diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/inhospitalnursestation/appservice/impl/MedicineSummaryAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/inhospitalnursestation/appservice/impl/MedicineSummaryAppServiceImpl.java
index d3b4803e7..a6a79698d 100755
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/inhospitalnursestation/appservice/impl/MedicineSummaryAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/inhospitalnursestation/appservice/impl/MedicineSummaryAppServiceImpl.java
@@ -153,6 +153,10 @@ public class MedicineSummaryAppServiceImpl implements IMedicineSummaryAppService
         // 就诊ID集合
         String encounterIds = dispenseFormSearchParam.getEncounterIds();
         dispenseFormSearchParam.setEncounterIds(null);
+        // 汇总单查询不适用的字段清空（汇总单表无 tcm_flag 等列，避免 SQL 报错）
+        dispenseFormSearchParam.setTcmFlag(null);
+        dispenseFormSearchParam.setTherapyEnum(null);
+        dispenseFormSearchParam.setExeTime(null);
 
         // 构建查询条件
         QueryWrapper<DispenseFormSearchParam> queryWrapper = HisQueryUtils.buildQueryWrapper(dispenseFormSearchParam,