更新

TUICallKit-Vue3/tongji/pages/weekly.vue

@@ -56,27 +56,55 @@
             <!-- 2. 血糖趋势（无就诊卡或累计录入不足 7 天显示示例曲线） -->
             <view class="st-chart-card">
                 <view class="st-chart-head">
-                    <view style="padding: 0 20rpx;">
+                    <view class="st-chart-head-text">
                         <text class="st-chart-title">血糖趋势</text>
                         <text class="st-chart-sub">{{ rangeText }} · mmol/L</text>
-                       
                     </view>
-                    <view class="st-chart-legend">
+                    <view class="st-chart-toolbar">
-                        <view
+                        <view class="st-chart-legend">
-                            class="st-legend-item"
+                            <view
-                            :class="{ inactive: !chartSeriesVisible.fasting }"
+                                class="st-legend-item"
-                            @click="toggleChartSeries('fasting')"
+                                :class="{ inactive: !chartSeriesVisible.fasting }"
-                        >
+                                @click="toggleChartSeries('fasting')"
-                            <view class="st-dot st-dot-fasting" />
+                            >
-                            <text>空腹</text>
+                                <view class="st-dot st-dot-fasting" />
+                                <text>空腹</text>
+                            </view>
+                            <view
+                                class="st-legend-item"
+                                :class="{ inactive: !chartSeriesVisible.postprandial }"
+                                @click="toggleChartSeries('postprandial')"
+                            >
+                                <view class="st-dot st-dot-post" />
+                                <text>餐后</text>
+                            </view>
                         </view>
                         <view
-                            class="st-legend-item"
+                            v-if="bloodCareEligible"
-                            :class="{ inactive: !chartSeriesVisible.postprandial }"
+                            class="st-chart-ai-chip"
-                            @click="toggleChartSeries('postprandial')"
+                            :class="{
+                                active: bloodCarePanelOpen,
+                                loading: bloodCareLoading,
+                                hint: !bloodCarePanelOpen && !bloodCareLoading
+                            }"
+                            role="button"
+                            aria-label="AI 照护建议"
+                            @click.stop="toggleBloodCareFromChart"
                         >
-                            <view class="st-dot st-dot-post" />
+                            <view class="st-chart-ai-chip-inner">
-                            <text>餐后</text>
+                                <view class="st-chart-ai-chip-icon">
+                                    <TongjiIcon
+                                        name="sparkles"
+                                        size="sm"
+                                        :color="bloodCarePanelOpen ? '#ffffff' : '#006c49'"
+                                    />
+                                </view>
+                                <text class="st-chart-ai-chip-label">{{
+                                    bloodCareLoading
+                                        ? '生成中'
+                                        : (bloodCarePanelOpen ? '收起建议' : '照护建议')
+                                }}</text>
+                            </view>
                         </view>
                     </view>
                 </view>
@@ -98,6 +126,88 @@
                 <view v-if="chartUseMockData" class="st-chart-foot">
                     <text class="st-chart-mock-hint">示例数据，累计记录满 7 天后显示您的真实趋势</text>
                 </view>
+
+                <!-- 趋势卡内：点击标题栏 AI 按钮后展开 -->
+                <view v-if="bloodCareEligible && bloodCarePanelOpen" class="st-chart-care-panel">
+                    <view class="st-chart-care-head">
+                        <text class="st-chart-care-title">AI 照护建议</text>
+                        <view class="st-chart-care-actions">
+                            <view
+                                class="st-chart-care-refresh"
+                                :class="{ disabled: bloodCareLoading }"
+                                @click.stop="refreshBloodCareAi"
+                            >
+                                <TongjiIcon name="refresh" size="sm" color="#006c49" />
+                                <text>{{ bloodCareLoading ? '生成中' : '换一换' }}</text>
+                            </view>
+                            <view class="st-chart-care-close" @click.stop="closeBloodCarePanel">
+                                <text>收起</text>
+                            </view>
+                        </view>
+                    </view>
+                    <text class="st-chart-care-sub">基于您累计 7 天血糖 · 监测与中医调理方向（非处方）</text>
+
