diff --git a/openhis-ui-vue3/src/views/charge/cliniccharge/index.vue b/openhis-ui-vue3/src/views/charge/cliniccharge/index.vue
index 659a71b6..90a9bc55 100644
--- a/openhis-ui-vue3/src/views/charge/cliniccharge/index.vue
+++ b/openhis-ui-vue3/src/views/charge/cliniccharge/index.vue
@@ -99,7 +99,9 @@
           >
             学生自费转学生医保
           </el-button>
-          <span style="float: right"
+        </div>
+        <div style="text-align: right; padding-right: 20px; margin-bottom: 10px;">
+          <span style="font-weight: bold; font-size: 14px;"
             >合计金额：{{ totalAmounts ? totalAmounts.toFixed(2) : 0 }}元</span
           >
         </div>
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
index 95fe0f99..0ffa6e51 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
@@ -2429,7 +2429,9 @@ function handleSave(prescriptionId) {
         totalPrice: item.totalPrice, // Ensure totalPrice is valid
         // 🔧 Bug Fix: 确保库存匹配成功的关键字段
         adviceTableName: adviceTableNameVal,
-        locationId: locationIdVal
+        locationId: locationIdVal,
+        // 🔧 确保 methodCode 被传递（用于触发耗材绑定逻辑）
+        methodCode: item.methodCode || parsedContent.methodCode
       };
     });
 
@@ -2446,7 +2448,7 @@ function handleSave(prescriptionId) {
     })
         .then((res) => {
           if (res.code === 200) {
-            proxy.$modal.msgSuccess('签发成功'); // 提示文案改为签发成功更准确
+            proxy.$modal.msgSuccess('签发成功');
             isSaving.value = false;
             getListInfo(false);
             bindMethod.value = {};
@@ -2550,7 +2552,7 @@ function stockFormat(partPercent, unitList, quantity) {
 }
 
 // 处理自动带出的诊疗或者耗材
-function handleOrderBindInfo(bindIdInfo) {
+function handleOrderBindInfo(bindIdInfo, currentMethodCode) {
   const adviceDefinitionIds = bindIdInfo.map((row) => row.orderDefinitionId);
   getAdviceBaseInfo({
     adviceDefinitionIdParamList: adviceDefinitionIds.join(','),
@@ -2562,6 +2564,8 @@ function handleOrderBindInfo(bindIdInfo) {
         ...item,
         quantity: info.quantity,
         unitCode: info.unitCode,
+        // 🔧 使用当前药品的用法编码，这样耗材才能继承用法绑定关系
+        methodCode: currentMethodCode,
       };
     });
 
@@ -2573,7 +2577,13 @@ function handleOrderBindInfo(bindIdInfo) {
         item.adviceType = 4;
       }
 
+      // 🔧 先添加一个空对象到数组，确保 setValue 可以访问
       rowIndex.value = prescriptionList.value.length;
+      prescriptionList.value[rowIndex.value] = {
+        uniqueKey: nextId.value++,
+        adviceType: item.adviceType,
+      };
+      
       setValue(item);
 
       // 创建新的处方项目
@@ -2584,7 +2594,7 @@ function handleOrderBindInfo(bindIdInfo) {
         encounterId: props.patientInfo.encounterId,
         accountId: accountId.value,
         quantity: item.quantity,
-        methodCode: item.methodCode,
+        methodCode: item.methodCode, // 🔧 现在 item.methodCode 有值了
         rateCode: item.rateCode,
         dispensePerDuration: item.dispensePerDuration,
         dose: item.dose,
@@ -2597,6 +2607,9 @@ function handleOrderBindInfo(bindIdInfo) {
         conditionId: conditionId.value,
         conditionDefinitionId: conditionDefinitionId.value,
         encounterDiagnosisId: encounterDiagnosisId.value,
+        // 🔧 确保 adviceType 和显示文本正确设置
+        adviceType: item.adviceType,
+        adviceType_dictText: mapAdviceTypeLabel(item.adviceType),
       };
 
       // 计算价格和总量
@@ -2717,7 +2730,7 @@ function handleSaveSign(row, index, prescriptionId) {
             // 如果弹窗不提示带出的项目，自动带出
             // 如果有未签发的项目，并且当前的项目没有带出过绑定项目，则自动带出
             if (!bindMethod.value[itemNo]) {
-              handleOrderBindInfo(res.data);
+              handleOrderBindInfo(res.data, row.methodCode);
               bindMethod.value[itemNo] = true;
             }
           }