fix(mp): T40 UI 审计修复 — 28 项设计系统合规 + 安全加固 + 讨论记录

T40 UI 审计修复（60 页面全覆盖）: - 新增 $acc-d/$wrn-d 渐变中间色变量，修复首页轮播渐变硬编码 - 替换 8 处裸 white 为 $white 设计变量（5 个 SCSS 文件） - 修复 7 处触摸目标 40/44px → 48px（健康/消息/咨询/预约/首页） - 3 页面新增 Loading 状态（体征录入/个人中心/就诊人添加） - statusTag 移除硬编码布局值，改用 SCSS mixin 控制 - 医生端 14 页面架构 Hook 层补充（useThrottledDidShow 替换 useEffect） - 移除 action-inbox 未使用 import 安全 P0 修复: - JWT 中间件加固：token 类型校验 + 过期预检 + 类型别名简化 - 速率限制增强：滑动窗口 + 暴力破解防护 - analytics handler 错误处理完善文档: - T40 审计报告（24 PASS / 36 PASS_WITH_ISSUES / 0 NEEDS_WORK） - 5 份 DevTools/性能审计讨论记录 - wiki 症状导航 + 小程序章节更新
2026-05-14 23:12:54 +08:00
parent 447126b6c5
commit 8f353946e1
90 changed files with 2089 additions and 830 deletions
--- a/apps/miniprogram/src/pages/appointment/create/index.scss
+++ b/apps/miniprogram/src/pages/appointment/create/index.scss
@@ -60,7 +60,7 @@
  color: $pri;

  .dept-selected & {
-    color: white;
+    color: $white;
  }
 }

@@ -254,8 +254,8 @@
 }

 .doctor-check {
-  width: 44px;
-  height: 44px;
+  width: 48px;
+  height: 48px;
  border-radius: $r-pill;
  background: $pri;
  @include flex-center;
@@ -264,7 +264,7 @@

 .doctor-check-text {
  font-size: var(--tk-font-h2);
-  color: white;
+  color: $white;
  font-weight: bold;
 }

@@ -345,5 +345,5 @@
 }

 .btn-text-white {
-  color: white;
+  color: $white;
 }
--- a/apps/miniprogram/src/pages/appointment/index.scss
+++ b/apps/miniprogram/src/pages/appointment/index.scss
@@ -187,7 +187,7 @@

 .fab-text {
  font-size: var(--tk-font-num);
-  color: white;
+  color: $white;
  font-weight: bold;
  letter-spacing: 2px;
 }
--- a/apps/miniprogram/src/pages/appointment/index.tsx
+++ b/apps/miniprogram/src/pages/appointment/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback, useRef } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, useReachBottom, usePullDownRefresh } from '@tarojs/taro';
+import Taro, { useReachBottom, usePullDownRefresh } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listAppointments } from '../../services/appointment';
 import type { Appointment } from '../../services/appointment';
 import EmptyState from '../../components/EmptyState';
@@ -55,9 +56,9 @@ export default function AppointmentList() {
    }
  }, []);

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    fetchData(1, true);
-  });
+  }, 10000);

  usePullDownRefresh(() => {
    fetchData(1, true).finally(() => {
--- a/apps/miniprogram/src/pages/article/index.tsx
+++ b/apps/miniprogram/src/pages/article/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback, useEffect } from 'react';
 import { View, Text, Image, ScrollView } from '@tarojs/components';
-import Taro, { useDidShow, usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listArticles, listCategories, Article, ArticleCategory } from '../../services/article';
 import EmptyState from '../../components/EmptyState';
 import Loading from '../../components/Loading';
@@ -48,9 +49,9 @@ export default function ArticleList() {
    fetchCategories();
  }, [fetchCategories]);

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    fetchData(1, false, null);
-  });
+  }, 10000);

  usePullDownRefresh(() => {
    fetchData(1, false, null).finally(() => {
--- a/apps/miniprogram/src/pages/consultation/detail/index.scss
+++ b/apps/miniprogram/src/pages/consultation/detail/index.scss
@@ -134,6 +134,20 @@
  }
 }

+.msg-truncated-hint {
+  display: flex;
+  justify-content: center;
+  padding: 12px 0;
+
+  &__text {
+    font-size: var(--tk-font-micro);
+    color: var(--tk-text-secondary);
+    background: $surface-alt;
+    padding: 2px 12px;
+    border-radius: $r-pill;
+  }
+}
+
 .msg-image {
  width: 200px;
  border-radius: $r-sm;
@@ -175,7 +189,7 @@

 .chat-input {
  flex: 1;
-  height: 40px;
+  height: 48px;
  background: $bg;
  border: 1.5px solid $bd;
  border-radius: $r-lg;
@@ -185,8 +199,8 @@
 }

 .chat-send-btn {
-  width: 40px;
-  height: 40px;
+  width: 48px;
+  height: 48px;
  border-radius: $r-lg;
  background: $pri;
  @include flex-center;
--- a/apps/miniprogram/src/pages/consultation/detail/index.tsx
+++ b/apps/miniprogram/src/pages/consultation/detail/index.tsx
@@ -1,6 +1,6 @@
 import { useState, useEffect, useRef } from 'react';
 import { View, Text, Input, Image, ScrollView } from '@tarojs/components';
-import Taro, { useRouter } from '@tarojs/taro';
+import Taro, { useRouter, useDidShow, useDidHide } from '@tarojs/taro';
 import {
  getSession,
  listMessages,
@@ -14,6 +14,15 @@ import Loading from '@/components/Loading';
 import { useElderClass } from '@/hooks/useElderClass';
 import './index.scss';

+/** DOM 节点数量上限，超过时只渲染最新的消息 */
+const MAX_RENDER_MESSAGES = 200;
+/** React state 中保留的消息上限（比渲染上限略多，保留滚动缓冲） */
+const MAX_STATE_MESSAGES = 300;
+/** 成功轮询后最小间隔（ms），防止后端快速响应时紧密递归 */
+const POLL_INTERVAL_MS = 3000;
+/** 连续失败上限，超过后停止轮询 */
+const MAX_CONSECUTIVE_FAILURES = 50;
+
 export default function ConsultationDetail() {
  const router = useRouter();
  const sessionId = router.params.id || '';
@@ -24,6 +33,8 @@ export default function ConsultationDetail() {
  const [loading, setLoading] = useState(true);
  const scrollViewRef = useRef('');
  const pollingRef = useRef(false);
+  const mountedRef = useRef(true);
+  const messagesRef = useRef<ConsultationMessage[]>([]);
  const modeClass = useElderClass();

  useEffect(() => {
@@ -32,9 +43,22 @@ export default function ConsultationDetail() {
      markRead();
      startLongPolling();
    }
-    return () => { pollingRef.current = false; };
+    return () => {
+      pollingRef.current = false;
+      mountedRef.current = false;
+    };
  }, [sessionId]);

+  // 页面可见时恢复轮询，不可见时暂停（防止 DevTools 后台页面累积轮询）
+  useDidShow(() => {
+    if (sessionId && !pollingRef.current && session?.status !== 'closed') {
+      startLongPolling();
+    }
+  });
+  useDidHide(() => {
+    pollingRef.current = false;
+  });
+
  useEffect(() => {
    if (session?.status === 'closed') {
      pollingRef.current = false;
@@ -46,24 +70,33 @@ export default function ConsultationDetail() {
    longPoll();
  };

-  const longPoll = async () => {
-    if (!pollingRef.current) return;
+  const longPoll = async (failCount = 0) => {
+    if (!pollingRef.current || !mountedRef.current) return;
+    if (failCount >= MAX_CONSECUTIVE_FAILURES) return;
    try {
-      const lastId = messages.length > 0 ? messages[messages.length - 1].id : undefined;
+      const currentMessages = messagesRef.current;
+      const lastId = currentMessages.length > 0 ? currentMessages[currentMessages.length - 1].id : undefined;
      const newMsgs = await pollMessages(sessionId, lastId);
+      if (!mountedRef.current) return;
      if (newMsgs && newMsgs.length > 0) {
        setMessages((prev) => {
          const existing = new Set(prev.map((msg) => msg.id));
          const fresh = newMsgs.filter((msg) => !existing.has(msg.id));
-          return [...prev, ...fresh];
+          const next = [...prev, ...fresh].slice(-MAX_STATE_MESSAGES);
+          messagesRef.current = next;
+          return next;
        });
-        scrollViewRef.current = `msg-${messages.length + newMsgs.length}`;
+        scrollViewRef.current = `msg-${currentMessages.length + newMsgs.length}`;
      }
+      failCount = 0;
    } catch {
-      // 超时或网络错误，静默重试
+      failCount++;
    }
-    if (pollingRef.current) {
-      longPoll();
+    if (!pollingRef.current || !mountedRef.current) return;
+    const delay = failCount > 0 ? Math.min(failCount * 2000, 30000) : POLL_INTERVAL_MS;
+    await new Promise((r) => setTimeout(r, delay));
+    if (pollingRef.current && mountedRef.current) {
+      longPoll(failCount);
    }
  };

@@ -75,8 +108,10 @@ export default function ConsultationDetail() {
        listMessages(sessionId, { page: 1, page_size: 50 }),
      ]);
      setSession(s);
-      setMessages(m.data || []);
-      scrollViewRef.current = `msg-${(m.data || []).length}`;
+      const msgs = m.data || [];
+      setMessages(msgs);
+      messagesRef.current = msgs;
+      scrollViewRef.current = `msg-${msgs.length}`;
      if (s.status === 'closed') pollingRef.current = false;
    } catch {
      Taro.showToast({ title: '加载失败', icon: 'none' });
@@ -98,8 +133,12 @@ export default function ConsultationDetail() {
    setInputText('');
    try {
      const msg = await sendMessage(sessionId, text);
-      setMessages((prev) => [...prev, msg]);
-      scrollViewRef.current = `msg-${messages.length + 1}`;
+      setMessages((prev) => {
+        const next = [...prev, msg];
+        messagesRef.current = next;
+        scrollViewRef.current = `msg-${next.length}`;
+        return next;
+      });
    } catch {
      Taro.showToast({ title: '发送失败', icon: 'none' });
      setInputText(text);
@@ -131,6 +170,10 @@ export default function ConsultationDetail() {

  const isImageUrl = (url: string) => /\.(jpg|jpeg|png|gif|webp)(\?.*)?$/i.test(url);

+  // 渲染层面的消息数量上限，防止长对话 DOM 节点过多
+  const hiddenCount = Math.max(0, messages.length - MAX_RENDER_MESSAGES);
+  const renderMessages = hiddenCount > 0 ? messages.slice(-MAX_RENDER_MESSAGES) : messages;
+
  if (loading) return <Loading />;

  const isOpen = session?.status !== 'closed';
@@ -160,9 +203,14 @@ export default function ConsultationDetail() {
        scrollIntoView={scrollViewRef.current}
        scrollWithAnimation
      >
-        {messages.map((msg, idx) => {
+        {hiddenCount > 0 && (
+          <View className='msg-truncated-hint'>
+            <Text className='msg-truncated-hint__text'>已隐藏较早的 {hiddenCount} 条消息</Text>
+          </View>
+        )}
+        {renderMessages.map((msg, idx) => {
          const isSelf = msg.sender_role === 'patient';
-          const showDateDivider = idx === 0 || isDifferentDay(msg.created_at, messages[idx - 1].created_at);
+          const showDateDivider = idx === 0 || isDifferentDay(msg.created_at, renderMessages[idx - 1].created_at);
          return (
            <View key={msg.id}>
              {showDateDivider && (
@@ -170,7 +218,7 @@ export default function ConsultationDetail() {
                  <Text className='msg-date-divider__text'>{getDateLabel(msg.created_at)}</Text>
                </View>
              )}
-              <View id={`msg-${idx + 1}`} className={`msg-row ${isSelf ? 'msg-row--self' : ''}`}>
+              <View id={`msg-${hiddenCount + idx + 1}`} className={`msg-row ${isSelf ? 'msg-row--self' : ''}`}>
                {!isSelf && (
                  <View className='msg-avatar'>
                    <Text className='msg-avatar-char'>{doctorInitial}</Text>
@@ -193,7 +241,7 @@ export default function ConsultationDetail() {
            </View>
          );
        })}
-        {messages.length === 0 && (
+        {renderMessages.length === 0 && (
          <View className='chat-empty'>
            <Text className='chat-empty__text'>暂无消息，发送第一条消息开始对话</Text>
          </View>
--- a/apps/miniprogram/src/pages/consultation/index.tsx
+++ b/apps/miniprogram/src/pages/consultation/index.tsx
@@ -1,6 +1,7 @@
 import { useState, useRef } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { useAuthStore } from '@/stores/auth';
 import { listConsultations, ConsultationSession } from '@/services/consultation';
 import Loading from '../../components/Loading';
@@ -69,11 +70,11 @@ export default function Consultation() {
    }
  };

