刘继帅

[{"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}]

女37岁

2022.05.20

[{"body":{"content":"一直在用****和***联合用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876253605},{"body":{"content":"你好，我是京东医生，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":1652878629808},{"body":{"content":"具体需要帮助您解决什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878631814},{"body":{"content":"这次请问需要开那个药哈？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878646889},{"body":{"content":"**** 二支","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878667609},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878677332},{"body":{"content":"您好，处方已开好，药师审核通过后就可以购买了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878845912},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878850894},{"body":{"content":"没有了谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879063117},{"body":{"content":"不客气哈！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，再见哈！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879077548}]

男41岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，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":1653050072504},{"body":{"content":"您好，这款不含**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050113651},{"body":{"content":"蛋白质过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050114050},{"body":{"content":"我们一岁4个月了喝***8个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153813},{"body":{"content":"最近有查过过敏程度吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177325},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050185944},{"body":{"content":"1岁以上了辅食正常了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186822},{"body":{"content":"不必在吃***与深度水解了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050199621},{"body":{"content":"米面都不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050204665},{"body":{"content":"如果是重度过敏深度水解可能需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050220171},{"body":{"content":"查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226470},{"body":{"content":"因为会改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231503},{"body":{"content":"9个月左右就会改变","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249749},{"body":{"content":"这是开始查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050250634},{"body":{"content":"别担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050251761},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254038},{"body":{"content":"喝米汤都会拉肚子的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289732},{"body":{"content":"喝了含乳酸的钙都会拉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050323596},{"body":{"content":"怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336387},{"body":{"content":"可以喝什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050353310},{"body":{"content":"上面这款奶粉可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366803},{"body":{"content":"建议您再检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050374076},{"body":{"content":"吃什么**，有必要查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446406},{"body":{"content":"现在还有湿疹吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050487292},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494026},{"body":{"content":"如果只是乳糖不耐受了，可以喝点***就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502505},{"body":{"content":"如果还有蛋白过敏，在根据程度选择奶粉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520139},{"body":{"content":"因为我们啥都没吃过，就喝***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050523680},{"body":{"content":"添加辅食","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050541894},{"body":{"content":"必须添加辅食的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545374},{"body":{"content":"不然更糟糕的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551982},{"body":{"content":"你看一下单子是啥情况啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559010},{"body":{"content":"我不知道是啥原因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050579892},{"body":{"content":"喝无**奶粉也不拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050624991},{"body":{"content":"我这边是育婴问题服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050648442},{"body":{"content":"这样就说明是乳糖不耐受吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654877},{"body":{"content":"对于单子了解不全的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663571},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050671061},{"body":{"content":"只是宝宝有过敏源","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671533},{"body":{"content":"轻度过敏一般9个月就没事儿了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050693577},{"body":{"content":"去哪里买***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703103},{"body":{"content":"中度、重度、在1岁以上也是会改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050708557},{"body":{"content":"您化验后再决定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050715300},{"body":{"content":"现在出门回家要隔离","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050743998},{"body":{"content":"去不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050752317},{"body":{"content":"哪里买","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765248},{"body":{"content":"那先喝这款奶粉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767007},{"body":{"content":"吃点蔬菜水果是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050774384},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050780610},{"body":{"content":"也会拉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050794139},{"body":{"content":"都试了","type":"text"},"from":{"app":"jd.dyf"},"tim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女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049800103},{"body":{"content":"孩子多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049803766},{"body":{"content":"15岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049815991},{"body":{"content":"为了您孩子的用药安全，特殊情况请提前告知，如：（其他慢性病史、是否有过敏史），如果没有则回复“无”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049829504},{"body":{"content":"脸，背都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049837336},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049841547},{"body":{"content":"方便发张照片看下症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049849486},{"body":{"content":"背上的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049860570},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049865027},{"body":{"content":"请问针对您孩子的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049939982},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049952101},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049955378},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049986102},{"body":{"content":"**\n用法用量，一天一次，涂抹在患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049989696},{"body":{"content":"这个不含**等成分的，孩子也可以使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050001251},{"body":{"content":"脸上也可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050012398},{"body":{"content":"是 的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050030952},{"body":{"content":"脸上身上都可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050037282},{"body":{"content":"好的 非常感谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050055314},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067629},{"body":{"content":"建议您孩子平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050087754},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050233290},{"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，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050234957}]

