{ "version": "02-v1.0.0", "updated": "2026-07-29", "scope": "成人健康教育与研究设计；不是诊断、治疗或个体医疗处方。", "modelNote": "40个节点是工作序列；edges中的类型表达反馈、门控、并行与相变。", "classifications": { "feasibility": { "F0": { "label": "概念阻断", "note": "完全不能形成负责任的实施路径；必须重写机制、设备或伦理前提。" }, "F1": { "label": "研究可想", "note": "存在实施可能，但需要基础验证、工程改进或正式伦理审查。" }, "F2": { "label": "协议待测", "note": "已有清晰实施计划与停止条件，尚需小规模测试。" }, "F3": { "label": "新近可用", "note": "有人体证据或成熟相邻方案，值得在边界内尝试并继续复核。" }, "F4": { "label": "经典可用", "note": "相对成熟、随时可用，但平均效果或外推精度有限。" } }, "safety": { "S0": { "label": "低风险", "note": "可从这里慢慢开始，适合入门；仍服从同意、舒适与停止条件。" }, "S1": { "label": "中风险", "note": "新手谨慎；先缩小剂量和变量，避免把不适当成训练收益。" }, "S2": { "label": "中高风险", "note": "进阶谨慎；通常需要筛查、专业反馈或更强停止架构。" }, "S3": { "label": "高风险", "note": "只允许有资质的熟手或临床/研究环境评估，不属于普通自训。" }, "S4": { "label": "超高风险（红牛级）", "note": "禁止无准备尝试；主矩阵不提供执行参数，只保留淘汰理由。" } }, "evidence": { "E0": { "label": "工程假说", "note": "来自类比、控制论或待证模型；不能被表述为生理事实。" }, "E1": { "label": "前临床机制", "note": "动物、离体或计算机制；不得直接生成家庭训练处方。" }, "E2": { "label": "人体间接", "note": "人体观察、相邻人群或非目标结局；只能支持方向。" }, "E3": { "label": "人体初证", "note": "小样本试验、非随机研究或单中心数据；效果仍不稳定。" }, "E4": { "label": "人体综合", "note": "随机试验、系统综述或Meta分析；仍检查异质性与偏倚。" }, "E5": { "label": "指南锚点", "note": "专业指南或国际共识；适合定义边界，不代表每个建议效果都强。" } }, "status": { "core": "主矩阵", "assisted": "协作/临床", "experimental": "实验候选", "reserve": "备选库", "retired": "淘汰库" }, "scope": { "self-basic": "自训·基础", "self-advanced": "自训·进阶", "partner": "伴侣协作", "clinician": "临床/治疗师", "research-only": "研究专用", "prohibited": "禁止实施" }, "role": { "trainable": "可直接训练", "observable": "仅可观测/代理", "explanatory": "解释节点", "clinical": "临床节点" } }, "nodes": [ { "id": "1", "code": "C0-01", "layer": "情境控制层", "title": "安全与同意包络", "role": "trainable", "process": "隐私、时间余量、关系安全和可撤回同意决定系统是否进入探索模式；这是所有后续控制的硬约束。", "input": "环境与关系信号", "output": "允许、降级或终止", "observable": "匆忙感、被打断预期、任一方退出意愿", "confidence": "操作层强；非单一神经节点" }, { "id": "2", "code": "C0-02", "layer": "情境控制层", "title": "目标与结果函数", "role": "trainable", "process": "“延长时间”只是一个结局；控制感、困扰、愉悦、关系安全和可持续性共同构成结果函数。", "input": "目标、文化脚本、诊断需求", "output": "本轮成功判据", "observable": "是否只按时长评价成败", "confidence": "指南锚点强" }, { "id": "3", "code": "C0-03", "layer": "情境控制层", "title": "双人协同与信号协议", "role": "trainable", "process": "伴侣反馈会改变刺激、注意、压力和停止时机，构成共享控制面而非外部噪声。", "input": "沟通、触碰、语言与同意", "output": "共同调节动作", "observable": "提示是否被理解、暂停是否被尊重", "confidence": "人体临床间接" }, { "id": "4", "code": "C0-04", "layer": "情境控制层", "title": "基线恢复与自主状态", "role": "observable", "process": "睡眠、压力、疼痛、疲劳、酒精/药物和心肺状态改变当次可用调节余量。", "input": "恢复、疾病、药物与生活状态", "output": "整体增益与耐受边界", "observable": "疲劳、静息呼吸、疼痛、心悸、回避", "confidence": "人体证据中等；非专一" }, { "id": "5", "code": "C0-05", "layer": "情境控制层", "title": "预期、先验与表现压力", "role": "trainable", "process": "对失控和失败的预测可提前放大威胁、注意窄化与动作僵化。", "input": "既往经验、文化与即时评价", "output": "预期性唤醒与策略偏置", "observable": "灾难化想法、计时冲动、过度监控", "confidence": "人体临床间接" }, { "id": "6", "code": "A1-01", "layer": "输入整形层", "title": "视觉、想象与认知唤醒输入", "role": "trainable", "process": "外部视觉、内部想象和语义线索共同参与唤醒，强度依情境而变。", "input": "视觉、想象、语言", "output": "中枢唤醒驱动", "observable": "画面依赖、节奏跟随、想象侵入", "confidence": "人体成像证据；控制外推有限" }, { "id": "7", "code": "A1-02", "layer": "输入整形层", "title": "接触生物力学", "role": "trainable", "process": "接触面积、速度、压力、方向和节奏决定外周机械输入的时空结构。", "input": "动作与接触", "output": "组织变形模式", "observable": "局部热点、摩擦变化、动作可重复性", "confidence": "物理层可靠；个体响应可变" }, { "id": "8", "code": "A1-03", "layer": "输入整形层", "title": "组织状态与润滑界面", "role": "observable", "process": "皮肤黏膜状态、润滑与温度影响摩擦、舒适和潜在损伤，不能与神经适应混为一谈。", "input": "组织恢复、润滑与环境", "output": "机械耦合与保护状态", "observable": "干涩、灼热、皮损、颜色或感觉改变", "confidence": "临床常识强；非特异" }, { "id": "9", "code": "A1-04", "layer": "输入整形层", "title": "机械感受器群募集", "role": "explanatory", "process": "不同低阈机械感受单元对位移、压力和振动具有不同响应，但家庭场景无法选择性训练单一受体。", "input": "组织变形", "output": "受体电位集合", "observable": "触觉质量只能间接报告", "confidence": "人体解剖较稳；靶向可训性低" }, { "id": "10", "code": "A1-05", "layer": "输入整形层", "title": "伤害/温度警报通道", "role": "observable", "process": "疼痛、烧灼、过冷或电击样感觉代表保护性警报，不是应跨越的训练阈值。", "input": "伤害性机械、温度或炎症输入", "output": "保护性显著与撤回反应", "observable": "疼痛、烧灼、刺痛、持续麻木", "confidence": "临床安全边界强" }, { "id": "11", "code": "A1-06", "layer": "输入整形层", "title": "感觉转导与局部适应", "role": "explanatory", "process": "机械能经离子通道转为电信号并发生短时适应；细胞层解释不等于可安全定向重写。", "input": "受体变形", "output": "受体电位与阈上触发", "observable": "仅能由感觉变化间接推断", "confidence": "前临床机制较强；直接操纵不可行" }, { "id": "12", "code": "A1-07", "layer": "输入整形层", "title": "传入放电时序编码", "role": "explanatory", "process": "脉冲频率、同步性与空间募集承载输入信息；固定节奏与变化节奏可能产生不同感受。", "input": "受体电位集合", "output": "外周脉冲列", "observable": "主观上升速度、节奏依赖", "confidence": "机制可信；目标训练证据弱" }, { "id": "13", "code": "P2-01", "layer": "外周传导层", "title": "阴茎背神经分支", "role": "clinical", "process": "主要体感传入经阴部神经分支传导；阻断或损伤会改变感觉但不属于训练。", "input": "外周脉冲列", "output": "阴部神经传入", "observable": "触觉完整性、异常麻木或刺痛", "confidence": "人体解剖强" }, { "id": "14", "code": "P2-02", "layer": "外周传导层", "title": "阴部神经汇合", "role": "clinical", "process": "会阴体感传入与盆底躯体运动共享阴部神经系统，但并非可任意重写的单线电缆。", "input": "生殖器与会阴传入", "output": "骶段输入与运动回路耦合", "observable": "会阴感觉与肌肉反应", "confidence": "人体解剖强" }, { "id": "15", "code": "P2-03", "layer": "外周传导层", "title": "背根神经节中继", "role": "explanatory", "process": "感觉神经元胞体维持传入传导和可塑性；家庭层没有可接受的直接控制接口。", "input": "阴部与邻近传入", "output": "中枢突传入", "observable": "无可靠家庭代理指标", "confidence": "人体解剖强；家庭不可控" }, { "id": "16", "code": "P2-04", "layer": "外周传导层", "title": "骶段背根入口", "role": "clinical", "process": "传入进入骶髓并分配到节段网络；有症状时只能通过神经学检查间接评估。", "input": "外周传入", "output": "脊髓节段输入", "observable": "骶反射与感觉检查", "confidence": "人体临床较强" }, { "id": "17", "code": "S3-01", "layer": "脊髓整合层", "title": "背角感觉门控", "role": "explanatory", "process": "局部兴奋、抑制和多模态输入共同改变感觉流，但不存在家庭可精确占用的“门”。", "input": "骶段传入与下行调制", "output": "节段感觉增益", "observable": "过敏、扩散、疼痛与触觉变化", "confidence": "跨物种机制；训练外推低" }, { "id": "18", "code": "S3-02", "layer": "脊髓整合层", "title": "盆腔多模态汇聚", "role": "explanatory", "process": "生殖器、盆底、尿道、姿势和内脏输入在节段网络会合，形成状态依赖输出。", "input": "体感、内脏与本体输入", "output": "整合后的节段状态", "observable": "呼吸—张力—感觉耦合", "confidence": "人体间接与动物机制" }, { "id": "19", "code": "S3-03", "layer": "脊髓整合层", "title": "固有脊髓与节段协调", "role": "explanatory", "process": "跨节段神经元协调腰骶自主和躯体回路；其精确连接仍未被家庭层观测。", "input": "节段状态", "output": "跨节段协调信号", "observable": "只能由整体反射间接推断", "confidence": "人体有限" }, { "id": "20", "code": "S3-04", "layer": "脊髓整合层", "title": "脊髓射精发生器候选", "role": "explanatory", "process": "人类L3–L5存在候选发生器的神经组织与脊髓损伤证据，但它不是已证实的自训开关。", "input": "感觉与下行输入", "output": "射精模式协调", "observable": "无直接家庭读数", "confidence": "人体证据存在但多为间接/特殊人群" }, { "id": "21", "code": "S3-05", "layer": "脊髓整合层", "title": "骶段反射与运动门控", "role": "explanatory", "process": "骶副交感和躯体运动池接收发生器、感觉与下行输入，决定反射易化或抑制。", "input": "发生器、感觉与下行信号", "output": "自主/躯体募集", "observable": "盆底反应和临床反射", "confidence": "人体生理较稳；分离观测困难" }, { "id": "22", "code": "B4-01", "layer": "中枢表征层", "title": "脊髓上行传递", "role": "explanatory", "process": "脊髓上行系统把生殖感觉和内脏状态送往脑网络，同时受下行调制。", "input": "脊髓整合信号", "output": "丘脑与脑干输入", "observable": "感觉显著和全身扩散", "confidence": "人体通路存在；具体编码有限" }, { "id": "23", "code": "B4-02", "layer": "中枢表征层", "title": "丘脑中继与选择", "role": "explanatory", "process": "丘脑参与感觉中继和状态选择，但“占满带宽即可阻断反射”是无证据类比。", "input": "上行信号与皮层反馈", "output": "皮层可用感觉流", "observable": "跨模态注意变化", "confidence": "人体成像间接" }, { "id": "24", "code": "B4-03", "layer": "中枢表征层", "title": "S1/S2生殖感觉地图", "role": "observable", "process": "初级与次级躯体感觉皮层表征生殖器感觉，位置和个体差异仍有争议。", "input": "丘脑输入", "output": "位置、强度与触觉特征", "observable": "感觉位置与质量辨认", "confidence": "系统综述支持；地图并不单一" }, { "id": "25", "code": "B4-04", "layer": "中枢表征层", "title": "后岛叶内感受整合", "role": "trainable", "process": "岛叶参与身体状态与感觉情感价值整合；训练只能提升报告颗粒度，不能宣称直接改写岛叶。", "input": "体感、内脏与情境信号", "output": "身体状态表征", "observable": "能否区分压力、温度、紧迫与愉悦", "confidence": "人体成像与相邻训练证据" }, { "id": "26", "code": "B4-05", "layer": "中枢表征层", "title": "前扣带显著性与紧迫感", "role": "trainable", "process": "冲突、显著性与行动倾向可把上升感觉解释为“必须立即反应”。", "input": "内感受、威胁与目标", "output": "紧迫标记与动作动员", "observable": "紧迫感、冲突、失控解释", "confidence": "人体成像间接" }, { "id": "27", "code": "B4-06", "layer": "中枢表征层", "title": "杏仁核/威胁学习回路", "role": "trainable", "process": "既往失败、羞耻或创伤可形成条件化威胁，提高警觉与回避。", "input": "记忆、情境与关系线索", "output": "威胁预测与防御性唤醒", "observable": "回避、冻结、过度警觉、创伤反应", "confidence": "心理临床证据；非特异" }, { "id": "28", "code": "D5-01", "layer": "下行控制层", "title": "注意精度分配", "role": "trainable", "process": "注意可窄化到单一热点，也可在身体、情境和关系间分配；它改变主观精度而非截断传入。", "input": "目标、显著性与工作记忆", "output": "被放大的感觉通道", "observable": "注意隧道、外部失联、监控过载", "confidence": "人体心理证据；目标外推" }, { "id": "29", "code": "D5-02", "layer": "下行控制层", "title": "前额叶规则选择", "role": "trainable", "process": "预先学习的简单规则可减少临场计算负荷，影响暂停、减速、沟通或结束等行为选择。", "input": "目标、反馈与动作库", "output": "可执行调节动作", "observable": "能否及时执行预设规则", "confidence": "人体认知机制；PE直接证据有限" }, { "id": "30", "code": "D5-03", "layer": "下行控制层", "title": "下丘脑唤醒整合", "role": "explanatory", "process": "下丘脑整合动机、内分泌、昼夜和自主信号；家庭层只能影响上游状态和生活节律。", "input": "动机、激素、情境与皮层输入", "output": "脑干/脊髓自主驱动", "observable": "欲望、节律、压力相关波动", "confidence": "动物与人体间接证据" }, { "id": "31", "code": "D5-04", "layer": "下行控制层", "title": "脑干下行调制", "role": "explanatory", "process": "脑干网络对脊髓性反应具有易化与抑制作用，但不能被单一呼吸或递质“夺权”精确遥控。", "input": "皮层与下丘脑信号", "output": "脊髓增益调制", "observable": "只能从行为结果间接推断", "confidence": "动物机制较强；人类直接证据弱" }, { "id": "32", "code": "E6-01", "layer": "效应执行层", "title": "胸腰段交感募集", "role": "explanatory", "process": "胸腰交感输出参与泌精和平滑肌活动；“交感坏、副交感好”的二分法不成立。", "input": "发生器与下行信号", "output": "交感节前输出", "observable": "呼吸变浅、心率变化、全身紧绷仅是代理", "confidence": "人体生理较强" }, { "id": "33", "code": "E6-02", "layer": "效应执行层", "title": "骶段副交感协调", "role": "explanatory", "process": "骶副交感网络主要支持勃起并与交感、躯体系统协同，不能被强制切换成熔断器。", "input": "感觉、发生器与下行信号", "output": "盆腔自主输出", "observable": "勃起稳定与整体放松仅是代理", "confidence": "人体生理较强" }, { "id": "34", "code": "E6-03", "layer": "效应执行层", "title": "泌精效应器级联", "role": "clinical", "process": "输精管、精囊和前列腺平滑肌活动把内容物送向后尿道；进入后不应尝试机械逆转。", "input": "自主输出", "output": "后尿道内容与压力上升", "observable": "深部不可逆前兆可能被部分人感知", "confidence": "人体生理强" }, { "id": "35", "code": "E6-04", "layer": "效应执行层", "title": "膀胱颈—后尿道相变", "role": "clinical", "process": "膀胱颈协调和后尿道压力参与从泌精到排精的阶段转换，家庭层不可分离操纵。", "input": "泌精输出与尿道反馈", "output": "相变与防逆行协调", "observable": "只能由病史和临床检查评估", "confidence": "人体生理强" }, { "id": "36", "code": "E6-05", "layer": "效应执行层", "title": "Onuf核—阴部传出", "role": "explanatory", "process": "Onuf核等运动神经元经阴部神经把节律运动指令送至会阴横纹肌。", "input": "发生器与骶段门控", "output": "躯体运动信号", "observable": "治疗师评估或表面肌电代理", "confidence": "人体解剖与临床间接" }, { "id": "37", "code": "E6-06", "layer": "效应执行层", "title": "盆底效应器与节律排精", "role": "observable", "process": "球海绵体肌等参与节律排精；静息张力、力量、耐力、协调和放松必须分型。", "input": "阴部运动输出", "output": "会阴肌收缩与排精", "observable": "静息张力、代偿、收缩后回落", "confidence": "人体康复证据中等" }, { "id": "38", "code": "E6-07", "layer": "效应执行层", "title": "高潮主观整合", "role": "observable", "process": "高潮与射精高度相关但不是同一过程；愉悦、意识状态和射精阶段可能分离。", "input": "躯体、自主、情感与关系输入", "output": "主观高潮与满意度", "observable": "愉悦、满意、困扰与关系体验", "confidence": "人体综述支持；机制未完备" }, { "id": "39", "code": "L7-01", "layer": "学习适配层", "title": "可控性、误差与奖赏更新", "role": "trainable", "process": "系统根据预测与实际、是否做出安全选择及结果价值更新下一次策略。", "input": "结果、反馈与评价", "output": "新先验和动作偏好", "observable": "是否只奖励时长、失败后是否惩罚化", "confidence": "学习科学外推；操作层可验证" }, { "id": "40", "code": "L7-02", "layer": "学习适配层", "title": "巩固、恢复与情境泛化", "role": "trainable", "process": "间隔、恢复、情境变化和复评决定技能是否保留与迁移；不存在固定月份的永久改写保证。", "input": "练习剂量、恢复与多情境经验", "output": "跨情境稳定性与下一轮负荷", "observable": "次日疼痛/麻木/回避、跨情境控制感", "confidence": "相邻学习证据；PE剂量仍不确定" } ], "edges": [ { "id": "E001", "from": "1", "to": "2", "kind": "gating", "note": "安全与同意不满足时，任何结果函数都失去实施资格。", "evidence": "E5", "source_ids": [ "EAU26" ] }, { "id": "E002", "from": "2", "to": "3", "kind": "forward", "note": "结果函数需要转为双方可理解的协同规则。", "evidence": "E5", "source_ids": [ "EAU26", "ISSM14" ] }, { "id": "E003", "from": "3", "to": "4", "kind": "feedback", "note": "关系安全和沟通质量会改变当次基线压力。", "evidence": "E2", "source_ids": [ "PSY16", "EAU26" ] }, { "id": "E004", "from": "4", "to": "5", "kind": "forward", "note": "恢复与自主状态改变预期性警觉和可用余量。", "evidence": "E2", "source_ids": [ "EAU26", "APE20" ] }, { "id": "E005", "from": "5", "to": "6", "kind": "parallel", "note": "先验与视觉/想象输入共同塑造中枢唤醒。", "evidence": "E2", "source_ids": [ "FMRI12", "CORTEX14" ] }, { "id": "E006", "from": "5", "to": "28", "kind": "gating", "note": "表现压力可把注意精度锁定在威胁和时长监控。", "evidence": "E2", "source_ids": [ "PSY16", "EAU26" ] }, { "id": "E007", "from": "6", "to": "30", "kind": "forward", "note": "视觉与想象线索通过广泛中枢网络影响下丘脑/脑干状态。", "evidence": "E2", "source_ids": [ "FMRI12", "CORTEX14" ] }, { "id": "E008", "from": "7", "to": "8", "kind": "forward", "note": "组织与润滑界面决定同一动作如何转为实际变形。", "evidence": "E2", "source_ids": [ "EAU26" ] }, { "id": "E009", "from": "8", "to": "9", "kind": "forward", "note": "组织变形募集机械感受器群。", "evidence": "E2", "source_ids": [ "CORTEX15" ] }, { "id": "E010", "from": "8", "to": "10", "kind": "parallel", "note": "不适或损伤可并行募集保护性警报。", "evidence": "E2", "source_ids": [ "EAU26", "CPPAIN22" ] }, { "id": "E011", "from": "9", "to": "11", "kind": "forward", "note": "受体募集经转导形成局部电信号。", "evidence": "E1", "source_ids": [ "NEURO11" ] }, { "id": "E012", "from": "10", "to": "17", "kind": "forward", "note": "伤害性输入经节段门控提高保护性显著。", "evidence": "E1", "source_ids": [ "NEURO11" ] }, { "id": "E013", "from": "11", "to": "12", "kind": "forward", "note": "阈上受体电位形成时序化传入脉冲。", "evidence": "E1", "source_ids": [ "NEURO11" ] }, { "id": "E014", "from": "12", "to": "13", "kind": "forward", "note": "生殖器体感脉冲进入背神经分支。", "evidence": "E2", "source_ids": [ "NEURO11" ] }, { "id": "E015", "from": "13", "to": "14", "kind": "forward", "note": "背神经传入汇入阴部神经系统。", "evidence": "E2", "source_ids": [ "NEURO11" ] }, { "id": "E016", "from": "14", "to": "15", "kind": "forward", "note": "阴部传入神经元胞体位于背根神经节。", "evidence": "E2", "source_ids": [ "NEURO11" ] }, { "id": "E017", "from": "15", "to": "16", "kind": "forward", "note": "中枢突经骶段背根进入脊髓。", "evidence": "E2", "source_ids": [ "NEURO11" ] }, { "id": "E018", "from": "16", "to": "17", "kind": "forward", "note": "背根输入进入背角与节段网络。", "evidence": "E2", "source_ids": [ "NEURO11" ] }, { "id": "E019", "from": "17", "to": "18", "kind": "forward", "note": "经门控的感觉与内脏、本体信号汇聚。", "evidence": "E1", "source_ids": [ "NEURO11" ] }, { "id": "E020", "from": "18", "to": "19", "kind": "forward", "note": "多模态状态通过节段和固有脊髓连接协调。", "evidence": "E1", "source_ids": [ "NEURO11", "SGE13" ] }, { "id": "E021", "from": "19", "to": "20", "kind": "forward", "note": "跨节段输入参与候选发生器募集。", "evidence": "E2", "source_ids": [ "SGE13", "HSEG17" ] }, { "id": "E022", "from": "20", "to": "21", "kind": "forward", "note": "候选发生器向骶段自主与躯体池协调输出。", "evidence": "E2", "source_ids": [ "SGE13", "HSEG17" ] }, { "id": "E023", "from": "17", "to": "22", "kind": "parallel", "note": "部分脊髓感觉同时进入上行系统。", "evidence": "E2", "source_ids": [ "NEURO11" ] }, { "id": "E024", "from": "22", "to": "23", "kind": "forward", "note": "上行信号经丘脑与相关中继进入皮层网络。", "evidence": "E2", "source_ids": [ "CORTEX15" ] }, { "id": "E025", "from": "23", "to": "24", "kind": "forward", "note": "丘脑输入支持S1/S2感觉表征。", "evidence": "E2", "source_ids": [ "CORTEX15" ] }, { "id": "E026", "from": "23", "to": "25", "kind": "parallel", "note": "后岛叶整合感觉的身体状态与情感维度。", "evidence": "E2", "source_ids": [ "CORTEX15", "FMRI12" ] }, { "id": "E027", "from": "24", "to": "25", "kind": "forward", "note": "位置/特征表征参与更高阶内感受整合。", "evidence": "E2", "source_ids": [ "CORTEX15" ] }, { "id": "E028", "from": "25", "to": "26", "kind": "forward", "note": "身体状态表征获得显著性和行动紧迫标签。", "evidence": "E2", "source_ids": [ "FMRI12" ] }, { "id": "E029", "from": "27", "to": "26", "kind": "gating", "note": "条件化威胁提高冲突与紧迫显著。", "evidence": "E2", "source_ids": [ "PSY16", "EAU26" ] }, { "id": "E030", "from": "26", "to": "28", "kind": "gating", "note": "显著性网络竞争注意精度。", "evidence": "E2", "source_ids": [ "FMRI12", "CORTEX14" ] }, { "id": "E031", "from": "28", "to": "29", "kind": "forward", "note": "被选中的信号进入前额叶规则和动作选择。", "evidence": "E2", "source_ids": [ "CORTEX14" ] }, { "id": "E032", "from": "29", "to": "30", "kind": "parallel", "note": "规则、动机和情境共同影响下丘脑整合。", "evidence": "E2", "source_ids": [ "NEURO11", "FMRI12" ] }, { "id": "E033", "from": "30", "to": "31", "kind": "forward", "note": "下丘脑网络向脑干和脊髓通路施加下行影响。", "evidence": "E1", "source_ids": [ "NEURO11" ] }, { "id": "E034", "from": "31", "to": "17", "kind": "feedback", "note": "下行调制改变背角与节段感觉增益。", "evidence": "E1", "source_ids": [ "NEURO11" ] }, { "id": "E035", "from": "31", "to": "20", "kind": "gating", "note": "脑干易化/抑制影响发生器募集条件。", "evidence": "E1", "source_ids": [ "NEURO11", "SGE13" ] }, { "id": "E036", "from": "20", "to": "32", "kind": "parallel", "note": "发生器协调胸腰交感输出。", "evidence": "E2", "source_ids": [ "SGE13", "HSEG17" ] }, { "id": "E037", "from": "20", "to": "33", "kind": "parallel", "note": "发生器协调骶段副交感网络。", "evidence": "E2", "source_ids": [ "SGE13", "HSEG17" ] }, { "id": "E038", "from": "21", "to": "36", "kind": "forward", "note": "骶段运动门控向Onuf核和阴部传出提供节律指令。", "evidence": "E2", "source_ids": [ "NEURO11", "SGE13" ] }, { "id": "E039", "from": "32", "to": "34", "kind": "forward", "note": "交感输出参与输精管和附属性腺泌精。", "evidence": "E2", "source_ids": [ "NEURO11", "NORMAL15" ] }, { "id": "E040", "from": "33", "to": "34", "kind": "parallel", "note": "副交感与其他自主系统协同，而非简单对抗。", "evidence": "E2", "source_ids": [ "NEURO11", "NORMAL15" ] }, { "id": "E041", "from": "34", "to": "35", "kind": "transition", "note": "后尿道内容与压力上升参与阶段转换。", "evidence": "E2", "source_ids": [ "NORMAL15", "NEURO11" ] }, { "id": "E042", "from": "35", "to": "20", "kind": "feedback", "note": "尿道/盆腔反馈可能参与模式完成，但家庭层不可分离观测。", "evidence": "E1", "source_ids": [ "NORMAL15", "NEURO11" ] }, { "id": "E043", "from": "36", "to": "37", "kind": "forward", "note": "阴部躯体传出驱动盆底效应器。", "evidence": "E2", "source_ids": [ "NEURO11", "NORMAL15" ] }, { "id": "E044", "from": "35", "to": "37", "kind": "transition", "note": "相变后进入节律排精效应阶段。", "evidence": "E2", "source_ids": [ "NORMAL15" ] }, { "id": "E045", "from": "34", "to": "38", "kind": "parallel", "note": "泌精相关自主与内脏输入参与高潮体验，但二者可分离。", "evidence": "E2", "source_ids": [ "NORMAL15", "DEO25" ] }, { "id": "E046", "from": "37", "to": "38", "kind": "parallel", "note": "盆底节律输出与主观高潮通常并行。", "evidence": "E2", "source_ids": [ "NORMAL15", "DEO25" ] }, { "id": "E047", "from": "38", "to": "39", "kind": "forward", "note": "主观结果、控制感和关系反馈进入奖赏更新。", "evidence": "E2", "source_ids": [ "ISSM14", "EAU26" ] }, { "id": "E048", "from": "2", "to": "39", "kind": "feedback", "note": "预先定义的结果函数决定哪些行为被奖励。", "evidence": "E0", "source_ids": [ "CENT15" ] }, { "id": "E049", "from": "39", "to": "5", "kind": "feedback", "note": "奖赏与误差更新下一次预期和失败脚本。", "evidence": "E0", "source_ids": [ "MOTOR24" ] }, { "id": "E050", "from": "39", "to": "40", "kind": "forward", "note": "有效动作需经间隔、恢复和多情境经验才能巩固。", "evidence": "E2", "source_ids": [ "MOTOR24", "SPACING23" ] }, { "id": "E051", "from": "40", "to": "4", "kind": "feedback", "note": "恢复状态决定下一轮允许的负荷。", "evidence": "E0", "source_ids": [ "SPACING23" ] }, { "id": "E052", "from": "40", "to": "3", "kind": "feedback", "note": "情境泛化需要重新协商双人控制规则。", "evidence": "E0", "source_ids": [ "MOTOR24", "PSY16" ] } ], "sources": [ { "id": "EAU26", "year": "2026", "kind": "临床指南", "title": "EAU Guidelines: Disorders of Ejaculation", "url": "https://uroweb.org/guidelines/sexual-and-reproductive-health/chapter/disorders-of-ejaculation", "contribution": "定义、分型、评估、心理性与医疗治疗边界", "scope_note": "指南强调IELT不能单独定义问题，心理性干预证据弱且长期结局未知" }, { "id": "AUA20", "year": "2020", "kind": "临床指南", "title": "Disorders of Ejaculation: AUA/SMSNA Guideline", "url": "https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation", "contribution": "临床评估、药物和伴侣/心理治疗边界", "scope_note": "仅用于临床路径，不转写药物剂量为训练方法" }, { "id": "ISSM14", "year": "2014", "kind": "国际共识", "title": "An evidence-based unified definition of lifelong and acquired premature ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/24848805/", "contribution": "终生性与获得性PE的多维定义", "scope_note": "定义基于阴道性交研究，不能覆盖所有性行为和人群" }, { "id": "GAF25", "year": "2025", "kind": "专家指南", "title": "Global Andrology Forum Clinical Practice Guidelines on the Management of Premature Ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/39947652/", "contribution": "全球实践差异、多模式治疗和满意度结局", "scope_note": "含专家调查与Delphi，不能替代个体临床判断" }, { "id": "DEO25", "year": "2025", "kind": "国际咨询综述", "title": "Review of recent data on disorders of ejaculation and orgasm in men", "url": "https://pubmed.ncbi.nlm.nih.gov/40192552/", "contribution": "射精、高潮、心理和关系因素的复杂性", "scope_note": "叙述综述/专家建议，不提供逐节点训练证据" }, { "id": "NEURO11", "year": "2011", "kind": "生理综述", "title": "Neurophysiology of erection and ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/21967393/", "contribution": "交感、副交感、躯体、脑和脊髓通路总览", "scope_note": "多数微观控制结论不能直接生成家庭操作" }, { "id": "NORMAL15", "year": "2015", "kind": "生理综述", "title": "Normal male sexual function: emphasis on orgasm and ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/26385403/", "contribution": "泌精、排精与高潮分离建模", "scope_note": "生理综述，非训练疗效证据" }, { "id": "SGE13", "year": "2013", "kind": "系统综述与Meta", "title": "The spinal control of ejaculation revisited", "url": "https://pubmed.ncbi.nlm.nih.gov/23820516/", "contribution": "脊髓损伤资料对人类发生器的定位推断", "scope_note": "特殊人群证据，不能直接外推至普通自训" }, { "id": "HSEG17", "year": "2017", "kind": "人体组织与临床研究", "title": "Human spinal ejaculation generator", "url": "https://pubmed.ncbi.nlm.nih.gov/27917533/", "contribution": "L2–L5加兰素神经元和SCI队列的间接证据", "scope_note": "尸检样本小，临床观察间接；不是可直接训练开关" }, { "id": "CORTEX15", "year": "2015", "kind": "系统综述", "title": "The cortical sensory representation of genitalia in women and men", "url": "https://pubmed.ncbi.nlm.nih.gov/25766001/", "contribution": "S1/S2与后岛叶的生殖器感觉表征", "scope_note": "研究异质且地图有争议，不能给出精确皮层靶点" }, { "id": "FMRI12", "year": "2012", "kind": "成像Meta分析", "title": "Functional neuroimaging studies of sexual arousal and orgasm", "url": "https://pubmed.ncbi.nlm.nih.gov/22465619/", "contribution": "性唤醒与高潮涉及的广泛脑网络", "scope_note": "多为被动范式与相关性证据" }, { "id": "CORTEX14", "year": "2014", "kind": "成像综述", "title": "Doing it wild? On the role of the cerebral cortex in human sexual activity", "url": "https://pubmed.ncbi.nlm.nih.gov/24693348/", "contribution": "皮层调节与学习可能性", "scope_note": "行为含义多为推断，不能定位DIY神经控制" }, { "id": "BEH15", "year": "2015", "kind": "系统综述", "title": "Behavioral Therapies for Management of Premature Ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/26468381/", "contribution": "停—启、感觉聚焦、盆底等行为方法的RCT证据", "scope_note": "10项RCT共521人，偏倚不清且结论有限" }, { "id": "PSY11", "year": "2011", "kind": "Cochrane综述", "title": "Psychosocial interventions for premature ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/21833964/", "contribution": "心理社会干预的弱且不一致证据", "scope_note": "研究小、异质，早期高成功率未被稳定复现" }, { "id": "PSY16", "year": "2016", "kind": "临床综述", "title": "Psychosexual therapy for premature ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/27652220/", "contribution": "自尊、表现焦虑、伴侣冲突与组合治疗", "scope_note": "心理治疗单用证据难解释" }, { "id": "CBT24", "year": "2024", "kind": "系统综述与Meta", "title": "CBT