diff --git a/.gitignore b/.gitignore
index 5c227437..3edfba33 100644
--- a/.gitignore
+++ b/.gitignore
@@ -26,10 +26,6 @@ bin-release/
 /.cursor
 /.codex
 /.agents
-/.claude
-/.claude
-/.claude
-/.kbctx
 /server/.spool
 /server/.claude
 /.spool
diff --git a/admin/src/components/tcm-prescription/index.vue b/admin/src/components/tcm-prescription/index.vue
index 3601d883..5abc7cc5 100644
--- a/admin/src/components/tcm-prescription/index.vue
+++ b/admin/src/components/tcm-prescription/index.vue
@@ -88,13 +88,17 @@
                                     共 <strong>{{ formData.herbs.length }}</strong> 味（主方 {{ mainHerbCount }} / 辅方
                                     {{ auxHerbCount }}）· 可手动添加、从处方库或粘贴药方批量录入
                                 </p>
+                                <p v-if="herbsLocked" class="rp-toolbar__lock-tip">
+                                    <el-tag type="danger" size="small" effect="plain">禁用修改</el-tag>
+                                    含「禁用修改」处方库模板，药材已锁定，不可增删改，如需调整请重新「从处方库导入」覆盖
+                                </p>
                             </div>
                         </div>
                         <div class="rp-toolbar__actions" role="toolbar" aria-label="处方药材快捷操作">
-                            <el-button type="primary" size="small" :icon="CirclePlus" @click="handleAddHerb('主方')">
+                            <el-button type="primary" size="small" :icon="CirclePlus" :disabled="herbsLocked" @click="handleAddHerb('主方')">
                                 添加主方
                             </el-button>
-                            <el-button type="primary" plain size="small" @click="handleAddHerb('辅方')">
+                            <el-button type="primary" plain size="small" :disabled="herbsLocked" @click="handleAddHerb('辅方')">
                                 添加辅方
                             </el-button>
                             <el-button
@@ -135,7 +139,7 @@
                                 :class="{ 'herb-editor-card--dup': isDuplicateHerbName(row.index) }"
                             >
                                 <div class="herb-editor-card__title">主方 {{ row.index + 1 }}</div>
-                                <MedicineNameSelect v-model="formData.herbs[row.index].name" class="herb-editor-card__select" />
+                                <MedicineNameSelect v-model="formData.herbs[row.index].name" :disabled="herbsLocked" class="herb-editor-card__select" />
                                 <div
                                     v-if="isDuplicateHerbName(row.index)"
                                     class="herb-editor-card__dup-hint text-amber-600 text-xs mb-1"
@@ -148,11 +152,12 @@
                                         :min="0.1"
                                         :step="1"
                                         :precision="1"
+                                        :disabled="herbsLocked"
                                         placeholder="剂量(克)"
                                         class="herb-editor-card__dose"
                                     />
                                     <span class="text-gray-500 shrink-0">克</span>
-                                    <el-button type="danger" size="small" link @click="handleRemoveHerb(row.index)">
+                                    <el-button v-if="!herbsLocked" type="danger" size="small" link @click="handleRemoveHerb(row.index)">
                                         删除
                                     </el-button>
                                 </div>
@@ -171,7 +176,7 @@
                                 :class="{ 'herb-editor-card--dup': isDuplicateHerbName(row.index) }"
                             >
                                 <div class="herb-editor-card__title">辅方</div>
-                                <MedicineNameSelect v-model="formData.herbs[row.index].name" class="herb-editor-card__select" />
+                                <MedicineNameSelect v-model="formData.herbs[row.index].name" :disabled="herbsLocked" class="herb-editor-card__select" />
                                 <div
                                     v-if="isDuplicateHerbName(row.index)"
                                     class="herb-editor-card__dup-hint text-amber-600 text-xs mb-1"
@@ -184,11 +189,12 @@
                                         :min="0.1"
                                         :step="1"
                                         :precision="1"
+                                        :disabled="herbsLocked"
                                         placeholder="剂量(克)"
                                         class="herb-editor-card__dose"
                                     />
                                     <span class="text-gray-500 shrink-0">克</span>
-                                    <el-button type="danger" size="small" link @click="handleRemoveHerb(row.index)">
+                                    <el-button v-if="!herbsLocked" type="danger" size="small" link @click="handleRemoveHerb(row.index)">
                                         删除
                                     </el-button>
                                 </div>
@@ -1028,6 +1034,8 @@ interface Herb {
     name: string
     dosage: number
     formula_type?: FormulaType
+    /** 来自「禁用修改」处方库模板：锁定后不可增删改，只能再次导入覆盖 */
+    locked?: boolean
 }
 
