刘继帅

[{"body":{"content":"您好，我是中医科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828469},{"body":{"content":"您好，问一下我咳嗽有2个月了，咳嗽不勤，但几乎天天有咳，咳得时候咳一阵，好像连着咳，不咳的时候大半天都好好的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050837024},{"body":{"content":"请问咳嗽是白天还是晚上剧烈呢，咳嗽是否有痰，痰好咯出吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843063},{"body":{"content":"白天的多，不剧烈，没痰","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050878862},{"body":{"content":"是否伴有胸闷、气紧、咽痒、咽喉异物感的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900988},{"body":{"content":"咳完后有时会清嗓子有少许痰","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050927614},{"body":{"content":"好的。方便发一下舌象吗？可以为您深入辨证看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050988214},{"body":{"content":"咽痒有的，有时咳嗽时喝口水会好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998361},{"body":{"content":"根据您描述的症状结合舌象,目前考虑咳嗽，肺气阴不足。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077712},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？请问您在备育期吗？以便我给您用药建议，如果以上都没有，可以回答“都没有”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051082530},{"body":{"content":"无过敏史，无慢性病史，不在备孕期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051126163},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051131198},{"body":{"content":"是否在哺乳期、备孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051232903},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051254808},{"body":{"content":"您看是选择中成药还是中药配方（自煎、代煎、**剂）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051292680},{"body":{"content":"中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051303292},{"body":{"content":"稍等，为您开方，稍后会有一个电子处方，您如果需要购药的话可以直接 点击处方，按处方提示流程即可完成购药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051312441},{"body":{"content":"****** 一日3次，一次1支补**气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051467852},{"body":{"content":"***** 一日3次，一次5片养阴**，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051489536},{"body":{"content":"买不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051508801},{"body":{"content":"咋回事呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515263},{"body":{"content":"****** 给您建议的药物是不需要处方的，您可以直接点击带有小购物车蓝色文字选购，药物品牌您可以任意选择，如您附近有药店（药急送），最快可在1小时内送药上门。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051529224},{"body":{"content":"好的，网上不好买，我在家附近看看，谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051567109},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051612886},{"body":{"content":"各配几盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051618729},{"body":{"content":"可以各2盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051627197},{"body":{"content":"温馨提示：*****、****** 您可以直接点击带有小购物车蓝色文字选购，药物品牌您可以任意选择，如您附近有药店（药急送），最快可在1小时内送药上门。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641802},{"body":{"content":"提示：用药前请您仔细阅读药品说明书中禁忌，注意事项，如您在用药过程中出现不适，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051648707},{"body":{"content":"建议您饮食注意：规律饮食，避免过饱饮食，忌辛辣刺激、浓茶咖啡、甜食饮料、生冷食物、海鲜、火锅类的食物，喝温热水。另外注意休息、保持良好情绪、规律作息；保持室内湿润、通风；忌烟酒；避风寒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051651541},{"body":{"content":"好的谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051692106},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051697715},{"body":{"content":"感谢您的咨询和耐心回答，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":1653051701232},{"body":{"content":"如果您没有其他问题，我将结束您的问诊，希望我的建议能够帮助到您，请点击对话框右上角“ 表扬医生“对我的服务作出评价，您的五星好评，就是对我工作最大的鼓励和支持。欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051789920}]

女46岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965566885},{"body":{"content":"您好，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":1652965568736},{"body":{"content":"住院时开药需要挂号费吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965605674},{"body":{"content":"住院期间，如果是住院部有的药，是不需要再挂号的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965638907},{"body":{"content":"医保患者出院时只允许带1周的药。如果想多带点，那就需要门诊挂号的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965697489}]

女89岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育相关问题的需要，京东平台为您准备了儿科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049631016},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049634260},{"body":{"content":"纯棉的宽松一点，好穿脱的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049679842},{"body":{"content":"您好！6个月宝宝刚做完心脏手术适合穿什么衣服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049695744},{"body":{"content":"\n要注意保暖吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049722892},{"body":{"content":"注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738286},{"body":{"content":"不能穿太凉快是不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049739838},{"body":{"content":"注意**啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049758577},{"body":{"content":"长袖长裤比较合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049777870},{"body":{"content":"看室内温度。增减衣物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049815786},{"body":{"content":"合理增减衣物，避免引起感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900120},{"body":{"content":"很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049913000},{"body":{"content":"如有疑问，可以再次追加哈！要是没有问题，欢迎您在右上角表扬医生按钮给我点个“满意”的好评！您的满意是对我的支持和鼓励！祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928153}]

