diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseManageServiceImpl.java
index 951e211e..3385d7e8 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseManageServiceImpl.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseManageServiceImpl.java
@@ -5,6 +5,7 @@ import cn.hutool.core.collection.CollUtil;
 import cn.hutool.core.lang.Assert;
 import cn.hutool.core.util.StrUtil;
 import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.supervision.exception.BusinessException;
 import com.supervision.manage.service.*;
 import com.supervision.model.Disease;
@@ -97,21 +98,23 @@ public class DiseaseManageServiceImpl implements DiseaseManageService {
     @Override
     public IPage<? extends Disease> queryPageList(Integer pageNum, Integer pageSize, DiseaseReqVo diseaseReqVo) {
 
-        if (null == diseaseReqVo.getDiseaseType()){
-            diseaseReqVo.setDiseaseType(0);
-        }
+        Page<Disease> page = diseaseService.lambdaQuery()
+                .eq(Objects.nonNull(diseaseReqVo.getDiseaseType()), Disease::getDiseaseType, diseaseReqVo.getDiseaseType())
+                .like(StrUtil.isNotEmpty(diseaseReqVo.getDiseaseName()), Disease::getDiseaseName, diseaseReqVo.getDiseaseName())
+                .orderByDesc(Disease::getCreateTime).page(new Page<>(pageNum, pageSize));
 
-        IPage<? extends Disease> page = diseaseService.queryPageList(pageNum, pageSize, diseaseReqVo);
         if (page.getSize() == 0) {
             return page;
         }
+        // 查询已配置病例信息的疾病id
+        List<String> medicalDiseaseIds = medicalRecService.lambdaQuery()
+                .in(MedicalRec::getDiseaseId, page.getRecords().stream().map(Disease::getId).collect(Collectors.toList()))
+                .list().stream().map(MedicalRec::getDiseaseId).distinct().collect(Collectors.toList());
+
         // 根据diseaseIds查询疾病信息
         List<String> containDiseaseIds = page.getRecords().stream()
                 .filter(disease -> CollUtil.isNotEmpty(disease.getContainDiseaseIds()))
                 .flatMap(disease -> disease.getContainDiseaseIds().stream()).distinct().collect(Collectors.toList());
-        if (CollUtil.isEmpty(containDiseaseIds)) {
-            return page;
-        }
         Map<String, Disease> diseaseMap = diseaseService.listByIds(containDiseaseIds)
                 .stream().collect(Collectors.toMap(Disease::getId, disease -> disease, (v1, v2) -> v1));
 
@@ -122,6 +125,7 @@ public class DiseaseManageServiceImpl implements DiseaseManageService {
                 bean.setContainDiseaseNames(bean.getContainDiseaseIds().stream()
                         .map(diseaseMap::get).filter(Objects::nonNull).map(Disease::getDiseaseName).collect(Collectors.toList()));
             }
+            bean.setUsedMedicalRec(medicalDiseaseIds.contains(bean.getId()));
             return bean;
         });
     }