 type AuxUsageForm = {
@@ -1044,11 +1052,15 @@ function normalizeFormulaType(v: unknown): FormulaType {
 }
 
 function normalizeHerbRow(raw: any): Herb {
-    return {
+    const row: Herb = {
         name: String(raw?.name ?? '').trim(),
         dosage: Number(raw?.dosage) || 0,
         formula_type: normalizeFormulaType(raw?.formula_type)
     }
+    if (raw?.locked === true || raw?.locked === 1) {
+        row.locked = true
+    }
+    return row
 }
 
 function defaultAuxUsage(prescriptionType = '浓缩水丸'): AuxUsageForm {
@@ -1430,6 +1442,12 @@ const auxHerbRows = computed(() =>
 const mainHerbCount = computed(() => mainHerbRows.value.length)
 const auxHerbCount = computed(() => auxHerbRows.value.length)
 
+/**
+ * 整张处方是否被锁定：只要任一药材来自「禁用修改」模板即锁定。
+ * 锁定后：不可增删改任意药材，仅可再次「从处方库导入」覆盖。
+ */
+const herbsLocked = computed(() => formData.herbs.some((h) => (h as Herb).locked === true))
+
 const libraryDoctorId = computed(() => {
     const uid = Number(userStore.userInfo?.id)
     return uid > 0 ? uid : 0
@@ -2029,10 +2047,18 @@ function findDuplicateHerbNames(): string[] {
 }
 
 const handleAddHerb = (formulaType: FormulaType = '主方') => {
+    if (herbsLocked.value) {
+        feedback.msgWarning('该处方含「禁用修改」模板，药材已锁定，请重新从处方库导入覆盖')
+        return
+    }
     formData.herbs.push({ name: '', dosage: 6, formula_type: formulaType })
 }
 
 const handleRemoveHerb = (index: number) => {
+    if (herbsLocked.value) {
+        feedback.msgWarning('该处方含「禁用修改」模板，药材已锁定，不可删除')
+        return
+    }
     formData.herbs.splice(index, 1)
 }
 
@@ -2089,10 +2115,18 @@ const handleImportLibrary = (row: any) => {
     }
 
     const formulaType = normalizeFormulaType(row.formula_type)
-    const imported = (JSON.parse(JSON.stringify(row.herbs)) as any[]).map((h) => ({
-        ...normalizeHerbRow(h),
-        formula_type: formulaType
-    }))
+    // 「禁用修改」模板：导入的药材打上锁定标记 → 整张处方锁定（不可增删改，只能再次导入覆盖）
+    const isLockedTemplate = Number(row?.disable_edit) === 1
+    const imported = (JSON.parse(JSON.stringify(row.herbs)) as any[]).map((h) => {
+        const herb = normalizeHerbRow(h)
+        herb.formula_type = formulaType
+        if (isLockedTemplate) {
+            herb.locked = true
+        } else {
+            delete herb.locked
+        }
+        return herb
+    })
     if (libraryImportMode.value === 'replace') {
         const kept = formData.herbs.filter((h) => normalizeFormulaType(h.formula_type) !== formulaType)
         formData.herbs = [...kept, ...imported]
@@ -2532,6 +2566,17 @@ defineExpose({
             color: var(--el-text-color-regular);
         }
 
