刘继帅

[{"body":{"content":"您好，京东大药房药师工号0081，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051236153},{"body":{"content":"你干活的时候一直要用眼，所以眼睛干涩疼，还有点儿红，该用什么***呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051257512},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051282432},{"body":{"content":"性别女，年龄50。没有其他病史。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458997},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463229},{"body":{"content":"该用什么***啊，医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051652429},{"body":{"content":"这个药物看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051662985},{"body":{"content":"功能主治】 用于缓解眼睛疲劳、结膜充血以及眼睛发痒等症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894673},{"body":{"content":"【用法用量】 滴眼，一次1～2滴，一日3～4次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020068},{"body":{"content":".打开后应在4周内用完，逾期请勿使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052080547},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药3-4天无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052092811},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052098010},{"body":{"content":"没有没有，谢谢，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052155151},{"body":{"content":"很高兴为您服务，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052188223}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049739231},{"body":{"content":"不建议吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049793860},{"body":{"content":"那吃什么***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049829733},{"body":{"content":"目前有什么不舒服的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210129},{"body":{"content":"可以吃*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050362300}]

女15岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965469126},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965476952},{"body":{"content":"拍照看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965497200},{"body":{"content":"嗯没错","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965503247},{"body":{"content":"足内翻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965517456},{"body":{"content":"跟肚子里面姿势有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965525719},{"body":{"content":"内外侧按摩，可以一天四五次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965535292},{"body":{"content":"按摩一段时间就好了没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965545778},{"body":{"content":"宫腔里面空间小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965554928},{"body":{"content":"你好！刚才断线了！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967420909},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967436209},{"body":{"content":"还有什么问题呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967441149},{"body":{"content":"现在该如何处理？附近有没有专业的医院，**阳*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967474461},{"body":{"content":"按摩就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967491802},{"body":{"content":"两侧，活动活动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967498728},{"body":{"content":"很快好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967501815},{"body":{"content":"放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967505216},{"body":{"content":"她脚踝是松动的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967529244},{"body":{"content":"大部分可以好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967532478},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967533929},{"body":{"content":"就是要继续动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967538189},{"body":{"content":"没几个需要手术的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967569214},{"body":{"content":"除了骨头问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967604182},{"body":{"content":"经常用点力向内轻压一下她双小腿行不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967610373},{"body":{"content":"想外","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967674682},{"body":{"content":"不是内","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967676850},{"body":{"content":"内外侧都有按摩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967688050},{"body":{"content":"好的！谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968269835},{"body":{"content":"嗯没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968284248}]

女1岁4个月

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049617749},{"body":{"content":"您好，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049619137},{"body":{"content":"第1阶段：6-9个月。\n第2阶段：10-12个月。\n第3阶段：1岁-2岁。\n第4阶段：2岁-6岁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049621036},{"body":{"content":"一阶的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049635607},{"body":{"content":"平时给宝宝多吃水果，蔬菜，容易消化的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049642804},{"body":{"content":"母乳喂养妈妈不要吃油腻辛辣刺激的食物。\n\n奶粉喂养两餐之间给宝宝喂点温开水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049647302},{"body":{"content":"您可能忙，没关系我一直都在。您有问题随时找我，我会第一时间回复到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049649244}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050054788},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066662},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050079227},{"body":{"content":"是线下医师建议使用的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080386},{"body":{"content":"不是，我们吃这个管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050095564},{"body":{"content":"温馨提示：平台要求凡是六岁以下宝宝购药均需提供线下医院病历或处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182241},{"body":{"content":"麻烦您上传一下具体的病例资料，需要系统匹配到有效病例、购药单或之前开具过的电子处方后，可以直接给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184601},{"body":{"content":"上次也是这个平台医生开的电子的，怎么查看？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050218856},{"body":{"content":"您到之前的问诊记录","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050234837},{"body":{"content":"点击之后再问诊记录之中可以查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245732},{"body":{"content":"或是上传孩子之前的病例报告","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259706},{"body":{"content":"在哪里看问诊记录","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050266536},{"body":{"content":"我的订单中可以查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305018},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050309594},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050948908},{"body":{"content":"有之前的处方或病例吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957364},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051539337},{"body":{"content":"如果您现在没有处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051545718},{"body":{"content":"您可以找到之后直接上传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556464},{"body":{"content":"复诊给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558892},{"body":{"content":"由于您长时间不在线，所以无法了解到您的具体症状，也无法给您更全面的建议，建议您下次方便时可以再次上线咨询，以便我给您一些比较适合的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562558},{"body":{"content":"您好，受接诊时长的控制，如果您没有其他问题咨询了，或者现在不方便在线回复，时限到后，系统会自动关闭并提交结束本次问诊，等您需要或方便的时候再上线免费咨询，谢谢您的理解和配合，下次再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051564303}]

