diff --git a/admin/src/api/tcm.ts b/admin/src/api/tcm.ts
index e243f16e..df315d29 100644
--- a/admin/src/api/tcm.ts
+++ b/admin/src/api/tcm.ts
@@ -468,6 +468,8 @@ export function prescriptionOrderAddPayOrder(params: {
     pay_amount: number
     pay_remark?: string
     completion_request?: number
+    /** 创建方式：fubei 付呗(默认) / express_cod 快递代收 */
+    pay_create_type?: 'fubei' | 'express_cod'
 }) {
     return request.post({ url: '/tcm.prescriptionOrder/addPayOrder', params })
 }
diff --git a/admin/src/views/consumer/prescription/order_list.vue b/admin/src/views/consumer/prescription/order_list.vue
index ec290e62..c04089c0 100644
--- a/admin/src/views/consumer/prescription/order_list.vue
+++ b/admin/src/views/consumer/prescription/order_list.vue
@@ -1522,13 +1522,14 @@
                 <el-form-item label="添加方式" prop="add_mode">
                     <el-radio-group v-model="addPayOrderForm.add_mode">
                         <el-radio value="create">付呗</el-radio>
+                        <el-radio value="create_express">快递代收</el-radio>
                         <el-radio value="link">关联已有</el-radio>
                         <el-radio value="completion_only">直接完单申请</el-radio>
                     </el-radio-group>
                 </el-form-item>
 
-                <!-- 付呗（手动创建支付单） -->
-                <template v-if="addPayOrderForm.add_mode === 'create'">
+                <!-- 付呗 / 快递代收（手动创建支付单） -->
+                <template v-if="addPayOrderForm.add_mode === 'create' || addPayOrderForm.add_mode === 'create_express'">
                     <el-form-item label="费用类别" prop="order_type">
                         <el-select v-model="addPayOrderForm.order_type" class="w-full">
                             <el-option label="挂号费" :value="1" />
@@ -4274,11 +4275,14 @@ const addPayOrderAlertTitle = computed(() => {
     if (addPayOrderForm.add_mode === 'completion_only') {
         return '不创建或关联支付单，仅提交完单申请，由审核人员在支付审核时处理。'
     }
+    if (addPayOrderForm.add_mode === 'create_express') {
+        return '通过快递代收创建新支付单（流转同付呗），或关联已存在但未绑定的支付单。'
+    }
     return '可以通过付呗创建新支付单，或关联已存在但未绑定的支付单。'
 })
 
 const addPayOrderForm = reactive({
-    add_mode: 'create' as 'create' | 'link' | 'completion_only',
+    add_mode: 'create' as 'create' | 'create_express' | 'link' | 'completion_only',
     order_type: 3,
     pay_amount: undefined as number | undefined,
     pay_remark: '',
@@ -4290,7 +4294,7 @@ const addPayOrderRules = computed<FormRules>(() => {
     const rules: FormRules = {
         add_mode: [{ required: true, message: '请选择添加方式', trigger: 'change' }]
     }
-    if (addPayOrderForm.add_mode === 'create') {
+    if (addPayOrderForm.add_mode === 'create' || addPayOrderForm.add_mode === 'create_express') {
         rules.order_type = [{ required: true, message: '请选择费用类别', trigger: 'change' }]
         rules.pay_amount = [
             {
@@ -4377,14 +4381,19 @@ async function submitAddPayOrder() {
         if (addPayOrderForm.add_mode === 'completion_only') {
             await prescriptionOrderRequestCompletion({ id: addPayOrderRowId.value })
             feedback.msgSuccess('完单申请已提交，请等待支付审核')
-        } else if (addPayOrderForm.add_mode === 'create') {
-            // 手动创建新支付单
+        } else if (
+            addPayOrderForm.add_mode === 'create' ||
+            addPayOrderForm.add_mode === 'create_express'
+        ) {
+            // 手动创建新支付单（付呗 / 快递代收）
             await prescriptionOrderAddPayOrder({
                 id: addPayOrderRowId.value,
                 order_type: addPayOrderForm.order_type,
                 pay_amount: addPayOrderForm.pay_amount!,
                 pay_remark: addPayOrderForm.pay_remark || '',
-                completion_request: addPayOrderForm.completion_request
+                completion_request: addPayOrderForm.completion_request,
+                pay_create_type:
+                    addPayOrderForm.add_mode === 'create_express' ? 'express_cod' : 'fubei'
             })
             feedback.msgSuccess('支付单已新增，请等待审核')
         } else {
diff --git a/admin/src/views/consumer/prescription/order_list_h5.vue b/admin/src/views/consumer/prescription/order_list_h5.vue
index d68f0a5c..414e30df 100644
--- a/admin/src/views/consumer/prescription/order_list_h5.vue
+++ b/admin/src/views/consumer/prescription/order_list_h5.vue
@@ -1998,13 +1998,14 @@
                 <el-form-item label="添加方式" prop="add_mode">
                     <el-radio-group v-model="addPayOrderForm.add_mode">
                         <el-radio value="create">付呗</el-radio>
+                        <el-radio value="create_express">快递代收</el-radio>
                         <el-radio value="link">关联已有</el-radio>
                         <el-radio value="completion_only">直接完单申请</el-radio>
                     </el-radio-group>
                 </el-form-item>
 
