diff --git a/apps/miniprogram/package.json b/apps/miniprogram/package.json
index 1795976..2406556 100644
--- a/apps/miniprogram/package.json
+++ b/apps/miniprogram/package.json
@@ -4,6 +4,7 @@
   "private": true,
   "description": "HMS 健康管理平台患者小程序",
   "scripts": {
+    "generate-tokens": "tsx scripts/generate-tokens.ts",
     "build:weapp": "taro build --type weapp",
     "dev:weapp": "taro build --type weapp --watch",
     "lint": "eslint src/",
diff --git a/apps/miniprogram/scripts/__tests__/generate-tokens.test.ts b/apps/miniprogram/scripts/__tests__/generate-tokens.test.ts
new file mode 100644
index 0000000..5e9d698
--- /dev/null
+++ b/apps/miniprogram/scripts/__tests__/generate-tokens.test.ts
@@ -0,0 +1,97 @@
+import { describe, it, expect } from 'vitest';
+import {
+  parseTokensFromScss,
+  parseScssVariables,
+  resolveTokenValues,
+} from '../generate-tokens';
+
+describe('parseScssVariables', () => {
+  it('extracts SCSS variable declarations', () => {
+    const scss = '$pri: #C4623A;\n$bg: #F5F0EB;';
+    const vars = parseScssVariables(scss);
+    expect(vars).toEqual({ pri: '#C4623A', bg: '#F5F0EB' });
+  });
+
+  it('ignores comments and non-variable lines', () => {
+    const scss = '// comment\n$pri: #C4623A;';
+    const vars = parseScssVariables(scss);
+    expect(vars).toEqual({ pri: '#C4623A' });
+  });
+
+  it('handles values with spaces and units', () => {
+    const scss = '$shadow-sm: 0 1px 4px rgba(45, 42, 38, 0.06);\n$r: 16px;';
+    const vars = parseScssVariables(scss);
+    expect(vars['shadow-sm']).toBe('0 1px 4px rgba(45, 42, 38, 0.06)');
+    expect(vars['r']).toBe('16px');
+  });
+});
+
+describe('parseTokensFromScss', () => {
+  it('extracts --tk-* CSS variables from page selector', () => {
+    const scss = `page {
+  --tk-font-h1: 28px;
+  --tk-font-body: 16px;
+}`;
+    const tokens = parseTokensFromScss(scss, 'page');
+    expect(tokens).toEqual({ 'font-h1': '28px', 'font-body': '16px' });
+  });
+
+  it('extracts from class selector', () => {
+    const scss = `.elder-mode {
+  --tk-font-h1: 32px;
+}`;
+    const tokens = parseTokensFromScss(scss, '.elder-mode');
+    expect(tokens).toEqual({ 'font-h1': '32px' });
+  });
+
+  it('captures SCSS variable references as-is for later resolution', () => {
+    const scss = `page {
+  --tk-pri: #{$pri};
+  --tk-font-body: 16px;
+}`;
+    const tokens = parseTokensFromScss(scss, 'page');
+    expect(tokens['pri']).toBe('#{$pri}');
+    expect(tokens['font-body']).toBe('16px');
+  });
+
+  it('returns empty object when selector not found', () => {
+    const scss = `page { --tk-font-h1: 28px; }`;
+    const tokens = parseTokensFromScss(scss, '.nonexistent');
+    expect(tokens).toEqual({});
+  });
+});
+
+describe('resolveTokenValues', () => {
+  it('replaces SCSS variable references with actual values', () => {
+    const tokensScss = `page {
+  --tk-pri: #{$pri};
+}`;
+    const varsScss = '$pri: #C4623A;';
+    const result = resolveTokenValues(tokensScss, varsScss, 'page');
+    expect(result).toEqual({ pri: '#C4623A' });
+  });
+
+  it('handles plain values without SCSS references', () => {
+    const tokensScss = `page {
+  --tk-card-radius: 16px;
+  --tk-font-body: 16px;
+}`;
+    const varsScss = '$r: 16px;';
+    const result = resolveTokenValues(tokensScss, varsScss, 'page');
+    expect(result['card-radius']).toBe('16px');
+    expect(result['font-body']).toBe('16px');
+  });
+
+  it('handles multiple variable references', () => {
+    const tokensScss = `page {
+  --tk-pri: #{$pri};
+  --tk-pri-l: #{$pri-l};
+  --tk-font-body: 16px;
+}`;
