diff --git a/admin/src/components/tcm-prescription/index.vue b/admin/src/components/tcm-prescription/index.vue
index 7cb39513..7d850863 100644
--- a/admin/src/components/tcm-prescription/index.vue
+++ b/admin/src/components/tcm-prescription/index.vue
@@ -248,7 +248,7 @@
                         </el-col> -->
                         <el-col :span="24">
                             <el-form-item label="用法" prop="usage_instruction">
-                                <el-input v-model="formData.usage_instruction" placeholder="例如：水煎服，一日二次" maxlength="200" show-word-limit />
+                                <el-input v-model="formData.usage_instruction" placeholder="" maxlength="200" show-word-limit />
                             </el-form-item>
                         </el-col>
                         <el-col :span="12">
diff --git a/admin/src/views/consumer/prescription/order_list.vue b/admin/src/views/consumer/prescription/order_list.vue
index 294fda10..ff94a944 100644
--- a/admin/src/views/consumer/prescription/order_list.vue
+++ b/admin/src/views/consumer/prescription/order_list.vue
@@ -1076,16 +1076,10 @@
                                     </el-button>
                                     <span class="text-xs text-gray-400">ID: {{ editForm.prescription_id || '—' }}</span>
                                 </div>
-                                <!-- 诊单创建人及所在部门（tcm_diagnosis.admin_id；接口为「全角；」多部门、每路径「父 / 子 / …」含上级） -->
-                                <div class="mt-2 space-y-2 text-xs sm:text-sm">
-                                    <div class="flex flex-wrap items-baseline gap-x-2 gap-y-0.5">
-                                        <span class="text-gray-500 shrink-0">诊单创建人</span>
-                                        <span class="text-gray-800 font-medium">
-                                            {{ editForm.diagnosis_creator_name || '—' }}
-                                        </span>
-                                    </div>
+                                <!-- 创建人所属部门：优先业务订单 creator_id，无则诊单 admin_id；非处方开方人；「；」多部门、路径内「/」含上级 -->
+                                <div class="mt-2 space-y-1.5 text-xs sm:text-sm">
                                     <div v-if="editDiagnosisCreatorDeptBreadcrumbs.length" class="space-y-1.5">
-                                        <div class="text-gray-500">所在部门（含上级）</div>
+                                        <div class="text-gray-500">创建人所属部门</div>
                                         <div
                                             v-for="(segments, idx) in editDiagnosisCreatorDeptBreadcrumbs"
                                             :key="idx"
@@ -1105,12 +1099,7 @@
                                             </el-breadcrumb>
                                         </div>
                                     </div>
-                                    <div
-                                        v-else
-                                        class="text-gray-400"
-                                    >
-                                        所在部门：—
-                                    </div>
+                                    <div v-else class="text-gray-400">创建人所属部门：—</div>
                                 </div>
                             </el-col>
                             <el-col :xs="24" :sm="8">
diff --git a/admin/src/views/tcm/diagnosis/index.vue b/admin/src/views/tcm/diagnosis/index.vue
index c7aafb23..2a5e43e4 100644
--- a/admin/src/views/tcm/diagnosis/index.vue
+++ b/admin/src/views/tcm/diagnosis/index.vue
@@ -20,7 +20,7 @@
                         @click="handleDateTabClick(tab.value)"
                     >
                         {{ tab.label }}
-                        <em v-if="tab.value && dateCounts[tab.value] !== undefined">{{ dateCounts[tab.value] }}</em>
+                        <em v-if="dateCounts[tab.value] !== undefined">{{ dateCounts[tab.value] }}</em>
                     </span>
                     <span
                         :class="['chip', 'chip-pending-booking', { active: formData.pending_booking === '1' }]"
@@ -39,7 +39,6 @@
                     <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>
@@ -230,10 +229,19 @@
                         </div>
                     </template>
                 </el-table-column>
-                <el-table-column label="操作" width="260" fixed="right" align="left">
+                <el-table-column label="操作" width="300" fixed="right" align="left">
                     <template #default="{ row }">
                         <div class="action-cell">
                             <el-button type="primary" link size="small" @click="handleEdit(row.id)" v-perms="['tcm.diagnosis/edit']">诊单</el-button>
+                            <el-button
+                                v-perms="['tcm.diagnosis/kaifang']"
+                                type="primary"
+                                link
+                                size="small"
+                                @click="handlePrescription(row)"
+                            >
+                                {{ prescriptionActionLabel(row) }}
+                            </el-button>
                             <el-button 
                                 v-perms="['tcm.diagnosis/guahao']"
                                 type="success" 
@@ -241,6 +249,7 @@
                                 size="small"
                                 @click="handleAppointment(row)"
                             >预约</el-button>
+                          
                             <el-button 
                                 v-perms="['tcm.diagnosis/edit']"
                                 type="warning" 
@@ -273,6 +282,7 @@
 
