diff --git a/backend/.env.example b/backend/.env.example
deleted file mode 100644
index 762447b..0000000
--- a/backend/.env.example
+++ /dev/null
@@ -1,15 +0,0 @@
-# PostgreSQL
-ConnectionStrings__Default=Host=localhost;Port=5432;Database=health_manager;Username=postgres;Password=your_password
-
-# JWT
-Jwt__Secret=your-jwt-secret-change-me
-Jwt__Issuer=HealthManager
-Jwt__Audience=HealthManagerApp
-
-# Redis (reserved)
-Redis__Connection=localhost:6379
-
-# MinIO (reserved)
-MinIO__Endpoint=localhost:9000
-MinIO__AccessKey=minioadmin
-MinIO__SecretKey=minioadmin
diff --git a/backend/src/HealthManager.WebApi/Controllers/AuthController.cs b/backend/src/HealthManager.WebApi/Controllers/AuthController.cs
index bb3ef7b..2160190 100644
--- a/backend/src/HealthManager.WebApi/Controllers/AuthController.cs
+++ b/backend/src/HealthManager.WebApi/Controllers/AuthController.cs
@@ -5,6 +5,7 @@ using HealthManager.Application.Services;
 using HealthManager.Domain.Entities;
 using Microsoft.AspNetCore.Authorization;
 using Microsoft.AspNetCore.Mvc;
+using Microsoft.EntityFrameworkCore;
 
 namespace HealthManager.WebApi.Controllers;
 
diff --git a/backend/src/HealthManager.WebApi/Controllers/MedicationController.cs b/backend/src/HealthManager.WebApi/Controllers/MedicationController.cs
index a926e39..cd51041 100644
--- a/backend/src/HealthManager.WebApi/Controllers/MedicationController.cs
+++ b/backend/src/HealthManager.WebApi/Controllers/MedicationController.cs
@@ -71,7 +71,6 @@ public class MedicationController(MedicationService medicationService) : Control
         var rate = await medicationService.GetAdherenceRateAsync(id);
         return Ok(new { medicationId = id, rate });
     }
-}
 
     [HttpPut("{id:guid}")]
     public async Task<IActionResult> UpdateMedication(Guid id, [FromBody] MedicationUpdateRequest request)
diff --git a/backend/src/HealthManager.WebApi/Program.cs b/backend/src/HealthManager.WebApi/Program.cs
index a10573f..809c627 100644
--- a/backend/src/HealthManager.WebApi/Program.cs
+++ b/backend/src/HealthManager.WebApi/Program.cs
@@ -9,24 +9,6 @@ using Microsoft.EntityFrameworkCore;
 using Microsoft.IdentityModel.Tokens;
 using Swashbuckle.AspNetCore.SwaggerGen;
 
-// Load .env file into environment variables
-var envPath = Path.Combine(Directory.GetCurrentDirectory(), "..", "..", "..", "..", ".env");
-if (File.Exists(envPath))
-{
-    foreach (var line in File.ReadAllLines(envPath))
-    {
-        var trimmed = line.Trim();
-        if (string.IsNullOrEmpty(trimmed) || trimmed.StartsWith('#')) continue;
-        var eq = trimmed.IndexOf('=');
-        if (eq > 0)
-        {
-            var key = trimmed[..eq].Trim();
-            var value = trimmed[(eq + 1)..].Trim();
-            Environment.SetEnvironmentVariable(key, value);
-        }
-    }
-}
-
 var builder = WebApplication.CreateBuilder(args);
 
