TCM Constitution Identification Analyzer Skill

Analyze TCM constitution data, identify constitution types, assess constitutional characteristics, and provide personalized wellness advice.

Functions

1. Constitution-identification assessment

Identify constitution based on the "Classification and Determination of TCM Constitution" standard.

Assessment dimensions:

• Scores for 9 constitution types (Balanced, Qi-deficiency, Yang-deficiency, Yin-deficiency, Phlegm-dampness, Damp-heat, Blood-stasis, Qi-stagnation, Special/allergic)
• Primary-constitution determination
• Compound-constitution identification
• Constitutional-characteristic analysis

Method:

• Standardized 60-item questionnaire
• 5-point scale (never/seldom/sometimes/often/always)
• Converted-score calculation (0-100)

Output:

• Constitution-type result
• Score for each constitution
• Characteristic description
• Individualized wellness advice

2. Constitutional-characteristic analysis

Comprehensively assess the user's constitutional characteristics.

Analysis content:

• Physical traits:
• Body-type features
• Complexion
• Tongue and pulse signs

• Psychological traits:
• Personality features
• Emotional tendencies

• Disease predisposition:
• Susceptible conditions
• Health risks

• Adaptability:
• Environmental adaptation
• Seasonal adaptation

Output:

• Constitution-type classification
• Characteristic description
• Risk assessment
• Conditioning priorities

3. Constitution-change trend analysis

Track constitution changes and assess the effect of conditioning.

Analysis content:

• Comparison across multiple assessments
• Score-change trend
• Constitution-stability analysis
• Conditioning-effect assessment

Output:

• Trend charts
• Magnitude of improvement
• Stability assessment
• Suggestions to continue conditioning

4. Correlation analysis

Analyze the correlation between constitution and other health metrics.

Supported correlations:

• Constitution ↔ nutrition:
• Relationship between constitution type and dietary preferences
• Effect of nutritional status on constitution
• Personalized diet advice

• Constitution ↔ exercise:
• Exercise types suited to each constitution
• Effect of exercise on improving constitution

• Constitution ↔ sleep:
• Relationship between constitution and sleep quality
• Effect of sleep on constitution

• Constitution ↔ chronic disease:
• Diseases each constitution is prone to
• Relationship between constitution and disease

Output:

• Correlation coefficient
• Correlation strength
• Statistical significance
• Practical suggestions

5. Personalized recommendations

Generate personalized wellness advice based on constitution type.

Recommendation types:

• Dietary conditioning:
• Beneficial-food list
• Foods to avoid
• Recommended recipes
• Dietary principles

• Lifestyle/daily-routine:
• Schedule advice
• Environmental requirements
• Lifestyle habits

• Exercise:
• Recommended exercise types
• Frequency and intensity
• Cautions

• Emotional regulation:
• Mood management
• Psychological adjustment

• Acupoint care:
• Recommended acupoints
• Massage methods
• Moxibustion advice

• Herbal conditioning:
• Recommended formulas
• Formula composition
• Usage and dosage
• Cautions

Basis:

• TCM constitution theory
• The user's constitution type
• Seasonal factors
• The user's health status

Usage

Triggers

Trigger this skill when the user requests:

• TCM constitution-identification assessment
• Constitution-type lookup
• Constitutional-characteristic analysis
• TCM wellness advice
• Constitution-trend analysis
• Correlation analysis between constitution and other health metrics

Execution Steps

#### Step 1: Determine the analysis scope

Clarify the requested analysis type:

• Constitution-identification assessment
• Constitution-characteristic lookup
• Wellness-advice retrieval
• Trend analysis
• Correlation analysis

#### Step 2: Read data

Primary data sources:

1. data/constitutions.json - constitution knowledge base
2. data/constitution-recommendations.json - wellness-advice library
3. data-example/tcm-constitution-tracker.json - main constitution data
4. data-example/tcm-constitution-logs/YYYY-MM/YYYY-MM-DD.json - daily assessment records

Related data sources:

1. data-example/profile.json - basic info
2. data-example/nutrition-tracker.json - nutrition data
3. data-example/fitness-tracker.json - exercise data
4. data-example/sleep-tracker.json - sleep data

#### Step 3: Data analysis

Run the appropriate algorithm for the analysis type:

Constitution-scoring algorithm:

def calculate_constitution_scores(answers):
    """
    Based on the "Classification and Determination of TCM Constitution" standard

