CN111529400A

CN111529400A - Household reminding device for helping the old to take medicine

Info

Publication number: CN111529400A
Application number: CN202010515740.4A
Authority: CN
Inventors: 王宏祥; 王玉振
Original assignee: Liaoning University of Technology
Current assignee: Liaoning University of Technology
Priority date: 2020-06-09
Filing date: 2020-06-09
Publication date: 2020-08-14

Abstract

The household old-age-assisting medicine-taking reminding device is characterized in that a circuit part of the household old-age-assisting medicine-taking reminding device comprises a single chip microcomputer, a relay, a stepping motor driving module, a voice module and a clock module which are integrated, and the thickness of a tablet is measured through a tablet thickness measuring probe. The mechanical part comprises a rotary barrel medicine storage barrel, a medicine leakage device, a medicine pushing and counting device and a medicine distributing device which are connected; the device has the advantages that the device reminds a patient to take medicine on time by sounding through the loudspeaker, and the name, time and the dosage of the medicine taken each time are set through the TFTLCD touch screen, so that the manual memory is avoided. The device realizes that one medicine is just discharged from the medicine storage barrel at each time by driving the medicine containing rod to lift through the stepping motor, and the medicine is pushed down from the medicine containing rod by driving the medicine pushing disc through the push-pull electromagnet, so that automatic medicine dispensing is realized.

Description

Household reminding device for helping the old to take medicine

Technical Field

The invention relates to a household reminding device for helping the old to take medicines, in particular to a household reminding device for helping the old to take medicines, which can remind people to take medicines on time and has an automatic medicine dispensing function.

Background

At present, the population of China is seriously aged, and the empty nester with chronic diseases is increasing day by day. The memory deterioration of the elderly often causes the condition deterioration or even the failure to control because of forgetting to take medicine or taking wrong dosage.

According to the sixth national sanitation service survey of the ministry of health in 2018, the prevalence rate of chronic diseases of the old people in China is 3-4 times of that of the population in China, and reaches about 70%. Hypertension, coronary heart disease and diabetes are the frequent and chronic diseases of the elderly. Since the elderly suffering from chronic diseases need to take a large amount of medicines for a long period of time and regularly. And has the characteristics of memory reduction, solitary residence and the like, and has the problems of forgetting to take medicine, taking medicine by mistake and the like.

The prior art only has a reminding function and does not have the function of automatic dispensing.

Disclosure of Invention

In view of the above situation, the present invention aims to provide a household reminding device for helping the elderly to take medicines, which can remind people to take medicines on time and has an automatic medicine dispensing function.

