diff --git a/apps/web/src/api/health/banners.ts b/apps/web/src/api/health/banners.ts
index 9794e6d..937e2ec 100644
--- a/apps/web/src/api/health/banners.ts
+++ b/apps/web/src/api/health/banners.ts
@@ -69,6 +69,15 @@ export const bannerApi = {
     return data.data;
   },
 
+  /** 获取单个轮播图 */
+  get: async (id: string) => {
+    const { data } = await client.get<{
+      success: boolean;
+      data: BannerItem;
+    }>(`/health/banners/${id}`);
+    return data.data;
+  },
+
   /** 创建轮播图 */
   create: async (req: CreateBannerReq) => {
     const { data } = await client.post<{
diff --git a/apps/web/src/layouts/MainLayout.tsx b/apps/web/src/layouts/MainLayout.tsx
index d0f7a18..46afeb0 100644
--- a/apps/web/src/layouts/MainLayout.tsx
+++ b/apps/web/src/layouts/MainLayout.tsx
@@ -7,6 +7,7 @@ import {
   SearchOutlined,
   AppstoreOutlined,
   RightOutlined,
+  UserOutlined,
 } from '@ant-design/icons';
 import { useNavigate, useLocation } from 'react-router-dom';
 import { useAppStore } from '../stores/app';
@@ -493,7 +494,7 @@ export default function MainLayout({ children }: { children: React.ReactNode })
 
         {/* 内容区域 */}
         <Content style={{ padding: 20, minHeight: 'calc(100vh - 56px - 48px)' }}>
-          {children}
+          <div key={currentPath}>{children}</div>
         </Content>
 
         {/* 底部 */}
diff --git a/apps/web/src/pages/health/AppointmentList.tsx b/apps/web/src/pages/health/AppointmentList.tsx
index 54c1434..a4caa5a 100644
--- a/apps/web/src/pages/health/AppointmentList.tsx
+++ b/apps/web/src/pages/health/AppointmentList.tsx
@@ -46,6 +46,7 @@ const APPOINTMENT_TYPE_MAP: Record<string, string> = {
   health_checkup: '体检',
   consultation: '咨询',
   dialysis: '透析',
+  follow_up: '随访',
 };
 
 /** 状态筛选选项 */
@@ -383,6 +384,7 @@ export default function AppointmentList() {
           <DatePicker.RangePicker
             value={filters.dateRange as [Dayjs, Dayjs] | null}
             onChange={(dates) => handleFilterChange('dateRange', dates)}
+            placeholder={['开始日期', '结束日期']}
             allowClear
           />
           <Input
diff --git a/apps/web/src/pages/health/BannerManage.tsx b/apps/web/src/pages/health/BannerManage.tsx
index 67e7fe8..a628ffc 100644
--- a/apps/web/src/pages/health/BannerManage.tsx
+++ b/apps/web/src/pages/health/BannerManage.tsx
@@ -30,6 +30,7 @@ import { mediaApi, type MediaItem } from '../../api/health/media';
 import { AuthButton } from '../../components/AuthButton';
 import { PageContainer } from '../../components/PageContainer';
 import { formatDateTime } from '../../utils/format';
+import { resolveMediaUrl } from '../../utils/media';
 import { dayjs } from '../../utils/dayjs';
 
 // --- 常量 ---
@@ -208,9 +209,10 @@ export default function BannerManage() {
   const handleToggleStatus = useCallback(async (record: BannerItem) => {
     try {
       const newStatus = record.status === 'active' ? 'inactive' : 'active';
+      const latest = await bannerApi.get(record.id);
       await bannerApi.update(record.id, {
         status: newStatus,
-        version: record.version,
+        version: latest.version,
       });
       message.success(newStatus === 'active' ? '已启用' : '已停用');
       fetchData();
@@ -259,7 +261,7 @@ export default function BannerManage() {
           if (!src) return '-';
           return (
             <Image
-              src={src}
+              src={resolveMediaUrl(src.replace(/\\/g, '/'))}
               width={60}
               height={40}
               style={{ borderRadius: 4, objectFit: 'cover' }}
diff --git a/apps/web/src/routeConfig.ts b/apps/web/src/routeConfig.ts
index 2ecb7c7..4b455ac 100644
--- a/apps/web/src/routeConfig.ts
+++ b/apps/web/src/routeConfig.ts
@@ -235,7 +235,6 @@ const ENTRIES: RoutePermissionEntry[] = [
   {
     path: "/health/schedules",
     permissions: ["health.appointment.list", "health.appointment.manage"],
-    frozen: true,
   },
 ];
 
