diff --git a/Evergreen.Health.Application/Configuration/HomeAssistant.json b/Evergreen.Health.Application/Configuration/HomeAssistant.json
index d2bfdc0..71e8f92 100644
--- a/Evergreen.Health.Application/Configuration/HomeAssistant.json
+++ b/Evergreen.Health.Application/Configuration/HomeAssistant.json
@@ -22,6 +22,23 @@
       "MattressRightHeatingLevel": "number.qushui_cn_2108064504_zerox_right_level_p_6_2",
       "MattressLeftMode": "select.qushui_cn_2108064504_zerox_left_mode_p_5_1",
       "MattressRightMode": "select.qushui_cn_2108064504_zerox_right_mode_p_5_2",
+      "MattressFirmness": {
+        "left_shoulder": "select.qushui_cn_2108064504_zerox_left_shoulder_level_p_5_3",
+        "right_shoulder": "select.qushui_cn_2108064504_zerox_right_shoulder_level_p_5_4",
+        "left_back": "select.qushui_cn_2108064504_zerox_left_back_level_p_5_5",
+        "right_back": "select.qushui_cn_2108064504_zerox_right_back_level_p_5_6",
+        "left_waist": "select.qushui_cn_2108064504_zerox_left_waist_level_p_5_7",
+        "right_waist": "select.qushui_cn_2108064504_zerox_right_waist_level_p_5_8",
+        "left_lumbar": "select.qushui_cn_2108064504_zerox_left_lumbar_level_p_5_9",
+        "right_lumbar": "select.qushui_cn_2108064504_zerox_right_lumbar_level_p_5_10",
+        "left_hip": "select.qushui_cn_2108064504_zerox_left_hip_level_p_5_11",
+        "right_hip": "select.qushui_cn_2108064504_zerox_right_hip_level_p_5_12",
+        "left_leg": "select.qushui_cn_2108064504_zerox_left_leg_level_p_5_13",
+        "right_leg": "select.qushui_cn_2108064504_zerox_right_leg_level_p_5_14"
+      },
+      "MattressLeftMassagePart": "select.qushui_cn_2108064504_zerox_left_part_p_4_1",
+      "MattressRightMassagePart": "select.qushui_cn_2108064504_zerox_right_part_p_4_2",
+      "MattressMassageLevel": "select.qushui_cn_2108064504_zerox_level_p_4_3",
       "Temperature": "sensor.mirsz_cn_2027039858_et71_temperature_p_3_1",
       "Humidity": "sensor.mirsz_cn_2027039858_et71_relative_humidity_p_3_2",
       "Pm25": "sensor.mirsz_cn_2027039858_et71_pm2_5_density_p_3_3",
diff --git a/Evergreen.Health.Application/Health/Entities/HealthEntities.cs b/Evergreen.Health.Application/Health/Entities/HealthEntities.cs
index 656e039..3294b7a 100644
--- a/Evergreen.Health.Application/Health/Entities/HealthEntities.cs
+++ b/Evergreen.Health.Application/Health/Entities/HealthEntities.cs
@@ -66,8 +66,15 @@ public sealed class HealthProfile : EntityBase
     [SugarColumn(ColumnDescription = "健康评估问卷答案JSON", ColumnDataType = "text", IsNullable = true)]
     public string? AssessmentJson { get; set; }
 
-    [SugarColumn(ColumnDescription = "个性化智能设备启动参数JSON", ColumnDataType = "text", IsNullable = true)]
+    // 保留旧版本数据，不再读写；一键启动仅读取中医四诊生成的 TcmResultJson。
+    [SugarColumn(ColumnDescription = "旧版设备调节参数快照JSON", ColumnDataType = "text", IsNullable = true)]
     public string? CustomSceneConfigJson { get; set; }
+
+    [SugarColumn(ColumnDescription = "中医四诊答案JSON", ColumnDataType = "text", IsNullable = true)]
+    public string? TcmAssessmentJson { get; set; }
+
+    [SugarColumn(ColumnDescription = "中医体质倾向结果JSON", ColumnDataType = "text", IsNullable = true)]
+    public string? TcmResultJson { get; set; }
 }
 
 [SugarTable("health_module_selection", "用户健康板块选择")]
diff --git a/Evergreen.Health.Application/Health/Integrations/HomeAssistant/HomeAssistantOptions.cs b/Evergreen.Health.Application/Health/Integrations/HomeAssistant/HomeAssistantOptions.cs
index b18e2e9..46e6add 100644
--- a/Evergreen.Health.Application/Health/Integrations/HomeAssistant/HomeAssistantOptions.cs
+++ b/Evergreen.Health.Application/Health/Integrations/HomeAssistant/HomeAssistantOptions.cs
@@ -32,6 +32,10 @@ public sealed class HomeAssistantEntityOptions
     public string MattressRightHeatingLevel { get; set; } = string.Empty;
     public string MattressLeftMode { get; set; } = string.Empty;
     public string MattressRightMode { get; set; } = string.Empty;
+    public Dictionary<string, string> MattressFirmness { get; set; } = new();
+    public string MattressLeftMassagePart { get; set; } = string.Empty;
+    public string MattressRightMassagePart { get; set; } = string.Empty;
+    public string MattressMassageLevel { get; set; } = string.Empty;
     public string Temperature { get; set; } = string.Empty;
     public string Humidity { get; set; } = string.Empty;
     public string Pm25 { get; set; } = string.Empty;
diff --git a/Evergreen.Health.Application/Health/Models/HealthModels.cs b/Evergreen.Health.Application/Health/Models/HealthModels.cs
index 98d22b8..19e3dc0 100644
--- a/Evergreen.Health.Application/Health/Models/HealthModels.cs
+++ b/Evergreen.Health.Application/Health/Models/HealthModels.cs
@@ -98,6 +98,45 @@ public sealed class HealthDashboardOutput
     public decimal? Bmi { get; set; }
     public string BmiStatus { get; set; } = string.Empty;
     public PersonalizedSceneConfig? SceneConfig { get; set; }
+    public TcmAssessmentResult? TcmResult { get; set; }
+    public MattressComfortOutput? MattressComfort { get; set; }
+}
+
+public sealed class MattressComfortOutput
+{
+    public decimal? Bmi { get; set; }
+    public string? Firmness { get; set; }
+    public int HeatingLevel { get; set; }
+    public bool IsWinter { get; set; }
+    public double? OutdoorTemperatureCelsius { get; set; }
+    public double? FeelsLikeCelsius { get; set; }
+    public bool WeatherAvailable { get; set; }
+    public string? WeatherObservedAt { get; set; }
+    public string WeatherReason { get; set; } = string.Empty;
+    public string FirmnessReason { get; set; } = string.Empty;
+}
+
+public sealed class TcmAssessmentInput
+{
+    public Dictionary<string, string> Answers { get; set; } = new();
+    public Dictionary<string, string> Notes { get; set; } = new();
+}
+
+public sealed class TcmAssessmentResult
+{
+    public bool HasCompleted { get; set; }
+    public string ConstitutionCode { get; set; } = string.Empty;
+    public string ConstitutionName { get; set; } = string.Empty;
+    public string? SecondaryName { get; set; }
+    public string Summary { get; set; } = string.Empty;
+    public string AromaRecommendation { get; set; } = string.Empty;
+    public string MusicRecommendation { get; set; } = string.Empty;
+    public string RoomTemperatureRecommendation { get; set; } = string.Empty;
+    public Dictionary<string, int> Scores { get; set; } = new();
+    public Dictionary<string, string> Answers { get; set; } = new();
+    public Dictionary<string, string> Notes { get; set; } = new();
+    public PersonalizedSceneConfig SceneConfig { get; set; } = new();
+    public DateTime? AssessedAt { get; set; }
 }
 