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    Taro.setNavigationBarTitle({ title: '在线咨询' });
    if (!user) return;
    loadSessions(1, true);
-  });
+  }, 10000);

  usePullDownRefresh(() => {
    loadSessions(1, true).finally(() => {
--- a/apps/miniprogram/src/pages/device-sync/index.tsx
+++ b/apps/miniprogram/src/pages/device-sync/index.tsx
@@ -1,6 +1,7 @@
-import { useState, useCallback, useMemo } from 'react';
+import { useState, useCallback, useMemo, useEffect, useRef } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, useRouter } from '@tarojs/taro';
+import Taro, { useRouter } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { BLEManager } from '@/services/ble/BLEManager';
 import { XiaomiBandAdapter } from '@/services/ble/adapters/XiaomiBandAdapter';
 import { BloodPressureAdapter } from '@/services/ble/adapters/BloodPressureAdapter';
@@ -13,17 +14,14 @@ import type { BLEDevice, NormalizedReading } from '@/services/ble/types';
 import { useElderClass } from '../../hooks/useElderClass';
 import './index.scss';

-const bleManager = new BLEManager({ scanTimeout: 10000, retryCount: 3 });
-bleManager.registerAdapter(XiaomiBandAdapter);
-bleManager.registerAdapter(BloodPressureAdapter);
-bleManager.registerAdapter(GlucoseMeterAdapter);
-bleManager.registerAdapter(CustomBandAdapter);
+/** liveReadings 最大保留条数，防止内存无限增长 */
+const MAX_LIVE_READINGS = 200;

 type PageState = 'idle' | 'scanning' | 'connecting' | 'connected' | 'syncing' | 'done' | 'error';

 export default function DeviceSync() {
  const modeClass = useElderClass();
-  const { currentPatient } = useAuthStore();
+  const currentPatient = useAuthStore((s) => s.currentPatient);
  const router = useRouter();
  const returnTo = router.params.returnTo || '';
  const [pageState, setPageState] = useState<PageState>('idle');
@@ -39,10 +37,27 @@ export default function DeviceSync() {
    intervalMs: 60 * 60 * 1000,
  }), []);

-  useDidShow(() => {
+  const bleManagerRef = useRef<BLEManager | null>(null);
+  const getBleManager = useCallback(() => {
+    if (!bleManagerRef.current) {
+      const mgr = new BLEManager({ scanTimeout: 10000, retryCount: 3 });
+      mgr.registerAdapter(XiaomiBandAdapter);
+      mgr.registerAdapter(BloodPressureAdapter);
+      mgr.registerAdapter(GlucoseMeterAdapter);
+      mgr.registerAdapter(CustomBandAdapter);
+      bleManagerRef.current = mgr;
+    }
+    return bleManagerRef.current;
+  }, []);
+
+  useThrottledDidShow(() => {
+    const bleManager = getBleManager();
    bleManager.setOnConnectionChange(() => {});
    bleManager.setOnReadings((readings) => {
-      setLiveReadings((prev) => [...prev, ...readings]);
+      setLiveReadings((prev) => {
+        const merged = [...prev, ...readings];
+        return merged.length > MAX_LIVE_READINGS ? merged.slice(-MAX_LIVE_READINGS) : merged;
+      });
    });

    // 显示上次同步时间
@@ -65,19 +80,24 @@ export default function DeviceSync() {
        return { success: count > 0, uploadedCount: count };
      });
    }
+  }, 10000);

+  useEffect(() => {
    return () => {
      scheduler.destroy();
-      bleManager.destroy();
+      if (bleManagerRef.current) {
+        bleManagerRef.current.destroy();
+        bleManagerRef.current = null;
+      }
    };
-  });
+  }, [scheduler]);

  const handleScan = useCallback(async () => {
    setPageState('scanning');
    setDevices([]);
    setErrorMsg('');
    try {
-      const found = await bleManager.scanDevices();
+      const found = await getBleManager().scanDevices();
      setDevices(found);
      if (found.length === 0) {
        setErrorMsg('未发现支持的设备，请确认设备已开启蓝牙并靠近手机');
@@ -94,7 +114,7 @@ export default function DeviceSync() {
    setPageState('connecting');
    setErrorMsg('');
    try {
-      await bleManager.connect(device);
+      await getBleManager().connect(device);
      setPageState('connected');
    } catch (e: any) {
      setErrorMsg(e.message || '连接失败');
@@ -109,7 +129,7 @@ export default function DeviceSync() {
    setErrorMsg('');

    try {
-      const result = await bleManager.syncToServer(async (readings) => {
+      const result = await getBleManager().syncToServer(async (readings) => {
        return uploadReadings(
          currentPatient.id,
          selectedDevice.deviceId,
@@ -154,7 +174,7 @@ export default function DeviceSync() {
  }, [currentPatient, selectedDevice, liveReadings, returnTo]);

  const handleDisconnect = useCallback(async () => {
-    await bleManager.disconnect();
+    await getBleManager().disconnect();
    setPageState('idle');
    setSelectedDevice(null);
    setLiveReadings([]);
--- a/apps/miniprogram/src/pages/doctor/action-inbox/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/action-inbox/index.tsx
@@ -1,6 +1,8 @@
 import React, { useState, useCallback, useRef } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
-import Taro, { useDidShow, usePullDownRefresh } from '@tarojs/taro';
+import Taro, { usePullDownRefresh } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import { api } from '@/services/request';
 import {
  listActionItems,
  getActionThread,
@@ -9,7 +11,6 @@ import {
 } from '@/services/action-inbox';
 import Loading from '@/components/Loading';
 import { useElderClass } from '../../../hooks/useElderClass';
-import { getStatusInlineStyle, getStatusLabel } from '@/utils/statusTag';
 import './index.scss';

 const TYPE_LABEL: Record<string, string> = {
@@ -73,10 +74,10 @@ export default function ActionInboxPage() {
    [],
  );

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    Taro.setNavigationBarTitle({ title: '待办事项' });
    fetchItems(1, activeTab, true);
-  });
+  }, 10000);

  usePullDownRefresh(() => {
    fetchItems(1, activeTab, true).then(() =>
@@ -105,12 +106,7 @@ export default function ActionInboxPage() {
  }) => {
    if (!action.api_endpoint || !threadData) return;
    try {
-      await Taro.request({
-        url: `${process.env.TARO_APP_API_URL}${action.api_endpoint}`,
-        method: 'POST',
-        header: { 'Content-Type': 'application/json' },
-        data: { action: action.key },
-      });
+      await api.post(action.api_endpoint, { action: action.key });
      Taro.showToast({ title: '操作成功', icon: 'success' });
      setShowDetail(false);
      fetchItems(1, activeTab, true);
--- a/apps/miniprogram/src/pages/doctor/alerts/detail/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/alerts/detail/index.tsx
@@ -1,7 +1,10 @@
 import { useState, useEffect } from 'react';
 import { View, Text, ScrollView, Button } from '@tarojs/components';
 import Taro from '@tarojs/taro';
-import * as doctorApi from '@/services/doctor';
+import {
+  getAlert, acknowledgeAlert, dismissAlert, resolveAlert,
+  type Alert,
+} from '@/services/doctor/alerts';
 import Loading from '@/components/Loading';
 import { useElderClass } from '../../../../hooks/useElderClass';
 import './index.scss';
@@ -22,7 +25,7 @@ const STATUS_MAP: Record<string, { label: string; className: string }> = {

 export default function AlertDetail() {
  const modeClass = useElderClass();
-  const [alert, setAlert] = useState<doctorApi.Alert | null>(null);
+  const [alert, setAlert] = useState<Alert | null>(null);
  const [loading, setLoading] = useState(true);
  const [actionLoading, setActionLoading] = useState(false);

@@ -35,14 +38,8 @@ export default function AlertDetail() {

  const loadAlert = async (id: string) => {
    try {
-      // 告警列表 API 支持按 ID 查询，此处用列表加载后过滤
-      const res = await doctorApi.listAlerts({ page: 1, page_size: 100 });
-      const found = (res.data || []).find((a) => a.id === id);
-      if (found) {
-        setAlert(found);
-      } else {
-        Taro.showToast({ title: '告警不存在', icon: 'none' });
-      }
+      const data = await getAlert(id);
+      setAlert(data);
    } catch {
      Taro.showToast({ title: '加载失败', icon: 'none' });
    } finally {
@@ -54,7 +51,7 @@ export default function AlertDetail() {
    if (!alert) return;
    setActionLoading(true);
    try {
-      const updated = await doctorApi.acknowledgeAlert(alert.id, alert.version);
+      const updated = await acknowledgeAlert(alert.id, alert.version);
      setAlert(updated);
      Taro.showToast({ title: '已确认', icon: 'success' });
    } catch {
@@ -68,7 +65,7 @@ export default function AlertDetail() {
    if (!alert) return;
    setActionLoading(true);
    try {
-      const updated = await doctorApi.dismissAlert(alert.id, alert.version);
+      const updated = await dismissAlert(alert.id, alert.version);
      setAlert(updated);
      Taro.showToast({ title: '已忽略', icon: 'success' });
    } catch {
@@ -82,7 +79,7 @@ export default function AlertDetail() {
    if (!alert) return;
    setActionLoading(true);
    try {
-      const updated = await doctorApi.resolveAlert(alert.id, alert.version);
+      const updated = await resolveAlert(alert.id, alert.version);
      setAlert(updated);
      Taro.showToast({ title: '已恢复', icon: 'success' });
    } catch {
@@ -132,7 +129,7 @@ export default function AlertDetail() {
      <View className='alert-detail-card'>
        <Text className='alert-detail-card__label'>患者 ID</Text>
        <Text className='alert-detail-card__value alert-detail-card__value--id'>
-          {alert.patient_id.slice(0, 8)}...
+          {alert.patient_id ? `${alert.patient_id.slice(0, 8)}...` : '-'}
        </Text>
      </View>

--- a/apps/miniprogram/src/pages/doctor/alerts/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/alerts/index.tsx
@@ -1,7 +1,7 @@
 import { useState, useEffect, useMemo } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
 import Taro from '@tarojs/taro';
-import * as doctorApi from '@/services/doctor';
+import { listAlerts, type Alert } from '@/services/doctor/alerts';
 import Loading from '@/components/Loading';
 import EmptyState from '@/components/EmptyState';
 import { useElderClass } from '../../../hooks/useElderClass';
@@ -30,7 +30,7 @@ const STATUS_TABS = [

 export default function AlertList() {
  const modeClass = useElderClass();
-  const [alerts, setAlerts] = useState<doctorApi.Alert[]>([]);
+  const [alerts, setAlerts] = useState<Alert[]>([]);
  const [loading, setLoading] = useState(true);
  const [activeTab, setActiveTab] = useState('');
  const [total, setTotal] = useState(0);
@@ -45,7 +45,7 @@ export default function AlertList() {
  const loadAlerts = async () => {
    setLoading(true);
    try {
-      const res = await doctorApi.listAlerts({
+      const res = await listAlerts({
        status: activeTab || undefined,
        page,
        page_size: 20,
@@ -64,7 +64,7 @@ export default function AlertList() {
    setPage(1);
  };

-  const handleAlertClick = (alert: doctorApi.Alert) => {
+  const handleAlertClick = (alert: Alert) => {
    Taro.navigateTo({ url: `/pages/doctor/alerts/detail/index?id=${alert.id}` });
  };

--- a/apps/miniprogram/src/pages/doctor/consultation/detail/index.scss
+++ b/apps/miniprogram/src/pages/doctor/consultation/detail/index.scss
@@ -74,6 +74,20 @@
  }
 }

+.msg-truncated-hint {
+  display: flex;
+  justify-content: center;
+  padding: 12px 0;
+
+  &__text {
+    font-size: var(--tk-font-body);
+    color: $tx3;
+    background: $bd-l;
+    padding: 4px 16px;
+    border-radius: $r;
+  }
+}
+
 .msg-time {
  @include serif-number;
  font-size: var(--tk-font-body);
--- a/apps/miniprogram/src/pages/doctor/consultation/detail/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/consultation/detail/index.tsx
@@ -1,22 +1,37 @@
 import { useState, useEffect, useRef } from 'react';
 import { View, Text, Input, ScrollView } from '@tarojs/components';
-import Taro, { useRouter } from '@tarojs/taro';
-import * as doctorApi from '@/services/doctor';
+import Taro, { useRouter, useDidShow, useDidHide } from '@tarojs/taro';
+import {
+  getSession, listMessages, pollMessages,
+  markSessionRead, sendMessage, closeSession,
+  type ConsultationSession, type ConsultationMessage,
+} from '@/services/doctor/consultation';
 import Loading from '@/components/Loading';
 import { useElderClass } from '../../../../hooks/useElderClass';
 import './index.scss';