combined with SSRIs for premature ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/39492575/", "contribution": "认知行为与药物组合治疗结局", "scope_note": "组合证据不能分离CBT独立效果；药物仅临床路径" }, { "id": "VIB19", "year": "2019", "kind": "随机对照试验", "title": "Vibrator-Assisted Start-Stop Exercises Improve Premature Ejaculation Symptoms", "url": "https://pubmed.ncbi.nlm.nih.gov/31741252/", "contribution": "设备辅助停—启与心理教育/正念", "scope_note": "样本50；设备输出与长期一般化仍有限" }, { "id": "DBE25", "year": "2025", "kind": "随机对照试验", "title": "Effects of diaphragmatic breathing exercises on individuals with premature ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/40580936/", "contribution": "呼吸作为行为与盆底综合方案的附加项", "scope_note": "不是呼吸单独试验；基线IELT估算且依从记录有限" }, { "id": "PFMETA26", "year": "2026", "kind": "系统综述与Meta", "title": "Efficacy of pelvic floor muscle training in premature ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/42132359/", "contribution": "PFMT、括约肌控制与组合治疗的比较", "scope_note": "5项研究、异质性高；孤立训练不优于药物或组合" }, { "id": "PFCOMP25", "year": "2025", "kind": "前瞻性研究", "title": "Differential efficacy of pelvic floor muscle training in primary versus acquired premature ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/41090039/", "contribution": "PE亚型、非侵入生物力学评估与PFMT响应", "scope_note": "无假对照、无长期随访" }, { "id": "PFBIO22", "year": "2022", "kind": "随机对照试验", "title": "Biofeedback plus dapoxetine in lifelong premature ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/35947279/", "contribution": "盆底生物反馈与组合路径", "scope_note": "小样本且含药物；不支持无监督设备参数" }, { "id": "CPPAIN22", "year": "2022", "kind": "人体观察", "title": "Impaired Ability to Relax Pelvic Floor Muscles in Men With CP/CPPS", "url": "https://pubmed.ncbi.nlm.nih.gov/35576002/", "contribution": "疼痛/高张人群收缩后放松受损", "scope_note": "针对CP/CPPS，不是PE治疗试验" }, { "id": "APE20", "year": "2020", "kind": "人体观察", "title": "Frequency of etiological factors among patients with acquired premature ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/31477853/", "contribution": "获得性PE的共病与病因筛查方向", "scope_note": "单中心53人，只能提示关联" }, { "id": "HORM12", "year": "2012", "kind": "生理综述", "title": "The hormonal control of ejaculation", "url": "https://pubmed.ncbi.nlm.nih.gov/22869001/", "contribution": "激素和甲状腺等潜在调节因素", "scope_note": "人类数据有限；不得用于自行补充激素" }, { "id": "HRV20", "year": "2020", "kind": "系统综述与Meta", "title": "Heart Rate Variability Biofeedback Improves Emotional and Physical Health and Performance", "url": "https://pubmed.ncbi.nlm.nih.gov/32385728/", "contribution": "HRV生物反馈对压力和情绪的相邻启发", "scope_note": "非PE证据；不同适应证研究数量有限" }, { "id": "HRVM23", "year": "2023", "kind": "系统综述与方法指南", "title": "Methods for Heart Rate Variability Biofeedback", "url": "https://pubmed.ncbi.nlm.nih.gov/36917418/", "contribution": "HRV反馈协议异质性和方法注意事项", "scope_note": "不支持把消费级HRV当作射精发生器读数" }, { "id": "INTERO25", "year": "2025", "kind": "Meta分析", "title": "Mindfulness meditation training and self-reported interoception", "url": "https://pubmed.ncbi.nlm.nih.gov/41198766/", "contribution": "正念训练与自报内感受的相邻证据", "scope_note": "非PE专项且主要为自报结局" }, { "id": "BODY22", "year": "2022", "kind": "系统综述与Meta", "title": "The effects of body scan meditation", "url": "https://pubmed.ncbi.nlm.nih.gov/35538557/", "contribution": "单一身体扫描的有限效果与异质性", "scope_note": "质量低，不能夸大为神经重写" }, { "id": "MOTOR24", "year": "2024", "kind": "系统综述与Meta", "title": "Contextual interference and transfer in motor learning", "url": "https://pubmed.ncbi.nlm.nih.gov/39205981/", "contribution": "变量练习和迁移的相邻学习启发", "scope_note": "应用场景效应小且不显著；非性功能证据" }, { "id": "SPACING23", "year": "2023", "kind": "系统综述", "title": "Spacing in simulator-based psychomotor training", "url": "https://pubmed.ncbi.nlm.nih.gov/36907871/", "contribution": "间隔练习优于集中练习的相邻启发", "scope_note": "来自手术模拟训练，外推距离大" }, { "id": "CENT15", "year": "2015", "kind": "报告规范", "title": "CONSORT extension for reporting N-of-1 trials", "url": "https://pubmed.ncbi.nlm.nih.gov/26272791/", "contribution": "N-of-1交叉试验的设计与报告", "scope_note": "适用于研究治理，不是疗效来源" }, { "id": "COLD12", "year": "2012", "kind": "安全生理综述", "title": "Autonomic conflict during cold water immersion", "url": "https://pubmed.ncbi.nlm.nih.gov/22547634/", "contribution": "冷休克与潜水反射并发的心律风险", "scope_note": "用于淘汰危险自主冲突方案" }, { "id": "PVS16", "year": "2016", "kind": "临床综述", "title": "Advances in infertility management after spinal cord injury", "url": "https://pubmed.ncbi.nlm.nih.gov/27048781/", "contribution": "PVS/电刺激的特定医疗适应证与自主反射异常风险", "scope_note": "SCI生殖医学专用，绝非普通降敏训练" } ], "methods": [ { "id": "M001", "node": "1", "slot": "1", "title": "撤回优先协议", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "partner", "reversibility": "high", "inspiration": "知情同意与伴侣治疗", "mechanism": "把“随时停止且无需解释”设为最高优先级中断。", "operation": "在任何练习前约定一个停止词和一个减速词；停止词触发立即结束。", "boundary": "沉默、僵住或不确定均按未同意处理。", "source_ids": [ "EAU26", "PSY16" ], "library": false }, { "id": "M002", "node": "1", "slot": "2", "title": "环境摩擦审计", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E0", "scope": "self-basic", "reversibility": "high", "inspiration": "人因工程预检", "mechanism": "先移除匆忙、被打断和隐私不足，减少非目标扰动。", "operation": "用四项清单确认时间、隐私、舒适和退出通道；任一缺失就改日。", "boundary": "不是制造“完美环境”的强迫仪式。", "source_ids": [], "library": false }, { "id": "M003", "node": "1", "slot": "3", "title": "时间余量缓冲", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "压力管理", "mechanism": "有余量的结束窗口降低计时威胁和被迫冲刺。", "operation": "为结束和恢复保留明确余量，不把剩余时间作为表现倒计时。", "boundary": "若仍感匆忙，直接跳过而非压缩流程。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M004", "node": "1", "slot": "4", "title": "创伤知情定向", "status": "assisted", "feasibility": "F3", "safety": "S1", "evidence": "E2", "scope": "clinician", "reversibility": "high", "inspiration": "创伤知情照护", "mechanism": "对冻结、解离或强烈回避，先恢复当下感和选择权。", "operation": "由合格专业人员建立安全锚点与退出计划，再决定是否进入身体练习。", "boundary": "有创伤反应时不自行做暴露或强迫坚持。", "source_ids": [ "PSY16", "EAU26" ], "library": false }, { "id": "M005", "node": "2", "slot": "1", "title": "五维结果面板", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "患者报告结局", "mechanism": "同时追踪控制感、困扰、愉悦、关系安全和恢复，防止IELT独占目标。", "operation": "每轮只记录趋势和一项主要结局；月度再看组合变化。", "boundary": "不能用自评分诊断疾病。", "source_ids": [ "EAU26", "ISSM14", "GAF25" ], "library": false }, { "id": "M006", "node": "2", "slot": "2", "title": "非时长单目标", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "心理性治疗", "mechanism": "把一次练习的成功定义为识别、沟通或及时结束。", "operation": "开始前只选一个非时长目标，结束后判断是否完成。", "boundary": "临床试验需要IELT时服从研究方案。", "source_ids": [ "EAU26", "PSY16" ], "library": false }, { "id": "M007", "node": "2", "slot": "3", "title": "结果权重预注册", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "控制系统代价函数", "mechanism": "提前确定哪些结局更重要，减少事后挑选有利指标。", "operation": "写下本轮主指标、停止指标和不允许牺牲的安全指标。", "boundary": "不把权重公式当作医学量表。", "source_ids": [ "CENT15" ], "library": false }, { "id": "M008", "node": "2", "slot": "4", "title": "临床结局校准", "status": "assisted", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "clinician", "reversibility": "high", "inspiration": "多维诊断", "mechanism": "把时长与控制、困扰、关系和亚型放在同一评估中。", "operation": "由临床人员结合病史、PROM和必要检查解释结果。", "boundary": "IELT单独不足以定义问题。", "source_ids": [ "EAU26", "ISSM14" ], "library": false }, { "id": "M009", "node": "3", "slot": "1", "title": "双通道提示词", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E5", "scope": "partner", "reversibility": "high", "inspiration": "伴侣协作", "mechanism": "用少量一致词汇降低临场解释和冲突负荷。", "operation": "只保留“慢一点/暂停/结束”等少量明确提示，并在非练习时确认含义。", "boundary": "提示词永远不能覆盖撤回同意。", "source_ids": [ "EAU26", "PSY16" ], "library": false }, { "id": "M010", "node": "3", "slot": "2", "title": "伴侣节奏授权", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "partner", "reversibility": "high", "inspiration": "共享控制", "mechanism": "把部分节奏控制交给伴侣，减少单人性能任务感。", "operation": "在双方舒适时轮换谁负责提示变化，任何一方都可结束。", "boundary": "不能把授权变成测试或责任转移。", "source_ids": [ "PSY16" ], "library": false }, { "id": "M011", "node": "3", "slot": "3", "title": "两分钟无责复盘", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "partner", "reversibility": "high", "inspiration": "夫妻治疗", "mechanism": "短、无责备的复盘能保留有效反馈而不制造审讯。", "operation": "各自只回答“什么舒服、什么需要改、下次保留什么”。", "boundary": "不在情绪激烈时强行复盘。", "source_ids": [ "PSY16", "EAU26" ], "library": false }, { "id": "M012", "node": "3", "slot": "4", "title": "单人/双人模式分离", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "模式管理", "mechanism": "单人学会的动作未必能直接迁移到伴侣场景。", "operation": "分别记录两种情境的触发、有效动作和关系负荷，再设计迁移。", "boundary": "不把单人表现作为伴侣场景承诺。", "source_ids": [ "MOTOR24" ], "library": false }, { "id": "M013", "node": "4", "slot": "1", "title": "基线交通灯", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "负荷管理", "mechanism": "用绿/黄/红状态决定正常、减量或跳过。", "operation": "根据睡眠、压力、疼痛、感觉完整和药物变化做一次快速分级。", "boundary": "红灯不是失败；持续异常进入医疗评估。", "source_ids": [ "EAU26", "APE20" ], "library": false }, { "id": "M014", "node": "4", "slot": "2", "title": "疼痛与睡眠闸门", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "病因优先", "mechanism": "新发疼痛或明显睡眠不足会改变结果解释和风险。", "operation": "出现任一项时只做恢复或完全休息，待基线稳定再比较。", "boundary": "不以训练覆盖疼痛、感染或失眠。", "source_ids": [ "EAU26", "CPPAIN22" ], "library": false }, { "id": "M015", "node": "4", "slot": "3", "title": "用药/疾病变更日志", "status": "assisted", "feasibility": "F3", "safety": "S0", "evidence": "E5", "scope": "clinician", "reversibility": "high", "inspiration": "临床因果排查", "mechanism": "获得性变化可能与疾病、药物、ED或情绪状态相关。", "operation": "只记录变更日期和症状趋势，带给医生判断。", "boundary": "不自行停药、加量或做药物挑战。", "source_ids": [ "EAU26", "APE20", "HORM12" ], "library": false }, { "id": "M016", "node": "4", "slot": "4", "title": "一般体能支撑", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "medium", "inspiration": "生活方式医学", "mechanism": "规律活动可改善总体压力与健康，但不是专一反射训练。", "operation": "按个人健康条件维持常规活动，把它与专项练习分开记录。", "boundary": "有心肺或运动禁忌时先咨询专业人员。", "source_ids": [ "EAU26", "AUA20" ], "library": false }, { "id": "M017", "node": "5", "slot": "1", "title": "预测句标记", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "认知去融合", "mechanism": "把“肯定会失控”识别为预测而非事实。", "operation": "出现预测句时改写为“这是一个预测；我仍可减速、暂停或结束”。", "boundary": "强烈恐慌或创伤反应需专业支持。", "source_ids": [ "PSY16", "CBT24" ], "library": false }, { "id": "M018", "node": "5", "slot": "2", "title": "概率重估", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-advanced", "reversibility": "high", "inspiration": "CBT证据检验", "mechanism": "用多次记录替代一次失败对未来的绝对推断。", "operation": "月度比较“有调节选择”的比例，不预测精确持续时间。", "boundary": "不把少量自我数据当作疗效证明。", "source_ids": [ "CBT24", "EAU26" ], "library": false }, { "id": "M019", "node": "5", "slot": "3", "title": "去时钟练习", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E4", "scope": "self-basic", "reversibility": "high", "inspiration": "行为治疗", "mechanism": "减少对秒数的持续监控，转向控制与困扰。", "operation": "非临床评估时不现场看表，只在事后记录主观结果。", "boundary": "研究或诊断需要计时时按专业方案。", "source_ids": [ "BEH15", "EAU26" ], "library": false }, { "id": "M020", "node": "5", "slot": "4", "title": "成功脚本重写", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "奖赏重标", "mechanism": "把及时沟通、减量和安全结束都写入成功定义。", "operation": "复盘先找出一次有效选择，再记录一个可改进点。", "boundary": "不得用积极话术否认真实困扰。", "source_ids": [ "PSY16", "EAU26" ], "library": false }, { "id": "M021", "node": "6", "slot": "1", "title": "视觉输入分级", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E2", "scope": "self-advanced", "reversibility": "high", "inspiration": "刺激控制", "mechanism": "比较低、中、高显著视觉条件对注意和唤醒斜率的影响。", "operation": "一次只改变是否使用视觉输入，保持其他条件尽量稳定。", "boundary": "不追求过载，不用强光或眩晕刺激。", "source_ids": [ "FMRI12", "CORTEX14" ], "library": false }, { "id": "M022", "node": "6", "slot": "2", "title": "高显著内容降载", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "注意环境设计", "mechanism": "若高显著内容导致注意隧道，先降低复杂度再训练调节。", "operation": "选择更可预测、可暂停的输入，观察控制感是否改善。", "boundary": "这不是道德判断，也不承诺长期“脱敏”。", "source_ids": [ "EAU26", "FMRI12" ], "library": false }, { "id": "M023", "node": "6", "slot": "3", "title": "想象—身体对照", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E2", "scope": "self-advanced", "reversibility": "high", "inspiration": "成像范式", "mechanism": "区分由想象驱动和由当下身体输入驱动的上升。", "operation": "短暂标记当前主要来源为画面、想象或身体，不做现场长分析。", "boundary": "若分析破坏体验或增加焦虑就移除。", "source_ids": [ "CORTEX14", "FMRI12" ], "library": false }, { "id": "M024", "node": "6", "slot": "4", "title": "认知触发日志", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "功能分析", "mechanism": "找到与压力、羞耻或任务感相关的语义触发。", "operation": "练习后只记一个触发和一个更安全替代语境。", "boundary": "不以日志推断脑区活动。", "source_ids": [ "PSY16", "EAU26" ], "library": false }, { "id": "M025", "node": "7", "slot": "1", "title": "单变量接触实验", "status": "experimental", "feasibility": "F2", "safety": "S1", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "单因素实验", "mechanism": "一次只改变面积、速度、压力或节奏之一，降低因果混乱。", "operation": "只在舒适和可逆区做很小变化，并预先设定停止条件。", "boundary": "不为数据反复逼近不可逆点。", "source_ids": [ "CENT15" ], "library": false }, { "id": "M026", "node": "7", "slot": "2", "title": "压力分布优先", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "组织负荷管理", "mechanism": "减少局部热点比追求“耐受”更安全。", "operation": "以无灼痛、无锐痛和练习后感觉正常为判断。", "boundary": "持续麻木、颜色变化或皮损立即停止。