# TCM Wellness Pilot — Participant Analysis Report

**Participant:** pilot-017 (Alex Chen) · Product Operations Manager, 34M  
**Pilot Cohort:** internal-wellness-q2  
**Observation Window:** 2026-03-01 → 2026-04-13 (44 days)  
**Report Date:** 2026-04-14  
**Standard:** 《中医体质分类与判定》60-item questionnaire (score 0–100)

> **Disclaimer:** This analysis is a wellness-informational tool, not a medical diagnosis. Clinical decisions require licensed practitioner evaluation. See Safety Boundary section at the end.

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## 1. Executive Summary

Over 44 days in the pilot program, participant pilot-017 has shown **consistent, measurable improvement** across all four tracked domains (TCM constitution, fitness, nutrition, sleep). The primary Qi-Deficiency constitution score dropped **6.3 points** (81.3 → 75.0) and the Balanced constitution score rose **12.5 points** (28.1 → 40.6). Secondary Yang-Deficiency fell **11.2 points** (61.2 → 50.0), and the prior Phlegm-Dampness secondary classification has resolved below the 40-point threshold. Symptom self-reports improved across every dimension. The participant has not yet reached a balanced constitution (requires 平和质 ≥ 60 with all biased types < 40), but the trajectory is positive and steady.

**Key Takeaway for Leadership:** The integrated TCM-informed wellness protocol is producing quantifiable results for this pilot participant within 6 weeks, validating the approach for broader rollout consideration.

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## 2. TCM Constitution Trend

| Constitution | Category | Mar 1 | Mar 15 | Apr 1 | Apr 13 | Δ (Total) | Status |
|---|---|---|---|---|---|---|---|
| **平和质** (Balanced) | Balanced | 28.1 | 31.4 | 35.7 | **40.6** | **+12.5** ↑ | ✅ Improving |
| **气虚质** (Qi-Deficient) | Deficient | **81.3** 🔴 | 78.1 | 76.0 | **75.0** | **−6.3** ↓ | ⚠️ Still primary; was >80 (severe flag) |
| **阳虚质** (Yang-Deficient) | Deficient | 61.2 | 58.3 | 53.6 | **50.0** | **−11.2** ↓ | ⚠️ Secondary; still ≥40 |
| 痰湿质 (Phlegm-Damp) | Excess | 44.2 | 41.0 | 40.2 | 39.3 | −4.9 | ✅ Dropped below 40 — no longer secondary |
| 气郁质 (Qi-Stagnation) | Stagnation | 42.0 | 39.0 | 36.5 | 35.0 | −7.0 | ✅ Dropped below 40 |
| 阴虚质 (Yin-Deficient) | Deficient | 38.5 | 37.2 | 36.1 | 35.7 | −2.8 | — Stable |
| 血瘀质 (Blood-Stasis) | Stasis | 36.4 | 36.0 | 36.2 | 37.5 | +1.1 | — Flat (monitor) |
| 湿热质 (Damp-Heat) | Excess | 30.0 | 31.1 | 32.5 | 32.1 | +2.1 | — Flat |
| 特禀质 (Special/Allergic) | Special | 21.0 | 20.5 | 20.2 | 20.0 | −1.0 | — Low / stable |

### Classification Over Time

| Date | Type | Primary | Secondary |
|---|---|---|---|
| Mar 1 | Compound | 气虚质 | 阳虚质, 痰湿质 |
| Mar 15 | Compound | 气虚质 | 阳虚质, 痰湿质 |
| Apr 1 | Compound | 气虚质 | 阳虚质, 痰湿质 |
| **Apr 13** | **Compound** | **气虚质** | **阳虚质 only** |

**Notable:** Phlegm-Dampness (痰湿质) resolved as a secondary type by latest assessment. The compound burden narrowed from 3 biased constitutions (≥40) to 2.

### Risk Flag Status

- **Mar 1:** 气虚质 at 81.3 exceeded the severe-bias threshold of 80 — medical referral cue was present.
- **Apr 13:** 气虚质 now at 75.0 — below severe threshold. Two biased constitutions remain ≥40, so the *multi-bias* flag still applies. Continued monitoring recommended.

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## 3. Symptom Self-Report Trend (scale 1–10, lower = better)

| Symptom | Mar 1 | Mar 15 | Apr 1 | Apr 13 | Δ |
|---|---|---|---|---|---|
| Fatigue | **8** | 7 | 6 | **5** | **−3** (−37.5%) |
| Cold sensitivity | **7** | 6 | 6 | **5** | **−2** (−28.6%) |
| Digestive discomfort | **6** | 5 | 4 | **4** | **−2** (−33.3%) |
| Mood / stress | **7** | 6 | 5 | **4** | **−3** (−42.9%) |

Participant's latest self-note (Apr 13): *"较3月初疲劳有改善，但遇到连续会议日仍会乏力，晨起怕冷仍存在。"* (Fatigue has improved since early March, but consecutive-meeting days still trigger energy dips; morning cold sensitivity persists.)

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## 4. Fitness Tracker Progress

| Metric | Mar 1 | Mar 15 | Apr 1 | Apr 13 | Δ |
|---|---|---|---|---|---|
| Avg steps/day | 5,200 | 6,400 | 7,700 | **8,600** | **+65%** |
| Moderate min/wk | 78 | 108 | 136 | **162** | **+108%** |
| Strength sessions/wk | 0.5 | 1.0 | 1.6 | **2.1** | **+320%** |
| Consistency score (0–100) | 48 | 58 | 67 | **74** | **+26 pts** |

**Last 7 days (Apr 7–13):** Average 8,567 steps/day; workout types included brisk walks, band-strength, light jog, stretching, and Baduanjin (八段锦). Mix aligns with TCM Qi-Deficiency recommendations (low-to-moderate intensity, Baduanjin/Tai Chi style exercises, avoid overexertion).

