diff --git a/crates/erp-health/src/event.rs b/crates/erp-health/src/event.rs
index 3f74718..2655001 100644
--- a/crates/erp-health/src/event.rs
+++ b/crates/erp-health/src/event.rs
@@ -12,6 +12,14 @@ pub const APPOINTMENT_CREATED: &str = "appointment.created";
 // 告警
 pub const ALERT_TRIGGERED: &str = "alert.triggered";
 
+// 知情同意
+pub const CONSENT_GRANTED: &str = "consent.granted";
+pub const CONSENT_REVOKED: &str = "consent.revoked";
+
+// 文章
+pub const ARTICLE_PUBLISHED: &str = "article.published";
+pub const ARTICLE_REJECTED: &str = "article.rejected";
+
 // 咨询
 pub const CONSULTATION_OPENED: &str = "consultation.opened";
 pub const CONSULTATION_CLOSED: &str = "consultation.closed";
@@ -39,6 +47,8 @@ pub const PATIENT_DECEASED: &str = "patient.deceased";
 
 // 积分
 pub const POINTS_EXPIRED: &str = "points.expired";
+pub const POINTS_EARNED: &str = "points.earned";
+pub const POINTS_EXCHANGED: &str = "points.exchanged";
 
 /// 兼容旧签名 — 不做任何实际订阅（逻辑已迁移到 on_startup）
 pub fn register_handlers(_bus: &EventBus) {
diff --git a/crates/erp-health/src/service/article_service.rs b/crates/erp-health/src/service/article_service.rs
index 5721fe6..a6e8150 100644
--- a/crates/erp-health/src/service/article_service.rs
+++ b/crates/erp-health/src/service/article_service.rs
@@ -8,6 +8,7 @@ use uuid::Uuid;
 use erp_core::audit::AuditLog;
 use erp_core::audit_service;
 use erp_core::error::check_version;
+use erp_core::events::DomainEvent;
 use erp_core::types::PaginatedResponse;
 
 use crate::dto::article_dto::{ArticleListItem, ArticleResp, CreateArticleReq, ReviewArticleReq, UpdateArticleReq};
@@ -184,6 +185,13 @@ pub async fn approve_article(
         &state.db,
     ).await;
 
+    state.event_bus.publish(
+        DomainEvent::new(crate::event::ARTICLE_PUBLISHED, tenant_id, serde_json::json!({
+            "article_id": m.id, "title": m.title, "category": m.category,
+        })),
+        &state.db,
+    ).await;
+
     let tags = load_article_tags(state, m.id).await?;
     Ok(full_model_to_resp(m, tags))
 }
@@ -220,6 +228,13 @@ pub async fn reject_article(
         &state.db,
     ).await;
 
+    state.event_bus.publish(
+        DomainEvent::new(crate::event::ARTICLE_REJECTED, tenant_id, serde_json::json!({
+            "article_id": m.id, "title": m.title,
+        })),
+        &state.db,
+    ).await;
+
     let tags = load_article_tags(state, m.id).await?;
     Ok(full_model_to_resp(m, tags))
 }
diff --git a/crates/erp-health/src/service/consent_service.rs b/crates/erp-health/src/service/consent_service.rs
index 6c913af..4735931 100644
--- a/crates/erp-health/src/service/consent_service.rs
+++ b/crates/erp-health/src/service/consent_service.rs
@@ -6,6 +6,7 @@ use uuid::Uuid;
 use erp_core::audit::AuditLog;
 use erp_core::audit_service;
 use erp_core::error::check_version;
+use erp_core::events::DomainEvent;
 use erp_core::types::PaginatedResponse;
 
 use crate::dto::consent_dto::*;
@@ -107,6 +108,14 @@ pub async fn grant_consent(
         &state.db,
     ).await;
 
+    state.event_bus.publish(
+        DomainEvent::new(crate::event::CONSENT_GRANTED, tenant_id, serde_json::json!({
+            "consent_id": m.id, "patient_id": m.patient_id,
+            "consent_type": m.consent_type, "consent_scope": m.consent_scope,
+        })),
+        &state.db,
+    ).await;
+
     Ok(model_to_resp(m))
 }
 
@@ -145,6 +154,14 @@ pub async fn revoke_consent(
         &state.db,
     ).await;
 
+    state.event_bus.publish(
+        DomainEvent::new(crate::event::CONSENT_REVOKED, tenant_id, serde_json::json!({
+            "consent_id": m.id, "patient_id": m.patient_id,
+            "consent_type": m.consent_type,
+        })),
+        &state.db,
+    ).await;
+
     Ok(model_to_resp(m))
 }
 
diff --git a/crates/erp-health/src/service/points_service.rs b/crates/erp-health/src/service/points_service.rs
index 5faa3a9..b7e416a 100644
--- a/crates/erp-health/src/service/points_service.rs
+++ b/crates/erp-health/src/service/points_service.rs
@@ -9,6 +9,7 @@ use uuid::Uuid;
 use erp_core::audit::AuditLog;
 use erp_core::audit_service;
 use erp_core::error::check_version;
+use erp_core::events::DomainEvent;
 use erp_core::types::PaginatedResponse;
 
 use crate::dto::points_dto::*;
@@ -190,6 +191,14 @@ pub async fn earn_points(
         &state.db,
     ).await;
 
+    state.event_bus.publish(
+        DomainEvent::new(crate::event::POINTS_EARNED, tenant_id, serde_json::json!({
+            "transaction_id": inserted.id, "account_id": inserted.account_id,
+            "amount": inserted.amount, "balance_after": inserted.balance_after,
+        })),
+        &state.db,
+    ).await;
+
     Ok(PointsTransactionResp {
         id: inserted.id,
         account_id: inserted.account_id,
@@ -923,6 +932,14 @@ pub async fn exchange_product(
         &state.db,
     ).await;
 
+    state.event_bus.publish(
+        DomainEvent::new(crate::event::POINTS_EXCHANGED, tenant_id, serde_json::json!({
+            "order_id": inserted_order.id, "patient_id": inserted_order.patient_id,
+            "product_id": inserted_order.product_id, "points_cost": inserted_order.points_cost,
+        })),
+        &state.db,
+    ).await;
+
     Ok(PointsOrderResp {
         id: inserted_order.id,
         patient_id: inserted_order.patient_id,