diff --git a/app/Model/OrderInquiryCase.php b/app/Model/OrderInquiryCase.php
index e65bbec..7c2356d 100644
--- a/app/Model/OrderInquiryCase.php
+++ b/app/Model/OrderInquiryCase.php
@@ -119,4 +119,15 @@ class OrderInquiryCase extends Model
     {
         return self::create($data);
     }
+
+    /**
+     * 修改-批量
+     * @param array $params
+     * @param array $data
+     * @return int
+     */
+    public static function edit(array $params = [], array $data = []): int
+    {
+        return self::where($params)->update($data);
+    }
 }
diff --git a/app/Services/UserDoctorService.php b/app/Services/UserDoctorService.php
index 545f67a..06bd5e4 100644
--- a/app/Services/UserDoctorService.php
+++ b/app/Services/UserDoctorService.php
@@ -1271,6 +1271,7 @@ class UserDoctorService extends BaseService
         $prescription_icd = $this->request->input('prescription_icd');
         $doctor_advice = $this->request->input('doctor_advice');
         $prescription_product = $this->request->input('prescription_product');
+        $disease_desc = $this->request->input('disease_desc');
 
         // 获取医生信息
         $params = array();
@@ -1321,10 +1322,32 @@ class UserDoctorService extends BaseService
             }
         }
 
+        // 获取患者问诊病例
+        $params = array();
+        $params['order_inquiry_id'] = $order_inquiry['order_inquiry_id'];
+        $order_inquiry_case = OrderInquiryCase::getOne($params);
+        if (empty($order_inquiry_case)){
+            return fail(HttpEnumCode::HTTP_ERROR, "患者病例数据错误");
+        }
+
+        if (empty($order_inquiry_case['disease_desc']) && empty($disease_desc)){
+            return fail(HttpEnumCode::HTTP_ERROR, "请填写病情主诉");
+        }
+
         Db::beginTransaction();
         $generator = $this->container->get(IdGeneratorInterface::class);
 
         try {
+            // 修改问诊病例表
+            if (empty($order_inquiry_case['disease_desc'])){
+                $data = array();
+                $data['disease_desc'] = $disease_desc;
+
+                $params = array();
+                $params['inquiry_case_id'] = $order_inquiry_case['inquiry_case_id'];
+                OrderInquiryCase::edit($params,$data);
+            }
+
             // 新增处方表
             $data = array();
             $data['order_inquiry_id'] = $order_inquiry_id;