         <edit-popup ref="editRef" @success="refreshListAfterPopupSave" />
         <detail-popup ref="detailRef" />
+        <tcm-prescription ref="prescriptionRef" @success="onPrescriptionSuccess" />
         <appointment-popup ref="appointmentRef" @success="refreshListAfterPopupSave" />
         <assistant-watch-call-dialog
             v-model="watchCallVisible"
@@ -569,6 +579,7 @@ import dayjs from 'dayjs'
 
 const EditPopup = defineAsyncComponent(() => import('./edit.vue'))
 const DetailPopup = defineAsyncComponent(() => import('./detail.vue'))
+const TcmPrescription = defineAsyncComponent(() => import('@/components/tcm-prescription/index.vue'))
 const AppointmentPopup = defineAsyncComponent(() => import('./appointment.vue'))
 const AssistantWatchCallDialog = defineAsyncComponent(() => import('./components/AssistantWatchCallDialog.vue'))
 
@@ -654,6 +665,8 @@ const doSearch = () => {
 
 // 重点：当天/明天/后天挂号 Tab
 const dateTabs = computed(() => [
+    { label: '昨天挂号', value: yesterdayStr.value },
+    { label: '前天挂号', value: dayBeforeStr.value },
     { label: '当天挂号', value: todayStr.value },
     { label: '明天挂号', value: tomorrowStr.value },
     { label: '后天挂号', value: dayAfterStr.value },
@@ -711,21 +724,27 @@ const handlePendingAssignTabClick = async () => {
     fetchDateCounts()
 }
 
-// 获取各日期挂号数量 + 待预约 + 已完成 + 待分配医助数量
+// 获取各日期挂号数量 + 全部 + 待预约 + 已完成 + 待分配医助数量
 const fetchDateCounts = async () => {
     try {
-        const [today, tomorrow, dayAfter, noApt, doneVisit, pending] = await Promise.all([
+        const [yesterday, dayBefore, today, tomorrow, dayAfter, all, noApt, doneVisit, pending] = await Promise.all([
+            tcmDiagnosisLists({ appointment_date: yesterdayStr.value, page_no: 1, page_size: 1 }),
+            tcmDiagnosisLists({ appointment_date: dayBeforeStr.value, page_no: 1, page_size: 1 }),
             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({ page_no: 1, page_size: 1 }),
             tcmDiagnosisLists({ has_appointment: 0, page_no: 1, page_size: 1 }),
             tcmDiagnosisLists({ completed_appointment: 1, page_no: 1, page_size: 1 }),
             tcmDiagnosisLists({ pending_assign: 1, page_no: 1, page_size: 1 })
         ])
         dateCounts.value = {
+            [yesterdayStr.value]: yesterday?.count ?? 0,
+            [dayBeforeStr.value]: dayBefore?.count ?? 0,
             [todayStr.value]: today?.count ?? 0,
             [tomorrowStr.value]: tomorrow?.count ?? 0,
-            [dayAfterStr.value]: dayAfter?.count ?? 0
+            [dayAfterStr.value]: dayAfter?.count ?? 0,
+            '': all?.count ?? 0
         }
         pendingBookingCount.value = noApt?.count ?? 0
         completedVisitCount.value = doneVisit?.count ?? 0
@@ -771,6 +790,16 @@ const dayAfterStr = computed(() => {
     t.setDate(t.getDate() + 2)
     return `${t.getFullYear()}-${pad(t.getMonth() + 1)}-${pad(t.getDate())}`
 })
+const yesterdayStr = computed(() => {
+    const t = new Date()
+    t.setDate(t.getDate() - 1)
+    return `${t.getFullYear()}-${pad(t.getMonth() + 1)}-${pad(t.getDate())}`
+})
+const dayBeforeStr = computed(() => {
+    const t = new Date()
+    t.setDate(t.getDate() - 2)
+    return `${t.getFullYear()}-${pad(t.getMonth() + 1)}-${pad(t.getDate())}`
+})
 
