diff --git a/server-go/cmd/server/main.go b/server-go/cmd/server/main.go
index 2938cda..9bf81d9 100644
--- a/server-go/cmd/server/main.go
+++ b/server-go/cmd/server/main.go
@@ -91,7 +91,7 @@ func main() {
 	api.Use(middleware.Auth(cfg))
 
 	// 公开路由（auth 白名单中跳过鉴权）
-	handler.RegisterHealthRoutes(api)
+	handler.RegisterHealthRoutes(api, db)
 	handler.RegisterVideoStreamRoutes(api, transcodeSvc, db, mediaSvc, cfg)
 
 	// JWT 保护的业务路由
@@ -119,6 +119,7 @@ func main() {
 	handler.RegisterConsultationRoutes(api, db)
 	handler.RegisterDetectionMethodRoutes(api, db)
 	handler.RegisterTraceRoutes(api, db)
+	handler.RegisterHealthRoutes(api, db)
 
 	// 启动高发病天气预警定时任务（未配置时跳过）
 	go startWeatherAlertLoop(db, weatherSvc, time.Duration(cfg.QWeatherIntervalMin)*time.Minute)
diff --git a/server-go/internal/handler/health.go b/server-go/internal/handler/health.go
index 72f7605..639d01a 100644
--- a/server-go/internal/handler/health.go
+++ b/server-go/internal/handler/health.go
@@ -2,13 +2,93 @@ package handler
 
 import (
 	"net/http"
+	"time"
+
+	"silk-server-go/internal/middleware"
+	"silk-server-go/internal/model"
+	"silk-server-go/internal/service"
 
 	"github.com/gin-gonic/gin"
+	"gorm.io/gorm"
 )
 
-// RegisterHealthRoutes 注册健康检查路由
-func RegisterHealthRoutes(rg *gin.RouterGroup) {
-	rg.GET("/health", func(c *gin.Context) {
-		c.JSON(http.StatusOK, gin.H{"status": "ok"})
-	})
+// RegisterHealthRoutes 注册蚕房健康画像路由
+func RegisterHealthRoutes(rg *gin.RouterGroup, db *gorm.DB) {
+	rg.GET("/rooms/:id/health-profile",
+		middleware.RequirePermission(db, "room:read"),
+		roomHealthProfile(db))
+}
+
+// roomHealthProfile 单蚕房健康画像：巡检风险/检测结果/事件聚合 → 综合健康分
+func roomHealthProfile(db *gorm.DB) gin.HandlerFunc {
+	return func(c *gin.Context) {
+		id := c.Param("id")
+		var room model.Room
+		if db.Where("id = ?", id).First(&room).Error != nil {
+			c.JSON(http.StatusNotFound, gin.H{"error": "room not found"})
+			return
+		}
+		since := time.Now().Add(-30 * 24 * time.Hour)
+
+		// 近 30 天巡检风险分布
+		var riskRows []struct {
+			RiskLevel string `gorm:"column:risk_level"`
+			Cnt       int64  `gorm:"column:cnt"`
+		}
+		db.Table("inspection_records").
+			Select("risk_level, count(*) AS cnt").
+			Where("room_id = ? AND ai_status = 'done' AND risk_level IS NOT NULL AND created_at >= ?", id, since).
+			Group("risk_level").
+			Scan(&riskRows)
+		riskCounts := map[string]int64{}
+		var riskLevels []string
+		for _, r := range riskRows {
+			riskCounts[r.RiskLevel] = r.Cnt
