王奔

[{"body":{"content":"您好，我是育儿顾问***，很高兴为您提供健康咨询服务，为了更好地解答您的育儿相关问题，请您在描述的时候辛苦补充以下信息:1. 宝宝年龄；2. 宝宝性别；3. 育儿问题；注：育儿顾问为您提供育儿，喂养，**，早教相关的健康咨询服务。涉及医疗问题请您及时就医。祝宝宝健康快乐。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050059298},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063290},{"body":{"content":"给咱家宝宝换奶粉了，是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080287},{"body":{"content":"转奶了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084568},{"body":{"content":"宝宝现在拉肚子好了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050089774},{"body":{"content":"有没有给宝宝喝点***调节一下****？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050099615},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050318151},{"body":{"content":"转奶的时候一定要慢，逐渐的减少原来的奶量，增加新奶的量，需要看每个宝宝的耐受情况，一般来说，需要半个月左右的时间转奶过快过急，很容易出现消化功能不良的情况，就出现拉肚子，胃肠功能损伤以后修复起来需要很长的时间，需要**的来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336846},{"body":{"content":"最好选择宝宝身体健康时进行转奶，同时避开宝宝打预防针的期间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050349617},{"body":{"content":"不同系列，阶段，品牌的奶粉，成分都是不一样的，刚开始换的时候需要新旧奶粉掺在一起喝，让宝贝有适应的过程，否则容易拉肚子的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050359114},{"body":{"content":"咱家宝宝已经转完奶了是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375465},{"body":{"content":"拉了四五天，昨天去看了医生，给了点药，***的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050429558},{"body":{"content":"是的，转奶了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050437494},{"body":{"content":"嗯，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441693},{"body":{"content":"咱家宝宝转奶是不是转快了？宝宝对新奶粉还没有适应","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050467707},{"body":{"content":"有一个月的时间转奶，现在开始完全换了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471219},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485488},{"body":{"content":"注意给宝宝小肚子保暖，不要让宝宝的小肚子着凉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050498224},{"body":{"content":"用***吹热干毛巾，在40度左右给宝宝热敷肚子。别烫着宝宝。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050505747},{"body":{"content":"有一个月时间转奶了，所以不知道是不是奶粉问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050506662},{"body":{"content":"如果给咱家宝宝在转奶期间，宝宝没有拉肚子，就不是奶粉的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545204},{"body":{"content":"宝宝拉肚子没有好之前不要添加新的辅食","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050560262},{"body":{"content":"转奶期间没有拉，完全转了这几天拉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050625708},{"body":{"content":"嗯，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050640223},{"body":{"content":"最近也不添加辅食了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050640736},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050650290},{"body":{"content":"两奶之间给宝宝多喝温开水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663749},{"body":{"content":"都会的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050783816},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050790709},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050801845},{"body":{"content":"欢迎您随时访问京东，咨询育婴问题，我会在线为您解答，很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806033},{"body":{"content":"如果暂时没有的话，能不能麻烦你点击对话框右上角；表扬：按钮？给我一个好评，谢谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809235},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182948},{"body":{"content":"我们今天有考核，请您帮忙点好评，辛苦您了，??非常感谢????","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051187656}]

[{"body":{"content":"帮忙开个处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878661387},{"body":{"content":"您好，我是马医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878663188},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878664652},{"body":{"content":"你是本人咨询吗？以往有过线下就诊经历吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878665977},{"body":{"content":"您好，请问您之前在线下医院就诊过吗？目前的药物是您本人在服用吗？具体的诊断是什么？有带有患者名字的诊断记录/病历/处方单/检查单等就诊资料吗？请发给我看一下，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671786},{"body":{"content":"是的，精神分裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878713706},{"body":{"content":"因为精神科药品的特殊性，平台咨询不能代替线下就诊，所以我们只能给要过线下就诊经历诊断明确的病情稳定的开具处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878726455},{"body":{"content":"不可开方情况：\n１.　用药指导不可以\n２.　门诊缴费凭证不可以\n３.　互联网平台处方凭证不可以\n 4. 取药单不可以\n 5. 发票单不可以\n 6. 非精神心理科提供的凭证不可以！（神经内科规范处方除外）\n以上均缺乏专业认证！！！！！！！\n\n可开方情况（满足一种即可)：\n特别说明：以下可开方情况的专业认证与本次问诊的患者姓名、诊断、药品名称三者必须全部一致，否则不可开方！！！！！！！\n\n１．门诊病历（可无盖章，必须有医生签名）\n２.　住院病历（必须有医院公章）\n３.　出院小结（纸质手写必须有医院公章，电子版可无公章）\n４.　诊断证明（必须有医院公章）\n５.　处方单（必须有医生签名）\n 6· 线下实体医院自有互联网医院处方单（必须有医生签名）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879085715}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049784718},{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049805910},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813520},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049816521},{"body":{"content":"睾丸胀痛 / 会阴胀痛 / 尿急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049855278},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049859268},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049868365},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871360},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049875732},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049879746},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049885094},{"body":{"content":"治疗效果是否满意？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049888174},{"body":{"content":"不满意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891962},{"body":{"content":"是否方便上传检查报告？