diff --git a/backend/src/Health.Application/AI/AiEntryDraftContracts.cs b/backend/src/Health.Application/AI/AiEntryDraftContracts.cs
new file mode 100644
index 0000000..605b161
--- /dev/null
+++ b/backend/src/Health.Application/AI/AiEntryDraftContracts.cs
@@ -0,0 +1,24 @@
+namespace Health.Application.AI;
+
+public sealed record AiEntryDraft(
+    Guid Id,
+    Guid UserId,
+    Guid ConversationId,
+    string EntryType,
+    string Payload,
+    string MissingFields,
+    DateTime ExpiresAt);
+
+public interface IAiEntryDraftStore
+{
+    Task<AiEntryDraft?> GetActiveAsync(Guid userId, Guid conversationId, string entryType, CancellationToken ct);
+    Task<AiEntryDraft> UpsertAsync(
+        Guid userId,
+        Guid conversationId,
+        string entryType,
+        string payload,
+        string missingFields,
+        TimeSpan lifetime,
+        CancellationToken ct);
+    Task CompleteAsync(Guid draftId, Guid userId, CancellationToken ct);
+}
diff --git a/backend/src/Health.Application/AI/DietCommentaryPolicy.cs b/backend/src/Health.Application/AI/DietCommentaryPolicy.cs
index c6f8ec5..2de7643 100644
--- a/backend/src/Health.Application/AI/DietCommentaryPolicy.cs
+++ b/backend/src/Health.Application/AI/DietCommentaryPolicy.cs
@@ -14,6 +14,7 @@ public static class DietCommentaryPolicy
         每条12到22个汉字，不要问候，不要说“好的”“当然”“建议如下”，不要编号，不要使用 Markdown。
         优先围绕控盐控油、蔬菜和蛋白质搭配及份量控制描述客观事实（如“本餐盐分约5克”“蔬菜偏少”）。
         不作诊断，不提供治疗、处方、停药或调药结论，不给饮食建议，不基于疾病推断。语言简洁、专业、面向普通用户。
+        如果输出了营养事实或饮食相关健康信息，末尾必须附上“参考来源”，使用固定医学来源目录中的 S-DIET-01 或 S-DIET-02。
         """;
 
     public static string BuildFoodDescription(IEnumerable<DietCommentaryFood> foods) =>
diff --git a/backend/src/Health.Application/AI/MedicalCitationKnowledge.cs b/backend/src/Health.Application/AI/MedicalCitationKnowledge.cs
new file mode 100644
index 0000000..0a63ea4
--- /dev/null
+++ b/backend/src/Health.Application/AI/MedicalCitationKnowledge.cs
@@ -0,0 +1,91 @@
+namespace Health.Application.AI;
+
+/// <summary>
+/// iOS 审核版内置医学来源目录。
+/// 这是固定提示词资料，不依赖在线 RAG 检索。
+/// </summary>
+public static class MedicalCitationKnowledge
+{
+    public const string Prompt = """
+        固定医学参考来源目录（仅可引用下列来源，不得编造 PMID、DOI 或 URL）：
+
+        [S-BP-01] 2024 ESC Guidelines for the management of elevated blood pressure and hypertension
+        适用：血压记录、血压趋势、单次血压不能单独诊断、复测和就医提醒。
+        https://pubmed.ncbi.nlm.nih.gov/39210715/
+
+        [S-GLU-01] Glycemic Goals and Hypoglycemia: Standards of Care in Diabetes—2025
+        适用：血糖记录、空腹或餐后状态、低血糖风险和血糖结果说明。
+        https://pubmed.ncbi.nlm.nih.gov/39651981/
+
+        [S-HR-01] All About Heart Rate, American Heart Association
+        适用：静息心率的客观说明和心率记录趋势。
+        https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure/all-about-heart-rate-pulse
+
+        [S-OXY-01] Pulse Oximeter Basics, U.S. Food and Drug Administration
+        适用：血氧读数局限、复测、症状和血氧记录说明。
+        https://www.fda.gov/consumers/consumer-updates/pulse-oximeter-basics
+
+        [S-DIET-01] Popular Dietary Patterns: Alignment With American Heart Association 2021 Dietary Guidance
+        适用：一般饮食模式、食物营养特征、饮食图片估算局限。
+        https://pubmed.ncbi.nlm.nih.gov/37128940/
+
+        [S-DIET-02] Diet and nutrition in cardiovascular disease prevention
+        适用：一般心血管健康饮食信息，不用于个体化疾病饮食处方。
+        https://pubmed.ncbi.nlm.nih.gov/40504596/
+
+        [S-EX-01] Resistance Exercise Training in Individuals With and Without Cardiovascular Disease: 2023 Update
+        适用：一般运动计划记录和运动安全提醒，不用于疾病运动处方。
+        https://pubmed.ncbi.nlm.nih.gov/38059362/
+
+        [S-EX-02] Core Components of Cardiac Rehabilitation Programs: 2024 Update
+        适用：心脏康复相关安全边界，只能建议咨询专业人员，不能生成康复处方。
+        https://pubmed.ncbi.nlm.nih.gov/39315436/
+
+        [S-MED-01] Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence
+        适用：用药计划记录、服药提醒和建议咨询医生或药师。
+        https://pubmed.ncbi.nlm.nih.gov/39480983/
+
+        [S-REPORT-01] Interpreting Normal Values and Reference Ranges for Laboratory Tests
+        适用：报告指标、参考范围和异常标记的客观说明。
+        https://pubmed.ncbi.nlm.nih.gov/40268322/
+
+        [S-REPORT-02] Verification of reference intervals in routine clinical laboratories: practical challenges and recommendations
+        适用：不同实验室参考范围差异和优先使用原报告参考范围。
+        https://pubmed.ncbi.nlm.nih.gov/29729142/
+
+        [S-EM-01] 2024 American Heart Association and American Red Cross Guidelines for First Aid
+        适用：危险症状安全提醒、及时联系当地急救服务和不要等待 AI 判断。
+        https://cpr.heart.org/en/resuscitation-science/2024-first-aid-guidelines
+
+        来源使用边界：
+        - 血压：单次记录不能单独诊断高血压；应结合多次记录、测量条件、症状和医生评估；不得建议自行加药、减药或停药。
+        - 血糖：必须关注空腹/餐后等测量时段和既往用药；不能把一个统一目标套用给所有人；不得据此诊断糖尿病或指导自行调药。
+        - 心率：静息心率的客观范围不能替代诊断；应结合是否安静、是否有不适和变化趋势说明。
+        - 血氧：读数是估计值，可能受手部温度、活动、循环、皮肤因素和设备影响；应结合症状和复测结果，不得仅凭单个数值诊断或指导吸氧/调药。
+        - 饮食：图片不能精确确定重量、份量、烹调油和调味料；盐、糖、脂肪和热量只能作一般估算；不得根据疾病档案生成个体化饮食处方。
+        - 运动：只能提供一般运动计划记录和安全提醒；不得针对心血管疾病制定运动处方；有胸痛、晕厥或明显呼吸困难时应先就医评估。
+        - 用药：只能记录计划、查询任务和提醒；开始、停止、更换或调整药物应由医生或药师决定。
+        - 报告：优先使用报告本身提供的参考范围；标记高/低不等于诊断；不同实验室参考范围不能直接互换；应由医生结合症状和病史解释。
+        - 危险症状：胸部不适、呼吸困难、单侧无力、语言障碍、意识异常等应立即联系当地急救服务，不要等待 AI 继续判断。
+        """;
+
+    public const string FixedDietCitation = """
+        参考来源：
+        [S-DIET-01] Popular Dietary Patterns: Alignment With American Heart Association 2021 Dietary Guidance
+        https://pubmed.ncbi.nlm.nih.gov/37128940/
+        """;
+
+    public const string FixedReportCitation = """
+        参考来源：
+        [S-REPORT-01] Interpreting Normal Values and Reference Ranges for Laboratory Tests
+        https://pubmed.ncbi.nlm.nih.gov/40268322/
+        [S-REPORT-02] Verification of reference intervals in routine clinical laboratories: practical challenges and recommendations
+        https://pubmed.ncbi.nlm.nih.gov/29729142/
+        """;
+
+    public const string EmergencyCitation = """
+        参考来源：
+        [S-EM-01] 2024 American Heart Association and American Red Cross Guidelines for First Aid
+        https://cpr.heart.org/en/resuscitation-science/2024-first-aid-guidelines
+        """;
+}
diff --git a/backend/src/Health.Application/HealthRecords/HealthRecordService.cs b/backend/src/Health.Application/HealthRecords/HealthRecordService.cs
index 2ea2d00..98bf40d 100644
--- a/backend/src/Health.Application/HealthRecords/HealthRecordService.cs
+++ b/backend/src/Health.Application/HealthRecords/HealthRecordService.cs
@@ -188,6 +188,16 @@ public sealed class HealthRecordService(
             _ => ("健康指标提醒", "检测到一项健康指标超出参考范围，请查看详情。", "warning", "")
         };
 
+        var citation = record.MetricType switch
+        {
+            HealthMetricType.BloodPressure => "参考来源：\n[S-BP-01] 2024 ESC Guidelines for the management of elevated blood pressure and hypertension\nhttps://pubmed.ncbi.nlm.nih.gov/39210715/",
+            HealthMetricType.Glucose => "参考来源：\n[S-GLU-01] Glycemic Goals and Hypoglycemia: Standards of Care in Diabetes—2025\nhttps://pubmed.ncbi.nlm.nih.gov/39651981/",
+            HealthMetricType.HeartRate => "参考来源：\n[S-HR-01] All About Heart Rate, American Heart Association\nhttps://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure/all-about-heart-rate-pulse",
+            HealthMetricType.SpO2 => "参考来源：\n[S-OXY-01] Pulse Oximeter Basics, U.S. Food and Drug Administration\nhttps://www.fda.gov/consumers/consumer-updates/pulse-oximeter-basics",
+            _ => string.Empty,
+        };
+        if (!string.IsNullOrWhiteSpace(citation)) message = $"{message}\n\n{citation}";
+
         var window = DateTime.UtcNow.Ticks / TimeSpan.FromMinutes(30).Ticks;
         var sourceId = DeterministicGuid($"{record.UserId}:{record.MetricType}:{severity}:{window}");
         await _notifications.EnqueueAsync(
diff --git a/backend/src/Health.Application/Users/UserContracts.cs b/backend/src/Health.Application/Users/UserContracts.cs
index d17a8e2..8c0ebdb 100644
--- a/backend/src/Health.Application/Users/UserContracts.cs
+++ b/backend/src/Health.Application/Users/UserContracts.cs
@@ -14,7 +14,8 @@ public sealed record UserProfileDto(
 public sealed record UserProfileUpdateRequest(
     string? Name,
     string? Gender,
-    DateOnly? BirthDate);
+    DateOnly? BirthDate,
+    string? AvatarUrl);
 
 public sealed record AccountFileReferences(
     IReadOnlyList<string> FileUrls,
diff --git a/backend/src/Health.Application/Users/UserService.cs b/backend/src/Health.Application/Users/UserService.cs
index 8a0968b..dd5cab8 100644
--- a/backend/src/Health.Application/Users/UserService.cs
+++ b/backend/src/Health.Application/Users/UserService.cs
@@ -28,6 +28,7 @@ public sealed class UserService(
         if (request.Name != null) user.Name = request.Name;
         if (request.Gender != null) user.Gender = request.Gender;
         if (request.BirthDate.HasValue) user.BirthDate = request.BirthDate.Value;
+        if (request.AvatarUrl != null) user.AvatarUrl = request.AvatarUrl;
         user.UpdatedAt = DateTime.UtcNow;
         await _users.SaveChangesAsync(ct);
         return true;
diff --git a/backend/src/Health.Infrastructure/AI/AgentHandlers/common_agent_handler.cs b/backend/src/Health.Infrastructure/AI/AgentHandlers/common_agent_handler.cs
index 37b4524..05e2c61 100644
--- a/backend/src/Health.Infrastructure/AI/AgentHandlers/common_agent_handler.cs
+++ b/backend/src/Health.Infrastructure/AI/AgentHandlers/common_agent_handler.cs
@@ -8,6 +8,28 @@ namespace Health.Infrastructure.AI.AgentHandlers;
 /// </summary>
 public static class CommonAgentHandler
 {
+    public static readonly ToolDefinition SearchMedicalKnowledgeTool = new()
+    {
+        Function = new()
+        {
+            Name = "search_medical_knowledge",
+            Description = "按需检索医学知识库。仅用于症状分析、健康建议、疾病/药品/检查指标解释等需要医学资料支撑的回答；健康数据录入、用药或运动计划创建/查询/打卡、普通寒暄不得调用。",
+            Parameters = new
+            {
+                type = "object",
+                properties = new
+                {
+                    query = new
+                    {
+                        type = "string",
+                        description = "需要检索的医学问题，保留关键症状、疾病、药品或指标名称",
+                    },
+                },
+                required = new[] { "query" },
+            },
+        },
+    };
+
     public static readonly ToolDefinition QueryHealthRecordsTool = new()
     {
         Function = new()
diff --git a/backend/src/Health.Infrastructure/AI/AgentHandlers/exercise_agent_handler.cs b/backend/src/Health.Infrastructure/AI/AgentHandlers/exercise_agent_handler.cs
index 92456b9..5eab40a 100644
--- a/backend/src/Health.Infrastructure/AI/AgentHandlers/exercise_agent_handler.cs
+++ b/backend/src/Health.Infrastructure/AI/AgentHandlers/exercise_agent_handler.cs
@@ -32,6 +32,31 @@ public static class ExerciseAgentHandler
 
     public static List<ToolDefinition> Tools => [ManageExerciseTool];
 
+    public static string? ValidateWriteArguments(JsonElement args)
+    {
+        var action = args.TryGetProperty("action", out var actionValue)
+            ? actionValue.GetString()?.ToLowerInvariant()
+            : null;
+        if (action != "create") return null;
+
+        if (!args.TryGetProperty("exercise_type", out var typeValue) ||
+            string.IsNullOrWhiteSpace(typeValue.GetString()))
+            return "创建运动计划前需要确认运动项目";
+        if (!args.TryGetProperty("duration_minutes", out var minutesValue) ||
+            !minutesValue.TryGetInt32(out var minutes) || minutes is <= 0 or > 300)
+            return "创建运动计划前需要确认合理的单次运动时长";
+        if (!args.TryGetProperty("duration_days", out var daysValue) ||
+            !daysValue.TryGetInt32(out var days) || days is <= 0 or > 366)
+            return "创建运动计划前需要确认计划持续天数";
+        if (!args.TryGetProperty("start_date", out var startValue) ||
+            !DateOnly.TryParse(startValue.GetString(), out _))
+            return "创建运动计划前需要确认开始日期";
+        if (!args.TryGetProperty("reminder_time", out var reminderValue) ||
+            !TimeOnly.TryParse(reminderValue.GetString(), out _))
+            return "创建运动计划前需要确认具体提醒时间";
+        return null;
+    }
+
     public static async Task<object> Execute(
         string toolName,
         JsonElement args,
@@ -47,6 +72,10 @@ public static class ExerciseAgentHandler
             : null;
         if (action == "create")
         {
+            var validationError = ValidateWriteArguments(args);
+            if (validationError != null)
+                return new { success = false, message = validationError };
+
             var startDate = args.TryGetProperty("start_date", out var startValue) && DateOnly.TryParse(startValue.GetString(), out var parsedStart)
                 ? parsedStart
                 : DateOnly.FromDateTime(DateTime.UtcNow.AddHours(8));
@@ -134,6 +163,33 @@ public static class ExerciseAgentHandler
         var result = filtered.ToList();
         var scheduledTasks = result.SelectMany(plan => plan.items).Where(item => !item.IsRestDay).ToList();
         var nextPlan = plans.Where(plan => plan.StartDate > queryDate).OrderBy(plan => plan.StartDate).FirstOrDefault();
+        string authoritativeAnswer;
+        if (result.Count == 0)
+        {
+            authoritativeAnswer = isDateScope
+                ? $"没有查到 {queryDate:yyyy-MM-dd} 的运动安排。"
+                : "当前没有查到符合条件的运动计划。";
+        }
+        else if (isDateScope)
+        {
+            var taskLines = scheduledTasks.Select(item =>
+                $"- {item.ExerciseType}：{item.DurationMinutes} 分钟，{(item.IsCompleted ? "已完成" : "未完成")}");
+            authoritativeAnswer =
+                $"{queryDate:yyyy-MM-dd} 的运动安排：\n{string.Join('\n', taskLines)}";
+        }
+        else
+        {
+            var planLines = result.Select(plan =>
+            {
+                var representative = plan.items.FirstOrDefault(item => !item.IsRestDay);
+                var exerciseType = representative?.ExerciseType ?? "运动";
+                var durationMinutes = representative?.DurationMinutes ?? 0;
+                return $"- {exerciseType}：{plan.StartDate:yyyy-MM-dd} 至 {plan.EndDate:yyyy-MM-dd}，"
+                    + $"每天 {durationMinutes} 分钟，提醒时间 {plan.ReminderTime:HH:mm}";
+            });
+            authoritativeAnswer =
+                $"查到 {result.Count} 个符合条件的运动计划：\n{string.Join('\n', planLines)}";
+        }
         return new
         {
             found = result.Count > 0,
@@ -147,6 +203,7 @@ public static class ExerciseAgentHandler
             next_start_date = nextPlan?.StartDate.ToString("yyyy-MM-dd"),
             days_until_next_start = nextPlan == null ? (int?)null : nextPlan.StartDate.DayNumber - queryDate.DayNumber,
             plans = result,
+            authoritative_answer = authoritativeAnswer,
         };
     }
 }
diff --git a/backend/src/Health.Infrastructure/AI/AgentHandlers/health_data_agent_handler.cs b/backend/src/Health.Infrastructure/AI/AgentHandlers/health_data_agent_handler.cs
index 308f29f..714e6fd 100644
--- a/backend/src/Health.Infrastructure/AI/AgentHandlers/health_data_agent_handler.cs
+++ b/backend/src/Health.Infrastructure/AI/AgentHandlers/health_data_agent_handler.cs
@@ -7,29 +7,154 @@ namespace Health.Infrastructure.AI.AgentHandlers;
 /// </summary>
 public static class HealthDataAgentHandler
 {
+    private static readonly string[] MetricTypes = ["blood_pressure", "heart_rate", "glucose", "spo2", "weight"];
+
     public static readonly ToolDefinition RecordHealthDataTool = new()
     {
         Function = new()
         {
             Name = "record_health_data",
-            Description = "记录健康数据（血压/心率/血糖/血氧/体重）",
+            Description = "记录健康数据（血压/心率/血糖/血氧/体重）。用户说“脉搏”时按“心率”处理，type 使用 heart_rate，数值写入 heart_rate。",
             Parameters = new { type = "object", properties = new { type = new { type = "string", @enum = new[] { "blood_pressure", "heart_rate", "glucose", "spo2", "weight" } }, systolic = new { type = "integer" }, diastolic = new { type = "integer" }, heart_rate = new { type = "number" }, glucose = new { type = "number" }, spo2 = new { type = "number" }, weight = new { type = "number" }, recorded_at = new { type = "string", description = "测量时间；不带时区时按北京时间解释" } }, required = new[] { "type" } }
         }
     };
 
-    public static List<ToolDefinition> Tools => [RecordHealthDataTool, CommonAgentHandler.QueryHealthRecordsTool];
+    public static readonly ToolDefinition RecordHealthDataBatchTool = new()
+    {
+        Function = new()
+        {
+            Name = "record_health_data_batch",
+            Description = "提交当前这一轮要录入的全部健康指标。一次只调用一次；即使只有一个指标也放入 metrics。血压可先只提供已知的一侧，脉搏按心率 heart_rate 处理。后端会整批校验、追问或生成一张确认卡。",
+            Parameters = new
+            {
+                type = "object",
+                properties = new
+                {
+                    metrics = new
+                    {
+                        type = "array",
+                        minItems = 1,
+                        description = "当前录入批次的全部指标，不得遗漏；不要带入普通历史对话或上一张已生成卡片的数据",
+                        items = new
+                        {
+                            type = "object",
+                            properties = new
+                            {
+                                type = new { type = "string", @enum = MetricTypes },
+                                systolic = new { type = "integer" },
+                                diastolic = new { type = "integer" },
+                                heart_rate = new { type = "number" },
+                                glucose = new { type = "number" },
+                                spo2 = new { type = "number" },
+                                weight = new { type = "number" },
+                                recorded_at = new { type = "string", description = "测量时间；不带时区时按北京时间解释" },
+                            },
+                            required = new[] { "type" },
+                        },
+                    },
+                },
+                required = new[] { "metrics" },
+            },
+        },
+    };
 
-    public static async Task<object> Execute(string toolName, JsonElement args, Guid userId, IHealthRecordService healthRecords)
+    public static List<ToolDefinition> Tools => [RecordHealthDataBatchTool, CommonAgentHandler.QueryHealthRecordsTool];
+
+    public static string? ValidateWriteArguments(JsonElement args)
+    {
+        var type = args.TryGetProperty("type", out var typeValue) ? typeValue.GetString() : null;
+        return type switch
+        {
+            "blood_pressure" => ValidateBloodPressure(args),
+            "heart_rate" => ValidateValue(args, "heart_rate", "心率", 1m, 250m),
+            "glucose" => ValidateValue(args, "glucose", "血糖", 0.1m, 50m),
+            "spo2" => ValidateValue(args, "spo2", "血氧", 1m, 100m),
+            "weight" => ValidateValue(args, "weight", "体重", 1m, 500m),
+            _ => "缺少有效的健康指标类型",
+        };
+    }
+
+    public static string? GetUrgentWarning(JsonElement args)
+    {
+        var type = args.TryGetProperty("type", out var typeValue) ? typeValue.GetString() : null;
+        return type switch
+        {
+            "blood_pressure"
+                when args.TryGetProperty("systolic", out var systolic) &&
+                     systolic.TryGetInt32(out var systolicValue) &&
+                     args.TryGetProperty("diastolic", out var diastolic) &&
+                     diastolic.TryGetInt32(out var diastolicValue) &&
+                     (systolicValue >= 180 || diastolicValue >= 120)
+                => "这次血压数值已达到明显危险范围，请不要继续等待录入，尽快联系医生或前往急诊评估。",
+            "heart_rate" when IsValueOutside(args, "heart_rate", 45m, 130m)
+                => "这次心率数值明显异常，请尽快联系医生评估；如伴有胸痛、晕厥或呼吸困难，请立即就医。",
+            "glucose" when IsValueOutside(args, "glucose", 3.0m, 16.7m)
+                => "这次血糖数值属于需要尽快处理的危险范围，请立即联系医生或前往医疗机构评估。",
+            "spo2"
+                when args.TryGetProperty("spo2", out var spo2) &&
+                     spo2.TryGetDecimal(out var spo2Value) &&
+                     spo2Value <= 90m
+                => "这次血氧数值明显偏低，请尽快就医评估；如有呼吸困难、胸闷或意识异常，请立即拨打当地急救电话。",
+            _ => null,
+        };
+    }
+
+    public static IReadOnlyList<JsonElement> GetBatchMetrics(JsonElement args) =>
+        args.TryGetProperty("metrics", out var metrics) && metrics.ValueKind == JsonValueKind.Array
+            ? metrics.EnumerateArray().Select(metric => metric.Clone()).ToList()
+            : [];
+
+    public static Dictionary<string, object?> CreatePreview(JsonElement args)
+    {
+        var type = args.TryGetProperty("type", out var typeValue) ? typeValue.GetString() ?? "" : "";
+        var (metricType, value, unit, systolic, diastolic) = ParseMetric(type, args);
+        if (metricType == null)
+            return [];
+
+        var request = new HealthRecordUpsertRequest(
+            metricType.Value,
+            systolic,
+            diastolic,
+            value,
+            unit,
+            HealthRecordSource.AiEntry,
+            null);
+        return new Dictionary<string, object?>
+        {
+            ["type"] = metricType.Value.ToString(),
+            ["value"] = metricType == HealthMetricType.BloodPressure
+                ? $"{systolic}/{diastolic}"
+                : value?.ToString() ?? "",
+            ["unit"] = unit,
+            ["abnormal"] = HealthRecordRules.CheckAbnormal(request),
+        };
+    }
+
+    public static async Task<object> Execute(
+        string toolName,
+        JsonElement args,
+        Guid userId,
+        IHealthRecordService healthRecords,
+        CancellationToken ct)
     {
         return toolName switch
         {
-            "record_health_data" => await ExecuteRecordHealthData(healthRecords, userId, args),
+            "record_health_data" => await ExecuteRecordHealthData(healthRecords, userId, args, ct),
+            "record_health_data_batch" => await ExecuteRecordHealthDataBatch(healthRecords, userId, args, ct),
             _ => new { success = false, message = $"未知工具: {toolName}" }
         };
     }
 
-    private static async Task<object> ExecuteRecordHealthData(IHealthRecordService healthRecords, Guid userId, JsonElement args)
+    private static async Task<object> ExecuteRecordHealthData(
+        IHealthRecordService healthRecords,
+        Guid userId,
+        JsonElement args,
+        CancellationToken ct)
     {
+        var validationError = ValidateWriteArguments(args);
+        if (validationError != null)
+            return new { success = false, message = validationError };
+
         var type = args.TryGetProperty("type", out var t) ? t.GetString()! : "";
         var (metricType, value, unit, systolic, diastolic) = ParseMetric(type, args);
         if (metricType == null)
@@ -49,7 +174,7 @@ public static class HealthDataAgentHandler
             HealthRecordSource.AiEntry,
             recordedAt);
 
-        var id = await healthRecords.CreateAsync(userId, request, CancellationToken.None);
+        var id = await healthRecords.CreateAsync(userId, request, ct);
         var valStr = metricType == HealthMetricType.BloodPressure ? $"{systolic}/{diastolic}" : value?.ToString() ?? "";
         return new
         {
@@ -62,6 +187,75 @@ public static class HealthDataAgentHandler
         };
     }
 
+    private static async Task<object> ExecuteRecordHealthDataBatch(
+        IHealthRecordService healthRecords,
+        Guid userId,
+        JsonElement args,
+        CancellationToken ct)
+    {
+        var metrics = GetBatchMetrics(args);
+        if (metrics.Count == 0)
+            return new { success = false, message = "当前录入批次没有健康指标" };
+
+        var requests = new List<HealthRecordUpsertRequest>(metrics.Count);
+        var previews = new List<Dictionary<string, object?>>(metrics.Count);
+        foreach (var metric in metrics)
+        {
+            var validationError = ValidateWriteArguments(metric);
+            if (validationError != null)
+                return new { success = false, message = validationError };
+
+            var type = metric.GetProperty("type").GetString()!;
+            var (metricType, value, unit, systolic, diastolic) = ParseMetric(type, metric);
+            if (metricType == null)
+                return new { success = false, message = $"未知指标类型: {type}" };
+
+            var recordedAt = metric.TryGetProperty("recorded_at", out var recordedAtValue) &&
+                             AiDateTime.TryParseUserDateTime(recordedAtValue.GetString(), out var parsedRecordedAt)
+                ? parsedRecordedAt
+                : DateTime.UtcNow;
+            requests.Add(new HealthRecordUpsertRequest(
+                metricType.Value,
+                systolic,
+                diastolic,
+                value,
+                unit,
+                HealthRecordSource.AiEntry,
+                recordedAt));
+            previews.Add(CreatePreview(metric));
+        }
+
+        var ids = await healthRecords.CreateManyAsync(userId, requests, ct);
+        return new
+        {
+            success = true,
+            record_ids = ids,
+            items = previews,
+        };
+    }
+
+    private static string? ValidateBloodPressure(JsonElement args)
+    {
+        if (!args.TryGetProperty("systolic", out var systolicValue) || !systolicValue.TryGetInt32(out var systolic) ||
+            !args.TryGetProperty("diastolic", out var diastolicValue) || !diastolicValue.TryGetInt32(out var diastolic))
+            return "录入血压前需要同时提供收缩压和舒张压";
+        if (systolic is <= 0 or > 260 || diastolic is <= 0 or > 160 || systolic <= diastolic)
+            return "血压数值明显无效，请核对收缩压和舒张压后重新提供";
+        return null;
+    }
+
+    private static string? ValidateValue(JsonElement args, string property, string label, decimal minimum, decimal maximum)
+    {
+        if (!args.TryGetProperty(property, out var valueElement) || !valueElement.TryGetDecimal(out var value))
+            return $"录入{label}前需要提供数值";
+        return value < minimum || value > maximum ? $"{label}数值明显无效，请重新提供" : null;
+    }
+
+    private static bool IsValueOutside(JsonElement args, string property, decimal minimum, decimal maximum) =>
+        args.TryGetProperty(property, out var valueElement) &&
+        valueElement.TryGetDecimal(out var value) &&
+        (value <= minimum || value >= maximum);
+
     private static (HealthMetricType? Type, decimal? Value, string Unit, int? Systolic, int? Diastolic) ParseMetric(string type, JsonElement args)
     {
         return type switch
diff --git a/backend/src/Health.Infrastructure/AI/AiToolExecutionService.cs b/backend/src/Health.Infrastructure/AI/AiToolExecutionService.cs
index c0f12dd..e31c007 100644
--- a/backend/src/Health.Infrastructure/AI/AiToolExecutionService.cs
+++ b/backend/src/Health.Infrastructure/AI/AiToolExecutionService.cs
@@ -40,7 +40,8 @@ public sealed class AiToolExecutionService(
         var root = json.RootElement;
         return await (toolName switch
         {
-            "record_health_data" => HealthDataAgentHandler.Execute(toolName, root, userId, _healthRecords),
+            "record_health_data" or "record_health_data_batch"
+                => HealthDataAgentHandler.Execute(toolName, root, userId, _healthRecords, ct),
             "query_health_records" => CommonAgentHandler.Execute(toolName, root, userId, _healthRecords, _healthArchives, ct),
             "check_archive" => CommonAgentHandler.Execute(toolName, root, userId, _healthRecords, _healthArchives, ct),
             "manage_medication" => MedicationAgentHandler.Execute(toolName, root, userId, _medications, ct),
diff --git a/backend/src/Health.Infrastructure/AI/EfAiEntryDraftStore.cs b/backend/src/Health.Infrastructure/AI/EfAiEntryDraftStore.cs
new file mode 100644
index 0000000..cbd4ba1
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/EfAiEntryDraftStore.cs
@@ -0,0 +1,108 @@
+using Health.Application.AI;
+using Health.Infrastructure.Data;
+using Health.Infrastructure.Data.Records;
+using Microsoft.EntityFrameworkCore;
+
+namespace Health.Infrastructure.AI;
+
+public sealed class EfAiEntryDraftStore(AppDbContext db) : IAiEntryDraftStore
+{
+    private readonly AppDbContext _db = db;
+
+    public async Task<AiEntryDraft?> GetActiveAsync(
+        Guid userId,
+        Guid conversationId,
+        string entryType,
+        CancellationToken ct)
+    {
+        var now = DateTime.UtcNow;
+        await ExpireAsync(now, ct);
+        var record = await _db.AiEntryDrafts.AsNoTracking().FirstOrDefaultAsync(x =>
+            x.UserId == userId &&
+            x.ConversationId == conversationId &&
+            x.EntryType == entryType &&
+            x.Status == "Pending" &&
+            x.ExpiresAt > now, ct);
+        return record == null ? null : ToDraft(record);
+    }
+
+    public async Task<AiEntryDraft> UpsertAsync(
+        Guid userId,
+        Guid conversationId,
+        string entryType,
+        string payload,
+        string missingFields,
+        TimeSpan lifetime,
+        CancellationToken ct)
+    {
+        var now = DateTime.UtcNow;
+        await ExpireAsync(now, ct);
+        var record = await _db.AiEntryDrafts.FirstOrDefaultAsync(x =>
+            x.UserId == userId &&
+            x.ConversationId == conversationId &&
+            x.EntryType == entryType &&
+            x.Status == "Pending", ct);
+        if (record == null)
+        {
+            record = new AiEntryDraftRecord
+            {
+                Id = Guid.NewGuid(),
+                UserId = userId,
+                ConversationId = conversationId,
+                EntryType = entryType,
+                CreatedAt = now,
+            };
+            await _db.AiEntryDrafts.AddAsync(record, ct);
+        }
+
+        record.Payload = payload;
+        record.MissingFields = missingFields;
+        record.ExpiresAt = now.Add(lifetime);
+        record.UpdatedAt = now;
+        await _db.SaveChangesAsync(ct);
+        return ToDraft(record);
+    }
+
+    public async Task CompleteAsync(Guid draftId, Guid userId, CancellationToken ct)
+    {
+        var record = await _db.AiEntryDrafts.FirstOrDefaultAsync(x =>
+            x.Id == draftId && x.UserId == userId && x.Status == "Pending", ct);
+        if (record == null) return;
+
+        record.Status = "Completed";
+        record.UpdatedAt = DateTime.UtcNow;
+        await _db.SaveChangesAsync(ct);
+    }
+
+    private async Task ExpireAsync(DateTime now, CancellationToken ct)
+    {
+        if (_db.Database.ProviderName == "Microsoft.EntityFrameworkCore.InMemory")
+        {
+            var expired = await _db.AiEntryDrafts
+                .Where(x => x.Status == "Pending" && x.ExpiresAt <= now)
+                .ToListAsync(ct);
+            foreach (var item in expired)
+            {
+                item.Status = "Expired";
+                item.UpdatedAt = now;
+            }
+            if (expired.Count > 0) await _db.SaveChangesAsync(ct);
+            return;
+        }
+
+        await _db.AiEntryDrafts
+            .Where(x => x.Status == "Pending" && x.ExpiresAt <= now)
+            .ExecuteUpdateAsync(setters => setters
+                .SetProperty(x => x.Status, "Expired")
+                .SetProperty(x => x.UpdatedAt, now), ct);
+    }
+
+    private static AiEntryDraft ToDraft(AiEntryDraftRecord record) => new(
+        record.Id,
+        record.UserId,
+        record.ConversationId,
+        record.EntryType,
+        record.Payload,
+        record.MissingFields,
+        record.ExpiresAt);
+}
diff --git a/backend/src/Health.Infrastructure/AI/Prompts/global/identity.md b/backend/src/Health.Infrastructure/AI/Prompts/global/identity.md
new file mode 100644
index 0000000..8c9cdfa
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/Prompts/global/identity.md
@@ -0,0 +1,8 @@
+你是患者端统一 AI 健康助手“小脉”。你的任务是理解用户当前真正想做的事情，调用经过授权的业务工具，并用自然、温和、清楚的中文回复。
+
+核心原则：
+- 个人健康数据、计划、完成状态和报告状态必须以当前业务工具返回为准，不能根据聊天历史或患者背景猜测。
+- 工具没有返回的数据不得编造；暂时没有对应能力时应如实说明。
+- 一条消息可能包含多个意图，必须分别处理，不能为了简化而遗漏其中一项。
+- 当前工具结果与历史聊天冲突时，以当前工具结果为准。
+- 普通聊天历史用于理解语境，不等同于待写入数据；只有后端明确提供的待补充草稿才允许跨消息合并录入字段。
diff --git a/backend/src/Health.Infrastructure/AI/Prompts/global/medical_safety.md b/backend/src/Health.Infrastructure/AI/Prompts/global/medical_safety.md
new file mode 100644
index 0000000..f5057df
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/Prompts/global/medical_safety.md
@@ -0,0 +1,6 @@
+医疗安全边界：
+- 你是健康解释与预问诊助手，不是医生，不能替代医生诊断、处方或治疗决策。
+- 可以解释健康数据、报告指标和症状可能方向，但不能作确定诊断。
+- 不要求用户自行新增、停用、更换药物或调整剂量；涉及治疗变化时建议咨询医生或药师。
+- 出现剧烈胸痛、呼吸困难、意识异常、晕厥、说话不清、一侧肢体无力、血氧明显偏低、血压或血糖严重异常等危险信号时，立即停止普通流程并优先建议及时就医或急诊评估。
+- 医疗分析使用“可能、建议、需要结合医生判断”等表达。
diff --git a/backend/src/Health.Infrastructure/AI/Prompts/global/response_style.md b/backend/src/Health.Infrastructure/AI/Prompts/global/response_style.md
new file mode 100644
index 0000000..1e21004
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/Prompts/global/response_style.md
@@ -0,0 +1,8 @@
+回复要求：
+- 语气自然、温和、专业，不使用系统报错式措辞。
+- 信息不完整时，每次只追问最关键的缺失内容；可以在一句话中列出同一批次明确缺少的字段。
+- 禁止使用粗体、斜体、删除线、HTML 和 Markdown 表格。
+- 标题只使用三级标题；列表使用短横线。
+- 数值和单位之间留空格，例如 120 mmHg、6.2 mmol/L。
+- 不输出任何以 $ 开头的占位符。
+- 不重复堆砌免责声明。
diff --git a/backend/src/Health.Infrastructure/AI/Prompts/modules/diet_analysis.md b/backend/src/Health.Infrastructure/AI/Prompts/modules/diet_analysis.md
new file mode 100644
index 0000000..8ebd1d7
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/Prompts/modules/diet_analysis.md
@@ -0,0 +1,6 @@
+新饮食图片分析模块：
+- 仅用于本轮新上传的饮食图片；查询已经保存的饮食记录应进入个人数据查询模块。
+- 识别食物名称、估算份量和热量，并结合患者健康档案评价。
+- 对过敏、低盐、低脂、低糖等限制给出清楚提醒，不作绝对化医疗结论。
+- 饮食建议需要医学资料支撑时可以按需调用知识库。
+- 图片分析结果不能在用户未确认时冒充已经保存的饮食记录。
diff --git a/backend/src/Health.Infrastructure/AI/Prompts/modules/exercise_entry.md b/backend/src/Health.Infrastructure/AI/Prompts/modules/exercise_entry.md
new file mode 100644
index 0000000..926a234
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/Prompts/modules/exercise_entry.md
@@ -0,0 +1,9 @@
+运动计划录入模块：
+- 用户明确创建运动计划时调用 manage_exercise(action="create")。
+- 完整计划需要：运动项目、每天运动时长、持续天数、开始日期和具体提醒时间。
+- 中文时长和周期应正确换算，例如半小时=30 分钟、一小时=60 分钟、一周=7 天、一个月=30 天。
+- 只传用户明确提供的字段；当前产品不自动补默认运动项目、天数、开始日期或提醒时间。
+- 信息不完整时仍调用工具，让后端保存待补充草稿；下一轮补充时与草稿合并。
+- 用户明确开始新的运动计划时不得继承旧草稿内容。
+- 后端返回 pendingConfirmation=true 后展示确认卡；用户点击前不得声称计划已创建。
+- 单纯创建运动计划不调用医学知识库。用户先询问该运动是否适合自己时，额外进入医疗咨询模块。
diff --git a/backend/src/Health.Infrastructure/AI/Prompts/modules/general_chat.md b/backend/src/Health.Infrastructure/AI/Prompts/modules/general_chat.md
new file mode 100644
index 0000000..93f7c81
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/Prompts/modules/general_chat.md
@@ -0,0 +1,4 @@
+普通聊天与应用帮助模块：
+- 问候、感谢和普通闲聊自然简短回复，不调用业务工具或医学知识库。
+- 用户询问应用功能位置或使用方法时可以直接说明；已有固定 App 内链接时可自然提供一个跳转链接。
+- 不确定用户是想咨询数值还是保存记录时，只做一次简短澄清，不生成确认卡。
diff --git a/backend/src/Health.Infrastructure/AI/Prompts/modules/health_entry.md b/backend/src/Health.Infrastructure/AI/Prompts/modules/health_entry.md
new file mode 100644
index 0000000..450e076
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/Prompts/modules/health_entry.md
@@ -0,0 +1,13 @@
+健康指标录入模块：
+- 支持血压、心率、血糖、血氧、体重；“脉搏”与“心率”是同一指标，统一使用 heart_rate。
+- 必须理解常见完整血压表达，例如 113/86、113-86、113—86，前者为收缩压，后者为舒张压。
+- 用户明确要求录入时必须调用 record_health_data_batch，而且每个录入批次只调用一次；即使只有一个指标，也必须放进 metrics 数组。信息不完整也要调用，只传用户明确提供的字段，让后端保存整个待补充批次草稿。
+- 不能自行补测量数值。测量时间未说明时可以由后端使用当前时间。
+- 一次消息可以包含多个指标，必须完整提取，不得遗漏。多指标属于同一录入批次，最终应汇总在一张确认卡中。
+- metrics 必须包含用户本轮明确要录入的全部指标；不要为每个指标分别调用工具。
+- 如果同一批次存在不完整或明显无效的指标，应保留本批次其他已识别指标，先根据后端结果追问缺失或错误部分；全部补齐后再生成整批确认卡。
+- 用户只补充一个缺失值时，必须结合后端提供的当前草稿，不能只记录最后一句。
+- 已经生成确认卡的批次立即结束；无论用户是否点击，下一条新的录入请求都属于新批次，不能带入上一张卡的数据。
+- 普通聊天历史中的指标不得自动加入当前卡；只有明确的待补充草稿可以跨消息合并。
+- 后端返回 pendingConfirmation=true 才代表确认卡真实生成。确认卡出现前不得要求用户点击卡片，点击前不得声称已经保存或录入成功。
+- 后端返回危险提醒或无效数值时，不生成成功话术，按返回内容提醒用户。
diff --git a/backend/src/Health.Infrastructure/AI/Prompts/modules/medical_consultation.md b/backend/src/Health.Infrastructure/AI/Prompts/modules/medical_consultation.md
new file mode 100644
index 0000000..b10265d
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/Prompts/modules/medical_consultation.md
@@ -0,0 +1,7 @@
+医疗咨询与健康建议模块：
+- 症状求助时先判断是否存在危险信号；非紧急情况下每轮只追问一个最关键问题，逐步了解部位、开始时间、程度、诱因和伴随表现。
+- 信息足够后给出可能相关方向、严重程度以及观察、门诊、尽快就医或急诊建议，不作正式诊断。
+- 解释用户个人指标或趋势时，应先调用相应个人数据查询工具获取真实数据。
+- 疾病、药品、检查指标、康复、饮食或运动建议需要医学资料支撑时，调用 search_medical_knowledge。
+- 不需要外部医学资料的简单澄清、问候或业务操作不调用知识库。
+- 用户同时要求录入或创建计划时，医疗解释不能代替对应录入工具和确认卡。
diff --git a/backend/src/Health.Infrastructure/AI/Prompts/modules/medication_entry.md b/backend/src/Health.Infrastructure/AI/Prompts/modules/medication_entry.md
new file mode 100644
index 0000000..5faa683
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/Prompts/modules/medication_entry.md
@@ -0,0 +1,9 @@
+用药计划录入模块：
+- 用户明确创建用药计划时调用 manage_medication(action="create")。
+- 只传用户明确提供的字段，不自行新增药品、猜测剂量、频率、具体服药时间、开始日期或疗程。
+- 完整计划需要：药品名称、每次剂量、频率、具体服药时间、开始日期，以及疗程天数或明确长期服用。
+- “早饭后、晚上”等模糊时间不能擅自换算为具体时刻，应追问具体时间。
+- 信息不完整时仍调用工具，让后端保存待补充草稿；下一轮只补缺失字段时与草稿合并。
+- 存在旧草稿但用户明确开始另一种药品的新计划时，应开始新批次，禁止继承旧药品的剂量、时间、频率或疗程。
+- 后端返回 pendingConfirmation=true 后展示确认卡；用户点击前不得声称计划已创建。
+- 用药计划录入本身不调用医学知识库。用户同时询问药品知识或副作用时，额外进入医疗咨询模块。
diff --git a/backend/src/Health.Infrastructure/AI/Prompts/modules/personal_query.md b/backend/src/Health.Infrastructure/AI/Prompts/modules/personal_query.md
new file mode 100644
index 0000000..73aa268
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/Prompts/modules/personal_query.md
@@ -0,0 +1,7 @@
+个人数据查询模块：
+- 查询用户自己的健康记录、健康档案、用药计划、运动计划、饮食记录、复查安排、已有报告和通知时，必须调用对应只读业务工具。
+- 不能根据患者背景、聊天历史或以前的工具结果回答当前状态。
+- 必须区分“记录存在”“计划当前有效”“指定日期有安排”“任务已经完成”。
+- 查询某一天任务与查询计划生命周期不能混用；时间意图不明确时只追问时间范围。
+- 工具没有返回数据时明确说明未查到，不得编造。
+- 个人数据查询通常不调用医学知识库；用户同时要求解释或建议时，额外进入医疗咨询模块。
diff --git a/backend/src/Health.Infrastructure/AI/Prompts/modules/report_analysis.md b/backend/src/Health.Infrastructure/AI/Prompts/modules/report_analysis.md
new file mode 100644
index 0000000..d602652
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/Prompts/modules/report_analysis.md
@@ -0,0 +1,7 @@
+新报告分析模块：
+- 仅用于本轮新上传的医学检查报告图片或报告文件；查询以前保存的报告应进入个人数据查询模块。
+- 提取报告名称、日期、关键指标、参考范围、异常标记和原文结论。
+- 区分结构化检验指标与影像/医生描述，不把影像描述改写成确定诊断。
+- 给出患者可理解的初步解释和下一步建议，注明需要结合医生判断。
+- 报告内容需要进一步医学解释时可以按需调用知识库。
+- 用户没有明确要求时，不把报告中的指标直接写入健康记录。
diff --git a/backend/src/Health.Infrastructure/AI/Prompts/rag/retrieval_rules.md b/backend/src/Health.Infrastructure/AI/Prompts/rag/retrieval_rules.md
new file mode 100644
index 0000000..4687509
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/Prompts/rag/retrieval_rules.md
@@ -0,0 +1,7 @@
+医学知识库使用规则：
+- 知识库是医疗咨询、指标解释、药品知识、报告解释和健康建议的辅助能力，不是独立用户意图。
+- 健康指标录入、用药或运动计划创建、个人数据查询、服药确认、运动打卡、普通聊天时禁止调用。
+- 一条消息同时包含业务操作和医学咨询时，先完成必要业务工具调用；只有咨询部分确实需要资料时才检索。
+- 检索问题应保留关键症状、疾病、药品或指标名称，删除无关寒暄和操作指令。
+- 只能依据真实返回的知识片段作参考；没有结果时应谨慎回答，不得虚构检索内容或来源。
+- 知识库内容不能覆盖患者当前业务数据，也不能替代紧急安全规则。
diff --git a/backend/src/Health.Infrastructure/AI/Prompts/router/intent_router.md b/backend/src/Health.Infrastructure/AI/Prompts/router/intent_router.md
new file mode 100644
index 0000000..fcd6001
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/Prompts/router/intent_router.md
@@ -0,0 +1,25 @@
+你是主聊天的意图路由器，只负责识别意图，不回答用户问题。
+
+请结合用户当前消息、附件类型、最近对话和后端提供的待补充草稿，选择一个或多个意图：
+- health_entry：录入健康指标，或继续补充健康指标草稿。
+- medication_entry：创建用药计划，或继续补充用药计划草稿。
+- exercise_entry：创建运动计划，或继续补充运动计划草稿。
+- personal_query：查询用户自己的健康数据、健康档案、用药/运动计划、饮食、复查、报告或通知。
+- medical_consultation：症状求助、指标解释、疾病/药品知识、健康评价、饮食/运动/康复建议。
+- report_analysis：分析新上传的医学报告图片或报告文件。
+- diet_analysis：分析新上传的饮食图片。
+- app_help：询问应用功能位置或使用方法。
+- general_chat：问候、感谢、普通闲聊或不需要业务工具的对话。
+
+判断规则：
+- “帮我记录血压 116/89”是 health_entry。
+- “血压 116/89 正常吗”是 medical_consultation，不是录入。
+- “记录血压 150/95，并告诉我是否偏高”同时包含 health_entry 和 medical_consultation。
+- 查询已有报告属于 personal_query；分析本轮新上传报告属于 report_analysis。
+- 创建计划与询问建议必须区分；“创建每天散步 30 分钟的计划”是 exercise_entry，“我适合每天散步 30 分钟吗”是 medical_consultation。
+- 只有确实在补充草稿缺失字段时才标记为 continue；存在草稿不代表所有后续消息都必须继续草稿。
+- 用户明确开始新的同类录入时标记 start_new，不能继承旧草稿字段。
+- 用户明确说取消、不录了时标记 cancel。
+- 无法确定是咨询还是录入时选择 general_chat，让主助手自然澄清。
+
+必须通过 route_user_intent 工具返回结构化结果，不得输出解释文字。
diff --git a/backend/src/Health.Infrastructure/AI/ai_clients.cs b/backend/src/Health.Infrastructure/AI/ai_clients.cs
index 10780e1..91193bc 100644
--- a/backend/src/Health.Infrastructure/AI/ai_clients.cs
+++ b/backend/src/Health.Infrastructure/AI/ai_clients.cs
@@ -9,7 +9,7 @@ namespace Health.Infrastructure.AI;
 public sealed class DeepSeekClient(HttpClient http, IConfiguration config)
 {
     private readonly HttpClient _http = http;
-    private readonly string _model = config["DEEPSEEK_MODEL"] ?? "deepseek-chat";
+    private readonly string _model = config["DEEPSEEK_MODEL"] ?? "deepseek-v4-flash";
     private readonly JsonSerializerOptions _jsonOptions = new()
     {
         PropertyNamingPolicy = JsonNamingPolicy.SnakeCaseLower,
@@ -30,6 +30,7 @@ public sealed class DeepSeekClient(HttpClient http, IConfiguration config)
         {
             Model = _model, Messages = messages, Stream = true,
             MaxTokens = maxTokens, Temperature = temperature, Tools = tools,
+            Thinking = new ThinkingOptions { Type = "disabled" },
         };
         if (tools?.Count > 0) request.ToolChoice = "auto";
 
