乔艳贞

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050093555},{"body":{"content":"没发红吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106452},{"body":{"content":"您好，稍微有点发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117836},{"body":{"content":"****涂一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181976},{"body":{"content":"******涂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189340},{"body":{"content":"好的，另外请问一下医生，这个影响宝宝打**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227142},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244112},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245361},{"body":{"content":"注意**屁股","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248907},{"body":{"content":"有点发炎的样子","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253539},{"body":{"content":"好的，****是一天涂一次吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288519},{"body":{"content":"一天三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304780},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319832},{"body":{"content":"我没有其他问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050337529},{"body":{"content":"表皮也用一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050337768},{"body":{"content":"嗯嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343422}]

男2个月22天

2022.05.20

[{"body":{"content":"？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050707191},{"body":{"content":"您好，我是皮肤科医师曾强，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712676},{"body":{"content":"图片比较模糊，请问方便重新拍摄一下吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050722476},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050728821},{"body":{"content":"好的，您这种黑斑前身是受过外伤或者得过皮炎湿疹类疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050826399},{"body":{"content":"现在黑斑是平的还是凸起的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831436},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050834620},{"body":{"content":"平的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050838675},{"body":{"content":"这种情况有多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050875325},{"body":{"content":"黑斑的范围有没有持续扩大呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050881564},{"body":{"content":"大约有3年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906112},{"body":{"content":"一年比一年大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050922878},{"body":{"content":"表面有没有皮屑呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933231},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937954},{"body":{"content":"结合您的描述考虑 色素沉着可能 较大，一般会在外伤或者皮肤疾病之后出现，但没有相关诱因，可以线下医院皮肤科做个皮肤镜明确下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051017917},{"body":{"content":"如果不方便就诊，我先给您一些外用药物建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051022838},{"body":{"content":"好的你给开点药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051052985},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051063738},{"body":{"content":"我给您治疗建议，为用药安全，请问有药物过敏史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051067551},{"body":{"content":"我吃了9天的中药也没用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051074541},{"body":{"content":"没有过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051094292},{"body":{"content":"可以选择******每日均匀外涂三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110008},{"body":{"content":"这个要几周时间才能看到淡化效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051118240},{"body":{"content":"请稍等一会儿，我给您开个处方单发送到对话框。可以按照提示流程直接购买，不用上传处方单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128127},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051140041},{"body":{"content":"这些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051175208},{"body":{"content":"您平时要注意防晒，多吃富含****的水果和蔬菜，有利于印记淡化","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234089},{"body":{"content":"处方单已经开具过来了，您可以向上翻看一下直接点击绿色小框购药。您看看收到了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051239095},{"body":{"content":"收到了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051288615},{"body":{"content":"建议定期三周复诊。 使用前请仔细阅读说明书，如无禁忌可使用。如您使用过程中出现不适或效果不佳，请及时停用药物并就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355727},{"body":{"content":"如果有皮肤科相关问题可以打开京东APP，在搜索栏中搜索“皮肤科医生曾强”即可找我复诊。祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051356697}]