diff --git a/crates/erp-health/src/handler/banner_handler.rs b/crates/erp-health/src/handler/banner_handler.rs
index cf31c82..d8786f3 100644
--- a/crates/erp-health/src/handler/banner_handler.rs
+++ b/crates/erp-health/src/handler/banner_handler.rs
@@ -61,6 +61,9 @@ where
 {
     require_permission(&ctx, "health.banners.manage")?;
     req.sanitize();
+    if req.title.as_ref().is_none_or(|t| t.trim().is_empty()) {
+        return Err(AppError::Validation("轮播图标题不能为空".into()));
+    }
     let result = banner_service::create_banner(&state, ctx.tenant_id, ctx.user_id, req.0).await?;
     Ok(Json(ApiResponse::ok(result)))
 }
diff --git a/crates/erp-health/src/handler/patient_handler.rs b/crates/erp-health/src/handler/patient_handler.rs
index e15e373..6b31ec0 100644
--- a/crates/erp-health/src/handler/patient_handler.rs
+++ b/crates/erp-health/src/handler/patient_handler.rs
@@ -70,6 +70,9 @@ where
     if req.name.trim().is_empty() {
         return Err(AppError::Validation("患者姓名不能为空".into()));
     }
+    if req.name.len() > 255 {
+        return Err(AppError::Validation("患者姓名长度不能超过255个字符".into()));
+    }
     let result =
         patient_service::create_patient(&state, ctx.tenant_id, Some(ctx.user_id), req).await?;
     Ok(Json(ApiResponse::ok(result)))
diff --git a/crates/erp-health/src/service/article_category_service.rs b/crates/erp-health/src/service/article_category_service.rs
index ddc0a0f..c79a221 100644
--- a/crates/erp-health/src/service/article_category_service.rs
+++ b/crates/erp-health/src/service/article_category_service.rs
@@ -48,6 +48,17 @@ pub async fn create_category(
     operator_id: Option<Uuid>,
     req: CreateCategoryReq,
 ) -> HealthResult<CategoryResp> {
+    // 同名分类检查
+    let duplicate = article_category::Entity::find()
+        .filter(article_category::Column::TenantId.eq(tenant_id))
+        .filter(article_category::Column::Name.eq(&req.name))
+        .filter(article_category::Column::DeletedAt.is_null())
+        .one(&state.db)
+        .await?;
+    if duplicate.is_some() {
+        return Err(HealthError::Validation("同名分类已存在".into()));
+    }
+
     let now = Utc::now();
     let active = article_category::ActiveModel {
         id: Set(Uuid::now_v7()),
diff --git a/crates/erp-health/src/service/media_service.rs b/crates/erp-health/src/service/media_service.rs
index 8c703de..2b08bb8 100644
--- a/crates/erp-health/src/service/media_service.rs
+++ b/crates/erp-health/src/service/media_service.rs
@@ -144,7 +144,7 @@ pub async fn upload_media(
         folder_id: Set(folder_id),
         filename: Set(filename.to_string()),
         storage_path: Set(relative_path.clone()),
-        thumbnail_path: Set(thumbnail_path.map(|p| p.to_string_lossy().to_string())),
+        thumbnail_path: Set(thumbnail_path.map(|p| p.to_string_lossy().replace('\\', "/"))),
         content_type: Set(content_type.to_string()),
         file_size: Set(file_data.len() as i64),
         width: Set(width),
@@ -404,7 +404,7 @@ pub async fn crop_media(
 
     let mut active: media_item::ActiveModel = model.into();
     active.storage_path = Set(cropped_relative);
-    active.thumbnail_path = Set(thumbnail_path.map(|p| p.to_string_lossy().to_string()));
+    active.thumbnail_path = Set(thumbnail_path.map(|p| p.to_string_lossy().replace('\\', "/")));
     active.width = Set(new_width);
     active.height = Set(new_height);
     active.updated_at = Set(Utc::now());
diff --git a/crates/erp-server/migration/src/m20260515_000146_seed_menu_permissions_phase2.rs b/crates/erp-server/migration/src/m20260515_000146_seed_menu_permissions_phase2.rs
index 20bf2ff..15af5e3 100644
--- a/crates/erp-server/migration/src/m20260515_000146_seed_menu_permissions_phase2.rs
+++ b/crates/erp-server/migration/src/m20260515_000146_seed_menu_permissions_phase2.rs
@@ -30,7 +30,7 @@ impl MigrationTrait for Migration {
 
         for &(path, perm) in menu_perms {
             db.execute_unprepared(&format!(
-                "UPDATE menus SET permission = '{perm}', updated_at = NOW() \
+                "UPDATE menus SET permission = '{perm}', updated_at = NOW(), version = version + 1 \
                  WHERE path = '{path}' AND deleted_at IS NULL AND (permission IS NULL OR permission = '')"
             ))
             .await?;
@@ -57,7 +57,7 @@ impl MigrationTrait for Migration {
 
         for &path in paths {
             db.execute_unprepared(&format!(
-                "UPDATE menus SET permission = NULL, updated_at = NOW() \
+                "UPDATE menus SET permission = NULL, updated_at = NOW(), version = version + 1 \
                  WHERE path = '{path}' AND deleted_at IS NULL"
             ))
             .await?;