女

2022.05.20

[{"body":{"content":"您好，张医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879362760},{"body":{"content":"您好，您目前一周几次性生活？每次大概几分钟？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879391224},{"body":{"content":"我前年出了意外车祸，之前没有勃起障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879400086},{"body":{"content":"之前一周1-2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879409594},{"body":{"content":"加上最近刚开始创业，压力比较大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879432242},{"body":{"content":"阴茎不算大，但也正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879451396},{"body":{"content":"之前在济南齐鲁医院看过，吃了一个疗程的壮阳药，有点效果，但是现在断药了，还是勃起障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879513326},{"body":{"content":"之前迟的是**还有***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879540326},{"body":{"content":"嗯，您现在还有性生活吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879667860},{"body":{"content":"现在没有以前频繁了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879681280},{"body":{"content":"现在只有先吃了药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879697050},{"body":{"content":"才敢过性生活","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879705894},{"body":{"content":"因为勃起障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879712431},{"body":{"content":"嗯，健忘，乏力，盗汗，腰膝酸软，大便溏稀，四肢冰冷，怕冷，怕热，这些情况有哪些症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879870757},{"body":{"content":"我忘了叫什么力的一种药了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879870838},{"body":{"content":"这些基本都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879885996},{"body":{"content":"基本上就是和**差不多的药效","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879936717},{"body":{"content":"请问这个问题的根本是在哪里医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879987020},{"body":{"content":"这个主要是阴茎海绵体受损，导致充血不足，形成的一个阳痿症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880005020},{"body":{"content":"这个跟生活压力，工作压力，生活的不良习惯都是有关系的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880016876},{"body":{"content":"晨勃的情况还有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880028177},{"body":{"content":"之前没有，现在有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880040173},{"body":{"content":"不知道是不是跟前段时间吃药有关系，晨勃之前一直都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880077168},{"body":{"content":"这个情况需要长期吃药调理吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880104165},{"body":{"content":"现在基本上都需要先吃药才敢过性生活","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880130950},{"body":{"content":"不用长期服用，您的这个情况比较严重，至少需要调理两个月。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880131769},{"body":{"content":"需要怎么调","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880141998},{"body":{"content":"有没有三高或者用药过敏史？肝肾功能是否正常？是否有慢性疾病及心脑血管疾病，糖尿病，高血压？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880154842},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880161427},{"body":{"content":"有中成药可以调理的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880175669},{"body":{"content":"希望可以根治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880187061},{"body":{"content":"因为我还年轻才32","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880198302},{"body":{"content":"压力方面因为我才开始创业，压力确实比较大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880219481},{"body":{"content":"所以需要1-2年时间的缓冲期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880239753},{"body":{"content":"但是这时间内，我的勃起障碍让我很不自信","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880258818},{"body":{"content":"现在基本都要性生活之前先吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880278097},{"body":{"content":"不然我怕女朋友不满意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880289174},{"body":{"content":"嗯，根据我多年的临床经验，您的情况见效不是目的，去根才是根本，我建议您中成药结合，治愈率高达95%，可以服用*****和****进行治疗，中成药用于治疗阳痿早泄肾虚等疾病的，****，从根本上去解决问题，这两种药搭配起来使用可以标本兼治。没有问题吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880299708},{"body":{"content":"引起长期的不满","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880304004},{"body":{"content":"需要吃多长时间可以改善调理好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880337564},{"body":{"content":"这两种药需要一起服用多长时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880368356},{"body":{"content":"只要可以根治，没问题的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880384439},{"body":{"content":"您这个情况至少需要调理两个月，我先给您开一个月的药回去服用，没有问题吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880401960},{"body":{"content":"现在有晨勃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880402753},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880406461},{"body":{"content":"多少钱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880413320},{"body":{"content":"先吃一个月看看效果，如果可以就在来一个月的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880447706},{"body":{"content":"我现在半个月回去一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880459641},{"body":{"content":"费用大概是在1700~1800。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880465931},{"body":{"content":"因为在创业阶段","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880473105},{"body":{"content":"嗯，没有问题吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880477849},{"body":{"content":"怎么这么贵哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880482903},{"body":{"content":"因为我还在创业阶段","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880522523},{"body":{"content":"经济条件并不宽裕?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880559042},{"body":{"content":"这个给您开的是一个月的药量，这个治疗效果是比较好的，很多患者都在服用的跟你有相同病例的患者，通过治疗都是可以恢复的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880567927},{"body":{"content":"就这两种药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880613544},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880618131},{"body":{"content":"这期间可以有性生活吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880664105},{"body":{"content":"可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880671062},{"body":{"content":"还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880716521},{"body":{"content":"1800吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880742819},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880748421},{"body":{"content":"一个月的用量","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880755865},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880759444},{"body":{"content":"还有别的办法吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880770830},{"body":{"content":"没有其他办法，您这个情况比较严重，肯定要是用药物去从根源上解决问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880800096},{"body":{"content":"毕竟你现在还年轻。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880804982},{"body":{"content":"如果有效果我还要来京东大药房来找您吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880809946},{"body":{"content":"可以过来找我的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880823944},{"body":{"content":"可以加您私人联系方式吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880837507},{"body":{"content":"稍后我会给您开处方，您订购成功以后我会给您发一张复诊二维码，您后期直接扫码进来，随时和我保持联系。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880866117},{"body":{"content":"后期我会全程跟踪指导您的恢复情况，有什么不懂的随时咨询我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880880578},{"body":{"content":"这个药物吃两个月就不用长期吃了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880891794},{"body":{"content":"是的，不用长期服用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880905815},{"body":{"content":"不会像**一样有依赖性吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880914240},{"body":{"content":"那就麻烦您帮我先开一个月的吧，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880968182},{"body":{"content":"给您开的是中成药没有任何副作用的，是从根源上解决问题的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881013382},{"body":{"content":"我这边帮您开处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881022879},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881032824},{"body":{"content":"********10mg*2片 男性男士勃起功能障碍ED ****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881041289},{"body":{"content":"之前是吃的这个药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881053258},{"body":{"content":"才有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881064972},{"body":{"content":"嗯，你那个是***，是治标不治本的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881087931},{"body":{"content":"搭配我给你建议的中成药去治疗，可以从根源上彻底解决问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881101046},{"body":{"content":"处方已经给您开好了，您直接点击上面处方单预约购买就可以了。购买成功以后，跟我说一下，我这边发复诊二维码给你，后期有什么不懂的可以随时咨询我。服用15天给我反馈一下。处方单上有用量和方法，饭后服用，平时少吃辛辣，不要喝酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881121331},{"body":{"content":"买了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881316330},{"body":{"content":"付款了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881320567},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881334360},{"body":{"content":"这是我的复诊二维码，您保存一下，后期有什么不懂的直接扫码进来咨询，⚠️⚠️⚠️一定记得服用15天后找我复诊！也可以关注我。祝您早日康复！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881357801},{"body":{"content":"好的，我保存了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881393154},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881406479},{"body":{"content":"下次就不用在京东上进来了是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881420060},{"body":{"content":"直接扫码找您就可以是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881441571},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881486558},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881586061},{"body":{"content":"我刚才扫码进去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881593295},{"body":{"content":"还是京东","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881598922},{"body":{"content":"请问需要怎么直接联系您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881613454},{"body":{"content":"还是在这个平台上。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881615278},{"body":{"content":"您给我发消息，我看到会第一时间回复你的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881627336},{"body":{"content":"嗯嗯好的，张医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881639858},{"body":{"content":"下次再来就不用在付费了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881672031},{"body":{"content":"15天以后我再来找您还需要再缴费吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881705304},{"body":{"content":"\n15天以后我再来找您还需要再缴费吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881747666},{"body":{"content":"第1次扫码是免费的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881880827}]

