diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/AdviceSaveDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/AdviceSaveDto.java
index 9bb6802a..95d0d774 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/AdviceSaveDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/AdviceSaveDto.java
@@ -250,7 +250,8 @@ public class AdviceSaveDto {
      */
     public AdviceSaveDto() {
         this.chineseHerbsDoseQuantity = new BigDecimal("1");
-        this.therapyEnum = TherapyTimeType.TEMPORARY.getValue();
+        // 默认设置为长期医嘱，但前端应该明确传递正确的值
+        this.therapyEnum = TherapyTimeType.LONG_TERM.getValue();
         this.practitionerId = SecurityUtils.getLoginUser().getPractitionerId();
         this.founderOrgId = SecurityUtils.getLoginUser().getOrgId(); // 开方人科室
     }
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java
index b34da1b3..c87deb98 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java
@@ -167,6 +167,7 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
         Long organizationId = regAdviceSaveParam.getOrganizationId();
         // 医嘱分类信息
         List<RegAdviceSaveDto> regAdviceSaveList = regAdviceSaveParam.getRegAdviceSaveList();
+        
         // 药品
         List<RegAdviceSaveDto> medicineList = regAdviceSaveList.stream()
                 .filter(e -> ItemType.MEDICINE.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
diff --git a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
index fd4dd612..e02135e2 100644
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
@@ -541,11 +541,14 @@ function getListInfo(addNewRow) {
     loadingInstance.close();
     prescriptionList.value = res.data
       .map((item) => {
+        const parsedContent = JSON.parse(item.contentJson);
         return {
-          ...JSON.parse(item.contentJson),
+          ...parsedContent,
           ...item,
-          doseQuantity: JSON.parse(item.contentJson)?.doseQuantity,
-          doseUnitCode_dictText: JSON.parse(item.contentJson)?.doseUnitCode_dictText,
+          doseQuantity: parsedContent?.doseQuantity,
+          doseUnitCode_dictText: parsedContent?.doseUnitCode_dictText,
+          // 确保 therapyEnum 被正确设置，优先使用 contentJson 中的值
+          therapyEnum: String(parsedContent?.therapyEnum ?? item.therapyEnum ?? '1'),
         };
       })
       .sort((a, b) => {
@@ -604,7 +607,7 @@ function handleAddPrescription() {
     showPopover: false,
     isEdit: true,
     statusEnum: 1,
-    therapyEnum: '1',
+    therapyEnum: '1', // 默认为长期医嘱
   });
   getGroupMarkers();
   nextTick(() => {
@@ -641,8 +644,8 @@ function clickRowDb(row, column, event) {
   }
   row.showPopover = false;
   if (row.statusEnum == 1) {
-    // 确保治疗类型为字符串，方便与单选框 label 对齐
-    row.therapyEnum = String(row.therapyEnum ?? '');
+    // 确保治疗类型为字符串，方便与单选框 label 对齐，默认为长期医嘱('1')
+    row.therapyEnum = String(row.therapyEnum ?? '1');
     row.isEdit = true;
     const index = prescriptionList.value.findIndex((item) => item.uniqueKey === row.uniqueKey);
     prescriptionList.value[index] = row;
@@ -879,13 +882,16 @@ function handleSave() {
     // 此处签发处方和单行保存处方传参相同，后台已经将传参存为JSON字符串，此处直接转换为JSON即可
     loading.value = true;
     let list = saveList.map((item) => {
+      const parsedContent = JSON.parse(item.contentJson);
       return {
-        ...JSON.parse(item.contentJson),
+        ...parsedContent,
         adviceType: item.adviceType,
         requestId: item.requestId,
         dbOpType: '1',
         groupId: item.groupId,
         uniqueKey: undefined,
+        // 确保 therapyEnum 被正确传递
+        therapyEnum: parsedContent.therapyEnum || item.therapyEnum || '1',
       };
     });
     // 保存签发按钮
@@ -1059,6 +1065,8 @@ function handleSaveSign(row, index) {
   row.conditionDefinitionId = conditionDefinitionId.value;
   row.encounterDiagnosisId = encounterDiagnosisId.value;
   row.diagnosisName = diagnosisName.value;
+  // 确保 therapyEnum 被正确设置，默认为长期医嘱('1')
+  row.therapyEnum = row.therapyEnum || '1';
   if (row.injectFlag == 1) {
     row.sortNumber = row.sortNumber ? row.sortNumber : prescriptionList.value.length;
   }
@@ -1098,8 +1106,11 @@ function handleSaveBatch() {
       return item.statusEnum == 1 && !item.requestId;
     })
     .map((item) => {
+      // 确保 therapyEnum 被正确传递，默认为长期医嘱('1')
+      const therapyEnum = item.therapyEnum || '1';
       return {
         ...item,
+        therapyEnum: therapyEnum,
         dbOpType: item.requestId ? '2' : '1',
       };
     });
@@ -1246,6 +1257,8 @@ function handleSaveGroup(orderGroupList) {
       conditionId: conditionId.value, // 诊断id
       conditionDefinitionId: conditionDefinitionId.value, // 诊断定义id
       encounterDiagnosisId: encounterDiagnosisId.value, // 就诊诊断id
+      // 确保 therapyEnum 被正确设置，默认为长期医嘱('1')
+      therapyEnum: prescriptionList.value[rowIndex.value]?.therapyEnum || '1',
     };
 
     // 计算价格和总量
@@ -1278,7 +1291,12 @@ function handleSaveHistory(value) {
     conditionId: conditionId.value,
     conditionDefinitionId: conditionDefinitionId.value,
     encounterDiagnosisId: encounterDiagnosisId.value,
-    contentJson: JSON.stringify(value),
+    // 确保 therapyEnum 被正确传递，默认为长期医嘱('1')
+    therapyEnum: value.therapyEnum || '1',
+    contentJson: JSON.stringify({
+      ...value,
+      therapyEnum: value.therapyEnum || '1',
+    }),
   };
   savePrescription({ adviceSaveList: [saveRow], regAdviceSaveList: [saveRow] }).then((res) => {
     if (res.code === 200) {