+    const api = (await import('@/utils/api.js')).default;
+    const result = await api('addMedicalRecord', {
+      customerId: customerId.value,
+      caseType: caseType.value,
+      ...formData.value
+    });
+    
+    uni.hideLoading();
+    
+    if (result.success) {
+      uni.showToast({
+        title: '保存成功',
+        icon: 'success'
+      });
+      
+      setTimeout(() => {
+        uni.navigateBack();
+      }, 1500);
+    } else {
+      uni.showToast({
+        title: result.message || '保存失败',
+        icon: 'none'
+      });
+    }
+  } catch (error) {
+    uni.hideLoading();
+    console.error('保存病历失败:', error);
+    uni.showToast({
+      title: '保存失败，请重试',
+      icon: 'none'
+    });
+  }
+};
+
+const getRequiredFields = () => {
+  const fieldsMap = {
+    outpatient: [
+      { key: 'hospital', label: '就诊机构' },
+      { key: 'visitTime', label: '就诊日期' },
+      { key: 'diagnosisName', label: '门诊诊断' }
+    ],
+    inpatient: [
+      { key: 'hospital', label: '就诊机构' },
+      { key: 'inhosDate', label: '入院日期' },
+      { key: 'diagnosisName', label: '住院主诊断' }
+    ],
+    physicalExam: [
+      { key: 'hospital', label: '就诊机构' },
+      { key: 'inspectTime', label: '体检日期' }
+    ],
+    preConsultation: []
+  };
+  
+  return fieldsMap[caseType.value] || [];
+};
+</script>
+
+<style scoped lang="scss">
+.medical-case-form {
+  min-height: 100vh;
+  background-color: #f5f5f5;
+  padding-bottom: 120rpx;
+  
+  .form-container {
+    background-color: #ffffff;
+    padding: 32rpx;
+    
+    .form-item {
+      margin-bottom: 32rpx;
+      
+      &.required .item-label::before {
+        content: '*';
+        color: #ff4d4f;
+        margin-right: 8rpx;
+      }
+      
+      .item-label {
+        font-size: 28rpx;
+        color: #333333;
+        margin-bottom: 16rpx;
+      }
+      
+      .item-input,
+      .picker-value {
+        width: 100%;
+        height: 80rpx;
+        padding: 0 24rpx;
+        background-color: #f8f9fa;
+        border-radius: 8rpx;
+        font-size: 28rpx;
+        color: #333333;
+        
+        &[disabled] {
+          color: #999999;
+        }
+      }
+      
+      .picker-value {
+        display: flex;
+        align-items: center;
+        color: #999999;
+      }
+      
+      .item-textarea {
+        width: 100%;
+        min-height: 160rpx;
+        padding: 20rpx 24rpx;
+        background-color: #f8f9fa;
+        border-radius: 8rpx;
+        font-size: 28rpx;
+        color: #333333;
+        
+        &[disabled] {
+          color: #999999;
+        }
+      }
+    }
+    
+    .tips-box {
+      margin-top: 32rpx;
+      padding: 24rpx;
+      background-color: #fffbe6;
+      border-radius: 8rpx;
+      
+      .tips-text {
+        display: block;
+        font-size: 24rpx;
+        color: #666666;
+        line-height: 1.6;
+        margin-bottom: 8rpx;
+        
+        &:last-child {
+          margin-bottom: 0;
+        }
+      }
+    }
+  }
+  
+  .footer-buttons {
+    position: fixed;
+    bottom: 0;
+    left: 0;
+    right: 0;
+    display: flex;
+    gap: 24rpx;
+    padding: 24rpx 32rpx;
+    background-color: #ffffff;
+    box-shadow: 0 -4rpx 16rpx rgba(0, 0, 0, 0.08);
+    
+    .btn-regenerate,
+    .btn-save {
+      flex: 1;
+      height: 88rpx;
+      display: flex;
+      align-items: center;
+      justify-content: center;
+      border-radius: 44rpx;
+      
