梁沛华

[{"body":{"content":"您好，京东大药房药师工号0081，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051236153},{"body":{"content":"你干活的时候一直要用眼，所以眼睛干涩疼，还有点儿红，该用什么***呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051257512},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051282432},{"body":{"content":"性别女，年龄50。没有其他病史。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458997},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463229},{"body":{"content":"该用什么***啊，医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051652429},{"body":{"content":"这个药物看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051662985},{"body":{"content":"功能主治】 用于缓解眼睛疲劳、结膜充血以及眼睛发痒等症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894673},{"body":{"content":"【用法用量】 滴眼，一次1～2滴，一日3～4次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020068},{"body":{"content":".打开后应在4周内用完，逾期请勿使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052080547},{"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3-4天无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052092811},{"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":1653052098010},{"body":{"content":"没有没有，谢谢，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052155151},{"body":{"content":"很高兴为您服务，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":1653052188223}]

女

2022.05.20

[{"body":{"content":"您好，我是耳鼻喉科医生，非常高兴为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050057489},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067959},{"body":{"content":"局部触摸质硬还是质软","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050075715},{"body":{"content":"摸起来有点硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094520},{"body":{"content":"有破溃吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132344},{"body":{"content":"之前是否有外伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136068},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050138718},{"body":{"content":"之前经常佩戴耳机","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153966},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188310},{"body":{"content":"长出来之后就一直没佩戴过任何耳机，一直是保持外露的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050193806},{"body":{"content":"最近有感冒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050196645},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050200078},{"body":{"content":"之前有过这个症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202789},{"body":{"content":"之前出现过长包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219930},{"body":{"content":"但是比这次轻的多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227519},{"body":{"content":"三天左右就自然消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236406},{"body":{"content":"这次已经持续四天了也没有消退的迹象","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259007},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280424},{"body":{"content":"有分泌物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291780},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050310436},{"body":{"content":"就一个包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050315079},{"body":{"content":"根据您的描述，考虑 外耳道疖肿 的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330234},{"body":{"content":"您之前有使用药物治疗改善吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050332048},{"body":{"content":"之前试着涂过两次红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356158},{"body":{"content":"但貌似没什么效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050364271},{"body":{"content":"就再没涂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050370278},{"body":{"content":"可以对症治疗改善看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050423478},{"body":{"content":"为用药安全，请问您是否有药物过敏史，肝肾功能异常史，其他慢性疾病及心血管疾病史，是否处于特殊时期不能用药，近期在使用哪些其他药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050426032},{"body":{"content":"没有用药禁忌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050452528},{"body":{"content":"最近没吃任何药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461647},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050598586},{"body":{"content":"一般建议， 1、在饮食方面要清淡的饮食， 2、多休息，平时避免熬夜和太疲劳的情况， 3、注意不要长时间带耳机 洗澡以及洗头避免耳部进水，4、不要长期挖耳，挖耳时要轻柔","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603304},{"body":{"content":"针对你的呢症状建议先使用点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618594},{"body":{"content":"一天2次使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050640463},{"body":{"content":"使用3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645882},{"body":{"content":"用药期间注意是否有破溃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653539},{"body":{"content":"如果破溃之后*****暂停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050664091},{"body":{"content":"使用***********一天2次使用治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050680700},{"body":{"content":"也可以直接交替使用，一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050691579},{"body":{"content":"间隔1小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695412},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718771},{"body":{"content":"这个病容易复发吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757011},{"body":{"content":"一般考虑和个人体质，外界环境，生活方式习惯，情绪压力等等都有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857225},{"body":{"content":"医生这个**可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050863475},{"body":{"content":"之后可以注意点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050867613},{"body":{"content":"避免长期戴耳机等刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050880235},{"body":{"content":"*****是帮助排脓治疗疖肿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900222},{"body":{"content":"考虑更对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050911082},{"body":{"content":"那这个可以涂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952122},{"body":{"content":"上述药物有一点**的功效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051003718},{"body":{"content":"如果您想要使用试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051009616},{"body":{"content":"可以使用看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051012722},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014960},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051043095},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051118032},{"body":{"content":"使用之后可以上线复诊咨询我，给您看看具体的用药效果，是否调整用药或停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122599},{"body":{"content":"好的，我会先用我自己的**尝试一下，如果无效我就会换到您推荐的那一款，后续有什么问题我会再来咨询您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051210164},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246285},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247144},{"body":{"content":"请问您是否还有其他医药问题需要我为您解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250511},{"body":{"content":"再没有了，谢谢您嘞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320953},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051334279},{"body":{"content":"希望我的建议能帮助到您，如在治疗过程中还有任何问题，欢迎您随时上线咨询或者给我留言，非常感谢您的信任。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337362},{"body":{"content":"再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051358116},{"body":{"content":"因线上咨询条件有限，且疾病具有相对复杂及发展变化的特点，如果使用药物治疗一疗程效果不佳 或 出现 其他不适 、甚至加重的情况，请您及时再次上线咨询或线下医院就诊 防止延误病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051450250}]

