From 36a55e116e2c06a92bb065abbb3403b68f64d404 Mon Sep 17 00:00:00 2001
From: iven <iven_h@qq.com>
Date: Thu, 30 Apr 2026 16:48:39 +0800
Subject: [PATCH] =?UTF-8?q?feat(miniprogram):=20=E5=AE=9E=E7=8E=B0?=
 =?UTF-8?q?=E5=B0=8F=E7=A8=8B=E5=BA=8F=E9=80=8F=E6=9E=90=E6=A8=A1=E5=9D=97?=
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审计后续 H1: 补齐小程序端透析功能，对接后端 12 个 API 路由。

新增内容:
- 患者端: 透析记录列表/详情 + 透析处方列表/详情（只读，4 页面）
- 医护端: 透析记录列表/详情/创建 + 处方列表/详情/创建（6 页面）
- Service 层: dialysis.ts（患者端只读）+ doctor/dialysis.ts（医护端 CRUD）
- 集成入口: 医生工作台快捷操作 + 患者"我的"菜单 + 路由注册
- 基础设施: api.delete 扩展支持 data 参数（后端 delete 需要 version）
---
 apps/miniprogram/src/app.config.ts            |   4 +
 .../pages/doctor/dialysis/create/index.scss   |  97 +++++
 .../pages/doctor/dialysis/create/index.tsx    | 244 ++++++++++++
 .../pages/doctor/dialysis/detail/index.scss   | 155 ++++++++
 .../pages/doctor/dialysis/detail/index.tsx    | 172 +++++++++
 .../src/pages/doctor/dialysis/index.scss      | 193 ++++++++++
 .../src/pages/doctor/dialysis/index.tsx       | 169 +++++++++
 apps/miniprogram/src/pages/doctor/index.tsx   |   2 +
 .../doctor/prescription/create/index.scss     |  92 +++++
 .../doctor/prescription/create/index.tsx      | 196 ++++++++++
 .../doctor/prescription/detail/index.scss     | 136 +++++++
 .../doctor/prescription/detail/index.tsx      | 161 ++++++++
 .../src/pages/doctor/prescription/index.scss  | 175 +++++++++
 .../src/pages/doctor/prescription/index.tsx   | 163 ++++++++
 .../dialysis-prescriptions/detail/index.scss  | 118 ++++++
 .../dialysis-prescriptions/detail/index.tsx   | 111 ++++++
 .../dialysis-prescriptions/index.scss         |  98 +++++
 .../dialysis-prescriptions/index.tsx          |  98 +++++
 .../dialysis-records/detail/index.scss        | 119 ++++++
 .../dialysis-records/detail/index.tsx         | 113 ++++++
 .../pkg-profile/dialysis-records/index.scss   | 111 ++++++
 .../pkg-profile/dialysis-records/index.tsx    | 103 +++++
 apps/miniprogram/src/pages/profile/index.tsx  |   2 +
 apps/miniprogram/src/services/dialysis.ts     |  92 +++++
 apps/miniprogram/src/services/doctor.ts       | 352 +-----------------
 .../src/services/doctor/dialysis.ts           | 141 +++++++
 apps/miniprogram/src/services/request.ts      |   2 +-
 27 files changed, 3076 insertions(+), 343 deletions(-)
 create mode 100644 apps/miniprogram/src/pages/doctor/dialysis/create/index.scss
 create mode 100644 apps/miniprogram/src/pages/doctor/dialysis/create/index.tsx
 create mode 100644 apps/miniprogram/src/pages/doctor/dialysis/detail/index.scss
 create mode 100644 apps/miniprogram/src/pages/doctor/dialysis/detail/index.tsx
 create mode 100644 apps/miniprogram/src/pages/doctor/dialysis/index.scss
 create mode 100644 apps/miniprogram/src/pages/doctor/dialysis/index.tsx
 create mode 100644 apps/miniprogram/src/pages/doctor/prescription/create/index.scss
 create mode 100644 apps/miniprogram/src/pages/doctor/prescription/create/index.tsx
 create mode 100644 apps/miniprogram/src/pages/doctor/prescription/detail/index.scss
 create mode 100644 apps/miniprogram/src/pages/doctor/prescription/detail/index.tsx
 create mode 100644 apps/miniprogram/src/pages/doctor/prescription/index.scss
 create mode 100644 apps/miniprogram/src/pages/doctor/prescription/index.tsx
 create mode 100644 apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/detail/index.scss
 create mode 100644 apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/detail/index.tsx
 create mode 100644 apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/index.scss
 create mode 100644 apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/index.tsx
 create mode 100644 apps/miniprogram/src/pages/pkg-profile/dialysis-records/detail/index.scss
 create mode 100644 apps/miniprogram/src/pages/pkg-profile/dialysis-records/detail/index.tsx
 create mode 100644 apps/miniprogram/src/pages/pkg-profile/dialysis-records/index.scss
 create mode 100644 apps/miniprogram/src/pages/pkg-profile/dialysis-records/index.tsx
 create mode 100644 apps/miniprogram/src/services/dialysis.ts
 create mode 100644 apps/miniprogram/src/services/doctor/dialysis.ts

diff --git a/apps/miniprogram/src/app.config.ts b/apps/miniprogram/src/app.config.ts
index f6e80c4..faa16e5 100644
--- a/apps/miniprogram/src/app.config.ts
+++ b/apps/miniprogram/src/app.config.ts
@@ -26,6 +26,8 @@ export default defineAppConfig({
         'followup/index', 'followup/detail/index',
         'report/index', 'report/detail/index',
         'alerts/index', 'alerts/detail/index',
+        'dialysis/index', 'dialysis/detail/index', 'dialysis/create/index',
+        'prescription/index', 'prescription/detail/index', 'prescription/create/index',
       ],
     },
     {
@@ -37,6 +39,8 @@ export default defineAppConfig({
       pages: [
         'family/index', 'family-add/index', 'reports/index',
         'followups/index', 'medication/index', 'settings/index',
+        'dialysis-records/index', 'dialysis-records/detail/index',
+        'dialysis-prescriptions/index', 'dialysis-prescriptions/detail/index',
       ],
     },
     {
diff --git a/apps/miniprogram/src/pages/doctor/dialysis/create/index.scss b/apps/miniprogram/src/pages/doctor/dialysis/create/index.scss
new file mode 100644
index 0000000..d80a720
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/dialysis/create/index.scss
@@ -0,0 +1,97 @@
+@import '../../../../styles/variables.scss';
+
+.create-page {
+  min-height: 100vh;
+  background: $bg;
+  padding: 24px;
+  padding-bottom: 200px;
+}
+
+.section {
+  background: $card;
+  border-radius: $r;
+  padding: 24px;
+  margin-bottom: 16px;
+  box-shadow: $shadow-sm;
+}
+
+.section-title {
+  font-size: 28px;
+  font-weight: bold;
+  color: $tx;
+  display: block;
+  margin-bottom: 16px;
+}
+
+.form-row {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  padding: 16px 0;
+  border-bottom: 1px solid $bd-l;
+
+  &:last-child {
+    border-bottom: none;
+  }
+
+  &--textarea {
+    flex-direction: column;
+    align-items: flex-start;
+  }
+}
+
+.form-label {
+  font-size: 26px;
+  color: $tx2;
+  flex-shrink: 0;
+  min-width: 140px;
+}
+
+.form-input {
+  flex: 1;
+  text-align: right;
+  font-size: 26px;
+  color: $tx;
+}
+
+.form-value {
+  font-size: 26px;
+  color: $tx;
+
+  &.placeholder {
+    color: $tx3;
+  }
+}
+
+.form-textarea {
+  width: 100%;
+  margin-top: 12px;
+  font-size: 26px;
+  color: $tx;
+  min-height: 120px;
+  background: $bg;
+  border-radius: $r-sm;
+  padding: 16px;
+}
+
+.submit-btn {
+  background: $pri;
+  border-radius: $r-sm;
+  padding: 24px;
+  text-align: center;
+  margin-top: 24px;
+
+  &:active {
+    background: $pri-d;
+  }
+
+  &--disabled {
+    opacity: 0.5;
+  }
+}
+
+.submit-btn__text {
+  font-size: 30px;
+  font-weight: bold;
+  color: #fff;
+}
diff --git a/apps/miniprogram/src/pages/doctor/dialysis/create/index.tsx b/apps/miniprogram/src/pages/doctor/dialysis/create/index.tsx
new file mode 100644
index 0000000..dfd6f87
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/dialysis/create/index.tsx
@@ -0,0 +1,244 @@
+import { useState, useEffect } from 'react';
+import { View, Text, Input, Textarea, Picker, ScrollView } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import './index.scss';
+
+const DIALYSIS_TYPES = ['HD', 'HDF', 'HF'];
+
+interface FormState {
+  patient_id: string;
+  dialysis_date: string;
+  start_time: string;
+  end_time: string;
+  dialysis_type: string;
+  dialysis_duration: string;
+  blood_flow_rate: string;
+  dry_weight: string;
+  pre_weight: string;
+  post_weight: string;
+  pre_bp_systolic: string;
+  pre_bp_diastolic: string;
+  post_bp_systolic: string;
+  post_bp_diastolic: string;
+  pre_heart_rate: string;
+  post_heart_rate: string;
+  ultrafiltration_volume: string;
+  complication_notes: string;
+}
+
+const initialForm: FormState = {
+  patient_id: '',
+  dialysis_date: '',
+  start_time: '',
+  end_time: '',
+  dialysis_type: 'HD',
+  dialysis_duration: '',
+  blood_flow_rate: '',
+  dry_weight: '',
+  pre_weight: '',
+  post_weight: '',
+  pre_bp_systolic: '',
+  pre_bp_diastolic: '',
+  post_bp_systolic: '',
+  post_bp_diastolic: '',
+  pre_heart_rate: '',
+  post_heart_rate: '',
+  ultrafiltration_volume: '',
+  complication_notes: '',
+};
+
+export default function DialysisCreate() {
+  const router = useRouter();
+  const id = router.params.id || '';
+  const version = router.params.version ? Number(router.params.version) : 0;
+  const patientIdFromRoute = router.params.patientId || '';
+  const isEdit = !!id;
+
+  const [form, setForm] = useState<FormState>({ ...initialForm, patient_id: patientIdFromRoute });
+  const [loading, setLoading] = useState(isEdit);
+  const [submitting, setSubmitting] = useState(false);
+
+  useEffect(() => {
+    if (isEdit && id) loadRecord();
+  }, [id]);
+
+  const loadRecord = async () => {
+    setLoading(true);
+    try {
+      const r = await doctorApi.getDialysisRecord(id);
+      setForm({
+        patient_id: r.patient_id,
+        dialysis_date: r.dialysis_date || '',
+        start_time: r.start_time || '',
+        end_time: r.end_time || '',
+        dialysis_type: r.dialysis_type || 'HD',
+        dialysis_duration: r.dialysis_duration != null ? String(r.dialysis_duration) : '',
+        blood_flow_rate: r.blood_flow_rate != null ? String(r.blood_flow_rate) : '',
+        dry_weight: r.dry_weight != null ? String(r.dry_weight) : '',
+        pre_weight: r.pre_weight != null ? String(r.pre_weight) : '',
+        post_weight: r.post_weight != null ? String(r.post_weight) : '',
+        pre_bp_systolic: r.pre_bp_systolic != null ? String(r.pre_bp_systolic) : '',
+        pre_bp_diastolic: r.pre_bp_diastolic != null ? String(r.pre_bp_diastolic) : '',
+        post_bp_systolic: r.post_bp_systolic != null ? String(r.post_bp_systolic) : '',
+        post_bp_diastolic: r.post_bp_diastolic != null ? String(r.post_bp_diastolic) : '',
+        pre_heart_rate: r.pre_heart_rate != null ? String(r.pre_heart_rate) : '',
+        post_heart_rate: r.post_heart_rate != null ? String(r.post_heart_rate) : '',
+        ultrafiltration_volume: r.ultrafiltration_volume != null ? String(r.ultrafiltration_volume) : '',
+        complication_notes: r.complication_notes || '',
+      });
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const updateField = (key: keyof FormState, value: string) => {
+    setForm((prev) => ({ ...prev, [key]: value }));
+  };
+
+  const handleSubmit = async () => {
+    if (!form.dialysis_date) {
+      Taro.showToast({ title: '请选择透析日期', icon: 'none' });
+      return;
+    }
+    if (!form.patient_id) {
+      Taro.showToast({ title: '缺少患者信息', icon: 'none' });
+      return;
+    }
+
+    setSubmitting(true);
+    const num = (v: string) => v ? Number(v) : undefined;
+    const payload = {
+      patient_id: form.patient_id,
+      dialysis_date: form.dialysis_date,
+      start_time: form.start_time || undefined,
+      end_time: form.end_time || undefined,
+      dialysis_type: form.dialysis_type,
+      dialysis_duration: num(form.dialysis_duration),
+      blood_flow_rate: num(form.blood_flow_rate),
+      dry_weight: num(form.dry_weight),
+      pre_weight: num(form.pre_weight),
+      post_weight: num(form.post_weight),
+      pre_bp_systolic: num(form.pre_bp_systolic),
+      pre_bp_diastolic: num(form.pre_bp_diastolic),
+      post_bp_systolic: num(form.post_bp_systolic),
+      post_bp_diastolic: num(form.post_bp_diastolic),
+      pre_heart_rate: num(form.pre_heart_rate),
+      post_heart_rate: num(form.post_heart_rate),
+      ultrafiltration_volume: num(form.ultrafiltration_volume),
+      complication_notes: form.complication_notes || undefined,
+    };
+
+    try {
+      if (isEdit) {
+        const { patient_id, ...updateData } = payload;
+        await doctorApi.updateDialysisRecord(id, updateData, version);
+        Taro.showToast({ title: '更新成功', icon: 'success' });
+      } else {
+        await doctorApi.createDialysisRecord(payload);
+        Taro.showToast({ title: '创建成功', icon: 'success' });
+      }
+      setTimeout(() => Taro.navigateBack(), 1000);
+    } catch {
+      Taro.showToast({ title: isEdit ? '更新失败' : '创建失败', icon: 'none' });
+    } finally {
+      setSubmitting(false);
+    }
+  };
+
+  if (loading) return <Loading />;
+
+  const InputField = ({ label, field, placeholder, type = 'digit' }: {
+    label: string; field: keyof FormState; placeholder: string; type?: string;
+  }) => (
+    <View className='form-row'>
+      <Text className='form-label'>{label}</Text>
+      <Input
+        className='form-input'
+        type={type as any}
+        placeholder={placeholder}
+        value={form[field]}
+        onInput={(e) => updateField(field, e.detail.value)}
+      />
+    </View>
+  );
+
+  return (
+    <ScrollView scrollY className='create-page'>
+      <View className='section'>
+        <Text className='section-title'>基本信息</Text>
+        <View className='form-row'>
+          <Text className='form-label'>透析日期</Text>
+          <Picker mode='date' value={form.dialysis_date} onChange={(e) => updateField('dialysis_date', e.detail.value)}>
+            <Text className={`form-value ${!form.dialysis_date ? 'placeholder' : ''}`}>
+              {form.dialysis_date || '请选择日期'}
+            </Text>
+          </Picker>
+        </View>
+        <View className='form-row'>
+          <Text className='form-label'>开始时间</Text>
+          <Picker mode='time' value={form.start_time} onChange={(e) => updateField('start_time', e.detail.value)}>
+            <Text className={`form-value ${!form.start_time ? 'placeholder' : ''}`}>
+              {form.start_time || '请选择时间'}
+            </Text>
+          </Picker>
+        </View>
+        <View className='form-row'>
+          <Text className='form-label'>结束时间</Text>
+          <Picker mode='time' value={form.end_time} onChange={(e) => updateField('end_time', e.detail.value)}>
+            <Text className={`form-value ${!form.end_time ? 'placeholder' : ''}`}>
+              {form.end_time || '请选择时间'}
+            </Text>
+          </Picker>
+        </View>
+        <View className='form-row'>
+          <Text className='form-label'>透析类型</Text>
+          <Picker mode='selector' range={DIALYSIS_TYPES} value={DIALYSIS_TYPES.indexOf(form.dialysis_type)} onChange={(e) => updateField('dialysis_type', DIALYSIS_TYPES[Number(e.detail.value)])}>
+            <Text className='form-value'>{form.dialysis_type}</Text>
+          </Picker>
+        </View>
+        <InputField label='透析时长' field='dialysis_duration' placeholder='分钟' type='number' />
+        <InputField label='血流速' field='blood_flow_rate' placeholder='ml/min' type='number' />
+      </View>
+
+      <View className='section'>
+        <Text className='section-title'>体重</Text>
+        <InputField label='干体重' field='dry_weight' placeholder='kg' />
+        <InputField label='透前体重' field='pre_weight' placeholder='kg' />
+        <InputField label='透后体重' field='post_weight' placeholder='kg' />
+      </View>
+
+      <View className='section'>
+        <Text className='section-title'>血压与心率</Text>
+        <InputField label='透前收缩压' field='pre_bp_systolic' placeholder='mmHg' type='number' />
+        <InputField label='透前舒张压' field='pre_bp_diastolic' placeholder='mmHg' type='number' />
+        <InputField label='透后收缩压' field='post_bp_systolic' placeholder='mmHg' type='number' />
+        <InputField label='透后舒张压' field='post_bp_diastolic' placeholder='mmHg' type='number' />
+        <InputField label='透前心率' field='pre_heart_rate' placeholder='bpm' type='number' />
+        <InputField label='透后心率' field='post_heart_rate' placeholder='bpm' type='number' />
+      </View>
+
+      <View className='section'>
+        <Text className='section-title'>超滤与备注</Text>
+        <InputField label='超滤量' field='ultrafiltration_volume' placeholder='ml' type='number' />
+        <View className='form-row form-row--textarea'>
+          <Text className='form-label'>并发症备注</Text>
+          <Textarea
+            className='form-textarea'
+            placeholder='请输入...'
