刘继帅

[{"body":{"content":"您好，我是儿科医生麻大夫，您看有什么可以帮您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050386139},{"body":{"content":"您好，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050391535},{"body":{"content":"宝宝有那些不舒服症状表现吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050398265},{"body":{"content":"小孩消化不好，上次在医院开了**胃的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050424381},{"body":{"content":"这里处方能开吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050436735},{"body":{"content":"不爱吃饭，大便干","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050455601},{"body":{"content":"从小脾胃一直不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475668},{"body":{"content":"在给您开具处方之前需要先跟您确认一些情况，希望您能够理解。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483987},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494692},{"body":{"content":"*******10ml*10支/盒----您是要开具这个药物吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050506842},{"body":{"content":"宝宝 之前服用 *******效果怎么样？宝宝既往有无药物过敏史？有无肝肾功能损害？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524972},{"body":{"content":"吃过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050544168},{"body":{"content":"根据您提供病史资料，考虑诊断脾胃不和。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050587323},{"body":{"content":"*******。 属于处方药物，请问您有 既往 线下就诊记录、处方、物理检查单、病历等资料吗？您辛苦上传一下宝宝线下病例资料，谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595810},{"body":{"content":"您好，关注我们对话吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051379479},{"body":{"content":"您好，如果没有线下诊疗资料，您可以找社区医生开具处方后再线上购药，或者线下购药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392062},{"body":{"content":"后续如果您还有其他问题需要咨询，可以在京东APP，搜寻--京东医生麻建辉，就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051873403}]

女4岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044928},{"body":{"content":"什么部位有这种情况呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049461},{"body":{"content":"额头上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066774},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074368},{"body":{"content":"最初是外伤引起的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092791},{"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、是否有过敏史），如果没有则回复“无”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134400},{"body":{"content":"小时候摔跤磕到的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135783},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139399},{"body":{"content":"请问针对您的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152894},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165871},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174343},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240844},{"body":{"content":"***，一天两次，外用看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252801},{"body":{"content":"建议您平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291611},{"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":1653051297447},{"body":{"content":"要用多久才会有效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051373191},{"body":{"content":"一般一个月是一个疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051394504},{"body":{"content":"可以先用一个疗程，看一下改善的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051403430},{"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":1653051481183},{"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":1653051482788}]

女

2022.05.20

[{"body":{"content":"老是会话结束...","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879103267},{"body":{"content":"麻烦您再发一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879114801},{"body":{"content":"嗯，那是三次问诊的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879130609},{"body":{"content":"噢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879134217},{"body":{"content":"找社区给你买*****湿敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879143268},{"body":{"content":"您看下 不挠就是干燥的地方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879178364},{"body":{"content":"痒的挠破了还会有水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879190940},{"body":{"content":"我看见了了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879195577},{"body":{"content":"小疹子一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879197742},{"body":{"content":"好 我看下能不能买到","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879209548},{"body":{"content":"现在有渗液，就要湿敷了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879229437},{"body":{"content":"还要什么药嘛配合治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879248555},{"body":{"content":"或者 去医院做皮肤的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879262169},{"body":{"content":"也快解封了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879270496},{"body":{"content":"开始一小块没当回事 现在扩散了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879289143},{"body":{"content":"你能出去的话去医院打个针","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879297465},{"body":{"content":"好 您先帮忙推荐一下药物 我买一下看这段时间也没有好转先","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879333690},{"body":{"content":"你吃的药继续吃上，再买个肤痒颗粒吃上","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879385963},{"body":{"content":"解封了就去医院或者皮肤病诊所面诊治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879420680},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879425626},{"body":{"content":"小病别拖严重了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879450991},{"body":{"content":"好 明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879464555},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879469815},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879514893},{"body":{"content":"那个 ***买不到","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879970357},{"body":{"content":"附近药店没售","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879989010},{"body":{"content":"只能网上买 现在收不到快递","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879998634},{"body":{"content":"肤痒颗粒可以买到","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880044464},{"body":{"content":"那你先把肤痒颗粒买上","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880092947},{"body":{"content":"你给社区说你的情况也不让你出去","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880138552},{"body":{"content":"小问题 不让出去的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880148287},{"body":{"content":"您没看新闻吗 有患者都重症都死家里了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880179494},{"body":{"content":"还要找居委开证明 麻烦死了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880223416},{"body":{"content":"哎|･ω･｀)这疫情影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880259925},{"body":{"content":"不用湿敷的肯定影响效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880294595},{"body":{"content":"家里有**消毒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880310058},{"body":{"content":"有****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880328416},{"body":{"content":"用**消毒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880351588},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880363733},{"body":{"content":"消毒后涂抹****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880367932},{"body":{"content":"这两个还可以用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880374490},{"body":{"content":"喷雾先别用了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880399494},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880407862},{"body":{"content":"消毒后涂抹****，先治疗渗液吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880434314},{"body":{"content":"****也快用完了?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880437051},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880440184},{"body":{"content":"在你们群里借","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880463607},{"body":{"content":"哈哈 谢谢医生了 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880571112},{"body":{"content":"不用谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880652691}]