@@ -64,14 +65,16 @@ public sealed class DeepSeekClient(HttpClient http, IConfiguration config)
         List<ToolDefinition>? tools = null,
         int maxTokens = 2048,
         float temperature = 0.7f,
+        string? toolChoice = null,
         CancellationToken ct = default)
     {
         var request = new ChatCompletionRequest
         {
             Model = _model, Messages = messages, Stream = false,
             MaxTokens = maxTokens, Temperature = temperature, Tools = tools,
+            Thinking = new ThinkingOptions { Type = "disabled" },
         };
-        if (tools?.Count > 0) request.ToolChoice = "auto";
+        if (tools?.Count > 0) request.ToolChoice = toolChoice ?? "auto";
 
         var json = JsonSerializer.Serialize(request, _jsonOptions);
         var content = new StringContent(json, Encoding.UTF8, "application/json");
@@ -88,7 +91,7 @@ public sealed class DeepSeekClient(HttpClient http, IConfiguration config)
 public sealed class VisionClient(HttpClient http, IConfiguration config)
 {
     private readonly HttpClient _http = http;
-    private readonly string _model = config["VLM_MODEL"] ?? "doubao-vision-pro";
+    private readonly string _model = config["VLM_MODEL"] ?? config["QWEN_VISION_MODEL"] ?? "qwen-vl-max";
     private readonly JsonSerializerOptions _jsonOptions = new()
     {
         PropertyNamingPolicy = JsonNamingPolicy.SnakeCaseLower,
diff --git a/backend/src/Health.Infrastructure/AI/ai_contracts.cs b/backend/src/Health.Infrastructure/AI/ai_contracts.cs
index 4cbee8a..80eb877 100644
--- a/backend/src/Health.Infrastructure/AI/ai_contracts.cs
+++ b/backend/src/Health.Infrastructure/AI/ai_contracts.cs
@@ -14,8 +14,19 @@ public sealed class ChatCompletionRequest
     [System.Text.Json.Serialization.JsonPropertyName("vl_high_resolution_images")]
     public bool VlHighResolutionImages { get; set; }
 
+    [System.Text.Json.Serialization.JsonIgnore(Condition = System.Text.Json.Serialization.JsonIgnoreCondition.WhenWritingNull)]
     [System.Text.Json.Serialization.JsonPropertyName("enable_thinking")]
     public bool? EnableThinking { get; set; }
+
+    [System.Text.Json.Serialization.JsonIgnore(Condition = System.Text.Json.Serialization.JsonIgnoreCondition.WhenWritingNull)]
+    [System.Text.Json.Serialization.JsonPropertyName("thinking")]
+    public ThinkingOptions? Thinking { get; set; }
+}
+
+public sealed class ThinkingOptions
+{
+    [System.Text.Json.Serialization.JsonPropertyName("type")]
+    public string Type { get; set; } = "disabled";
 }
 
 public sealed class ChatMessage
diff --git a/backend/src/Health.Infrastructure/AI/ai_intent_router.cs b/backend/src/Health.Infrastructure/AI/ai_intent_router.cs
new file mode 100644
index 0000000..aca2099
--- /dev/null
+++ b/backend/src/Health.Infrastructure/AI/ai_intent_router.cs
@@ -0,0 +1,185 @@
+using System.Text.Json;
+
+namespace Health.Infrastructure.AI;
+
+public sealed record AiIntentRoute(
+    IReadOnlyList<string> Intents,
+    string DraftAction,
+    string DraftType)
+{
+    public static AiIntentRoute GeneralChat { get; } =
+        new(["general_chat"], "none", "none");
+
+    public static AiIntentRoute Compatibility { get; } = new(
+        [
+            "health_entry",
+            "medication_entry",
+            "exercise_entry",
+            "personal_query",
+            "medical_consultation",
+            "report_analysis",
+            "diet_analysis",
+            "general_chat",
+        ],
+        "none",
+        "none");
+}
+
+public static class AiIntentRouter
+{
+    private static readonly HashSet<string> AllowedIntents = new(
+        [
+            "health_entry",
+            "medication_entry",
+            "exercise_entry",
+            "personal_query",
+            "medical_consultation",
+            "report_analysis",
+            "diet_analysis",
+            "app_help",
+            "general_chat",
+        ],
+        StringComparer.OrdinalIgnoreCase);
+
+    public static readonly ToolDefinition RouteTool = new()
+    {
+        Function = new()
+        {
+            Name = "route_user_intent",
+            Description = "返回当前用户消息的一个或多个业务意图，不回答用户问题",
+            Parameters = new
+            {
+                type = "object",
+                properties = new
+                {
+                    intents = new
+                    {
+                        type = "array",
+                        minItems = 1,
+                        uniqueItems = true,
+                        items = new
+                        {
+                            type = "string",
+                            @enum = AllowedIntents.OrderBy(x => x).ToArray(),
+                        },
+                    },
+                    draft_action = new
+                    {
+                        type = "string",
+                        @enum = new[] { "none", "continue", "start_new", "cancel" },
+                        description = "当前消息与待补充录入草稿的关系",
+                    },
+                    draft_type = new
+                    {
+                        type = "string",
+                        @enum = new[] { "none", "health_entry", "medication_entry", "exercise_entry" },
+                    },
+                },
+                required = new[] { "intents", "draft_action", "draft_type" },
+            },
+        },
+    };
+
+    public static async Task<AiIntentRoute> RouteAsync(
+        DeepSeekClient client,
+        PromptManager prompts,
+        string currentMessage,
+        string attachmentContext,
+        string draftContext,
+        string recentConversation,
+        CancellationToken ct)
+    {
+        var userContext = $"""
+            当前用户消息：
+            {currentMessage}
+
+            本轮附件：
+            {(string.IsNullOrWhiteSpace(attachmentContext) ? "无" : attachmentContext)}
+
+            当前待补充录入草稿：
+            {(string.IsNullOrWhiteSpace(draftContext) ? "无" : draftContext)}
+
+            最近对话：
+            {(string.IsNullOrWhiteSpace(recentConversation) ? "无" : recentConversation)}
+            """;
+
+        try
+        {
+            var response = await client.ChatAsync(
+                [
+                    new ChatMessage { Role = "system", Content = prompts.GetIntentRouterPrompt() },
+                    new ChatMessage { Role = "user", Content = userContext },
+                ],
+                tools: [RouteTool],
+                maxTokens: 300,
+                temperature: 0.1f,
+                toolChoice: "required",
+                ct: ct);
+
+            var call = response.Choices?
+                .FirstOrDefault()?
+                .Message?
+                .ToolCalls?
+                .FirstOrDefault(item => item.Function.Name == "route_user_intent");
+            return call == null ? AiIntentRoute.Compatibility : Parse(call.Function.Arguments);
+        }
+        catch (OperationCanceledException) when (ct.IsCancellationRequested)
+        {
+            throw;
+        }
+        catch
+        {
+            // Routing failure must not make the whole chat unavailable. The broad
+            // compatibility prompt/tool set remains the safe fallback.
+            return AiIntentRoute.Compatibility;
+        }
+    }
+
+    internal static AiIntentRoute Parse(string arguments)
+    {
+        try
+        {
+            using var json = JsonDocument.Parse(arguments);
+            var root = json.RootElement;
+            var intents = root.TryGetProperty("intents", out var values) &&
+                          values.ValueKind == JsonValueKind.Array
+                ? values.EnumerateArray()
+                    .Where(value => value.ValueKind == JsonValueKind.String)
+                    .Select(value => value.GetString()?.Trim().ToLowerInvariant() ?? "")
+                    .Where(AllowedIntents.Contains)
+                    .Distinct(StringComparer.OrdinalIgnoreCase)
+                    .ToList()
+                : [];
+            if (intents.Count == 0) intents.Add("general_chat");
+
+            var draftAction = ReadEnum(
+                root,
+                "draft_action",
+                ["none", "continue", "start_new", "cancel"],
+                "none");
+            var draftType = ReadEnum(
+                root,
+                "draft_type",
+                ["none", "health_entry", "medication_entry", "exercise_entry"],
+                "none");
+            return new AiIntentRoute(intents, draftAction, draftType);
+        }
+        catch (JsonException)
+        {
+            return AiIntentRoute.Compatibility;
+        }
+    }
+
+    private static string ReadEnum(
+        JsonElement root,
+        string property,
+        IReadOnlyCollection<string> allowed,
+        string fallback)
+    {
+        var value = root.TryGetProperty(property, out var element) &&
+                    element.ValueKind == JsonValueKind.String
+            ? element.GetString()?.Trim().ToLowerInvariant()
+            : null;
+        return value != null && allowed.Contains(value) ? value : fallback;
+    }
+}
diff --git a/backend/src/Health.Infrastructure/AI/fastgpt_knowledge_client.cs b/backend/src/Health.Infrastructure/AI/fastgpt_knowledge_client.cs
index 6eb1f57..4949d05 100644
--- a/backend/src/Health.Infrastructure/AI/fastgpt_knowledge_client.cs
+++ b/backend/src/Health.Infrastructure/AI/fastgpt_knowledge_client.cs
@@ -14,10 +14,12 @@ public sealed class FastGptKnowledgeClient(HttpClient http, IConfiguration confi
     private readonly string _datasetId = config["FASTGPT_DATASET_ID"] ?? "";
     private readonly float _similarity = float.TryParse(config["FASTGPT_SIMILARITY"], out var s) ? s : 0.4f;
     private readonly int _limit = int.TryParse(config["FASTGPT_LIMIT"], out var l) ? l : 3000;
+    private readonly bool _ragEnabled = bool.TryParse(config["ENABLE_MEDICAL_RAG"], out var enabled) && enabled;
     private readonly ILogger<FastGptKnowledgeClient> _logger = logger;
     private readonly JsonSerializerOptions _jsonOptions = new() { PropertyNameCaseInsensitive = true };
 
-    public bool IsEnabled => !string.IsNullOrWhiteSpace(_datasetId);
+    // iOS 审核版使用后端内置医学来源目录，暂时关闭在线 RAG，减少一次外部检索请求。
+    public bool IsEnabled => _ragEnabled && !string.IsNullOrWhiteSpace(_datasetId);
 
     /// <summary>
     /// 按用户问题检索知识库，返回最相关的文档片段。
diff --git a/backend/src/Health.Infrastructure/AI/prompt_manager.cs b/backend/src/Health.Infrastructure/AI/prompt_manager.cs
index e658ccf..bf625de 100644
--- a/backend/src/Health.Infrastructure/AI/prompt_manager.cs
+++ b/backend/src/Health.Infrastructure/AI/prompt_manager.cs
@@ -1,240 +1,157 @@
+using System.Reflection;
+using Health.Application.AI;
+
 namespace Health.Infrastructure.AI;
 
 /// <summary>
-/// System Prompt 模板管理
+/// Loads small, responsibility-focused prompt resources and composes only the
+/// sections required by the current intent route.
 /// </summary>
 public sealed class PromptManager
 {
-    /// <summary>
-    /// 获取指定 Agent 的 System Prompt
-    /// </summary>
-    public string GetSystemPrompt(AgentType agentType)
-    {
-        var prompt = agentType switch
-        {
-            AgentType.Default => DefaultPrompt,
-            AgentType.Consultation => ConsultationPrompt,
-            AgentType.Health => HealthDataPrompt,
-            AgentType.Diet => DietPrompt,
-            AgentType.Medication => MedicationPrompt,
-            AgentType.Report => ReportPrompt,
-            AgentType.Exercise => ExercisePrompt,
-            AgentType.Unified => UnifiedPrompt,
-            _ => DefaultPrompt
-        };
+    private static readonly Assembly PromptAssembly = typeof(PromptManager).Assembly;
+    private static readonly IReadOnlyDictionary<string, string> PromptCache = LoadPrompts();
 
-        return $"{prompt}\n\n{MedicalBoundaryRules}\n\n{SmartLinkRules}";
+    private static readonly string[] GlobalSections =
+    [
+        "global/identity.md",
+        "global/medical_safety.md",
+        "global/response_style.md",
+    ];
+
+    public string GetIntentRouterPrompt() => Read("router/intent_router.md");
+
+    public string ComposeForIntents(IEnumerable<string> intents)
+    {
+        var normalized = intents
+            .Select(NormalizeIntent)
+            .Where(intent => intent.Length > 0)
+            .Distinct(StringComparer.OrdinalIgnoreCase)
+            .ToList();
+        if (normalized.Count == 0) normalized.Add("general_chat");
+
+        var sections = new List<string>(GlobalSections);
+        foreach (var intent in normalized)
+        {
+            sections.Add(intent switch
+            {
+                "health_entry" => "modules/health_entry.md",
+                "medication_entry" => "modules/medication_entry.md",
+                "exercise_entry" => "modules/exercise_entry.md",
+                "personal_query" => "modules/personal_query.md",
+                "medical_consultation" => "modules/medical_consultation.md",
+                "report_analysis" => "modules/report_analysis.md",
+                "diet_analysis" => "modules/diet_analysis.md",
+                "app_help" or "general_chat" => "modules/general_chat.md",
+                _ => "modules/general_chat.md",
+            });
+        }
+
+        if (normalized.Contains("medical_consultation") ||
+            normalized.Contains("report_analysis") ||
+            normalized.Contains("diet_analysis"))
+        {
+            sections.Add("rag/retrieval_rules.md");
+        }
+
+        var composed = Compose(sections);
+        var needsMedicalSources = normalized.Contains("medical_consultation") ||
+                                  normalized.Contains("report_analysis") ||
+                                  normalized.Contains("diet_analysis");
+        if (needsMedicalSources)
+        {
+            composed += "\n\n" + CitationRules + "\n\n" + MedicalCitationKnowledge.Prompt;
+        }
+
+        // This is an iOS-specific scope rule and is intentionally added to every
+        // route, while the large medical source directory is only added to advice routes.
+        return composed + "\n\n" + CurrentScopeRules;
     }
 
-    private const string SmartLinkRules = """
-        智能跳转链接（按需嵌入）：
-        - 当用户明确询问食物的 热量/卡路里 时，在回答的自然位置嵌入 Markdown 链接 [热量分析](app://diet)，引导用户使用专门的饮食拍照分析功能。
-        - 当用户上传医学检查报告、化验单、影像报告、出院小结等需要专业解读时，在回答末尾嵌入 [报告分析](app://report)，引导上传到报告分析功能获得详细解读。
-        - 当用户询问血压、血糖、血氧等需要长期追踪的设备测量场景时，可嵌入 [蓝牙设备](app://device)。
-
-        硬性约束：
-        - 每条回复最多嵌入一个跳转链接，且必须在合适语境下自然提及，不要堆砌。
-        - 仅"问热量/卡路里"才用 app://diet；"营养、能不能吃、是否健康"类问题正常回答，禁止插入饮食跳转链接。
-        - 链接的 Markdown 文本只能用上面列出的 4 个固定文案，不要自创其他文案。
+    private const string CitationRules = """
+        医疗信息来源引用（必须遵守）：
+        - 当回复包含医疗事实、数值解释、饮食/运动/用药相关信息、报告解释、危险症状或就医建议时，必须在回复末尾添加“参考来源”。
+        - 只能引用本轮系统消息中“固定医学参考来源目录”里实际提供的来源，不得编造来源、PMID、DOI 或 URL。
+        - 引用格式必须是：
+          参考来源：
+          [来源编号] 来源标题
+          完整 URL
+        - 引用必须与本次回答的内容直接相关；不要堆砌无关来源。
+        - 如果固定医学参考来源目录没有提供相关来源，只能说明资料不足并建议咨询医生/药师，不得凭常识补充具体医疗建议。
+        - 纯业务操作回复（例如查询计划、创建待确认记录、说明上传状态）不需要添加医学来源。
         """;
 
-    private const string MedicalBoundaryRules = """
-        医疗边界（必须遵守）：
-        - 你的定位是健康数据整理助手，不是医生，不能替代医生诊断、处方或治疗决策。
-        - 可以描述客观事实和综合信息：数值、趋势、对比、是否超出参考范围等。
-          例如："血压 150/95，收缩压超出正常范围""最近7天平均血压比上周高 5 mmHg""白细胞计数偏高"。
-        - 可以读取并复述用户档案/病历/报告中已有的信息（如"您的档案中记录了高血压""病历中提到以下用药：XXX"）。
-        - 不做关联性分析或推测。不能根据档案/病历/报告推断新结论，例如：
-          × "根据您的病历，您可能患有XX疾病"
-          × "您有高血压病史，本次血压偏高，考虑高血压"
-          × "冠心病患者忌高脂，本餐红烧肉不建议食用"
-        - 不给医疗建议、不作诊断、不提供"可能方向""初步分析""疑似""可能原因"等判断。
-        - 用户询问"这代表什么""是不是XX病""怎么办"时，只复述客观数据，建议咨询医生。
-        - 不要要求用户自行新增、停用、更换药物或调整剂量；涉及用药变化时，建议咨询医生或药师。
-        - 对胸痛、胸闷憋气、呼吸困难、意识异常、晕厥、说话不清、一侧肢体无力等情况，优先建议及时就医或急诊评估。
-        - 不基于疾病（如冠心病、糖尿病）给出饮食/运动/用药建议；疾病相关问题建议咨询医生。
-        - 可以建议就医或咨询医生（这是引导，不是医疗建议）。
-        - 回复末尾用一句自然的话提醒：以上为 AI 整理，不能替代医生诊断和治疗建议。
-
-        回复格式规则（严格遵守）：
-        - 禁止使用 **粗体**、*斜体*、~~删除线~~ 等 Markdown 内联标记
-        - 禁止使用 HTML 标签
-        - 禁止使用 Markdown 表格（|--|--|）
-        - 标题只使用 ### 三级标题，禁止使用 #、##、####
-        - 列表使用 - 开头，每项一行
-        - 数值和单位之间加空格：120 mmHg、6.2 mmol/L
-        - 不要输出任何 $ 开头的占位符
-        - 回复结尾不再重复免责声明，MedicalBoundaryRules 已统一处理
+    private const string CurrentScopeRules = """
+        当前 iOS 版本范围：
+        - 当前版本不包含蓝牙设备页、设备绑定、血压仪连接或自动设备同步。
+        - 禁止生成 app://device 链接，禁止引导用户使用蓝牙设备功能。
+        - 健康数据均按用户手动输入或 AI 待确认记录处理。
+        - 当前 iOS 版本不调用在线 search_medical_knowledge；医疗回答只能使用本轮提供的固定医学来源目录。
+        - health_entry、medication_entry、exercise_entry、personal_query 和 general_chat 只处理录入、查询或应用操作，不主动给出医疗建议；用户明确询问是否正常、原因、风险或如何改善时，必须进入 medical_consultation，并使用带来源的医学回答规则。
         """;
 
-    private const string DefaultPrompt = """
-        你是一位 AI 健康助手，帮助用户记录和管理日常健康数据。
+    /// <summary>
+    /// Compatibility entry for older clients that still address a specific agent.
+    /// The main Flutter app uses Unified and is routed through ComposeForIntents.
+    /// </summary>
+    public string GetSystemPrompt(AgentType agentType) => agentType switch
+    {
+        AgentType.Health => ComposeForIntents(["health_entry", "personal_query"]),
+        AgentType.Medication => ComposeForIntents(["medication_entry", "personal_query", "medical_consultation"]),
+        AgentType.Exercise => ComposeForIntents(["exercise_entry", "personal_query", "medical_consultation"]),
+        AgentType.Consultation => ComposeForIntents(["medical_consultation"]),
+        AgentType.Diet => ComposeForIntents(["diet_analysis", "medical_consultation"]),
+        AgentType.Report => ComposeForIntents(["report_analysis", "personal_query", "medical_consultation"]),
+        AgentType.Unified => ComposeForIntents([
+            "health_entry",
+            "medication_entry",
+            "exercise_entry",
+            "personal_query",
+            "medical_consultation",
+            "report_analysis",
+            "diet_analysis",
+            "general_chat",
+        ]),
+        _ => ComposeForIntents(["general_chat", "medical_consultation"]),
+    };
 
-        职责：
-        1. 理解用户的健康数据记录需求，协助录入
-        2. 提醒用户按时服药、运动等日常健康事务
-        3. 遇到用户询问医疗问题时，建议咨询医生，不作医疗解答
+    private static string Compose(IEnumerable<string> sections) =>
+        string.Join(
+            "\n\n",
+            sections
+                .Distinct(StringComparer.OrdinalIgnoreCase)
+                .Select(Read)
+                .Where(content => !string.IsNullOrWhiteSpace(content)));
 
-        规则：
-        - 不提供任何医疗建议、诊断或治疗意见
-        - 可以描述客观事实（如"血压 150/95，收缩压超出正常范围"），不作关联分析或推断
-        - 遇到紧急症状（剧烈胸痛、呼吸困难）立即建议就医
-        - 回复语气温暖、专业、像朋友一样关怀用户
-        """;
+    private static string NormalizeIntent(string? intent) =>
+        intent?.Trim().Replace("-", "_", StringComparison.Ordinal).ToLowerInvariant() ?? "";
 
-    private const string ConsultationPrompt = """
-        你是一个症状记录助手，帮助用户在就医前梳理症状信息。
+    private static string Read(string path) =>
+        PromptCache.TryGetValue(NormalizePath(path), out var content)
+            ? content
+            : throw new InvalidOperationException($"AI prompt resource not found: {path}");
 
-        规则：
-        1. 每次只问一个问题，不要一次问多个
-        2. 给出 2-3 个快捷选项让用户点击
-        3. 问询步骤：先问感受 -> 持续时间 -> 伴随症状 -> 近期用药 -> 整理小结
-        4. 遇到以下情况建议立即就医：剧烈胸痛、呼吸困难、心悸
-        5. 不作任何分析、判断或结论，只整理用户描述的症状
-        6. 可以客观复述用户说过的症状，不能结合档案推断（如"您有心脏手术史+胸痛，可能是心脏问题"）
-        7. 对话结束给出结构化小结，并建议就医评估
-        """;
+    private static IReadOnlyDictionary<string, string> LoadPrompts()
+    {
+        const string marker = ".AI.Prompts.";
+        var prompts = new Dictionary<string, string>(StringComparer.OrdinalIgnoreCase);
+        foreach (var resourceName in PromptAssembly.GetManifestResourceNames())
+        {
+            var markerIndex = resourceName.IndexOf(marker, StringComparison.Ordinal);
+            if (markerIndex < 0 || !resourceName.EndsWith(".md", StringComparison.OrdinalIgnoreCase))
+                continue;
 
-    private const string HealthDataPrompt = """
-        你是一个健康数据录入助手。
+            using var stream = PromptAssembly.GetManifestResourceStream(resourceName)
+                ?? throw new InvalidOperationException($"Unable to open AI prompt resource: {resourceName}");
+            using var reader = new StreamReader(stream);
+            var relative = resourceName[(markerIndex + marker.Length)..];
+            var lastDot = relative.LastIndexOf(".md", StringComparison.OrdinalIgnoreCase);
+            relative = relative[..lastDot].Replace('.', '/') + ".md";
+            prompts[NormalizePath(relative)] = reader.ReadToEnd().Trim();
+        }
+        return prompts;
+    }
 
-        规则：
-        1. 解析用户消息中的指标和数值（血压/心率/血糖/血氧/体重）
-        2. 指标明确+数值明确->调用 record_health_data 生成待确认写入命令，不要直接声称已经录入
-        3. 用户可以一次性说多个指标（如"血压120/80，血糖6.2，血氧97"）->多次调用 record_health_data
-        4. 用户可以分时段说（如"早上血压120，下午血压130"）->分别生成待确认命令，recorded_at 参数用不同时间
-        5. 数值明确但指标模糊（如只说"120"）->追问是"收缩压还是血糖？"
-        6. 时间模糊->取当前时间
-        7. 数值超出正常范围->客观说明（如"收缩压 150 超出正常范围 90-139 mmHg"），不作进一步解读
-        8. 用户询问数值含义时，建议咨询医生
-        9. 每次调用 record_health_data 后继续处理下一个；工具返回仅表示等待确认，必须提示用户点击确认卡片，不能说"录入成功"
-
-        正常值参考范围（仅用于客观描述，不作为诊断依据）：
-        - 收缩压 90-139 mmHg，舒张压 60-89 mmHg
-        - 心率 60-100 次/分
-        - 空腹血糖 3.9-6.1 mmol/L
-        - 血氧 95-100%
-        """;
-
-    private const string DietPrompt = """
-        你是一个饮食记录助手，帮助用户记录饮食并提醒控盐控油。
-
-        规则：
-        1. 收到VLM食物识别结果后，必须先调用 check_archive 查询用户档案
-        2. 过敏食物 -> 标注"含过敏原XX"（客观事实），提醒用户注意
-        3. 用户自行设置的饮食限制（低盐/低脂/低糖）-> 标注"本餐盐分约X克，超出您设置的低盐限制"（客观事实）
-        4. 给出 1-5 星健康评分（基于热量、盐分、油脂等客观指标）
-        5. 可以描述食物营养成分事实（高盐/高脂/高糖/高热量），不给"建议少吃"等饮食建议
-        6. 不基于疾病（如冠心病、糖尿病）给出饮食建议；疾病相关饮食问题建议咨询医生
-        7. 不结合档案中的诊断/慢病史给出"个性化建议"（这是关联分析）
-        8. 追问餐次归属：早餐/午餐/晚餐/加餐
-        """;
-
-    private const string MedicationPrompt = """
-        你是一个用药记录与提醒助手。
-
-        规则：
-        1. 用户询问当前、某日、未来或过去的用药计划及服药完成状态时，必须先调用 manage_medication(action="query") 查询，不能根据患者背景或聊天历史猜测
-           - 某一天的服药任务：今天用 scope="today"；其他相对日期或指定日期用 scope="scheduled_date" 并传北京时间 date
-           - 计划状态：当前有效用 scope="current_plans"；尚未开始用 scope="upcoming_plans"；自然结束用 scope="ended_plans"；人为停用用 scope="inactive_plans"；全部用 scope="all_plans"
-           - 查询时必须明确传 scope；时间意图无法判断时先追问，不能默认成今天
-        2. 解析用户口中的药品信息（药名/剂量/频次/时间）
-        3. "早饭后"等模糊时间->追问具体几点
-        4. 解析完成后调用 manage_medication(action="create") 生成待确认命令并展示确认卡片；用户点击确认前不得声称已保存
-        5. 处方拍照->提取药品信息->生成用药计划->让用户确认
-        6. 只做用药计划的记录、查询和提醒，不解释用药注意事项；用药相关问题建议咨询医生或药师
-        """;
-
-    private const string ReportPrompt = """
-        你是一个报告结构化提取助手。
-
-        规则：
-        1. 收到报告图片后，提取所有指标及其数值
-        2. 标注异常指标（偏高/偏低/正常），客观说明"XX指标 150，超出参考范围 90-120"
-        3. 不解释异常指标的可能原因，不作任何分析或判断
-        4. 不结合用户档案/病历做关联分析
-        5. 所有内容标注"AI 整理，请咨询医生解读"
-        6. 图像类报告（彩超/CT）注明"需医生人工审阅"
-        """;
-
-    private const string ExercisePrompt = """
-        你是一个运动计划记录助手。
-
-        规则：
-        1. 帮助用户设定每周运动计划（类型/时长/天数）
-        2. 以周为单位，每天指定运动类型和时长
-        3. 可以列举常见运动类型：散步、慢跑、太极、游泳等
-        4. 运动强度要循序渐进
-        5. 避免剧烈运动
-        6. 不针对特定疾病（如心脏康复）给出运动处方；疾病相关运动问题建议咨询医生
-        7. 查询运动计划时必须调用 manage_exercise(action="query")，不能根据聊天历史猜测
-           - 某一天的运动任务：今天用 scope="today"；其他相对日期或指定日期用 scope="scheduled_date" 并传北京时间 date
-           - 计划状态：当前有效用 scope="current_plans"；尚未开始用 scope="upcoming_plans"；已经结束用 scope="ended_plans"；全部用 scope="all_plans"
-           - 查询时必须明确传 scope；时间意图无法判断时先追问，不能默认成今天
-        """;
-
-    private const string UnifiedPrompt = """
-        你是 AI 健康助手"小脉"。无论用户是否点击顶部功能入口，你都要理解其真实意图，并完成当前可用的数据记录、用药管理、运动管理等服务。
-
-        核心原则：先识别用户想做什么，再决定调用工具或继续对话。不能只在文字中声称"已录入""已保存"或"请点击确认"，实际却没有调用写入工具并生成确认卡片。
-
-        领域判断与可用工具：
-        1. 健康数据（血压/心率/血糖/血氧/体重）-> 调用 record_health_data
-        2. 新饮食图片分析 -> 引导用户使用「拍饮食」功能；已保存饮食记录查询 -> 调用 query_diet_records
-        3. 用药管理 -> 调用 manage_medication
-        4. 运动计划 -> 调用 manage_exercise
-        5. 健康档案查询 -> 调用 check_archive；聊天中不修改健康档案
-        6. 历史数据查询 -> 调用 query_health_records
-        7. 复查随访 -> 调用 query_followups
-        8. 已保存的检查报告 -> 调用 query_reports
-        9. 站内通知 -> 调用 query_notifications
-
-        计划类问题统一采用"时间意图 + 业务对象"判断，不依赖某一句固定问法或某个单独关键词：
-        - 先判断用户是在查询"某一天的任务"，还是查询"计划所处的生命周期"。两者不能混用
-        - 某一天的任务：北京时间今天使用 scope="today"；昨天、明天、相对日期或明确日期使用 scope="scheduled_date" 并传换算后的 date
-        - 计划生命周期：当前有效使用 scope="current_plans"；尚未开始使用 scope="upcoming_plans"；已经自然结束使用 scope="ended_plans"；查询全部历史和未来使用 scope="all_plans"
-        - 用药计划还要区分人为停用：明确询问已停药、已禁用或已取消的计划时使用 scope="inactive_plans"，不能与自然到期混为一类
-        - 复查使用同一语义映射：下一次 scope="next"、全部未来 scope="upcoming"、已完成 scope="completed"、指定日期 scope="date"、全部 scope="all"
-        - "有没有、会不会有、新的、接下来"等表达要结合完整语义判断：询问是否存在计划属于 query；明确要求新增、制定或安排才属于 create
-        - "今天是否完成"必须先查询当天任务，再根据逐项状态回答；计划存在、当天有任务和任务已完成是三个不同事实
-        - 调用用药、运动或复查查询时 scope 必须明确传入；如果用户的时间意图确实无法判断，先只追问时间范围，禁止擅自按今天查询
-        - 工具返回 results_truncated=true 或 items_truncated=true 时，只能说明当前返回的是部分结果或部分日程，不能把它表述成完整清单
-
-        运动计划参数格式（manage_exercise）：
-        - action="create", start_date="开始日期(YYYY-MM-DD，默认今天)"
-        - duration_days=连续天数，exercise_type="散步"，duration_minutes=30，reminder_time="19:00"
-        - 时长必须识别中文数字：半小时=30 一小时=60 三十分钟=30 一个半小时=90 一小时二十分钟=80，中文数字必须转为阿拉伯数字
-        - 天数："一个月"=30天 "一周"=7天 "10天"=10天，必须识别中文，默认7天
-        - 用户说"坚持X天/月/周"则创建对应天数
-        - 结束日期由 start_date + duration_days - 1 自动计算，不要按星期几生成条目
-
-        用药管理参数格式（manage_medication）：
-        - action="create", name="药名", dosage="每次剂量", frequency="Daily", time_of_day=["08:00","20:00"], start_date="YYYY-MM-DD"
-        - 有明确疗程时传 duration_days；明确为长期服用时传 long_term=true。两者都不明确时必须追问
-        - 药名、每次剂量、频率、具体时间、开始日期以及疗程/长期属性任一缺失时，必须只追问缺失信息，禁止使用默认值生成确认卡
-        - 确认服药：必须使用查询结果中的 medication_id 和 scheduled_time，不能把当前时间当作计划时间
-
-        规则：
-        - 用户可能一句话涉及多个领域，全部处理
-        - 询问"我的、今天、当前、下一次、是否完成"等用户个人事实时，必须先调用对应只读工具。不能只根据患者背景或聊天历史回答
-        - 当前工具结果是最高优先级；工具结果与历史聊天冲突时，以当前工具结果为准。历史里的计划、报告和完成状态不能当作当前事实
-        - 患者背景不提供动态计划状态；任何用药、运动和复查计划事实都必须调用对应工具实时查询
-        - 必须区分"记录存在""计划当前有效""指定日期有安排""指定任务已完成"，不能把它们当成同一件事
-        - 日期、今天、昨天、当前时间都按系统提供的北京时间解释
-        - 工具没有返回数据时应明确说未查到；没有相应读取能力时应说明暂时无法查询，禁止编造
-        - 查询健康记录时，根据用户问题选择最小且最相关的指标和时间范围：问某一指标就只查该指标；"今天/昨天"使用对应 scope；趋势问题按用户提到的7天、30天等范围查询；用户没有说明时间范围时默认 recent_days=7
-        - 健康记录工具最多返回最近100条，这是有意的上限；不得为了获得更多原始记录而反复扩大或拆分查询。需要更长周期但现有结果不足时，应说明当前只能基于最近结果判断
-        - 先判断用户是在咨询数值，还是希望记录数据，不能仅凭消息中出现指标和数值就自动录入
-        - 明确提问时先回答问题，不调用 record_health_data。例如"血氧98%是不是太高了"是在咨询，应建议咨询医生，不生成录入确认卡片；除非用户同时明确要求记录
-        - 明确要求"记录、录入、保存、记一下"时调用 record_health_data。例如"帮我记录血压116/89"必须生成待确认命令
-        - 只有指标和数值、没有明显疑问或记录用语时，结合当前对话上下文判断；仍无法确定意图时，先简短询问用户是想了解数值还是保存记录
-        - 指标或数值缺失时只追问缺失部分，不猜测数值
-        - 多个明确指标要逐项调用 record_health_data，不能遗漏
-        - 所有写入工具调用只生成待确认命令；用户点击卡片确认后才真正写入数据库
-        - 工具返回 pendingConfirmation=true 时，不得回复"已录入"或"保存成功"，应提示用户核对并点击确认
-        - 没有真实调用写入工具时，禁止告诉用户"点击确认按钮"或暗示已经出现确认卡片
-        - 用户描述症状或身体不适时，只整理症状信息（部位、开始时间、程度、诱因、伴随表现），不作任何分析或方向判断，建议就医评估。发现危险信号（剧烈胸痛、呼吸困难等）时立即建议就医
-        - 可以客观复述用户说过的症状和档案中已有信息，不能结合档案推断（如"您有心脏手术史+胸痛，可能是心脏问题"）
-        - 回复语气温和、清楚、专业，避免假装医生或作确定诊断
-        """;
+    private static string NormalizePath(string path) =>
+        path.Replace('\\', '/').Trim().TrimStart('/').ToLowerInvariant();
 }
diff --git a/backend/src/Health.Infrastructure/Data/Migrations/AppDbContextModelSnapshot.cs b/backend/src/Health.Infrastructure/Data/Migrations/AppDbContextModelSnapshot.cs
index 5511618..bbe1567 100644
--- a/backend/src/Health.Infrastructure/Data/Migrations/AppDbContextModelSnapshot.cs
+++ b/backend/src/Health.Infrastructure/Data/Migrations/AppDbContextModelSnapshot.cs
@@ -956,6 +956,52 @@ namespace Health.Infrastructure.Data.Migrations
                     b.ToTable("VerificationCodes");
                 });
 