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M027", "node": "7", "slot": "3", "title": "自定节奏窗口", "status": "core", "feasibility": "F4", "safety": "S1", "evidence": "E4", "scope": "self-basic", "reversibility": "high", "inspiration": "停—启法", "mechanism": "在明显陡升前让动作回到可控范围，等待真实回落再决定。", "operation": "以主观可逆区为准，不规定重复次数或时长。", "boundary": "强迫反复边缘化会增加负荷。", "source_ids": [ "BEH15", "EAU26" ], "library": false }, { "id": "M028", "node": "7", "slot": "4", "title": "动作可重复性标记", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "系统辨识", "mechanism": "只有可描述的输入变化才能用于个人比较。", "operation": "用“慢/中/快、轻/中”等粗档记录，不追求力学伪精确。", "boundary": "主观档位不能当作实验室测量。", "source_ids": [ "CENT15" ], "library": false }, { "id": "M029", "node": "8", "slot": "1", "title": "润滑与舒适基线", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "组织保护", "mechanism": "降低不必要摩擦和皮肤负荷，避免把损伤性麻木误作进步。", "operation": "按舒适需要调整润滑或停止，练习后确认无异常。", "boundary": "对产品过敏或刺激反应立即停用。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M030", "node": "8", "slot": "2", "title": "皮肤完整性闸门", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "伤口预防", "mechanism": "皮损、灼热和持续感觉改变直接取消训练资格。", "operation": "训练前后只做非伤害性外观和感觉检查。", "boundary": "不以针刺、极冷或疼痛测试感觉。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M031", "node": "8", "slot": "3", "title": "恢复窗口记录", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "负荷恢复", "mechanism": "把感觉恢复到个人基线作为下一次练习的前提。", "operation": "只记录是否在当日/次日恢复，不设“耐受递增”目标。", "boundary": "持续异常应就医。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M032", "node": "8", "slot": "4", "title": "组织症状临床排查", "status": "assisted", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "clinician", "reversibility": "medium", "inspiration": "泌尿/皮肤评估", "mechanism": "反复疼痛、皮损或感觉改变需要鉴别感染、炎症和神经问题。", "operation": "携带症状时间线和产品暴露史就诊。", "boundary": "不在线自诊或用更多刺激验证。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M033", "node": "9", "slot": "1", "title": "触觉质量词典", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "感觉颗粒化", "mechanism": "用压力、温度、位移、脉冲等词扩展感觉维度。", "operation": "每次只选两三个词描述变化，避免单一强度分数。", "boundary": "刺痛、烧灼和麻木属于警报而非训练词。", "source_ids": [ "CORTEX15", "INTERO25" ], "library": false }, { "id": "M034", "node": "9", "slot": "2", "title": "宽域/焦点对照", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "空间编码", "mechanism": "比较分布式与局部输入如何影响注意和控制感。", "operation": "只做低强度、短时和可撤回的对照，不追求受体选择性。", "boundary": "不能宣称训练了某一类机械受体。", "source_ids": [ "CORTEX15" ], "library": false }, { "id": "M035", "node": "9", "slot": "3", "title": "非生殖区空间地图", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "感觉聚焦", "mechanism": "先在全身安全区域练习定位和质量辨认，降低现场负荷。", "operation": "用手、肩、胸廓等中性区域做简短身体地图。", "boundary": "有创伤或不适时改用外部环境锚点。", "source_ids": [ "INTERO25", "BODY22" ], "library": false }, { "id": "M036", "node": "9", "slot": "4", "title": "受体选择性空位", "status": "experimental", "feasibility": "F1", "safety": "S0", "evidence": "E1", "scope": "research-only", "reversibility": "unknown", "inspiration": "神经工程边界", "mechanism": "明确当前没有家庭方法能选择性训练单一生殖器机械受体群。", "operation": "仅提出可测研究问题：输入、代理读数和安全终点是什么。", "boundary": "不得用高振动或损伤性刺激寻找选择性。", "source_ids": [ "NEURO11", "CORTEX15" ], "library": false }, { "id": "M037", "node": "10", "slot": "1", "title": "疼痛零容忍门", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "疼痛教育", "mechanism": "疼痛会改变防御性张力和显著性，不是有效训练信号。", "operation": "锐痛、烧灼、电击样感觉或持续麻木出现即停止。", "boundary": "持续或加重症状转专业评估。", "source_ids": [ "EAU26", "CPPAIN22" ], "library": false }, { "id": "M038", "node": "10", "slot": "2", "title": "温度中性原则", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "热/冷损伤预防", "mechanism": "极冷和极热都不是可接受的自主神经控制手段。", "operation": "维持舒适环境，不把温度作为阈值挑战变量。", "boundary": "冷水面浸、热损伤或感觉迟钝试验禁止。", "source_ids": [ "COLD12" ], "library": false }, { "id": "M039", "node": "10", "slot": "3", "title": "异常感觉分流", "status": "assisted", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "clinician", "reversibility": "medium", "inspiration": "神经/泌尿分诊", "mechanism": "区分短暂不适与持续神经、炎症或组织症状。", "operation": "记录起点、持续、侧别和伴随排尿/皮肤症状后就诊。", "boundary": "鞍区感觉或排尿改变需及时处理。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M040", "node": "10", "slot": "4", "title": "疼痛竞争淘汰", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "风险收益门", "mechanism": "用夹捏、强刺激或疼痛“盖过”感觉会增加伤害和防御反应。", "operation": "把疼痛竞争从动作库彻底删除。", "boundary": "不提供任何疼痛强度或部位参数。", "source_ids": [ "CPPAIN22", "EAU26" ], "library": false }, { "id": "M041", "node": "11", "slot": "1", "title": "适应与麻木分离", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "感觉安全", "mechanism": "短时感觉变化只有在快速完整回到基线时才可视为可逆适应。", "operation": "练习后确认触觉、颜色和舒适均恢复；否则延长间隔并停止加量。", "boundary": "持续麻木不能解释为神经“升级”。", "source_ids": [ "NEURO11", "EAU26" ], "library": false }, { "id": "M042", "node": "11", "slot": "2", "title": "回基线确认", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E0", "scope": "self-basic", "reversibility": "high", "inspiration": "闭环控制", "mechanism": "以恢复而非刺激总量决定下一次是否继续。", "operation": "下一次开始前只问“是否完全回到个人基线”。", "boundary": "异常时不做补偿性测试。", "source_ids": [], "library": false }, { "id": "M043", "node": "11", "slot": "3", "title": "化学/电学操纵隔离", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "可干预性分层", "mechanism": "离子通道和膜电位是解释层，不是家庭训练接口。", "operation": "在图谱中标记“解释节点，无直接动作”。", "boundary": "禁止自行药物、酸碱、电流或局部注射。", "source_ids": [ "NEURO11" ], "library": false }, { "id": "M044", "node": "11", "slot": "4", "title": "感觉心理物理研究", "status": "experimental", "feasibility": "F1", "safety": "S1", "evidence": "E1", "scope": "research-only", "reversibility": "unknown", "inspiration": "心理物理学", "mechanism": "以非伤害性阈值和辨别任务研究短期适应，而非宣称永久重写。", "operation": "需要伦理审查、校准设备、盲法和恢复终点。", "boundary": "不向家庭环境输出频率、幅度或剂量。", "source_ids": [ "CENT15", "CORTEX15" ], "library": false }, { "id": "M045", "node": "12", "slot": "1", "title": "上升速度粗分", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "变化率监测", "mechanism": "“缓/中/陡”比伪精确十分制更早提示动作切换。", "operation": "事后记录上升速度和最早有效动作。", "boundary": "不为测量而延长刺激。", "source_ids": [ "BEH15", "EAU26" ], "library": false }, { "id": "M046", "node": "12", "slot": "2", "title": "节奏去自动化", "status": "experimental", "feasibility": "F2", "safety": "S1", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "时序编码与运动学习", "mechanism": "温和改变固定节奏可能暴露自动升级脚本并提高觉察。", "operation": "稳定后一次只做小幅、可预测变化。", "boundary": "不使用高频冲击、强振动或感觉过载。", "source_ids": [ "MOTOR24" ], "library": false }, { "id": "M047", "node": "12", "slot": "3", "title": "随机提示而非随机刺激", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "上下文干扰", "mechanism": "让提示时机轻度变化，训练技能迁移，同时保持身体输入可控。", "operation": "先随机“何时检查张力”，不随机提高刺激强度。", "boundary": "应用领域外推，不能保证疗效。", "source_ids": [ "MOTOR24" ], "library": false }, { "id": "M048", "node": "12", "slot": "4", "title": "脉冲列不可直读教育", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "测量边界", "mechanism": "主观节奏不能反推出神经放电频率或同步性。", "operation": "只记录可体验的变化，不给神经代码命名。", "boundary": "消费设备不能声称读取外周放电。", "source_ids": [ "NEURO11" ], "library": false }, { "id": "M049", "node": "13", "slot": "1", "title": "轻触完整性基线", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "神经安全筛查", "mechanism": "训练前后触觉应保持个人正常且无持续侧差。", "operation": "用普通轻触和日常感觉确认，不做疼痛阈测试。", "boundary": "新发不对称、无力或麻木停止并就医。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M050", "node": "13", "slot": "2", "title": "侧差停止规则", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "异常检测", "mechanism": "持续单侧变化更像需要评估的信号，不是可利用的控制策略。", "operation": "一旦出现新侧差，暂停全部相关练习并记录时间线。", "boundary": "不反复刺激“确认”侧差。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M051", "node": "13", "slot": "3", "title": "外周神经临床评估", "status": "assisted", "feasibility": "F4", "safety": "S1", "evidence": "E2", "scope": "clinician", "reversibility": "medium", "inspiration": "神经泌尿学", "mechanism": "有症状或损伤史时由专业人员选择感觉与反射检查。", "operation": "带完整病史就诊，由检查结果决定下一步。", "boundary": "不自行做神经传导、电刺激或阻断测试。", "source_ids": [ "NEURO11", "EAU26" ], "library": false }, { "id": "M052", "node": "13", "slot": "4", "title": "压迫/阻断禁入", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "神经保护", "mechanism": "机械压迫可能造成缺血和持续神经损伤。", "operation": "从训练动作库删除夹压、绑缚和神经阻断。", "boundary": "任何持续麻木都需要停止和评估。", "source_ids": [ "NEURO11" ], "library": false }, { "id": "M053", "node": "14", "slot": "1", "title": "会阴感觉—动作分图", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "盆底运动控制", "mechanism": "区分感觉、主动收缩、完整放松和腹臀代偿。", "operation": "先在非性情境用自然呼吸辨认各区域。", "boundary": "疼痛或无法放松时转盆底治疗师。", "source_ids": [ "CPPAIN22", "PFCOMP25" ], "library": false }, { "id": "M054", "node": "14", "slot": "2", "title": "会阴压迫规避", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "负荷管理", "mechanism": "外部压迫既会混淆感觉，也可能增加神经机械负荷。", "operation": "选择不压迫会阴且可随时改变的姿势和支撑。", "boundary": "麻木、放射痛或颜色改变立即停止。", "source_ids": [ "CPPAIN22" ], "library": false }, { "id": "M055", "node": "14", "slot": "3", "title": "阴部系统临床分流", "status": "assisted", "feasibility": "F4", "safety": "S1", "evidence": "E2", "scope": "clinician", "reversibility": "medium", "inspiration": "盆底与神经评估", "mechanism": "疼痛、感觉异常和运动控制问题可能需要不同专业路径。", "operation": "由临床人员结合神经、泌尿和盆底表现分流。", "boundary": "单一“阴部神经卡压”标签不能替代评估。", "source_ids": [ "EAU26", "CPPAIN22" ], "library": false }, { "id": "M056", "node": "14", "slot": "4", "title": "协调优先于阻断", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "运动控制", "mechanism": "共享神经系统提示要训练识别和协调，而不是追求传入断流。", "operation": "把目标写成“更早发现并选择动作”。", "boundary": "不以麻木或感觉丧失为成功。", "source_ids": [ "PFCOMP25", "NEURO11" ], "library": false }, { "id": "M057", "node": "15", "slot": "1", "title": "背根神经节空位声明", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "解释—控制分离", "mechanism": "该层没有负责任的家庭接口，主动留白比伪方法更可靠。", "operation": "页面只显示机制、可观测性和转诊信号。", "boundary": "不提供注射、压力、电或化学操作。", "source_ids": [ "NEURO11" ], "library": false }, { "id": "M058", "node": "15", "slot": "2", "title": "神经红旗清单", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "急症分诊", "mechanism": "鞍区感觉、进行性无力或排尿排便改变需要及时医学评估。", "operation": "遇到红旗停止训练并按急迫程度就医。", "boundary": "不能等待“适应”。