The purpose of the invention is realized by the following technical scheme: the control panel is formed by STM32F103RCT6 singlechip, relay, ESP8266WIFI module, TB6600 stepping motor drive module A, TB6600 stepping motor drive module B, SYN6288 voice module, NE555 module, CX20106A module and DS1302 clock module in an integrated manner, and is fixed on the box bottom by bolts. The reminding device consists of a loudspeaker 26, is connected with a SYN6288 voice module on the control panel through a lead, and is fixed on the box body through a bolt. The TFTLCD touch screen is fixed at the outer peripheral end of the box body. The tablet thickness measuring probe is arranged at the outer end of the upper periphery of the box body through a buckle, and the tablet thickness is measured through the tablet thickness measuring probe. The medicine receiving box is inserted in the middle end of the box body. The medicine leakage device consists of a stepping motor support A, a stepping motor A6, a coupling A, a bearing, a lead screw, an optical axis A, a lifting plate, a medicine containing rod, a steel frame and a medicine leakage device fixing frame. Step motor support A passes through the bolt fastening on the box body base, step motor A passes through the bolt fastening on step motor support A, be connected step motor A output shaft and lead screw one end through shaft coupling A, the steelframe is fixed on leaking the medicine device mount, install the bearing at steelframe upper end and lower extreme, the lead screw is inserted and is put and make step motor A can drive the lead screw rotatory wherein, the optical axis is installed in lead screw left end 10 centimetres department, the lifter plate right-hand member is opened has the screw thread mouth that matches the box with the lead screw, the bearing is laid with the optical axis and is cooperateed to the left end, make the lifter plate can reciprocate under the drive of lead screw, it fixes the left end at the lifter plate to contain the medicine pole, it can reciprocate. The medicine pushing and counting device consists of a push-pull electromagnet, a slide rail, a medicine pushing disc, a partition plate and a correlation photoelectric sensor. The medicine leakage opening is formed in the partition plate, the push-pull electromagnet and the slide rail are fixed at the lower end of the partition plate, the push-pull electromagnet is connected with the relay on the control panel through a wire, the medicine pushing disc is installed on the slide rail, the medicine pushing disc can slide on the slide rail, the upper end face of the medicine pushing disc and the upper end face of the partition plate are on the same horizontal plane, the rear end of the medicine pushing disc is connected with the front end of the push-pull electromagnet, and the correlation photoelectric sensor is installed at the front end of the medicine pushing disc and used for counting medicine discharged from the device. The medicine distributing device is composed of a stepping motor support B, a stepping motor B, a coupler B, an optical axis B, a flange plate and a rotary barrel. Step motor support B passes through the bolt fastening on the box body base, and step motor B passes through the bolt fastening on step motor support B, is connected step motor B output shaft and optical axis one end through shaft coupling B, and the optical axis other end is linked with the ring flange, and the ring flange is fixed in commentaries on classics bucket lower extreme center department, just can drive when step motor is rotatory changes the bucket rather than rotatory together. Along 18 through-holes of circumference equipartition on the rotary barrel, per two through-holes differ by 20 degrees for lay storage medicine cask, because the medicine variety is diversified, the patient can be according to shape, the size of the medicine of oneself taking to select to lay the storage medicine cask that the box is suitable. 18 through holes uniformly distributed along the circumferential direction on the rotary barrel are arranged from sequence number 1 to 18, the stepping motor B is not started at the initial stage and is in a reset state, and the through holes on the rotary barrel and the medicine leakage openings on the partition plate are coaxial. The lower end of the medicine storage barrel is a through opening, and the upper end of the medicine storage barrel is connected with the medicine storage barrel through threads by the medicine storage barrel sealing cover to achieve the sealing effect. 20-30 tablets can be placed in each medicine storage barrel, and 15-25 tablets can be placed in each medicine storage barrel of the capsule. The sealing cover on the medicine box is connected with the box body through a hinge.

The invention has the advantages that: due to the diversification of the types of medicines on the market, the medicine storage barrel is designed to be detachable by the device. The user can select the medicine storage barrel suitable for the box to install according to the shape and the size of the medicine taken by the user. The types of drugs to which the present device is applicable include: capsule and tablet. The device realizes setting of the name and time of the medicine to be taken and the dosage of the medicine to be taken each time through the TFTLCD touch screen, reminds the patient to take the medicine on time through the sound production of the loudspeaker, and avoids the artificial memory. The device realizes that one medicine is just discharged from the medicine storage barrel at each time by driving the medicine containing rod to lift through the stepping motor, and the medicine is pushed down from the medicine containing rod by driving the medicine pushing disc through the push-pull electromagnet, so that automatic medicine dispensing is realized. The front end of the medicine pushing disc controls a photoelectric sensor and an STM32F103RCT6 single chip microcomputer to control a stepping motor and a push-pull electromagnet so as to accurately control the medicine output amount. This device accessible ESP8266WIFI module communicates with cell-phone APP, and the patient takes medicine at every turn the back device can be automatic will take medicine information and send to patient's cell-phone above convenient patient in the future to the course of treatment of taking medicine to look over. The quantity of the medicine put in the medicine storage barrel for taking the medicine is input through the TFTLCD touch screen, and when the residual quantity of the medicine taken in the medicine storage barrel is insufficient, the loudspeaker of the device can send out an alarm sound to remind a user to add the medicine.

