diff --git a/ruoyi-admin/src/main/java/com/ruoyi/web/controller/api/AppController.java b/ruoyi-admin/src/main/java/com/ruoyi/web/controller/api/AppController.java
index 60cfbad..26210d7 100644
--- a/ruoyi-admin/src/main/java/com/ruoyi/web/controller/api/AppController.java
+++ b/ruoyi-admin/src/main/java/com/ruoyi/web/controller/api/AppController.java
@@ -209,8 +209,9 @@ public class AppController extends BaseController
         logger.info("add patient param is {} ", appPatientReq);
         TPatient tPatient = new TPatient();
         BeanUtils.copyProperties(appPatientReq, tPatient);
+        tPatient.setDelFlag("0");
         // 查询患者信息
-        TPatient currentPatient = tPatientService.queryTPatient(tPatient);
+        TPatient currentPatient = tPatientService.queryTPatientByPhoneAndName(tPatient);
         if (Objects.nonNull(currentPatient))
         {
             //患者信息已存在 新增诊断记录
@@ -268,6 +269,11 @@ public class AppController extends BaseController
         logger.info("modify patient param is {} ", appPatientReq);
         TPatient tPatient = new TPatient();
         BeanUtils.copyProperties(appPatientReq, tPatient);
+        tPatient.setDelFlag("0");
+        TPatient currentPatient = tPatientService.queryTPatientByPhoneAndName(tPatient);
+        if (Objects.nonNull(currentPatient) && currentPatient.getId().compareTo(appPatientReq.getId()) != 0) {
+            return AjaxResult.error("手机号下已存在该患者。");
+        }
         return AjaxResult.success(tPatientService.updateTPatient(tPatient));
     }
 
diff --git a/ruoyi-admin/src/main/java/com/ruoyi/web/controller/system/WechatLoginController.java b/ruoyi-admin/src/main/java/com/ruoyi/web/controller/system/WechatLoginController.java
index 7611b93..a715d4e 100644
--- a/ruoyi-admin/src/main/java/com/ruoyi/web/controller/system/WechatLoginController.java
+++ b/ruoyi-admin/src/main/java/com/ruoyi/web/controller/system/WechatLoginController.java
@@ -6,6 +6,7 @@ import com.ruoyi.common.core.domain.AjaxResult;
 import com.ruoyi.system.domain.req.GetOpenidReq;
 import com.ruoyi.system.domain.req.LoginForAppReq;
 import com.ruoyi.system.domain.req.LoginForMpReq;
+import com.ruoyi.system.domain.req.LoginForMultiPatientReq;
 import com.ruoyi.system.domain.resp.GetOpenidResp;
 import com.ruoyi.system.service.IWechatService;
 import org.slf4j.Logger;
@@ -52,6 +53,15 @@ public class WechatLoginController extends BaseController {
         return AjaxResult.success(map);
     }
 
+    @PostMapping("/for/multi/patient")
+    public AjaxResult loginForMultiPatient(@RequestBody @Validated LoginForMultiPatientReq req) {
+        logger.info("loginForMultiPatient req :{}", req);
+        String token = iWechatService.loginForMultiPatient(req);
+        Map map = new HashMap<>();
+        map.put(Constants.TOKEN, token);
+        return AjaxResult.success(map);
+    }
+
     @PostMapping("/get/unionid")
     public AjaxResult getWechatUnionInfo(@RequestBody @Validated GetOpenidReq getOpenidReq, HttpServletRequest request) {
         logger.info("wechat获取unionid, req = [{}]", getOpenidReq);
diff --git a/ruoyi-system/src/main/java/com/ruoyi/system/domain/req/LoginForMultiPatientReq.java b/ruoyi-system/src/main/java/com/ruoyi/system/domain/req/LoginForMultiPatientReq.java
new file mode 100644
index 0000000..44e0d3b
--- /dev/null
+++ b/ruoyi-system/src/main/java/com/ruoyi/system/domain/req/LoginForMultiPatientReq.java
@@ -0,0 +1,39 @@
+package com.ruoyi.system.domain.req;
+
+import javax.validation.constraints.NotBlank;
+import javax.validation.constraints.NotNull;
+import java.io.Serializable;
+
+public class LoginForMultiPatientReq implements Serializable {
+    private static final long serialVersionUID = -2077202239424966485L;
+
+    @NotBlank(message = "openid不能为空")
+    private String openId;
+
+    @NotNull(message = "患者id不能为空")
+    private Long patientId;
+
+    public String getOpenId() {
+        return openId;
+    }
+
+    public void setOpenId(String openId) {
+        this.openId = openId;
+    }
+
+    public Long getPatientId() {
+        return patientId;
+    }
+
+    public void setPatientId(Long patientId) {
+        this.patientId = patientId;
+    }
+
+    @Override
+    public String toString() {
+        return "LoginForMultiPatientReq{" +
+                "openId='" + openId + '\'' +
+                ", patientId='" + patientId + '\'' +
+                '}';
+    }
+}
diff --git a/ruoyi-system/src/main/java/com/ruoyi/system/domain/resp/GetOpenidResp.java b/ruoyi-system/src/main/java/com/ruoyi/system/domain/resp/GetOpenidResp.java
index 697e5ab..9296ca4 100644
--- a/ruoyi-system/src/main/java/com/ruoyi/system/domain/resp/GetOpenidResp.java
+++ b/ruoyi-system/src/main/java/com/ruoyi/system/domain/resp/GetOpenidResp.java
@@ -1,6 +1,9 @@
 package com.ruoyi.system.domain.resp;
 