+            modelBuilder.Entity("Health.Infrastructure.Data.Records.AiEntryDraftRecord", b =>
+                {
+                    b.Property<Guid>("Id")
+                        .ValueGeneratedOnAdd()
+                        .HasColumnType("uuid");
+
+                    b.Property<Guid>("ConversationId")
+                        .HasColumnType("uuid");
+
+                    b.Property<DateTime>("CreatedAt")
+                        .HasColumnType("timestamp with time zone");
+
+                    b.Property<string>("EntryType")
+                        .IsRequired()
+                        .HasMaxLength(32)
+                        .HasColumnType("character varying(32)");
+
+                    b.Property<DateTime>("ExpiresAt")
+                        .HasColumnType("timestamp with time zone");
+
+                    b.Property<string>("MissingFields")
+                        .IsRequired()
+                        .HasColumnType("jsonb");
+
+                    b.Property<string>("Payload")
+                        .IsRequired()
+                        .HasColumnType("jsonb");
+
+                    b.Property<string>("Status")
+                        .IsRequired()
+                        .HasMaxLength(32)
+                        .HasColumnType("character varying(32)");
+
+                    b.Property<DateTime>("UpdatedAt")
+                        .HasColumnType("timestamp with time zone");
+
+                    b.Property<Guid>("UserId")
+                        .HasColumnType("uuid");
+
+                    b.HasKey("Id");
+
+                    b.HasIndex("UserId", "ConversationId", "EntryType", "Status", "ExpiresAt");
+
+                    b.ToTable("AiEntryDrafts", (string)null);
+                });
+
             modelBuilder.Entity("Health.Infrastructure.Data.Records.AiWriteCommandRecord", b =>
                 {
                     b.Property<Guid>("Id")
diff --git a/backend/src/Health.Infrastructure/Data/Records/AiEntryDraftRecord.cs b/backend/src/Health.Infrastructure/Data/Records/AiEntryDraftRecord.cs
new file mode 100644
index 0000000..dbc7478
--- /dev/null
+++ b/backend/src/Health.Infrastructure/Data/Records/AiEntryDraftRecord.cs
@@ -0,0 +1,19 @@
+namespace Health.Infrastructure.Data.Records;
+
+/// <summary>
+/// Stores an incomplete AI-assisted entry until the user provides every required field.
+/// This is deliberately separate from confirmed health, medication and exercise data.
+/// </summary>
+public sealed class AiEntryDraftRecord
+{
+    public Guid Id { get; set; }
+    public Guid UserId { get; set; }
+    public Guid ConversationId { get; set; }
+    public string EntryType { get; set; } = string.Empty;
+    public string Payload { get; set; } = "{}";
+    public string MissingFields { get; set; } = "[]";
+    public string Status { get; set; } = "Pending";
+    public DateTime ExpiresAt { get; set; }
+    public DateTime CreatedAt { get; set; } = DateTime.UtcNow;
+    public DateTime UpdatedAt { get; set; } = DateTime.UtcNow;
+}
diff --git a/backend/src/Health.Infrastructure/Data/app_db_context.cs b/backend/src/Health.Infrastructure/Data/app_db_context.cs
index 298df71..3a55924 100644
--- a/backend/src/Health.Infrastructure/Data/app_db_context.cs
+++ b/backend/src/Health.Infrastructure/Data/app_db_context.cs
@@ -37,6 +37,7 @@ public sealed class AppDbContext(DbContextOptions<AppDbContext> options) : DbCon
     public DbSet<UserNotification> UserNotifications => Set<UserNotification>();
     public DbSet<DeviceToken> DeviceTokens => Set<DeviceToken>();
     public DbSet<AiWriteCommandRecord> AiWriteCommands => Set<AiWriteCommandRecord>();
+    public DbSet<AiEntryDraftRecord> AiEntryDrafts => Set<AiEntryDraftRecord>();
     public DbSet<ReportAnalysisTaskRecord> ReportAnalysisTasks => Set<ReportAnalysisTaskRecord>();
     public DbSet<DietImageAnalysisTaskRecord> DietImageAnalysisTasks => Set<DietImageAnalysisTaskRecord>();
     public DbSet<MedicationReminderTaskRecord> MedicationReminderTasks => Set<MedicationReminderTaskRecord>();
@@ -194,6 +195,16 @@ public sealed class AppDbContext(DbContextOptions<AppDbContext> options) : DbCon
             e.Property(x => x.Arguments).HasColumnType("jsonb");
         });
 
+        builder.Entity<AiEntryDraftRecord>(e =>
+        {
+            e.ToTable("AiEntryDrafts");
+            e.HasIndex(x => new { x.UserId, x.ConversationId, x.EntryType, x.Status, x.ExpiresAt });
+            e.Property(x => x.EntryType).HasMaxLength(32);
+            e.Property(x => x.Status).HasMaxLength(32);
+            e.Property(x => x.Payload).HasColumnType("jsonb");
+            e.Property(x => x.MissingFields).HasColumnType("jsonb");
+        });
+
         builder.Entity<ReportAnalysisTaskRecord>(e =>
         {
             e.ToTable("ReportAnalysisTasks");
diff --git a/backend/src/Health.Infrastructure/Health.Infrastructure.csproj b/backend/src/Health.Infrastructure/Health.Infrastructure.csproj
index f8fffa8..6406cd0 100644
--- a/backend/src/Health.Infrastructure/Health.Infrastructure.csproj
+++ b/backend/src/Health.Infrastructure/Health.Infrastructure.csproj
@@ -17,6 +17,10 @@
     <PackageReference Include="System.IdentityModel.Tokens.Jwt" Version="8.18.0" />
   </ItemGroup>
 
+  <ItemGroup>
+    <EmbeddedResource Include="AI\Prompts\**\*.md" />
+  </ItemGroup>
+
   <PropertyGroup>
     <TargetFramework>net10.0</TargetFramework>
     <ImplicitUsings>enable</ImplicitUsings>
diff --git a/backend/src/Health.Infrastructure/Reports/ReportAnalysisService.cs b/backend/src/Health.Infrastructure/Reports/ReportAnalysisService.cs
index e3a2f42..289a70f 100644
--- a/backend/src/Health.Infrastructure/Reports/ReportAnalysisService.cs
+++ b/backend/src/Health.Infrastructure/Reports/ReportAnalysisService.cs
@@ -1,3 +1,4 @@
+using Health.Application.AI;
 using Health.Application.Reports;
 using Health.Application.Notifications;
 using Health.Infrastructure.AI;
@@ -191,20 +192,21 @@ public sealed class ReportAnalysisService(
             4. 不结合用户档案/病历做关联分析
             5. 建议就医评估异常指标
             6. 末尾提醒"以上为AI整理，不能替代医生诊断和治疗建议"
+            7. 只使用固定医学来源目录中的 S-REPORT-01 和 S-REPORT-02 作为参考来源，不得编造其他来源
 
             只返回整理文本，不要JSON格式。
             """;
 
         var messages = new List<ChatMessage>
         {
-            new() { Role = "system", Content = "你是报告整理助手，不替代医生诊断。所有指标解读请用户咨询医生。" },
+            new() { Role = "system", Content = "你是报告整理助手，不替代医生诊断。所有指标解读请用户咨询医生。\n\n" + MedicalCitationKnowledge.Prompt },
             new() { Role = "user", Content = prompt }
         };
 
         var response = await _llm.ChatAsync(messages, maxTokens: 800, temperature: 0.3f, ct: ct);
         var summary = response.Choices?.FirstOrDefault()?.Message?.Content?.Trim() ?? "";
         return !string.IsNullOrWhiteSpace(summary)
-            ? summary
+            ? $"{summary}\n\n{MedicalCitationKnowledge.FixedReportCitation.Trim()}"
             : throw new InvalidOperationException("AI 未返回有效解读内容");
     }
 
diff --git a/backend/src/Health.WebApi/Endpoints/ai_chat_endpoints.cs b/backend/src/Health.WebApi/Endpoints/ai_chat_endpoints.cs
index 34b8e94..219c4c5 100644
--- a/backend/src/Health.WebApi/Endpoints/ai_chat_endpoints.cs
+++ b/backend/src/Health.WebApi/Endpoints/ai_chat_endpoints.cs
@@ -1,4 +1,6 @@
+using System.Text;
 using System.Text.Json;
+using System.Text.Json.Nodes;
 using System.Text.RegularExpressions;
 using Health.Application.AI;
 using Health.Application.Diets;
@@ -37,6 +39,7 @@ public static class AiChatEndpoints
             FastGptKnowledgeClient knowledgeClient,
             IAiToolExecutionService toolExecution,
             IAiWriteConfirmationStore confirmations,
+            IAiEntryDraftStore entryDrafts,
             IMedicationService medications,
             IAiConversationService conversations,
             IAttachmentContextBuilder attachments,
@@ -60,6 +63,9 @@ public static class AiChatEndpoints
             http.Response.Headers.CacheControl = "no-cache";
             http.Response.Headers.Connection = "keep-alive";
             http.Response.Headers["X-Accel-Buffering"] = "no";
+            http.Features
+                .Get<Microsoft.AspNetCore.Http.Features.IHttpResponseBodyFeature>()
+                ?.DisableBuffering();
 
             // 创建或获取对话。传入 conversationId 时必须校验归属，避免多账号切换或缓存异常导致串号。
             Guid? requestedConversationId = null;
@@ -117,6 +123,7 @@ public static class AiChatEndpoints
                     以上为 AI 安全提醒，不能替代医生诊断和治疗建议。
                     """;
 
+                urgentResponse += "\n\n参考来源：\n[S-EM-01] 2024 American Heart Association and American Red Cross Guidelines for First Aid\nhttps://cpr.heart.org/en/resuscitation-science/2024-first-aid-guidelines";
                 await conversations.AddAssistantMessageAsync(activeConversationId, urgentResponse, ct);
                 await TryUpdateConversationSummaryAsync(conversations, llmClient, userId.Value, activeConversationId, ct);
 
@@ -127,37 +134,83 @@ public static class AiChatEndpoints
                 return;
             }
 
-            // 加载上下文
-            var systemPrompt = promptManager.GetSystemPrompt(parsedType);
-            var patientContext = await patientContexts.BuildAsync(userId.Value, ct);
-
-            // ── RAG 知识库检索 ──
-            // 仅对需要医学知识的 Agent 启用检索；记数据/管用药/排运动这些纯工具调用类跳过。
-            // 失败/空结果不阻塞流程，仅作为 prompt 增强。
-            var knowledgeSnippet = "";
-            if (NeedsKnowledgeBase(parsedType) && knowledgeClient.IsEnabled)
+            // Load conversation state before routing. A bare reply such as "87"
+            // only has meaning when the router can see the active structured draft.
+            var entryDraftContext = await BuildEntryDraftContextAsync(
+                entryDrafts,
+                userId.Value,
+                activeConversationId,
+                ct);
+            var history = await conversations.GetRecentMessagesAsync(activeConversationId, 12, ct);
+            var routingHistory = string.Join(
+                '\n',
+                history
+                    .TakeLast(8)
+                    .Select(item =>
+                        $"{(item.Role == MessageRole.User.ToString() ? "用户" : "助手")}：{item.Content}"));
+            var attachmentRoutingContext = attachment == null
+                ? ""
+                : $"类型={attachment.Kind}；分类={attachment.Category}；摘要={attachment.Summary}";
+            var intentRoute = parsedType == AgentType.Unified
+                ? await AiIntentRouter.RouteAsync(
+                    llmClient,
+                    promptManager,
+                    message,
+                    attachmentRoutingContext,
+                    entryDraftContext,
+                    routingHistory,
+                    ct)
+                : RouteForAgent(parsedType);
+            if (intentRoute.DraftAction is "start_new" or "cancel")
             {
-                knowledgeSnippet = await knowledgeClient.SearchAsync(message, ct);
+                await CloseRoutedDraftAsync(
+                    entryDrafts,
+                    userId.Value,
+                    activeConversationId,
+                    intentRoute.DraftType,
+                    ct);
+                entryDraftContext = await BuildEntryDraftContextAsync(
+                    entryDrafts,
+                    userId.Value,
+                    activeConversationId,
+                    ct);
             }
 
+            // Only compose the modules selected for this turn. This keeps entry,
+            // query and consultation rules from competing in one giant prompt.
+            var systemPrompt = parsedType == AgentType.Unified
+                ? promptManager.ComposeForIntents(intentRoute.Intents)
+                : promptManager.GetSystemPrompt(parsedType);
+            var patientContext = await patientContexts.BuildAsync(userId.Value, ct);
+
             var beijingNow = DateTime.UtcNow.AddHours(8);
             var enhancedSystem = systemPrompt
                 + $"\n\n系统当前北京时间：{beijingNow:yyyy-MM-dd HH:mm:ss}（UTC+8）。所有‘今天/昨天/当前/下一次’均以此时间为准。"
+                + $"\n\n本轮意图路由：{string.Join("、", intentRoute.Intents)}；草稿动作：{intentRoute.DraftAction}；草稿类型：{intentRoute.DraftType}。"
                 + "\n\n当前患者背景信息（仅作医学背景；个人计划和完成状态必须调用对应工具获取最新数据）：\n"
                 + patientContext;
-            if (!string.IsNullOrWhiteSpace(knowledgeSnippet))
+            if (intentRoute.DraftAction == "cancel")
+                enhancedSystem += "\n\n用户已取消对应待补充草稿。本轮不要调用写入工具，只需自然确认已取消继续补充。";
+
+            if (intentRoute.Intents.Contains("medical_consultation", StringComparer.OrdinalIgnoreCase) &&
+                intentRoute.Intents.Any(intent => intent.EndsWith("_entry", StringComparison.OrdinalIgnoreCase)))
             {
-                enhancedSystem += "\n\n知识库参考资料（如与用户问题相关请优先采用）：\n" + knowledgeSnippet;
+                enhancedSystem += "\n\n本轮同时包含录入和医疗解释：必须先完成录入工具调用；工具处理后只输出用户要求的医学评价，不要在文字中要求点击、核对或确认卡片，确认卡由系统单独展示。";
             }
 
+            if (parsedType == AgentType.Default)
+            {
+                enhancedSystem += "\n\nWhen the user explicitly asks to record health measurements, call record_health_data_batch exactly once with every metric in the current batch. A record is pending until its confirmation card is tapped; never claim it was saved before confirmation. If the user asks to confirm but no card was generated, say that there is no pending record instead of claiming success.";
+            }
+
+            if (!string.IsNullOrWhiteSpace(entryDraftContext))
+                enhancedSystem += "\n\n当前会话尚未补齐的录入草稿（新消息只提供缺失字段时必须与这里合并，禁止遗忘已有字段）：\n" + entryDraftContext;
+
             var messages = new List<ChatMessage>
             {
                 new() { Role = "system", Content = enhancedSystem },
             };
 
-            // 加载历史对话（最近 12 条）
-            var history = await conversations.GetRecentMessagesAsync(activeConversationId, 12, ct);
-
             foreach (var h in history)
             {
                 var role = h.Role == MessageRole.User.ToString() ? "user" : "assistant";
@@ -198,9 +251,27 @@ public static class AiChatEndpoints
             }
 
             // Tool Calling 循环
-            var tools = GetToolsForAgent(parsedType);
+            var tools = parsedType == AgentType.Unified
+                ? GetToolsForIntents(intentRoute.Intents)
+                : GetToolsForAgent(parsedType);
+            var requiredEntryTools = new HashSet<string>(StringComparer.OrdinalIgnoreCase);
+            if (intentRoute.DraftAction != "cancel")
+            {
+                if (intentRoute.Intents.Contains("health_entry", StringComparer.OrdinalIgnoreCase))
+                    requiredEntryTools.Add("record_health_data_batch");
+                if (intentRoute.Intents.Contains("medication_entry", StringComparer.OrdinalIgnoreCase))
+                    requiredEntryTools.Add("manage_medication");
+                if (intentRoute.Intents.Contains("exercise_entry", StringComparer.OrdinalIgnoreCase))
+                    requiredEntryTools.Add("manage_exercise");
+            }
+            var processedEntryTools = new HashSet<string>(StringComparer.OrdinalIgnoreCase);
+            var requiresPersonalQuery = intentRoute.Intents.Contains("personal_query", StringComparer.OrdinalIgnoreCase);
+            var personalQueryHandled = false;
+            var authoritativePersonalAnswers = new List<string>();
+            var allPersonalQueryResultsAreAuthoritative = true;
             var maxIterations = 5;
             var fullResponse = "";
+            var answerStreamed = false;
             var completedNormally = false;
             var messageType = "text";
             var metadata = new Dictionary<string, object>();
@@ -209,27 +280,73 @@ public static class AiChatEndpoints
             {
                 await SseWriteAsync(http, new { action = "notice", message = i == 0 ? "正在分析..." : "正在处理..." }, ct);
 
-                var response = await llmClient.ChatAsync(messages, tools: tools.Count > 0 ? tools : null, ct: ct);
+                var missingEntryTools = requiredEntryTools
+                    .Where(name => !processedEntryTools.Contains(name))
+                    .ToHashSet(StringComparer.OrdinalIgnoreCase);
+                List<ToolDefinition> iterationTools;
+                string? iterationToolChoice = null;
+                if (missingEntryTools.Count > 0)
+                {
+                    iterationTools = tools
+                        .Where(tool => missingEntryTools.Contains(tool.Function.Name))
+                        .ToList();
+                    iterationToolChoice = "required";
+                }
+                else if (requiresPersonalQuery && !personalQueryHandled)
+                {
+                    iterationTools = tools
+                        .Where(tool => IsPersonalQueryTool(tool.Function.Name))
+                        .ToList();
+                    iterationToolChoice = "required";
+                }
+                else
+                {
+                    iterationTools = tools;
+                }
+
+                if (iterationTools.Count == 0)
+                {
+                    fullResponse = await StreamModelAnswerAsync(http, llmClient, messages, ct);
+                    answerStreamed = true;
+                    completedNormally = true;
+                    break;
+                }
+
+                var response = await llmClient.ChatAsync(
+                    messages,
+                    tools: iterationTools.Count > 0 ? iterationTools : null,
+                    toolChoice: iterationToolChoice,
+                    ct: ct);
 
                 var choice = response.Choices?.FirstOrDefault();
                 if (choice == null) break;
 
                 if (choice.FinishReason == "stop")
                 {
-                    await foreach (var chunk in llmClient.ChatStreamAsync(messages, tools: null, ct: ct))
+                    if (messageType is "data_confirm" or "medication_confirm")
                     {
-                        try
-                        {
-                            var delta = JsonSerializer.Deserialize<ChatCompletionResponse>(chunk, JsonOpts);
-                            var content = delta?.Choices?.FirstOrDefault()?.Delta?.Content;
-                            if (!string.IsNullOrEmpty(content))
-                            {
-                                fullResponse += content;
-                                await SseWriteAsync(http, new { action = "answer", data = content, type = messageType, metadata = metadata.Count > 0 ? metadata : null }, ct);
-                            }
-                        }
-                        catch (JsonException) { /* 跳过解析失败的 chunk */ }
+                        completedNormally = true;
+                        break;
                     }
+
+                    if (authoritativePersonalAnswers.Count > 0 &&
+                        allPersonalQueryResultsAreAuthoritative &&
+                        !intentRoute.Intents.Contains("medical_consultation", StringComparer.OrdinalIgnoreCase))
+                    {
+                        fullResponse = string.Join("\n\n", authoritativePersonalAnswers);
+                        await StreamAnswerTextAsync(http, fullResponse, ct);
+                    }
+                    else if (requiredEntryTools.Count > 0 &&
+                             GetLatestToolError(messages) is { Length: > 0 } toolError)
+                    {
+                        fullResponse = $"还需要你补充一下：{toolError}";
+                        await StreamAnswerTextAsync(http, fullResponse, ct);
+                    }
+                    else
+                    {
+                        fullResponse = await StreamModelAnswerAsync(http, llmClient, messages, ct);
+                    }
+                    answerStreamed = true;
                     completedNormally = true;
                     break;
                 }
@@ -242,14 +359,109 @@ public static class AiChatEndpoints
                         ToolCalls = choice.Message.ToolCalls,
                     });
 
+                    var mergedHealthBatchArguments = choice.Message.ToolCalls
+                        .Where(call => call.Function.Name == "record_health_data_batch")
+                        .Select(call => call.Function.Arguments)
+                        .Aggregate(
+                            (string?)null,
+                            (merged, incoming) => MergeHealthBatchDraftArguments(merged, incoming));
+                    var healthBatchHandled = false;
                     foreach (var tc in choice.Message.ToolCalls)
                     {
+                        if (requiredEntryTools.Contains(tc.Function.Name) &&
+                            IsExpectedEntryToolCall(tc.Function.Name, tc.Function.Arguments))
+                            processedEntryTools.Add(tc.Function.Name);
                         object toolResult;
+                        var toolArguments = tc.Function.Name == "record_health_data_batch"
+                            ? mergedHealthBatchArguments ?? tc.Function.Arguments
+                            : tc.Function.Arguments;
+                        if (tc.Function.Name == "record_health_data_batch" && healthBatchHandled)
+                        {
+                            toolResult = new
+                            {
+                                success = true,
+                                mergedIntoCurrentBatch = true,
+                                message = "该工具调用已合并到本轮同一健康指标批次",
+                            };
+                            await SseWriteAsync(http, new { action = "tool_result", tool = tc.Function.Name, data = toolResult }, ct);
+                            messages.Add(new ChatMessage
+                            {
+                                Role = "tool",
+                                Content = JsonSerializer.Serialize(toolResult, JsonOpts),
+                                ToolCallId = tc.Id,
+                            });
+                            continue;
+                        }
+                        if (tc.Function.Name == "record_health_data_batch")
+                            healthBatchHandled = true;
+                        AiEntryDraft? activeEntryDraft = null;
+                        var draftEntryType = GetDraftEntryType(tc.Function.Name, toolArguments);
                         try
                         {
-                            toolResult = IsWriteToolCall(tc.Function.Name, tc.Function.Arguments)
-                                ? await PreparePendingWriteAsync(confirmations, medications, userId.Value, tc.Function.Name, tc.Function.Arguments, ct)
-                                : await toolExecution.ExecuteAsync(tc.Function.Name, tc.Function.Arguments, userId.Value, ct);
+                            if (draftEntryType != null)
+                            {
+                                activeEntryDraft = await entryDrafts.GetActiveAsync(
+                                    userId.Value,
+                                    activeConversationId,
+                                    draftEntryType,
+                                    ct);
+                                toolArguments = tc.Function.Name == "record_health_data_batch"
+                                    ? MergeHealthBatchDraftArguments(activeEntryDraft?.Payload, toolArguments)
+                                    : MergeDraftArguments(activeEntryDraft?.Payload, toolArguments);
+                            }
+
+                            if (tc.Function.Name == "search_medical_knowledge")
+                            {
+                                toolResult = await SearchMedicalKnowledgeAsync(
+                                    knowledgeClient,
+                                    toolArguments,
+                                    ct);
+                            }
+                            else if (tc.Function.Name == "record_health_data" &&
+                                !IsHealthWriteGroundedInCurrentTurn(
+                                    message,
+                                    toolArguments,
+                                    CompletesBloodPressureDraft(
+                                        activeEntryDraft?.Payload,
+                                        tc.Function.Arguments)))
+                            {
+                                toolResult = new
+                                {
+                                    success = false,
+                                    message = "该指标只出现在之前已结束的录入批次中，本轮没有重新提供，不能带入新的确认卡。",
+                                };
+                            }
+                            else
+                            {
+                                toolResult = IsWriteToolCall(tc.Function.Name, toolArguments)
+                                    ? await PreparePendingWriteAsync(confirmations, medications, userId.Value, tc.Function.Name, toolArguments, ct)
+                                    : await toolExecution.ExecuteAsync(tc.Function.Name, toolArguments, userId.Value, ct);
+                            }
+
+                            if (draftEntryType != null)
+                            {
+                                if (IsPendingConfirmationResult(toolResult))
+                                {
+                                    if (activeEntryDraft != null)
+                                        await entryDrafts.CompleteAsync(activeEntryDraft.Id, userId.Value, ct);
+                                }
+                                else if (IsUrgentResult(toolResult))
+                                {
+                                    if (activeEntryDraft != null)
+                                        await entryDrafts.CompleteAsync(activeEntryDraft.Id, userId.Value, ct);
+                                }
+                                else if (GetResultMessage(toolResult) is { Length: > 0 } validationMessage)
+                                {
+                                    await entryDrafts.UpsertAsync(
+                                        userId.Value,
+                                        activeConversationId,
+                                        draftEntryType,
+                                        toolArguments,
+                                        JsonSerializer.Serialize(new[] { validationMessage }, JsonOpts),
+                                        TimeSpan.FromMinutes(30),
+                                        ct);
+                                }
+                            }
                         }
                         catch (Exception ex)
                         {
@@ -258,6 +470,15 @@ public static class AiChatEndpoints
                         await SseWriteAsync(http, new { action = "tool_result", tool = tc.Function.Name, data = toolResult }, ct);
 
                         _UpdateMessageTypeAndMetadata(tc.Function.Name, toolResult, ref messageType, ref metadata);
+                        if (IsPersonalQueryToolCall(tc.Function.Name, toolArguments))
+                        {
+                            personalQueryHandled = true;
+                            var authoritativeAnswer = GetAuthoritativeAnswer(toolResult);
+                            if (string.IsNullOrWhiteSpace(authoritativeAnswer))
+                                allPersonalQueryResultsAreAuthoritative = false;
+                            else
+                                authoritativePersonalAnswers.Add(authoritativeAnswer);
+                        }
 
                         messages.Add(new ChatMessage { Role = "tool", Content = JsonSerializer.Serialize(toolResult, JsonOpts), ToolCallId = tc.Id });
                     }
@@ -265,6 +486,56 @@ public static class AiChatEndpoints
                 else break;
             }
 
+            if (authoritativePersonalAnswers.Count > 0 &&
+                allPersonalQueryResultsAreAuthoritative &&
+                !intentRoute.Intents.Contains("medical_consultation", StringComparer.OrdinalIgnoreCase))
+            {
+                fullResponse = string.Join("\n\n", authoritativePersonalAnswers);
+            }
+
+            // Confirmation cards must not depend on the model producing prose. A tool-only
+            // response used to create pending commands successfully but never sent the
+            // client an `answer` event, so there was no card to confirm.
+            var hasConfirmationCard = messageType is "data_confirm" or "medication_confirm";
+            if (hasConfirmationCard)
+            {
+                completedNormally = true;
+                metadata["messageType"] = messageType;
+                var includesConsultation =
+                    intentRoute.Intents.Contains("medical_consultation", StringComparer.OrdinalIgnoreCase);
+                var hasUsefulConsultationText =
+                    includesConsultation &&
+                    !string.IsNullOrWhiteSpace(fullResponse) &&
+                    !ClaimsMissingConfirmationCard(fullResponse);
+                if (hasUsefulConsultationText)
+                    metadata["showAssistantText"] = true;
+                else
+                    fullResponse = "请核对以下信息并确认。";
+                await SseWriteAsync(http, new
+                {
+                    action = "confirmation",
+                    type = messageType,
+                    metadata,
+                }, ct);
+            }
+            else if (!string.IsNullOrWhiteSpace(fullResponse))
+            {
+                if (!answerStreamed && ClaimsMissingConfirmationCard(fullResponse))
+                    fullResponse = await RewriteUnsupportedConfirmationClaimAsync(
+                        messages,
+                        llmClient,
+                        ct);
+                if (!answerStreamed)
+                {
+                    await SseWriteAsync(http, new
+                    {
+                        action = "answer",
+                        data = fullResponse,
+                        type = "text",
+                    }, ct);
+                }
+            }
+
             // 保存 AI 回复
             if (!string.IsNullOrEmpty(fullResponse))
             {
@@ -382,6 +653,8 @@ public static class AiChatEndpoints
             if (string.IsNullOrWhiteSpace(commentary))
                 return Results.Ok(new { code = 50001, data = (object?)null, message = "饮食建议生成失败" });
 
+            commentary = $"{commentary}\n\n{MedicalCitationKnowledge.FixedDietCitation.Trim()}";
+
             return Results.Ok(new { code = 0, data = new { commentary }, message = (string?)null });
         }).RequireAuthorization();
 
@@ -421,6 +694,52 @@ public static class AiChatEndpoints
         await http.Response.Body.FlushAsync(ct);
     }
 
+    private static async Task StreamAnswerTextAsync(
+        HttpContext http,
+        string text,
+        CancellationToken ct)
+    {
+        const int CharacterIntervalMilliseconds = 14;
+
+        foreach (var rune in text.EnumerateRunes())
+        {
+            await SseWriteAsync(http, new
+            {
+                action = "answer",
+                data = rune.ToString(),
+                type = "text",
+            }, ct);
+            await Task.Delay(CharacterIntervalMilliseconds, ct);
+        }
+    }
+
+    private static async Task<string> StreamModelAnswerAsync(
+        HttpContext http,
+        DeepSeekClient llmClient,
+        List<ChatMessage> messages,
+        CancellationToken ct)
+    {
+        var responseText = new StringBuilder();
+        await foreach (var chunk in llmClient.ChatStreamAsync(messages, tools: null, ct: ct))
+        {
+            try
+            {
+                var delta = JsonSerializer.Deserialize<ChatCompletionResponse>(chunk, JsonOpts);
+                var content = delta?.Choices?.FirstOrDefault()?.Delta?.Content;
+                if (string.IsNullOrEmpty(content))
+                    continue;
+
+                responseText.Append(content);
+                await StreamAnswerTextAsync(http, content, ct);
+            }
+            catch (JsonException)
+            {
+                // Ignore one malformed provider chunk without interrupting the answer.
+            }
+        }
+        return responseText.ToString();
+    }
+
     private static Guid? GetUserId(HttpContext http) =>
         Guid.TryParse(http.User.FindFirst(System.Security.Claims.ClaimTypes.NameIdentifier)?.Value, out var id) ? id : null;
 
@@ -536,30 +855,86 @@ public static class AiChatEndpoints
 
     // ── Agent / Tool 调度 ──
 
-    /// <summary>
-    /// 哪些 Agent 需要走 FastGPT 知识库 RAG。
-    /// 纯工具调用类（Health/Medication/Exercise）跳过 RAG，避免拖慢响应。
-    /// </summary>
-    private static bool NeedsKnowledgeBase(AgentType agentType) => agentType switch
+    private static AiIntentRoute RouteForAgent(AgentType agentType) => agentType switch
     {
-        AgentType.Default => true,
-        AgentType.Consultation => true,
-        AgentType.Diet => true,
-        AgentType.Report => true,
-        AgentType.Unified => true,
-        _ => false,
+        AgentType.Health => new(["health_entry", "personal_query"], "none", "none"),
+        AgentType.Medication => new(["medication_entry", "personal_query", "medical_consultation"], "none", "none"),
+        AgentType.Exercise => new(["exercise_entry", "personal_query", "medical_consultation"], "none", "none"),
+        AgentType.Consultation => new(["medical_consultation"], "none", "none"),
+        AgentType.Diet => new(["diet_analysis", "medical_consultation"], "none", "none"),
+        AgentType.Report => new(["report_analysis", "personal_query", "medical_consultation"], "none", "none"),
+        _ => AiIntentRoute.Compatibility,
     };
 
+    private static List<ToolDefinition> GetToolsForIntents(IEnumerable<string> intents)
+    {
+        var tools = new List<ToolDefinition>();
+        foreach (var intent in intents.Distinct(StringComparer.OrdinalIgnoreCase))
+        {
+            switch (intent.ToLowerInvariant())
+            {
+                case "health_entry":
+                    tools.Add(HealthDataAgentHandler.RecordHealthDataBatchTool);
+                    break;
+                case "medication_entry":
+                    tools.Add(MedicationAgentHandler.ManageMedicationTool);
+                    break;
+                case "exercise_entry":
+                    tools.Add(ExerciseAgentHandler.ManageExerciseTool);
+                    break;
+                case "personal_query":
+                    tools.AddRange([
+                        CommonAgentHandler.QueryHealthRecordsTool,
+                        MedicationAgentHandler.ManageMedicationTool,
+                        ExerciseAgentHandler.ManageExerciseTool,
+                        CommonAgentHandler.CheckArchiveTool,
+                        PatientReadAgentHandler.QueryDietRecordsTool,
+                        PatientReadAgentHandler.QueryFollowUpsTool,
+                        PatientReadAgentHandler.QueryReportsTool,
+                        PatientReadAgentHandler.QueryNotificationsTool,
+                    ]);
+                    break;
+                case "medical_consultation":
+                    tools.AddRange([
+                        CommonAgentHandler.QueryHealthRecordsTool,
+                        CommonAgentHandler.CheckArchiveTool,
+                    ]);
+                    break;
+                case "report_analysis":
+                    tools.AddRange([
+                        ReportAgentHandler.AnalyzeReportTool,
+                        CommonAgentHandler.QueryHealthRecordsTool,
+                    ]);
+                    break;
+                case "diet_analysis":
+                    tools.AddRange([
+                        CommonAgentHandler.CheckArchiveTool,
+                    ]);
+                    break;
+            }
+        }
+
+        return tools
+            .GroupBy(tool => tool.Function.Name, StringComparer.OrdinalIgnoreCase)
+            .Select(group => group.First())
+            .ToList();
+    }
+
     private static List<ToolDefinition> GetToolsForAgent(AgentType agentType) => agentType switch
     {
-        AgentType.Health => HealthDataAgentHandler.Tools,
-        AgentType.Medication => MedicationAgentHandler.Tools,
-        AgentType.Diet => DietAgentHandler.Tools,
-        AgentType.Consultation => ConsultationAgentHandler.Tools,
-        AgentType.Report => ReportAgentHandler.Tools,
-        AgentType.Exercise => ExerciseAgentHandler.Tools,
+        AgentType.Health => [.. HealthDataAgentHandler.Tools],
+        AgentType.Medication => [.. MedicationAgentHandler.Tools],
+        AgentType.Diet => [.. DietAgentHandler.Tools],
+        AgentType.Consultation => [.. ConsultationAgentHandler.Tools],
+        AgentType.Report => [.. ReportAgentHandler.Tools],
+        AgentType.Exercise => [.. ExerciseAgentHandler.Tools],
+        AgentType.Default => [
+            HealthDataAgentHandler.RecordHealthDataBatchTool,
+            CommonAgentHandler.QueryHealthRecordsTool,
+            CommonAgentHandler.CheckArchiveTool,
+        ],
         AgentType.Unified => [
-            HealthDataAgentHandler.RecordHealthDataTool,
+            HealthDataAgentHandler.RecordHealthDataBatchTool,
             CommonAgentHandler.QueryHealthRecordsTool,
             MedicationAgentHandler.ManageMedicationTool,
             ExerciseAgentHandler.ManageExerciseTool,
@@ -569,17 +944,238 @@ public static class AiChatEndpoints
             PatientReadAgentHandler.QueryReportsTool,
             PatientReadAgentHandler.QueryNotificationsTool,
         ],
-        _ => CommonAgentHandler.Tools,
+        _ => [.. CommonAgentHandler.Tools],
     };
 
