diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/AskQuestionLibraryManageController.java b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/AskQuestionLibraryManageController.java
index b6abe44a..6d92c23f 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/AskQuestionLibraryManageController.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/AskQuestionLibraryManageController.java
@@ -2,14 +2,12 @@ package com.supervision.manage.controller;
 
 
 import com.supervision.manage.service.AskQuestionLibraryManageService;
-import com.supervision.model.DiseaseAncillary;
 import com.supervision.vo.manage.AskQuestionLibraryReqVo;
 import com.supervision.vo.manage.AskQuestionLibraryResVo;
 import io.swagger.annotations.Api;
 import io.swagger.annotations.ApiOperation;
 import lombok.RequiredArgsConstructor;
 import org.springframework.web.bind.annotation.PostMapping;
-import org.springframework.web.bind.annotation.RequestBody;
 import org.springframework.web.bind.annotation.RequestMapping;
 import org.springframework.web.bind.annotation.RestController;
 
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/ConfigTreatmentPlanManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/ConfigTreatmentPlanManageServiceImpl.java
deleted file mode 100644
index fab25a00..00000000
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/ConfigTreatmentPlanManageServiceImpl.java
+++ /dev/null
@@ -1,23 +0,0 @@
-package com.supervision.manage.service;
-
-import com.supervision.model.ConfigTreatmentPlan;
-import com.supervision.vo.manage.ConfigTreatmentPlanWrapVo;
-
-import java.util.List;
-
-public class ConfigTreatmentPlanManageServiceImpl implements ConfigTreatmentPlanManageService{
-    @Override
-    public ConfigTreatmentPlanWrapVo queryTree(Integer disposalMethod) {
-        return null;
-    }
-
-    @Override
-    public List<ConfigTreatmentPlan> queryList(Integer disposalMethod) {
-        return null;
-    }
-
-    @Override
-    public ConfigTreatmentPlanWrapVo findById(String id) {
-        return null;
-    }
-}
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseAncillaryManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseAncillaryManageServiceImpl.java
index 7e8baa14..37e8a6b7 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseAncillaryManageServiceImpl.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseAncillaryManageServiceImpl.java
@@ -1,15 +1,22 @@
 package com.supervision.manage.service.impl;
 
+import cn.hutool.core.collection.CollUtil;
 import cn.hutool.core.lang.Assert;
 import cn.hutool.core.util.StrUtil;
+import com.supervision.manage.service.ConfigTreatmentPlanManageService;
 import com.supervision.manage.service.DiseaseAncillaryManageService;
+import com.supervision.model.ConfigTreatmentPlan;
 import com.supervision.model.DiseaseAncillary;
 import com.supervision.service.DiseaseAncillaryService;
+import com.supervision.vo.manage.ConfigTreatmentPlanWrapVo;
 import com.supervision.vo.manage.DiseaseAncillaryResVo;
 import lombok.RequiredArgsConstructor;
 import org.springframework.stereotype.Service;
 
+import java.util.HashMap;
 import java.util.List;
+import java.util.Objects;
+
 @Service
 @RequiredArgsConstructor
 public class DiseaseAncillaryManageServiceImpl implements DiseaseAncillaryManageService {
@@ -28,6 +35,8 @@ public class DiseaseAncillaryManageServiceImpl implements DiseaseAncillaryManage
 
         assertDiseaseAncillary(diseaseAncillary);
 
+        Assert.isFalse(checkIfPresent(diseaseAncillary),"数据已存在！");
+
         diseaseAncillaryService.save(diseaseAncillary);
 
         return diseaseAncillary;
@@ -52,6 +61,8 @@ public class DiseaseAncillaryManageServiceImpl implements DiseaseAncillaryManage
 
     private void assertDiseaseAncillary(DiseaseAncillary diseaseAncillary){
 
+        Assert.isNull(diseaseAncillary.getId(),"id不为空");
+
         Assert.isTrue(StrUtil.isNotEmpty(diseaseAncillary.getDiseaseId()),"疾病id不能为空");
 
         Assert.notNull(diseaseAncillary.getPrimarilyDiagnosisCriteriaFlag(),"初步诊断依据不能为空");
@@ -71,4 +82,36 @@ public class DiseaseAncillaryManageServiceImpl implements DiseaseAncillaryManage
         Assert.notNull(diseaseAncillary.getExpectedDiagnosisResult(),"预期诊断结果不能为空");
 
