李志坚

[{"body":{"content":"晚上好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049626351},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049633841},{"body":{"content":"一个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049643325},{"body":{"content":"这个是哪里问题，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049658214},{"body":{"content":"一开始是如何引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049669474},{"body":{"content":"吃东西过于寒凉吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049704110},{"body":{"content":"睡眠怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049798350},{"body":{"content":"有点少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049803973},{"body":{"content":"睡眠不好，是引起这一类现象的主要原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049963782},{"body":{"content":"1）养成良好的生活习惯　如建立一天有规律的生活制度，在固定时间睡觉和起床，保持正常的睡眠－觉醒节律。白天适度的体育锻炼，尤其下午锻炼是帮助睡眠的最佳时间。有规律的体育锻炼能提高夜间睡眠的质量。2）建立科学的睡眠卫生习惯　避免睡前吃得过饱，尽量避免在睡前饮用酒、咖啡、茶、可乐等刺激性饮料（但可以喝适量牛奶），避免睡前进行体育活动。另外，应限制白天睡眠时间，避免午睡或减少午睡时间。3）创造良好的睡眠环境　保持卧室清洁、安静、远离噪声、避开光线刺激等。保持室温稍凉，卧室温度稍低有助于睡眠。好的卧具可以帮助入睡，可从选择合适的床垫开始。4）建立“睡眠仪式”　入睡前要抛开清醒时的一切烦恼。“睡眠仪式”可依据个人喜好或繁或简，可始于轻轻地舒展身体，松弛肌肉，或冲个热水澡，也可以听听音乐或者翻翻不具恐怖色彩的书。但是不管选择哪种方式，都要记住每晚睡前做同一件事，直到它成为夜间休息的一种暗示。5）保持乐观、知足的良好心态　对社会竞争、个人得失等有充分的认识，避免因为生活和工作中遇到挫折而导致心理失衡。6）服***　对于失眠较严重的病人，可在医生指导下，短期、适量地服用***或小剂量的抗焦虑、抗抑郁制剂，这样可能会取得更快、更好的治疗效果。但是需要强调的是，***不宜长期服用，否则容易变成习惯，甚至成瘾。另外，长期服用***也可能产生耐药性，使药物的效用降低。有些药品具有一定的肝毒性，并可能引起胃肠功能紊乱。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974359},{"body":{"content":"这个问题应该吃什么中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049994923},{"body":{"content":"中医讲究辨证论治，我需要再详细了解一下您的基础情况，帮您对症分析，再给您一个综合调理的方案。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069342},{"body":{"content":"方便拍个舌头的照片（让舌头对着光线明亮的方向拍照，尽量不要使用美颜，舌体尽量自然伸出来，也可以多拍几张对比一下），传一下看看舌象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080618},{"body":{"content":"舌头很红。有齿痕。舌苔很厚。白，这种情况多数情况是体内湿气比较重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360812},{"body":{"content":"食欲怎么样？油腻的东西吃的多不多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385313},{"body":{"content":"用镜子看没有舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050982926},{"body":{"content":"红头红，有齿痕，无舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050997051},{"body":{"content":"好的，那就是光线的原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008985},{"body":{"content":"食物正常，油腻的东西吃的不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051013228},{"body":{"content":"大便正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051100698},{"body":{"content":"正常吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135618},{"body":{"content":"小便什么颜色的一天几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051167190},{"body":{"content":"小便颜色淡，一天10次吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051285560},{"body":{"content":"有没有口渴？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051320792},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051331257},{"body":{"content":"有没有怕冷的感觉？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371118},{"body":{"content":"有点怕冷吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400343}]

男31岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049608879},{"body":{"content":"您拍一张出现症状部位清晰的照片，以便于我对症状、为您建议用药做出更准确的分析。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049609731},{"body":{"content":"有什么药适合宝宝涂的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049643668},{"body":{"content":"是因为热吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049668636},{"body":{"content":"除了瘙痒是否有发红、脱皮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049670786},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049679005},{"body":{"content":"根据您描述的症状考虑 湿疹的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725995},{"body":{"content":"一方面是这2个部位皮肤比较薄嫩，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049730961},{"body":{"content":"另一方面这两个部位比较容易摩擦刺激和焐热","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738227},{"body":{"content":"容易出现这种症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049743099},{"body":{"content":"有脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049754189},{"body":{"content":"收到了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049818942},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049858277},{"body":{"content":"是的，湿疹的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049898093},{"body":{"content":"为了避免重复用药，请问孩子症状出现后使用过哪些药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049899609},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049909877},{"body":{"content":"药物使用多久了？用药期间效果怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049987308},{"body":{"content":"我只是涂了两次，隔几天涂一次，因为我也不确定是否湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050036063},{"body":{"content":"这个可以持续使用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050055269},{"body":{"content":"为了用药安全，请问孩子父母有无药物过敏史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060131},{"body":{"content":"没有，只是地中海贫血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050102103},{"body":{"content":"是的，可以继续使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106712},{"body":{"content":"***** 每天两次 早晚各1次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050112479},{"body":{"content":"可以先用3-5天，使用期间症状如果好转，减少使用次数，逐渐停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117474},{"body":{"content":"可以减少复发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050119874},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157811},{"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。建议您定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181850},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050183633},{"body":{"content":"这个用药是一方面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050187145},{"body":{"content":"同时给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188007},{"body":{"content":"同时注意每天涂抹***，也是可以提高皮肤屏障功能 ，辅助恢复的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050191005},{"body":{"content":"建议避免搔抓和摩擦刺激，以免刺激加重病情，做好皮肤保湿，饮食清淡，忌鸡蛋，海鲜，牛**，多吃蔬菜和水果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050641601},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820224},{"body":{"content":"很多宝妈反馈这种的还可以，您可以参考看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839319},{"body":{"content":"希望我以上的建议能够帮助您 ，您还有**问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050910105}]