女

2022.05.20

[{"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":1653049840658},{"body":{"content":"小孩子喉咙发炎导致的发烧吃的这些药，现在不发烧了，喉咙还有点发烧，还有点痰鸣音，现在还可以用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049954185},{"body":{"content":"喉咙还有点发炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049977631},{"body":{"content":"孩子精神状态怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049988661},{"body":{"content":"体温最高多少度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049994068},{"body":{"content":"精神状态很好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049997600},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050003369},{"body":{"content":"现在不发烧了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050016378},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050027307},{"body":{"content":"精神好就问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050036685},{"body":{"content":"吃了那些药之后不发烧了就是痰鸣音还有点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046392},{"body":{"content":"如果仅仅喉咙不舒服可以继续喷那个喉咙的就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050075275},{"body":{"content":"那他喉咙还有点呵呵的声音","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050146703},{"body":{"content":"有咳嗽吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050166705},{"body":{"content":"有时候有点咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050177469},{"body":{"content":"精神好就继续用药观察下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050208666},{"body":{"content":"现在就是没有药了，想开单买药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050240229},{"body":{"content":"给您开了前面两个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050376977},{"body":{"content":"其他两种我觉得可以不用了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394692},{"body":{"content":"咳嗽那他咳嗽这个问题有没有药可以用的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050529722},{"body":{"content":"可以吃点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559864},{"body":{"content":"或者继续给您开*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050599529},{"body":{"content":"6个月7天的宝宝可以用*****吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611346},{"body":{"content":"量是多少？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619526},{"body":{"content":"哪一种药好就开哪一种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050650982},{"body":{"content":"如果之前吃了*****就继续吃这个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050678943},{"body":{"content":"那就继续吃*****吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050701858},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050729540},{"body":{"content":"需要开吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050735154},{"body":{"content":"开吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740509},{"body":{"content":"之前的吃完了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050757539},{"body":{"content":"明天还有一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050778295},{"body":{"content":"给您开好了，您核对下！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806996},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858296},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050882984}]

男6个月7天

2022.05.20

[{"body":{"content":"月经干净多少天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965106620},{"body":{"content":"一直没来有两三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965148008},{"body":{"content":"同房下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168340},{"body":{"content":"怀孕了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965171665},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965191955},{"body":{"content":"测过是吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965202230},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965214450},{"body":{"content":"这是什么情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965233982},{"body":{"content":"怎么知道不是月经呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965239830},{"body":{"content":"月经没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285963},{"body":{"content":"下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965302789},{"body":{"content":"来月经那两天肚子就痛下就没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965386787},{"body":{"content":"流血流了几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965431601},{"body":{"content":"没来月经就","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457497},{"body":{"content":"没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965466845},{"body":{"content":"没有流血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965487845},{"body":{"content":"奥奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965492818},{"body":{"content":"这是炎症引起的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965517844},{"body":{"content":"同房痛可能是炎症引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965536621},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584225},{"body":{"content":"没来月经那该怎么治啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585017},{"body":{"content":"有几个月没来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965609048},{"body":{"content":"内膜有多厚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965611613},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965623084},{"body":{"content":"上个推迟了只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965676573},{"body":{"content":"上个月只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965716437},{"body":{"content":"这个月还没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965736108},{"body":{"content":"月经量少和什么原因有关呢？突然就少了？有没有受凉？经期生气？或是人工流产等情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815370},{"body":{"content":"以前流过产","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876268},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965890783},{"body":{"content":"你这种情况最好去医院做个彩超看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965917528},{"body":{"content":"这段时间没空去，我老公忙，我又带两个小孩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965980231},{"body":{"content":"可不可以先开点药吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966002227},{"body":{"content":"不能盲目吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966243856},{"body":{"content":"月经不调大多要吃激素类药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966264598}]

女29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":1653050098088},{"body":{"content":"这种情况少量多次喂一点水，妈妈多吃一点蔬菜水果，再观察一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050123756},{"body":{"content":"不是说吃母乳的宝宝半岁之内不喂水吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050171869},{"body":{"content":"也可以用一点开塞露通一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177763},{"body":{"content":"这么小可以用开塞露吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050207434},{"body":{"content":"那怎么可能呢？都是因人而异的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212853},{"body":{"content":"可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219021},{"body":{"content":"好滴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050238567},{"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":1653050266767}]