 public sealed class PersonalizedSceneConfig
@@ -153,7 +192,6 @@ public sealed class HealthAssessmentOutput
     public bool HasCompletedAssessment { get; set; }
     public SaveHealthProfileInput BasicInfo { get; set; } = new();
     public HealthAssessmentAnswers Answers { get; set; } = new();
-    public PersonalizedSceneConfig SceneConfig { get; set; } = new();
     public decimal? Bmi { get; set; }
     public string BmiStatus { get; set; } = "正常";
 }
diff --git a/Evergreen.Health.Application/Health/Services/HealthAppService.cs b/Evergreen.Health.Application/Health/Services/HealthAppService.cs
index 70c81c7..92f814a 100644
--- a/Evergreen.Health.Application/Health/Services/HealthAppService.cs
+++ b/Evergreen.Health.Application/Health/Services/HealthAppService.cs
@@ -24,6 +24,7 @@ public sealed class HealthAppService : IDynamicApiController, ITransient
     private readonly SqlSugarRepository<HealthProfile> _profileRepository;
     private readonly SqlSugarRepository<HealthModuleSelection> _moduleRepository;
     private readonly SqlSugarRepository<HealthPlan> _planRepository;
+    private readonly MattressComfortService _mattressComfort;
     private readonly IHttpContextAccessor _httpContextAccessor;
 
     public HealthAppService(
@@ -31,12 +32,14 @@ public sealed class HealthAppService : IDynamicApiController, ITransient
         SqlSugarRepository<HealthProfile> profileRepository,
         SqlSugarRepository<HealthModuleSelection> moduleRepository,
         SqlSugarRepository<HealthPlan> planRepository,
+        MattressComfortService mattressComfort,
         IHttpContextAccessor httpContextAccessor)
     {
         _userRepository = userRepository;
         _profileRepository = profileRepository;
         _moduleRepository = moduleRepository;
         _planRepository = planRepository;
+        _mattressComfort = mattressComfort;
         _httpContextAccessor = httpContextAccessor;
     }
 
@@ -114,21 +117,12 @@ public sealed class HealthAppService : IDynamicApiController, ITransient
             bmiStatus = bmi < 18.5m ? "偏瘦" : bmi <= 23.9m ? "正常" : bmi <= 27.9m ? "超重" : "肥胖";
         }
 
-        PersonalizedSceneConfig? sceneConfig = null;
-        if (!string.IsNullOrWhiteSpace(profile?.CustomSceneConfigJson))
+        var tcmResult = TcmConstitutionRules.Read(profile);
+        MattressComfortOutput? mattressComfort = null;
+        if (tcmResult.HasCompleted)
         {
-            try
-            {
-                sceneConfig = JsonSerializer.Deserialize<PersonalizedSceneConfig>(profile.CustomSceneConfigJson);
-            }
-            catch
-            {
-            }
-        }
-        if (sceneConfig == null && hasCompletedAssessment)
-        {
-            var answers = JsonSerializer.Deserialize<HealthAssessmentAnswers>(profile!.AssessmentJson!) ?? new HealthAssessmentAnswers();
-            sceneConfig = CalculatePersonalizedSceneConfig(answers, MapProfile(profile));
+            mattressComfort = await _mattressComfort.GetAsync(profile);
+            MattressComfortService.ApplyTo(tcmResult.SceneConfig, mattressComfort);
         }
 
         return new HealthDashboardOutput
@@ -140,7 +134,9 @@ public sealed class HealthAppService : IDynamicApiController, ITransient
             HasCompletedAssessment = hasCompletedAssessment,
             Bmi = bmi,
             BmiStatus = bmiStatus,
-            SceneConfig = sceneConfig
+            SceneConfig = tcmResult.HasCompleted ? tcmResult.SceneConfig : null,
+            TcmResult = tcmResult,
+            MattressComfort = mattressComfort
         };
     }
 
@@ -156,8 +152,7 @@ public sealed class HealthAppService : IDynamicApiController, ITransient
             {
                 HasCompletedAssessment = false,
                 BasicInfo = new SaveHealthProfileInput(),
-                Answers = new HealthAssessmentAnswers(),
-                SceneConfig = new PersonalizedSceneConfig()
+                Answers = new HealthAssessmentAnswers()
             };
         }
 
@@ -166,9 +161,6 @@ public sealed class HealthAppService : IDynamicApiController, ITransient
             : JsonSerializer.Deserialize<HealthAssessmentAnswers>(profile.AssessmentJson) ?? new HealthAssessmentAnswers();
 
         var hasCompleted = !string.IsNullOrWhiteSpace(profile.AssessmentJson);
-        var sceneConfig = string.IsNullOrWhiteSpace(profile.CustomSceneConfigJson)
-            ? CalculatePersonalizedSceneConfig(answers, MapProfile(profile))
-            : JsonSerializer.Deserialize<PersonalizedSceneConfig>(profile.CustomSceneConfigJson) ?? new PersonalizedSceneConfig();
 
         decimal? bmi = null;
         var bmiStatus = "正常";
@@ -184,7 +176,6 @@ public sealed class HealthAppService : IDynamicApiController, ITransient
             HasCompletedAssessment = hasCompleted,
             BasicInfo = MapProfile(profile),
             Answers = answers,
-            SceneConfig = sceneConfig,
             Bmi = bmi,
             BmiStatus = bmiStatus
         };
@@ -198,21 +189,18 @@ public sealed class HealthAppService : IDynamicApiController, ITransient
         ValidateAssessment(input);
         var userId = GetCurrentUserId();
         var profile = await _profileRepository.GetFirstAsync(p => p.UserId == userId);
-        var calculatedConfig = CalculatePersonalizedSceneConfig(input.Answers, input.BasicInfo);
 
         if (profile == null)
         {
             profile = new HealthProfile { UserId = userId };
             ApplyProfile(profile, input.BasicInfo);
             profile.AssessmentJson = JsonSerializer.Serialize(input.Answers);
-            profile.CustomSceneConfigJson = JsonSerializer.Serialize(calculatedConfig);
             await _profileRepository.InsertAsync(profile);
         }
         else
         {
             ApplyProfile(profile, input.BasicInfo);
             profile.AssessmentJson = JsonSerializer.Serialize(input.Answers);
-            profile.CustomSceneConfigJson = JsonSerializer.Serialize(calculatedConfig);
             await _profileRepository.UpdateAsync(profile);
         }
 