+    private static bool IsPersonalQueryTool(string toolName) => toolName is
+        "query_health_records" or
+        "check_archive" or
+        "query_diet_records" or
+        "query_followups" or
+        "query_reports" or
+        "query_notifications" or
+        "manage_medication" or
+        "manage_exercise";
+
+    private static bool IsPersonalQueryToolCall(string toolName, string arguments)
+    {
+        if (!IsPersonalQueryTool(toolName))
+            return false;
+        return toolName switch
+        {
+            "manage_medication" or "manage_exercise" => GetToolAction(arguments) == "query",
+            _ => true,
+        };
+    }
+
+    private static bool IsExpectedEntryToolCall(string toolName, string arguments) => toolName switch
+    {
+        "record_health_data_batch" => true,
+        "manage_medication" or "manage_exercise" => GetToolAction(arguments) == "create",
+        _ => false,
+    };
+
+    private static string? GetAuthoritativeAnswer(object result)
+    {
+        try
+        {
+            using var json = JsonDocument.Parse(JsonSerializer.Serialize(result, JsonOpts));
+            return json.RootElement.TryGetProperty("authoritative_answer", out var answer) &&
+                   answer.ValueKind == JsonValueKind.String
+                ? answer.GetString()
+                : null;
+        }
+        catch (JsonException)
+        {
+            return null;
+        }
+    }
+
     private static bool IsWriteToolCall(string toolName, string arguments)
     {
-        if (toolName == "record_health_data") return true;
+        if (toolName is "record_health_data" or "record_health_data_batch") return true;
         if (toolName == "manage_medication") return GetToolAction(arguments) is "create" or "confirm";
         if (toolName == "manage_exercise") return GetToolAction(arguments) is "create" or "checkin";
         return false;
     }
 
+    private static string? GetDraftEntryType(string toolName, string arguments) => toolName switch
+    {
+        "record_health_data_batch" => "health_entry_batch",
+        "record_health_data" when GetHealthMetricTypeFromArguments(arguments) == "blood_pressure"
+            => "health_blood_pressure_entry",
+        "manage_medication" when GetToolAction(arguments) == "create" => "medication_entry",
+        "manage_exercise" when GetToolAction(arguments) == "create" => "exercise_entry",
+        _ => null,
+    };
+
+    private static async Task<string> BuildEntryDraftContextAsync(
+        IAiEntryDraftStore entryDrafts,
+        Guid userId,
+        Guid conversationId,
+        CancellationToken ct)
+    {
+        var lines = new List<string>();
+        foreach (var (entryType, label) in new[]
+        {
+            ("health_entry_batch", "健康指标批次"),
+            ("health_blood_pressure_entry", "血压"),
+            ("medication_entry", "用药计划"),
+            ("exercise_entry", "运动计划"),
+        })
+        {
+            var draft = await entryDrafts.GetActiveAsync(userId, conversationId, entryType, ct);
+            if (draft == null) continue;
+            lines.Add($"- {label}：已有字段={draft.Payload}；仍缺少={draft.MissingFields}");
+        }
+        return string.Join('\n', lines);
+    }
+
+    private static async Task CloseRoutedDraftAsync(
+        IAiEntryDraftStore entryDrafts,
+        Guid userId,
+        Guid conversationId,
+        string routedDraftType,
+        CancellationToken ct)
+    {
+        var entryType = routedDraftType switch
+        {
+            "health_entry" => "health_entry_batch",
+            "medication_entry" => "medication_entry",
+            "exercise_entry" => "exercise_entry",
+            _ => null,
+        };
+        if (entryType == null) return;
+
+        var draft = await entryDrafts.GetActiveAsync(userId, conversationId, entryType, ct);
+        if (draft != null)
+            await entryDrafts.CompleteAsync(draft.Id, userId, ct);
+    }
+
+    private static string MergeDraftArguments(string? existingPayload, string newArguments)
+    {
+        JsonObject merged;
+        try
+        {
+            merged = string.IsNullOrWhiteSpace(existingPayload)
+                ? new JsonObject()
+                : JsonNode.Parse(existingPayload)?.AsObject() ?? new JsonObject();
+        }
+        catch (JsonException)
+        {
+            merged = new JsonObject();
+        }
+
+        try
+        {
+            var incoming = JsonNode.Parse(newArguments)?.AsObject();
+            if (incoming != null)
+            {
+                foreach (var property in incoming)
+                    merged[property.Key] = property.Value?.DeepClone();
+            }
+        }
+        catch (JsonException)
+        {
+            return newArguments;
+        }
+        return merged.ToJsonString(JsonOpts);
+    }
+
+    private static string MergeHealthBatchDraftArguments(string? existingPayload, string newArguments)
+    {
+        var mergedByType = new Dictionary<string, JsonObject>(StringComparer.OrdinalIgnoreCase);
+        var orderedTypes = new List<string>();
+
+        static IEnumerable<JsonObject> ReadMetrics(string? payload)
+        {
+            if (string.IsNullOrWhiteSpace(payload))
+                return [];
+            try
+            {
+                var root = JsonNode.Parse(payload)?.AsObject();
+                return root?["metrics"] is JsonArray metrics
+                    ? metrics.OfType<JsonObject>().Select(metric => (JsonObject)metric.DeepClone()).ToList()
+                    : [];
+            }
+            catch (JsonException)
+            {
+                return [];
+            }
+        }
+
+        void MergeMetric(JsonObject incoming)
+        {
+            var type = incoming["type"]?.GetValue<string>()?.Trim();
+            if (string.IsNullOrWhiteSpace(type))
+                return;
+
+            if (!mergedByType.TryGetValue(type, out var current))
+            {
+                current = new JsonObject();
+                mergedByType[type] = current;
+                orderedTypes.Add(type);
+            }
+
+            foreach (var property in incoming)
+                current[property.Key] = property.Value?.DeepClone();
+        }
+
+        foreach (var metric in ReadMetrics(existingPayload))
+            MergeMetric(metric);
+        foreach (var metric in ReadMetrics(newArguments))
+            MergeMetric(metric);
+
+        var metricsArray = new JsonArray();
+        foreach (var type in orderedTypes)
+            metricsArray.Add(mergedByType[type]);
+        return new JsonObject { ["metrics"] = metricsArray }.ToJsonString(JsonOpts);
+    }
+
+    private static bool IsPendingConfirmationResult(object result)
+    {
+        try
+        {
+            using var json = JsonDocument.Parse(JsonSerializer.Serialize(result, JsonOpts));
+            return json.RootElement.TryGetProperty("pendingConfirmation", out var pending) &&
+                   pending.ValueKind == JsonValueKind.True;
+        }
+        catch (JsonException)
+        {
+            return false;
+        }
+    }
+
+    private static string? GetResultMessage(object result)
+    {
+        try
+        {
+            using var json = JsonDocument.Parse(JsonSerializer.Serialize(result, JsonOpts));
+            return json.RootElement.TryGetProperty("message", out var message) &&
+                   message.ValueKind == JsonValueKind.String
+                ? message.GetString()
+                : null;
+        }
+        catch (JsonException)
+        {
+            return null;
+        }
+    }
+
+    private static bool IsUrgentResult(object result)
+    {
+        try
+        {
+            using var json = JsonDocument.Parse(JsonSerializer.Serialize(result, JsonOpts));
+            return json.RootElement.TryGetProperty("urgent", out var urgent) &&
+                   urgent.ValueKind == JsonValueKind.True;
+        }
+        catch (JsonException)
+        {
+            return false;
+        }
+    }
+
     private static string GetToolAction(string arguments)
     {
         try
@@ -595,6 +1191,33 @@ public static class AiChatEndpoints
         }
     }
 
+    private static async Task<object> SearchMedicalKnowledgeAsync(
+        FastGptKnowledgeClient knowledgeClient,
+        string arguments,
+        CancellationToken ct)
+    {
+        string query;
+        try
+        {
+            using var json = JsonDocument.Parse(arguments);
+            query = GetString(json.RootElement, "query")?.Trim() ?? "";
+        }
+        catch (JsonException)
+        {
+            return new { success = false, found = false, message = "知识库检索参数无效" };
+        }
+
+        if (string.IsNullOrWhiteSpace(query))
+            return new { success = false, found = false, message = "知识库检索缺少问题" };
+        if (!knowledgeClient.IsEnabled)
+            return new { success = true, found = false, message = "医学知识库未启用，请基于通用医学常识谨慎回答" };
+
+        var content = await knowledgeClient.SearchAsync(query, ct);
+        return string.IsNullOrWhiteSpace(content)
+            ? new { success = true, found = false, message = "医学知识库未检索到相关资料" }
+            : new { success = true, found = true, content };
+    }
+
     private static async Task<object> PreparePendingWriteAsync(
         IAiWriteConfirmationStore confirmations,
         IMedicationService medications,
@@ -606,6 +1229,38 @@ public static class AiChatEndpoints
         using var json = JsonDocument.Parse(arguments);
         var args = json.RootElement;
         AiMedicationPlanDto? medicationPlan = null;
+        IReadOnlyList<JsonElement> healthBatchMetrics = [];
+        if (toolName == "record_health_data")
+        {
+            var validationError = HealthDataAgentHandler.ValidateWriteArguments(args);
+            if (validationError != null)
+                return new { success = false, message = validationError };
+            var urgentWarning = HealthDataAgentHandler.GetUrgentWarning(args);
+            if (urgentWarning != null)
+                return new { success = false, urgent = true, message = urgentWarning };
+        }
+        if (toolName == "record_health_data_batch")
+        {
+            healthBatchMetrics = HealthDataAgentHandler.GetBatchMetrics(args);
+            if (healthBatchMetrics.Count == 0)
+                return new { success = false, message = "请先提供至少一项要录入的健康指标" };
+
+            var urgentWarnings = healthBatchMetrics
+                .Select(HealthDataAgentHandler.GetUrgentWarning)
+                .Where(warning => !string.IsNullOrWhiteSpace(warning))
+                .Distinct(StringComparer.Ordinal)
+                .ToList();
+            if (urgentWarnings.Count > 0)
+                return new { success = false, urgent = true, message = string.Join("\n", urgentWarnings) };
+
+            var validationErrors = healthBatchMetrics
+                .Select(HealthDataAgentHandler.ValidateWriteArguments)
+                .Where(error => !string.IsNullOrWhiteSpace(error))
+                .Distinct(StringComparer.Ordinal)
+                .ToList();
+            if (validationErrors.Count > 0)
+                return new { success = false, message = string.Join("；", validationErrors) };
+        }
         if (toolName == "manage_medication")
         {
             var validationError = MedicationAgentHandler.ValidateWriteArguments(args);
@@ -628,6 +1283,12 @@ public static class AiChatEndpoints
                     return new { success = false, message = "没有找到这顿尚未确认的今日服药安排，请重新查询后再确认" };
             }
         }
+        if (toolName == "manage_exercise")
+        {
+            var validationError = ExerciseAgentHandler.ValidateWriteArguments(args);
+            if (validationError != null)
+                return new { success = false, message = validationError };
+        }
 
         var command = await confirmations.CreateAsync(userId, toolName, arguments, TimeSpan.FromMinutes(10), ct);
 
@@ -644,6 +1305,13 @@ public static class AiChatEndpoints
             case "record_health_data":
                 AddHealthPreview(preview, args);
                 break;
+            case "record_health_data_batch":
+                preview["type"] = "health_batch";
+                preview["items"] = healthBatchMetrics
+                    .Select(HealthDataAgentHandler.CreatePreview)
+                    .ToList();
+                preview["recordTime"] = DateTime.UtcNow.AddHours(8).ToString("MM月dd日 HH:mm");
+                break;
             case "manage_medication":
                 preview["type"] = "medication";
                 var medicationAction = GetString(args, "action");
@@ -732,7 +1400,7 @@ public static class AiChatEndpoints
         if (ContainsAny(text, "剧烈胸痛", "胸口剧痛", "胸痛明显", "胸闷憋气", "喘不上气", "呼吸困难", "呼吸很困难", "意识模糊", "昏厥", "晕厥", "说话不清", "口角歪斜", "一侧无力"))
             return "你描述的症状可能属于需要紧急评估的危险信号。";
 
-        var bp = Regex.Match(text, @"(?:血压|bp|BP)?\s*(?<sys>\d{2,3})\s*/\s*(?<dia>\d{2,3})");
+        var bp = Regex.Match(text, @"(?:血压|bp|BP)?\s*(?<sys>\d{2,3})\s*[/／\-—–]\s*(?<dia>\d{2,3})");
         if (bp.Success &&
             int.TryParse(bp.Groups["sys"].Value, out var systolic) &&
             int.TryParse(bp.Groups["dia"].Value, out var diastolic) &&
@@ -759,6 +1427,178 @@ public static class AiChatEndpoints
     private static bool ContainsAny(string text, params string[] keywords) =>
         keywords.Any(k => text.Contains(k, StringComparison.OrdinalIgnoreCase));
 
+    private static bool ClaimsMissingConfirmationCard(string text) =>
+        Regex.IsMatch(
+            text,
+            @"(?:点击|点一下|按下).{0,12}(?:确认|卡片|按钮)|(?:确认卡|卡片).{0,12}(?:下方|已生成|确认|保存)|(?:已经|已).{0,6}(?:录入|记录|保存)(?:成功|完成|好了)?",
+            RegexOptions.IgnoreCase);
+
+    private static async Task<string> RewriteUnsupportedConfirmationClaimAsync(
+        IReadOnlyList<ChatMessage> conversationMessages,
+        DeepSeekClient llmClient,
+        CancellationToken ct)
+    {
+        var latestToolError = GetLatestToolError(conversationMessages);
+        var rewriteMessages = new List<ChatMessage>
+        {
+            new()
+            {
+                Role = "system",
+                Content = """
+                    你是自然、温和的健康助手。当前没有生成任何确认卡，也没有保存任何数据。
+                    请结合最近对话重新回答用户：如果信息不完整，只追问最关键的一项；
+                    如果用户只是陈述数据，先自然判断或确认其录入意图。
+                    禁止提到“点击卡片、下方按钮、已经生成卡片、已经保存或录入成功”。
+                    回复要口语自然、简短，不要使用系统报错式措辞。
+                    """,
+            },
+        };
+        rewriteMessages.AddRange(conversationMessages
+            .Where(message => message.Role is "user" or "assistant")
+            .TakeLast(8)
+            .Select(message => new ChatMessage { Role = message.Role, Content = message.Content }));
+
+        try
+        {
+            var response = await llmClient.ChatAsync(
+                rewriteMessages,
+                maxTokens: 300,
+                temperature: 0.5f,
+                ct: ct);
+            var rewritten = response.Choices?.FirstOrDefault()?.Message?.Content?.Trim();
+            if (!string.IsNullOrWhiteSpace(rewritten) &&
+                !ClaimsMissingConfirmationCard(rewritten))
+                return rewritten;
+        }
+        catch (OperationCanceledException) when (ct.IsCancellationRequested)
+        {
+            throw;
+        }
+        catch
+        {
+            // 使用自然兜底，不能让措辞润色失败破坏主对话。
+        }
+
+        return latestToolError != null
+            ? $"还需要你补充一下：{latestToolError}"
+            : "这次还没有生成确认卡。请把要录入的内容再完整告诉我一次，我会先核对缺少的字段。";
+    }
+
+    private static string? GetLatestToolError(IReadOnlyList<ChatMessage> messages)
+    {
+        foreach (var message in messages.Reverse())
+        {
+            if (message.Role != "tool" || message.Content is not string content)
+                continue;
+            try
+            {
+                using var json = JsonDocument.Parse(content);
+                var root = json.RootElement;
+                if (root.TryGetProperty("success", out var success) &&
+                    success.ValueKind == JsonValueKind.False &&
+                    root.TryGetProperty("message", out var error) &&
+                    error.ValueKind == JsonValueKind.String)
+                    return error.GetString();
+            }
+            catch (JsonException)
+            {
+                // Ignore malformed historical tool output and continue searching.
+            }
+        }
+        return null;
+    }
+
+    private static string GetHealthMetricTypeFromArguments(string arguments)
+    {
+        try
+        {
+            using var json = JsonDocument.Parse(arguments);
+            return json.RootElement.TryGetProperty("type", out var type)
+                ? NormalizeHealthMetricType(type.GetString())
+                : "";
+        }
+        catch (JsonException)
+        {
+            return "";
+        }
+    }
+
+    private static bool IsHealthWriteGroundedInCurrentTurn(
+        string currentMessage,
+        string arguments,
+        bool hasMatchingIncompleteDraft)
+    {
+        if (hasMatchingIncompleteDraft)
+            return true;
+
+        return GetHealthMetricTypeFromArguments(arguments) switch
+        {
+            "blood_pressure" => Regex.IsMatch(
+                currentMessage,
+                @"血压|收缩压|舒张压|高压|低压|\bbp\b",
+                RegexOptions.IgnoreCase),
+            "heart_rate" => Regex.IsMatch(
+                currentMessage,
+                @"心率|脉搏|心跳|heart\s*rate|\bhr\b",
+                RegexOptions.IgnoreCase),
+            "glucose" => Regex.IsMatch(
+                currentMessage,
+                @"血糖|葡萄糖|glucose",
+                RegexOptions.IgnoreCase),
+            "spo2" => Regex.IsMatch(
+                currentMessage,
+                @"血氧|氧饱和度|spo2",
+                RegexOptions.IgnoreCase),
+            "weight" => Regex.IsMatch(
+                currentMessage,
+                @"体重|重量|weight",
+                RegexOptions.IgnoreCase),
+            _ => false,
+        };
+    }
+
+    private static bool CompletesBloodPressureDraft(string? existingPayload, string incomingArguments)
+    {
+        if (string.IsNullOrWhiteSpace(existingPayload)) return false;
+        try
+        {
+            using var existing = JsonDocument.Parse(existingPayload);
+            using var incoming = JsonDocument.Parse(incomingArguments);
+            var existingRoot = existing.RootElement;
+            var incomingRoot = incoming.RootElement;
+            if (GetString(existingRoot, "type") != "blood_pressure" ||
+                GetString(incomingRoot, "type") != "blood_pressure")
+                return false;
+
+            var suppliesMissingSystolic =
+                !existingRoot.TryGetProperty("systolic", out _) &&
+                incomingRoot.TryGetProperty("systolic", out var systolic) &&
+                systolic.TryGetInt32(out _);
+            var suppliesMissingDiastolic =
+                !existingRoot.TryGetProperty("diastolic", out _) &&
+                incomingRoot.TryGetProperty("diastolic", out var diastolic) &&
+                diastolic.TryGetInt32(out _);
+            return suppliesMissingSystolic || suppliesMissingDiastolic;
+        }
+        catch (JsonException)
+        {
+            return false;
+        }
+    }
+
+    private static string NormalizeHealthMetricType(string? type) =>
+        type?.Replace("_", "", StringComparison.Ordinal)
+            .Replace("-", "", StringComparison.Ordinal)
+            .ToLowerInvariant() switch
+        {
+            "bloodpressure" => "blood_pressure",
+            "heartrate" or "pulse" => "heart_rate",
+            "glucose" or "bloodglucose" => "glucose",
+            "spo2" or "bloodoxygen" => "spo2",
+            "weight" => "weight",
+            _ => type?.ToLowerInvariant() ?? "",
+        };
+
     private static decimal? MatchMetricValue(string text, string metricPattern)
     {
         var match = Regex.Match(text, $@"(?:{metricPattern})[^\d]{{0,8}}(?<value>\d{{1,3}}(?:\.\d+)?)", RegexOptions.IgnoreCase);
@@ -816,6 +1656,31 @@ public static class AiChatEndpoints
 
         switch (toolName)
         {
+            case "record_health_data_batch":
+                if (!isPendingConfirmation || resultDict == null) break;
+                messageType = "data_confirm";
+                metadata["type"] = "health_batch";
+                metadata["success"] = true;
+                if (resultDict.TryGetValue("items", out var batchItems))
+                {
+                    try
+                    {
+                        var itemsJson = batchItems is JsonElement itemsElement
+                            ? itemsElement.GetRawText()
+                            : JsonSerializer.Serialize(batchItems, JsonOpts);
+                        var items = JsonSerializer.Deserialize<List<Dictionary<string, object?>>>(itemsJson, JsonOpts);
+                        if (items is { Count: > 0 })
+                            metadata["items"] = items;
+                    }
+                    catch (JsonException)
+                    {
+                        messageType = "text";
+                        metadata.Remove("items");
+                    }
+                }
+                if (resultDict.TryGetValue("recordTime", out var batchRecordTime))
+                    metadata["recordTime"] = batchRecordTime?.ToString()?.Trim('"') ?? "";
+                break;
             case "record_health_data":
                 if (!isPendingConfirmation) break;
                 messageType = "data_confirm";
@@ -826,6 +1691,22 @@ public static class AiChatEndpoints
                     if (resultDict.TryGetValue("unit", out var unit)) metadata["unit"] = unit?.ToString() ?? "";
                     if (resultDict.TryGetValue("isAbnormal", out var abn)) metadata["abnormal"] = _ToBool(abn);
                     if (resultDict.TryGetValue("success", out var success)) metadata["success"] = _ToBool(success);
+
+                    // A reply may contain several health writes. Preserve every preview
+                    // so one confirmation card can accurately show the full batch.
+                    if (!metadata.TryGetValue("items", out var itemsValue) ||
+                        itemsValue is not List<Dictionary<string, object?>> items)
+                    {
+                        items = [];
+                        metadata["items"] = items;
+                    }
+                    items.Add(new Dictionary<string, object?>
+                    {
+                        ["type"] = resultDict.TryGetValue("type", out var itemType) ? itemType?.ToString() ?? "" : "",
+                        ["value"] = resultDict.TryGetValue("value", out var itemValue) ? itemValue?.ToString() ?? "" : "",
+                        ["unit"] = resultDict.TryGetValue("unit", out var itemUnit) ? itemUnit?.ToString() ?? "" : "",
+                        ["abnormal"] = resultDict.TryGetValue("isAbnormal", out var itemAbnormal) && _ToBool(itemAbnormal),
+                    });
                     metadata["recordTime"] = DateTime.UtcNow.AddHours(8).ToString("MM月dd日 HH:mm");
                 }
                 break;
diff --git a/backend/src/Health.WebApi/Endpoints/user_endpoints.cs b/backend/src/Health.WebApi/Endpoints/user_endpoints.cs
index 1e0e83b..38c9d04 100644
--- a/backend/src/Health.WebApi/Endpoints/user_endpoints.cs
+++ b/backend/src/Health.WebApi/Endpoints/user_endpoints.cs
@@ -20,11 +20,12 @@ public static class UserEndpoints
             var birthDate = DateOnly.TryParse(req.BirthDate, out var parsed) ? parsed : (DateOnly?)null;
             var updated = await users.UpdateProfileAsync(
                 GetUserId(http),
-                new UserProfileUpdateRequest(req.Name, req.Gender, birthDate),
+                new UserProfileUpdateRequest(req.Name, req.Gender, birthDate, req.AvatarUrl),
                 ct);
             if (!updated) return Results.Ok(new { code = 40004, message = "用户不存在" });
 
-            return Results.Ok(new { code = 0, data = new { success = true }, message = (string?)null });
+            var profile = await users.GetProfileAsync(GetUserId(http), ct);
+            return Results.Ok(new { code = 0, data = profile, message = (string?)null });
         });
 
         group.MapGet("/health-archive", async (HttpContext http, IHealthArchiveService archives, CancellationToken ct) =>
@@ -66,7 +67,7 @@ public static class UserEndpoints
         Guid.TryParse(http.User.FindFirst(System.Security.Claims.ClaimTypes.NameIdentifier)?.Value, out var id) ? id : Guid.Empty;
 }
 
-public sealed record UpdateProfileRequest(string? Name, string? Gender, string? BirthDate);
+public sealed record UpdateProfileRequest(string? Name, string? Gender, string? BirthDate, string? AvatarUrl);
 public sealed record UpdateArchiveRequest(
     string? Diagnosis, string? SurgeryType, string? SurgeryDate,
     List<string>? Allergies, List<string>? DietRestrictions,
diff --git a/backend/src/Health.WebApi/Middleware/exception_middleware.cs b/backend/src/Health.WebApi/Middleware/exception_middleware.cs
index bcc41d1..bdeaec6 100644
--- a/backend/src/Health.WebApi/Middleware/exception_middleware.cs
+++ b/backend/src/Health.WebApi/Middleware/exception_middleware.cs
@@ -16,6 +16,10 @@ public sealed class ExceptionMiddleware(RequestDelegate next, ILogger<ExceptionM
         {
             await _next(context);
         }
+        catch (OperationCanceledException) when (context.RequestAborted.IsCancellationRequested)
+        {
+            // 客户端或启动探针取消请求时，不再尝试写入错误响应。
+        }
         catch (Health.Domain.ValidationException vex)
         {
             // 业务输入校验失败：返回 400，message 为我们自己产生的提示，可安全展示
@@ -37,6 +41,7 @@ public sealed class ExceptionMiddleware(RequestDelegate next, ILogger<ExceptionM
         {
             // 生产环境不暴露内部异常详情
             _logger.LogError(ex, "未处理的异常: {Path}", context.Request.Path);
+            if (context.Response.HasStarted) return;
             context.Response.StatusCode = (int)HttpStatusCode.InternalServerError;
             context.Response.ContentType = "application/json";
 
diff --git a/backend/src/Health.WebApi/Program.cs b/backend/src/Health.WebApi/Program.cs
index bbbb4e0..183065f 100644
--- a/backend/src/Health.WebApi/Program.cs
+++ b/backend/src/Health.WebApi/Program.cs
@@ -112,6 +112,7 @@ builder.Services.AddSingleton<SmsService>();
 builder.Services.AddSingleton<AppleTokenValidator>();  // Apple Sign-In JWT 验证
 builder.Services.AddSingleton<PromptManager>();
 builder.Services.AddScoped<IAiWriteConfirmationStore, EfAiWriteConfirmationStore>();
+builder.Services.AddScoped<IAiEntryDraftStore, EfAiEntryDraftStore>();
 builder.Services.AddScoped<IAiToolExecutionService, AiToolExecutionService>();
 builder.Services.AddScoped<IAdminService, AdminService>();
 builder.Services.AddScoped<IAuthService, AuthService>();
@@ -165,8 +166,10 @@ builder.Services.AddHttpClient<DeepSeekClient>(client =>
 });
 builder.Services.AddHttpClient<VisionClient>(client =>
 {
-    client.BaseAddress = new Uri((builder.Configuration["VLM_BASE_URL"] ?? "https://dashscope.aliyuncs.com/compatible-mode/v1").TrimEnd('/') + "/");
-    client.DefaultRequestHeaders.Authorization = new System.Net.Http.Headers.AuthenticationHeaderValue("Bearer", builder.Configuration["VLM_API_KEY"] ?? "");
+    var baseUrl = builder.Configuration["VLM_BASE_URL"] ?? builder.Configuration["QWEN_BASE_URL"] ?? "https://dashscope.aliyuncs.com/compatible-mode/v1";
+    var apiKey = builder.Configuration["VLM_API_KEY"] ?? builder.Configuration["QWEN_API_KEY"] ?? "";
+    client.BaseAddress = new Uri(baseUrl.TrimEnd('/') + "/");
+    client.DefaultRequestHeaders.Authorization = new System.Net.Http.Headers.AuthenticationHeaderValue("Bearer", apiKey);
     client.Timeout = TimeSpan.FromSeconds(120);
 });
 builder.Services.AddHttpClient<FastGptKnowledgeClient>(client =>
diff --git a/backend/src/Health.WebApi/appsettings.json b/backend/src/Health.WebApi/appsettings.json
index a24f856..44682e6 100644
--- a/backend/src/Health.WebApi/appsettings.json
+++ b/backend/src/Health.WebApi/appsettings.json
@@ -14,7 +14,8 @@
   "JWT_AUDIENCE": "health-manager-app",
   "DEEPSEEK_BASE_URL": "https://api.deepseek.com/v1",
   "DEEPSEEK_API_KEY": "sk-your-key-here",
-  "DEEPSEEK_MODEL": "deepseek-chat",
+  "DEEPSEEK_MODEL": "deepseek-v4-flash",
+  "ENABLE_MEDICAL_RAG": false,
   "QWEN_BASE_URL": "https://dashscope.aliyuncs.com/compatible-mode/v1",
   "QWEN_API_KEY": "sk-your-key-here",
   "QWEN_VISION_MODEL": "qwen-vl-max",
diff --git a/backend/tests/Health.Tests/application_service_tests.cs b/backend/tests/Health.Tests/application_service_tests.cs
index c387b97..263ed0c 100644
--- a/backend/tests/Health.Tests/application_service_tests.cs
+++ b/backend/tests/Health.Tests/application_service_tests.cs
@@ -97,6 +97,66 @@ public sealed class ApplicationServiceTests
         Assert.Equal(1, repository.SaveCount);
     }
 
+    [Fact]
+    public async Task HealthEntryBatch_ExecutesAllMetricsWithOneSave()
+    {
+        var repository = new CapturingHealthRecordRepository();
+        var service = new HealthRecordService(repository);
+        using var arguments = JsonDocument.Parse(
+            """
+            {
+              "metrics": [
+                { "type": "blood_pressure", "systolic": 113, "diastolic": 86 },
+                { "type": "heart_rate", "heart_rate": 80 },
+                { "type": "glucose", "glucose": 5.6 }
+              ]
+            }
+            """);
+
+        var result = await HealthDataAgentHandler.Execute(
+            "record_health_data_batch",
+            arguments.RootElement,
+            Guid.NewGuid(),
+            service,
+            CancellationToken.None);
+        using var resultJson = JsonDocument.Parse(JsonSerializer.Serialize(result));
+
+        Assert.True(resultJson.RootElement.GetProperty("success").GetBoolean());
+        Assert.Equal(3, resultJson.RootElement.GetProperty("record_ids").GetArrayLength());
+        Assert.Equal(3, resultJson.RootElement.GetProperty("items").GetArrayLength());
+        Assert.Equal(3, repository.Added.Count);
+        Assert.Equal(1, repository.SaveCount);
+    }
+
+    [Fact]
+    public async Task HealthEntryBatch_IncompleteMetricBlocksWholeBatch()
+    {
+        var repository = new CapturingHealthRecordRepository();
+        var service = new HealthRecordService(repository);
+        using var arguments = JsonDocument.Parse(
+            """
+            {
+              "metrics": [
+                { "type": "blood_pressure", "systolic": 113 },
+                { "type": "heart_rate", "heart_rate": 80 }
+              ]
+            }
+            """);
+
+        var result = await HealthDataAgentHandler.Execute(
+            "record_health_data_batch",
+            arguments.RootElement,
+            Guid.NewGuid(),
+            service,
+            CancellationToken.None);
+        using var resultJson = JsonDocument.Parse(JsonSerializer.Serialize(result));
+
+        Assert.False(resultJson.RootElement.GetProperty("success").GetBoolean());
+        Assert.Contains("舒张压", resultJson.RootElement.GetProperty("message").GetString());
+        Assert.Empty(repository.Added);
+        Assert.Equal(0, repository.SaveCount);
+    }
+
     [Fact]
     public async Task HealthArchive_AiSurgeryUpdatePreservesLegacySurgery()
     {
@@ -311,6 +371,62 @@ public sealed class ApplicationServiceTests
         Assert.Equal(0, todayJson.RootElement.GetProperty("count").GetInt32());
     }
 