+            value={form.complication_notes}
+            onInput={(e) => updateField('complication_notes', e.detail.value)}
+            maxlength={500}
+          />
+        </View>
+      </View>
+
+      <View className={`submit-btn ${submitting ? 'submit-btn--disabled' : ''}`} onClick={handleSubmit}>
+        <Text className='submit-btn__text'>{submitting ? '提交中...' : isEdit ? '更新记录' : '创建记录'}</Text>
+      </View>
+    </ScrollView>
+  );
+}
diff --git a/apps/miniprogram/src/pages/doctor/dialysis/detail/index.scss b/apps/miniprogram/src/pages/doctor/dialysis/detail/index.scss
new file mode 100644
index 0000000..09425d3
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/dialysis/detail/index.scss
@@ -0,0 +1,155 @@
+@import '../../../../styles/variables.scss';
+
+.dialysis-detail {
+  min-height: 100vh;
+  background: $bg;
+  padding: 24px;
+  padding-bottom: 200px;
+}
+
+.section {
+  background: $card;
+  border-radius: $r;
+  padding: 24px;
+  margin-bottom: 16px;
+  box-shadow: $shadow-sm;
+}
+
+.section-title {
+  font-size: 28px;
+  font-weight: bold;
+  color: $tx;
+  display: block;
+  margin-bottom: 12px;
+}
+
+.record-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 8px;
+}
+
+.record-header__title {
+  font-size: 34px;
+  font-weight: bold;
+  color: $tx;
+  font-variant-numeric: tabular-nums;
+}
+
+.record-header__status {
+  display: inline-block;
+  padding: 4px 12px;
+  border-radius: 8px;
+  font-size: 22px;
+  background: $bd-l;
+  color: $tx3;
+
+  &--completed {
+    background: $pri-l;
+    color: $pri;
+  }
+
+  &--reviewed {
+    background: $acc-l;
+    color: $acc;
+  }
+}
+
+.record-sub {
+  font-size: 26px;
+  color: $tx2;
+  display: block;
+}
+
+.review-info {
+  font-size: 24px;
+  color: $tx3;
+  display: block;
+  margin-top: 8px;
+  font-variant-numeric: tabular-nums;
+}
+
+.detail-row {
+  display: flex;
+  justify-content: space-between;
+  padding: 10px 0;
+  border-bottom: 1px solid $bd-l;
+
+  &:last-child {
+    border-bottom: none;
+  }
+}
+
+.detail-label {
+  font-size: 26px;
+  color: $tx2;
+}
+
+.detail-value {
+  font-size: 26px;
+  color: $tx;
+  text-align: right;
+  flex: 1;
+  margin-left: 24px;
+  font-variant-numeric: tabular-nums;
+}
+
+.error-text {
+  text-align: center;
+  padding: 120px 0;
+  font-size: 28px;
+  color: $tx3;
+}
+
+.actions {
+  display: flex;
+  flex-direction: column;
+  gap: 12px;
+  padding: 16px 0;
+}
+
+.action-btn {
+  border-radius: $r-sm;
+  padding: 20px;
+  text-align: center;
+
+  &--primary {
+    background: $pri;
+
+    .action-btn__text {
+      color: #fff;
+    }
+
+    &:active {
+      background: $pri-d;
+    }
+  }
+
+  &--secondary {
+    background: $card;
+    border: 1px solid $bd;
+
+    .action-btn__text {
+      color: $pri;
+    }
+  }
+
+  &--danger {
+    background: $card;
+    border: 1px solid $dan;
+
+    .action-btn__text {
+      color: $dan;
+    }
+  }
+
+  &--disabled {
+    opacity: 0.5;
+  }
+}
+
+.action-btn__text {
+  font-size: 28px;
+  font-weight: 500;
+}
diff --git a/apps/miniprogram/src/pages/doctor/dialysis/detail/index.tsx b/apps/miniprogram/src/pages/doctor/dialysis/detail/index.tsx
new file mode 100644
index 0000000..8a1889f
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/dialysis/detail/index.tsx
@@ -0,0 +1,172 @@
+import { useState, useEffect } from 'react';
+import { View, Text, ScrollView } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import './index.scss';
+
+export default function DialysisDetail() {
+  const router = useRouter();
+  const id = router.params.id || '';
+  const [record, setRecord] = useState<doctorApi.DialysisRecord | null>(null);
+  const [loading, setLoading] = useState(true);
+  const [submitting, setSubmitting] = useState(false);
+
+  useEffect(() => {
+    if (id) loadRecord();
+  }, [id]);
+
+  const loadRecord = async () => {
+    setLoading(true);
+    try {
+      const r = await doctorApi.getDialysisRecord(id);
+      setRecord(r);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const handleReview = async () => {
+    if (!record) return;
+    setSubmitting(true);
+    try {
+      const updated = await doctorApi.reviewDialysisRecord(id, record.version);
+      setRecord(updated);
+      Taro.showToast({ title: '审核完成', icon: 'success' });
+    } catch {
+      Taro.showToast({ title: '审核失败', icon: 'none' });
+    } finally {
+      setSubmitting(false);
+    }
+  };
+
+  const handleComplete = async () => {
+    if (!record) return;
+    setSubmitting(true);
+    try {
+      const updated = await doctorApi.updateDialysisRecord(id, { status: 'completed' }, record.version);
+      setRecord(updated);
+      Taro.showToast({ title: '已标记完成', icon: 'success' });
+    } catch {
+      Taro.showToast({ title: '操作失败', icon: 'none' });
+    } finally {
+      setSubmitting(false);
+    }
+  };
+
+  const handleDelete = async () => {
+    if (!record) return;
+    const { confirm } = await Taro.showModal({
+      title: '确认删除',
+      content: '删除后不可恢复，确定要删除这条记录吗？',
+    });
+    if (!confirm) return;
+    setSubmitting(true);
+    try {
+      await doctorApi.deleteDialysisRecord(id, record.version);
+      Taro.showToast({ title: '已删除', icon: 'success' });
+      setTimeout(() => Taro.navigateBack(), 1000);
+    } catch {
+      Taro.showToast({ title: '删除失败', icon: 'none' });
+      setSubmitting(false);
+    }
+  };
+
+  const Row = ({ label, value, unit }: { label: string; value?: string | number | null; unit?: string }) => {
+    if (value == null) return null;
+    return (
+      <View className='detail-row'>
+        <Text className='detail-label'>{label}</Text>
+        <Text className='detail-value'>{value}{unit || ''}</Text>
+      </View>
+    );
+  };
+
+  if (loading) return <Loading />;
+  if (!record) return <View className='error-text'><Text>记录加载失败</Text></View>;
+
+  const canComplete = record.status === 'draft';
+  const canReview = record.status === 'completed';
+
+  return (
+    <ScrollView scrollY className='dialysis-detail'>
+      {/* 状态头部 */}
+      <View className='section'>
+        <View className='record-header'>
+          <Text className='record-header__title'>{record.dialysis_date}</Text>
+          <Text className={`record-header__status record-header__status--${record.status}`}>
+            {record.status === 'draft' ? '草稿' : record.status === 'completed' ? '已完成' : '已审核'}
+          </Text>
+        </View>
+        <Text className='record-sub'>
+          {(record.dialysis_type === 'HD' ? '血液透析' : record.dialysis_type === 'HDF' ? '血液透析滤过' : record.dialysis_type === 'HF' ? '血液滤过' : record.dialysis_type)}
+        </Text>
+        {record.reviewed_at && <Text className='review-info'>审核于 {record.reviewed_at}</Text>}
+      </View>
+
+      {/* 基本信息 */}
+      <View className='section'>
+        <Text className='section-title'>基本信息</Text>
+        <Row label='透析日期' value={record.dialysis_date} />
+        <Row label='开始时间' value={record.start_time} />
+        <Row label='结束时间' value={record.end_time} />
+        <Row label='透析时长' value={record.dialysis_duration} unit=' 分钟' />
+        <Row label='血流速' value={record.blood_flow_rate} unit=' ml/min' />
+        <Row label='超滤量' value={record.ultrafiltration_volume} unit=' ml' />
+      </View>
+
+      {/* 体重与血压 */}
+      <View className='section'>
+        <Text className='section-title'>体重与血压</Text>
+        <Row label='干体重' value={record.dry_weight} unit=' kg' />
+        <Row label='透前体重' value={record.pre_weight} unit=' kg' />
+        <Row label='透后体重' value={record.post_weight} unit=' kg' />
+        {record.pre_bp_systolic != null && record.pre_bp_diastolic != null && (
+          <Row label='透前血压' value={`${record.pre_bp_systolic}/${record.pre_bp_diastolic}`} unit=' mmHg' />
+        )}
+        {record.post_bp_systolic != null && record.post_bp_diastolic != null && (
+          <Row label='透后血压' value={`${record.post_bp_systolic}/${record.post_bp_diastolic}`} unit=' mmHg' />
+        )}
+        <Row label='透前心率' value={record.pre_heart_rate} unit=' bpm' />
+        <Row label='透后心率' value={record.post_heart_rate} unit=' bpm' />
+      </View>
+
+      {/* 症状与并发症 */}
+      {(record.symptoms || record.complication_notes) && (
+        <View className='section'>
+          <Text className='section-title'>症状与并发症</Text>
+          {record.symptoms && (
+            <Row label='症状' value={JSON.stringify(record.symptoms)} />
+          )}
+          <Row label='并发症备注' value={record.complication_notes} />
+        </View>
+      )}
+
+      {/* 操作按钮 */}
+      <View className='actions'>
+        {canComplete && (
+          <View className={`action-btn action-btn--primary ${submitting ? 'action-btn--disabled' : ''}`} onClick={handleComplete}>
+            <Text className='action-btn__text'>{submitting ? '处理中...' : '标记完成'}</Text>
+          </View>
+        )}
+        {canReview && (
+          <View className={`action-btn action-btn--primary ${submitting ? 'action-btn--disabled' : ''}`} onClick={handleReview}>
+            <Text className='action-btn__text'>{submitting ? '审核中...' : '确认审核'}</Text>
+          </View>
+        )}
+        {record.status === 'draft' && (
+          <View className='action-btn action-btn--secondary' onClick={() => Taro.navigateTo({
+            url: `/pages/doctor/dialysis/create/index?id=${id}&version=${record.version}`,
+          })}>
+            <Text className='action-btn__text'>编辑</Text>
+          </View>
+        )}
+        <View className='action-btn action-btn--danger' onClick={handleDelete}>
+          <Text className='action-btn__text'>删除</Text>
+        </View>
+      </View>
+    </ScrollView>
+  );
+}
diff --git a/apps/miniprogram/src/pages/doctor/dialysis/index.scss b/apps/miniprogram/src/pages/doctor/dialysis/index.scss
new file mode 100644
index 0000000..41c592c
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/dialysis/index.scss
@@ -0,0 +1,193 @@
+@import '../../../styles/variables.scss';
+
+.dialysis-page {
+  min-height: 100vh;
+  background: $bg;
+  padding-bottom: 120px;
+}
+
+.search-bar {
+  padding: 16px 24px;
+  background: $card;
+}
+
+.search-input {
+  background: $bg;
+  border-radius: $r-sm;
+  padding: 16px 20px;
+  font-size: 28px;
+  color: $tx;
+}
+
+.tabs {
+  display: flex;
+  padding: 0 24px;
+  background: $card;
+  border-bottom: 1px solid $bd-l;
+}
+
+.tab {
+  flex: 1;
+  text-align: center;
+  padding: 20px 0;
+  position: relative;
+
+  &--active {
+    .tab-text {
+      color: $pri;
+      font-weight: bold;
+    }
+
+    &::after {
+      content: '';
+      position: absolute;
+      bottom: 0;
+      left: 25%;
+      right: 25%;
+      height: 4px;
+      background: $pri;
+      border-radius: 2px;
+    }
+  }
+}
+
+.tab-text {
+  font-size: 26px;
+  color: $tx2;
+}
+
+.record-list {
+  padding: 16px 24px;
+}
+
+.record-count {
+  font-size: 24px;
+  color: $tx3;
+  padding: 8px 0 16px;
+}
+
+.record-card {
+  background: $card;
+  border-radius: $r;
+  padding: 24px;
+  margin-bottom: 16px;
+  box-shadow: $shadow-sm;
+
+  &:active {
+    box-shadow: $shadow-md;
+  }
+}
+
+.record-card__header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 12px;
+}
+
+.type-tag {
+  display: inline-block;
+  padding: 4px 12px;
+  border-radius: 8px;
+  font-size: 22px;
+  font-weight: 600;
+  background: $pri-l;
+  color: $pri-d;
+
+  &--hdf {
+    background: $acc-l;
+    color: $acc;
+  }
+
+  &--hf {
+    background: $wrn-l;
+    color: $wrn;
+  }
+}
+
+.status-tag {
+  display: inline-block;
+  padding: 4px 12px;
+  border-radius: 8px;
+  font-size: 20px;
+  background: $bd-l;
+  color: $tx3;
+
+  &--completed {
+    background: $pri-l;
+    color: $pri;
+  }
+
+  &--reviewed {
+    background: $acc-l;
+    color: $acc;
+  }
+}
+
+.record-card__body {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 12px;
+}
+
+.record-card__date {
+  font-size: 26px;
+  color: $tx;
+  font-variant-numeric: tabular-nums;
+}
+
+.record-card__meta {
+  font-size: 24px;
+  color: $tx2;
+  font-variant-numeric: tabular-nums;
+}
+
+.pagination {
+  display: flex;
+  justify-content: center;
+  align-items: center;
+  padding: 16px 0;
+  gap: 24px;
+}
+
+.page-btn {
+  padding: 12px 24px;
+  background: $card;
+  border-radius: $r-sm;
+  font-size: 26px;
+  color: $pri;
+
+  &--disabled {
+    opacity: 0.4;
+  }
+}
+
+.page-info {
+  font-size: 24px;
+  color: $tx2;
+}
+
+.fab {
+  position: fixed;
+  right: 32px;
+  bottom: 120px;
+  width: 96px;
+  height: 96px;
+  border-radius: 48px;
+  background: $pri;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  box-shadow: $shadow-md;
+  z-index: 10;
+
+  &:active {
+    background: $pri-d;
+  }
+}
+
+.fab-text {
+  font-size: 40px;
+  color: #fff;
+  font-weight: bold;
+}
diff --git a/apps/miniprogram/src/pages/doctor/dialysis/index.tsx b/apps/miniprogram/src/pages/doctor/dialysis/index.tsx
new file mode 100644
