全健評

由 Hildegard von Bingen《Causae et Curae》之氣質系評健。四氣（多血、膽汁、黑膽、痰）、元（氣、火、土、水）、食居薦以復衡。

用

• 欲解 Hildegard 體質類→用
• 經失衡（疲、躁、消化症、霧）需全導→用
• 需按氣食薦→用
• 整 Hildegard 健律入養→用
• 解氣、元、健關→用
• 究中世體液醫→用

入

• 必：今症或健憂（身、心、情）
• 必：氣評問之答（體質、習、好）
• 可：齡、性、健史（脈）
• 可：今季（為季調薦）
• 可：既食限或好
• 可：前評知氣

行

一：氣評

由觀與構問定主氣。

The Four Temperaments in Causae et Curae:
┌──────────────┬──────────┬────────────┬─────────────┬──────────────┐
│ Temperament  │ Element  │ Qualities  │ Physiology  │ Psychology   │
├──────────────┼──────────┼────────────┼─────────────┼──────────────┤
│ SANGUINE     │ Air      │ Hot, Moist │ Ruddy face, │ Cheerful,    │
│              │          │            │ plump build,│ sociable,    │
│              │          │            │ good sleep  │ optimistic   │
├──────────────┼──────────┼────────────┼─────────────┼──────────────┤
│ CHOLERIC     │ Fire     │ Hot, Dry   │ Lean, wiry, │ Ambitious,   │
│              │          │            │ quick pulse,│ irritable,   │
│              │          │            │ warm skin   │ decisive     │
├──────────────┼──────────┼────────────┼─────────────┼──────────────┤
│ MELANCHOLIC  │ Earth    │ Cold, Dry  │ Thin, dark  │ Analytical,  │
│              │          │            │ features,   │ introspective│
│              │          │            │ slow pulse  │ prone to fear│
├──────────────┼──────────┼────────────┼─────────────┼──────────────┤
│ PHLEGMATIC   │ Water    │ Cold, Moist│ Pale, soft  │ Calm, slow,  │
│              │          │            │ skin, heavy │ apathetic,   │
│              │          │            │ build       │ easygoing    │
└──────────────┴──────────┴────────────┴─────────────┴──────────────┘

Assessment Questions (score 0-3 per statement: 0=never, 1=rarely, 2=often, 3=always):

SANGUINE (Air):
[ ] I am naturally optimistic and sociable
[ ] I have a ruddy complexion and rarely feel cold
[ ] I sleep well and wake refreshed
[ ] I enjoy variety and new experiences
[ ] I gain weight easily but can also lose it
TOTAL: ___/15

CHOLERIC (Fire):
[ ] I am driven, goal-oriented, and impatient with delays
[ ] I have a lean build and high metabolism
[ ] I run warm and prefer cool environments
[ ] I make quick decisions and am often irritated by slowness
[ ] I have strong digestion and rarely feel cold
TOTAL: ___/15

MELANCHOLIC (Earth):
[ ] I am introspective, analytical, and prone to worry
[ ] I have a thin frame and struggle to gain weight
[ ] I feel cold easily and prefer warm environments
[ ] I am detail-oriented and perfectionistic
[ ] I have irregular digestion (constipation or sluggishness)
TOTAL: ___/15

PHLEGMATIC (Water):
[ ] I am calm, easygoing, and avoid conflict
[ ] I have a soft, pale complexion and retain water easily
[ ] I sleep long hours and still feel tired
[ ] I move slowly and prefer routine
[ ] I have slow digestion and feel heavy after meals
TOTAL: ___/15

Scoring:
- Dominant: Highest score (usually 9-15)
- Secondary: Second highest (usually 6-9)
- Most people are a blend of 1-2 temperaments
- Scores within 2-3 points indicate balanced type (rare)

得：主與次氣識，附分形示主體質傾。

敗：諸分皆 2-3 內→人有衡氣（Hildegard 系罕）。進通薦避極（無極熱或極冷食）。

二：元衡評

評今態反元質之過、缺、衡。

Elemental Imbalance Patterns:
┌─────────────────┬────────────────────┬─────────────────────────┐
│ Imbalance       │ Symptoms           │ Causation               │
├─────────────────┼────────────────────┼─────────────────────────┤
│ EXCESS AIR      │ Anxiety, gas,      │ Too much raw food,      │
│ (hot/moist)     │ scattered thoughts │ erratic schedule        │
├─────────────────┼────────────────────┼─────────────────────────┤
│ DEFICIENT AIR   │ Depression, rigid  │ Isolation, sedentary,   │
│                 │ thinking, isolation│ routine without joy     │
├─────────────────┼────────────────────┼─────────────────────────┤
│ EXCESS FIRE     │ Inflammation, acid │ Overwork, spicy foods,  │
│ (hot/dry)       │ reflux, anger      │ stimulants, summer heat │
├─────────────────┼────────────────────┼─────────────────────────┤
│ DEFICIENT FIRE  │ Cold extremities,  │ Sedentary, raw/cold     │
│                 │ low motivation,    │ foods, winter isolation │
│                 │ weak digestion     │                         │
├─────────────────┼────────────────────┼─────────────────────────┤
│ EXCESS EARTH    │ Stiffness, rigidity│ Overwork without rest,  │
│ (cold/dry)      │ constipation, fear │ dry foods, isolation    │
├─────────────────┼────────────────────┼─────────────────────────┤
│ DEFICIENT EARTH │ Ungrounded, flighty│ Lack of routine, travel,│
│                 │ anxious, diarrhea  │ insufficient protein    │
├─────────────────┼────────────────────┼─────────────────────────┤
│ EXCESS WATER    │ Edema, lethargy,   │ Sedentary, cold/damp    │
│ (cold/moist)    │ mucus, depression  │ foods, damp environment │
├─────────────────┼────────────────────┼─────────────────────────┤
│ DEFICIENT WATER │ Dry skin/mucous,   │ Dehydration, hot/dry    │
│                 │ hard stools, thirst│ climate, excess heat    │
└─────────────────┴────────────────────┴─────────────────────────┘