Drawings

FIG. 1 is a schematic view of the appearance;

FIG. 2 is a schematic front view;

FIG. 3 is a schematic left side view;

FIG. 4 is a schematic top view of the rotary barrel;

FIG. 5 is a top view of the medicine storage barrel;

FIG. 6 is a wiring diagram of the control circuit;

FIG. 7 is a part A of a wiring diagram of a control circuit;

FIG. 8 is a portion of a wiring diagram B of the control circuit;

FIG. 9 is a portion of a control circuit wiring diagram C;

FIG. 10 is a portion of a control circuit wiring diagram D;

FIG. 11 is a portion of a control circuit wiring diagram E;

FIG. 12 is a portion of a control circuit wiring diagram F;

FIG. 13 is a portion of a control circuit wiring diagram G;

FIG. 14 is a portion of a control circuit wiring diagram H;

FIG. 15 is a control circuit wiring diagram section I.

Parts in the figure are marked: 1-box bottom, 2-box body, 3-TFTLCD touch screen, 4-box upper sealing cover, 5-step motor support A, 6-step motor A6, 7-medicine receiving box, 8-coupler A, 9-optical axis A, 10-bearing A, 11-medicine containing rod, 12-lead screw, 13-bearing B, 14-medicine storage barrel, 15-medicine storage barrel sealing cover, 16-push-pull electromagnet, 17-lifting plate, 18-flange plate, 19-rotating barrel, 20-partition plate, 21-optical axis B, 22-coupler B, 23-step motor support B, 24-step motor B, 25-box body rear cover, 26-loudspeaker, 27-loose-leaf A, 28-loose-leaf B, 29-correlation photoelectric sensor, 30-a medicine pushing disc, 31-a slide rail, 32-a steel frame, 33-a tablet thickness measuring probe, 34-a medicine leakage device fixing frame and 35-a control panel.

Detailed Description

The following detailed description is made with reference to the accompanying drawings: as shown in the figure, the control circuit wiring is formed by connecting a.b.c.d.e.f.g.h.i parts, and the control circuit on the control board 35 is that the IO port of the STM32F103RCT6 single chip microcomputer is respectively connected with the TFTLCD touch screen 3, the relay, the ESP8266WIFI module, the TB6600 stepping motor driving module A, TB6600 stepping motor driving module B, SYN6288 voice module, the NE555 module, the CX20106A module and the DS1302 clock module through wires. The push-pull electromagnet 16 is connected with a relay on the control panel 35 through a lead, the signal input end of a tablet thickness measuring probe 33 of the model 2MHZPT-04 is connected with an NE555 module on the control panel 35 through a lead, the signal output end is connected with a CX20106A module on the control panel 35 through a lead, the stepping motor A6 is connected with a TB6600 stepping motor driving module A on the control panel 35 through a lead, the stepping motor B24 is connected with a TB6600 stepping motor driving module B on the control panel 35 through a lead, the loudspeaker 26 is connected with a SYN6288 voice module on the control panel 35 through a lead, and the control panel 35 is fixed on the box bottom through bolts.

Fig. 5 is a schematic plan view of a medicine storage barrel 14, and investigation shows that the medicine in the market has various shapes and sizes, and in order to improve the adaptability of the household reminding device for helping the elderly to take medicine, we design the medicine storage barrel 14 with 3 shapes according to the investigation result, and users can select the medicine storage barrel 14 with a proper box according to their needs. Each shape of the drug storage barrel 14 is provided with the same size as the size of the drugs on the market.

