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 c9e2f7f..18db813 100644
--- a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
+++ b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
@@ -135,20 +135,28 @@ public class PatientController {
             patient.setCreatedtime(new Date());
             patient.setPpasswd(Constant.COMMON_PASSWD);
         } else {
+            //今天有这个患者疾病的病例不用添加（这里防止同一天平台重复添加病例疾病）
             QueryWrapper<LymsPcase> queryWrapper = new QueryWrapper<>();
-            queryWrapper.eq("pid", patient.getId());
+            queryWrapper.eq("pid", patient2.getId());
             Calendar calendar = Calendar.getInstance();
             calendar.setTime(new Date());
             calendar.set(Calendar.HOUR_OF_DAY, 00);//时
             calendar.set(Calendar.MINUTE, 00);//分
             calendar.set(Calendar.SECOND, 00);//秒
             queryWrapper.ge("createdtime", calendar.getTime());
-            int count = lymsPcaseService.count(queryWrapper);
-            //如果今天有这个患者病例不用添加（这里防止同一天平台重复添加）
-            if (count != 0) {
-                baseResponse.setErrorcode(1);
-                baseResponse.setErrormsg("今天已经添加过该患者病例。不要重复添加！");
-                return baseResponse;
+            List<LymsPcase> pcaseList = lymsPcaseService.list(queryWrapper);
+            for (LymsPcase lymsPcase : pcaseList) {
+                QueryWrapper<LymsIllness> illnessQueryWrapper = new QueryWrapper<>();
+                queryWrapper.eq("pcid", lymsPcase.getPcid());
+                List<String> iids=Arrays.asList(illness.split(","));
+                queryWrapper.in("iid", iids);
+                queryWrapper.ge("createdtime", calendar.getTime());
+                int count = lymsIllnessService.count(illnessQueryWrapper);
+                if (count != 0) {
+                    baseResponse.setErrorcode(1);
+                    baseResponse.setErrormsg("今天已经添加过该患者病例。不要重复添加！");
+                    return baseResponse;
+                }
             }
             patient.setId(patient2.getId());
             patient.setUpdatedtime(new Date());
diff --git a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/service/impl/LymsHisInfoServiceImpl.java b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/service/impl/LymsHisInfoServiceImpl.java
index b3d66d6..91c7919 100644
--- a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/service/impl/LymsHisInfoServiceImpl.java
+++ b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/service/impl/LymsHisInfoServiceImpl.java
@@ -146,10 +146,17 @@ public class LymsHisInfoServiceImpl extends ServiceImpl<LymsHisInfoMapper, LymsH
                 calendar.set(Calendar.MINUTE, 00);//分
                 calendar.set(Calendar.SECOND, 00);//秒
                 queryWrapper.ge("createdtime", calendar.getTime());
-                int count = lymsPcaseService.count(queryWrapper);
-                //如果今天有这个患者病例不用添加（这里防止同一天平台添加后。his有该患者病例。重复添加）
-                if (count != 0) {
-                    return null;
+                List<LymsPcase> pcaseList = lymsPcaseService.list(queryWrapper);
+                for (LymsPcase lymsPcase : pcaseList) {
+                    QueryWrapper<LymsIllness> illnessQueryWrapper = new QueryWrapper<>();
+                    queryWrapper.eq("pcid", lymsPcase.getPcid());
+                    queryWrapper.in("iid", diagnoseIds);
+                    queryWrapper.ge("createdtime", calendar.getTime());
+                    int count = lymsIllnessService.count(illnessQueryWrapper);
+                    //如果今天有这个患者病例不用添加（这里防止同一天平台添加后。his有该患者病例。重复添加）
+                    if (count != 0) {
+                        return null;
+                    }
                 }
             }
             //添加患者信息及病例