 // Tab 切换
 const handleTabChange = (tabName: string | number) => {
@@ -881,6 +910,7 @@ const getRowClassName = ({ row }: { row: any }) => {
 
 const editRef = ref()
 const detailRef = ref()
+const prescriptionRef = ref()
 const appointmentRef = ref()
 /** 从路由带 id 进入时，诊单弹窗为异步组件，需在 ref 就绪后再 open */
 const pendingRouteDiagnosisId = ref<number | null>(null)
@@ -1149,6 +1179,34 @@ const handleEdit = (id: number) => {
     editRef.value.open('edit', id)
 }
 
+/** 与预约列表开方一致：已通过且未作废 → 查看，否则开方 */
+function prescriptionActionLabel(row: any) {
+    if (
+        row?.prescription_audit_status === 1 &&
+        Number(row?.prescription_void_status) !== 1
+    ) {
+        return '查看'
+    }
+    return '开方'
+}
+
+const handlePrescription = (row: any) => {
+    if (!row?.id) {
+        feedback.msgWarning('诊单信息不完整')
+        return
+    }
+    prescriptionRef.value?.open({
+        ...row,
+        diagnosis_id: row.id,
+        id: row.appointment_id || 0,
+    })
+}
+
+const onPrescriptionSuccess = () => {
+    getLists()
+    ;(editRef.value as { refreshCaseList?: () => void } | undefined)?.refreshCaseList?.()
+}
+
 const handleDetail = (id: number) => {
     detailRef.value.open(id)
 }
@@ -1560,6 +1618,7 @@ onUnmounted(() => {
 
 .date-chips {
     display: flex;
+    flex-wrap: wrap;
     gap: 6px;
 