男28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":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050010151},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050014000},{"body":{"content":"血糖多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050021913},{"body":{"content":"9点以内","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050042068},{"body":{"content":"空腹?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128138}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965025702},{"body":{"content":"能拍个照片看一下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965047862},{"body":{"content":"身体右侧肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965053284},{"body":{"content":"颜面部肿吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965055421},{"body":{"content":"右侧是上肢和下肢吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965072607},{"body":{"content":"既往有什么基础疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965083725},{"body":{"content":"上肢不肿对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143453},{"body":{"content":"按压肿得地方有凹陷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965163733},{"body":{"content":"从图上看您左侧下肢及脚面是肿的，而不是右侧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965225387},{"body":{"content":"整个右边都是肿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257392},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272777},{"body":{"content":"心脏和肾脏都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285570},{"body":{"content":"没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965292020},{"body":{"content":"我自己拍不到全身","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965311743},{"body":{"content":"单侧水肿考虑血管的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965318746},{"body":{"content":"哪的血管呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965364390},{"body":{"content":"建议您查下腔静脉及下肢动静脉超声或血管核磁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965384820},{"body":{"content":"都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965401080},{"body":{"content":"血管核磁可能更清楚一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409087},{"body":{"content":"有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965420435},{"body":{"content":"有点静脉曲张。但不足以导致整个右侧的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965429488},{"body":{"content":"脸的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459714},{"body":{"content":"如果水肿部位比较的应该考虑上面血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965459845},{"body":{"content":"胳膊没法拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468281},{"body":{"content":"自身免疫抗体谱有没有查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476117},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488092},{"body":{"content":"属于内分泌么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965498738},{"body":{"content":"主要考虑血管的问题，就是全身血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965501139},{"body":{"content":"属于风湿免疫科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965509879},{"body":{"content":"腰脱或颈椎问题会导致这种问题么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534492},{"body":{"content":"需要做个全身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965569183},{"body":{"content":"ct或核磁么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965592431},{"body":{"content":"不会的，颈椎和腰椎的问题，它不会引起单侧的颜面的问题，除非是脑神经脑血管堵塞，但是会伴行运动障碍。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965614130},{"body":{"content":"核磁看血管比较清楚。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965625364},{"body":{"content":"需要挂什么科室呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659792},{"body":{"content":"风湿免疫科么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671643},{"body":{"content":"可以的，可以挂风湿免疫科，考虑全身血管病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682508},{"body":{"content":"早晨起来手抓不严","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965712402},{"body":{"content":"这就是晨僵现象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728966},{"body":{"content":"活动一会才会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729784},{"body":{"content":"建议到上级比较好的风湿免疫专科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746669},{"body":{"content":"就是血管的病变引起的是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766140},{"body":{"content":"对血管病变引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965788618},{"body":{"content":"好的。我去查查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965807547},{"body":{"content":"一定要到上级最好的风湿免疫专科就诊，这样的话查的比较全面，不延误您的病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838817},{"body":{"content":"之前做了心脏肾脏。。。。好多检查。。都没有解决问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844364},{"body":{"content":"这种能治不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855891},{"body":{"content":"目前考虑大血管的病变，具体还要等检查结果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862258},{"body":{"content":"不要紧张，根据病情制定方案就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874445},{"body":{"content":"一般情况会是做手术还是吃药调理呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965902348},{"body":{"content":"嗯，不会做手术的，主要是内科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965918896},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935466},{"body":{"content":"等下。我拍个手和胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999057},{"body":{"content":"手指没有变形，但是皮肤颜色有变化，所以仍考虑风湿免疫类问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966146725},{"body":{"content":"感谢您的回复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966159379},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966167409},{"body":{"content":"最近会安排做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172223},{"body":{"content":"因为已经折磨我几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966186522},{"body":{"content":"找不到病因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966198089},{"body":{"content":"放宽心情，积极面对，尽早的明确病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966288526},{"body":{"content":"应该是手机镜像的原因你看着是左边。其实是右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360372},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380243},{"body":{"content":"有凹陷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966382190},{"body":{"content":"按下去不回来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966406626},{"body":{"content":"静脉的水肿一般就为凹陷性水肿，血管炎会有这样的表现，血管炎呢，它一般情况下属于也是属于风湿免疫结缔组织病的一种，所以建议您尽快的行，专科检查，专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966444186},{"body":{"content":"但不回弹的地方只在膝盖以下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966459709},{"body":{"content":"我是做整身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966495949},{"body":{"content":"还是只做右侧呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966515102},{"body":{"content":"我建议您不要只做单项检查，我建议您先走风湿免疫科的专科医院，然后由专科医生给您开一系列的检查，您再去做，检查结果，方便医生进行总体病情评估。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966555759},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966570901},{"body":{"content":"您自己不要再去单独的开检查了，必须让专科医生进行专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966574409},{"body":{"content":"我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966577447},{"body":{"content":"感谢您的帮助","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585320},{"body":{"content":"这就是所谓的一叶障目不见泰山，所以不要自作主张，及时的进行专科诊疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966627887},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966643652},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966676573},{"body":{"content":"您早点休息。我尽快安排检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966736986},{"body":{"content":"嗯嗯，加油","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966760292}]