+        .rp-toolbar__lock-tip {
+            display: flex;
+            align-items: center;
+            gap: 6px;
+            flex-wrap: wrap;
+            margin: 6px 0 0;
+            font-size: 12px;
+            line-height: 1.55;
+            color: var(--el-color-danger);
+        }
+
         .rp-toolbar__actions {
             display: flex;
             flex-wrap: wrap;
diff --git a/admin/src/views/consumer/prescription/index.vue b/admin/src/views/consumer/prescription/index.vue
index c3fe442c..f854a294 100644
--- a/admin/src/views/consumer/prescription/index.vue
+++ b/admin/src/views/consumer/prescription/index.vue
@@ -679,17 +679,21 @@
                                 粘贴文本解析药名与剂量；须与药品库名称完全一致才录入（导入至主方）
                             </span>
                         </div>
+                        <div v-if="herbsLocked" class="flex items-center gap-2 flex-wrap mt-2 text-xs text-[var(--el-color-danger)]">
+                            <el-tag type="danger" size="small" effect="plain">禁用修改</el-tag>
+                            含「禁用修改」处方库模板，药材已锁定，不可增删改，如需调整请重新「从处方库导入」覆盖
+                        </div>
 
                         <div class="herb-formula-block mt-3">
                             <div class="herb-formula-block__head">
                                 <el-tag type="primary" size="small">主方</el-tag>
-                                <el-button type="primary" size="small" @click="addHerb('主方')">添加主方药材</el-button>
+                                <el-button type="primary" size="small" :disabled="herbsLocked" @click="addHerb('主方')">添加主方药材</el-button>
                             </div>
                             <el-table :data="mainHerbRows" class="mt-2" border empty-text="暂无主方药材">
                                 <el-table-column label="序号" type="index" width="60" />
                                 <el-table-column label="药材名称" min-width="220">
                                     <template #default="{ row }">
-                                        <MedicineNameSelect v-model="editForm.herbs[row.index].name" class="w-full" />
+                                        <MedicineNameSelect v-model="editForm.herbs[row.index].name" :disabled="herbsLocked" class="w-full" />
                                     </template>
                                 </el-table-column>
                                 <el-table-column label="剂量(克)" min-width="120">
@@ -699,6 +703,7 @@
                                             :min="0"
                                             :precision="1"
                                             :step="0.5"
+                                            :disabled="herbsLocked"
                                             placeholder="剂量"
                                             class="w-full"
                                         />
@@ -706,7 +711,8 @@
                                 </el-table-column>
                                 <el-table-column label="操作" width="80">
                                     <template #default="{ row }">
-                                        <el-button type="danger" link @click="removeHerb(row.index)">删除</el-button>
+                                        <el-button v-if="!herbsLocked" type="danger" link @click="removeHerb(row.index)">删除</el-button>
+                                        <span v-else class="text-gray-400 text-xs">已锁定</span>
                                     </template>
                                 </el-table-column>
                             </el-table>
@@ -715,7 +721,7 @@
                         <div class="herb-formula-block mt-4">
                             <div class="herb-formula-block__head">
                                 <el-tag type="warning" size="small">辅方</el-tag>
-                                <el-button type="primary" size="small" plain @click="addHerb('辅方')">
+                                <el-button type="primary" size="small" plain :disabled="herbsLocked" @click="addHerb('辅方')">
                                     添加辅方药材
                                 </el-button>
                             </div>
@@ -723,7 +729,7 @@
                                 <el-table-column label="序号" type="index" width="60" />
                                 <el-table-column label="药材名称" min-width="220">
                                     <template #default="{ row }">
-                                        <MedicineNameSelect v-model="editForm.herbs[row.index].name" class="w-full" />
+                                        <MedicineNameSelect v-model="editForm.herbs[row.index].name" :disabled="herbsLocked" class="w-full" />
                                     </template>
                                 </el-table-column>
                                 <el-table-column label="剂量(克)" min-width="120">
@@ -733,6 +739,7 @@
                                             :min="0"
                                             :precision="1"
                                             :step="0.5"
+                                            :disabled="herbsLocked"
                                             placeholder="剂量"
                                             class="w-full"
                                         />
@@ -740,7 +747,8 @@
                                 </el-table-column>
                                 <el-table-column label="操作" width="80">
                                     <template #default="{ row }">
-                                        <el-button type="danger" link @click="removeHerb(row.index)">删除</el-button>
+                                        <el-button v-if="!herbsLocked" type="danger" link @click="removeHerb(row.index)">删除</el-button>
+                                        <span v-else class="text-gray-400 text-xs">已锁定</span>
                                     </template>
                                 </el-table-column>
                             </el-table>
@@ -1698,7 +1706,7 @@ import jsPDF from 'jspdf'
 const TcmDiagnosisEditView = defineAsyncComponent(() => import('@/views/tcm/diagnosis/edit.vue'))
 
