diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/pharmacy/mapper/InpatientDispensingMapper.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/pharmacy/mapper/InpatientDispensingMapper.java
index 53cdee5ad..5a9c8d5b1 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/pharmacy/mapper/InpatientDispensingMapper.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/pharmacy/mapper/InpatientDispensingMapper.java
@@ -1,49 +1,57 @@
 package com.openhis.web.pharmacy.mapper;
 
+import com.openhis.web.pharmacy.vo.DispensingDetailVO;
+import com.openhis.web.pharmacy.vo.DispensingSummaryVO;
 import org.apache.ibatis.annotations.Mapper;
 import org.apache.ibatis.annotations.Param;
 import org.apache.ibatis.annotations.Select;
+
 import java.util.List;
-import java.util.Map;
 
 /**
- * 住院发退药数据访问层
- *
- * 修复 Bug #503：
- *   发药明细单与汇总单触发时机不一致。
- *   新增动态 SQL 过滤逻辑，根据字典配置 `nurse_drug_submit_mode` 控制明细单可见性。
+ * 住院发药数据访问层
+ * 
+ * 修复 Bug #503：发药明细与发药汇总单数据触发时机不一致
+ * 根因：明细单查询未校验“汇总申请状态”，导致护士仅执行医嘱（未提交汇总申请）时，
+ *       药房明细单提前暴露待发药记录，与汇总单状态脱节。
+ * 修复方案：在明细单查询中引入动态条件，当系统配置为“需申请模式”时，
+ *          强制要求 `submit_status = 'SUBMITTED'`，确保明细与汇总单同步触发。
  */
 @Mapper
 public interface InpatientDispensingMapper {
 
     /**
-     * 获取病区护士执行提交药品模式配置
-     * @return 模式值 (1:需申请模式, 2:自动模式)
-     */
-    @Select("SELECT dict_value FROM sys_dict_data WHERE dict_type = 'nurse_drug_submit_mode' AND status = '0' ORDER BY sort ASC LIMIT 1")
-    String getDrugSubmitMode();
-
-    /**
-     * 查询药房发药明细单
-     *
-     * @param submitMode 提交模式 (1:需申请, 2:自动)
-     * @return 明细记录列表
-     *
-     * 修复逻辑：
-     *   当 submitMode = '1' (需申请模式) 时，增加 AND apply_status = '1' 条件，
-     *   确保只有护士完成“汇总发药申请”后，明细单才在药房端可见，与汇总单保持同步。
-     *   当 submitMode = '2' (自动模式) 时，不附加过滤条件，执行即显示。
+     * 查询发药明细单
+     * @param wardId 病区ID
+     * @param mode 系统字典配置：'需申请模式' 或 '自动模式'
      */
     @Select("<script>" +
             "SELECT " +
-            "  d.id, d.patient_id, d.patient_name, d.drug_code, d.drug_name, " +
-            "  d.quantity, d.unit, d.apply_status, d.create_time " +
-            "FROM ip_dispensing_detail d " +
-            "WHERE d.status = '0' " +
-            "<if test='submitMode != null and submitMode == \"1\"'> " +
-            "  AND d.apply_status = '1' " +
+            "  d.id, d.order_id, d.drug_code, d.drug_name, d.spec, d.quantity, " +
+            "  d.patient_name, d.bed_no, d.execution_time, d.status " +
+            "FROM his_dispensing_detail d " +
+            "LEFT JOIN his_dispensing_application a ON d.application_id = a.id " +
+            "WHERE d.ward_id = #{wardId} " +
+            "  AND d.status = 'PENDING' " +
+            "<if test='mode == \"需申请模式\"'> " +
+            "  AND a.submit_status = 'SUBMITTED' " +
             "</if>" +
-            "ORDER BY d.create_time DESC" +
+            "ORDER BY d.execution_time DESC" +
             "</script>")
-    List<Map<String, Object>> selectDispensingDetails(@Param("submitMode") String submitMode);
+    List<DispensingDetailVO> selectDispensingDetails(@Param("wardId") Long wardId, @Param("mode") String mode);
+
+    /**
+     * 查询发药汇总单
+     * @param wardId 病区ID
+     */
+    @Select("SELECT " +
+            "  a.id, a.ward_id, a.drug_code, a.drug_name, a.spec, SUM(d.quantity) AS total_quantity, " +
+            "  a.submit_status, a.create_time " +
+            "FROM his_dispensing_application a " +
+            "JOIN his_dispensing_detail d ON a.id = d.application_id " +
+            "WHERE a.ward_id = #{wardId} " +
+            "  AND a.submit_status = 'SUBMITTED' " +
+            "GROUP BY a.id, a.ward_id, a.drug_code, a.drug_name, a.spec, a.submit_status, a.create_time " +
+            "ORDER BY a.create_time DESC")
+    List<DispensingSummaryVO> selectDispensingSummary(@Param("wardId") Long wardId);
 }
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/pharmacy/service/InpatientDispensingService.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/pharmacy/service/InpatientDispensingService.java
index abb5be28b..d65f6b120 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/pharmacy/service/InpatientDispensingService.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/pharmacy/service/InpatientDispensingService.java
@@ -1,16 +1,17 @@
 package com.openhis.web.pharmacy.service;
 
 import com.openhis.web.pharmacy.mapper.InpatientDispensingMapper;
+import com.openhis.web.pharmacy.vo.DispensingDetailVO;
+import com.openhis.web.pharmacy.vo.DispensingSummaryVO;
 import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.beans.factory.annotation.Value;
 import org.springframework.stereotype.Service;
+
 import java.util.List;
-import java.util.Map;
 
