刘继帅

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051116485},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120149},{"body":{"content":"你好，手指植皮手术需要用皮钉吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051205479},{"body":{"content":"可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257964},{"body":{"content":"直接缝合，然后等拆线就可以了吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302239},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371494},{"body":{"content":"好的，植皮手术后，偶尔可以吸一根烟吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433635},{"body":{"content":"加压包扎或者植皮打包，或者VSD都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439251},{"body":{"content":"禁止吸烟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051449122},{"body":{"content":"两三天吸一根也有影响吗，关键病房里有人吸烟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051582113},{"body":{"content":"不要吸烟，禁止吸烟，您明白吗？影响植皮部位血运","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051633403},{"body":{"content":"好的，拆线过后，多长时间可以正常工作呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051816013},{"body":{"content":"根据恢复情况，一般还是得一个月以后吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051855557},{"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":1653051896594},{"body":{"content":"哦哦，麻烦您了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051896990},{"body":{"content":"您不必客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051911569},{"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":1653051917422}]

男25岁

2022.05.20

[{"body":{"content":"以前去医院看过吗用药了吗效果怎么样？根据上述情况我可以给您一些用药建议。为用药安全，请问是否有肝肾功能损伤，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":1652965132020},{"body":{"content":"图片看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965134390},{"body":{"content":"身上很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965158594},{"body":{"content":"过敏可以吃抗过敏药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965173771},{"body":{"content":"外用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965175694},{"body":{"content":"可以擦这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965240638},{"body":{"content":"宝宝因为发烧了 给宝宝擦了酒 大人没经验所以造成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965328826},{"body":{"content":"在吗 医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965405971},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528293},{"body":{"content":"听的到吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965545633},{"body":{"content":"我们这边疫情出去不了 家里只有这个药 因为宝宝身上面积大 没有用这个*******， 我就是问看这个药能用不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965643738},{"body":{"content":"这几样 能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965742614},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965781470},{"body":{"content":"哦哦 好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965811717},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965857003},{"body":{"content":"不客气祝宝贝健康，结束后记得给我个好评哦感谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862955},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965994537}]