 // Database
diff --git a/backend/src/HealthManager.WebApi/appsettings.json b/backend/src/HealthManager.WebApi/appsettings.json
index ab6f4c3..8118304 100644
--- a/backend/src/HealthManager.WebApi/appsettings.json
+++ b/backend/src/HealthManager.WebApi/appsettings.json
@@ -7,19 +7,19 @@
   },
   "AllowedHosts": "*",
   "ConnectionStrings": {
-    "Default": ""
+    "Default": "Host=localhost;Port=5432;Database=health_manager;Username=postgres;Password=postgres123"
   },
   "Jwt": {
-    "Secret": "",
+    "Secret": "health-manager-jwt-secret-key-2026-super-secure-long-enough!",
     "Issuer": "HealthManager",
     "Audience": "HealthManagerApp"
   },
   "Redis": {
-    "Connection": ""
+    "Connection": "localhost:6379"
   },
   "MinIO": {
-    "Endpoint": "",
-    "AccessKey": "",
-    "SecretKey": ""
+    "Endpoint": "localhost:9000",
+    "AccessKey": "minioadmin",
+    "SecretKey": "minioadmin"
   }
 }
diff --git a/frontend-doctor/src/pages/consultations/ChatPage.tsx b/frontend-doctor/src/pages/consultations/ChatPage.tsx
index f4074bd..fe4d035 100644
--- a/frontend-doctor/src/pages/consultations/ChatPage.tsx
+++ b/frontend-doctor/src/pages/consultations/ChatPage.tsx
@@ -25,6 +25,7 @@ export function ChatPage() {
   const bottomRef = useRef<HTMLDivElement>(null);
   const connRef = useRef<HubConnection | null>(null);
 
+  // Load initial messages via HTTP
   useEffect(() => {
     if (!id) return;
     api.get<Message[]>(`/api/consultations/${id}/messages`)
@@ -32,11 +33,12 @@ export function ChatPage() {
       .catch(() => {});
   }, [id]);
 
+  // Set up SignalR connection
   useEffect(() => {
     if (!id) return;
 
     const conn = new HubConnectionBuilder()
-      .withUrl(`${import.meta.env.VITE_API_URL}/hubs/chat`, {
+      .withUrl('http://localhost:5000/hubs/chat', {
         accessTokenFactory: () => getToken(),
       })
       .withAutomaticReconnect()
@@ -44,6 +46,7 @@ export function ChatPage() {
 
     conn.on('ReceiveMessage', (msg: Message) => {
       setMessages((prev) => {
+        // Dedup — guard against reconnection replay
         if (prev.some((m) => m.id === msg.id)) return prev;
         return [...prev, msg];
       });
@@ -70,6 +73,7 @@ export function ChatPage() {
     };
   }, [id]);
 
+  // Auto-scroll on new messages
   useEffect(() => {
     bottomRef.current?.scrollIntoView({ behavior: 'smooth' });
   }, [messages]);
@@ -85,37 +89,31 @@ export function ChatPage() {
 
   return (
     <div style={{ display: 'flex', flexDirection: 'column', height: 'calc(100vh - 0px)' }}>
-      <div style={{
-        padding: '15px 24px', background: '#fff', borderBottom: '1px solid #F0F2F5',
-        fontSize: 15, fontWeight: 600, color: '#1A1D28', display: 'flex', alignItems: 'center', gap: 8,
-        boxShadow: '0 1px 4px rgba(0,0,0,0.03)',
-      }}>
+      <div style={{ padding: '14px 20px', background: '#fff', borderBottom: '1px solid #eee', fontSize: 15, fontWeight: 500, display: 'flex', alignItems: 'center', gap: 8 }}>
         在线问诊
         <span style={{
           width: 8, height: 8, borderRadius: '50%',
-          background: connected ? '#20C997' : '#C0C5D2',
+          background: connected ? '#4caf50' : '#ccc',
           display: 'inline-block',
         }} />
       </div>
 
-      <div style={{ flex: 1, overflow: 'auto', padding: 24, background: '#F5F7FB' }}>
+      <div style={{ flex: 1, overflow: 'auto', padding: 20, background: '#fafafa' }}>
         {messages.map((msg) => (
           <div key={msg.id} style={{
             display: 'flex', justifyContent: msg.senderRole === 'doctor' ? 'flex-end' : 'flex-start',
-            marginBottom: 14,
+            marginBottom: 12,
           }}>
             <div style={{
-              maxWidth: '70%', padding: '12px 16px', borderRadius: 14, fontSize: 14,
-              background: msg.senderRole === 'doctor'
-                ? 'linear-gradient(135deg, #4F6EF7 0%, #6C8AFF 100%)'
-                : '#fff',
-              color: msg.senderRole === 'doctor' ? '#fff' : '#1A1D28',
-              boxShadow: '0 2px 8px rgba(0,0,0,0.06)',
+              maxWidth: '70%', padding: '10px 14px', borderRadius: 12, fontSize: 14,
+              background: msg.senderRole === 'doctor' ? '#1976d2' : '#fff',
+              color: msg.senderRole === 'doctor' ? '#fff' : '#333',
+              boxShadow: '0 1px 3px rgba(0,0,0,0.08)',
             }}>
               <div>{msg.content}</div>
               <div style={{
-                fontSize: 10, marginTop: 6, textAlign: 'right',
-                opacity: 0.65,
+                fontSize: 10, marginTop: 4, textAlign: 'right',
+                opacity: 0.7,
               }}>
                 {msg.createdAt?.split('T')[1]?.slice(0, 5)}
               </div>
@@ -125,23 +123,14 @@ export function ChatPage() {
         <div ref={bottomRef} />
       </div>
 
