diff --git a/apps/web/src/pages/health/PointsRuleList.tsx b/apps/web/src/pages/health/PointsRuleList.tsx
index ad213b0..a595400 100644
--- a/apps/web/src/pages/health/PointsRuleList.tsx
+++ b/apps/web/src/pages/health/PointsRuleList.tsx
@@ -142,8 +142,9 @@ export default function PointsRuleList() {
       setModalOpen(false);
       form.resetFields();
       fetchData();
-    } catch {
-      message.error(editing ? '更新失败' : '创建失败');
+    } catch (err: unknown) {
+      const apiMsg = (err as { response?: { data?: { message?: string } } })?.response?.data?.message;
+      message.error(apiMsg || (editing ? '更新失败' : '创建失败'));
     }
   };
 
diff --git a/crates/erp-health/src/service/points_service/event.rs b/crates/erp-health/src/service/points_service/event.rs
index 930db5a..24aa23b 100644
--- a/crates/erp-health/src/service/points_service/event.rs
+++ b/crates/erp-health/src/service/points_service/event.rs
@@ -59,6 +59,20 @@ pub async fn create_rule(
     operator_id: Option<Uuid>,
     req: CreatePointsRuleReq,
 ) -> HealthResult<PointsRuleResp> {
+    // 查重：同一租户下不允许重复的 event_type
+    let existing = points_rule::Entity::find()
+        .filter(points_rule::Column::TenantId.eq(tenant_id))
+        .filter(points_rule::Column::EventType.eq(&req.event_type))
+        .filter(points_rule::Column::DeletedAt.is_null())
+        .one(&state.db)
+        .await?;
+    if existing.is_some() {
+        return Err(HealthError::Validation(format!(
+            "事件类型 '{}' 已存在规则，不可重复创建",
+            req.event_type
+        )));
+    }
+
     let now = Utc::now();
     let active = points_rule::ActiveModel {
         id: Set(Uuid::now_v7()),
diff --git a/crates/erp-server/migration/src/lib.rs b/crates/erp-server/migration/src/lib.rs
index e44caaf..042481e 100644
--- a/crates/erp-server/migration/src/lib.rs
+++ b/crates/erp-server/migration/src/lib.rs
@@ -169,6 +169,7 @@ mod m20260521_000164_reorganize_menus_scheme_b;
 mod m20260522_000160_article_add_is_public;
 mod m20260522_000161_patient_points_manage_perm;
 mod m20260522_000162_seed_patient_miniprogram_permissions;
+mod m20260526_000163_points_rule_unique_event_type;
 
 pub struct Migrator;
 
@@ -345,6 +346,7 @@ impl MigratorTrait for Migrator {
             Box::new(m20260522_000160_article_add_is_public::Migration),
             Box::new(m20260522_000161_patient_points_manage_perm::Migration),
             Box::new(m20260522_000162_seed_patient_miniprogram_permissions::Migration),
+            Box::new(m20260526_000163_points_rule_unique_event_type::Migration),
         ]
     }
 }
diff --git a/crates/erp-server/migration/src/m20260526_000163_points_rule_unique_event_type.rs b/crates/erp-server/migration/src/m20260526_000163_points_rule_unique_event_type.rs
new file mode 100644
index 0000000..c14a6f1
--- /dev/null
+++ b/crates/erp-server/migration/src/m20260526_000163_points_rule_unique_event_type.rs
@@ -0,0 +1,41 @@
+use sea_orm_migration::prelude::*;
+
+/// 为 points_rule 添加 (tenant_id, event_type) 唯一索引（排除软删除行）
+#[derive(DeriveMigrationName)]
+pub struct Migration;
+
+#[async_trait::async_trait]
+impl MigrationTrait for Migration {
+    async fn up(&self, manager: &SchemaManager) -> Result<(), DbErr> {
+        let db = manager.get_connection();
+
+        // 删除旧的非唯一索引
+        db.execute_unprepared("DROP INDEX IF EXISTS idx_points_rule_event_type")
+            .await?;
+
+        // 创建部分唯一索引（仅对未软删除的行生效）
+        db.execute_unprepared(
+            r#"
+            CREATE UNIQUE INDEX IF NOT EXISTS uq_points_rule_tenant_event
+            ON points_rule (tenant_id, event_type)
+            WHERE deleted_at IS NULL
+            "#,
+        )
+        .await?;
+
+        Ok(())
+    }
+
+    async fn down(&self, manager: &SchemaManager) -> Result<(), DbErr> {
+        let db = manager.get_connection();
+
+        db.execute_unprepared("DROP INDEX IF EXISTS uq_points_rule_tenant_event")
+            .await?;
+        db.execute_unprepared(
+            "CREATE INDEX IF NOT EXISTS idx_points_rule_event_type ON points_rule (event_type)",
+        )
+        .await?;
+
+        Ok(())
+    }
+}