+    [Fact]
+    public async Task AiExerciseQuery_AuthoritativeAnswerPreservesStoredExerciseType()
+    {
+        var userId = Guid.NewGuid();
+        var today = DateOnly.FromDateTime(DateTime.UtcNow.AddHours(8));
+        var repository = new FakeExerciseRepository();
+        var plan = new ExercisePlan
+        {
+            Id = Guid.NewGuid(),
+            UserId = userId,
+            StartDate = today,
+            EndDate = today.AddDays(6),
+            ReminderTime = new TimeOnly(15, 0),
+        };
+        plan.Items.Add(new ExercisePlanItem
+        {
+            Id = Guid.NewGuid(),
+            ScheduledDate = today,
+            ExerciseType = "打篮球",
+            DurationMinutes = 30,
+        });
+        repository.SetPlan(plan);
+        var service = new ExerciseService(repository);
+        using var arguments = JsonDocument.Parse("""{"action":"query","scope":"current_plans"}""");
+
+        var result = await ExerciseAgentHandler.Execute(
+            "manage_exercise", arguments.RootElement, userId, service, CancellationToken.None);
+        using var json = JsonDocument.Parse(JsonSerializer.Serialize(result));
+        var answer = json.RootElement.GetProperty("authoritative_answer").GetString();
+
+        Assert.Contains("打篮球", answer);
+        Assert.DoesNotContain("打毽子", answer);
+        Assert.Contains("15:00", answer);
+    }
+
+    [Fact]
+    public void MedicationEntry_AcceptsPillCountAsDosage()
+    {
+        using var arguments = JsonDocument.Parse(
+            """
+            {
+              "action": "create",
+              "name": "维生素D",
+              "dosage": "1粒",
+              "frequency": "Daily",
+              "time_of_day": ["12:00"],
+              "start_date": "2026-07-27",
+              "duration_days": 3
+            }
+            """);
+
+        var validationError = MedicationAgentHandler.ValidateWriteArguments(arguments.RootElement);
+
+        Assert.Null(validationError);
+    }
+
     [Fact]
     public async Task AiExerciseQuery_RequiresExplicitScopeInsteadOfAssumingToday()
     {
diff --git a/docs/HANDOFF-2026-07-17.md b/docs/HANDOFF-2026-07-17.md
deleted file mode 100644
index da22056..0000000
--- a/docs/HANDOFF-2026-07-17.md
+++ /dev/null
@@ -1,219 +0,0 @@
-# 小脉健康项目交接报告（2026-07-17）
-
-## 1. 本轮工作范围
-
-本轮工作集中在以下三项：
-
-1. 对医生端和管理员端进行患者端风格的轻量统一。
-2. 检查并修复医生、登录账号、医生资料之间的同步逻辑。
-3. 进行源码级逻辑检查和小范围自动化验证。
-
-本轮没有生成 APK、没有进行真机或截图测试、没有启动 Web API、没有部署、没有推送远程代码，也没有修改真实数据库数据。
-
-## 2. 医生端与管理员端 UI 改造
-
-### 2.1 共用视觉层
-
-新增后台共用展示组件：
-
-- `health_app/lib/widgets/backoffice_ui.dart`
-- `health_app/lib/utils/backoffice_formatters.dart`
-- `health_app/lib/providers/backoffice_refresh_providers.dart`
-
-统一内容包括：
-
-- 使用患者端现有的紫蓝渐变和浅色页面背景。
-- 使用白色圆角卡片、轻边框和统一阴影。
-- 统一加载、空数据、加载失败和重试状态。
-- 统一管理员端、医生端侧边栏的选中态。
-- 对空姓名头像和不完整时间字符串进行安全展示。
-
-### 2.2 医生端
-
-已覆盖的主要页面：
-
-- 工作台
-- 患者列表与患者详情
-- 问诊列表
-- 报告列表与报告详情
-- 随访列表与新增/编辑随访
-- 医生资料
-- 医生设置
-- 医生侧边栏
-
-已修复的页面问题：
-
-- “新建随访”以前会被路由器当成缺少 ID 的详情页，现在可以正常进入新建模式。
-- 新增或编辑随访后，返回列表会自动刷新。
-- 随访和报告日期不再直接强制截取 16 个字符，避免空值或短字符串导致 `RangeError`。
-- 空患者姓名不再因为直接读取第一个字符而导致崩溃。
-- 患者列表加载失败后不再反复自动请求。
-- 医生资料页面重建时不再反复覆盖用户正在编辑的输入内容。
-- 停用医生登录后，工作台显示“账号已停用，新患者暂时无法选择您”的提示。
-
-### 2.3 管理员端
-
-已覆盖的主要页面：
-
-- 医生管理
-- 患者管理
-- 新增医生
-- 编辑医生
-- 管理员侧边栏
-
-已修复的页面问题：
-
-- 管理员接口失败时不再无限显示加载状态。
-- 医生列表增加“编辑”入口，复用新增医生表单。
-- 新增或编辑医生后，返回列表会自动刷新。
-- 停用和删除失败时显示后端返回的具体原因，不再静默失败。
-- 删除确认文案改为安全规则：有绑定患者或问诊记录时只能停用，不能删除。
-- 停用医生在管理员列表中继续显示“已停用”状态。
-
-## 3. 医生账号三层数据同步
-
-医生相关数据由以下三部分组成：
-
-- `Doctor`：患者选择、医生展示和业务归属。
-- `User(Role=Doctor)`：医生登录账号。
-- `DoctorProfile`：医生端资料和医生实体关联。
-
-本轮修改了 `backend/src/Health.Infrastructure/Admin/AdminService.cs`，规则如下。
-
-### 3.1 新增医生
-
-- 一次性创建 `Doctor`、医生登录 `User` 和 `DoctorProfile`。
-- 三者使用相同的手机号和姓名，并建立正确 ID 关联。
-- 手机号已被患者、医生或其他账号使用时拒绝新增。
-
-### 3.2 编辑医生
-
-- 手机号同步更新 `Doctor` 和登录 `User`。
-- 姓名同步更新 `Doctor`、登录 `User` 和 `DoctorProfile`。
-- 职称、科室同步更新 `Doctor` 和 `DoctorProfile`。
-- 专业方向更新到 `Doctor`。
-- 修改手机号前检查其他账号和医生是否已经占用。
-- 医生登录资料缺失时拒绝局部修改，避免继续扩大不一致数据。
-
-### 3.3 停用医生
-
-- 同步更新 `Doctor.IsActive` 和 `DoctorProfile.IsActive`。
-- 医生登录账号保持 `Role=Doctor`，仍可正常登录并服务已绑定患者。
-- 患者与医生的原有绑定关系保持不变。
-- 公开医生列表原本已经只查询 `Doctor.IsActive == true`，因此新患者注册时不会再看到已停用医生。
-- 注册接口原本已经再次校验医生必须有效且启用。
-
-### 3.4 删除医生
-
-- 医生仍有绑定患者时拒绝删除。
-- 医生已有问诊记录时拒绝删除。
-- 无绑定患者和问诊记录时，删除 `Doctor`、对应登录 `User`、`DoctorProfile` 和刷新令牌。
-- 有历史数据的医生应使用“停用”，不应通过物理删除清理。
-
-## 4. 自动化验证
-
-本轮最终验证结果：
-
-- `flutter analyze`：通过，零问题。
-- 后端 `Health.Tests`：56 项通过，0 项失败，0 项跳过。
-- 医生/管理员 UI、路由和刷新相关测试：通过。
-
-新增或更新的测试包括：
-
-- `backend/tests/Health.Tests/admin_service_tests.cs`
-- `health_app/test/backoffice_ui_test.dart`
-- `health_app/test/backoffice_formatters_test.dart`
-- `health_app/test/backoffice_refresh_test.dart`
-- `health_app/test/app_router_test.dart`
-
-说明：`dotnet test` 会自动编译测试程序集，但本轮没有执行发布构建，没有生成 Android APK/AAB，也没有执行 iOS 构建。
-
-## 5. 数据库核对结果
-
-本轮只进行了只读连接检查，没有修改数据库。
-
-- 项目本地配置指向 `localhost:5432 / health_manager`。
-- 本机 PostgreSQL 没有运行，因此无法读取本地实际数据。
-- 开发 API `http://10.4.237.12:5000` 当前无法连接。
-- 正式 API `https://erpapi.datalumina.cn/xiaomai/api/doctors` 可以访问，但公开接口返回的启用医生数量为 0。
-- 交接资料显示正式数据库和备份方案尚未最终配置。
-
-因此目前无法确认数据库中是否已经存在以下旧数据问题：
-
-- `Doctor` 存在但没有医生登录 `User`。
-- `DoctorProfile` 缺失或关联错误。
-- 三层手机号、姓名或启用状态不一致。
-- 重复医生手机号。
-- 患者 `DoctorId` 指向不存在的医生。
-
-新代码可以防止以后继续产生这些不一致，但不会自动修改已有数据。获得生产 PostgreSQL 只读连接或实际数据库备份后，应单独执行数据核对。
-
-## 6. 仍未解决的高优先级问题
-
-### P0：固定管理员验证码
-
-`backend/src/Health.Infrastructure/Auth/AuthService.cs` 仍保留固定管理员手机号和固定验证码 `000000`。上线前必须移除，管理员需要使用受控的创建和认证方式。
-
-### P0：短信服务仍是开发实现
-
-`backend/src/Health.Infrastructure/Services/sms_service.cs` 只向服务端控制台输出验证码，没有接入真实短信服务。生产环境不会把验证码返回 App，因此普通用户无法正常接收验证码。
-
-### P0：问诊 SignalR Hub 未鉴权
-
-`backend/src/Health.WebApi/Hubs/ConsultationHub.cs` 没有强制 JWT 身份验证，也没有校验用户或医生是否属于指定问诊。调用者可以传入 `senderType` 和 `senderName`，存在加入其他问诊、伪造医生消息和写入数据库的风险。
-
-### P1：医生聊天错误复用患者聊天流程
-
-医生问诊列表进入的 `DoctorChatPage` 复用了患者端 `consultationChatProvider`：
-
-- 把问诊 ID 当成医生 ID。
-- 调用患者配额接口。
-- 尝试创建新问诊。
-- 发送消息时使用患者身份。
-- 医生需要回复的 `WaitingDoctor` 状态反而不能发送。
-
-医生实时问诊目前不能视为可用功能。需要拆分独立医生聊天 Provider 和页面，并与 Hub 鉴权一起处理。
-
-### P1：AI SSE 鉴权和上传文件隐私
-
-此前检查发现：
-
-- AI SSE 接口允许从 query token 中直接读取 JWT claims，没有完整验证签名、签发者、受众和有效期。
-- 上传的医疗图片和报告通过 `/uploads` 静态公开访问。
-- 附件本地路径解析缺少完整的目录边界和文件归属校验。
-- CORS 当前允许任意来源并携带凭据。
-
-这些问题应在正式上线前统一修复。
-
-### P1：iOS 蓝牙流程仍需修复和真机验证
-
-此前检查发现 iOS 页面仍请求 Android 风格蓝牙权限，并调用仅 Android 支持的 `FlutterBluePlus.turnOn()`。iOS Pods 也需要在 macOS 上重新安装并验证。当前 Windows 环境不能证明 iOS 构建和真机蓝牙可用。
-
-## 7. Apple 医疗硬件审核准备
-
-如果首版明确只支持欧姆龙 J735，建议准备：
-
-- J735 当前有效的医疗器械注册或批准材料。
-- 小脉健康 App 与 J735 的联调测试报告。
-- 真实 iPhone、J735 和当前版本 App 的完整配对及测量演示视频。
-- App、审核说明、兼容设备清单和宣传文案全部明确首版支持范围。
-
-注册证只能证明血压计本身合规，不能替代 App 与硬件联调测试报告和演示视频。
-
-## 8. 建议后续顺序
-
-1. 修复固定管理员验证码并接入正式短信服务。
-2. 拆分医生聊天流程并为 SignalR Hub 增加 JWT、角色和问诊归属校验。
-3. 修复 AI SSE 鉴权、上传文件访问控制、路径边界和 CORS。
-4. 获得真实数据库只读连接，核对并修复旧医生账号数据。
-5. 在 macOS 和真实 iPhone 上修复并验证 iOS 蓝牙流程。
-6. 准备 J735 监管材料、联调报告和真实设备演示视频。
-7. 完成正式服务器、数据库、短信、对象存储、域名和 HTTPS 配置后，再进入发布构建和应用商店提交。
-
-## 9. 当前操作边界
-
-- 本轮代码修改和本交接报告均未进行新的 Git 提交或远程推送。
-- 没有执行数据库迁移。
-- 没有写入、更新或删除真实数据库数据。
-- 没有生成或上传发布安装包。
-- 没有启动需要额外关闭的前端或后端常驻服务。
diff --git a/docs/medical-citations-knowledge-base-current-app-v3.md b/docs/medical-citations-knowledge-base-current-app-v3.md
new file mode 100644
index 0000000..4f2b984
--- /dev/null
+++ b/docs/medical-citations-knowledge-base-current-app-v3.md
@@ -0,0 +1,526 @@
+# 小脉健康医疗引用资料库 V3
+
+> 仅用于 AI 医疗信息和健康建议的来源引用。
+>
+> 当前 App 相关主题：手动健康数据记录、饮食识别、运动计划、用药提醒、医学报告预整理、危险症状安全提醒。
+
+---
+
+## 血压和血压记录
+
+### [SOURCE:S-BP-01]
+
+来源标题：2024 ESC Guidelines for the management of elevated blood pressure and hypertension
+
+来源机构：European Society of Cardiology Scientific Document Group
+
+PubMed：https://pubmed.ncbi.nlm.nih.gov/39210715/
+
+PMID：39210715
+
+可引用内容：
+
+- 血压解释应结合多次记录、测量条件、症状和临床评估；
+- 单次血压记录不能单独诊断高血压；
+- 家庭或院外血压记录可以帮助观察一段时间内的变化；
+- 血压记录应交由医生结合个人情况解释；
+- 不应根据一次读数自行改变降压药物。
+
+适用回答：
+
+- “这次血压记录怎么看”；
+- “血压偏高/偏低怎么办”；
+- “需要不要复测”；
+- “血压趋势如何理解”。
+
+不支持：
+
+- 根据一次读数确诊高血压；
+- 给出个人治疗目标；
+- 建议加药、减药或停药。
+
+推荐引用格式：
+
+```text
+参考来源：
+[S-BP-01] 2024 ESC Guidelines for the management of elevated blood pressure and hypertension
+https://pubmed.ncbi.nlm.nih.gov/39210715/
+```
+
+---
+
+## 血糖和低血糖
+
+### [SOURCE:S-GLU-01]
+
+来源标题：6. Glycemic Goals and Hypoglycemia: Standards of Care in Diabetes-2025
+
+来源机构：American Diabetes Association Professional Practice Committee
+
+PubMed：https://pubmed.ncbi.nlm.nih.gov/39651981/
+
+PMID：39651981
+
+可引用内容：
+
+- 血糖目标需要结合个人情况、低血糖风险、支持条件和治疗目标；
+- 不能把同一个血糖目标直接套用到所有用户；
+- 血糖结果应结合测量时间、空腹或餐后状态、既往疾病和用药情况理解；
+- 血糖异常记录应交给医生结合个人情况评估；
+- AI 不能根据一次血糖记录诊断糖尿病或决定调整药物。
+
+适用回答：
+
+- “这次血糖值怎么理解”；
+- “空腹/餐后血糖记录”；
+- “血糖目标是否适合我”；
+- “血糖偏低或偏高”。
+
+不支持：
+
+- 给所有用户设定统一目标；
+- 诊断糖尿病；
+- 指导自行调整降糖药。
+
+推荐引用格式：
+
+```text
+参考来源：
+[S-GLU-01] Glycemic Goals and Hypoglycemia: Standards of Care in Diabetes-2025
+https://pubmed.ncbi.nlm.nih.gov/39651981/
+```
+
+---
+
+## 血氧
+
+### [SOURCE:S-OXY-01]
+
+来源标题：Pulse Oximeter Basics
+
+来源机构：U.S. Food and Drug Administration
+
+来源：https://www.fda.gov/consumers/consumer-updates/pulse-oximeter-basics
+
+可引用内容：
+
+- 血氧仪读数是对血氧水平的估计，不是完整的临床诊断；
+- 读数应结合症状和变化趋势理解，不能只看单个数字；
+- 手部温度、活动、循环、皮肤色素、指甲油和设备因素可能影响读数；
+- 呼吸困难、胸痛、嘴唇或指甲发青等症状需要及时联系医疗服务；
+- 不能仅凭血氧读数自行调整药物或氧疗。
+
+适用回答：
+
+- “血氧记录怎么理解”；
+- “血氧偏低是否需要复测”；
+- “血氧数值和症状的关系”；
+- “为什么同一个人不同时间读数不同”。
+
+不支持：
+
+- 仅凭一个血氧值诊断或排除疾病；
+- 指导自行吸氧、调氧或调药；
+- 宣称某个单独数值对所有人都绝对安全或危险。
+
+推荐引用格式：
+
+```text
+参考来源：
+[S-OXY-01] Pulse Oximeter Basics, U.S. FDA
+https://www.fda.gov/consumers/consumer-updates/pulse-oximeter-basics
+```
+
+---
+
+## 饮食和饮食图片识别
+
+### [SOURCE:S-DIET-01]
+
+来源标题：Popular Dietary Patterns: Alignment With American Heart Association 2021 Dietary Guidance
+
+来源机构：American Heart Association Council on Lifestyle and Cardiometabolic Health
+
+PubMed：https://pubmed.ncbi.nlm.nih.gov/37128940/
+
+PMID：37128940
+
+可引用内容：
+
+- 地中海饮食、DASH 饮食、素食和鱼素饮食等模式总体上与心血管健康饮食原则较为一致；
+- 饮食模式应考虑个人偏好、文化、预算和长期可执行性；
+- 饮食图片不能准确确定食物重量、实际份量、烹调油、调味料和完整配方；
+- AI 识别出的盐、糖、脂肪和热量只能作为一般估计；
+- 一般饮食信息不能替代针对疾病、过敏或用药情况的营养评估。
+
+适用回答：
+
+- “这张图片里有什么食物”；
+- “这餐可能含盐/糖/脂肪较多吗”；
+- “这餐热量为什么只能估算”；
+- “一般心血管健康饮食有哪些原则”。
+
+不支持：
+
+- 根据用户疾病档案制定饮食处方；
+- 说某个食物对所有患者都“绝对不能吃”；
+- 声称某种饮食可以治疗疾病；
+- 根据一张图片精确计算摄入量。
+
+推荐引用格式：
+
+```text
+参考来源：
+[S-DIET-01] Popular Dietary Patterns: Alignment With American Heart Association 2021 Dietary Guidance
+https://pubmed.ncbi.nlm.nih.gov/37128940/
+```
+
+### [SOURCE:S-DIET-02]
+
+来源标题：Diet and nutrition in cardiovascular disease prevention
+
+来源机构：European Society of Cardiology 相关预防心脏病学组织
+
+PubMed：https://pubmed.ncbi.nlm.nih.gov/40504596/
+
+PMID：40504596
+
+可引用内容：
+
+- 饮食是心血管疾病预防的重要组成部分；
+- 富含蔬菜水果、较少加工食品的饮食模式总体上更符合心血管预防原则；
+- 盐、糖、饱和脂肪和高度加工食品应作为饮食评估时的客观因素；
+- 饮食信息应作为一般健康信息，不应直接替代个体化营养治疗。
+
+适用回答：
+
+- 食物营养特征说明；
+- 饮食记录总结；
+- 一般心血管饮食知识。
+
+不支持：
+
+- 针对某个患者制定每日热量、盐量或营养素处方；
+- 根据疾病和药物直接判断某道食物“禁止食用”。
+
+推荐引用格式：
+
+```text
+参考来源：
+[S-DIET-02] Diet and nutrition in cardiovascular disease prevention
+https://pubmed.ncbi.nlm.nih.gov/40504596/
+```
+
+---
+
+## 运动计划
+
+### [SOURCE:S-EX-01]
+
+来源标题：Resistance Exercise Training in Individuals With and Without Cardiovascular Disease: 2023 Update
+
+来源机构：American Heart Association
+
+PubMed：https://pubmed.ncbi.nlm.nih.gov/38059362/
+
+PMID：38059362
+
+可引用内容：
+
+- 抗阻训练可以作为成年人健康活动的一部分；
+- 运动计划应考虑个人健康状态、运动能力和安全性；
+- 普通健康信息不能直接变成心血管疾病患者的医学运动处方；
+- 有胸痛、晕厥、明显呼吸困难或医生限制运动时，应先进行医疗评估。
+
+适用回答：
+
+- 创建或记录运动计划；
+- 解释运动计划的记录内容；
+- 一般运动安全提醒。
+
+不支持：
+
+- 针对心血管疾病制定具体训练处方；
+- 在有危险症状时建议继续运动；
+- 根据一次运动记录判断治疗效果。
+
+推荐引用格式：
+
+```text
+参考来源：
+[S-EX-01] Resistance Exercise Training in Individuals With and Without Cardiovascular Disease: 2023 Update
+https://pubmed.ncbi.nlm.nih.gov/38059362/
+```
+
+### [SOURCE:S-EX-02]
+
+来源标题：Core Components of Cardiac Rehabilitation Programs: 2024 Update
+
+来源机构：American Heart Association / American Association of Cardiovascular and Pulmonary Rehabilitation
+
+PubMed：https://pubmed.ncbi.nlm.nih.gov/39315436/
+
+PMID：39315436
+
+可引用内容：
+
+- 心脏康复是结构化、专业管理的过程；
+- 运动安排需要结合评估、教育、危险因素管理和随访；
+- AI 的运动计划记录功能不能替代心脏康复团队。
+
+适用回答：
+
+- 心脏康复相关问题；
+- 已知心血管疾病用户的运动安全提醒；
+- 建议用户咨询康复专业人员。
+
+不支持：
+
+- AI 自行制定心脏康复处方；
+- 根据聊天内容判断用户可以进行何种运动强度。
+
+推荐引用格式：
+
+```text
+参考来源：
+[S-EX-02] Core Components of Cardiac Rehabilitation Programs: 2024 Update
+https://pubmed.ncbi.nlm.nih.gov/39315436/
+```
+
+---
+
+## 用药提醒
+
+### [SOURCE:S-MED-01]
+
+来源标题：Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence
+
+来源机构：National Institute for Health and Care Excellence
+
+PubMed：https://pubmed.ncbi.nlm.nih.gov/39480983/
+
+PMID：39480983
+
+可引用内容：
+
+- 用药依从性需要了解患者的实际困难、偏好和需求；
+- 共同决策和清晰沟通有助于支持患者执行已经确定的用药方案；
+- App 可以帮助记录用药计划、查询任务和提供提醒；
+- 是否开始、停止、更换或调整药物，应由医生或药师决定。
+
+适用回答：
+
+- 用药计划记录；
+- 服药提醒；
+- 查询某日已保存的用药任务；
+- 建议用户对药物疑问咨询医生或药师。
+
+不支持：
+
+- 停药、换药、加药、减药；
+- 自行决定漏服后的补服方法；
+- 根据症状猜测药物副作用或替代治疗。
+
+推荐引用格式：
+
+```text
+参考来源：
+[S-MED-01] Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence
+https://pubmed.ncbi.nlm.nih.gov/39480983/
+```
+
+---
+
+## 医学报告预整理
+
+### [SOURCE:S-REPORT-01]
+
+来源标题：Interpretating Normal Values and Reference Ranges for Laboratory Tests
+
+PubMed：https://pubmed.ncbi.nlm.nih.gov/40268322/
+
+PMID：40268322
+
+可引用内容：
+
+- 实验室参考范围会受到检测方法、实验室、人群和生理因素影响；
+- 报告标注为高或低，不等于已经诊断疾病；
+- 参考范围内也不能单独排除疾病；
+- 报告应结合症状、病史和其他检查结果由医生解释；
+- AI 可以整理报告已有的项目、数值、单位和原始参考范围。
+
+适用回答：
+
+- 报告指标提取；
+- 报告中的高/低标记说明；
+- 提醒用户核对原报告；
+- 提醒用户让医生解释报告。
+
+不支持：
+
+- 根据一项异常指标推断病因；
+- 根据影像或检验图片诊断疾病；
+- 根据 AI 摘要决定治疗。
+
+推荐引用格式：
+
+```text
+参考来源：
+[S-REPORT-01] Interpretating Normal Values and Reference Ranges for Laboratory Tests
+https://pubmed.ncbi.nlm.nih.gov/40268322/
+```
+
+### [SOURCE:S-REPORT-02]
+
+来源标题：Verification of reference intervals in routine clinical laboratories: practical challenges and recommendations
+
+PubMed：https://pubmed.ncbi.nlm.nih.gov/29729142/
+
+PMID：29729142
+
+可引用内容：
+
+- 参考区间与检测方法和目标人群有关；
+- 不同实验室的参考区间不能不加判断地互相替换；
+- 解释化验结果时应优先使用报告本身提供的参考范围。
+
+适用回答：
+
+- “为什么不同报告的参考范围不同”；
+- “为什么不能直接套用网上正常值”；
+- “为什么 AI 只能整理而不能诊断”。
+
+不支持：
+
+- 把通用范围直接作为 App 对所有用户的诊断标准。
+
+推荐引用格式：
+
+```text
+参考来源：
+[S-REPORT-02] Verification of reference intervals in routine clinical laboratories: practical challenges and recommendations
+https://pubmed.ncbi.nlm.nih.gov/29729142/
+```
+
+---
+
+## 危险症状和就医提醒
+
+### [SOURCE:S-EM-01]
+
+来源标题：2024 American Heart Association and American Red Cross Guidelines for First Aid
+
+来源机构：American Heart Association / American Red Cross
+
+来源：https://cpr.heart.org/en/resuscitation-science/2024-first-aid-guidelines
+
+可引用内容：
+
+- 胸部不适或压迫感、呼吸困难、上肢/背部/颈部/下颌不适、恶心、出汗和头晕可能是需要及时评估的危险信号；
+- 面部下垂、单侧手臂或腿无力、言语障碍、突然视物困难、行走困难、失去平衡或突发严重头痛可能提示卒中危险信号；
+- 出现突发危险症状时，应立即启动当地急救服务，不要等待 AI 判断；
+- AI 不能远程确认心梗、卒中或其他急症。
+
+适用回答：
+
+- 用户描述胸痛、呼吸困难、单侧无力、言语不清、意识异常等情况；
+- 健康记录异常同时伴随危险症状；
+- 固定安全提醒。
+
+不支持：
+
+- 远程诊断心梗或卒中；
+- 用“没有某个症状”排除急症；
+- 指导用户自行用药处理急症。
+
+推荐引用格式：
+
+```text
+参考来源：
+[S-EM-01] 2024 American Heart Association and American Red Cross Guidelines for First Aid
+https://cpr.heart.org/en/resuscitation-science/2024-first-aid-guidelines
+```
+
+### [SOURCE:S-EM-02]
+
+来源标题：Know the warning signs of heart attack and stroke
+
+来源机构：American Heart Association
+
+来源：https://international.heart.org/en/-/media/International/Files/Heart-Attack-Stroke-Warning-Signs/HeartAttackandStrokeWarningSignsInternationalEnglish.pdf?sc_lang=en
+
+可引用内容：
+
+- 心脏危险信号包括胸部不适、呼吸困难、上肢/背部/颈部/下颌不适、冷汗、恶心或头晕；
+- 卒中可以使用 FAST 思路识别：面部下垂、手臂无力、言语困难、立即呼叫急救；
+- 症状即使短暂消失，也应及时寻求医疗帮助。
+
+适用回答：
+
+- 心脏危险信号；
+- 卒中危险信号；
+- “是否应该立即就医”的安全提醒。
+
+不支持：
+
+- 仅凭文字排除急症；
+- 让用户等待 AI 继续分析；
+- 把当地急救号码固定写成 911。
+
+推荐引用格式：
+
+```text
+参考来源：
+[S-EM-02] Know the warning signs of heart attack and stroke
+https://international.heart.org/en/-/media/International/Files/Heart-Attack-Stroke-Warning-Signs/HeartAttackandStrokeWarningSignsInternationalEnglish.pdf?sc_lang=en
+```
+
+---
+
+## 引用使用示例
+
+### 示例一：血压记录
+
+```text
+这条记录是收缩压 X mmHg、舒张压 Y mmHg。单次记录不能单独用于诊断，建议结合连续记录和身体症状交给医生评估。
+
+参考来源：
+[S-BP-01] 2024 ESC Guidelines for the management of elevated blood pressure and hypertension
+https://pubmed.ncbi.nlm.nih.gov/39210715/
+```
+
+### 示例二：饮食图片
+
+```text
+根据图片，这餐可能含有较多盐或脂肪，但图片无法准确判断实际份量、调味料和烹调油，因此只能作为一般营养估计，不是个性化饮食处方。
+
+参考来源：
+[S-DIET-01] Popular Dietary Patterns: Alignment With American Heart Association 2021 Dietary Guidance
+https://pubmed.ncbi.nlm.nih.gov/37128940/
+```
+
+### 示例三：报告结果
+
+```text
+报告中该项目被标记为偏高。不同实验室和检测方法的参考范围可能不同，报告中的异常标记不等于疾病诊断，请结合原报告和医生意见判断。
+
+参考来源：
+[S-REPORT-01] Interpretating Normal Values and Reference Ranges for Laboratory Tests
+https://pubmed.ncbi.nlm.nih.gov/40268322/
+```
+
+### 示例四：危险症状
+
+```text
+你描述的症状可能需要及时进行医疗评估。请立即联系当地急救服务或前往急诊，不要等待 AI 继续分析，也不要自行开车。
+
+参考来源：
+[S-EM-01] 2024 American Heart Association and American Red Cross Guidelines for First Aid
+https://cpr.heart.org/en/resuscitation-science/2024-first-aid-guidelines
+```
+
+---
+
+版本：V3
+
+整理日期：2026-07-26
diff --git a/health_app/assets/branding/agent_illustration_consultation.png b/health_app/assets/branding/agent_illustration_consultation.png
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diff --git a/health_app/assets/branding/agent_illustration_report.png b/health_app/assets/branding/agent_illustration_report.png
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diff --git a/health_app/assets/branding/trend_metric_blood_pressure.png b/health_app/assets/branding/trend_metric_blood_pressure.png
new file mode 100644
index 0000000..4b0736d
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diff --git a/health_app/assets/branding/trend_metric_glucose.png b/health_app/assets/branding/trend_metric_glucose.png
new file mode 100644
index 0000000..ab92d07
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diff --git a/health_app/assets/branding/trend_metric_heart_rate.png b/health_app/assets/branding/trend_metric_heart_rate.png
new file mode 100644
index 0000000..54847dd
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diff --git a/health_app/assets/branding/trend_metric_spo2.png b/health_app/assets/branding/trend_metric_spo2.png
new file mode 100644
index 0000000..18f3935
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diff --git a/health_app/assets/branding/trend_metric_weight.png b/health_app/assets/branding/trend_metric_weight.png
new file mode 100644
index 0000000..60930a2
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diff --git a/health_app/lib/core/api_client.dart b/health_app/lib/core/api_client.dart
index 8fcd9e1..030278d 100644
--- a/health_app/lib/core/api_client.dart
+++ b/health_app/lib/core/api_client.dart
@@ -9,7 +9,7 @@ const String baseUrl = String.fromEnvironment(
   'API_BASE_URL',
   defaultValue: kReleaseMode
       ? 'https://erpapi.datalumina.cn/xiaomai'
-      : 'http://10.4.178.175:5000',
+      : 'http://192.168.1.34:5000',
 );
 
 class ApiException implements Exception {
diff --git a/health_app/lib/core/app_module_visuals.dart b/health_app/lib/core/app_module_visuals.dart
index a3b641f..fd2ffb9 100644
--- a/health_app/lib/core/app_module_visuals.dart
+++ b/health_app/lib/core/app_module_visuals.dart
@@ -168,3 +168,20 @@ class AppModuleVisuals {
 
   static AppModuleVisual of(AppModule module) => values[module] ?? ai;
 }
+
+/// 健康概览及所有健康指标卡片共用的图标与颜色。
+class HealthMetricVisuals {
+  HealthMetricVisuals._();
+
+  static const bloodPressureIcon = Icons.bloodtype_outlined;
+  static const heartRateIcon = LucideIcons.heartPulse;
+  static const glucoseIcon = Icons.water_drop_outlined;
+  static const spo2Icon = Icons.air_outlined;
+  static const weightIcon = Icons.monitor_weight_outlined;
+
+  static const bloodPressureColor = Color(0xFF8B5CF6);
+  static const heartRateColor = Color(0xFFF43F5E);
+  static const glucoseColor = Color(0xFFF59E0B);
+  static const spo2Color = Color(0xFF0EA5E9);
+  static const weightColor = Color(0xFF10B981);
+}
diff --git a/health_app/lib/core/app_router.dart b/health_app/lib/core/app_router.dart
index a5776c9..225cc3d 100644
--- a/health_app/lib/core/app_router.dart
+++ b/health_app/lib/core/app_router.dart
@@ -13,6 +13,7 @@ import '../pages/consultation/consultation_pages.dart';
 import '../pages/settings/settings_pages.dart';
 import '../pages/settings/elder_mode_page.dart';
 import '../pages/settings/notification_prefs_page.dart';
+import '../pages/settings/ai_consent_details_page.dart';
 import '../pages/notifications/notification_center_page.dart';
 import '../pages/history/conversation_history_page.dart';
 import '../pages/profile/profile_page.dart';
@@ -33,6 +34,7 @@ import '../pages/admin/admin_home_page.dart';
 import '../pages/admin/admin_add_doctor_page.dart';
 import '../providers/auth_provider.dart' show userRoleProvider;
 import '../widgets/app_error_state.dart';
+import '../widgets/ai_consent_gate.dart';
 
 Widget _missingParamPage() {
   return const Scaffold(
@@ -53,7 +55,9 @@ Widget buildPage(RouteInfo route, WidgetRef ref) {
       return const LoginPage();
     case 'home':
       final role = ref.watch(userRoleProvider);
-      return role == 'Doctor' ? const DoctorHomePage() : const HomePage();
+      return role == 'Doctor'
+          ? const DoctorHomePage()
+          : AiConsentGate(child: const HomePage());
     case 'doctorHome':
       return const DoctorHomePage();
     case 'adminHome':
@@ -132,6 +136,8 @@ Widget buildPage(RouteInfo route, WidgetRef ref) {
       return const ElderModePage();
     case 'notificationPrefs':
       return const NotificationPrefsPage();
+    case 'aiConsentDetails':
+      return const AiConsentDetailsPage();
     case 'notifications':
       return const NotificationCenterPage();
     case 'conversationHistory':
diff --git a/health_app/lib/pages/chart/trend_page.dart b/health_app/lib/pages/chart/trend_page.dart
index 95886b6..80b5183 100644
--- a/health_app/lib/pages/chart/trend_page.dart
+++ b/health_app/lib/pages/chart/trend_page.dart
@@ -3,9 +3,9 @@ import 'dart:math';
 import 'package:fl_chart/fl_chart.dart';
 import 'package:flutter/material.dart';
 import 'package:flutter_riverpod/flutter_riverpod.dart';
-import 'package:shadcn_ui/shadcn_ui.dart';
 import '../../core/app_colors.dart';
 import '../../core/app_design_tokens.dart';
+import '../../core/app_module_visuals.dart';
 import '../../core/app_theme.dart';
 import '../../core/navigation_provider.dart';
 import '../../providers/auth_provider.dart';
@@ -27,11 +27,11 @@ const Set<String> supportedTrendMetricTypes = {
 class _TrendColors {
   _TrendColors._();
 
-  static const bloodPressure = Color(0xFFD45B68);
-  static const heartRate = Color(0xFFD97757);
-  static const glucose = Color(0xFF4F6EF7);
-  static const spo2 = Color(0xFF168F7A);
-  static const weight = Color(0xFF7559C7);
+  static const bloodPressure = HealthMetricVisuals.bloodPressureColor;
+  static const heartRate = HealthMetricVisuals.heartRateColor;
+  static const glucose = HealthMetricVisuals.glucoseColor;
+  static const spo2 = HealthMetricVisuals.spo2Color;
+  static const weight = HealthMetricVisuals.weightColor;
   static const systolic = bloodPressure;
   static const diastolic = Color(0xFF3B82F6);
 }
@@ -132,31 +132,31 @@ class _TrendPageState extends ConsumerState<TrendPage> {
       'key': 'blood_pressure',
       'label': '血压',
       'color': _TrendColors.bloodPressure,
-      'icon': LucideIcons.gauge,
+      'icon': HealthMetricVisuals.bloodPressureIcon,
     },
     {
       'key': 'heart_rate',
       'label': '心率',
       'color': _TrendColors.heartRate,
-      'icon': LucideIcons.heartPulse,
+      'icon': HealthMetricVisuals.heartRateIcon,
     },
     {
       'key': 'glucose',
       'label': '血糖',
       'color': _TrendColors.glucose,
-      'icon': LucideIcons.droplet,
+      'icon': HealthMetricVisuals.glucoseIcon,
     },
     {
       'key': 'spo2',
       'label': '血氧',
       'color': _TrendColors.spo2,
-      'icon': LucideIcons.wind,
+      'icon': HealthMetricVisuals.spo2Icon,
     },
     {
       'key': 'weight',
       'label': '体重',
       'color': _TrendColors.weight,
-      'icon': LucideIcons.scale,
+      'icon': HealthMetricVisuals.weightIcon,
     },
   ];
 
@@ -176,6 +176,14 @@ class _TrendPageState extends ConsumerState<TrendPage> {
     'weight': '体重',
   };
 
+  static const _latestCardArt = {
+    'blood_pressure': 'assets/branding/trend_metric_blood_pressure.png',
+    'heart_rate': 'assets/branding/trend_metric_heart_rate.png',
+    'glucose': 'assets/branding/trend_metric_glucose.png',
+    'spo2': 'assets/branding/trend_metric_spo2.png',
+    'weight': 'assets/branding/trend_metric_weight.png',
+  };
+
   String get _unit => _units[_selected] ?? '';
   String get _name => _names[_selected] ?? '';
   bool get _isBP => _selected == 'blood_pressure';
@@ -433,19 +441,9 @@ class _TrendPageState extends ConsumerState<TrendPage> {
                 padding: const EdgeInsets.all(14),
                 child: Column(
                   children: [
-                    _buildMetricTabs(),
+                    _buildMetricOverview(),
                     const SizedBox(height: 16),
-                    if (_latestRecord != null) ...[
-                      _buildLatestSummary(),
-                      const SizedBox(height: 16),
-                    ],
-                    _buildPeriodSelector(),
-                    const SizedBox(height: 12),
-                    _buildChart(),
-                    if (_chartRecords.isNotEmpty) ...[
-                      const SizedBox(height: 12),
-                      _buildStatistics(),
-                    ],
+                    _buildTrendInsightPanel(),
                     const SizedBox(height: 24),
                     _buildHistory(),
                     const SizedBox(height: 80),
@@ -456,47 +454,57 @@ class _TrendPageState extends ConsumerState<TrendPage> {
     );
   }
 
-  // ---- 指标选择标签 ----
-  Widget _buildMetricTabs() {
-    return SingleChildScrollView(
-      scrollDirection: Axis.horizontal,
+  // ---- 顶部指标概览，同时作为切换入口 ----
+  Widget _buildMetricOverview() {
+    return Container(
+      width: double.infinity,
+      padding: const EdgeInsets.all(4),
+      decoration: BoxDecoration(
+        color: Colors.white,
+        borderRadius: AppRadius.pillBorder,
+        border: Border.all(color: AppColors.divider.withValues(alpha: 0.7)),
+      ),
       child: Row(
         children: _metrics.map((m) {
           final key = m['key'] as String;
           final color = m['color'] as Color;
           final sel = _selected == key;
-          return GestureDetector(
-            onTap: () => _switchMetric(key),
-            child: Container(
-              margin: const EdgeInsets.only(right: 8),
-              padding: const EdgeInsets.symmetric(horizontal: 16, vertical: 8),
-              decoration: BoxDecoration(
-                color: sel ? AppColors.primarySoft : Colors.white,
-                borderRadius: AppRadius.xlBorder,
-                border: Border.all(
-                  color: sel ? AppColors.primary : AppColors.borderLight,
+          return Expanded(
+            child: InkWell(
+              onTap: () => _switchMetric(key),
+              borderRadius: AppRadius.pillBorder,
+              child: AnimatedContainer(
+                duration: const Duration(milliseconds: 180),
+                height: 44,
+                padding: const EdgeInsets.symmetric(horizontal: 4),
+                decoration: BoxDecoration(
+                  color: sel ? color : Colors.transparent,
+                  borderRadius: AppRadius.pillBorder,
                 ),
-              ),
-              child: Row(
-                mainAxisSize: MainAxisSize.min,
-                children: [
-                  Icon(
-                    m['icon'] as IconData,
-                    size: 17,
-                    color: sel ? AppColors.primaryDark : color,
-                  ),
-                  const SizedBox(width: 6),
-                  Text(
-                    m['label'] as String,
-                    style: TextStyle(
-                      fontSize: 16,
-                      fontWeight: FontWeight.w700,
-                      color: sel
-                          ? AppColors.primaryDark
-                          : AppColors.textSecondary,
+                child: Row(
+                  mainAxisAlignment: MainAxisAlignment.center,
+                  children: [
+                    Icon(
+                      m['icon'] as IconData,
+                      size: 16,
+                      color: sel ? Colors.white : color,
                     ),
-                  ),
-                ],
+                    const SizedBox(width: 4),
+                    Flexible(
+                      child: Text(
+                        m['label'] as String,
+                        maxLines: 1,
+                        overflow: TextOverflow.ellipsis,
+                        textAlign: TextAlign.center,
+                        style: TextStyle(
+                          fontSize: 12,
+                          fontWeight: FontWeight.w700,
+                          color: sel ? Colors.white : AppColors.textSecondary,
+                        ),
+                      ),
+                    ),
+                  ],
+                ),
               ),
             ),
           );
@@ -510,95 +518,167 @@ class _TrendPageState extends ConsumerState<TrendPage> {
     final date = record['date'] as DateTime;
     final status = trendStatusLabel(record, _selected);
     final abnormal = status.isNotEmpty;
-    return Container(
-      width: double.infinity,
-      padding: AppSpacing.panel,
-      decoration: BoxDecoration(
-        color: Colors.white,
-        borderRadius: AppRadius.lgBorder,
-      ),
-      child: Row(
+    final art = _latestCardArt[_selected] ?? _latestCardArt['heart_rate']!;
+    return SizedBox(
+      height: 214,
+      child: Stack(
+        clipBehavior: Clip.hardEdge,
         children: [
-          Container(
-            width: 48,
-            height: 48,
-            decoration: BoxDecoration(
-              color: _color.withValues(alpha: 0.10),
-              borderRadius: AppRadius.mdBorder,
+          Positioned(
+            left: 0,
+            right: -48,
+            top: -12,
+            bottom: -12,
+            child: Image.asset(
+              art,
+              fit: BoxFit.cover,
+              alignment: Alignment.centerRight,
             ),
-            child: Icon(_getMetricIcon(_selected), color: _color, size: 25),
           ),
-          const SizedBox(width: 14),
-          Expanded(
+          Positioned.fill(
+            child: DecoratedBox(
+              decoration: BoxDecoration(
+                gradient: LinearGradient(
+                  begin: Alignment.centerLeft,
+                  end: Alignment.centerRight,
+                  colors: [
+                    Colors.white.withValues(alpha: 0.96),
+                    Colors.white.withValues(alpha: 0.72),
+                    Colors.white.withValues(alpha: 0.04),
+                  ],
+                  stops: const [0, 0.42, 0.78],
+                ),
+              ),
+            ),
+          ),
+          Padding(
+            padding: const EdgeInsets.fromLTRB(6, 8, 178, 8),
             child: Column(
               crossAxisAlignment: CrossAxisAlignment.start,
               children: [
-                Text(
-                  '最新$_name',
-                  style: const TextStyle(
-                    fontSize: 15,
-                    fontWeight: FontWeight.w600,
-                    color: AppColors.textSecondary,
-                  ),
-                ),
-                const SizedBox(height: 4),
-                Wrap(
-                  crossAxisAlignment: WrapCrossAlignment.end,
-                  spacing: 6,
+                Row(
                   children: [
-                    Text(
-                      _displayValue(record),
-                      style: const TextStyle(
-                        fontSize: 32,
-                        fontWeight: FontWeight.w600,
-                        color: AppColors.textPrimary,
-                        height: 1.05,
+                    Container(
+                      width: 42,
+                      height: 42,
+                      decoration: BoxDecoration(
+                        color: _color.withValues(alpha: 0.12),
+                        borderRadius: AppRadius.mdBorder,
+                      ),
+                      child: Icon(
+                        _getMetricIcon(_selected),
+                        color: _color,
+                        size: 23,
                       ),
                     ),
-                    Padding(
-                      padding: const EdgeInsets.only(bottom: 3),
-                      child: Text(
-                        _unit,
-                        style: const TextStyle(
-                          fontSize: 15,
-                          color: AppColors.textHint,
-                        ),
+                    const SizedBox(width: 12),
+                    Flexible(
+                      child: Column(
+                        crossAxisAlignment: CrossAxisAlignment.start,
+                        children: [
+                          Text(
+                            '最新$_name',
+                            maxLines: 1,
+                            overflow: TextOverflow.ellipsis,
+                            style: const TextStyle(
+                              fontSize: 18,
+                              fontWeight: FontWeight.w800,
+                              color: AppColors.textPrimary,
+                            ),
+                          ),
+                          const SizedBox(height: 3),
+                          Text(
+                            _formatRecordTime(date),
+                            maxLines: 1,
+                            overflow: TextOverflow.ellipsis,
+                            style: const TextStyle(
+                              fontSize: 13,
+                              color: AppColors.textHint,
+                              fontWeight: FontWeight.w500,
+                            ),
+                          ),
+                        ],
                       ),
                     ),
                   ],
                 ),
+                const SizedBox(height: 18),
+                FittedBox(
+                  fit: BoxFit.scaleDown,
+                  alignment: Alignment.centerLeft,
+                  child: Wrap(
+                    crossAxisAlignment: WrapCrossAlignment.end,
+                    spacing: 7,
+                    runSpacing: 4,
+                    children: [
+                      Text(
+                        _displayValue(record),
+                        style: const TextStyle(
+                          fontSize: 44,
+                          fontWeight: FontWeight.w800,
+                          color: AppColors.textPrimary,
+                          height: 0.98,
+                        ),
+                      ),
+                    ],
+                  ),
+                ),
+                const SizedBox(height: 8),
+                _StatusBadge(
+                  label: abnormal ? status : '正常',
+                  abnormal: abnormal,
+                ),
               ],
             ),
           ),
-          Column(
-            crossAxisAlignment: CrossAxisAlignment.end,
-            children: [
-              Text(
-                abnormal ? status : '正常',
-                style: TextStyle(
-                  fontSize: 14,
-                  fontWeight: FontWeight.w700,
-                  color: abnormal ? AppColors.errorText : AppColors.successText,
-                ),
-              ),
-              const SizedBox(height: 6),
-              Text(
-                _formatRecordTime(date),
-                style: const TextStyle(fontSize: 13, color: AppColors.textHint),
-              ),
-            ],
+          Positioned(
+            left: 6,
+            right: 178,
+            bottom: 8,
+            child: _buildPeriodSelector(),
           ),
         ],
       ),
     );
   }
 