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049895997},{"body":{"content":"检查结果已上传","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050001310},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063493},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、骑车、骑马、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067212},{"body":{"content":"怎么治疗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050084886},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096134},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050104156},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050190366},{"body":{"content":"医院开了这个吃了感觉没什么效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050207492},{"body":{"content":"针对您的情况，建议您可以使用************+******治疗一下，可以先使用1周的看看效果，1周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361192},{"body":{"content":"我自己买了*****在吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396402},{"body":{"content":"吃了几天了，今天骑车后又开始疼痛起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050418472},{"body":{"content":"减少骑车等不良刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520374},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524354},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050548370},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554150},{"body":{"content":"您可以点击处方，预约购买，药师审核通过后，即可发药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554946},{"body":{"content":"买哪种？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576940},{"body":{"content":"处方已经审核通过了，您点击处方，按流程即可购买的，后续用药问题，可以上线找我复诊，祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592772},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050620295},{"body":{"content":"这个药都是一起吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050631854},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050708421},{"body":{"content":"这是一周量？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050821465},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050832572},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050902240},{"body":{"content":"能治疗好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050929919},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940339},{"body":{"content":"用药1周后，可以线上找我复诊，便于掌握您的病情变化，更好调整治疗用药，指导康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050944237},{"body":{"content":"嗯嗯，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995886},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008112},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051015212},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，避免剧烈运动。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051029529},{"body":{"content":"希望我的建议能够帮助到您，后续您如果还有需要咨询的问题，可以打开京东APP，点击“我的”，再点击“问医生”，在搜索栏中搜索“泌尿外科**”，即可找到我。祝您生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551069}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967126},{"body":{"content":"之前有过这个症状嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049979192},{"body":{"content":"之前一直就腰疼 今年开始慢慢有这些症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050125006},{"body":{"content":"你月经来的多吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050158240},{"body":{"content":"不多 两三天就干净了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050173017},{"body":{"content":"我看下你舌头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201710},{"body":{"content":"时长手脚会出虚汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050204547},{"body":{"content":"嗯嗯。你胃胀嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050307354},{"body":{"content":"怕冷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309233},{"body":{"content":"偶尔会胃胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403692},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415861},{"body":{"content":"怕冷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050425310},{"body":{"content":"你一说我现在感觉胃有点胀 ?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483166},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050495969},{"body":{"content":"你气血不足。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050500462},{"body":{"content":"啥原因会得这病？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050554837},{"body":{"content":"我以后好注意点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050568075},{"body":{"content":"从你舌像和症状就是气血不足所导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050583364},{"body":{"content":"???","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610509},{"body":{"content":"这病是不是活不长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623652},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630179},{"body":{"content":"那不至于。你能喝汤药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634672},{"body":{"content":"嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636704},{"body":{"content":"我可以给你调理下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050640911},{"body":{"content":"有时候会回复不及时，还请耐心等待一下，您咨询的所有问题，我都会在问诊有效时间内，给到您相关的调理建议/用药建议/开具对症的处方，如问题未回复完，问诊就到时间结束了，我会再赠送3次/5次免费追问机会，请放心等待！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050647482},{"body":{"content":"没喝过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685235},{"body":{"content":"是苦中药汤吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050766427},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050783625},{"body":{"content":"大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050951116},{"body":{"content":"你这个不会太苦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121570},{"body":{"content":"因为是**血的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051126781},{"body":{"content":"你气血足了以后就好了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051364145}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042721704},{"body":{"content":"买什么药物？