diff --git a/app/Amqp/Consumer/UploadImMediaConsumer.php b/app/Amqp/Consumer/UploadImMediaConsumer.php
new file mode 100644
index 0000000..e878efa
--- /dev/null
+++ b/app/Amqp/Consumer/UploadImMediaConsumer.php
@@ -0,0 +1,88 @@
+<?php
+declare(strict_types=1);
+
+namespace App\Amqp\Consumer;
+
+use App\Model\MessageIm;
+use Extend\Alibaba\Oss;
+use GuzzleHttp\Client;
+use Hyperf\Amqp\Annotation\Consumer;
+use Hyperf\Amqp\Message\ConsumerMessage;
+use Hyperf\Amqp\Result;
+use PhpAmqpLib\Message\AMQPMessage;
+use App\Utils\Log;
+
+/**
+ * IM 多媒体文件异步处理消费者
+ */
+#[Consumer(exchange: 'amqp.direct', routingKey: 'UploadImMedia', queue: 'UploadImMediaQueue', name: "UploadImMediaConsumer", nums: 1)]
+class UploadImMediaConsumer extends ConsumerMessage
+{
+    public function consumeMessage($data, AMQPMessage $message): string
+    {
+        try {
+            $messageKey = $data['message_key'];
+            $msgType = $data['msg_type'];
+            $msgContent = $data['msg_content'];
+
+            // 初始化 Http Client 和 OSS
+            $client = new Client(['verify' => false, 'timeout' => 30]); // 设置合适的超时时间
+            $oss = new Oss();
+            $needUpdate = false;
+            $customDomain = config('alibaba.oss.custom_domain_name'); // 取 OSS 自定义域名
+
+            // 1. 根据不同类型提取 URL 并转存 OSS
+            if ($msgType === 'TIMImageElem' && isset($msgContent['ImageInfoArray'])) {
+                // 图片通常包含原图、大图、缩略图，根据需求替换
+                foreach ($msgContent['ImageInfoArray'] as &$imageInfo) {
+                    if (!empty($imageInfo['URL'])) {
+                        $content = $client->get($imageInfo['URL'])->getBody()->getContents();
+                        $filename = "im/image/" . date('Ymd') . "/" . $messageKey . "_" . $imageInfo['Type'] . ".jpg";
+                        $ossFilename = $oss->putObject($filename, $content);
+                        
+                        $imageInfo['URL'] = rtrim($customDomain, '/') . '/' . $ossFilename;
+                        $needUpdate = true;
+                    }
+                }
+            } elseif ($msgType === 'TIMSoundElem' && !empty($msgContent['Url'])) {
+                // 语音消息
+                $content = $client->get($msgContent['Url'])->getBody()->getContents();
+                $filename = "im/sound/" . date('Ymd') . "/" . $messageKey . ".amr";
+                $ossFilename = $oss->putObject($filename, $content);
+                
+                $msgContent['Url'] = rtrim($customDomain, '/') . '/' . $ossFilename;
+                $needUpdate = true;
+            } elseif ($msgType === 'TIMVideoFileElem') {
+                // 视频文件
+                if (!empty($msgContent['VideoUrl'])) {
+                    $content = $client->get($msgContent['VideoUrl'])->getBody()->getContents();
+                    $filename = "im/video/" . date('Ymd') . "/" . $messageKey . ".mp4";
+                    $ossFilename = $oss->putObject($filename, $content);
+                    $msgContent['VideoUrl'] = rtrim($customDomain, '/') . '/' . $ossFilename;
+                    $needUpdate = true;
+                }
+                // 视频封面图
+                if (!empty($msgContent['ThumbUrl'])) {
+                    $content = $client->get($msgContent['ThumbUrl'])->getBody()->getContents();
+                    $filename = "im/video_thumb/" . date('Ymd') . "/" . $messageKey . ".jpg";
+                    $ossFilename = $oss->putObject($filename, $content);
+                    $msgContent['ThumbUrl'] = rtrim($customDomain, '/') . '/' . $ossFilename;