+  Widget _buildTrendInsightPanel() {
+    return Container(
+      width: double.infinity,
+      padding: const EdgeInsets.fromLTRB(16, 16, 16, 14),
+      decoration: BoxDecoration(
+        color: Colors.white,
+        borderRadius: AppRadius.cardBorder,
+        boxShadow: AppShadows.panel,
+      ),
+      child: Column(
+        children: [
+          if (_latestRecord != null) ...[
+            _buildLatestSummary(),
+            const SizedBox(height: 4),
+          ],
+          if (_latestRecord == null) ...[
+            _buildPeriodSelector(),
+            const SizedBox(height: 14),
+          ],
+          _buildChart(),
+          if (_chartRecords.isNotEmpty) ...[
+            const SizedBox(height: 4),
+            _buildStatistics(),
+          ],
+        ],
+      ),
+    );
+  }
+
   Widget _buildPeriodSelector() {
     return Container(
-      padding: const EdgeInsets.all(3),
+      constraints: const BoxConstraints(maxWidth: 310),
+      padding: const EdgeInsets.all(2),
       decoration: BoxDecoration(
-        color: Colors.white,
-        borderRadius: AppRadius.mdBorder,
+        color: _color.withValues(alpha: 0.06),
+        borderRadius: AppRadius.lgBorder,
+        border: Border.all(color: _color.withValues(alpha: 0.14)),
       ),
       child: Row(
         children: [
@@ -611,21 +691,21 @@ class _TrendPageState extends ConsumerState<TrendPage> {
                 }),
                 borderRadius: AppRadius.smBorder,
                 child: Container(
-                  height: 38,
+                  height: 30,
                   alignment: Alignment.center,
                   decoration: BoxDecoration(
                     color: _periodDays == days
-                        ? AppColors.primaryLight
+                        ? _color.withValues(alpha: 0.92)
                         : Colors.transparent,
                     borderRadius: AppRadius.smBorder,
                   ),
                   child: Text(
                     '$days天',
                     style: TextStyle(
-                      fontSize: 15,
+                      fontSize: 12,
                       fontWeight: FontWeight.w700,
                       color: _periodDays == days
-                          ? AppColors.primaryDark
+                          ? Colors.white
                           : AppColors.textSecondary,
                     ),
                   ),
@@ -645,6 +725,7 @@ class _TrendPageState extends ConsumerState<TrendPage> {
         .toList();
     String average;
     String highest;
+    String lowest;
     if (_isBP) {
       final systolic = records
           .map((record) => (record['systolic'] as num?)?.toDouble())
@@ -657,29 +738,42 @@ class _TrendPageState extends ConsumerState<TrendPage> {
       average = systolic.isEmpty || diastolic.isEmpty
           ? '--'
           : '${(systolic.reduce((a, b) => a + b) / systolic.length).round()}/${(diastolic.reduce((a, b) => a + b) / diastolic.length).round()}';
-      final highestRecord = records
-          .where((record) {
-            return record['systolic'] is num && record['diastolic'] is num;
-          })
-          .fold<Map<String, dynamic>?>(null, (current, record) {
-            if (current == null) return record;
-            final currentValue = (current['systolic'] as num).toDouble();
-            final recordValue = (record['systolic'] as num).toDouble();
-            return recordValue > currentValue ? record : current;
-          });
+      final bpRecords = records.where((record) {
+        return record['systolic'] is num && record['diastolic'] is num;
+      });
+      final highestRecord = bpRecords.fold<Map<String, dynamic>?>(null, (
+        current,
+        record,
+      ) {
+        if (current == null) return record;
+        final currentValue = (current['systolic'] as num).toDouble();
+        final recordValue = (record['systolic'] as num).toDouble();
+        return recordValue > currentValue ? record : current;
+      });
+      final lowestRecord = bpRecords.fold<Map<String, dynamic>?>(null, (
+        current,
+        record,
+      ) {
+        if (current == null) return record;
+        final currentValue = (current['systolic'] as num).toDouble();
+        final recordValue = (record['systolic'] as num).toDouble();
+        return recordValue < currentValue ? record : current;
+      });
       highest = highestRecord == null ? '--' : _displayValue(highestRecord);
+      lowest = lowestRecord == null ? '--' : _displayValue(lowestRecord);
     } else {
       average = values.isEmpty
           ? '--'
           : formatTrendNumber(values.reduce((a, b) => a + b) / values.length);
       highest = values.isEmpty ? '--' : formatTrendNumber(values.reduce(max));
+      lowest = values.isEmpty ? '--' : formatTrendNumber(values.reduce(min));
     }
 
     return Container(
-      padding: const EdgeInsets.symmetric(vertical: 14),
+      padding: const EdgeInsets.symmetric(vertical: 10, horizontal: 8),
       decoration: BoxDecoration(
-        color: Colors.white,
-        borderRadius: AppRadius.lgBorder,
+        color: _color.withValues(alpha: 0.045),
+        borderRadius: AppRadius.xlBorder,
       ),
       child: Row(
         children: [
@@ -687,7 +781,7 @@ class _TrendPageState extends ConsumerState<TrendPage> {
           const SizedBox(height: 46, child: VerticalDivider(width: 1)),
           _StatisticItem(label: '最高', value: highest, unit: _unit),
           const SizedBox(height: 46, child: VerticalDivider(width: 1)),
-          _StatisticItem(label: '记录', value: '${records.length}', unit: '次'),
+          _StatisticItem(label: '最低', value: lowest, unit: _unit),
         ],
       ),
     );
@@ -796,16 +890,30 @@ class _TrendPageState extends ConsumerState<TrendPage> {
     }
 
     // X 轴刻度间隔：日标签短，可以排密一点
-    final xInterval = spots.length > 60
-        ? 5.0
-        : spots.length > 30
-        ? 2.0
-        : 1.0;
+    const xInterval = 1.0;
+    final dayStartIndices = <int>[];
+    for (var i = 0; i < records.length; i++) {
+      if (i == 0 ||
+          !_isSameChartDay(
+            records[i - 1]['date'] as DateTime,
+            records[i]['date'] as DateTime,
+          )) {
+        dayStartIndices.add(i);
+      }
+    }
+    final dayLabelStep = dayStartIndices.length > 7
+        ? (dayStartIndices.length / 7).ceil()
+        : 1;
+    final visibleDayLabels = <int>{
+      for (var i = 0; i < dayStartIndices.length; i += dayLabelStep)
+        dayStartIndices[i],
+      if (dayStartIndices.isNotEmpty) dayStartIndices.last,
+    };
 
     return Container(
-      padding: const EdgeInsets.fromLTRB(8, 20, 16, 12),
+      padding: const EdgeInsets.fromLTRB(4, 10, 12, 6),
       decoration: BoxDecoration(
-        color: Colors.white,
+        color: Colors.transparent,
         borderRadius: AppRadius.lgBorder,
       ),
       child: Column(
@@ -853,7 +961,7 @@ class _TrendPageState extends ConsumerState<TrendPage> {
             child: LayoutBuilder(
               builder: (context, constraints) {
                 final chartWidth = constraints.maxWidth;
-                final paintWidth = chartWidth - 40.0; // 减左侧轴
+                final paintWidth = chartWidth - 32.0; // 减左侧轴
                 final paintHeight = 200.0 - 36.0; // 减底部轴
                 // 计算选中点的像素位置
                 Offset? tooltipPos;
@@ -868,7 +976,7 @@ class _TrendPageState extends ConsumerState<TrendPage> {
                       : (r['value'] as num?)?.toDouble();
                   if (v != null && spots.length > 1) {
                     final px =
-                        40.0 +
+                        32.0 +
                         (_selectedIdx! / (spots.length - 1)) * paintWidth;
                     final py = paintHeight * (1 - (v - minV) / (maxV - minV));
                     final d = r['date'] as DateTime;
@@ -904,7 +1012,7 @@ class _TrendPageState extends ConsumerState<TrendPage> {
                           leftTitles: AxisTitles(
                             sideTitles: SideTitles(
                               showTitles: true,
-                              reservedSize: 40,
+                              reservedSize: 32,
                               interval: yStep,
                               getTitlesWidget: (v, meta) => Padding(
                                 padding: const EdgeInsets.only(right: 6),
@@ -929,6 +1037,9 @@ class _TrendPageState extends ConsumerState<TrendPage> {
                                 if (idx < 0 || idx >= records.length) {
                                   return const SizedBox.shrink();
                                 }
+                                if (!visibleDayLabels.contains(idx)) {
+                                  return const SizedBox.shrink();
+                                }
                                 return Padding(
                                   padding: const EdgeInsets.only(top: 8),
                                   child: Text(
@@ -953,9 +1064,10 @@ class _TrendPageState extends ConsumerState<TrendPage> {
                         lineBarsData: [
                           LineChartBarData(
                             spots: spots,
-                            isCurved: false,
+                            isCurved: true,
+                            curveSmoothness: 0.28,
                             color: _color,
-                            barWidth: 2.5,
+                            barWidth: 3,
                             isStrokeCapRound: true,
                             dotData: FlDotData(
                               show: spots.length <= 30,
@@ -978,14 +1090,25 @@ class _TrendPageState extends ConsumerState<TrendPage> {
                                 );
                               },
                             ),
-                            belowBarData: BarAreaData(show: false),
+                            belowBarData: BarAreaData(
+                              show: true,
+                              gradient: LinearGradient(
+                                begin: Alignment.topCenter,
+                                end: Alignment.bottomCenter,
+                                colors: [
+                                  _color.withValues(alpha: 0.18),
+                                  _color.withValues(alpha: 0.02),
+                                ],
+                              ),
+                            ),
                           ),
                           if (_isBP && diastolicSpots.isNotEmpty)
                             LineChartBarData(
                               spots: diastolicSpots,
-                              isCurved: false,
+                              isCurved: true,
+                              curveSmoothness: 0.28,
                               color: _TrendColors.diastolic,
-                              barWidth: 2.5,
+                              barWidth: 3,
                               isStrokeCapRound: true,
                               dotData: FlDotData(
                                 show: diastolicSpots.length <= 30,
@@ -999,7 +1122,12 @@ class _TrendPageState extends ConsumerState<TrendPage> {
                                       strokeColor: _TrendColors.diastolic,
                                     ),
                               ),
-                              belowBarData: BarAreaData(show: false),
+                              belowBarData: BarAreaData(
+                                show: true,
+                                color: _TrendColors.diastolic.withValues(
+                                  alpha: 0.05,
+                                ),
+                              ),
                             ),
                         ],
                         lineTouchData: LineTouchData(
@@ -1087,18 +1215,15 @@ class _TrendPageState extends ConsumerState<TrendPage> {
 
   String _chartAxisLabel(List<Map<String, dynamic>> records, int index) {
     final date = records[index]['date'] as DateTime;
-    final sameDayCount = records.where((record) {
-      final other = record['date'] as DateTime;
-      return other.year == date.year &&
-          other.month == date.month &&
-          other.day == date.day;
-    }).length;
-    if (sameDayCount > 1) {
-      return '${date.hour.toString().padLeft(2, '0')}:${date.minute.toString().padLeft(2, '0')}';
-    }
     return '${date.month}-${date.day}';
   }
 
+  bool _isSameChartDay(DateTime first, DateTime second) {
+    return first.year == second.year &&
+        first.month == second.month &&
+        first.day == second.day;
+  }
+
   // ---- 历史记录列表 ----
   Widget _buildHistory() {
     if (_filtered.isEmpty) return const SizedBox.shrink();
@@ -1113,7 +1238,7 @@ class _TrendPageState extends ConsumerState<TrendPage> {
             ),
             const Spacer(),
             Text(
-              '最近${min(30, _filtered.length)}条',
+              '共${_filtered.length}条',
               style: const TextStyle(
                 fontSize: 16,
                 color: AppColors.textSecondary,
@@ -1127,6 +1252,7 @@ class _TrendPageState extends ConsumerState<TrendPage> {
           decoration: BoxDecoration(
             color: Colors.white,
             borderRadius: AppRadius.xlBorder,
+            boxShadow: AppShadows.soft,
           ),
           child: Column(
             children: [
@@ -1230,40 +1356,47 @@ class _TrendPageState extends ConsumerState<TrendPage> {
                                 ),
                                 const SizedBox(width: 12),
                                 Expanded(
-                                  child: Text(
-                                    _formatRecordTime(date),
-                                    style: const TextStyle(
-                                      fontSize: 14,
-                                      color: AppColors.textSecondary,
-                                      fontWeight: FontWeight.w500,
-                                    ),
-                                  ),
-                                ),
-                                Column(
-                                  crossAxisAlignment: CrossAxisAlignment.end,
-                                  children: [
-                                    Text(
-                                      '$display $_unit',
-                                      style: TextStyle(
-                                        fontSize: 19,
-                                        fontWeight: FontWeight.w700,
-                                        color: abnormal
-                                            ? AppColors.errorText
-                                            : AppColors.textPrimary,
-                                      ),
-                                    ),
-                                    if (status.isNotEmpty) ...[
-                                      const SizedBox(height: 2),
-                                      Text(
-                                        status,
-                                        style: const TextStyle(
-                                          fontSize: 12,
-                                          color: AppColors.errorText,
-                                          fontWeight: FontWeight.w600,
+                                  child: Row(
+                                    children: [
+                                      Flexible(
+                                        child: FittedBox(
+                                          fit: BoxFit.scaleDown,
+                                          alignment: Alignment.centerLeft,
+                                          child: Text(
+                                            _formatRecordTime(date),
+                                            maxLines: 1,
+                                            style: const TextStyle(
+                                              fontSize: 14,
+                                              color: AppColors.textSecondary,
+                                              fontWeight: FontWeight.w600,
+                                            ),
+                                          ),
                                         ),
                                       ),
+                                      const SizedBox(width: 6),
+                                      _StatusBadge(
+                                        label: abnormal ? status : '正常',
+                                        abnormal: abnormal,
+                                      ),
                                     ],
-                                  ],
+                                  ),
+                                ),
+                                const SizedBox(width: 8),
+                                SizedBox(
+                                  width: 116,
+                                  child: FittedBox(
+                                    fit: BoxFit.scaleDown,
+                                    alignment: Alignment.centerRight,
+                                    child: Text(
+                                      '$display $_unit',
+                                      maxLines: 1,
+                                      style: const TextStyle(
+                                        fontSize: 21,
+                                        fontWeight: FontWeight.w800,
+                                        color: AppColors.textPrimary,
+                                      ),
+                                    ),
+                                  ),
                                 ),
                               ],
                             ),
@@ -1359,6 +1492,43 @@ class _StatisticItem extends StatelessWidget {
   }
 }
 
+class _StatusBadge extends StatelessWidget {
+  final String label;
+  final bool abnormal;
+
+  const _StatusBadge({required this.label, required this.abnormal});
+
+  @override
+  Widget build(BuildContext context) {
+    final color = abnormal ? AppColors.warningText : AppColors.successText;
+    final background = abnormal
+        ? AppColors.warningLight
+        : AppColors.successLight;
+    return Container(
+      constraints: const BoxConstraints(maxWidth: 78),
+      padding: const EdgeInsets.symmetric(horizontal: 8, vertical: 4),
+      decoration: BoxDecoration(
+        color: background,
+        borderRadius: AppRadius.pillBorder,
+        border: Border.all(color: color.withValues(alpha: 0.18)),
+      ),
+      child: FittedBox(
+        fit: BoxFit.scaleDown,
+        child: Text(
+          label,
+          maxLines: 1,
+          style: TextStyle(
+            fontSize: 12,
+            fontWeight: FontWeight.w700,
+            color: color,
+            height: 1,
+          ),
+        ),
+      ),
+    );
+  }
+}
+
 class _ChartLegend extends StatelessWidget {
   final Color color;
   final String label;
diff --git a/health_app/lib/pages/doctor/doctor_dashboard_page.dart b/health_app/lib/pages/doctor/doctor_dashboard_page.dart
index bc4f1c5..faecf3f 100644
--- a/health_app/lib/pages/doctor/doctor_dashboard_page.dart
+++ b/health_app/lib/pages/doctor/doctor_dashboard_page.dart
@@ -1,6 +1,7 @@
 import 'package:flutter/material.dart';
 import 'package:flutter_riverpod/flutter_riverpod.dart';
 import '../../core/app_colors.dart';
+import '../../core/app_module_visuals.dart';
 import '../../core/navigation_provider.dart';
 import '../../providers/auth_provider.dart';
 import '../../providers/backoffice_refresh_providers.dart';
@@ -124,7 +125,7 @@ class DoctorDashboardPage extends ConsumerWidget {
               child: _StatCard(
                 '待审核报告',
                 '${stats['pendingReports'] ?? 0}',
-                Icons.description,
+                AppModuleVisuals.report.icon,
                 const Color(0xFFF59E0B),
                 () {
                   ref.read(doctorPageProvider.notifier).set('reports');
@@ -136,7 +137,7 @@ class DoctorDashboardPage extends ConsumerWidget {
               child: _StatCard(
                 '今日随访',
                 '${stats['todayFollowUps'] ?? 0}',
-                Icons.event_note,
+                AppModuleVisuals.followup.icon,
                 const Color(0xFFEF4444),
                 () {
                   ref.read(doctorPageProvider.notifier).set('followups');
@@ -166,7 +167,7 @@ class DoctorDashboardPage extends ConsumerWidget {
         // 待办：待审核报告
         _TodoSection(
           title: '待审核报告',
-          icon: Icons.description_outlined,
+          icon: AppModuleVisuals.report.icon,
           color: const Color(0xFFF59E0B),
           items:
               (data?['pendingReports'] as List?)
@@ -182,7 +183,7 @@ class DoctorDashboardPage extends ConsumerWidget {
         // 今日随访
         _TodoSection(
           title: '今日随访',
-          icon: Icons.event_note_outlined,
+          icon: AppModuleVisuals.followup.icon,
           color: const Color(0xFFEF4444),
           items:
               (data?['todayFollowUps'] as List?)
diff --git a/health_app/lib/pages/doctor/doctor_followups_page.dart b/health_app/lib/pages/doctor/doctor_followups_page.dart
index f4380dc..54adad3 100644
--- a/health_app/lib/pages/doctor/doctor_followups_page.dart
+++ b/health_app/lib/pages/doctor/doctor_followups_page.dart
@@ -1,6 +1,7 @@
-import 'package:flutter/material.dart';
+import 'package:flutter/material.dart';
 import 'package:flutter_riverpod/flutter_riverpod.dart';
 import '../../core/app_colors.dart';
+import '../../core/app_module_visuals.dart';
 import '../../core/navigation_provider.dart';
 import '../../providers/auth_provider.dart';
 import '../../providers/backoffice_refresh_providers.dart';
@@ -92,18 +93,18 @@ class _DoctorFollowupsPageState extends ConsumerState<DoctorFollowupsPage> {
         ),
         Expanded(
           child: items.isEmpty && refresh.isLoading
-              ? const BackofficeLoadingState(message: '正在加载随访')
+              ? BackofficeLoadingState(message: '正在加载随访')
               : items.isEmpty && refresh.hasError
               ? BackofficeErrorState(onRetry: () => ref.invalidate(_fupRefresh))
               : RefreshIndicator(
                   onRefresh: () => ref.refresh(_fupRefresh.future),
                   child: items.isEmpty
                       ? ListView(
-                          children: const [
+                          children: [
                             SizedBox(
                               height: 360,
                               child: BackofficeEmptyState(
-                                icon: Icons.event_note_outlined,
+                                icon: AppModuleVisuals.followup.icon,
                                 title: '暂无随访',
                                 description: '新建的复查随访会显示在这里',
                               ),
diff --git a/health_app/lib/pages/doctor/doctor_patient_detail_page.dart b/health_app/lib/pages/doctor/doctor_patient_detail_page.dart
index 63e7a0a..ec3ed1c 100644
--- a/health_app/lib/pages/doctor/doctor_patient_detail_page.dart
+++ b/health_app/lib/pages/doctor/doctor_patient_detail_page.dart
@@ -1,6 +1,7 @@
 import 'package:flutter/material.dart';
 import 'package:flutter_riverpod/flutter_riverpod.dart';
 import '../../core/app_colors.dart';
+import '../../core/app_module_visuals.dart';
 import '../../core/navigation_provider.dart';
 import '../../providers/auth_provider.dart';
 import '../../utils/backoffice_formatters.dart';
@@ -250,7 +251,7 @@ class DoctorPatientDetailPage extends ConsumerWidget {
             Expanded(
               child: _LinkCard(
                 '报告 (${reports.length})',
-                Icons.description_outlined,
+                AppModuleVisuals.report.icon,
                 () {},
               ),
             ),
@@ -258,7 +259,7 @@ class DoctorPatientDetailPage extends ConsumerWidget {
             Expanded(
               child: _LinkCard(
                 '随访 (${followUps.length})',
-                Icons.event_note_outlined,
+                AppModuleVisuals.followup.icon,
                 () {},
               ),
             ),
diff --git a/health_app/lib/pages/doctor/doctor_report_detail_page.dart b/health_app/lib/pages/doctor/doctor_report_detail_page.dart
index 65b94ff..8c8b561 100644
--- a/health_app/lib/pages/doctor/doctor_report_detail_page.dart
+++ b/health_app/lib/pages/doctor/doctor_report_detail_page.dart
@@ -2,6 +2,7 @@ import 'dart:convert';
 import 'package:flutter/material.dart';
 import 'package:flutter_riverpod/flutter_riverpod.dart';
 import '../../core/app_colors.dart';
+import '../../core/app_module_visuals.dart';
 import '../../core/navigation_provider.dart';
 import '../../providers/auth_provider.dart';
 import '../../providers/backoffice_refresh_providers.dart';
@@ -116,8 +117,8 @@ class _DoctorReportDetailPageState
             onRetry: () => ref.invalidate(_reportDetailProvider(widget.id)),
           ),
           data: (data) => data == null
-              ? const BackofficeEmptyState(
-                  icon: Icons.description_outlined,
+              ? BackofficeEmptyState(
+                  icon: AppModuleVisuals.report.icon,
                   title: '报告不存在',
                 )
               : _buildBody(data),
diff --git a/health_app/lib/pages/doctor/doctor_reports_page.dart b/health_app/lib/pages/doctor/doctor_reports_page.dart
index 8d33234..bbf8930 100644
--- a/health_app/lib/pages/doctor/doctor_reports_page.dart
+++ b/health_app/lib/pages/doctor/doctor_reports_page.dart
@@ -1,6 +1,7 @@
 import 'package:flutter/material.dart';
 import 'package:flutter_riverpod/flutter_riverpod.dart';
 import '../../core/app_colors.dart';
+import '../../core/app_module_visuals.dart';
 import '../../core/navigation_provider.dart';
 import '../../providers/auth_provider.dart';
 import '../../providers/backoffice_refresh_providers.dart';
@@ -71,8 +72,8 @@ class _DoctorReportsPageState extends ConsumerState<DoctorReportsPage> {
                         .where((item) => item['status'] == _filter)
                         .toList();
               return items.isEmpty
-                  ? const BackofficeEmptyState(
-                      icon: Icons.description_outlined,
+                  ? BackofficeEmptyState(
+                      icon: AppModuleVisuals.report.icon,
                       title: '暂无报告',
                       description: '患者上传的待审核报告会显示在这里',
                     )
@@ -93,8 +94,8 @@ class _DoctorReportsPageState extends ConsumerState<DoctorReportsPage> {
                                 color: AppColors.iconBg,
                                 borderRadius: BorderRadius.circular(12),
                               ),
-                              child: const Icon(
-                                Icons.description_outlined,
+                              child: Icon(
+                                AppModuleVisuals.report.icon,
                                 color: AppColors.primary,
                               ),
                             ),
diff --git a/health_app/lib/pages/exercise/exercise_plan_page.dart b/health_app/lib/pages/exercise/exercise_plan_page.dart
index de0d055..6762b4a 100644
--- a/health_app/lib/pages/exercise/exercise_plan_page.dart
+++ b/health_app/lib/pages/exercise/exercise_plan_page.dart
@@ -36,6 +36,7 @@ class _EnterpriseExercisePlanPageState
     try {
       await ref.read(exerciseServiceProvider).checkIn(itemId);
       ref.read(exerciseDataRefreshSignalProvider.notifier).trigger();
+      await ref.read(exercisePlansProvider.future);
     } catch (error) {
       if (mounted) {
         AppToast.show(
@@ -149,8 +150,6 @@ class _EnterpriseExercisePlanPageState
                 _TodayExercisePanel(
                   items: todayItems,
                   completed: completedToday,
-                  busyItems: _busyItems,
-                  onCheckIn: _toggleCheckIn,
                 ),
                 const SizedBox(height: 18),
                 for (final phase in CarePlanPhase.values)
@@ -178,15 +177,8 @@ class _EnterpriseExercisePlanPageState
 class _TodayExercisePanel extends StatelessWidget {
   final List<Map<String, dynamic>> items;
   final int completed;
-  final Set<String> busyItems;
-  final Future<void> Function(String) onCheckIn;
 
-  const _TodayExercisePanel({
-    required this.items,
-    required this.completed,
-    required this.busyItems,
-    required this.onCheckIn,
-  });
+  const _TodayExercisePanel({required this.items, required this.completed});
 
   @override
   Widget build(BuildContext context) {
@@ -256,12 +248,6 @@ class _TodayExercisePanel extends StatelessWidget {
                   ],
                 ),
               ),
-              if (next != null)
-                _CompactActionButton(
-                  busy: busyItems.contains(next['id']?.toString() ?? ''),
-                  completed: false,
-                  onPressed: () => onCheckIn(next['id']?.toString() ?? ''),
-                ),
             ],
           ),
           const SizedBox(height: 14),
diff --git a/health_app/lib/pages/home/home_page.dart b/health_app/lib/pages/home/home_page.dart
index e8426f3..7a9ec18 100644
--- a/health_app/lib/pages/home/home_page.dart
+++ b/health_app/lib/pages/home/home_page.dart
@@ -384,9 +384,20 @@ class _HomePageState extends ConsumerState<HomePage>
     ) => (label: label, visual: visual);
 
     final module = switch (agent) {
-      ActiveAgent.health => fromModule('记数据', AppModuleVisuals.health),
+      ActiveAgent.health => (
+        label: '记数据',
+        visual: AppModuleVisual(
+          module: AppModule.health,
+          label: AppModuleVisuals.health.label,
+          icon: AppModuleVisuals.healthOverviewIcon,
+          color: AppModuleVisuals.health.color,
+          lightColor: AppModuleVisuals.health.lightColor,
+          borderColor: AppModuleVisuals.health.borderColor,
+          gradient: AppModuleVisuals.health.gradient,
+        ),
+      ),
       ActiveAgent.diet => fromModule('拍饮食', AppModuleVisuals.diet),
-      ActiveAgent.medication => fromModule('药提醒', AppModuleVisuals.medication),
+      ActiveAgent.medication => fromModule('药管家', AppModuleVisuals.medication),
       ActiveAgent.report => fromModule('报告', AppModuleVisuals.report),
       ActiveAgent.exercise => fromModule('运动', AppModuleVisuals.exercise),
       _ => null,
@@ -402,13 +413,13 @@ class _HomePageState extends ConsumerState<HomePage>
 
     return switch (agent) {
       ActiveAgent.consultation => (
-        label: 'AI对话',
+        label: 'AI问诊',
         icon: LucideIcons.messageCircle,
         gradient: AppColors.doctorGradient,
         iconColor: Colors.white,
       ),
       _ => (
-        label: 'AI对话',
+        label: 'AI问诊',
         icon: LucideIcons.messageCircle,
         gradient: AppColors.primaryGradient,
         iconColor: Colors.white,
diff --git a/health_app/lib/pages/home/widgets/chat_messages_view.dart b/health_app/lib/pages/home/widgets/chat_messages_view.dart
index 3a21304..bb12c9e 100644
--- a/health_app/lib/pages/home/widgets/chat_messages_view.dart
+++ b/health_app/lib/pages/home/widgets/chat_messages_view.dart
@@ -134,12 +134,13 @@ class ChatMessagesView extends ConsumerWidget {
         constraints: BoxConstraints(maxWidth: screenWidth * 0.95),
         decoration: BoxDecoration(
           color: Colors.white,
-          borderRadius: BorderRadius.circular(24),
+          borderRadius: BorderRadius.circular(28),
+          border: Border.all(color: const Color(0xFFE8ECF3)),
           boxShadow: [
             BoxShadow(
-              color: const Color(0xFF6B5CE7).withValues(alpha: 0.12),
-              blurRadius: 28,
-              offset: const Offset(0, 14),
+              color: const Color(0xFF101828).withValues(alpha: 0.10),
+              blurRadius: 24,
+              offset: const Offset(0, 12),
             ),
             BoxShadow(
               color: const Color(0xFF101828).withValues(alpha: 0.06),
@@ -152,103 +153,53 @@ class ChatMessagesView extends ConsumerWidget {
         child: Column(
           mainAxisSize: MainAxisSize.min,
           children: [
-            Stack(
-              children: [
-                Positioned.fill(
-                  child: DecoratedBox(
-                    decoration: BoxDecoration(
-                      gradient: LinearGradient(
-                        colors: [
-                          Colors.white,
-                          agentColors.bg.withValues(alpha: 0.86),
-                          agentColors.accent.withValues(alpha: 0.12),
+            Container(
+              width: double.infinity,
+              padding: const EdgeInsets.fromLTRB(22, 22, 22, 8),
+              color: Colors.white,
+              child: Row(
+                crossAxisAlignment: CrossAxisAlignment.start,
+                children: [
+                  _AgentMark(icon: info.$1, colors: agentColors),
+                  const SizedBox(width: 18),
+                  Expanded(
+                    child: Padding(
+                      padding: const EdgeInsets.only(top: 4),
+                      child: Column(
+                        crossAxisAlignment: CrossAxisAlignment.start,
+                        children: [
+                          Text(
+                            info.$2,
+                            style: AppTextStyles.chatTitle.copyWith(
+                              fontSize: 28,
+                              height: 1.1,
+                              fontWeight: FontWeight.w800,
+                              color: AppColors.textPrimary,
+                            ),
+                          ),
+                          const SizedBox(height: 10),
+                          Text(
+                            info.$3,
+                            style: AppTextStyles.summarySubtitle.copyWith(
+                              fontSize: 16,
+                              height: 1.45,
+                              color: AppColors.textSecondary,
+                            ),
+                          ),
                         ],
-                        stops: const [0.0, 0.58, 1.0],
-                        begin: Alignment.topLeft,
-                        end: Alignment.bottomRight,
                       ),
                     ),
                   ),
-                ),
-                Positioned(
-                  right: 18,
-                  top: 18,
-                  child: _MiniSignalStrip(colors: agentColors),
-                ),
-                Positioned(
-                  right: 18,
-                  bottom: 18,
-                  child: _LinearAccentMark(colors: agentColors),
-                ),
-                Container(
-                  width: double.infinity,
-                  padding: const EdgeInsets.fromLTRB(18, 20, 18, 22),
-                  child: Row(
-                    crossAxisAlignment: CrossAxisAlignment.start,
-                    children: [
-                      _AgentMark(icon: info.$1, colors: agentColors),
-                      const SizedBox(width: 16),
-                      Expanded(
-                        child: Column(
-                          crossAxisAlignment: CrossAxisAlignment.start,
-                          children: [
-                            Container(
-                              padding: const EdgeInsets.symmetric(
-                                horizontal: 10,
-                                vertical: 4,
-                              ),
-                              decoration: BoxDecoration(
-                                color: Colors.white.withValues(alpha: 0.76),
-                                borderRadius: BorderRadius.circular(999),
-                                border: Border.all(
-                                  color: agentColors.accent.withValues(
-                                    alpha: 0.18,
-                                  ),
-                                ),
-                              ),
-                              child: Row(
-                                mainAxisSize: MainAxisSize.min,
-                                children: [
-                                  Icon(
-                                    Icons.graphic_eq,
-                                    size: 14,
-                                    color: agentColors.accent,
-                                  ),
-                                  const SizedBox(width: 4),
-                                  Text(
-                                    'AI 智能助手',
-                                    style: TextStyle(
-                                      fontSize: 13,
-                                      fontWeight: FontWeight.w600,
-                                      color: agentColors.accent,
-                                    ),
-                                  ),
-                                ],
-                              ),
-                            ),
-                            const SizedBox(height: 9),
-                            Text(
-                              info.$2,
-                              style: AppTextStyles.chatTitle.copyWith(
-                                fontSize: 22,
-                                fontWeight: FontWeight.w700,
-                              ),
-                            ),
-                            const SizedBox(height: 8),
-                            Text(info.$3, style: AppTextStyles.summarySubtitle),
-                          ],
-                        ),
-                      ),
-                    ],
-                  ),
-                ),
-              ],
+                ],
+              ),
             ),
-            Image.asset(
-              artworkPath,
-              width: double.infinity,
-              height: 206,
-              fit: BoxFit.cover,
+            Padding(
+              padding: const EdgeInsets.fromLTRB(8, 0, 8, 2),
+              child: SizedBox(
+                height: 214,
+                width: double.infinity,
+                child: Image.asset(artworkPath, fit: BoxFit.contain),
+              ),
             ),
             if (actions.isNotEmpty) ...[
               const SizedBox(height: 14),
@@ -377,13 +328,15 @@ class ChatMessagesView extends ConsumerWidget {
 
   String _agentArtworkPath(ActiveAgent agent) {
     return switch (agent) {
-      ActiveAgent.consultation => 'assets/branding/agent_consultation_card.png',
-      ActiveAgent.health => 'assets/branding/agent_health_card.png',
-      ActiveAgent.diet => 'assets/branding/agent_diet_card.png',
-      ActiveAgent.medication => 'assets/branding/agent_medication_card.png',
-      ActiveAgent.report => 'assets/branding/agent_report_card.png',
-      ActiveAgent.exercise => 'assets/branding/agent_exercise_card.png',
-      _ => 'assets/branding/agent_health_card.png',
+      ActiveAgent.consultation =>
+        'assets/branding/agent_illustration_consultation.png',
+      ActiveAgent.health => 'assets/branding/agent_illustration_health.png',
+      ActiveAgent.diet => 'assets/branding/agent_illustration_diet.png',
+      ActiveAgent.medication =>
+        'assets/branding/agent_illustration_medication.png',
+      ActiveAgent.report => 'assets/branding/agent_illustration_report.png',
+      ActiveAgent.exercise => 'assets/branding/agent_illustration_exercise.png',
+      _ => 'assets/branding/agent_illustration_health.png',
     };
   }
 
@@ -410,123 +363,189 @@ class ChatMessagesView extends ConsumerWidget {
             backendType != 'exercise');
     final isExercise = backendType == 'exercise';
     final isHealth = !isMedication && !isExercise;
-    final visual = isMedication
-        ? AppModuleVisuals.medication
-        : isExercise
-        ? AppModuleVisuals.exercise
-        : AppModuleVisuals.health;
+    final rawItems = meta['items'];
+    final healthItems = rawItems is List
+        ? rawItems
+              .whereType<Map>()
+              .map((item) => Map<String, dynamic>.from(item))
+              .toList()
+        : <Map<String, dynamic>>[];
+    const confirmGradient = AppColors.primaryGradient;
+    const confirmOutline = AppColors.actionOutlineGradient;
 
-    // 根据类型获取显示字段
     String title = '数据确认';
-    IconData titleIcon = Icons.assignment;
+    IconData titleIcon = Icons.assignment_outlined;
     String mainLabel = '';
     String mainValue = '';
     String mainUnit = '';
     bool abnormal = meta['abnormal'] as bool? ?? false;
+    var headerColor = AppColors.primary;
     String recordTime = meta['recordTime'] as String? ?? '';
+    var itemCount = 1;
+    var confirmationHint = '请核对后确认，本次将一并录入';
+    final fields = <_ConfirmField>[];
 
-    List<_ConfirmField> fields = [];
+    if (recordTime.isEmpty) recordTime = _formatTime(msg.createdAt);
 
     if (isMedication) {
-      // 药品录入 — 主展示区已显示药名+剂量，详情只列额外信息
       title = isMedicationCheckIn ? '服药打卡确认' : '药品录入确认';
-      titleIcon = Icons.medication_liquid_outlined;
-      mainLabel = meta['name'] as String? ?? '';
-      mainValue = meta['dosage'] as String? ?? '';
-      mainUnit = '';
+      titleIcon = AppModuleVisuals.medication.icon;
+      final name = meta['name']?.toString() ?? '';
+      final dosage = meta['dosage']?.toString() ?? '';
+      final frequency = meta['frequency']?.toString() ?? '';
+      final time = meta['time']?.toString() ?? '';
+      final duration =
+          int.tryParse(meta['duration_days']?.toString() ?? '') ?? 0;
 
-      if (recordTime.isEmpty) recordTime = _formatTime(msg.createdAt);
-      final time = meta['time'] as String? ?? '';
-      if (time.isNotEmpty) {
-        final timeValue = meta['服药时间'] as String? ?? time;
-        fields.add(_ConfirmField(label: '服药时间', value: timeValue));
+      if (name.isNotEmpty) {
+        fields.add(
+          _ConfirmField(
+            icon: AppModuleVisuals.medication.icon,
+            label: '药品',
+            value: name,
+          ),
+        );
+      }
+      if (dosage.isNotEmpty) {
+        fields.add(
+          _ConfirmField(
+            icon: Icons.science_outlined,
+            label: '剂量',
+            value: dosage,
+          ),
+        );
       }
-      final frequency = meta['frequency'] as String? ?? '';
       if (frequency.isNotEmpty) {
-        final freqValue = meta['频率'] as String? ?? _freqLabel(frequency);
-        fields.add(_ConfirmField(label: '频率', value: freqValue));
+        fields.add(
+          _ConfirmField(
+            icon: Icons.event_repeat_outlined,
+            label: '频率',
+            value: _freqLabel(frequency),
+          ),
+        );
       }
-      final duration = meta['duration_days'] as int?;
-      if (duration != null && duration > 0) {
-        final durationValue = meta['服用天数'] as String? ?? '$duration 天';
-        fields.add(_ConfirmField(label: '服用天数', value: durationValue));
+      if (time.isNotEmpty) {
+        fields.add(
+          _ConfirmField(
+            icon: Icons.schedule_outlined,
+            label: '时间',
+            value: time,
+          ),
+        );
       }
+      if (duration > 0) {
+        fields.add(
+          _ConfirmField(
+            icon: Icons.calendar_today_outlined,
+            label: '周期',
+            value: '$duration 天',
+          ),
+        );
+      }
+      confirmationHint = isMedicationCheckIn
+          ? '请核对后确认，本次将完成服药打卡'
+          : '请核对后确认，本次将创建用药计划';
     } else if (isExercise) {
-      // 运动计划 — 主展示区大号显示运动名，字段列时长/频率/天数
       title = '运动计划确认';
       titleIcon = AppModuleVisuals.exercise.icon;
-      final exName =
-          (meta['value'] ??
-                  meta['name'] ??
-                  meta['exerciseType'] ??
-                  meta['运动类型'] ??
-                  '')
+      final exerciseName =
+          (meta['value'] ?? meta['name'] ?? meta['exerciseType'] ?? '运动计划')
               .toString();
-      final exUnitRaw =
-          (meta['unit'] ?? meta['duration_unit'] ?? meta['durationUnit'] ?? '')
-              .toString();
-      final exDaysRaw = meta['durationDays'] ?? meta['day_count'];
-      final exDays = int.tryParse(exDaysRaw?.toString() ?? '') ?? 0;
+      final duration = (meta['unit'] ?? meta['durationUnit'] ?? '').toString();
+      final days =
+          int.tryParse(
+            (meta['durationDays'] ?? meta['day_count'])?.toString() ?? '',
+          ) ??
+          0;
+      final reminder = (meta['reminderTime'] ?? meta['reminder_time'] ?? '')
+          .toString();
 
-      // 解析 "每天30分钟" → 频率=每天, 时长=30分钟
-      final freqMatch = RegExp(r'^(每天|每周|每月)').firstMatch(exUnitRaw);
-      final durMatch = RegExp(r'(\d+分钟)').firstMatch(exUnitRaw);
-      final freq = freqMatch?.group(1) ?? '';
-      final dur = durMatch?.group(1) ?? exUnitRaw;
-
-      mainLabel = '运动计划';
-      mainValue = exName.isNotEmpty ? exName : '运动计划';
-      mainUnit = '';
-
-      if (recordTime.isEmpty) recordTime = _formatTime(msg.createdAt);
-      if (dur.isNotEmpty) {
-        fields.add(_ConfirmField(label: '运动时长', value: dur));
+      fields.add(
+        _ConfirmField(
+          icon: Icons.directions_walk_outlined,
+          label: '运动',
+          value: exerciseName,
+        ),
+      );
+      if (duration.isNotEmpty) {
+        fields.add(
+          _ConfirmField(
+            icon: Icons.timer_outlined,
+            label: '时长',
+            value: duration,
+          ),
+        );
       }
-      if (freq.isNotEmpty) {
-        fields.add(_ConfirmField(label: '频率', value: freq));
+      if (days > 0) {
+        fields.add(
+          _ConfirmField(
+            icon: Icons.calendar_today_outlined,
+            label: '周期',
+            value: '连续 $days 天',
+          ),
+        );
       }
-      if (exDays > 0) {
-        fields.add(_ConfirmField(label: '计划天数', value: '$exDays天'));
-      }
-      final intensity = (meta['intensity'] ?? meta['运动强度'] ?? '').toString();
-      if (intensity.isNotEmpty) {
-        fields.add(_ConfirmField(label: '运动强度', value: intensity));
-      }
-      final calories =
-          (meta['calories'] ?? meta['calorie'] ?? meta['消耗热量'] ?? '')
-              .toString();
-      if (calories.isNotEmpty) {
-        fields.add(_ConfirmField(label: '消耗热量', value: '$calories kcal'));
+      if (reminder.isNotEmpty) {
+        fields.add(
+          _ConfirmField(
+            icon: Icons.notifications_none_rounded,
+            label: '提醒',
+            value: reminder,
+          ),
+        );
       }
+      confirmationHint = '请核对后确认，本次将创建运动计划';
     } else {
-      // 健康指标 — 主展示区已显示指标+数值+单位，详情只列额外信息
       title = '健康数据确认';
-      titleIcon = Icons.monitor_heart_outlined;
-      mainLabel = _getMetricName(backendType);
-      mainValue = meta['value'] as String? ?? '';
-      mainUnit = meta['unit'] as String? ?? _getMetricUnit(backendType);
-
-      if (recordTime.isEmpty) recordTime = _formatTime(msg.createdAt);
-      final timeValue = meta['记录时间'] as String? ?? recordTime;
-      fields.add(_ConfirmField(label: '记录时间', value: timeValue));
-      final note = meta['note'] as String? ?? '';
-      if (note.isNotEmpty) {
-        final noteValue = meta['备注'] as String? ?? note;
-        fields.add(_ConfirmField(label: '备注', value: noteValue));
+      titleIcon = AppModuleVisuals.healthOverviewIcon;
+      final items = healthItems.isNotEmpty
+          ? healthItems
+          : [
+              <String, dynamic>{
+                'type': backendType,
+                'value': meta['value']?.toString() ?? '',
+                'unit': meta['unit']?.toString() ?? _getMetricUnit(backendType),
+                'abnormal': meta['abnormal'] == true,
+              },
+            ];
+      itemCount = items.length;
+      abnormal = items.any((item) => item['abnormal'] == true);
+      for (final item in items) {
+        final type = item['type']?.toString() ?? '';
+        if (items.length == 1) headerColor = _getMetricColor(type);
+        fields.add(
+          _ConfirmField(
+            icon: _getMetricIconData(type),
+            label: _getMetricName(type),
+            value: item['value']?.toString() ?? '',
+            unit: item['unit']?.toString() ?? _getMetricUnit(type),
+            abnormal: item['abnormal'] == true,
+            color: _getMetricColor(type),
+          ),
+        );
       }
+      confirmationHint = itemCount > 1
+          ? '请核对后确认，本次将一并录入 $itemCount 项健康数据'
+          : '请核对后确认，本次将录入 1 项健康数据';
     }
 