@@ -240,7 +228,7 @@ public sealed class HealthAppService : IDynamicApiController, ITransient
             UserId = userId,
             Version = maxVersion + 1,
             Title = $"个性化健康方案 v{maxVersion + 1}.0",
-            Summary = BuildAssessmentPlanSummary(profile, input.Answers),
+            Summary = BuildAssessmentPlanSummary(input.Answers),
             ParametersJson = JsonSerializer.Serialize(planItems),
             IsCurrent = true
         };
@@ -393,7 +381,7 @@ public sealed class HealthAppService : IDynamicApiController, ITransient
                         ModuleCode = module,
                         Title = "睡眠质量",
                         Target = profile?.AverageSleepHours is < 7 ? "逐步达到每晚 7–8 小时" : "保持每晚 7–8 小时",
-                        Advice = "固定入睡时间，睡前一小时降低灯光亮度，并使用卧室舒睡场景。"
+                        Advice = "固定入睡时间，睡前一小时减少屏幕使用，保持卧室安静。"
                     });
                     break;
                 case "exercise":
@@ -431,7 +419,7 @@ public sealed class HealthAppService : IDynamicApiController, ITransient
             bmiText = $" 当前 BMI 约为 {bmi}。";
         }
 
-        return $"方案依据您选择的 {modules.Count} 个健康板块生成。{bmiText}第一版参数用于健康管理演示，不替代专业医疗诊断。";
+        return $"方案依据您选择的 {modules.Count} 个健康板块生成。{bmiText}建议仅用于日常健康管理演示，不替代专业医疗诊断。";
     }
 
     private static HealthPlanOutput MapPlan(HealthPlan plan) => new()
@@ -439,7 +427,9 @@ public sealed class HealthAppService : IDynamicApiController, ITransient
         Id = plan.Id,
         Version = plan.Version,
         Title = plan.Title,
-        Summary = plan.Summary,
+        Summary = plan.Summary.Contains("智能家具启动参数", StringComparison.Ordinal)
+            ? "已完成健康评估，可查看睡眠、运动与饮食建议。设备启动参数仅由中医四诊体质结果生成。"
+            : plan.Summary,
         CreateTime = plan.CreateTime,
         Items = JsonSerializer.Deserialize<List<HealthPlanItemOutput>>(plan.ParametersJson) ?? []
     };
@@ -498,166 +488,11 @@ public sealed class HealthAppService : IDynamicApiController, ITransient
             throw Oops.Oh($"请完成“{label}”问题");
     }
 
-    private static PersonalizedSceneConfig CalculatePersonalizedSceneConfig(HealthAssessmentAnswers answers, SaveHealthProfileInput basicInfo)
+    private static string BuildAssessmentPlanSummary(HealthAssessmentAnswers answers)
     {
-        var config = new PersonalizedSceneConfig();
-
-        switch (answers.TemperaturePreference)
-        {
-            case "heat_fear":
-                config.TargetHumidity = 48;
-                config.FanLevel = "2挡";
-                config.MattressTargetTemp = 32m;
-                config.MattressHeatingLevel = 1;
-                break;
-            case "cold_fear":
-                config.TargetHumidity = 58;
-                config.FanLevel = "1挡";
-                config.MattressTargetTemp = 37.5m;
-                config.MattressHeatingLevel = 3;
-                break;
-            default:
-                config.TargetHumidity = 52;
-                config.FanLevel = "1挡";
-                config.MattressTargetTemp = 35.5m;
-                config.MattressHeatingLevel = 2;
-                break;
-        }
-
-        switch (answers.FallingAsleepSpeed)
-        {
-            case "hard":
-                config.LightBrightnessPercent = 8;
-                config.LightColorTemperatureKelvin = 2200;
-                config.FragranceLevel = 2;
-                config.EnableSpeakerSleepMode = true;
-                config.SpeakerAudioMode = "助眠白噪音";
-                config.SpeakerVolumePercent = 12;
-                break;
-            case "fast":
-                config.LightBrightnessPercent = 25;
-                config.LightColorTemperatureKelvin = 3000;
-                config.EnableSpeakerSleepMode = false;
-                config.SpeakerAudioMode = "关闭助眠音频";
-                config.SpeakerVolumePercent = 10;
-                break;
-            default:
-                config.LightBrightnessPercent = 18;
-                config.LightColorTemperatureKelvin = 2700;
-                config.FragranceLevel = 1;
-                config.EnableSpeakerSleepMode = true;
-                config.SpeakerAudioMode = "舒缓轻音乐";
-                config.SpeakerVolumePercent = 15;
-                break;
-        }
-
-        switch (answers.SleepDuration)
-        {
-            case "<6":
-                config.LightBrightnessPercent -= 3;
-                config.SpeakerVolumePercent += 3;
-                config.FragranceLevel++;
-                break;
-            case "6-7":
-                config.LightBrightnessPercent -= 1;
-                config.SpeakerVolumePercent += 1;
-                break;
-            case ">8":
-                config.LightBrightnessPercent += 2;
-                config.SpeakerVolumePercent -= 2;
-                break;
-        }
-
-        if (answers.MuscleFatigueArea is "waist_back" or "back_neck" || answers.MattressPreference == "firm")
-        {
-            config.MattressLeftFirmness = 7;
-            config.MattressRightFirmness = 7;
-            config.MattressMode = "智能腰托";
-        }
-        else if (answers.MattressPreference == "soft")
-        {
-            config.MattressLeftFirmness = 4;
-            config.MattressRightFirmness = 4;
-            config.MattressMode = "瑜伽助眠";
-        }
-        else
-        {
-            config.MattressLeftFirmness = answers.MuscleFatigueArea == "legs" ? 6 : 5;
-            config.MattressRightFirmness = answers.MuscleFatigueArea == "legs" ? 6 : 5;
-            config.MattressMode = "智能适配";
-        }
-
-        config.DehumidifierMode = answers.NightAwakening == "none" ? "智能" : "睡眠";
-        if (answers.NightAwakening == "frequent")
-        {
-            config.FanLevel = "1挡";
-            config.LightBrightnessPercent -= 2;
-        }
-
-        switch (answers.ExerciseFrequency)
-        {
-            case "none": config.MattressHeatingLevel++; break;
-            case "daily": config.MattressHeatingLevel--; break;
-        }
-
-        switch (answers.ActiveTimeOfDay)
-        {
-            case "morning": config.LightColorTemperatureKelvin += 150; break;
-            case "night":
-                config.LightColorTemperatureKelvin -= 250;
-                config.LightBrightnessPercent -= 2;
-                break;
-            case "irregular":
-                config.EnableSpeakerSleepMode = true;
-                config.SpeakerVolumePercent += 2;
-                break;
-        }
-
-        config.EnableUv = answers.LateNightEating is "often" or "sometimes" || answers.FlavorPreference == "heavy";
-        if (answers.MealRegularity == "irregular")
-        {
-            config.EnableUv = true;
-            config.FragranceLevel++;
-        }
-        else if (answers.MealRegularity == "skip_breakfast")
-        {
-            config.FragranceLevel++;
-        }
-
-        if (answers.DailyWaterIntake == "scarce") config.TargetHumidity += 3;
-        if (answers.DailyWaterIntake == "abundant") config.TargetHumidity -= 2;
-
-        if (basicInfo.HeightCm > 0 && basicInfo.WeightKg > 0)
-        {
-            var height = basicInfo.HeightCm.Value / 100m;
-            var bmi = basicInfo.WeightKg.Value / (height * height);
-            if (bmi < 18.5m) config.MattressHeatingLevel++;
-            if (bmi >= 28m) config.TargetHumidity -= 2;
-        }
-        if (basicInfo.Birthday.HasValue)
-        {
-            var age = DateTime.Today.Year - basicInfo.Birthday.Value.Year;
-            if (age >= 60)
-            {
-                config.LightBrightnessPercent += 3;
-                config.SpeakerVolumePercent = Math.Max(8, config.SpeakerVolumePercent - 2);
-            }
-        }
-
-        config.TargetHumidity = Math.Clamp(config.TargetHumidity, 40, 70);
-        config.LightBrightnessPercent = Math.Clamp(config.LightBrightnessPercent, 1, 100);
-        config.LightColorTemperatureKelvin = Math.Clamp(config.LightColorTemperatureKelvin, 2200, 5000);
-        config.SpeakerVolumePercent = Math.Clamp(config.SpeakerVolumePercent, 1, 50);
-        config.FragranceLevel = Math.Clamp(config.FragranceLevel, 1, 3);
-        config.MattressHeatingLevel = Math.Clamp(config.MattressHeatingLevel, 0, 4);
-        return config;
-    }
-
-    private static string BuildAssessmentPlanSummary(HealthProfile profile, HealthAssessmentAnswers answers)
-    {
-        var sleepNote = answers.FallingAsleepSpeed == "hard" ? "针对入睡耗时较长启用了音箱睡眠模式与极暗暖光；" : "";
-        var tempNote = answers.TemperaturePreference == "heat_fear" ? "依据体感偏热降低了床垫加热档位与室内湿度；" : answers.TemperaturePreference == "cold_fear" ? "依据体感偏冷提高了床垫保温档位；" : "";
-        var supportNote = answers.MuscleFatigueArea is "waist_back" or "back_neck" ? "针对腰背与颈部疲劳启用了床垫智能腰托模式；" : "";
-        return $"已完成全面健康评估，{sleepNote}{tempNote}{supportNote}全套智能家具启动参数已完成个性化配置。";
+        var sleepNote = answers.FallingAsleepSpeed == "hard" ? "入睡较慢，建议保持规律的睡前作息；" : "";
+        var activityNote = answers.ExerciseFrequency == "none" ? "可从轻度日常活动开始；" : "";
+        var dietNote = answers.MealRegularity == "irregular" ? "建议逐步建立规律三餐；" : "";
+        return $"已完成健康评估。{sleepNote}{activityNote}{dietNote}结果用于了解身体基本情况，不参与智能家居启动参数计算。";
     }
 }
diff --git a/Evergreen.Health.Application/Health/Services/HealthHomeAssistantService.cs b/Evergreen.Health.Application/Health/Services/HealthHomeAssistantService.cs
index 75b58af..a2d6b47 100644
--- a/Evergreen.Health.Application/Health/Services/HealthHomeAssistantService.cs
+++ b/Evergreen.Health.Application/Health/Services/HealthHomeAssistantService.cs
@@ -22,6 +22,7 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
     private readonly HomeAssistantOptions _options;
     private readonly SqlSugarRepository<HealthSceneExecution> _executionRepository;
     private readonly SqlSugarRepository<HealthProfile> _profileRepository;
+    private readonly MattressComfortService _mattressComfort;
     private readonly IHttpContextAccessor _httpContextAccessor;
 