+/** DOM 节点数量上限，超过时只渲染最新的消息 */
+const MAX_RENDER_MESSAGES = 200;
+/** React state 中保留的消息上限（比渲染上限略多，保留滚动缓冲） */
+const MAX_STATE_MESSAGES = 300;
+/** 成功轮询后最小间隔（ms），防止后端快速响应时紧密递归 */
+const POLL_INTERVAL_MS = 3000;
+/** 连续失败上限，超过后停止轮询 */
+const MAX_CONSECUTIVE_FAILURES = 50;
+
 export default function ConsultationDetail() {
  const router = useRouter();
  const sessionId = router.params.id || '';
  const modeClass = useElderClass();
-  const [session, setSession] = useState<doctorApi.ConsultationSession | null>(null);
-  const [messages, setMessages] = useState<doctorApi.ConsultationMessage[]>([]);
+  const [session, setSession] = useState<ConsultationSession | null>(null);
+  const [messages, setMessages] = useState<ConsultationMessage[]>([]);
  const [inputText, setInputText] = useState('');
  const [sending, setSending] = useState(false);
  const [loading, setLoading] = useState(true);
  const scrollViewRef = useRef('');
  const pollingRef = useRef(false);
+  const mountedRef = useRef(true);
+  const messagesRef = useRef<ConsultationMessage[]>([]);

  useEffect(() => {
    if (sessionId) {
@@ -24,9 +39,22 @@ export default function ConsultationDetail() {
      markRead();
      startLongPolling();
    }
-    return () => { pollingRef.current = false; };
+    return () => {
+      pollingRef.current = false;
+      mountedRef.current = false;
+    };
  }, [sessionId]);

+  // 页面可见时恢复轮询，不可见时暂停（防止 DevTools 后台页面累积轮询）
+  useDidShow(() => {
+    if (sessionId && !pollingRef.current && session?.status !== 'closed') {
+      startLongPolling();
+    }
+  });
+  useDidHide(() => {
+    pollingRef.current = false;
+  });
+
  useEffect(() => {
    if (session?.status === 'closed') {
      pollingRef.current = false;
@@ -38,24 +66,33 @@ export default function ConsultationDetail() {
    longPoll();
  };

-  const longPoll = async () => {
-    if (!pollingRef.current) return;
+  const longPoll = async (failCount = 0) => {
+    if (!pollingRef.current || !mountedRef.current) return;
+    if (failCount >= MAX_CONSECUTIVE_FAILURES) return;
    try {
-      const lastId = messages.length > 0 ? messages[messages.length - 1].id : undefined;
-      const newMsgs = await doctorApi.pollMessages(sessionId, lastId);
+      const currentMessages = messagesRef.current;
+      const lastId = currentMessages.length > 0 ? currentMessages[currentMessages.length - 1].id : undefined;
+      const newMsgs = await pollMessages(sessionId, lastId);
+      if (!mountedRef.current) return;
      if (newMsgs && newMsgs.length > 0) {
        setMessages((prev) => {
          const existing = new Set(prev.map((msg) => msg.id));
          const fresh = newMsgs.filter((msg) => !existing.has(msg.id));
-          return [...prev, ...fresh];
+          const next = [...prev, ...fresh].slice(-MAX_STATE_MESSAGES);
+          messagesRef.current = next;
+          return next;
        });
-        scrollViewRef.current = `msg-${messages.length + newMsgs.length}`;
+        scrollViewRef.current = `msg-${currentMessages.length + newMsgs.length}`;
      }
+      failCount = 0;
    } catch {
-      // 超时或网络错误，静默重试
+      failCount++;
    }
-    if (pollingRef.current) {
-      longPoll();
+    if (!pollingRef.current || !mountedRef.current) return;
+    const delay = failCount > 0 ? Math.min(failCount * 2000, 30000) : POLL_INTERVAL_MS;
+    await new Promise((r) => setTimeout(r, delay));
+    if (pollingRef.current && mountedRef.current) {
+      longPoll(failCount);
    }
  };

@@ -63,12 +100,14 @@ export default function ConsultationDetail() {
    setLoading(true);
    try {
      const [s, m] = await Promise.all([
-        doctorApi.getSession(sessionId),
-        doctorApi.listMessages(sessionId, { page: 1, page_size: 50 }),
+        getSession(sessionId),
+        listMessages(sessionId, { page: 1, page_size: 50 }),
      ]);
      setSession(s);
-      setMessages(m.data || []);
-      scrollViewRef.current = `msg-${(m.data || []).length}`;
+      const msgs = m.data || [];
+      setMessages(msgs);
+      messagesRef.current = msgs;
+      scrollViewRef.current = `msg-${msgs.length}`;
      if (s.status === 'closed') pollingRef.current = false;
    } catch {
      Taro.showToast({ title: '加载失败', icon: 'none' });
@@ -79,7 +118,7 @@ export default function ConsultationDetail() {

  const markRead = async () => {
    try {
-      await doctorApi.markSessionRead(sessionId);
+      await markSessionRead(sessionId);
    } catch { /* ignore */ }
  };

@@ -89,9 +128,13 @@ export default function ConsultationDetail() {
    setSending(true);
    setInputText('');
    try {
-      const msg = await doctorApi.sendMessage(sessionId, text);
-      setMessages((prev) => [...prev, msg]);
-      scrollViewRef.current = `msg-${messages.length + 1}`;
+      const msg = await sendMessage(sessionId, text);
+      setMessages((prev) => {
+        const next = [...prev, msg];
+        messagesRef.current = next;
+        scrollViewRef.current = `msg-${next.length}`;
+        return next;
+      });
    } catch {
      Taro.showToast({ title: '发送失败', icon: 'none' });
      setInputText(text);
@@ -107,7 +150,7 @@ export default function ConsultationDetail() {
      success: async (res) => {
        if (res.confirm) {
          try {
-            await doctorApi.closeSession(sessionId, session?.version ?? 0);
+            await closeSession(sessionId, session?.version ?? 0);
            Taro.showToast({ title: '已关闭', icon: 'success' });
            loadData();
          } catch {
@@ -123,6 +166,10 @@ export default function ConsultationDetail() {
    return d.toLocaleTimeString('zh-CN', { hour: '2-digit', minute: '2-digit' });
  };

+  // 渲染层面的消息数量上限，防止长对话 DOM 节点过多
+  const hiddenCount = Math.max(0, messages.length - MAX_RENDER_MESSAGES);
+  const renderMessages = hiddenCount > 0 ? messages.slice(-MAX_RENDER_MESSAGES) : messages;
+
  if (loading) return <Loading />;

  const isOpen = session?.status !== 'closed';
@@ -144,10 +191,15 @@ export default function ConsultationDetail() {
        scrollIntoView={scrollViewRef.current}
        scrollWithAnimation
      >
-        {messages.map((msg, idx) => {
+        {hiddenCount > 0 && (
+          <View className='msg-truncated-hint'>
+            <Text className='msg-truncated-hint__text'>已隐藏较早的 {hiddenCount} 条消息</Text>
+          </View>
+        )}
+        {renderMessages.map((msg, idx) => {
          const isDoctor = msg.sender_role === 'doctor';
          return (
-            <View key={msg.id} id={`msg-${idx + 1}`} className={`msg-row ${isDoctor ? 'msg-row--self' : ''}`}>
+            <View key={msg.id} id={`msg-${hiddenCount + idx + 1}`} className={`msg-row ${isDoctor ? 'msg-row--self' : ''}`}>
              <View className={`msg-bubble ${isDoctor ? 'msg-bubble--self' : 'msg-bubble--other'}`}>
                <Text className='msg-text'>{msg.content}</Text>
                <Text className='msg-time'>{formatTime(msg.created_at)}</Text>
@@ -155,7 +207,7 @@ export default function ConsultationDetail() {
            </View>
          );
        })}
-        {messages.length === 0 && (
+        {renderMessages.length === 0 && (
          <View className='chat-empty'>
            <Text className='chat-empty__text'>暂无消息，发送第一条消息开始对话</Text>
          </View>
--- a/apps/miniprogram/src/pages/doctor/consultation/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/consultation/index.tsx
@@ -1,7 +1,7 @@
 import { useState, useEffect, useMemo } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
 import Taro from '@tarojs/taro';
-import * as doctorApi from '@/services/doctor';
+import { listSessions, type ConsultationSession } from '@/services/doctor/consultation';
 import Loading from '@/components/Loading';
 import EmptyState from '@/components/EmptyState';
 import { useElderClass } from '../../../hooks/useElderClass';
@@ -18,7 +18,7 @@ const TABS = [

 export default function ConsultationList() {
  const modeClass = useElderClass();
-  const [sessions, setSessions] = useState<doctorApi.ConsultationSession[]>([]);
+  const [sessions, setSessions] = useState<ConsultationSession[]>([]);
  const [activeTab, setActiveTab] = useState('');
  const [loading, setLoading] = useState(true);
  const [total, setTotal] = useState(0);
@@ -33,7 +33,7 @@ export default function ConsultationList() {
  const loadSessions = async () => {
    setLoading(true);
    try {
-      const res = await doctorApi.listSessions({
+      const res = await listSessions({
        page,
        page_size: 20,
        status: activeTab || undefined,
--- a/apps/miniprogram/src/pages/doctor/dialysis/create/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/dialysis/create/index.tsx
@@ -1,7 +1,9 @@
 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 {
+  getDialysisRecord, updateDialysisRecord, createDialysisRecord,
+} from '@/services/doctor/dialysis';
 import Loading from '@/components/Loading';
 import { useElderClass } from '../../../../hooks/useElderClass';
 import './index.scss';
@@ -69,7 +71,7 @@ export default function DialysisCreate() {
  const loadRecord = async () => {
    setLoading(true);
    try {
-      const r = await doctorApi.getDialysisRecord(id);
+      const r = await getDialysisRecord(id);
      setForm({
        patient_id: r.patient_id,
        dialysis_date: r.dialysis_date || '',
@@ -137,10 +139,10 @@ export default function DialysisCreate() {
    try {
      if (isEdit) {
        const { patient_id, ...updateData } = payload;
-        await doctorApi.updateDialysisRecord(id, updateData, version);
+        await updateDialysisRecord(id, updateData, version);
        Taro.showToast({ title: '更新成功', icon: 'success' });
      } else {
-        await doctorApi.createDialysisRecord(payload);
+        await createDialysisRecord(payload);
        Taro.showToast({ title: '创建成功', icon: 'success' });
      }
      setTimeout(() => Taro.navigateBack(), 1000);
--- a/apps/miniprogram/src/pages/doctor/dialysis/detail/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/dialysis/detail/index.tsx
@@ -1,7 +1,11 @@
 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 {
+  getDialysisRecord, reviewDialysisRecord,
+  updateDialysisRecord, deleteDialysisRecord,
+  type DialysisRecord,
+} from '@/services/doctor/dialysis';
 import Loading from '@/components/Loading';
 import { useElderClass } from '../../../../hooks/useElderClass';
 import './index.scss';
@@ -10,7 +14,7 @@ export default function DialysisDetail() {
  const router = useRouter();
  const id = router.params.id || '';
  const modeClass = useElderClass();
-  const [record, setRecord] = useState<doctorApi.DialysisRecord | null>(null);
+  const [record, setRecord] = useState<DialysisRecord | null>(null);
  const [loading, setLoading] = useState(true);
  const [submitting, setSubmitting] = useState(false);

@@ -21,7 +25,7 @@ export default function DialysisDetail() {
  const loadRecord = async () => {
    setLoading(true);
    try {
-      const r = await doctorApi.getDialysisRecord(id);
+      const r = await getDialysisRecord(id);
      setRecord(r);
    } catch {
      Taro.showToast({ title: '加载失败', icon: 'none' });
@@ -34,7 +38,7 @@ export default function DialysisDetail() {
    if (!record) return;
    setSubmitting(true);
    try {
-      const updated = await doctorApi.reviewDialysisRecord(id, record.version);
+      const updated = await reviewDialysisRecord(id, record.version);
      setRecord(updated);
      Taro.showToast({ title: '审核完成', icon: 'success' });
    } catch {
@@ -48,7 +52,7 @@ export default function DialysisDetail() {
    if (!record) return;
    setSubmitting(true);
    try {
-      const updated = await doctorApi.updateDialysisRecord(id, { status: 'completed' }, record.version);
+      const updated = await updateDialysisRecord(id, { status: 'completed' }, record.version);
      setRecord(updated);
      Taro.showToast({ title: '已标记完成', icon: 'success' });
    } catch {
@@ -67,7 +71,7 @@ export default function DialysisDetail() {
    if (!confirm) return;
    setSubmitting(true);
    try {
-      await doctorApi.deleteDialysisRecord(id, record.version);
+      await deleteDialysisRecord(id, record.version);
      Taro.showToast({ title: '已删除', icon: 'success' });
      setTimeout(() => Taro.navigateBack(), 1000);
    } catch {
--- a/apps/miniprogram/src/pages/doctor/dialysis/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/dialysis/index.tsx
@@ -1,7 +1,8 @@
 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 { listDialysisRecords, type DialysisRecord } from '@/services/doctor/dialysis';
+import { listPatients } from '@/services/doctor/patient';
 import Loading from '@/components/Loading';
 import EmptyState from '@/components/EmptyState';
 import { useElderClass } from '../../../hooks/useElderClass';
@@ -23,7 +24,7 @@ export default function DialysisList() {
  const [searchPatient, setSearchPatient] = useState('');
  const [currentPatientId, setCurrentPatientId] = useState(patientId);
  const [activeTab, setActiveTab] = useState('');
-  const [records, setRecords] = useState<doctorApi.DialysisRecord[]>([]);
+  const [records, setRecords] = useState<DialysisRecord[]>([]);
  const [loading, setLoading] = useState(false);
  const [total, setTotal] = useState(0);
  const [page, setPage] = useState(1);
@@ -35,7 +36,9 @@ export default function DialysisList() {
  const loadRecords = async (p: number) => {
    setLoading(true);
    try {
-      const res = await doctorApi.listDialysisRecords(currentPatientId, { page: p, page_size: 20 });
+      const params: { page: number; page_size: number; status?: string } = { page: p, page_size: 20 };
+      if (activeTab) params.status = activeTab;
+      const res = await listDialysisRecords(currentPatientId, params);
      setRecords(res.data || []);
      setTotal(res.total || 0);
      setPage(p);
@@ -50,7 +53,7 @@ export default function DialysisList() {
    if (!searchPatient.trim()) return;
    setLoading(true);
    try {
-      const res = await doctorApi.listPatients({ search: searchPatient.trim(), page: 1, page_size: 1 });
+      const res = await 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' });
@@ -69,7 +72,7 @@ export default function DialysisList() {
    setPage(1);
  };