-                <!-- 付呗（手动创建支付单） -->
-                <template v-if="addPayOrderForm.add_mode === 'create'">
+                <!-- 付呗 / 快递代收（手动创建支付单） -->
+                <template v-if="addPayOrderForm.add_mode === 'create' || addPayOrderForm.add_mode === 'create_express'">
                     <el-form-item label="费用类别" prop="order_type">
                         <el-select v-model="addPayOrderForm.order_type" class="w-full">
                             <el-option label="挂号费" :value="1" />
@@ -4955,10 +4956,13 @@ const addPayOrderAlertTitle = computed(() => {
     if (addPayOrderForm.add_mode === 'completion_only') {
         return '不创建或关联支付单，仅提交完单申请，由审核人员在支付审核时处理。'
     }
+    if (addPayOrderForm.add_mode === 'create_express') {
+        return '通过快递代收创建新支付单（流转同付呗），或关联已存在但未绑定的支付单。'
+    }
     return '可以通过付呗创建新支付单，或关联已存在但未绑定的支付单。'
 })
 const addPayOrderForm = reactive({
-    add_mode: 'create' as 'create' | 'link' | 'completion_only',
+    add_mode: 'create' as 'create' | 'create_express' | 'link' | 'completion_only',
     order_type: 3,
     pay_amount: undefined as number | undefined,
     pay_remark: '',
@@ -4970,7 +4974,7 @@ const addPayOrderRules = computed<FormRules>(() => {
     const rules: FormRules = {
         add_mode: [{ required: true, message: '请选择添加方式', trigger: 'change' }]
     }
-    if (addPayOrderForm.add_mode === 'create') {
+    if (addPayOrderForm.add_mode === 'create' || addPayOrderForm.add_mode === 'create_express') {
         rules.order_type = [{ required: true, message: '请选择费用类别', trigger: 'change' }]
         rules.pay_amount = [
             { required: true, message: '请输入支付金额', trigger: 'blur' },
@@ -5054,14 +5058,19 @@ async function submitAddPayOrder() {
         if (addPayOrderForm.add_mode === 'completion_only') {
             await prescriptionOrderRequestCompletion({ id: addPayOrderRowId.value })
             feedback.msgSuccess('完单申请已提交，请等待支付审核')
-        } else if (addPayOrderForm.add_mode === 'create') {
-            // 手动创建新支付单
+        } else if (
+            addPayOrderForm.add_mode === 'create' ||
+            addPayOrderForm.add_mode === 'create_express'
+        ) {
+            // 手动创建新支付单（付呗 / 快递代收）
             await prescriptionOrderAddPayOrder({
                 id: addPayOrderRowId.value,
                 order_type: addPayOrderForm.order_type,
                 pay_amount: addPayOrderForm.pay_amount!,
                 pay_remark: addPayOrderForm.pay_remark || '',
-                completion_request: addPayOrderForm.completion_request
+                completion_request: addPayOrderForm.completion_request,
+                pay_create_type:
+                    addPayOrderForm.add_mode === 'create_express' ? 'express_cod' : 'fubei'
             })
             feedback.msgSuccess('支付单已新增，请等待审核')
         } else {
diff --git a/admin/src/views/order/index.vue b/admin/src/views/order/index.vue
index d4f1484b..d9724597 100644
--- a/admin/src/views/order/index.vue
+++ b/admin/src/views/order/index.vue
@@ -220,7 +220,7 @@
                             编辑
                         </el-button>
                         <el-button
-                            v-if="row.status === 1 || row.status === 2 || (row.status === 5 && row.payment_method === 'fubei')"
+                            v-if="row.status === 1 || row.status === 2 || (row.status === 5 && (row.payment_method === 'fubei' || row.create_type === 'express_cod'))"
                             v-perms="['order.order/split']"
                             type="primary"
                             link
@@ -237,7 +237,7 @@
                             小程序码
                         </el-button>
                         <el-button
-                            v-if="row.status === 1 || (row.status === 5 && row.payment_method === 'fubei')"
+                            v-if="row.status === 1 || (row.status === 5 && (row.payment_method === 'fubei' || row.create_type === 'express_cod'))"
                             v-perms="['order.order/pay']"
                             type="success"
                             link
@@ -255,7 +255,7 @@
                             退款
                         </el-button>
                         <el-button
-                            v-if="row.status === 1 || (row.status === 5 && row.payment_method === 'fubei')"
+                            v-if="row.status === 1 || (row.status === 5 && (row.payment_method === 'fubei' || row.create_type === 'express_cod'))"
                             v-perms="['order.order/cancel']"
                             type="danger"
                             link
@@ -434,7 +434,7 @@
                     type="warning"
                     :closable="false"
                     class="mb-3"
-                    title="该单为付呗·待审核，请选择实际到账方式后确认「已支付」"
+                    title="该单为待审核（付呗/快递代收），请选择实际到账方式后确认「已支付」"
                 />
                 <el-form-item v-if="!payForm.fubeiPendingAudit" label="支付类型" required>
                     <el-radio-group v-model="payForm.payType">
@@ -502,6 +502,7 @@
                         <el-radio label="normal">普通订单</el-radio>
                         <el-radio label="wechat_work">企业微信对外收款</el-radio>
                         <el-radio label="fubei">付呗</el-radio>
+                        <el-radio label="express_cod">快递代收</el-radio>
                     </el-radio-group>
                 </el-form-item>
                 <el-alert
@@ -524,7 +525,20 @@
                     <template #title>付呗</template>
                     通过付呗收款的支付单，创建后请按实际对账/审核流程在列表中处理。
                 </el-alert>
-                <el-form-item v-if="createForm.createType === 'fubei'" label="支付单审核">
+                <el-alert
+                    v-if="createForm.createType === 'express_cod'"
+                    type="info"
+                    :closable="false"
+                    show-icon
+                    class="mb-4"
+                >
+                    <template #title>快递代收</template>
+                    通过快递代收的支付单，流转与付呗一致；审核通过/确认到账后将更新为已支付。
+                </el-alert>
+                <el-form-item
+                    v-if="createForm.createType === 'fubei' || createForm.createType === 'express_cod'"
+                    label="支付单审核"
+                >
                     <el-switch
                         v-model="createForm.requirePaymentSlipAudit"
                         active-text="申请审核"
@@ -980,8 +994,8 @@ const patientLoading = ref(false)
 const patientList = ref<any[]>([])
 