     public HealthHomeAssistantService(
@@ -31,6 +32,7 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
         IOptions<HomeAssistantOptions> options,
         SqlSugarRepository<HealthSceneExecution> executionRepository,
         SqlSugarRepository<HealthProfile> profileRepository,
+        MattressComfortService mattressComfort,
         IHttpContextAccessor httpContextAccessor)
     {
         _homeAssistant = homeAssistant;
@@ -39,6 +41,7 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
         _options = options.Value;
         _executionRepository = executionRepository;
         _profileRepository = profileRepository;
+        _mattressComfort = mattressComfort;
         _httpContextAccessor = httpContextAccessor;
     }
 
@@ -153,16 +156,21 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
             {
                 var userId = GetCurrentUserId();
                 var profile = await _profileRepository.GetFirstAsync(p => p.UserId == userId);
-                if (!string.IsNullOrWhiteSpace(profile?.CustomSceneConfigJson))
+                var tcmResult = TcmConstitutionRules.Read(profile);
+                if (tcmResult.HasCompleted)
                 {
-                    userConfig = JsonSerializer.Deserialize<PersonalizedSceneConfig>(profile.CustomSceneConfigJson);
+                    userConfig = tcmResult.SceneConfig;
+                    var comfort = await _mattressComfort.GetAsync(profile, cancellationToken);
+                    MattressComfortService.ApplyTo(userConfig, comfort);
                 }
             }
             catch
             {
             }
 
-            var scenePresets = BuildScenePresets(stateMap, userConfig);
+            var scenePresets = userConfig is null
+                ? new List<HomeAssistantScenePresetItem>()
+                : BuildScenePresets(stateMap, userConfig);
 
             return new HomeAssistantStatusOutput
             {
@@ -188,7 +196,7 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
                 Devices = [],
                 SceneDevices = BuildSceneDevicesSummary(new Dictionary<string, HomeAssistantState>(StringComparer.OrdinalIgnoreCase)),
                 Environment = new HomeAssistantEnvironmentOutput(),
-                ScenePresets = BuildScenePresets(new Dictionary<string, HomeAssistantState>(StringComparer.OrdinalIgnoreCase)),
+                ScenePresets = [],
                 ControlParameters = []
             };
         }
@@ -531,6 +539,32 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
                     service = "select_option";
                     serviceData["option"] = ReadMattressMode(input.Value);
                     break;
+                case "mattress_massage_left_part":
+                    targetEntityId = _options.Entities.MattressLeftMassagePart;
+                    domain = "select";
+                    service = "select_option";
+                    serviceData["option"] = ReadMassagePart(input.Value);
+                    break;
+                case "mattress_massage_right_part":
+                    targetEntityId = _options.Entities.MattressRightMassagePart;
+                    domain = "select";
+                    service = "select_option";
+                    serviceData["option"] = ReadMassagePart(input.Value);
+                    break;
+                case "mattress_massage_level":
+                    targetEntityId = _options.Entities.MattressMassageLevel;
+                    domain = "select";
+                    service = "select_option";
+                    serviceData["option"] = ReadMassageLevel(input.Value);
+                    break;
+                case string firmnessType when firmnessType.StartsWith("mattress_firmness_", StringComparison.Ordinal):
+                    var zone = firmnessType["mattress_firmness_".Length..];
+                    if (!_options.Entities.MattressFirmness.TryGetValue(zone, out targetEntityId))
+                        throw new InvalidOperationException("不支持该床垫分区");
+                    domain = "select";
+                    service = "select_option";
+                    serviceData["option"] = ReadFirmness(input.Value);
+                    break;
                 case "uv":
                     targetEntityId = _options.Entities.DehumidifierUv;
                     domain = "switch";
@@ -562,40 +596,6 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
             serviceData["entity_id"] = targetEntityId;
             await _homeAssistant.CallServiceAsync(domain, service, serviceData, cancellationToken);
 