     }
+
+
+    private boolean checkIfPresent(DiseaseAncillary diseaseAncillary){
+
+        return Objects.isNull(findByDiseaseIdAndItemId(diseaseAncillary.getDiseaseId(), diseaseAncillary.getItemId()));
+    }
+
+
+    private DiseaseAncillary findByDiseaseIdAndItemId(String diseaseId,String itemId){
+        List<DiseaseAncillary> list = diseaseAncillaryService.lambdaQuery().eq(DiseaseAncillary::getDiseaseId, diseaseId).eq(DiseaseAncillary::getItemId, itemId).list();
+        if (CollUtil.isEmpty(list)){
+            return null;
+        }
+        return list.get(0);
+    }
+
+    public static class ConfigTreatmentPlanManageServiceImpl implements ConfigTreatmentPlanManageService {
+        @Override
+        public ConfigTreatmentPlanWrapVo queryTree(Integer disposalMethod) {
+            return null;
+        }
+
+        @Override
+        public List<ConfigTreatmentPlan> queryList(Integer disposalMethod) {
+            return null;
+        }
+
+        @Override
+        public ConfigTreatmentPlanWrapVo findById(String id) {
+            return null;
+        }
+    }
 }
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 2f7d3259..f8a39b15 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
@@ -1,12 +1,14 @@
 package com.supervision.manage.service.impl;
 
 import cn.hutool.core.collection.CollUtil;
+import cn.hutool.core.lang.Assert;
 import cn.hutool.core.util.StrUtil;
 import com.baomidou.mybatisplus.extension.conditions.query.LambdaQueryChainWrapper;
 import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.supervision.exception.BusinessException;
 import com.supervision.manage.service.DiseaseManageService;
 import com.supervision.model.Disease;
+import com.supervision.model.DiseaseAncillary;
 import com.supervision.service.DiseaseService;
 import com.supervision.vo.manage.DiseaseVo;
 import lombok.RequiredArgsConstructor;
@@ -22,16 +24,8 @@ public class DiseaseManageServiceImpl implements DiseaseManageService {
     @Override
     public Disease saveDisease(Disease disease) {
 
-        if (StrUtil.hasEmpty(disease.getDiseaseName(),disease.getDiseaseNameAlias(),disease.getCode())){
-            throw new BusinessException("diseaseName,diseaseNameAlias,code is not allow empty");
-        }
-        if (CollUtil.isNotEmpty(this.queryByAnyCondition(disease.getCode(),disease.getDiseaseName(),
-                disease.getDiseaseNameAlias()))){
-            throw new BusinessException("类目编码: "+disease.getCode()+",或疾病名称: "+disease.getDiseaseName()+
-                    ",或疾病分类别名: "+disease.getDiseaseNameAlias()+" 已存在");
-        }
+        assertDisease(disease);
 
-        disease.setId(null);
         disease.setStatus(0);
         diseaseService.save(disease);
 
@@ -42,9 +36,7 @@ public class DiseaseManageServiceImpl implements DiseaseManageService {
     @Override
     public boolean updateDisease(Disease disease) {
 
-        if (StrUtil.isEmpty(disease.getId())){
-            throw new BusinessException("id is not allow empty");
-        }
+        Assert.isTrue(StrUtil.isNotEmpty(disease.getId()),"id is not allow empty");
 
         return diseaseService.updateById(disease);
 
@@ -85,4 +77,21 @@ public class DiseaseManageServiceImpl implements DiseaseManageService {
         return diseaseService.lambdaQuery().eq(Disease::getCode,code).list();
     }
 
+    private void assertDisease(Disease disease){
+
+        Assert.isNull(disease.getId(),"id 不为空");
+
+        Assert.isTrue(StrUtil.isNotEmpty(disease.getDiseaseName()),"疾病名称不能为空");
+
+        Assert.isTrue(StrUtil.isNotEmpty(disease.getDiseaseNameAlias()),"疾病别名不能为空");
+
+        Assert.isTrue(StrUtil.isNotEmpty(disease.getCode()),"疾病编码不能为空");
+
+        List<Disease> diseases = this.queryByAnyCondition(disease.getCode(), disease.getDiseaseName(), disease.getDiseaseNameAlias());
+        Assert.isTrue(CollUtil.isEmpty(diseases),"类目编码: {},或疾病名称: {},或疾病分类别名: {} 已存在",
+                disease.getCode(),disease.getDiseaseName(),disease.getDiseaseNameAlias());
+
+
+    }
+
 }