刘继帅

[{"body":{"content":"您好，我是主治医师何志华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049559529},{"body":{"content":"你好，大便一天几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049570262},{"body":{"content":"拉什么样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049573250},{"body":{"content":"1次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049576753},{"body":{"content":"哭闹吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049585252},{"body":{"content":"之前宝宝正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049591580},{"body":{"content":"食欲怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049605875},{"body":{"content":"傍晚和晚上哭闹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049611186},{"body":{"content":"还有其他异常吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049630454},{"body":{"content":"食欲一次90，3小时一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049633319},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049637246},{"body":{"content":"这种情况没必要吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652137},{"body":{"content":"之前大便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049654338},{"body":{"content":"酸臭","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049665782},{"body":{"content":"哭闹的时候可以吹风机的声音进行安抚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049681487},{"body":{"content":"没有其他办法缓解吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049706834},{"body":{"content":"乳糖不耐受会大便次数多，目前大便次数不多，不考虑乳糖不耐受，也就没必要吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049719101},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049728235},{"body":{"content":"前两天吃了几袋便便变水样，次数没变","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049759082},{"body":{"content":"影响大吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049766629},{"body":{"content":"没有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049800161},{"body":{"content":"好的 不需要吃了对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049816233},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049832089},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049841482},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049866816},{"body":{"content":"宝宝胀气严重怎样缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049978496},{"body":{"content":"意思不需要干预吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050073640},{"body":{"content":"宝宝有时哭的很难受","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088037},{"body":{"content":"不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050112692},{"body":{"content":"哭的时候用吹风机安抚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050124525},{"body":{"content":"吹风机的声音","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131918}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390682},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050399789},{"body":{"content":"之前吃的什么**？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407132},{"body":{"content":"能吃新盖中盖中老年补钙的**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435445},{"body":{"content":"之前没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050441367},{"body":{"content":"这个适合老年人","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050484515},{"body":{"content":"孕妇一般用**，****比较多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050506883},{"body":{"content":"那吃什么样的可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050517069},{"body":{"content":"**，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050532551},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050593665},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050616479}]

女23岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422297},{"body":{"content":"医生好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965435796},{"body":{"content":"现在身体来月经，脚底站不住","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965452777},{"body":{"content":"腰疼的厉害，以前没那么严重，现在每次来月经都得请假休息两天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965506112},{"body":{"content":"建议检查彩超看看是否有子宫腺肌症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965550908},{"body":{"content":"就是比较明显不舒服，是不是年龄大容易这样，而且坐时间长了腿容易浮肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965565970},{"body":{"content":"体检的时候说有一个特别小得肌瘤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965594613},{"body":{"content":"好嘞谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965648174},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965752169}]

女39岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965474928},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965486110},{"body":{"content":"看看图片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965515869},{"body":{"content":"疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965567040},{"body":{"content":"出汗多吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965569920},{"body":{"content":"疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965573436},{"body":{"content":"多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965576807},{"body":{"content":"我需要经常走路","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965589712},{"body":{"content":"跟出汗有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965591881},{"body":{"content":"可以抹点氧化锌软膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965596481},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史,肝肾功能异常或其他病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965601832},{"body":{"content":"尽量少活动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965605250},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965611614},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965637141}]

女17岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822939},{"body":{"content":"请问您有没有做过尿常规检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049846374},{"body":{"content":"您泡沫尿有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045765},{"body":{"content":"是这样的，如果只是偶然发现泡沫尿增多，您有可能不好鉴别是真的泡沫尿还是假的，然后尿液发黄，一般和尿量有关，比如喝水多、尿量多，一般尿液会稀释，会偏清澈，如果当天喝水比较少，尿液会浓缩，会比较黄。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128975},{"body":{"content":"所以您到底有没有问题，分析再多，其实不去做一个尿常规检查更便于去明确","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172016},{"body":{"content":"就比如你猜测一个人的身高，再怎么对比、猜测，不去拿尺子去直接量一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050206485},{"body":{"content":"所以我建议你先到就近的医疗机构查个尿常规，这样有没有问题就很明确了，不用去怀疑有没有问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050241854},{"body":{"content":"有做过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050531720},{"body":{"content":"是在社区医院做的，显示的全部阴性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050550077},{"body":{"content":"喝水尿液就不黄了，但是泡沫会有，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607487},{"body":{"content":"这个以实验室检查为准，因为尿液浓缩后，浓度会增高，小便时冲刷作用也会起泡，但这和真的泡沫尿（蛋白尿）是不一样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065648},{"body":{"content":"咱肾脏每天排出的毒素量是相对固定的，和喝水多少关系不是特别大，喝水多呢，毒素会稀释，喝水少呢，毒素浓度会高，所以表现出来的性状也不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051154217},{"body":{"content":"就跟普通啤酒和精酿啤酒浓度不一样一个道理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051170016},{"body":{"content":"好的，尿常规没有问题，就是说我是正常的对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359684},{"body":{"content":"对的，多喝水就行。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051368827},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051377679},{"body":{"content":"上边我主要给你通俗的解释了下，你理解下就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051411582}]