-            try
-            {
-                var userId = GetCurrentUserId();
-                var profile = await _profileRepository.GetFirstAsync(p => p.UserId == userId);
-                if (profile != null)
-                {
-                    var customConfig = string.IsNullOrWhiteSpace(profile.CustomSceneConfigJson)
-                        ? new PersonalizedSceneConfig()
-                        : JsonSerializer.Deserialize<PersonalizedSceneConfig>(profile.CustomSceneConfigJson) ?? new PersonalizedSceneConfig();
-
-                    switch (parameterType)
-                    {
-                        case "humidity": customConfig.TargetHumidity = (int)serviceData["humidity"]!; break;
-                        case "fan_level": customConfig.FanLevel = (string)serviceData["option"]!; break;
-                        case "dehumidifier_mode": customConfig.DehumidifierMode = (string)serviceData["mode"]!; break;
-                        case "brightness": customConfig.LightBrightnessPercent = (int)serviceData["brightness_pct"]!; break;
-                        case "color_temp": customConfig.LightColorTemperatureKelvin = (int)serviceData["color_temp_kelvin"]!; break;
-                        case "volume": customConfig.SpeakerVolumePercent = ReadInt(input.Value, 0, 100, "音箱音量"); break;
-                        case "speaker_sleep_mode": customConfig.EnableSpeakerSleepMode = ReadBool(input.Value); break;
-                        case "uv": customConfig.EnableUv = ReadBool(input.Value); break;
-                        case "mattress_left_heating":
-                        case "mattress_right_heating": customConfig.MattressHeatingLevel = ReadInt(input.Value, 0, 4, "床垫加热档位"); break;
-                        case "mattress_left_mode":
-                        case "mattress_right_mode": customConfig.MattressMode = ReadMattressMode(input.Value); break;
-                    }
-
-                    profile.CustomSceneConfigJson = JsonSerializer.Serialize(customConfig);
-                    await _profileRepository.UpdateAsync(profile);
-                }
-            }
-            catch
-            {
-            }
-
             var successMessage = parameterType switch
             {
                 "fragrance_quick_release" => "快速出香指令已发送",
@@ -631,18 +631,20 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
     public async Task<HomeAssistantSceneOutput> ExecuteSleepScene(CancellationToken cancellationToken)
     {
         PersonalizedSceneConfig? customConfig = null;
-        try
+        var userId = GetCurrentUserId();
+        var profile = await _profileRepository.GetFirstAsync(p => p.UserId == userId);
+        var tcmResult = TcmConstitutionRules.Read(profile);
+        if (!tcmResult.HasCompleted)
         {
-            var userId = GetCurrentUserId();
-            var profile = await _profileRepository.GetFirstAsync(p => p.UserId == userId);
-            if (!string.IsNullOrWhiteSpace(profile?.CustomSceneConfigJson))
+            return new HomeAssistantSceneOutput
             {
-                customConfig = JsonSerializer.Deserialize<PersonalizedSceneConfig>(profile.CustomSceneConfigJson);
-            }
-        }
-        catch
-        {
+                SceneCode = "sleep", SceneName = "舒睡模式", Success = false,
+                Status = "AssessmentRequired", Message = "请先完成中医四诊，生成体质倾向后再一键启动"
+            };
         }
+        customConfig = tcmResult.SceneConfig;
+        var mattressComfort = await _mattressComfort.GetAsync(profile, cancellationToken);
+        MattressComfortService.ApplyTo(customConfig, mattressComfort);
 
         return await ExecuteScene("sleep", "舒睡模式", (states, results, ct) => ExecuteSleepActions(states, results, customConfig, ct), cancellationToken);
     }
@@ -735,7 +737,7 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
         var enableSpeakerSleepMode = customConfig?.EnableSpeakerSleepMode ?? scene.EnableSpeakerSleepMode;
         var speakerVolume = customConfig?.SpeakerVolumePercent ?? 15;
         var mattressHeatingLevel = customConfig?.MattressHeatingLevel ?? scene.MattressHeatingLevel;
-        var mattressMode = customConfig?.MattressMode ?? scene.MattressMode;
+        var mattressFirmness = MattressComfortService.FirmnessName(customConfig?.MattressLeftFirmness ?? 0);
 
         await RunAction(states, results, "开启除湿机", entities.Dehumidifier, "humidifier", "turn_on", null, cancellationToken);
         await RunAction(states, results, "设置目标湿度", entities.Dehumidifier, "humidifier", "set_humidity",
@@ -757,6 +759,11 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
             await RunAction(states, results, "开启香氛灯", entities.FragranceLight, "light", "turn_on",
                 new Dictionary<string, object?> { ["brightness_pct"] = lightBrightness }, cancellationToken);
         }
+        else
+        {
+            await RunAction(states, results, "关闭香氛机", entities.FragranceSwitch, "switch", "turn_off", null, cancellationToken);
+            await RunAction(states, results, "关闭香氛灯", entities.FragranceLight, "light", "turn_off", null, cancellationToken);
+        }
 
         if (string.IsNullOrWhiteSpace(entities.AmbientLight) ||
             !states.TryGetValue(entities.AmbientLight, out var lightState) || !IsAvailable(lightState))
@@ -809,10 +816,24 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
                 new Dictionary<string, object?> { ["value"] = mattressHeatingLevel }, cancellationToken);
             await RunAction(states, results, "设置床垫右侧加热档位", entities.MattressRightHeatingLevel, "number", "set_value",
                 new Dictionary<string, object?> { ["value"] = mattressHeatingLevel }, cancellationToken);
-            await RunAction(states, results, "设置床垫左侧模式", entities.MattressLeftMode, "select", "select_option",
-                new Dictionary<string, object?> { ["option"] = mattressMode }, cancellationToken);
-            await RunAction(states, results, "设置床垫右侧模式", entities.MattressRightMode, "select", "select_option",
-                new Dictionary<string, object?> { ["option"] = mattressMode }, cancellationToken);
+            // 左右承托模式共用气泵，一键场景不同时启动两侧模式。
+            if (mattressFirmness == null)
+            {
+                results.Add(new HomeAssistantActionResult
+                {
+                    Name = "按 BMI 调节床垫软硬度", Status = "Skipped",
+                    Message = "健康档案缺少身高或体重，未自动修改软硬度"
+                });
+            }
+            else
+            {
+                foreach (var (zone, entityId) in entities.MattressFirmness)
+                {
+                    await RunAction(states, results, $"设置床垫{MattressZoneName(zone)}软硬度",
+                        entityId, "select", "select_option",
+                        new Dictionary<string, object?> { ["option"] = mattressFirmness }, cancellationToken);
+                }
+            }
         }
     }
 
