diff --git a/src/router/index.js b/src/router/index.js
index 4daa3dd..81983a3 100644
--- a/src/router/index.js
+++ b/src/router/index.js
@@ -51,6 +51,7 @@ const mainRoutes = {
     { path: '/book-comments', component: _import('modules/book/bookComments'), name: 'book-comments', meta: { title: '书评管理', isTab: true } },
     { path: '/clock', component: _import('modules/book/clock'), name: 'clock', meta: { title: '打卡管理', isTab: true } },
     { path: '/talkBook', component: _import('modules/book/talkBook'), name: 'talkBook', meta: { title: '讲书管理', isTab: true } },
+    { path: '/yian', component: _import('modules/book/yian'), name: 'yian', meta: { title: '医案管理', isTab: true } },
     { path: '/acupointManagement', component: _import('modules/acupoint/acupointManagement'), name: 'acupointManagement', meta: { title: '经穴分类管理', isTab: true } },
     { path: '/acupointList', component: _import('modules/acupoint/acupointList'), name: 'acupointList', meta: { title: '经穴文章列表', isTab: true } },
     { path: '/acupointDetail', component: _import('modules/acupoint/acupointDetail'), name: 'acupointDetail', meta: { title: '穴位详细', isTab: true } },
diff --git a/src/views/modules/book/book.vue b/src/views/modules/book/book.vue
index 3dca10a..6631a78 100644
--- a/src/views/modules/book/book.vue
+++ b/src/views/modules/book/book.vue
@@ -143,6 +143,11 @@
               <el-button  type="text" size="small">讲书管理</el-button>
           </router-link>
           </el-dropdown-item>      
+          <el-dropdown-item>
+            <router-link :to="{path: 'yian' , query:{ id : scope.row.id , pageIndex} }">
+              <el-button  type="text" size="small">医案管理</el-button>
+          </router-link>
+          </el-dropdown-item>
         </el-dropdown-menu>
       </el-dropdown>
           <!-- <el-button v-if="scope.row.chapterStatus == '未处理' || scope.row.chapterStatus == '失败'" type="text" size="small" @click="chapterHandle(scope.row.id,scope.row)">章节拆分</el-button> -->
diff --git a/src/views/modules/book/yian-add-or-update.vue b/src/views/modules/book/yian-add-or-update.vue
new file mode 100644
index 0000000..3f3a852
--- /dev/null
+++ b/src/views/modules/book/yian-add-or-update.vue
@@ -0,0 +1,412 @@
+<template>
+  <el-dialog :title="!dataForm.yianid ? '新增' : '修改'" :close-on-click-modal="false" :visible.sync="visible"
+    @close="handlereset" lock-scroll width="750px">
+    <el-form :model="dataForm" :rules="dataRule" ref="dataForm" label-width="100px">
+      <!-- <el-form-item label="所属分类" prop="poids">
+        <el-cascader v-model="dataForm.poids" :options="categorys" :props="props" clearable></el-cascader>
+      </el-form-item> -->
+      <!-- <el-form-item label="商品类型" prop="goodsType">
+        <el-select v-model="dataForm.goodsType" placeholder="请选择">
+          <el-option v-for="item in goodsTypeList" :key="item.dictType" :label="item.dictValue" :value="item.dictType">
+          </el-option>
+        </el-select>
+      </el-form-item> -->
+      <!-- 关联的图书ids --> 
+      <el-form-item label="标题" prop="title">
+        <el-input v-model="dataForm.title" placeholder="请输入标题"></el-input>
+      </el-form-item>
+
+      <!-- <el-form-item label="封面图" prop="productImages">
+        <el-upload :limit="1" class="el-uploadfeng "
+          :class="{ uoloadSty: dataForm.showBtnDealImg, disUoloadSty: dataForm.noneBtnImg }"
+          :action="baseUrl + '/oss/fileoss'" list-type="picture-card" :on-preview="handlePictureCardPreview"
+          :file-list="fileList" :on-success="handlePicSuccess" accept=".jpeg,.jpg,.gif,.png" :on-remove="handleRemove">
+          <i class="el-icon-plus"></i>
+        </el-upload>
+        <el-dialog :visible.sync="dialogVisible" :append-to-body="true">
+          <img width="100%" :src="dataForm.productImages" alt="">
+        </el-dialog>
+      </el-form-item>       -->