     .chip {
diff --git a/server/app/adminapi/lists/tcm/DiagnosisLists.php b/server/app/adminapi/lists/tcm/DiagnosisLists.php
index 5545bf2b..02f82f1b 100644
--- a/server/app/adminapi/lists/tcm/DiagnosisLists.php
+++ b/server/app/adminapi/lists/tcm/DiagnosisLists.php
@@ -298,7 +298,7 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
         if ($diagnosisIds !== []) {
             $rxAll = Prescription::whereIn('diagnosis_id', $diagnosisIds)
                 ->whereNull('delete_time')
-                ->field(['id', 'diagnosis_id', 'doctor_name', 'creator_id', 'prescription_date', 'create_time', 'void_status'])
+                ->field(['id', 'diagnosis_id', 'doctor_name', 'creator_id', 'prescription_date', 'create_time', 'void_status', 'audit_status'])
                 ->order('id', 'desc')
                 ->select()
                 ->toArray();
@@ -339,6 +339,8 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
                     'time_text' => $this->formatPrescriptionFollowupTime($rx),
                     'doctor_name' => $doctorName !== '' ? $doctorName : '—',
                     'voided' => (int) ($rx['void_status'] ?? 0) !== 0,
+                    'void_status' => (int) ($rx['void_status'] ?? 0),
+                    'audit_status' => (int) ($rx['audit_status'] ?? -1),
                 ];
             }
         }
@@ -348,6 +350,8 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
             $item['followup_time_text'] = ($item['has_prescription'] && $fu) ? ($fu['time_text'] ?? '') : '';
             $item['followup_doctor_name'] = ($item['has_prescription'] && $fu) ? ($fu['doctor_name'] ?? '—') : '';
             $item['followup_rx_voided'] = ($item['has_prescription'] && $fu && !empty($fu['voided'])) ? 1 : 0;
+            $item['prescription_audit_status'] = ($item['has_prescription'] && $fu) ? (int) ($fu['audit_status'] ?? -1) : -1;
+            $item['prescription_void_status'] = ($item['has_prescription'] && $fu) ? (int) ($fu['void_status'] ?? 0) : 0;
             // 开方次数即复诊次数：1 张处方 = 第 1 次复诊，以此类推
             $item['followup_prescription_count'] = (int) ($rxCountByDiag[$did] ?? 0);
         }
diff --git a/server/app/adminapi/logic/tcm/PrescriptionLogic.php b/server/app/adminapi/logic/tcm/PrescriptionLogic.php
index 48be1dfc..408a180d 100644
--- a/server/app/adminapi/logic/tcm/PrescriptionLogic.php
+++ b/server/app/adminapi/logic/tcm/PrescriptionLogic.php
@@ -809,8 +809,8 @@ class PrescriptionLogic
             'dose_unit' => '剂',
             'usage_days' => 7,
             'times_per_day' => 2,
-            'usage_instruction' => '水煎服，一日二次',
-            'usage_time' => '饭前',
+            'usage_instruction' => '',
+            'usage_time' => '饭后',
             'usage_way' => '温水送服',
             'dietary_taboo' => '',
             'usage_notes' => '',
diff --git a/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php b/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php
index 92c38c8a..5feec47f 100644
--- a/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php
+++ b/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php
@@ -13,11 +13,10 @@ use app\common\model\tcm\PrescriptionOrder;
 use app\common\model\tcm\PrescriptionOrderLog;
 use app\common\model\tcm\PrescriptionOrderPayOrder;
 use app\common\model\auth\Admin;
-use app\common\model\auth\AdminDept;
-use app\common\model\dept\Dept;
 use app\common\service\ExpressTrackService;
 use app\common\service\gancao\GancaoScmRecipelService;
 use think\facade\Config;
+use think\facade\Db;
 use think\facade\Log;
 
 class PrescriptionOrderLogic
@@ -36,6 +35,7 @@ class PrescriptionOrderLogic
 
     /**
      * 部门自底向上链式名称，含父级（如：总部 / 华东 / 上海门诊）
+     * 使用 Db 直查 zyt_dept：避免 Dept 软删除全局作用域导致有 dept_id 仍拼不出路径
      */
     private static function buildDeptPath(int $deptId): string
     {
@@ -45,13 +45,13 @@ class PrescriptionOrderLogic
         $names = [];
         $id = $deptId;
         for ($i = 0; $i < 50; $i++) {
-            $row = Dept::where('id', $id)->whereNull('delete_time')->field(['id', 'name', 'pid'])->find();
-            if ($row === null) {
+            $row = Db::name('dept')->where('id', $id)->field(['id', 'name', 'pid'])->find();
+            if (empty($row)) {
                 break;
             }
-            $data = $row->toArray();
-            array_unshift($names, (string) ($data['name'] ?? ''));
-            $pid = (int) ($data['pid'] ?? 0);
+            $r = is_array($row) ? $row : $row->toArray();
+            array_unshift($names, (string) ($r['name'] ?? ''));
+            $pid = (int) ($r['pid'] ?? 0);
             if ($pid <= 0) {
                 break;
             }
@@ -66,6 +66,27 @@ class PrescriptionOrderLogic
         return implode(' / ', $names);
     }
 
