diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/diseasemanage/DiseasePhysicalManageController.java b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/diseasemanage/DiseasePhysicalManageController.java
index 0efebcd0..acb4a902 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/diseasemanage/DiseasePhysicalManageController.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/diseasemanage/DiseasePhysicalManageController.java
@@ -15,7 +15,7 @@ import java.util.List;
 
 @Api(tags = "疾病体格检查管理")
 @RestController
-@RequestMapping("diseasePhysical")
+@RequestMapping("/diseasePhysical")
 @RequiredArgsConstructor
 public class DiseasePhysicalManageController {
 
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseasePhysicalManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseasePhysicalManageServiceImpl.java
index 41063481..14d0fe05 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseasePhysicalManageServiceImpl.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseasePhysicalManageServiceImpl.java
@@ -1,14 +1,15 @@
 package com.supervision.manage.service.impl;
 
 import cn.hutool.core.bean.BeanUtil;
-import cn.hutool.core.collection.CollUtil;
 import cn.hutool.core.collection.CollectionUtil;
 import cn.hutool.core.lang.Assert;
 import cn.hutool.core.util.StrUtil;
 import com.supervision.manage.service.DiseasePhysicalManageService;
 import com.supervision.manage.service.PhysicalLocationManageService;
+import com.supervision.model.ConfigPhysicalLocation;
 import com.supervision.model.DefaultPhysicalIndicator;
 import com.supervision.model.DiseasePhysical;
+import com.supervision.service.ConfigPhysicalLocationService;
 import com.supervision.service.DefaultPhysicalIndicatorService;
 import com.supervision.service.DiseasePhysicalService;
 import com.supervision.vo.manage.DiseasePhysicalLocationNodeVo;
@@ -30,6 +31,8 @@ public class DiseasePhysicalManageServiceImpl implements DiseasePhysicalManageSe
 
     private final PhysicalLocationManageService physicalToolManageService;
 
+    private final ConfigPhysicalLocationService configPhysicalLocationService;
+
     private final DefaultPhysicalIndicatorService defaultPhysicalIndicatorService;
 
 
@@ -88,24 +91,32 @@ public class DiseasePhysicalManageServiceImpl implements DiseasePhysicalManageSe
         DiseasePhysicalLocationNodeVo bean = BeanUtil.toBean(physicalLocationNode, DiseasePhysicalLocationNodeVo.class);
 
         if (StrUtil.isEmpty(toolId)){
+            // 工具id为空，全部设置为禁用标识
+            bean.getChild().forEach(vo->vo.setFlag(true));
             return bean.getChild();
         }
-        // 2. 根据疾病id查询疾病体格检查项
-        List<DiseasePhysicalResVo> diseasePhysicalResVos = diseasePhysicalService.queryListByDiseaseId(diseaseId);
-        if (CollectionUtil.isEmpty(diseasePhysicalResVos)){
+
+        // 在体格检查配置身体位置时，只能配置一级部位，此时默认下级的部位也已经被配置。如果工具没有设置，应该子节点设置为禁用
+        List<DefaultPhysicalIndicator> defaultPhysicalIndicatorList = defaultPhysicalIndicatorService.lambdaQuery().eq(DefaultPhysicalIndicator::getItemId, toolId).list();
+        if (CollectionUtil.isEmpty(defaultPhysicalIndicatorList)){
+            // 如果未配置，所有子节点设置为禁用
+            bean.getChild().forEach(vo->vo.setFlag(true));
             return bean.getChild();
         }
 
+        // 2. 根据疾病id查询疾病体格检查项
+        List<DiseasePhysicalResVo> diseasePhysicalResVos = diseasePhysicalService.queryListByDiseaseId(diseaseId);
+        List<String> locationIds = diseasePhysicalResVos.stream().filter(vo->toolId.equals(vo.getToolId()))
+                .map(DiseasePhysical::getLocationId).filter(Objects::nonNull).distinct().collect(Collectors.toList());
+
         // 3. 填充疾病体格检查树中的flag属性
         // 3.1 检查该位置是否已经配置
         // 3.2检查工具没有配置检查位，设置禁用标识
-        List<String> locationIds = diseasePhysicalResVos.stream().filter(vo->toolId.equals(vo.getToolId()))
-                .map(DiseasePhysical::getLocationId).filter(Objects::nonNull).distinct().collect(Collectors.toList());
-        List<DefaultPhysicalIndicator> defaultPhysicalIndicatorList = defaultPhysicalIndicatorService.lambdaQuery().eq(DefaultPhysicalIndicator::getItemId, toolId).list();
-        if (CollectionUtil.isEmpty(defaultPhysicalIndicatorList)){
-            return bean.getChild();
-        }
-        // node: 现在认为一个检查项目和一个位置组成一条唯一数据
+        // 二次子集查询身体部位
+        List<String> parentIds = defaultPhysicalIndicatorList.stream().map(DefaultPhysicalIndicator::getLocationId).distinct().collect(Collectors.toList());
+        List<String> childLocationIds = configPhysicalLocationService.lambdaQuery().in(ConfigPhysicalLocation::getParentId, parentIds)
+                .list().stream().map(ConfigPhysicalLocation::getId).collect(Collectors.toList());
+        // note: 现在认为一个检查项目和一个位置组成一条唯一数据
         Map<String, DefaultPhysicalIndicator> indicatorMap = defaultPhysicalIndicatorList.stream()
                 .collect(Collectors.toMap(DefaultPhysicalIndicator::getLocationId, p -> p, (v1, v2) -> v1));
         for (DiseasePhysicalLocationNodeVo diseasePhysicalLocationNodeVo : bean.getChild()) {
@@ -116,8 +127,11 @@ public class DiseasePhysicalManageServiceImpl implements DiseasePhysicalManageSe
             }
             for (DiseasePhysicalLocationNodeVo physicalLocationNodeVo : child) {
                 String nodeId = physicalLocationNodeVo.getId();
+                // 1. 该位置是否已经配置 结果为禁用
+                // 2. 该身体部位(下级部位)配置了默认检查结果，结果为可用
                 physicalLocationNodeVo.setFlag(
-                        locationIds.contains(nodeId) || !indicatorMap.containsKey(nodeId));
+                        locationIds.contains(nodeId) ||
+                !(indicatorMap.containsKey(nodeId) || childLocationIds.contains(nodeId)));
                 if (Objects.nonNull(indicatorMap.get(nodeId))) {
                     physicalLocationNodeVo.setIndicatorValue(indicatorMap.get(nodeId).getIndicatorValue());
                 }
@@ -126,18 +140,6 @@ public class DiseasePhysicalManageServiceImpl implements DiseasePhysicalManageSe
         return bean.getChild();
     }
 
-
-    private void populateDiseasePhysicalLocationNodeFlag(DiseasePhysicalLocationNodeVo node,List<String> locationIds) {
-        if (StrUtil.isNotEmpty(node.getId())){
-            node.setFlag(locationIds.contains(node.getId()));
-        }
-        if (CollectionUtil.isNotEmpty(node.getChild())){
-            for (DiseasePhysicalLocationNodeVo childNode : node.getChild()) {
-                populateDiseasePhysicalLocationNodeFlag(childNode,locationIds);
-            }
-        }
-    }
-
     private void assertDiseasePhysical(DiseasePhysical diseasePhysical){
 
         Assert.isTrue(StrUtil.isNotEmpty(diseasePhysical.getDiseaseId()),"疾病id不能为空");