diff --git a/.dockerignore b/.dockerignore
new file mode 100644
index 0000000..fa7144d
--- /dev/null
+++ b/.dockerignore
@@ -0,0 +1,28 @@
+.git
+.env
+.env.*
+!.env.example
+
+__pycache__/
+*.py[cod]
+*.pyo
+.pytest_cache/
+.ruff_cache/
+.mypy_cache/
+.coverage
+
+backend/.venv/
+backend/storage/
+storage/
+reports/
+uploads/
+*.db
+*.sqlite
+*.sqlite3
+*.log
+*.pdf
+
+frontend/
+docs/
+demo_frontend/
+scripts/
diff --git a/Dockerfile b/Dockerfile
new file mode 100644
index 0000000..ae59838
--- /dev/null
+++ b/Dockerfile
@@ -0,0 +1,28 @@
+FROM python:3.11-slim
+
+ENV PYTHONDONTWRITEBYTECODE=1 \
+    PYTHONUNBUFFERED=1 \
+    PIP_NO_CACHE_DIR=1
+
+WORKDIR /app
+
+COPY backend/requirements.txt ./requirements.txt
+
+RUN pip install -i https://pypi.tuna.tsinghua.edu.cn/simple \
+    --no-cache-dir \
+    -r requirements.txt
+
+COPY backend ./backend
+
+WORKDIR /app/backend
+
+EXPOSE 9000
+
+CMD [
+  "uvicorn",
+  "app.main:app",
+  "--host",
+  "0.0.0.0",
+  "--port",
+  "9000"
+]
diff --git a/README.md b/README.md
index 8b876c4..53c1132 100644
--- a/README.md
+++ b/README.md
@@ -24,6 +24,13 @@ cd backend
 uvicorn app.main:app --host 127.0.0.1 --port 9000
 ```
 
+Docker 构建与运行：
+
+```powershell
+docker build -t medical-consultation-agent-backend .
+docker run --env-file .env -p 9000:9000 medical-consultation-agent-backend
+```
+
 ## 服务依赖
 
 MySQL 使用容器或内网服务名 `mysql`：
diff --git a/backend/requirements.txt b/backend/requirements.txt
index 7435c1b..773ecba 100644
--- a/backend/requirements.txt
+++ b/backend/requirements.txt
@@ -7,5 +7,4 @@ aiomysql>=0.2.0
 httpx>=0.27.0
 python-dotenv>=1.0.0
 reportlab>=4.2.0
-streamlit>=1.36.0
 redis>=5.0.0