index 0000000..095e5a8
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/dialysis/index.tsx
@@ -0,0 +1,169 @@
+import { useState, useEffect } from 'react';
+import { View, Text, Input, ScrollView } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import EmptyState from '@/components/EmptyState';
+import './index.scss';
+
+const TABS = [
+  { key: '', label: '全部' },
+  { key: 'draft', label: '草稿' },
+  { key: 'completed', label: '已完成' },
+  { key: 'reviewed', label: '已审核' },
+];
+
+const TYPE_MAP: Record<string, string> = { HD: 'HD', HDF: 'HDF', HF: 'HF' };
+
+export default function DialysisList() {
+  const router = useRouter();
+  const patientId = router.params.patientId || '';
+  const [searchPatient, setSearchPatient] = useState('');
+  const [currentPatientId, setCurrentPatientId] = useState(patientId);
+  const [activeTab, setActiveTab] = useState('');
+  const [records, setRecords] = useState<doctorApi.DialysisRecord[]>([]);
+  const [loading, setLoading] = useState(false);
+  const [total, setTotal] = useState(0);
+  const [page, setPage] = useState(1);
+
+  useEffect(() => {
+    if (currentPatientId) loadRecords(1);
+  }, [currentPatientId, activeTab]);
+
+  const loadRecords = async (p: number) => {
+    setLoading(true);
+    try {
+      const res = await doctorApi.listDialysisRecords(currentPatientId, { page: p, page_size: 20 });
+      setRecords(res.data || []);
+      setTotal(res.total || 0);
+      setPage(p);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const handleSearch = async () => {
+    if (!searchPatient.trim()) return;
+    setLoading(true);
+    try {
+      const res = await doctorApi.listPatients({ search: searchPatient.trim(), page: 1, page_size: 1 });
+      if (res.data && res.data.length > 0) {
+        setCurrentPatientId(res.data[0].id);
+        Taro.setNavigationBarTitle({ title: res.data[0].name + '的透析记录' });
+      } else {
+        Taro.showToast({ title: '未找到患者', icon: 'none' });
+      }
+    } catch {
+      Taro.showToast({ title: '搜索失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const handleTab = (key: string) => {
+    setActiveTab(key);
+    setPage(1);
+  };
+
+  const filtered = activeTab ? records.filter((r) => r.status === activeTab) : records;
+
+  if (loading && records.length === 0) return <Loading />;
+
+  return (
+    <ScrollView scrollY className='dialysis-page'>
+      {!patientId && (
+        <View className='search-bar'>
+          <Input
+            className='search-input'
+            placeholder='搜索患者姓名'
+            value={searchPatient}
+            onInput={(e) => setSearchPatient(e.detail.value)}
+            confirmType='search'
+            onConfirm={handleSearch}
+          />
+        </View>
+      )}
+
+      <View className='tabs'>
+        {TABS.map((t) => (
+          <View
+            key={t.key}
+            className={`tab ${activeTab === t.key ? 'tab--active' : ''}`}
+            onClick={() => handleTab(t.key)}
+          >
+            <Text className='tab-text'>{t.label}</Text>
+          </View>
+        ))}
+      </View>
+
+      {!currentPatientId ? (
+        <EmptyState text='请搜索并选择患者' />
+      ) : filtered.length === 0 ? (
+        <EmptyState text='暂无透析记录' />
+      ) : (
+        <View className='record-list'>
+          <View className='record-count'><Text>共 {total} 条记录</Text></View>
+          {filtered.map((r) => (
+            <View
+              key={r.id}
+              className='record-card'
+              onClick={() => Taro.navigateTo({
+                url: `/pages/doctor/dialysis/detail/index?id=${r.id}`,
+              })}
+            >
+              <View className='record-card__header'>
+                <Text className={`type-tag type-tag--${(r.dialysis_type || 'hd').toLowerCase()}`}>
+                  {TYPE_MAP[r.dialysis_type] || r.dialysis_type}
+                </Text>
+                <Text className={`status-tag status-tag--${r.status}`}>
+                  {r.status === 'draft' ? '草稿' : r.status === 'completed' ? '已完成' : '已审核'}
+                </Text>
+              </View>
+              <View className='record-card__body'>
+                <Text className='record-card__date'>{r.dialysis_date}</Text>
+                {r.dialysis_duration != null && (
+                  <Text className='record-card__meta'>时长 {r.dialysis_duration}分钟</Text>
+                )}
+                {r.ultrafiltration_volume != null && (
+                  <Text className='record-card__meta'>超滤 {r.ultrafiltration_volume}ml</Text>
+                )}
+              </View>
+            </View>
+          ))}
+          {total > 20 && (
+            <View className='pagination'>
+              <View
+                className={`page-btn ${page <= 1 ? 'page-btn--disabled' : ''}`}
+                onClick={() => page > 1 && loadRecords(page - 1)}
+              >
+                <Text>上一页</Text>
+              </View>
+              <Text className='page-info'>{page} / {Math.ceil(total / 20)}</Text>
+              <View
+                className={`page-btn ${page * 20 >= total ? 'page-btn--disabled' : ''}`}
+                onClick={() => page * 20 < total && loadRecords(page + 1)}
+              >
+                <Text>下一页</Text>
+              </View>
+            </View>
+          )}
+        </View>
+      )}
+
+      <View
+        className='fab'
+        onClick={() => {
+          if (!currentPatientId) {
+            Taro.showToast({ title: '请先选择患者', icon: 'none' });
+            return;
+          }
+          Taro.navigateTo({ url: `/pages/doctor/dialysis/create/index?patientId=${currentPatientId}` });
+        }}
+      >
+        <Text className='fab-text'>+</Text>
+      </View>
+    </ScrollView>
+  );
+}
diff --git a/apps/miniprogram/src/pages/doctor/index.tsx b/apps/miniprogram/src/pages/doctor/index.tsx
index 5911e72..eb0e709 100644
--- a/apps/miniprogram/src/pages/doctor/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/index.tsx
@@ -30,6 +30,8 @@ const QUICK_ACTIONS = [
   { label: '患者查询', initial: '查', route: '/pages/doctor/patients/index' },
   { label: '随访记录', initial: '随', route: '/pages/doctor/followup/index' },
   { label: '告警中心', initial: '警', route: '/pages/doctor/alerts/index' },
+  { label: '透析记录', initial: '透', route: '/pages/doctor/dialysis/index' },
+  { label: '透析处方', initial: '方', route: '/pages/doctor/prescription/index' },
 ];
 
 export default function DoctorHome() {
diff --git a/apps/miniprogram/src/pages/doctor/prescription/create/index.scss b/apps/miniprogram/src/pages/doctor/prescription/create/index.scss
new file mode 100644
index 0000000..0bb960b
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/prescription/create/index.scss
@@ -0,0 +1,92 @@
+@import '../../../../styles/variables.scss';
+
+.create-page {
+  min-height: 100vh;
+  background: $bg;
+  padding: 24px;
+  padding-bottom: 200px;
+}
+
+.section {
+  background: $card;
+  border-radius: $r;
+  padding: 24px;
+  margin-bottom: 16px;
+  box-shadow: $shadow-sm;
+}
+
+.section-title {
+  font-size: 28px;
+  font-weight: bold;
+  color: $tx;
+  display: block;
+  margin-bottom: 16px;
+}
+
+.form-row {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  padding: 16px 0;
+  border-bottom: 1px solid $bd-l;
+
+  &:last-child {
+    border-bottom: none;
+  }
+}
+
+.form-label {
+  font-size: 26px;
+  color: $tx2;
+  flex-shrink: 0;
+  min-width: 140px;
+}
+
+.form-input {
+  flex: 1;
+  text-align: right;
+  font-size: 26px;
+  color: $tx;
+}
+
+.form-value {
+  font-size: 26px;
+  color: $tx;
+
+  &.placeholder {
+    color: $tx3;
+  }
+}
+
+.form-textarea {
+  width: 100%;
+  margin-top: 12px;
+  font-size: 26px;
+  color: $tx;
+  min-height: 120px;
+  background: $bg;
+  border-radius: $r-sm;
+  padding: 16px;
+}
+
+.submit-btn {
+  background: $pri;
+  border-radius: $r-sm;
+  padding: 24px;
+  text-align: center;
+  margin-top: 24px;
+
+  &:active {
+    background: $pri-d;
+  }
+
+  &--disabled {
+    opacity: 0.5;
+  }
+}
+
+.submit-btn__text {
+  font-size: 30px;
+  font-weight: bold;
+  color: #fff;
+}
diff --git a/apps/miniprogram/src/pages/doctor/prescription/create/index.tsx b/apps/miniprogram/src/pages/doctor/prescription/create/index.tsx
new file mode 100644
index 0000000..cd35df4
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/prescription/create/index.tsx
@@ -0,0 +1,196 @@
+import { useState } from 'react';
+import { View, Text, Input, Textarea, Picker, ScrollView } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import './index.scss';
+
+interface FormState {
+  dialyzer_model: string;
+  membrane_area: string;
+  dialysate_potassium: string;
+  dialysate_calcium: string;
+  dialysate_bicarbonate: string;
+  anticoagulation_type: string;
+  anticoagulation_dose: string;
+  target_ultrafiltration_ml: string;
+  target_dry_weight: string;
+  blood_flow_rate: string;
+  dialysate_flow_rate: string;
+  frequency_per_week: string;
+  duration_minutes: string;
+  vascular_access_type: string;
+  vascular_access_location: string;
+  effective_from: string;
+  effective_to: string;
+  notes: string;
+}
+
+const initialForm: FormState = {
+  dialyzer_model: '',
+  membrane_area: '',
+  dialysate_potassium: '',
+  dialysate_calcium: '',
+  dialysate_bicarbonate: '',
+  anticoagulation_type: '',
+  anticoagulation_dose: '',
+  target_ultrafiltration_ml: '',
+  target_dry_weight: '',
+  blood_flow_rate: '',
+  dialysate_flow_rate: '',
+  frequency_per_week: '',
+  duration_minutes: '',
+  vascular_access_type: '',
+  vascular_access_location: '',
+  effective_from: '',
+  effective_to: '',
+  notes: '',
+};
+
+export default function PrescriptionCreate() {
+  const router = useRouter();
+  const patientId = router.params.patientId || '';
+  const [form, setForm] = useState<FormState>(initialForm);
+  const [submitting, setSubmitting] = useState(false);
+
+  const updateField = (key: keyof FormState, value: string) => {
+    setForm((prev) => ({ ...prev, [key]: value }));
+  };
+
+  const handleSubmit = async () => {
+    if (!patientId) {
+      Taro.showToast({ title: '缺少患者信息', icon: 'none' });
+      return;
+    }
+
+    setSubmitting(true);
+    const num = (v: string) => v ? Number(v) : undefined;
+    const payload = {
+      patient_id: patientId,
+      dialyzer_model: form.dialyzer_model || undefined,
+      membrane_area: num(form.membrane_area),
+      dialysate_potassium: num(form.dialysate_potassium),
+      dialysate_calcium: num(form.dialysate_calcium),
+      dialysate_bicarbonate: num(form.dialysate_bicarbonate),
+      anticoagulation_type: form.anticoagulation_type || undefined,
+      anticoagulation_dose: form.anticoagulation_dose || undefined,
+      target_ultrafiltration_ml: num(form.target_ultrafiltration_ml),
+      target_dry_weight: num(form.target_dry_weight),
+      blood_flow_rate: num(form.blood_flow_rate),
+      dialysate_flow_rate: num(form.dialysate_flow_rate),
+      frequency_per_week: num(form.frequency_per_week),
+      duration_minutes: num(form.duration_minutes),
+      vascular_access_type: form.vascular_access_type || undefined,
+      vascular_access_location: form.vascular_access_location || undefined,
+      effective_from: form.effective_from || undefined,
+      effective_to: form.effective_to || undefined,
+      notes: form.notes || undefined,
+    };
+
+    try {
+      await doctorApi.createDialysisPrescription(payload);
+      Taro.showToast({ title: '创建成功', icon: 'success' });
+      setTimeout(() => Taro.navigateBack(), 1000);
+    } catch {
+      Taro.showToast({ title: '创建失败', icon: 'none' });
+    } finally {
+      setSubmitting(false);
+    }
+  };
+
+  const InputField = ({ label, field, placeholder, type = 'digit' }: {
+    label: string; field: keyof FormState; placeholder: string; type?: string;
+  }) => (
+    <View className='form-row'>
+      <Text className='form-label'>{label}</Text>
+      <Input
+        className='form-input'
+        type={type as any}
+        placeholder={placeholder}
+        value={form[field]}
+        onInput={(e) => updateField(field, e.detail.value)}
+      />
+    </View>
+  );
+
+  return (
+    <ScrollView scrollY className='create-page'>
+      {/* 透析器 */}
+      <View className='section'>
+        <Text className='section-title'>透析器</Text>
+        <InputField label='透析器型号' field='dialyzer_model' placeholder='请输入型号' type='text' />
+        <InputField label='膜面积' field='membrane_area' placeholder='m²' />
+      </View>
+
+      {/* 透析液 */}
+      <View className='section'>
+        <Text className='section-title'>透析液配比</Text>
+        <InputField label='钾浓度' field='dialysate_potassium' placeholder='mmol/L' />
+        <InputField label='钙浓度' field='dialysate_calcium' placeholder='mmol/L' />
+        <InputField label='碳酸氢盐' field='dialysate_bicarbonate' placeholder='mmol/L' />
+      </View>
+
+      {/* 抗凝 */}
+      <View className='section'>
