def calculate_constitution_scores(answers):
    """
    Based on the *TCM Constitution Classification and Judgment* standard

    Calculation formula:
    Converted score = [(Original score - Number of questions) / (Number of questions × 4)] × 100

    Where:
    - Original score = Sum of scores for each question
    - Number of questions = Number of questions for this 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

def determine_constitution_type(scores):
    """
    Determination logic:
    1. Balanced Constitution determination:
       - Score ≥ 60 points
       - Scores of the other 8 constitutions are all < 40 points

    2. Unbalanced Constitution determination:
       - The constitution with the highest score is the determination result

    3. Concurrent Constitution determination:
       - Score of the constitution with the second-highest score ≥ 40 points
       - Then it is a concurrent constitution
    """
    peaceful_score = scores['平和质']
    other_scores = {k: v for k, v in scores.items() if k != '平和质'}

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

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

    # Judge concurrent constitution
    secondary = [k for k, v in sorted_scores[1:3] if v >= 40]

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

# TCM Constitution Identification and Evaluation Report

## Assessment Date
2025-06-20

## Assessment Results

### Constitution Type Determination
- **Primary Constitution**: Qi Deficiency Constitution
- **Concurrent Constitution**: Yang Deficiency Constitution
- **Constitution Type**: Concurrent Constitution

### Scores of Each Constitution

| Constitution Type | Score | Judgment |
|---------|------|------|
| Qi Deficiency Constitution | 78.5 | ⚠️ Unbalanced |
| Yang Deficiency Constitution | 62.3 | ⚠️ Unbalanced |
| Balanced Constitution | 42.1 | Normal |
| Phlegm-Dampness Constitution | 38.7 | Normal |
| Qi Stagnation Constitution | 35.2 | Normal |
| Yin Deficiency Constitution | 32.1 | Normal |
| Damp-Heat Constitution | 28.4 | Normal |
| Blood Stasis Constitution | 25.6 | Normal |
| Special Endowment Constitution | 18.3 | Normal |

---

## Constitution Characteristic Analysis

### Qi Deficiency Constitution Characteristics

**Physical Characteristics**:
- Soft muscles
- Easy fatigue
- Weak voice
- Prefer quiet and dislike talking
- Easy sweating

**Psychological Characteristics**:
- Introverted personality
- Dislike taking risks
- Unstable emotions

**Predisposition to Illness**:
- Prone to colds
- Prone to visceral ptosis
- Prone to fatigue

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

### Yang Deficiency Constitution Characteristics

**Physical Characteristics**:
- Fear of cold and cold limbs
- Cold hands and feet
- Prefer hot food and drinks

**Psychological Characteristics**:
- Mostly calm personality
- Introverted

**Predisposition to Illness**:
- Prone to phlegm-fluid retention, swelling, diarrhea
- Susceptible to cold pathogens

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

---

## Health Preservation Suggestions

### Dietary Conditioning

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

**Beneficial Foods**:
- Qi-replenishing: Chinese yam, jujube, astragalus, ginseng, atractylodes macrocephala
- Yang-warming: mutton, leeks, Chinese prickly ash, ginger, longan
- Spleen-strengthening: coix seed, poria cocos, hyacinth bean

**Foods to Avoid**:
- Raw and cold: ice cream, iced drinks, sashimi
- Greasy and heavy: fried food, fatty meat
- Spicy and hot: chili, Chinese prickly ash

**Recommended Recipes**:
1. Astragalus Stewed Chicken
2. Chinese Yam Porridge
3. Jujube and Poria Porridge
4. Angelica, Ginger and Mutton Soup

**Dietary Suggestions**:
- Eat small meals frequently, chew slowly
- Diet should be warm, avoid raw and cold
- Rest appropriately after meals

### Daily Life Regulation

**Work and Rest Suggestions**:
- Ensure sufficient sleep (more than 8 hours)
- Go to bed early and get up late
- Avoid staying up late

**Environmental Requirements**:
- Keep the environment warm and dry
- Avoid exposure to wind and cold
- Pay attention to keeping warm, especially the waist, abdomen, and feet