-      <div style={{
-        padding: '14px 24px', background: '#fff', borderTop: '1px solid #F0F2F5',
-        display: 'flex', gap: 12, boxShadow: '0 -1px 4px rgba(0,0,0,0.03)',
-      }}>
+      <div style={{ padding: '12px 20px', background: '#fff', borderTop: '1px solid #eee', display: 'flex', gap: 12 }}>
         <input value={input} onChange={(e) => setInput(e.target.value)}
           onKeyDown={(e) => e.key === 'Enter' && handleSend()}
           placeholder="输入回复..."
-          style={{
-            flex: 1, padding: '11px 16px', border: '1.5px solid #E1E5ED', borderRadius: 24,
-            fontSize: 14, outline: 'none',
-          }}
-          onFocus={(e) => e.currentTarget.style.borderColor = '#4F6EF7'}
-          onBlur={(e) => e.currentTarget.style.borderColor = '#E1E5ED'} />
+          style={{ flex: 1, padding: '10px 14px', border: '1px solid #ddd', borderRadius: 20, fontSize: 14 }} />
         <button onClick={handleSend} style={{
-          padding: '11px 24px', background: 'linear-gradient(135deg, #4F6EF7 0%, #6C8AFF 100%)', color: '#fff',
-          border: 'none', borderRadius: 24, fontSize: 14, fontWeight: 600,
-          boxShadow: '0 4px 14px rgba(79,110,247,0.3)',
+          padding: '10px 24px', background: '#1976d2', color: '#fff',
+          border: 'none', borderRadius: 20, fontSize: 14,
         }}>
           发送
         </button>
diff --git a/frontend-doctor/src/pages/reports/ReportDetailPage.tsx b/frontend-doctor/src/pages/reports/ReportDetailPage.tsx
index 93ac094..21c71e4 100644
--- a/frontend-doctor/src/pages/reports/ReportDetailPage.tsx
+++ b/frontend-doctor/src/pages/reports/ReportDetailPage.tsx
@@ -7,7 +7,7 @@ interface RawReport {
   imageUrls: string[]; status: string; riskLevel?: string;
   summary?: string; suggestions?: string;
   patientName?: string; doctorName?: string;
-  uploadedAt: string; completedAt?: string;
+  createdAt: string; completedAt?: string;
   items?: RawItem[];
 }
 
@@ -56,54 +56,50 @@ export function ReportDetailPage() {
     finally { setSubmitting(false); }
   };
 
-  if (!report) return <div style={{ padding: 28, color: '#9BA0B4' }}>加载中...</div>;
+  if (!report) return <div style={{ padding: 24 }}>加载中...</div>;
 
   const isCompleted = report.status === 'completed';
   const riskMap: Record<string, { text: string; color: string }> = {
-    normal: { text: '正常', color: '#20C997' },
-    attention: { text: '关注', color: '#F59E0B' },
-    abnormal: { text: '异常', color: '#EF4444' },
-  };
-
-  const inputStyle: React.CSSProperties = {
-    width: '100%', padding: '10px 14px', border: '1.5px solid #E1E5ED',
-    borderRadius: 10, fontSize: 13, outline: 'none', boxSizing: 'border-box', fontFamily: 'inherit',
+    normal: { text: '正常', color: '#2e7d32' },
+    attention: { text: '关注', color: '#f57c00' },
+    abnormal: { text: '异常', color: '#c62828' },
   };
 
   return (
-    <div style={{ padding: 28 }}>
-      <Link to="/reports" style={{ fontSize: 13, color: '#4F6EF7', fontWeight: 500 }}>← 返回报告列表</Link>
+    <div style={{ padding: 24 }}>
+      <Link to="/reports" style={{ fontSize: 13, color: '#1976d2' }}>← 返回报告列表</Link>
 