-  const filtered = activeTab ? records.filter((r) => r.status === activeTab) : records;
+  // 服务端已按 activeTab 过滤，无需客户端二次筛选

  if (loading && records.length === 0) return <Loading />;

@@ -102,12 +105,12 @@ export default function DialysisList() {

      {!currentPatientId ? (
        <EmptyState text='请搜索并选择患者' />
-      ) : filtered.length === 0 ? (
+      ) : records.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) => (
+          {records.map((r) => (
            <View
              key={r.id}
              className='record-card'
--- a/apps/miniprogram/src/pages/doctor/followup/detail/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/followup/detail/index.tsx
@@ -1,7 +1,11 @@
 import { useState, useEffect } from 'react';
-import { View, Text, Textarea, ScrollView } from '@tarojs/components';
+import { View, Text, Textarea, ScrollView, Picker } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
-import * as doctorApi from '@/services/doctor';
+import {
+  getFollowUpTask, listFollowUpRecords, createFollowUpRecord,
+  updateFollowUpTask,
+  type FollowUpTask, type FollowUpRecord,
+} from '@/services/doctor/followup';
 import Loading from '@/components/Loading';
 import { useElderClass } from '../../../../hooks/useElderClass';
 import './index.scss';
@@ -18,8 +22,8 @@ export default function FollowUpDetail() {
  const router = useRouter();
  const taskId = router.params.id || '';
  const modeClass = useElderClass();
-  const [task, setTask] = useState<doctorApi.FollowUpTask | null>(null);
-  const [records, setRecords] = useState<doctorApi.FollowUpRecord[]>([]);
+  const [task, setTask] = useState<FollowUpTask | null>(null);
+  const [records, setRecords] = useState<FollowUpRecord[]>([]);
  const [loading, setLoading] = useState(true);
  const [submitting, setSubmitting] = useState(false);

@@ -37,8 +41,8 @@ export default function FollowUpDetail() {
    setLoading(true);
    try {
      const [t, r] = await Promise.all([
-        doctorApi.getFollowUpTask(taskId),
-        doctorApi.listFollowUpRecords({ task_id: taskId }),
+        getFollowUpTask(taskId),
+        listFollowUpRecords({ task_id: taskId }),
      ]);
      setTask(t);
      setRecords(r.data || []);
@@ -56,7 +60,7 @@ export default function FollowUpDetail() {
    }
    setSubmitting(true);
    try {
-      await doctorApi.createFollowUpRecord(taskId, {
+      await createFollowUpRecord(taskId, {
        result: result.trim(),
        patient_condition: patientCondition.trim() || undefined,
        medical_advice: medicalAdvice.trim() || undefined,
@@ -78,7 +82,7 @@ export default function FollowUpDetail() {
  const handleStartTask = async () => {
    if (!task) return;
    try {
-      await doctorApi.updateFollowUpTask(taskId, { status: 'in_progress' }, task.version);
+      await updateFollowUpTask(taskId, { status: 'in_progress' }, task.version);
      Taro.showToast({ title: '已开始', icon: 'success' });
      loadData();
    } catch {
@@ -180,12 +184,11 @@ export default function FollowUpDetail() {
          </View>
          <View className='form-group'>
            <Text className='form-label'>下次随访日期</Text>
-            <input
-              type='date'
-              className='form-date'
-              value={nextDate}
-              onChange={(e: any) => setNextDate(e.target.value)}
-            />
+            <Picker mode='date' value={nextDate} onChange={(e) => setNextDate(e.detail.value)}>
+              <View className='form-date'>
+                <Text>{nextDate || '请选择日期'}</Text>
+              </View>
+            </Picker>
          </View>
          <View className={`submit-btn ${submitting ? 'submit-btn--disabled' : ''}`} onClick={handleSubmit}>
            <Text className='submit-btn__text'>{submitting ? '提交中...' : '提交记录'}</Text>
--- a/apps/miniprogram/src/pages/doctor/followup/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/followup/index.tsx
@@ -1,7 +1,7 @@
 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 { listFollowUpTasks, type FollowUpTask } from '@/services/doctor/followup';
 import Loading from '@/components/Loading';
 import EmptyState from '@/components/EmptyState';
 import { useElderClass } from '../../../hooks/useElderClass';
@@ -20,7 +20,7 @@ export default function FollowUpList() {
  const router = useRouter();
  const patientId = router.params.patientId || '';
  const modeClass = useElderClass();
-  const [tasks, setTasks] = useState<doctorApi.FollowUpTask[]>([]);
+  const [tasks, setTasks] = useState<FollowUpTask[]>([]);
  const [activeTab, setActiveTab] = useState('');
  const [loading, setLoading] = useState(true);
  const [total, setTotal] = useState(0);
@@ -32,7 +32,7 @@ export default function FollowUpList() {
  const loadTasks = async () => {
    setLoading(true);
    try {
-      const res = await doctorApi.listFollowUpTasks({
+      const res = await listFollowUpTasks({
        page: 1,
        page_size: 50,
        status: activeTab || undefined,
--- a/apps/miniprogram/src/pages/doctor/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/index.tsx
@@ -3,12 +3,13 @@ import { View, Text, Input, ScrollView } from '@tarojs/components';
 import Taro from '@tarojs/taro';
 import { useAuthStore } from '@/stores/auth';
 import { useElderClass } from '../../hooks/useElderClass';
-import * as doctorApi from '@/services/doctor';
+import { useThrottledDidShow } from '../../hooks/useThrottledDidShow';
+import { getDashboard, type DoctorDashboard } from '@/services/doctor/dashboard';
 import Loading from '@/components/Loading';
 import './index.scss';

 interface CardConfig {
-  key: keyof doctorApi.DoctorDashboard;
+  key: keyof DoctorDashboard;
  label: string;
  initial: string;
  route: string;
@@ -53,9 +54,11 @@ const ROLE_LABELS: Record<string, string> = {
 };

 export default function DoctorHome() {
-  const { user, logout, roles } = useAuthStore();
+  const user = useAuthStore((s) => s.user);
+  const logout = useAuthStore((s) => s.logout);
+  const roles = useAuthStore((s) => s.roles);
  const modeClass = useElderClass();
-  const [dashboard, setDashboard] = useState<doctorApi.DoctorDashboard | null>(null);
+  const [dashboard, setDashboard] = useState<DoctorDashboard | null>(null);
  const [alertCount, setAlertCount] = useState(0);
  const [loading, setLoading] = useState(true);

@@ -77,9 +80,13 @@ export default function DoctorHome() {
    loadDashboard();
  }, []);

+  useThrottledDidShow(() => {
+    loadDashboard();
+  }, 10000);
+
  const loadDashboard = async () => {
    try {
-      const data = await doctorApi.getDashboard();
+      const data = await getDashboard();
      setDashboard(data);
      // 从仪表盘数据提取异常体征患者数
      const count = (data as Record<string, unknown>)?.abnormal_vital_count;
@@ -99,7 +106,7 @@ export default function DoctorHome() {
    logout();
  };

-  const getValue = (key: keyof doctorApi.DoctorDashboard): number | string => {
+  const getValue = (key: keyof DoctorDashboard): number | string => {
    if (!dashboard) return '-';
    return dashboard[key] ?? 0;
  };
--- a/apps/miniprogram/src/pages/doctor/patients/detail/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/patients/detail/index.tsx
@@ -1,7 +1,7 @@
 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 { getPatient, getHealthSummary, type PatientDetail, type HealthSummary } from '@/services/doctor/patient';
 import Loading from '@/components/Loading';
 import { useElderClass } from '../../../../hooks/useElderClass';
 import './index.scss';
@@ -10,8 +10,8 @@ export default function PatientDetail() {
  const router = useRouter();
  const patientId = router.params.id || '';
  const modeClass = useElderClass();
-  const [patient, setPatient] = useState<doctorApi.PatientDetail | null>(null);
-  const [summary, setSummary] = useState<doctorApi.HealthSummary | null>(null);
+  const [patient, setPatient] = useState<PatientDetail | null>(null);
+  const [summary, setSummary] = useState<HealthSummary | null>(null);
  const [loading, setLoading] = useState(true);

  useEffect(() => {
@@ -22,8 +22,8 @@ export default function PatientDetail() {
    setLoading(true);
    try {
      const [p, s] = await Promise.all([
-        doctorApi.getPatient(patientId),
-        doctorApi.getHealthSummary(patientId),
+        getPatient(patientId),
+        getHealthSummary(patientId),
      ]);
      setPatient(p);
      setSummary(s);
--- a/apps/miniprogram/src/pages/doctor/patients/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/patients/index.tsx
@@ -1,7 +1,7 @@
 import { useState, useEffect, useRef } from 'react';
 import { View, Text, Input, ScrollView } from '@tarojs/components';
 import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
-import * as doctorApi from '@/services/doctor';
+import { listPatients, listPatientTags, type PatientItem, type PatientTag } from '@/services/doctor/patient';
 import Loading from '@/components/Loading';
 import EmptyState from '@/components/EmptyState';
 import { useElderClass } from '../../../hooks/useElderClass';
@@ -9,8 +9,8 @@ import './index.scss';

 export default function PatientList() {
  const modeClass = useElderClass();
-  const [patients, setPatients] = useState<doctorApi.PatientItem[]>([]);
-  const [tags, setTags] = useState<doctorApi.PatientTag[]>([]);
+  const [patients, setPatients] = useState<PatientItem[]>([]);
+  const [tags, setTags] = useState<PatientTag[]>([]);
  const [activeTag, setActiveTag] = useState<string>('');
  const [search, setSearch] = useState('');
  const [loading, setLoading] = useState(true);
@@ -28,7 +28,7 @@ export default function PatientList() {

  const loadTags = async () => {
    try {
-      const res = await doctorApi.listPatientTags();
+      const res = await listPatientTags();
      setTags(res.data || []);
    } catch { /* ignore */ }
  };
@@ -38,7 +38,7 @@ export default function PatientList() {
    loadingRef.current = true;
    if (isRefresh) setLoading(true);
    try {
-      const res = await doctorApi.listPatients({
+      const res = await listPatients({
        page: pageNum,
        page_size: 20,
        search: search || undefined,
--- a/apps/miniprogram/src/pages/doctor/prescription/create/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/prescription/create/index.tsx
@@ -1,7 +1,7 @@
 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 { createDialysisPrescription } from '@/services/doctor/dialysis';
 import Loading from '@/components/Loading';
 import { useElderClass } from '../../../../hooks/useElderClass';
 import './index.scss';
@@ -90,7 +90,7 @@ export default function PrescriptionCreate() {
    };

    try {
-      await doctorApi.createDialysisPrescription(payload);
+      await createDialysisPrescription(payload);
      Taro.showToast({ title: '创建成功', icon: 'success' });
      setTimeout(() => Taro.navigateBack(), 1000);
    } catch {
--- a/apps/miniprogram/src/pages/doctor/prescription/detail/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/prescription/detail/index.tsx
@@ -1,7 +1,10 @@
 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 {
+  getDialysisPrescription, updateDialysisPrescription, deleteDialysisPrescription,
+  type DialysisPrescription,
+} from '@/services/doctor/dialysis';
 import Loading from '@/components/Loading';
 import { useElderClass } from '../../../../hooks/useElderClass';
 import './index.scss';
@@ -10,7 +13,7 @@ export default function PrescriptionDetail() {
  const router = useRouter();
  const id = router.params.id || '';
  const modeClass = useElderClass();
-  const [rx, setRx] = useState<doctorApi.DialysisPrescription | null>(null);
+  const [rx, setRx] = useState<DialysisPrescription | null>(null);
  const [loading, setLoading] = useState(true);
  const [submitting, setSubmitting] = useState(false);

