222 lines
10 KiB
C#
222 lines
10 KiB
C#
using Evergreen.Health.Application.Health.Entities;
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using Evergreen.Health.Application.Health.Models;
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using Evergreen.Health.Application.Health.Policies;
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using Furion.DatabaseAccessor;
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using Furion.FriendlyException;
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using Microsoft.AspNetCore.Http;
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using SqlSugar;
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using System.Security.Claims;
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using System.Text.Json;
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namespace Evergreen.Health.Application.Health.Services;
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// 演示用四诊倾向，不等同于标准量表或医学诊断。
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[ApiDescriptionSettings("健康管理", Name = "HealthTcmAssessment", Order = 52)]
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public sealed class HealthTcmAssessmentService : IDynamicApiController, ITransient
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{
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private readonly SqlSugarRepository<HealthProfile> _profiles;
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private readonly IHttpContextAccessor _http;
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public HealthTcmAssessmentService(SqlSugarRepository<HealthProfile> profiles, IHttpContextAccessor http)
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{
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_profiles = profiles;
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_http = http;
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}
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[Authorize]
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[HttpGet("/api/health/tcm-assessment")]
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public async Task<TcmAssessmentResult> GetAssessment()
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{
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var userId = CurrentUserId();
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var profile = await _profiles.GetFirstAsync(p => p.UserId == userId);
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return TcmConstitutionRules.Read(profile);
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}
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[Authorize]
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[HttpPost("/api/health/tcm-assessment")]
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[UnitOfWork]
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public async Task<TcmAssessmentResult> SaveAssessment(TcmAssessmentInput input)
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{
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var result = TcmConstitutionRules.Evaluate(input);
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var userId = CurrentUserId();
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var profile = await _profiles.GetFirstAsync(p => p.UserId == userId);
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if (profile == null)
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{
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profile = new HealthProfile { UserId = userId };
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profile.TcmAssessmentJson = JsonSerializer.Serialize(input);
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profile.TcmResultJson = JsonSerializer.Serialize(result);
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await _profiles.InsertAsync(profile);
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}
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else
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{
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profile.TcmAssessmentJson = JsonSerializer.Serialize(input);
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profile.TcmResultJson = JsonSerializer.Serialize(result);
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await _profiles.AsUpdateable(profile)
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.UpdateColumns(p => new { p.TcmAssessmentJson, p.TcmResultJson })
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.ExecuteCommandAsync();
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}
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return result;
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}
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private long CurrentUserId()
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{
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var claim = _http.HttpContext?.User.FindFirstValue("health_user_id");
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if (!long.TryParse(claim, out var userId))
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throw Oops.Oh("登录状态已失效").StatusCode(401);
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return userId;
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}
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}
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public static class TcmConstitutionRules
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{
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private static readonly string[] Types =
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[
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"balanced", "qi_deficient", "yang_deficient", "yin_deficient",
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"phlegm_damp", "damp_heat", "blood_stasis", "qi_stagnation", "special"
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];
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private static readonly Dictionary<string, string> Names = new()
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{
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["balanced"] = "平和质", ["qi_deficient"] = "气虚质", ["yang_deficient"] = "阳虚质",
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["yin_deficient"] = "阴虚质", ["phlegm_damp"] = "痰湿质", ["damp_heat"] = "湿热质",
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["blood_stasis"] = "血瘀质", ["qi_stagnation"] = "气郁质", ["special"] = "特禀质"
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};