+import com.ruoyi.system.domain.TPatient;
+
 import java.io.Serializable;
+import java.util.List;
 
 public class GetOpenidResp implements Serializable {
     private static final long serialVersionUID = -8328911573370172974L;
@@ -13,6 +16,18 @@ public class GetOpenidResp implements Serializable {
 
     private String unionid;
 
+    private List<TPatient> patients;
+
+    private Boolean multiPatient = false;
+
+    public List<TPatient> getPatients() {
+        return patients;
+    }
+
+    public void setPatients(List<TPatient> patients) {
+        this.patients = patients;
+    }
+
     public String getOpenid() {
         return openid;
     }
@@ -44,4 +59,12 @@ public class GetOpenidResp implements Serializable {
     public void setUnionid(String unionid) {
         this.unionid = unionid;
     }
+
+    public Boolean getMultiPatient() {
+        return multiPatient;
+    }
+
+    public void setMultiPatient(Boolean multiPatient) {
+        this.multiPatient = multiPatient;
+    }
 }
diff --git a/ruoyi-system/src/main/java/com/ruoyi/system/mapper/TPatientMapper.java b/ruoyi-system/src/main/java/com/ruoyi/system/mapper/TPatientMapper.java
index 77d5d4e..efbd1cb 100644
--- a/ruoyi-system/src/main/java/com/ruoyi/system/mapper/TPatientMapper.java
+++ b/ruoyi-system/src/main/java/com/ruoyi/system/mapper/TPatientMapper.java
@@ -2,6 +2,7 @@ package com.ruoyi.system.mapper;
 
 import java.util.List;
 import com.ruoyi.system.domain.TPatient;
+import com.ruoyi.system.domain.req.LoginForMultiPatientReq;
 import com.ruoyi.system.domain.req.PcTPatintQueryByPageReq;
 import com.ruoyi.system.domain.resp.PcTPatientQueryByPageResp;
 import tk.mybatis.mapper.common.Mapper;
@@ -62,9 +63,13 @@ public interface TPatientMapper
      */
     public int deleteTPatientByIds(Long[] ids);
 
-    public TPatient queryTPatient(TPatient tPatient);
+    public TPatient queryTPatientByPhoneAndName(TPatient tPatient);
 
     List<PcTPatientQueryByPageResp> queryByPage(PcTPatintQueryByPageReq pcTPatintQueryByPageReq);
 
     int checkPhoneUnique(String phone);
+
+    public List<TPatient> querySamePhonePatientsById(Long id);
+
+    public TPatient queryPatientByOpenidAndPatientId(LoginForMultiPatientReq loginForMultiPatientReq);
 }
diff --git a/ruoyi-system/src/main/java/com/ruoyi/system/service/ITPatientService.java b/ruoyi-system/src/main/java/com/ruoyi/system/service/ITPatientService.java
index d64a7d8..1d647e8 100644
--- a/ruoyi-system/src/main/java/com/ruoyi/system/service/ITPatientService.java
+++ b/ruoyi-system/src/main/java/com/ruoyi/system/service/ITPatientService.java
@@ -65,5 +65,5 @@ public interface ITPatientService
 