As shown in the figure, the box bottom 1 is connected with the box body 2 through hexagon socket head cap screws, the TFTLCD touch screen 3 is fixed on the box body 2 through a buckle, the upper sealing cover 4 of the medicine box is connected with the rear cover 25 of the box body 2 through a hinge a27 and a hinge B28, the stepping motor support a5 is fixed on the box bottom 1 through hexagon socket head cap screws, and the stepping motor a6 is fixed on the stepping motor support a5 through hexagon socket head cap screws. Bearings B13 are respectively arranged at the upper right end and the lower right end of the steel frame 32, and the upper end of the screw 12 is inserted into the bearing B13 at the upper right end of the steel frame 32; the lower end of the screw rod 12 penetrates through a bearing B13 at the right lower end of the steel frame 32 and is connected with an output shaft of a stepping motor A6 through a coupling A8 and fixed through a set screw. The optical axis a9 is fixed at the left end of the steel frame 32 by a set screw. Bearing a10 is mounted on lifter plate 17. The lifting plate 17 is sleeved on the optical axis A9 and the screw rod 12, and a threaded hole with a size matched with the screw rod 12 is formed in the right end of the lifting plate 17. When the stepping motor A6 rotates anticlockwise, the lifting plate 17 is driven to descend; when the stepping motor a6 rotates clockwise, it will lift the lifting plate 17. The medicine containing rod 11 is fixed at the left end of the lifting plate 17 through a set screw. The partition plate 20 is provided with a medicine leakage opening, and the push-pull electromagnet 16 is fixed below the partition plate 20 through a buckle. The slide rail 31 is fixed below the partition plate 20 by a hexagon socket head cap screw. The medicine pushing disc 30 is connected with the output end of the push-pull type electromagnet 16 through a nut, and the medicine pushing disc 30 can slide on the slide rail 31. 18 through holes are uniformly distributed on the rotary barrel 19 along the circumferential direction, and the difference between every two through holes is 20 degrees, so that the medicine storage barrel 14 can be placed. When in use, a user can select a proper medicine storage barrel 14 according to the requirement. The medicine storage barrel 14 is covered with a medicine storage barrel sealing cover 15. The flange 18 is fixed at the lower end of the rotary barrel 19 through hexagon socket head cap screws. The upper end of the optical axis B21 is connected with the flange 18 through a set screw. The lower end of the optical axis B21 is connected with an output shaft of a stepping motor B24 through a coupler 22 and fixed through a set screw. The stepping motor bracket B23 is fixed on the box bottom 1 through a hexagon socket head cap screw. The stepping motor B24 is fixed on the stepping motor bracket B23 through a hexagon socket head cap screw. At the beginning, the stepping motor B24 is not started and is in a reset state, and the through hole 1901 on the rotary barrel 19 is coaxial with the medicine leakage port on the partition plate 20. The tablet thickness measuring probe 33 is arranged on the upper periphery of the box body 2 through a buckle, and the tablet thickness measuring probe 33 is 2 MHZPT-04. The principle of tablet thickness measurement is to measure the tablet thickness by using the ultrasonic thickness measurement principle, and the ultrasonic thickness measurement technology is mature at present and is not described herein again. The control plate 35 is fixed on the box bottom 1 through hexagon socket head cap screws.

The operation process comprises the following steps: the description is given by using a household reminding device for helping the old to take medicine for the first time. First, the sealing lid 4 of the medicine box is opened, and the medicine storage barrel 14 is inserted into the through hole 1901 of the rotary barrel 19 according to the shape, diameter or width of the medicine to be taken. Then, a piece of medicine to be taken is taken out and placed on the tablet thickness measuring probe 33, when the thickness of the medicine is measured, the device can give out prompt tones to indicate that a patient can take down the medicine on the tablet thickness measuring probe 33, and at the moment, the TFTLCD touch screen 3 pops up a window to display the thickness of the medicine. The patient unscrews the medicine storage barrel sealing cover 21 in the 1901 through hole on the rotating barrel 19, puts the medicine to be taken and then screws up the medicine storage barrel sealing cover 21. Finally, the patient clicks the TFTLCD touch screen 3 to select the No. 1 through hole position to input the name, thickness, medicine taking time and quantity of the medicines to be taken and the quantity of the medicines placed in the medicine storage barrel 14, and the sealing cover 4 on the medicine box is closed.

