diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/MedicalRecManageController.java b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/MedicalRecManageController.java
index cb234e45..77a30a42 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/MedicalRecManageController.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/MedicalRecManageController.java
@@ -31,18 +31,23 @@ public class MedicalRecManageController {
     @ApiOperation("病历管理分页查询")
     @GetMapping("queryMedicalRecPage")
     public IPage<MedicalRecPageResVO> queryMedicalRecManagePage(@ApiParam("主诉") String selfDescKeyword,
-                                                          @ApiParam("性别") String gender,
-                                                          @ApiParam("疾病ID") String diseaseId,
-                                                          Integer pageNum, Integer pageSize) {
+                                                                @ApiParam("性别") String gender,
+                                                                @ApiParam("疾病ID") String diseaseId,
+                                                                Integer pageNum, Integer pageSize) {
         return medicalRecManageService.queryMedicalRecManagePage(selfDescKeyword, gender, diseaseId, pageNum, pageSize);
     }
 
     @ApiOperation("创建病历")
     @PostMapping("createMedicalRec")
-    public void createMedicalRec(@RequestBody MedicalRecManageVO reqVO){
-
+    public void createMedicalRec(@RequestBody MedicalRecManageVO reqVO) {
+        medicalRecManageService.createMedicalRec(reqVO);
     }
 
+    @ApiOperation("修改病历")
+    @PostMapping("modifyMedicalRec")
+    public void modifyMedicalRec(@RequestBody MedicalRecManageVO reqVO){
+
+    }
 
 
 }
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalRecManageService.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalRecManageService.java
index 8078a139..d9b05b76 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalRecManageService.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalRecManageService.java
@@ -15,4 +15,6 @@ public interface MedicalRecManageService {
     IPage<MedicalRecPageResVO> queryMedicalRecManagePage(String selfDescKeyword, String gender, String diseaseId, Integer pageNum, Integer pageSize);
 
     void createMedicalRec(MedicalRecManageVO reqVO);
+
+    void modifyMedicalRec(MedicalRecManageVO reqVO);
 }
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
index 2ddfbd1b..33a80e3e 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
@@ -7,13 +7,10 @@ import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.supervision.exception.BusinessException;
 import com.supervision.manage.pojo.vo.MedicalRecManageVO;
-import com.supervision.model.AskPatientAnswer;
-import com.supervision.model.MedicalRec;
-import com.supervision.model.Patient;
+import com.supervision.model.*;
 import com.supervision.service.AskPatientAnswerService;
 import com.supervision.vo.manage.MedicalRecPageResVO;
 import com.supervision.manage.service.MedicalRecManageService;
-import com.supervision.model.Disease;
 import com.supervision.service.DiseaseService;
 import com.supervision.service.MedicalRecService;
 import lombok.RequiredArgsConstructor;
@@ -21,7 +18,12 @@ import lombok.extern.slf4j.Slf4j;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
 
+import java.util.Collection;
 import java.util.List;
+import java.util.Map;
+import java.util.Optional;
+import java.util.function.Function;
+import java.util.stream.Collectors;
 