+    final showLegacySummary = fields.isEmpty;
+
     return Align(
       alignment: Alignment.centerLeft,
       child: Container(
         margin: const EdgeInsets.only(bottom: 16),
         constraints: BoxConstraints(maxWidth: screenWidth * 0.95),
         decoration: BoxDecoration(
-          color: Colors.white,
+          gradient: const LinearGradient(
+            begin: Alignment.topLeft,
+            end: Alignment.bottomRight,
+            colors: [Color(0xFFFFFFFF), Color(0xFFF7F4FF)],
+          ),
           borderRadius: BorderRadius.circular(28),
           boxShadow: [
             BoxShadow(
-              color: visual.color.withValues(alpha: 0.10),
+              color: AppColors.primary.withValues(alpha: 0.16),
               blurRadius: 28,
               offset: const Offset(0, 14),
             ),
@@ -546,10 +565,11 @@ class ChatMessagesView extends ConsumerWidget {
               width: double.infinity,
               padding: const EdgeInsets.fromLTRB(20, 20, 20, 18),
               decoration: BoxDecoration(
-                gradient: LinearGradient(
-                  begin: Alignment.topLeft,
-                  end: Alignment.bottomRight,
-                  colors: [Colors.white, visual.lightColor],
+                color: Colors.white,
+                border: Border(
+                  bottom: BorderSide(
+                    color: headerColor.withValues(alpha: 0.16),
+                  ),
                 ),
               ),
               child: Row(
@@ -559,17 +579,17 @@ class ChatMessagesView extends ConsumerWidget {
                     width: 56,
                     height: 56,
                     decoration: BoxDecoration(
-                      gradient: visual.gradient,
+                      color: headerColor.withValues(alpha: 0.12),
                       borderRadius: BorderRadius.circular(16),
                       boxShadow: [
                         BoxShadow(
-                          color: visual.color.withValues(alpha: 0.18),
+                          color: headerColor.withValues(alpha: 0.12),
                           blurRadius: 10,
                           offset: const Offset(0, 4),
                         ),
                       ],
                     ),
-                    child: Icon(titleIcon, size: 28, color: Colors.white),
+                    child: Icon(titleIcon, size: 28, color: headerColor),
                   ),
                   const SizedBox(width: 14),
                   Expanded(
@@ -590,14 +610,14 @@ class ChatMessagesView extends ConsumerWidget {
                             Icon(
                               Icons.access_time,
                               size: 15,
-                              color: AppColors.iconColor,
+                              color: AppColors.textHint,
                             ),
                             const SizedBox(width: 4),
                             Text(
                               recordTime,
-                              style: const TextStyle(
+                              style: TextStyle(
                                 fontSize: 15,
-                                color: AppColors.textSecondary,
+                                color: AppColors.textHint,
                               ),
                             ),
                           ],
@@ -605,107 +625,130 @@ class ChatMessagesView extends ConsumerWidget {
                       ],
                     ),
                   ),
+                  const SizedBox(width: 10),
+                  Container(
+                    padding: const EdgeInsets.symmetric(
+                      horizontal: 11,
+                      vertical: 6,
+                    ),
+                    decoration: BoxDecoration(
+                      color: headerColor.withValues(alpha: 0.10),
+                      borderRadius: BorderRadius.circular(999),
+                      border: Border.all(
+                        color: headerColor.withValues(alpha: 0.20),
+                      ),
+                    ),
+                    child: Text(
+                      '$itemCount 项',
+                      style: TextStyle(
+                        color: headerColor,
+                        fontSize: 15,
+                        fontWeight: FontWeight.w700,
+                      ),
+                    ),
+                  ),
                 ],
               ),
             ),
 
             // ── 主要数据展示区（大卡片） ──
-            Padding(
-              padding: const EdgeInsets.fromLTRB(20, 14, 20, 0),
-              child: Container(
-                padding: const EdgeInsets.all(1.4),
-                decoration: BoxDecoration(
-                  gradient: visual.gradient,
-                  borderRadius: BorderRadius.circular(20),
-                ),
+            if (showLegacySummary)
+              Padding(
+                padding: const EdgeInsets.fromLTRB(20, 14, 20, 0),
                 child: Container(
-                  width: double.infinity,
-                  padding: const EdgeInsets.all(20),
+                  padding: const EdgeInsets.all(1.4),
                   decoration: BoxDecoration(
-                    color: Colors.white,
-                    borderRadius: BorderRadius.circular(18),
+                    gradient: confirmOutline,
+                    borderRadius: BorderRadius.circular(20),
                   ),
-                  child: Row(
-                    crossAxisAlignment: CrossAxisAlignment.start,
-                    children: [
-                      Container(
-                        width: 68,
-                        height: 68,
-                        decoration: BoxDecoration(
-                          color: visual.lightColor,
-                          borderRadius: BorderRadius.circular(18),
+                  child: Container(
+                    width: double.infinity,
+                    padding: const EdgeInsets.all(20),
+                    decoration: BoxDecoration(
+                      color: Colors.white,
+                      borderRadius: BorderRadius.circular(18),
+                    ),
+                    child: Row(
+                      crossAxisAlignment: CrossAxisAlignment.start,
+                      children: [
+                        Container(
+                          width: 68,
+                          height: 68,
+                          decoration: BoxDecoration(
+                            color: AppColors.primarySoft,
+                            borderRadius: BorderRadius.circular(18),
+                          ),
+                          child: Center(
+                            child: isHealth
+                                ? Icon(
+                                    _getMetricIconData(backendType),
+                                    size: 34,
+                                    color: AppColors.primary,
+                                  )
+                                : Icon(
+                                    isMedication
+                                        ? AppModuleVisuals.medication.icon
+                                        : AppModuleVisuals.exercise.icon,
+                                    size: 36,
+                                    color: AppColors.primary,
+                                  ),
+                          ),
                         ),
-                        child: Center(
-                          child: isHealth
-                              ? Icon(
-                                  _getMetricIconData(backendType),
-                                  size: 34,
-                                  color: visual.color,
-                                )
-                              : Icon(
-                                  isMedication
-                                      ? Icons.medication_liquid_outlined
-                                      : AppModuleVisuals.exercise.icon,
-                                  size: 36,
-                                  color: visual.color,
+                        const SizedBox(width: 16),
+                        Expanded(
+                          child: Column(
+                            crossAxisAlignment: CrossAxisAlignment.start,
+                            children: [
+                              Text(
+                                mainLabel,
+                                style: const TextStyle(
+                                  fontSize: 17,
+                                  color: AppColors.textSecondary,
                                 ),
-                        ),
-                      ),
-                      const SizedBox(width: 16),
-                      Expanded(
-                        child: Column(
-                          crossAxisAlignment: CrossAxisAlignment.start,
-                          children: [
-                            Text(
-                              mainLabel,
-                              style: const TextStyle(
-                                fontSize: 17,
-                                color: AppColors.textSecondary,
                               ),
-                            ),
-                            if (mainValue.isNotEmpty) ...[
-                              const SizedBox(height: 8),
-                              RichText(
-                                text: TextSpan(
-                                  children: [
-                                    TextSpan(
-                                      text: mainValue,
-                                      style: TextStyle(
-                                        fontSize: 36,
-                                        fontWeight: FontWeight.w600,
-                                        color: abnormal
-                                            ? AppColors.error
-                                            : AppColors.textPrimary,
-                                        letterSpacing: -0.5,
-                                      ),
-                                    ),
-                                    if (mainUnit.isNotEmpty)
+                              if (mainValue.isNotEmpty) ...[
+                                const SizedBox(height: 8),
+                                RichText(
+                                  text: TextSpan(
+                                    children: [
                                       TextSpan(
-                                        text: ' $mainUnit',
+                                        text: mainValue,
                                         style: TextStyle(
-                                          fontSize: 19,
+                                          fontSize: 36,
+                                          fontWeight: FontWeight.w600,
                                           color: abnormal
                                               ? AppColors.error
-                                              : visual.color,
-                                          fontWeight: FontWeight.w500,
+                                              : AppColors.textPrimary,
+                                          letterSpacing: -0.5,
                                         ),
                                       ),
-                                  ],
+                                      if (mainUnit.isNotEmpty)
+                                        TextSpan(
+                                          text: ' $mainUnit',
+                                          style: TextStyle(
+                                            fontSize: 19,
+                                            color: abnormal
+                                                ? AppColors.error
+                                                : AppColors.primary,
+                                            fontWeight: FontWeight.w500,
+                                          ),
+                                        ),
+                                    ],
+                                  ),
                                 ),
-                              ),
+                              ],
                             ],
-                          ],
+                          ),
                         ),
-                      ),
-                    ],
+                      ],
+                    ),
                   ),
                 ),
               ),
-            ),
 
             // ── 异常提示 ──
             if (abnormal) ...[
-              const SizedBox(height: 12),
+              const SizedBox(height: 16),
               Padding(
                 padding: const EdgeInsets.symmetric(horizontal: 20),
                 child: Container(
@@ -760,7 +803,7 @@ class ChatMessagesView extends ConsumerWidget {
                   decoration: BoxDecoration(
                     color: Colors.white,
                     borderRadius: BorderRadius.circular(20),
-                    border: Border.all(color: AppColors.border),
+                    border: Border.all(color: AppColors.primaryLight),
                   ),
                   child: Column(
                     children: [
@@ -780,7 +823,43 @@ class ChatMessagesView extends ConsumerWidget {
             ],
 
             // ── 确认按钮（白色底+渐变边框） ──
-            const SizedBox(height: 18),
+            const SizedBox(height: 14),
+            Padding(
+              padding: const EdgeInsets.symmetric(horizontal: 20),
+              child: Container(
+                width: double.infinity,
+                padding: const EdgeInsets.symmetric(
+                  horizontal: 14,
+                  vertical: 11,
+                ),
+                decoration: BoxDecoration(
+                  color: AppColors.primarySoft,
+                  borderRadius: BorderRadius.circular(14),
+                ),
+                child: Row(
+                  children: [
+                    const Icon(
+                      Icons.verified_user_outlined,
+                      size: 19,
+                      color: AppColors.primary,
+                    ),
+                    const SizedBox(width: 9),
+                    Expanded(
+                      child: Text(
+                        confirmationHint,
+                        style: const TextStyle(
+                          fontSize: 14,
+                          height: 1.35,
+                          color: AppColors.textSecondary,
+                          fontWeight: FontWeight.w500,
+                        ),
+                      ),
+                    ),
+                  ],
+                ),
+              ),
+            ),
+            const SizedBox(height: 12),
             Padding(
               padding: const EdgeInsets.symmetric(horizontal: 20),
               child: Container(
@@ -788,11 +867,11 @@ class ChatMessagesView extends ConsumerWidget {
                 height: 56,
                 padding: const EdgeInsets.all(1.4),
                 decoration: BoxDecoration(
-                  gradient: visual.gradient,
+                  gradient: confirmOutline,
                   borderRadius: BorderRadius.circular(20),
                   boxShadow: [
                     BoxShadow(
-                      color: visual.color.withValues(alpha: 0.18),
+                      color: AppColors.primary.withValues(alpha: 0.20),
                       blurRadius: 18,
                       offset: const Offset(0, 8),
                     ),
@@ -854,7 +933,7 @@ class ChatMessagesView extends ConsumerWidget {
                                   width: 32,
                                   height: 32,
                                   decoration: BoxDecoration(
-                                    gradient: visual.gradient,
+                                    gradient: confirmGradient,
                                     borderRadius: BorderRadius.circular(10),
                                   ),
                                   child: const Icon(
@@ -888,26 +967,33 @@ class ChatMessagesView extends ConsumerWidget {
 
   Widget _buildFieldRow(_ConfirmField field) {
     return Container(
-      padding: const EdgeInsets.symmetric(horizontal: 16, vertical: 12),
+      padding: const EdgeInsets.symmetric(horizontal: 16, vertical: 14),
       child: Row(
         crossAxisAlignment: CrossAxisAlignment.center,
         children: [
-          SizedBox(
-            width: 80,
-            child: Text(
-              field.label,
-              style: const TextStyle(fontSize: 15, color: AppColors.textHint),
+          Container(
+            width: 42,
+            height: 42,
+            decoration: BoxDecoration(
+              color: (field.color ?? AppColors.primary).withValues(alpha: 0.10),
+              shape: BoxShape.circle,
+            ),
+            child: Icon(
+              field.icon ?? Icons.list_alt_rounded,
+              size: 22,
+              color: field.abnormal
+                  ? AppColors.error
+                  : (field.color ?? AppColors.primary),
             ),
           ),
+          const SizedBox(width: 14),
+          SizedBox(width: 72, child: _buildFieldLabel(field.label)),
           const SizedBox(width: 12),
           Expanded(
-            child: Text(
-              field.value.isNotEmpty ? field.value : '未设置',
-              style: const TextStyle(
-                fontSize: 17,
-                fontWeight: FontWeight.w600,
-                color: AppColors.textPrimary,
-              ),
+            child: FittedBox(
+              fit: BoxFit.scaleDown,
+              alignment: Alignment.centerRight,
+              child: _buildFieldValue(field, TextAlign.right),
             ),
           ),
         ],
@@ -915,6 +1001,44 @@ class ChatMessagesView extends ConsumerWidget {
     );
   }
 
+  Widget _buildFieldLabel(String label) {
+    return Text(
+      label,
+      style: const TextStyle(
+        fontSize: 15,
+        color: AppColors.textSecondary,
+        fontWeight: FontWeight.w500,
+      ),
+    );
+  }
+
+  Widget _buildFieldValue(_ConfirmField field, TextAlign textAlign) {
+    return Text.rich(
+      TextSpan(
+        children: [
+          TextSpan(text: field.value.isNotEmpty ? field.value : '未设置'),
+          if (field.unit.isNotEmpty)
+            TextSpan(
+              text: '  ${field.unit}',
+              style: const TextStyle(
+                fontSize: 14,
+                fontWeight: FontWeight.w500,
+                color: AppColors.textHint,
+              ),
+            ),
+        ],
+      ),
+      textAlign: textAlign,
+      maxLines: 1,
+      softWrap: false,
+      style: const TextStyle(
+        fontSize: 18,
+        fontWeight: FontWeight.w700,
+        color: AppColors.textPrimary,
+      ),
+    );
+  }
+
   // ═══════════════════════════════════════════════════════════
   // 3. ThinkingBubble — 思考动画
   // ═══════════════════════════════════════════════════════════
@@ -1172,9 +1296,7 @@ class ChatMessagesView extends ConsumerWidget {
           pushRoute(ref, 'reports');
           break;
         case 'device':
-          if (!Platform.isIOS) {
-            pushRoute(ref, 'devices');
-          }
+          pushRoute(ref, 'devices');
           break;
         default:
           if (uri.host.isNotEmpty) pushRoute(ref, uri.host);
@@ -1183,13 +1305,26 @@ class ChatMessagesView extends ConsumerWidget {
   }
 
   String _freqLabel(String freq) {
-    switch (freq.toLowerCase()) {
+    final normalized = freq.trim().toLowerCase().replaceAll(
+      RegExp(r'[\s_-]+'),
+      '',
+    );
+    switch (normalized) {
       case 'daily':
-        return '每天';
+      case 'oncedaily':
+        return '每天一次';
+      case 'twicedaily':
+        return '每天两次';
+      case 'threetimesdaily':
+        return '每天三次';
       case 'everyotherday':
-        return '隔天';
+        return '隔天一次';
       case 'weekly':
-        return '每周';
+        return '每周一次';
+      case 'monthly':
+        return '每月一次';
+      case 'asneeded':
+        return '按需服用';
       default:
         return freq;
     }
@@ -1209,7 +1344,7 @@ class ChatMessagesView extends ConsumerWidget {
   }
 
   String _getMetricUnit(String type) {
-    switch (type.toLowerCase()) {
+    switch (_normalizeMetricType(type)) {
       case 'blood_pressure':
         return 'mmHg';
       case 'heart_rate':
@@ -1228,17 +1363,17 @@ class ChatMessagesView extends ConsumerWidget {
   }
 
   IconData _getMetricIconData(String type) {
-    switch (type.toLowerCase()) {
+    switch (_normalizeMetricType(type)) {
       case 'blood_pressure':
-        return Icons.bloodtype_outlined;
+        return HealthMetricVisuals.bloodPressureIcon;
       case 'heart_rate':
-        return Icons.monitor_heart_outlined;
+        return HealthMetricVisuals.heartRateIcon;
       case 'glucose':
-        return Icons.water_drop_outlined;
+        return HealthMetricVisuals.glucoseIcon;
       case 'spo2':
-        return Icons.air_outlined;
+        return HealthMetricVisuals.spo2Icon;
       case 'weight':
-        return Icons.monitor_weight_outlined;
+        return HealthMetricVisuals.weightIcon;
       case 'exercise':
         return Icons.directions_run_outlined;
       default:
@@ -1246,8 +1381,25 @@ class ChatMessagesView extends ConsumerWidget {
     }
   }
 
+  Color _getMetricColor(String type) {
+    switch (_normalizeMetricType(type)) {
+      case 'blood_pressure':
+        return HealthMetricVisuals.bloodPressureColor;
+      case 'heart_rate':
+        return HealthMetricVisuals.heartRateColor;
+      case 'glucose':
+        return HealthMetricVisuals.glucoseColor;
+      case 'spo2':
+        return HealthMetricVisuals.spo2Color;
+      case 'weight':
+        return HealthMetricVisuals.weightColor;
+      default:
+        return AppColors.primary;
+    }
+  }
+
   String _getMetricName(String type) {
-    switch (type.toLowerCase()) {
+    switch (_normalizeMetricType(type)) {
       case 'blood_pressure':
         return '血压';
       case 'heart_rate':
@@ -1265,6 +1417,18 @@ class ChatMessagesView extends ConsumerWidget {
     }
   }
 
+  String _normalizeMetricType(String type) {
+    return switch (type.trim().toLowerCase().replaceAll('-', '_')) {
+      'bloodpressure' || 'blood_pressure' => 'blood_pressure',
+      'heartrate' || 'heart_rate' || 'pulse' => 'heart_rate',
+      'glucose' || 'bloodglucose' || 'blood_glucose' => 'glucose',
+      'spo2' || 'bloodoxygen' || 'blood_oxygen' => 'spo2',
+      'weight' => 'weight',
+      'exercise' => 'exercise',
+      final normalized => normalized,
+    };
+  }
+
   static _AgentColors _agentColors(ActiveAgent agent) {
     _AgentColors fromModule(AppModuleVisual visual) => _AgentColors(
       gradient: [visual.gradient.colors.first, visual.gradient.colors.last],
@@ -1312,13 +1476,17 @@ class ChatMessagesView extends ConsumerWidget {
 
   static (_AgentIcon, String, String) _agentInfo(ActiveAgent agent) {
     return switch (agent) {
-      ActiveAgent.health => (LucideIcons.heartPulse, '记数据', '录入血压、血糖、心率等日常指标'),
+      ActiveAgent.health => (
+        AppModuleVisuals.healthOverviewIcon,
+        '记数据',
+        '录入血压、血糖、心率等日常指标',
+      ),
       ActiveAgent.diet => (AppModuleVisuals.diet.icon, '拍饮食', '拍照识别食物热量和营养成分'),
-      ActiveAgent.medication => (LucideIcons.pill, '药提醒', '管理药品、提醒服药、追踪用量'),
+      ActiveAgent.medication => (LucideIcons.pill, '药管家', '管理药品、提醒服药、追踪用量'),
       ActiveAgent.consultation => (
         LucideIcons.messageCircle,
-        'AI对话',
-        '现在由小脉陪您对话，您可以放心说出身体的不适和疑问',
+        'AI问诊',
+        '现在由小脉为您进行预问诊，您可以放心说出身体的不适和疑问',
       ),
       ActiveAgent.report => (LucideIcons.fileText, '报告分析', '上传体检报告，AI 辅助解读'),
       ActiveAgent.exercise => (
@@ -1331,12 +1499,12 @@ class ChatMessagesView extends ConsumerWidget {
   }
 
   static String _agentTip(ActiveAgent agent) => switch (agent) {
-    ActiveAgent.health => '直接说出您的症状或数据，如"血压130/85，心率72"',
-    ActiveAgent.diet => '拍照或描述您吃了什么，如"早餐吃了两个鸡蛋一杯牛奶"',
-    ActiveAgent.medication => '说出药品名称和用法，如"每天早晚各一片阿司匹林"',
-    ActiveAgent.consultation => '小脉会根据您的回答逐步追问，帮您记录和整理症状信息',
-    ActiveAgent.report => '上传您的检查报告，AI 将自动提取指标并解读',
-    ActiveAgent.exercise => '说出运动计划，如"每天散步30分钟坚持一周"',
+    ActiveAgent.health => '请提供指标名称、具体数值和测量时间，如"今天早上血压130/85、心率72"',
+    ActiveAgent.diet => '请提供餐次、食物和分量，或直接拍照，如"早餐2个鸡蛋、1杯牛奶"',
+    ActiveAgent.medication => '请提供药品名称、每次剂量、服药频率和时间，如"阿司匹林每次1片、每天早晚8点"',
+    ActiveAgent.consultation => '请说明症状、出现时间、持续多久和严重程度，小脉会继续追问并给出建议',
+    ActiveAgent.report => '请上传完整报告或清晰照片，并说明检查项目和日期，AI 将提取指标并解读',
+    ActiveAgent.exercise => '请提供运动类型、每次时长、每周频率和目标，如"散步30分钟、每周5天"',
     _ => '直接描述您的需求，AI 会自动为您记录和分析',
   };
 
@@ -1968,53 +2136,6 @@ class _AgentMark extends StatelessWidget {
   }
 }
 
-class _LinearAccentMark extends StatelessWidget {
-  final _AgentColors colors;
-  const _LinearAccentMark({required this.colors});
-
-  @override
-  Widget build(BuildContext context) {
-    return Container(
-      width: 86,
-      height: 8,
-      decoration: BoxDecoration(
-        borderRadius: BorderRadius.circular(999),
-        gradient: LinearGradient(
-          colors: colors.gradient
-              .map((color) => color.withValues(alpha: 0.34))
-              .toList(),
-        ),
-      ),
-    );
-  }
-}
-
-class _MiniSignalStrip extends StatelessWidget {
-  final _AgentColors colors;
-  const _MiniSignalStrip({required this.colors});
-
-  @override
-  Widget build(BuildContext context) {
-    final bars = [12.0, 20.0, 14.0, 26.0, 16.0, 22.0, 12.0];
-    return Row(
-      crossAxisAlignment: CrossAxisAlignment.end,
-      children: [
-        for (var i = 0; i < bars.length; i++) ...[
-          Container(
-            width: 4,
-            height: bars[i],
-            decoration: BoxDecoration(
-              color: colors.accent.withValues(alpha: i.isEven ? 0.34 : 0.18),
-              borderRadius: BorderRadius.circular(99),
-            ),
-          ),
-          if (i != bars.length - 1) const SizedBox(width: 4),
-        ],
-      ],
-    );
-  }
-}
-
 typedef _AgentIcon = IconData;
 
 class _AgentColors {
@@ -2053,9 +2174,21 @@ class _AgentAction {
 }
 
 class _ConfirmField {
+  final IconData? icon;
   final String label;
   final String value;
-  const _ConfirmField({required this.label, required this.value});
+  final String unit;
+  final bool abnormal;
+  final Color? color;
+
+  const _ConfirmField({
+    this.icon,
+    required this.label,
+    required this.value,
+    this.unit = '',
+    this.abnormal = false,
+    this.color,
+  });
 }
 
 final _agentActions = <ActiveAgent, List<_AgentAction>>{
@@ -2090,7 +2223,7 @@ final _agentActions = <ActiveAgent, List<_AgentAction>>{
   ActiveAgent.medication: [
     _AgentAction(
       label: '用药管理',
-      icon: Icons.medication_liquid_outlined,
+      icon: AppModuleVisuals.medication.icon,
       isWide: true,
       route: 'medications',
     ),
@@ -2128,12 +2261,7 @@ final _agentActions = <ActiveAgent, List<_AgentAction>>{
 };
 
 extension _AgentActionsExt on ActiveAgent {
-  List<_AgentAction> get actions {
-    final all = _agentActions[this] ??
-        [const _AgentAction(label: '开始对话', icon: Icons.chat_outlined)];
-    if (Platform.isIOS) {
-      return all.where((a) => a.route != 'devices').toList();
-    }
-    return all;
-  }
+  List<_AgentAction> get actions =>
+      _agentActions[this] ??
+      [const _AgentAction(label: '开始对话', icon: Icons.chat_outlined)];
 }
diff --git a/health_app/lib/pages/notifications/notification_center_page.dart b/health_app/lib/pages/notifications/notification_center_page.dart
index 648c4af..e0aa9f7 100644
--- a/health_app/lib/pages/notifications/notification_center_page.dart
+++ b/health_app/lib/pages/notifications/notification_center_page.dart
@@ -705,7 +705,15 @@ class _NotificationVisual {
         return _NotificationVisual.fromModule(AppModuleVisuals.exercise);
       case 'health':
       case 'health_record_reminder':
-        return _NotificationVisual.fromModule(AppModuleVisuals.health);
+        return _NotificationVisual(
+          AppModuleVisuals.healthOverviewIcon,
+          AppModuleVisuals.health.color,
+          AppModuleVisuals.health.lightColor,
+          AppModuleVisuals.health.gradient,
+          Colors.white,
+          false,
+          AppModuleVisuals.health.label,
+        );
       case 'report':
         return _NotificationVisual.fromModule(AppModuleVisuals.report);
       case 'medication':
diff --git a/health_app/lib/pages/profile/profile_page.dart b/health_app/lib/pages/profile/profile_page.dart
index 47edabc..0728525 100644
--- a/health_app/lib/pages/profile/profile_page.dart
+++ b/health_app/lib/pages/profile/profile_page.dart
@@ -1,5 +1,9 @@
+import 'dart:io';
+
 import 'package:flutter/material.dart';
 import 'package:flutter_riverpod/flutter_riverpod.dart';
+import 'package:image_picker/image_picker.dart';
+import 'package:shadcn_ui/shadcn_ui.dart';
 
 import '../../core/app_colors.dart';
 import '../../core/app_design_tokens.dart';
@@ -7,12 +11,79 @@ import '../../core/app_module_visuals.dart';
 import '../../core/app_theme.dart';
 import '../../core/navigation_provider.dart';
 import '../../providers/auth_provider.dart';
+import '../../providers/data_providers.dart';
+import '../../widgets/app_toast.dart';
+import '../../widgets/authenticated_network_image.dart';
 
-class ProfilePage extends ConsumerWidget {
+class ProfilePage extends ConsumerStatefulWidget {
   const ProfilePage({super.key});
 
   @override
-  Widget build(BuildContext context, WidgetRef ref) {
+  ConsumerState<ProfilePage> createState() => _ProfilePageState();
+}
+
+class _ProfilePageState extends ConsumerState<ProfilePage> {
+  bool _uploadingAvatar = false;
+
+  Future<void> _changeAvatar() async {
+    final source = await showModalBottomSheet<ImageSource>(
+      context: context,
+      builder: (sheetContext) => SafeArea(
+        child: Wrap(
+          children: [
+            ListTile(
+              leading: const Icon(Icons.photo_library_outlined),
+              title: const Text('从相册选择'),
+              onTap: () => Navigator.pop(sheetContext, ImageSource.gallery),
+            ),
+            ListTile(
+              leading: const Icon(Icons.camera_alt_outlined),
+              title: const Text('拍照上传'),
+              onTap: () => Navigator.pop(sheetContext, ImageSource.camera),
+            ),
+          ],
+        ),
+      ),
+    );
+    if (source == null || !mounted) return;
+
+    final picked = await ImagePicker().pickImage(
+      source: source,
+      imageQuality: 85,
+      maxWidth: 1200,
+    );
+    if (picked == null || !mounted) return;
+
+    setState(() => _uploadingAvatar = true);
+    try {
+      final api = ref.read(apiClientProvider);
+      final avatarUrl = await api.uploadFile(
+        '/api/files/upload',
+        File(picked.path),
+      );
+      if (avatarUrl == null) throw StateError('上传未返回头像地址');
+      final updatedProfile = await ref
+          .read(userServiceProvider)
+          .updateProfile(avatarUrl: avatarUrl);
+      final savedAvatarUrl = updatedProfile?['avatarUrl']?.toString();
+      if (savedAvatarUrl == null || savedAvatarUrl != avatarUrl) {
+        throw StateError('头像地址未保存到个人资料');
+      }
+      await ref.read(authProvider.notifier).applyProfile(updatedProfile!);
+      if (mounted) {
+        AppToast.show(context, '头像已更新', type: AppToastType.success);
+      }
+    } catch (_) {
+      if (mounted) {
+        AppToast.show(context, '头像上传失败，请稍后重试', type: AppToastType.error);
+      }
+    } finally {
+      if (mounted) setState(() => _uploadingAvatar = false);
+    }
+  }
+
+  @override
+  Widget build(BuildContext context) {
     final user = ref.watch(authProvider.select((state) => state.user));
     final name = user?.name?.trim().isNotEmpty == true ? user!.name! : '未设置昵称';
     final phone = user?.phone.trim().isNotEmpty == true
@@ -36,8 +107,10 @@ class ProfilePage extends ConsumerWidget {
               name: name,
               phone: phone,
               avatarUrl: user?.avatarUrl,
+              uploading: _uploadingAvatar,
+              onChangeAvatar: _uploadingAvatar ? null : _changeAvatar,
             ),
-            const SizedBox(height: 20),
+            const SizedBox(height: 24),
             const _SectionTitle('资料管理'),
             const SizedBox(height: 9),
             _SettingsGroup(
@@ -50,7 +123,7 @@ class ProfilePage extends ConsumerWidget {
                   onTap: () => pushRoute(ref, 'profileEdit'),
                 ),
                 _ActionRow(
-                  icon: AppModuleVisuals.health.icon,
+                  icon: LucideIcons.folderHeart,
                   iconColor: AppModuleVisuals.health.color,
                   title: '健康档案',
                   subtitle: '疾病、手术、过敏和生活习惯',
@@ -58,19 +131,25 @@ class ProfilePage extends ConsumerWidget {
                 ),
               ],
             ),
-            const SizedBox(height: 20),
-            const _SectionTitle('账号操作'),
-            const SizedBox(height: 9),
-            _SettingsGroup(
-              children: [
-                _ActionRow(
-                  icon: Icons.logout_rounded,
-                  iconColor: AppColors.textSecondary,
-                  title: '退出登录',
-                  showChevron: false,
-                  onTap: () => _logout(context, ref),
+            const SizedBox(height: 28),
+            SizedBox(
+              height: 52,
+              child: OutlinedButton.icon(
+                onPressed: () => _logout(context, ref),
+                icon: const Icon(Icons.logout_rounded),
+                label: const Text('退出登录'),
+                style: OutlinedButton.styleFrom(
+                  foregroundColor: AppColors.errorText,
+                  side: const BorderSide(color: Color(0xFFFECACA)),
+                  shape: RoundedRectangleBorder(
+                    borderRadius: AppRadius.mdBorder,
+                  ),
+                  textStyle: const TextStyle(
+                    fontSize: 16,
+                    fontWeight: FontWeight.w600,
+                  ),
                 ),
-              ],
+              ),
             ),
           ],
         ),
@@ -108,59 +187,100 @@ class _AccountSummary extends StatelessWidget {
   final String name;
   final String phone;
   final String? avatarUrl;
+  final bool uploading;
+  final VoidCallback? onChangeAvatar;
 
   const _AccountSummary({
     required this.name,
     required this.phone,
     required this.avatarUrl,
+    required this.uploading,
+    required this.onChangeAvatar,
   });
 
   @override
   Widget build(BuildContext context) => Container(
-    padding: const EdgeInsets.all(18),
+    padding: const EdgeInsets.fromLTRB(20, 22, 20, 20),
     decoration: BoxDecoration(
       color: Colors.white,
       borderRadius: AppRadius.lgBorder,
-    ),
-    child: Row(
-      children: [
-        Container(
-          width: 60,
-          height: 60,
-          clipBehavior: Clip.antiAlias,
-          decoration: BoxDecoration(
-            color: AppModuleVisuals.health.lightColor,
-            borderRadius: AppRadius.lgBorder,
-          ),
-          child: avatarUrl?.isNotEmpty == true
-              ? Image.network(
-                  avatarUrl!,
-                  fit: BoxFit.cover,
-                  errorBuilder: (context, error, stackTrace) =>
-                      const _AvatarFallback(),
-                )
-              : const _AvatarFallback(),
+      boxShadow: [
+        BoxShadow(
+          color: AppColors.primary.withValues(alpha: 0.06),
+          blurRadius: 20,
+          offset: const Offset(0, 8),
         ),
-        const SizedBox(width: 15),
-        Expanded(
-          child: Column(
-            crossAxisAlignment: CrossAxisAlignment.start,
-            children: [
-              Text(
-                name,
-                maxLines: 1,
-                overflow: TextOverflow.ellipsis,
-                style: AppTextStyles.summaryTitle.copyWith(fontSize: 20),
+      ],
+    ),
+    child: Column(
+      children: [
+        Stack(
+          clipBehavior: Clip.none,
+          children: [
+            Container(
+              width: 92,
+              height: 92,
+              clipBehavior: Clip.antiAlias,
+              decoration: BoxDecoration(
+                color: AppModuleVisuals.health.lightColor,
+                shape: BoxShape.circle,
               ),
-              const SizedBox(height: 5),
-              Text(phone, style: AppTextStyles.listSubtitle),
-              const SizedBox(height: 5),
-              const Text(
-                '头像由账号系统统一管理',
-                style: TextStyle(fontSize: 12, color: AppColors.textHint),
+              child: avatarUrl?.isNotEmpty == true
+                  ? AuthenticatedNetworkImage(
+                      imageUrl: avatarUrl!,
+                      fit: BoxFit.cover,
+                      errorBuilder: (_, _, _) => const _AvatarFallback(),
+                    )
+                  : const _AvatarFallback(),
+            ),
+            Positioned(
+              right: -2,
+              bottom: -2,
+              child: Material(
+                color: AppColors.primary,
+                shape: const CircleBorder(),
+                child: InkWell(
+                  onTap: onChangeAvatar,
+                  customBorder: const CircleBorder(),
+                  child: SizedBox(
+                    width: 34,
+                    height: 34,
+                    child: Center(
+                      child: uploading
+                          ? const SizedBox(
+                              width: 17,
+                              height: 17,
+                              child: CircularProgressIndicator(
+                                strokeWidth: 2,
+                                color: Colors.white,
+                              ),
+                            )
+                          : const Icon(
+                              Icons.camera_alt_outlined,
+                              color: Colors.white,
+                              size: 18,
+                            ),
+                    ),
+                  ),
+                ),
               ),
-            ],
-          ),
+            ),
+          ],
+        ),
+        const SizedBox(height: 14),
+        Text(
+          name,
+          maxLines: 1,
+          overflow: TextOverflow.ellipsis,
+          style: AppTextStyles.summaryTitle.copyWith(fontSize: 21),
+        ),
+        const SizedBox(height: 5),
+        Text(phone, style: AppTextStyles.listSubtitle),
+        const SizedBox(height: 12),
+        TextButton.icon(
+          onPressed: onChangeAvatar,
+          icon: const Icon(Icons.edit_outlined, size: 17),
+          label: const Text('更换头像'),
         ),
       ],
     ),
@@ -169,19 +289,17 @@ class _AccountSummary extends StatelessWidget {
 
 class _AvatarFallback extends StatelessWidget {
   const _AvatarFallback();
-
   @override
   Widget build(BuildContext context) => Icon(
     Icons.person_rounded,
     color: AppModuleVisuals.health.color,
-    size: 34,
+    size: 48,
   );
 }
 