+      <!-- <el-form-item label="简介/描述" prop="bookdesc">
+        <el-input type="textarea" rows="4" v-model="dataForm.bookdesc"></el-input>        
+      </el-form-item> -->
+      <el-form-item label="医案内容" prop="contents">
+        <el-upload class="avatar-uploader" :action="baseUrl + '/oss/fileoss'" accept=".jpeg,.jpg,.gif,.png" :show-file-list="false" :on-success="contentUploadSuccess" >
+        </el-upload>
+        <quill-editor v-model="dataForm.contents" ref="myQuillEditor" :options="editorOption"
+          @blur="onEditorBlur($event)" @focus="onEditorFocus($event)" 
+          @ready="onEditorReady($event)" class="shangpin_editor">
+        </quill-editor>        
+      </el-form-item>
+      <el-form-item label="排序" prop="sort">
+        <el-input v-model="dataForm.sort" placeholder="排序"></el-input>
+      </el-form-item>
+    </el-form>
+    <span slot="footer" class="dialog-footer">
+      <el-button @click="handlereset">取消</el-button>
+      <el-button type="primary" @click="dataFormSubmit()">确定</el-button>
+    </span>
+  </el-dialog>  
+</template>
+
+<script>
+  import {
+    quillEditor
+  } from 'vue-quill-editor'
+  import global from '../../common/common.vue' //引入共用组间
+
+  import 'quill/dist/quill.core.css'
+  import 'quill/dist/quill.snow.css'
+import 'quill/dist/quill.bubble.css'
+  
+  const toolbarOptions = [
+  ['bold', 'italic', 'underline', 'strike'],        // 加粗，斜体，下划线，删除线
+  ['blockquote', 'code-block'],                      //引用，代码块
+  [{ 'header': 1 }, { 'header': 2 }],               // 几级标题
+  [{ 'list': 'ordered' }, { 'list': 'bullet' }],     // 有序列表，无序列表
+  [{ 'script': 'sub' }, { 'script': 'super' }],      // 下角标，上角标
+  [{ 'indent': '-1' }, { 'indent': '+1' }],          // 缩进
+  [{ 'direction': 'rtl' }],                         // 文字输入方向
+  [{ 'size': ['small', false, 'large', 'huge'] }],  // 字体大小
+  [{ 'header': [1, 2, 3, 4, 5, 6, false] }],// 标题
+  [{ 'color': [] }, { 'background': [] }],          // 颜色选择
+  [{ 'font': ['SimSun', 'SimHei', 'Microsoft-YaHei', 'KaiTi', 'FangSong', 'Arial'] }],// 字体
+  [{ 'align': [] }], // 居中
+  ['clean'],                                       // 清除样式,
+  ['link', 'image'],  // 上传图片、上传视频
+]
+
+  export default {
+    data() {
+      return {        
+        baseUrl: global.baseUrl,        
+        visible: false,
+        categorys: [],
+        fileList: [], // 封面图
+        swiperfileList: [],
+        dialogVisible: false,
+        props: {
+          value: "catId",
+          label: "name",
+          children: "children",
+          checkStrictly: true
+        },
+        dataForm: {         
+          bookId: 0,
+          limitCountImg: 1, // 图片数量
+          // productImageList: '', // 轮播图
+          showBtnDealImg: true,
+          noneBtnImg: false,
+          title: '',          
+          productImages: '',
+          bookdesc:'',
+          yianid:null,
+          sort: null,
+        },
+        
+        dataRule: {
+          title: [{
+            required: true,
+            message: '书评标题不能为空',
+            trigger: 'blur'
+          }],          
+         
+          // productImages: [{
+          //   required: true,
+          //   message: '商品图不能为空',
+          //   trigger: 'blur'
+          // }],
+          
+        },
+        // 富文本编辑器配置
+        editorOption: {
+          modules: {
+            history: {
+              delay: 1000,
+              maxStack: 50,
+              userOnly: false
+            },
+            toolbar: {
+              container: toolbarOptions,
+              handlers: {
+                image: function (value) {
+                  if (value) {
+                    // 调用element的图片上传组件
+                    document.querySelector('.avatar-uploader input').click()
+                  } else {
+                    this.quill.format('image', false)
+                  }