几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042731070},{"body":{"content":"你****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042731945},{"body":{"content":"\n焦虑，失眠，麻烦开两盒*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042755191},{"body":{"content":"您是患者什么人？病情稳定吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042760414},{"body":{"content":"1)有过青光眼病史吗？\n2)\t服用过****、****吗？\n3)\t目前正在自伤、自杀等消极冲动行为吗？\n 这些有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042761992},{"body":{"content":"本人\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042772918},{"body":{"content":"没有\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042786507},{"body":{"content":"聊天记录里找绿色处方单链接，直接付款！成功后，在家等着收货就行了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042800998}]

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051055014},{"body":{"content":"你好我平时做一次就很难硬起来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079166},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051088695},{"body":{"content":"请问您近6个月内有无性生活？（仅指阴道内性交，不包含手淫、飞机杯等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051090936},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051103421},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051106429},{"body":{"content":"3—7次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116329},{"body":{"content":"您近期的晨勃情况如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120367},{"body":{"content":"每周1-3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051125326},{"body":{"content":"勃起后，按照豆腐、剥了皮的香蕉、香蕉、黄瓜，四个硬度分级的话，您感觉属于哪个级别？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139358},{"body":{"content":"剥了皮的香蕉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051151422},{"body":{"content":"性生活过程中是否有未射精就疲软的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158449},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051168179},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171220},{"body":{"content":"近期出现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051174528},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051178552},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051181015},{"body":{"content":"还有别的慢性疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185023},{"body":{"content":"以上都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051192333},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051212726},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051234887},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051238412},{"body":{"content":"首先，您这个硬度不够，中途疲软的症状属于勃起功能障碍的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246625},{"body":{"content":"这种情况影响因素还是很多的，压力，身体状况，情绪，烟酒，熬夜，手淫过度，性生活过多等，都可能会导致性能力的下降。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255153},{"body":{"content":"性生活建议一周不要超过2-3次，也不建议一晚多次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260266},{"body":{"content":"您多次性生活，是会影响勃起功能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268430},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317310},{"body":{"content":"药物的话， 可以使用******看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330926},{"body":{"content":"***物，针对治疗勃起功能障碍，辅助勃起增加硬度的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337176},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340180},{"body":{"content":"主要是需要控制性生活频率","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051350979},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356627},{"body":{"content":"药物没有依赖性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371842},{"body":{"content":"******主要副作用头痛、面部潮红、消化不良和肌肉疼痛，其次为鼻塞、腹泻、头晕和皮疹等，一般症状较轻，且是一过性的，安全可控的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376243},{"body":{"content":"不是用药就一定会有副作用，也没有什么永久性副作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051378776},{"body":{"content":"备孕如果吃这个药物有什么影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051379441},{"body":{"content":"药物说明书中表示，药物一般不影响精子质量的，优生优育角度来说，建议停药2-3个月再备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389032},{"body":{"content":"但是这个药物本身是不会影响备孕精子质量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051399581},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051401361},{"body":{"content":"我可以帮您先开一盒25mg7片装的小剂量的看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422888},{"body":{"content":"这个25mg和50mg什么区别啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469495},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051475807},{"body":{"content":"2片25mg就等于50mg","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051486820},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051494390},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051496322},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051559812},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051563907},{"body":{"content":"建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物，规律性生活，减少手淫次数。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051565403},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574679},{"body":{"content":"备孕建议您常规口服*** ，具有补充锌硒、***等作用，提高精子活力和存活率，增加受孕几率，男性精液的重要组成部分就是锌。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051584906},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051636650},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051751732}]