女40岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师邬美俊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131453},{"body":{"content":"这种情况多久了？\n出现症状之后最近都用过什么药物治疗？\n\n（具体用药药物名称，是否有过敏药物，肝肾等疾病、慢性病、基础疾病，备孕（老幼可忽略）、妊娠期哺乳期（男性、老幼可忽略）等情况请提前说明，不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159732},{"body":{"content":"用过**** 和红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255616},{"body":{"content":"您的图片收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272096},{"body":{"content":"俩个多星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050277219},{"body":{"content":"从您提供的图片上可以看到一些闭口粉刺。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277651},{"body":{"content":"****对于粉刺不具有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284159},{"body":{"content":"熬夜吃辛辣食物了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289836},{"body":{"content":"*****具有**的作用，对于粉刺治疗帮助也不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292537},{"body":{"content":"对呢，熬夜和吃辛辣饮食是不对的。^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050306921},{"body":{"content":"那应该用什么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308827},{"body":{"content":"闭合性粉刺，主要是跟饮食辛辣刺激上火油腻甜腻，心情不好急躁，作息不规律，睡眠不足，熬夜，学习压力大、便秘等有关。\n\n要清淡饮食，辛辣、油腻、甜腻、烫的、刺激的不要吃；不熬夜；多喝水，多吃水果蔬菜；\n\n保持心情愉快，大**畅，营养均衡，保证足够睡眠；\n\n饭后根据面部油腻情况建议温水洗脸，可以用控油洗面奶。\n\n用药上可以晚上涂抹******，不要轻易挤压。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050329984},{"body":{"content":"****使用的注意事项为：\n该药怕光。\n需要夜间避光使用。\n白天必须清洗掉。\n用药前皮肤要清洁干燥，不要有水。\n皮肤有破损的地方不可以涂抹。\n要避开眼周皮肤薄嫩的区域。\n\n它在治疗的过程中有一部分皮肤敏感的患者可能会有一定的刺激感。因此建议使用时先小范围、短时间（起初15-20分钟左右，就可以清洗掉了）少量点涂。\n如果1~2天没有明显的刺激感，再全部患处、较长时间点涂于患处。\n\n如果患处出现轻微的瘙痒、刺痛感，是正常的，**可以耐受。\n\n若出现患处出现明显红肿，瘙痒，刺痛明显等症状。就需要停药，将药品清洗掉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050356472},{"body":{"content":"如果皮肤比较敏感。\n可以先涂护肤品再涂药膏，这样可以减少药物的刺激。\n\n如果不是敏感肌是属于正常皮肤。\n先涂药膏后涂乳液可以增加药膏的吸收量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368175},{"body":{"content":"这个痘印现在属于红痘印还是黑痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430712},{"body":{"content":"怎么可以祛除呀?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444099},{"body":{"content":"红色。略偏黑。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050446189},{"body":{"content":"这种情况也可以使用******来淡化。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452082},{"body":{"content":"需要涂精华产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474982},{"body":{"content":"一定要注意防晒，是晒会导致痘痘形成痘印","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050488048},{"body":{"content":"不需要。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491640},{"body":{"content":"可以用**类的产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516997},{"body":{"content":"和那种修红痘印的精华","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534521},{"body":{"content":"聊胜于无。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543455},{"body":{"content":"治疗作用肯定是不如药物强的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050548565},{"body":{"content":"我这些天一直用****涂痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050549458},{"body":{"content":"也可以呀。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554346},{"body":{"content":"发现没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555996},{"body":{"content":"看不出来太大效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563278},{"body":{"content":"***对于粉刺和痘印也有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050563510},{"body":{"content":"需要连续用药一段时间。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568860},{"body":{"content":"还是得****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572135},{"body":{"content":"***要温和一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594274},{"body":{"content":"****的力量要强一些。