男21岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049834447},{"body":{"content":"请问你有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857453},{"body":{"content":"就是大便次数比较少，然后有的时候胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049897005},{"body":{"content":"多长时间大便一次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049926422},{"body":{"content":"除了胃疼有没有胃胀反酸烧心，食欲怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943351},{"body":{"content":"大便次数少，便量很少 食欲正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049982342},{"body":{"content":"一星期能排便一次吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020788},{"body":{"content":"排便费劲儿吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028326},{"body":{"content":"你刚才发了点检查报告吧，你重新发一下我看一下，我现在看不到。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080145},{"body":{"content":"我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050110247},{"body":{"content":"回肠这块的病变看病理，结果确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050170144},{"body":{"content":"其他方面问题不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177520},{"body":{"content":"回肠这块怎么看？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287545},{"body":{"content":"我看已经取了活检了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375976},{"body":{"content":"取下来的组织会到显微镜下去看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384764},{"body":{"content":"应该是没啥大毛病吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091907},{"body":{"content":"如果活检没事儿，就没什么大事儿。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051359168}]

女21岁

2022.05.20

[{"body":{"content":"几点磕的，有恶心呕吐等症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879280990},{"body":{"content":"刚刚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879290159},{"body":{"content":"目前看没有不良反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879301171},{"body":{"content":"脑门那么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879303640},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879317512},{"body":{"content":"目前没有做任何治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879338232},{"body":{"content":"前额的额骨是最硬的骨头之一，一般磕到前额不会伤到骨头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879344832},{"body":{"content":"怕弄严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879347941},{"body":{"content":"但孩子头面部组织疏松","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879361751},{"body":{"content":"所以磕碰后容易出包或者青紫","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879377947},{"body":{"content":"建议观察3天，期间如果出现呕吐、昏迷、抽搐等症状则需要去医院做头部Ct","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879410238},{"body":{"content":"今明两天局部可以冷敷，后天起热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879424584},{"body":{"content":"该吃吃该玩玩，这方面不用特别注意。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879442303},{"body":{"content":"冷敷？用***可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879556542},{"body":{"content":"不一样 建议用毛巾裹冰块","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879592462},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879599390}]

女4岁

2022.05.20

[{"body":{"content":"您好，我是内科医生蔡磊，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049917851},{"body":{"content":"你好，有什么医学问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049919788},{"body":{"content":"目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921495},{"body":{"content":"就是眼皮跳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934341},{"body":{"content":"这个严重吗？什么原因造成的呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974485},{"body":{"content":"多长时间了呢？！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015192},{"body":{"content":"眼皮跳了一个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050041978},{"body":{"content":"眼睑再调吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047932},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050052563},{"body":{"content":"这个脑白质缺血严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066006},{"body":{"content":"左眼睑？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069552},{"body":{"content":"有什么基础病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050074298},{"body":{"content":"右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080571},{"body":{"content":"没有什么基础病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050087563},{"body":{"content":"这个情况建议您做一个血管成像。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050199381},{"body":{"content":"考虑有动眼神经的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050205514},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050442855},{"body":{"content":"要做血管成像检查缺血灶？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050490741},{"body":{"content":"看看血管有没有问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050508104},{"body":{"content":"因为您这个年龄不应该出现有缺血灶的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050515216},{"body":{"content":"然后规律治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524826},{"body":{"content":"查血管挂什么科室？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591840},{"body":{"content":"去神经内科就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612249},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618015},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621679}]

