针对多模态大模型调度难题，提出自适应增强的在线决策框架。

Multi-modal large language model (MLLM) inference scheduling enables strong response quality under practical and heterogeneous budgets, beyond what a homogeneous single-backend setting can offer. Yet online MLLM task scheduling is nontrivial, as requests vary sharply in modality composition and latent reasoning difficulty, while execution backends incur distinct, time-varying costs due to system jitter and network variation. These coupled uncertainties pose two core challenges: deriving semantically faithful yet scheduling-relevant multi-modal task representations, and making low-overhead online decisions over irreversible multi-dimensional budgets. Accordingly, we propose \emph{M-CMAB} (\underline{M}ulti-modal \underline{M}ulti-constraint \underline{C}ontextual \underline{M}ulti-\underline{A}rmed \underline{B}andit), a multi-adapter-enhanced MLLM inference scheduling framework with three components: (i) a CLS-attentive, frozen-backbone \emph{Predictor} that extracts compact task representations and updates only lightweight adapters for action-specific estimation; (ii) a primal-dual \emph{Constrainer} that maintains online Lagrange multipliers to enforce long-horizon constraints via per-round objectives; and (iii) a two-phase \emph{Scheduler} that balances exploration and exploitation under irreversible budgets. We establish a regret guarantee under multi-dimensional knapsack constraints. On a composite multimodal benchmark with heterogeneous backends, \emph{M-CMAB} consistently outperforms state-of-the-art baselines across budget regimes, achieving up to 14.18% higher reward and closely tracking an oracle-aided upper bound. Codes are available at https://anonymous.4open.science/r/M2CMAB/.