 const createForm = reactive({
-    createType: 'normal' as 'normal' | 'wechat_work' | 'fubei',
-    /** 仅「付呗」：开启后订单为待审核(5) */
+    createType: 'normal' as 'normal' | 'wechat_work' | 'fubei' | 'express_cod',
+    /** 「付呗」「快递代收」：开启后订单为待审核(5) */
     requirePaymentSlipAudit: false,
     patient_id: '',
     order_type: '',
@@ -1167,13 +1181,17 @@ const submitCreateOrder = async () => {
             if (createForm.createType === 'fubei') {
                 params.payment_channel = 'fubei'
                 params.require_payment_slip_audit = createForm.requirePaymentSlipAudit ? 1 : 0
+            } else if (createForm.createType === 'express_cod') {
+                params.payment_channel = 'express_cod'
+                params.require_payment_slip_audit = createForm.requirePaymentSlipAudit ? 1 : 0
             } else {
                 params.payment_channel = 'normal'
                 params.require_payment_slip_audit = 0
             }
             await orderCreate(params)
             const tip =
-                createForm.createType === 'fubei' && createForm.requirePaymentSlipAudit
+                (createForm.createType === 'fubei' || createForm.createType === 'express_cod') &&
+                createForm.requirePaymentSlipAudit
                     ? '订单已创建，支付状态为「待审核」'
                     : '订单创建成功'
             feedback.msgSuccess(tip)
@@ -1254,10 +1272,11 @@ const getCreateTypeText = (row: any) => {
     const createTypeMap: Record<string, string> = {
         normal: '普通订单',
         wechat_work: '企业微信对外收款',
-        fubei: '付呗'
+        fubei: '付呗',
+        express_cod: '快递代收'
     }
     const ct = row?.create_type
-    if (ct === 'wechat_work' || ct === 'fubei') {
+    if (ct === 'wechat_work' || ct === 'fubei' || ct === 'express_cod') {
         return createTypeMap[ct]
     }
     if (ct === 'normal' && row?.payment_method) {
@@ -1395,7 +1414,8 @@ const handleDetail = async (row: any) => {
 