+        <Text className='section-title'>抗凝方案</Text>
+        <InputField label='抗凝类型' field='anticoagulation_type' placeholder='请输入' type='text' />
+        <InputField label='抗凝剂量' field='anticoagulation_dose' placeholder='请输入' type='text' />
+      </View>
+
+      {/* 参数 */}
+      <View className='section'>
+        <Text className='section-title'>参数设置</Text>
+        <InputField label='目标超滤量' field='target_ultrafiltration_ml' placeholder='ml' type='number' />
+        <InputField label='目标干体重' field='target_dry_weight' placeholder='kg' />
+        <InputField label='血流速' field='blood_flow_rate' placeholder='ml/min' type='number' />
+        <InputField label='透析液流量' field='dialysate_flow_rate' placeholder='ml/min' type='number' />
+        <InputField label='每周频次' field='frequency_per_week' placeholder='次/周' type='number' />
+        <InputField label='每次时长' field='duration_minutes' placeholder='分钟' type='number' />
+      </View>
+
+      {/* 血管通路 */}
+      <View className='section'>
+        <Text className='section-title'>血管通路</Text>
+        <InputField label='通路类型' field='vascular_access_type' placeholder='请输入' type='text' />
+        <InputField label='通路位置' field='vascular_access_location' placeholder='请输入' type='text' />
+      </View>
+
+      {/* 生效日期 */}
+      <View className='section'>
+        <Text className='section-title'>生效日期</Text>
+        <View className='form-row'>
+          <Text className='form-label'>生效日期</Text>
+          <Picker mode='date' value={form.effective_from} onChange={(e) => updateField('effective_from', e.detail.value)}>
+            <Text className={`form-value ${!form.effective_from ? 'placeholder' : ''}`}>
+              {form.effective_from || '请选择'}
+            </Text>
+          </Picker>
+        </View>
+        <View className='form-row'>
+          <Text className='form-label'>失效日期</Text>
+          <Picker mode='date' value={form.effective_to} onChange={(e) => updateField('effective_to', e.detail.value)}>
+            <Text className={`form-value ${!form.effective_to ? 'placeholder' : ''}`}>
+              {form.effective_to || '请选择'}
+            </Text>
+          </Picker>
+        </View>
+      </View>
+
+      {/* 备注 */}
+      <View className='section'>
+        <Text className='section-title'>备注</Text>
+        <Textarea
+          className='form-textarea'
+          placeholder='请输入备注...'
+          value={form.notes}
+          onInput={(e) => updateField('notes', e.detail.value)}
+          maxlength={500}
+        />
+      </View>
+
+      <View className={`submit-btn ${submitting ? 'submit-btn--disabled' : ''}`} onClick={handleSubmit}>
+        <Text className='submit-btn__text'>{submitting ? '提交中...' : '创建处方'}</Text>
+      </View>
+    </ScrollView>
+  );
+}
diff --git a/apps/miniprogram/src/pages/doctor/prescription/detail/index.scss b/apps/miniprogram/src/pages/doctor/prescription/detail/index.scss
new file mode 100644
index 0000000..4d304e2
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/prescription/detail/index.scss
@@ -0,0 +1,136 @@
+@import '../../../../styles/variables.scss';
+
+.prescription-detail {
+  min-height: 100vh;
+  background: $bg;
+  padding: 24px;
+  padding-bottom: 200px;
+}
+
+.section {
+  background: $card;
+  border-radius: $r;
+  padding: 24px;
+  margin-bottom: 16px;
+  box-shadow: $shadow-sm;
+}
+
+.section-title {
+  font-size: 28px;
+  font-weight: bold;
+  color: $tx;
+  display: block;
+  margin-bottom: 12px;
+}
+
+.rx-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 8px;
+}
+
+.rx-header__title {
+  font-size: 34px;
+  font-weight: bold;
+  color: $tx;
+}
+
+.rx-header__status {
+  display: inline-block;
+  padding: 4px 12px;
+  border-radius: 8px;
+  font-size: 22px;
+  background: $bd-l;
+  color: $tx3;
+
+  &--active {
+    background: $acc-l;
+    color: $acc;
+  }
+}
+
+.rx-sub {
+  font-size: 26px;
+  color: $tx2;
+  display: block;
+  font-variant-numeric: tabular-nums;
+}
+
+.detail-row {
+  display: flex;
+  justify-content: space-between;
+  padding: 10px 0;
+  border-bottom: 1px solid $bd-l;
+
+  &:last-child {
+    border-bottom: none;
+  }
+}
+
+.detail-label {
+  font-size: 26px;
+  color: $tx2;
+}
+
+.detail-value {
+  font-size: 26px;
+  color: $tx;
+  text-align: right;
+  flex: 1;
+  margin-left: 24px;
+  font-variant-numeric: tabular-nums;
+}
+
+.notes-text {
+  font-size: 26px;
+  color: $tx;
+  line-height: 1.6;
+}
+
+.error-text {
+  text-align: center;
+  padding: 120px 0;
+  font-size: 28px;
+  color: $tx3;
+}
+
+.actions {
+  display: flex;
+  flex-direction: column;
+  gap: 12px;
+  padding: 16px 0;
+}
+
+.action-btn {
+  border-radius: $r-sm;
+  padding: 20px;
+  text-align: center;
+
+  &--secondary {
+    background: $card;
+    border: 1px solid $bd;
+
+    .action-btn__text {
+      color: $pri;
+    }
+  }
+
+  &--danger {
+    background: $card;
+    border: 1px solid $dan;
+
+    .action-btn__text {
+      color: $dan;
+    }
+  }
+
+  &--disabled {
+    opacity: 0.5;
+  }
+}
+
+.action-btn__text {
+  font-size: 28px;
+  font-weight: 500;
+}
diff --git a/apps/miniprogram/src/pages/doctor/prescription/detail/index.tsx b/apps/miniprogram/src/pages/doctor/prescription/detail/index.tsx
new file mode 100644
index 0000000..d9be155
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/prescription/detail/index.tsx
@@ -0,0 +1,161 @@
+import { useState, useEffect } from 'react';
+import { View, Text, ScrollView } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import './index.scss';
+
+export default function PrescriptionDetail() {
+  const router = useRouter();
+  const id = router.params.id || '';
+  const [rx, setRx] = useState<doctorApi.DialysisPrescription | null>(null);
+  const [loading, setLoading] = useState(true);
+  const [submitting, setSubmitting] = useState(false);
+
+  useEffect(() => {
+    if (id) loadRx();
+  }, [id]);
+
+  const loadRx = async () => {
+    setLoading(true);
+    try {
+      const data = await doctorApi.getDialysisPrescription(id);
+      setRx(data);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const handleDeactivate = async () => {
+    if (!rx) return;
+    const { confirm } = await Taro.showModal({
+      title: '确认停用',
+      content: '停用后该处方将不再生效，确定停用吗？',
+    });
+    if (!confirm) return;
+    setSubmitting(true);
+    try {
+      const updated = await doctorApi.updateDialysisPrescription(id, { status: 'inactive' }, rx.version);
+      setRx(updated);
+      Taro.showToast({ title: '已停用', icon: 'success' });
+    } catch {
+      Taro.showToast({ title: '操作失败', icon: 'none' });
+    } finally {
+      setSubmitting(false);
+    }
+  };
+
+  const handleDelete = async () => {
+    if (!rx) return;
+    const { confirm } = await Taro.showModal({
+      title: '确认删除',
+      content: '删除后不可恢复，确定要删除这条处方吗？',
+    });
+    if (!confirm) return;
+    setSubmitting(true);
+    try {
+      await doctorApi.deleteDialysisPrescription(id, rx.version);
+      Taro.showToast({ title: '已删除', icon: 'success' });
+      setTimeout(() => Taro.navigateBack(), 1000);
+    } catch {
+      Taro.showToast({ title: '删除失败', icon: 'none' });
+      setSubmitting(false);
+    }
+  };
+
+  const Row = ({ label, value, unit }: { label: string; value?: string | number | null; unit?: string }) => {
+    if (value == null) return null;
+    return (
+      <View className='detail-row'>
+        <Text className='detail-label'>{label}</Text>
+        <Text className='detail-value'>{value}{unit || ''}</Text>
+      </View>
+    );
+  };
+
+  if (loading) return <Loading />;
+  if (!rx) return <View className='error-text'><Text>处方加载失败</Text></View>;
+
+  return (
+    <ScrollView scrollY className='prescription-detail'>
+      {/* 状态头部 */}
+      <View className='section'>
+        <View className='rx-header'>
+          <Text className='rx-header__title'>{rx.dialyzer_model || '透析处方'}</Text>
+          <Text className={`rx-header__status rx-header__status--${rx.status}`}>
+            {rx.status === 'active' ? '生效中' : rx.status === 'inactive' ? '已停用' : rx.status}
+          </Text>
+        </View>
+        {(rx.effective_from || rx.effective_to) && (
+          <Text className='rx-sub'>{rx.effective_from || '...'} ~ {rx.effective_to || '...'}</Text>
+        )}
+      </View>
+
+      {/* 基本参数 */}
+      <View className='section'>
+        <Text className='section-title'>基本参数</Text>
+        <Row label='透析器型号' value={rx.dialyzer_model} />
+        <Row label='膜面积' value={rx.membrane_area != null ? `${rx.membrane_area}` : null} unit=' m²' />
+        <Row label='血流速' value={rx.blood_flow_rate} unit=' ml/min' />
+        <Row label='透析液流量' value={rx.dialysate_flow_rate} unit=' ml/min' />
+        <Row label='频率' value={rx.frequency_per_week != null ? `${rx.frequency_per_week} 次/周` : null} />
+        <Row label='每次时长' value={rx.duration_minutes} unit=' 分钟' />
+      </View>
+
+      {/* 透析液配比 */}
+      <View className='section'>
+        <Text className='section-title'>透析液配比</Text>
+        <Row label='钾浓度' value={rx.dialysate_potassium} unit=' mmol/L' />
+        <Row label='钙浓度' value={rx.dialysate_calcium} unit=' mmol/L' />
+        <Row label='碳酸氢盐' value={rx.dialysate_bicarbonate} unit=' mmol/L' />
+      </View>
+
+      {/* 抗凝方案 */}
+      <View className='section'>
+        <Text className='section-title'>抗凝方案</Text>
+        <Row label='抗凝类型' value={rx.anticoagulation_type} />
+        <Row label='抗凝剂量' value={rx.anticoagulation_dose} />
+      </View>
+
+      {/* 血管通路 */}
+      {(rx.vascular_access_type || rx.vascular_access_location) && (
+        <View className='section'>
+          <Text className='section-title'>血管通路</Text>
+          <Row label='通路类型' value={rx.vascular_access_type} />
+          <Row label='通路位置' value={rx.vascular_access_location} />
+        </View>
+      )}
+
+      {/* 超滤目标 */}
+      {(rx.target_ultrafiltration_ml != null || rx.target_dry_weight != null) && (
+        <View className='section'>
+          <Text className='section-title'>超滤目标</Text>
+          <Row label='目标超滤量' value={rx.target_ultrafiltration_ml} unit=' ml' />
+          <Row label='目标干体重' value={rx.target_dry_weight} unit=' kg' />
+        </View>
+      )}
+
+      {/* 备注 */}
+      {rx.notes && (
+        <View className='section'>
+          <Text className='section-title'>备注</Text>
+          <Text className='notes-text'>{rx.notes}</Text>
+        </View>
+      )}
+
+      {/* 操作按钮 */}
+      <View className='actions'>
+        {rx.status === 'active' && (
+          <View className={`action-btn action-btn--secondary ${submitting ? 'action-btn--disabled' : ''}`} onClick={handleDeactivate}>
+            <Text className='action-btn__text'>停用处方</Text>
+          </View>
+        )}
+        <View className='action-btn action-btn--danger' onClick={handleDelete}>
+          <Text className='action-btn__text'>删除</Text>
+        </View>
+      </View>
+    </ScrollView>
+  );
+}
diff --git a/apps/miniprogram/src/pages/doctor/prescription/index.scss b/apps/miniprogram/src/pages/doctor/prescription/index.scss
new file mode 100644
index 0000000..f2c2e89
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/prescription/index.scss
@@ -0,0 +1,175 @@
+@import '../../../styles/variables.scss';
+
+.prescription-page {
+  min-height: 100vh;
+  background: $bg;
+  padding-bottom: 120px;
+}
+
+.search-bar {
+  padding: 16px 24px;
+  background: $card;
+}
+
+.search-input {
+  background: $bg;
+  border-radius: $r-sm;
+  padding: 16px 20px;
+  font-size: 28px;
+  color: $tx;
+}
+
+.tabs {
+  display: flex;
+  padding: 0 24px;
+  background: $card;
+  border-bottom: 1px solid $bd-l;
+}
+
+.tab {
+  flex: 1;
+  text-align: center;
+  padding: 20px 0;
+  position: relative;
+
+  &--active {
+    .tab-text {
+      color: $pri;
+      font-weight: bold;
+    }
+
+    &::after {
+      content: '';
+      position: absolute;
+      bottom: 0;
+      left: 25%;
+      right: 25%;
+      height: 4px;
+      background: $pri;
+      border-radius: 2px;
+    }
+  }
+}
+
+.tab-text {
+  font-size: 26px;
+  color: $tx2;
+}
+
+.prescription-list {
+  padding: 16px 24px;
+}
+
+.prescription-count {
+  font-size: 24px;
+  color: $tx3;
+  padding: 8px 0 16px;
+}
+
+.prescription-card {
+  background: $card;
+  border-radius: $r;
+  padding: 24px;
+  margin-bottom: 16px;
+  box-shadow: $shadow-sm;
+
+  &:active {
+    box-shadow: $shadow-md;
+  }
+}
+
+.prescription-card__header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 12px;
+}
+
+.prescription-card__model {
+  font-size: 28px;
+  font-weight: bold;
+  color: $tx;
+}
+
+.status-tag {
+  display: inline-block;
+  padding: 4px 12px;
+  border-radius: 8px;
+  font-size: 20px;
+  background: $bd-l;
+  color: $tx3;
+
+  &--active {
+    background: $acc-l;
+    color: $acc;
+  }
+}
+
+.prescription-card__body {
+  display: flex;
+  gap: 16px;
+  margin-bottom: 8px;
+}
+
+.prescription-card__meta {