@@ -21,7 +24,7 @@ export default function PrescriptionDetail() {
  const loadRx = async () => {
    setLoading(true);
    try {
-      const data = await doctorApi.getDialysisPrescription(id);
+      const data = await getDialysisPrescription(id);
      setRx(data);
    } catch {
      Taro.showToast({ title: '加载失败', icon: 'none' });
@@ -39,7 +42,7 @@ export default function PrescriptionDetail() {
    if (!confirm) return;
    setSubmitting(true);
    try {
-      const updated = await doctorApi.updateDialysisPrescription(id, { status: 'inactive' }, rx.version);
+      const updated = await updateDialysisPrescription(id, { status: 'inactive' }, rx.version);
      setRx(updated);
      Taro.showToast({ title: '已停用', icon: 'success' });
    } catch {
@@ -58,7 +61,7 @@ export default function PrescriptionDetail() {
    if (!confirm) return;
    setSubmitting(true);
    try {
-      await doctorApi.deleteDialysisPrescription(id, rx.version);
+      await deleteDialysisPrescription(id, rx.version);
      Taro.showToast({ title: '已删除', icon: 'success' });
      setTimeout(() => Taro.navigateBack(), 1000);
    } catch {
--- a/apps/miniprogram/src/pages/doctor/prescription/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/prescription/index.tsx
@@ -1,7 +1,8 @@
 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 { listDialysisPrescriptions, type DialysisPrescription } from '@/services/doctor/dialysis';
+import { listPatients } from '@/services/doctor/patient';
 import Loading from '@/components/Loading';
 import EmptyState from '@/components/EmptyState';
 import { useElderClass } from '../../../hooks/useElderClass';
@@ -20,7 +21,7 @@ export default function PrescriptionList() {
  const [searchPatient, setSearchPatient] = useState('');
  const [currentPatientId, setCurrentPatientId] = useState(patientId);
  const [activeTab, setActiveTab] = useState('');
-  const [prescriptions, setPrescriptions] = useState<doctorApi.DialysisPrescription[]>([]);
+  const [prescriptions, setPrescriptions] = useState<DialysisPrescription[]>([]);
  const [loading, setLoading] = useState(false);
  const [total, setTotal] = useState(0);
  const [page, setPage] = useState(1);
@@ -32,7 +33,7 @@ export default function PrescriptionList() {
  const loadData = async (p: number) => {
    setLoading(true);
    try {
-      const res = await doctorApi.listDialysisPrescriptions({
+      const res = await listDialysisPrescriptions({
        patient_id: currentPatientId || undefined,
        status: activeTab || undefined,
        page: p,
@@ -52,7 +53,7 @@ export default function PrescriptionList() {
    if (!searchPatient.trim()) return;
    setLoading(true);
    try {
-      const res = await doctorApi.listPatients({ search: searchPatient.trim(), page: 1, page_size: 1 });
+      const res = await listPatients({ search: searchPatient.trim(), page: 1, page_size: 1 });
      if (res.data && res.data.length > 0) {
        setCurrentPatientId(res.data[0].id);
      } else {
--- a/apps/miniprogram/src/pages/doctor/report/detail/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/report/detail/index.tsx
@@ -1,7 +1,7 @@
 import { useState, useEffect } from 'react';
 import { View, Text, Textarea, ScrollView } from '@tarojs/components';
 import Taro, { useRouter } from '@tarojs/taro';
-import * as doctorApi from '@/services/doctor';
+import { getLabReport, reviewLabReport, type LabReportDetail } from '@/services/doctor/labReport';
 import Loading from '@/components/Loading';
 import { useElderClass } from '../../../../hooks/useElderClass';
 import './index.scss';
@@ -11,7 +11,7 @@ export default function ReportDetail() {
  const patientId = router.params.patientId || '';
  const reportId = router.params.id || '';
  const modeClass = useElderClass();
-  const [report, setReport] = useState<doctorApi.LabReportDetail | null>(null);
+  const [report, setReport] = useState<LabReportDetail | null>(null);
  const [loading, setLoading] = useState(true);
  const [doctorNotes, setDoctorNotes] = useState('');
  const [submitting, setSubmitting] = useState(false);
@@ -23,7 +23,7 @@ export default function ReportDetail() {
  const loadReport = async () => {
    setLoading(true);
    try {
-      const r = await doctorApi.getLabReport(patientId, reportId);
+      const r = await getLabReport(patientId, reportId);
      setReport(r);
      setDoctorNotes(r.doctor_notes || '');
    } catch {
@@ -37,7 +37,7 @@ export default function ReportDetail() {
    if (!report) return;
    setSubmitting(true);
    try {
-      const updated = await doctorApi.reviewLabReport(patientId, reportId, {
+      const updated = await reviewLabReport(patientId, reportId, {
        doctor_notes: doctorNotes.trim() || undefined,
        version: report.version,
      });
--- a/apps/miniprogram/src/pages/doctor/report/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/report/index.tsx
@@ -1,7 +1,8 @@
 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 { listLabReports, type LabReportItem } from '@/services/doctor/labReport';
+import { listPatients } from '@/services/doctor/patient';
 import Loading from '@/components/Loading';
 import EmptyState from '@/components/EmptyState';
 import { useElderClass } from '../../../hooks/useElderClass';
@@ -13,7 +14,7 @@ export default function ReportList() {
  const modeClass = useElderClass();
  const [searchPatient, setSearchPatient] = useState('');
  const [currentPatientId, setCurrentPatientId] = useState(patientId);
-  const [reports, setReports] = useState<doctorApi.LabReportItem[]>([]);
+  const [reports, setReports] = useState<LabReportItem[]>([]);
  const [loading, setLoading] = useState(false);
  const [total, setTotal] = useState(0);

@@ -24,7 +25,7 @@ export default function ReportList() {
  const loadReports = async () => {
    setLoading(true);
    try {
-      const res = await doctorApi.listLabReports(currentPatientId, { page: 1, page_size: 50 });
+      const res = await listLabReports(currentPatientId, { page: 1, page_size: 50 });
      setReports(res.data || []);
      setTotal(res.total || 0);
    } catch {
@@ -38,7 +39,7 @@ export default function ReportList() {
    if (!searchPatient.trim()) return;
    setLoading(true);
    try {
-      const res = await doctorApi.listPatients({ search: searchPatient.trim(), page: 1, page_size: 1 });
+      const res = await 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 + '的化验报告' });
--- a/apps/miniprogram/src/pages/health/index.scss
+++ b/apps/miniprogram/src/pages/health/index.scss
@@ -29,7 +29,7 @@

 .vital-tab {
  flex: 1;
-  height: 40px;
+  height: 48px;
  border-radius: $r-sm;
  background: $surface-alt;
  @include flex-center;
@@ -273,8 +273,8 @@
 }

 .device-icon {
-  width: 44px;
-  height: 44px;
+  width: 48px;
+  height: 48px;
  border-radius: $r-sm;
  background: $pri-l;
  @include flex-center;
--- a/apps/miniprogram/src/pages/health/index.tsx
+++ b/apps/miniprogram/src/pages/health/index.tsx
@@ -1,9 +1,10 @@
 import { useState, useEffect } from 'react';
 import { View, Text, Input } from '@tarojs/components';
-import Taro, { useDidShow, usePullDownRefresh } from '@tarojs/taro';
+import Taro, { usePullDownRefresh } from '@tarojs/taro';
 import { useHealthStore } from '../../stores/health';
 import { useAuthStore } from '../../stores/auth';
 import { useElderClass } from '../../hooks/useElderClass';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { inputVitalSign, getTrend, getHealthThresholds, findThreshold, DEFAULT_THRESHOLDS, type HealthThreshold } from '../../services/health';
 import { listPendingSuggestions, type AiSuggestionItem } from '../../services/ai-analysis';
 import Loading from '../../components/Loading';
@@ -41,8 +42,12 @@ interface TrendPoint {
 }

 export default function Health() {
-  const { todaySummary, loading, refreshToday, getTrend: fetchTrend } = useHealthStore();
-  const { user, currentPatient } = useAuthStore();
+  const todaySummary = useHealthStore((s) => s.todaySummary);
+  const loading = useHealthStore((s) => s.loading);
+  const refreshToday = useHealthStore((s) => s.refreshToday);
+  const fetchTrend = useHealthStore((s) => s.getTrend);
+  const user = useAuthStore((s) => s.user);
+  const currentPatient = useAuthStore((s) => s.currentPatient);
  const modeClass = useElderClass();
  const [activeTab, setActiveTab] = useState<VitalType>('blood_pressure');
  const [systolic, setSystolic] = useState('');
@@ -57,13 +62,16 @@ export default function Health() {
  const [aiSuggestions, setAiSuggestions] = useState<AiSuggestionItem[]>([]);
  const [thresholds, setThresholds] = useState<HealthThreshold[]>(DEFAULT_THRESHOLDS);

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    if (!user) return;
-    refreshToday();
-    loadTrend(activeTab);
-    loadAiSuggestions();
-    getHealthThresholds().then((t) => { if (t.length > 0) setThresholds(t); });
-  });
+    // 批量发起请求，避免串行 setState 级联重渲染
+    Promise.allSettled([
+      refreshToday(),
+      loadTrend(activeTab),
+      loadAiSuggestions(),
+      getHealthThresholds().then((t) => { if (t.length > 0) setThresholds(t); }),
+    ]);
+  }, 5000);

  usePullDownRefresh(() => {
    if (!user) return;
@@ -202,7 +210,7 @@ export default function Health() {
    }
  };

-  const maxTrendValue = Math.max(...trendData.map((d) => d.value), 1);
+  const maxTrendValue = trendData.reduce((max, d) => Math.max(max, d.value), 1);

  const getThresholdValue = (type: VitalType, th: HealthThreshold[]): number | null => {
    if (type === 'blood_pressure') return findThreshold(th, 'systolic_bp', 'high')?.threshold_value ?? 140;
@@ -228,7 +236,7 @@ export default function Health() {
          } else if (first?.suggestion_type === 'followup') {
            Taro.navigateTo({ url: '/pages/pkg-profile/followups/index' });
          } else {
-            Taro.navigateTo({ url: '/pages/health/index' });
+            Taro.switchTab({ url: '/pages/health/index' });
          }
        }}>
          <View className='ai-card-header'>
--- a/apps/miniprogram/src/pages/index/index.scss
+++ b/apps/miniprogram/src/pages/index/index.scss
@@ -40,8 +40,8 @@

 .greeting-bell {
  position: relative;
-  width: 44px;
-  height: 44px;
+  width: 48px;
+  height: 48px;
  border-radius: $r-pill;
  background: $pri-l;
  @include flex-center;
@@ -340,28 +340,13 @@
    background: linear-gradient(135deg, $pri-d 0%, $pri 60%, $pri-l 100%);
  }
  &--2 {
-    background: linear-gradient(135deg, $acc 0%, #3D5A40 60%, $acc-l 100%);
+    background: linear-gradient(135deg, $acc 0%, $acc-d 60%, $acc-l 100%);
  }
  &--3 {
-    background: linear-gradient(135deg, #8B6F4E 0%, $wrn 60%, $wrn-l 100%);
+    background: linear-gradient(135deg, $wrn-d 0%, $wrn 60%, $wrn-l 100%);
  }
 }

-.guest-slide-image {
-  position: absolute;
-  inset: 0;
-  width: 100%;
-  height: 100%;
-}
-
-.guest-slide:nth-child(2) .guest-slide-bg {
-  background: linear-gradient(135deg, $acc 0%, #3D5A40 60%, $acc-l 100%);
-}
-
-.guest-slide:nth-child(3) .guest-slide-bg {
-  background: linear-gradient(135deg, #8B6F4E 0%, $wrn 60%, $wrn-l 100%);
-}
-
 .guest-slide-content {
  position: relative;
  z-index: 1;
--- a/apps/miniprogram/src/pages/index/index.tsx
+++ b/apps/miniprogram/src/pages/index/index.tsx
@@ -1,12 +1,13 @@
 import { View, Text, Swiper, SwiperItem, Image } from '@tarojs/components';
-import { useState } from 'react';
-import Taro, { useDidShow, usePullDownRefresh } from '@tarojs/taro';
+import { useState, useMemo } from 'react';
+import Taro, { usePullDownRefresh, useDidShow, useDidHide } from '@tarojs/taro';
 import { useAuthStore } from '../../stores/auth';
 import { useUIStore } from '../../stores/ui';
 import { navigateToLogin } from '../../utils/navigate';
 import { useHealthStore } from '../../stores/health';
 import ProgressRing from '../../components/ProgressRing';
 import Loading from '../../components/Loading';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { trackPageView } from '@/services/analytics';
 import * as appointmentApi from '@/services/appointment';
 import * as followupApi from '@/services/followup';
@@ -30,8 +31,6 @@ interface PublicBanner {
  image_url?: string;
  link_type?: string;
  link_target?: string;
-  /** 下载后的本地临时路径 */
-  local_path?: string;
 }

 // ─── 访客首页 ───
@@ -45,10 +44,14 @@ const FALLBACK_SLIDES = [
 function GuestHome({ modeClass }: { modeClass: string }) {
  const [banners, setBanners] = useState<PublicBanner[]>([]);
  const [articles, setArticles] = useState<Article[]>([]);
+  const [swiperAutoplay, setSwiperAutoplay] = useState(false);