男4岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049784470},{"body":{"content":"在发下舌头照片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049793685},{"body":{"content":"早上起来齿痕比这严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049857072},{"body":{"content":"胃怕凉嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049877645},{"body":{"content":"怕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891873},{"body":{"content":"脾胃不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049920258},{"body":{"content":"嗯嗯。大便之前肚子疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049945461},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049964276},{"body":{"content":"反酸烧心嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050044308},{"body":{"content":"吃完饭 好放屁 打嗝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050060595},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050077359},{"body":{"content":"不反酸烧心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094001},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050108870},{"body":{"content":"手脚心热吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117181},{"body":{"content":"不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050148436},{"body":{"content":"嗯嗯。平时白天稍微一活动出汗嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184399},{"body":{"content":"出汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205519},{"body":{"content":"脾湿有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050248980},{"body":{"content":"有脾湿的表现吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050275033},{"body":{"content":"嗯。脾胃虚寒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050287718},{"body":{"content":"嗯我感觉也是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050318672},{"body":{"content":"嗯嗯。你能吃汤药嘛，我可以给你调理下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050343118},{"body":{"content":"能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377266},{"body":{"content":"有现成的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050392260},{"body":{"content":"有**的，热水一冲就好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404996},{"body":{"content":"烫药效果会好一些吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434922},{"body":{"content":"汤药有两种形式，一种是*草药，你自己回家煎煮；另一种是做成**，**剂是*草药煎煮、浓缩、提纯之后做成的**，用热水冲服就可以，比较方便。你是要*草药还是**剂？请确认一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050467736},{"body":{"content":"来*草药吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050528477},{"body":{"content":"回来自己煎煮吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050601096},{"body":{"content":"好的。那您稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603762},{"body":{"content":"好的，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050802606},{"body":{"content":"收到了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051266895},{"body":{"content":"嗯？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291978},{"body":{"content":"直接就能邮过来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359009},{"body":{"content":"嗯嗯。对的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392117},{"body":{"content":"你预约后就会有联系你的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051400302},{"body":{"content":"好的，谢谢刘医生。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433455},{"body":{"content":"有什么忌口吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473849},{"body":{"content":"吃药期间不要喝茶，奶茶，咖啡。平时少吃辛辣寒凉食物，少吃豆制品，豆类，土豆，**，玉米，**，**等含淀粉多的食物。烧心反酸的话，少吃酸菜，韭菜，甜的，粘的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051494739},{"body":{"content":"知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051553116},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051559014},{"body":{"content":"这个药早饭饭后十分钟吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051573516}]

