diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/service/impl/ConditionDefinitionServiceImpl.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/service/impl/ConditionDefinitionServiceImpl.java
index 4005a35e..d692412a 100644
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/service/impl/ConditionDefinitionServiceImpl.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/service/impl/ConditionDefinitionServiceImpl.java
@@ -45,9 +45,13 @@ public class ConditionDefinitionServiceImpl extends ServiceImpl<ConditionDefinit
     @Transactional(rollbackFor = Exception.class)
     public boolean addDisease(ConditionDefinition conditionDefinition) {
         // 根据病种编码判断病种是否存在
+//        List<ConditionDefinition> conditionDefinitions =
+//            conditionDefinitionMapper.selectList(new LambdaQueryWrapper<ConditionDefinition>()
+//                .eq(ConditionDefinition::getConditionCode, conditionDefinition.getConditionCode()));
+        // 根据医保编码判断病种是否存在
         List<ConditionDefinition> conditionDefinitions =
-            conditionDefinitionMapper.selectList(new LambdaQueryWrapper<ConditionDefinition>()
-                .eq(ConditionDefinition::getConditionCode, conditionDefinition.getConditionCode()));
+                conditionDefinitionMapper.selectList(new LambdaQueryWrapper<ConditionDefinition>()
+                        .eq(ConditionDefinition::getYbNo,conditionDefinition.getYbNo()));
         if (conditionDefinitions.size() > 0) {
             return false;
         }