diff --git a/healthlink-his-ui/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue b/healthlink-his-ui/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue
index 27e4f5880..0223451b0 100755
--- a/healthlink-his-ui/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue
+++ b/healthlink-his-ui/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue
@@ -570,6 +570,7 @@ function getList() {
               conditionId: item.conditionId || '',
               encounterDiagnosisId: item.encounterDiagnosisId || '',
               syndromeGroupNo: item.syndromeGroupNo || res.data.symptom[index]?.syndromeGroupNo || '',
+              illnessName: item.name, // 保存原始疾病名称，避免保存时发送合并名称
               name: item.name + '-' + (res.data.symptom[index]?.name || ''),
               ybNo: item.ybNo,
               definitionId: item.definitionId || '',
@@ -1014,9 +1015,14 @@ function handleSaveDiagnosis() {
 
           // 再逐个保存中医诊断（只追加，不清空）
           for (const item of tcmList) {
-            const syndromeGroupNo = item.conditionId
-              ? `${item.conditionId}-${item.tcmSyndromeCode || Date.now()}`
-              : `${Date.now()}-${item.tcmSyndromeCode || '0'}`;
+            // 优先使用已有的 syndromeGroupNo，避免每次保存生成新值导致重复创建
+            const syndromeGroupNo = item.syndromeGroupNo || (
+              item.conditionId
+                ? `${item.conditionId}-${item.tcmSyndromeCode || Date.now()}`
+                : `${Date.now()}-${item.tcmSyndromeCode || '0'}`
+            );
+            // 使用原始疾病名称（illnessName），而非合并后的名称（如"感冒-风寒证"）
+            const illnessName = item.illnessName || item.name;
             await saveTcmDiagnosis({
               patientId: props.patientInfo.patientId,
               encounterId: props.patientInfo.encounterId,
@@ -1025,7 +1031,7 @@ function handleSaveDiagnosis() {
                 {
                   conditionId: item.conditionId || null,
                   encounterDiagnosisId: item.encounterDiagnosisId || null,
-                  name: item.name,
+                  name: illnessName,
                   ybNo: item.ybNo,
                   definitionId: item.definitionId || null,
                   diagSrtNo: item.diagSrtNo,