+                }
+              }
+            },
+          },
+          // modules: {
+          //   toolbar: [
+          //     ['bold', 'italic', 'underline', 'strike'], // 加粗 斜体 下划线 删除线
+          //     ['blockquote', 'code-block'], // 引用  代码块
+          //     [{
+          //       header: 1
+          //     }, {
+          //       header: 2
+          //     }], // 1、2 级标题
+          //     [{
+          //       list: 'ordered'
+          //     }, {
+          //       list: 'bullet'
+          //     }], // 有序、无序列表
+          //     [{
+          //       script: 'sub'
+          //     }, {
+          //       script: 'super'
+          //     }], // 上标/下标
+          //     [{
+          //       indent: '-1'
+          //     }, {
+          //       indent: '+1'
+          //     }], // 缩进
+          //     [{
+          //       direction: 'rtl'
+          //     }], // 文本方向
+          //     [{
+          //       size: ['12', '14', '16', '18', '20', '22', '24', '28', '32', '36']
+          //     }], // 字体大小
+          //     [{
+          //       header: [1, 2, 3, 4, 5, 6]
+          //     }], // 标题
+          //     [{
+          //       color: []
+          //     }, {
+          //       background: []
+          //     }], // 字体颜色、字体背景颜色
+          //     // [{ font: ['songti'] }], // 字体种类
+          //     [{
+          //       align: []
+          //     }], // 对齐方式
+          //     ['clean'], // 清除文本格式
+          //     ['image'] // 链接、图片、视频
+          //   ]
+          // },
+          placeholder: '请输入正文'
+        },
+      }
+    },
+    created() {
+      
+    },
+  methods: {    
+    init(id, bookId) {
+      id ? '' : id=0
+      this.dataForm.yianid = id || null
+      this.dataForm.bookId = bookId || 0
+      this.visible = true
+      this.$nextTick(() => {
+        this.$refs['dataForm'].resetFields()
+        if (this.dataForm.bookId) {
+          this.$http({
+            url: this.$http.adornUrl('/book/bookMedicalRecords/getById?medicalRecordsId='+ id),
+            method: 'post',
+            // params: this.$http.adornParams()
+          }).then(({
+            data
+          }) => {
+            // console.log(data,666)
+            if (data && data.code === 0 && data.entity != null) {
+              this.dataForm.bookId = data.entity.bookId
+              this.dataForm.title = data.entity.title
+              this.dataForm.contents = data.entity.content  
+              this.dataForm.medicalRecordsId = data.entity.medicalRecordsId
+              this.dataForm.sort = data.entity.sort            
+            } 
+          })
+        }
+      })
+    },
+  
+  
+    dealImgChange(file, fileList) {
+      this.dataForm.noneBtnImg = fileList.length >= this.dataForm.limitCountImg;
+    },
+      // 表单提交
+    dataFormSubmit() {      
+     // console.log('userid', this.$store.state.user.id)        
+        this.$refs['dataForm'].validate((valid) => {    
+          if (valid) {
+            this.$http({
+              url: this.$http.adornUrl(`/book/bookMedicalRecords/saveOrUpdate`),
+              method: 'post',
+              data: this.$http.adornData({
+                'bookId': this.dataForm.bookId || undefined,
+                'title': this.dataForm.title,               
+                // 'image': this.dataForm.productImages,                
+                'content': this.dataForm.contents,    
+                // 'userid': this.$store.state.user.id,
+                // 'bookdesc':  this.dataForm.bookdesc,
+                'medicalRecordsId': this.dataForm.yianid,
+                "sort": this.dataForm.sort
+              })
+            }).then(({
+              data
+            }) => {
+              if (data && data.code === 0) {
+                this.$message({
+                  message: '操作成功',
+                  type: 'success',