-      <div style={{ background: '#fff', marginTop: 16, padding: 28, borderRadius: 16, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+      <div style={{ background: '#fff', marginTop: 16, padding: 24, borderRadius: 8, boxShadow: '0 1px 4px rgba(0,0,0,0.08)' }}>
         <div style={{ display: 'flex', justifyContent: 'space-between', alignItems: 'flex-start' }}>
           <div>
-            <h2 style={{ margin: 0, fontSize: 20, fontWeight: 700 }}>{report.title}</h2>
-            <div style={{ marginTop: 8, fontSize: 13, color: '#9BA0B4' }}>
+            <h2 style={{ margin: 0 }}>{report.title}</h2>
+            <div style={{ marginTop: 8, fontSize: 13, color: '#888' }}>
               患者：{report.patientName || '未知'} &nbsp;|&nbsp;
               分类：{categoryMap[report.category] || report.category} &nbsp;|&nbsp;
-              日期：{report.uploadedAt?.split('T')[0]}
+              日期：{report.createdAt?.split('T')[0]}
             </div>
           </div>
           <span style={{
-            padding: '6px 14px', borderRadius: 12, fontSize: 12, fontWeight: 600,
-            background: isCompleted ? '#E6F9F2' : '#FFF8E6',
-            color: isCompleted ? '#20C997' : '#F59E0B',
+            padding: '4px 12px', borderRadius: 12, fontSize: 12, fontWeight: 500,
+            background: isCompleted ? '#e8f5e9' : '#fff3e0',
+            color: isCompleted ? '#2e7d32' : '#f57c00',
           }}>
             {isCompleted ? '已完成' : '待审核'}
           </span>
         </div>
 
+        {/* 图片 */}
         {report.imageUrls && report.imageUrls.length > 0 && (
-          <div style={{ marginTop: 24 }}>
-            <h4 style={{ fontSize: 14, fontWeight: 600, marginBottom: 10, color: '#5A6072' }}>上传图片（{report.imageUrls.length}张）</h4>
+          <div style={{ marginTop: 20 }}>
+            <h4 style={{ fontSize: 14, marginBottom: 8 }}>上传图片（{report.imageUrls.length}张）</h4>
             <div style={{ display: 'flex', gap: 10, flexWrap: 'wrap' }}>
               {report.imageUrls.map((url, i) => (
                 <div key={i} onClick={() => setLightbox(url)} style={{
-                  width: 120, height: 120, borderRadius: 12, overflow: 'hidden',
-                  cursor: 'pointer', border: '2px solid #F0F2F5', background: '#F9FAFC',
+                  width: 120, height: 120, borderRadius: 8, overflow: 'hidden',
+                  cursor: 'pointer', border: '2px solid #eee', background: '#f5f5f5',
                   display: 'flex', alignItems: 'center', justifyContent: 'center',
                 }}>
-                  <img src={`${import.meta.env.VITE_API_URL}${url}`} alt={`图片${i}`}
+                  <img src={`http://localhost:5000${url}`} alt={`图片${i}`}
                     style={{ maxWidth: '100%', maxHeight: '100%', objectFit: 'cover' }}
                     onError={(e) => { (e.target as HTMLImageElement).style.display = 'none'; }} />
                 </div>
@@ -112,35 +108,37 @@ export function ReportDetailPage() {
           </div>
         )}
 
+        {/* 灯箱 */}
         {lightbox && (
           <div onClick={() => setLightbox(null)} style={{
             position: 'fixed', inset: 0, background: 'rgba(0,0,0,0.85)',
             display: 'flex', alignItems: 'center', justifyContent: 'center', zIndex: 999, cursor: 'pointer',
           }}>
-            <img src={`${import.meta.env.VITE_API_URL}${lightbox}`} alt="预览" style={{ maxWidth: '90vw', maxHeight: '90vh', borderRadius: 12 }} />
+            <img src={`http://localhost:5000${lightbox}`} alt="预览" style={{ maxWidth: '90vw', maxHeight: '90vh', borderRadius: 8 }} />
           </div>
         )}
 
