更新

admin/src/views/tcm/diagnosis/edit.vue

@@ -1160,6 +1160,8 @@ const open = async (type: string, id?: number) => {
     } else if (type === 'add') {
         const userStore = useUserStore()
         formData.value.assistant_id = userStore.userInfo?.id || ''
+        // 字典 diagnosis_type：复诊 → follow_up（见 server/sql/tcm_diagnosis.sql）
+        formData.value.diagnosis_type = 'follow_up'
     }
 }
 

server/app/adminapi/validate/tcm/DiagnosisValidate.php

@@ -68,7 +68,10 @@ class DiagnosisValidate extends BaseValidate
 
     public function sceneAdd()
     {
-        return $this->remove('id', true);
+        // 全局规则中含 tracking 相关字段，新增诊单不应校验诊单 ID
+        return $this->remove('id', true)
+            ->remove('diagnosis_id', true)
+            ->remove('tracking_content', true);
     }
 
     public function sceneEdit()