当然了，****的刺激感可能要比***要强一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617775},{"body":{"content":"***可以和***一起使用吗 还是就***就可以了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623303},{"body":{"content":"所以如果您的皮肤特别敏感，可以继续使用一段时间***\n\n如果不是敏感肌，是正常的皮肤，****的治疗作用更强","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645846},{"body":{"content":"只用***就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653898},{"body":{"content":"我用的是百分之15的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654011},{"body":{"content":"对的，绝大多数患者最开始使用的时候都要从低浓度用起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674738},{"body":{"content":"大概使用一个月之后，当皮肤建立耐受，可以适当提高浓度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696093},{"body":{"content":"好的 之后耐受用百分之多少的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050755914},{"body":{"content":"20%","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050764558},{"body":{"content":"好谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050780488},{"body":{"content":"不客气哒^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050797143}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050271052},{"body":{"content":"您好，我是河南大学淮河医院男科副主任医师***，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细的阅读您的病情描述*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050274699},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050282935},{"body":{"content":"①　请问您是否从第一次性生活开始就出现射精过快？\n②　射精过快的现象有：1）.在进入阴道之前或进入后约1分钟以内就射了；2）.相比之前射精潜伏时间显著缩短，通常小于3分钟；3）.偶尔出现射精过快，短于3分钟。请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291324},{"body":{"content":"③　性欲如何？性刺激下阴茎能否勃起？硬度是否足以插入？能否维持足够时间？有无早泄等射精功能障碍？有无***异常？\n④　勃起硬度：1级，阴茎只胀大但不硬，类似豆腐，为重度勃起功能障碍；2级，阴茎有硬度，但硬度不足以插入阴道，类似剥了皮的香蕉，为中度勃起功能障碍；3级，能插入阴道但不坚挺，类似香蕉，为轻度勃起功能障碍；4级，阴茎完全勃起并坚挺，类似黄瓜，为勃起功能正常。请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050295243},{"body":{"content":"符合以上哪种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305598},{"body":{"content":",第四种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050364986},{"body":{"content":"阴茎能硬，但也软的快","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050438886},{"body":{"content":"就是硬的时候，**进不去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474879},{"body":{"content":"结婚了吗性生活频率是\n睡眠质量好吗有失眠多梦盗汗耳鸣吗\n有腰漆酸软口干舌燥吗\n有手淫的习惯吗多久一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276080},{"body":{"content":"依次回答","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051278772},{"body":{"content":"没有结婚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302033},{"body":{"content":"睡眠还行，就是睡得晚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051327738},{"body":{"content":"有盗汗耳鸣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051380222},{"body":{"content":"有腰漆酸软，口干舌燥，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051421492},{"body":{"content":"之前手淫频繁，每天天一两次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458375},{"body":{"content":"性生活的时候**进不去，硬的慢，软的快，有四五年手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468640},{"body":{"content":"有精神不振乏力脾气暴躁容易上火吗\n有性生活后腰痛吗\n有怕冷怕热吗\n熬夜饮酒多吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478743},{"body":{"content":"有精神不振乏力脾气暴躁容易上火\n\n有怕冷怕热\n熬夜饮酒多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051552722},{"body":{"content":"没有性生活过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051561049},{"body":{"content":"有阴囊潮湿大便挂壁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051578045},{"body":{"content":"有尿频尿急尿不尽尿分叉尿痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051585226},{"body":{"content":"都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051587589},{"body":{"content":"拍个舌苔照片不要美颜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611738},{"body":{"content":"尿分叉，尿痛的情况少了，其他的情况都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051629316},{"body":{"content":"根据你的描述和舌苔表现考虑为肾虚湿热勃起功能障碍可以通过药物结合行为疗法进行治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726339},{"body":{"content":"那都吃些什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051754494},{"body":{"content":"你现在是匿名患者无法开具处方，开具处方需要扫描我的复诊二维码进行问诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051763301},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051822397},{"body":{"content":"这个对话框结束后再扫描","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051847144}]