 // 支付订单
 const handlePay = (row: any) => {
-    const fubeiPending = row.status === 5 && row.payment_method === 'fubei'
+    const fubeiPending =
+        row.status === 5 && (row.payment_method === 'fubei' || row.create_type === 'express_cod')
     payForm.value = {
         order_id: row.id,
         order_no: row.order_no,
diff --git a/server/app/adminapi/controller/order/OrderController.php b/server/app/adminapi/controller/order/OrderController.php
index e16941d0..7abee035 100755
--- a/server/app/adminapi/controller/order/OrderController.php
+++ b/server/app/adminapi/controller/order/OrderController.php
@@ -207,11 +207,17 @@ class OrderController extends BaseAdminController
         $params['creator_id'] = $this->adminId;
         $params['payment_channel'] = (string)$this->request->post('payment_channel', 'normal');
         $params['require_payment_slip_audit'] = (int)$this->request->post('require_payment_slip_audit', 0);
-        // 创建方式：优先取前端透传的 create_type，否则按 payment_channel 派生（fubei→fubei，其余 normal）
+        // 创建方式：优先取前端透传的 create_type，否则按 payment_channel 派生（fubei→fubei，express_cod→express_cod，其余 normal）
         $createTypeReq = (string)$this->request->post('create_type', '');
-        $params['create_type'] = in_array($createTypeReq, ['normal', 'wechat_work', 'fubei'], true)
-            ? $createTypeReq
-            : ($params['payment_channel'] === 'fubei' ? 'fubei' : 'normal');
+        if (in_array($createTypeReq, ['normal', 'wechat_work', 'fubei', 'express_cod'], true)) {
+            $params['create_type'] = $createTypeReq;
+        } elseif ($params['payment_channel'] === 'fubei') {
+            $params['create_type'] = 'fubei';
+        } elseif ($params['payment_channel'] === 'express_cod') {
+            $params['create_type'] = 'express_cod';
+        } else {
+            $params['create_type'] = 'normal';
+        }
 