The working principle is as follows: when the stepping motor B24 is not started at the beginning and is in a reset state, the 1901 through hole on the rotary barrel 19 and the medicine leakage opening on the partition plate 20 are coaxial; the stepping motor A6 is not started and is in a reset state, and the upper end surface of the medicine containing rod 11 is in contact with the lower end surface of the medicine pushing disc 30; push-pull electromagnet 16 is not electrified and is in pushing the state, pushes away medicine tray 30 and plugs up the mouth that leaks on the baffle 20 just this moment, thereby push-pull electromagnet 16 circular telegram of STM32F103RCT6 singlechip control relay switch-on control panel 35, push-pull electromagnet 16 is in the state of pulling, pushes away medicine tray 30 and opens to the mouth that leaks on the rearward movement baffle 20 this moment, just has the medicine to fall on flourishing medicine pole 11. The medicine containing rod 11 descends by 1mm every time the stepping motor A6 rotates clockwise. The height that the rod 11 needs to be lowered for different drug configurations is the drug thickness minus the thickness of the divider 20 to ensure that exactly one drug falls from the storage drum 14 at a time. When the medicine falls on the medicine containing rod 11, the light emitted by the opposite photoelectric sensor 29 is blocked, the opposite photoelectric sensor 29 gives a high level to an STM32F103RCT6 singlechip on the control board 35, and the system records one-time medicine discharging. Because the patient has input the time and the quantity of each kind of medicine taken and the quantity of the medicine put in each medicine storage barrel 14 into the device system through the TFTLCD touch screen 3 when putting the medicine, the system can automatically pre-calculate the time of the medicine to be added next time according to the data, and when the medicine residual quantity in the medicine storage barrel 14 is insufficient, the device loudspeaker 26 can send out an alarm sound to remind the user to add the medicine.

Now, the patient needs to take three kinds of medicines each time, the medicine storage barrel 14 for the three kinds of medicines to be taken is respectively arranged in the 1901 through hole, the 1909 through hole and the 1915 through hole of the rotary barrel 19, and each kind of medicine needs to be taken by 1 grain, 2 grains and 1 grain respectively.

The device starts automatic dispensing when three minutes remain from the time of taking the medication. The medicines taken at the same time are sequentially dispensed according to the sequence of the through holes on the rotary barrel 19 arranged on the medicine storage barrel 14. The medicine in the medicine storage barrel 14 in the through hole 1901 on the rotary barrel 19 is firstly prepared. At this time, the stepping motor B24 is not started in a stationary state. STM32F103RCT6 singlechip control step motor A6 clockwise rotation on control panel 35 drives lead screw 12 rotation and drives lifter plate 17 and descend to drive flourishing medicine pole 11 descends, when descending the thickness that height reaches the medicine in 1901 through-hole storage cask 14 thickness subtract the thickness of baffle 20, STM32F103RCT6 singlechip control step motor A6 on control panel 35 stops rotatoryly. At the moment, the STM32F103RCT6 single-chip microcomputer on the control panel 35 controls the relay to be switched on, so that the push-pull electromagnet 16 is electrified, the push-pull electromagnet 16 is immediately started to drive the medicine pushing disc 30 to move backwards, and at the moment, the medicines in the medicine storage barrel 14 in the 1901 through hole fall onto the medicine containing rod 11 one by one. The light emitted by the opposite-emitting photoelectric sensor 29 is blocked by the medicine, at the moment, the device system records that the medicine is dispensed once, the single chip microcomputer STM32F103RCT6 on the control panel 35 receives a high level, the relay is powered off immediately, so that the push-pull electromagnet 16 is powered off, the push-pull electromagnet 16 is reset, the medicine pushing disc 30 is also driven to reset, and the medicine on the medicine containing rod 11 is pushed down into the medicine receiving box 10. Then STM32F103RCT6 singlechip on control panel 35 controls stepper motor A6 to reset.