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private static readonly Dictionary<string, string[]> Choices = new()
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{
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["face"] = ["rosy", "pale", "sallow", "flushed", "dusky"],
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["body"] = ["balanced", "heavy", "thin", "abdominal"],
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["spirit"] = ["energetic", "low", "tired"],
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["voice"] = ["clear", "normal", "weak"],
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["coldHeat"] = ["neutral", "cold", "hot"],
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["sweating"] = ["normal", "easy", "little"],
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["mouth"] = ["normal", "bland", "bitter", "dry"],
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["stool"] = ["normal", "dry", "loose", "sticky"],
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["sleep"] = ["good", "difficult", "waking", "dreams"],
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["emotion"] = ["steady", "anxious", "depressed", "irritable"],
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["pulse"] = ["normal", "wiry", "slippery", "thin", "rough", "deep", "floating", "weak", "unknown"],
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["allergy"] = ["none", "often"]
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};
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private static readonly Dictionary<string, (string Type, int Points)[]> Weights = new()
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{
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["face:pale"] = [("qi_deficient", 2), ("yang_deficient", 1)],
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["face:sallow"] = [("qi_deficient", 2), ("phlegm_damp", 1)],
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["face:flushed"] = [("yin_deficient", 2), ("damp_heat", 1)],
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["face:dusky"] = [("blood_stasis", 3)],
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["body:heavy"] = [("phlegm_damp", 3)],
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["body:thin"] = [("yin_deficient", 2)],
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["body:abdominal"] = [("phlegm_damp", 3), ("damp_heat", 1)],
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["spirit:low"] = [("qi_deficient", 2)],
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["spirit:tired"] = [("qi_deficient", 2), ("yang_deficient", 1)],
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["voice:weak"] = [("qi_deficient", 2)],
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["coldHeat:cold"] = [("yang_deficient", 4)],
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["coldHeat:hot"] = [("yin_deficient", 2), ("damp_heat", 2)],
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["sweating:easy"] = [("qi_deficient", 2)],
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["sweating:little"] = [("yin_deficient", 1)],
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["mouth:bland"] = [("yang_deficient", 1), ("phlegm_damp", 1)],
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["mouth:bitter"] = [("damp_heat", 3)],
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["mouth:dry"] = [("yin_deficient", 3)],
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["stool:dry"] = [("yin_deficient", 2), ("damp_heat", 1)],
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["stool:loose"] = [("yang_deficient", 2), ("qi_deficient", 1)],
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["stool:sticky"] = [("damp_heat", 3), ("phlegm_damp", 2)],
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["sleep:difficult"] = [("qi_stagnation", 2), ("yin_deficient", 1)],
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["sleep:waking"] = [("qi_deficient", 1), ("yin_deficient", 1)],
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["sleep:dreams"] = [("qi_stagnation", 2)],
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["emotion:anxious"] = [("qi_stagnation", 3)],
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["emotion:depressed"] = [("qi_stagnation", 3)],
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["emotion:irritable"] = [("qi_stagnation", 2), ("damp_heat", 1)],
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["pulse:wiry"] = [("qi_stagnation", 2)],
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["pulse:slippery"] = [("phlegm_damp", 2), ("damp_heat", 1)],
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["pulse:thin"] = [("yin_deficient", 2)],
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["pulse:rough"] = [("blood_stasis", 3)],
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["pulse:deep"] = [("yang_deficient", 1)],
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["pulse:floating"] = [("qi_deficient", 1)],
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["pulse:weak"] = [("qi_deficient", 2)],
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["allergy:often"] = [("special", 6)]
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};
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public static TcmAssessmentResult Read(HealthProfile? profile)
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{
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if (string.IsNullOrWhiteSpace(profile?.TcmResultJson)) return new TcmAssessmentResult();
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try
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{
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var result = JsonSerializer.Deserialize<TcmAssessmentResult>(profile.TcmResultJson) ?? new TcmAssessmentResult();
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if (result.HasCompleted)
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{
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result.MusicRecommendation = MusicFor(result.ConstitutionCode);
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result.SceneConfig ??= new PersonalizedSceneConfig();
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result.SceneConfig.SpeakerVolumePercent = 50;
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result.RoomTemperatureRecommendation = RecommendedRoomRange.ForConstitution(result.ConstitutionCode).Display;