男38岁

2022.05.20

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

男25岁

2022.05.20

[{"body":{"content":"您好。我是全科医生任佳，非常高兴由我为您提供医疗咨询服务，请问您有哪些医药问题需要咨询的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159423},{"body":{"content":"上述问题怎么回事？如何解决","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050180476},{"body":{"content":"哺乳2个多月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050199051},{"body":{"content":"请问您您爱人母亲啊有发热疼痛不适表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050204392},{"body":{"content":"爱人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050211456},{"body":{"content":"平时哺乳吸奶及时吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219553},{"body":{"content":"没有固定规律","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241815},{"body":{"content":"请问您爱人哺乳有发热疼痛不适表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244170},{"body":{"content":"昨天洗了洗头有点小感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050286215},{"body":{"content":"您爱人有明显涨奶感觉吗？乳汁吸出有颜色异常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289841},{"body":{"content":"上述情况是单侧还是双侧，乳房排空后上述情况是否缓解或者消失？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333339},{"body":{"content":"乳汁是清水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415625},{"body":{"content":"吃完也没消失还有块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471114},{"body":{"content":"好的了解，结合您的上述情况描述，目前是考虑您爱人存在堵奶情况导致的乳房出现肿块的可能性比较大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559387},{"body":{"content":"但不完全除外可能存在的乳腺炎的可能，我可为您做出初步对症的用药建议，您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593163},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642478},{"body":{"content":"为了您的用药安全，推荐用药前需要和您确认一下：没有药物过敏史，没有肝肾功能异常？------------对吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657825},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669537},{"body":{"content":"然后呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050758235},{"body":{"content":"没有药物过敏，肝肾功能正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050793484},{"body":{"content":"好的了解，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839777},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050856077},{"body":{"content":"口服 蒲公英颗粒，不影响哺乳 联合外敷*****治疗的，一次20-30分钟，一天2-3次的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050863461},{"body":{"content":"*****外敷乳房，蒲公英颗粒口服。喂奶前热敷乳房硬块，宝宝吸吮时手法轻轻按摩，从乳房周围轻推至乳头根部。按需哺乳，保证双乳通畅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050883044},{"body":{"content":"口服 蒲公英颗粒 一日3次 一次1袋**对症缓解乳腺炎症不适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050934619},{"body":{"content":"以上药物均是非处方用药，您可直接点击链接购药使用即可，付费后如您附近药店支持药急送，购药您可以选择药急送，就近药店配送一般1小时左右可以到达。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000267},{"body":{"content":"需要先将乳房疏通，建议增加哺乳次数，宝宝吸不完的奶可以用吸奶器吸出，建议减少汤水摄入，如果疏通不了，可以请**师按摩疏通或线下医院就诊；体温超过38.5度建议线下公立医院急诊外科就诊，根据查体检查进一步评估，调整治疗方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074955},{"body":{"content":"好的??谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051132340},{"body":{"content":"您客气了，希望我的建议能够帮助到您，望您在百忙中，右上角表扬医生评价一个\"5星\"好评，感谢您支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224156},{"body":{"content":"温馨提示：您爱人在用药后如果病情缓解不佳后出现发热局部明显红肿热痛的表现，建议您及时线上复诊或者线下公立医院急诊外科就诊，根据查体检查，指导治疗方案的调整。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051270408},{"body":{"content":"您之后有任何其他问题，可以在京东APP搜索“京东医生任佳”就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274372},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051404626},{"body":{"content":"希望我的建议对您有所帮助，请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051421732},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051429009},{"body":{"content":"如果您没有其他问题的话我这边就先结束问诊了，希望我的建议能够帮助到您，感谢您的关注与信任。请在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。祝您和家人生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051446589}]

女33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":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965669409},{"body":{"content":"宝宝这样的情况有多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965680363},{"body":{"content":"就今天早晨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965701026},{"body":{"content":"好的，看不出有蚊虫叮咬的痕迹吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965852017},{"body":{"content":"暂时看不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965894996},{"body":{"content":"好像也有一个小红点点，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965908714},{"body":{"content":"哦，可以先用**消毒，在涂上***看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965948058},{"body":{"content":"出现红肿还是考虑炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965963503}]

男1岁7个月

2022.05.20

[{"body":{"content":"您好，我是主治医师高瑞雪，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049576687},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049579632},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049630429},{"body":{"content":"1、（男性）为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备育期？\n2、（女性）为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备孕期、妊娠期或哺乳期？\n3、（婴幼儿，儿童，青少年）为了用药安全，是否有药物及食物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049633516},{"body":{"content":"多少周了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049640910},{"body":{"content":"20","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049652167},{"body":{"content":"血糖正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049669689},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049680128},{"body":{"content":"这些可以喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049692282},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049699644}]

女

2022.05.20