         $result = OrderLogic::create($params);
         if (!$result) {
diff --git a/server/app/adminapi/logic/order/OrderLogic.php b/server/app/adminapi/logic/order/OrderLogic.php
index d302472b..f57b26a3 100755
--- a/server/app/adminapi/logic/order/OrderLogic.php
+++ b/server/app/adminapi/logic/order/OrderLogic.php
@@ -23,9 +23,9 @@ use think\facade\Log;
 class OrderLogic
 {
     /**
-     * 创建方式统一三值：normal 普通订单 / wechat_work 企业微信对外收款 / fubei 付呗
+     * 创建方式：normal 普通订单 / wechat_work 企业微信对外收款 / fubei 付呗 / express_cod 快递代收
      */
-    private const CREATE_TYPES = ['normal', 'wechat_work', 'fubei'];
+    private const CREATE_TYPES = ['normal', 'wechat_work', 'fubei', 'express_cod'];
 
     /**
      * @notes 生成订单号
@@ -64,6 +64,15 @@ class OrderLogic
         return 'normal';
     }
 
+    /**
+     * 是否为「待审核(5)且需人工确认到账」的单：付呗(payment_method=fubei) 或 快递代收(create_type=express_cod)
+     */
+    private static function isPendingManualAudit(Order $order): bool
+    {
+        return (string)($order->payment_method ?? '') === 'fubei'
+            || (string)($order->create_type ?? '') === 'express_cod';
+    }
+
     /**
      * @notes 创建订单
      * @param array $params
@@ -73,11 +82,16 @@ class OrderLogic
     {
         try {
             $channel = (string)($params['payment_channel'] ?? 'normal');
-            if (!in_array($channel, ['normal', 'fubei'], true)) {
+            if (!in_array($channel, ['normal', 'fubei', 'express_cod'], true)) {
                 $channel = 'normal';
             }
             $paymentMethod = $channel === 'fubei' ? 'fubei' : null;
-            $createType = self::normalizeCreateType((string)($params['create_type'] ?? ''), $paymentMethod);
+            // 快递代收：以 express_cod 标记创建方式（与 fubei 流转一致，但 payment_method 待到账时再写）
+            $createTypeHint = $channel === 'express_cod' ? 'express_cod' : '';
+            $createType = self::normalizeCreateType(
+                (string)($params['create_type'] ?? $createTypeHint),
+                $paymentMethod
+            );
             $requirePaymentSlipAudit = (int)($params['require_payment_slip_audit'] ?? 0) === 1;
 
             $order = new Order();
@@ -87,10 +101,13 @@ class OrderLogic
             $order->order_type = $params['order_type'];
             $order->amount = $params['amount'];
             $order->create_type = $createType;
-            // 付呗且申请审核支付单：待审核(5)；否则待支付(1)
+            // 付呗/快递代收且申请审核支付单：待审核(5)；否则待支付(1)
             if ($channel === 'fubei') {
                 $order->payment_method = 'fubei';
                 $order->status = $requirePaymentSlipAudit ? 5 : 1;
+            } elseif ($channel === 'express_cod') {
+                // payment_method 留空，待人工确认到账时再写真实支付方式
+                $order->status = $requirePaymentSlipAudit ? 5 : 1;
             } else {
                 $order->status = 1; // 待支付
             }
@@ -387,11 +404,11 @@ class OrderLogic
             }
 
             $st = (int)$order->status;
-            // 1=待支付；5=待审核(付呗+申请支付单审核) 时允许录入手动到账
+            // 1=待支付；5=待审核(付呗/快递代收+申请支付单审核) 时允许录入手动到账
             if ($st === 1) {
                 // 正常待支付
-            } elseif ($st === 5 && (string)($order->payment_method ?? '') === 'fubei') {
-                // 待审核的付呗单，通过人工确认后标记已支付
+            } elseif ($st === 5 && self::isPendingManualAudit($order)) {
+                // 待审核的付呗/快递代收单，通过人工确认后标记已支付
             } else {
                 self::setError('订单状态不允许支付');
                 return false;
@@ -424,8 +441,8 @@ class OrderLogic
             }
 