+    const varsScss = '$pri: #C4623A;\n$pri-l: #F0DDD4;';
+    const result = resolveTokenValues(tokensScss, varsScss, 'page');
+    expect(result['pri']).toBe('#C4623A');
+    expect(result['pri-l']).toBe('#F0DDD4');
+    expect(result['font-body']).toBe('16px');
+  });
+});
diff --git a/apps/miniprogram/scripts/generate-tokens.ts b/apps/miniprogram/scripts/generate-tokens.ts
new file mode 100644
index 0000000..d48d520
--- /dev/null
+++ b/apps/miniprogram/scripts/generate-tokens.ts
@@ -0,0 +1,133 @@
+// scripts/generate-tokens.ts
+// 从 src/styles/tokens.scss + variables.scss 解析 CSS 变量，
+// 输出 src/styles/token-values.ts 供 JS 运行时使用
+import { readFileSync, writeFileSync } from 'fs';
+import { resolve, dirname } from 'path';
+import { fileURLToPath } from 'url';
+
+const __dirname = dirname(fileURLToPath(import.meta.url));
+
+interface TokenMap {
+  [key: string]: string;
+}
+
+/** 解析 SCSS 文件中的 CSS 变量声明 */
+function parseTokensFromScss(
+  scssContent: string,
+  selector: string = 'page',
+): TokenMap {
+  const tokens: TokenMap = {};
+  const blockRegex = new RegExp(
+    `${selector.replace('.', '\\.')}\\s*\\{([\\s\\S]+?)\\n\\}`,
+  );
+  const blockMatch = scssContent.match(blockRegex);
+  if (!blockMatch) return tokens;
+
+  const varRegex = /--tk-([\w-]+)\s*:\s*([^;]+);/g;
+  let match: RegExpExecArray | null;
+  while ((match = varRegex.exec(blockMatch[1])) !== null) {
+    tokens[match[1]] = match[2].trim();
+  }
+  return tokens;
+}
+
+/** 解析 SCSS 变量（如 $pri: #C4623A）用于替换 #{...} 引用 */
+function parseScssVariables(scssContent: string): Record<string, string> {
+  const vars: Record<string, string> = {};
+  const regex = /\$([\w-]+)\s*:\s*([^;]+);/g;
+  let match: RegExpExecArray | null;
+  while ((match = regex.exec(scssContent)) !== null) {
+    vars[match[1]] = match[2].trim();
+  }
+  return vars;
+}
+
+/** 解析 tokens.scss，替换 SCSS 变量引用 */
+function resolveTokenValues(
+  tokensContent: string,
+  variablesContent: string,
+  selector: string,
+): TokenMap {
+  const scssVars = parseScssVariables(variablesContent);
+  const rawTokens = parseTokensFromScss(tokensContent, selector);
+  const resolved: TokenMap = {};
+  for (const [key, value] of Object.entries(rawTokens)) {
+    let resolvedValue = value;
+    resolvedValue = resolvedValue.replace(
+      /#\{\$([\w-]+)\}/g,
+      (_, varName) => scssVars[varName] || '',
+    );
+    resolved[key] = resolvedValue;
+  }
+  return resolved;
+}
+
+function generateTokenFile(
+  tokensPath: string,
+  variablesPath: string,
+  outputPath: string,
+): void {
+  const tokensContent = readFileSync(tokensPath, 'utf-8');
+  const variablesContent = readFileSync(variablesPath, 'utf-8');
+
+  const normalTokens = resolveTokenValues(
+    tokensContent,
+    variablesContent,
+    'page',
+  );
+  const elderTokens = resolveTokenValues(
+    tokensContent,
+    variablesContent,
+    '.elder-mode',
+  );
+  const doctorTokens = resolveTokenValues(
+    tokensContent,
+    variablesContent,
+    '.doctor-mode',
+  );
+
+  const output = `// Auto-generated by scripts/generate-tokens.ts — DO NOT EDIT
+// Generated at: ${new Date().toISOString()}
+
+export const TOKEN_VALUES = ${JSON.stringify(normalTokens, null, 2)} as const;
+
+export const ELDER_TOKEN_OVERRIDES = ${JSON.stringify(elderTokens, null, 2)} as const;
+
+export const DOCTOR_TOKEN_OVERRIDES = ${JSON.stringify(doctorTokens, null, 2)} as const;
+
+// Canvas 专用：字号（数字，单位 px）
+export const CANVAS_FONT_NORMAL = {
+  yLabel: 10,
+  xLabel: 10,
+  tooltip: 12,
+  pointNormal: 3,
+  pointAbnormal: 5,
+} as const;
+
+export const CANVAS_FONT_ELDER = {
+  yLabel: 14,
