diff --git a/apps/web/src/components/MediaPicker/index.tsx b/apps/web/src/components/MediaPicker/index.tsx
new file mode 100644
index 0000000..7658ead
--- /dev/null
+++ b/apps/web/src/components/MediaPicker/index.tsx
@@ -0,0 +1,192 @@
+import { useState, useEffect, useCallback } from 'react';
+import { Modal, Input, Upload, Image, Empty, Spin, message } from 'antd';
+import { SearchOutlined, UploadOutlined } from '@ant-design/icons';
+import { mediaApi, type MediaItem } from '../../api/health/media';
+import { uploadFile } from '../../api/upload';
+
+interface MediaPickerProps {
+  open: boolean;
+  onClose: () => void;
+  onSelect: (url: string, item?: MediaItem) => void;
+  accept?: string;
+}
+
+const PAGE_SIZE = 20;
+
+export default function MediaPicker({ open, onClose, onSelect, accept = 'image/*' }: MediaPickerProps) {
+  const [items, setItems] = useState<MediaItem[]>([]);
+  const [total, setTotal] = useState(0);
+  const [page, setPage] = useState(1);
+  const [keyword, setKeyword] = useState('');
+  const [loading, setLoading] = useState(false);
+  const [uploading, setUploading] = useState(false);
+
+  const loadData = useCallback(async () => {
+    setLoading(true);
+    try {
+      const result = await mediaApi.list({
+        page,
+        page_size: PAGE_SIZE,
+        keyword: keyword || undefined,
+        content_type: accept === 'image/*' ? 'image' : undefined,
+      });
+      setItems(result.data);
+      setTotal(result.total);
+    } catch {
+      setItems([]);
+    } finally {
+      setLoading(false);
+    }
+  }, [page, keyword, accept]);
+
+  useEffect(() => {
+    if (open) loadData();
+  }, [open, loadData]);
+
+  const handleUpload = async (file: File) => {
+    setUploading(true);
+    try {
+      await uploadFile(file);
+      message.success('上传成功');
+      await loadData();
+    } catch {
+      message.error('上传失败');
+    } finally {
+      setUploading(false);
+    }
+    return false;
+  };
+
+  const handleSelect = (item: MediaItem) => {
+    const token = localStorage.getItem('access_token');
+    const url = token ? `${item.storage_path}?token=${token}` : item.storage_path;
+    onSelect(url, item);
+    onClose();
+  };
+
+  const totalPages = Math.ceil(total / PAGE_SIZE);
+
+  return (
+    <Modal
+      title="选择媒体文件"
+      open={open}
+      onCancel={onClose}
+      footer={null}
+      width={720}
+      destroyOnClose
+    >
+      <div style={{ display: 'flex', gap: 8, marginBottom: 16 }}>
+        <Input
+          prefix={<SearchOutlined />}
+          placeholder="搜索文件名..."
+          value={keyword}
+          onChange={(e) => { setKeyword(e.target.value); setPage(1); }}
+          allowClear
+          style={{ flex: 1 }}
+        />
+        <Upload
+          accept={accept}
+          showUploadList={false}
+          beforeUpload={(file) => { handleUpload(file); return false; }}
+        >
+          <button
+            style={{
+              display: 'inline-flex', alignItems: 'center', gap: 4,
+              padding: '4px 15px', borderRadius: 6, border: '1px solid #d9d9d9',
+              background: '#fff', cursor: 'pointer', fontSize: 14,
+            }}
+            disabled={uploading}
+          >
+            {uploading ? <Spin size="small" /> : <UploadOutlined />}
+            上传
+          </button>
+        </Upload>
+      </div>
+
+      {loading ? (
+        <div style={{ textAlign: 'center', padding: 40 }}><Spin /></div>
+      ) : items.length === 0 ? (
+        <Empty description="暂无媒体文件" />
+      ) : (
+        <>
+          <div
+            style={{
+              display: 'grid',
+              gridTemplateColumns: 'repeat(4, 1fr)',
+              gap: 12,
+              maxHeight: 400,
+              overflowY: 'auto',
+            }}
+          >
+            {items.map((item) => (
+              <div
+                key={item.id}
+                onClick={() => handleSelect(item)}
+                style={{
+                  cursor: 'pointer',
+                  borderRadius: 8,
+                  overflow: 'hidden',
+                  border: '1px solid #f0f0f0',
+                  background: '#fafafa',
+                  transition: 'border-color 0.2s',
+                }}
+                onMouseEnter={(e) => { (e.currentTarget.style.borderColor = '#1677ff'); }}
+                onMouseLeave={(e) => { (e.currentTarget.style.borderColor = '#f0f0f0'); }}
+              >
+                <div style={{ width: '100%', height: 100, display: 'flex', alignItems: 'center', justifyContent: 'center' }}>
+                  {item.content_type.startsWith('image/') ? (
+                    <Image
+                      src={(() => {
+                        const token = localStorage.getItem('access_token');
