diff --git a/healthlink-his-ui/src/views/doctorstation/components/tcm/tcmAdvice.vue b/healthlink-his-ui/src/views/doctorstation/components/tcm/tcmAdvice.vue
index 45a8480f6..4abc80ce9 100755
--- a/healthlink-his-ui/src/views/doctorstation/components/tcm/tcmAdvice.vue
+++ b/healthlink-his-ui/src/views/doctorstation/components/tcm/tcmAdvice.vue
@@ -656,6 +656,30 @@ async function getListInfo(addNewRow) {
       }
 
       prescription.prescriptionList = groupedData[groupId];
+
+      // 🔧 BugFix#669: 从分组数据的第一条提取处方头字段回显
+      const firstItem = groupedData[groupId]?.[0];
+      if (firstItem) {
+        if (firstItem.accountId !== undefined && firstItem.accountId !== null) {
+          prescription.accountId = firstItem.accountId;
+        }
+        if (firstItem.methodCode !== undefined && firstItem.methodCode !== null) {
+          prescription.methodCode = firstItem.methodCode;
+        }
+        if (firstItem.rateCode !== undefined && firstItem.rateCode !== null) {
+          prescription.rateCode = firstItem.rateCode;
+        }
+        if (firstItem.dispensePerDuration !== undefined && firstItem.dispensePerDuration !== null) {
+          prescription.dispensePerDuration = firstItem.dispensePerDuration;
+        }
+        if (firstItem.chineseHerbsDoseQuantity !== undefined && firstItem.chineseHerbsDoseQuantity !== null) {
+          prescription.chineseHerbsDoseQuantity = firstItem.chineseHerbsDoseQuantity;
+        }
+        if (firstItem.sufferingFlag !== undefined && firstItem.sufferingFlag !== null) {
+          prescription.sufferingFlag = firstItem.sufferingFlag;
+        }
+      }
+
       return prescription;
     });