+                  duration: 1500,
+                  onClose: () => {
+                    this.visible = false
+                    this.dataForm.contents = ''
+                    this.$refs['dataForm'].resetFields()
+                    // this.$refs['dataForm'].reset()
+                    this.$emit('refreshDataList')
+                  }
+                })
+              } else {
+                this.$message.error(data.msg)
+              }
+            })
+          }
+        })
+      },
+      changeTime(e) {
+        console.log(e)
+    },    
+  
+      handlePictureCardPreview(file) {
+        this.dataForm.productImages = file.url;
+        this.dialogVisible = true;
+      },
+      bannerHandlePicSuccess(res, file) {
+        // 轮播图上传成功
+        if (res.msg == "success") {
+          this.swiperfileList.push({
+            name: file.name,
+            url: res.url
+          })
+          this.dataForm.productImages = res.url
+          console.log(this.swiperfileList,this.dataForm.productImages)
+          this.$message.success("上传成功");
+        } else {
+          this.$message.error("上传失败");
+        }
+      },
+      // 字符串图片地址
+      getStringImgUrl() {
+        let arr = this.swiperfileList.map(item => item.url)
+        if (arr.length <= 0) {
+          return null
+        } else {
+          return arr.toString()
+        }
+    },
+    contentUploadSuccess(res, file) { 
+     // console.log(res)
+      let quill = this.$refs.myQuillEditor.quill
+      // 如果上传成功
+      if (res) {
+        // 获取光标所在位置
+        let length = quill.getSelection().index;
+        // 插入图片，res为服务器返回的图片链接地址
+        quill.insertEmbed(length, 'image', res.url)
+        // 调整光标到最后
+        quill.setSelection(length + 1)
+      } else {
+        // 提示信息，需引入Message
+        this.$message.error('图片插入失败！')
+      }
+
+    },
+      handlePicSuccess(res, file) {
+        // console.log(res,'res')
+        if (res.msg == "success") {
+          this.dataForm.productImages = res.url;
+          this.fileList.push({
+            name: file.name,
+            url: res.url
+          })
+          this.dataForm.productImages = res.url
+          console.log(this.dataForm.productImages,'productImages')
+          this.$message.success("上传成功");
+        } else {
+          this.$message.error("上传失败");
+        }
+      },
+      
+      handleRemove(file, fileList) {
+        this.dataForm.productImages = '';
+        this.fileList = fileList
+        this.dataForm.noneBtnImg = fileList.length >= this.dataForm.limitCountImg;
+      },
+      handlereset() {
+        this.fileList = [],
+          this.visible = false
+        this.swiperfileList = []
+        this.$refs['dataForm'].resetFields()
+        this.dataForm.contents = ''
+        // this.$refs['dataForm'].reset()
+      },
+      // 失去焦点事件
+      onEditorBlur(quill) {
+       console.log('editor blur!', quill)       
+      },
+      // 获得焦点事件
+      onEditorFocus(quill) {
+        //console.log('editor focus!', quill)
+      },
+      // 准备富文本编辑器
+      onEditorReady(quill) {
+       // console.log('editor ready!', quill)
+      },
+      
+    },
+    components: {
+      quillEditor
+  },
+  mounted() {
+    // this.$bus.$on("haveBookIds", (data) => {  
+    //   // console.log('haveBookIds', data)              
+    //     data.bookIds.length > 0 ? this.dataForm.Books = data.bookIds : this.dataForm.Books = []
+    //   });
+  },
+
+    watch: {
+      visible: {
+        handler(val, oldVal) {
+          // this.getGoodsTypeList()
+        },
+        deep: true
+      },
+    }
+  }
+</script>
+
+<style lang="less">
+  // .disUoloadSty {
+  //   .el-upload--picture-card {
+  //     display: none;
+  //     /* 上传按钮隐藏 */
+  //   }
+  // }
+
+  // .el-form-item {
+  //   /deep/ .el-form-item__label {
+  //     font-size: 12px;