男1岁7个月

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，很高兴能够由我为您提供问诊服务，请问您有什么要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965211568},{"body":{"content":"是男性吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965222644},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965231697},{"body":{"content":"还有其他不舒服吗？肚子疼吗？发烧吗？拉肚子吗？便秘吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965249384},{"body":{"content":"最近几天一直想吐，但是吐不出来那种，吃饭也想吐？吃几口就恶心的不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965289423},{"body":{"content":"这些我看到了，你直接回答我什么的问题就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965302323},{"body":{"content":"不发烧，就是想吐，也拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965360220},{"body":{"content":"一天拉几次呢？肚子疼吗？我上面问的问题麻烦你都回答完好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965394314},{"body":{"content":"不发烧，肚子疼，拉肚子，也便秘，一天差不多5，6次，而且每天都想吐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965575012},{"body":{"content":"但你说的这些明显很矛盾，一天拉五六次又怎么会便秘呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965608941},{"body":{"content":"对照上图告诉我肚子哪一块疼。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965627072}]

男18岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965709870},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965836945},{"body":{"content":"报告发来看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965846084},{"body":{"content":"中年妇女乳腺炎消炎了但是有硬块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965877554},{"body":{"content":"发现多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965950555},{"body":{"content":"十多天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965967458},{"body":{"content":"皮肤有无红肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965986329},{"body":{"content":"发烧吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965991751},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965994056},{"body":{"content":"不发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966000435},{"body":{"content":"可以查乳腺彩超看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966013917},{"body":{"content":"查了，是乳腺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966052179},{"body":{"content":"有没有化脓","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966069103},{"body":{"content":"有化脓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966091809},{"body":{"content":"需要手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966100279},{"body":{"content":"不手术，可以痊愈吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966216388},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966233257},{"body":{"content":"会危机生命吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966251564},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966259241},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966289268},{"body":{"content":"别客气，亲。要是没问题，欢迎您给我一个“满意”评价（评价按钮在页面右上角，问题关闭后页面下面也可评价）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966296754}]

女52岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是眼科张医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014952},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051015424},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051026568},{"body":{"content":"是需要开具 ********吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051035496},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051045979},{"body":{"content":"好的，看到了宝宝线下医院的药物处方单","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065444},{"body":{"content":"为用药安全，请问宝宝有没有药物过敏史？肝肾功能有没有异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051069746},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051074877},{"body":{"content":"需要开具几盒呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051097291},{"body":{"content":"她已经用过这个药了，然后拿着到处涂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098387},{"body":{"content":"两盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102659},{"body":{"content":"药污染了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051111243},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120501},{"body":{"content":"请稍等，一会这个页面可以看到处方单，点击预约药品即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122683},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051131871},{"body":{"content":"用药前请严格按说明或医嘱来使用药物，如在用药过程中 如出现皮疹、皮肤瘙痒、发热等过敏反应和 任何不适或症状没有明显改善，立即停药并及时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051135310},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051148364},{"body":{"content":"处方审核通过了，点击处方单—查看详情—预约药品即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182245},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051275624},{"body":{"content":"我需两盒，现在是四盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291891},{"body":{"content":"你直接开一盒吧，它的链接是两盒的量","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051344990},{"body":{"content":"这边打开处方显示给宝宝开具的是2盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051374593},{"body":{"content":"2×2是四盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051439166},{"body":{"content":"你给我开一盒吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051466451},{"body":{"content":"因为一次问诊只能开具一次处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478043},{"body":{"content":"这样吧，您按照以下的方法购药看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051491786},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051507963},{"body":{"content":"第一、点进上方的处方单-截图保存在手机里","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051508548},{"body":{"content":"第二、********，点药物后的小车 把药物加入购物车，在购物车里购买药物，上传截图的处方，预约药物即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051530496},{"body":{"content":"我现在在找另一位医生问诊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051531527},{"body":{"content":"您按照这个方法就可以购药了，不需要再重新问诊开具处方了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051555860},{"body":{"content":"在用药观察3到5天如果病情没有缓解或者出现加重的情况，可以线上复诊或线下公立医院眼科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051730444},{"body":{"content":"希望我的建议能够帮助到您，同时感谢您的信任与支持。之后有任何其他问题，可以在京东APP搜索“京东医生张茜”就可以找到我，祝宝宝早日恢复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051737466}]