男32岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169573},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190769},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050193821},{"body":{"content":"小孩近视最近眼睛疲劳的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281712},{"body":{"content":"厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050291241},{"body":{"content":"看黑板老看不清","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050311878},{"body":{"content":"上个星期去眼镜店去测视力说疲劳，测不准","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050385293},{"body":{"content":"这个星期还是疲劳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050408730},{"body":{"content":"一个300°一500°","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435970},{"body":{"content":"这样的可以用******吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461455},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050686927},{"body":{"content":"散瞳验才准确","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050702250},{"body":{"content":"您去医院散瞳验光吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050713252},{"body":{"content":"眼镜店不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050723102},{"body":{"content":"眼睛店说不用散瞳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050746804},{"body":{"content":"去眼镜店半年几个月就得换眼镜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050803976},{"body":{"content":"******能缓解多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050874391},{"body":{"content":"眼睛店配眼镜是不是都多配°数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050939027},{"body":{"content":"这样用什么***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050999595},{"body":{"content":"******可以滴吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051040007},{"body":{"content":"这个不是缓解近视加深的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051063673},{"body":{"content":"一定要散瞳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143643},{"body":{"content":"眼睛店说现在视疲劳验不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051213893},{"body":{"content":"我就是现在不相信他们","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051307813},{"body":{"content":"上次去我们人民医院看过也没有散瞳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051411454},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051510102},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051521993}]