     String checkPhoneUnique(String phone);
 
-    public TPatient queryTPatient(TPatient tPatient);
+    public TPatient queryTPatientByPhoneAndName(TPatient tPatient);
 }
diff --git a/ruoyi-system/src/main/java/com/ruoyi/system/service/IWechatService.java b/ruoyi-system/src/main/java/com/ruoyi/system/service/IWechatService.java
index 3d7fd89..cb88b58 100644
--- a/ruoyi-system/src/main/java/com/ruoyi/system/service/IWechatService.java
+++ b/ruoyi-system/src/main/java/com/ruoyi/system/service/IWechatService.java
@@ -3,6 +3,7 @@ package com.ruoyi.system.service;
 import com.ruoyi.system.domain.req.GetOpenidReq;
 import com.ruoyi.system.domain.req.LoginForAppReq;
 import com.ruoyi.system.domain.req.LoginForMpReq;
+import com.ruoyi.system.domain.req.LoginForMultiPatientReq;
 import com.ruoyi.system.domain.resp.GetOpenidResp;
 
 import javax.servlet.http.HttpServletRequest;
@@ -16,4 +17,6 @@ public interface IWechatService {
     String loginForMp(LoginForMpReq req);
 
     String loginForApp(LoginForAppReq req);
+
+    String loginForMultiPatient(LoginForMultiPatientReq req);
 }
diff --git a/ruoyi-system/src/main/java/com/ruoyi/system/service/impl/TPatientServiceImpl.java b/ruoyi-system/src/main/java/com/ruoyi/system/service/impl/TPatientServiceImpl.java
index 1f6e81c..f03804a 100644
--- a/ruoyi-system/src/main/java/com/ruoyi/system/service/impl/TPatientServiceImpl.java
+++ b/ruoyi-system/src/main/java/com/ruoyi/system/service/impl/TPatientServiceImpl.java
@@ -136,7 +136,7 @@ public class TPatientServiceImpl implements ITPatientService
     }
 
     @Override
-    public TPatient queryTPatient(TPatient tPatient) {
-        return tPatientMapper.queryTPatient(tPatient);
+    public TPatient queryTPatientByPhoneAndName(TPatient tPatient) {
+        return tPatientMapper.queryTPatientByPhoneAndName(tPatient);
     }
 }
diff --git a/ruoyi-system/src/main/java/com/ruoyi/system/service/impl/WechatServiceImpl.java b/ruoyi-system/src/main/java/com/ruoyi/system/service/impl/WechatServiceImpl.java
index fc0d4c0..dbe166b 100644
--- a/ruoyi-system/src/main/java/com/ruoyi/system/service/impl/WechatServiceImpl.java
+++ b/ruoyi-system/src/main/java/com/ruoyi/system/service/impl/WechatServiceImpl.java
@@ -17,6 +17,7 @@ import com.ruoyi.system.domain.TWechatUser;
 import com.ruoyi.system.domain.req.GetOpenidReq;
 import com.ruoyi.system.domain.req.LoginForAppReq;
 import com.ruoyi.system.domain.req.LoginForMpReq;
+import com.ruoyi.system.domain.req.LoginForMultiPatientReq;
 import com.ruoyi.system.domain.resp.GetOpenidResp;
 import com.ruoyi.system.mapper.TDoctorMapper;
 import com.ruoyi.system.mapper.TPatientMapper;
@@ -29,13 +30,11 @@ import org.springframework.beans.BeanUtils;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.beans.factory.annotation.Value;
 import org.springframework.stereotype.Service;
+import org.springframework.util.CollectionUtils;
 
 import javax.annotation.Resource;
 import javax.servlet.http.HttpServletRequest;
-import java.util.Date;
-import java.util.HashMap;
-import java.util.Map;
-import java.util.Objects;
+import java.util.*;
 
