{"id":814,"date":"2026-11-12T09:42:08","date_gmt":"2026-11-12T01:42:08","guid":{"rendered":"https:\/\/btc354.com\/index.php\/2026\/11\/12\/pulsemate-security-bcb68539227b951ff3709af24551cbdd99ba47da3207e5962fbba3806d12748e\/"},"modified":"2026-11-12T09:42:08","modified_gmt":"2026-11-12T01:42:08","slug":"pulsemate-security-bcb68539227b951ff3709af24551cbdd99ba47da3207e5962fbba3806d12748e","status":"publish","type":"post","link":"https:\/\/btc354.com\/index.php\/2026\/11\/12\/pulsemate-security-bcb68539227b951ff3709af24551cbdd99ba47da3207e5962fbba3806d12748e\/","title":{"rendered":"OpenEMR \u8def\u5f84\u7a7f\u8d8a\u6f0f\u6d1e\u6df1\u5ea6\u590d\u76d8\uff1aCVE-2026-124450 \u4ece\u4f4e\u6743\u9650\u8d8a\u6743\u5230 RCE \u7684\u5b8c\u6574\u653b\u51fb\u94fe\u4e0e\u4fee\u590d\u65b9\u6848"},"content":{"rendered":"<blockquote class=\"doc-lead\"><p><strong>\u5bfc\u8bed\uff1a<\/strong>OpenEMR \u8def\u5f84\u7a7f\u8d8a\u6f0f\u6d1e CVE-2026-124450 \u662f\u8fd1\u671f\u533b\u7597\u5f00\u6e90\u751f\u6001\u4e2d\u6700\u503c\u5f97\u8b66\u60d5\u7684\u590d\u5408\u578b\u7f3a\u9677\u2014\u2014\u4e00\u4e2a\u672a\u7ecf\u9a8c\u8bc1\u7684 file_path \u53c2\u6570\uff0c\u8ba9\u4f4e\u6743\u9650\u8d26\u53f7\u540c\u65f6\u83b7\u5f97\u6570\u636e\u5e93\u51ed\u636e\u8bfb\u53d6\u4e0e\u4efb\u610f\u6587\u4ef6\u5199\u5165\u80fd\u529b\uff0c\u6700\u7ec8\u76f4\u901a\u8fdc\u7a0b\u4ee3\u7801\u6267\u884c\u3002\u4f5c\u4e3a\u957f\u671f\u8d1f\u8d23\u533b\u7597\u4fe1\u606f\u5316\u7cfb\u7edf\u5b89\u5168\u67b6\u6784\u7684\u4ece\u4e1a\u8005\uff0c\u6211\u8ba4\u4e3a\u8fd9\u4e0d\u662f\u5355\u70b9 Bug\uff0c\u800c\u662f\u4e00\u6b21\u5bf9\u201c\u8ba4\u8bc1\u5373\u6388\u6743\u201d\u9519\u8bef\u5047\u8bbe\u7684\u96c6\u4e2d\u6e05\u7b97\u3002<\/p><\/blockquote>\n<div class=\"doc-spec-grid\">\n<div class=\"doc-spec-item\"><span class=\"doc-spec-label\">\ud83c\udfaf \u6838\u5fc3\u6280\u672f<\/span><span class=\"doc-spec-value\">OpenEMR fax\/sms \u6a21\u5757 \u00b7 PHP \u6587\u4ef6\u64cd\u4f5c<\/span><\/div>\n<div class=\"doc-spec-item\"><span class=\"doc-spec-label\">\u26a1 \u67b6\u6784\u96be\u5ea6<\/span><span class=\"doc-spec-value\">\u8d44\u6df1\u67b6\u6784\u7ea7 (Level 3-4)<\/span><\/div>\n<div class=\"doc-spec-item\"><span class=\"doc-spec-label\">\ud83d\ude80 \u6838\u5fc3\u6536\u76ca<\/span><span class=\"doc-spec-value\">\u653b\u51fb\u94fe\u5b8c\u6574\u963b\u65ad \/ \u51ed\u636e\u96f6\u6cc4\u9732<\/span><\/div>\n<\/div>\n<h2 class=\"doc-h2\">\u4e00\u3001\u6f0f\u6d1e\u5168\u666f\uff1aOpenEMR \u8def\u5f84\u7a7f\u8d8a\u6f0f\u6d1e\u7684\u653b\u51fb\u9762\u5b9a\u4f4d<\/h2>\n<p class=\"doc-p\" data-enlighter-language=\"text\">CVE-2026-124450 \u7684\u5b98\u65b9\u63cf\u8ff0\u975e\u5e38\u514b\u5236\uff0c\u4f46\u4fe1\u606f\u5bc6\u5ea6\u6781\u9ad8\uff1aOpenEMR 8.3.0 \u4e4b\u524d\u7248\u672c\uff0cfax\/sms \u6a21\u5757\u7684 <code>disposeDocument<\/code> \u52a8\u4f5c\u901a\u8fc7\u672a\u6821\u9a8c\u7684 <code>file_path<\/code> \u53c2\u6570\uff0c\u540c\u65f6\u5b58\u5728<strong>\u5931\u6548\u7684\u8bbf\u95ee\u63a7\u5236\uff08Broken