+      .btn-text {
+        font-size: 32rpx;
+        font-weight: 500;
+      }
+    }
+    
+    .btn-regenerate {
+      background-color: #ffffff;
+      border: 2rpx solid #1890ff;
+      
+      .btn-text {
+        color: #1890ff;
+      }
+    }
+    
+    .btn-save {
+      background-color: #1890ff;
+      
+      .btn-text {
+        color: #ffffff;
+      }
+    }
+  }
+}
+</style>
diff --git a/pages/message/chat.scss b/pages/message/chat.scss
index d35fe0c..a5f27fb 100644
--- a/pages/message/chat.scss
+++ b/pages/message/chat.scss
@@ -348,23 +348,30 @@ $primary-color: #0877F1;
 .text-input,
 .voice-input-btn {
   flex: 1;
-  padding: 0 46rpx;
+  padding: 16rpx 46rpx;
   background-color: #f3f5fa;
   border-radius: 20rpx;
   margin: 0 16rpx;
   font-size: 28rpx;
-  height: 80rpx;
+  min-height: 80rpx;
+  max-height: 200rpx;
   border: none;
   outline: none;
   box-sizing: border-box;
-  display: flex;
-  align-items: center;
-  line-height: 96rpx;
+  line-height: 1.5;
   color: #333;
 }
 
+.voice-input-btn {
+  height: 80rpx;
+  display: flex;
+  align-items: center;
+  padding: 0 46rpx;
+}
+
 .voice-input-btn {
   text-align: center;
+  line-height: 80rpx;
 }
 
 .more-panel {
diff --git a/pages/message/components/ai-assistant-buttons.vue b/pages/message/components/ai-assistant-buttons.vue
new file mode 100644
index 0000000..d097a4c
--- /dev/null
+++ b/pages/message/components/ai-assistant-buttons.vue
@@ -0,0 +1,356 @@
+<template>
+  <view class="ai-assistant-buttons">
+    <view
+      v-for="button in buttons"
+      :key="button.id"
+      class="ai-button"
+      :class="{ loading: button.loading }"
+      @click="handleButtonClick(button)"
+    >
+      <image class="button-icon" :src="button.icon" mode="aspectFit" />
+      <text class="button-text">{{
+        button.loading && button.loadingText ? button.loadingText : button.text
+      }}</text>
+    </view>
+
+    <!-- 病历类型选择弹窗 -->
+    <medical-case-type-selector
+      ref="typeSelectorRef"
+      @select="handleCaseTypeSelect"
+    />
+
+    <!-- 进度显示弹窗 -->
+    <medical-case-progress ref="progressRef" />
+  </view>
+</template>
+
+<script setup>
+import { ref, onMounted, onUnmounted } from "vue";
+import request from "@/utils/http.js";
+import api from "@/utils/api.js";
+import MedicalCaseTypeSelector from "./medical-case-type-selector.vue";
+import MedicalCaseProgress from "./medical-case-progress.vue";
+
+const props = defineProps({
+  groupId: {
+    type: String,
+    required: true,
+  },
+  patientAccountId: {
+    type: String,
+    default: "",
+  },
+  corpId: {
+    type: String,
+    default: "",
+  },
+  customerId: {
+    type: String,
+    default: "",
+  },
+});
+const emit = defineEmits(["streamText", "clearInput"]);
+
+const typeSelectorRef = ref(null);
+const progressRef = ref(null);
+const buttons = ref([
+  {
+    id: "followUp",
+    text: "追问病情",
+    loadingText: "AI分析中，正在为您生成追问建议…",
+    icon: "/static/icon/zhuiwen.png",
+    loading: false,
+  },
+  {
+    id: "aiAssistant",
+    text: "开启AI助手",
+    icon: "/static/icon/kaiqiAI.png",
+    loading: false,
+  },
+  {
+    id: "supplementRecord",
+    text: "补充病历",
+    icon: "/static/icon/buchong.png",
+    loading: false,
+  },
+]);
+
+// 处理按钮点击
+const handleButtonClick = async (button) => {
+  if (button.loading) return;
+
+  switch (button.id) {
+    case "followUp":
+      await handleFollowUpInquiry(button);