+			for i := int64(0); i < r.Cnt; i++ {
+				riskLevels = append(riskLevels, r.RiskLevel)
+			}
+		}
+
+		// 近 30 天 LAMP/分子检测结果
+		lampTotal, lampPositive := int64(0), int64(0)
+		db.Model(&model.LampTest{}).
+			Where("room_id = ? AND status = 'resulted' AND created_at >= ?", id, since).
+			Count(&lampTotal)
+		db.Model(&model.LampTest{}).
+			Where("room_id = ? AND status = 'resulted' AND result = 'positive' AND created_at >= ?", id, since).
+			Count(&lampPositive)
+
+		// 事件数
+		var consultationCount, traceCount int64
+		db.Model(&model.Consultation{}).Where("room_id = ?", id).Count(&consultationCount)
+		db.Model(&model.TraceRecord{}).Where("room_id = ?", id).Count(&traceCount)
+
+		// 当前批次
+		var batch *model.Batch
+		var latest model.Batch
+		if db.Where("room_id = ?", id).Order("created_at DESC").First(&latest).Error == nil {
+			batch = &latest
+		}
+
+		score, grade := service.ComputeHealthScore(service.HealthInput{
+			RecentRiskLevels:  riskLevels,
+			LampPositive:      int(lampPositive),
+			LampTotal:         int(lampTotal),
+			ConsultationCount: int(consultationCount),
+			TraceCount:        int(traceCount),
+		})
+		c.JSON(http.StatusOK, gin.H{
+			"roomId":   room.ID,
+			"roomName": room.Name,
+			"score":    score,
+			"grade":    grade,
+			"riskDistribution": gin.H{
+				"green": riskCounts["green"], "yellow": riskCounts["yellow"],
+				"orange": riskCounts["orange"], "red": riskCounts["red"],
+			},
+			"lampResults": gin.H{"total": lampTotal, "positive": lampPositive},
+			"events":      gin.H{"consultations": consultationCount, "traces": traceCount},
+			"batch":       batch,
+		})
+	}
 }
diff --git a/server-go/internal/handler/trace.go b/server-go/internal/handler/trace.go
index 8544d93..ae51d32 100644
--- a/server-go/internal/handler/trace.go
+++ b/server-go/internal/handler/trace.go
@@ -20,6 +20,7 @@ func RegisterTraceRoutes(rg *gin.RouterGroup, db *gorm.DB) {
 	write := middleware.RequirePermission(db, "trace:write")
 	rg.GET("/trace-records", read, listTraceRecords(db))
 	rg.GET("/trace-records/region-stats", read, traceRegionStats(db))
+	rg.GET("/trace-records/monthly-stats", read, traceMonthlyStats(db))
 	rg.GET("/trace-records/:id", read, getTraceRecord(db))
 	rg.POST("/trace-records", write, createTraceRecord(db))
 	rg.PATCH("/trace-records/:id", write, updateTraceRecord(db))
@@ -29,6 +30,31 @@ func RegisterTraceRoutes(rg *gin.RouterGroup, db *gorm.DB) {
 	rg.POST("/trace-records/:id/checklist", write, submitTraceChecklist(db))
 }
 