男3个月17天

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":1653049822923},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049836642},{"body":{"content":"静脉曲张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049843563},{"body":{"content":"腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049851228},{"body":{"content":"目前没有图片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864504},{"body":{"content":"您可以站立位，发一张下肢的照片吗？我来判断一下严重程度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049864585},{"body":{"content":"因为是帮家人问的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901913},{"body":{"content":"就想看一下有什么可以缓解一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921011},{"body":{"content":"好的，患者多大年纪 确诊是下肢静脉曲张了么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930976},{"body":{"content":"腿部的筋和**差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049957662},{"body":{"content":"下肢静脉曲张 一般引起的是下肢酸胀不适 特别是站久了 酸胀明显 麻木的症状，要除外是腰椎问题引起的不适症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974460},{"body":{"content":"63岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974894},{"body":{"content":"确诊了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988149},{"body":{"content":"暂时可以给您些静脉曲张的治疗建议 和方法 帮患者缓解下肢 酸胀不适的症状，但是彻底治疗下肢静脉曲张 是需要手术的，另外 下肢麻木的情况 需要排除是腰椎问题 压迫神经引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050027005},{"body":{"content":"治疗建议前，为了用药安全，系统需要先排除用药禁忌，请问您既往是否有基础疾病？近期是否有发现肝肾功能异常？是否有药物过敏史？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038945},{"body":{"content":"家里人也没有拍过腰椎片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088917},{"body":{"content":"但是静脉曲张是有的，也是那条腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123140},{"body":{"content":"小腿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050129764},{"body":{"content":"没有药物过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144619},{"body":{"content":"嗯，可以先用药缓解症状的。药物建议前，需要您配合回答一下上边问题。我给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149205},{"body":{"content":"好的，感谢配合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154238},{"body":{"content":"可以用药膏或者喷雾那些药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050185214},{"body":{"content":"建议您注意下肢保暖，避免过久站立，和久坐，平躺休息是尽量抬高下肢，促进血液回流，可以外用*******涂抹下肢 涂抹后轻轻按揉有助于药物吸收 同时可以口服 ****一次2片一天2次，治疗静脉曲张 口服****营养神经 缓解麻木症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189224},{"body":{"content":"这种涂抹的效果比较好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050213207},{"body":{"content":"为了方便您用药，您可以点击“药品名称带有购物车标志”进入链接购买。有些药品为“处方药”，必须要由有医师开处方才能购买。稍后我再帮您开具一张电子处方，并注明用法用量，您作为参考，按照处方用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418267},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，请您及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419545},{"body":{"content":"处方已经开好，您可以点击处方，预约购买，药师审核通过后，即可发药,京东物流会配送到您指定的**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050451727},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050579271},{"body":{"content":"祝患者早日康复，身体健康，生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617136},{"body":{"content":"别忘了方便时候 带患者做过彩超检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050946037},{"body":{"content":"你***这个药膏可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060220},{"body":{"content":"因为你说的药膏，我那地区发不了货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087636},{"body":{"content":"也是可以的，效果也是不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051096133},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051112937},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169477},{"body":{"content":"哪个***是一次两片是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051311777},{"body":{"content":"另一个就是一次一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051329844},{"body":{"content":"是的 ***一次2片 另外一个一次一个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051406775},{"body":{"content":"***一天2次，另外一个一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413408},{"body":{"content":"我看另一个处方上写的是一天3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491899},{"body":{"content":"***对痔疮也有用对吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051538715},{"body":{"content":"另外一个一天3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051542879},{"body":{"content":"这个打错字了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051546555},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"对的，对痔疮也是管用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551617},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051559037},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051702209}]

女28岁

2022.05.20

[{"body":{"content":"您好， 我是京东医生，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":1653050744709},{"body":{"content":"可以游泳","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767523},{"body":{"content":"套脖圈也没问题吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779906},{"body":{"content":"网上说会损伤脊椎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050792576},{"body":{"content":"一般不会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050868148},{"body":{"content":"如果宝宝哭闹就不要游泳了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050892208},{"body":{"content":"有没什么办法可以判断宝宝脖子有没问题，还是要去医院拍片的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051053716},{"body":{"content":"宝宝以前趴着能抬头吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051080863},{"body":{"content":"以前可以的 现在比较少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091888},{"body":{"content":"一般经常抬头的时期是几月开始的 以前偶尔会抬几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051124874},{"body":{"content":"一般1到3个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276317},{"body":{"content":"如果以前会抬头，现在不能抬头了，建议你带宝宝去医院就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051323920},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051350450},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051378229},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383292},{"body":{"content":"暂时没有了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051431808},{"body":{"content":"非常感谢您的信任！请对话结束后对我的服务作出评价，谢谢您！再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051502024}]

女1个月11天

2022.05.20

[{"body":{"content":"你好，我是京东吴医生，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":1653049670118},{"body":{"content":"请问有咽喉痛，发烧吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049682953},{"body":{"content":"不痛，不发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694060},{"body":{"content":"嗯，前几天有没有着凉？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049717441},{"body":{"content":"估计是有着凉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049730640},{"body":{"content":"嗯，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049740896},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049847592},{"body":{"content":"有吃****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049860179},{"body":{"content":"嗯，就吃了这一种吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049875238},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049886462},{"body":{"content":"嗯，需要加点药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049899211},{"body":{"content":"你吃了几天，效果怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049923406},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049939999},{"body":{"content":"嗯，建议你口服*******缓解感冒，口服********，口服*********","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984091},{"body":{"content":"我这边给你开处方，你看看具体药品信息和用法吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063026},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050143571},{"body":{"content":"好的，我现在就给你开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050156552},{"body":{"content":"处方已开具，用药前请您仔细阅读药品说明书，如您在用药过程中出现不适，建议及时线上咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226733},{"body":{"content":"治疗期间注意饮食清淡，不要吃生冷、辛辣及刺激性食品，保持室内空气流通，注意多喝温开水，不要饮酒抽烟，避免接触烟尘以及刺激性气体。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050237245}]

男26岁

2022.05.20