+  //   }
+  // }
+
+  .el-uploadfeng {
+   .el-upload-list__item {
+      width: 120px;
+      height: 120px;
+    }
+
+    .el-upload--picture-card {
+      width: 120px;
+      height: 120px;
+      line-height: 120px;
+    }
+  }
+
+  .shangpin_editor .ql-editor {
+    height: 150px;
+  }
+</style>
diff --git a/src/views/modules/book/yian.vue b/src/views/modules/book/yian.vue
new file mode 100644
index 0000000..1352db9
--- /dev/null
+++ b/src/views/modules/book/yian.vue
@@ -0,0 +1,234 @@
+<template>
+  <div class="mod-config">
+    <el-form :inline="true" :model="dataForm" @keyup.enter.native="getDataList()">
+      <!-- <el-form-item>
+        <el-input v-model="dataForm.key" placeholder="参数名" clearable></el-input>
+      </el-form-item> -->
+      <el-form-item>
+        <!-- <el-button @click="getDataList()">查询</el-button> -->
+        <el-button v-if="isAuth('book:bookchapter:save')" type="primary" @click="addOrUpdateHandle()">新增医案</el-button>
+        <el-button v-if="isAuth('book:bookchapter:delete')" type="danger" @click="deleteHandle()" :disabled="dataListSelections.length <= 0">删除</el-button>
+        <!-- <router-link :to="{path: 'book-book' , query:{  upPageIndex } }">
+          <el-button type="primary">返回上一级</el-button>
+        </router-link> -->
+      </el-form-item>
+    </el-form>
+    <el-table
+      :data="dataList"
+      border
+      v-loading="dataListLoading"
+      @selection-change="selectionChangeHandle"
+      style="width: 100%;">
+      <el-table-column
+        type="selection"
+        header-align="center"
+        align="center"
+        width="50">
+      </el-table-column>
+      <el-table-column label="序号" width="70" align="center">
+        <template slot-scope="scope">
+          {{ (pageIndex - 1) * pageSize + scope.$index + 1 }}
+        </template>
+      </el-table-column>
+      <!-- <el-table-column
+        prop="id"
+        header-align="center"
+        align="center"
+        label="">
+      </el-table-column>
+      <el-table-column
+        prop="bookId"
+        header-align="center"
+        align="center"
+        label="图书id">
+      </el-table-column> -->
+      <el-table-column
+        prop="title"
+        header-align="center"
+        align="center"
+        label="标题">
+      </el-table-column>
+      <!-- <el-table-column
+        prop="content"
+        header-align="center"
+        align="center"
+        :show-overflow-tooltip="true"
+        label="内容">
+      </el-table-column> -->
+      <el-table-column
+        prop="image"
+        header-align="center"
+        align="center"
+        label="封面图">
+        <template slot-scope="scope">
+          <img :src="scope.row.image" width="100px" />
+        </template>
+      </el-table-column>
+      <!-- <el-table-column
+        prop="createTime"
+        header-align="center"
+        align="center"
+        label="创建时间">
+      </el-table-column> -->
+      <el-table-column
+        prop="updateTime"
+        header-align="center"
+        align="center"
+        label="更新时间">
+      </el-table-column>
+      <!-- <el-table-column
+        prop="sort"
+        header-align="center"
+        align="center"
+        label="排序">
+      </el-table-column>
+      <el-table-column
+        prop="delFlag"
+        header-align="center"
+        align="center"
+        label="">
+      </el-table-column> -->
+      <el-table-column
+        fixed="right"
+        header-align="center"
+        align="center"
+        width="150"
+        label="操作">
+        <template slot-scope="scope">          
+          <el-button type="text" size="small" @click="addOrUpdateHandle(scope.row.medicalRecordsId)">修改</el-button>
+          <el-button type="text" size="small" @click="deleteHandle(scope.row.medicalRecordsId)">删除</el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+    <el-pagination