    Formula:
    converted_score = [(raw_score - num_items) / (num_items * 4)] * 100

    where:
    - raw_score = sum of item scores
    - num_items = number of questions for that constitution
    """
    scores = {}
    for constitution, questions in CONSTITUTION_QUESTIONS.items():
        original_score = sum(answers[q] for q in questions)
        question_count = len(questions)
        converted_score = ((original_score - question_count) / (question_count * 4)) * 100
        scores[constitution] = round(converted_score, 1)
    return scores

Constitution-determination algorithm:

def determine_constitution_type(scores):
    """
    Determination logic:
    1. Balanced constitution:
       - Score >= 60
       - All other 8 constitutions score < 40

    2. Biased constitution:
       - The highest-scoring constitution is the result

    3. Compound constitution:
       - If the second-highest constitution scores >= 40,
         it is a compound constitution
    """
    peaceful_score = scores['Balanced']
    other_scores = {k: v for k, v in scores.items() if k != 'Balanced'}

    # Balanced check
    if peaceful_score >= 60 and all(s < 40 for s in other_scores.values()):
        return {
            'primary': 'Balanced',
            'secondary': [],
            'type': 'balanced'
        }

    # Biased constitution
    sorted_scores = sorted(other_scores.items(), key=lambda x: x[1], reverse=True)
    primary = sorted_scores[0][0]

    # Compound check
    secondary = [k for k, v in sorted_scores[1:3] if v >= 40]

    return {
        'primary': primary,
        'secondary': secondary,
        'type': 'compound' if secondary else 'single'
    }

Trend analysis:

• Linear regression for the trend
• Moving average to smooth fluctuation
• Statistical-significance test

#### Step 4: Generate the report

Output the analysis report in the standard format (see "Output Format").

Output Format

Constitution-identification assessment report

# TCM Constitution Identification Assessment Report

## Assessment date
2025-06-20

## Results

### Constitution-type determination
- **Primary constitution**: Qi-deficiency
- **Compound constitution**: Yang-deficiency
- **Constitution type**: compound

### Scores by constitution

| Constitution | Score | Determination |
|--------------|-------|---------------|
| Qi-deficiency | 78.5 | ⚠️ biased |
| Yang-deficiency | 62.3 | ⚠️ biased |
| Balanced | 42.1 | normal |
| Phlegm-dampness | 38.7 | normal |
| Qi-stagnation | 35.2 | normal |
| Yin-deficiency | 32.1 | normal |
| Damp-heat | 28.4 | normal |
| Blood-stasis | 25.6 | normal |
| Special/allergic | 18.3 | normal |

---

## Constitutional-characteristic analysis

### Qi-deficiency traits

**Physical traits**:
- Flabby muscles
- Easily fatigued
- Low, weak voice
- Prefers quietness, reluctant to talk
- Sweats easily

**Psychological traits**:
- Introverted
- Avoids risk
- Emotionally unstable

**Disease predisposition**:
- Prone to colds
- Prone to visceral prolapse
- Prone to fatigue

**Adaptability**:
- Intolerant of wind, cold, heat, and dampness
- Prone to illness in autumn

### Yang-deficiency traits

**Physical traits**:
- Aversion to cold
- Cold hands and feet
- Prefers warm food and drink

**Psychological traits**:
- Generally calm
- Introverted

**Disease predisposition**:
- Prone to phlegm-fluid retention, swelling, diarrhea
- Susceptible to cold

**Adaptability**:
- Intolerant of cold, tolerant of summer heat
- Prone to illness in winter

---

## Wellness Advice

### Dietary conditioning

**Principle**: tonify Qi and strengthen the spleen; warm and tonify kidney Yang

**Beneficial foods**:
- Qi-tonifying: Chinese yam (Shan Yao), jujube (Da Zao), Astragalus (Huang Qi), ginseng (Ren Shen), Atractylodes (Bai Zhu)
- Yang-warming: mutton, Chinese chives, Sichuan pepper, ginger, longan
- Spleen-strengthening: coix seed (Job's tears), Poria (Fu Ling), hyacinth bean

**Foods to avoid**:
- Raw/cold: ice cream, iced drinks, raw fish
- Greasy/rich: fried foods, fatty meat
- Pungent/dry-hot: chili, Sichuan pepper

**Recommended recipes**:
1. Astragalus stewed chicken
2. Chinese-yam congee
3. Red-date and Poria congee
4. Angelica, ginger, and mutton soup

**Dietary advice**:
- Small, frequent meals; chew slowly
- Eat warm food; avoid raw/cold
- Rest appropriately after meals