+// traceMonthlyStats 年度发病规律（按月聚合）
+func traceMonthlyStats(db *gorm.DB) gin.HandlerFunc {
+	return func(c *gin.Context) {
+		year := time.Now().Year()
+		if y, err := strconv.Atoi(c.DefaultQuery("year", "0")); err == nil && y >= 2020 && y <= 2100 {
+			year = y
+		}
+		start := time.Date(year, 1, 1, 0, 0, 0, 0, time.Local)
+		end := start.AddDate(1, 0, 0)
+		var rows []struct {
+			Month   string `gorm:"column:month"`
+			Disease string `gorm:"column:disease"`
+		}
+		db.Table("trace_records").
+			Select("to_char(created_at, 'YYYY-MM') AS month, disease").
+			Where("created_at >= ? AND created_at < ?", start, end).
+			Scan(&rows)
+		entries := make([]service.MonthDiseaseEntry, 0, len(rows))
+		for _, r := range rows {
+			entries = append(entries, service.MonthDiseaseEntry{Month: r.Month, Disease: r.Disease})
+		}
+		c.JSON(http.StatusOK, gin.H{"year": year, "stats": service.AggregateMonthlyStats(entries)})
+	}
+}
+
 // traceRegionStats 区域发病统计（近 N 天，按蚕房 region 聚合）
 func traceRegionStats(db *gorm.DB) gin.HandlerFunc {
 	return func(c *gin.Context) {
diff --git a/server-go/internal/service/health_profile.go b/server-go/internal/service/health_profile.go
new file mode 100644
index 0000000..81fa8d6
--- /dev/null
+++ b/server-go/internal/service/health_profile.go
@@ -0,0 +1,87 @@
+package service
+
+import (
+	"sort"
+	"strings"
+)
+
+// HealthInput 健康画像输入
+type HealthInput struct {
+	RecentRiskLevels  []string // 近 30 天巡检风险等级
+	LampPositive      int
+	LampTotal         int
+	ConsultationCount int
+	TraceCount        int
+}
+
+// ComputeHealthScore 综合健康分（0-100）与评级（优/良/中/差）
+func ComputeHealthScore(in HealthInput) (float64, string) {
+	score := 100.0
+	for _, level := range in.RecentRiskLevels {
+		switch level {
+		case "red":
+			score -= 25
+		case "orange":
+			score -= 12
+		case "yellow":
+			score -= 4
+		}
+	}
+	if in.LampTotal > 0 {
+		score -= float64(in.LampPositive) / float64(in.LampTotal) * 30
+	}
+	score -= float64(in.ConsultationCount) * 10
+	score -= float64(in.TraceCount) * 8
+	if score < 0 {
+		score = 0
+	}
+	if score > 100 {
+		score = 100
+	}
+	grade := "差"
+	switch {
+	case score >= 85:
+		grade = "优"
+	case score >= 70:
+		grade = "良"
+	case score >= 55:
+		grade = "中"
+	}
+	return score, grade
+}
+
+// MonthDiseaseEntry 月度发病条目
+type MonthDiseaseEntry struct {
+	Month   string
+	Disease string
+}
+
+// MonthStat 月度发病统计
+type MonthStat struct {
+	Month    string         `json:"month"`
+	Total    int            `json:"total"`
+	Diseases map[string]int `json:"diseases"`
+}
+
+// AggregateMonthlyStats 按月份聚合发病数与病种分布（升序）
+func AggregateMonthlyStats(entries []MonthDiseaseEntry) []MonthStat {
+	byMonth := make(map[string]*MonthStat)
+	for _, e := range entries {
+		if strings.TrimSpace(e.Month) == "" {
+			continue
+		}
+		s, ok := byMonth[e.Month]
+		if !ok {
+			s = &MonthStat{Month: e.Month, Diseases: map[string]int{}}
+			byMonth[e.Month] = s
+		}
+		s.Total++
+		s.Diseases[e.Disease]++
+	}
+	result := make([]MonthStat, 0, len(byMonth))
+	for _, s := range byMonth {
+		result = append(result, *s)
+	}
+	sort.Slice(result, func(i, j int) bool { return result[i].Month < result[j].Month })
+	return result
+}
diff --git a/server-go/internal/service/health_profile_test.go b/server-go/internal/service/health_profile_test.go
new file mode 100644
index 0000000..8588adf
--- /dev/null
+++ b/server-go/internal/service/health_profile_test.go
@@ -0,0 +1,52 @@
+package service
+
+import "testing"
+
+func TestComputeHealthScore(t *testing.T) {
+	if s, g := ComputeHealthScore(HealthInput{}); s != 100 || g != "优" {
+		t.Errorf("空输入应 100/优，实际 %.1f/%s", s, g)
+	}
+	bad := HealthInput{
+		RecentRiskLevels: []string{"red", "red"},
+		LampPositive:     1,
+		LampTotal:        2,
+		ConsultationCount: 1,
+		TraceCount:       1,
+	}
+	s, g := ComputeHealthScore(bad)
+	if s >= 80 {
+		t.Errorf("风险输入应显著扣分，实际 %.1f", s)
+	}
+	if g == "优" {
+		t.Errorf("风险输入不应评级为优，实际 %s", g)
+	}
+}
+
+func TestComputeHealthScoreClamp(t *testing.T) {
+	s, _ := ComputeHealthScore(HealthInput{RecentRiskLevels: []string{"red", "red", "red", "red", "red"}})
+	if s < 0 {
+		t.Errorf("分数不应为负，实际 %.1f", s)
+	}
+}
+
+func TestAggregateMonthlyStats(t *testing.T) {
+	entries := []MonthDiseaseEntry{
+		{Month: "2026-07", Disease: "白僵病"},
+		{Month: "2026-07", Disease: "白僵病"},
+		{Month: "2026-07", Disease: "软化病"},
+		{Month: "2026-08", Disease: "白僵病"},
+	}
+	stats := AggregateMonthlyStats(entries)
+	if len(stats) != 2 {
+		t.Fatalf("月份数 = %d, want 2", len(stats))
+	}
+	if stats[0].Month != "2026-07" || stats[0].Total != 3 {
+		t.Errorf("2026-07 应 total=3，实际 %+v", stats[0])
+	}
+	if stats[0].Diseases["白僵病"] != 2 || stats[0].Diseases["软化病"] != 1 {
+		t.Errorf("2026-07 病种分布不正确: %+v", stats[0].Diseases)
+	}
+	if len(AggregateMonthlyStats(nil)) != 0 {
+		t.Error("空输入应返回空")
+	}
+}