diff --git a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPhysicalServiceImpl.java b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPhysicalServiceImpl.java
index 0bd8e5ec..0f4fd70c 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPhysicalServiceImpl.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPhysicalServiceImpl.java
@@ -1,6 +1,7 @@
 package com.supervision.service.impl;
 
 import cn.hutool.core.bean.BeanUtil;
+import cn.hutool.core.collection.CollUtil;
 import cn.hutool.core.collection.CollectionUtil;
 import cn.hutool.core.util.StrUtil;
 import com.supervision.exception.BusinessException;
@@ -12,12 +13,11 @@ import com.supervision.service.*;
 import com.supervision.util.UserUtil;
 import com.supervision.vo.ask.DiagnosisPhysicalRecordVo;
 import com.supervision.vo.ask.AskPhysicalHistoryResVO;
+import com.supervision.vo.ask.DiagnosisPrimaryVO;
 import lombok.RequiredArgsConstructor;
 import org.springframework.stereotype.Service;
 
-import java.util.Comparator;
-import java.util.List;
-import java.util.Optional;
+import java.util.*;
 import java.util.concurrent.ConcurrentHashMap;
 import java.util.function.Function;
 import java.util.function.Predicate;
@@ -37,10 +37,14 @@ public class AskPhysicalServiceImpl implements AskPhysicalService {
 
     private final ProcessService processService;
 
+    private final DiagnosisPrimaryRelationService diagnosisPrimaryRelationService;
+
+    private final DiagnosisPrimaryService diagnosisPrimaryService;
+
     @Override
     public List<ConfigPhysicalToolResVO> queryPhysicalToolList() {
 
-       return toolService.queryPhysicalToolList();
+        return toolService.queryPhysicalToolList();
     }
 
     @Override
@@ -101,14 +105,29 @@ public class AskPhysicalServiceImpl implements AskPhysicalService {
 
     @Override
     public List<AskPhysicalHistoryResVO> queryAskPhysicalHistory(String processId) {
-        return diagnosisPhysicalRecordService.queryAskPhysicalHistory(processId).stream()
-                .filter(distinctPredicateNotNull(e->e.getToolId()+e.getLocationId())).collect(Collectors.toList());
-    }
-
+        List<AskPhysicalHistoryResVO> res = diagnosisPhysicalRecordService.queryAskPhysicalHistory(processId);
+        // 这里把初步诊断的疾病名称填充进去
+        List<DiagnosisPrimaryRelation> relationList = diagnosisPrimaryRelationService.lambdaQuery().eq(DiagnosisPrimaryRelation::getType, 2)
+                .eq(DiagnosisPrimaryRelation::getProcessId, processId).list();
+        Map<String, List<DiagnosisPrimaryRelation>> relationMap = relationList.stream().collect(Collectors.groupingBy(DiagnosisPrimaryRelation::getRelationId));
+
+        // 找到process对应的所有的初步诊断
+        List<DiagnosisPrimaryVO> diagnosisPrimaryVOS = diagnosisPrimaryService.queryAskPrimaryList(processId);
+        Map<String, String> diseaseNameMap = diagnosisPrimaryVOS.stream().collect(Collectors.toMap(DiagnosisPrimaryVO::getId, DiagnosisPrimaryVO::getPrimaryDiseaseName));
+        for (AskPhysicalHistoryResVO node : res) {
+            List<DiagnosisPrimaryRelation> temp = relationMap.get(node.getId());
+            List<String> diseaseNameList = new ArrayList<>();
+            if (CollUtil.isNotEmpty(temp)) {
+                for (DiagnosisPrimaryRelation relation : temp) {
+                    String diseaseName = diseaseNameMap.get(relation.getPrimaryId());
+                    diseaseNameList.add(diseaseName);
+                }
+            }
+            node.setResult(StrUtil.join(";", diseaseNameList));
+        }
 
-    public static  <K> Predicate<K> distinctPredicateNotNull(Function<K,Object> function){
-        ConcurrentHashMap<Object, Boolean> map = new ConcurrentHashMap<>();
-        return t-> null != function.apply(t) && null == map.putIfAbsent(function.apply(t), true);
+        return res;
     }
 
+
 }