### Lifestyle/daily routine

**Schedule advice**:
- Ensure adequate sleep (8+ hours)
- Sleep early, rise later
- Avoid staying up late

**Environmental requirements**:
- Keep the environment warm and dry
- Avoid wind and cold
- Stay warm, especially the lower back/abdomen and feet

**Lifestyle habits**:
- Avoid overexertion
- Balance work and rest
- Get some sun
- Soak feet in warm water

### Exercise

**Principle**: gentle exercise, avoid vigorous activity

**Recommended exercise**:
- Tai Chi
- Baduanjin (Eight Pieces of Brocade)
- Walking
- Qigong
- Yoga

**Exercise advice**:
- Frequency: 1-2 times/day
- Duration: 20-30 minutes each
- Intensity: low to moderate
- Note: keep it to a level that does not cause excessive fatigue

**Cautions**:
- Avoid vigorous exercise
- Rest promptly after exercise
- Progress gradually
- Avoid exercising in cold environments

### Emotional regulation

**Principle**: keep a cheerful mood, avoid overthinking

**Methods**:
- Stay positive and optimistic
- Avoid overthinking
- Take part in social activities
- Learn to relax

**Mood management**:
- Cultivate hobbies
- Maintain social activity
- Learn to regulate emotions

### Acupoint care

**Recommended acupoints**:

#### 1. Zusanli (ST36)
- **Location**: lateral lower leg, 3 cun below the knee eye
- **Benefits**: strengthen the spleen and Qi, strengthen the body
- **Method**: massage 3-5 minutes daily; moxibustion possible

#### 2. Qihai (CV6)
- **Location**: 1.5 cun below the navel
- **Benefits**: tonify original Qi
- **Method**: massage 3-5 minutes daily; moxibustion possible

#### 3. Guanyuan (CV4)
- **Location**: 3 cun below the navel
- **Benefits**: tonify the root, warm and tonify kidney Yang
- **Method**: massage 3-5 minutes daily; moxibustion 10-15 minutes

### Herbal conditioning

⚠️ **Important note**: the following is for a TCM practitioner's reference only; do not self-prescribe or self-medicate

**Recommended formula**: Four Gentlemen Decoction (Sijunzi Tang), with modifications

**Source**: "Formulary of the Bureau of Taiping People's Welfare Pharmacy"

**Composition**:
- Ginseng (Ren Shen): 9-15 g  greatly tonifies original Qi
- Atractylodes (Bai Zhu): 9-12 g  strengthens the spleen and Qi
- Poria (Fu Ling): 9-15 g  strengthens the spleen, drains dampness
- Licorice (Gan Cao): 6-9 g  harmonizes the formula

**Modifications**:
- Severe Qi deficiency: add Astragalus (Huang Qi) 15-30 g
- Spleen deficiency with dampness: add coix seed 15-30 g, hyacinth bean 10-15 g
- Poor appetite with bloating: add tangerine peel (Chen Pi) 6-9 g, Amomum (Sha Ren) 3-6 g

**Usage**: decoct in water, one dose per day, taken warm twice (morning and evening)

**Cautions**:
- ⚠️ Use only after pattern differentiation by a qualified TCM practitioner
- ⚠️ Pregnant women, children, and frail people need practitioner guidance
- ⚠️ Avoid raw/cold, greasy, and pungent food while taking it
- ⚠️ Pause during colds or fever
- ⚠️ Stop and seek care if adverse reactions occur

---

## Seasonal Conditioning Advice

### Spring
- Nourish Yang; follow the rising Qi of spring
- Eat more Chinese chives, spinach, Chinese yam
- Keep a cheerful mood; exercise moderately
- Guard against wind, stay warm

### Summer
- Clear summer heat; nourish the heart-spirit
- Eat more mung bean, winter melon, bitter melon
- Prevent heat; cool down
- Keep a calm mood

### Autumn
- Nourish, gather, and moisten dryness; nourish the lungs
- Eat more tremella (white fungus), lily bulb, pear
- Stay warm, avoid chill
- Keep emotions stable

### Winter
- Focus on storing; warm and tonify kidney Yang
- Eat more mutton, walnuts, chestnuts
- Stay warm, especially the lower back/abdomen
- Sleep early, rise later; avoid overexertion