**Living Habits**:
- Avoid overwork
- Balance work and rest
- Can sunbathe appropriately
- Soak feet in warm water

### Exercise and Fitness

**Principle**: Gentle exercise, avoid strenuous exercise

**Recommended Exercises**:
- Tai Chi
- Baduanjin
- Walking
- Qigong
- Yoga

**Exercise Suggestions**:
- Frequency: 1-2 times a day
- Duration: 20-30 minutes each time
- Intensity: Low to moderate intensity
- Note: Should not feel overly fatigued

**Precautions**:
- Avoid strenuous exercise
- Rest promptly after exercise
- Progress gradually
- Avoid exercising in cold environments

### Emotional Regulation

**Principle**: Maintain a cheerful mood, avoid excessive thinking

**Regulation Methods**:
- Stay positive and optimistic
- Avoid excessive thinking
- Participate in social activities appropriately
- Learn to relax

**Emotional Management**:
- Cultivate hobbies
- Maintain social activities
- Learn to regulate emotions

### Acupoint Health Care

**Recommended Acupoints**:

#### 1. Zusanli (ST36)
- **Location**: 3 cun below the knee joint on the lateral side of the lower leg
- **Efficacy**: Strengthen the spleen and replenish Qi, invigorate the body
- **Method**: Massage for 3-5 minutes daily, moxibustion is optional

#### 2. Qihai (CV6)
- **Location**: 1.5 cun below the navel
- **Efficacy**: Tonify primordial Qi
- **Method**: Massage for 3-5 minutes daily, moxibustion is optional

#### 3. Guanyuan (CV4)
- **Location**: 3 cun below the navel
- **Efficacy**: Tonify primordial Qi and essence, warm and tonify kidney Yang
- **Method**: Massage for 3-5 minutes daily, moxibustion for 10-15 minutes is optional

### Traditional Chinese Medicine Conditioning

⚠️ **Important Reminder**: The following content is for reference only by TCM practitioners, do not take medicine without authorization

**Recommended Prescription**: Modified Si Junzi Decoction

**Source**: *Taiping Huimin Heji Ju Fang* (Formulas of the Peaceful Benevolent Dispensary)

**Prescription Composition**:
- Ginseng: 9-15g, greatly replenish primordial Qi
- Atractylodes macrocephala: 9-12g, strengthen the spleen and replenish Qi
- Poria cocos: 9-15g, strengthen the spleen and drain dampness
- Licorice: 6-9g, harmonize all herbs

**Modifications Based on Symptoms**:
- Severe Qi deficiency: Add astragalus 15-30g
- Spleen deficiency with excessive dampness: Add coix seed 15-30g, hyacinth bean 10-15g
- Poor appetite and abdominal distension: Add tangerine peel 6-9g, amomum villosum 3-6g

**Usage**: Decoct in water, 1 dose per day, take warm twice a day in the morning and evening

**Precautions**:
- ⚠️ Must be used after differentiation by a professional TCM practitioner
- ⚠️ Pregnant women, children, and the weak need guidance from a practitioner
- ⚠️ Avoid raw, cold, greasy, and spicy foods during medication
- ⚠️ Suspend use when having a cold or fever
- ⚠️ Stop using immediately and seek medical advice if adverse reactions occur during medication

---

## Seasonal Conditioning Suggestions

### Spring Conditioning
- Focus on nourishing Yang, conform to the ascending Qi of spring
- Eat more leeks, spinach, Chinese yam
- Maintain a cheerful mood, exercise appropriately
- Pay attention to wind protection and keeping warm

### Summer Conditioning
- Clear summer heat, nourish the heart spirit
- Eat more mung beans, wax gourd, bitter gourd
- Pay attention to heatstroke prevention and cooling
- Maintain a calm mood

### Autumn Conditioning
- Nourish and astringe, moisten dryness, nourish the lung
- Eat more tremella, lily, pear
- Pay attention to keeping warm, avoid catching cold
- Maintain emotional stability

### Winter Conditioning
- Focus on nourishing and storing, warm and tonify kidney Yang
- Eat more mutton, walnuts, chestnuts
- Pay attention to keeping warm, especially the waist and abdomen
- Go to bed early and get up late, avoid overwork