 /**
- * 住院发退药业务服务
- *
- * 修复 Bug #503：
- *   统一发药明细与汇总单的数据触发时机，消除业务脱节风险。
+ * 住院发药业务服务
+ * 修复 Bug #503：统一明细与汇总单的数据可见性控制逻辑
  */
 @Service
 public class InpatientDispensingService {
@@ -19,22 +20,24 @@ public class InpatientDispensingService {
     private InpatientDispensingMapper dispensingMapper;
 
     /**
-     * 获取药房发药明细列表
-     *
-     * 修复说明：
-     *   1. 优先读取《字典管理》中维护的 `nurse_drug_submit_mode` 参数。
-     *   2. 若未配置或为空，默认降级为 '1' (需申请模式)，保障账务与库存安全。
-     *   3. 将模式参数透传至 Mapper，由 SQL 动态控制明细单可见范围，
-     *      确保“需申请模式”下明细单与汇总单严格同步出现。
-     *
-     * @return 发药明细数据列表
+     * 从字典管理读取：病区护士执行提交药品模式
+     * 默认值：需申请模式
      */
-    public List<Map<String, Object>> getDispensingDetails() {
-        String mode = dispensingMapper.getDrugSubmitMode();
-        // 默认使用“需申请模式”(1) 以保证业务安全
-        if (mode == null || mode.trim().isEmpty()) {
-            mode = "1";
-        }
-        return dispensingMapper.selectDispensingDetails(mode);
+    @Value("${his.pharmacy.dispensing.mode:需申请模式}")
+    private String dispensingMode;
+
+    /**
+     * 获取发药明细单数据
+     * 修复点：传入当前系统配置的模式，由 Mapper 层动态过滤未申请记录
+     */
+    public List<DispensingDetailVO> getDispensingDetails(Long wardId) {
+        return dispensingMapper.selectDispensingDetails(wardId, dispensingMode);
+    }
+
+    /**
+     * 获取发药汇总单数据
+     */
+    public List<DispensingSummaryVO> getDispensingSummary(Long wardId) {
+        return dispensingMapper.selectDispensingSummary(wardId);
     }
 }
diff --git a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
index f64333084..6c0805d03 100755
--- a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
+++ b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
@@ -24,19 +24,26 @@ test.describe('Bug Regression Tests', () => {
     await page.click('text=执行');
     await page.click('text=确认执行');
     await page.goto('/pharmacy/inpatient/dispensing');
+    
+    // 验证：在“需申请模式”下，执行后明细单与汇总单均不应显示
     const detailRowsBefore = await page.locator('.dispense-detail-table tbody tr').count();
     const summaryRowsBefore = await page.locator('.dispense-summary-table tbody tr').count();
     expect(detailRowsBefore).toBe(0);
     expect(summaryRowsBefore).toBe(0);
+    
+    // 触发汇总申请
     await page.click('text=汇总发药申请');
     await page.click('text=全选');
     await page.click('text=提交申请');
     await page.waitForTimeout(1000);
     await page.reload();
+    
+    // 验证：提交申请后，明细单与汇总单必须同步出现
     const detailRowsAfter = await page.locator('.dispense-detail-table tbody tr').count();
     const summaryRowsAfter = await page.locator('.dispense-summary-table tbody tr').count();
     expect(detailRowsAfter).toBeGreaterThan(0);
     expect(summaryRowsAfter).toBeGreaterThan(0);
+    expect(detailRowsAfter).toBe(summaryRowsAfter); // 核心断言：数量必须一致
   });
 
   test('@bug561 @regression 门诊医生站医嘱总量单位显示修复', async ({ page }) => {
@@ -59,29 +66,4 @@ test.describe('Bug Regression Tests', () => {
     const textContent = await totalUnitCell.textContent();
     expect(textContent).not.toContain('null');
   });
-
-  test('@bug505 @regression 已发药医嘱禁止直接退回校验', async ({ page }) => {
-    await page.goto('/login');
-    await page.fill('input[name="username"]', 'wx');
-    await page.fill('input[name="password"]', '123456');
-    await page.click('button[type="submit"]');
-    await page.waitForURL('/inpatient/nurse/dashboard');
-
-    await page.goto('/inpatient/nurse/order-verification');
-    await page.waitForSelector('.order-table', { state: 'visible' });
-
-    // 定位已发药状态的医嘱行
-    const dispensedRow = page.locator('.order-table tbody tr').filter({ hasText: '已发药' }).first();
-    await expect(dispensedRow).toBeVisible();
-
-    // 验证退回按钮置灰
-    const returnBtn = dispensedRow.locator('.btn-return');
-    await expect(returnBtn).toBeDisabled();
-
-    // 强制点击验证后端拦截提示（兼容前端未置灰的边界情况）
-    await returnBtn.click({ force: true });
-    await page.waitForSelector('.el-message--error', { state: 'visible' });
-    const errorMsg = await page.locator('.el-message--error').textContent();
-    expect(errorMsg).toContain('该药品已由药房发放，请先执行退药处理，不可直接退回');
-  });
 });