+      break;
+    case "aiAssistant":
+      handleAIAssistant(button);
+      break;
+    case "supplementRecord":
+      handleSupplementRecord(button);
+      break;
+  }
+};
+
+// 处理追问病情
+const handleFollowUpInquiry = async (button) => {
+  try {
+    button.loading = true;
+
+    // 如果没有提供患者账号ID，先获取群组信息
+    let finalPatientAccountId = props.patientAccountId;
+
+    if (!finalPatientAccountId) {
+      // 从聊天记录中获取患者账号ID（非当前用户的发送者）
+      const chatRecordsResult = await api("getChatRecordsByGroupId", {
+        groupID: props.groupId,
+        count: 5,
+      });
+
+      if (
+        chatRecordsResult.success &&
+        chatRecordsResult.data &&
+        chatRecordsResult.data.records
+      ) {
+        const records = chatRecordsResult.data.records;
+        // 找到第一个非当前用户的发送者作为患者账号
+        const currentUserId = uni.getStorageSync("openid") || "";
+        const patientMessage = records.find(
+          (record) =>
+            record.From_Account && record.From_Account !== currentUserId
+        );
+
+        if (patientMessage) {
+          finalPatientAccountId = patientMessage.From_Account;
+        }
+      }
+    }
+
+    if (!finalPatientAccountId) {
+      uni.showToast({
+        title: "无法获取患者信息",
+        icon: "none",
+      });
+      button.loading = false;
+      return;
+    }
+
+    // 调用追问病情接口（不显示全局loading）
+    const result = await request(
+      {
+        url: "/getYoucanData/im",
+        data: {
+          type: "followUpInquiry",
+          groupId: props.groupId,
+          patientAccountId: finalPatientAccountId,
+          corpId: props.corpId,
+        },
+      },
+      false
+    ); // 第二个参数false表示不显示loading
+
+    if (result.success && result.data && result.data.suggestion) {
+      // 流式输出文本到输入框
+      streamTextToInput(result.data.suggestion);
+    } else {
+      uni.showToast({
+        title: result.message || "获取追问建议失败",
+        icon: "none",
+      });
+    }
+  } catch (error) {
+    console.error("追问病情失败:", error);
+    uni.showToast({
+      title: "操作失败，请重试",
+      icon: "none",
+    });
+  } finally {
+    button.loading = false;
+  }
+};
+
+// 流式输出文本到输入框
+const streamTextToInput = (text) => {
+  if (!text) return;
+
+  // 先清空输入框
+  emit("clearInput");
+
+  let currentIndex = 0;
+  const speed = 50; // 每个字符的延迟时间（毫秒）
+
+  // 延迟一小段时间后开始流式输出，确保清空操作完成
+  setTimeout(() => {
+    const streamInterval = setInterval(() => {
+      if (currentIndex < text.length) {
+        const char = text[currentIndex];
+        emit("streamText", char);
+        currentIndex++;
+      } else {
+        clearInterval(streamInterval);
+      }
+    }, speed);
+  }, 100);
+};
+
+// 处理AI助手
+const handleAIAssistant = (button) => {
+  uni.showToast({
+    title: "AI助手功能开发中",
+    icon: "none",
+  });
+};
+
+// 处理补充病历
+const handleSupplementRecord = (button) => {
+  typeSelectorRef.value?.open();
+};
+
+// 处理病历类型选择
+const handleCaseTypeSelect = async (type) => {
+  try {
+    // 打开进度弹窗
+    progressRef.value?.open(type.id);
+
+    // 模拟进度更新
+    progressRef.value?.updateProgress(20);
+
+    // 调用补充病历接口
+    const result = await request({
+      url: "/getYoucanData/im",
+      data: {
+        type: "supplementMedicalCase",
+        groupId: props.groupId,
+        patientAccountId: props.patientAccountId || props.customerId,
+        corpId: props.corpId,
+        caseType: type.id,
+      },
+    });
+
+    progressRef.value?.updateProgress(60);