+                    <view v-if="bloodCareControlLabel" class="st-care-badge st-care-badge--in-chart">
+                        <text>{{ bloodCareControlLabel }}</text>
+                    </view>
+
+                    <view v-if="bloodCareLoading && !hasBloodCareContent" class="st-skeleton st-skeleton--in-chart">
+                        <view class="st-skeleton-line" />
+                        <view class="st-skeleton-line short" />
+                    </view>
+
+                    <view v-else-if="hasBloodCareContent" class="st-care-cards st-care-cards--in-chart">
+                        <view class="st-meal-glass st-care-block">
+                            <view class="st-meal-head">
+                                <text class="st-meal-label">总评</text>
+                            </view>
+                            <text class="st-meal-text">
+                                {{ bloodCarePlan.summary || '…' }}<text v-if="bloodCareLoading && bloodCareStreamField === 'summary'" class="ai-stream-cursor">▍</text>
+                            </text>
+                        </view>
+                        <view class="st-meal-glass st-care-block">
+                            <view class="st-meal-head">
+                                <text class="st-meal-label">血糖管理</text>
+                            </view>
+                            <text class="st-meal-text">
+                                {{ bloodCarePlan.blood_advice || '…' }}<text v-if="bloodCareLoading && bloodCareStreamField === 'blood_advice'" class="ai-stream-cursor">▍</text>
+                            </text>
+                        </view>
+                        <view class="st-meal-glass st-care-block st-care-block--tcm">
+                            <view class="st-meal-head">
+                                <text class="st-meal-label">中医调理</text>
+                            </view>
+                            <text class="st-meal-text">
+                                {{ bloodCarePlan.tcm_plan || '…' }}<text v-if="bloodCareLoading && bloodCareStreamField === 'tcm_plan'" class="ai-stream-cursor">▍</text>
+                            </text>
+                        </view>
+                        <view v-if="bloodCarePlan.watch_points && bloodCarePlan.watch_points.length" class="st-care-watch">
+                            <text class="st-care-watch-title">留意</text>
+                            <view v-for="(item, wi) in bloodCarePlan.watch_points" :key="wi" class="st-care-watch-item">
+                                <text class="st-care-watch-dot">·</text>
+                                <text class="st-care-watch-text">{{ item }}</text>
+                            </view>
+                        </view>
+                        <view v-if="bloodCarePlan.next_steps" class="st-meal-glass st-care-block st-care-block--next">
+                            <view class="st-meal-head">
+                                <text class="st-meal-label">复诊提醒</text>
+                            </view>
+                            <text class="st-meal-text">
+                                {{ bloodCarePlan.next_steps }}<text v-if="bloodCareLoading && bloodCareStreamField === 'next_steps'" class="ai-stream-cursor">▍</text>
+                            </text>
+                        </view>
+                    </view>
+
+                    <view v-if="bloodCareAnalysis.length" class="st-care-stats st-care-stats--in-chart">
+                        <view v-for="(s, si) in bloodCareAnalysis" :key="si" class="st-care-stat-chip">
+                            <text class="st-care-stat-label">{{ s.label }}</text>
+                            <text class="st-care-stat-val">记录 {{ s.record_days }} 天 · 达标 {{ s.compliance }}%</text>
+                        </view>
+                    </view>
+
+                    <text v-if="bloodCareDisclaimer" class="st-care-disclaimer st-care-disclaimer--in-chart">{{ bloodCareDisclaimer }}</text>
+                </view>
+
                 <view class="st-game-entry st-game-entry--in-card" @click="goGamePage" style="margin: 0 20rpx 0 20rpx;">
                     <view class="st-game-entry-icon">
                         <TongjiIcon name="activity" size="sm" color="#006c49" />
@@ -109,6 +219,7 @@
                     <TongjiIcon name="chevron-right" size="sm" color="#64748b" />
                 </view>
             </view>
+
             <view class="st-training-section">
                 <dev-training-entry inline tone="weekly" />
             </view>
@@ -414,6 +525,7 @@ import { onLoad, onShow, onHide, onUnload, onPullDownRefresh, onShareAppMessage
 import SugarTreeGraphic from '../components/SugarTreeGraphic.vue'
 import TongjiIcon from '../components/TongjiIcon.vue'
 import { useDietAi } from '../composables/useDietAi.js'
+import { useBloodCareAi } from '../composables/useBloodCareAi.js'
 import { useSpeechToText } from '../composables/useSpeechToText.js'
 import TabBarDock from '@/components/app-tab-bar/tab-bar-dock.vue'
 import DevTrainingEntry from '@/components/dev-training-entry/index.vue'
@@ -924,6 +1036,27 @@ const chartHasDisplayData = computed(() => {
     return bloodHasData.value
 })
 