---

## Correlation with Other Health Metrics

### Constitution and nutrition
- Qi-deficiency, Yang-deficiency: prefer warming, tonifying foods
- Yin-deficiency, Damp-heat: prefer light, bland foods
- Phlegm-dampness: prefer low-fat, low-sugar; control weight

### Constitution and exercise
- Qi-deficiency, Yang-deficiency: mainly gentle exercise
- Damp-heat, Phlegm-dampness: moderately higher intensity
- Yin-deficiency: avoid vigorous exercise

### Constitution and sleep
- Qi-deficiency, Yang-deficiency: ensure adequate sleep
- Yin-deficiency: avoid staying up late
- Qi-stagnation: soothe the liver, relieve stagnation, improve sleep quality

### Constitution and chronic disease
- Phlegm-dampness: prone to hypertension, diabetes, hyperlipidemia
- Damp-heat: prone to metabolic syndrome
- Blood-stasis: prone to cardiovascular disease
- Qi-stagnation: prone to depression and anxiety

---

## Medical Safety Boundaries

⚠️ **Important note**

This analysis is for health reference only and does not constitute a medical diagnosis or treatment advice.

### Scope of analysis

✅ **Can do**:
- TCM constitution-identification assessment
- Constitutional-characteristic analysis
- General wellness advice
- TCM-knowledge education
- Constitution-trend tracking

❌ **Cannot do**:
- Diagnose TCM diseases
- Prescribe herbal formulas
- Replace a TCM practitioner's care
- Perform treatments such as acupuncture
- Manage serious health problems

### Danger-sign detection

Detect the following danger signs during analysis:

1. **Severe constitutional bias**:
   - A single biased constitution scoring > 80
   - Multiple biased constitutions combined

2. **Health-risk flags**:
   - Phlegm-dampness → hypertension, diabetes risk
   - Damp-heat → metabolic-syndrome risk
   - Blood-stasis → cardiovascular-disease risk
   - Qi-stagnation → depression risk

3. **Care-seeking guidance**:
   - Suspected disease symptoms → recommend seeking care
   - Need for herbal treatment → consult a TCM practitioner
   - Conditioning not working → seek professional help

### Recommendation tiers

**Level 1: general advice**
- Based on TCM constitution theory
- For the general population
- No medical supervision needed

**Level 2: informational advice**
- Based on the user's constitution and health status
- Must be combined with personal context
- Consult a TCM practitioner

**Level 3: medical advice**
- Involves herbal conditioning
- Requires a TCM practitioner's confirmation
- Do not self-administer herbs

---

## Data Structure

### Constitution-assessment record

{ "date": "2025-06-20", "questionnaire": { "questions": [ { "id": 1, "constitution": "Qi-deficiency", "question": "Do you get tired easily?", "answer": 4, "weight": 1.0 } ], "total_questions": 60 }, "results": { "primary_constitution": "Qi-deficiency", "secondary_constitutions": ["Yang-deficiency"], "constitution_scores": { "Balanced": 42.1, "Qi-deficiency": 78.5, "Yang-deficiency": 62.3, "Yin-deficiency": 32.1, "Phlegm-dampness": 38.7, "Damp-heat": 28.4, "Blood-stasis": 25.6, "Qi-stagnation": 35.2, "Special/allergic": 18.3 }, "constitution_type": "compound" }, "characteristics": { "physical": ["easily fatigued", "shortness of breath", "spontaneous sweating"], "psychological": ["introverted", "reluctant to talk"] }, "recommendations": { "diet": { "principles": ["tonify Qi and strengthen the spleen", "warm and tonify kidney Yang"], "beneficial": ["Chinese yam", "jujube", "Astragalus"], "avoid": ["raw/cold foods", "greasy/rich foods"] }, "exercise": "gentle exercise such as Tai Chi and walking", "lifestyle": "regular schedule, avoid overexertion", "acupoints": ["Zusanli (ST36)", "Qihai (CV6)", "Guanyuan (CV4)"] } }

---

## Reference Resources

### TCM constitution theory
- "Classification and Determination of TCM Constitution" standard
- Wang Qi's nine-constitution theory
- "TCM Constitution Theory" textbook

### Wellness principles
- Basic theory of TCM
- Four-season wellness principles
- Pattern-differentiation and treatment principles

### Herbal formulas
- "Formulas of Chinese Medicine" textbook
- "Formulary of the Bureau of Taiping People's Welfare Pharmacy"
- "Essential Prescriptions from the Golden Cabinet"

---

**Skill version**: v1.0
**Created**: 2026-01-08
**Maintainer**: MedClawMini