+  xLabel: 14,
+  tooltip: 16,
+  pointNormal: 5,
+  pointAbnormal: 8,
+} as const;
+`;
+
+  writeFileSync(outputPath, output, 'utf-8');
+  console.log(`[generate-tokens] Generated ${outputPath}`);
+  console.log(`  Normal: ${Object.keys(normalTokens).length} tokens`);
+  console.log(`  Elder: ${Object.keys(elderTokens).length} overrides`);
+  console.log(`  Doctor: ${Object.keys(doctorTokens).length} overrides`);
+}
+
+// CLI 入口
+if (process.argv[1]?.endsWith('generate-tokens.ts')) {
+  const root = resolve(__dirname, '..');
+  generateTokenFile(
+    resolve(root, 'src/styles/tokens.scss'),
+    resolve(root, 'src/styles/variables.scss'),
+    resolve(root, 'src/styles/token-values.ts'),
+  );
+}
+
+export { parseTokensFromScss, parseScssVariables, resolveTokenValues, generateTokenFile };
diff --git a/apps/miniprogram/src/hooks/useCanvasTokens.ts b/apps/miniprogram/src/hooks/useCanvasTokens.ts
new file mode 100644
index 0000000..188b795
--- /dev/null
+++ b/apps/miniprogram/src/hooks/useCanvasTokens.ts
@@ -0,0 +1,89 @@
+import { useMemo } from 'react';
+import {
+  TOKEN_VALUES,
+  ELDER_TOKEN_OVERRIDES,
+  DOCTOR_TOKEN_OVERRIDES,
+  CANVAS_FONT_NORMAL,
+  CANVAS_FONT_ELDER,
+} from '@/styles/token-values';
+import { useUIStore } from '@/stores/ui';
+import { useAuthStore } from '@/stores/auth';
+
+/** Canvas 绘制用的合并 Token */
+export interface CanvasTokens {
+  pri: string;
+  tx: string;
+  tx2: string;
+  gridColor: string;
+  fontH1: number;
+  fontBody: number;
+  fontBodySm: number;
+  fontCap: number;
+  yLabelFontSize: number;
+  xLabelFontSize: number;
+  tooltipFontSize: number;
+  pointNormalRadius: number;
+  pointAbnormalRadius: number;
+  referenceBandColor: string;
+  areaGradientStart: string;
+  areaGradientEnd: string;
+  lineColor: string;
+  abnormalColor: string;
+}
+
+function pxToInt(val: string | undefined, fallback: number): number {
+  if (!val) return fallback;
+  return parseInt(val, 10) || fallback;
+}
+
+/** 为 Canvas 组件提供适老化/医生端的 Token 值 */
+export function useCanvasTokens(): CanvasTokens {
+  const mode = useUIStore((s) => s.mode);
+  const isDoctor = useAuthStore((s) => s.isDoctor());
+
+  return useMemo(() => {
+    const tokens = TOKEN_VALUES as Record<string, string>;
+    const docTokens = DOCTOR_TOKEN_OVERRIDES as Record<string, string>;
+    const elderTokens = ELDER_TOKEN_OVERRIDES as Record<string, string>;
+
+    let pri = tokens['pri'] || '#C4623A';
+    const tx = '#2D2A26';
+
+    if (isDoctor) {
+      pri = docTokens['pri'] || pri;
+    }
+
+    const isElder = mode === 'elder';
+    const fontSet = isElder ? CANVAS_FONT_ELDER : CANVAS_FONT_NORMAL;
+
+    return {
+      pri,
+      tx,
+      tx2: isElder ? '#5A554F' : (tokens['text-secondary'] || '#78716C'),
+      gridColor: isElder ? '#E0DBD5' : '#F3F4F6',
+      fontH1: pxToInt(tokens['font-h1'], 28),
+      fontBody: pxToInt(
+        isElder ? elderTokens['font-body'] : tokens['font-body'],
+        isElder ? 22 : 16,
+      ),
+      fontBodySm: pxToInt(
+        isElder ? elderTokens['font-body-sm'] : tokens['font-body-sm'],
+        isElder ? 19 : 14,
+      ),
+      fontCap: pxToInt(
+        isElder ? elderTokens['font-cap'] : tokens['font-cap'],
+        isElder ? 18 : 13,
+      ),
+      yLabelFontSize: fontSet.yLabel,
+      xLabelFontSize: fontSet.xLabel,
+      tooltipFontSize: fontSet.tooltip,
+      pointNormalRadius: fontSet.pointNormal,
+      pointAbnormalRadius: fontSet.pointAbnormal,
+      referenceBandColor: isElder ? 'rgba(5,150,105,0.15)' : 'rgba(5,150,105,0.08)',
+      areaGradientStart: isElder ? 'rgba(8,145,178,0.20)' : 'rgba(8,145,178,0.15)',