+const {
+    bloodCarePlan,
+    bloodCareLoading,
+    bloodCareStreamField,
+    bloodCareEligible,
+    bloodCarePanelOpen,
+    hasBloodCareContent,
+    bloodCareAnalysis,
+    bloodCareControlLabel,
+    bloodCareDisclaimer,
+    toggleBloodCareFromChart,
+    closeBloodCarePanel,
+    refreshBloodCareAi,
+    resetBloodCarePlan
+} = useBloodCareAi(proxy, {
+    diagnosisId,
+    chartUseMockData,
+    showUserToast,
+    formatUserMessage
+})
+
 const bloodHighDayCount = computed(() => {
     return chartDates.value.filter((date) => {
         const b = bloodByDate.value[date]
@@ -1380,6 +1513,7 @@ async function onSelectCard(card) {
     exerciseRecords.value = []
     trackingNotes.value = []
     hoverInfo.value = null
+    resetBloodCarePlan()
     await applyCard(card)
     fetchAll()
 }
@@ -1436,6 +1570,9 @@ async function fetchAll() {
             trackingNotes.value = []
         }
         await fetchDietAiRecommend(false)
+        if (!bloodCareEligible.value) {
+            resetBloodCarePlan()
+        }
     } catch (e) {
         uni.showToast({ title: '加载失败，请稍后再试', icon: 'none' })
     } finally {

TUICallKit-Vue3/tongji/styles/weekly-stitch.scss

@@ -244,11 +244,110 @@
 }
 
 .weekly-page .st-chart-head {
+    display: flex;
+    flex-direction: column;
+    align-items: stretch;
+    margin-bottom: 12rpx;
+    gap: 12rpx;
+    padding: 0 20rpx;
+}
+
+.weekly-page .st-chart-head-text {
+    width: 100%;
+}
+
+/* 图例 + AI 胶囊同一行，避免大块图标压过标题 */
+.weekly-page .st-chart-toolbar {
     display: flex;
     align-items: center;
     justify-content: space-between;
-    margin-bottom: 12rpx;
     gap: 16rpx;
+    width: 100%;
+}
+
+.weekly-page .st-chart-ai-chip {
+    flex-shrink: 0;
+    min-height: 88rpx;
+    display: flex;
+    align-items: center;
+}
+
+.weekly-page .st-chart-ai-chip-inner {
+    display: flex;
+    align-items: center;
+    gap: 10rpx;
+    min-height: 64rpx;
+    padding: 10rpx 22rpx 10rpx 12rpx;
+    border-radius: 999rpx;
+    background: linear-gradient(135deg, rgba(255, 255, 255, 0.96) 0%, rgba(236, 253, 245, 0.92) 100%);
+    border: 1rpx solid rgba(0, 108, 73, 0.14);
+    box-shadow:
+        0 2rpx 6rpx rgba(15, 23, 42, 0.04),
+        inset 0 1rpx 0 rgba(255, 255, 255, 0.9);
+    transition:
+        background 0.22s ease,
+        border-color 0.22s ease,
+        box-shadow 0.22s ease,
+        transform 0.15s ease;
+}
+
+.weekly-page .st-chart-ai-chip-icon {
+    width: 44rpx;
+    height: 44rpx;
+    border-radius: 50%;
+    background: rgba(0, 108, 73, 0.08);
+    display: flex;
+    align-items: center;
+    justify-content: center;
+    flex-shrink: 0;
+}
+
+.weekly-page .st-chart-ai-chip-label {
+    font-size: 26rpx;
+    font-weight: 700;
+    color: #0f3d2e;
+    letter-spacing: 0.02em;
+    white-space: nowrap;
+}
+
+.weekly-page .st-chart-ai-chip.hint .st-chart-ai-chip-inner {
+    border-color: rgba(0, 108, 73, 0.28);
+    box-shadow:
+        0 2rpx 8rpx rgba(0, 108, 73, 0.1),
+        0 0 0 2rpx rgba(78, 222, 163, 0.22);
+}
+
+.weekly-page .st-chart-ai-chip.active .st-chart-ai-chip-inner {
+    background: linear-gradient(135deg, #1a8f5c 0%, #006c49 100%);
+    border-color: rgba(0, 108, 73, 0.35);
+    box-shadow: 0 6rpx 18rpx rgba(0, 108, 73, 0.2);
+}
+
+.weekly-page .st-chart-ai-chip.active .st-chart-ai-chip-icon {
+    background: rgba(255, 255, 255, 0.18);
+}
+
+.weekly-page .st-chart-ai-chip.active .st-chart-ai-chip-label {
+    color: #ffffff;
+}
+
+.weekly-page .st-chart-ai-chip.loading .st-chart-ai-chip-inner {
+    opacity: 0.82;
+}
+
+.weekly-page .st-chart-ai-chip:active .st-chart-ai-chip-inner {
+    transform: scale(0.98);
+    opacity: 0.92;
+}
+
+@media (prefers-reduced-motion: reduce) {
+    .weekly-page .st-chart-ai-chip-inner {
+        transition: background 0.01s, border-color 0.01s, opacity 0.01s;
+    }
+
+    .weekly-page .st-chart-ai-chip:active .st-chart-ai-chip-inner {
+        transform: none;
+    }
 }
 