+  font-size: 24px;
+  color: $tx2;
+  font-variant-numeric: tabular-nums;
+}
+
+.prescription-card__date {
+  font-size: 24px;
+  color: $tx3;
+  display: block;
+  font-variant-numeric: tabular-nums;
+}
+
+.pagination {
+  display: flex;
+  justify-content: center;
+  align-items: center;
+  padding: 16px 0;
+  gap: 24px;
+}
+
+.page-btn {
+  padding: 12px 24px;
+  background: $card;
+  border-radius: $r-sm;
+  font-size: 26px;
+  color: $pri;
+
+  &--disabled {
+    opacity: 0.4;
+  }
+}
+
+.page-info {
+  font-size: 24px;
+  color: $tx2;
+}
+
+.fab {
+  position: fixed;
+  right: 32px;
+  bottom: 120px;
+  width: 96px;
+  height: 96px;
+  border-radius: 48px;
+  background: $pri;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  box-shadow: $shadow-md;
+  z-index: 10;
+
+  &:active {
+    background: $pri-d;
+  }
+}
+
+.fab-text {
+  font-size: 40px;
+  color: #fff;
+  font-weight: bold;
+}
diff --git a/apps/miniprogram/src/pages/doctor/prescription/index.tsx b/apps/miniprogram/src/pages/doctor/prescription/index.tsx
new file mode 100644
index 0000000..3378959
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/prescription/index.tsx
@@ -0,0 +1,163 @@
+import { useState, useEffect } from 'react';
+import { View, Text, Input, ScrollView } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import EmptyState from '@/components/EmptyState';
+import './index.scss';
+
+const TABS = [
+  { key: '', label: '全部' },
+  { key: 'active', label: '生效中' },
+  { key: 'inactive', label: '已停用' },
+];
+
+export default function PrescriptionList() {
+  const router = useRouter();
+  const patientId = router.params.patientId || '';
+  const [searchPatient, setSearchPatient] = useState('');
+  const [currentPatientId, setCurrentPatientId] = useState(patientId);
+  const [activeTab, setActiveTab] = useState('');
+  const [prescriptions, setPrescriptions] = useState<doctorApi.DialysisPrescription[]>([]);
+  const [loading, setLoading] = useState(false);
+  const [total, setTotal] = useState(0);
+  const [page, setPage] = useState(1);
+
+  useEffect(() => {
+    loadData(1);
+  }, [currentPatientId, activeTab]);
+
+  const loadData = async (p: number) => {
+    setLoading(true);
+    try {
+      const res = await doctorApi.listDialysisPrescriptions({
+        patient_id: currentPatientId || undefined,
+        status: activeTab || undefined,
+        page: p,
+        page_size: 20,
+      });
+      setPrescriptions(res.data || []);
+      setTotal(res.total || 0);
+      setPage(p);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const handleSearch = async () => {
+    if (!searchPatient.trim()) return;
+    setLoading(true);
+    try {
+      const res = await doctorApi.listPatients({ search: searchPatient.trim(), page: 1, page_size: 1 });
+      if (res.data && res.data.length > 0) {
+        setCurrentPatientId(res.data[0].id);
+      } else {
+        Taro.showToast({ title: '未找到患者', icon: 'none' });
+      }
+    } catch {
+      Taro.showToast({ title: '搜索失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  if (loading && prescriptions.length === 0) return <Loading />;
+
+  return (
+    <ScrollView scrollY className='prescription-page'>
+      {!patientId && (
+        <View className='search-bar'>
+          <Input
+            className='search-input'
+            placeholder='搜索患者姓名'
+            value={searchPatient}
+            onInput={(e) => setSearchPatient(e.detail.value)}
+            confirmType='search'
+            onConfirm={handleSearch}
+          />
+        </View>
+      )}
+
+      <View className='tabs'>
+        {TABS.map((t) => (
+          <View
+            key={t.key}
+            className={`tab ${activeTab === t.key ? 'tab--active' : ''}`}
+            onClick={() => { setActiveTab(t.key); setPage(1); }}
+          >
+            <Text className='tab-text'>{t.label}</Text>
+          </View>
+        ))}
+      </View>
+
+      {prescriptions.length === 0 ? (
+        <EmptyState text='暂无透析处方' />
+      ) : (
+        <View className='prescription-list'>
+          <View className='prescription-count'><Text>共 {total} 条处方</Text></View>
+          {prescriptions.map((p) => (
+            <View
+              key={p.id}
+              className='prescription-card'
+              onClick={() => Taro.navigateTo({
+                url: `/pages/doctor/prescription/detail/index?id=${p.id}`,
+              })}
+            >
+              <View className='prescription-card__header'>
+                <Text className='prescription-card__model'>{p.dialyzer_model || '透析处方'}</Text>
+                <Text className={`status-tag status-tag--${p.status}`}>
+                  {p.status === 'active' ? '生效中' : p.status === 'inactive' ? '已停用' : p.status}
+                </Text>
+              </View>
+              <View className='prescription-card__body'>
+                {p.frequency_per_week != null && (
+                  <Text className='prescription-card__meta'>{p.frequency_per_week}次/周</Text>
+                )}
+                {p.duration_minutes != null && (
+                  <Text className='prescription-card__meta'>每次{p.duration_minutes}分钟</Text>
+                )}
+              </View>
+              {(p.effective_from || p.effective_to) && (
+                <Text className='prescription-card__date'>
+                  {p.effective_from || '...'} ~ {p.effective_to || '...'}
+                </Text>
+              )}
+            </View>
+          ))}
+          {total > 20 && (
+            <View className='pagination'>
+              <View
+                className={`page-btn ${page <= 1 ? 'page-btn--disabled' : ''}`}
+                onClick={() => page > 1 && loadData(page - 1)}
+              >
+                <Text>上一页</Text>
+              </View>
+              <Text className='page-info'>{page} / {Math.ceil(total / 20)}</Text>
+              <View
+                className={`page-btn ${page * 20 >= total ? 'page-btn--disabled' : ''}`}
+                onClick={() => page * 20 < total && loadData(page + 1)}
+              >
+                <Text>下一页</Text>
+              </View>
+            </View>
+          )}
+        </View>
+      )}
+
+      <View
+        className='fab'
+        onClick={() => {
+          if (!currentPatientId) {
+            Taro.showToast({ title: '请先选择患者', icon: 'none' });
+            return;
+          }
+          Taro.navigateTo({ url: `/pages/doctor/prescription/create/index?patientId=${currentPatientId}` });
+        }}
+      >
+        <Text className='fab-text'>+</Text>
+      </View>
+    </ScrollView>
+  );
+}
diff --git a/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/detail/index.scss b/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/detail/index.scss
new file mode 100644
index 0000000..cd83ed1
--- /dev/null
+++ b/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/detail/index.scss
@@ -0,0 +1,118 @@
+@import '../../../../styles/variables.scss';
+
+@mixin serif-number {
+  font-family: 'Georgia', 'Times New Roman', serif;
+  font-variant-numeric: tabular-nums;
+}
+
+.detail-page {
+  min-height: 100vh;
+  background: $bg;
+  padding: 24px;
+  padding-bottom: 40px;
+}
+
+.detail-card {
+  background: $card;
+  border-radius: $r;
+  padding: 28px;
+  margin-bottom: 20px;
+  box-shadow: $shadow-sm;
+}
+
+.header-card {
+  .header-row {
+    display: flex;
+    justify-content: space-between;
+    align-items: center;
+    margin-bottom: 8px;
+  }
+}
+
+.detail-title {
+  font-family: 'Georgia', 'Times New Roman', serif;
+  font-size: 34px;
+  font-weight: bold;
+  color: $tx;
+}
+
+.status-tag {
+  display: inline-block;
+  padding: 4px 12px;
+  border-radius: 8px;
+  font-size: 20px;
+  font-weight: 500;
+  background: $bd-l;
+  color: $tx3;
+
+  &.active {
+    background: $acc-l;
+    color: $acc;
+  }
+
+  &.expired {
+    background: $tx3;
+    color: $bg;
+  }
+}
+
+.header-sub {
+  font-size: 26px;
+  color: $tx2;
+  display: block;
+  @include serif-number;
+}
+
+.section-title {
+  font-family: 'Georgia', 'Times New Roman', serif;
+  font-size: 30px;
+  font-weight: bold;
+  color: $tx;
+  display: block;
+  margin-bottom: 16px;
+}
+
+.detail-row {
+  display: flex;
+  justify-content: space-between;
+  align-items: flex-start;
+  padding: 12px 0;
+  border-bottom: 1px solid $bd-l;
+
+  &:last-child {
+    border-bottom: none;
+  }
+}
+
+.detail-label {
+  font-size: 26px;
+  color: $tx2;
+  flex-shrink: 0;
+}
+
+.detail-value {
+  font-size: 26px;
+  color: $tx;
+  text-align: right;
+  flex: 1;
+  margin-left: 24px;
+  @include serif-number;
+}
+
+.notes-text {
+  font-size: 26px;
+  color: $tx;
+  line-height: 1.6;
+}
+
+.empty-state {
+  display: flex;
+  justify-content: center;
+  align-items: center;
+  padding: 120px 0;
+}
+
+.empty-text {
+  font-size: 28px;
+  color: $tx3;
+}
diff --git a/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/detail/index.tsx b/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/detail/index.tsx
new file mode 100644
index 0000000..920e5ee
--- /dev/null
+++ b/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/detail/index.tsx
@@ -0,0 +1,111 @@
+import React, { useState, useEffect } from 'react';
+import { View, Text } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import { getDialysisPrescription } from '@/services/dialysis';
+import type { DialysisPrescription } from '@/services/dialysis';
+import Loading from '@/components/Loading';
+import './index.scss';
+
+const STATUS_MAP: Record<string, { label: string; cls: string }> = {
+  active: { label: '生效中', cls: 'active' },
+  inactive: { label: '已停用', cls: 'inactive' },
+  expired: { label: '已过期', cls: 'expired' },
+};
+
+export default function DialysisPrescriptionDetail() {
+  const router = useRouter();
+  const id = router.params.id || '';
+  const [rx, setRx] = useState<DialysisPrescription | null>(null);
+  const [loading, setLoading] = useState(true);
+
+  useEffect(() => {
+    if (!id) return;
+    setLoading(true);
+    getDialysisPrescription(id)
+      .then((data) => setRx(data))
+      .catch(() => Taro.showToast({ title: '加载失败', icon: 'none' }))
+      .finally(() => setLoading(false));
+  }, [id]);
+
+  if (loading) return <View className='detail-page'><Loading /></View>;
+  if (!rx) return <View className='detail-page'><View className='empty-state'><Text className='empty-text'>处方不存在</Text></View></View>;
+
+  const si = STATUS_MAP[rx.status] || { label: rx.status, cls: '' };
+
+  const Row = ({ label, value }: { label: string; value?: string | number | null }) => {
+    if (value == null) return null;
+    return (
+      <View className='detail-row'>
+        <Text className='detail-label'>{label}</Text>
+        <Text className='detail-value'>{value}</Text>
+      </View>
+    );
+  };
+
+  return (
+    <View className='detail-page'>
+      {/* 状态头部 */}
+      <View className='detail-card header-card'>
+        <View className='header-row'>
+          <Text className='detail-title'>{rx.dialyzer_model || '透析处方'}</Text>
+          <Text className={`status-tag ${si.cls}`}>{si.label}</Text>
+        </View>
+        {(rx.effective_from || rx.effective_to) && (
+          <Text className='header-sub'>{rx.effective_from || '...'} ~ {rx.effective_to || '...'}</Text>
+        )}
+      </View>
+
+      {/* 基本参数 */}
+      <View className='detail-card'>
+        <Text className='section-title'>基本参数</Text>
+        <Row label='透析器型号' value={rx.dialyzer_model} />
+        <Row label='膜面积' value={rx.membrane_area != null ? `${rx.membrane_area} m²` : null} />
+        <Row label='血流速' value={rx.blood_flow_rate != null ? `${rx.blood_flow_rate} ml/min` : null} />
+        <Row label='透析液流量' value={rx.dialysate_flow_rate != null ? `${rx.dialysate_flow_rate} ml/min` : null} />
+        <Row label='频率' value={rx.frequency_per_week != null ? `${rx.frequency_per_week} 次/周` : null} />
+        <Row label='每次时长' value={rx.duration_minutes != null ? `${rx.duration_minutes} 分钟` : null} />
+      </View>
+
+      {/* 透析液配比 */}
+      <View className='detail-card'>
+        <Text className='section-title'>透析液配比</Text>
+        <Row label='钾浓度' value={rx.dialysate_potassium != null ? `${rx.dialysate_potassium} mmol/L` : null} />
+        <Row label='钙浓度' value={rx.dialysate_calcium != null ? `${rx.dialysate_calcium} mmol/L` : null} />
+        <Row label='碳酸氢盐浓度' value={rx.dialysate_bicarbonate != null ? `${rx.dialysate_bicarbonate} mmol/L` : null} />
+      </View>
+
+      {/* 抗凝方案 */}
+      <View className='detail-card'>
+        <Text className='section-title'>抗凝方案</Text>
+        <Row label='抗凝类型' value={rx.anticoagulation_type} />
+        <Row label='抗凝剂量' value={rx.anticoagulation_dose} />
+      </View>
+
+      {/* 血管通路 */}
+      {(rx.vascular_access_type || rx.vascular_access_location) && (
+        <View className='detail-card'>
+          <Text className='section-title'>血管通路</Text>