男28岁

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":1653049685410},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689161},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694829},{"body":{"content":"宝宝口水多吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049705329},{"body":{"content":"我家宝宝10个还没有长牙","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049709812},{"body":{"content":"还好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049715429},{"body":{"content":"前段时候多一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049726760},{"body":{"content":"个别宝宝出牙晚也是正常的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736405},{"body":{"content":"我想给她买一个磨牙香蕉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049743536},{"body":{"content":"如果超过一岁还不出牙就要看医生了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049759040},{"body":{"content":"没出牙用的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049766115},{"body":{"content":"出牙晚是缺钙吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049777396},{"body":{"content":"可以用磨牙棒的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049794627},{"body":{"content":"可能有关系，也不全是，还有别的可能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049834453},{"body":{"content":"但是他自己能扶着沙发移动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049919015},{"body":{"content":"九个多月就这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049936000},{"body":{"content":"可能和遗传有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049942584},{"body":{"content":"还有就是辅食过于精细","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049968159},{"body":{"content":"喝粥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049980075},{"body":{"content":"可以给宝宝稍微有点**感的让宝宝咀嚼","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017235},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050024732},{"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":1653050057407},{"body":{"content":"如果方便的话希望能给个好评谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060849},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050076168},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096236}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0022，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050635401},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636301},{"body":{"content":"急性的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050641881},{"body":{"content":"8月份查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658603},{"body":{"content":"感觉前段时间好转了，最近又复发了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050672788},{"body":{"content":"小便有点疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050678083},{"body":{"content":"建议二周一疗程","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705381},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050877596},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050907678},{"body":{"content":"男","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050922592},{"body":{"content":"24岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925766},{"body":{"content":"//***，口服，一次3片，一日3次。一个月为一个疗程\n【用药注意】饭前服用，服药期间忌酒及辛辣刺激食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050935826},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940666},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050973998},{"body":{"content":"一疗程就可以治愈吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002936},{"body":{"content":"您好，轻微 的二周一疗程 ，严重复发，一个月一疗程","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051031370},{"body":{"content":"药品的效果与药品的吸收、分布、代谢、排泄等有关。另外患者年龄、性别、体质、以及联合用药情况等 都对药效的体现有影响。所以药效视具体情况而定噢。由于个体差异，不同的人对药物的吸收会有差异，大多数患者见效快，少数患者见效可能会慢一些，一般对症就会有效果的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051032455},{"body":{"content":"我最近熬夜很厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051096502},{"body":{"content":"经常2点睡觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102939},{"body":{"content":"这个要调整作息哟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123465},{"body":{"content":"请问与这个有没有联系","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051123870},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051143395},{"body":{"content":"吃这个一点酒不能喝吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051155261},{"body":{"content":"熬夜、喝酒会让人抵抗 下降","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051165026},{"body":{"content":"可不可以喝酒当天不吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165295},{"body":{"content":"当时检查时说我是轻微的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051182961},{"body":{"content":"就是有一点点炎症，并不是太厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051191973},{"body":{"content":"服药禁酒哟，真的不建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051206707},{"body":{"content":"您服用药物也是想得到好的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051212521},{"body":{"content":"是的，但是总不能避免，我也没有办法","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051230742},{"body":{"content":"用药期间尽量避免 ，因这个一天要吃几次的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051245900},{"body":{"content":"8月份拿的这个药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051300404},{"body":{"content":"我吃了会不舒服，就没有吃完","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051310607},{"body":{"content":"吃这个药胃会不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051323971},{"body":{"content":"这个是**的，一般尿道 感染 的，我们会建议一起，不是太严重的，就可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331331},{"body":{"content":"可能您肠胃不耐受","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337891},{"body":{"content":"好的，那我先吃一个疗程试一试ba","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051378229},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051388710},{"body":{"content":"平时一定注意，尽量尽量哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051394681},{"body":{"content":"还有不要久坐哟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051398280},{"body":{"content":"温馨提示：1、注意清淡饮食，避免吃辛辣、刺激食物，比如**、火锅、烧烤、油炸食物。\n2、在使用***治疗期间，绝对禁止饮酒。\n3、患者需要注意会阴部卫生，保持外阴干燥、清洁。注意多饮水，促进肾脏排出更多的尿液，将泌尿系统中的细菌以及污染物冲刷出体外。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051459051},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。请您查看药品说明书中的注意事项，使用 天后如果症状没有改善或出现症状加重的情况，建议尽快线下就医。用药期间禁烟酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600616},{"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":1653051601440},{"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":1653051604411},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051607410}]

女

2022.05.20

[{"body":{"content":"几天了？痒不痒？之前治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063069},{"body":{"content":"大概2个礼拜，有点痒，以前没有出现过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050142296},{"body":{"content":"而且只有靠近脖子的位置有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154390},{"body":{"content":"这里看着怀疑神经性皮炎呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190004},{"body":{"content":"请问是精神状态导致的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050215730},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253127},{"body":{"content":"你经常去抓吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050263329},{"body":{"content":"最近出现了才抓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050275103},{"body":{"content":"这个药可以吗？之前去医院开过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289412},{"body":{"content":"可以可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050472915},{"body":{"content":"但是不能用的时间长了 也就用5-7天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050493441},{"body":{"content":"然后换成弱效激素 或者非激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050521352},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536906},{"body":{"content":"请问这个是弱激素的吗？^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050567780},{"body":{"content":"这个没有激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050601658},{"body":{"content":"用第一个5天后换成第二个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612917},{"body":{"content":"好的，谢谢您。之前脸上有过，当时医生开的，看来是同一个问题^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654671},{"body":{"content":"是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050725578},{"body":{"content":"谢谢^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050745158},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050777658}]

男29岁

2022.05.20