女1岁

2022.05.20

[{"body":{"content":"晚上好！非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879147513},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879152563},{"body":{"content":"下班了吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879166548},{"body":{"content":"请您详细的描述一下您的症状好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879168947},{"body":{"content":"我就是用手多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879211670},{"body":{"content":"现在勃起不来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879220381},{"body":{"content":"嗯，有没有腰膝酸软，头晕乏力，失眠多梦的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879238056},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879247460},{"body":{"content":"晚上有时候会失眠","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879256521},{"body":{"content":"嗯，您平时怕冷还是怕热？有没有手脚冰凉，遗精盗汗的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879265281},{"body":{"content":"有时候睡得很晚 醒的很早","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879272830},{"body":{"content":"偶尔会有 盗汗倒不是很严重 以前吃六味地黄丸 盗汗就差不多治好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879307122},{"body":{"content":"嗯，平时怕冷的多还是怕热的多了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879326917},{"body":{"content":"都还好吧 没太注意过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879365953},{"body":{"content":"有没有尿频，尿急，尿痛，尿不尽，尿分叉，尿等待，小腹不适，阴囊潮湿，腰酸腰痛的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879388682},{"body":{"content":"阴囊潮湿偶尔会有 ，腰酸腰痛也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879440027},{"body":{"content":"**症状没有是吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879458868},{"body":{"content":"尿频，尿急，尿不尽，尿分叉，尿等待，小腹不适 用手完了以后偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879473340},{"body":{"content":"记忆力没以前好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879487687},{"body":{"content":"别的就没了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879492313},{"body":{"content":"平时这个有频繁的手淫习惯对吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879510247},{"body":{"content":"对啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879540611},{"body":{"content":"嗯，首先建议要坚决戒除手淫的坏习惯，这个坏习惯对身体是影响非常大的，一定要戒除!!! 不要看刺激的图片或视频，一旦有这个想法，赶快要转移注意力，否则以后影响身心.会越来越严重，却记","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879584043},{"body":{"content":"现在一有感觉就想用手 可是勃起不来 就算*** 也不赢 不到两分钟一会就软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879597261},{"body":{"content":"我会**戒掉的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879607045},{"body":{"content":"因为长时间的手淫会导致阴茎海绵体严重受损，严重的影响身体健康！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879660909},{"body":{"content":"平时有没有喝酒，吃辛辣刺激性的东西，憋尿，久坐，熬夜等不良习惯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879673578},{"body":{"content":"能治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879673790},{"body":{"content":"这些都有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879685629},{"body":{"content":"建议您在饮食上尽量清淡、避免烟酒、少食辛辣食物、规律饮食、保持心情舒畅。规律作息时间，不要熬夜。平时可以适量进行体育锻炼，增加自身免","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879696318},{"body":{"content":"现在开始戒酒了 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879696354},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879706848},{"body":{"content":"根据你所描述的症状，您这是肾阴阳两虚和平时生活的不良习惯导致勃起功能障碍的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879751922},{"body":{"content":"能治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879775159},{"body":{"content":"放心吧，可以治疗康复的。针对你的情况，结合我多年的临床经验，建议你这种情况采用*西药结合治疗。达到标本兼治的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879794233},{"body":{"content":"这个是不是也是阳痿了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879795554},{"body":{"content":"能从地方药店买到吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879813300},{"body":{"content":"药的话我这里帮你开处方，然后通过京东互联网医院帮你安排邮寄治疗就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879866192},{"body":{"content":"现在快递很慢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879900598},{"body":{"content":"而且我现在还在***这边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879918821},{"body":{"content":"根据你描述的情况，您这个情况建议服用，*****，****，****，来起到一个最佳的改善和恢复的治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879920286},{"body":{"content":"建议配合治疗，因为线下不一定有咱们的药，也方便你后期复诊好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879961003},{"body":{"content":"****。。。 不是**啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879963629},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880000794},{"body":{"content":"****是助你勃起功能障碍的药，还有两位是中药稳固治疗，才能起到最佳的效果，好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880042474},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880060044},{"body":{"content":"嗯，要帮你开处方治疗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880067732},{"body":{"content":"这个?多久见效啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880069694},{"body":{"content":"开吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880072834},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880087549},{"body":{"content":"服用一个疗程10天左右的药，就基本改善恢复，达到满意稳定的情况后，就可以考虑停药了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880139642},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880153223},{"body":{"content":"根据您的症状情况为了您的用药安全，请问您是否有药物过敏史，肝肾功能异常或其他病史吗？是否在备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880158926},{"body":{"content":"没有过敏的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880175073},{"body":{"content":"就是在备孕。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880182876},{"body":{"content":"嗯，建议您这个情况先调理好身体，然后再备孕，否则会影响你的备孕情况好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880217959},{"body":{"content":"我觉得备孕期间吃 ****。。。 不是特别好啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880229865},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880236277},{"body":{"content":"好的您稍等，我这就帮你开处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880251120},{"body":{"content":"*****，****，**** 这三种药还吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880262411},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880425821},{"body":{"content":"是的，一起服用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880453942},{"body":{"content":"处方帮你开好了，你点击购买就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880484406},{"body":{"content":"购买成功后给我说一声，我把我个人二维码发给您，方便日后复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880507724},{"body":{"content":"就这三种吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880545121},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880553712},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880569580},{"body":{"content":"购买成功了给我说一声，我帮你留一个复诊名额","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880599177},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880632039},{"body":{"content":"这些能吃多长时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880722143},{"body":{"content":"这是一个疗程7天左右的用药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880742043},{"body":{"content":"先服用一个疗程的用药看看，达到稳定和满意的情况后，就可以考虑停药了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880936977},{"body":{"content":"你购买成功了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880975062},{"body":{"content":"你好，你点击购买成功了吗？您这个情况不能再往后拖了，你现在还年轻，及时调理的话还是比较好康复的，不要拖到后期严重了，那么就不好治疗了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882002040},{"body":{"content":"早上好！昨天帮你开的处方审核通过了，你点击购买成功了吗？然后我好帮你做健康档案登记，留复诊名额。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652920093505},{"body":{"content":"主要是怕快递。。。 寄来的慢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652921979918},{"body":{"content":"放心好了！现在帮你安排邮寄，大概三天左右您就能收到了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922011086},{"body":{"content":"那么长时间都过来了，咱们也不差这两三天对吧！建议配合治疗，才能得到改善和恢复好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922056071},{"body":{"content":"这是我作为医生，给你的建议，你自己考虑吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922097382},{"body":{"content":"你现在还年轻，及时调理的话，那么还是比较好康复的，不要拖到后期严重了在治疗，那么就不好治疗了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922176197},{"body":{"content":"帮你开的药都是根据你的身体情况，来搭配取到最佳改善和恢复治疗的药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922592811},{"body":{"content":"线下不一定有咱们的药，而且方便你复诊好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922617832}]