+      areaGradientEnd: 'rgba(8,145,178,0.01)',
+      lineColor: '#0891B2',
+      abnormalColor: '#DC2626',
+    };
+  }, [mode, isDoctor]);
+}
diff --git a/apps/miniprogram/src/styles/token-values.ts b/apps/miniprogram/src/styles/token-values.ts
new file mode 100644
index 0000000..9352b99
--- /dev/null
+++ b/apps/miniprogram/src/styles/token-values.ts
@@ -0,0 +1,109 @@
+// Auto-generated by scripts/generate-tokens.ts — DO NOT EDIT
+// Generated at: 2026-05-22T00:11:18.815Z
+
+export const TOKEN_VALUES = {
+  "pri": "#C4623A",
+  "pri-l": "#F0DDD4",
+  "pri-d": "#8B3E1F",
+  "shadow-btn": "0 4px 16px rgba(196, 98, 58, 0.3)",
+  "shadow-tab": "0 2px 8px rgba(196, 98, 58, 0.25)",
+  "font-display": "72px",
+  "font-hero": "48px",
+  "font-h1": "28px",
+  "font-h2": "22px",
+  "font-body-lg": "18px",
+  "font-body": "16px",
+  "font-body-sm": "14px",
+  "font-num": "30px",
+  "font-num-lg": "34px",
+  "font-cap": "13px",
+  "font-nav": "18px",
+  "font-micro": "11px",
+  "line-height": "1.5",
+  "touch-min": "48px",
+  "btn-primary-h": "52px",
+  "text-secondary": "#78716C",
+  "card-bg": "#FFFFFF",
+  "card-padding": "20px",
+  "card-padding-sm": "16px",
+  "card-padding-lg": "28px",
+  "card-radius": "16px",
+  "gap-2xs": "4px",
+  "gap-xs": "8px",
+  "gap-sm": "12px",
+  "gap-md": "16px",
+  "section-gap": "20px",
+  "gap-lg": "24px",
+  "gap-xl": "32px",
+  "gap-2xl": "48px",
+  "page-padding": "20px",
+  "input-height": "56px",
+  "tabbar-space": "100px",
+  "touch-feedback-opacity": "0.85",
+  "tag-font-size": "11px",
+  "tag-padding-v": "3px",
+  "tag-padding-h": "8px"
+} as const;
+
+export const ELDER_TOKEN_OVERRIDES = {
+  "font-display": "80px",
+  "font-hero": "56px",
+  "font-h1": "32px",
+  "font-h2": "25px",
+  "font-body-lg": "22px",
+  "font-body": "22px",
+  "font-body-sm": "19px",
+  "font-num": "34px",
+  "font-num-lg": "40px",
+  "font-cap": "18px",
+  "font-nav": "22px",
+  "font-micro": "17px",
+  "line-height": "1.7",
+  "touch-min": "56px",
+  "btn-primary-h": "60px",
+  "text-secondary": "#5A554F",
+  "card-padding": "28px",
+  "card-padding-sm": "20px",
+  "card-padding-lg": "36px",
+  "card-radius": "20px",
+  "gap-2xs": "6px",
+  "gap-xs": "12px",
+  "gap-sm": "16px",
+  "gap-md": "20px",
+  "section-gap": "28px",
+  "gap-lg": "32px",
+  "gap-xl": "40px",
+  "gap-2xl": "56px",
+  "page-padding": "28px",
+  "input-height": "64px",
+  "tabbar-space": "120px",
+  "touch-feedback-opacity": "0.8",
+  "tag-font-size": "13px",
+  "tag-padding-v": "5px",
+  "tag-padding-h": "12px"
+} as const;
+
+export const DOCTOR_TOKEN_OVERRIDES = {
+  "pri": "#3A6B8C",
+  "pri-l": "#D4E5F0",
+  "pri-d": "#2A4F6A",
+  "shadow-btn": "0 4px 16px rgba(58, 107, 140, 0.3)",
+  "shadow-tab": "0 2px 8px rgba(58, 107, 140, 0.25)"
+} as const;
+
+// Canvas 专用：字号（数字，单位 px）
+export const CANVAS_FONT_NORMAL = {
+  yLabel: 10,
+  xLabel: 10,
+  tooltip: 12,
+  pointNormal: 3,
+  pointAbnormal: 5,
+} as const;
+
+export const CANVAS_FONT_ELDER = {
+  yLabel: 14,
+  xLabel: 14,
+  tooltip: 16,
+  pointNormal: 5,
+  pointAbnormal: 8,
+} as const;
diff --git a/apps/miniprogram/vitest.config.ts b/apps/miniprogram/vitest.config.ts
index 5773965..a63deed 100644
--- a/apps/miniprogram/vitest.config.ts
+++ b/apps/miniprogram/vitest.config.ts
@@ -4,7 +4,7 @@ import path from 'path';
 export default defineConfig({
   test: {
     environment: 'node',
-    include: ['__tests__/**/*.test.ts'],
+    include: ['__tests__/**/*.test.ts', 'scripts/__tests__/**/*.test.ts'],
     globals: true,
     setupFiles: ['__tests__/setup.ts'],
   },