男32岁

2022.05.20

[{"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":1653050225474},{"body":{"content":"在么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258498},{"body":{"content":"您好，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050281191},{"body":{"content":"最近这段时间尿完之后总会流一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307864},{"body":{"content":"就是**尿完了，但是提上裤子之后，他就会给内裤上滴点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346867},{"body":{"content":"尿不尽对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384915},{"body":{"content":"就是尿完之后啊，他总会有那么一点残留，过一会儿再滴几滴出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414380},{"body":{"content":"还就是有时候尿黄且有点浑浊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484069},{"body":{"content":"请问是否还有以下症状：○1尿频○2尿急○3尿痛○5排尿困难○6小腹胀痛○7会阴胀痛○8睾丸胀痛○9尿道口滴白。回复序号即可，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501811},{"body":{"content":"9","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533277},{"body":{"content":"就是偶尔一年可能就出现这么一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569584},{"body":{"content":"尿的时候有点白色的，干了之后就跟淀粉干了之后一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582133},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605037},{"body":{"content":"有几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618089},{"body":{"content":"半年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630874},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎可能性大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700599},{"body":{"content":"可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050703759},{"body":{"content":"你给推荐一下治疗药物吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722158},{"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":1653050729915},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740719},{"body":{"content":"您还有早泄是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746002},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749879},{"body":{"content":"对于射精时间或控制射精能力是您不满意，还是伴侣不满意，还是您们两人都不满意呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754053},{"body":{"content":"一般多久射精呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761228},{"body":{"content":"不带**套的情况下，进去动几下就想射","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765047},{"body":{"content":"带套的情况下，3到5分钟吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779567},{"body":{"content":"是否有使用什么药物治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050781180},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788488},{"body":{"content":"对于射精的时间和控制射精的能力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050815653},{"body":{"content":"有过几年的手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050839513},{"body":{"content":"嗯，现在很少手淫了对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050853069},{"body":{"content":"戒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050893675},{"body":{"content":"现在有5，6年没有手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050917408},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920911},{"body":{"content":"根据**男科疾病诊断治疗指南，****** 对早泄这个疾病是有治疗作用的，且目前为一线治疗药物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050926498},{"body":{"content":"****\n可以降低精囊内压，降低球海绵体肌的爆发性收缩，降低阴茎背神经敏感性而增加控精能力延长性生活时间，虽然不是每天用药，但是其实是具有治疗作用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930861},{"body":{"content":"******：口服。药片应完整片吞下。建议至少用一满杯水送服药物。推荐的首次剂量为30mg（1片），需要在性生活之前约1至3小时服用。推荐的最大用药剂量使用频率为每24小时一次。推荐使用频率为1周1-2次，服药当天避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050950312},{"body":{"content":"这个是属于根治的还是辅助的药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036275},{"body":{"content":"只是这个疾病没有根治一说，除非像阑尾炎做完手术切除了，就不会再有阑尾发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051048342},{"body":{"content":"治疗作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053853},{"body":{"content":"为用药安全，既往有药物过敏及肝肾损伤、慢性病史吗？请问您是否有严重心血管病史？是否在使用***、****、***、****；****；****、****、****、等药物。是否在备孕？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064359},{"body":{"content":"没有使用这些药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051078684},{"body":{"content":"您这个情况是在泌尿外科非常常见的，也不用过于担心，是可以通过药物治疗的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147511},{"body":{"content":"针对您的情况，建议您可以使用：****+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176272},{"body":{"content":"这两个是治疗早泄和尿不尽的，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200674},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205317},{"body":{"content":"****是一种选择性5-羟色胺再吸收抑制剂。早泄可能是大脑性欲中心存在着5-羟色胺和***之类的化学物质，它们传导强烈的射精冲动，而****能干扰上述化学物质，达到延时射精的目的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051211277},{"body":{"content":"他们经常给我推荐那个*****那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051215428},{"body":{"content":"******适应症: **利湿，****。用于慢性前列腺炎属湿热挟瘀证，症见：小便频急、尿后余沥、尿后滴白、尿道涩痛、少腹疼痛、会阴不适、腰骶疼痛、阴囊潮湿、睾丸疼痛。一天2次 一次4粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217532},{"body":{"content":"*****诊断早泄会有帮助的，但是一般建议中医辩证论治指导会更好些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268539},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284809},{"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":1653051291284},{"body":{"content":"还有就是每到夏天晚上的话，就是脚心发热，心悸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297159},{"body":{"content":"脚心发热等中医症状，建议中医科望闻问切，辩证论治，会更准确些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366288},{"body":{"content":"咱们京东有中医吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389742},{"body":{"content":"我给您一个医院临床治疗反馈效果好的一线用药方案，您可以参考下，比较适合您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392015},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419092},{"body":{"content":"处方供您开好了，供您参考","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463686},{"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":1653051468230},{"body":{"content":"好的，到时候怎么联系您？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051577323},{"body":{"content":"您可以按照上图的这个流程找到我，建议用药一段时间后及时复诊，相对于埋头吃药来说，医生的指导更重要，减量和停药都要在医生的指导下进行；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594542},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735069},{"body":{"content":"这个****一盒够吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051749960},{"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，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051780137},{"body":{"content":"4周6片1疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792604},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051807720},{"body":{"content":"给您开一盒3片的****先试试，效果明显的话，没有啥不适症状，再继续按需服用，性生活时间达到满意度以后再停药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051821655},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865666},{"body":{"content":"目前很多患者除了在口服药物治疗以外，都在用***，提高性功能，连续服用效果还是非常不错的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051904967},{"body":{"content":"***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051921229}]