+
+    if (result.success && result.data) {
+      const { detectedInfo, formData } = result.data;
+
+      // 显示检测到的信息
+      if (detectedInfo && detectedInfo.length > 0) {
+        detectedInfo.forEach((info) => {
+          progressRef.value?.addDetectedInfo(info);
+        });
+      }
+
+      progressRef.value?.updateProgress(80);
+      progressRef.value?.setGenerating(true);
+
+      // 模拟生成结构化病历
+      setTimeout(() => {
+        progressRef.value?.updateProgress(100);
+
+        // 延迟后关闭进度弹窗并跳转
+        setTimeout(() => {
+          progressRef.value?.close();
+
+          // 跳转到病历填写页面
+          uni.navigateTo({
+            url: `/pages/case/medical-case-form?caseType=${
+              type.id
+            }&customerId=${
+              props.customerId || props.patientAccountId
+            }&groupId=${props.groupId}&formData=${encodeURIComponent(
+              JSON.stringify(formData || {})
+            )}`,
+          });
+        }, 500);
+      }, 1000);
+    } else {
+      progressRef.value?.close();
+      uni.showToast({
+        title: result.message || "生成病历失败",
+        icon: "none",
+      });
+    }
+  } catch (error) {
+    console.error("补充病历失败:", error);
+    progressRef.value?.close();
+    uni.showToast({
+      title: "操作失败，请重试",
+      icon: "none",
+    });
+  }
+};
+
+// 监听重新生成事件
+onMounted(() => {
+  uni.$on("regenerateMedicalCase", handleRegenerateMedicalCase);
+});
+
+onUnmounted(() => {
+  uni.$off("regenerateMedicalCase", handleRegenerateMedicalCase);
+});
+
+const handleRegenerateMedicalCase = (data) => {
+  const type = { id: data.caseType };
+  handleCaseTypeSelect(type);
+};
+</script>
+
+<style scoped lang="scss">
+.ai-assistant-buttons {
+  display: flex;
+  align-items: center;
+  gap: 16rpx;
+  padding: 16rpx 24rpx;
+  background-color: #f8f9fa;
+  border-bottom: 1rpx solid #e5e5e5;
+
+  .ai-button {
+    display: flex;
+    align-items: center;
+    gap: 8rpx;
+    padding: 12rpx 20rpx;
+    background-color: #ffffff;
+    border: 1rpx solid #e0e0e0;
+    border-radius: 40rpx;
+    transition: all 0.3s ease;
+
+    &.loading {
+      opacity: 0.8;
+      pointer-events: none;
+
+      .loading-icon {
+        width: 32rpx;
+        height: 32rpx;
+        border: 3rpx solid #e0e0e0;
+        border-top-color: #1890ff;
+        border-radius: 50%;
+        animation: spin 1s linear infinite;
+      }
+    }
+
+    &:active {
+      background-color: #f0f0f0;
+      transform: scale(0.98);
+    }
+
+    .button-icon {
+      width: 32rpx;
+      height: 32rpx;
+    }
+
+    .button-text {
+      font-size: 28rpx;
+      color: #333333;
+      white-space: nowrap;
+    }
+  }
+}
+
+@keyframes spin {
+  0% {
+    transform: rotate(0deg);
+  }
+  100% {
+    transform: rotate(360deg);
+  }
+}
+</style>
diff --git a/pages/message/components/chat-input.vue b/pages/message/components/chat-input.vue
index 41f1bcb..b6727d1 100644
--- a/pages/message/components/chat-input.vue
+++ b/pages/message/components/chat-input.vue
@@ -6,8 +6,9 @@
         <uni-icons v-else type="mic" size="28" color="#666" />
       </view>
       <view class="input-area">
-        <input v-if="!showVoiceInput" class="text-input" v-model="inputText" placeholder="我来说两句..."
-          @confirm="sendTextMessage" @focus="handleInputFocus" />
+        <textarea v-if="!showVoiceInput" class="text-input" v-model="inputText" placeholder="我来说两句..."