+          <Row label='通路类型' value={rx.vascular_access_type} />
+          <Row label='通路位置' value={rx.vascular_access_location} />
+        </View>
+      )}
+
+      {/* 超滤与干体重 */}
+      {(rx.target_ultrafiltration_ml != null || rx.target_dry_weight != null) && (
+        <View className='detail-card'>
+          <Text className='section-title'>超滤目标</Text>
+          <Row label='目标超滤量' value={rx.target_ultrafiltration_ml != null ? `${rx.target_ultrafiltration_ml} ml` : null} />
+          <Row label='目标干体重' value={rx.target_dry_weight != null ? `${rx.target_dry_weight} kg` : null} />
+        </View>
+      )}
+
+      {/* 备注 */}
+      {rx.notes && (
+        <View className='detail-card'>
+          <Text className='section-title'>备注</Text>
+          <Text className='notes-text'>{rx.notes}</Text>
+        </View>
+      )}
+    </View>
+  );
+}
diff --git a/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/index.scss b/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/index.scss
new file mode 100644
index 0000000..5ccbb97
--- /dev/null
+++ b/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/index.scss
@@ -0,0 +1,98 @@
+@import '../../../styles/variables.scss';
+
+@mixin section-title {
+  font-family: 'Georgia', 'Times New Roman', serif;
+  font-size: 30px;
+  font-weight: bold;
+  color: $tx;
+  margin-bottom: 20px;
+  display: block;
+}
+
+@mixin tag($bg, $color) {
+  display: inline-block;
+  padding: 4px 12px;
+  border-radius: 8px;
+  font-size: 20px;
+  font-weight: 500;
+  background: $bg;
+  color: $color;
+}
+
+@mixin serif-number {
+  font-family: 'Georgia', 'Times New Roman', serif;
+  font-variant-numeric: tabular-nums;
+}
+
+.dialysis-prescriptions-page {
+  min-height: 100vh;
+  background: $bg;
+  padding: 32px 24px;
+  padding-bottom: 40px;
+}
+
+.page-title {
+  @include section-title;
+  padding-left: 4px;
+}
+
+.prescription-list {
+  display: flex;
+  flex-direction: column;
+  gap: 16px;
+}
+
+.prescription-card {
+  background: $card;
+  border-radius: $r;
+  padding: 28px;
+  box-shadow: $shadow-sm;
+
+  &:active {
+    box-shadow: $shadow-md;
+  }
+}
+
+.prescription-card-top {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 12px;
+}
+
+.prescription-model {
+  font-size: 28px;
+  font-weight: bold;
+  color: $tx;
+}
+
+.status-tag {
+  @include tag($bd-l, $tx3);
+
+  &.active {
+    @include tag($acc-l, $acc);
+  }
+
+  &.expired {
+    @include tag($tx3, $bg);
+  }
+}
+
+.prescription-meta {
+  display: flex;
+  gap: 24px;
+  margin-bottom: 8px;
+}
+
+.meta-item {
+  font-size: 24px;
+  color: $tx2;
+  @include serif-number;
+}
+
+.prescription-date {
+  font-size: 24px;
+  color: $tx3;
+  display: block;
+  @include serif-number;
+}
diff --git a/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/index.tsx b/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/index.tsx
new file mode 100644
index 0000000..65a9d87
--- /dev/null
+++ b/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/index.tsx
@@ -0,0 +1,98 @@
+import React, { useState, useCallback } from 'react';
+import { View, Text } from '@tarojs/components';
+import Taro, { useDidShow, usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import { listDialysisPrescriptions } from '@/services/dialysis';
+import type { DialysisPrescription } from '@/services/dialysis';
+import EmptyState from '@/components/EmptyState';
+import Loading from '@/components/Loading';
+import './index.scss';
+
+const STATUS_MAP: Record<string, { label: string; cls: string }> = {
+  active: { label: '生效中', cls: 'active' },
+  inactive: { label: '已停用', cls: 'inactive' },
+  expired: { label: '已过期', cls: 'expired' },
+};
+
+export default function DialysisPrescriptionList() {
+  const [prescriptions, setPrescriptions] = useState<DialysisPrescription[]>([]);
+  const [page, setPage] = useState(1);
+  const [total, setTotal] = useState(0);
+  const [loading, setLoading] = useState(false);
+
+  const fetchData = useCallback(async (p: number, append = false) => {
+    const patientId = Taro.getStorageSync('current_patient_id') || '';
+    if (!patientId) {
+      setPrescriptions([]);
+      return;
+    }
+    setLoading(true);
+    try {
+      const res = await listDialysisPrescriptions({ patient_id: patientId, page: p, page_size: 20 });
+      const list = res.data || [];
+      setPrescriptions(append ? (prev) => [...prev, ...list] : list);
+      setTotal(res.total);
+      setPage(p);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  }, []);
+
+  useDidShow(() => { fetchData(1); });
+
+  usePullDownRefresh(() => {
+    fetchData(1).finally(() => Taro.stopPullDownRefresh());
+  });
+
+  useReachBottom(() => {
+    if (!loading && prescriptions.length < total) {
+      fetchData(page + 1, true);
+    }
+  });
+
+  const statusInfo = (s: string) => STATUS_MAP[s] || { label: s, cls: '' };
+
+  return (
+    <View className='dialysis-prescriptions-page'>
+      <Text className='page-title'>透析处方</Text>
+
+      <View className='prescription-list'>
+        {prescriptions.map((p) => {
+          const si = statusInfo(p.status);
+          return (
+            <View
+              className='prescription-card'
+              key={p.id}
+              onClick={() => Taro.navigateTo({ url: `/pages/pkg-profile/dialysis-prescriptions/detail/index?id=${p.id}` })}
+            >
+              <View className='prescription-card-top'>
+                <Text className='prescription-model'>{p.dialyzer_model || '未指定型号'}</Text>
+                <Text className={`status-tag ${si.cls}`}>{si.label}</Text>
+              </View>
+              <View className='prescription-meta'>
+                {p.frequency_per_week != null && (
+                  <Text className='meta-item'>{p.frequency_per_week}次/周</Text>
+                )}
+                {p.duration_minutes != null && (
+                  <Text className='meta-item'>每次{p.duration_minutes}分钟</Text>
+                )}
+              </View>
+              {(p.effective_from || p.effective_to) && (
+                <Text className='prescription-date'>
+                  {p.effective_from || '...'} ~ {p.effective_to || '...'}
+                </Text>
+              )}
+            </View>
+          );
+        })}
+      </View>
+
+      {prescriptions.length === 0 && !loading && (
+        <EmptyState text={Taro.getStorageSync('current_patient_id') ? '暂无透析处方' : '请先在就诊人管理中选择就诊人'} />
+      )}
+
+      {loading && <Loading />}
+    </View>
+  );
+}
diff --git a/apps/miniprogram/src/pages/pkg-profile/dialysis-records/detail/index.scss b/apps/miniprogram/src/pages/pkg-profile/dialysis-records/detail/index.scss
new file mode 100644
index 0000000..5584ab4
--- /dev/null
+++ b/apps/miniprogram/src/pages/pkg-profile/dialysis-records/detail/index.scss
@@ -0,0 +1,119 @@
+@import '../../../../styles/variables.scss';
+
+@mixin serif-number {
+  font-family: 'Georgia', 'Times New Roman', serif;
+  font-variant-numeric: tabular-nums;
+}
+
+.detail-page {
+  min-height: 100vh;
+  background: $bg;
+  padding: 24px;
+  padding-bottom: 40px;
+}
+
+.detail-card {
+  background: $card;
+  border-radius: $r;
+  padding: 28px;
+  margin-bottom: 20px;
+  box-shadow: $shadow-sm;
+}
+
+.header-card {
+  .header-row {
+    display: flex;
+    justify-content: space-between;
+    align-items: center;
+    margin-bottom: 8px;
+  }
+}
+
+.detail-title {
+  font-family: 'Georgia', 'Times New Roman', serif;
+  font-size: 34px;
+  font-weight: bold;
+  color: $tx;
+}
+
+.status-tag {
+  display: inline-block;
+  padding: 4px 12px;
+  border-radius: 8px;
+  font-size: 20px;
+  font-weight: 500;
+  background: $bd-l;
+  color: $tx3;
+
+  &.completed {
+    background: $pri-l;
+    color: $pri;
+  }
+
+  &.reviewed {
+    background: $acc-l;
+    color: $acc;
+  }
+}
+
+.header-sub {
+  font-size: 26px;
+  color: $tx2;
+  display: block;
+}
+
+.review-info {
+  font-size: 24px;
+  color: $tx3;
+  display: block;
+  margin-top: 8px;
+  @include serif-number;
+}
+
+.section-title {
+  font-family: 'Georgia', 'Times New Roman', serif;
+  font-size: 30px;
+  font-weight: bold;
+  color: $tx;
+  display: block;
+  margin-bottom: 16px;
+}
+
+.detail-row {
+  display: flex;
+  justify-content: space-between;
+  align-items: flex-start;
+  padding: 12px 0;
+  border-bottom: 1px solid $bd-l;
+
+  &:last-child {
+    border-bottom: none;
+  }
+}
+
+.detail-label {
+  font-size: 26px;
+  color: $tx2;
+  flex-shrink: 0;
+}
+
+.detail-value {
+  font-size: 26px;
+  color: $tx;
+  text-align: right;
+  flex: 1;
+  margin-left: 24px;
+  @include serif-number;
+}
+
+.empty-state {
+  display: flex;
+  justify-content: center;
+  align-items: center;
+  padding: 120px 0;
+}
+
+.empty-text {
+  font-size: 28px;
+  color: $tx3;
+}
diff --git a/apps/miniprogram/src/pages/pkg-profile/dialysis-records/detail/index.tsx b/apps/miniprogram/src/pages/pkg-profile/dialysis-records/detail/index.tsx
new file mode 100644
index 0000000..0b09697
--- /dev/null
+++ b/apps/miniprogram/src/pages/pkg-profile/dialysis-records/detail/index.tsx
@@ -0,0 +1,113 @@
+import React, { useState, useEffect } from 'react';
+import { View, Text } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import { getDialysisRecord } from '@/services/dialysis';
+import type { DialysisRecord } from '@/services/dialysis';
+import Loading from '@/components/Loading';
+import './index.scss';
+
+const STATUS_MAP: Record<string, { label: string; cls: string }> = {
+  draft: { label: '草稿', cls: 'draft' },
+  completed: { label: '已完成', cls: 'completed' },
+  reviewed: { label: '已审核', cls: 'reviewed' },
+};
+
+const TYPE_MAP: Record<string, string> = {
+  HD: '血液透析',
+  HDF: '血液透析滤过',
+  HF: '血液滤过',
+};
+
+export default function DialysisRecordDetail() {
+  const router = useRouter();
+  const id = router.params.id || '';
+  const [record, setRecord] = useState<DialysisRecord | null>(null);
+  const [loading, setLoading] = useState(true);
+
+  useEffect(() => {
+    if (!id) return;
+    setLoading(true);
+    getDialysisRecord(id)
+      .then((data) => setRecord(data))
+      .catch(() => Taro.showToast({ title: '加载失败', icon: 'none' }))
+      .finally(() => setLoading(false));
+  }, [id]);
+
+  if (loading) return <View className='detail-page'><Loading /></View>;
+  if (!record) return <View className='detail-page'><View className='empty-state'><Text className='empty-text'>记录不存在</Text></View></View>;
+
+  const si = STATUS_MAP[record.status] || { label: record.status, cls: '' };
+
+  return (
+    <View className='detail-page'>
+      {/* 状态头部 */}
+      <View className='detail-card header-card'>
+        <View className='header-row'>
+          <Text className='detail-title'>{record.dialysis_date}</Text>
+          <Text className={`status-tag ${si.cls}`}>{si.label}</Text>
+        </View>
+        <Text className='header-sub'>{TYPE_MAP[record.dialysis_type] || record.dialysis_type}</Text>
+        {record.reviewed_at && <Text className='review-info'>审核时间 {record.reviewed_at}</Text>}
+      </View>
+
+      {/* 基本信息 */}
+      <View className='detail-card'>
+        <Text className='section-title'>基本信息</Text>
+        {record.start_time && (
+          <View className='detail-row'><Text className='detail-label'>开始时间</Text><Text className='detail-value'>{record.start_time}</Text></View>
+        )}
+        {record.end_time && (
+          <View className='detail-row'><Text className='detail-label'>结束时间</Text><Text className='detail-value'>{record.end_time}</Text></View>
+        )}
+        {record.dialysis_duration != null && (
+          <View className='detail-row'><Text className='detail-label'>透析时长</Text><Text className='detail-value'>{record.dialysis_duration} 分钟</Text></View>
+        )}
+        {record.blood_flow_rate != null && (
+          <View className='detail-row'><Text className='detail-label'>血流速</Text><Text className='detail-value'>{record.blood_flow_rate} ml/min</Text></View>
+        )}
+        {record.ultrafiltration_volume != null && (
+          <View className='detail-row'><Text className='detail-label'>超滤量</Text><Text className='detail-value'>{record.ultrafiltration_volume} ml</Text></View>
+        )}
+      </View>
+
+      {/* 体重与血压 */}
+      <View className='detail-card'>
+        <Text className='section-title'>体重与血压</Text>
+        {record.dry_weight != null && (
+          <View className='detail-row'><Text className='detail-label'>干体重</Text><Text className='detail-value'>{record.dry_weight} kg</Text></View>
+        )}
+        {record.pre_weight != null && (
+          <View className='detail-row'><Text className='detail-label'>透前体重</Text><Text className='detail-value'>{record.pre_weight} kg</Text></View>
+        )}
+        {record.post_weight != null && (
+          <View className='detail-row'><Text className='detail-label'>透后体重</Text><Text className='detail-value'>{record.post_weight} kg</Text></View>
+        )}
