刘继帅

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务。请问您有什么需要咨询的医学问题？具体问题能描述详细些吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049629543},{"body":{"content":"您是咨询这个产品吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049656154},{"body":{"content":"有什么不适症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049660434},{"body":{"content":"您好，我最近锻炼膝盖有些不舒服，现在正在吃**，然后想补补钙","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049733607},{"body":{"content":"我爱人说***适合女性和儿童，不适合男性，所以我想咨询一下您，我吃什么钙合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049853707},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049934727},{"body":{"content":"男性也可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049938663},{"body":{"content":"这款即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049942247},{"body":{"content":"这个***吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049970691},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050010777},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050018108},{"body":{"content":"您发的那个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050021792},{"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":1653050024601},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030302},{"body":{"content":"有任何医学问题，可以随时再找我问诊即可，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038181}]

男36岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815024},{"body":{"content":"能吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817128},{"body":{"content":"没什么疾病啥的吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842759},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965884801}]

男25岁

2022.05.20

[{"body":{"content":"您好，我是普内科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196896},{"body":{"content":"大夫您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051208813},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051213462},{"body":{"content":"之前用过是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051216312},{"body":{"content":"请问您既往有药物过敏，肝肾损害及其他疾病史么？用**药物有不良反应么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051218656},{"body":{"content":"我想让你给开处方单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233883},{"body":{"content":"嗯 之前用过 没有不良反应是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241946},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051250102},{"body":{"content":"好的 需要1盒么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260034},{"body":{"content":"我想来一个***的*********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051269744},{"body":{"content":"嗯 需要一盒么 给您开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051277520},{"body":{"content":"很多个盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051288583},{"body":{"content":"最多能开几盒？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297526},{"body":{"content":"6盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051312454},{"body":{"content":"那就给开六盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051327524},{"body":{"content":"好的，用药前请仔细阅读药品说明书中禁忌，过敏史及注意事项，如无禁忌且不在********药品，如在用药过程中出现不适，请及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340381},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353623},{"body":{"content":"给您开了处方 您点击上方处方单 点击：“查看详情”——“预约药品”，就可以购买了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355755},{"body":{"content":"好的呢，这个药能长期使用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400417},{"body":{"content":"有什么副作用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416684},{"body":{"content":"可以 但是改善便秘需要综合治疗，建议摄入足够的**，要适量的运动（可以促进肠胃蠕动），改善饮食结构（如增加****如韭菜和芹菜，以及多摄入一些未加工的豆类，全谷物，多吃粗粮、蔬菜、水果等，还可以适当吃些酸奶，粗茶淡饭）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422483},{"body":{"content":"副作用就是腹泻 腹痛 肠功能紊乱等问题 其他没什么大的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051441025},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051450867},{"body":{"content":"也有过敏的可能 但是您之前吃过没有问题的话 一般不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051454611},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463409},{"body":{"content":"嗯 好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051466690},{"body":{"content":"您后续有什么问题，可以再点我咨询，谢谢您的支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051941652}]