+        {/* 已完成解读 */}
         {isCompleted && (
-          <div style={{ marginTop: 24, padding: 20, background: '#E6F9F2', borderRadius: 12 }}>
-            <h4 style={{ fontSize: 15, fontWeight: 600, marginBottom: 12, color: '#20C997' }}>解读结果</h4>
-            <div style={{ fontSize: 13, color: '#5A6072' }}>
-              <p style={{ margin: '6px 0' }}><strong style={{ color: '#1A1D28' }}>风险等级：</strong>
+          <div style={{ marginTop: 20, padding: 16, background: '#e8f5e9', borderRadius: 8 }}>
+            <h4 style={{ fontSize: 14, marginBottom: 8 }}>解读结果</h4>
+            <div style={{ fontSize: 13 }}>
+              <p><strong>风险等级：</strong>
                 <span style={{ color: riskMap[report.riskLevel || '']?.color, fontWeight: 600 }}>
                   {riskMap[report.riskLevel || '']?.text || report.riskLevel || '-'}
                 </span>
               </p>
-              <p style={{ margin: '6px 0' }}><strong style={{ color: '#1A1D28' }}>总结：</strong>{report.summary || '-'}</p>
-              {report.suggestions && <p style={{ margin: '6px 0' }}><strong style={{ color: '#1A1D28' }}>建议：</strong>{report.suggestions}</p>}
+              <p><strong>总结：</strong>{report.summary || '-'}</p>
+              {report.suggestions && <p><strong>建议：</strong>{report.suggestions}</p>}
             </div>
 
             {report.items && report.items.length > 0 && (
-              <table style={{ width: '100%', marginTop: 14, borderCollapse: 'collapse', fontSize: 12 }}>
+              <table style={{ width: '100%', marginTop: 12, borderCollapse: 'collapse', fontSize: 12 }}>
                 <thead><tr style={{ textAlign: 'left', borderBottom: '2px solid #c8e6c9' }}>
-                  <th style={{ padding: '6px 8px', color: '#5A6072' }}>检查项目</th>
-                  <th style={{ padding: '6px 8px', color: '#5A6072' }}>结果</th>
-                  <th style={{ padding: '6px 8px', color: '#5A6072' }}>参考范围</th>
-                  <th style={{ padding: '6px 8px', color: '#5A6072' }}>是否异常</th>
+                  <th style={{ padding: '6px 8px' }}>检查项目</th>
+                  <th style={{ padding: '6px 8px' }}>结果</th>
+                  <th style={{ padding: '6px 8px' }}>参考范围</th>
+                  <th style={{ padding: '6px 8px' }}>是否异常</th>
                 </tr></thead>
                 <tbody>
                   {report.items.map((item) => (
@@ -148,7 +146,7 @@ export function ReportDetailPage() {
                       <td style={{ padding: '6px 8px' }}>{item.itemName}</td>
                       <td style={{ padding: '6px 8px' }}>{item.resultValue} {item.unit || ''}</td>
                       <td style={{ padding: '6px 8px' }}>{item.referenceRange || '-'}</td>
-                      <td style={{ padding: '6px 8px', color: item.isAbnormal ? '#EF4444' : '#20C997', fontWeight: 600 }}>
+                      <td style={{ padding: '6px 8px', color: item.isAbnormal ? '#c62828' : '#2e7d32', fontWeight: 500 }}>
                         {item.isAbnormal ? '是' : '否'}
                       </td>
                     </tr>
@@ -159,66 +157,68 @@ export function ReportDetailPage() {
           </div>
         )}
 
+        {/* 解读表单 */}
         {!isCompleted && (
-          <div style={{ marginTop: 28, borderTop: '1px solid #F0F2F5', paddingTop: 24 }}>
-            <h3 style={{ fontSize: 16, fontWeight: 600, marginBottom: 18, color: '#1A1D28' }}>医生解读</h3>
+          <div style={{ marginTop: 24, borderTop: '1px solid #eee', paddingTop: 20 }}>
+            <h3 style={{ fontSize: 15, marginBottom: 16 }}>医生解读</h3>
 