+          @confirm="sendTextMessage" @focus="handleInputFocus" @input="handleInput" 
+          :auto-height="true" :show-confirm-bar="false" :adjust-position="true" />
         <input v-else class="voice-input-btn" :class="{ recording: isRecording }" @touchstart="startRecord"
           @touchmove="onRecordTouchMove" @touchend="stopRecord" @touchcancel="cancelRecord" :placeholder="isRecording ? '松开发送' : '按住说话'" disabled>
         </input>
@@ -25,7 +26,6 @@
         <text>{{ btn.text }}</text>
       </view>
     </view>
-
     <!-- 录音遮罩层 -->
     <view v-if="isRecording" class="recording-overlay">
       <view class="recording-modal" :class="{ 'cancel-mode': isCancelMode }">
@@ -95,6 +95,11 @@ const cloudCustomData = computed(() => {
   return arr.filter(Boolean).join("|");
 });
 
+// 流式输入文本
+const appendStreamText = (char) => {
+  inputText.value += char;
+};
+
 // 录音相关扩展状态（特效 + 取消逻辑）
 const recordingDuration = ref(0);
 let recordingTimer = null;
@@ -165,9 +170,22 @@ const sendTextMessageFromPhrase = async (content) => {
   });
 };
 
+// 设置输入框文本（覆盖原内容）
+const setInputText = (text) => {
+  inputText.value = text;
+};
+
+// 清空输入框
+const clearInputText = () => {
+  inputText.value = '';
+};
+
 // 暴露方法给父组件调用
 defineExpose({
-  sendTextMessageFromPhrase
+  sendTextMessageFromPhrase,
+  appendStreamText,
+  setInputText,
+  clearInputText
 });
 
 // 发送图片消息
@@ -432,6 +450,13 @@ function handleInputFocus() {
   });
 }
 
+function handleInput(e) {
+  // textarea 输入时触发，可以在这里处理额外逻辑
+  nextTick().then(() => {
+    emit("scrollToBottom");
+  });
+}
+
 onMounted(() => {
   // 初始化录音管理器
   initRecorderManager();
diff --git a/pages/message/components/medical-case-progress.vue b/pages/message/components/medical-case-progress.vue
new file mode 100644
index 0000000..5bd762e
--- /dev/null
+++ b/pages/message/components/medical-case-progress.vue
@@ -0,0 +1,197 @@
+<template>
+  <uni-popup ref="popup" type="center" :mask-click="false">
+    <view class="progress-modal">
+      <view class="close-btn" @click="close">
+        <text class="close-icon">✕</text>
+      </view>
+      
+      <view class="progress-content">
+        <view class="progress-title">{{ progressTitle }}</view>
+        
+        <view class="progress-bar-wrapper">
+          <view class="progress-bar">
+            <view class="progress-fill" :style="{ width: progress + '%' }"></view>
+          </view>
+          <text class="progress-text">{{ progress }}%</text>
+        </view>
+        
+        <view v-if="detectedInfo.length > 0" class="detected-info">
+          <text class="detected-title">检测到以下{{ caseTypeName }}信息：</text>
+          <view class="info-list">
+            <view v-for="(item, index) in detectedInfo" :key="index" class="info-item">
+              <text class="check-icon">✓</text>
+              <text class="info-text">{{ item }}</text>
+            </view>
+          </view>
+        </view>
+        
+        <view v-if="isGenerating" class="generating-text">
+          正在生成结构化{{ caseTypeName }}...
+        </view>
+      </view>
+    </view>
+  </uni-popup>
+</template>
+
+<script setup>
+import { ref, computed } from 'vue';
+
+const popup = ref(null);
+const progress = ref(0);
+const detectedInfo = ref([]);
+const isGenerating = ref(false);
+const caseType = ref('');
+
+const CASE_TYPE_NAMES = {
+  outpatient: '门诊病历',
+  inpatient: '住院病历',
+  physicalExam: '体检记录',
+  preConsultation: '预问诊记录'
+};
+
+const caseTypeName = computed(() => CASE_TYPE_NAMES[caseType.value] || '病历');
+
+const progressTitle = computed(() => {
+  if (progress.value < 100) {
+    return `正在智能整理${caseTypeName.value}...`;
+  }
+  return `${caseTypeName.value}生成完成`;
+});
+
+const open = (type) => {
+  caseType.value = type;
+  progress.value = 0;
+  detectedInfo.value = [];
+  isGenerating.value = false;
+  popup.value?.open();
+};
+
+const close = () => {
+  popup.value?.close();
+};
+
+const updateProgress = (value) => {
+  progress.value = value;