男25岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965573234},{"body":{"content":"雄性激素过多是不是可以吃**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965607373},{"body":{"content":"可以吃****可以**皮肤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965629966},{"body":{"content":"之前脸上都没有痘痘，生完二胎之后脸上就开始暴涨痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965652542},{"body":{"content":"是雄性激素过多吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965672365},{"body":{"content":"多吃点儿蔬菜水果，保证充足的睡眠。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965681809},{"body":{"content":"应该是着急上火，内分泌失调。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965691013},{"body":{"content":"三十岁了为什么脸上开始长痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965735419},{"body":{"content":"还是因为睡眠不好啊休息不好饮食结构不合理啊总之是内分泌失调","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965770476},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965782555},{"body":{"content":"??","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815122}]

女30岁

2022.05.20

[{"body":{"content":"你好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965380119},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965386519},{"body":{"content":"你有什么症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965412090},{"body":{"content":"停经多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965419682},{"body":{"content":"B超做过没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965434681},{"body":{"content":"末次3.30","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965463617},{"body":{"content":"*******孕酮7.62","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965492976},{"body":{"content":"前一次的hcg是1682孕酮13.2","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965535663},{"body":{"content":"隔了五天这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965544683},{"body":{"content":"现在停经50天啦，B超宫腔还未见孕囊，HCG又增高，你这宫外孕不能排除","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965604214},{"body":{"content":"有褐色分泌物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965612764},{"body":{"content":"无明显腹痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965635458},{"body":{"content":"而且你的HCG还下降，没有翻倍，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965654871},{"body":{"content":"那这样能确诊是宫外孕吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965662390},{"body":{"content":"需要再做什么确诊宫外孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965681554},{"body":{"content":"等你出现了腹痛，可能就是破裂了，大出血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965702468},{"body":{"content":"hcg上涨了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965725669},{"body":{"content":"不是下降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965731836},{"body":{"content":"是孕酮下降了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965739693},{"body":{"content":"HCG没有翻倍，不正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965767911},{"body":{"content":"都50天宫腔还看不到东西","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965789399},{"body":{"content":"那如果是宫外孕可以保守治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965789795},{"body":{"content":"建议你尽早医院处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965801559},{"body":{"content":"是，医生叫我住院了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965821220},{"body":{"content":"你目前这种情况，可以保守","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965836388},{"body":{"content":"可是我没有什么症状所以还是觉得不可思议","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842163},{"body":{"content":"但是在保守治疗过程中随时有破裂可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965876435},{"body":{"content":"大概要住院多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965893933},{"body":{"content":"如果破裂就随时会出现内出血，危机生命","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940633},{"body":{"content":"这说不清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965952979},{"body":{"content":"那你的建议觉得是怎样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965974433},{"body":{"content":"保守治疗的时间会相对时间长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965981523},{"body":{"content":"我还需要去别的医院再看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965989595},{"body":{"content":"应该不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966000851},{"body":{"content":"那你觉得我是直接选择怎样的治疗方案","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966049833},{"body":{"content":"目前就两种治疗方法，1是保守2是手术，你目前的条件可以保守，但保守治疗的成功率只有百分之五十到七十，具体怎么处理，你还是听主管医师的意见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966149343},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966177130},{"body":{"content":"手术的话是不是都是要切除输卵管啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966204317},{"body":{"content":"也有保留输卵管的可能，但要看术中的具体情况，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966268565},{"body":{"content":"保留输卵管有可能出现持续宫外孕，及再次宫外孕可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966356735},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653020989874},{"body":{"content":"我今天住院了，可是医生却说不确定是宫外，也有可能是宫内","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021027872},{"body":{"content":"说内膜那么厚也有可能是宫内，但是孕酮低不排除发育慢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021106091},{"body":{"content":"不是宫外孕，那不更好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021131734},{"body":{"content":"你听医生你主管医师的，她对你的情况会比较了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021134818},{"body":{"content":"她说一半一半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021447929},{"body":{"content":"让我自己做决定，也可以保胎观察观察","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021483877},{"body":{"content":"这样有危险吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021491008},{"body":{"content":"既然已经住院了，就安心住院观察","type":"text"},"from":{"app":"jd.doctor"},"timesta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女33岁

