diff --git a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
index 0f5c84c..993ec3d 100644
--- a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
+++ b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
@@ -106,6 +106,7 @@ public class PatientController {
         log.info(patient);
         log.info(pcase);
 
+        Map param=new HashMap();
 
         for (int i = 0; i < iArr.length; i++) {
             LymsIllness ness=new LymsIllness();
@@ -113,6 +114,13 @@ public class PatientController {
             ness.setPcid(pcase.getPcid());
             ness.setIid(Integer.parseInt(iArr[i]));
             ness.setCreatedtime(new Date());
+            param.clear();
+            param.put("pcid",pcase.getPcid());
+            param.put("iid",iArr[i]);
+            List<LymsIllness> iLst=lymsIllnessService.listByMap(param);
+            if(iLst.size()>0){
+                ness.setId(iLst.get(0).getId());
+            }
             f=lymsIllnessService.saveOrUpdate(ness);
             log.info(ness);
         }