 type FormulaType = '主方' | '辅方'
-type HerbRow = { name: string; dosage: number; formula_type: FormulaType }
+type HerbRow = { name: string; dosage: number; formula_type: FormulaType; locked?: boolean }
 
 type AuxUsageForm = {
     dosage_amount?: number
@@ -1798,11 +1806,15 @@ function normalizeFormulaType(v: unknown): FormulaType {
 }
 
 function normalizeHerbRow(raw: any): HerbRow {
-    return {
+    const row: HerbRow = {
         name: String(raw?.name ?? '').trim(),
         dosage: Number(raw?.dosage) || 0,
         formula_type: normalizeFormulaType(raw?.formula_type)
     }
+    if (raw?.locked === true || raw?.locked === 1) {
+        row.locked = true
+    }
+    return row
 }
 
 function normalizeSlipHerbs(raw: unknown): HerbRow[] {
@@ -2481,6 +2493,12 @@ const auxHerbRows = computed(() =>
         .filter(({ herb }) => normalizeFormulaType(herb.formula_type) === '辅方')
 )
 
+/**
+ * 整张处方是否被锁定：只要任一药材来自「禁用修改」处方库模板即锁定。
+ * 锁定后不可增删改任意药材，只能再次「从处方库导入」覆盖。
+ */
+const herbsLocked = computed(() => editForm.herbs.some((h) => (h as HerbRow).locked === true))
+
 const slipDietaryText = computed(() => {
     const d = slipView.value?.dietary_taboo
     if (Array.isArray(d)) return d.filter(Boolean).join('、')
@@ -3441,10 +3459,18 @@ const handleImportLibrary = (row: any) => {
         return
     }
     const formulaType = normalizeFormulaType(row.formula_type)
-    const imported = (JSON.parse(JSON.stringify(row.herbs)) as any[]).map((h) => ({
-        ...normalizeHerbRow(h),
-        formula_type: formulaType
-    }))
+    // 「禁用修改」模板：导入药材打上锁定标记 → 整张处方锁定（不可增删改，只能再次导入覆盖）
+    const isLockedTemplate = Number(row?.disable_edit) === 1
+    const imported = (JSON.parse(JSON.stringify(row.herbs)) as any[]).map((h) => {
+        const herb = normalizeHerbRow(h)
+        herb.formula_type = formulaType
+        if (isLockedTemplate) {
+            herb.locked = true
+        } else {
+            delete herb.locked
+        }
+        return herb
+    })
     if (libraryImportMode.value === 'replace') {
         const kept = editForm.herbs.filter((h) => normalizeFormulaType(h.formula_type) !== formulaType)
         editForm.herbs = [...kept, ...imported]
@@ -3650,6 +3676,10 @@ async function handlePasteRecipeImport() {
 
 // 添加药材（主方 / 辅方）
 const addHerb = (formulaType: FormulaType = '主方') => {
+    if (herbsLocked.value) {
+        feedback.msgWarning('该处方含「禁用修改」模板，药材已锁定，请重新从处方库导入覆盖')
+        return
+    }
     editForm.herbs.push({
         name: '',
         dosage: 0,
@@ -3659,6 +3689,10 @@ const addHerb = (formulaType: FormulaType = '主方') => {
 
 // 删除药材
 const removeHerb = (index: number) => {
+    if (herbsLocked.value) {
+        feedback.msgWarning('该处方含「禁用修改」模板，药材已锁定，不可删除')
+        return
+    }
     editForm.herbs.splice(index, 1)
 }
 