+        {record.pre_bp_systolic != null && record.pre_bp_diastolic != null && (
+          <View className='detail-row'><Text className='detail-label'>透前血压</Text><Text className='detail-value'>{record.pre_bp_systolic}/{record.pre_bp_diastolic} mmHg</Text></View>
+        )}
+        {record.post_bp_systolic != null && record.post_bp_diastolic != null && (
+          <View className='detail-row'><Text className='detail-label'>透后血压</Text><Text className='detail-value'>{record.post_bp_systolic}/{record.post_bp_diastolic} mmHg</Text></View>
+        )}
+        {record.pre_heart_rate != null && (
+          <View className='detail-row'><Text className='detail-label'>透前心率</Text><Text className='detail-value'>{record.pre_heart_rate} bpm</Text></View>
+        )}
+        {record.post_heart_rate != null && (
+          <View className='detail-row'><Text className='detail-label'>透后心率</Text><Text className='detail-value'>{record.post_heart_rate} bpm</Text></View>
+        )}
+      </View>
+
+      {/* 症状与并发症 */}
+      {(record.symptoms || record.complication_notes) && (
+        <View className='detail-card'>
+          <Text className='section-title'>症状与并发症</Text>
+          {record.symptoms && Object.keys(record.symptoms).length > 0 && (
+            <View className='detail-row'><Text className='detail-label'>症状</Text><Text className='detail-value'>{JSON.stringify(record.symptoms)}</Text></View>
+          )}
+          {record.complication_notes && (
+            <View className='detail-row'><Text className='detail-label'>并发症备注</Text><Text className='detail-value'>{record.complication_notes}</Text></View>
+          )}
+        </View>
+      )}
+    </View>
+  );
+}
diff --git a/apps/miniprogram/src/pages/pkg-profile/dialysis-records/index.scss b/apps/miniprogram/src/pages/pkg-profile/dialysis-records/index.scss
new file mode 100644
index 0000000..bbcaf9d
--- /dev/null
+++ b/apps/miniprogram/src/pages/pkg-profile/dialysis-records/index.scss
@@ -0,0 +1,111 @@
+@import '../../../styles/variables.scss';
+
+@mixin section-title {
+  font-family: 'Georgia', 'Times New Roman', serif;
+  font-size: 30px;
+  font-weight: bold;
+  color: $tx;
+  margin-bottom: 20px;
+  display: block;
+}
+
+@mixin tag($bg, $color) {
+  display: inline-block;
+  padding: 4px 12px;
+  border-radius: 8px;
+  font-size: 20px;
+  font-weight: 500;
+  background: $bg;
+  color: $color;
+}
+
+@mixin serif-number {
+  font-family: 'Georgia', 'Times New Roman', serif;
+  font-variant-numeric: tabular-nums;
+}
+
+.dialysis-records-page {
+  min-height: 100vh;
+  background: $bg;
+  padding: 32px 24px;
+  padding-bottom: 40px;
+}
+
+.page-title {
+  @include section-title;
+  padding-left: 4px;
+}
+
+.record-list {
+  display: flex;
+  flex-direction: column;
+  gap: 16px;
+}
+
+.record-card {
+  background: $card;
+  border-radius: $r;
+  padding: 28px;
+  box-shadow: $shadow-sm;
+
+  &:active {
+    box-shadow: $shadow-md;
+  }
+}
+
+.record-card-top {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 12px;
+}
+
+.type-tag {
+  @include tag($pri-l, $pri-d);
+
+  &.hdf {
+    @include tag($acc-l, $acc);
+  }
+
+  &.hf {
+    @include tag($wrn-l, $wrn);
+  }
+}
+
+.status-tag {
+  @include tag($bd-l, $tx3);
+
+  &.completed {
+    @include tag($pri-l, $pri);
+  }
+
+  &.reviewed {
+    @include tag($acc-l, $acc);
+  }
+}
+
+.record-date {
+  @include serif-number;
+  font-size: 26px;
+  color: $tx2;
+  display: block;
+  margin-bottom: 8px;
+}
+
+.weight-row {
+  display: flex;
+  gap: 24px;
+  margin-bottom: 4px;
+}
+
+.weight-item {
+  font-size: 24px;
+  color: $tx2;
+  @include serif-number;
+}
+
+.record-meta {
+  font-size: 24px;
+  color: $tx3;
+  @include serif-number;
+}
diff --git a/apps/miniprogram/src/pages/pkg-profile/dialysis-records/index.tsx b/apps/miniprogram/src/pages/pkg-profile/dialysis-records/index.tsx
new file mode 100644
index 0000000..6d5ebbd
--- /dev/null
+++ b/apps/miniprogram/src/pages/pkg-profile/dialysis-records/index.tsx
@@ -0,0 +1,103 @@
+import React, { useState, useCallback } from 'react';
+import { View, Text } from '@tarojs/components';
+import Taro, { useDidShow, usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import { listDialysisRecords } from '@/services/dialysis';
+import type { DialysisRecord } from '@/services/dialysis';
+import EmptyState from '@/components/EmptyState';
+import Loading from '@/components/Loading';
+import './index.scss';
+
+const TYPE_MAP: Record<string, { label: string; cls: string }> = {
+  HD: { label: 'HD', cls: 'hd' },
+  HDF: { label: 'HDF', cls: 'hdf' },
+  HF: { label: 'HF', cls: 'hf' },
+};
+
+const STATUS_MAP: Record<string, { label: string; cls: string }> = {
+  draft: { label: '草稿', cls: 'draft' },
+  completed: { label: '已完成', cls: 'completed' },
+  reviewed: { label: '已审核', cls: 'reviewed' },
+};
+
+export default function DialysisRecordList() {
+  const [records, setRecords] = useState<DialysisRecord[]>([]);
+  const [page, setPage] = useState(1);
+  const [total, setTotal] = useState(0);
+  const [loading, setLoading] = useState(false);
+
+  const fetchData = useCallback(async (p: number, append = false) => {
+    const patientId = Taro.getStorageSync('current_patient_id') || '';
+    if (!patientId) {
+      setRecords([]);
+      return;
+    }
+    setLoading(true);
+    try {
+      const res = await listDialysisRecords(patientId, { page: p, page_size: 20 });
+      const list = res.data || [];
+      setRecords(append ? (prev) => [...prev, ...list] : list);
+      setTotal(res.total);
+      setPage(p);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  }, []);
+
+  useDidShow(() => { fetchData(1); });
+
+  usePullDownRefresh(() => {
+    fetchData(1).finally(() => Taro.stopPullDownRefresh());
+  });
+
+  useReachBottom(() => {
+    if (!loading && records.length < total) {
+      fetchData(page + 1, true);
+    }
+  });
+
+  const typeInfo = (t: string) => TYPE_MAP[t] || { label: t, cls: '' };
+  const statusInfo = (s: string) => STATUS_MAP[s] || { label: s, cls: '' };
+
+  return (
+    <View className='dialysis-records-page'>
+      <Text className='page-title'>透析记录</Text>
+
+      <View className='record-list'>
+        {records.map((r) => {
+          const ti = typeInfo(r.dialysis_type);
+          const si = statusInfo(r.status);
+          return (
+            <View
+              className='record-card'
+              key={r.id}
+              onClick={() => Taro.navigateTo({ url: `/pages/pkg-profile/dialysis-records/detail/index?id=${r.id}` })}
+            >
+              <View className='record-card-top'>
+                <Text className={`type-tag ${ti.cls}`}>{ti.label}</Text>
+                <Text className={`status-tag ${si.cls}`}>{si.label}</Text>
+              </View>
+              <Text className='record-date'>{r.dialysis_date}</Text>
+              {(r.pre_weight || r.post_weight) && (
+                <View className='weight-row'>
+                  {r.pre_weight && <Text className='weight-item'>透前 {r.pre_weight}kg</Text>}
+                  {r.post_weight && <Text className='weight-item'>透后 {r.post_weight}kg</Text>}
+                </View>
+              )}
+              {r.dialysis_duration && (
+                <Text className='record-meta'>时长 {r.dialysis_duration}分钟</Text>
+              )}
+            </View>
+          );
+        })}
+      </View>
+
+      {records.length === 0 && !loading && (
+        <EmptyState text={Taro.getStorageSync('current_patient_id') ? '暂无透析记录' : '请先在就诊人管理中选择就诊人'} />
+      )}
+
+      {loading && <Loading />}
+    </View>
+  );
+}
diff --git a/apps/miniprogram/src/pages/profile/index.tsx b/apps/miniprogram/src/pages/profile/index.tsx
index be87b6b..8fdc480 100644
--- a/apps/miniprogram/src/pages/profile/index.tsx
+++ b/apps/miniprogram/src/pages/profile/index.tsx
@@ -12,6 +12,8 @@ const MENU_ITEMS = [
   { label: '我的报告', char: '报', path: '/pages/pkg-profile/reports/index' },
   { label: '我的随访', char: '随', path: '/pages/pkg-profile/followups/index' },
   { label: '用药提醒', char: '药', path: '/pages/pkg-profile/medication/index' },
+  { label: '透析记录', char: '透', path: '/pages/pkg-profile/dialysis-records/index' },
+  { label: '透析处方', char: '方', path: '/pages/pkg-profile/dialysis-prescriptions/index' },
   { label: '设置', char: '设', path: '/pages/pkg-profile/settings/index' },
 ];
 
diff --git a/apps/miniprogram/src/services/dialysis.ts b/apps/miniprogram/src/services/dialysis.ts
new file mode 100644
index 0000000..b6e3076
--- /dev/null
+++ b/apps/miniprogram/src/services/dialysis.ts
@@ -0,0 +1,92 @@
+import { api } from './request';
+
+// ── Types ─────────────────────────────────────────────
+
+export interface DialysisRecord {
+  id: string;
+  patient_id: string;
+  dialysis_date: string;
+  start_time?: string;
+  end_time?: string;
+  dry_weight?: number;
+  pre_weight?: number;
+  post_weight?: number;
+  pre_bp_systolic?: number;
+  pre_bp_diastolic?: number;
+  post_bp_systolic?: number;
+  post_bp_diastolic?: number;
+  pre_heart_rate?: number;
+  post_heart_rate?: number;
+  ultrafiltration_volume?: number;
+  dialysis_duration?: number;
+  blood_flow_rate?: number;
+  dialysis_type: string;
+  symptoms?: Record<string, unknown>;
+  complication_notes?: string;
+  status: string;
+  reviewed_by?: string;
+  reviewed_at?: string;
+  created_at: string;
+  updated_at: string;
+  version: number;
+}
+
+export interface DialysisPrescription {
+  id: string;
+  patient_id: string;
+  dialyzer_model?: string;
+  membrane_area?: number;
+  dialysate_potassium?: number;
+  dialysate_calcium?: number;
+  dialysate_bicarbonate?: number;
+  anticoagulation_type?: string;
+  anticoagulation_dose?: string;
+  target_ultrafiltration_ml?: number;
+  target_dry_weight?: number;
+  blood_flow_rate?: number;
+  dialysate_flow_rate?: number;
+  frequency_per_week?: number;
+  duration_minutes?: number;
+  vascular_access_type?: string;
+  vascular_access_location?: string;
+  effective_from?: string;
+  effective_to?: string;
+  status: string;
+  prescribed_by?: string;
+  notes?: string;
+  created_at: string;
+  updated_at: string;
+  version: number;
+}
+
+// ── Patient-facing API (read-only) ────────────────────
+
+export async function listDialysisRecords(
+  patientId: string,
+  params?: { page?: number; page_size?: number },
+) {
+  return api.get<{ data: DialysisRecord[]; total: number }>(
+    `/health/patients/${patientId}/dialysis-records`,
+    params,
+  );
+}
+
+export async function getDialysisRecord(id: string) {
+  return api.get<DialysisRecord>(`/health/dialysis-records/${id}`);
+}
+
+export async function listDialysisPrescriptions(params?: {
+  patient_id?: string;
+  status?: string;
+  page?: number;
+  page_size?: number;
+}) {
+  return api.get<{ data: DialysisPrescription[]; total: number }>(
+    '/health/dialysis-prescriptions',
+    params,
+  );
+}
+
+export async function getDialysisPrescription(id: string) {
+  return api.get<DialysisPrescription>(`/health/dialysis-prescriptions/${id}`);
+}
diff --git a/apps/miniprogram/src/services/doctor.ts b/apps/miniprogram/src/services/doctor.ts
index 50dbac2..c04a9a8 100644
--- a/apps/miniprogram/src/services/doctor.ts
+++ b/apps/miniprogram/src/services/doctor.ts
@@ -1,343 +1,11 @@
-import { api } from './request';
+// doctor.ts — 统一 re-export 入口，保持 `import * as doctorApi` 兼容
+// 各领域实现已拆分到 ./doctor/ 子目录
 
-// ── Dashboard ──────────────────────────────────────
-
-export interface DoctorDashboard {
-  total_patients: number;
-  active_sessions: number;
-  unread_messages: number;
-  pending_follow_ups: number;
-  today_consultations: number;
-  pending_lab_review: number;
-  today_appointments: number;
-}
-
-export async function getDashboard() {
-  return api.get<DoctorDashboard>('/health/doctor/dashboard');
-}
-
-// ── Patient (doctor view) ──────────────────────────
-
-export interface PatientItem {
-  id: string;
-  name: string;
-  gender?: string;
-  birth_date?: string;
-  phone?: string;
-  status?: string;
-  tags?: { id: string; name: string; color?: string }[];
-  last_visit_date?: string;
-  version: number;
-}
-
-export interface PatientDetail extends PatientItem {
-  blood_type?: string;
-  allergy_history?: string;
-  medical_history_summary?: string;
-  emergency_contact_name?: string;
-  emergency_contact_phone?: string;
-  source?: string;
-  notes?: string;
-}
-
-export interface HealthSummary {
-  patient_id: string;
-  latest_vital_signs?: {
-    record_date: string;
-    systolic_bp?: number;
-    diastolic_bp?: number;
-    heart_rate?: number;
-    weight?: number;
-    blood_sugar?: number;
-  } | null;
-  latest_lab_report?: {
-    id: string;
-    report_date: string;
-    report_type: string;
-    abnormal_count?: number;
-  } | null;
-  pending_follow_ups?: number;
-  upcoming_appointments?: number;
-}
-
-export interface PatientTag {
-  id: string;
-  name: string;
-  color?: string;
-  is_system?: boolean;