Access Control\uff09<\/strong>\u4e0e<strong>\u8def\u5f84\u7a7f\u8d8a\uff08Path Traversal\uff09<\/strong>\u3002\u5df2\u8ba4\u8bc1\u7684\u4f4e\u6743\u9650\u7528\u6237\u53ef\u8bfb\u53d6 <code>sqlconf.php<\/code> \u6062\u590d\u6570\u636e\u5e93\u51ed\u636e\uff0c\u5e76\u4ee5 Web \u7528\u6237\u8eab\u4efd\u5199\u5165\u4efb\u610f\u6587\u4ef6\uff0c\u8fdb\u800c\u5b9e\u73b0\u8fdc\u7a0b\u4ee3\u7801\u6267\u884c\u3002<\/p>\n<p class=\"doc-p\">\u4ece\u67b6\u6784\u89c6\u89d2\u770b\uff0c\u8fd9\u6761\u63cf\u8ff0\u5b9e\u9645\u4e0a\u52fe\u52d2\u51fa\u4e00\u6761\u6559\u79d1\u4e66\u7ea7\u7684\u201c\u4e09\u6bb5\u5f0f\u201d\u653b\u51fb\u94fe\uff1a<strong>\u8d8a\u6743\u8fdb\u5165 \u2192 \u4efb\u610f\u8bfb \u2192 \u4efb\u610f\u5199 \u2192 RCE<\/strong>\u3002\u6bcf\u4e00\u6bb5\u5355\u72ec\u770b\u90fd\u53ea\u662f\u4e2d\u5371\uff0c\u4e32\u8054\u8d77\u6765\u5c31\u662f\u81f4\u547d\u3002\u8fd9\u4e5f\u662f\u6211\u5728\u8bc4\u5ba1\u4efb\u4f55\u533b\u7597\u7cfb\u7edf\u65f6\u6700\u5148\u68c0\u67e5\u7684\u7ec4\u5408\uff1a\u6587\u4ef6\u64cd\u4f5c\u5165\u53e3 + \u6743\u9650\u6821\u9a8c\u7f3a\u5931 + \u654f\u611f\u914d\u7f6e\u540c\u76ee\u5f55\u3002<\/p>\n<div class=\"doc-arch-card\">\n<div class=\"doc-arch-header\">\n<div class=\"doc-arch-title-wrap\">\n      <span class=\"doc-arch-title\"><span class=\"icon\">\ud83d\udcd0<\/span> CVE-2026-124450 \u653b\u51fb\u94fe\u4e0e\u7eb5\u6df1\u9632\u5fa1\u5206\u5c42\u5168\u666f<\/span><br \/>\n      <span class=\"doc-arch-badge\">\u4f01\u4e1a\u7ea7\u67b6\u6784\u89c4\u8303<\/span>\n    <\/div>\n<div class=\"doc-arch-actions\">\n      <button type=\"button\" class=\"doc-arch-btn btn-copy-raw\">\ud83d\udccb \u590d\u5236\u6e90\u7801<\/button><br \/>\n      <button type=\"button\" class=\"doc-arch-btn btn-zoom-arch\">\ud83d\udd0d \u653e\u5927\u67e5\u770b<\/button>\n    <\/div>\n<\/p><\/div>\n<pre class=\"mermaid\">\nflowchart TD\n    subgraph \u63a5\u5165\u5c42 [\"\u8868\u73b0\u5c42\u4e0e\u63a5\u5165\u7f51\u5173 (Client &amp; Gateway Tier)\"]\n        A[\"\u4f4e\u6743\u9650\u5df2\u8ba4\u8bc1\u7528\u6237 (Low-Priv Session)\"] --&gt; B[\"fax\/sms \u6a21\u5757 disposeDocument \u5165\u53e3\"]\n        B --&gt; C[\"WAF \/ \u865a\u62df\u8865\u4e01\u62e6\u622a (file_path \u767d\u540d\u5355)\"]\n    end\n    subgraph \u89c4\u5219\u5c42 [\"\u6388\u6743\u4e0e\u4e0a\u4e0b\u6587\u6821\u9a8c\u5c42 (AuthZ &amp; Context Tier)\"]\n        C --&gt; D[\"ACL \u6743\u9650\u5224\u5b9a (\u89d2\u8272-\u52a8\u4f5c\u6620\u5c04)\"]\n        D --&gt; E[\"\u8def\u5f84\u89c4\u8303\u5316\u4e0e\u6839\u76ee\u5f55\u7ea6\u675f (realpath \u6821\u9a8c)\"]\n    end\n    subgraph \u9886\u57df\u5c42 [\"\u6838\u5fc3\u6587\u4ef6\u64cd\u4f5c\u5f15\u64ce (File Operation Tier)\"]\n        E --&gt; F[\"\u4efb\u610f\u8bfb: sqlconf.php \u51ed\u636e\u6cc4\u9732\"]\n        E --&gt; G[\"\u4efb\u610f\u5199: Web \u76ee\u5f55\u843d\u76d8 PHP \u6728\u9a6c\"]\n    end\n    subgraph \u5b58\u50a8\u5c42 [\"\u57fa\u7840\u8bbe\u65bd\u4e0e\u6267\u884c\u9762 (Infrastructure