 .weekly-page .st-chart-title {
@@ -285,7 +384,107 @@
 
 .weekly-page .st-chart-legend {
     display: flex;
+    flex-wrap: wrap;
+    align-items: center;
     gap: var(--st-inline-gap);
+    flex: 1;
+    min-width: 0;
+}
+
+/* 趋势卡内展开的 AI 建议 */
+.weekly-page .st-chart-care-panel {
+    margin: 12rpx 20rpx 0;
+    padding: 28rpx 24rpx 24rpx;
+    border-radius: 28rpx;
+    background: rgba(255, 255, 255, 0.72);
+    border: 1rpx solid rgba(221, 228, 221, 0.65);
+    box-shadow: inset 0 1rpx 0 rgba(255, 255, 255, 0.95);
+}
+
+.weekly-page .st-chart-care-head {
+    display: flex;
+    align-items: center;
+    justify-content: space-between;
+    gap: 12rpx;
+    margin-bottom: 8rpx;
+}
+
+.weekly-page .st-chart-care-title {
+    font-size: 30rpx;
+    font-weight: 700;
+    color: var(--on-surface);
+}
+
+.weekly-page .st-chart-care-actions {
+    display: flex;
+    align-items: center;
+    gap: 12rpx;
+    flex-shrink: 0;
+}
+
+.weekly-page .st-chart-care-refresh {
+    display: flex;
+    align-items: center;
+    gap: 6rpx;
+    padding: 10rpx 18rpx;
+    border-radius: 999rpx;
+    background: rgba(255, 255, 255, 0.7);
+    font-size: 22rpx;
+    font-weight: 600;
+    color: var(--primary);
+}
+
+.weekly-page .st-chart-care-refresh.disabled {
+    opacity: 0.5;
+}
+
+.weekly-page .st-chart-care-close {
+    min-height: 64rpx;
+    padding: 10rpx 18rpx;
+    display: flex;
+    align-items: center;
+    border-radius: 999rpx;
+    background: rgba(255, 255, 255, 0.55);
+    font-size: 22rpx;
+    font-weight: 600;
+    color: var(--on-surface-variant);
+}
+
+.weekly-page .st-chart-care-close:active {
+    opacity: 0.75;
+}
+
+.weekly-page .st-chart-care-sub {
+    display: block;
+    margin-bottom: 16rpx;
+    font-size: 24rpx;
+    line-height: 1.4;
+    color: var(--on-surface-variant);
+}
+
+.weekly-page .st-care-badge--in-chart {
+    margin-bottom: 16rpx;
+}
+
+.weekly-page .st-skeleton--in-chart {
+    padding: 8rpx 0;
+}
+
+.weekly-page .st-care-cards--in-chart {
+    gap: 16rpx;
+}
+
+.weekly-page .st-care-cards--in-chart .st-meal-glass {
+    padding: 24rpx;
+}
+
+.weekly-page .st-care-stats--in-chart {
+    margin-top: 16rpx;
+}
+
+.weekly-page .st-care-disclaimer--in-chart {
+    margin-top: 16rpx;
+    font-size: 22rpx;
 }
 
