diff --git a/admin/src/views/tcm/diagnosis/index.vue b/admin/src/views/tcm/diagnosis/index.vue
index efb84732..df2e0871 100644
--- a/admin/src/views/tcm/diagnosis/index.vue
+++ b/admin/src/views/tcm/diagnosis/index.vue
@@ -7,12 +7,20 @@
                     <span
                         v-for="tab in dateTabs"
                         :key="tab.value"
-                        :class="['chip', { active: formData.appointment_date === tab.value }]"
+                        :class="['chip', { active: formData.pending_assign !== '1' && formData.appointment_date === tab.value }]"
                         @click="handleDateTabClick(tab.value)"
                     >
                         {{ tab.label }}
                         <em v-if="tab.value && dateCounts[tab.value] !== undefined">{{ dateCounts[tab.value] }}</em>
                     </span>
+                    <span
+                        :class="['chip', 'chip-pending', { active: formData.pending_assign === '1' }]"
+                        @click="handlePendingAssignTabClick"
+                         v-perms="['tcm.diagnosis/assign']"
+                    >
+                        待分配医助
+                        <em v-if="pendingAssignCount !== undefined">{{ pendingAssignCount }}</em>
+                    </span>
                 </div>
                 <div class="search-row">
                     <el-input v-model="formData.keyword" placeholder="患者姓名 / 手机号" clearable class="search-input" @keyup.enter="doSearch" />
@@ -575,7 +583,8 @@ const formData = reactive({
     end_time: '',
     diagnosis_confirmed: '' as '' | '0' | '1',
     appointment_date: '' as string,
-    has_appointment: '' as '' | '0' | '1'
+    has_appointment: '' as '' | '0' | '1',
+    pending_assign: '' as '' | '1'
 })
 
 const activeTab = ref('all')
@@ -621,27 +630,39 @@ const dateTabs = computed(() => [
 ])
 
 const dateCounts = ref<Record<string, number>>({})
+const pendingAssignCount = ref<number | undefined>(undefined)
 
 const handleDateTabClick = async (value: string) => {
+    formData.pending_assign = ''
     formData.appointment_date = value
     pager.page = 1
     await getLists()
     fetchDateCounts()
 }
 
-// 获取各日期挂号数量
+const handlePendingAssignTabClick = async () => {
+    formData.pending_assign = '1'
+    formData.appointment_date = ''
+    pager.page = 1
+    await getLists()
+    fetchDateCounts()
+}
+
+// 获取各日期挂号数量 + 待分配医助数量
 const fetchDateCounts = async () => {
     try {
-        const [today, tomorrow, dayAfter] = await Promise.all([
+        const [today, tomorrow, dayAfter, pending] = await Promise.all([
             tcmDiagnosisLists({ appointment_date: todayStr.value, page_no: 1, page_size: 1 }),
             tcmDiagnosisLists({ appointment_date: tomorrowStr.value, page_no: 1, page_size: 1 }),
-            tcmDiagnosisLists({ appointment_date: dayAfterStr.value, page_no: 1, page_size: 1 })
+            tcmDiagnosisLists({ appointment_date: dayAfterStr.value, page_no: 1, page_size: 1 }),
+            tcmDiagnosisLists({ pending_assign: 1, page_no: 1, page_size: 1 })
         ])
         dateCounts.value = {
             [todayStr.value]: today?.count ?? 0,
             [tomorrowStr.value]: tomorrow?.count ?? 0,
             [dayAfterStr.value]: dayAfter?.count ?? 0
         }
+        pendingAssignCount.value = pending?.count ?? 0
     } catch (e) {
         console.error('获取日期数量失败', e)
     }
@@ -768,6 +789,7 @@ const handleReset = () => {
     formData.diagnosis_confirmed = ''
     formData.appointment_date = ''
     formData.has_appointment = ''
+    formData.pending_assign = ''
     pager.page = 1
     getLists()
     fetchDateCounts()
@@ -1494,6 +1516,21 @@ onUnmounted(() => {
             background: var(--el-color-primary);
         }
     }
+
+    .chip-pending {
+        margin-left: 8px;
+        color: var(--el-color-warning);
+        background: var(--el-color-warning-light-9);
+
+        &:hover {
+            background: var(--el-color-warning-light-8);
+        }
+
+        &.active {
+            color: #fff;
+            background: var(--el-color-warning);
+        }
+    }
 }
 
 .search-row {
diff --git a/server/app/adminapi/lists/tcm/DiagnosisLists.php b/server/app/adminapi/lists/tcm/DiagnosisLists.php
index a372649a..67ad16cb 100644
--- a/server/app/adminapi/lists/tcm/DiagnosisLists.php
+++ b/server/app/adminapi/lists/tcm/DiagnosisLists.php
@@ -56,12 +56,16 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
     {
         // 获取当前管理员的角色ID
         $roleIds = AdminRole::where('admin_id', $this->adminId)->column('role_id');
-        
+
+        // 待分配医助筛选：assistant_id 为空或 0（放在最前面判断，便于跳过医助角色的自我过滤）
+        $pendingAssign = isset($this->params['pending_assign']) && (string) $this->params['pending_assign'] === '1';
+
         // 构建查询
         $query = Diagnosis::where($this->searchWhere);
-        
-        // 如果是医助角色(role_id=2)，只显示自己添加的患者
-        if (in_array(2, $roleIds)) {
+
+        // 如果是医助角色(role_id=2)，只显示自己添加的患者；
+        // 但当前在查"待分配医助"时应放开，否则 NULL 记录永远不会匹配 assistant_id=adminId
+        if (in_array(2, $roleIds) && !$pendingAssign) {
             $query->where('assistant_id', $this->adminId);
         }
 
@@ -74,6 +78,11 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
             });
         }
 
+        // 待分配医助：assistant_id 为 NULL 或 0（使用 whereRaw 避免闭包 whereOr 歧义）
+        if ($pendingAssign) {
+            $query->whereRaw('(assistant_id IS NULL OR assistant_id = 0)');
+        }
+
         // 是否确认诊单：1=已确认 0=未确认
         if (isset($this->params['diagnosis_confirmed']) && $this->params['diagnosis_confirmed'] !== '') {
             $confirmed = (int)$this->params['diagnosis_confirmed'];
@@ -409,12 +418,14 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
     {
         // 获取当前管理员的角色ID
         $roleIds = AdminRole::where('admin_id', $this->adminId)->column('role_id');
-        
+
+        $pendingAssign = isset($this->params['pending_assign']) && (string) $this->params['pending_assign'] === '1';
+
         // 构建查询
         $query = Diagnosis::where($this->searchWhere);
-        
-        // 如果是医助角色(role_id=2)，只显示自己添加的患者
-        if (in_array(2, $roleIds)) {
+
+        // 如果是医助角色(role_id=2)，只显示自己添加的患者；查"待分配医助"时放开
+        if (in_array(2, $roleIds) && !$pendingAssign) {
             $query->where('assistant_id', $this->adminId);
         }
 
@@ -427,6 +438,11 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
             });
         }
 
+        // 待分配医助：assistant_id 为 NULL 或 0
+        if ($pendingAssign) {
+            $query->whereRaw('(assistant_id IS NULL OR assistant_id = 0)');
+        }
+
         // 是否确认诊单
         if (isset($this->params['diagnosis_confirmed']) && $this->params['diagnosis_confirmed'] !== '') {
             $confirmed = (int)$this->params['diagnosis_confirmed'];