 class _SectionTitle extends StatelessWidget {
   final String text;
   const _SectionTitle(this.text);
-
   @override
   Widget build(BuildContext context) => Padding(
     padding: const EdgeInsets.symmetric(horizontal: 2),
@@ -199,7 +317,6 @@ class _SectionTitle extends StatelessWidget {
 class _SettingsGroup extends StatelessWidget {
   final List<Widget> children;
   const _SettingsGroup({required this.children});
-
   @override
   Widget build(BuildContext context) => Container(
     decoration: BoxDecoration(
@@ -226,18 +343,14 @@ class _ActionRow extends StatelessWidget {
   final Color iconColor;
   final String title;
   final String? subtitle;
-  final bool showChevron;
   final VoidCallback onTap;
-
   const _ActionRow({
     required this.icon,
     required this.iconColor,
     required this.title,
     this.subtitle,
-    this.showChevron = true,
     required this.onTap,
   });
-
   @override
   Widget build(BuildContext context) => Material(
     color: Colors.transparent,
@@ -264,7 +377,7 @@ class _ActionRow extends StatelessWidget {
                 children: [
                   Text(
                     title,
-                    style: TextStyle(
+                    style: const TextStyle(
                       fontSize: 16,
                       fontWeight: FontWeight.w600,
                       color: AppColors.textPrimary,
@@ -277,11 +390,7 @@ class _ActionRow extends StatelessWidget {
                 ],
               ),
             ),
-            if (showChevron)
-              const Icon(
-                Icons.chevron_right_rounded,
-                color: AppColors.textHint,
-              ),
+            const Icon(Icons.chevron_right_rounded, color: AppColors.textHint),
           ],
         ),
       ),
diff --git a/health_app/lib/pages/remaining_pages.dart b/health_app/lib/pages/remaining_pages.dart
index 6275af3..7e8fbf5 100644
--- a/health_app/lib/pages/remaining_pages.dart
+++ b/health_app/lib/pages/remaining_pages.dart
@@ -2467,7 +2467,7 @@ class _FollowUpListPageState extends ConsumerState<FollowUpListPage> {
                 mainAxisSize: MainAxisSize.min,
                 children: [
                   Icon(
-                    Icons.event_note_outlined,
+                    AppModuleVisuals.followup.icon,
                     size: 64,
                     color: AppColors.textHint,
                   ),
diff --git a/health_app/lib/pages/settings/ai_consent_details_page.dart b/health_app/lib/pages/settings/ai_consent_details_page.dart
new file mode 100644
index 0000000..1310f0b
--- /dev/null
+++ b/health_app/lib/pages/settings/ai_consent_details_page.dart
@@ -0,0 +1,133 @@
+import 'package:flutter/material.dart';
+import 'package:flutter_riverpod/flutter_riverpod.dart';
+
+import '../../core/app_colors.dart';
+import '../../core/app_design_tokens.dart';
+import '../../providers/ai_consent_provider.dart';
+import '../../providers/auth_provider.dart';
+
+class AiConsentDetailsPage extends ConsumerWidget {
+  const AiConsentDetailsPage({super.key});
+
+  Future<void> _revoke(BuildContext context, WidgetRef ref) async {
+    final userId = ref.read(authProvider).user?.id;
+    if (userId == null || userId.isEmpty) return;
+
+    final confirmed = await showDialog<bool>(
+      context: context,
+      builder: (ctx) => AlertDialog(
+        title: const Text('撤回 AI 授权？'),
+        content: const Text('撤回后将退出当前账号，重新使用 App 前需要再次完成 AI 数据授权。'),
+        actions: [
+          TextButton(
+            onPressed: () => Navigator.pop(ctx, false),
+            child: const Text('取消'),
+          ),
+          FilledButton(
+            onPressed: () => Navigator.pop(ctx, true),
+            child: const Text('撤回并退出'),
+          ),
+        ],
+      ),
+    );
+    if (confirmed != true || !context.mounted) return;
+
+    await ref.read(aiConsentProvider.notifier).revoke(userId);
+    await ref.read(authProvider.notifier).logout();
+  }
+
+  @override
+  Widget build(BuildContext context, WidgetRef ref) {
+    final consent = ref.watch(aiConsentProvider);
+    final canRevoke = consent.granted && ref.watch(authProvider).user != null;
+
+    return Scaffold(
+      backgroundColor: AppColors.background,
+      appBar: AppBar(
+        backgroundColor: Colors.white,
+        elevation: 0,
+        scrolledUnderElevation: 0,
+        leading: IconButton(
+          icon: const Icon(Icons.arrow_back, color: AppColors.textPrimary),
+          onPressed: () => Navigator.of(context).maybePop(),
+        ),
+        title: const Text(
+          'AI 数据授权说明',
+          style: TextStyle(
+            fontSize: 19,
+            fontWeight: FontWeight.w700,
+            color: AppColors.textPrimary,
+          ),
+        ),
+      ),
+      body: SafeArea(
+        child: SingleChildScrollView(
+          padding: const EdgeInsets.fromLTRB(20, 20, 20, 32),
+          child: Column(
+            crossAxisAlignment: CrossAxisAlignment.start,
+            children: [
+              _section(
+                '我们会处理什么数据',
+                '当你使用 AI 对话、饮食识别或报告预整理功能时，可能会处理你主动输入的文字、健康数据、健康档案摘要、图片和 PDF 报告。',
+              ),
+              _section(
+                '发送给哪些服务商',
+                'DeepSeek：用于生成 AI 对话和健康信息整理。\n\n通义千问视觉服务：用于识别你主动上传的饮食图片、报告图片或 PDF 内容。\n\nFastGPT：用于检索与问题相关的医学参考资料。',
+              ),
+              _section(
+                '使用目的',
+                '上述数据仅用于提供 AI 对话、健康记录辅助、饮食图片识别、医学报告预整理和医学资料检索功能。AI 内容仅供健康管理参考，不能替代医生诊断或治疗。',
+              ),
+              _section(
+                '你的选择',
+                '你可以在首次进入首页时选择是否授权。未授权时无法进入本 App 的主要服务。你也可以在设置中撤回授权；撤回后将退出当前账号，再次使用前需要重新授权。',
+              ),
+              _section(
+                '更多信息',
+                '数据保存、删除、第三方服务保护措施和联系方式，请同时查看 App 内《隐私政策》和《第三方 SDK 共享清单》。',
+              ),
+              if (canRevoke) ...[
+                const SizedBox(height: 12),
+                SizedBox(
+                  width: double.infinity,
+                  child: OutlinedButton(
+                    onPressed: () => _revoke(context, ref),
+                    style: OutlinedButton.styleFrom(
+                      foregroundColor: AppColors.error,
+                      side: BorderSide(
+                        color: AppColors.error.withValues(alpha: 0.4),
+                      ),
+                      minimumSize: const Size.fromHeight(50),
+                    ),
+                    child: const Text('撤回 AI 数据授权'),
+                  ),
+                ),
+              ],
+            ],
+          ),
+        ),
+      ),
+    );
+  }
+
+  static Widget _section(String title, String body) {
+    return Padding(
+      padding: const EdgeInsets.only(bottom: 22),
+      child: Column(
+        crossAxisAlignment: CrossAxisAlignment.start,
+        children: [
+          Text(title, style: AppTextStyles.sectionTitle),
+          const SizedBox(height: 8),
+          Text(
+            body,
+            style: const TextStyle(
+              fontSize: 15,
+              height: 1.65,
+              color: AppColors.textSecondary,
+            ),
+          ),
+        ],
+      ),
+    );
+  }
+}
diff --git a/health_app/lib/pages/settings/settings_pages.dart b/health_app/lib/pages/settings/settings_pages.dart
index 1d37e6d..65e8b7b 100644
--- a/health_app/lib/pages/settings/settings_pages.dart
+++ b/health_app/lib/pages/settings/settings_pages.dart
@@ -46,6 +46,11 @@ class SettingsPage extends ConsumerWidget {
               children: [
                 _SettingsGroup(
                   children: [
+                    _SettingsTile(
+                      icon: Icons.auto_awesome,
+                      title: 'AI 数据授权',
+                      onTap: () => pushRoute(ref, 'aiConsentDetails'),
+                    ),
                     _SettingsTile(
                       icon: Icons.elderly_rounded,
                       title: '长辈模式',
@@ -53,11 +58,11 @@ class SettingsPage extends ConsumerWidget {
                     ),
                     if (!Platform.isIOS)
                       // iOS 审核版：蓝牙设备入口已移除
-                    _SettingsTile(
-                      icon: LucideIcons.bell,
-                      title: '消息通知',
-                      onTap: () => pushRoute(ref, 'notificationPrefs'),
-                    ),
+                      _SettingsTile(
+                        icon: LucideIcons.bell,
+                        title: '消息通知',
+                        onTap: () => pushRoute(ref, 'notificationPrefs'),
+                      ),
                     _SettingsTile(
                       icon: LucideIcons.info,
                       title: '关于小脉健康',
diff --git a/health_app/lib/providers/ai_consent_provider.dart b/health_app/lib/providers/ai_consent_provider.dart
new file mode 100644
index 0000000..75510d8
--- /dev/null
+++ b/health_app/lib/providers/ai_consent_provider.dart
@@ -0,0 +1,56 @@
+import 'package:flutter_riverpod/flutter_riverpod.dart';
+
+import 'auth_provider.dart' show localDbProvider;
+
+const aiConsentVersion = 'ai-data-consent-v1';
+
+class AiConsentState {
+  final bool isLoading;
+  final bool granted;
+  final String? userId;
+
+  const AiConsentState({
+    this.isLoading = true,
+    this.granted = false,
+    this.userId,
+  });
+
+  AiConsentState copyWith({bool? isLoading, bool? granted, String? userId}) {
+    return AiConsentState(
+      isLoading: isLoading ?? this.isLoading,
+      granted: granted ?? this.granted,
+      userId: userId ?? this.userId,
+    );
+  }
+}
+
+final aiConsentProvider = NotifierProvider<AiConsentNotifier, AiConsentState>(
+  AiConsentNotifier.new,
+);
+
+class AiConsentNotifier extends Notifier<AiConsentState> {
+  @override
+  AiConsentState build() => const AiConsentState();
+
+  String _key(String userId) => '$aiConsentVersion:$userId';
+
+  Future<void> load(String userId) async {
+    state = AiConsentState(isLoading: true, userId: userId);
+    final value = await ref.read(localDbProvider).read(_key(userId));
+    state = AiConsentState(
+      isLoading: false,
+      granted: value == 'granted',
+      userId: userId,
+    );
+  }
+
+  Future<void> grant(String userId) async {
+    await ref.read(localDbProvider).write(_key(userId), 'granted');
+    state = AiConsentState(isLoading: false, granted: true, userId: userId);
+  }
+
+  Future<void> revoke(String userId) async {
+    await ref.read(localDbProvider).delete(_key(userId));
+    state = AiConsentState(isLoading: false, granted: false, userId: userId);
+  }
+}
diff --git a/health_app/lib/providers/auth_provider.dart b/health_app/lib/providers/auth_provider.dart
index c5a0922..f01d722 100644
--- a/health_app/lib/providers/auth_provider.dart
+++ b/health_app/lib/providers/auth_provider.dart
@@ -156,6 +156,13 @@ class AuthNotifier extends Notifier<AuthState> {
 
   Future<void> refreshProfile() => _loadProfile();
 
+  Future<void> applyProfile(Map<String, dynamic> profile) async {
+    final user = _userFromMap(profile, fallback: state.user);
+    state = AuthState(isLoggedIn: true, isLoading: false, user: user);
+    await _cacheUser(user);
+    _publishSessionIdentity(user);
+  }
+
   /// 发送验证码
   Future<({String? error, String? devCode})> sendSms(String phone) async {
     try {
diff --git a/health_app/lib/providers/chat_provider.dart b/health_app/lib/providers/chat_provider.dart
index d3c4344..5858b15 100644
--- a/health_app/lib/providers/chat_provider.dart
+++ b/health_app/lib/providers/chat_provider.dart
@@ -6,6 +6,7 @@ import 'auth_provider.dart';
 import 'conversation_history_provider.dart';
 import 'data_providers.dart';
 import 'data_refresh_providers.dart';
+import '../core/api_client.dart';
 import '../utils/sse_handler.dart';
 
 enum MessageType { text, dataConfirm, agentWelcome, taskCard }
@@ -104,6 +105,7 @@ class ChatNotifier extends Notifier<ChatState> {
   Timer? _agentTapLockTimer;
   bool _loadingConversation = false;
   int _generation = 0;
+  final Set<String> _confirmingMessageIds = <String>{};
 
   /// 重置整个会话：取消正在进行的 SSE，清空消息和会话 ID。
   /// 历史记录页一键清空 / 删除当前会话时调用。
@@ -117,20 +119,23 @@ class ChatNotifier extends Notifier<ChatState> {
 
   /// 不可变消息操作方法（供 chat_messages_view 新版代码调用）
   Future<String?> confirmMessage(String id) async {
+    if (!_confirmingMessageIds.add(id)) return null;
     final msgs = state.messages.toList();
     final i = msgs.indexWhere((m) => m.id == id);
-    if (i < 0) return '确认卡片不存在';
-    if (msgs[i].isReadOnly) return '历史记录中的录入卡片仅供查看';
-
-    final rawIds = msgs[i].metadata?['confirmationIds'];
-    final confirmationIds = rawIds is List
-        ? rawIds.map((e) => e.toString()).where((e) => e.isNotEmpty).toList()
-        : <String>[];
-    if (confirmationIds.isEmpty) {
-      return '确认信息已失效，请重新发送需要录入的内容';
-    }
-
     try {
+      if (i < 0) return '确认卡片不存在';
+      if (msgs[i].isReadOnly) return '历史记录中的录入卡片仅供查看';
+
+      final original = msgs[i];
+      final metadata = _cloneMetadata(original.metadata) ?? <String, dynamic>{};
+      final rawIds = metadata['confirmationIds'];
+      final confirmationIds = rawIds is List
+          ? rawIds.map((e) => e.toString()).where((e) => e.isNotEmpty).toList()
+          : <String>[];
+      if (confirmationIds.isEmpty) {
+        return '确认信息已失效，请重新发送需要录入的内容';
+      }
+
       final api = ref.read(apiClientProvider);
       for (final confirmationId in confirmationIds.toList()) {
         final response = await api.post(
@@ -141,19 +146,24 @@ class ChatNotifier extends Notifier<ChatState> {
           return body is Map ? body['message']?.toString() ?? '录入失败' : '录入失败';
         }
         confirmationIds.remove(confirmationId);
-        msgs[i].metadata?['confirmationIds'] = confirmationIds.toList();
+        metadata['confirmationIds'] = List<String>.from(confirmationIds);
+        msgs[i] = _copyMessage(original, metadata: metadata);
         state = state.copyWith(messages: msgs);
       }
-    } catch (e) {
-      return '录入失败，请检查网络后重试';
-    }
 
-    msgs[i].confirmed = true;
-    state = state.copyWith(messages: msgs);
-    ref.read(medicationDataRefreshSignalProvider.notifier).trigger();
-    ref.invalidate(latestHealthProvider);
-    ref.read(exerciseDataRefreshSignalProvider.notifier).trigger();
-    return null;
+      msgs[i] = _copyMessage(original, metadata: metadata, confirmed: true);
+      state = state.copyWith(messages: msgs);
+      ref.read(medicationDataRefreshSignalProvider.notifier).trigger();
+      ref.invalidate(latestHealthProvider);
+      ref.read(exerciseDataRefreshSignalProvider.notifier).trigger();
+      return null;
+    } on ApiException catch (e) {
+      return e.message;
+    } catch (_) {
+      return '录入失败，请检查网络后重试';
+    } finally {
+      _confirmingMessageIds.remove(id);
+    }
   }
 
   @override
@@ -280,7 +290,7 @@ class ChatNotifier extends Notifier<ChatState> {
 
     // 先显示用户消息（本地显示图片路径）
     final userMsg = ChatMessage(
-      id: '${DateTime.now().millisecondsSinceEpoch}',
+      id: '${DateTime.now().microsecondsSinceEpoch}',
       role: 'user',
       content: text.isNotEmpty ? text : '[图片]',
       createdAt: DateTime.now(),
@@ -349,7 +359,7 @@ class ChatNotifier extends Notifier<ChatState> {
     _resumeConversationFromHistory();
 
     final userMsg = ChatMessage(
-      id: '${DateTime.now().millisecondsSinceEpoch}',
+      id: '${DateTime.now().microsecondsSinceEpoch}',
       role: 'user',
       content: text.isNotEmpty ? text : '请帮我看看这份 PDF',
       createdAt: DateTime.now(),
@@ -407,7 +417,7 @@ class ChatNotifier extends Notifier<ChatState> {
     _resumeConversationFromHistory();
 
     final userMsg = ChatMessage(
-      id: '${DateTime.now().millisecondsSinceEpoch}',
+      id: '${DateTime.now().microsecondsSinceEpoch}',
       role: 'user',
       content: text,
       createdAt: DateTime.now(),
@@ -428,7 +438,7 @@ class ChatNotifier extends Notifier<ChatState> {
   }) async {
     if (generation != _generation || !state.isStreaming) return;
     final aiMsg = ChatMessage(
-      id: '${DateTime.now().millisecondsSinceEpoch}_ai',
+      id: '${DateTime.now().microsecondsSinceEpoch}_ai',
       role: 'assistant',
       content: '',
       createdAt: DateTime.now(),
@@ -563,6 +573,15 @@ class ChatNotifier extends Notifier<ChatState> {
         aiMsg.content += (j['data'] as String?) ?? '';
         state = state.copyWith(thinkingText: null);
         _update(aiMsg);
+      case 'confirmation':
+        aiMsg.type = _parseMessageType(j['type'] as String? ?? 'data_confirm');
+        aiMsg.confirmed = false;
+        if (j['metadata'] is Map) {
+          aiMsg.metadata = _cloneMetadata(
+            Map<String, dynamic>.from(j['metadata']),
+          );
+        }
+        _update(aiMsg);
       case 'notice':
         state = state.copyWith(thinkingText: j['message'] as String?);
       case 'tool_result':
@@ -620,6 +639,27 @@ class ChatNotifier extends Notifier<ChatState> {
     state = state.copyWith(messages: u);
   }
 
+  Map<String, dynamic>? _cloneMetadata(Map<String, dynamic>? metadata) {
+    if (metadata == null) return null;
+    return Map<String, dynamic>.from(jsonDecode(jsonEncode(metadata)) as Map);
+  }
+
+  ChatMessage _copyMessage(
+    ChatMessage source, {
+    Map<String, dynamic>? metadata,
+    bool? confirmed,
+  }) {
+    return ChatMessage(
+      id: source.id,
+      role: source.role,
+      content: source.content,
+      createdAt: source.createdAt,
+      type: source.type,
+      metadata: metadata ?? _cloneMetadata(source.metadata),
+      confirmed: confirmed ?? source.confirmed,
+    );
+  }
+
   void _done(ChatMessage m) {
     final u = state.messages.toList();
     final content = m.content.trim();
diff --git a/health_app/lib/services/health_service.dart b/health_app/lib/services/health_service.dart
index 8e24ef0..b9cc5e5 100644
--- a/health_app/lib/services/health_service.dart
+++ b/health_app/lib/services/health_service.dart
@@ -19,15 +19,23 @@ class UserService {
     return res.data['data'];
   }
 
-  Future<void> updateProfile({
+  Future<Map<String, dynamic>?> updateProfile({
     String? name,
     String? gender,
     String? birthDate,
+    String? avatarUrl,
   }) async {
-    await _api.put(
+    final response = await _api.put(
       '/api/user/profile',
-      data: {'name': name, 'gender': gender, 'birthDate': birthDate},
+      data: {
+        'name': name,
+        'gender': gender,
+        'birthDate': birthDate,
+        'avatarUrl': avatarUrl,
+      },
     );
+    final data = response.data['data'];
+    return data is Map ? Map<String, dynamic>.from(data) : null;
   }
 
   Future<Map<String, dynamic>?> getHealthArchive() async {
diff --git a/health_app/lib/widgets/ai_consent_gate.dart b/health_app/lib/widgets/ai_consent_gate.dart
new file mode 100644
index 0000000..4bedfbb
--- /dev/null
+++ b/health_app/lib/widgets/ai_consent_gate.dart
@@ -0,0 +1,126 @@
+import 'package:flutter/material.dart';
+import 'package:flutter_riverpod/flutter_riverpod.dart';
+
+import '../core/app_colors.dart';
+import '../core/app_design_tokens.dart';
+import '../providers/ai_consent_provider.dart';
+import '../providers/auth_provider.dart';
+import '../pages/settings/ai_consent_details_page.dart';
+
+class AiConsentGate extends ConsumerStatefulWidget {
+  final Widget child;
+  const AiConsentGate({super.key, required this.child});
+
+  @override
+  ConsumerState<AiConsentGate> createState() => _AiConsentGateState();
+}
+
+class _AiConsentGateState extends ConsumerState<AiConsentGate> {
+  String? _loadedUserId;
+
+  @override
+  Widget build(BuildContext context) {
+    final user = ref.watch(authProvider).user;
+    if (user == null || user.id.isEmpty) return widget.child;
+
+    if (_loadedUserId != user.id) {
+      _loadedUserId = user.id;
+      Future<void>.microtask(
+        () => ref.read(aiConsentProvider.notifier).load(user.id),
+      );
+    }
+
+    final consent = ref.watch(aiConsentProvider);
+    if (consent.userId != user.id || consent.isLoading) {
+      return const Scaffold(backgroundColor: Colors.white);
+    }
+    if (consent.granted) return widget.child;
+
+    return Scaffold(
+      backgroundColor: AppColors.background,
+      body: Center(
+        child: Padding(
+          padding: const EdgeInsets.all(24),
+          child: _ConsentCard(userId: user.id),
+        ),
+      ),
+    );
+  }
+}
+
+class _ConsentCard extends ConsumerWidget {
+  final String userId;
+  const _ConsentCard({required this.userId});
+
+  Future<void> _grant(BuildContext context, WidgetRef ref) async {
+    await ref.read(aiConsentProvider.notifier).grant(userId);
+  }
+
+  Future<void> _decline(BuildContext context, WidgetRef ref) async {
+    await ref.read(authProvider.notifier).logout();
+  }
+
+  @override
+  Widget build(BuildContext context, WidgetRef ref) {
+    return Card(
+      elevation: 0,
+      color: Colors.white,
+      shape: RoundedRectangleBorder(borderRadius: AppRadius.xlBorder),
+      child: Padding(
+        padding: const EdgeInsets.fromLTRB(22, 24, 22, 20),
+        child: Column(
+          mainAxisSize: MainAxisSize.min,
+          crossAxisAlignment: CrossAxisAlignment.stretch,
+          children: [
+            const Icon(Icons.auto_awesome, size: 40, color: AppColors.primary),
+            const SizedBox(height: 14),
+            const Text(
+              'AI 健康服务授权',
+              textAlign: TextAlign.center,
+              style: TextStyle(fontSize: 21, fontWeight: FontWeight.w700),
+            ),
+            const SizedBox(height: 14),
+            const Text(
+              '小脉健康的核心功能使用第三方 AI 服务。经你同意后，你主动输入的健康信息、对话内容、图片和报告可能会发送给相关 AI 服务，用于健康记录、饮食识别、报告整理和 AI 回复。',
+              style: TextStyle(
+                fontSize: 15,
+                height: 1.6,
+                color: AppColors.textSecondary,
+              ),
+            ),
+            const SizedBox(height: 10),
+            const Text(
+              'AI 生成内容仅供健康管理参考，不能替代医生诊断或治疗。',
+              style: TextStyle(
+                fontSize: 14,
+                height: 1.5,
+                color: AppColors.textSecondary,
+              ),
+            ),
+            const SizedBox(height: 10),
+            TextButton(
+              onPressed: () {
+                Navigator.of(context).push(
+                  MaterialPageRoute<void>(
+                    builder: (_) => const AiConsentDetailsPage(),
+                  ),
+                );
+              },
+              child: const Text('查看《AI 数据处理说明》'),
+            ),
+            const SizedBox(height: 8),
+            FilledButton(
+              onPressed: () => _grant(context, ref),
+              child: const Text('同意并继续'),
+            ),
+            const SizedBox(height: 8),
+            OutlinedButton(
+              onPressed: () => _decline(context, ref),
+              child: const Text('不同意并退出'),
+            ),
+          ],
+        ),
+      ),
+    );
+  }
+}
diff --git a/health_app/lib/widgets/authenticated_network_image.dart b/health_app/lib/widgets/authenticated_network_image.dart
index 73c0e2d..b331adf 100644
--- a/health_app/lib/widgets/authenticated_network_image.dart
+++ b/health_app/lib/widgets/authenticated_network_image.dart
@@ -7,6 +7,9 @@ import 'package:flutter_riverpod/flutter_riverpod.dart';
 import '../core/api_client.dart' show baseUrl;
 import '../providers/auth_provider.dart';
 
+const int _maxProtectedImageCacheEntries = 32;
+final Map<String, Uint8List> _protectedImageBytesCache = {};
+
 String protectedMediaUrl(String value) {
   final trimmed = value.trim();
   if (trimmed.isEmpty) return trimmed;
@@ -58,6 +61,7 @@ class _AuthenticatedNetworkImageState
     extends ConsumerState<AuthenticatedNetworkImage> {
   late String _resolvedUrl;
   Future<Uint8List>? _bytes;
+  Uint8List? _cachedBytes;
 
   @override
   void initState() {
@@ -73,11 +77,21 @@ class _AuthenticatedNetworkImageState
 
   void _configure() {
     _resolvedUrl = protectedMediaUrl(widget.imageUrl);
-    _bytes = mediaRequiresAuthentication(_resolvedUrl)
-        ? _loadProtectedBytes(_resolvedUrl)
+    _cachedBytes = _protectedImageBytesCache[_resolvedUrl];
+    _bytes = mediaRequiresAuthentication(_resolvedUrl) && _cachedBytes == null
+        ? _loadAndCacheProtectedBytes(_resolvedUrl)
         : null;
   }
 
+  Future<Uint8List> _loadAndCacheProtectedBytes(String url) async {
+    final data = await _loadProtectedBytes(url);
+    if (_protectedImageBytesCache.length >= _maxProtectedImageCacheEntries) {
+      _protectedImageBytesCache.remove(_protectedImageBytesCache.keys.first);
+    }
+    _protectedImageBytesCache[url] = data;
+    return data;
+  }
+
   Future<Uint8List> _loadProtectedBytes(String url) async {
     final response = await ref
         .read(apiClientProvider)
@@ -91,6 +105,18 @@ class _AuthenticatedNetworkImageState
 
   @override
   Widget build(BuildContext context) {
+    final cachedBytes = _cachedBytes;
+    if (cachedBytes != null) {
+      return Image.memory(
+        cachedBytes,
+        fit: widget.fit,
+        width: widget.width,
+        height: widget.height,
+        gaplessPlayback: true,
+        errorBuilder: widget.errorBuilder,
+      );
+    }
+
     final bytes = _bytes;
     if (bytes == null) {
       return Image.network(
@@ -98,6 +124,7 @@ class _AuthenticatedNetworkImageState
         fit: widget.fit,
         width: widget.width,
         height: widget.height,
+        gaplessPlayback: true,
         loadingBuilder: widget.loadingBuilder,
         errorBuilder: widget.errorBuilder,
       );
@@ -123,6 +150,7 @@ class _AuthenticatedNetworkImageState
           fit: widget.fit,
           width: widget.width,
           height: widget.height,
+          gaplessPlayback: true,
           errorBuilder: widget.errorBuilder,
         );
       },
diff --git a/health_app/lib/widgets/doctor_drawer.dart b/health_app/lib/widgets/doctor_drawer.dart
index 10d4cd2..bd5c6d0 100644
--- a/health_app/lib/widgets/doctor_drawer.dart
+++ b/health_app/lib/widgets/doctor_drawer.dart
@@ -1,6 +1,7 @@
 import 'package:flutter/material.dart';
 import 'package:flutter_riverpod/flutter_riverpod.dart';
 import '../core/app_colors.dart';
+import '../core/app_module_visuals.dart';
 import '../core/navigation_provider.dart';
 import '../providers/auth_provider.dart';
 import '../pages/doctor/doctor_home_page.dart' show doctorPageProvider;
@@ -64,7 +65,7 @@ class DoctorDrawer extends ConsumerWidget {
                     ),
                   ),
                   _DrawerItem(
-                    icon: Icons.description_outlined,
+                    icon: AppModuleVisuals.report.icon,
                     label: '报告审核',
                     selected: currentPage == 'reports',
                     onTap: () => runAfterDrawerClose(
@@ -73,7 +74,7 @@ class DoctorDrawer extends ConsumerWidget {
                     ),
                   ),
                   _DrawerItem(
-                    icon: Icons.event_note_outlined,
+                    icon: AppModuleVisuals.followup.icon,
                     label: '复查随访',
                     selected: currentPage == 'followups',
                     onTap: () => runAfterDrawerClose(
diff --git a/health_app/lib/widgets/health_drawer.dart b/health_app/lib/widgets/health_drawer.dart
index a76df5b..adb377e 100644
--- a/health_app/lib/widgets/health_drawer.dart
+++ b/health_app/lib/widgets/health_drawer.dart
@@ -1,4 +1,5 @@
-import 'dart:io';
+import 'dart:ui' as ui;
+
 import 'package:flutter/material.dart';
 import 'package:flutter_riverpod/flutter_riverpod.dart';
 import 'package:shadcn_ui/shadcn_ui.dart';
@@ -11,6 +12,7 @@ import '../providers/auth_provider.dart';
 import '../providers/chat_provider.dart';
 import '../providers/conversation_history_provider.dart';
 import 'app_toast.dart';
+import 'authenticated_network_image.dart';
 import '../providers/data_providers.dart';
 import 'drawer_shell.dart';
 
@@ -137,9 +139,7 @@ class _AccountHeader extends StatelessWidget {
             width: 66,
             height: 66,
             decoration: BoxDecoration(
-              color: Colors.white,
               shape: BoxShape.circle,
-              border: Border.all(color: Colors.white, width: 2),
               boxShadow: [
                 BoxShadow(
                   color: const Color(0xFF7C5CFF).withValues(alpha: 0.16),
@@ -148,10 +148,33 @@ class _AccountHeader extends StatelessWidget {
                 ),
               ],
             ),
-            child: const Icon(
-              Icons.person_rounded,
-              color: Color(0xFF94A3B8),
-              size: 34,
+            child: Stack(
+              fit: StackFit.expand,
+              children: [
+                ClipOval(
+                  clipBehavior: Clip.antiAlias,
+                  child: ColoredBox(
+                    color: const Color(0xFFF1F5F9),
+                    child: user?.avatarUrl?.toString().isNotEmpty == true
+                        ? AuthenticatedNetworkImage(
+                            imageUrl: user.avatarUrl.toString(),
+                            fit: BoxFit.cover,
+                            width: 66,
+                            height: 66,
+                            errorBuilder: (_, _, _) => const Icon(
+                              Icons.person_rounded,
+                              color: Color(0xFF94A3B8),
+                              size: 34,
+                            ),
+                          )
+                        : const Icon(
+                            Icons.person_rounded,
+                            color: Color(0xFF94A3B8),
+                            size: 34,
+                          ),
+                  ),
+                ),
+              ],
             ),
           ),
         ),
@@ -209,11 +232,6 @@ class _HealthDashboard extends StatelessWidget {
   Widget build(BuildContext context) {
     return _Panel(
       title: '健康仪表盘',
-      trailing: _TextAction(
-        label: '详情',
-        light: true,
-        onTap: () => pushRoute(ref, 'trend'),
-      ),
       titleColor: Colors.white,
       backgroundPainter: const _HealthDashboardBackgroundPainter(),
       child: latestHealth.when(
@@ -310,55 +328,82 @@ class _MetricTile extends StatelessWidget {
   @override
   Widget build(BuildContext context) {
     final elderMode = ElderModeScope.enabledOf(context);
-    return InkWell(
-      onTap: onTap,
+    final height = elderMode ? 112.0 : 100.0;
+    return ClipRRect(
       borderRadius: BorderRadius.circular(18),
-      child: Container(
-        height: elderMode ? 112 : 100,
-        padding: const EdgeInsets.symmetric(horizontal: 5, vertical: 10),
-        decoration: BoxDecoration(
-          color: Colors.white.withValues(alpha: 0.22),
-          borderRadius: BorderRadius.circular(18),
-          border: Border.all(color: Colors.white.withValues(alpha: 0.40)),
-        ),
-        child: Column(
-          mainAxisAlignment: MainAxisAlignment.center,
-          children: [
-            SizedBox(
-              height: 32,
-              child: FittedBox(
-                fit: BoxFit.scaleDown,
-                child: Text(
-                  info.value,
-                  maxLines: 1,
-                  textAlign: TextAlign.center,
-                  style: const TextStyle(
-                    fontSize: 26,
-                    fontWeight: FontWeight.w700,
-                    color: Colors.white,
+      child: BackdropFilter(
+        filter: ui.ImageFilter.blur(sigmaX: 10, sigmaY: 10),
+        child: Material(
+          color: Colors.transparent,
+          child: InkWell(
+            onTap: onTap,
+            child: Container(
+              height: height,
+              padding: const EdgeInsets.symmetric(horizontal: 2, vertical: 7),
+              decoration: BoxDecoration(
+                gradient: LinearGradient(
+                  begin: Alignment.topLeft,
+                  end: Alignment.bottomRight,
+                  colors: [
+                    Colors.white.withValues(alpha: 0.62),
+                    Colors.white.withValues(alpha: 0.42),
+                    const Color(0xFFD9FCFF).withValues(alpha: 0.34),
+                  ],
+                ),
+                borderRadius: BorderRadius.circular(18),
+                border: Border.all(
+                  color: Colors.white.withValues(alpha: 0.82),
+                  width: 1.2,
+                ),
+                boxShadow: [
+                  BoxShadow(
+                    color: const Color(0xFF0369A1).withValues(alpha: 0.10),
+                    blurRadius: 10,
+                    offset: const Offset(0, 4),
                   ),
-                ),
+                ],
+              ),
+              child: Column(
+                mainAxisAlignment: MainAxisAlignment.center,
+                children: [
+                  SizedBox(
+                    height: 32,
+                    child: FittedBox(
+                      fit: BoxFit.scaleDown,
+                      child: Text(
+                        info.value,
+                        maxLines: 1,
+                        textAlign: TextAlign.center,
+                        style: const TextStyle(
+                          fontSize: 23,
+                          fontWeight: FontWeight.w800,
+                          color: Colors.white,
+                        ),
+                      ),
+                    ),
+                  ),
+                  if (info.unit != null)
+                    Text(
+                      info.unit!,
+                      style: const TextStyle(
+                        fontSize: 13,
+                        fontWeight: FontWeight.w600,
+                        color: Color(0xE8FFFFFF),
+                      ),
+                    ),
+                  const SizedBox(height: 2),
+                  Text(
+                    info.label,
+                    style: const TextStyle(
+                      fontSize: 14,
+                      fontWeight: FontWeight.w700,
+                      color: Colors.white,
+                    ),
+                  ),
+                ],
               ),
             ),
-            if (info.unit != null)
-              Text(
-                info.unit!,
-                style: const TextStyle(
-                  fontSize: 12,
-                  fontWeight: FontWeight.w600,
-                  color: Color(0xE0FFFFFF),
-                ),
-              ),
-            const SizedBox(height: 2),
-            Text(
-              info.label,
-              style: const TextStyle(
-                fontSize: 14,
-                fontWeight: FontWeight.w600,
-                color: Colors.white,
-              ),
-            ),
-          ],
+          ),
         ),
       ),
     );
@@ -372,7 +417,7 @@ class _NavigationSection extends StatelessWidget {
   @override
   Widget build(BuildContext context) {
     final elderMode = ElderModeScope.enabledOf(context);
-    final allItems = <_NavItem>[
+    final items = [
       _NavItem(
         icon: LucideIcons.folderHeart,
         title: '档案',
@@ -422,9 +467,6 @@ class _NavigationSection extends StatelessWidget {
         colors: AppColors.deviceGradient.colors,
       ),
     ];
-    final items = Platform.isIOS
-        ? allItems.where((item) => item.route != 'devices').toList()
-        : allItems;
 
     return _LightSection(
       title: '常用功能',
@@ -631,13 +673,11 @@ class _LightSection extends StatelessWidget {
 class _Panel extends StatelessWidget {
   final String title;
   final Widget child;
-  final Widget? trailing;
   final CustomPainter? backgroundPainter;
   final Color titleColor;
   const _Panel({
     required this.title,
     required this.child,
-    this.trailing,
     this.backgroundPainter,
     this.titleColor = AppColors.textPrimary,
   });
@@ -680,7 +720,6 @@ class _Panel extends StatelessWidget {
                       ),
                     ),
                   ),
-                  ?trailing,
                 ],
               ),
               const SizedBox(height: 12),
@@ -703,54 +742,49 @@ class _HealthDashboardBackgroundPainter extends CustomPainter {
       ..shader = const LinearGradient(
         begin: Alignment.topLeft,
         end: Alignment.bottomRight,
-        colors: [Color(0xFF00C6FB), Color(0xFF005BEA)],
+        colors: [Color(0xFF4FACFE), Color(0xFF00F2FE)],
       ).createShader(rect);
     canvas.drawRect(rect, paint);
+
+    final glow = Paint()
+      ..shader =
+          RadialGradient(
+            colors: [
+              Colors.white.withValues(alpha: 0.32),
+              Colors.white.withValues(alpha: 0),
+            ],
+          ).createShader(
+            Rect.fromCircle(
+              center: Offset(size.width * 0.12, size.height * 0.05),
+              radius: size.width * 0.7,
+            ),
+          );
+    canvas.drawCircle(
+      Offset(size.width * 0.12, size.height * 0.05),
+      size.width * 0.7,
+      glow,
+    );
+
+    final highlight = Paint()
+      ..color = Colors.white.withValues(alpha: 0.20)
+      ..style = PaintingStyle.stroke
+      ..strokeWidth = 1.2;
+    canvas.drawLine(
+      Offset(size.width * 0.52, -12),
+      Offset(size.width * 0.16, size.height + 18),
+      highlight,
+    );
+    canvas.drawLine(
+      Offset(size.width * 0.96, -10),
+      Offset(size.width * 0.58, size.height + 22),
+      highlight,
+    );
   }
 
   @override
   bool shouldRepaint(_HealthDashboardBackgroundPainter oldDelegate) => false;
 }
 
-class _TextAction extends StatelessWidget {
-  final String label;
-  final VoidCallback onTap;
-  final bool light;
-  const _TextAction({
-    required this.label,
-    required this.onTap,
-    this.light = false,
-  });
-
-  @override
-  Widget build(BuildContext context) {
-    return InkWell(
-      onTap: onTap,
-      borderRadius: BorderRadius.circular(999),
-      child: Container(
-        padding: const EdgeInsets.symmetric(horizontal: 11, vertical: 6),
-        decoration: BoxDecoration(
-          color: light
-              ? Colors.white.withValues(alpha: 0.24)
-              : const Color(0xFFEDE9FE),
-          borderRadius: BorderRadius.circular(999),
-          border: light
-              ? Border.all(color: Colors.white.withValues(alpha: 0.34))
-              : null,
-        ),
-        child: Text(
-          label,
-          style: TextStyle(
-            fontSize: 12,
-            fontWeight: FontWeight.w700,
-            color: light ? Colors.white : Color(0xFF6D28D9),
-          ),
-        ),
-      ),
-    );
-  }
-}
-
 class _IconButton extends StatelessWidget {
   final IconData icon;
   final VoidCallback onTap;
diff --git a/health_app/pubspec.lock b/health_app/pubspec.lock
index 0d17705..545eaa0 100644
--- a/health_app/pubspec.lock
+++ b/health_app/pubspec.lock
@@ -53,10 +53,10 @@ packages:
     dependency: transitive
     description:
       name: characters
-      sha256: faf38497bda5ead2a8c7615f4f7939df04333478bf32e4173fcb06d428b5716b
+      sha256: f71061c654a3380576a52b451dd5532377954cf9dbd272a78fc8479606670803
       url: "https://pub.dev"
     source: hosted
-    version: "1.4.1"
+    version: "1.4.0"
   cli_config:
     dependency: transitive
     description:
@@ -561,18 +561,18 @@ packages:
     dependency: transitive
     description:
       name: matcher
-      sha256: dc0b7dc7651697ea4ff3e69ef44b0407ea32c487a39fff6a4004fa585e901861
+      sha256: dc58c723c3c24bf8d3e2d3ad3f2f9d7bd9cf43ec6feaa64181775e60190153f2
       url: "https://pub.dev"
     source: hosted
-    version: "0.12.19"
+    version: "0.12.17"
   material_color_utilities:
     dependency: transitive
     description:
       name: material_color_utilities
-      sha256: "9c337007e82b1889149c82ed242ed1cb24a66044e30979c44912381e9be4c48b"
+      sha256: f7142bb1154231d7ea5f96bc7bde4bda2a0945d2806bb11670e30b850d56bdec
       url: "https://pub.dev"
     source: hosted
-    version: "0.13.0"
+    version: "0.11.1"
   message_pack_dart:
     dependency: transitive
     description:
@@ -585,10 +585,10 @@ packages:
     dependency: transitive
     description:
       name: meta
-      sha256: "1741988757a65eb6b36abe716829688cf01910bbf91c34354ff7ec1c3de2b349"
+      sha256: "23f08335362185a5ea2ad3a4e597f1375e78bce8a040df5c600c8d3552ef2394"
       url: "https://pub.dev"
     source: hosted
-    version: "1.18.0"
+    version: "1.17.0"
   mime:
     dependency: transitive
     description:
@@ -1038,26 +1038,26 @@ packages:
     dependency: transitive
     description:
       name: test
-      sha256: "8d9ceddbab833f180fbefed08afa76d7c03513dfdba87ffcec2718b02bbcbf20"
+      sha256: "75906bf273541b676716d1ca7627a17e4c4070a3a16272b7a3dc7da3b9f3f6b7"
       url: "https://pub.dev"
     source: hosted
-    version: "1.31.0"
+    version: "1.26.3"
   test_api:
     dependency: transitive
     description:
       name: test_api
-      sha256: "949a932224383300f01be9221c39180316445ecb8e7547f70a41a35bf421fb9e"
+      sha256: ab2726c1a94d3176a45960b6234466ec367179b87dd74f1611adb1f3b5fb9d55
       url: "https://pub.dev"
     source: hosted
-    version: "0.7.11"
+    version: "0.7.7"
   test_core:
     dependency: transitive
     description:
       name: test_core
-      sha256: "1991d4cfe85d5043241acac92962c3977c8d2f2add1ee73130c7b286417d1d34"
+      sha256: "0cc24b5ff94b38d2ae73e1eb43cc302b77964fbf67abad1e296025b78deb53d0"
       url: "https://pub.dev"
     source: hosted
-    version: "0.6.17"
+    version: "0.6.12"
   theme_extensions_builder_annotation:
     dependency: transitive
     description:
diff --git a/start-dev.bat b/start-dev.bat
index 17e1aac..40dd3b3 100644
--- a/start-dev.bat
+++ b/start-dev.bat
@@ -3,6 +3,7 @@ chcp 65001 >nul
 title HealthManager
 
 set "PATH=D:\PostgreSQL\18\pgsql\bin;D:\Android\platform-tools;%PATH%"
+set "PROJECT_ROOT=%~dp0"
 
 echo ========================================
 echo   HealthManager - Start Services
@@ -15,7 +16,7 @@ if errorlevel 1 (echo   PG already running) else (echo   PG started)
 echo.
 
 echo [2/2] Starting .NET Backend...
-start "Backend" cmd /k "cd /d D:\health_project\backend\src\Health.WebApi && dotnet run"
+start "Backend" cmd /k "cd /d %PROJECT_ROOT%backend\src\Health.WebApi && dotnet run"
 echo   Waiting for backend readiness...
 set /a BACKEND_WAIT_SECONDS=0