 .weekly-page .st-legend-item {
@@ -693,6 +892,114 @@
     text-align: center;
 }
 
+.weekly-page .st-skeleton-line.short {
+    width: 55%;
+}
+
+/* ===== AI 血糖照护（嵌在趋势卡内） ===== */
+.weekly-page .st-care-badge {
+    position: relative;
+    z-index: 1;
+    display: inline-flex;
+    margin-bottom: 24rpx;
+    padding: 8rpx 20rpx;
+    border-radius: 999rpx;
+    background: rgba(255, 255, 255, 0.65);
+    font-size: 24rpx;
+    font-weight: 600;
+    color: var(--primary);
+}
+
+.weekly-page .st-care-cards {
+    position: relative;
+    z-index: 1;
+    display: flex;
+    flex-direction: column;
+    gap: 20rpx;
+}
+
+.weekly-page .st-care-block--tcm {
+    background: rgba(254, 243, 199, 0.55);
+    border-color: rgba(217, 119, 6, 0.12);
+}
+
+.weekly-page .st-care-block--next {
+    background: rgba(224, 242, 254, 0.55);
+    border-color: rgba(14, 165, 233, 0.12);
+}
+
+.weekly-page .st-care-watch {
+    padding: 24rpx 32rpx;
+    border-radius: var(--st-radius-2xl);
+    background: rgba(255, 255, 255, 0.75);
+    border: 1rpx solid rgba(255, 255, 255, 0.9);
+}
+
+.weekly-page .st-care-watch-title {
+    display: block;
+    margin-bottom: 12rpx;
+    font-size: 28rpx;
+    font-weight: 700;
+    color: var(--on-surface);
+}
+
+.weekly-page .st-care-watch-item {
+    display: flex;
+    align-items: flex-start;
+    gap: 8rpx;
+    margin-bottom: 8rpx;
+}
+
+.weekly-page .st-care-watch-dot {
+    font-size: 32rpx;
+    line-height: 1.2;
+    color: var(--primary);
+}
+
+.weekly-page .st-care-watch-text {
+    flex: 1;
+    font-size: 28rpx;
+    line-height: 1.43;
+    color: var(--on-surface-variant);
+}
+
+.weekly-page .st-care-stats {
+    position: relative;
+    z-index: 1;
+    display: flex;
+    flex-wrap: wrap;
+    gap: 12rpx;
+    margin-top: 20rpx;
+}
+
+.weekly-page .st-care-stat-chip {
+    padding: 12rpx 20rpx;
+    border-radius: 16rpx;
+    background: rgba(255, 255, 255, 0.55);
+}
+
+.weekly-page .st-care-stat-label {
+    display: block;
+    font-size: 22rpx;
+    color: var(--outline);
+}
+
+.weekly-page .st-care-stat-val {
+    font-size: 24rpx;
+    font-weight: 600;
+    color: var(--on-surface-variant);
+}
+
+.weekly-page .st-care-disclaimer {
+    position: relative;
+    z-index: 1;
+    display: block;
+    margin-top: 20rpx;
+    font-size: 24rpx;
+    line-height: 1.4;
+    color: var(--outline);
+}
+
 /* ===== 底部浮动输入 ===== */
 .weekly-page .st-float-ask {
     position: fixed;

TUICallKit-Vue3/tongji/utils/aiStreamRequest.js

@@ -90,6 +90,49 @@ export function parsePartialDietPlainText(text) {
     return out
 }
 
+/** 从流式纯文本中提取血糖照护建议（支持未写完的最后一行） */
+export function parsePartialBloodCarePlainText(text) {
+    const out = {}
+    if (!text) return out
+
+    const lineRe = /^(总评|血糖|中医|留意|复诊)[：:]\s*(.*)$/gm
+    let match
+    while ((match = lineRe.exec(text)) !== null) {
+        const key = {
+            '总评': 'summary',
+            '血糖': 'blood_advice',
+            '中医': 'tcm_plan',
+            '留意': 'watch_points',
+            '复诊': 'next_steps'
+        }[match[1]]
+        const val = (match[2] || '').trim()
+        if (key === 'watch_points') {
+            out.watch_points = val.split(/[、,，;；\s]+/).map((s) => s.trim()).filter(Boolean)
+        } else {
+            out[key] = val
+        }
+    }
+
+    const tail = text.match(/(?:^|\n)(总评|血糖|中医|留意|复诊)[：:]\s*([^\n]*)$/)
+    if (tail) {
+        const key = {
+            '总评': 'summary',
+            '血糖': 'blood_advice',
+            '中医': 'tcm_plan',
+            '留意': 'watch_points',
+            '复诊': 'next_steps'
+        }[tail[1]]
+        const val = (tail[2] || '').trim()
+        if (key === 'watch_points') {
+            if (val) out.watch_points = val.split(/[、,，;；\s]+/).map((s) => s.trim()).filter(Boolean)
+        } else {
+            out[key] = val
+        }
+    }
+
+    return out
+}
+
 /** @deprecated 使用 parsePartialDietPlainText */
 export function parsePartialDietJson(text) {
     return parsePartialDietPlainText(text)