Tier)\"]\n        F --&gt; H[(\"MySQL \u6570\u636e\u5e93\u51ed\u636e\")]\n        G --&gt; I[\"Web \u7528\u6237\u6743\u9650\u6267\u884c \u2192 RCE\"]\n    end\n  <\/pre>\n<div class=\"doc-arch-caption\">\u56fe 1: OpenEMR \u8def\u5f84\u7a7f\u8d8a\u6f0f\u6d1e\u4ece\u4f4e\u6743\u9650\u5165\u53e3\u7ecf\u6388\u6743\u7f3a\u5931\u5230\u4efb\u610f\u8bfb\u5199\u4e0e RCE \u7684\u5b8c\u6574\u94fe\u8def\uff0c\u4ee5\u53ca\u5404\u5c42\u53ef\u63d2\u5165\u7684\u9632\u5fa1\u63a7\u5236\u70b9\u3002<\/div>\n<\/div>\n<h2 class=\"doc-h2\">\u4e8c\u3001\u653b\u51fb\u94fe\u9010\u6bb5\u62c6\u89e3\uff1a\u4e3a\u4ec0\u4e48\u201c\u4f4e\u6743\u9650\u201d\u8db3\u4ee5\u81f4\u547d<\/h2>\n<h3 class=\"doc-h3\">2.1 \u7b2c\u4e00\u6bb5\uff1a\u5931\u6548\u7684\u8bbf\u95ee\u63a7\u5236\u2014\u2014\u8ba4\u8bc1\u4e0d\u7b49\u4e8e\u6388\u6743<\/h3>\n<p class=\"doc-p\">OpenEMR \u7684 fax\/sms \u6a21\u5757\u9762\u5411\u8bca\u6240\u524d\u53f0\u3001\u62a4\u58eb\u7b49\u4f4e\u6743\u9650\u89d2\u8272\u5f00\u653e\uff0c\u56e0\u4e3a\u6536\u53d1\u4f20\u771f\u4e0e\u77ed\u4fe1\u5c5e\u4e8e\u65e5\u5e38\u4e1a\u52a1\u52a8\u4f5c\u3002\u95ee\u9898\u5728\u4e8e <code>disposeDocument<\/code> \u8fd9\u4e2a\u201c\u5904\u7f6e\u6587\u6863\u201d\u52a8\u4f5c\u5728\u8bbe\u8ba1\u4e0a\u88ab\u9ed8\u8ba4\u4e3a\u201c\u767b\u5f55\u5373\u53ef\u7528\u201d\uff0c\u6ca1\u6709\u505a<strong>\u52a8\u4f5c\u7ea7 ACL \u6821\u9a8c<\/strong>\u3002\u8fd9\u662f\u5178\u578b\u7684 RBAC \u843d\u5730\u65ad\u5c42\uff1a\u89d2\u8272\u88ab\u8d4b\u4e88\u4e86\u6a21\u5757\u5165\u53e3\uff0c\u5374\u6ca1\u6709\u88ab\u8d4b\u4e88\u52a8\u4f5c\u7c92\u5ea6\u7ea6\u675f\u3002<\/p>\n<div class=\"doc-callout doc-callout-info\">\n<div class=\"doc-callout-title\">\ud83d\udca1 \u67b6\u6784\u6838\u5fc3\u51b3\u7b56<\/div>\n<p>\u6388\u6743\u5fc5\u987b\u4e0b\u6c89\u5230\u201c\u52a8\u4f5c + \u8d44\u6e90\u201d\u4e8c\u5143\u7ec4\uff0c\u800c\u4e0d\u662f\u505c\u7559\u5728\u201c\u6a21\u5757\u53ef\u89c1\u6027\u201d\u3002\u4efb\u4f55\u63a5\u6536\u6587\u4ef6\u8def\u5f84\u3001SQL \u7247\u6bb5\u3001\u547d\u4ee4\u53c2\u6570\u7684\u52a8\u4f5c\uff0c\u90fd\u5e94\u89c6\u4e3a\u9ad8\u5371\u52a8\u4f5c\uff0c\u5f3a\u5236\u8d70\u72ec\u7acb\u6388\u6743\u68c0\u67e5\u70b9\u3002<\/p><\/div>\n<h3 class=\"doc-h3\">2.2 \u7b2c\u4e8c\u6bb5\uff1a\u8def\u5f84\u7a7f\u8d8a\u2014\u2014file_path \u7684\u4fe1\u4efb\u5e7b\u89c9<\/h3>\n<p class=\"doc-p\"><code>file_path<\/code> \u53c2\u6570\u672a\u7ecf\u89c4\u8303\u5316\u5373\u88ab\u62fc\u63a5\u5230\u6587\u4ef6\u7cfb\u7edf\u8c03\u7528\u4e2d\u3002\u653b\u51fb\u8005\u53ea\u9700\u63d0\u4ea4 <code>..\/..\/sites\/default\/sqlconf.php<\/code> \u8fd9\u7c7b\u76f8\u5bf9\u8def\u5f84\uff0c\u5373\u53ef\u8df3\u51fa\u9884\u671f\u7684\u4f20\u771f\u9644\u4ef6\u76ee\u5f55\u3002<code>sqlconf.php<\/code> \u662f OpenEMR \u5b58\u653e\u6570\u636e\u5e93\u4e3b\u673a\u3001\u5e93\u540d\u3001\u7528\u6237\u540d\u4e0e\u5bc6\u7801\u7684\u914d\u7f6e\u6587\u4ef6\uff0c\u4e00\u65e6\u8bfb\u51fa\uff0c\u653b\u51fb\u8005\u5c31\u5b8c\u6210\u4e86\u4ece\u201c\u5e94\u7528\u5c42\u8d8a\u6743\u201d\u5230\u201c\u6570\u636e\u5c42\u63a5\u7ba1\u201d\u7684\u8dc3\u8fc1\u3002<\/p>\n<div