男32岁

2022.05.20

[{"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}]

男4岁

2022.05.20

[{"body":{"content":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014645967},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014759142},{"body":{"content":"具体咨询什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014771935},{"body":{"content":"我想问一下青光眼手术后牙根疼怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014788458},{"body":{"content":"***也一碗一碗的疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014796635},{"body":{"content":"都是一侧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014807384},{"body":{"content":"手术的那边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014812586},{"body":{"content":"这两者没什么关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014827152},{"body":{"content":"和青光眼手术没关系是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014848449},{"body":{"content":"***疼需要看看眼压是否还高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014855038},{"body":{"content":"眼压不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014862420},{"body":{"content":"现在眼压正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014868423},{"body":{"content":"牙痛和青光眼手术没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014872581},{"body":{"content":"就是有并发症 脉络膜上腔积血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014888611},{"body":{"content":"和这个有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014891695},{"body":{"content":"牙疼和***疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014898306},{"body":{"content":"牙根疼还不是牙疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014918132},{"body":{"content":"吃了***也不好使 后来又吃了*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014936355},{"body":{"content":"现在也还疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014945075},{"body":{"content":"即使是有积血也不会引起牙痛的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014945173},{"body":{"content":"建议看看口腔科，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014958128},{"body":{"content":"积血会引起***疼吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014969874},{"body":{"content":"眼珠子有点斯啦啦的疼 和积血有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014988845},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014989204},{"body":{"content":"这个和缝线有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015021827},{"body":{"content":"那***疼和牙根疼会是手术后的后遗症吗 比如说神经性的疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015030143},{"body":{"content":"不会，手术不会损伤神经","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015059378},{"body":{"content":"那咋回事啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015096427},{"body":{"content":"眼压也不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015102608},{"body":{"content":"现在就是牙疼和***疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015117879},{"body":{"content":"有什么好使得药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015124502},{"body":{"content":"只疼的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015127876},{"body":{"content":"或者吃点***可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015138061},{"body":{"content":"可以吃，还是建议去看看牙，看看牙有没有问题需不需要治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015241766},{"body":{"content":"内眼手术都不会引起牙疼和神经疼吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015322452},{"body":{"content":"我妈做了两次手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015328089},{"body":{"content":"除了青光眼还有一个二次手术 但是不知道叫什么名字","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015345644},{"body":{"content":"眼部手术不会引起牙痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015385279},{"body":{"content":"****和***隔一会吃冲突嘛 还有*** 可以一起吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015400641},{"body":{"content":"不过这个着急上火会引起牙痛的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015423135},{"body":{"content":"可以，没什么冲突","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015436032},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015480422},{"body":{"content":"17号的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015546868},{"body":{"content":"19好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015558440},{"body":{"content":"见好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015573679},{"body":{"content":"不明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653016046135},{"body":{"content":"那这个脉络膜积血可以自己吸收吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653016396945},{"body":{"content":"用手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653016406130},{"body":{"content":"我这个结果你看着严重嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653016424521},{"body":{"content":"一般是很难自己完全吸收的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653016574474},{"body":{"content":"会有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653017443879},{"body":{"content":"我这个你看着严重嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653017448472},{"body":{"content":"需要手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653017456680},{"body":{"content":"单从B超看还是比较重的，考虑需要手术手术。具体还需结合其他检查来分析。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018409461}]

女67岁

2022.05.20

[{"body":{"content":"你好，我是京东互联网医院王医生，很高兴为你提供医学服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468353},{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051530229},{"body":{"content":"今天做胸部CT 右肺上叶小空腔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051668511},{"body":{"content":"我这里是泌尿外科，挂普外科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051692645}]

男31岁

2022.05.20