The apparatus then begins to rotate the drug in the drug storage drum 14 in the through hole 1909 in the drum 19. At this time, the STM32F103RCT6 singlechip on the control board 35 controls the stepping motor B24 to rotate counterclockwise by 160 degrees and then stops. STM32F103RCT6 singlechip control step motor A6 clockwise rotation on the control panel 35 drives lead screw 12 rotation and drives lifter plate 17 and descend to drive flourishing medicine pole 11 descends, when descending the thickness that height reaches the medicine in the medicine storage barrel 14 in 1909 through-hole subtracts the thickness of baffle 20, STM32F103RCT6 singlechip control step motor A6 on the control panel 35 stops rotatoryly. At the moment, the STM32F103RCT6 single-chip microcomputer on the control panel 35 controls the relay to be electrified, so that the push-pull electromagnet 16 is electrified, the push-pull electromagnet 16 is immediately started to drive the medicine pushing disc 30 to move backwards, and at the moment, the medicines in the medicine storage barrel 14 in the 1909 through hole fall onto the medicine containing rod 11 one by one. The light emitted by the opposite-emitting photoelectric sensor 29 is blocked by the medicine, at the moment, the device system records that the medicine is dispensed once, the STM32F103RCT6 single chip microcomputer receives a high level, the relay is powered off immediately, so that the push-pull electromagnet 16 is powered off, the push-pull electromagnet 16 is reset to drive the medicine pushing tray 30 to reset, and the medicine on the medicine containing rod 11 is pushed into the medicine receiving box 10. After 1 second, the STM32F103RCT6 single chip microcomputer controls the relay to be switched on, so that the push-pull electromagnet 16 is electrified, the push-pull electromagnet 16 is immediately started to drive the medicine pushing disc 30 to move backwards, and at the moment, the medicine in the medicine storage barrel 14 in the 1909 through hole falls onto the medicine containing rod 11 by one granule. The light emitted by the opposite-emitting photoelectric sensor 29 is blocked by the medicine, the device system records the medicine to be dispensed twice, the STM32F103RCT6 single chip microcomputer receives a high level, the relay is immediately powered off, so that the push-pull electromagnet 16 is powered off, the push-pull electromagnet 16 is reset to drive the medicine pushing tray 30 to reset, the medicine on the medicine containing rod 11 is pushed into the medicine receiving box 10, and then the STM32F103RCT6 single chip microcomputer on the control board 35 controls the stepping motor A6 to reset.

The barrel 14 is initially rotated through the hole 1915 in the barrel 19. At this time, the single chip microcomputer STM32F103RCT6 on the control board 35 controls the stepping motor B24 to rotate 120 degrees counterclockwise and then stop. STM32F103RCT6 singlechip control step motor A6 clockwise rotation on control panel 35 drives lead screw 12 rotation and drives lifter plate 17 and descend to drive flourishing medicine pole 11 descends, when descending the height and reach the thickness of the medicine in 1915 through-hole medicine storage barrel 14 and subtract the thickness of baffle 20, STM32F103RCT6 singlechip control step motor A6 on control panel 35 stops rotatoryly. At the moment, the STM32F103RCT6 single-chip microcomputer on the control board 35 controls the relay to be switched on, so that the push-pull electromagnet 16 is electrified, the push-pull electromagnet 16 is immediately started to drive the medicine pushing disc 30 to move backwards, and at the moment, the medicines in the medicine storage barrel 14 in the 1915 through hole fall onto the medicine containing rod 11 one by one. The light emitted by the opposite-emitting photoelectric sensor 29 is blocked by the medicine, at the moment, the device system records that the medicine is dispensed once, the single chip microcomputer STM32F103RCT6 on the control panel 35 receives a high level, the relay is immediately disconnected, so that the push-pull electromagnet 16 is powered off, the push-pull electromagnet 16 is reset, the medicine pushing disc 30 is also driven to reset, and the medicine on the medicine containing rod 11 is pushed into the medicine receiving box 10. Then, the single chip microcomputer STM32F103RCT6 on the control board 35 controls the stepping motor A6 and the stepping motor B24 to reset.

When the arrival took medicine and predetermine the time, speaker 26 sent suggestion sound and reminded that the patient took medicine before, and the patient only need take out medicine receiving box 10, took the back with the inside medicine, will take medicine box 10 and insert back, clicked TFTLCD touch-sensitive screen 3 again and taken medicine, STM32F103RCT6 single chip microcomputer control ESP8266WIFI module on the control panel 35 will take medicine information this time and send patient's cell-phone on.