-            <div style={{ marginBottom: 14 }}>
-              <label style={{ display: 'block', fontSize: 13, fontWeight: 500, color: '#5A6072', marginBottom: 5 }}>解读总结</label>
+            <div style={{ marginBottom: 12 }}>
+              <label style={{ display: 'block', fontSize: 13, fontWeight: 500, marginBottom: 4 }}>解读总结</label>
               <textarea value={summary} onChange={(e) => setSummary(e.target.value)}
                 placeholder="请输入您的专业解读总结..."
                 rows={4}
-                style={{ ...inputStyle, resize: 'vertical' }} />
+                style={{ width: '100%', padding: '10px 12px', border: '1px solid #ddd', borderRadius: 6, fontSize: 13, resize: 'vertical', fontFamily: 'inherit', boxSizing: 'border-box' }} />
             </div>
 
-            <div style={{ display: 'flex', gap: 16, marginBottom: 14 }}>
+            <div style={{ display: 'flex', gap: 16, marginBottom: 12 }}>
               <div style={{ flex: 1 }}>
-                <label style={{ display: 'block', fontSize: 13, fontWeight: 500, color: '#5A6072', marginBottom: 5 }}>风险等级</label>
-                <select value={riskLevel} onChange={(e) => setRiskLevel(e.target.value)} style={inputStyle}>
+                <label style={{ display: 'block', fontSize: 13, fontWeight: 500, marginBottom: 4 }}>风险等级</label>
+                <select value={riskLevel} onChange={(e) => setRiskLevel(e.target.value)}
+                  style={{ width: '100%', padding: '8px 12px', border: '1px solid #ddd', borderRadius: 6, fontSize: 13, fontFamily: 'inherit' }}>
                   <option value="normal">正常</option>
                   <option value="attention">需关注</option>
                   <option value="abnormal">异常</option>
                 </select>
               </div>
               <div style={{ flex: 1 }}>
-                <label style={{ display: 'block', fontSize: 13, fontWeight: 500, color: '#5A6072', marginBottom: 5 }}>医生建议</label>
+                <label style={{ display: 'block', fontSize: 13, fontWeight: 500, marginBottom: 4 }}>医生建议</label>
                 <input value={suggestions} onChange={(e) => setSuggestions(e.target.value)}
                   placeholder="如：继续当前用药方案"
-                  style={inputStyle} />
+                  style={{ width: '100%', padding: '8px 12px', border: '1px solid #ddd', borderRadius: 6, fontSize: 13, fontFamily: 'inherit', boxSizing: 'border-box' }} />
               </div>
             </div>
 