女42岁

2022.05.20

[{"body":{"content":"您好，我是***副主任医师，将由我为您提供医疗咨询帮助，正在阅读您的病例，请您稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878813327},{"body":{"content":"请问目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878823857},{"body":{"content":"阳痿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878834477},{"body":{"content":"心烦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878838736},{"body":{"content":"手脚冰凉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878847345},{"body":{"content":"多久了？怎么样引起的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878850237},{"body":{"content":"一吃了东西就拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878855226},{"body":{"content":"手淫过多引起的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878877822},{"body":{"content":"平时饮食习惯怎么样？小便怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878884357},{"body":{"content":"小便比较黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878908068},{"body":{"content":"之前治疗过了，现在小便正常了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878930383},{"body":{"content":"口干口苦吗？喝水多不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878939026},{"body":{"content":"口不干，有点点苦，喝水比较少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878971424},{"body":{"content":"要适当多喝暖水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879010898},{"body":{"content":"有过什么病吗？近期是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879035621},{"body":{"content":"没有，最近就是看了中医","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879051360},{"body":{"content":"治疗过两个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879061909},{"body":{"content":"有药方吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879068497},{"body":{"content":"效果怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879077062},{"body":{"content":"药方可能不见了，心没有那么烦躁了，小便之前会有尿不尽，现在不会了，然后说我有瘀血，上次说就是好多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879148642},{"body":{"content":"但是最近有点手脚冰凉，我怀疑有点阳虚了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879177621},{"body":{"content":"但是现在就是开始比较坚硬，但是一下子就比较软了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879214662},{"body":{"content":"而且感觉有点早谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879229459},{"body":{"content":"一次性生活多少时间？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879257937},{"body":{"content":"频繁吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879261218},{"body":{"content":"没治疗之前每天一次，自从治疗之后，现在一周一次或者两周一次了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879302126},{"body":{"content":"怕了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879322799},{"body":{"content":"不敢这样手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879348727},{"body":{"content":"治疗期间有忌口吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365297},{"body":{"content":"吃辣吗？抽烟喝酒吗？熬夜吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879370988},{"body":{"content":"医生叫我不要吃辣和不要喝酒，不要熬夜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879399905},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879413701},{"body":{"content":"发个舌头照片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879430923},{"body":{"content":"还有不要喝冰凉的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879432838},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879465062},{"body":{"content":"舌淡苔白，舌胖大有齿痕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879489697},{"body":{"content":"脾虚湿气重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879494979},{"body":{"content":"先调理脾胃祛湿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879524749},{"body":{"content":"是不是看舌头底有没有瘀血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879542107},{"body":{"content":"能帮我看看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879549627},{"body":{"content":"好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879588182},{"body":{"content":"看得清楚吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879641588},{"body":{"content":"还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879651260},{"body":{"content":"舌底静脉曲张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879665338},{"body":{"content":"是有瘀血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879673537},{"body":{"content":"你觉得身体上哪里痛吗？麻木吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879694638},{"body":{"content":"就肩和脖子不舒服，经常会引起脖子疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879747160},{"body":{"content":"那还能不能帮我看还有没有下焦湿热和心火旺","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879773354},{"body":{"content":"与姿势有关。可以拔罐，针灸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879786336},{"body":{"content":"下焦湿气重，但热不明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879807179},{"body":{"content":"心火旺也不明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879820118},{"body":{"content":"那就是现在还能不能帮我看出是什么肾虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879860928},{"body":{"content":"腰酸吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879892658},{"body":{"content":"看不出，要把脉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879905073},{"body":{"content":"以前会酸疼，现在坐久了会酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879917279},{"body":{"content":"那还好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879931817},{"body":{"content":"还是要注意姿势，要运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879946018},{"body":{"content":"因为治疗过了一段时间，只不过治疗了两个月，一直煲中药，家里人有意见了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879980716},{"body":{"content":"所以看看能不能吃些中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879997114},{"body":{"content":"那吃点中成药吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880005553},{"body":{"content":"试试吃补中益气丸用参苓白术散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880023581},{"body":{"content":"那现在调理脾胃和瘀血要吃些什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880033199},{"body":{"content":"先****，祛湿，活血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880046301},{"body":{"content":"就是吃这两个还是吃其中一个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880083372},{"body":{"content":"两个一起吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880091856},{"body":{"content":"吃半个月看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880099791},{"body":{"content":"有效再吃半个月巩固一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880115662},{"body":{"content":"那个散变成丸可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880124577},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880157936},{"body":{"content":"那阳痿那里呢，应该怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880187658},{"body":{"content":"你那不是阳痿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880208300},{"body":{"content":"最多是质量差一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880222279},{"body":{"content":"**活血会改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880239465},{"body":{"content":"可是之前是12月份治疗的时候，下面站都站不起来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880270011},{"body":{"content":"而且最近会手脚冰凉，手脚爱出汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880302523},{"body":{"content":"后来吃了**阳的中药，才恢复了一点点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880324814},{"body":{"content":"我手淫好多年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880357243},{"body":{"content":"**调理会好转的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880421703},{"body":{"content":"你还年轻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880428980},{"body":{"content":"以后注意就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880453531},{"body":{"content":"那现在那里要怎么调理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880456470},{"body":{"content":"还要坚持运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880462132},{"body":{"content":"最主要我手脚出汗，感觉很不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880505275},{"body":{"content":"中医理论认为肾为先天之本，脾为后天之本。先天本源不断消耗，要靠后天之本来补充","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880534454},{"body":{"content":"而且没有晨勃那些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880540853},{"body":{"content":"所以你要先调理脾胃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880557293},{"body":{"content":"那就是吃一个月之后再来找你吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880597227},{"body":{"content":"才来治疗肾虚那些吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880608877},{"body":{"content":"阳具要充血才能勃起，气血不足怎么能勃起和持久呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880625213},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880628454},{"body":{"content":"你的意思是我现在就是气血不足，导致的不能勃起和持久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880703223},{"body":{"content":"这个是一方面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880727534},{"body":{"content":"目前应该是主要问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880746816},{"body":{"content":"好，如果还是不行再来找你还是去现场找你好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880801079},{"body":{"content":"阳痿大部分不是或不单是肾虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880808141},{"body":{"content":"都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880814652},{"body":{"content":"你在哪个城市？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880830653},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880835824},{"body":{"content":"那面诊当然更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880855061},{"body":{"content":"那还要做检查还是把脉就可以了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880892140},{"body":{"content":"去找你面诊是在哪个医院找你，挂什么科能找到你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880982165},{"body":{"content":"把脉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881000731},{"body":{"content":"你之前有检查过的话把检查单带过来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881024582},{"body":{"content":"江门市人民医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881033529},{"body":{"content":"中医康复科，***三楼","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881055494},{"body":{"content":"那我是吃完你说的两个药后找你还是这几天去找你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881090652},{"body":{"content":"都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881104501},{"body":{"content":"看你方便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881111468},{"body":{"content":"明天我休息。星期五可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881146748},{"body":{"content":"那我想问问手脚爱出汗，这个怎么解决","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881160237},{"body":{"content":"这个阴虚，气虚都可能引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881231212},{"body":{"content":"精神紧张也有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881266970},{"body":{"content":"中医讲整体调理，你不需要太纠结单个症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881314310},{"body":{"content":"整体调理好，这些症状都可改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881346572},{"body":{"content":"对，有时候一紧张就特别出汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881397213},{"body":{"content":"之前的医生说我阴虚还有湿气导致","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881424137},{"body":{"content":"都有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881510537},{"body":{"content":"所以整体调理即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881533758},{"body":{"content":"好，那我先吃这两个药吃一个月先，看看效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881572009},{"body":{"content":"那两个药要买什么牌子的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881731651},{"body":{"content":"吃哪个是活血的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881950360},{"body":{"content":"是那个补中益气丸吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881966763},{"body":{"content":"有活血的成份","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882056707},{"body":{"content":"用***的补中益气丸可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882493007},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882626871}]