server/app/api/controller/TcmController.php

@@ -21,6 +21,7 @@ use app\api\logic\tcm\DailyFamilyLikeLogic;
 use app\api\logic\tcm\DailyShareLogic;
 use app\api\logic\tcm\DailyPhoneLogic;
 use app\api\logic\tcm\DailyDietAiLogic;
+use app\api\logic\tcm\DailyBloodCareAiLogic;
 use app\adminapi\logic\ConfigLogic;
 use app\common\model\tcm\Diagnosis;
 use app\common\model\tcm\BloodRecord;
@@ -929,6 +930,47 @@ class TcmController extends BaseApiController
         });
     }
 
+    /**
+     * @notes 日常记录-AI 血糖照护建议（累计 7 天有记录）
+     *
+     * 路由：GET /api/tcm/dailyBloodCareAiRecommend?diagnosis_id=:id&refresh=0|1
+     */
+    public function dailyBloodCareAiRecommend()
+    {
+        $diagnosisId = (int) $this->request->get('diagnosis_id', 0);
+        $check       = $this->ensurePatientOwnsDiagnosis($diagnosisId);
+        if (!$check['ok']) {
+            return $this->fail($check['error']);
+        }
+
+        $refresh = (int) $this->request->get('refresh', 0) === 1;
+        $result  = DailyBloodCareAiLogic::getDailyCarePlan($diagnosisId, $refresh);
+        if (empty($result['ok'])) {
+            return $this->fail($result['error'] ?? '获取照护建议失败');
+        }
+
+        return $this->data($result['data']);
+    }
+
+    /**
+     * @notes 日常记录-AI 血糖照护建议（SSE 流式）
+     *
+     * 路由：GET /api/tcm/dailyBloodCareAiRecommendStream?diagnosis_id=:id&refresh=0|1
+     */
+    public function dailyBloodCareAiRecommendStream()
+    {
+        $diagnosisId = (int) $this->request->get('diagnosis_id', 0);
+        $check       = $this->ensurePatientOwnsDiagnosis($diagnosisId);
+        if (!$check['ok']) {
+            return $this->fail($check['error']);
+        }
+
+        $refresh = (int) $this->request->get('refresh', 0) === 1;
+        $this->runDailyDietSse(static function (callable $emit) use ($diagnosisId, $refresh): void {
+            DailyBloodCareAiLogic::streamDailyCarePlan($diagnosisId, $refresh, $emit);
+        });
+    }
+
     /**
      * @param callable(callable(string, array<string, mixed>):void):void $runner
      */

server/app/api/logic/tcm/DailyDietAiLogic.php

@@ -273,6 +273,16 @@ class DailyDietAiLogic
         return $idx;
     }
 
+    /**
+     * 供血糖照护 AI 等模块复用：患者档案 + 近 7/30 天血糖统计
+     *
+     * @return array{ok:bool,error?:string,data?:array}
+     */
+    public static function getPatientContext(int $diagnosisId): array
+    {
+        return self::buildPatientContext($diagnosisId);
+    }
+
     /**
      * @return array{ok:bool,error?:string,data?:array}
      */