+};
+
+const addDetectedInfo = (info) => {
+  detectedInfo.value.push(info);
+};
+
+const setGenerating = (value) => {
+  isGenerating.value = value;
+};
+
+defineExpose({
+  open,
+  close,
+  updateProgress,
+  addDetectedInfo,
+  setGenerating
+});
+</script>
+
+<style scoped lang="scss">
+.progress-modal {
+  width: 600rpx;
+  background-color: #ffffff;
+  border-radius: 24rpx;
+  padding: 48rpx 40rpx;
+  position: relative;
+  
+  .close-btn {
+    position: absolute;
+    top: 20rpx;
+    right: 20rpx;
+    width: 48rpx;
+    height: 48rpx;
+    display: flex;
+    align-items: center;
+    justify-content: center;
+    
+    .close-icon {
+      font-size: 40rpx;
+      color: #999999;
+    }
+  }
+  
+  .progress-content {
+    .progress-title {
+      font-size: 32rpx;
+      font-weight: 600;
+      color: #333333;
+      margin-bottom: 32rpx;
+      text-align: center;
+    }
+    
+    .progress-bar-wrapper {
+      display: flex;
+      align-items: center;
+      gap: 16rpx;
+      margin-bottom: 32rpx;
+      
+      .progress-bar {
+        flex: 1;
+        height: 16rpx;
+        background-color: #e5e5e5;
+        border-radius: 8rpx;
+        overflow: hidden;
+        
+        .progress-fill {
+          height: 100%;
+          background: linear-gradient(90deg, #1890ff 0%, #40a9ff 100%);
+          transition: width 0.3s ease;
+        }
+      }
+      
+      .progress-text {
+        font-size: 28rpx;
+        color: #1890ff;
+        font-weight: 600;
+        min-width: 80rpx;
+        text-align: right;
+      }
+    }
+    
+    .detected-info {
+      margin-bottom: 24rpx;
+      
+      .detected-title {
+        font-size: 28rpx;
+        color: #666666;
+        display: block;
+        margin-bottom: 16rpx;
+      }
+      
+      .info-list {
+        .info-item {
+          display: flex;
+          align-items: flex-start;
+          gap: 12rpx;
+          margin-bottom: 12rpx;
+          
+          .check-icon {
+            font-size: 28rpx;
+            color: #52c41a;
+            font-weight: bold;
+          }
+          
+          .info-text {
+            flex: 1;
+            font-size: 26rpx;
+            color: #333333;
+            line-height: 1.5;
+          }
+        }
+      }
+    }
+    
+    .generating-text {
+      font-size: 28rpx;
+      color: #1890ff;
+      text-align: center;
+      padding: 16rpx 0;
+    }
+  }
+}
+</style>
diff --git a/pages/message/components/medical-case-type-selector.vue b/pages/message/components/medical-case-type-selector.vue
new file mode 100644
index 0000000..9b696a2
--- /dev/null
+++ b/pages/message/components/medical-case-type-selector.vue
@@ -0,0 +1,134 @@
+<template>
+  <uni-popup ref="popup" type="center" :mask-click="false">
+    <view class="medical-case-selector">
+      <view class="selector-header">
+        <text class="header-title">快速生成:</text>
+        <view class="close-btn" @click="close">
+          <text class="close-icon">✕</text>
+        </view>
+      </view>
+      
+      <view class="case-type-grid">
+        <view
+          v-for="type in caseTypes"
+          :key="type.id"
+          class="case-type-item"
+          @click="selectType(type)"
+        >
+          <text class="type-name">{{ type.name }}</text>
+        </view>
+      </view>
+    </view>
+  </uni-popup>
+</template>
+
+<script setup>
+import { ref } from 'vue';
+
+const emit = defineEmits(['select']);
+
+const popup = ref(null);
+
+const caseTypes = [
+  {
+    id: 'outpatient',
+    name: '门诊病历'
+  },
+  {
+    id: 'inpatient',
+    name: '住院病历'
+  },
+  {
+    id: 'physicalExam',
+    name: '体检记录'
+  },
+  {
+    id: 'preConsultation',
+    name: '预问诊记录'
+  }
+];
+
+const open = () => {
+  popup.value?.open();
+};
+
+const close = () => {
+  popup.value?.close();
+};
+
+const selectType = (type) => {
+  emit('select', type);
+  close();
+};
+
+defineExpose({
+  open,
+  close
+});
+</script>
+