Claims

1. A household old-age-assisting medicine-taking reminding device is characterized in that a control panel is formed by integrating an STM32F103RCT6 single chip microcomputer, a relay, an ESP8266WIFI module, a TB6600 stepping motor driving module A, TB6600 stepping motor driving module B, SYN6288 voice module, an NE555 module, a CX20106A module and a DS1302 clock module and is fixed on a box bottom through bolts; the reminding device consists of a loudspeaker, is connected with a SYN6288 voice module on the control panel through a lead, and is fixed on the box body through a bolt; the touch screen is fixed at the outer end of the upper periphery of the box body; the tablet thickness measuring probe is arranged at the outer end of the upper periphery of the box body through a buckle and is used for measuring the thickness of the tablets; the medicine receiving box is inserted at the middle end of the box body; the medicine leakage device consists of a stepping motor support A, a stepping motor A, a coupling A, a bearing, a lead screw, an optical axis A, a lifting plate, a medicine containing rod, a steel frame and a medicine leakage device fixing frame; the medicine leakage device comprises a box body base, a stepping motor support A, a screw rod, a medicine leakage device fixing frame, a screw rod, a stepping motor A, a medicine containing rod and a lifting plate, wherein the stepping motor A is fixed on the box body base through bolts, the stepping motor A is fixed on the stepping motor support A through bolts, an output shaft of the stepping motor A6 is connected with one end of the screw rod through a coupling A, a steel frame is fixed on the medicine leakage device fixing frame, bearings are arranged at the upper end and the lower end of the steel frame, the screw rod is inserted into the steel frame to enable the stepping motor A6 to drive the screw rod to rotate, the optical axis is arranged at the left end of the screw rod, the right end of the lifting plate; the medicine pushing and counting device consists of a push-pull electromagnet, a slide rail, a medicine pushing disc, a partition plate and a correlation photoelectric sensor; the medicine leakage port is formed in the partition plate, the push-pull electromagnet and the slide rail are fixed at the lower end of the partition plate, the push-pull electromagnet is connected with the relay on the control panel through a lead, the medicine pushing disc is installed on the slide rail, the medicine pushing disc can slide on the slide rail, the upper end face of the medicine pushing disc and the upper end face of the partition plate are on the same horizontal plane, the rear end of the medicine pushing disc is connected with the front end of the push-pull electromagnet, and the correlation photoelectric sensor is installed at the front end of the medicine pushing disc; the medicine distributing device consists of a stepping motor support B, a stepping motor B, a coupling B, an optical axis B, a flange plate and a rotary barrel; the stepping motor support B is fixed on the box body base through a bolt, the stepping motor B is fixed on the stepping motor support B through a bolt, an output shaft of the stepping motor B is connected with one end of an optical shaft through a coupler B, the other end of the optical shaft is connected with a flange plate, the flange plate is fixed at the center of the lower end of the rotary barrel, and the rotary barrel is driven to rotate together with the flange plate when the stepping motor rotates; the rotating barrel is uniformly provided with through holes along the circumferential direction, every two through holes are different in degree and used for placing medicine storage barrels, patients can select the medicine storage barrels suitable for placing boxes according to the shapes and sizes of medicines to be taken by the patients due to the diversity of medicine types, 18 through holes uniformly distributed along the circumferential direction on the rotating barrel are arranged from the sequence number of 1-18, the stepping motor B is not started to be in a reset state at the initial time, and the through holes on the rotating barrel and the medicine leakage openings on the partition plate are coaxial; the lower end of the medicine storage barrel is a through hole, the upper end of the medicine storage barrel is connected with the medicine storage barrel through a sealing cover of the medicine storage barrel through threads to achieve the sealing effect, 20-30 granules can be placed in each medicine storage barrel for tablet medicine filling, and 15-25 granules can be placed in each medicine storage barrel for capsules; the sealing cover on the medicine box is connected with the box body through a hinge.