+    /**
+     * 管理员在 zyt_admin_dept 中的部门路径（多部门用「；」、含父级「 / 」）
+     */
+    private static function buildAdminDeptPathJoined(int $adminId): string
+    {
+        if ($adminId <= 0) {
+            return '';
+        }
+        $deptIds = Db::name('admin_dept')->where('admin_id', $adminId)->column('dept_id');
+        $pathSegmentsC = [];
+        foreach ($deptIds as $didC) {
+            $pc = self::buildDeptPath((int) $didC);
+            if ($pc !== '') {
+                $pathSegmentsC[] = $pc;
+            }
+        }
+        $pathSegmentsC = array_values(array_unique($pathSegmentsC));
+
+        return $pathSegmentsC === [] ? '' : implode('；', $pathSegmentsC);
+    }
+
     /**
      * @param int[] $allowRoleIds
      */
@@ -641,7 +662,7 @@ class PrescriptionOrderLogic
             unset($arr['prescription']['herbs']);
         }
 
-        // 诊单医助 / 诊单创建人 及部门（多部门、含父级路径用「；」与「 / 」分隔）；创建人为 tcm_diagnosis.admin_id
+        // 诊单医助 / 诊单创建人姓名（tcm_diagnosis.admin_id）；部门见下方：优先业务订单 creator_id
         $arr['assistant_id'] = 0;
         $arr['assistant_name'] = '';
         $arr['assistant_dept_path'] = '';
@@ -659,7 +680,7 @@ class PrescriptionOrderLogic
                 if ($astId > 0) {
                     $an = Admin::where('id', $astId)->whereNull('delete_time')->value('name');
                     $arr['assistant_name'] = $an !== null && (string) $an !== '' ? (string) $an : '';
-                    $deptIds = AdminDept::where('admin_id', $astId)->column('dept_id');
+                    $deptIds = Db::name('admin_dept')->where('admin_id', $astId)->column('dept_id');
                     $pathSegments = [];
                     foreach ($deptIds as $did) {
                         $p = self::buildDeptPath((int) $did);
@@ -675,19 +696,18 @@ class PrescriptionOrderLogic
                 if ($creId > 0) {
                     $cn = Admin::where('id', $creId)->whereNull('delete_time')->value('name');
                     $arr['diagnosis_creator_name'] = $cn !== null && (string) $cn !== '' ? (string) $cn : '';
-                    $deptIdsC = AdminDept::where('admin_id', $creId)->column('dept_id');
-                    $pathSegmentsC = [];
-                    foreach ($deptIdsC as $didC) {
-                        $pc = self::buildDeptPath((int) $didC);
-                        if ($pc !== '') {
-                            $pathSegmentsC[] = $pc;
-                        }
-                    }
-                    $pathSegmentsC = array_values(array_unique($pathSegmentsC));
-                    $arr['diagnosis_creator_dept_path'] = $pathSegmentsC === [] ? '' : implode('；', $pathSegmentsC);
                 }
             }
         }
+        // 「创建人所属部门」：优先 zyt_tcm_prescription_order.creator_id；无部门时再试诊单 admin_id（非处方开方人）
+        $deptPath = self::buildAdminDeptPathJoined((int) ($arr['creator_id'] ?? 0));
+        if ($deptPath === '') {
+            $dgAdmin = (int) ($arr['diagnosis_creator_id'] ?? 0);
+            if ($dgAdmin > 0) {
+                $deptPath = self::buildAdminDeptPathJoined($dgAdmin);
+            }
+        }
+        $arr['diagnosis_creator_dept_path'] = $deptPath;
 
         return $arr;
     }
diff --git a/server/app/api/controller/GancaoCallbackController.php b/server/app/api/controller/GancaoCallbackController.php
index 6be2db20..f3374e09 100644
--- a/server/app/api/controller/GancaoCallbackController.php
+++ b/server/app/api/controller/GancaoCallbackController.php
@@ -4,8 +4,10 @@ declare(strict_types=1);
 
 namespace app\api\controller;
 