-            <div style={{ marginBottom: 14 }}>
-              <label style={{ display: 'block', fontSize: 13, fontWeight: 500, color: '#5A6072', marginBottom: 8 }}>检查项目</label>
+            <div style={{ marginBottom: 12 }}>
+              <label style={{ display: 'block', fontSize: 13, fontWeight: 500, marginBottom: 6 }}>检查项目</label>
               {items.map((item, i) => (
-                <div key={i} style={{ display: 'flex', gap: 8, marginBottom: 8, alignItems: 'center' }}>
+                <div key={i} style={{ display: 'flex', gap: 8, marginBottom: 6, alignItems: 'center' }}>
                   <input placeholder="项目名称" value={item.itemName} onChange={(e) => updateItem(i, 'itemName', e.target.value)}
-                    style={{ flex: 2, padding: '8px 12px', border: '1.5px solid #E1E5ED', borderRadius: 8, fontSize: 12, outline: 'none' }} />
+                    style={{ flex: 2, padding: '6px 10px', border: '1px solid #ddd', borderRadius: 4, fontSize: 12, fontFamily: 'inherit' }} />
                   <input placeholder="结果" value={item.resultValue} onChange={(e) => updateItem(i, 'resultValue', e.target.value)}
-                    style={{ flex: 1, padding: '8px 12px', border: '1.5px solid #E1E5ED', borderRadius: 8, fontSize: 12, outline: 'none' }} />
+                    style={{ flex: 1, padding: '6px 10px', border: '1px solid #ddd', borderRadius: 4, fontSize: 12, fontFamily: 'inherit' }} />
                   <input placeholder="单位" value={item.unit} onChange={(e) => updateItem(i, 'unit', e.target.value)}
-                    style={{ width: 70, padding: '8px 12px', border: '1.5px solid #E1E5ED', borderRadius: 8, fontSize: 12, outline: 'none' }} />
+                    style={{ width: 70, padding: '6px 10px', border: '1px solid #ddd', borderRadius: 4, fontSize: 12, fontFamily: 'inherit' }} />
                   <input placeholder="参考范围" value={item.referenceRange} onChange={(e) => updateItem(i, 'referenceRange', e.target.value)}
-                    style={{ flex: 1, padding: '8px 12px', border: '1.5px solid #E1E5ED', borderRadius: 8, fontSize: 12, outline: 'none' }} />
-                  <label style={{ fontSize: 12, whiteSpace: 'nowrap', display: 'flex', alignItems: 'center', gap: 4, color: '#5A6072' }}>
+                    style={{ flex: 1, padding: '6px 10px', border: '1px solid #ddd', borderRadius: 4, fontSize: 12, fontFamily: 'inherit' }} />
+                  <label style={{ fontSize: 12, whiteSpace: 'nowrap', display: 'flex', alignItems: 'center', gap: 3 }}>
                     <input type="checkbox" checked={item.isAbnormal} onChange={(e) => updateItem(i, 'isAbnormal', e.target.checked)} />
                     异常
                   </label>
                   <button onClick={() => removeItem(i)}
-                    style={{ background: 'none', border: 'none', color: '#EF4444', cursor: 'pointer', fontSize: 18, fontWeight: 700 }}
-                    disabled={items.length <= 1}>×</button>
+                    style={{ background: 'none', border: 'none', color: '#c62828', cursor: 'pointer', fontSize: 16 }}
+                    disabled={items.length <= 1}>✕</button>
                 </div>
               ))}
               <button onClick={addItem} style={{
-                padding: '6px 14px', border: '1.5px dashed #4F6EF7', borderRadius: 8,
-                background: 'none', color: '#4F6EF7', cursor: 'pointer', fontSize: 12, fontWeight: 500,
+                padding: '4px 12px', border: '1px dashed #1976d2', borderRadius: 4,
+                background: 'none', color: '#1976d2', cursor: 'pointer', fontSize: 12,
               }}>+ 添加项目</button>
             </div>
 
             <button onClick={handleInterpret} disabled={submitting} style={{
-              padding: '11px 32px', background: 'linear-gradient(135deg, #4F6EF7 0%, #6C8AFF 100%)', color: '#fff',
-              border: 'none', borderRadius: 10, fontSize: 14, cursor: 'pointer', fontWeight: 600,
-              opacity: submitting ? 0.7 : 1, marginTop: 8, boxShadow: '0 4px 16px rgba(79,110,247,0.25)',
+              padding: '10px 28px', background: '#1976d2', color: '#fff',
+              border: 'none', borderRadius: 6, fontSize: 14, cursor: 'pointer',
+              opacity: submitting ? 0.7 : 1, marginTop: 8,
             }}>
               {submitting ? '提交中...' : '提交解读'}
             </button>
diff --git a/frontend-doctor/src/services/api-client.ts b/frontend-doctor/src/services/api-client.ts
index b8c475f..f24f3d6 100644
--- a/frontend-doctor/src/services/api-client.ts
+++ b/frontend-doctor/src/services/api-client.ts
@@ -6,7 +6,7 @@ interface ApiResponse<T> {
   message: string;
 }
 
-const BASE_URL = import.meta.env.VITE_API_URL;
+const BASE_URL = 'http://localhost:5000';
 