女15岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045633847},{"body":{"content":"确诊了什么病的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046093492},{"body":{"content":"骨穿报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048721849},{"body":{"content":"血小板减少，血小板23","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048750085},{"body":{"content":"吃什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048800412},{"body":{"content":"白细胞**红蛋白都正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048810692},{"body":{"content":"没有吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048920341},{"body":{"content":"这个需要怎么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048948738},{"body":{"content":"结合骨穿结果，他们诊断什么病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048960537},{"body":{"content":"医生说是血小板再生障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048968545},{"body":{"content":"再生障碍性贫血！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048982217},{"body":{"content":"可以吃****的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049069254},{"body":{"content":"像****，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049079400},{"body":{"content":"你提供的信息实在有限","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049109512},{"body":{"content":"如果诊断再生障碍性贫血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049120893},{"body":{"content":"如果考虑免疫性血小板减少症，可以吃**治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049509354},{"body":{"content":"也可以用*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049520523},{"body":{"content":"当然，现在有23，可以考虑反复吃****的药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049539422},{"body":{"content":"**治疗后对身体有没有啥影响","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049568799},{"body":{"content":"副作用不少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049583073},{"body":{"content":"有啥副作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049608260},{"body":{"content":"长期吃可能引起高血压，糖尿病，骨质疏松，感染增多等等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049651611},{"body":{"content":"四年前治疗过，应该也是用的***，升上去了，一段时间又降下去了。也吃过****，一直都保持在三十以上，一年多没吃完就降到二十多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049725655},{"body":{"content":"如果是这样，干脆就别理它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049757682},{"body":{"content":"有20以上，相对安全","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049770708},{"body":{"content":"如果不考虑经济问题，可以吃****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049782385},{"body":{"content":"一个月可能八千块左右吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049792829},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049892088},{"body":{"content":"确实有点贵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049900409},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904480},{"body":{"content":"或者间断吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049910403},{"body":{"content":"控制费用的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049915871},{"body":{"content":"尝试一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049997767}]

女75岁

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，您的问题已经收到，我正在详细阅读您的病情描述。感谢您对我的信任！请理解线上诊疗的局限性，因为缺乏查体环节！我向您提出以下问题，请尽可能逐一回答！为了您的健康！同时便于我尽可能多的掌握足够有效信息，从而更准确有效的做出回答，给予合理的意见和最大的帮助！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779902},{"body":{"content":"报告已阅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050783802},{"body":{"content":"大夫你好，患者身体乏力，厌食，去两个医院，一个让住院，一个说不用住院，回家吃药就行。请问一下，她这种情况应该怎么治疗比较妥当？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947915},{"body":{"content":"你这个是药物性肝损伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051026285},{"body":{"content":"怀疑是这个，因为患者4个月前注射过***，然后出现这个症状，而且尿液茶色。前天去检查然后医院得出的结论","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051099658},{"body":{"content":"这个最好住院治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051146487},{"body":{"content":"转氨酶有点高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250827},{"body":{"content":"我们这市医院检查说不需要住院，那不住院吃药可以治疗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051283923},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051296846},{"body":{"content":"但有风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306094},{"body":{"content":"医院开的药是这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316433},{"body":{"content":"单吃这个不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051319673},{"body":{"content":"好的，我知道了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453200},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051507384},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"感谢你的信任，祝您**！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051561414}]

女59岁

2022.05.20

[{"body":{"content":"您好，一天的体重变化没有意义的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964981124},{"body":{"content":"要一周以上变化才有意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964990367},{"body":{"content":"哦哦，好的，我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965020351},{"body":{"content":"体脂较高怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965052880},{"body":{"content":"采用调整饮食结构，增加运动量的方式。调整饮食不是控制饮食，而是调整为高蛋白（鸡胸，**，鱼，虾，豆制品等）低碳水（粗粮为主）低脂肪（少食肥肉，烧菜时少放油等）这种饮食模式。另外运动是为了增加基础代谢率的，这样减肥才能持续，不容易反弹。运动方式比较多，跑步，跳绳，仰卧起坐，爬楼梯，游泳等都是可以的，可以根据自己平时的生活习惯选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965234553}]

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,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049896493},{"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":1653049897757},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900549},{"body":{"content":"三件套怎么用的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049931237},{"body":{"content":"请问宝宝多大了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943009},{"body":{"content":"9个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049951957},{"body":{"content":"原液是倒进洗澡水里给宝宝泡澡祛痱止痒。防蚊液直接喷涂于皮肤上防止蚊虫叮咬，止痒凝露是宝宝被蚊虫叮咬后涂抹的，可以快速止痒**哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049996958},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050019927},{"body":{"content":"***和****都是可以直接喷涂的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050023234},{"body":{"content":"不客气哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050026644},{"body":{"content":"您还有问题咨询吗，如果方便的话麻烦右上角给点个评价，谢谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050031211},{"body":{"content":"麻烦您帮我点一下星星，非常感谢您的支持，祝您生活愉快，祝宝宝健康成长?。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050034975}]

女

2022.05.20