[{"body":{"content":"不多，便后带血，很红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878679866},{"body":{"content":"你好，请详细描述相关病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878682584},{"body":{"content":"解大便肛门疼痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878697405},{"body":{"content":"不痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878702154},{"body":{"content":"就是有点想拉稀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878711942},{"body":{"content":"经常这样吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878714408},{"body":{"content":"大便硬不硬","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878723778},{"body":{"content":"不，1年多了。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878724684},{"body":{"content":"软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878729957},{"body":{"content":"1年前也出现过。。去诊所拿药好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878753474},{"body":{"content":"就是很犯困","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878760569},{"body":{"content":"这个血是跟大便活在一起，还是解完大便滴在表面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878773322},{"body":{"content":"顺便问下，做肠胃镜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878777637},{"body":{"content":"大便完后滴在表面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878797015},{"body":{"content":"给你建议一下，来医院抽血检查看看是否贫血很厉害，还有顺便肛肠外科检查一下，可能是痔疮，内痔可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878846683},{"body":{"content":"目前没空。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878876035},{"body":{"content":"我想下个月把肠胃镜给做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878891280},{"body":{"content":"也可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878900464},{"body":{"content":"大便带血以前也有出现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878901799},{"body":{"content":"我在**。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878912920},{"body":{"content":"肠胃镜周末能做？还是得预约","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878969386},{"body":{"content":"得预约","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879026202},{"body":{"content":"周末可以？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879040342},{"body":{"content":"我们医院周六还可以做，周天没有做","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879044269},{"body":{"content":"在哪。。。从哪里预约，提前几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879062616},{"body":{"content":"能先开个药？我估计这几天吃太多零食。。。。然后肠胃就受不了了。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879098584},{"body":{"content":"需要先预约消化内科医生门诊，找医生开单然后预约","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879104205},{"body":{"content":"类似暴饮暴食","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879108149},{"body":{"content":"还是得去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879126052},{"body":{"content":"你现在除了便血有其他症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879128102},{"body":{"content":"想睡。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879133997},{"body":{"content":"胃肠镜必须到医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879139084},{"body":{"content":"大便有点希","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879149249},{"body":{"content":"没了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879156162},{"body":{"content":"明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879161302},{"body":{"content":"你这症状还是建议来医院抽个血，先看一下血常规和**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879183924},{"body":{"content":"我今天没做核酸。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879247348},{"body":{"content":"能进去得了医院？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879253643},{"body":{"content":"好多天没做了。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879265780},{"body":{"content":"需要72小时**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879422538},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879512320},{"body":{"content":"现在也没地方做核酸。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879552222},{"body":{"content":"现在哪里可以做核酸。。。我在****附近。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879627337},{"body":{"content":"这个你得地图上搜一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881929804},{"body":{"content":"对于你那边我也不熟悉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881937890}]

[{"body":{"content":"您好，我是儿科副主任医师石莉医生，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050147784},{"body":{"content":"一天几次大便？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050153513},{"body":{"content":"前天晚上两次，昨天两次 今天两次。拉水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237245},{"body":{"content":"精神状态好不好？食欲好不好？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261359},{"body":{"content":"都好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050265337},{"body":{"content":"那就是有一些消化不了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277754},{"body":{"content":"喂一点鞣酸蛋白酵母散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283350},{"body":{"content":"吃了这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302281},{"body":{"content":"昨天开始吃的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050315682},{"body":{"content":"要不要吃**➕这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050350841},{"body":{"content":"这个就加上****，水样便的话。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357678},{"body":{"content":"哪个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050374787},{"body":{"content":"他就是水样便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050382321},{"body":{"content":"哪两个搭配？