 @Slf4j
 @Service
@@ -70,4 +72,32 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
         }
         askPatientAnswerService.saveBatch(qaList);
     }
+
+    @Override
+    public void modifyMedicalRec(MedicalRecManageVO reqVO) {
+        // 首先修改病人
+        Patient patient = reqVO.getPatient();
+        patient.updateById();
+        // 病历不允许修改
+        MedicalRec medicalRec = Optional.ofNullable(medicalRecService.getById(reqVO.getId())).orElseThrow(() -> new BusinessException("未找到病历信息"));
+        if (!StrUtil.equals(medicalRec.getDiseaseId(), reqVO.getDiseaseId())) {
+            throw new BusinessException("修改病例时,不允许修改疾病");
+        }
+        medicalRec.updateById();
+        // 然后修改问答
+        // 首先找到数据库中的问答
+        List<AskPatientAnswer> existQAList = askPatientAnswerService.lambdaQuery().eq(AskPatientAnswer::getMedicalId, medicalRec.getId()).list();
+        Map<String, AskPatientAnswer> existQAMap = existQAList.stream().collect(Collectors.toMap(AskPatientAnswer::getId, Function.identity()));
+        for (AskPatientAnswer askPatientAnswer : reqVO.getQaList()) {
+            if (StrUtil.isNotBlank(askPatientAnswer.getId())) {
+                // 存在的移除掉
+                existQAMap.remove(askPatientAnswer.getId());
+                askPatientAnswer.updateById();
+            } else {
+                askPatientAnswer.insert();
+            }
+        }
+        // 将删除的移除
+        askPatientAnswerService.removeByIds(existQAMap.values().stream().map(AskPatientAnswer::getId).collect(Collectors.toSet()));
+    }
 }
diff --git a/virtual-patient-model/src/main/java/com/supervision/model/AskPatientAnswer.java b/virtual-patient-model/src/main/java/com/supervision/model/AskPatientAnswer.java
index e7a85634..b504d211 100644
--- a/virtual-patient-model/src/main/java/com/supervision/model/AskPatientAnswer.java
+++ b/virtual-patient-model/src/main/java/com/supervision/model/AskPatientAnswer.java
@@ -8,6 +8,7 @@ import java.io.Serializable;
 import java.time.LocalDateTime;
 import java.util.List;
 
+import com.baomidou.mybatisplus.extension.activerecord.Model;
 import com.supervision.handler.StringListTypeHandler;
 import io.swagger.annotations.ApiModelProperty;
 import lombok.Data;
@@ -18,7 +19,7 @@ import lombok.Data;
  */
 @TableName(value ="vp_ask_patient_answer",autoResultMap = true)
 @Data
-public class AskPatientAnswer implements Serializable {
+public class AskPatientAnswer extends Model<AskPatientAnswer> implements Serializable {
     /**
      * 主键
      */
diff --git a/virtual-patient-model/src/main/java/com/supervision/model/CommonDic.java b/virtual-patient-model/src/main/java/com/supervision/model/CommonDic.java
index a995e8cf..e7f2aba0 100644
--- a/virtual-patient-model/src/main/java/com/supervision/model/CommonDic.java
+++ b/virtual-patient-model/src/main/java/com/supervision/model/CommonDic.java
@@ -6,6 +6,8 @@ import com.baomidou.mybatisplus.annotation.TableId;
 import com.baomidou.mybatisplus.annotation.TableName;
 import java.io.Serializable;
 import java.util.Date;
+
+import com.baomidou.mybatisplus.extension.activerecord.Model;
 import lombok.Data;
 
 /**
@@ -14,7 +16,7 @@ import lombok.Data;
  */
 @TableName(value ="vp_common_dic")
 @Data
-public class CommonDic implements Serializable {
+public class CommonDic extends Model<CommonDic> implements Serializable {
     /**
      * 
      */
diff --git a/virtual-patient-web/src/main/java/com/supervision/pojo/paddlespeech/req/TtsReqDTO.java b/virtual-patient-web/src/main/java/com/supervision/pojo/paddlespeech/req/TtsReqDTO.java
index aac30cc4..4828c86a 100644
--- a/virtual-patient-web/src/main/java/com/supervision/pojo/paddlespeech/req/TtsReqDTO.java
+++ b/virtual-patient-web/src/main/java/com/supervision/pojo/paddlespeech/req/TtsReqDTO.java
@@ -10,13 +10,13 @@ public class TtsReqDTO {
 
     private final String text;
 
-    private  final Integer spk_id = 0;
+    private final Integer spk_id = 0;
 
-    private final  Double speed = 1.0;
+    private final Double speed = 1.0;
 
-    private final  Double volume = 1.0;
+    private final Double volume = 1.0;
 
-    private final  Integer sample_rate = 16000;
+    private final Integer sample_rate = 16000;
 
     private final String save_path = "./tts.wav";