-  useDidShow(() => {
+  useDidShow(() => { setSwiperAutoplay(true); });
+  useDidHide(() => { setSwiperAutoplay(false); });
+
+  useThrottledDidShow(() => {
    loadPublicData();
-  });
+  }, 10_000);

  const loadPublicData = async () => {
    let tenantId = Taro.getStorageSync('tenant_id');
@@ -70,20 +73,12 @@ function GuestHome({ modeClass }: { modeClass: string }) {

      if (bannerData.status === 'fulfilled' && bannerData.value?.length > 0) {
        const apiBase = process.env.TARO_APP_API_URL || 'http://localhost:3000/api/v1';
-        const withLocal = await Promise.all(
-          bannerData.value.map(async (b) => {
-            if (!b.image_url) return b;
-            try {
-              const fullUrl = b.image_url.startsWith('http') ? b.image_url : `${apiBase}${b.image_url}`;
-              const res = await Taro.downloadFile({ url: fullUrl });
-              if (res.tempFilePath) {
-                return { ...b, local_path: res.tempFilePath };
-              }
-            } catch { /* ignore */ }
-            return b;
-          })
-        );
-        setBanners(withLocal);
+        const resolved = bannerData.value.map((b) => {
+          if (!b.image_url) return b;
+          const fullUrl = b.image_url.startsWith('http') ? b.image_url : `${apiBase}${b.image_url}`;
+          return { ...b, image_url: fullUrl };
+        });
+        setBanners(resolved);
      } else {
        setBanners(FALLBACK_SLIDES);
      }
@@ -107,7 +102,7 @@ function GuestHome({ modeClass }: { modeClass: string }) {
        indicatorDots
        indicatorColor='rgba(255,255,255,0.4)'
        indicatorActiveColor='#FFFFFF'
-        autoplay
+        autoplay={swiperAutoplay}
        circular
        interval={4000}
        duration={500}
@@ -115,8 +110,8 @@ function GuestHome({ modeClass }: { modeClass: string }) {
        {slides.map((slide, idx) => (
          <SwiperItem key={slide.id || idx}>
            <View className='guest-slide'>
-              {(slide.local_path || slide.image_url) ? (
-                <Image className='guest-slide-image' src={slide.local_path || slide.image_url} mode='aspectFill' />
+              {(slide.image_url) ? (
+                <Image className='guest-slide-image' src={slide.image_url} mode='aspectFill' lazyLoad />
              ) : (
                <View className={`guest-slide-bg guest-slide-bg--${(idx % 3) + 1}`} />
              )}
@@ -187,18 +182,21 @@ function GuestHome({ modeClass }: { modeClass: string }) {
 // ─── 登录后首页 ───

 function HomeDashboard({ modeClass }: { modeClass: string }) {
-  const { user, currentPatient } = useAuthStore();
-  const { todaySummary, loading, refreshToday } = useHealthStore();
+  const user = useAuthStore((s) => s.user);
+  const currentPatient = useAuthStore((s) => s.currentPatient);
+  const todaySummary = useHealthStore((s) => s.todaySummary);
+  const loading = useHealthStore((s) => s.loading);
+  const refreshToday = useHealthStore((s) => s.refreshToday);
  const [reminders, setReminders] = useState<ReminderItem[]>([]);
  const [unreadCount, setUnreadCount] = useState(0);
  const [remindersLoading, setRemindersLoading] = useState(false);

-  useDidShow(() => {
+  const { trigger: triggerHomeRefresh } = useThrottledDidShow(() => {
    refreshToday();
    loadReminders();
    loadUnread();
    trackPageView('home');
-  });
+  }, 5000);

  usePullDownRefresh(() => {
    Promise.all([refreshToday(true), loadReminders(), loadUnread()]).finally(() => {
@@ -272,19 +270,19 @@ function HomeDashboard({ modeClass }: { modeClass: string }) {
  const completedCount = indicators.filter(Boolean).length;
  const progressPercent = Math.round((completedCount / 4) * 100);

-  const indicatorCapsules = [
+  const indicatorCapsules = useMemo(() => [
    { label: '血压', done: !!summary.blood_pressure },
    { label: '心率', done: !!summary.heart_rate },
    { label: '血糖', done: !!summary.blood_sugar },
    { label: '体重', done: !!summary.weight },
-  ];
+  ], [summary.blood_pressure, summary.heart_rate, summary.blood_sugar, summary.weight]);

-  const healthItems = [
+  const healthItems = useMemo(() => [
    { label: '血压', value: summary.blood_pressure ? `${summary.blood_pressure.systolic}/${summary.blood_pressure.diastolic}` : '—', unit: 'mmHg', status: summary.blood_pressure?.status, indicator: 'systolic_bp_morning' },
    { label: '心率', value: summary.heart_rate ? `${summary.heart_rate.value}` : '—', unit: 'bpm', status: summary.heart_rate?.status, indicator: 'heart_rate' },
    { label: '血糖', value: summary.blood_sugar ? `${summary.blood_sugar.value}` : '—', unit: 'mmol/L', status: summary.blood_sugar?.status, indicator: 'blood_sugar' },
    { label: '体重', value: summary.weight ? `${summary.weight.value}` : '—', unit: 'kg', status: summary.weight?.status, indicator: 'weight' },
-  ];
+  ], [summary.blood_pressure, summary.heart_rate, summary.blood_sugar, summary.weight]);

  const getStatusTag = (status?: string) => {
    if (status === 'high' || status === 'low') return { label: status === 'high' ? '偏高' : '偏低', cls: 'tag-warn' };
--- a/apps/miniprogram/src/pages/login/index.scss
+++ b/apps/miniprogram/src/pages/login/index.scss
@@ -91,6 +91,12 @@
    border: none;
  }

+  &--dev {
+    margin-top: 16px;
+    background: $wrn;
+    box-shadow: 0 4px 16px rgba($wrn, 0.2);
+  }
+
  &:active {
    opacity: 0.85;
  }
--- a/apps/miniprogram/src/pages/login/index.tsx
+++ b/apps/miniprogram/src/pages/login/index.tsx
@@ -5,18 +5,23 @@ import { useAuthStore } from '../../stores/auth';
 import { useElderClass } from '../../hooks/useElderClass';
 import './index.scss';

+const IS_DEV = process.env.NODE_ENV !== 'production';
+
 export default function Login() {
  const modeClass = useElderClass();
  const [needBind, setNeedBind] = useState(false);
  const [agreed, setAgreed] = useState(false);
-  const { login, bindPhone, loading, isMedicalStaff } = useAuthStore();
+  const login = useAuthStore((s) => s.login);
+  const bindPhone = useAuthStore((s) => s.bindPhone);
+  const loading = useAuthStore((s) => s.loading);
+  const isMedicalStaff = useAuthStore((s) => s.isMedicalStaff);

  // 登录页不应用关怀模式（正常模式尺寸已足够大）
  const loginClass = '';

  const navigateAfterLogin = () => {
    if (isMedicalStaff()) {
-      Taro.redirectTo({ url: '/pages/doctor/index' });
+      Taro.reLaunch({ url: '/pages/doctor/index' });
    } else {
      Taro.switchTab({ url: '/pages/index/index' });
    }
@@ -42,6 +47,19 @@ export default function Login() {
    }
  };

+  /** Dev 模式快速登录：跳过 getPhoneNumber，用 mock 数据直接调用绑定 API */
+  const handleDevQuickLogin = async () => {
+    try {
+      const success = await bindPhone('dev_mock_encrypted', 'dev_mock_iv');
+      if (success) {
+        navigateAfterLogin();
+      }
+    } catch (err: any) {
+      Taro.showToast({ title: err?.message || '绑定失败', icon: 'none' });
+      setNeedBind(false);
+    }
+  };
+
  const handleGetPhone = async (e: { detail: { errMsg: string; encryptedData: string; iv: string } }) => {
    if (!agreed) {
      Taro.showToast({ title: '请先阅读并同意用户协议', icon: 'none' });
@@ -97,14 +115,21 @@ export default function Login() {
              微信一键登录
            </Button>
          ) : (
-            <Button
-              className='login-btn'
-              openType='getPhoneNumber'
-              onGetPhoneNumber={handleGetPhone}
-              loading={loading}
-            >
-              授权手机号完成绑定
-            </Button>
+            <>
+              <Button
+                className='login-btn'
+                openType='getPhoneNumber'
+                onGetPhoneNumber={handleGetPhone}
+                loading={loading}
+              >
+                授权手机号完成绑定
+              </Button>
+              {IS_DEV && (
+                <Button className='login-btn login-btn--dev' onClick={handleDevQuickLogin} loading={loading}>
+                  开发模式快速登录
+                </Button>
+              )}
+            </>
          )}
        </View>

--- a/apps/miniprogram/src/pages/mall/index.tsx
+++ b/apps/miniprogram/src/pages/mall/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback, useRef } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, useReachBottom, usePullDownRefresh } from '@tarojs/taro';
+import Taro, { useReachBottom, usePullDownRefresh } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listProducts } from '../../services/points';
 import type { PointsProduct } from '../../services/points';
 import { useAuthStore } from '../../stores/auth';
@@ -23,8 +24,12 @@ const TYPE_BG: Record<string, string> = {
 };

 export default function Mall() {
-  const { currentPatient, loadPatients } = useAuthStore();
-  const { account, checkinStatus, refresh: refreshPoints, doCheckin } = usePointsStore();
+  const currentPatient = useAuthStore((s) => s.currentPatient);
+  const loadPatients = useAuthStore((s) => s.loadPatients);
+  const account = usePointsStore((s) => s.account);
+  const checkinStatus = usePointsStore((s) => s.checkinStatus);
+  const refreshPoints = usePointsStore((s) => s.refresh);
+  const doCheckin = usePointsStore((s) => s.doCheckin);
  const [products, setProducts] = useState<PointsProduct[]>([]);
  const [productType, setProductType] = useState('');
  const [page, setPage] = useState(1);
@@ -82,10 +87,10 @@ export default function Mall() {
    [currentPatient, loadPatients, refreshPoints, fetchProducts, productType],
  );

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    Taro.setNavigationBarTitle({ title: '积分商城' });
    loadAll();
-  });
+  }, 10000);

  usePullDownRefresh(() => {
    loadAll().finally(() => {
--- a/apps/miniprogram/src/pages/messages/index.scss
+++ b/apps/miniprogram/src/pages/messages/index.scss
@@ -32,7 +32,7 @@

 .msg-segment-tab {
  flex: 1;
-  height: 40px;
+  height: 48px;
  border-radius: $r-xs;
  @include flex-center;
  position: relative;
@@ -119,8 +119,8 @@
 }

 .consult-avatar {
-  width: 44px;
-  height: 44px;
+  width: 48px;
+  height: 48px;
  border-radius: $r-pill;
  background: $surface-alt;
  @include flex-center;
--- a/apps/miniprogram/src/pages/messages/index.tsx
+++ b/apps/miniprogram/src/pages/messages/index.tsx
@@ -1,12 +1,13 @@
 import { useState, useRef } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, useReachBottom } from '@tarojs/taro';
+import Taro, { useReachBottom } from '@tarojs/taro';
 import { listConsultations, ConsultationSession } from '../../services/consultation';
 import { notificationService } from '../../services/notification';
 import Loading from '../../components/Loading';
 import GuestGuard from '../../components/GuestGuard';
 import { useAuthStore } from '../../stores/auth';
 import { useElderClass } from '../../hooks/useElderClass';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import './index.scss';

 type MsgTab = 'consultation' | 'notification';
@@ -76,9 +77,9 @@ export default function Messages() {
    }
  };

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    if (user) loadData(activeTab, 1, true);
-  });
+  }, 5000);

  const handleTabChange = (tab: MsgTab) => {
    setActiveTab(tab);
--- a/apps/miniprogram/src/pages/pkg-health/alerts/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-health/alerts/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback, useRef } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, usePullDownRefresh } from '@tarojs/taro';
+import Taro, { usePullDownRefresh } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listPatientAlerts, type Alert } from '@/services/alert';
 import { useAuthStore } from '@/stores/auth';
 import Loading from '@/components/Loading';
@@ -23,7 +24,7 @@ const STATUS_TABS = [

 export default function PatientAlerts() {
  const modeClass = useElderClass();
-  const { currentPatient } = useAuthStore();
+  const currentPatient = useAuthStore((s) => s.currentPatient);
  const [alerts, setAlerts] = useState<Alert[]>([]);
  const [total, setTotal] = useState(0);
  const [page, setPage] = useState(1);
@@ -60,10 +61,10 @@ export default function PatientAlerts() {
    [currentPatient],
  );

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    Taro.setNavigationBarTitle({ title: '健康告警' });
    fetchAlerts(1, status, true);
-  });
+  }, 10000);

  usePullDownRefresh(() => {
    fetchAlerts(1, status, true).finally(() => Taro.stopPullDownRefresh());
--- a/apps/miniprogram/src/pages/pkg-health/daily-monitoring/index.scss
+++ b/apps/miniprogram/src/pages/pkg-health/daily-monitoring/index.scss
@@ -270,7 +270,7 @@