女3岁

2022.05.20

[{"body":{"content":"感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965468324},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476175},{"body":{"content":"以前也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965499994},{"body":{"content":"是睡觉感觉呼吸累","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965553940},{"body":{"content":"这次多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965555643},{"body":{"content":"睡觉打呼噜吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965566242},{"body":{"content":"油腻的吃了就这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585895},{"body":{"content":"有时有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965597895},{"body":{"content":"平时右上腹部疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965629866},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659238},{"body":{"content":"那就是感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965677765},{"body":{"content":"可以吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965684753},{"body":{"content":"就是口水特别浓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965698892},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965718412},{"body":{"content":"考虑感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965720925},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965757581}]

男43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":1653050295924},{"body":{"content":"您好，可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308272},{"body":{"content":"新生儿可用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313775},{"body":{"content":"但是我上次不小心流了一滴进嘴里，超级咸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325877},{"body":{"content":"口鼻相通","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050330706},{"body":{"content":"幼儿不是不能吃盐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340057},{"body":{"content":"为啥能用这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050345581},{"body":{"content":"婴儿款的一般是0.09","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050347464},{"body":{"content":"是可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050351583},{"body":{"content":"好吧谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607247},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050722761},{"body":{"content":"别担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050724911}]

女

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049755331},{"body":{"content":"您好，今天刚刚做的检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049766323},{"body":{"content":"昨天的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049772927},{"body":{"content":"这个结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049774188},{"body":{"content":"您月经推迟几天了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049779666},{"body":{"content":"末次月经4.14号开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783326},{"body":{"content":"好的，您是有生育要求的是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049801808},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049805615},{"body":{"content":"好的，目前有腹痛出血吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813459},{"body":{"content":"腰有些酸痛，偶有腹痛，躺一会儿就能好，没有出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049833174},{"body":{"content":"好的，那可以再复查看看的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049838371},{"body":{"content":"早孕一般血hcg隔天翻倍一般考虑胚胎发育良好、宫内孕的几率高，一般血hcg大于3500可以查超声，是否宫内孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852937},{"body":{"content":"应该是怀孕吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049865021},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049867699},{"body":{"content":"结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049872491},{"body":{"content":"我的症状不是宫外孕的典型症状吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895146},{"body":{"content":"因为是二胎，比较担心炎症会导致宫外孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924550},{"body":{"content":"宫内孕以及宫外孕的区分只能是做B超宫内看到孕囊，根据症状没有办法区分","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930518},{"body":{"content":"理解您的心情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049936372},{"body":{"content":"B超6周去做合理吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959240},{"body":{"content":"太早怕什么都看不到，太晚怕宫外孕危险","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049984333},{"body":{"content":"也可以的，主要是看血HCG的情况，血HCG大于*****般可以做B超看到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049987461},{"body":{"content":"好的，那我明白了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050049669},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056730},{"body":{"content":"有吃**吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050228063},{"body":{"content":"昨天开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050252387},{"body":{"content":"好的，整个孕期都是可以吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277266},{"body":{"content":"不是吃到三个月就行吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050300988},{"body":{"content":"整个孕期可以一直吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315836},{"body":{"content":"您吃的是单纯的**还是*****呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333453},{"body":{"content":"哦哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335431},{"body":{"content":"单纯的**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050341137},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357369},{"body":{"content":"以上情况有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361380},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369750},{"body":{"content":"您可以吃********，含有**和孕期建议补充的多种***，一天一粒，可以吃到宝宝出生的，就不需要再吃单纯的**了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050421634},{"body":{"content":"可以参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425281},{"body":{"content":"好的，我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050442751},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050449940},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、孕妇及哺乳期妇女用药部分，如无禁忌可使用，用药过程中如有不适，或用药症状不缓解可上线咨询或线下就诊。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450678},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452889},{"body":{"content":"好的，谢谢哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050473180},{"body":{"content":"拜拜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477944},{"body":{"content":"早孕建议您多休息，减少活动，注意保暖，避免碰冷水，适当加强营养如瘦肉、鱼、蛋、奶、水果蔬菜等，避免刺激乳房，前三个月禁止性生活及盆浴；定期医院检查，如有腹痛、阴道出血等情况随时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483522},{"body":{"content":"不客气的，给您一些孕期的建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491700},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050599280},{"body":{"content":"谢谢您专业的建议，再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674620},{"body":{"content":"不客气的，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695050}]