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050397607},{"body":{"content":"****和上面那个***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407257},{"body":{"content":"这干吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050451442},{"body":{"content":"这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050476661},{"body":{"content":"这个******和您喂的那个都属于***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485291},{"body":{"content":"我说的是鞣酸蛋白酵母散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497121},{"body":{"content":"*****➕**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050584245},{"body":{"content":"如果是喂鞣酸蛋白酵母散就喂这一种就行。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050611185},{"body":{"content":"如果喂***就加上****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050631836},{"body":{"content":"好的，可以开我开处方吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050645120},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654250},{"body":{"content":"开****吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663332},{"body":{"content":"***和***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050673695},{"body":{"content":"根据上述情况我可以给您一些用药建议。为用药安全，请问是否有严重药物过敏史或者药物严重不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050687570},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715722},{"body":{"content":"用药前您仔细阅读药品说明中禁忌注意事项，如果无禁忌，没有过敏史，没有不适，可使用我为您开的药品，如果您在应用过程中出现不适，请及时上线咨询或者是线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050769307},{"body":{"content":"您别太着急，可以参考上面给您的指导，结束后麻烦您可以给我一个评价，如果后续还有问题，欢迎您随时找我咨询，后期可以直接平台搜索我的名字：**,如果期间有过敏等不良反应，症状持续加重等，建议尽快去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806832},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051054062},{"body":{"content":"****怎么吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051067008},{"body":{"content":"****一次一袋，一天2~3次，空腹吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102872},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051109377},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051115992},{"body":{"content":"***和**间隔时间要多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051120601},{"body":{"content":"两个小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128580},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051139071},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051160374},{"body":{"content":"可以喝牛奶吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051232236},{"body":{"content":"少喝点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250517},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051271631},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051283653}]

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务。请问您有什么需要咨询的医学问题？具体问题能描述详细些吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049629543},{"body":{"content":"您是咨询这个产品吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049656154},{"body":{"content":"有什么不适症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049660434},{"body":{"content":"您好，我最近锻炼膝盖有些不舒服，现在正在吃**，然后想补补钙","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049733607},{"body":{"content":"我爱人说***适合女性和儿童，不适合男性，所以我想咨询一下您，我吃什么钙合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049853707},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049934727},{"body":{"content":"男性也可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049938663},{"body":{"content":"这款即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049942247},{"body":{"content":"这个***吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049970691},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050010777},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050018108},{"body":{"content":"您发的那个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050021792},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050024601},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030302},{"body":{"content":"有任何医学问题，可以随时再找我问诊即可，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038181}]

[{"body":{"content":"您好，我是主治医师胡春燕，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047989},{"body":{"content":"你这个情况多久呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062949},{"body":{"content":"5，6年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050086494},{"body":{"content":"这种情况建议中医调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050100452},{"body":{"content":"一般常见的是脾肾阳虚引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136964},{"body":{"content":"我看个视频说使用**，**，**，**，****，***泡水喝可以解决，是不是？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050182760},{"body":{"content":"中医调理是需要辨证论治的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245854},{"body":{"content":"药物的搭配也讲究君臣佐使。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253826},{"body":{"content":"药物的剂量也很重要。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261928},{"body":{"content":"我如果要使用上面的方法，该用什么剂量？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050312306},{"body":{"content":"这个不太好给你具体的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050329840},{"body":{"content":"正常情况下，10g都是可以使用。但是哪个要多哪个要少就不好说了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380848},{"body":{"content":"你这个情况如果有五六年了，建议用中药调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394353},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050405054},{"body":{"content":"如果方便的话可以线下就医就诊开药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050405181},{"body":{"content":"找中医开药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432918},{"body":{"content":"是的，中医调理治本","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050453754},{"body":{"content":"代茶饮疗效肯定没有中药调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050466933},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483154}]