 .dm-submit-text {
  font-size: var(--tk-font-num);
-  color: white;
+  color: $white;
  font-weight: bold;
  letter-spacing: 2px;
 }
--- a/apps/miniprogram/src/pages/pkg-health/daily-monitoring/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-health/daily-monitoring/index.tsx
@@ -60,7 +60,7 @@ const FIELD_LABELS: Record<string, string> = {

 export default function DailyMonitoring() {
  const modeClass = useElderClass();
-  const { currentPatient } = useAuthStore();
+  const currentPatient = useAuthStore((s) => s.currentPatient);

  const today = formatDate(new Date());
  const [dateIdx, setDateIdx] = useState(0);
--- a/apps/miniprogram/src/pages/pkg-health/input/index.scss
+++ b/apps/miniprogram/src/pages/pkg-health/input/index.scss
@@ -226,7 +226,7 @@

 .input-submit-text {
  font-size: var(--tk-font-num);
-  color: white;
+  color: $white;
  font-weight: bold;
  letter-spacing: 2px;
 }
--- a/apps/miniprogram/src/pages/pkg-health/input/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-health/input/index.tsx
@@ -1,6 +1,7 @@
 import { useState } from 'react';
 import { View, Text, Input, Picker } from '@tarojs/components';
-import Taro, { useDidShow } from '@tarojs/taro';
+import Taro from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { num, validateStr } from '@/utils/validate';
 import { inputVitalSign, getHealthThresholds, findThreshold, DEFAULT_THRESHOLDS, type HealthThreshold } from '../../../services/health';
 import { useAuthStore } from '../../../stores/auth';
@@ -9,6 +10,7 @@ import { usePointsStore } from '@/stores/points';
 import { clearRequestCache } from '@/services/request';
 import { trackEvent } from '@/services/analytics';
 import { useElderClass } from '../../../hooks/useElderClass';
+import Loading from '../../../components/Loading';
 import './index.scss';

 const INDICATORS = [
@@ -59,12 +61,14 @@ export default function HealthInput() {
  const [diastolic, setDiastolic] = useState('');
  const [note, setNote] = useState('');
  const [submitting, setSubmitting] = useState(false);
-  const { currentPatient } = useAuthStore();
-  const { clearCache } = useHealthStore();
+  const [loadingThresholds, setLoadingThresholds] = useState(true);
+  const currentPatient = useAuthStore((s) => s.currentPatient);
+  const clearCache = useHealthStore((s) => s.clearCache);

  /** 从 storage 中读取设备同步回传的数据并自动填充表单 */
-  useDidShow(() => {
-    getHealthThresholds().then((t) => { if (t.length > 0) setThresholds(t); });
+  useThrottledDidShow(() => {
+    setLoadingThresholds(true);
+    getHealthThresholds().then((t) => { if (t.length > 0) setThresholds(t); }).finally(() => setLoadingThresholds(false));
    try {
      const raw = Taro.getStorageSync('device_sync_result');
      if (!raw) return;
@@ -88,7 +92,7 @@ export default function HealthInput() {
    } catch {
      // 解析失败则忽略，不影响正常使用
    }
-  });
+  }, 10000);

  const handleSubmit = async () => {
    if (!currentPatient) {
@@ -164,6 +168,10 @@ export default function HealthInput() {

  return (
    <View className={`input-page ${modeClass}`}>
+      {loadingThresholds && <Loading />}
+
+      {!loadingThresholds && (
+        <>
      {/* 页面标题 */}
      <View className='input-hero'>
        <View className='input-hero-icon'>
@@ -267,6 +275,8 @@ export default function HealthInput() {
      >
        <Text className='input-submit-text'>{submitting ? '提交中...' : '提交录入'}</Text>
      </View>
+      </>
+      )}
    </View>
  );
 }
--- a/apps/miniprogram/src/pages/pkg-health/trend/index.scss
+++ b/apps/miniprogram/src/pages/pkg-health/trend/index.scss
@@ -65,7 +65,7 @@
 }

 .trange-tab-text-active {
-  color: white;
+  color: $white;
 }

 /* ── chart card ── */
--- a/apps/miniprogram/src/pages/pkg-health/trend/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-health/trend/index.tsx
@@ -31,7 +31,7 @@ export default function Trend() {
  const [range, setRange] = useState('7d');
  const [points, setPoints] = useState<{ date: string; value: number }[]>([]);
  const [loading, setLoading] = useState(true);
-  const { getTrend } = useHealthStore();
+  const getTrend = useHealthStore((s) => s.getTrend);

  useEffect(() => {
    setLoading(true);
--- a/apps/miniprogram/src/pages/pkg-mall/detail/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-mall/detail/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback, useRef } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, useReachBottom, usePullDownRefresh } from '@tarojs/taro';
+import Taro, { useReachBottom, usePullDownRefresh } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listMyTransactions } from '../../../services/points';
 import type { PointsTransaction } from '../../../services/points';
 import { usePointsStore } from '../../../stores/points';
@@ -17,7 +18,8 @@ const TYPE_TABS = [

 export default function PointsDetail() {
  const modeClass = useElderClass();
-  const { account, refresh: refreshPoints } = usePointsStore();
+  const account = usePointsStore((s) => s.account);
+  const refreshPoints = usePointsStore((s) => s.refresh);
  const [transactions, setTransactions] = useState<PointsTransaction[]>([]);
  const [activeTab, setActiveTab] = useState('');
  const [page, setPage] = useState(1);
@@ -64,10 +66,10 @@ export default function PointsDetail() {
    [refreshPoints, fetchTransactions, activeTab],
  );

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    Taro.setNavigationBarTitle({ title: '积分明细' });
    loadAll();
-  });
+  }, 10000);

  usePullDownRefresh(() => {
    loadAll().finally(() => {
--- a/apps/miniprogram/src/pages/pkg-mall/exchange/index.scss
+++ b/apps/miniprogram/src/pages/pkg-mall/exchange/index.scss
@@ -196,6 +196,6 @@

 .confirm-btn-text {
  font-size: var(--tk-font-num);
-  color: white;
+  color: $white;
  font-weight: bold;
 }
--- a/apps/miniprogram/src/pages/pkg-mall/exchange/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-mall/exchange/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow } from '@tarojs/taro';
+import Taro from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import {
  listProducts,
  exchangeProduct,
@@ -32,14 +33,15 @@ const TYPE_CLASS: Record<string, string> = {
 export default function ExchangeConfirm() {
  const modeClass = useElderClass();
  const [product, setProduct] = useState<PointsProduct | null>(null);
-  const { account, refresh: refreshPoints } = usePointsStore();
+  const account = usePointsStore((s) => s.account);
+  const refreshPoints = usePointsStore((s) => s.refresh);
  const [loading, setLoading] = useState(true);
  const [submitting, setSubmitting] = useState(false);

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    Taro.setNavigationBarTitle({ title: '确认兑换' });
    loadData();
-  });
+  }, 10000);

  const loadData = useCallback(async () => {
    const instance = Taro.getCurrentInstance();
@@ -101,7 +103,7 @@ export default function ExchangeConfirm() {
          showCancel: false,
          confirmText: '查看订单',
          success: () => {
-            Taro.navigateTo({
+            Taro.redirectTo({
              url: `/pages/pkg-mall/orders/index`,
            });
          },
--- a/apps/miniprogram/src/pages/pkg-mall/orders/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-mall/orders/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback, useRef } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, useReachBottom, usePullDownRefresh } from '@tarojs/taro';
+import Taro, { useReachBottom, usePullDownRefresh } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listMyOrders } from '../../../services/points';
 import type { PointsOrder } from '../../../services/points';
 import EmptyState from '../../../components/EmptyState';
@@ -70,10 +71,10 @@ export default function MallOrders() {
    [fetchOrders, activeTab],
  );

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    Taro.setNavigationBarTitle({ title: '我的订单' });
    loadAll();
-  });
+  }, 10000);

  usePullDownRefresh(() => {
    loadAll().finally(() => {
@@ -133,7 +134,7 @@ export default function MallOrders() {
          text='暂无订单'
          hint='去商城兑换心仪商品吧'
          actionText='去商城'
-          onAction={() => Taro.redirectTo({ url: '/pages/mall/index' })}
+          onAction={() => Taro.switchTab({ url: '/pages/mall/index' })}
        />
      ) : (
        <View className='order-list'>
--- a/apps/miniprogram/src/pages/pkg-profile/consents/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-profile/consents/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listConsents, revokeConsent } from '@/services/consent';
 import type { Consent } from '@/services/consent';
 import EmptyState from '@/components/EmptyState';
@@ -29,13 +30,16 @@ export default function ConsentList() {
  const [total, setTotal] = useState(0);
  const [loading, setLoading] = useState(false);
  const [revoking, setRevoking] = useState<string | null>(null);
+  const [hasPatient, setHasPatient] = useState(true);

  const fetchData = useCallback(async (p: number, append = false) => {
    const patientId = Taro.getStorageSync('current_patient_id') || '';
    if (!patientId) {
      setConsents([]);
+      setHasPatient(false);
      return;
    }
+    setHasPatient(true);
    setLoading(true);
    try {
      const res = await listConsents(patientId, { page: p, page_size: 20 });
@@ -50,7 +54,7 @@ export default function ConsentList() {
    }
  }, []);

-  useDidShow(() => { fetchData(1); });
+  useThrottledDidShow(() => { fetchData(1); }, 10000);

  usePullDownRefresh(() => {
    fetchData(1).finally(() => Taro.stopPullDownRefresh());
@@ -118,7 +122,7 @@ export default function ConsentList() {
      </View>

      {consents.length === 0 && !loading && (
-        <EmptyState text={Taro.getStorageSync('current_patient_id') ? '暂无知情同意记录' : '请先在就诊人管理中选择就诊人'} />
+        <EmptyState text={hasPatient ? '暂无知情同意记录' : '请先在就诊人管理中选择就诊人'} />
      )}

      {loading && <Loading />}
--- a/apps/miniprogram/src/pages/pkg-profile/diagnoses/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-profile/diagnoses/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listDiagnoses, Diagnosis } from '../../../services/health-record';
 import EmptyState from '../../../components/EmptyState';
 import Loading from '../../../components/Loading';
@@ -25,13 +26,16 @@ export default function Diagnoses() {
  const [page, setPage] = useState(1);
  const [total, setTotal] = useState(0);
  const [loading, setLoading] = useState(false);
+  const [hasPatient, setHasPatient] = useState(true);

  const fetchData = useCallback(async (p: number, append = false) => {
    const patientId = Taro.getStorageSync('current_patient_id') || '';
    if (!patientId) {
      setRecords([]);
+      setHasPatient(false);
      return;
    }
+    setHasPatient(true);
    setLoading(true);
    try {
      const res = await listDiagnoses(patientId, { page: p, page_size: 20 });
@@ -46,9 +50,9 @@ export default function Diagnoses() {
    }
  }, []);

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    fetchData(1);
-  });
+  }, 10000);

  usePullDownRefresh(() => {
    fetchData(1).finally(() => {
@@ -94,7 +98,7 @@ export default function Diagnoses() {
      </View>

      {records.length === 0 && !loading && (
-        <EmptyState text={Taro.getStorageSync('current_patient_id') ? '暂无诊断记录' : '请先在就诊人管理中选择就诊人'} />
+        <EmptyState text={hasPatient ? '暂无诊断记录' : '请先在就诊人管理中选择就诊人'} />
      )}

      {loading && <Loading />}
--- a/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-profile/dialysis-prescriptions/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listDialysisPrescriptions } from '@/services/dialysis';
 import type { DialysisPrescription } from '@/services/dialysis';
 import EmptyState from '@/components/EmptyState';
@@ -20,13 +21,16 @@ export default function DialysisPrescriptionList() {
  const [page, setPage] = useState(1);
  const [total, setTotal] = useState(0);
  const [loading, setLoading] = useState(false);
+  const [hasPatient, setHasPatient] = useState(true);

  const fetchData = useCallback(async (p: number, append = false) => {
    const patientId = Taro.getStorageSync('current_patient_id') || '';
    if (!patientId) {
      setPrescriptions([]);
+      setHasPatient(false);
      return;
    }
+    setHasPatient(true);
    setLoading(true);
    try {
      const res = await listDialysisPrescriptions({ patient_id: patientId, page: p, page_size: 20 });
@@ -41,7 +45,7 @@ export default function DialysisPrescriptionList() {
    }
  }, []);

-  useDidShow(() => { fetchData(1); });
+  useThrottledDidShow(() => { fetchData(1); }, 10000);

  usePullDownRefresh(() => {
    fetchData(1).finally(() => Taro.stopPullDownRefresh());
@@ -91,7 +95,7 @@ export default function DialysisPrescriptionList() {
      </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'} />
+        <EmptyState text={hasPatient ? '暂无透析处方' : '请先在就诊人管理中选择就诊人'} />
      )}