男25岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049611186},{"body":{"content":"图片资料下载中，请您稍候。谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049613129},{"body":{"content":"图片看到，受伤多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049624481},{"body":{"content":"今天下午","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049671615},{"body":{"content":"目前这种情况，属于2级动物导致的暴露损伤，是需要狂犬**注射的，受伤后24小时内注射","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049687642},{"body":{"content":"注射前，您最好先通过网络查询您所在地区的**注射地点时间，避免跑冤枉路。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049704296},{"body":{"content":"要打五针吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049809243},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049817963},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891000},{"body":{"content":"祝您身体健康，生活愉快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049938077}]

男20岁

2022.05.20

[{"body":{"content":"您好，我是中医科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049699062},{"body":{"content":"请问您出汗是白天还是夜间比较多呢？吃辛辣或运动后出汗是否更重。身体哪些部位出汗呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049711941},{"body":{"content":"白天，头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049739259},{"body":{"content":"方便发一下舌象吗？可以为您深入辨证看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769533},{"body":{"content":"请问您平时有怕冷、腰酸酸软、失眠多梦、大便稀溏，肢体倦怠，神疲乏力，少气懒言的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049979736},{"body":{"content":"怕热，腰酸，大便稀，乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050056542},{"body":{"content":"s收到，还有其他症状补充吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050068645},{"body":{"content":"就是流汗厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119956},{"body":{"content":"根据您提供的信息及症状，目前初步考虑脾虚气虚兼有湿热证可能性大，这里可以给您一些用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131208},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？请问您在备育期吗？以便我给您用药建议，如果以上都没有，可以回答“都没有”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136598},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050151073},{"body":{"content":"您看是选择中成药还是中药配方（自煎、代煎、**剂）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050173404},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188942},{"body":{"content":"请您稍等，给您开具中药，估计需要3-5分钟。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231181},{"body":{"content":"给您开具的是**剂，方便携带，一共14小袋，一日2次，一次1袋，用150-200ml开水冲调。服用7日，观察疗效，再上线复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050401280},{"body":{"content":"会不会是肾阴虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050455476},{"body":{"content":"不是肾","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050474145},{"body":{"content":"但是有些阴虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478296},{"body":{"content":"中药反应：如您在用药过程中出现不适如皮疹、皮肤瘙痒、发热等，请您及时上线咨询或去医院就诊。 不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485306},{"body":{"content":"还是主要是气虚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050490740},{"body":{"content":"有点阳痿早泄，性生活以前有点频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563885},{"body":{"content":"中医讲究的是整体观，给您用药是调理全身的，在对症的情况下很多症状是可以得到改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050613008},{"body":{"content":"主要是跟您**阴的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622921},{"body":{"content":"你说的这种情况是什么原因造成的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050693529},{"body":{"content":"跟方面都有关系，但是跟手淫关系不是那么大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050721909},{"body":{"content":"可以适当吃一些**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050762277},{"body":{"content":"**的食物建议有瘦肉,鸡肉,鸭肉,兔肉,鱼类、大豆,**,***,**,**,菌菇类、**肉,***,**，**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772080},{"body":{"content":"日常调摄以以下为原则：1、饮食清淡一些，少吃辛辣油腻及生冷食物。 戒烟戒酒，2、适当运动，最好运动到后背微微汗出，不宜大汗淋漓。运动既能增强体质，又能缓解情绪压力 3、注意情绪调节，少思虑，少熬夜 ，尽量在11点前入睡。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050813690},{"body":{"content":"**的有什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050818758},{"body":{"content":"如果您平时有爱喝茶的习惯，推荐您*****，有**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823464},{"body":{"content":"你说会不会是手淫多了导致的肾阴虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050913639},{"body":{"content":"这个有一定的可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050931674},{"body":{"content":"但多引起肾精不足","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050948789},{"body":{"content":"这个***可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952389},{"body":{"content":"另外如果是中成药，就吃*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962480},{"body":{"content":"吃六味地黄丸怎么样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051022303},{"body":{"content":"暂时不吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051034806},{"body":{"content":"五子，主要是管什么的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051089075},{"body":{"content":"**精的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051097096},{"body":{"content":"气虚一般是什么原因造成的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051161011},{"body":{"content":"跟自身体质关系更大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268508},{"body":{"content":"生活中跟熬夜、饮食不规律有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051281848},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051339721},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390286},{"body":{"content":"感谢您的咨询和耐心回答，请问您是否还有其他医药问题需要我为您解答？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392167},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423236},{"body":{"content":"如果您没有其他问题，我将结束您的问诊，希望我的建议能够帮助到您，请点击对话框右上角“ 表扬医生“对我的服务作出评价，您的五星好评，就是对我工作最大的鼓励和支持。欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051431590}]

男32岁

2022.05.20

[{"body":{"content":"几天了？痒不痒？之前治疗过吗？有没有照片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049608443}]

男37岁

2022.05.20

[{"body":{"content":"医生好，上次的药吃完了，这次想买*********25mg五盒，请帮我开方\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877937805},{"body":{"content":"请稍等，我来开处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878623728},{"body":{"content":"处方已开好，您点击查看详情，选择预约购药，就可以直接购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878673405},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879998890}]

男67岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080929},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084032},{"body":{"content":"有什么可以帮助的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050165402},{"body":{"content":"您好 还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051061508}]

女

2022.05.20