class=\"baota-config-bar\"><span>open_basedir = \/var\/www\/openemr:\/tmp<\/span><span class=\"lang-tag\">INI<\/span><\/div>\n<p class=\"doc-p\">\u4e0a\u9762\u8fd9\u6761 PHP \u914d\u7f6e\u662f\u6210\u672c\u6700\u4f4e\u3001\u6536\u76ca\u6700\u9ad8\u7684\u4e00\u9053\u95f8\u95e8\u3002\u5373\u4fbf\u4ee3\u7801\u5c42\u5b58\u5728\u7a7f\u8d8a\u7f3a\u9677\uff0c<code>open_basedir<\/code> \u4e5f\u80fd\u628a\u53ef\u8bbf\u95ee\u8303\u56f4\u9501\u6b7b\u5728\u5e94\u7528\u6839\u76ee\u5f55\u5185\uff0c\u8ba9 <code>..\/..\/<\/code> \u76f4\u63a5\u5931\u6548\u3002<\/p>\n<h3 class=\"doc-h3\">2.3 \u7b2c\u4e09\u6bb5\uff1a\u4efb\u610f\u5199 \u2192 RCE\u2014\u2014\u6700\u5371\u9669\u7684\u4e00\u8dc3<\/h3>\n<p class=\"doc-p\">\u8bfb\u53d6\u51ed\u636e\u53ea\u662f\u60c5\u62a5\u6536\u96c6\uff0c\u771f\u6b63\u81f4\u547d\u7684\u662f<strong>\u4ee5 Web \u7528\u6237\u8eab\u4efd\u5199\u5165\u4efb\u610f\u6587\u4ef6<\/strong>\u3002\u653b\u51fb\u8005\u53ef\u5c06 PHP \u4ee3\u7801\u5199\u5165\u53ef\u88ab Web \u670d\u52a1\u5668\u89e3\u6790\u7684\u76ee\u5f55\uff08\u5982\u4e0a\u4f20\u76ee\u5f55\u3001\u7f13\u5b58\u76ee\u5f55\uff09\uff0c\u968f\u540e\u901a\u8fc7 HTTP \u8bf7\u6c42\u89e6\u53d1\u6267\u884c\u3002\u6b64\u65f6\u653b\u51fb\u8005\u83b7\u5f97\u7684\u6743\u9650\u4e0e PHP-FPM \u8fdb\u7a0b\u4e00\u81f4\uff0c\u53ef\u8fdb\u4e00\u6b65\u6a2a\u5411\u79fb\u52a8\u3001\u690d\u5165\u6301\u4e45\u5316\u540e\u95e8\u3002<\/p>\n<div class=\"doc-callout doc-callout-danger\">\n<div class=\"doc-callout-title\">\ud83d\udea8 \u4e25\u91cd\u9690\u60a3\u544a\u8b66<\/div>\n<p>\u533b\u7597\u7cfb\u7edf\u627f\u8f7d\u60a3\u8005\u9690\u79c1\u6570\u636e\uff08PHI\uff09\uff0c\u4e00\u65e6 RCE \u843d\u5730\uff0c\u4e0d\u4ec5\u9762\u4e34\u6570\u636e\u6cc4\u9732\u5408\u89c4\u5904\u7f5a\uff08HIPAA \/ \u7b49\u4fdd\u4e09\u7ea7\uff09\uff0c\u8fd8\u53ef\u80fd\u56e0\u6570\u636e\u7be1\u6539\u76f4\u63a5\u5a01\u80c1\u8bca\u7597\u5b89\u5168\u3002\u6b64\u7c7b\u6f0f\u6d1e\u5e94\u89c6\u4e3a\u6700\u9ad8\u4f18\u5148\u7ea7 P0 \u5904\u7f6e\u3002<\/p><\/div>\n<h2 class=\"doc-h2\">\u4e09\u3001\u6839\u56e0\u5256\u6790\uff1aOpenEMR \u8def\u5f84\u7a7f\u8d8a\u6f0f\u6d1e\u80cc\u540e\u7684\u4e09\u7c7b\u7cfb\u7edf\u6027\u7f3a\u9677<\/h2>\n<div class=\"doc-table-wrapper\">\n<table class=\"doc-table\">\n<thead>\n<tr>\n<th>\u7f3a\u9677\u5c42\u7ea7<\/th>\n<th>\u5177\u4f53\u8868\u73b0<\/th>\n<th>\u4f20\u7edf\u505a\u6cd5<\/th>\n<th>\u73b0\u4ee3\u52a0\u56fa\u65b9\u6848<\/th>\n<th>\u67b6\u6784\u6536\u76ca<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\u6388\u6743\u5c42<\/td>\n<td>\u52a8\u4f5c\u7ea7 ACL \u7f3a\u5931<\/td>\n<td>\u4ec5\u6821\u9a8c session \u5b58\u5728<\/td>\n<td>\u52a8\u4f5c-\u8d44\u6e90\u4e8c\u5143\u7ec4\u9274\u6743<\/td>\n<td><span class=\"badge-tag-green\">\u8d8a\u6743\u9762\u6536\u655b 90%<\/span><\/td>\n<\/tr>\n<tr>\n<td>\u8f93\u5165\u5c42<\/td>\n<td>file_path \u672a\u89c4\u8303\u5316<\/td>\n<td>\u5b57\u7b26\u4e32\u62fc\u63a5\u8def\u5f84<\/td>\n<td>realpath + \u767d\u540d\u5355\u6839\u76ee\u5f55<\/td>\n<td><span class=\"badge-tag-green\">\u7a7f\u8d8a\u76f4\u63a5\u5931\u6548<\/span><\/td>\n<\/tr>\n<tr>\n<td>\u8fd0\u884c\u5c42<\/td>\n<td>Web \u7528\u6237\u53ef\u5199\u53ef\u6267\u884c<\/td>\n<td>\u76ee\u5f55 777 \u56fe\u7701\u4e8b<\/td>\n<td>\u4e0a\u4f20\u76ee\u5f55 noexec + \u5206\u79bb\u90e8\u7f72<\/td>\n<td><span class=\"badge-tag-green\">RCE \u94fe\u65ad\u88c2<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p class=\"doc-p\">\u8fd9\u4e09\u5c42\u7f3a\u9677\u5e76\u975e OpenEMR \u72ec\u6709\uff0c\u800c\u662f\u5927\u91cf\u4f20\u7edf PHP \u533b\u7597\u7cfb\u7edf\u7684\u5171\u6027\u753b\u50cf\u3002\u6211\u5728\u591a\u4e2a\u5ba2\u6237\u73b0\u573a\u90fd\u89c1\u8fc7\u201c\u4e0a\u4f20\u76ee\u5f55\u4e0e\u4ee3\u7801\u76ee\u5f55\u540c\u76d8\u540c\u6743\u9650\u201d\u7684\u90e8\u7f72\u65b9\u5f0f\uff0c\u672c\u8d28\u4e0a\u7b49\u4e8e\u628a\u4efb\u610f\u5199\u6f0f\u6d1e\u81ea\u52a8\u5347\u7ea7\u4e3a RCE\u3002<\/p>\n<h2 class=\"doc-h2\">\u56db\u3001\u5de5\u4e1a\u7ea7\u4fee\u590d\u65b9\u6848\uff1a\u4ece\u4ee3\u7801\u8865\u4e01\u5230\u7eb5\u6df1\u9632\u5fa1<\/h2>\n<h3 class=\"doc-h3\">4.1 \u4ee3\u7801\u5c42\uff1a\u8def\u5f84\u89c4\u8303\u5316\u4e0e\u6388\u6743\u68c0\u67e5\u70b9<\/h3>\n<p class=\"doc-p\">\u4fee\u590d\u7684\u6838\u5fc3\u4e0d\u662f\u201c\u8fc7\u6ee4 ..\/\u201d\uff0c\u800c\u662f<strong>\u5148\u89c4\u8303\u5316\u3001\u518d\u7ea6\u675f\u6839\u76ee\u5f55\u3001\u6700\u540e\u505a\u524d\u7f00\u6bd4\u5bf9<\/strong>\u3002\u5355\u7eaf\u9ed1\u540d\u5355\u8fc7\u6ee4\u53ef\u88ab\u7f16\u7801\u7ed5\u8fc7\uff08<code>..%2f<\/code>\u3001<code>....\/\/<\/code>\u3001UTF-8 \u53d8\u4f53\u7b49\uff09\uff0c\u5fc5\u987b\u4f7f\u7528\u6587\u4ef6\u7cfb\u7edf\u8bed\u4e49\u5224\u5b9a\u3002<\/p>\n<pre class=\"EnlighterJSRAW\" data-enlighter-language=\"php\" data-enlighter-title=\"disposeDocument.php \u4fee\u590d\u793a\u4f8b\">&lt;?php\n\/\/ 1) \u52a8\u4f5c\u7ea7\u6388\u6743\uff1a\u4ec5\u5141\u8bb8\u5177\u5907 fax_dispose \u6743\u9650\u7684\u89d2\u8272\nif (!AclMain::aclCheckCore(&#039;patients&#039;, &#039;fax&#039;, &#039;&#039;, &#039;dispose&#039;)) {\n    http_response_code(403);\n    exit(&#039;Forbidden&#039;);\n}\n\n\/\/ 2) \u8def\u5f84\u89c4\u8303\u5316 + \u6839\u76ee\u5f55\u7ea6\u675f\n$baseDir = realpath(__DIR__ . &#039;\/..\/..\/documents\/fax&#039;);\n$target  = realpath($baseDir . &#039;\/&#039; . basename($_POST[&#039;file_path&#039;]));\n\nif ($target === false || strpos($target, $baseDir . DIRECTORY_SEPARATOR) !== 0) {\n    error_log(&#039;Path traversal attempt blocked: &#039; . $_POST[&#039;file_path&#039;]);\n    http_response_code(400);\n    exit(&#039;Invalid path&#039;);\n}\n\n\/\/ 3) \u6269\u5c55\u540d\u767d\u540d\u5355\uff0c\u7981\u6b62\u843d\u76d8\u53ef\u6267\u884c\u811a\u672c\n$ext = strtolower(pathinfo($target, PATHINFO_EXTENSION));\nif (!in_array($ext, [&#039;pdf&#039;, &#039;tif&#039;, &#039;tiff&#039;, &#039;png&#039;, &#039;jpg&#039;], true)) {\n    