男25岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965414453},{"body":{"content":"这里是京东医生平台","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965881387}]

男58岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049640000},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049641748},{"body":{"content":"您好，您发链接的这款就是了，真三段适合两岁宝宝。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049671521}]

女

2022.05.20

[{"body":{"content":"您好，我是住院医师任凯文，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049854489},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857603},{"body":{"content":"一岁半宝宝平时肚子胀可以吃这个***粉的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871895},{"body":{"content":"1岁宝宝便秘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049880148},{"body":{"content":"胃口特别好就是不消化","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049894230},{"body":{"content":"食欲怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049894542},{"body":{"content":"可能是积食了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900187},{"body":{"content":"这个怎么改善呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049912600},{"body":{"content":"可以吃*****改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049931191},{"body":{"content":"平时吃的要不要注意呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049948977},{"body":{"content":"要少吃生冷油腻的食物，多吃一些生鲜蔬菜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049976253},{"body":{"content":"要少吃生冷油腻的食物，多吃一些新鲜蔬菜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985077},{"body":{"content":"饭量是不是要不要控制","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050005144},{"body":{"content":"可以少量多餐，但是不能一次吃得太饱。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040859},{"body":{"content":"好 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050134156},{"body":{"content":"谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050140455},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149265}]

女

2022.05.20

[{"body":{"content":"你好，从你反映的情况看，你有自伤自残的行为。但不知道你有没有明显的焦虑，抑郁情绪？睡眠怎么样？你的行为是在缓解你的压力吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879363667},{"body":{"content":"我有很明显的焦虑也很容易情绪崩溃 然后我会通过扇自己巴掌来缓解压力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879473891},{"body":{"content":"如果你从来没有去医院就诊过，建议你首次就诊去医院精神心理科就诊，根据你的具体情况，选择做一些心理测验，进一步明确有无焦虑抑郁情绪。明确诊断后才能确定下一步的治疗方案。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879527396},{"body":{"content":"好那我明天去医院看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550176},{"body":{"content":"好的，应该去医院面诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879584892},{"body":{"content":"那医生有没有办法可以让我睡着我最近在高考我已经两天没有睡觉了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879674298},{"body":{"content":"睡眠不是用心理治疗就能解决问题，可以用一些促进睡眠的药物（非**类的）这些药物只能在医院开。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882258938},{"body":{"content":"我已经告诉你了，促进睡眠的药物要在医院开。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652955042542}]