diff --git a/admin/src/views/consumer/prescription/list.vue b/admin/src/views/consumer/prescription/list.vue
index 184c1125..b182d2a9 100644
--- a/admin/src/views/consumer/prescription/list.vue
+++ b/admin/src/views/consumer/prescription/list.vue
@@ -71,6 +71,13 @@
                             </el-tag>
                         </template>
                     </el-table-column>
+                    <el-table-column label="禁用修改" min-width="100">
+                        <template #default="{ row }">
+                            <el-tag :type="row.disable_edit ? 'danger' : 'info'">
+                                {{ row.disable_edit ? '已禁用' : '可修改' }}
+                            </el-tag>
+                        </template>
+                    </el-table-column>
                     <el-table-column label="创建人" prop="creator_name" min-width="100" />
                     <el-table-column label="创建时间" prop="create_time" min-width="160" />
                     <el-table-column label="操作" width="180" fixed="right">
@@ -193,6 +200,21 @@
                         勾选后，所有医生都可以查看和使用此处方模板
                     </div>
                 </el-form-item>
+
+                <el-form-item label="禁用修改" prop="disable_edit">
+                    <div class="flex flex-col gap-1 leading-none">
+                        <el-switch
+                            v-model="editForm.disable_edit"
+                            :active-value="1"
+                            :inactive-value="0"
+                            active-text="开启"
+                            inactive-text="关闭"
+                        />
+                        <div class="text-xs text-gray-400 leading-relaxed">
+                            开启后，导入此模板到处方时将锁定整张处方的药材，不可增删改，只能再次导入覆盖
+                        </div>
+                    </div>
+                </el-form-item>
             </el-form>
             
             <template #footer v-if="editMode !== 'view'">
@@ -236,7 +258,8 @@ const editForm = reactive({
     prescription_name: '',
     formula_type: '主方',
     herbs: [] as Array<{ name: string; dosage: number }>,
-    is_public: 0
+    is_public: 0,
+    disable_edit: 0
 })
 
 // 表单验证规则
@@ -293,6 +316,7 @@ const resetForm = () => {
     editForm.formula_type = '主方'
     editForm.herbs = []
     editForm.is_public = 0
+    editForm.disable_edit = 0
 }
 
 // 新增处方
@@ -310,6 +334,7 @@ const handleView = (row: any) => {
     editForm.formula_type = row.formula_type || '主方'
     editForm.herbs = row.herbs ? JSON.parse(JSON.stringify(row.herbs)) : []
     editForm.is_public = row.is_public ?? 0
+    editForm.disable_edit = row.disable_edit ?? 0
     showEdit.value = true
 }
 
@@ -321,6 +346,7 @@ const handleEdit = (row: any) => {
     editForm.formula_type = row.formula_type || '主方'
     editForm.herbs = row.herbs ? JSON.parse(JSON.stringify(row.herbs)) : []
     editForm.is_public = row.is_public ?? 0
+    editForm.disable_edit = row.disable_edit ?? 0
     showEdit.value = true
 }
 
diff --git a/server/app/adminapi/lists/tcm/PrescriptionLibraryLists.php b/server/app/adminapi/lists/tcm/PrescriptionLibraryLists.php
index d237e290..e47af217 100755
--- a/server/app/adminapi/lists/tcm/PrescriptionLibraryLists.php
+++ b/server/app/adminapi/lists/tcm/PrescriptionLibraryLists.php
@@ -56,7 +56,7 @@ class PrescriptionLibraryLists extends BaseAdminDataLists implements ListsSearch
     public function lists(): array
     {
         $field = [
-            'id', 'prescription_name', 'formula_type', 'herbs', 'is_public',
+            'id', 'prescription_name', 'formula_type', 'herbs', 'is_public', 'disable_edit',
             'creator_id', 'creator_name', 'create_time', 'update_time'
         ];
 