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M059", "node": "15", "slot": "3", "title": "神经节机制研究", "status": "experimental", "feasibility": "F1", "safety": "S3", "evidence": "E1", "scope": "research-only", "reversibility": "low", "inspiration": "感觉神经可塑性", "mechanism": "只在实验室研究传导与可塑性，目标是解释不是自训。", "operation": "需要机构伦理、专业设备和不良事件监测。", "boundary": "不得将动物或离体参数发布为DIY方案。", "source_ids": [ "NEURO11" ], "library": false }, { "id": "M060", "node": "15", "slot": "4", "title": "液压/注射概念阻断", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E0", "scope": "self-basic", "reversibility": "high", "inspiration": "系统漏洞审计", "mechanism": "把任何通过液压、注射或局部化学改变神经节的构想明确挡在主系统之外。", "operation": "只展示不可实施与转诊边界；危险构想另存淘汰库。", "boundary": "不保存任何实施参数。", "source_ids": [], "library": false }, { "id": "M061", "node": "16", "slot": "1", "title": "骶段症状史图", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "神经定位史", "mechanism": "用症状时间、侧别和排尿/感觉伴随项帮助临床定位。", "operation": "只做文字时间线，不自行诱发反射。", "boundary": "记录不能替代查体。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M062", "node": "16", "slot": "2", "title": "骶反射临床检查", "status": "assisted", "feasibility": "F4", "safety": "S1", "evidence": "E2", "scope": "clinician", "reversibility": "medium", "inspiration": "神经泌尿学", "mechanism": "反射与感觉检查可在有症状或神经损伤史时提供信息。", "operation": "由合格临床人员选择是否检查。", "boundary": "无症状人群不做常规生理测试。", "source_ids": [ "EAU26", "SGE13" ], "library": false }, { "id": "M063", "node": "16", "slot": "3", "title": "神经损伤专用路径", "status": "assisted", "feasibility": "F4", "safety": "S3", "evidence": "E4", "scope": "clinician", "reversibility": "low", "inspiration": "SCI生殖医学", "mechanism": "脊髓损伤者的射精与自主神经风险需专门团队管理。", "operation": "在SCI/神经泌尿生殖团队内制定方案。", "boundary": "普通训练矩阵不复制PVS或电刺激参数。", "source_ids": [ "PVS16", "SGE13" ], "library": false }, { "id": "M064", "node": "16", "slot": "4", "title": "强反射诱发禁入", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "风险控制", "mechanism": "以强刺激诱发反射不能作为健康人自测。", "operation": "从自训流程删除反射挑战。", "boundary": "神经损伤者还可能出现自主反射异常。", "source_ids": [ "PVS16" ], "library": false }, { "id": "M065", "node": "17", "slot": "1", "title": "非伤害性远端触觉", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E1", "scope": "self-advanced", "reversibility": "high", "inspiration": "感觉门控", "mechanism": "舒适远端触觉可作为注意提示，但不等于阻断背角通路。", "operation": "只在双方同意下加入轻柔、中性的非生殖触觉。", "boundary": "若增加分心、疼痛或失联就移除。", "source_ids": [ "NEURO11" ], "library": false }, { "id": "M066", "node": "17", "slot": "2", "title": "分布式感觉注意", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "多模态整合", "mechanism": "同时保留呼吸、支撑和全身接触，减少单点显著独占。", "operation": "一次维持两到三个舒适通道，不做复杂轮询。", "boundary": "注意扩展不是“占满带宽”。", "source_ids": [ "INTERO25", "CORTEX15" ], "library": false }, { "id": "M067", "node": "17", "slot": "3", "title": "保护性门控优先", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "疼痛门控边界", "mechanism": "一旦出现痛觉，系统目标从训练切换为保护和分诊。", "operation": "立即停止相关输入并观察恢复。", "boundary": "禁止用另一种强刺激覆盖痛觉。", "source_ids": [ "CPPAIN22" ], "library": false }, { "id": "M068", "node": "17", "slot": "4", "title": "门控隐喻审计", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "科学传播", "mechanism": "把“门”明确写成网络调制隐喻，不写成单一可开关结构。", "operation": "阅读方法详情时同时显示可观测代理和不可推导项。", "boundary": "不从隐喻推导刺激参数。", "source_ids": [ "NEURO11" ], "library": false }, { "id": "M069", "node": "18", "slot": "1", "title": "呼吸—姿势—盆底地图", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E3", "scope": "self-basic", "reversibility": "high", "inspiration": "盆底物理治疗", "mechanism": "观察自然呼吸、姿势和盆底张力如何协同。", "operation": "先在日常舒适姿势辨认吸呼气与张力变化。", "boundary": "不做强制下压或屏气。", "source_ids": [ "DBE25", "PFCOMP25" ], "library": false }, { "id": "M070", "node": "18", "slot": "2", "title": "内外感受交替", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "定向与内感受", "mechanism": "在身体状态和外部安全线索间柔和切换，防止过度内监控。", "operation": "用短暂外部声音/视野确认后再回到身体。", "boundary": "若切换加重焦虑，保留单一安全锚点。", "source_ids": [ "INTERO25", "BODY22" ], "library": false }, { "id": "M071", "node": "18", "slot": "3", "title": "盆腔舒适条件正常化", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "泌尿健康", "mechanism": "正常处理排尿、腹胀和疼痛，避免把不适当作训练变量。", "operation": "按身体需要排尿和休息，不建立憋尿仪式。", "boundary": "疼痛或反复泌尿症状需就医。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M072", "node": "18", "slot": "4", "title": "多模态临床映射", "status": "assisted", "feasibility": "F3", "safety": "S1", "evidence": "E2", "scope": "clinician", "reversibility": "medium", "inspiration": "盆底康复", "mechanism": "专业评估可区分高张、无力、协调差和感觉过敏。", "operation": "由治疗师组合观察、外部反馈和病史建立个体图。", "boundary": "未经同意不做内部评估。", "source_ids": [ "PFCOMP25", "CPPAIN22" ], "library": false }, { "id": "M073", "node": "19", "slot": "1", "title": "全身协调预训练", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "运动控制", "mechanism": "先在非性动作中练习自然呼吸、放松和小幅动作切换。", "operation": "用坐站、行走或舒适伸展检验是否会屏气和夹紧。", "boundary": "不做会阴压迫或疼痛拉伸。", "source_ids": [ "PFCOMP25" ], "library": false }, { "id": "M074", "node": "19", "slot": "2", "title": "跨段代偿巡检", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "物理治疗", "mechanism": "腹、臀、腿、下颌共同紧绷可作为整体募集代理。", "operation": "每次只选择一个最明显代偿点放松。", "boundary": "现场不同时追踪过多部位。", "source_ids": [ "CPPAIN22" ], "library": false }, { "id": "M075", "node": "19", "slot": "3", "title": "固有脊髓空位声明", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "解释—控制分离", "mechanism": "跨节段协调是机制层，不存在可验证的家庭定向接口。", "operation": "只训练可观察的姿势、呼吸和肌肉协调代理。", "boundary": "不宣称重写固有脊髓连接。", "source_ids": [ "NEURO11" ], "library": false }, { "id": "M076", "node": "19", "slot": "4", "title": "计算模型候选", "status": "experimental", "feasibility": "F1", "safety": "S0", "evidence": "E0", "scope": "research-only", "reversibility": "unknown", "inspiration": "动态系统建模", "mechanism": "把节段输入、下行增益和效应输出建成可证伪状态模型。", "operation": "先使用匿名、非侵入代理数据做模拟和敏感性分析。", "boundary": "模型不能输出个人医疗指令。", "source_ids": [ "CENT15" ], "library": false }, { "id": "M077", "node": "20", "slot": "1", "title": "发生器边界教育", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "人体SEG研究", "mechanism": "理解候选发生器用于解释不可逆阶段，不用于“精准劫持”。", "operation": "把训练目标上移到早期识别、输入整形和安全退出。", "boundary": "无家庭读数可证明发生器被抑制。", "source_ids": [ "SGE13", "HSEG17" ], "library": false }, { "id": "M078", "node": "20", "slot": "2", "title": "退出区预定义", "status": "core", "feasibility": "F3", "safety": "S1", "evidence": "E4", "scope": "self-basic", "reversibility": "high", "inspiration": "停—启与阶段模型", "mechanism": "在个人明确深部不可逆前兆之前就结束本轮调节尝试。", "operation": "提前写下退出信号；进入退出区后不再挑战或逆转。", "boundary": "不要反复逼近以校准极限。", "source_ids": [ "BEH15", "EAU26" ], "library": false }, { "id": "M079", "node": "20", "slot": "3", "title": "发生器证据标尺", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "证据素养", "mechanism": "区分尸检神经组织、SCI诱发资料和动物细胞机制的承重范围。", "operation": "页面同时显示“人类候选存在”和“不可直接训练”。", "boundary": "不把LSt动物结果当成人体事实。", "source_ids": [ "HSEG17", "SGE13" ], "library": false }, { "id": "M080", "node": "20", "slot": "4", "title": "无创代理研究", "status": "experimental", "feasibility": "F1", "safety": "S2", "evidence": "E0", "scope": "research-only", "reversibility": "unknown", "inspiration": "系统识别", "mechanism": "探索是否存在能预测阶段转换的非侵入、多模态代理。", "operation": "仅在伦理研究中预注册信号、误报成本和停止条件。", "boundary": "任何代理都不得自动增加刺激或宣称读取发生器。", "source_ids": [ "CENT15", "HSEG17" ], "library": false }, { "id": "M081", "node": "21", "slot": "1", "title": "收缩后回落检查", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "盆底高张研究", "mechanism": "能否完整回到静息状态比单次收缩强度更重要。", "operation": "在非性情境做一次轻柔辨认后观察是否自然回落。", "boundary": "疼痛或放松困难时停止收缩练习。", "source_ids": [ "CPPAIN22" ], "library": false }, { "id": "M082", "node": "21", "slot": "2", "title": "骶段反射仅观察", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "反射生理", "mechanism": "家庭层只观察自然出现的整体反应，不主动诱发。", "operation": "记录是否伴随疼痛、痉挛或异常感觉。", "boundary": "不进行强刺激反射测试。", "source_ids": [ "NEURO11" ], "library": false }, { "id": "M083", "node": "21", "slot": "3", "title": "表面肌电辅助", "status": "assisted", "feasibility": "F3", "safety": "S2", "evidence": "E3", "scope": "clinician", "reversibility": "medium", "inspiration": "盆底生物反馈", "mechanism": "专业反馈可帮助区分募集、代偿和放松。", "operation": "经评估后由治疗师设定个体目标并复测。", "boundary": "不复制设备参数或将信号当作射精开关。", "source_ids": [ "PFBIO22", "PFCOMP25" ], "library": false }, { "id": "M084", "node": "21", "slot": "4", "title": "反射阈挑战淘汰", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "安全设计", "mechanism": "提高刺激直到触发反射并不能构成安全训练。", "operation": "从方案中删除阈值挑战和重复诱发。", "boundary": "特殊神经人群仅走临床路径。", "source_ids": [ "PVS16", "SGE13" ], "library": false }, { "id": "M085", "node": "22", "slot": "1", "title": "全身感觉扩展", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "内感受与感觉聚焦", "mechanism": "把体验描述扩展到呼吸、支撑、情绪和关系，而不是单点。", "operation": "定期用一句话描述“此刻全身状态”。", "boundary": "不宣称改变上行束。", "source_ids": [ "INTERO25", "BEH15" ], "library": false }, { "id": "M086", "node": "22", "slot": "2", "title": "扩散速度记录", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "时空信号监测", "mechanism": "主观感觉从局部扩展到全身的速度可作为早期代理。", "operation": "事后只记“局部/扩散”和“缓/陡”。", "boundary": "不为收集数据延长不适。", "source_ids": [], "library": false }, { "id": "M087", "node": "22", "slot": "3", "title": "通路不可直读教育", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "测量边界", "mechanism": "主观扩散不等于某条上行通路活动增强。", "operation": "界面把体验描述与神经推断分栏显示。", "boundary": "不从感受位置推断病灶。", "source_ids": [ "NEURO11", "CORTEX15" ], "library": false }, { "id": "M088", "node": "22", "slot": "4", "title": "上行异常临床检查", "status": "assisted", "feasibility": "F4", "safety": "S1", "evidence": "E2", "scope": "clinician", "reversibility": "medium", "inspiration": "神经系统评估", "mechanism": "广泛感觉异常、无力或神经损伤史需医学定位。", "operation": "由临床人员选择查体或检查。", "boundary": "无症状不做常规生理检测。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M089", "node": "23", "slot": "1", "title": "中性声音提示", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E0", "scope": "self-basic", "reversibility": "high", "inspiration": "跨模态提醒", "mechanism": "声音只承担“检查呼吸/张力”的提示，不承担神经抢占。", "operation": "选择柔和、可关闭的提示，间隔足以不制造任务压力。", "boundary": "若分心或破坏连接感就移除。", "source_ids": [], "library": false }, { "id": "M090", "node": "23", "slot": "2", "title": "跨模态轻提示实验", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E1", "scope": "self-advanced", "reversibility": "high", "inspiration": "丘脑与注意选择", "mechanism": "比较轻触、声音或视觉标记哪一种更早触发安全动作。", "operation": "一次只用一种提示并记录误报和依赖。", "boundary": "不使用巨响、强光、疼痛或眩晕。", "source_ids": [ "CORTEX15", "FMRI12" ], "library": false }, { "id": "M091", "node": "23", "slot": "3", "title": "带宽抢占降级", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "类比纠错", "mechanism": "丘脑不是可被算术、噪声或痛觉占满的单一总线。", "operation": "把“抢占”术语替换成可观察的注意转移。", "boundary": "不以感官轰炸阻断反射。", "source_ids": [ "CORTEX15" ], "library": false }, { "id": "M092", "node": "23", "slot": "4", "title": "双任务研究候选", "status": "experimental", "feasibility": "F1", "safety": "S1", "evidence": "E0", "scope": "research-only", "reversibility": "unknown", "inspiration": "认知负荷", "mechanism": "研究低负荷双任务是否改善或损害觉察、控制和关系体验。", "operation": "需要主动对照、误报指标和非伤害性任务。", "boundary": "未验证前不进入主训练。", "source_ids": [ "CENT15" ], "library": false }, { "id": "M093", "node": "24", "slot": "1", "title": "位置—质量二维图", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "躯体感觉地图", "mechanism": "把“在哪里”和“什么感觉”分开，提高描述分辨率。", "operation": "在舒适范围用粗区域和少量质量词记录。", "boundary": "不追求皮层定位或精细阈值。", "source_ids": [ "CORTEX15" ], "library": false }, { "id": "M094", "node": "24", "slot": "2", "title": "非生殖区辨识迁移", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "感觉学习", "mechanism": "先在中性身体区域学习位置和质量辨认，再观察能否迁移。", "operation": "每次只练一项辨识，不追求强度。", "boundary": "相邻外推，不能保证PE结局。", "source_ids": [ "INTERO25", "BODY22" ], "library": false }, { "id": "M095", "node": "24", "slot": "3", "title": "侧别一致性检查", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "感觉完整性", "mechanism": "新发持续侧差是评估信号，不是可利用的皮层可塑性。", "operation": "用日常轻触确认是否恢复。", "boundary": "不做疼痛、热冷或尖锐测试。", "source_ids": [ "EAU26", "CORTEX15" ], "library": false }, { "id": "M096", "node": "24", "slot": "4", "title": "非侵入皮层映射", "status": "experimental", "feasibility": "F1", "safety": "S2", "evidence": "E2", "scope": "research-only", "reversibility": "unknown", "inspiration": "人类感觉成像", "mechanism": "研究个体地图差异和感受质量，而非寻找家庭刺激靶点。", "operation": "需伦理、成像/电生理设备和去识别数据。", "boundary": "不输出脑刺激位置或参数。", "source_ids": [ "CORTEX15" ], "library": false }, { "id": "M097", "node": "25", "slot": "1", "title": "内感受颗粒化", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "正念与内感受", "mechanism": "区分兴奋、紧迫、压力、愉悦和肌张力，避免单一“强度”。", "operation": "每轮选两个身体词和一个情绪词。", "boundary": "无法觉察不代表失败。", "source_ids": [ "INTERO25" ], "library": false }, { "id": "M098", "node": "25", "slot": "2", "title": "短身体扫描", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E4", "scope": "self-basic", "reversibility": "high", "inspiration": "正念训练", "mechanism": "简短扫描可训练自报内感受，但效果小且不稳定。", "operation": "在非性情境轮询呼吸、下颌、手、腹和盆底。", "boundary": "若增加焦虑或解离，改用外部锚点。", "source_ids": [ "BODY22", "INTERO25" ], "library": false }, { "id": "M099", "node": "25", "slot": "3", "title": "外部定向替代", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "创伤知情定向", "mechanism": "对过度内监控者，外部安全线索可能比身体扫描更合适。", "operation": "确认一个声音、物体或支撑面后再决定是否返回身体。", "boundary": "不强迫闭眼或持续内观。", "source_ids": [ "PSY16" ], "library": false }, { "id": "M100", "node": "25", "slot": "4", "title": "预测—感觉差分", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "预测加工", "mechanism": "比较“我以为会多强”和“实际感觉如何”，寻找系统性高估。", "operation": "只记录方向：高估、接近或低估。", "boundary": "理论模型不能诊断岛叶功能。", "source_ids": [ "CENT15" ], "library": false }, { "id": "M101", "node": "26", "slot": "1", "title": "紧迫感命名", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "认知去融合", "mechanism": "把“必须马上”标记为状态信号而非命令。", "operation": "用一个短标签后立即选择减速、暂停或结束。", "boundary": "若伴随恐慌或创伤反应，寻求专业支持。", "source_ids": [ "PSY16", "EAU26" ], "library": false }, { "id": "M102", "node": "26", "slot": "2", "title": "最早紧迫点捕捉", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E4", "scope": "self-basic", "reversibility": "high", "inspiration": "停—启法", "mechanism": "在紧迫感仍低且可逆时触发调节，比追逐边缘更安全。", "operation": "事后记录第一次出现“需要做点什么”的时刻。", "boundary": "不通过重复逼近来提高精度。", "source_ids": [ "BEH15" ], "library": false }, { "id": "M103", "node": "26", "slot": "3", "title": "冲突粗分级", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E0", "scope": "self-basic", "reversibility": "high", "inspiration": "冲突监测", "mechanism": "用低/中/高描述“想继续”和“需要降级”的冲突。", "operation": "进入高冲突即结束本轮，不做意志力测试。", "boundary": "不是临床量表。", "source_ids": [], "library": false }, { "id": "M104", "node": "26", "slot": "4", "title": "持续困扰专业路径", "status": "assisted", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "clinician", "reversibility": "medium", "inspiration": "心理性治疗", "mechanism": "明显羞耻、回避、焦虑或关系冲突需要超出技巧层的支持。", "operation": "由合格性治疗/心理专业人员评估并共同设定目标。", "boundary": "不把结构化自训当作心理治疗替代。", "source_ids": [ "EAU26", "PSY16" ], "library": false }, { "id": "M105", "node": "27", "slot": "1", "title": "触发—反应地图", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "功能分析", "mechanism": "把情境触发、身体反应和保护动作拆开，减少“我就是失败”的总括解释。", "operation": "每次只记录一条触发链和一个可选动作。", "boundary": "不追溯创伤细节作为自我暴露。", "source_ids": [ "PSY16", "CBT24" ], "library": false }, { "id": "M106", "node": "27", "slot": "2", "title": "无羞耻复盘", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "自我同情与CBT", "mechanism": "减少失败惩罚有助于避免下一次威胁先验升级。", "operation": "复盘使用中性事实词，不归咎自己或伴侣。", "boundary": "不能用中性语言掩盖边界侵犯。", "source_ids": [ "PSY16", "CBT24" ], "library": false }, { "id": "M107", "node": "27", "slot": "3", "title": "创伤专科转介", "status": "assisted", "feasibility": "F4", "safety": "S1", "evidence": "E5", "scope": "clinician", "reversibility": "medium", "inspiration": "创伤知情照护", "mechanism": "冻结、解离、闪回或强烈回避需要专业治疗计划。", "operation": "暂停相关训练，选择具备创伤与性健康能力的专业人员。", "boundary": "禁止自行做强迫暴露。", "source_ids": [ "EAU26", "PSY16" ], "library": false }, { "id": "M108", "node": "27", "slot": "4", "title": "安全情境渐变", "status": "experimental", "feasibility": "F2", "safety": "S1", "evidence": "E0", "scope": "clinician", "reversibility": "medium", "inspiration": "抑制性学习", "mechanism": "在专业支持下只改变一个安全情境变量，观察威胁预测是否更新。", "operation": "预设退出和恢复，优先非性情境。", "boundary": "未经评估不做创伤暴露或高唤醒挑战。", "source_ids": [ "MOTOR24", "PSY16" ], "library": false }, { "id": "M109", "node": "28", "slot": "1", "title": "宽域注意", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "正念与感觉聚焦", "mechanism": "在身体、支撑、情绪和关系间保留多点觉察，减少单点隧道。", "operation": "同时维持两个舒适通道即可，不追求全身扫描。", "boundary": "注意变宽不等于上行信号减弱。", "source_ids": [ "INTERO25", "BEH15" ], "library": false }, { "id": "M110", "node": "28", "slot": "2", "title": "单通道轮换", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "注意控制", "mechanism": "当宽域觉察过难时，按固定顺序一次只检查一个通道。", "operation": "从呼吸或支撑开始，再决定是否检查盆底。", "boundary": "不要在高唤醒时追踪长清单。", "source_ids": [ "BODY22" ], "library": false }, { "id": "M111", "node": "28", "slot": "3", "title": "注意切换回程", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "执行控制", "mechanism": "训练的不只是移开注意，还包括安全地回到体验而不反弹。", "operation": "外部定向后先确认舒适，再选择返回或结束。", "boundary": "不是用分心逃避全部体验。", "source_ids": [], "library": false }, { "id": "M112", "node": "28", "slot": "4", "title": "认知过载禁用", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "工作记忆边界", "mechanism": "复杂算术、背诵和多任务会损害觉察与关系连接。", "operation": "现场只保留一个调节焦点。", "boundary": "不以“CPU占满”作为反射阻断机制。", "source_ids": [ "EAU26", "CORTEX14" ], "library": false }, { "id": "M113", "node": "29", "slot": "1", "title": "若—则实施意图", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "实施意图", "mechanism": "把一个可观察信号与一个安全动作预先绑定。", "operation": "例如进入减速区就暂停并恢复自然呼吸；规则必须允许直接结束。", "boundary": "不绑定需要复杂计算的动作。", "source_ids": [ "CBT24", "EAU26" ], "library": false }, { "id": "M114", "node": "29", "slot": "2", "title": "单动作规则", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "认知负荷管理", "mechanism": "一次只执行一个最熟练的动作，减少临场决策树爆炸。", "operation": "优先顺序为结束、暂停、减速、再评估。", "boundary": "动作不能覆盖同意或疼痛信号。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M115", "node": "29", "slot": "3", "title": "三级决策树", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "控制逻辑", "mechanism": "用继续/降级/结束三态代替连续微操。", "operation": "训练前给每一态定义一两个可观察条件。", "boundary": "决策树不是医学算法。", "source_ids": [], "library": false }, { "id": "M116", "node": "29", "slot": "4", "title": "动作心理预演", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "运动意象", "mechanism": "在非训练情境预演识别—暂停—结束链，减少现场负荷。", "operation": "每次只预演一条短链，再以真实执行能力复核。", "boundary": "想象成功不能当作生理效果证据。", "source_ids": [ "MOTOR24" ], "library": false }, { "id": "M117", "node": "30", "slot": "1", "title": "睡眠与节律保护", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "medium", "inspiration": "下丘脑与生活节律", "mechanism": "稳定睡眠和恢复可减少状态混杂，但不是直接改写下丘脑。", "operation": "先修复明显睡眠不足，再比较专项结果。", "boundary": "长期睡眠或情绪问题需专业评估。", "source_ids": [ "EAU26", "APE20" ], "library": false }, { "id": "M118", "node": "30", "slot": "2", "title": "高压力日降级", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "状态依赖", "mechanism": "高压力日只保留低负荷觉察或完全休息。", "operation": "交通灯为黄/红时不做阈值挑战。", "boundary": "持续高压力、抑郁或焦虑应就医。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M119", "node": "30", "slot": "3", "title": "内分泌/获得性筛查", "status": "assisted", "feasibility": "F4", "safety": "S1", "evidence": "E5", "scope": "clinician", "reversibility": "medium", "inspiration": "获得性PE病因", "mechanism": "突然变化可能与甲状腺、ED、炎症或药物相关。", "operation": "按病史和查体由医生决定是否检测。", "boundary": "不常规自购激素化验或补充剂。", "source_ids": [ "EAU26", "APE20", "HORM12" ], "library": false }, { "id": "M120", "node": "30", "slot": "4", "title": "激素黑客禁入", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "系统边界", "mechanism": "激素参与并不意味着可以通过补充剂精确调节射精。", "operation": "把所有自行激素/补剂操纵移至禁止或临床层。", "boundary": "不提供种类、组合或剂量。", "source_ids": [ "HORM12", "EAU26" ], "library": false }, { "id": "M121", "node": "31", "slot": "1", "title": "下行调制代理组合", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E1", "scope": "self-advanced", "reversibility": "high", "inspiration": "脑干调制", "mechanism": "用呼吸、重评和肌张力降低改变整体状态，但只评估体验结果。", "operation": "一次组合不超过两个低风险动作，并记录控制与困扰。", "boundary": "不声称直接驱动5-HT或nPGi。", "source_ids": [ "NEURO11", "DBE25" ], "library": false }, { "id": "M122", "node": "31", "slot": "2", "title": "自然呼吸保护", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E3", "scope": "self-basic", "reversibility": "high", "inspiration": "呼吸与自主调节", "mechanism": "连续舒适呼吸可减少屏气和全身共同募集。", "operation": "保持能轻松说短句的呼吸，不追求极慢、极深或憋气。", "boundary": "眩晕、胸闷、心悸立即恢复自然呼吸并停止。", "source_ids": [ "DBE25", "COLD12" ], "library": false }, { "id": "M123", "node": "31", "slot": "3", "title": "递质夺权纠错", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "神经药理素养", "mechanism": "血清素、多巴胺和其他递质不是可用补剂精确摆动的跷跷板。", "operation": "用可观察行为和结局描述效果。", "boundary": "药物只走医生路径，不自行启停或混用。", "source_ids": [ "NEURO11", "EAU26" ], "library": false }, { "id": "M124", "node": "31", "slot": "4", "title": "神经调控研究路径", "status": "experimental", "feasibility": "F1", "safety": "S3", "evidence": "E2", "scope": "research-only", "reversibility": "low", "inspiration": "非侵入神经调控", "mechanism": "电刺激等只在正式研究中探索适应证、靶点和长期安全。", "operation": "需伦理、医疗设备、假刺激对照和不良事件监测。", "boundary": "不公布DIY电极、波形或强度参数。", "source_ids": [ "EAU26", "PVS16" ], "library": false }, { "id": "M125", "node": "32", "slot": "1", "title": "连续舒适呼气", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E3", "scope": "self-basic", "reversibility": "high", "inspiration": "膈式呼吸", "mechanism": "自然、稍慢且不中断的呼吸可能减少屏气和整体募集。", "operation": "以舒适和无眩晕为准，不规定固定节律。", "boundary": "不是强制副交感切换。", "source_ids": [ "DBE25" ], "library": false }, { "id": "M126", "node": "32", "slot": "2", "title": "交感代理卡", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "生物反馈", "mechanism": "用呼吸浅、手握紧、臀夹和心率陡升等个人代理触发降级。", "operation": "选两项稳定信号；同时出现时暂停或结束。", "boundary": "代理不能诊断自主神经状态。", "source_ids": [ "HRV20", "DBE25" ], "library": false }, { "id": "M127", "node": "32", "slot": "3", "title": "HRV离线趋势", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E4", "scope": "self-advanced", "reversibility": "high", "inspiration": "HRV生物反馈", "mechanism": "HRV可辅助一般压力训练，但不是射精发生器传感器。", "operation": "仅在非性情境观察长期趋势和呼吸练习反应。", "boundary": "消费设备误差大，不作为当场训练许可。", "source_ids": [ "HRV20", "HRVM23" ], "library": false }, { "id": "M128", "node": "32", "slot": "4", "title": "自主冲突禁入", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E4", "scope": "self-basic", "reversibility": "high", "inspiration": "冷水安全生理", "mechanism": "冷水、屏气和强应激可能同时激活冲突性自主反应。", "operation": "从训练库删除冷面浸、长屏气和故意眩晕。", "boundary": "胸痛、晕厥感或明显心悸需及时处理。", "source_ids": [ "COLD12" ], "library": false }, { "id": "M129", "node": "33", "slot": "1", "title": "允许勃起波动", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "心理性治疗", "mechanism": "停止为维持勃起而不断加码输入，打断ED—PE互相放大。", "operation": "把波动视为正常反馈，优先舒适、沟通和选择权。", "boundary": "持续ED或获得性变化需临床评估。", "source_ids": [ "EAU26", "AUA20" ], "library": false }, { "id": "M130", "node": "33", "slot": "2", "title": "放松非开关教育", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "自主生理", "mechanism": "放松可改善体验，但不能证明“副交感夺权”。", "operation": "按控制感、舒适和恢复评价，不猜测自主神经比例。", "boundary": "不使用冷刺激、压迫或屏气强制切换。", "source_ids": [ "NEURO11", "COLD12" ], "library": false }, { "id": "M131", "node": "33", "slot": "3", "title": "ED优先分流", "status": "assisted", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "clinician", "reversibility": "medium", "inspiration": "获得性PE鉴别", "mechanism": "伴随ED时先识别和处理基础问题，避免只做延迟训练。", "operation": "由医生结合病史和风险因素评估。", "boundary": "不自行使用处方药或组合治疗。", "source_ids": [ "EAU26", "AUA20", "APE20" ], "library": false }, { "id": "M132", "node": "33", "slot": "4", "title": "迷走强迫淘汰", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E1", "scope": "self-basic", "reversibility": "high", "inspiration": "反射纠错", "mechanism": "咳嗽、憋气、颈部压迫或其他强迷走手段不是安全熔断器。", "operation": "全部从训练动作库删除。", "boundary": "不提供诱发反射的参数。", "source_ids": [ "COLD12", "NEURO11" ], "library": false }, { "id": "M133", "node": "34", "slot": "1", "title": "泌精前兆教育", "status": "core", "feasibility": "F3", "safety": "S1", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "两阶段生理", "mechanism": "识别个人深部相变前兆只用于更早退出可逆区。", "operation": "从自然经历的事后复盘中辨认，不刻意反复诱发。", "boundary": "进入相变后不尝试强行逆转。", "source_ids": [ "NORMAL15", "NEURO11" ], "library": false }, { "id": "M134", "node": "34", "slot": "2", "title": "相变后安全模式", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "阶段控制", "mechanism": "一旦进入泌精阶段，目标切换为舒适、安全和同意。", "operation": "停止所有训练性操控，允许自然完成或结束。", "boundary": "不挤压、不屏气、不做反向强收缩。", "source_ids": [ "NORMAL15" ], "library": false }, { "id": "M135", "node": "34", "slot": "3", "title": "疼痛/血精分流", "status": "assisted", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "clinician", "reversibility": "medium", "inspiration": "泌尿科安全", "mechanism": "疼痛、血精、发热或尿路症状不是训练适应。", "operation": "停止相关练习并按严重程度就医。", "boundary": "急性剧痛、发热或大量出血及时处理。", "source_ids": [ "EAU26", "DEO25" ], "library": false }, { "id": "M136", "node": "34", "slot": "4", "title": "效应器直接训练空位", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "可训练性分层", "mechanism": "输精管和附属性腺没有可靠家庭定向训练接口。", "operation": "只保留生理教育和症状转诊。", "boundary": "不做药物、化学或机械“锁”。", "source_ids": [ "NORMAL15", "NEURO11" ], "library": false }, { "id": "M137", "node": "35", "slot": "1", "title": "正常膀胱舒适", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "泌尿健康", "mechanism": "正常排尿需求优先，避免憋尿或过度饮水混入训练。", "operation": "按舒适需要排尿，不做容量挑战。", "boundary": "尿潴留、疼痛或反复感染症状需就医。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M138", "node": "35", "slot": "2", "title": "相变模型卡", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "状态机", "mechanism": "用“可调区—退出区—相变后”三态替代毫秒级控制幻想。", "operation": "为每一态只定义允许动作和禁止动作。", "boundary": "个人感觉分界并不总精确。", "source_ids": [ "NORMAL15", "NEURO11" ], "library": false }, { "id": "M139", "node": "35", "slot": "3", "title": "逆行/低量临床评估", "status": "assisted", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "clinician", "reversibility": "medium", "inspiration": "射精障碍诊疗", "mechanism": "精液量显著变化或浑浊尿由医生判断。", "operation": "携带用药、手术和症状史就诊。", "boundary": "不通过夹压、憋尿或器具自行测试。", "source_ids": [ "EAU26", "DEO25" ], "library": false }, { "id": "M140", "node": "35", "slot": "4", "title": "尿道操纵禁入", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "组织安全", "mechanism": "尿道器具、夹压或压力“欺骗”可能导致感染、出血和损伤。", "operation": "从系统永久删除，只保留淘汰理由。", "boundary": "不提供器具、位置、时长或压力参数。", "source_ids": [ "EAU26" ], "library": false }, { "id": "M141", "node": "36", "slot": "1", "title": "盆底动作辨识", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E3", "scope": "self-basic", "reversibility": "high", "inspiration": "盆底康复", "mechanism": "先分清小幅收缩、完整放松和腹臀代偿，再谈任何训练。", "operation": "在非性情境保持自然呼吸做低负荷辨认。", "boundary": "疼痛、高张或放松困难先找治疗师。", "source_ids": [ "PFCOMP25", "CPPAIN22" ], "library": false }, { "id": "M142", "node": "36", "slot": "2", "title": "专业生物反馈", "status": "assisted", "feasibility": "F3", "safety": "S2", "evidence": "E3", "scope": "clinician", "reversibility": "medium", "inspiration": "肌电/压力反馈", "mechanism": "可视反馈帮助确认动作和回落，但读数不是发生器活动。", "operation": "由治疗师选择传感方式、解释误差并复测。", "boundary": "不使用来源不明设备或照抄参数。", "source_ids": [ "PFBIO22", "PFCOMP25" ], "library": false }, { "id": "M143", "node": "36", "slot": "3", "title": "外部触觉提示", "status": "assisted", "feasibility": "F3", "safety": "S1", "evidence": "E2", "scope": "clinician", "reversibility": "high", "inspiration": "运动学习", "mechanism": "经同意的外部提示可帮助辨认会阴动作而不必追求内部操作。", "operation": "专业人员先说明位置、目的和随时停止权。", "boundary": "未经明确同意不做触诊。", "source_ids": [ "PFCOMP25" ], "library": false }, { "id": "M144", "node": "36", "slot": "4", "title": "DIY电刺激隔离", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "医疗设备边界", "mechanism": "电刺激可能改变神经和肌肉活动，但不具备通用家庭训练资格。", "operation": "只走有资质临床或研究路径。", "boundary": "不提供电极位置、波形、频率或强度。", "source_ids": [ "EAU26", "PVS16" ], "library": false }, { "id": "M145", "node": "37", "slot": "1", "title": "盆底下调", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "高张盆底康复", "mechanism": "恢复静息张力和收缩后完整放松，避免一味加强。", "operation": "用自然呼吸、下颌放松和舒适姿势观察回落。", "boundary": "所谓反向凯格尔不能用力下压或憋气。", "source_ids": [ "CPPAIN22" ], "library": false }, { "id": "M146", "node": "37", "slot": "2", "title": "评估后力量训练", "status": "assisted", "feasibility": "F3", "safety": "S1", "evidence": "E4", "scope": "clinician", "reversibility": "medium", "inspiration": "PFMT", "mechanism": "只有在无力或控制不足且能放松时，才加入分级力量/耐力。", "operation": "由治疗师确定方案，并同等训练放松与协调。", "boundary": "高张、疼痛和排尿症状先处理。", "source_ids": [ "PFMETA26", "PFCOMP25" ], "library": false }, { "id": "M147", "node": "37", "slot": "3", "title": "呼吸—盆底协调", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E3", "scope": "self-basic", "reversibility": "high", "inspiration": "综合康复", "mechanism": "让呼吸连续、腹压不过度、盆底能随状态变化。", "operation": "先在非性情境练习自然协调，再在低压力场景调用。", "boundary": "单一试验不能确定最佳剂量。", "source_ids": [ "DBE25", "PFCOMP25" ], "library": false }, { "id": "M148", "node": "37", "slot": "4", "title": "四点代偿扫描", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "渐进放松", "mechanism": "下颌、手、臀和腹的共同用力可提示全身募集。", "operation": "每次呼气只放松一个最明显点。", "boundary": "不追求完全松弛或现场全身检查。", "source_ids": [ "CPPAIN22" ], "library": false }, { "id": "M149", "node": "38", "slot": "1", "title": "高潮—射精分离教育", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "正常生理", "mechanism": "高潮和射精相关但可分离，避免把两者写成单一输出。", "operation": "分别记录愉悦、射精事件和满意度。", "boundary": "主观记录不能诊断高潮障碍。", "source_ids": [ "NORMAL15", "DEO25" ], "library": false }, { "id": "M150", "node": "38", "slot": "2", "title": "四维满意复盘", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E5", "scope": "self-basic", "reversibility": "high", "inspiration": "多维结局", "mechanism": "同时看愉悦、控制、困扰和关系安全。", "operation": "使用很短的趋势记录，避免现场打分。", "boundary": "数据不能用于伴侣比较或施压。", "source_ids": [ "EAU26", "ISSM14" ], "library": false }, { "id": "M151", "node": "38", "slot": "3", "title": "非结果导向亲密", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E4", "scope": "partner", "reversibility": "high", "inspiration": "感觉聚焦", "mechanism": "允许亲密不以勃起、射精或时长结尾，降低绩效闭环。", "operation": "提前约定本轮目标是体验或沟通，任何一方可改变目标。", "boundary": "有创伤或关系冲突时宜专业引导。", "source_ids": [ "BEH15", "PSY16" ], "library": false }, { "id": "M152", "node": "38", "slot": "4", "title": "事后舒适与照护", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "partner", "reversibility": "high", "inspiration": "恢复与关系安全", "mechanism": "将身体舒适、情绪连接和不适筛查纳入完整输出。", "operation": "确认有无疼痛、灼热、麻木或情绪不适，并尊重独处/陪伴需求。", "boundary": "持续症状进入临床路径。", "source_ids": [ "DEO25", "EAU26" ], "library": false }, { "id": "M153", "node": "39", "slot": "1", "title": "奖励安全选择", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "强化学习", "mechanism": "把及时暂停、沟通、减量和结束视为成功行为。", "operation": "复盘先找出一次保护系统的选择。", "boundary": "不因“完成训练”忽略停止信号。", "source_ids": [ "CBT24", "PSY16" ], "library": false }, { "id": "M154", "node": "39", "slot": "2", "title": "无惩罚误差复盘", "status": "core", "feasibility": "F4", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "CBT与学习科学", "mechanism": "只分析信号和动作，不把一次结果升级为人格判断。", "operation": "回答“发生了什么、最早信号、下次改一件什么”。", "boundary": "禁止归咎伴侣或身体。", "source_ids": [ "CBT24" ], "library": false }, { "id": "M155", "node": "39", "slot": "3", "title": "低风险N-of-1实验", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "单病例交叉设计", "mechanism": "用预注册和随机顺序比较少量低风险方法，减少记忆偏差。", "operation": "每周期只比较一个变量、一个主结果和明确停止条件。", "boundary": "高风险、药物或医疗干预不得自做N-of-1。", "source_ids": [ "CENT15" ], "library": false }, { "id": "M156", "node": "39", "slot": "4", "title": "结局权重更新", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "多目标优化", "mechanism": "若时长改善却困扰、疼痛或关系变差，系统应判定总收益下降。", "operation": "月度审查各结局是否出现不可接受牺牲。", "boundary": "不把个人权重输出为通用公式。", "source_ids": [ "CENT15" ], "library": false }, { "id": "M157", "node": "40", "slot": "1", "title": "二十四小时恢复检查", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E0", "scope": "self-basic", "reversibility": "high", "inspiration": "训练负荷管理", "mechanism": "次日疼痛、麻木、疲劳、回避和欲望下降决定是否减量。", "operation": "任何异常都触发延长间隔、减量或暂停。", "boundary": "持续异常不能解释为适应。", "source_ids": [], "library": false }, { "id": "M158", "node": "40", "slot": "2", "title": "最小有效剂量", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E0", "scope": "self-basic", "reversibility": "high", "inspiration": "剂量反应", "mechanism": "寻找能产生学习但不造成组织或心理疲劳的最小练习量。", "operation": "逐轮只调整一个变量，并保留休息。", "boundary": "不提供统一时长或次数承诺。", "source_ids": [ "SPACING23" ], "library": false }, { "id": "M159", "node": "40", "slot": "3", "title": "间隔练习", "status": "core", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "学习科学", "mechanism": "把练习分散到可恢复的时段，而非集中冲刷。", "operation": "只有完全回基线后才安排下一轮。", "boundary": "相邻领域证据不能确定PE最佳间隔。", "source_ids": [ "SPACING23" ], "library": false }, { "id": "M160", "node": "40", "slot": "4", "title": "单维情境泛化", "status": "experimental", "feasibility": "F2", "safety": "S0", "evidence": "E2", "scope": "self-advanced", "reversibility": "high", "inspiration": "变量练习", "mechanism": "稳定后一次只改变时间、环境、沟通或注意中的一个维度。", "operation": "保留相同安全规则，比较技能是否迁移。", "boundary": "应用场景证据有限；出现退化就退回上一层。", "source_ids": [ "MOTOR24" ], "library": false } ], "library": [ { "id": "R001", "node": "12", "slot": "5", "title": "主观斜率闭环提示", "status": "reserve", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "research-only", "reversibility": "high", "inspiration": "自适应控制", "mechanism": "依据“缓/中/陡”主观变化率提示检查状态，而非自动改变刺激。", "operation": "先做无执行权原型，比较误报、漏报、依赖性和控制感。", "boundary": "提示永远不能越过退出信号。", "source_ids": [ "CENT15" ], "library": true }, { "id": "R002", "node": "4", "slot": "5", "title": "可穿戴恢复闸门", "status": "reserve", "feasibility": "F2", "safety": "S0", "evidence": "E2", "scope": "self-advanced", "reversibility": "high", "inspiration": "训练负荷与HRV", "mechanism": "把睡眠、静息趋势和主观恢复用于建议减量日。", "operation": "数据只在本地形成可解释的绿/黄/红建议。", "boundary": "可穿戴数据不诊断疾病，也不强制许可训练。", "source_ids": [ "HRV20", "HRVM23" ], "library": true }, { "id": "R003", "node": "40", "slot": "5", "title": "隐私保护恢复模型", "status": "reserve", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "research-only", "reversibility": "high", "inspiration": "边缘计算", "mechanism": "在设备本地估计恢复，不上传原始私密记录。", "operation": "先用简单规则与可删除数据，再评估是否需要模型。", "boundary": "不得推断诊断或关系状态。", "source_ids": [ "CENT15" ], "library": true }, { "id": "R004", "node": "9", "slot": "5", "title": "触觉空间扩展界面", "status": "reserve", "feasibility": "F2", "safety": "S1", "evidence": "E0", "scope": "research-only", "reversibility": "unknown", "inspiration": "触觉显示", "mechanism": "用低强度、多点、非生殖触觉扩展身体地图，研究注意是否更分布。", "operation": "先在手臂/躯干验证舒适、辨认和停止反应。", "boundary": "禁止高振幅、高频或造成麻木的输出。", "source_ids": [ "CORTEX15" ], "library": true }, { "id": "R005", "node": "37", "slot": "5", "title": "康复超声反馈", "status": "reserve", "feasibility": "F2", "safety": "S2", "evidence": "E2", "scope": "clinician", "reversibility": "medium", "inspiration": "实时超声康复", "mechanism": "可视化呼吸与盆底运动，减少仅靠主观猜测。", "operation": "先验证观察者一致性，再与常规指导比较。", "boundary": "医疗影像必须由专业人员获取和解释。", "source_ids": [ "PFCOMP25" ], "library": true }, { "id": "R006", "node": "37", "slot": "6", "title": "非侵入压力座反馈", "status": "reserve", "feasibility": "F2", "safety": "S1", "evidence": "E2", "scope": "clinician", "reversibility": "medium", "inspiration": "生物力学评估", "mechanism": "座面压力可能帮助识别代偿和回落，但信度仍需验证。", "operation": "在治疗师监督下与表面肌电/超声交叉验证。", "boundary": "不得造成会阴压迫或麻木。", "source_ids": [ "PFCOMP25" ], "library": true }, { "id": "R007", "node": "39", "slot": "5", "title": "生态瞬时记录", "status": "reserve", "feasibility": "F3", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "数字表型", "mechanism": "用极短事后记录减少回忆偏差，观察状态—动作—结果关系。", "operation": "每次只记录一项状态和一项结果，支持完全删除。", "boundary": "不在亲密进行中弹出监测。", "source_ids": [ "CENT15" ], "library": true }, { "id": "R008", "node": "3", "slot": "5", "title": "双人共调节脚本", "status": "reserve", "feasibility": "F2", "safety": "S0", "evidence": "E2", "scope": "partner", "reversibility": "high", "inspiration": "夫妻治疗", "mechanism": "把识别、提示、暂停、恢复和复盘分配给双方。", "operation": "先在非性情境演练提示和退出，再考虑低压力迁移。", "boundary": "退出信号始终最高优先。", "source_ids": [ "PSY16", "EAU26" ], "library": true }, { "id": "R009", "node": "25", "slot": "5", "title": "预测误差颗粒化", "status": "reserve", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "预测加工", "mechanism": "把预期与实际差异按方向记录，研究紧迫感高估。", "operation": "仅做事后粗分，不在现场运行复杂算法。", "boundary": "理论模型不能替代临床诊断。", "source_ids": [ "CENT15" ], "library": true }, { "id": "R010", "node": "40", "slot": "6", "title": "上下文微随机化", "status": "reserve", "feasibility": "F2", "safety": "S0", "evidence": "E2", "scope": "research-only", "reversibility": "high", "inspiration": "变量练习", "mechanism": "随机改变一个低风险情境变量，测试技能迁移而非短期表现。", "operation": "预注册变量、主结局和退回规则。", "boundary": "不随机安全边界或高风险干预。", "source_ids": [ "MOTOR24", "CENT15" ], "library": true }, { "id": "R011", "node": "32", "slot": "5", "title": "呼吸连续性语音代理", "status": "reserve", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "research-only", "reversibility": "high", "inspiration": "无接触传感", "mechanism": "只检测是否连续说出短句，作为屏气风险代理。", "operation": "本地处理声音且不保留原始录音。", "boundary": "不能估计自主神经活动或射精阶段。", "source_ids": [ "HRVM23" ], "library": true }, { "id": "R012", "node": "19", "slot": "5", "title": "日常动作迁移", "status": "reserve", "feasibility": "F2", "safety": "S0", "evidence": "E2", "scope": "self-advanced", "reversibility": "high", "inspiration": "运动学习", "mechanism": "把呼吸和代偿识别迁移到步行、坐站和轻运动。", "operation": "一次只改变一个动作环境并观察迁移。", "boundary": "非性动作效果不能自动推断专项结局。", "source_ids": [ "MOTOR24", "SPACING23" ], "library": true }, { "id": "R013", "node": "25", "slot": "6", "title": "内感受置信度校准", "status": "reserve", "feasibility": "F2", "safety": "S0", "evidence": "E2", "scope": "research-only", "reversibility": "high", "inspiration": "元认知", "mechanism": "同时记录感觉判断与置信度，区分敏感度和过度确信。", "operation": "采用短任务和事后记录，比较校准而非追求高分。", "boundary": "不能用心跳任务推断性反射控制。", "source_ids": [ "INTERO25" ], "library": true }, { "id": "R014", "node": "37", "slot": "7", "title": "盆底表型决策树", "status": "reserve", "feasibility": "F2", "safety": "S1", "evidence": "E4", "scope": "clinician", "reversibility": "medium", "inspiration": "精准康复", "mechanism": "先分高张、无力、协调差、疼痛和混合型，再匹配方法。", "operation": "由治疗师用病史、回落能力和非侵入评估建树。", "boundary": "不把单一压力值作为分型。", "source_ids": [ "PFMETA26", "PFCOMP25", "CPPAIN22" ], "library": true }, { "id": "R015", "node": "18", "slot": "5", "title": "多模态因果图", "status": "reserve", "feasibility": "F1", "safety": "S0", "evidence": "E0", "scope": "research-only", "reversibility": "unknown", "inspiration": "贝叶斯网络", "mechanism": "把睡眠、压力、感觉、张力、动作和结局建成可审计因果假说。", "operation": "只使用去识别数据并明确哪些边仅是假说。", "boundary": "模型相关性不能升级为生理因果。", "source_ids": [ "CENT15" ], "library": true }, { "id": "R016", "node": "29", "slot": "5", "title": "被动决策支持", "status": "reserve", "feasibility": "F2", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "人机协同", "mechanism": "系统只提示用户执行已选安全规则，不自动控制身体输入。", "operation": "允许一键关闭、完全本地运行和查看提示理由。", "boundary": "不得覆盖同意、疼痛或退出信号。", "source_ids": [ "CENT15" ], "library": true }, { "id": "R017", "node": "39", "slot": "6", "title": "本地加密证据日志", "status": "reserve", "feasibility": "F3", "safety": "S0", "evidence": "E0", "scope": "self-advanced", "reversibility": "high", "inspiration": "隐私工程", "mechanism": "为N-of-1复盘保留最少数据并支持彻底删除。", "operation": "默认不云同步，不记录伴侣身份和原始媒体。", "boundary": "隐私设计不能被营销追踪绕过。", "source_ids": [ "CENT15" ], "library": true }, { "id": "R018", "node": "2", "slot": "5", "title": "共享决策权衡卡", "status": "reserve", "feasibility": "F3", "safety": "S0", "evidence": "E5", "scope": "clinician", "reversibility": "high", "inspiration": "共同决策", "mechanism": "把收益、负担、副作用、成本和关系偏好放在同一选择中。", "operation": "用于患者与临床人员讨论组合方案。", "boundary": "不自动推荐处方或替代临床判断。", "source_ids": [ "EAU26", "GAF25" ], "library": true }, { "id": "R019", "node": "20", "slot": "5", "title": "非侵入早期预警模型", "status": "reserve", "feasibility": "F1", "safety": "S2", "evidence": "E0", "scope": "research-only", "reversibility": "unknown", "inspiration": "多模态预测", "mechanism": "探索呼吸、动作和主观紧迫是否可提前提示相变。", "operation": "先验证只读模型的校准、误报和人群差异。", "boundary": "绝不自动加刺激，也不宣称读取SEG。", "source_ids": [ "HSEG17", "CENT15" ], "library": true }, { "id": "R020", "node": "29", "slot": "6", "title": "数字化CBT微模块", "status": "reserve", "feasibility": "F3", "safety": "S0", "evidence": "E2", "scope": "self-basic", "reversibility": "high", "inspiration": "电子健康", "mechanism": "把心理教育、实施意图和无责复盘做成短模块。", "operation": "离线完成，避免现场通知和绩效排行榜。", "boundary": "数字模块不能替代心理治疗或医疗评估。", "source_ids": [ "EAU26", "CBT24" ], "library": true }, { "id": "X001", "node": "32", "slot": "10", "title": "冷水面浸加屏气", "status": "retired", "feasibility": "F0", "safety": "S4", "evidence": "E4", "scope": "prohibited", "reversibility": "low", "inspiration": "潜水反射", "mechanism": "冷休克与潜水反射可能形成自主冲突和心律失常。", "operation": "不实施；只保留淘汰理由。", "boundary": "禁止作为训练或测试。", "source_ids": [ "COLD12" ], "library": true }, { "id": "X002", "node": "32", "slot": "11", "title": "故意眩晕/过度通气", "status": "retired", "feasibility": "F0", "safety": "S4", "evidence": "E2", "scope": "prohibited", "reversibility": "low", "inspiration": "血流动力学干扰", "mechanism": "晕厥和跌倒不是可接受的控制信号。", "operation": "不实施；出现眩晕立即停止并恢复安全姿势。", "boundary": "不提供呼吸频率、时长或挑战参数。", "source_ids": [ "COLD12" ], "library": true }, { "id": "X003", "node": "13", "slot": "10", "title": "神经压迫或绑缚", "status": "retired", "feasibility": "F0", "safety": "S4", "evidence": "E1", "scope": "prohibited", "reversibility": "low", "inspiration": "传入阻断类比", "mechanism": "可能造成缺血、神经损伤和持续感觉异常。", "operation": "不实施；只保留风险说明。", "boundary": "任何持续麻木需评估。", "source_ids": [ "NEURO11" ], "library": true }, { "id": "X004", "node": "16", "slot": "10", "title": "DIY逆向电流碰撞", "status": "retired", "feasibility": "F0", "safety": "S4", "evidence": "E1", "scope": "prohibited", "reversibility": "low", "inspiration": "神经工程阻断", "mechanism": "家庭环境无法安全定位、校准或监测神经电刺激。", "operation": "不实施。", "boundary": "不提供电极、波形或强度参数。", "source_ids": [ "NEURO11", "PVS16" ], "library": true }, { "id": "X005", "node": "11", "slot": "10", "title": "离子/pH化学篡改", "status": "retired", "feasibility": "F0", "safety": "S4", "evidence": "E1", "scope": "prohibited", "reversibility": "low", "inspiration": "细胞电生理类比", "mechanism": "改变膜离子或酸碱会影响广泛神经与代谢功能。", "operation": "不实施。", "boundary": "不提供化学品、配方或剂量。", "source_ids": [ "NEURO11" ], "library": true }, { "id": "X006", "node": "29", "slot": "10", "title": "DIY脑刺激抢占", "status": "retired", "feasibility": "F0", "safety": "S4", "evidence": "E1", "scope": "prohibited", "reversibility": "low", "inspiration": "皮层控制类比", "mechanism": "无法用家庭脑刺激精准阻断反射，且存在不良事件风险。", "operation": "不实施。", "boundary": "研究设备和论文参数不得复制。", "source_ids": [ "CORTEX14", "FMRI12" ], "library": true }, { "id": "X007", "node": "30", "slot": "10", "title": "激素/补剂鸡尾酒", "status": "retired", "feasibility": "F0", "safety": "S4", "evidence": "E1", "scope": "prohibited", "reversibility": "low", "inspiration": "内分泌调节类比", "mechanism": "激素相关性不能转成自行组合干预。", "operation": "不实施；真实适应证由医生判断。", "boundary": "不提供成分或剂量。", "source_ids": [ "HORM12", "EAU26" ], "library": true }, { "id": "X008", "node": "31", "slot": "10", "title": "递质自行夺权", "status": "retired", "feasibility": "F0", "safety": "S3", "evidence": "E1", "scope": "prohibited", "reversibility": "low", "inspiration": "血清素—多巴胺跷跷板", "mechanism": "递质网络不是可用非处方组合精确控制的单轴系统。", "operation": "不实施。", "boundary": "不自行启停、混合或骤停精神活性药物。", "source_ids": [ "NEURO11", "EAU26" ], "library": true }, { "id": "X009", "node": "35", "slot": "10", "title": "尿道器具与夹压", "status": "retired", "feasibility": "F0", "safety": "S4", "evidence": "E5", "scope": "prohibited", "reversibility": "low", "inspiration": "压力相变操纵", "mechanism": "可能导致感染、出血、损伤和尿道并发症。", "operation": "不实施。", "boundary": "不提供器具、位置、压力或时长。", "source_ids": [ "EAU26" ], "library": true }, { "id": "X010", "node": "35", "slot": "11", "title": "憋尿/过度充盈", "status": "retired", "feasibility": "F0", "safety": "S3", "evidence": "E5", "scope": "prohibited", "reversibility": "medium", "inspiration": "容积反馈类比", "mechanism": "可能增加疼痛、尿潴留和感染风险。", "operation": "保持正常排尿习惯。", "boundary": "禁止作为控制训练。", "source_ids": [ "EAU26" ], "library": true }, { "id": "X011", "node": "8", "slot": "10", "title": "超长摩擦冲刷", "status": "retired", "feasibility": "F0", "safety": "S3", "evidence": "E2", "scope": "prohibited", "reversibility": "medium", "inspiration": "巨量数据训练类比", "mechanism": "集中高负荷可能造成组织损伤、麻木和回避学习。", "operation": "用最小有效剂量和恢复闸门替代。", "boundary": "疼痛、皮损、麻木即停止。", "source_ids": [ "EAU26", "SPACING23" ], "library": true }, { "id": "X012", "node": "37", "slot": "10", "title": "通用高强度凯格尔", "status": "retired", "feasibility": "F1", "safety": "S3", "evidence": "E4", "scope": "prohibited", "reversibility": "medium", "inspiration": "传统强化", "mechanism": "高张、疼痛或放松困难者可能因一味收缩而恶化。", "operation": "必须先分型；主矩阵不提供通用强化处方。", "boundary": "不能把力量当作所有人的缺口。", "source_ids": [ "PFMETA26", "CPPAIN22" ], "library": true }, { "id": "X013", "node": "17", "slot": "10", "title": "疼痛感官竞争", "status": "retired", "feasibility": "F0", "safety": "S3", "evidence": "E2", "scope": "prohibited", "reversibility": "medium", "inspiration": "门控理论误用", "mechanism": "疼痛可能抢注意，却增加伤害和防御性张力。", "operation": "不实施。", "boundary": "不提供夹捏、冲击或痛阈参数。", "source_ids": [ "CPPAIN22" ], "library": true }, { "id": "X014", "node": "13", "slot": "11", "title": "选择性背神经手术/注射", "status": "retired", "feasibility": "F0", "safety": "S4", "evidence": "E5", "scope": "prohibited", "reversibility": "low", "inspiration": "降低敏感性", "mechanism": "侵入或不可逆改变不属于训练，并可能造成持续感觉和功能问题。", "operation": "仅在有资质临床团队讨论真实适应证。", "boundary": "主矩阵不提供手术或注射细节。", "source_ids": [ "EAU26" ], "library": true }, { "id": "X015", "node": "12", "slot": "10", "title": "高能振动“永久降敏”", "status": "retired", "feasibility": "F0", "safety": "S3", "evidence": "E3", "scope": "prohibited", "reversibility": "medium", "inspiration": "感觉适应", "mechanism": "特定振动在SCI中用于诱发射精，不能被外推成普通降敏。", "operation": "不实施；设备辅助行为研究另行分级。", "boundary": "不提供频率、幅度或时长。", "source_ids": [ "VIB19", "PVS16" ], "library": true }, { "id": "X016", "node": "37", "slot": "11", "title": "无监督内部盆底器具", "status": "retired", "feasibility": "F0", "safety": "S3", "evidence": "E2", "scope": "prohibited", "reversibility": "medium", "inspiration": "生物反馈", "mechanism": "内部器具可能造成疼痛、感染、误读和边界问题。", "operation": "只有在专业评估、同意和适应证明确时讨论。", "boundary": "不提供插入、放置或设备参数。", "source_ids": [ "PFBIO22", "CPPAIN22" ], "library": true } ] }