男25岁

2022.05.20

[{"body":{"content":"您好，我是李威医生，来自中国医科大学附属盛京医院妇科，副教授，副主任医师\n\n非常高兴为您提供咨询服务\n\n我正在看您的简要病例，请稍等…","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049858927},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049876228},{"body":{"content":"生孩子之前月经周期规律吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049892179},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895411},{"body":{"content":"目前孩子几个月？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049906706},{"body":{"content":"7个多月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049914516},{"body":{"content":"正常产，还是剖宫产？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918840},{"body":{"content":"生孩子之前勉强规律","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049927802},{"body":{"content":"剖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049939794},{"body":{"content":"晚上睡眠如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943246},{"body":{"content":"体重较孕前增加多少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049969312},{"body":{"content":"不怎么好，我自己带孩子睡，还会夜醒两次左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974568},{"body":{"content":"目前110斤，孕前98斤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049986656},{"body":{"content":"身高多少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050023119},{"body":{"content":"163厘米","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050042826},{"body":{"content":"保持当前体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050086751},{"body":{"content":"看看这篇科普文章","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096887},{"body":{"content":"不减肥吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098563},{"body":{"content":"163的身高，100-110","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117805},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050120705},{"body":{"content":"好吧，那这下巴十来个痘痘要怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050147063},{"body":{"content":"您的月经没有恢复一是产后，二是作息不规律","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050160325},{"body":{"content":"都可能影响月经复潮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177266},{"body":{"content":"孩子太小睡觉没办法保证","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050183670},{"body":{"content":"不知您孕前脸上愿意起痘痘吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232814},{"body":{"content":"会","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050291482},{"body":{"content":"可能是多囊卵巢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050447824},{"body":{"content":"目前您已经断奶了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460943},{"body":{"content":"可以到当地医院妇科门诊看看，做一个盆腔彩超，看看内膜厚度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050476330},{"body":{"content":"如果内膜达到一定厚度的话，可以用药来月经","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497051},{"body":{"content":"从来月经第一天可以口服***，每天一片，连续口服三个月，也许脸上的痘痘就好了，同时调整月经，**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050542248},{"body":{"content":"***是短效***，比较严重的并发症是增加血栓形成风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581178},{"body":{"content":"但一般发生于有家族史，肥胖，高血压，糖尿病，高龄（＞35岁），吸烟的女性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050624647},{"body":{"content":"明晨买个验孕棒排除一下怀孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050646620},{"body":{"content":"然后去医院做盆腔彩超","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657014},{"body":{"content":"嗯嗯好哒谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050808245},{"body":{"content":"不客气！ 希望我的建议能够帮助到您，非常感谢您的信任！请您对我的服务作出评价，祝您生活愉快啦！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050845733}]

女28岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018330872}]

男17岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169573},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190769},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050193821},{"body":{"content":"小孩近视最近眼睛疲劳的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281712},{"body":{"content":"厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050291241},{"body":{"content":"看黑板老看不清","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050311878},{"body":{"content":"上个星期去眼镜店去测视力说疲劳，测不准","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050385293},{"body":{"content":"这个星期还是疲劳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050408730},{"body":{"content":"一个300°一500°","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435970},{"body":{"content":"这样的可以用******吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461455},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050686927},{"body":{"content":"散瞳验才准确","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050702250},{"body":{"content":"您去医院散瞳验光吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050713252},{"body":{"content":"眼镜店不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050723102},{"body":{"content":"眼睛店说不用散瞳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050746804},{"body":{"content":"去眼镜店半年几个月就得换眼镜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050803976},{"body":{"content":"******能缓解多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050874391},{"body":{"content":"眼睛店配眼镜是不是都多配°数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050939027},{"body":{"content":"这样用什么***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050999595},{"body":{"content":"******可以滴吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051040007},{"body":{"content":"这个不是缓解近视加深的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051063673},{"body":{"content":"一定要散瞳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143643},{"body":{"content":"眼睛店说现在视疲劳验不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051213893},{"body":{"content":"我就是现在不相信他们","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051307813},{"body":{"content":"上次去我们人民医院看过也没有散瞳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051411454},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051510102},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051521993}]

女15岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012845143},{"body":{"content":"大夫您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012880759},{"body":{"content":"我孩子最近说他没有情绪，让我给他找心理医生，说他心理有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012949051},{"body":{"content":"都有什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012974472},{"body":{"content":"我是最近不爱说话他感觉什么都烦，说一天没精神","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653013076079},{"body":{"content":"抑郁症的症状：情绪低落，兴趣减退，精力下降，自卑，自杀，反应迟钝，不爱吃饭，不睡觉或者睡眠多！ 这些症状有几点？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653013100327}]

男15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":1653050037218},{"body":{"content":"这个表不适合女性，有什么问题可以直接咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212394}]

女

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":"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":1653049640000},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049641748},{"body":{"content":"您好，您发链接的这款就是了，真三段适合两岁宝宝。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049671521}]

女

2022.05.20