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 f7891dc1b..b2cbc6d82 100755
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
@@ -910,9 +910,8 @@ function handleFocus(row, index) {
   // 用 adviceType + categoryCode 组合查找匹配的选项
   const selectValue = (adviceType == 1 && row.categoryCode) ? '1-' + row.categoryCode : adviceType;
   const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
-  // 修复Bug #486：当行没有显式选择医嘱类型时（row.adviceType为undefined），
-  // 不传categoryCode，让搜索在全药库中进行；只有行已选择类型时才用对应categoryCode过滤
-  const categoryCode = row.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : '';
+  // 当行没有显式选择医嘱类型时，使用已配置的默认categoryCode，确保后端能返回结果
+  const categoryCode = row.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : (adviceQueryParams.value.categoryCode || '');
   const searchKey = row.adviceName || '';
 
   nextTick(() => {
@@ -949,9 +948,8 @@ function handleChange(value) {
       // 用 adviceType + categoryCode 组合查找匹配的选项
       const selectValue = (adviceType == 1 && row?.categoryCode) ? '1-' + row.categoryCode : adviceType;
       const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
-      // 修复Bug #486：当行没有显式选择医嘱类型时（row?.adviceType为undefined），
-      // 不传categoryCode，让搜索在全药库中进行；只有行已选择类型时才用对应categoryCode过滤
-      const categoryCode = row?.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : '';
+      // 当行没有显式选择医嘱类型时，使用已配置的默认categoryCode，确保后端能返回结果
+      const categoryCode = row?.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : (adviceQueryParams.value.categoryCode || '');
       // 修复Bug #453：当adviceType为空字符串或NaN时，不传具体类型，让refresh函数根据searchKey决定搜索范围
       const effectiveAdviceType = (adviceType && !isNaN(Number(adviceType))) ? adviceType : '';
       tableRef.refresh(effectiveAdviceType, categoryCode, value);