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":"..请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900960},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049920322},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049931274},{"body":{"content":"孩子现在晚上睡觉前总是说脚心热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934677},{"body":{"content":"精神状态食欲怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049953934},{"body":{"content":"需要拿脚贴着墙才能舒服一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049955831},{"body":{"content":"精神状态跟食欲都没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049975220},{"body":{"content":"挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049979407},{"body":{"content":"白天也喜欢光着脚在屋子里走","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050002686},{"body":{"content":"就是晚上睡觉前总是说脚心热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021408},{"body":{"content":"医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050170540},{"body":{"content":"属于正常的新陈代谢，正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050265806},{"body":{"content":"孩子的新陈代谢旺盛，产热多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284953},{"body":{"content":"的缘故","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288319},{"body":{"content":"可是他说脚心热的他都睡不着觉啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415730},{"body":{"content":"得用脚贴着墙才能睡着","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433526},{"body":{"content":"这种情况用吃药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050448191},{"body":{"content":"我问我们老家的一个中医他说可以给孩子吃点六味地黄丸，您看可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591030},{"body":{"content":"不用吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050656180},{"body":{"content":"哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050754342},{"body":{"content":"每天睡前凉水洗脚，睡觉别盖脚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050827410}]

男8岁

2022.05.20

[{"body":{"content":"您好，我是京东健康互联网医院专业育儿师，非常高兴由我为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050193734},{"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":1653050197476},{"body":{"content":"您好！引起婴儿吐奶的原因有很多，主要考虑是以下几种原因导致的：一，喂奶量过多。婴儿胃容量比较小，吃奶比较频繁。如果婴儿吃奶太多，就会出现吐奶的情况。二，喂养不当。在喂奶时如果大量的空气被孩子吞入胃内，家长没有及时拍嗝，后期就可能出现吐奶的情况。三，消化功能异常。如果孩子受凉导致胃肠功能出现问题，导致进食的乳汁不能及时被消化吸收，就会出现吐奶的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226732},{"body":{"content":"那跟室内温度较高没关系是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258128},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050320102},{"body":{"content":"您好现在我们是奶粉喂养，这个喂养姿势有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339866},{"body":{"content":"有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393005},{"body":{"content":"正确的喂养姿势也会减少宝宝吐奶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050413184},{"body":{"content":"您那边方便介绍一下喂奶姿势吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495555},{"body":{"content":"还有现阶段针对吐奶呛奶有什么办法吗，大约多少周会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536135},{"body":{"content":"喂养姿势，宝宝的嘴巴跟奶粉呈45度角。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050675473},{"body":{"content":"根据宝宝体质，最早也得三个月以后吐奶情况才会缓解。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050707330},{"body":{"content":"那宝宝怎么抱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050864955},{"body":{"content":"现在孩子不到满月可以这样坐着吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925888},{"body":{"content":"可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050970806},{"body":{"content":"还想咨询您一下，孩子喂奶粉的时候是让孩子一次性喝饱还是手动给她暂停一下呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981326},{"body":{"content":"孩子每次吃奶粉都咕咚咕咚的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050994566},{"body":{"content":"感觉他很着急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002925},{"body":{"content":"宝宝吐奶的可以给宝宝拍拍嗝。宝宝吃完奶以后右侧位躺着。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008061},{"body":{"content":"像夏天宝宝屋里需要开风扇或者空调给她调节一下温度维持在26度吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051068856},{"body":{"content":"这会儿晚上睡觉孩子盖多厚呀一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091059},{"body":{"content":"嗯感谢啦，那现在室内温度27.5还算可以是么？不用一直稳定在26度左右是嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051301606},{"body":{"content":"我们现在晚上给她盖两层纱布","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316707},{"body":{"content":"还有一个问题麻烦您，白天有时候看孩子头发有点汗汲汲的，头发有点揪揪在一起，需要物理降温用毛巾擦擦吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051455052},{"body":{"content":"感谢您的咨询，祝您和宝宝健康快乐每一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051897666},{"body":{"content":"您好！感谢您的咨询，如果我的回复您还满意的话，请您在百忙之中抽出时间在我们的对话框的右上角，点开“表扬”给我个五星⭐好评呗！谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051910364},{"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，宝宝健康快乐！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051919631}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师胡春燕，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047989},{"body":{"content":"你这个情况多久呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062949},{"body":{"content":"5，6年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050086494},{"body":{"content":"这种情况建议中医调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050100452},{"body":{"content":"一般常见的是脾肾阳虚引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136964},{"body":{"content":"我看个视频说使用**，**，**，**，****，***泡水喝可以解决，是不是？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050182760},{"body":{"content":"中医调理是需要辨证论治的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245854},{"body":{"content":"药物的搭配也讲究君臣佐使。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253826},{"body":{"content":"药物的剂量也很重要。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261928},{"body":{"content":"我如果要使用上面的方法，该用什么剂量？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050312306},{"body":{"content":"这个不太好给你具体的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050329840},{"body":{"content":"正常情况下，10g都是可以使用。但是哪个要多哪个要少就不好说了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380848},{"body":{"content":"你这个情况如果有五六年了，建议用中药调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394353},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050405054},{"body":{"content":"如果方便的话可以线下就医就诊开药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050405181},{"body":{"content":"找中医开药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432918},{"body":{"content":"是的，中医调理治本","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050453754},{"body":{"content":"代茶饮疗效肯定没有中药调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050466933},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483154}]