+use app\common\model\Order;
 use app\common\model\tcm\PrescriptionOrder;
 use app\common\model\tcm\PrescriptionOrderLog;
+use app\common\model\tcm\PrescriptionOrderPayOrder;
 use think\facade\Config;
 use think\facade\Log;
 use think\Response;
@@ -237,11 +239,66 @@ class GancaoCallbackController extends BaseApiController
      *  11  系统审核通过
      *  110 订单药房流转制作中（ext: flow_name, supplier）
      *  20  物流中（ext: shipping_name, nu, supplier）
-     *  30  完成 - 终态（ext: shipping_name, nu, supplier）
+     *  30  完成 - 终态。fulfillment 见 resolveFulfilmentOnGancaoState30（与 zyt_order 已付/关联合计对比业务订单 amount）
      *  90  拦截 - 可恢复
      *  91  主动撤单 - 终态（退费）
      *  92  驳回 - 终态（无法制作并退费）
      */
+    /**
+     * 甘草 state=30：返回 fulfillment_status 3=已完成 或 6=已签收
+     * 1) 已支付金额（zyt_order.status=2 的 amount 合计）与业务订单 amount 一致 → 3
+     * 2) 否则已关联订单金额合计（全部关联单 amount）与业务订单 amount 一致 → 3
+     * 3) 否则 → 6（含：已支付与总金额不一致且关联合计也不一致）
+     * 无关联 zyt_order：仅甘草完成则 3
+     */
+    private function resolveFulfilmentOnGancaoState30(PrescriptionOrder $order): int
+    {
+        $poId = (int) $order->id;
+        if ($poId <= 0) {
+            return 3;
+        }
+        $payIds = PrescriptionOrderPayOrder::where('prescription_order_id', $poId)
+            ->column('pay_order_id');
+        $payIds = array_values(array_filter(
+            array_map('intval', is_array($payIds) ? $payIds : []),
+            static fn (int $id): bool => $id > 0
+        ));
+        if ($payIds === []) {
+            return 3;
+        }
+
+        $orderAmt = round((float) ($order->amount ?? 0), 2);
+        $sumAll   = round(
+            (float) Order::whereIn('id', $payIds)->whereNull('delete_time')->sum('amount'),
+            2
+        );
+        $sumPaid  = round(
+            (float) Order::whereIn('id', $payIds)
+                ->whereNull('delete_time')
+                ->where('status', 2)
+                ->sum('amount'),
+            2
+        );
+
+        if (abs($sumPaid - $orderAmt) <= 0.02) {
+            return 3;
+        }
+        if (abs($sumAll - $orderAmt) <= 0.02) {
+            return 3;
+        }
+
+        Log::warning('Gancao 完成回调：已支付(status=2)与关联合计均未与业务订单金额对齐，标已签收(6)', [
+            'prescription_order_id' => $poId,
+            'order_no'              => (string) ($order->order_no ?? ''),
+            'tcm_order_amount'      => $orderAmt,
+            'sum_paid_status2'      => $sumPaid,
+            'sum_linked_all'        => $sumAll,
+            'linked_pay_order_ids'  => $payIds,
+        ]);
+
+        return 6;
+    }
+
     private function updateOrderStatus(PrescriptionOrder $order, int $state, array $ext): void
     {
         $order->gancao_order_state = $state;
@@ -262,7 +319,7 @@ class GancaoCallbackController extends BaseApiController
             case 30:
                 $this->handleShipping($order, $ext);
                 if ((int) $order->fulfillment_status !== 4) {
-                    $order->fulfillment_status = 3; // 已完成
+                    $order->fulfillment_status = $this->resolveFulfilmentOnGancaoState30($order);
                 }
                 break;