             $st = (int)$order->status;
-            if ($st !== 1 && !($st === 5 && (string)($order->payment_method ?? '') === 'fubei')) {
-                self::setError('只有待支付或待审核(付呗)的订单才能取消');
+            if ($st !== 1 && !($st === 5 && self::isPendingManualAudit($order))) {
+                self::setError('只有待支付或待审核(付呗/快递代收)的订单才能取消');
                 return false;
             }
 
@@ -509,13 +526,13 @@ class OrderLogic
         }
 
         $st = (int) $order->status;
-        if ($st === 5 && (string) ($order->payment_method ?? '') !== 'fubei') {
-            self::setError('待审核订单仅支持付呗渠道拆分');
+        if ($st === 5 && !self::isPendingManualAudit($order)) {
+            self::setError('待审核订单仅支持付呗/快递代收渠道拆分');
 
             return false;
         }
         if (! in_array($st, [1, 5, 2], true)) {
-            self::setError('仅「待支付」「待审核(付呗)」或「已支付」的订单可拆分');
+            self::setError('仅「待支付」「待审核(付呗/快递代收)」或「已支付」的订单可拆分');
 
             return false;
         }
@@ -586,7 +603,10 @@ class OrderLogic
                     (string) ($order->remark ?? '')
                 );
                 if ($st === 5) {
-                    $n->payment_method = 'fubei';
+                    // 付呗子单沿用 payment_method=fubei；快递代收子单 payment_method 留空，靠 create_type 标记
+                    if ((string) ($order->payment_method ?? '') === 'fubei') {
+                        $n->payment_method = 'fubei';
+                    }
                     $n->status = 5;
                 } elseif ($st === 2) {
                     $n->status = 2;
diff --git a/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php b/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php
index 2225cfe9..4bbf6602 100755
--- a/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php
+++ b/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php
@@ -2324,7 +2324,8 @@ class PrescriptionOrderLogic
                 ->where(function ($query) {
                     $query->where('payment_method', 'manual')
                         ->whereOr('payment_method', 'fubei')
-                        ->whereOr('create_type', 'fubei');
+                        ->whereOr('create_type', 'fubei')
+                        ->whereOr('create_type', 'express_cod');
                 })
                 ->update([
                     'status' => 5,  // 待审核
@@ -2403,6 +2404,9 @@ class PrescriptionOrderLogic
         $amount    = round((float) ($params['pay_amount'] ?? 0), 2);
         $remark    = mb_substr(trim((string) ($params['pay_remark'] ?? '')), 0, 200);
         $completionRequest = (int) ($params['completion_request'] ?? 0);
+        // 创建方式：付呗(默认) 或 快递代收(express_cod)
+        $payCreateType = (string) ($params['pay_create_type'] ?? 'fubei');
+        $isExpressCod  = $payCreateType === 'express_cod';
 
         if ($amount < 0) {
             self::$error = '支付单金额不能为负数';
@@ -2417,8 +2421,13 @@ class PrescriptionOrderLogic
         $payOrder->order_type      = $orderType;
         $payOrder->amount          = $amount;
         $payOrder->status          = 5;  // 待审核
-        $payOrder->payment_method  = 'fubei';  // 补齐支付单按「付呗」记账
-        $payOrder->create_type     = 'fubei';
+        if ($isExpressCod) {
+            // 快递代收：payment_method 留空，审核通过/到账后再写；用 create_type 标记
+            $payOrder->create_type = 'express_cod';
+        } else {
+            $payOrder->payment_method = 'fubei';  // 补齐支付单按「付呗」记账
+            $payOrder->create_type    = 'fubei';
+        }
         $payOrder->payment_time    = null;  // 审核通过后再设置支付时间
         $payOrder->remark          = $remark;