@@ -1268,8 +1289,13 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
             ["mattress_left_heating"] = _options.Entities.MattressLeftHeatingLevel,
             ["mattress_right_heating"] = _options.Entities.MattressRightHeatingLevel,
             ["mattress_left_mode"] = _options.Entities.MattressLeftMode,
-            ["mattress_right_mode"] = _options.Entities.MattressRightMode
+            ["mattress_right_mode"] = _options.Entities.MattressRightMode,
+            ["mattress_massage_left_part"] = _options.Entities.MattressLeftMassagePart,
+            ["mattress_massage_right_part"] = _options.Entities.MattressRightMassagePart,
+            ["mattress_massage_level"] = _options.Entities.MattressMassageLevel
         };
+        foreach (var (zone, entityId) in _options.Entities.MattressFirmness)
+            configured[$"mattress_firmness_{zone}"] = entityId;
         var result = new Dictionary<string, HomeAssistantParameterStateOutput>(StringComparer.OrdinalIgnoreCase);
         foreach (var (parameterType, entityId) in configured)
         {
@@ -1319,6 +1345,41 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
         return mode;
     }
 
+    private static string ReadFirmness(object? value)
+    {
+        var firmness = ReadString(value);
+        if (firmness is not ("最软" or "很软" or "稍软" or "稍硬" or "很硬" or "最硬"))
+            throw new InvalidOperationException("床垫软硬度选项无效");
+        return firmness;
+    }
+
+    private static string MattressZoneName(string zone) => zone switch
+    {
+        "left_shoulder" => "左肩", "right_shoulder" => "右肩",
+        "left_back" => "左背", "right_back" => "右背",
+        "left_waist" => "左腰", "right_waist" => "右腰",
+        "left_lumbar" => "左腰椎", "right_lumbar" => "右腰椎",
+        "left_hip" => "左臀", "right_hip" => "右臀",
+        "left_leg" => "左腿", "right_leg" => "右腿",
+        _ => zone
+    };
+
+    private static string ReadMassagePart(object? value)
+    {
+        var part = ReadString(value);
+        if (part is not ("无" or "背部" or "腰部" or "牵引" or "腿部" or "全身"))
+            throw new InvalidOperationException("按摩部位选项无效");
+        return part;
+    }
+
+    private static string ReadMassageLevel(object? value)
+    {
+        var level = ReadString(value);
+        if (level is not ("轻柔" or "强劲"))
+            throw new InvalidOperationException("按摩力度选项无效");
+        return level;
+    }
+
     private List<HomeAssistantScenePresetItem> BuildScenePresets(
         IReadOnlyDictionary<string, HomeAssistantState> stateMap,
         PersonalizedSceneConfig? userConfig = null)
@@ -1399,18 +1460,18 @@ public sealed class HealthHomeAssistantService : IDynamicApiController, ITransie
         if (defaultScene.EnableMattress && !string.IsNullOrWhiteSpace(_options.Entities.MattressLeftHeatingLevel))
         {
             var heatingLevel = userConfig?.MattressHeatingLevel ?? defaultScene.MattressHeatingLevel;
-            var mattressMode = userConfig?.MattressMode ?? defaultScene.MattressMode;
+            var firmness = MattressComfortService.FirmnessName(userConfig?.MattressLeftFirmness ?? 0);
             presets.Add(new HomeAssistantScenePresetItem
             {
                 DeviceName = "8H AI智能好睡眠床垫X",
                 Category = nameof(HealthDeviceCategory.Sleep),
                 EntityId = _options.Entities.MattressLeftHeatingLevel,
-                Action = "开启分区加热与承托模式",
-                Detail = $"左右加热 {heatingLevel} 档 · {mattressMode}",
+                Action = "按天气和 BMI 调节床垫",
+                Detail = $"左右加热 {heatingLevel} 档 · 软硬度{firmness ?? "待填写 BMI"}",
                 Parameters = new()
                 {
                     ["heating_level"] = heatingLevel,
-                    ["mode"] = mattressMode
+                    ["firmness"] = firmness ?? "未自动调节"
                 }
             });
         }
diff --git a/Evergreen.Health.Application/Health/Services/HealthTcmAssessmentService.cs b/Evergreen.Health.Application/Health/Services/HealthTcmAssessmentService.cs
new file mode 100644
index 0000000..fa3995c
--- /dev/null
+++ b/Evergreen.Health.Application/Health/Services/HealthTcmAssessmentService.cs
@@ -0,0 +1,198 @@
+using Evergreen.Health.Application.Health.Entities;
+using Evergreen.Health.Application.Health.Models;
+using Furion.DatabaseAccessor;
+using Furion.FriendlyException;
+using Microsoft.AspNetCore.Http;
+using SqlSugar;
+using System.Security.Claims;
+using System.Text.Json;
+
+namespace Evergreen.Health.Application.Health.Services;
+
+// 演示用四诊倾向，不等同于标准量表或医学诊断。
+[ApiDescriptionSettings("健康管理", Name = "HealthTcmAssessment", Order = 52)]
+public sealed class HealthTcmAssessmentService : IDynamicApiController, ITransient
+{
+    private readonly SqlSugarRepository<HealthProfile> _profiles;
+    private readonly IHttpContextAccessor _http;
+
+    public HealthTcmAssessmentService(SqlSugarRepository<HealthProfile> profiles, IHttpContextAccessor http)
+    {
+        _profiles = profiles;
+        _http = http;
+    }
+
+    [Authorize]
+    [HttpGet("/api/health/tcm-assessment")]
+    public async Task<TcmAssessmentResult> GetAssessment()
+    {
+        var userId = CurrentUserId();
+        var profile = await _profiles.GetFirstAsync(p => p.UserId == userId);
+        return TcmConstitutionRules.Read(profile);
+    }
+
+    [Authorize]
+    [HttpPost("/api/health/tcm-assessment")]
+    [UnitOfWork]
+    public async Task<TcmAssessmentResult> SaveAssessment(TcmAssessmentInput input)
+    {
+        var result = TcmConstitutionRules.Evaluate(input);
+        var userId = CurrentUserId();
+        var profile = await _profiles.GetFirstAsync(p => p.UserId == userId);
+        if (profile == null)
+        {
+            profile = new HealthProfile { UserId = userId };
+            profile.TcmAssessmentJson = JsonSerializer.Serialize(input);
+            profile.TcmResultJson = JsonSerializer.Serialize(result);
+            await _profiles.InsertAsync(profile);
+        }
+        else
+        {
+            profile.TcmAssessmentJson = JsonSerializer.Serialize(input);
+            profile.TcmResultJson = JsonSerializer.Serialize(result);
+            await _profiles.AsUpdateable(profile)
+                .UpdateColumns(p => new { p.TcmAssessmentJson, p.TcmResultJson })
+                .ExecuteCommandAsync();
+        }
+        return result;
+    }
+
+    private long CurrentUserId()
+    {