http_response_code(415);\n    exit(&#039;Unsupported file type&#039;);\n}\n\n\/\/ 4) \u4e1a\u52a1\u5904\u7f6e\u903b\u8f91\nhandleFaxDocument($target);\n<\/pre>\n<div class=\"doc-callout doc-callout-warning\">\n<div class=\"doc-callout-title\">\u26a0\ufe0f \u751f\u4ea7\u907f\u5751\u98ce\u9669<\/div>\n<p>\u5347\u7ea7\u5230 OpenEMR 8.3.0 \u53ca\u4ee5\u4e0a\u662f\u6839\u6cbb\u624b\u6bb5\uff0c\u4f46\u533b\u7597\u7cfb\u7edf\u5347\u7ea7\u7a97\u53e3\u5f80\u5f80\u53d7\u5236\u4e8e\u7b2c\u4e09\u65b9\u63a5\u53e3\u4e0e\u5408\u89c4\u9a8c\u8bc1\u3002\u5728\u65e0\u6cd5\u7acb\u5373\u5347\u7ea7\u7684\u7a97\u53e3\u671f\uff0c\u5fc5\u987b\u90e8\u7f72 WAF \u865a\u62df\u8865\u4e01\u4e0e open_basedir \u53cc\u91cd\u515c\u5e95\uff0c\u5207\u52ff\u201c\u7b49\u6392\u671f\u201d\u3002<\/p><\/div>\n<h3 class=\"doc-h3\">4.2 \u8fd0\u884c\u5c42\uff1a\u8ba9\u201c\u5199\u201d\u4e0e\u201c\u6267\u884c\u201d\u7269\u7406\u5206\u79bb<\/h3>\n<ul class=\"doc-list\">\n<li>\u5c06\u4e0a\u4f20\/\u9644\u4ef6\u76ee\u5f55\u6302\u8f7d\u4e3a\u72ec\u7acb\u5206\u533a\uff0c\u5e76\u8bbe\u7f6e <code>noexec,nosuid<\/code> \u6302\u8f7d\u9009\u9879\u3002<\/li>\n<li>Nginx\/Apache \u5bf9\u4e0a\u4f20\u76ee\u5f55\u7981\u7528 PHP \u89e3\u6790\uff0c\u4ec5\u5141\u8bb8\u9759\u6001\u8fd4\u56de\u3002<\/li>\n<li>Web \u8fdb\u7a0b\u7528\u6237\u5bf9\u4ee3\u7801\u76ee\u5f55\u53ea\u8bfb\uff0c\u4ec5\u5bf9\u5fc5\u8981\u6570\u636e\u76ee\u5f55\u53ef\u5199\u3002<\/li>\n<li>\u542f\u7528 <code>open_basedir<\/code> \u4e0e <code>disable_functions<\/code>\uff08\u7981\u7528 <code>system<\/code>\u3001<code>exec<\/code>\u3001<code>passthru<\/code> \u7b49\uff09\u3002<\/li>\n<\/ul>\n<details class=\"doc-accordion\">\n<summary>\u70b9\u51fb\u5c55\u5f00\uff1aNginx \u4e0a\u4f20\u76ee\u5f55\u7981\u89e3\u6790\u4e0e PHP \u52a0\u56fa\u914d\u7f6e<\/summary>\n<div class=\"doc-accordion-content\">\n<pre><code class=\"language-bash\"># Nginx: \u4e0a\u4f20\u76ee\u5f55\u7981\u6b62 PHP \u89e3\u6790\nlocation ^~ \/sites\/default\/documents\/ {\n    location ~ .php$ {\n        deny all;\n    }\n}\n\n# PHP-FPM \u6c60\u7ea7\u52a0\u56fa\nphp_admin_value[open_basedir] = \/var\/www\/openemr:\/tmp\nphp_admin_value[disable_functions] = exec,passthru,shell_exec,system,proc_open,popen\nphp_admin_flag[allow_url_include] = off\n<\/code><\/pre>\n<\/div>\n<\/details>\n<h3 class=\"doc-h3\">4.3 \u68c0\u6d4b\u5c42\uff1a\u5982\u4f55\u786e\u8ba4\u662f\u5426\u5df2\u88ab\u5229\u7528<\/h3>\n<p class=\"doc-p\">\u5e94\u6025\u54cd\u5e94\u9636\u6bb5\uff0c\u91cd\u70b9\u6392\u67e5\u4e09\u7c7b\u75d5\u8ff9\uff1a\u8bbf\u95ee\u65e5\u5fd7\u4e2d\u9488\u5bf9 <code>disposeDocument<\/code> \u4e14 <code>file_path<\/code> \u542b <code>..<\/code> \u6216 <code>sqlconf<\/code> \u7684\u8bf7\u6c42\uff1b\u4e0a\u4f20\u76ee\u5f55\u4e2d\u65b0\u589e\u7684\u5f02\u5e38 PHP \u6587\u4ef6\uff1b\u6570\u636e\u5e93\u8d26\u53f7\u7684\u5f02\u5e38\u767b\u5f55\u6765\u6e90\u3002\u4efb\u4f55\u4e00\u9879\u547d\u4e2d\u90fd\u5e94\u7acb\u5373\u9694\u79bb\u4e3b\u673a\u5e76\u542f\u52a8\u53d6\u8bc1\u3002<\/p>\n<pre class=\"EnlighterJSRAW\" data-enlighter-language=\"bash\" data-enlighter-title=\"access.log \u53ef\u7591\u8bf7\u6c42\u6392\u67e5\">grep -Ei 'disposeDocument' \/var\/log\/nginx\/access.log \n  | grep -Ei '(..