+                        const base = item.thumbnail_path || item.storage_path;
+                        return token ? `${base}?token=${token}` : base;
+                      })()}
+                      alt={item.alt_text || item.filename}
+                      style={{ maxWidth: '100%', maxHeight: 100, objectFit: 'cover' }}
+                      preview={false}
+                      fallback="data:image/svg+xml;base64,PHN2ZyB3aWR0aD0iNDAiIGhlaWdodD0iNDAiIHZpZXdCb3g9IjAgMCA0MCA0MCIgZmlsbD0ibm9uZSIgeG1sbnM9Imh0dHA6Ly93d3cudzMub3JnLzIwMDAvc3ZnIj48cmVjdCB3aWR0aD0iNDAiIGhlaWdodD0iNDAiIGZpbGw9IiNlOGU4ZTgiLz48dGV4dCB4PSI1MCUiIHk9IjUwJSIgZG9taW5hbnQtYmFzZWxpbmU9Im1pZGRsZSIgdGV4dC1hbmNob3I9Im1pZGRsZSIgZmlsbD0iIzk5OSIgZm9udC1zaXplPSIxMiI+PC90ZXh0Pjwvc3ZnPg=="
+                    />
+                  ) : (
+                    <span style={{ color: '#999', fontSize: 12 }}>{item.content_type.split('/')[1]}</span>
+                  )}
+                </div>
+                <div
+                  style={{
+                    padding: '4px 8px',
+                    fontSize: 11,
+                    color: '#666',
+                    whiteSpace: 'nowrap',
+                    overflow: 'hidden',
+                    textOverflow: 'ellipsis',
+                  }}
+                  title={item.filename}
+                >
+                  {item.filename}
+                </div>
+              </div>
+            ))}
+          </div>
+          {totalPages > 1 && (
+            <div style={{ display: 'flex', justifyContent: 'center', gap: 8, marginTop: 12, alignItems: 'center' }}>
+              <button
+                disabled={page <= 1}
+                onClick={() => setPage((p) => p - 1)}
+                style={{ padding: '4px 12px', borderRadius: 4, border: '1px solid #d9d9d9', cursor: page <= 1 ? 'default' : 'pointer' }}
+              >
+                上一页
+              </button>
+              <span style={{ fontSize: 13, color: '#666' }}>{page} / {totalPages}</span>
+              <button
+                disabled={page >= totalPages}
+                onClick={() => setPage((p) => p + 1)}
+                style={{ padding: '4px 12px', borderRadius: 4, border: '1px solid #d9d9d9', cursor: page >= totalPages ? 'default' : 'pointer' }}
+              >
+                下一页
+              </button>
+            </div>
+          )}
+        </>
+      )}
+    </Modal>
+  );
+}
diff --git a/apps/web/src/pages/health/ArticleEditor.tsx b/apps/web/src/pages/health/ArticleEditor.tsx
index a6cfa80..b33bc76 100644
--- a/apps/web/src/pages/health/ArticleEditor.tsx
+++ b/apps/web/src/pages/health/ArticleEditor.tsx
@@ -1,7 +1,7 @@
 import { useEffect, useState, useCallback, useMemo } from 'react';
 import { useParams, useNavigate } from 'react-router-dom';
 import { Button, Input, Select, Space, message, Spin, Upload } from 'antd';
-import { ArrowLeftOutlined, SaveOutlined, SendOutlined, UploadOutlined } from '@ant-design/icons';
+import { ArrowLeftOutlined, SaveOutlined, SendOutlined, UploadOutlined, PictureOutlined } from '@ant-design/icons';
 import { Editor, Toolbar } from '@wangeditor/editor-for-react';
 import type { IDomEditor, IEditorConfig, IToolbarConfig } from '@wangeditor/editor';
 import {
@@ -13,7 +13,8 @@ import {
 } from '../../api/health/articles';
 import { useThemeMode } from '../../hooks/useThemeMode';
 import { AuthButton } from '../../components/AuthButton';
-import client, { handleApiError } from '../../api/client';
+import MediaPicker from '../../components/MediaPicker';
+import { handleApiError } from '../../api/client';
 import { uploadFile } from '../../api/upload';
 import '@wangeditor/editor/dist/css/style.css';
 
@@ -42,6 +43,7 @@ export default function ArticleEditor() {
   const [loading, setLoading] = useState(false);
   const [saving, setSaving] = useState(false);
   const [editor, setEditor] = useState<IDomEditor | null>(null);
+  const [mediaPickerOpen, setMediaPickerOpen] = useState(false);
 
   // 加载分类和标签
   useEffect(() => {
@@ -458,6 +460,9 @@ export default function ArticleEditor() {
                 placeholder="请输入封面图片 URL 或上传文件"
                 style={{ flex: 1 }}
               />
+              <Button icon={<PictureOutlined />} onClick={() => setMediaPickerOpen(true)}>
+                媒体库
+              </Button>
               <Upload
                 accept="image/*"
                 showUploadList={false}
@@ -538,6 +543,15 @@ export default function ArticleEditor() {
           </div>
         </div>
       </div>
+
+      <MediaPicker
+        open={mediaPickerOpen}
+        onClose={() => setMediaPickerOpen(false)}
+        onSelect={(url) => {
+          setCoverImage(url);
+          message.success('已选择封面图');
+        }}
+      />
     </div>
   );
 }