server/app/api/logic/tcm/GiKnowledge.php

@@ -320,4 +320,68 @@ class GiKnowledge
         $q = trim($q);
         return $q !== '' ? $q : $question;
     }
+
+    /**
+     * 血糖照护 AI 关闭时的规则化方案（监测 + 中医调理方向）
+     *
+     * @param array<string,mixed> $stats7
+     * @param array<string,mixed> $stats30
+     * @param array<string,mixed> $extra syndrome_type, symptoms 等
+     * @return array<string,mixed>
+     */
+    public static function fallbackBloodCarePlan(array $stats7 = [], array $stats30 = [], array $extra = []): array
+    {
+        $exercise   = self::exercisePlan($stats7, $stats30);
+        $level      = (string) ($exercise['level'] ?? 'unknown');
+        $compliance = (int) (($stats30['record_days'] ?? 0) > 0 ? ($stats30['compliance'] ?? 0) : ($stats7['compliance'] ?? 0));
+        $syndrome   = trim((string) ($extra['syndrome_type'] ?? ''));
+        $symptoms   = trim((string) ($extra['symptoms'] ?? ''));
+
+        $summary = match ($level) {
+            'high'   => '近阶段血糖偏高天数偏多，要把监测、饮食和运动一起抓紧，别只靠感觉。',
+            'medium' => '血糖大体可控，但还有波动，坚持记录和餐后活动，能更稳。',
+            'good'   => '近期血糖控制不错，保持现在的节奏，定期复查别松懈。',
+            default  => '先坚持记血糖、看趋势，再按下面几条慢慢调整生活方式。',
+        };
+
+        $bloodAdvice = match ($level) {
+            'high'   => '空腹、餐后都测，偏高那天记下吃了啥、动了没。主食换杂粮、每餐先吃菜和蛋白，甜饮糕点先停。三餐后按上面运动建议动起来，头晕心慌马上停、吃点糖。',
+            'medium' => '每周至少 4 天空腹+餐后配对记录。主食定量、晚餐别过饱，少喝粥配咸菜。餐后散步 20 分钟，睡眠规律，情绪紧张也会抬糖。',
+            'good'   => '保持每周 3–4 次监测即可，注意节假日和串门聚餐别放松。继续低 GI 家常饭，运动别停，体重稳一点更好。',
+            default  => '先把血糖记满 7 天再看趋势。吃饭定时定量，多喝白开水，少甜少油，饭后多走动。',
+        };
+
+        $tcmBase = '消渴病多与肺脾肾气虚、阴虚燥热或痰湿瘀血相关，需结合面诊脉象。';
+        if ($syndrome !== '') {
+            $tcmBase = '就诊辨证倾向「' . $syndrome . '」。';
+        } elseif ($symptoms !== '') {
+            $tcmBase = '结合您登记的症状（' . mb_substr($symptoms, 0, 40) . '…），宜辨证论治。';
+        }
+
+        $tcmPlan = match ($level) {
+            'high'   => $tcmBase . '调理思路：益气养阴、清热生津为主，可配合健脾化湿；食疗如山药、麦冬、桑叶代茶饮方向；艾灸可选足三里、胰俞等穴（需医师指导）。勿自行加大西药或乱用偏方，务必复诊调方。',
+            'medium' => $tcmBase . '调理思路：健脾益气、滋阴润燥，少食肥甘，宜清淡易消化；可配合八段锦、太极拳；中药汤剂需医师面诊后开具，此处不给具体方名剂量。',
+            'good'   => $tcmBase . '调理思路：顾护脾胃、养阴防燥，季节更替注意保暖；维持规律作息与情志舒畅，按医嘱定期复诊即可。',
+            default  => $tcmBase . '建议到中医科面诊，明确证型后再定汤药、针灸方案；平时可饮食清淡、作息规律，配合记录血糖供医师参考。',
+        };
+
+        $watchPoints = match ($level) {
+            'high'   => ['空腹≥7 或餐后明显升高要联系村医', '脚麻脚痛、视力模糊及时就诊', '用药时间饭点别乱改'],
+            'medium' => ['外出走亲也别忘了测糖', '感冒发烧会让血糖乱，多监测', '睡前别加餐太多'],
+            'good'   => ['每 3–6 个月复查糖化血红蛋白', '血压血脂一并管', '家人提醒别擅自停药'],
+            default  => ['坚持每日或隔日记录', '记录与饮食运动一起给大夫看', '不适及时线下就诊'],
+        };
+
+        return [
+            'summary'      => $summary,
+            'blood_advice' => $bloodAdvice,
+            'tcm_plan'     => $tcmPlan,
+            'watch_points' => $watchPoints,
+            'next_steps'   => '下周继续记血糖；饮食可参考本页「AI 饮食建议」；若连续 3 天偏高或出现胸闷脚肿，请尽快线下就诊或视频问诊。',
+            'control_level' => $level,
+            'control_label' => (string) ($exercise['level_label'] ?? ''),
+            'disclaimer'   => '本建议供日常参考，不能替代医师面诊、开方与调药。',
+            'source'       => 'rule',
+        ];
+    }
 }