%2f|..\/|sqlconf|%00)' \n  | awk '{print $1, $7, $9}' | sort | uniq -c | sort -rn | head -50\n\n# \u67e5\u627e\u8fd1\u671f\u65b0\u589e\u7684\u53ef\u7591 PHP \u6587\u4ef6\nfind \/var\/www\/openemr\/sites -type f -name '*.php' -mtime -7 -ls\n<\/pre>\n<h2 class=\"doc-h2\">\u4e94\u3001\u67b6\u6784\u5e08\u89c6\u89d2\u7684\u957f\u671f\u542f\u793a<\/h2>\n<p class=\"doc-p\">OpenEMR \u8def\u5f84\u7a7f\u8d8a\u6f0f\u6d1e CVE-2026-124450 \u518d\u6b21\u5370\u8bc1\u4e00\u4e2a\u6734\u7d20\u7ed3\u8bba\uff1a<strong>\u6587\u4ef6\u8def\u5f84\u53c2\u6570\u662f Web \u5e94\u7528\u4e2d\u6700\u88ab\u4f4e\u4f30\u7684\u653b\u51fb\u9762<\/strong>\u3002\u5b83\u4e0d\u50cf SQL \u6ce8\u5165\u90a3\u6837\u6709\u6210\u719f\u7684 ORM \u515c\u5e95\uff0c\u4e5f\u4e0d\u50cf XSS \u90a3\u6837\u6709\u6a21\u677f\u5f15\u64ce\u81ea\u52a8\u8f6c\u4e49\uff0c\u5f80\u5f80\u4ee5\u88f8\u5b57\u7b26\u4e32\u5f62\u5f0f\u5728\u4e1a\u52a1\u4ee3\u7801\u4e2d\u6d41\u8f6c\u3002\u6211\u7684\u5efa\u8bae\u662f\u628a\u201c\u8def\u5f84\u53c2\u6570\u201d\u7eb3\u5165\u4e0e\u201cSQL \u53c2\u6570\u201d\u540c\u7b49\u7ea7\u522b\u7684\u5b89\u5168\u7f16\u7801\u89c4\u8303\uff0c\u5f3a\u5236\u8d70\u7edf\u4e00\u7684\u8def\u5f84\u89e3\u6790\u5de5\u5177\u51fd\u6570\u3002<\/p>\n<p class=\"doc-p\">\u53e6\u4e00\u65b9\u9762\uff0c\u533b\u7597\u7cfb\u7edf\u7684\u5b89\u5168\u6cbb\u7406\u4e0d\u80fd\u53ea\u4f9d\u8d56\u4e0a\u6e38\u8865\u4e01\u8282\u594f\u3002OpenEMR \u4f5c\u4e3a\u5f00\u6e90\u9879\u76ee\uff0c\u4fee\u590d\u901f\u5ea6\u53d7\u793e\u533a\u8d44\u6e90\u7ea6\u675f\uff0c\u800c\u533b\u9662\u7684\u751f\u4ea7\u73af\u5883\u53c8\u4e0d\u80fd\u505c\u673a\u7b49\u5f85\u3002\u771f\u6b63\u53ef\u9760\u7684\u67b6\u6784\u662f\uff1a<strong>\u5047\u8bbe\u4e0a\u6e38\u4e00\u5b9a\u6709\u6f0f\u6d1e\uff0c\u7528\u8fd0\u884c\u5c42\u9694\u79bb\u628a\u5355\u70b9\u7f3a\u9677\u7684\u7206\u70b8\u534a\u5f84\u538b\u5230\u6700\u5c0f<\/strong>\u3002open_basedir\u3001\u76ee\u5f55 noexec\u3001\u6700\u5c0f\u6743\u9650\u8fd0\u884c\uff0c\u8fd9\u4e09\u4ef6\u4e8b\u7684\u6210\u672c\u8fdc\u4f4e\u4e8e\u4e00\u6b21 RCE \u4e8b\u6545\u7684\u4ee3\u4ef7\u3002<\/p>\n<div class=\"doc-callout doc-callout-info\">\n<div class=\"doc-callout-title\">\ud83d\udca1 \u67b6\u6784\u6838\u5fc3\u51b3\u7b56<\/div>\n<p>\u628a\u201c\u4efb\u610f\u6587\u4ef6\u8bfb\u5199\u201d\u89c6\u4e3a\u7b49\u540c\u4e8e RCE \u7684\u9ad8\u5371\u539f\u8bed\u3002\u4efb\u4f55\u66b4\u9732\u6587\u4ef6\u8def\u5f84\u53c2\u6570\u7684\u529f\u80fd\uff0c\u4e0a\u7ebf\u524d\u5fc5\u987b\u901a\u8fc7\u8def\u5f84\u7a7f\u8d8a\u4e13\u9879\u6d4b\u8bd5\u7528\u4f8b\uff0c\u5305\u62ec\u7f16\u7801\u7ed5\u8fc7\u3001\u7b26\u53f7\u94fe\u63a5\u3001\u7edd\u5bf9\u8def\u5f84\u4e09\u7c7b\u53d8\u4f53\u3002<\/p><\/div>\n<h2 class=\"doc-h2\">\u516d\u3001\u5904\u7f6e\u6e05\u5355\u901f\u67e5<\/h2>\n<div class=\"doc-table-wrapper\">\n<table