+        var claim = _http.HttpContext?.User.FindFirstValue("health_user_id");
+        if (!long.TryParse(claim, out var userId))
+            throw Oops.Oh("登录状态已失效").StatusCode(401);
+        return userId;
+    }
+}
+
+public static class TcmConstitutionRules
+{
+    private static readonly string[] Types =
+    [
+        "balanced", "qi_deficient", "yang_deficient", "yin_deficient",
+        "phlegm_damp", "damp_heat", "blood_stasis", "qi_stagnation", "special"
+    ];
+    private static readonly Dictionary<string, string> Names = new()
+    {
+        ["balanced"] = "平和质", ["qi_deficient"] = "气虚质", ["yang_deficient"] = "阳虚质",
+        ["yin_deficient"] = "阴虚质", ["phlegm_damp"] = "痰湿质", ["damp_heat"] = "湿热质",
+        ["blood_stasis"] = "血瘀质", ["qi_stagnation"] = "气郁质", ["special"] = "特禀质"
+    };
+    private static readonly Dictionary<string, string[]> Choices = new()
+    {
+        ["face"] = ["rosy", "pale", "sallow", "flushed", "dusky"],
+        ["body"] = ["balanced", "heavy", "thin", "abdominal"],
+        ["spirit"] = ["energetic", "low", "tired"],
+        ["voice"] = ["clear", "normal", "weak"],
+        ["coldHeat"] = ["neutral", "cold", "hot"],
+        ["sweating"] = ["normal", "easy", "little"],
+        ["mouth"] = ["normal", "bland", "bitter", "dry"],
+        ["stool"] = ["normal", "dry", "loose", "sticky"],
+        ["sleep"] = ["good", "difficult", "waking", "dreams"],
+        ["emotion"] = ["steady", "anxious", "depressed", "irritable"],
+        ["pulse"] = ["normal", "wiry", "slippery", "thin", "rough", "deep", "floating", "weak", "unknown"],
+        ["allergy"] = ["none", "often"]
+    };
+
+    private static readonly Dictionary<string, (string Type, int Points)[]> Weights = new()
+    {
+        ["face:pale"] = [("qi_deficient", 2), ("yang_deficient", 1)],
+        ["face:sallow"] = [("qi_deficient", 2), ("phlegm_damp", 1)],
+        ["face:flushed"] = [("yin_deficient", 2), ("damp_heat", 1)],
+        ["face:dusky"] = [("blood_stasis", 3)],
+        ["body:heavy"] = [("phlegm_damp", 3)],
+        ["body:thin"] = [("yin_deficient", 2)],
+        ["body:abdominal"] = [("phlegm_damp", 3), ("damp_heat", 1)],
+        ["spirit:low"] = [("qi_deficient", 2)],
+        ["spirit:tired"] = [("qi_deficient", 2), ("yang_deficient", 1)],
+        ["voice:weak"] = [("qi_deficient", 2)],
+        ["coldHeat:cold"] = [("yang_deficient", 4)],
+        ["coldHeat:hot"] = [("yin_deficient", 2), ("damp_heat", 2)],
+        ["sweating:easy"] = [("qi_deficient", 2)],
+        ["sweating:little"] = [("yin_deficient", 1)],
+        ["mouth:bland"] = [("yang_deficient", 1), ("phlegm_damp", 1)],
+        ["mouth:bitter"] = [("damp_heat", 3)],
+        ["mouth:dry"] = [("yin_deficient", 3)],
+        ["stool:dry"] = [("yin_deficient", 2), ("damp_heat", 1)],
+        ["stool:loose"] = [("yang_deficient", 2), ("qi_deficient", 1)],
+        ["stool:sticky"] = [("damp_heat", 3), ("phlegm_damp", 2)],
+        ["sleep:difficult"] = [("qi_stagnation", 2), ("yin_deficient", 1)],
+        ["sleep:waking"] = [("qi_deficient", 1), ("yin_deficient", 1)],
+        ["sleep:dreams"] = [("qi_stagnation", 2)],
+        ["emotion:anxious"] = [("qi_stagnation", 3)],
+        ["emotion:depressed"] = [("qi_stagnation", 3)],
+        ["emotion:irritable"] = [("qi_stagnation", 2), ("damp_heat", 1)],
+        ["pulse:wiry"] = [("qi_stagnation", 2)],
+        ["pulse:slippery"] = [("phlegm_damp", 2), ("damp_heat", 1)],
+        ["pulse:thin"] = [("yin_deficient", 2)],
+        ["pulse:rough"] = [("blood_stasis", 3)],
+        ["pulse:deep"] = [("yang_deficient", 1)],
+        ["pulse:floating"] = [("qi_deficient", 1)],
+        ["pulse:weak"] = [("qi_deficient", 2)],
+        ["allergy:often"] = [("special", 6)]
+    };
+
+    public static TcmAssessmentResult Read(HealthProfile? profile)
+    {
+        if (string.IsNullOrWhiteSpace(profile?.TcmResultJson)) return new TcmAssessmentResult();
+        try { return JsonSerializer.Deserialize<TcmAssessmentResult>(profile.TcmResultJson) ?? new TcmAssessmentResult(); }
+        catch { return new TcmAssessmentResult(); }
+    }
+
+    public static TcmAssessmentResult Evaluate(TcmAssessmentInput input)
+    {
+        if (input?.Answers == null) throw Oops.Oh("请完成四诊问卷");
+        foreach (var (field, choices) in Choices)
+            if (!input.Answers.TryGetValue(field, out var answer) || !choices.Contains(answer))
+                throw Oops.Oh($"四诊项目 {field} 未填写或选项无效");
+
+        var scores = Types.ToDictionary(type => type, _ => 0);
+        foreach (var (field, answer) in input.Answers)
+            if (Weights.TryGetValue($"{field}:{answer}", out var weights))
+                foreach (var (type, points) in weights) scores[type] += points;
+
+        // 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。
+        var ranked = Types.Skip(1).OrderByDescending(type => scores[type]).ToList();
+        var primary = scores[ranked[0]] < 3 ? "balanced" : ranked[0];
+        var notes = (input.Notes ?? new Dictionary<string, string>())
+            .Where(item => new[] { "tongue", "odor", "breath", "pulseNote" }.Contains(item.Key))
+            .ToDictionary(item => item.Key, item => (item.Value ?? "").Trim()[..Math.Min((item.Value ?? "").Trim().Length, 300)]);
+        var (aroma, music, room, humidity, kelvin, fragrance, volume) = primary switch
+        {
+            "qi_deficient" => ("清淡木香", "舒缓自然声", "22–25℃", 55, 3000, true, 14),
+            "yang_deficient" => ("温暖木质香", "轻柔慢节奏", "24–26℃", 52, 2700, true, 14),
+            "yin_deficient" => ("淡菊花香", "轻柔海浪声", "21–24℃", 48, 4000, true, 12),
+            "phlegm_damp" => ("清新柑橘香", "舒缓雨声", "22–24℃", 45, 3500, true, 15),
+            "damp_heat" => ("清淡薄荷香", "流水白噪音", "21–24℃", 45, 4000, true, 12),
+            "blood_stasis" => ("淡花木香", "低频舒缓音乐", "23–25℃", 52, 3000, true, 14),
+            "qi_stagnation" => ("清新柑橘香", "轻柔吉他曲", "22–25℃", 51, 3000, true, 14),
+            "special" => ("建议不使用香氛，避免过敏原", "自然风声", "22–25℃", 50, 3500, false, 12),
+            _ => ("淡雅薰衣草香", "自然雨声", "22–25℃", 50, 3000, true, 15)
+        };
+        return new TcmAssessmentResult
+        {
+            HasCompleted = true,
+            ConstitutionCode = primary,
+            ConstitutionName = Names[primary],
+            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。",
+            AromaRecommendation = input.Answers["allergy"] == "often"
