diff --git a/AGENTS.md b/AGENTS.md
index 3f954063..08bdd318 100644
--- a/AGENTS.md
+++ b/AGENTS.md
@@ -3,20 +3,27 @@
 
 These instructions are for AI assistants working in this project.
 
-Use the `/trellis:start` command when starting a new session to:
-- Initialize your developer identity
-- Understand current project context
-- Read relevant guidelines
+This project is managed by Trellis. The working knowledge you need lives under `.trellis/`:
 
-Use `@/.trellis/` to learn:
-- Development workflow (`workflow.md`)
-- Project structure guidelines (`spec/`)
-- Developer workspace (`workspace/`)
+- `.trellis/workflow.md` — development phases, when to create tasks, skill routing
+- `.trellis/spec/` — package- and layer-scoped coding guidelines (read before writing code in a given layer)
+- `.trellis/workspace/` — per-developer journals and session traces
+- `.trellis/tasks/` — active and archived tasks (PRDs, research, jsonl context)
 
-If you're using Codex, project-scoped helpers may also live in:
-- `.agents/skills/` for reusable Trellis skills
-- `.codex/agents/` for optional custom subagents
+If a Trellis command is available on your platform (e.g. `/trellis:finish-work`, `/trellis:continue`), prefer it over manual steps. Not every platform exposes every command.
 
-Keep this managed block so 'trellis update' can refresh the instructions.
+If you're using Codex or another agent-capable tool, additional project-scoped helpers may live in:
+- `.agents/skills/` — reusable Trellis skills
+- `.codex/agents/` — optional custom subagents
+
+## Subagents
+
+- ALWAYS wait for all subagents to complete before yielding.
+- Spawn subagents automatically when:
+  - Parallelizable work (e.g., install + verify, npm test + typecheck, multiple tasks from plan)
+  - Long-running or blocking tasks where a worker can run independently.
+  - Isolation for risky changes or checks
+
+Managed by Trellis. Edits outside this block are preserved; edits inside may be overwritten by a future `trellis update`.
 
 <!-- TRELLIS:END -->
diff --git a/admin/src/views/patient/reception/index.vue b/admin/src/views/patient/reception/index.vue
index aab5a29a..84c819ba 100644
--- a/admin/src/views/patient/reception/index.vue
+++ b/admin/src/views/patient/reception/index.vue
@@ -317,7 +317,11 @@
                 >
                     备注
                 </el-button>
-                <el-button class="float-action edit" size="large" @click="handleEditDiagnosis">
+                <el-button   
+                    v-perms="['tcm.diagnosis/edit']"
+                 class="float-action edit" 
+                 size="large" 
+                 @click="handleEditDiagnosis">
                     编辑病历
                 </el-button>
                 <el-button