+      @size-change="sizeChangeHandle"
+      @current-change="currentChangeHandle"
+      :current-page="pageIndex"
+      :page-sizes="[10, 20, 50, 100]"
+      :page-size="pageSize"
+      :total="totalPage"
+      layout="total, sizes, prev, pager, next, jumper">
+    </el-pagination>
+    <!-- 弹窗, 新增 / 修改 -->
+    <add-or-update v-if="addOrUpdateVisible" ref="addOrUpdate" @refreshDataList="getDataList"></add-or-update>
+  </div>
+</template>
+
+<script>
+  import AddOrUpdate from './yian-add-or-update.vue'
+  export default {
+    data () {
+      return {
+        dataForm: {
+          key: ''
+        },
+        dataList: [1],
+        bookid:0,
+        upPageIndex:0,
+        pageIndex: 1,
+        pageSize: 10,
+        totalPage: 0,
+        dataListLoading: false,
+        dataListSelections: [],
+        addOrUpdateVisible: false
+      }
+    },
+    components: {
+      AddOrUpdate
+    },
+    activated () {
+      this.bookid = this.$route.query.id;
+      if(this.$route.query.upPageInde != null){
+          this.pageIndex = this.$route.query.upPageIndex;
+          console.log(this.pageIndex)
+      }
+      this.upPageIndex = this.$route.query.pageIndex;
+      console.log(this.bookid)
+      this.getDataList()
+    },
+    methods: {
+      // 获取数据列表
+      getDataList () {
+        this.dataListLoading = true
+        this.$http({
+        //   url: this.$http.adornUrl('/book/bookMedicalRecords/list'),
+          url: this.$http.adornUrl('/book/bookMedicalRecords/listByBookId'),
+          method: 'post',
+          data: this.$http.adornParams({
+            'page': this.pageIndex,
+            'limit': this.pageSize,
+            //'key': this.dataForm.key,
+            'bookId' : this.bookid
+          })
+          // data: {
+          //   'page': this.pageIndex,
+          //    'limit': this.pageSize,
+          // //   //'key': this.dataForm.key,
+          //    'bookid' : this.bookid
+          // }
+        }).then(({data}) => {
+          if (data && data.code === 0) {
+            this.dataList = data.page.records
+            this.totalPage = data.page.total
+          } else {
+            this.dataList = []
+            this.totalPage = 0
+          }
+          this.dataListLoading = false
+        })
+      },
+      // 每页数
+      sizeChangeHandle (val) {
+        this.pageSize = val
+        this.pageIndex = 1
+        this.getDataList()
+      },
+      // 当前页
+      currentChangeHandle (val) {
+        this.pageIndex = val
+        this.getDataList()
+      },
+      // 多选
+      selectionChangeHandle (val) {
+        this.dataListSelections = val
+      },
+      // 新增 / 修改
+      addOrUpdateHandle (id) {
+        this.addOrUpdateVisible = true
+        this.$nextTick(() => {          
+          this.$refs.addOrUpdate.init(id, this.bookid)
+        })
+      },
+      // 删除
+      deleteHandle (id) {
+        // var ids = id ? [id] : this.dataListSelections.map(item => {
+        //   return item.id
+        // })
+        this.$confirm(`确定进行删除操作?`, '提示', {
+          confirmButtonText: '确定',
+          cancelButtonText: '取消',
+          type: 'warning'
+        }).then(() => {
+          this.$http({
+            url: this.$http.adornUrl('/book/bookMedicalRecords/del?medicalRecordsId='+ id),
+            method: 'post',
+            // data: this.$http.adornData(id, false)
+          }).then(({data}) => {
+            if (data && data.code === 0) {
+              this.$message({
+                message: '操作成功',
+                type: 'success',
+                duration: 1500,
+                onClose: () => {
+                  this.getDataList()
+                }
+              })
+            } else {
+              this.$message.error(data.msg)
+            }
+          })
+        })
+      }
+    }
+  }
+</script>