diff --git a/server/app/adminapi/lists/tcm/PrescriptionOrderLists.php b/server/app/adminapi/lists/tcm/PrescriptionOrderLists.php
index c9081de7..749f6c3a 100755
--- a/server/app/adminapi/lists/tcm/PrescriptionOrderLists.php
+++ b/server/app/adminapi/lists/tcm/PrescriptionOrderLists.php
@@ -778,6 +778,7 @@ class PrescriptionOrderLists extends BaseAdminDataLists implements ListsSearchIn
             'export_channel'                   => '渠道',
             'export_guahao_channel_source'     => '自媒体渠道（挂号渠道来源）',
             'export_medication_form'           => '药品形态',
+            'export_prescription_name'         => '药方名称',
             'export_service_package'           => '服务套餐',
             'export_medication_days'           => '天数',
             'export_amount'                    => '总金额',
diff --git a/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php b/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php
index 2681ca8d..0aef9343 100755
--- a/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php
+++ b/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php
@@ -11,6 +11,7 @@ use app\common\model\Order;
 use app\common\model\tcm\Diagnosis;
 use app\common\model\tcm\DiagnosisAssignLog;
 use app\common\model\tcm\Prescription;
+use app\common\model\tcm\PrescriptionLibrary;
 use app\common\model\tcm\PrescriptionOrder;
 use app\common\model\tcm\PrescriptionOrderLog;
 use app\common\model\tcm\PrescriptionOrderPayOrder;
@@ -3106,7 +3107,7 @@ class PrescriptionOrderLogic
         $rxById = [];
         if ($rxIdList !== []) {
             $rxRows = Prescription::whereIn('id', $rxIdList)->whereNull('delete_time')
-                ->field(['id', 'prescription_type', 'need_decoction', 'dose_unit', 'assistant_id', 'appointment_id'])
+                ->field(['id', 'prescription_type', 'need_decoction', 'dose_unit', 'assistant_id', 'appointment_id', 'prescription_name', 'aux_usage', 'herbs', 'creator_id'])
                 ->select()
                 ->toArray();
             foreach ($rxRows as $xr) {
@@ -3114,6 +3115,10 @@ class PrescriptionOrderLogic
             }
         }
 
+        // 药方名称反查：处方库（开方医师 creator_id + 公开模板），按 formula_type + 药材集合匹配，
+        // 复刻前端 resolveSlipAuxLibraryName 口径（主方/辅方均如此；处方记录 prescription_name 仅做兜底）。
+        [$libByDoctor, $libPublic] = self::buildPrescriptionLibraryNameIndexForExport($rxById);
+
         if ($needGuahaoChannel) {
             $yejiChannelHighlightByDiag = [];
             if (
@@ -3319,6 +3324,22 @@ class PrescriptionOrderLogic
             }
 
             $item['export_medication_form'] = self::formatMedicationFormForExport(\is_array($rx) ? $rx : []);
+
+            // 药方名称：主方/辅方均反查处方库取名称（与处方笺一致），带标签；甘草/无匹配留空
+            [$mainRxName, $auxRxName] = self::resolvePrescriptionNamesForExport(
+                \is_array($rx) ? $rx : [],
+                $libByDoctor,
+                $libPublic
+            );
+            $rxNameParts = [];
+            if ($mainRxName !== '') {
+                $rxNameParts[] = '主方：' . $mainRxName;
+            }
+            if ($auxRxName !== '') {
+                $rxNameParts[] = '辅方：' . $auxRxName;
+            }
+            $item['export_prescription_name'] = implode(' ', $rxNameParts);
+
             $item['export_service_package'] = self::formatServicePackageForExport(
                 $item['service_package'] ?? '',
                 $packageNameByValue
@@ -3391,6 +3412,186 @@ class PrescriptionOrderLogic
         unset($item);
     }
 