+                ? "建议不使用香氛，避免过敏原" : aroma,
+            MusicRecommendation = music,
+            RoomTemperatureRecommendation = room,
+            Scores = scores,
+            Answers = Choices.Keys.ToDictionary(key => key, key => input.Answers[key]),
+            Notes = notes,
+            AssessedAt = DateTime.Now,
+            SceneConfig = new PersonalizedSceneConfig
+            {
+                TargetHumidity = humidity, DehumidifierMode = "睡眠", FanLevel = "1档",
+                LightBrightnessPercent = 20, LightColorTemperatureKelvin = kelvin,
+                MattressHeatingLevel = 0, MattressLeftFirmness = 0, MattressRightFirmness = 0,
+                MattressMode = "智能适配",
+                EnableFragrance = fragrance && input.Answers["allergy"] != "often", FragranceLevel = 1,
+                EnableSpeakerSleepMode = true, SpeakerVolumePercent = volume
+            }
+        };
+    }
+}
diff --git a/Evergreen.Health.Application/Health/Services/MattressComfortService.cs b/Evergreen.Health.Application/Health/Services/MattressComfortService.cs
new file mode 100644
index 0000000..aad0a8e
--- /dev/null
+++ b/Evergreen.Health.Application/Health/Services/MattressComfortService.cs
@@ -0,0 +1,127 @@
+using Evergreen.Health.Application.Health.Entities;
+using Evergreen.Health.Application.Health.Models;
+using System.Text.Json;
+
+namespace Evergreen.Health.Application.Health.Services;
+
+// 重庆演示场景：BMI 只给出可手动修改的软硬起点，不是医学或人体工学诊断。
+public sealed class MattressComfortService : ITransient
+{
+    // 演示使用 Open-Meteo 接口；正式商用前应确认许可或替换为有授权的天气源。
+    private const string WeatherUrl =
+        "https://api.open-meteo.com/v1/forecast?latitude=29.56&longitude=106.55&current=temperature_2m%2Capparent_temperature&timezone=Asia%2FShanghai";
+    private static readonly HttpClient WeatherClient = new() { Timeout = TimeSpan.FromSeconds(6) };
+    private static readonly SemaphoreSlim WeatherLock = new(1, 1);
+    private static WeatherSample? CachedWeather;
+
+    public async Task<MattressComfortOutput> GetAsync(HealthProfile? profile, CancellationToken cancellationToken = default)
+    {
+        decimal? bmi = null;
+        if (profile?.HeightCm > 0 && profile.WeightKg > 0)
+        {
+            var height = profile.HeightCm.Value / 100m;
+            bmi = Math.Round(profile.WeightKg.Value / (height * height), 1);
+        }
+
+        var firmness = bmi switch
+        {
+            < 18.5m => "很软",
+            < 24m => "稍软",
+            < 28m => "稍硬",
+            < 32m => "很硬",
+            >= 32m => "最硬",
+            _ => null
+        };
+        var chinaNow = DateTimeOffset.UtcNow.ToOffset(TimeSpan.FromHours(8));
+        var winter = chinaNow.Month is 12 or 1 or 2;
+        var weather = await ReadWeatherAsync(cancellationToken);
+        var heating = 0;
+        if (winter && weather?.FeelsLikeCelsius is double feelsLike)
+            heating = feelsLike < 8 ? 2 : feelsLike < 16 ? 1 : 0;
+
+        var weatherReason = !winter
+            ? "重庆非冬季，床垫加热关闭"
+            : weather == null
+                ? "重庆天气暂不可用，为安全起见不自动加热"
+                : heating == 0
+                    ? "重庆处于冬季，但当前体感温度较高，不自动加热"
+                    : $"重庆冬季体感 {weather.FeelsLikeCelsius:0.#}℃，建议加热 {heating} 档";
+
+        return new MattressComfortOutput
+        {
+            Bmi = bmi,
+            Firmness = firmness,
+            HeatingLevel = heating,
+            IsWinter = winter,
+            OutdoorTemperatureCelsius = weather?.TemperatureCelsius,
+            FeelsLikeCelsius = weather?.FeelsLikeCelsius,
+            WeatherAvailable = weather != null,
+            WeatherObservedAt = weather?.ObservedAt,
+            WeatherReason = weatherReason,
+            FirmnessReason = firmness == null
+                ? "健康档案尚无身高和体重，暂不自动调节软硬度"
+                : $"按 BMI {bmi:0.0} 给出“{firmness}”演示起点，可在设备详情手动调整"
+        };
+    }
+
+    public static void ApplyTo(PersonalizedSceneConfig config, MattressComfortOutput recommendation)
+    {
+        config.MattressHeatingLevel = recommendation.HeatingLevel;
+        config.MattressLeftFirmness = recommendation.Firmness == null ? 0 : FirmnessLevel(recommendation.Firmness);
+        config.MattressRightFirmness = config.MattressLeftFirmness;
+    }
+
+    public static int FirmnessLevel(string firmness) => firmness switch
+    {
+        "最软" => 1, "很软" => 2, "稍软" => 3,
+        "稍硬" => 4, "很硬" => 5, "最硬" => 6,
+        _ => 0
+    };
+
+    public static string? FirmnessName(int level) => level switch
+    {
+        1 => "最软", 2 => "很软", 3 => "稍软",
+        4 => "稍硬", 5 => "很硬", 6 => "最硬",
+        _ => null
+    };
+
+    private static async Task<WeatherSample?> ReadWeatherAsync(CancellationToken cancellationToken)
+    {
+        if (CachedWeather is { } cached && DateTimeOffset.UtcNow - cached.FetchedAt < TimeSpan.FromMinutes(30))
+            return cached;
+
+        await WeatherLock.WaitAsync(cancellationToken);
+        try
+        {
+            if (CachedWeather is { } fresh && DateTimeOffset.UtcNow - fresh.FetchedAt < TimeSpan.FromMinutes(30))
+                return fresh;
+
+            using var response = await WeatherClient.GetAsync(WeatherUrl, cancellationToken);
+            response.EnsureSuccessStatusCode();
+            await using var stream = await response.Content.ReadAsStreamAsync(cancellationToken);
+            using var json = await JsonDocument.ParseAsync(stream, cancellationToken: cancellationToken);
+            var current = json.RootElement.GetProperty("current");
+            var temperature = current.GetProperty("temperature_2m").GetDouble();
+            var feelsLike = current.GetProperty("apparent_temperature").GetDouble();
+            var observedAt = current.GetProperty("time").GetString();
+            CachedWeather = new WeatherSample(temperature, feelsLike, observedAt, DateTimeOffset.UtcNow);
+            return CachedWeather;
+        }
+        catch (OperationCanceledException) when (cancellationToken.IsCancellationRequested)
+        {
+            throw;
+        }
+        catch
+        {
+            // 天气失败时不使用过期值自动开启加热，冬季也安全关闭。
+            return null;
+        }
+        finally
+        {
+            WeatherLock.Release();
+        }
+    }
+
+    private sealed record WeatherSample(
+        double TemperatureCelsius, double FeelsLikeCelsius, string? ObservedAt, DateTimeOffset FetchedAt);
+}