+                    $needUpdate = true;
+                }
+            }
+
+            // 2. 更新对应记录的 JSON 数据
+            if ($needUpdate) {
+                MessageIm::where(['message_key' => $messageKey])->update([
+                    'message_content' => json_encode($msgContent, JSON_UNESCAPED_UNICODE)
+                ]);
+            }
+
+            return Result::ACK; // 任务成功完成
+        } catch (\Throwable $e) {
+            Log::getInstance("UploadImMediaConsumer")->error("IM多媒体上传OSS失败: " . $e->getMessage() . ' Line: ' . $e->getLine());
+            // 如果抛错可以 DROP 掉或者返回 REQUEUE 进入死信重试队列
+            return Result::DROP; 
+        }
+    }
+}
diff --git a/app/Amqp/Producer/UploadImMediaProducer.php b/app/Amqp/Producer/UploadImMediaProducer.php
new file mode 100644
index 0000000..3f15e64
--- /dev/null
+++ b/app/Amqp/Producer/UploadImMediaProducer.php
@@ -0,0 +1,27 @@
+<?php
+declare(strict_types=1);
+
+namespace App\Amqp\Producer;
+
+use Hyperf\Amqp\Annotation\Producer;
+use Hyperf\Amqp\Message\ProducerMessage;
+
+/**
+ * IM 多媒体文件异步下载并上传 OSS
+ */
+#[Producer(exchange: 'amqp.direct', routingKey: 'UploadImMedia')]
+class UploadImMediaProducer extends ProducerMessage
+{
+    /**
+     * @param array $data
+     * [
+     *      "message_key" => "消息唯一ID",
+     *      "msg_type" => "消息类型",
+     *      "msg_content" => "消息具体内容(数组)"
+     * ]
+     */
+    public function __construct(array $data)
+    {
+        $this->payload = $data;
+    }
+}
diff --git a/app/Services/UserService.php b/app/Services/UserService.php
index 4eb7d52..f7880fe 100644
--- a/app/Services/UserService.php
+++ b/app/Services/UserService.php
@@ -1232,6 +1232,23 @@ class UserService extends BaseService
                 return $result;
             }
 
+            // === 新增：投递上传OSS队列 ===
+            $mediaTypes = ['TIMImageElem', 'TIMSoundElem', 'TIMVideoFileElem', 'TIMFileElem'];
+            if (in_array($msg_data['MsgBody'][0]['MsgType'], $mediaTypes)) {
+                try {
+                    $producer = \Hyperf\Context\ApplicationContext::getContainer()->get(\Hyperf\Amqp\Producer::class);
+                    $producerMsg = new \App\Amqp\Producer\UploadImMediaProducer([
+                        'message_key' => $msg_data['MsgKey'],
+                        'msg_type'    => $msg_data['MsgBody'][0]['MsgType'],
+                        'msg_content' => $message_content,
+                    ]);
+                    $producer->produce($producerMsg);
+                } catch (\Throwable $e) {
+                    Log::getInstance("UserService-userImAfterSendMsg")->error("投递上传OSS队列失败: " . $e->getMessage());
+                }
+            }
+            // === 新增结束 ===
+
             // im消息通知
             if ($is_system == 0 && isset($message_send_result) && isset($order_inquiry_id)){
                 try {
diff --git a/app/Utils/Auth.php b/app/Utils/Auth.php
index 8ff1243..ba410da 100644
--- a/app/Utils/Auth.php
+++ b/app/Utils/Auth.php
@@ -19,6 +19,10 @@ class Auth
             "/login/wechat_mobile_login" => "post", // 微信登陆
             "/login/mobile_login" => "post", // 手机号登陆
             "/code/phone" => "post",// 获取手机号验证码
+            "/patient/doctor/inquiry" => "get", // 获取问诊医生列表
+            "/doctor/info/inquiry/" => "get", // 获取医生详情-问诊
+            "/doctor/inquiry/service/" => "get", // 获取医生开启的服务列表
+            "/patient/doctor/evaluation/" => "get", // 获取医生评价
             "/disease/expertise" => "get",// 疾病专长列表-搜索使用
             "/area/province" => "get",// 获取省份信息
             "/area/city" => "get", // 获取城市信息