女

2022.05.20

[{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049941426},{"body":{"content":"但是没必要吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049948236},{"body":{"content":"全身没有任何症状，额头和后背出虚汗，这是怎么回事？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049984105},{"body":{"content":"那不好说啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050011993},{"body":{"content":"体质虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050036280},{"body":{"content":"没有症状那两个药就别吃了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060622},{"body":{"content":"可以中医药调理一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050078038},{"body":{"content":"前两天胃反流性食管炎引起上呼吸道感染，一直在吃*****和******，这几天嗓子干痒，又吃了******，现在嗓子好了，在没有任何症状，就是老出虚汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050130081},{"body":{"content":"那**就恢复了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172782},{"body":{"content":"你吃的比较杂了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050183319},{"body":{"content":"肺气虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050193911},{"body":{"content":"可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050204667},{"body":{"content":"****和********一起可以吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050207277},{"body":{"content":"没必要吃这两种啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050229518},{"body":{"content":"除了这两种药还吃点什么药好呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231119},{"body":{"content":"如果光出虚汗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248736},{"body":{"content":"可以吃点中药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050268418},{"body":{"content":"额头和后背虚汗出的比较多，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274380},{"body":{"content":"辩证后开汤药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289133},{"body":{"content":"在这里开吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308402},{"body":{"content":"这里不好开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050321386},{"body":{"content":"无法脉诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050326959},{"body":{"content":"你在当地医院找中医大夫","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346229},{"body":{"content":"好的，那你有没有给我推荐药呢？对虚汗比较好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050408065},{"body":{"content":"因为在**，所以附近的中医医院都关门了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050445786},{"body":{"content":"不可能啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050504146},{"body":{"content":"我以为自己得新冠了，一直再做核酸，已经做了20多次了，核酸一直没问题。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050504173},{"body":{"content":"我看看你舌头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518269},{"body":{"content":"阴虚有热","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767950},{"body":{"content":"那现在吃点什么药比较好呢？现在我附近的医院基本上都关门了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820587},{"body":{"content":"你这种还就是吃汤药比较好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857586},{"body":{"content":"没有适合的成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050867033},{"body":{"content":"好的，那知道了，谢谢医生。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050897493},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909680}]

男34岁

2022.05.20