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## 5. Nutrition Tracker Progress

| Metric | Mar 1 | Mar 15 | Apr 1 | Apr 13 | Δ |
|---|---|---|---|---|---|
| Warm-meal ratio | 0.42 | 0.51 | 0.63 | **0.70** | **+67%** |
| Avg protein (g/day) | 62 | 68 | 74 | **79** | **+27%** |
| Processed sugar (g/day) | 58 | 51 | 44 | **37** | **−36%** |
| Hydration (L/day) | 1.5 | 1.7 | 1.9 | **2.1** | **+40%** |
| Late-night snack days/wk | 4 | 3 | 2 | **1** | **−75%** |
| Breakfast consistency | 0.43 | 0.57 | 0.71 | **0.86** | **+100%** |
| Quality score (0–100) | 54 | 60 | 67 | **73** | **+19 pts** |

**TCM Alignment:** The increase in warm-meal ratio (42% → 70%) and elimination of cold drinks (0 on 6 of last 7 days) directly supports the 气虚 + 阳虚 protocol (温食为主 / warm foods primary). Protein increase supports 补气健脾 (tonify Qi, strengthen spleen).

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## 6. Sleep Tracker Progress

| Metric | Mar 1 | Mar 15 | Apr 1 | Apr 13 | Δ |
|---|---|---|---|---|---|
| Avg sleep (hrs) | 6.1 | 6.5 | 7.0 | **7.4** | **+1.3 hrs** |
| Sleep efficiency (%) | 78 | 80 | 83 | **86** | **+8 pts** |
| Bedtime before 23:00 ratio | 0.14 | 0.29 | 0.43 | **0.71** | **+57 ppts** |
| Night wakeups avg | 2.1 | 1.8 | 1.4 | **1.1** | **−48%** |
| Restorative score (0–100) | 49 | 54 | 61 | **69** | **+20 pts** |

**Last 7 days:** 5 of 7 nights had bedtime before 23:00 (target per 气虚 protocol). Average 7.36 hrs sleep with efficiency 85.6%. Subjective quality averaged 7.1/10.

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## 7. Cross-Domain Composite View

| Domain Score (0–100) | Mar 1 (Baseline) | Apr 13 (Latest) | Change |
|---|---|---|---|
| TCM 平和质 (Balanced) | 28.1 | 40.6 | **+12.5** |
| Fitness consistency | 48 | 74 | **+26** |
| Nutrition quality | 54 | 73 | **+19** |
| Sleep restorative | 49 | 69 | **+20** |
| **Simple composite avg** | **44.8** | **64.2** | **+19.4** |

All four domains improved in the same direction, suggesting systemic lifestyle change rather than isolated wins.

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## 8. Protocol Adherence Assessment

Based on the `constitution-recommendations.json` protocol for 气虚质 + 阳虚质 compound type:

| Recommendation | Target | Current Status | Adherence |
|---|---|---|---|
| Warm/cooked meals primary | ≥ 0.70 | 0.70 | ✅ On target |
| Avoid cold drinks | Minimize | 0–1/day | ✅ Good |
| Avoid late-night eating | Eliminate | 1 day in latest week | ⚠️ Nearly there |
| Sleep before 23:00 | Nightly | 71% of nights | ⚠️ Improving, not yet consistent |
| Exercise: low-mod, inc. 八段锦 | 5×/wk, 20-40 min | 7/7 days active, avg 26 min | ✅ Exceeding frequency |
| Protein intake | Adequate | 79 g/day | ✅ Good for body weight |
| Hydration | ≥ 2.0 L | 2.1 L | ✅ On target |
| Breakfast consistency | Daily | 86% | ⚠️ Nearly there |

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## 9. Remaining Gaps & Next-Phase Recommendations

1. **气虚质 still at 75.0 (target: < 40).** Largest single gap. Continue current protocol; consider adding acupoint self-massage (足三里, 气海) per recommendations if not already in practice.
2. **阳虚质 at 50.0.** Morning cold sensitivity self-report confirms persistence. Recommend reinforcing warm-environment sleep habits and morning light exposure per protocol.
3. **Blood-Stasis (血瘀质) ticked up slightly (+1.1).** Not actionable yet but worth watching — desk-heavy work pattern is a risk factor. Consider adding mid-day movement breaks.
4. **Bedtime consistency** — 71% before 23:00 is markedly improved from 14%, but 5 of 7 nights is the minimum; aim for 6+.
5. **Recheck interval** — per compound rules, reassess in 2 weeks (target date: ~Apr 27) to confirm trajectory holds.

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## 10. Safety Boundary Reminders

Per the system's configured `safety_boundary`:

- ✅ This report is **not a medical diagnosis** (`not_medical_diagnosis: true`).
- ⚠️ The initial 气虚质 score of 81.3 (Mar 1) triggered the >80 referral cue. It has since decreased below threshold, but if fatigue persists beyond 4 continuous weeks affecting work, a medical referral is indicated.
- The participant reports no current medications and no contraindications. Herbal references (四君子汤, 金匮肾气丸) are **for licensed TCM practitioner consideration only** — not for self-administration.
- Consent confirms: wellness data use = authorized; clinical diagnosis = explicitly excluded.

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*Prepared for leadership review — Internal Wellness Pilot Q2, 2026-04-14*