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}
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return result;
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}
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catch { return new TcmAssessmentResult(); }
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}
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private static string MusicFor(string constitutionCode) => constitutionCode switch
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{
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"balanced" or "yang_deficient" => "自然雨声",
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"qi_deficient" => "轻音乐",
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"yin_deficient" => "海浪白噪音",
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"phlegm_damp" => "规律鸟鸣白噪音",
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"damp_heat" => "自然流水声",
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"blood_stasis" => "低频舒缓音乐",
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"qi_stagnation" => "冥想古琴曲",
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"special" => "田野风声",
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_ => "自然雨声"
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};
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public static TcmAssessmentResult Evaluate(TcmAssessmentInput input)
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{
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if (input?.Answers == null) throw Oops.Oh("请完成四诊问卷");
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foreach (var (field, choices) in Choices)
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if (!input.Answers.TryGetValue(field, out var answer) || !choices.Contains(answer))
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throw Oops.Oh($"四诊项目 {field} 未填写或选项无效");
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var scores = Types.ToDictionary(type => type, _ => 0);
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foreach (var (field, answer) in input.Answers)
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if (Weights.TryGetValue($"{field}:{answer}", out var weights))
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foreach (var (type, points) in weights) scores[type] += points;
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// 无明显偏颇时才判平和；同分时按固定顺序取值，结果可复现。
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var ranked = Types.Skip(1).OrderByDescending(type => scores[type]).ToList();
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var primary = scores[ranked[0]] < 3 ? "balanced" : ranked[0];
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var notes = (input.Notes ?? new Dictionary<string, string>())
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.Where(item => new[] { "tongue", "odor", "breath", "pulseNote" }.Contains(item.Key))
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.ToDictionary(item => item.Key, item => (item.Value ?? "").Trim()[..Math.Min((item.Value ?? "").Trim().Length, 300)]);
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var (aroma, music, room, humidity, kelvin, fragrance) = primary switch
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{
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"qi_deficient" => ("清淡木香", "轻音乐", "22–25℃", 55, 3000, true),
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"yang_deficient" => ("温暖木质香", "自然雨声", "24–26℃", 52, 2700, true),
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"yin_deficient" => ("淡菊花香", "海浪白噪音", "21–24℃", 48, 4000, true),
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"phlegm_damp" => ("清新柑橘香", "规律鸟鸣白噪音", "22–24℃", 45, 3500, true),
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"damp_heat" => ("清淡薄荷香", "自然流水声", "21–24℃", 45, 4000, true),
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"blood_stasis" => ("淡花木香", "低频舒缓音乐", "23–25℃", 52, 3000, true),
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"qi_stagnation" => ("清新柑橘香", "冥想古琴曲", "22–25℃", 51, 3000, true),
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"special" => ("建议不使用香氛，避免过敏原", "田野风声", "22–25℃", 50, 3500, false),
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_ => ("淡雅薰衣草香", "自然雨声", "22–25℃", 50, 3000, true)
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};
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return new TcmAssessmentResult
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{
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HasCompleted = true,
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ConstitutionCode = primary,
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ConstitutionName = Names[primary],
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Summary = $"根据本次望闻问切选择，演示规则提示您偏向{Names[primary]}。仅作健康生活方式参考，不作为诊断。",
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AromaRecommendation = input.Answers["allergy"] == "often"
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? "建议不使用香氛，避免过敏原" : aroma,
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MusicRecommendation = music,
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RoomTemperatureRecommendation = RecommendedRoomRange.ForConstitution(primary).Display,
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Scores = scores,
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Answers = Choices.Keys.ToDictionary(key => key, key => input.Answers[key]),
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Notes = notes,
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AssessedAt = DateTime.Now,
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SceneConfig = new PersonalizedSceneConfig
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{
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TargetHumidity = humidity, DehumidifierMode = "睡眠", FanLevel = "1档",
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LightBrightnessPercent = 20, LightColorTemperatureKelvin = kelvin,
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EnableFragrance = fragrance && input.Answers["allergy"] != "often", FragranceLevel = 1,
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EnableSpeakerSleepMode = true, SpeakerVolumePercent = 50
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}
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};
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}
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}
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