 // Endpoints that should NEVER include auth token
 const PUBLIC_ENDPOINTS = ['/api/auth/login', '/api/auth/register', '/api/auth/send-sms', '/api/auth/refresh'];
diff --git a/frontend-doctor/src/vite-env.d.ts b/frontend-doctor/src/vite-env.d.ts
deleted file mode 100644
index 29c29a1..0000000
--- a/frontend-doctor/src/vite-env.d.ts
+++ /dev/null
@@ -1,9 +0,0 @@
-/// <reference types="vite/client" />
-
-interface ImportMetaEnv {
-  readonly VITE_API_URL: string;
-}
-
-interface ImportMeta {
-  readonly env: ImportMetaEnv;
-}
diff --git a/frontend-patient/src/pages/services/ChatPage.tsx b/frontend-patient/src/pages/services/ChatPage.tsx
index 2b8274a..6304496 100644
--- a/frontend-patient/src/pages/services/ChatPage.tsx
+++ b/frontend-patient/src/pages/services/ChatPage.tsx
@@ -62,7 +62,7 @@ export function ChatPage() {
 
     // Set up SignalR connection
     const conn = new HubConnectionBuilder()
-      .withUrl(`${import.meta.env.VITE_API_URL}/hubs/chat`, {
+      .withUrl('http://localhost:5000/hubs/chat', {
         accessTokenFactory: () => getToken(),
       })
       .withAutomaticReconnect()
diff --git a/frontend-patient/src/pages/services/ReportDetailPage.tsx b/frontend-patient/src/pages/services/ReportDetailPage.tsx
index 3727847..b809d2f 100644
--- a/frontend-patient/src/pages/services/ReportDetailPage.tsx
+++ b/frontend-patient/src/pages/services/ReportDetailPage.tsx
@@ -53,7 +53,7 @@ export function ReportDetailPage() {
             <div style={{ fontSize: 13, fontWeight: 500, marginBottom: 8 }}>报告图片</div>
             <div style={{ display: 'flex', gap: 8, flexWrap: 'wrap' }}>
               {report.imageUrls.map((url, i) => (
-                <img key={i} src={`${import.meta.env.VITE_API_URL}${url}`} alt="report"
+                <img key={i} src={`http://localhost:5000${url}`} alt="report"
                   style={{ width: 80, height: 80, borderRadius: 8, objectFit: 'cover', border: '1px solid #eee' }} />
               ))}
             </div>
diff --git a/frontend-patient/src/pages/services/ReportUploadPage.tsx b/frontend-patient/src/pages/services/ReportUploadPage.tsx
index 16fdee7..014f7b6 100644
--- a/frontend-patient/src/pages/services/ReportUploadPage.tsx
+++ b/frontend-patient/src/pages/services/ReportUploadPage.tsx
@@ -38,7 +38,7 @@ export function ReportUploadPage() {
         const formData = new FormData();
         formData.append('file', file);
         const token = JSON.parse(localStorage.getItem('hrt_auth') || '{}')?.state?.token;
-        const res = await fetch(`${import.meta.env.VITE_API_URL}/api/files/upload`, {
+        const res = await fetch('http://localhost:5000/api/files/upload', {
           method: 'POST',
           headers: token ? { 'Authorization': `Bearer ${token}` } : {},
           body: formData,
diff --git a/frontend-patient/src/services/api-client.ts b/frontend-patient/src/services/api-client.ts
index 6914333..8988390 100644
--- a/frontend-patient/src/services/api-client.ts
+++ b/frontend-patient/src/services/api-client.ts
@@ -9,7 +9,7 @@ interface ApiResponse<T> {
   message: string;
 }
 
-const BASE_URL = import.meta.env.VITE_API_URL;
+const BASE_URL = 'http://localhost:5000';
 
 // Endpoints that should NEVER include auth token
 const PUBLIC_ENDPOINTS = ['/api/auth/login', '/api/auth/register', '/api/auth/send-sms', '/api/auth/refresh'];
diff --git a/frontend-patient/src/vite-env.d.ts b/frontend-patient/src/vite-env.d.ts
deleted file mode 100644
index 29c29a1..0000000
--- a/frontend-patient/src/vite-env.d.ts
+++ /dev/null
@@ -1,9 +0,0 @@
-/// <reference types="vite/client" />
-
-interface ImportMetaEnv {
-  readonly VITE_API_URL: string;
-}
-
-interface ImportMeta {
-  readonly env: ImportMetaEnv;
-}