 @Service
 public class WechatServiceImpl implements IWechatService {
@@ -86,11 +85,19 @@ public class WechatServiceImpl implements IWechatService {
         if (Objects.isNull(wechatUser.getUserId())) {
             resp.setBindFlag(false);
         } else {
-            // 已绑定信息 直接登录
+            // 已绑定患者
             resp.setBindFlag(true);
-            TPatient tPatient = tPatientMapper.selectTPatientById(wechatUser.getUserId());
-            String token = buildTokenByPatient(tPatient);
-            resp.setToken(token);
+            // 查询该患者手机号是否存在多条数据
+            List<TPatient> patients = tPatientMapper.querySamePhonePatientsById(wechatUser.getUserId());
+            if (CollectionUtils.isEmpty(patients)) {
+                resp.setBindFlag(false);
+            } else if (!CollectionUtils.isEmpty(patients) && patients.size() == 1) {
+                String token = buildTokenByPatient(patients.get(0));
+                resp.setToken(token);
+            } else {
+                resp.setMultiPatient(true);
+                resp.setPatients(patients);
+            }
         }
         resp.setOpenid(openid);
         return resp;
@@ -120,7 +127,7 @@ public class WechatServiceImpl implements IWechatService {
         // 查询手机号是否存在患者信息
         TPatient tPatient = new TPatient();
         BeanUtils.copyProperties(req, tPatient);
-        TPatient currentPatient = tPatientMapper.queryTPatient(tPatient);
+        TPatient currentPatient = tPatientMapper.queryTPatientByPhoneAndName(tPatient);
         TWechatUser wechatUser = new TWechatUser();
         if (Objects.nonNull(currentPatient)) {
             // 存在 需要把患者信息更新 并绑定openid
@@ -205,6 +212,17 @@ public class WechatServiceImpl implements IWechatService {
         return token;
     }
 
+    @Override
+    public String loginForMultiPatient(LoginForMultiPatientReq req) {
+        TPatient tPatient = tPatientMapper.queryPatientByOpenidAndPatientId(req);
+        String token = "";
+        if (Objects.nonNull(tPatient)) {
+            logger.info("query patient info :{}", tPatient);
+            token = buildTokenByPatient(tPatient);
+        }
+        return token;
+    }
+
     private String queryOpenid(GetOpenidReq req){
         String url = String.format(WechatKeys.MP_CODE_TO_OPENID_URL, appId, appSecret, req.getCode());
         String json = HttpUtils.sendGet(url);
diff --git a/ruoyi-system/src/main/resources/mapper/system/TPatientMapper.xml b/ruoyi-system/src/main/resources/mapper/system/TPatientMapper.xml
index b4f0a59..db491f8 100644
--- a/ruoyi-system/src/main/resources/mapper/system/TPatientMapper.xml
+++ b/ruoyi-system/src/main/resources/mapper/system/TPatientMapper.xml
@@ -114,12 +114,18 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
         </foreach>
     </delete>
 
-    <select id="queryTPatient" parameterType="com.ruoyi.system.domain.TPatient" resultMap="TPatientResult">
+    <select id="queryTPatientByPhoneAndName" parameterType="com.ruoyi.system.domain.TPatient" resultMap="TPatientResult">
         <include refid="selectTPatientVo"/>
         <where>
-            <if test="phone != null and phone != ''">
-                phone = #{phone}
-            </if>
+        <if test="delFlag != null and delFlag != ''">
+            and delFlag = #{delFlag}
+        </if>
+        <if test="phone != null and phone != ''">
+           and phone = #{phone}
+        </if>
+        <if test="name != null and name != ''">
+           and name = #{name}
+        </if>
         </where>
     </select>
 
@@ -169,4 +175,22 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
     <select id="checkPhoneUnique" parameterType="String" resultType="int">
         select count(1) from t_patient where phone = #{phone} limit 1
     </select>
+
+    <select id="querySamePhonePatientsById" parameterType="java.lang.Long" resultMap="TPatientResult">
+        <include refid="selectTPatientVo"/>
+        where del_flag = '0'
+            and phone = (select phone from t_patient where id = #{id})
+    </select>
+
+    <select id="queryPatientByOpenidAndPatientId" parameterType="com.ruoyi.system.domain.req.LoginForMultiPatientReq" resultMap="TPatientResult">
+        <include refid="selectTPatientVo"/>
+        where phone = (select phone from t_patient where id = (
+		SELECT
+			user_id
+		FROM
+			t_wechat_user
+		WHERE
+			openid = #{openId}
+	)) and id = #{patientId} and del_flag = '0'
+    </select>
 </mapper>