+<style scoped lang="scss">
+.medical-case-selector {
+  width: 600rpx;
+  background-color: #ffffff;
+  border-radius: 24rpx;
+  padding: 40rpx;
+  
+  .selector-header {
+    display: flex;
+    justify-content: space-between;
+    align-items: center;
+    margin-bottom: 40rpx;
+    
+    .header-title {
+      font-size: 36rpx;
+      font-weight: 600;
+      color: #333333;
+    }
+    
+    .close-btn {
+      width: 48rpx;
+      height: 48rpx;
+      display: flex;
+      align-items: center;
+      justify-content: center;
+      
+      .close-icon {
+        font-size: 40rpx;
+        color: #999999;
+      }
+    }
+  }
+  
+  .case-type-grid {
+    display: grid;
+    grid-template-columns: repeat(2, 1fr);
+    gap: 24rpx;
+    
+    .case-type-item {
+      display: flex;
+      flex-direction: column;
+      align-items: center;
+      justify-content: center;
+      padding: 40rpx 20rpx;
+      background-color: #f8f9fa;
+      border: 2rpx solid #e5e5e5;
+      border-radius: 16rpx;
+      transition: all 0.3s ease;
+      
+      &:active {
+        background-color: #e8f4ff;
+        border-color: #1890ff;
+        transform: scale(0.98);
+      }
+      
+      .type-name {
+        font-size: 30rpx;
+        color: #333333;
+        text-align: center;
+        font-weight: 500;
+      }
+    }
+  }
+}
+</style>
diff --git a/pages/message/index.vue b/pages/message/index.vue
index 131a069..210933e 100644
--- a/pages/message/index.vue
+++ b/pages/message/index.vue
@@ -125,6 +125,16 @@
       @cancel="handleRejectReasonCancel"
     />
 
+    <!-- AI助手按钮组 -->
+    <AIAssistantButtons
+      v-if="!isEvaluationPopupOpen && !showConsultAccept && orderStatus === 'processing'"
+      :groupId="groupId"
+      :patientAccountId="chatInfo.userID || ''"
+      :corpId="corpId"
+      @streamText="handleStreamText"
+      @clearInput="handleClearInput"
+    />
+
     <!-- 聊天输入组件 -->
     <ChatInput
       v-if="!isEvaluationPopupOpen && !showConsultAccept"
@@ -175,6 +185,7 @@ import ChatInput from "./components/chat-input.vue";
 import SystemMessage from "./components/system-message.vue";
 import ConsultAccept from "./components/consult-accept.vue";
 import RejectReasonModal from "./components/reject-reason-modal.vue";
+import AIAssistantButtons from "./components/ai-assistant-buttons.vue";
 
 const timChatManager = globalTimChatManager;
 
@@ -723,9 +734,25 @@ onHide(() => {
 
 const sendCommonPhrase = (content) => {
   if (chatInputRef.value) {
-    chatInputRef.value.sendTextMessageFromPhrase(content);
+    // 覆盖输入框内容，而不是直接发送
+    chatInputRef.value.setInputText(content);
   }
 };
+
+// 处理流式文本输入
+const handleStreamText = (char) => {
+  if (chatInputRef.value) {
+    chatInputRef.value.appendStreamText(char);
+  }
+};
+
+// 处理清空输入框
+const handleClearInput = () => {
+  if (chatInputRef.value) {
+    chatInputRef.value.clearInputText();
+  }
+};
+
 // 暴露方法给常用语页面调用
 defineExpose({
   sendCommonPhrase,
diff --git a/static/icon/buchong.png b/static/icon/buchong.png
new file mode 100644
index 0000000..7dd053b
Binary files /dev/null and b/static/icon/buchong.png differ
diff --git a/static/icon/kaiqiAI.png b/static/icon/kaiqiAI.png
new file mode 100644
index 0000000..bd77156
Binary files /dev/null and b/static/icon/kaiqiAI.png differ
diff --git a/static/icon/zhuiwen.png b/static/icon/zhuiwen.png
new file mode 100644
index 0000000..d95bbd8
Binary files /dev/null and b/static/icon/zhuiwen.png differ
diff --git a/utils/api.js b/utils/api.js
index 9e897cc..5c1d5c1 100644
--- a/utils/api.js
+++ b/utils/api.js
@@ -90,7 +90,9 @@ const urlsConfig = {
     acceptConsultation: "acceptConsultation",
     sendArticleMessage: "sendArticleMessage",
     getChatRecordsByGroupId: "getChatRecordsByGroupId",
-    getGroupList: "getGroupList"
+    getGroupList: "getGroupList",
+    followUpInquiry: "followUpInquiry",
+    supplementMedicalCase: "supplementMedicalCase"
   },
   todo: {
     getCustomerTodos: 'getCustomerTodos',