女21岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050381814},{"body":{"content":"目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384637},{"body":{"content":"舌苔白，中间厚腻，有齿痕，现在这个季节没食欲，经常拉肚子，神疲乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453329},{"body":{"content":"手麻腿酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469985},{"body":{"content":"请问医生怎么调理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534151},{"body":{"content":"我看下你舌头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550292},{"body":{"content":"稍等，我拍一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580140},{"body":{"content":"是啥原因啊？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023680},{"body":{"content":"大便之前肚子疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108759},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051213819},{"body":{"content":"有没有凌晨三四点钟拉肚子的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217412},{"body":{"content":"没有五更泄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051228830},{"body":{"content":"一般中午拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051237830},{"body":{"content":"还有点肾虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284560},{"body":{"content":"嗯嗯。看你舌头，结合症状你是脾肾阳虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328307},{"body":{"content":"你能吃汤药嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425169},{"body":{"content":"中成药可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051440240},{"body":{"content":"汤药有点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458677},{"body":{"content":"不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469461},{"body":{"content":"你好，建议你吃汤药治疗，汤药比中成药更对症。汤药有两种形式，一种是*草药，你自己回家煎煮也可以，平台代煎也可以；另一种是做成**，**剂是*草药煎煮、浓缩、提纯之后做成的**，用热水冲服就可以，比较方便。这两种都比中成药要更有效。你是要*草药还是**剂？请确认一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051508059},{"body":{"content":"**剂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051589340},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051604852},{"body":{"content":"请问您肝功、肾功等指标是否正常，是否有过敏史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051618302},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051625040},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051637584},{"body":{"content":"都正常，不过有脂肪肝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051650111},{"body":{"content":"顺便一下*****和***能同吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051684290},{"body":{"content":"最好不要一起吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051843382},{"body":{"content":"药方开好了，可以点击“预约购药”直接下单，收到就是中药配方**，付款后我再给您说一下服用方法和注意事项。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051946097},{"body":{"content":"感觉有点贵了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051981750},{"body":{"content":"能推荐中成药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051990380},{"body":{"content":"你可以吃点参苓白术散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052025941},{"body":{"content":"吃了没有用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052037109},{"body":{"content":"我都吃了好几盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052058661},{"body":{"content":"大概有十多盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052082361},{"body":{"content":"我能吃***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052096610},{"body":{"content":"嗯嗯。所以说中成药效果不好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052104974},{"body":{"content":"脾虚用*****\n肾阳虚用***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052120270},{"body":{"content":"不应该是不好，是没对症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052139817},{"body":{"content":"之前吃的汤药方子和***一样，也没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052170390},{"body":{"content":"不介意同时吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052172312}]