---

## Correlation with Other Health Indicators

### Constitution and Nutrition
- Qi Deficiency Constitution, Yang Deficiency Constitution: Suitable for warm and tonifying diet
- Yin Deficiency Constitution, Damp-Heat Constitution: Suitable for light diet
- Phlegm-Dampness Constitution: Suitable for low-fat, low-sugar diet, control weight

### Constitution and Exercise
- Qi Deficiency Constitution, Yang Deficiency Constitution: Focus on gentle exercise
- Damp-Heat Constitution, Phlegm-Dampness Constitution: Appropriately increase exercise intensity
- Yin Deficiency Constitution: Avoid strenuous exercise

### Constitution and Sleep
- Qi Deficiency Constitution, Yang Deficiency Constitution: Ensure sufficient sleep
- Yin Deficiency Constitution: Avoid staying up late
- Qi Stagnation Constitution: Soothe the liver and relieve stagnation, improve sleep quality

### Constitution and Chronic Diseases
- Phlegm-Dampness Constitution: Prone to hypertension, diabetes, hyperlipidemia
- Damp-Heat Constitution: Prone to metabolic syndrome
- Blood Stasis Constitution: Prone to cardiovascular diseases
- Qi Stagnation Constitution: Prone to depression, anxiety disorders

---

## Medical Safety Boundaries

⚠️ **Important Declaration**

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

### Analysis Scope of Capabilities

✅ **Can Do**:
- TCM constitution identification and evaluation
- Constitution characteristic analysis
- General health preservation suggestions
- TCM knowledge popularization
- Constitution trend tracking

❌ **Cannot Do**:
- TCM disease diagnosis
- Prescribing TCM prescriptions
- Replacing TCM practitioner diagnosis and treatment
- Therapeutic operations such as acupuncture
- Handling serious health problems

### Danger Signal Detection

The following danger signals are detected during analysis:

1. **Severe Constitution Imbalance**:
   - Score of a single unbalanced constitution > 80 points
   - Multiple unbalanced constitutions coexist

2. **Health Risk Prompt**:
   - Phlegm-Dampness Constitution → Risk of hypertension, diabetes
   - Damp-Heat Constitution → Risk of metabolic syndrome
   - Blood Stasis Constitution → Risk of cardiovascular diseases
   - Qi Stagnation Constitution → Risk of depression

3. **Medical Referral Guidance**:
   - Suspected disease symptoms → Suggest seeking medical advice
   - Need TCM conditioning → Consult a TCM practitioner
   - Ineffective constitution conditioning → Seek professional help

### Suggestion Levels

**Level 1: General Suggestions**
- Based on TCM constitution theory
- Suitable for general population
- No medical supervision required

**Level 2: Reference Suggestions**
- Based on user's constitution and health status
- Need to combine personal situation
- Suggest consulting a TCM practitioner

**Level 3: Medical Suggestions**
- Involve TCM conditioning
- Need confirmation by TCM practitioner
- Do not take TCM medicine without authorization

---

## Data Structure

### Constitution Assessment Record

```json
{
  "date": "2025-06-20",
  "questionnaire": {
    "questions": [
      {
        "id": 1,
        "constitution": "气虚质",
        "question": "您容易疲乏吗?",
        "answer": 4,
        "weight": 1.0
      }
    ],
    "total_questions": 60
  },
  "results": {
    "primary_constitution": "气虚质",
    "secondary_constitutions": ["阳虚质"],
    "constitution_scores": {
      "平和质": 42.1,
      "气虚质": 78.5,
      "阳虚质": 62.3,
      "阴虚质": 32.1,
      "痰湿质": 38.7,
      "湿热质": 28.4,
      "血瘀质": 25.6,
      "气郁质": 35.2,
      "特禀质": 18.3
    },
    "constitution_type": "compound"
  },
  "characteristics": {
    "physical": ["容易疲劳", "气短", "自汗"],
    "psychological": ["性格内向", "不喜欢说话"]
  },
  "recommendations": {
    "diet": {
      "principles": ["补气健脾", "温补肾阳"],
      "beneficial": ["山药", "大枣", "黄芪"],
      "avoid": ["生冷寒凉", "油腻厚味"]
    },
    "exercise": "温和运动,如太极拳、散步",
    "lifestyle": "规律作息,避免过度劳累",
    "acupoints": ["足三里", "气海", "关元"]
  }
}