-}
-
-export async function listPatients(params?: {
-  page?: number;
-  page_size?: number;
-  search?: string;
-  tag_id?: string;
-}) {
-  return api.get<{ data: PatientItem[]; total: number }>('/health/patients', params);
-}
-
-export async function getPatient(id: string) {
-  return api.get<PatientDetail>(`/health/patients/${id}`);
-}
-
-export async function getHealthSummary(patientId: string) {
-  return api.get<HealthSummary>(`/health/patients/${patientId}/health-summary`);
-}
-
-export async function listPatientTags() {
-  return api.get<{ data: PatientTag[]; total: number }>('/health/patient-tags');
-}
-
-// ── Consultation (doctor view) ─────────────────────
-
-export interface ConsultationSession {
-  id: string;
-  patient_id: string;
-  patient_name?: string;
-  doctor_id: string | null;
-  consultation_type: string;
-  status: string;
-  subject: string | null;
-  last_message: string | null;
-  last_message_at: string | null;
-  unread_count_doctor?: number;
-  created_at: string;
-}
-
-export interface ConsultationMessage {
-  id: string;
-  session_id: string;
-  sender_id: string;
-  sender_role: string;
-  content_type: string;
-  content: string;
-  created_at: string;
-}
-
-export async function listSessions(params?: {
-  page?: number;
-  page_size?: number;
-  status?: string;
-}) {
-  return api.get<{ data: ConsultationSession[]; total: number }>(
-    '/health/consultation-sessions',
-    params,
-  );
-}
-
-export async function getSession(id: string) {
-  return api.get<ConsultationSession>(`/health/consultation-sessions/${id}`);
-}
-
-export async function listMessages(sessionId: string, params?: { page?: number; page_size?: number; after_id?: string }) {
-  return api.get<{ data: ConsultationMessage[]; total: number }>(
-    `/health/consultation-sessions/${sessionId}/messages`,
-    params,
-  );
-}
-
-export async function sendMessage(sessionId: string, content: string, contentType = 'text') {
-  return api.post<ConsultationMessage>('/health/consultation-messages', {
-    session_id: sessionId,
-    content_type: contentType,
-    content,
-  });
-}
-
-export async function markSessionRead(sessionId: string) {
-  return api.put<void>(`/health/consultation-sessions/${sessionId}/read`);
-}
-
-export async function closeSession(sessionId: string) {
-  return api.put<void>(`/health/consultation-sessions/${sessionId}/close`);
-}
-
-// ── Follow-up (doctor view) ────────────────────────
-
-export interface FollowUpTask {
-  id: string;
-  patient_id: string;
-  patient_name?: string;
-  assigned_to?: string;
-  follow_up_type: string;
-  planned_date: string;
-  content_template?: string;
-  status: string;
-  created_at: string;
-  version: number;
-}
-
-export interface FollowUpRecord {
-  id: string;
-  task_id: string;
-  executed_by?: string;
-  executed_date: string;
-  result?: string;
-  patient_condition?: string;
-  medical_advice?: string;
-  next_follow_up_date?: string;
-  created_at: string;
-}
-
-export async function listFollowUpTasks(params?: {
-  page?: number;
-  page_size?: number;
-  status?: string;
-  patient_id?: string;
-}) {
-  return api.get<{ data: FollowUpTask[]; total: number }>('/health/follow-up-tasks', params);
-}
-
-export async function getFollowUpTask(id: string) {
-  return api.get<FollowUpTask>(`/health/follow-up-tasks/${id}`);
-}
-
-export async function updateFollowUpTask(id: string, data: Record<string, unknown>, version: number) {
-  return api.put<FollowUpTask>(`/health/follow-up-tasks/${id}`, { ...data, version });
-}
-
-export async function createFollowUpRecord(taskId: string, data: {
-  result?: string;
-  patient_condition?: string;
-  medical_advice?: string;
-  next_follow_up_date?: string;
-}) {
-  return api.post<FollowUpRecord>(`/health/follow-up-tasks/${taskId}/records`, { task_id: taskId, ...data });
-}
-
-export async function listFollowUpRecords(params?: { task_id?: string; page?: number }) {
-  return api.get<{ data: FollowUpRecord[]; total: number }>('/health/follow-up-records', params);
-}
-
-// ── Lab Report (doctor view) ───────────────────────
-
-export interface LabReportItem {
-  id: string;
-  report_date: string;
-  report_type: string;
-  status: string;
-  abnormal_count?: number;
-  reviewed_by?: string;
-  reviewed_at?: string;
-  doctor_notes?: string;
-  version: number;
-}
-
-export interface LabReportDetail extends LabReportItem {
-  items?: {
-    name: string;
-    value: number;
-    unit?: string;
-    reference_min?: number;
-    reference_max?: number;
-    is_abnormal?: boolean;
-  }[];
-  image_urls?: string[];
-}
-
-export async function listLabReports(patientId: string, params?: { page?: number; page_size?: number }) {
-  return api.get<{ data: LabReportItem[]; total: number }>(
-    `/health/patients/${patientId}/lab-reports`,
-    params,
-  );
-}
-
-export async function getLabReport(patientId: string, reportId: string) {
-  return api.get<LabReportDetail>(`/health/patients/${patientId}/lab-reports/${reportId}`);
-}
-
-export async function reviewLabReport(
-  patientId: string,
-  reportId: string,
-  data: { doctor_notes?: string; version: number },
-) {
-  return api.put<LabReportDetail>(
-    `/health/patients/${patientId}/lab-reports/${reportId}/review`,
-    data,
-  );
-}
-
-// ── Appointments (doctor view) ─────────────────────
-
-export async function listAppointments(params?: {
-  page?: number;
-  page_size?: number;
-  status?: string;
-  date?: string;
-}) {
-  return api.get<{ data: any[]; total: number }>('/health/appointments', params);
-}
-
-// ── Statistics ─────────────────────────────────────
-
-export interface PatientStats {
-  total_patients: number;
-  new_this_month: number;
-  new_this_week: number;
-  active_this_month: number;
-}
-
-export interface ConsultationStats {
-  total_sessions: number;
-  pending_reply: number;
-  avg_response_time_minutes?: number | null;
-  this_month: number;
-}
-
-export interface FollowUpStats {
-  total_tasks: number;
-  completed: number;
-  pending: number;
-  overdue: number;
-  completion_rate?: number;
-}
-
-export async function getPatientStats() {
-  return api.get<PatientStats>('/health/admin/statistics/patients');
-}
-
-export async function getConsultationStats() {
-  return api.get<ConsultationStats>('/health/admin/statistics/consultations');
-}
-
-export async function getFollowUpStats() {
-  return api.get<FollowUpStats>('/health/admin/statistics/follow-ups');
-}
-
-// ── Alerts (doctor view) ────────────────────────────
-
-export interface Alert {
-  id: string;
-  patient_id: string;
-  rule_id: string;
-  severity: string;
-  title: string;
-  detail?: Record<string, unknown>;
-  status: string;
-  acknowledged_by?: string;
-  acknowledged_at?: string;
-  resolved_at?: string;
-  created_at: string;
-  version: number;
-}
-
-export async function listAlerts(params?: {
-  patient_id?: string;
-  status?: string;
-  page?: number;
-  page_size?: number;
-}) {
-  return api.get<{ data: Alert[]; total: number }>('/health/alerts', params);
-}
-
-export async function acknowledgeAlert(id: string, version: number) {
-  return api.put<Alert>(`/health/alerts/${id}/acknowledge`, { version });
-}
-
-export async function dismissAlert(id: string, version: number) {
-  return api.put<Alert>(`/health/alerts/${id}/dismiss`, { version });
-}
-
-export async function resolveAlert(id: string, version: number) {
-  return api.put<Alert>(`/health/alerts/${id}/resolve`, { version });
-}
+export * from './doctor/dashboard';
+export * from './doctor/patient';
+export * from './doctor/consultation';
+export * from './doctor/followup';
+export * from './doctor/labReport';
+export * from './doctor/alerts';
+export * from './doctor/appointment';
+export * from './doctor/dialysis';
diff --git a/apps/miniprogram/src/services/doctor/dialysis.ts b/apps/miniprogram/src/services/doctor/dialysis.ts
new file mode 100644
index 0000000..229dd2e
--- /dev/null
+++ b/apps/miniprogram/src/services/doctor/dialysis.ts
@@ -0,0 +1,141 @@
+import { api } from '../request';
+import type { DialysisRecord, DialysisPrescription } from '../dialysis';
+
+// Re-export types for convenience
+export type { DialysisRecord, DialysisPrescription };
+
+// ── Request types ─────────────────────────────────────
+
+export interface CreateDialysisRecordReq {
+  patient_id: string;
+  dialysis_date: string;
+  start_time?: string;
+  end_time?: string;
+  dry_weight?: number;
+  pre_weight?: number;
+  post_weight?: number;
+  pre_bp_systolic?: number;
+  pre_bp_diastolic?: number;
+  post_bp_systolic?: number;
+  post_bp_diastolic?: number;
+  pre_heart_rate?: number;
+  post_heart_rate?: number;
+  ultrafiltration_volume?: number;
+  dialysis_duration?: number;
+  blood_flow_rate?: number;
+  dialysis_type?: string;
+  symptoms?: Record<string, unknown>;
+  complication_notes?: string;
+}
+
+export type UpdateDialysisRecordReq = Omit<CreateDialysisRecordReq, 'patient_id'>;
+
+export interface CreateDialysisPrescriptionReq {
+  patient_id: string;
+  dialyzer_model?: string;
+  membrane_area?: number;
+  dialysate_potassium?: number;
+  dialysate_calcium?: number;
+  dialysate_bicarbonate?: number;
+  anticoagulation_type?: string;
+  anticoagulation_dose?: string;
+  target_ultrafiltration_ml?: number;
+  target_dry_weight?: number;
+  blood_flow_rate?: number;
+  dialysate_flow_rate?: number;
+  frequency_per_week?: number;
+  duration_minutes?: number;
+  vascular_access_type?: string;
+  vascular_access_location?: string;
+  effective_from?: string;
+  effective_to?: string;
+  notes?: string;
+}
+
+export type UpdateDialysisPrescriptionReq = Omit<CreateDialysisPrescriptionReq, 'patient_id'>;
+
+export interface DialysisStatistics {
+  total_records: number;
+  this_month: number;
+  type_distribution: Array<{ name: string; value: number }>;
+  complication_rate: number;
+  avg_ultrafiltration?: number;
+  avg_duration?: number;
+  pending_review: number;
+}
+
+// ── Dialysis Records CRUD ─────────────────────────────
+
+export async function listDialysisRecords(
+  patientId: string,
+  params?: { page?: number; page_size?: number },
+) {
+  return api.get<{ data: DialysisRecord[]; total: number }>(
+    `/health/patients/${patientId}/dialysis-records`,
+    params,
+  );
+}
+
+export async function getDialysisRecord(id: string) {
+  return api.get<DialysisRecord>(`/health/dialysis-records/${id}`);
+}
+
+export async function createDialysisRecord(data: CreateDialysisRecordReq) {
+  return api.post<DialysisRecord>('/health/dialysis-records', data);
+}
+
+export async function updateDialysisRecord(
+  id: string,
+  data: UpdateDialysisRecordReq,
+  version: number,
+) {
+  return api.put<DialysisRecord>(`/health/dialysis-records/${id}`, { ...data, version });
+}
+
+export async function deleteDialysisRecord(id: string, version: number) {
+  return api.delete<void>(`/health/dialysis-records/${id}`, { version });
+}
+
+export async function reviewDialysisRecord(id: string, version: number) {
+  return api.put<DialysisRecord>(`/health/dialysis-records/${id}/review`, { version });
+}
+
+// ── Dialysis Prescriptions CRUD ───────────────────────
+
+export async function listDialysisPrescriptions(params?: {
+  patient_id?: string;
+  status?: string;
+  page?: number;
+  page_size?: number;
+}) {
+  return api.get<{ data: DialysisPrescription[]; total: number }>(
+    '/health/dialysis-prescriptions',
+    params,
+  );
+}
+
+export async function getDialysisPrescription(id: string) {
+  return api.get<DialysisPrescription>(`/health/dialysis-prescriptions/${id}`);
+}
+
+export async function createDialysisPrescription(data: CreateDialysisPrescriptionReq) {
+  return api.post<DialysisPrescription>('/health/dialysis-prescriptions', data);
+}
+
+export async function updateDialysisPrescription(
+  id: string,
+  data: UpdateDialysisPrescriptionReq,
+  version: number,
+) {
+  return api.put<DialysisPrescription>(`/health/dialysis-prescriptions/${id}`, { ...data, version });
+}
+
+export async function deleteDialysisPrescription(id: string, version: number) {
+  return api.delete<void>(`/health/dialysis-prescriptions/${id}`, { version });
+}
+
+// ── Statistics ────────────────────────────────────────
+
+export async function getDialysisStats() {
+  return api.get<DialysisStatistics>('/health/admin/statistics/dialysis');
+}
diff --git a/apps/miniprogram/src/services/request.ts b/apps/miniprogram/src/services/request.ts
index 2c44cce..93b2a16 100644
--- a/apps/miniprogram/src/services/request.ts
+++ b/apps/miniprogram/src/services/request.ts
@@ -141,5 +141,5 @@ export const api = {
 
   post: <T>(path: string, data?: unknown) => request<T>('POST', path, data),
   put: <T>(path: string, data?: unknown) => request<T>('PUT', path, data),
-  delete: <T>(path: string) => request<T>('DELETE', path),
+  delete: <T>(path: string, data?: unknown) => request<T>('DELETE', path, data),
 };