男32岁

2022.05.20

[{"body":{"content":"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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050018196},{"body":{"content":"收到您上传的图片了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050019959},{"body":{"content":"您好，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026720},{"body":{"content":"请问您发现这种症状具体有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050053869},{"body":{"content":"病情发展过程是先出现图四，然后图三，然后图二，然后图一，图四是最初出现的，现在是最严重的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098497},{"body":{"content":"最开始出现是去年12月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117337},{"body":{"content":"哪1张是现在的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149609},{"body":{"content":"现在的都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157812},{"body":{"content":"目前有瘙痒，疼痛的感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050179036},{"body":{"content":"首先，照片都是刚拍的，左脚上的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188605},{"body":{"content":"有，痒，疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050197659},{"body":{"content":"我以为是脚气，用了一个月***，不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050214967},{"body":{"content":"是一只脚还是两只脚都有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050241203},{"body":{"content":"我现在开始怀疑是不是湿疹或者混合之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050243684},{"body":{"content":"只有左脚有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050249671},{"body":{"content":"您的脚趾缝有脱皮脱屑的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050260027},{"body":{"content":"基本没有，我是汗脚，但没有脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050295605},{"body":{"content":"最近一个月每天晚上睡前涂抹***，每天换一双鞋垫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326186},{"body":{"content":"患处目前是否有流水、破溃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345241},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351916},{"body":{"content":"根据您的图片和描述考虑 皮炎可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425338},{"body":{"content":"我帮您调整一下用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428696},{"body":{"content":"图一和图四皮肤下有很多肉眼可见的小红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050429529},{"body":{"content":"皮肤上有好几个小孔，会从里面渗出液体","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471714},{"body":{"content":"之前这个部位有水泡吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050473639},{"body":{"content":"最初的时候有过，一个疙瘩一样的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494112},{"body":{"content":"最开始的时候脚趾缝有脱皮吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050529653},{"body":{"content":"手指上有一个，就是最初跟脚底差不多时间出现的，这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050567070},{"body":{"content":"收到了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595326},{"body":{"content":"一直都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599022},{"body":{"content":"之前的脚上的疙瘩是硬的还是软的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050620259},{"body":{"content":"手指上这个没有恶化，它只是一直有个包，软的包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050632265},{"body":{"content":"脚上的之前也是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050652434},{"body":{"content":"不是那种柔软，是硬硬的软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655340},{"body":{"content":"嗯，像青春痘那种疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050670334},{"body":{"content":"青春痘那种柔软度吧，大概是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703282},{"body":{"content":"目前从图片来看是属于皮炎湿疹样改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050731498},{"body":{"content":"***先不要用了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050745059},{"body":{"content":"需要换个药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750130},{"body":{"content":"根据上述情况我可以给您一些用药建议。\n为了用药安全，请问您有无药物过敏史及肝肾功能异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750863},{"body":{"content":"我也越来越觉得不像脚气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050751035},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050762372},{"body":{"content":"好的， 稍等2分钟 我这边给您发送药物链接，用药前请您仔细阅读药品说明书中禁忌，注意事项，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843486},{"body":{"content":"好的，它也适用于我手上的这个包么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865786},{"body":{"content":"您手部这个目前不太典型， 药物不适合的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904527},{"body":{"content":"药物只是治疗目前瘙痒疼痛的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905475},{"body":{"content":"皮肤破损的这一块呢，有没有什么方法让它变好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937187},{"body":{"content":"建议您可以外用 ******* 沾湿纱布湿敷 每天1次 每次 10分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050992733},{"body":{"content":"＋******每天两次治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050993162},{"body":{"content":"*******就有 **祛腐的作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051025874},{"body":{"content":"可以治疗目前这种皮肤病损的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053493},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051124294},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133400},{"body":{"content":"您可以先点击“处方单”-查看详情-预约，稍后再给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051135302},{"body":{"content":"我刚才已经买完您链接里的药品了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051154092},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051162048},{"body":{"content":"缴费也完成了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165144},{"body":{"content":"主要是 建议您穿透气性好的鞋袜，避免焐热，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169579},{"body":{"content":"保持足部干燥， 一定要避免抠抓刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174563},{"body":{"content":"我每天会用这个泡脚，以后还可以么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051220993},{"body":{"content":"这个不是临床常用的药物，个人是不建议使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224703},{"body":{"content":"特别是目前这种疼痛的情况，不要使用 了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231564},{"body":{"content":"以免刺激加重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234448},{"body":{"content":"嗯，那我就正常的洗脚完事敷药就可以了是么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051260215},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051270815},{"body":{"content":"嗯嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051277316},{"body":{"content":"我还有什么其他的注意事项不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291616},{"body":{"content":"用这种，无菌纱布沾湿******* 敷在脚部患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051298787},{"body":{"content":"避免加重感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051301828},{"body":{"content":"基本整个脚底就都需要了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316070},{"body":{"content":"***是敷完睡前再用么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051395786},{"body":{"content":"纱布可以展开使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051397528},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051400348},{"body":{"content":"是早晚各一次吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416502},{"body":{"content":"敷完药，晾干后在涂抹 *****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425661},{"body":{"content":"***** 早晚各1次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051428631},{"body":{"content":"******* 每天一次就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432548},{"body":{"content":"嗯嗯，好的，知道了，谢谢您，我没有问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453672},{"body":{"content":"不客气，能帮到您是我的荣幸。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051471292},{"body":{"content":"给您发送了一张我的排班表 您可以先保存在手机相册中 后期按照我上班的时间 打开京东app 就可以找到我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478689},{"body":{"content":"好的，谢谢，已保存","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051507047},{"body":{"content":"抱歉打错字了，是敷完药，晾干后在涂抹 ******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051510827},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051519377},{"body":{"content":"好的 ，如果没有其他问题，我就结束问诊了，希望我的建议能帮助到您。感谢您的信任，祝您和家人平安健康，晚安","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051531055}]

男42岁

2022.05.20