+    /**
+     * 导出药方名称反查：批量加载相关开方医师处方库（creator_id 命中 + 公开模板），
+     * 建立 [creator_id][formula_type][herbKey] => name 与 公开 [formula_type][herbKey] => name 两级索引。
+     *
+     * @param array<int, array> $rxById 处方 id => 处方行（需含 herbs / creator_id）
+     *
+     * @return array{0: array<int, array<string, array<string, string>>>, 1: array<string, array<string, string>>}
+     */
+    private static function buildPrescriptionLibraryNameIndexForExport(array $rxById): array
+    {
+        $libByDoctor = [];
+        $libPublic   = [];
+        if ($rxById === []) {
+            return [$libByDoctor, $libPublic];
+        }
+
+        $doctorIds = [];
+        foreach ($rxById as $rx) {
+            $cid = (int) ($rx['creator_id'] ?? 0);
+            if ($cid > 0) {
+                $doctorIds[$cid] = true;
+            }
+        }
+        $doctorIdList = array_keys($doctorIds);
+
+        try {
+            $libRows = PrescriptionLibrary::whereNull('delete_time')
+                ->where(function ($q) use ($doctorIdList) {
+                    if ($doctorIdList !== []) {
+                        $q->whereIn('creator_id', $doctorIdList)->whereOr('is_public', 1);
+                    } else {
+                        $q->where('is_public', 1);
+                    }
+                })
+                ->field(['prescription_name', 'formula_type', 'herbs', 'creator_id', 'is_public'])
+                ->select()
+                ->toArray();
+        } catch (\Throwable $e) {
+            Log::warning('buildPrescriptionLibraryNameIndexForExport failed: ' . $e->getMessage());
+
+            return [$libByDoctor, $libPublic];
+        }
+
+        foreach ($libRows as $lib) {
+            $name = trim((string) ($lib['prescription_name'] ?? ''));
+            if ($name === '') {
+                continue;
+            }
+            $herbsRaw = $lib['herbs'] ?? null;
+            if (\is_string($herbsRaw) && $herbsRaw !== '') {
+                $decoded = json_decode($herbsRaw, true);
+                $herbsRaw = \is_array($decoded) ? $decoded : [];
+            }
+            if (!\is_array($herbsRaw) || $herbsRaw === []) {
+                continue;
+            }
+            $key = self::herbSetMatchKeyForExport($herbsRaw);
+            if ($key === '') {
+                continue;
+            }
+            $ft = ((string) ($lib['formula_type'] ?? '')) === '辅方' ? '辅方' : '主方';
+
+            if ((int) ($lib['is_public'] ?? 0) === 1) {
+                $libPublic[$ft][$key] ??= $name;
+            }
+            $cid = (int) ($lib['creator_id'] ?? 0);
+            if ($cid > 0) {
+                $libByDoctor[$cid][$ft][$key] ??= $name;
+            }
+        }
+
+        return [$libByDoctor, $libPublic];
+    }
+
+    /**
+     * 反查单张处方的主方 / 辅方名称（与处方笺展示一致）：
+     * - 主方：主方药材集合匹配开方医师/公开处方库（formula_type=主方）；兜底取处方 prescription_name。
+     * - 辅方：优先 aux_usage.prescription_name / library_name，否则辅方药材集合匹配（formula_type=辅方）。
+     *
+     * @param array $rx 处方行（含 herbs / creator_id / prescription_name / aux_usage）
+     * @param array<int, array<string, array<string, string>>> $libByDoctor
+     * @param array<string, array<string, string>> $libPublic
+     *
+     * @return array{0: string, 1: string} [主方名称, 辅方名称]
+     */
+    private static function resolvePrescriptionNamesForExport(array $rx, array $libByDoctor, array $libPublic): array
+    {
+        if ($rx === []) {
+            return ['', ''];
+        }
+
+        $doctorId = (int) ($rx['creator_id'] ?? 0);
+
+        $herbs = $rx['herbs'] ?? null;
+        if (\is_string($herbs) && $herbs !== '') {
+            $decoded = json_decode($herbs, true);
+            $herbs = \is_array($decoded) ? $decoded : [];
+        }
+        if (!\is_array($herbs)) {
+            $herbs = [];
+        }
+
+        $mainHerbs = [];
+        $auxHerbs  = [];
+        foreach ($herbs as $h) {
+            if (!\is_array($h)) {
+                continue;
+            }
+            if (((string) ($h['formula_type'] ?? '')) === '辅方') {
+                $auxHerbs[] = $h;
+            } else {
+                $mainHerbs[] = $h;
+            }
+        }
+
+        $lookup = static function (string $ft, array $hs) use ($doctorId, $libByDoctor, $libPublic): string {
+            if ($hs === []) {
+                return '';
+            }
+            $key = self::herbSetMatchKeyForExport($hs);
+            if ($key === '') {
+                return '';
+            }
+            if ($doctorId > 0 && isset($libByDoctor[$doctorId][$ft][$key])) {
+                return $libByDoctor[$doctorId][$ft][$key];
+            }
+
+            return (string) ($libPublic[$ft][$key] ?? '');
+        };
+
+        // 主方
+        $mainName = $lookup('主方', $mainHerbs);
+        if ($mainName === '') {
+            $mainName = trim((string) ($rx['prescription_name'] ?? ''));
+        }
+
+        // 辅方：先读持久化字段
+        $auxName = '';
+        $auxUsage = $rx['aux_usage'] ?? null;
+        if (\is_string($auxUsage) && $auxUsage !== '') {
+            $decodedAux = json_decode($auxUsage, true);
+            $auxUsage = \is_array($decodedAux) ? $decodedAux : null;
+        }
+        if (\is_array($auxUsage)) {
+            $auxName = trim((string) ($auxUsage['prescription_name'] ?? ($auxUsage['library_name'] ?? '')));
+        }
+        if ($auxName === '') {
+            $auxName = $lookup('辅方', $auxHerbs);
+        }
+
+        return [$mainName, $auxName];
+    }
+
+    /**
+     * 药材集合匹配 key：每味 name:dosage（dosage 规整去尾零）排序后拼接，与处方库反查双方同口径。
+     */
+    private static function herbSetMatchKeyForExport(array $herbs): string
+    {
+        $parts = [];
+        foreach ($herbs as $h) {
+            if (!\is_array($h)) {
+                continue;
+            }
+            $name = trim((string) ($h['name'] ?? ''));
+            if ($name === '') {
+                continue;
+            }
+            $dosage = (float) ($h['dosage'] ?? 0);
+            if (floor($dosage) === $dosage) {
+                $dStr = (string) (int) $dosage;
+            } else {
+                $dStr = rtrim(rtrim(number_format($dosage, 4, '.', ''), '0'), '.');
+            }
+            $parts[] = $name . ':' . $dStr;
+        }
+        sort($parts);
+
+        return implode('|', $parts);
+    }
+
     /**
      * 完成订单时把关联诊单的 assistant_id 清空，让患者回到「待分配」状态
      * 仅当该患者没有其它进行中的处方订单且无指派日志时才清空，避免误覆盖
diff --git a/server/app/adminapi/validate/tcm/PrescriptionLibraryValidate.php b/server/app/adminapi/validate/tcm/PrescriptionLibraryValidate.php
index 1384ba30..4b9060a5 100755
--- a/server/app/adminapi/validate/tcm/PrescriptionLibraryValidate.php
+++ b/server/app/adminapi/validate/tcm/PrescriptionLibraryValidate.php
@@ -16,7 +16,8 @@ class PrescriptionLibraryValidate extends BaseValidate
         'prescription_name' => 'require|max:100',
         'formula_type' => 'in:主方,辅方',
         'herbs' => 'require|array',
-        'is_public' => 'in:0,1'
+        'is_public' => 'in:0,1',
+        'disable_edit' => 'in:0,1'
     ];
 