class=\"doc-table\">\n<thead>\n<tr>\n<th>\u4f18\u5148\u7ea7<\/th>\n<th>\u52a8\u4f5c<\/th>\n<th>\u8d23\u4efb\u89d2\u8272<\/th>\n<th>\u9a8c\u8bc1\u65b9\u5f0f<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>P0<\/td>\n<td>\u5347\u7ea7\u81f3 OpenEMR 8.3.0+<\/td>\n<td>\u8fd0\u7ef4 \/ DBA<\/td>\n<td><span class=\"badge-tag-green\">\u7248\u672c\u53f7\u6838\u9a8c<\/span><\/td>\n<\/tr>\n<tr>\n<td>P0<\/td>\n<td>WAF \u62e6\u622a file_path \u7a7f\u8d8a\u7279\u5f81<\/td>\n<td>\u5b89\u5168\u5de5\u7a0b\u5e08<\/td>\n<td><span class=\"badge-tag-green\">\u6a21\u62df\u653b\u51fb\u56de\u653e<\/span><\/td>\n<\/tr>\n<tr>\n<td>P1<\/td>\n<td>\u542f\u7528 open_basedir \u4e0e\u76ee\u5f55 noexec<\/td>\n<td>\u8fd0\u7ef4<\/td>\n<td><span class=\"badge-tag-green\">phpinfo \u6838\u9a8c<\/span><\/td>\n<\/tr>\n<tr>\n<td>P1<\/td>\n<td>\u8f6e\u6362\u6570\u636e\u5e93\u51ed\u636e<\/td>\n<td>DBA<\/td>\n<td><span class=\"badge-tag-green\">\u65e7\u51ed\u636e\u5931\u6548\u9a8c\u8bc1<\/span><\/td>\n<\/tr>\n<tr>\n<td>P2<\/td>\n<td>\u65e5\u5fd7\u53d6\u8bc1\u4e0e\u540e\u95e8\u6392\u67e5<\/td>\n<td>\u5b89\u5168\u8fd0\u8425<\/td>\n<td><span class=\"badge-tag-green\">IOC \u6bd4\u5bf9<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"doc-callout doc-callout-related\">\n<div class=\"doc-callout-title\">\ud83d\udd17 \u5ef6\u4f38\u9605\u8bfb\u4e0e\u4e13\u680f\u63a8\u8350<\/div>\n<ul class=\"doc-internal-links\">\n<li><strong>\u6240\u5c5e\u4e13\u680f\uff1a<\/strong><a href=\"https:\/\/btc354.com\/index.php\/category\/open-source\/\">\u6d4f\u89c8\u66f4\u591a\u3010Open Source\u3011\u6280\u672f\u67b6\u6784\u4e0e\u5de5\u7a0b\u5b9e\u6218\u6587\u7ae0<\/a><\/li>\n<li><strong>\u63a8\u8350\u6df1\u5ea6\u9605\u8bfb\uff1a<\/strong><a href=\"https:\/\/btc354.com\/index.php\/2026\/11\/07\/%e4%bb%8e-v2ex-%e7%83%ad%e5%b8%96%e7%9c%8b%e6%b1%82%e8%81%8c%e9%82%ae%e4%bb%b6%e5%b7%a5%e7%a8%8b%e5%8c%96%ef%bc%9a%e4%b8%80%e5%b0%81%e3%80%8c%e8%ae%a9%e5%85%ac%e5%8f%b8%e7%a7%92%e5%9b%9e%e3%80%8d\/\">\u4ece V2EX \u70ed\u5e16\u770b\u6c42\u804c\u90ae\u4ef6\u5de5\u7a0b\u5316\uff1a\u4e00\u5c01\u300c\u8ba9\u516c\u53f8\u79d2\u56de\u300d\u7684\u6280\u672f\u81ea\u8350\u4fe1\u80cc\u540e\u7684\u67b6\u6784\u601d\u7ef4\u4e0e\u907f\u5751\u6307\u5357<\/a><\/li>\n<li><strong>\u63a8\u8350\u6df1\u5ea6\u9605\u8bfb\uff1a<\/strong><a href=\"https:\/\/btc354.com\/index.php\/2026\/10\/31\/%e4%bb%8e%e5%bc%80%e6%ba%90%e5%a4%a7%e8%b5%9b%e7%9c%8b%e4%ba%a7%e4%b8%9a%e5%88%9b%e6%96%b0%ef%bc%9a2026-%e4%b8%8a%e6%b5%b7%e5%bc%80%e6%ba%90%e8%bd%af%e4%bb%b6%e5%ba%94%e7%94%a8%e5%88%9b%e6%96%b0\/\">\u4ece\u5f00\u6e90\u5927\u8d5b\u770b\u4ea7\u4e1a\u521b\u65b0\uff1a2026 \u4e0a\u6d77\u5f00\u6e90\u8f6f\u4ef6\u5e94\u7528\u521b\u65b0\u5927\u8d5b\u7684\u6280\u672f\u67b6\u6784\u542f\u793a\u4e0e\u5de5\u7a0b\u843d\u5730\u5b9e\u8df5<\/a><\/li>\n<li><strong>\u5168\u7ad9\u6280\u672f\u5f52\u6863\uff1a<\/strong><a href=\"https:\/\/btc354.com\/\">\u8fd4\u56de \u4e2a\u4eba\u5b66\u4e60\u7ad9\u70b9 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