Assessment:
1. Match current symptoms to imbalance patterns
2. Consider season: Winter increases cold/dry (earth), Summer increases hot/dry (fire)
3. Note recent life changes: Travel, stress, diet shifts, illness
4. Determine if imbalance is acute (recent onset) or chronic (longstanding pattern)

得：1-2 元失衡識（如「水過火缺」=冷濕紋附低活）。

敗：症紋不清或反→默主氣對之質。例：膽汁（熱乾）不適或過火→薦涼濕。

三：食薦

按 Hildegard《Physica》與《Causae et Curae》方食以復元過缺。

Hildegard's Dietary Principles:

FOODS BY ELEMENTAL QUALITY:
┌──────────────┬────────────────────────────────────────────┐
│ Quality      │ Foods                                      │
├──────────────┼────────────────────────────────────────────┤
│ WARMING      │ Spelt, fennel, ginger, galangal, cinnamon, │
│              │ nutmeg, lamb, chestnuts, cooked vegetables │
├──────────────┼────────────────────────────────────────────┤
│ COOLING      │ Lettuce, cucumber, pears, plums, barley,   │
│              │ fish, raw salads, diluted wine             │
├──────────────┼────────────────────────────────────────────┤
│ MOISTENING   │ Butter, cream, honey, figs, grapes, wine,  │
│              │ soups, stews, broths                       │
├──────────────┼────────────────────────────────────────────┤
│ DRYING       │ Rye, beans, lentils, roasted meats,        │
│              │ nuts (in moderation), aged cheese          │
└──────────────┴────────────────────────────────────────────┘

TEMPERAMENT-SPECIFIC DIETARY GUIDELINES:

SANGUINE (Air — Hot/Moist) — Generally Balanced:
- Maintain variety, avoid dietary extremes
- Favor: Whole grains (spelt, oats), balanced proteins, vegetables
- Moderate: Rich foods, sweets (tend toward weight gain)
- Avoid: Excessive cold or excessively hot foods

CHOLERIC (Fire — Hot/Dry) — Cooling/Moistening Diet:
- Cool the fire, prevent inflammation and irritability
- Favor: Lettuce, cucumber, pears, fish, barley, diluted wine
- Moderate: Lamb, roasted meats, aged cheese
- Avoid: Spicy foods, garlic (raw), strong wine, overeating meat

MELANCHOLIC (Earth — Cold/Dry) — Warming/Moistening Diet:
- Warm the constitution, ease constipation and fear
- Favor: Spelt, fennel, ginger, cooked vegetables, soups, butter
- Moderate: Raw foods, salads (only in summer)
- Avoid: Rye, beans, cold foods, fasting

PHLEGMATIC (Water — Cold/Moist) — Warming/Drying Diet:
- Dry the dampness, increase vitality and motivation
- Favor: Spelt, chestnuts, roasted meats, ginger, galangal, nutmeg
- Moderate: Dairy, sweet fruits, wine
- Avoid: Cold foods, raw salads, excess liquids, pork

SPELT (Dinkel) — Hildegard's Universal Grain:
"Spelt is the best grain. It is warm, nourishing, and strong.
Whoever eats it has good flesh and blood, a happy mind, and a joyful spirit."
(*Physica*, Book I, Chapter 2)
- Recommended for ALL temperaments as foundation grain
- Superior to wheat, which Hildegard considered inferior

GALANGAL — Universal Digestive Spice:
"Let one who has pain in the heart or who has become weak in the heart
eat galangal, and he will be restored to health."
(*Physica*, Book I, Chapter 157)
- Warming, stimulating, heart-supporting
- Especially for melancholic and phlegmatic types

得：合氣與今失衡之具食薦附明「宜/節/避」類。

敗：食限阻循薦（如素食不食羊）→於同元類（暖/涼/濕/乾）替。察各類之植選。

四：居與季調

薦食外實以助復衡：眠、行、禱、季律。

Lifestyle Recommendations by Imbalance:

EXCESS AIR (scattered, anxious):
- Practice grounding: barefoot walking, gardening, repetitive handwork
- Reduce stimulation: Limit news, social media, multitasking
- Routine: Regular meal and sleep times
- Meditation: Breath-focused (shamatha), body scan

DEFICIENT AIR (depressed, isolated):
- Social engagement: Community, conversation, singing
- Variety: New experiences, travel, learning
- Movement: Dance, walks in nature (not isolated exercise)
- Meditation: Loving-kindness (metta), gratitude practice

EXCESS FIRE (inflammation, anger):
- Cooling practices: Swim, evening walks, avoid midday sun
- Rest: Prioritize sleep, avoid overwork
- Prayer/Meditation: Contemplative, slow-paced, non-goal-oriented
- Avoid: Competitive exercise, heated arguments, stimulants

DEFICIENT FIRE (cold, unmotivated):
- Warming practices: Morning sun exposure, moderate exercise, warming baths
- Challenge: Set achievable goals, take on new projects
- Social: Engage with energetic, positive people
- Movement: Brisk walking, dancing, labor

EXCESS EARTH (rigid, constipated):
- Flexibility: Yoga, stretching, massage
- Creativity: Art, music, play (non-structured)
- Moisture: Warm baths, soups, hydration
- Release: Journaling, confession, letting go of control

DEFICIENT EARTH (ungrounded, anxious):
- Grounding: Gardening, working with hands, routine
- Structure: Daily schedule, meal times, sleep rhythm
- Protein: Adequate protein at each meal
- Meditation: Walking meditation, mindful labor

EXCESS WATER (lethargic, damp):
- Movement: Daily exercise to promote circulation and sweating
- Warmth: Sauna, hot baths, warm clothing, avoid damp environments
- Stimulation: Engage with challenging tasks, avoid excessive rest
- Rhythm: Wake early, avoid napping

DEFICIENT WATER (dry, rigid):
- Hydration: Adequate water, broths, herbal teas
- Rest: Prioritize sleep, reduce activity if overworked
- Moisture: Humidifier in dry climates, oil massage
- Ease: Release pressure, practice self-compassion

SEASONAL ADJUSTMENTS (all temperaments):
- Spring (Air rising): Light diet, cleansing herbs, outdoor activity
- Summer (Fire peak): Cooling foods, swim, rest in heat of day
- Autumn (Earth settling): Harvest foods, prepare for winter, grounding practices
- Winter (Water depth): Warming foods, rest more, contemplation, less activity

得：3-5 具居薦對識失衡且合 Hildegard 全觀（身、心、靈、自然）。

敗：薦壓→先一食變、一居變。全復需週至月——始小。

五：整與監

供時、監、何時重評。

Integration Protocol:
Week 1-2: Implement dietary changes gradually
- Replace 1-2 meals per day with temperament-appropriate foods
- Avoid abrupt elimination (can cause stress/imbalance)
- Note energy, digestion, sleep quality, mood daily

Week 3-4: Add lifestyle practices
- Choose 1-2 lifestyle recommendations to integrate
- Consistency matters more than intensity
- Continue dietary changes; they should feel habitual by now

Week 5-8: Assess progress
- Are original symptoms improving?
- Has energy/mood shifted?
- Any new imbalances emerging? (Sometimes correcting one reveals another)

Reassessment Triggers:
- No improvement after 4 weeks → Reassess temperament; may have misidentified
- Partial improvement → Continue current plan, allow more time (8-12 weeks)
- New symptoms → Overcorrection possible; reduce intensity of interventions
- Seasonal change → Adjust foods/practices for new season

Long-Term Practice:
Hildegard's system is preventive and lifelong. The goal is not to "fix" and return
to old habits, but to develop a sustainable, temperament-harmonious way of living.

得：用者有清變施時、監實、重評準。

敗：用者報 1-2 週後感劣→重評為過正。例：膽汁加過多暖食或致過火。回中食暫。

驗

• 氣評完附主與次類識
• 元失衡識（過/缺氣/火/土/水）
• 食薦附「宜/節/避」類
• 斯佩耳特與良姜（Hildegard 普）含除非禁
• 居薦對失衡（接地、涼、激等）
• 季調若可註
• 整時供（週 1-2、3-4、5-8）
• 監與重評觸文
• 用者知此為全導非醫診

忌

1. 剛類定：多人為混。勿強單氣身分
2. 忽季：冬黑膽需異於夏黑膽之食
3. 過正：加過對質致新失衡。漸進
4. 現食混：Hildegard 之食反十二世紀歐食。適同元質之可達食
5. 盼速效：氣為體質；復需週至月
6. 孤食：Hildegard 系全。獨食而無居/靈整不全
7. 忽靈分：《Causae et Curae》整身與魂。禱、冥、德為健分

參

• formulate-herbal-remedy —— 用草助氣復（暖/涼植）
• practice-viriditas —— 靈實助全健整
• consult-natural-history —— 《Physica》食有氣與元性
• meditate（esoteric 域）—— 對氣失衡之冥實
• heal（esoteric 域）—— 評後對具失衡之癒法
• plan-garden-calendar（gardening 域）—— 對 Hildegard 曆之季食