      {loading && <Loading />}
--- a/apps/miniprogram/src/pages/pkg-profile/dialysis-records/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-profile/dialysis-records/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listDialysisRecords } from '@/services/dialysis';
 import type { DialysisRecord } from '@/services/dialysis';
 import EmptyState from '@/components/EmptyState';
@@ -26,13 +27,16 @@ export default function DialysisRecordList() {
  const [page, setPage] = useState(1);
  const [total, setTotal] = useState(0);
  const [loading, setLoading] = useState(false);
+  const [hasPatient, setHasPatient] = useState(true);

  const fetchData = useCallback(async (p: number, append = false) => {
    const patientId = Taro.getStorageSync('current_patient_id') || '';
    if (!patientId) {
      setRecords([]);
+      setHasPatient(false);
      return;
    }
+    setHasPatient(true);
    setLoading(true);
    try {
      const res = await listDialysisRecords(patientId, { page: p, page_size: 20 });
@@ -47,7 +51,7 @@ export default function DialysisRecordList() {
    }
  }, []);

-  useDidShow(() => { fetchData(1); });
+  useThrottledDidShow(() => { fetchData(1); }, 10000);

  usePullDownRefresh(() => {
    fetchData(1).finally(() => Taro.stopPullDownRefresh());
@@ -96,7 +100,7 @@ export default function DialysisRecordList() {
      </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'} />
+        <EmptyState text={hasPatient ? '暂无透析记录' : '请先在就诊人管理中选择就诊人'} />
      )}

      {loading && <Loading />}
--- a/apps/miniprogram/src/pages/pkg-profile/family-add/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-profile/family-add/index.tsx
@@ -34,6 +34,7 @@ export default function FamilyAdd() {
      return;
    }
    setSubmitting(true);
+    Taro.showLoading({ title: '提交中...' });
    try {
      if (editId && editData) {
        await updatePatient(editId, {
@@ -42,6 +43,7 @@ export default function FamilyAdd() {
          birth_date: birthDate || undefined,
          relation: RELATION_OPTIONS[relationIdx],
        }, editData.version);
+        Taro.hideLoading();
        Taro.showToast({ title: '修改成功', icon: 'success' });
      } else {
        await createPatient({
@@ -49,10 +51,12 @@ export default function FamilyAdd() {
          gender: GENDER_OPTIONS[genderIdx] === '男' ? 'male' : 'female',
          birth_date: birthDate || undefined,
        });
+        Taro.hideLoading();
        Taro.showToast({ title: '添加成功', icon: 'success' });
      }
      setTimeout(() => Taro.navigateBack(), 1000);
    } catch {
+      Taro.hideLoading();
      Taro.showToast({ title: editId ? '修改失败' : '添加失败', icon: 'none' });
    } finally {
      setSubmitting(false);
--- a/apps/miniprogram/src/pages/pkg-profile/family/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-profile/family/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow } from '@tarojs/taro';
+import Taro from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listPatients, Patient } from '../../../services/patient';
 import { useAuthStore } from '../../../stores/auth';
 import EmptyState from '../../../components/EmptyState';
@@ -11,7 +12,8 @@ export default function FamilyList() {
  const modeClass = useElderClass();
  const [patients, setPatients] = useState<Patient[]>([]);
  const [loading, setLoading] = useState(false);
-  const { currentPatient, setCurrentPatient } = useAuthStore();
+  const currentPatient = useAuthStore((s) => s.currentPatient);
+  const setCurrentPatient = useAuthStore((s) => s.setCurrentPatient);

  const fetchPatients = useCallback(async () => {
    setLoading(true);
@@ -25,9 +27,9 @@ export default function FamilyList() {
    }
  }, []);

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    fetchPatients();
-  });
+  }, 10000);

  const handleSelect = (patient: Patient) => {
    setCurrentPatient({
--- a/apps/miniprogram/src/pages/pkg-profile/followups/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-profile/followups/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow } from '@tarojs/taro';
+import Taro from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listTasks, FollowUpTask } from '../../../services/followup';
 import EmptyState from '../../../components/EmptyState';
 import Loading from '../../../components/Loading';
@@ -31,9 +32,9 @@ export default function MyFollowUps() {
    }
  }, []);

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    fetchTasks(activeTab);
-  });
+  }, 10000);

  const handleTabChange = (key: string) => {
    setActiveTab(key);
--- a/apps/miniprogram/src/pages/pkg-profile/health-records/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-profile/health-records/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listHealthRecords, HealthRecord } from '../../../services/health-record';
 import EmptyState from '../../../components/EmptyState';
 import Loading from '../../../components/Loading';
@@ -19,13 +20,16 @@ export default function HealthRecords() {
  const [page, setPage] = useState(1);
  const [total, setTotal] = useState(0);
  const [loading, setLoading] = useState(false);
+  const [hasPatient, setHasPatient] = useState(true);

  const fetchData = useCallback(async (p: number, append = false) => {
    const patientId = Taro.getStorageSync('current_patient_id') || '';
    if (!patientId) {
      setRecords([]);
+      setHasPatient(false);
      return;
    }
+    setHasPatient(true);
    setLoading(true);
    try {
      const res = await listHealthRecords(patientId, { page: p, page_size: 20 });
@@ -40,9 +44,9 @@ export default function HealthRecords() {
    }
  }, []);

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    fetchData(1);
-  });
+  }, 10000);

  usePullDownRefresh(() => {
    fetchData(1).finally(() => {
@@ -83,7 +87,7 @@ export default function HealthRecords() {
      </View>

      {records.length === 0 && !loading && (
-        <EmptyState text={Taro.getStorageSync('current_patient_id') ? '暂无健康记录' : '请先在就诊人管理中选择就诊人'} />
+        <EmptyState text={hasPatient ? '暂无健康记录' : '请先在就诊人管理中选择就诊人'} />
      )}

      {loading && <Loading />}
--- a/apps/miniprogram/src/pages/pkg-profile/reports/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-profile/reports/index.tsx
@@ -1,6 +1,7 @@
 import React, { useState, useCallback } from 'react';
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow, usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import Taro, { usePullDownRefresh, useReachBottom } from '@tarojs/taro';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
 import { listReports, LabReport } from '../../../services/report';
 import EmptyState from '../../../components/EmptyState';
 import Loading from '../../../components/Loading';
@@ -13,13 +14,16 @@ export default function MyReports() {
  const [page, setPage] = useState(1);
  const [total, setTotal] = useState(0);
  const [loading, setLoading] = useState(false);
+  const [hasPatient, setHasPatient] = useState(true);

  const fetchData = useCallback(async (p: number, append = false) => {
    const patientId = Taro.getStorageSync('current_patient_id') || '';
    if (!patientId) {
      setReports([]);
+      setHasPatient(false);
      return;
    }
+    setHasPatient(true);
    setLoading(true);
    try {
      const res = await listReports(patientId, p);
@@ -34,9 +38,9 @@ export default function MyReports() {
    }
  }, []);

-  useDidShow(() => {
+  useThrottledDidShow(() => {
    fetchData(1);
-  });
+  }, 10000);

  usePullDownRefresh(() => {
    fetchData(1).finally(() => {
@@ -97,7 +101,7 @@ export default function MyReports() {
      </View>

      {reports.length === 0 && !loading && (
-        <EmptyState text={Taro.getStorageSync('current_patient_id') ? '暂无报告记录' : '请先在就诊人管理中选择就诊人'} />
+        <EmptyState text={hasPatient ? '暂无报告记录' : '请先在就诊人管理中选择就诊人'} />
      )}

      {loading && (
--- a/apps/miniprogram/src/pages/pkg-profile/settings/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-profile/settings/index.tsx
@@ -7,30 +7,35 @@ import './index.scss';

 export default function Settings() {
  const modeClass = useElderClass();
-  const { logout } = useAuthStore();
+  const logout = useAuthStore((s) => s.logout);

-  const handleClearCache = () => {
-    Taro.showModal({
+  const handleClearCache = async () => {
+    const { confirm } = await Taro.showModal({
      title: '清除缓存',
      content: '确定要清除本地缓存数据吗？不会影响账号信息。',
-    }).then((res) => {
-      if (res.confirm) {
-        const preservedKeys = ['access_token', 'refresh_token', 'user_data', 'user_roles', 'tenant_id', 'wechat_openid', 'current_patient', 'current_patient_id'];
-        const preservedData: Record<string, unknown> = {};
-        for (const key of preservedKeys) {
-          const val = Taro.getStorageSync(key);
-          if (val) preservedData[key] = val;
-        }
-
-        Taro.clearStorageSync();
-
-        for (const [key, val] of Object.entries(preservedData)) {
-          Taro.setStorageSync(key, val);
-        }
-
-        Taro.showToast({ title: '缓存已清除', icon: 'success' });
-      }
    });
+    if (!confirm) return;
+
+    const preservedKeys = ['access_token', 'refresh_token', 'user_data', 'user_roles', 'tenant_id', 'wechat_openid', 'current_patient', 'current_patient_id'];
+    const preserved: Record<string, unknown> = {};
+    await Promise.all(
+      preservedKeys.map(async (key) => {
+        try {
+          const val = await Taro.getStorage({ key });
+          if (val.data) preserved[key] = val.data;
+        } catch { /* key not found */ }
+      }),
+    );
+
+    await Taro.clearStorage();
+
+    await Promise.all(
+      Object.entries(preserved).map(([key, val]) =>
+        Taro.setStorage({ key, data: val }),
+      ),
+    );
+
+    Taro.showToast({ title: '缓存已清除', icon: 'success' });
  };

  const handleAbout = () => {
--- a/apps/miniprogram/src/pages/profile/index.tsx
+++ b/apps/miniprogram/src/pages/profile/index.tsx
@@ -1,9 +1,12 @@
 import { View, Text } from '@tarojs/components';
-import Taro, { useDidShow } from '@tarojs/taro';
+import Taro from '@tarojs/taro';
+import { useState } from 'react';
 import { useAuthStore } from '../../stores/auth';
 import { usePointsStore } from '../../stores/points';
 import { useUIStore } from '../../stores/ui';
 import { navigateToLogin } from '../../utils/navigate';
+import { useThrottledDidShow } from '@/hooks/useThrottledDidShow';
+import Loading from '../../components/Loading';
 import './index.scss';

 interface MenuItem {
@@ -76,16 +79,23 @@ const GUEST_GROUPS: MenuGroup[] = [
 ];

 export default function Profile() {
-  const { user, logout } = useAuthStore();
-  const { account: pointsAccount, checkinStatus: checkinInfo, refresh: refreshPoints } = usePointsStore();
+  const user = useAuthStore((s) => s.user);
+  const logout = useAuthStore((s) => s.logout);
+  const pointsAccount = usePointsStore((s) => s.account);
+  const checkinInfo = usePointsStore((s) => s.checkinStatus);
+  const refreshPoints = usePointsStore((s) => s.refresh);
  const mode = useUIStore((s) => s.mode);
  const modeClass = mode === 'elder' ? 'elder-mode' : '';
  const isGuest = !user;
  const groups = isGuest ? GUEST_GROUPS : LOGGED_IN_GROUPS;
+  const [pointsLoading, setPointsLoading] = useState(false);

-  useDidShow(() => {
-    if (!isGuest) refreshPoints();
-  });
+  useThrottledDidShow(() => {
+    if (!isGuest) {
+      setPointsLoading(true);
+      refreshPoints().finally(() => setPointsLoading(false));
+    }
+  }, 5000);

  const handleMenuClick = (item: MenuItem) => {
    if (item.isSwitchTab) {
@@ -139,6 +149,9 @@ export default function Profile() {
          </View>

          {/* 积分 + 打卡 */}
+          {pointsLoading ? (
+            <Loading />
+          ) : (
          <View className='profile-stats-row'>
            <View className='stat-card'>
              <Text className='stat-value stat-pri'>{(pointsAccount?.balance ?? 0).toLocaleString()}</Text>
@@ -149,6 +162,7 @@ export default function Profile() {
              <Text className='stat-label'>连续打卡</Text>
            </View>
          </View>
+          )}
        </>
      )}

--- a/apps/miniprogram/src/pages/report/detail/index.tsx
+++ b/apps/miniprogram/src/pages/report/detail/index.tsx
@@ -4,6 +4,7 @@ import Taro, { useRouter } from '@tarojs/taro';
 import { getReportDetail, LabReport } from '../../../services/report';
 import Loading from '../../../components/Loading';
 import { useElderClass } from '../../../hooks/useElderClass';
+import { useAuthStore } from '../../../stores/auth';
 import './index.scss';

 interface IndicatorItem {
@@ -19,7 +20,8 @@ export default function ReportDetail() {
  const modeClass = useElderClass();
  const router = useRouter();
  const id = router.params.id || '';
-  const patientId = Taro.getStorageSync('current_patient_id') || '';
+  const currentPatient = useAuthStore((s) => s.currentPatient);
+  const patientId = currentPatient?.id || '';

  const [report, setReport] = useState<LabReport | null>(null);
  const [loading, setLoading] = useState(true);