女31岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433022},{"body":{"content":"请您稍等，我马上为您查询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436181},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050514963},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050530809},{"body":{"content":"左腿腿弯疼 蹲下得时候厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050556783},{"body":{"content":"左腿腿弯蹲着一跪疼得更厉害 请问用什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050616500},{"body":{"content":"请问您这样多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050624627},{"body":{"content":"十天八天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050644537},{"body":{"content":"差不多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050661805},{"body":{"content":"近期是否就医诊疗过，近期是否服用过*西药物缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683461},{"body":{"content":"昨天刚拿的*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722743},{"body":{"content":"用了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734321},{"body":{"content":"还没开始用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050787754},{"body":{"content":"去诊所拿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798236},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050804497},{"body":{"content":"请问这个药可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817435},{"body":{"content":"可以用的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050836660},{"body":{"content":"有****的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844868},{"body":{"content":"您先用药三至五天看看效果，如果没有缓解，建议您及时去医院检查和治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050936238},{"body":{"content":"好的 谢谢药师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050957172},{"body":{"content":"还有**********有吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050969312},{"body":{"content":"请您稍等，我马上为您查询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050987265},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051012891},{"body":{"content":"暂时没有喷剂哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049895},{"body":{"content":"哦哦 喷剂得好用 **不方便啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087945},{"body":{"content":"**效果持久些哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120633},{"body":{"content":"哦哦 效果比喷剂好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143308},{"body":{"content":"喷剂使用方便些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051154525},{"body":{"content":"药物都是一样的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158036},{"body":{"content":"我想着鞋子里也喷点 脚也喷 不是更好嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051176328},{"body":{"content":"可以用其他的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051190603},{"body":{"content":"需要推荐吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051193761},{"body":{"content":"那是一样的嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051202918},{"body":{"content":"药物是一样的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231231},{"body":{"content":"我之前用的**********得 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233643},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051236909},{"body":{"content":"都一样用的 一样的效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051253277},{"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呢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267056},{"body":{"content":"效果相似的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051275628},{"body":{"content":"效果相似","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302795},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051307810},{"body":{"content":"药物成份是相 同的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051324057},{"body":{"content":"我就是手心脚上 水泡氧 完了之后开始褪皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051351724},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051363866},{"body":{"content":"嗯 用****可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423958},{"body":{"content":"可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429241},{"body":{"content":"可以用洛芙联苯苄唑溶液治疗如手、足癣，体、股癣，花斑癣。\n用法用量：外用，一日1次，2～4周为一疗程。用脱脂棉蘸取少量涂擦局部。\n注意事项\n\n1.避免接触眼睛和其他黏膜(如口、鼻等)。\n\n2.用药部位如有烧灼感、红肿等情况应停药，并局部药物洗净，必要时向医生咨询。\n\n3.对本品过敏者禁用，过敏体质者慎用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051436076},{"body":{"content":"喷剂好还**得","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051441492},{"body":{"content":"足癣（脚气）是要按疗程用药的，一般二到四周为一个疗程，不能吃牛**、*****，另外建议您穿宽松透气的鞋袜，勤换鞋袜，保持脚部干燥。治愈后，条件允许的，建议全部换过新的鞋袜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051444545},{"body":{"content":"可以两种搭配使用的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051452938},{"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":1653051493460},{"body":{"content":"**跟喷剂？搭配吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505329},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051518201},{"body":{"content":"喷剂白天 用，**晚上用哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051526106},{"body":{"content":"那怎么搭配","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551276},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051558719},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562291},{"body":{"content":"嗯 行 那不是不一个牌子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574161},{"body":{"content":"不影响的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051583294},{"body":{"content":"**是**** 喷剂是***啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051593077},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051606057},{"body":{"content":"没有影响嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051622941},{"body":{"content":"不影响的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642522},{"body":{"content":"好 那你都推给我看我看看去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051661558},{"body":{"content":"**** 跟这个喷剂**喝酒可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051699984},{"body":{"content":"不建议喝酒的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051706159},{"body":{"content":"好的 谢谢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051714980},{"body":{"content":"那可以把喷剂喷**推给我嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051733426},{"body":{"content":"好的 谢谢药师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051762031},{"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":1653051825432},{"body":{"content":"嗯 没有了 谢谢哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051835464},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，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":1653051841789},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051857505}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051480572},{"body":{"content":"什么原因引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051489741},{"body":{"content":"不知道，早上还好好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051522302},{"body":{"content":"眼皮肿了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051547461},{"body":{"content":"孩子几岁了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051708329},{"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":1653051779059},{"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":1653051780973},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，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":1653051969425}]

女

2022.05.20