     protected $message = [
@@ -27,7 +28,8 @@ class PrescriptionLibraryValidate extends BaseValidate
         'formula_type.in' => '处方类型只能是主方或辅方',
         'herbs.require' => '药材列表不能为空',
         'herbs.array' => '药材列表格式错误',
-        'is_public.in' => '是否公开参数错误'
+        'is_public.in' => '是否公开参数错误',
+        'disable_edit.in' => '禁用修改参数错误'
     ];
 
     /**
@@ -35,7 +37,7 @@ class PrescriptionLibraryValidate extends BaseValidate
      */
     public function sceneAdd()
     {
-        return $this->only(['prescription_name', 'formula_type', 'herbs', 'is_public']);
+        return $this->only(['prescription_name', 'formula_type', 'herbs', 'is_public', 'disable_edit']);
     }
 
     /**
@@ -43,7 +45,7 @@ class PrescriptionLibraryValidate extends BaseValidate
      */
     public function sceneEdit()
     {
-        return $this->only(['id', 'prescription_name', 'formula_type', 'herbs', 'is_public']);
+        return $this->only(['id', 'prescription_name', 'formula_type', 'herbs', 'is_public', 'disable_edit']);
     }
 
     /**
diff --git a/server/sql/1.9.20260604/add_prescription_library_disable_edit.sql b/server/sql/1.9.20260604/add_prescription_library_disable_edit.sql
new file mode 100644
index 00000000..61e6d009
--- /dev/null
+++ b/server/sql/1.9.20260604/add_prescription_library_disable_edit.sql
@@ -0,0 +1,3 @@
+-- 处方库：禁用修改（导入处方后锁定药材，不可增删改，只能再次导入覆盖）
+ALTER TABLE `zyt_prescription_library`
+    ADD COLUMN `disable_edit` tinyint(1) NOT NULL DEFAULT 0 COMMENT '导入处方后是否禁止修改/删除药材：0否 1是' AFTER `is_public`;