diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/doctorstation/appservice/impl/DoctorStationChineseMedicalAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/doctorstation/appservice/impl/DoctorStationChineseMedicalAppServiceImpl.java
index 30e69da75..aec78d7cc 100755
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/doctorstation/appservice/impl/DoctorStationChineseMedicalAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/doctorstation/appservice/impl/DoctorStationChineseMedicalAppServiceImpl.java
@@ -451,10 +451,12 @@ public class DoctorStationChineseMedicalAppServiceImpl implements IDoctorStation
             // 删除费用项
             iChargeItemService.deleteByServiceTableAndId(CommonConstants.TableName.MED_MEDICATION_REQUEST,
                     adviceSaveDto.getRequestId());
-            // 删除代煎费
-            iChargeItemService.remove(new LambdaQueryWrapper<ChargeItem>()
-                    .eq(ChargeItem::getPrescriptionNo, adviceSaveDto.getPrescriptionNo())
-                    .eq(ChargeItem::getProductId, sufferingDefinitionId));
+            // 删除代煎费（按处方号精确清理）
+            if (adviceSaveDto.getPrescriptionNo() != null) {
+                iChargeItemService.remove(new LambdaQueryWrapper<ChargeItem>()
+                        .eq(ChargeItem::getPrescriptionNo, adviceSaveDto.getPrescriptionNo())
+                        .eq(ChargeItem::getProductId, sufferingDefinitionId));
+            }
 
         }
 
@@ -614,7 +616,7 @@ public class DoctorStationChineseMedicalAppServiceImpl implements IDoctorStation
         Long encounterDiagnosisId = medicineList.get(0).getEncounterDiagnosisId();
         // 中药付数
         BigDecimal chineseHerbsDoseQuantity = medicineList.get(0).getChineseHerbsDoseQuantity();
-        // 🔧 Bug Fix #668: 收集所有处方号（不同分组可能有不同处方号）
+        // 收集所有处方号（不同分组可能有不同处方号）
         List<String> prescriptionNos = insertOrUpdateList.stream()
                 .map(AdviceSaveDto::getPrescriptionNo)
                 .filter(Objects::nonNull)
@@ -628,12 +630,10 @@ public class DoctorStationChineseMedicalAppServiceImpl implements IDoctorStation
             AdviceBaseDto adviceBaseDto = new AdviceBaseDto();
             adviceBaseDto.setAdviceDefinitionId(sufferingDefinitionId); // 医嘱定义id
 
-            // 🔧 Bug Fix #668: 先删除所有处方号关联的中药代煎账单
-            if (!prescriptionNos.isEmpty()) {
-                iChargeItemService.remove(new LambdaQueryWrapper<ChargeItem>()
-                        .in(ChargeItem::getPrescriptionNo, prescriptionNos)
-                        .eq(ChargeItem::getProductId, sufferingDefinitionId));
-            }
+            // 先删除该就诊关联的所有中药代煎账单
+            iChargeItemService.remove(new LambdaQueryWrapper<ChargeItem>()
+                    .eq(ChargeItem::getEncounterId, encounterId)
+                    .eq(ChargeItem::getProductId, sufferingDefinitionId));
 
             // 对应的诊疗医嘱信息
             AdviceBaseDto activityAdviceBaseDto = iDoctorStationAdviceAppService.getAdviceBaseInfo(adviceBaseDto, null,
@@ -642,7 +642,7 @@ public class DoctorStationChineseMedicalAppServiceImpl implements IDoctorStation
                 // 费用定价
                 AdvicePriceDto advicePriceDto = activityAdviceBaseDto.getPriceList().get(0);
                 if (advicePriceDto != null) {
-                    // 🔧 Bug Fix #668: 为每个处方号分别生成代煎账单
+                    // 为每个处方号分别生成代煎账单
                     for (String prescriptionNo : prescriptionNos) {
                         chargeItem = new ChargeItem();
                         chargeItem.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
@@ -674,12 +674,10 @@ public class DoctorStationChineseMedicalAppServiceImpl implements IDoctorStation
                 }
             }
         } else if (Whether.NO.getValue().equals(sufferingFlag)) {
-            // 🔧 Bug Fix #668: 删除所有处方号关联的中药代煎账单
-            if (!prescriptionNos.isEmpty()) {
-                iChargeItemService.remove(new LambdaQueryWrapper<ChargeItem>()
-                        .in(ChargeItem::getPrescriptionNo, prescriptionNos)
-                        .eq(ChargeItem::getProductId, sufferingDefinitionId));
-            }
+            // 删除该就诊关联的所有中药代煎账单
+            iChargeItemService.remove(new LambdaQueryWrapper<ChargeItem>()
+                    .eq(ChargeItem::getEncounterId, encounterId)
+                    .eq(ChargeItem::getProductId, sufferingDefinitionId));
         }
 
         // 签发时,把草稿状态的账单更新为待收费[中医]
diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V41__bug735_add_stopper_id_to_requests.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V41__bug735_add_stopper_id_to_requests.sql
new file mode 100644
index 000000000..da7e0dd0f
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V41__bug735_add_stopper_id_to_requests.sql
@@ -0,0 +1,9 @@
+-- Bug #735: 新医嘱签发后"停嘱医生"字段错误生成数据
+-- 原因：stopper_name 映射到 update_by 字段，签发时 MyBatis-Plus 自动填充导致错误赋值
+-- 修复：添加专用 stopper_id 字段，仅在停嘱操作时设置
+
+-- 药品请求表添加停嘱医生ID字段
+ALTER TABLE med_medication_request ADD COLUMN IF NOT EXISTS stopper_id BIGINT;
+
+-- 服务请求表添加停嘱医生ID字段
+ALTER TABLE wor_service_request ADD COLUMN IF NOT EXISTS stopper_id BIGINT;
diff --git a/healthlink-his-ui/src/views/charge/outpatientregistration/index.vue b/healthlink-his-ui/src/views/charge/outpatientregistration/index.vue
index dad4080c7..4510c642f 100755
--- a/healthlink-his-ui/src/views/charge/outpatientregistration/index.vue
+++ b/healthlink-his-ui/src/views/charge/outpatientregistration/index.vue
@@ -1,4 +1,4 @@
-<template>
+<template>
   <div
     v-loading="readCardLoading"
     class="app-container"
@@ -122,6 +122,7 @@
                     <patientList
                       :searchkey="patientSearchKey"
                       @selsect-patient="selsectPatient"
+                      @mousedown.prevent
                     />
                     <template #reference>
                       <el-input
@@ -2225,7 +2226,7 @@ async function confirmCheckIn() {
  * 点击患者列表给表单赋值
  */
 function selsectPatient(row) {
-  form.value = { ...form.value, ...row };
+  Object.assign(form.value, row);
   form.value.patientId = row.id;
   form.value.searchKey = row.name;
   form.value.name = row.name;