diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
index 26e7b4fbb..4fffefc0c 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
@@ -2107,11 +2107,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 CommonConstants.TableName.MED_MEDICATION_REQUEST, CommonConstants.TableName.WOR_DEVICE_REQUEST,
                 CommonConstants.TableName.WOR_SERVICE_REQUEST, practitionerId, Whether.NO.getCode(),
                 sourceEnum, sourceBillNo);
-        // 手术计费场景：sourceBillNo 不为空时，过滤掉药品（1），保留耗材（2）和诊疗（3/6）
-        if (sourceBillNo != null && !sourceBillNo.isEmpty()) {
-            requestBaseInfo.removeIf(dto -> dto.getAdviceType() != null
-                    && dto.getAdviceType() == 1);
-        }
+        // 🔧 修复 Bug #444: 移除手术计费场景的药品过滤。
+        // 原过滤会导致门诊手术医嘱界面无法获取手术计费创建的药品记录。
+        // 前端各组件已根据自身业务逻辑做了正确的 adviceType 过滤。
         for (RequestBaseDto requestBaseDto : requestBaseInfo) {
             // 请求状态
             requestBaseDto
diff --git a/openhis-ui-vue3/src/views/surgicalschedule/index.vue b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
index aa8b05c86..34e3c05fc 100755
--- a/openhis-ui-vue3/src/views/surgicalschedule/index.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
@@ -1535,8 +1535,8 @@ function handleMedicalAdvice(row) {
   temporarySigned.value = hasSubmittedAdvices; // 修复：根据已有数据状态设置，而非盲目重置
   temporaryMedicalLoading.value = true // 🔧 新增：开始加载
 
-  // 调用计费接口获取数据
-  getPrescriptionList(row.visitId).then((res) => {
+  // 调用计费接口获取数据（使用手术计费来源参数，匹配 surgery billing 创建的记录）
+  getPrescriptionList(row.visitId, 6, row.operCode).then((res) => {
     console.log('=== 拉取计费数据返回结果 ===', res)
     if (res.code === 200 && res.data) {
       // 🔧 修复：显示所有药品请求数据，不管有没有计费项目