刘继帅

[{"body":{"content":"您好，我是京东互联网医院医生，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。\n什么情况？是否有其他疾病？\n近期有没有什么用药史，\n或药物过敏史？\n请说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050203310},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287015},{"body":{"content":"有啥不舒服表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050324196},{"body":{"content":"全面部拍个看看，好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050331184},{"body":{"content":"脸上偶尔会有个红疙瘩，哭闹就发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050380787},{"body":{"content":"平时就消下去，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050392320},{"body":{"content":"额头这块，已经三四天了没有消下去，平时就透明白白的，哭闹就发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435444},{"body":{"content":"其他地方还有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050476159},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562271},{"body":{"content":"头上应该是热疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580330},{"body":{"content":"偶尔起来，偶尔消下去，没有额头这样的小点点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050604016},{"body":{"content":"热疹一般凉了会退","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622189},{"body":{"content":"额头这块三四天前起来的，现在也没消下去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655568},{"body":{"content":"有湿疹表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712892},{"body":{"content":"买个*****稀释后擦洗看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050723925},{"body":{"content":"平常清洁皮肤后多润肤保湿，建议用**或****或******或***宝贝，********等每天涂至少2次以上","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736516},{"body":{"content":"参考看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050741963},{"body":{"content":"一哭就红红的，不哭就好好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050743002},{"body":{"content":"热也会加剧湿疹表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761628},{"body":{"content":"这个可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050775221},{"body":{"content":"就是保湿做好 是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050783583},{"body":{"content":"可以试用看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050861686},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050992180}]

女29天

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211719},{"body":{"content":"还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050869520}]

男4岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0022，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383530},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384181},{"body":{"content":"是己确诊该病情是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384935},{"body":{"content":"这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409087},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050414902},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415571},{"body":{"content":"两个星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050423749},{"body":{"content":"20岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050428210},{"body":{"content":"女","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434387},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434891},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050438542},{"body":{"content":"目前是否用过药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050449175},{"body":{"content":"反反复复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453235},{"body":{"content":"痛痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460181},{"body":{"content":"涂过药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050462492},{"body":{"content":"痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475986},{"body":{"content":"这种是毛囊炎吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483550},{"body":{"content":"用的哪种药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050529548},{"body":{"content":"您用过什么药膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050569866},{"body":{"content":"需要看您用药情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050576582},{"body":{"content":"这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695654},{"body":{"content":"没有改善是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712500},{"body":{"content":"反反复复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785654},{"body":{"content":"别的地方要长了几颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801041},{"body":{"content":"目前图片看比较 像的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050803976},{"body":{"content":"好嘞 根据您目前的情况，为您提供治疗药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809786},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050921210},{"body":{"content":"//******：本品应外用，局部涂于患处，必要时，患处可用敷料包扎或敷盖，每日3次，5天一疗程，必要时可重复一疗程。\n【用药注意】本品仅供皮肤给药，请勿用于眼、鼻、口等黏膜部位，皮肤大面积破损合并肾病不建议使 用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050925950},{"body":{"content":"//炉甘石洗剂：局部外用，用时摇匀，取适量涂于患处，一日-3次。\n【用药注意】避免接触眼睛和其他黏膜（如口、鼻等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050927346},{"body":{"content":"可以治疗好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050933695},{"body":{"content":"先用这两个看下，复发，与体质有关的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962570},{"body":{"content":"怎么用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050975920},{"body":{"content":"******：本品应外用，局部涂于患处，必要时，患处可用敷料包扎或敷盖，每日3次，5天一疗程，必要时可重复一疗程。\n【用药注意】本品仅供皮肤给药，请勿用于眼、鼻、口等黏膜部位，皮肤大面积破损合并肾病不建议使 用\n\n//炉甘石洗剂：局部外用，用时摇匀，取适量涂于患处，一日-3次。\n【用药注意】避免接触眼睛和其他黏膜（如口、鼻等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051002281},{"body":{"content":"间隔 半小时用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051005241},{"body":{"content":"一天三次？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051064686},{"body":{"content":"间隔半小时？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051072921},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051091263},{"body":{"content":"先涂*** 半小时再用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108915},{"body":{"content":"睡觉前不用用咯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051109096},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051131452},{"body":{"content":"最后一次睡前用呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137405},{"body":{"content":"先涂药膏？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051163016},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051215916},{"body":{"content":"徖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051404931},{"body":{"content":"皮肤瘙痒温馨提示：日常**1.要勤洗勤晒衣物、被单、枕头、被子 2.避免过度烫洗、搔抓等刺激。 3.饮食调理注意饮食调理，均衡营养，多吃一些水果、蔬菜等***丰富的食物。少吃鱼虾、牛**和油腻、甜食及刺激性食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051407146},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。请您查看药品说明书中的注意事项，使用 7 天后如果症状没有改善或出现症状加重的情况，建议尽快线下就医。用药期间禁烟酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051416400},{"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":1653051417706},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051481202},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051485641}]

女

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808638},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819558},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840997},{"body":{"content":"以上是我前几天的检查结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856231},{"body":{"content":"我这是不是乙肝了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864936},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049956033},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049960711},{"body":{"content":"转氨酶很高，胆红素异常，乙肝两对半提示两种情况：1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974790},{"body":{"content":"目前转氨酶还高的，建议您要提高重视程度，建议住院输液治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049998887},{"body":{"content":"这是前几天的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116194},{"body":{"content":"建议要进一步完善肝胆彩超，肝炎分型等检查，还要查下乙肝DNA定量检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128581},{"body":{"content":"报告单我看到了，之前也是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137132},{"body":{"content":"我看下我做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144502},{"body":{"content":"还有一些片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050245858},{"body":{"content":"从目前看，我这是不是乙肝？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050256649},{"body":{"content":"又做了一个加强ct明天出结果。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296122},{"body":{"content":"我就想知道目前我应该往哪个方向治疗。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050311889},{"body":{"content":"我看了乙型肝炎表面抗体超了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335860},{"body":{"content":"我是突然这样的，不是长期，积极在看，但是，就是一堆检查，一天一个样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050360001},{"body":{"content":"需要查乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383844},{"body":{"content":"表面抗体这个升高不用太担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418817},{"body":{"content":"乙肝两对半目前就提示可能存在两种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433181},{"body":{"content":"1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441603},{"body":{"content":"需要查下乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450125},{"body":{"content":"还需要查啥别的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050459962},{"body":{"content":"从这个单子上看不到我是否得了乙肝对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475784},{"body":{"content":"大小**啥的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050481360},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533339},{"body":{"content":"那我现在去医院应该再整点啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607012},{"body":{"content":"哎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611643},{"body":{"content":"把您说的那个检测了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050620233},{"body":{"content":"还有啥其他的不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623987},{"body":{"content":"还有就是您说的这个是不是只有传染病医院能做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638144},{"body":{"content":"一般三甲医院都是可以查的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736075},{"body":{"content":"其他的还可以查下肝炎分型，排除下是否有甲肝，丙肝等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763379},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801944},{"body":{"content":"我这目前是不是就是一定有肝炎？只是不知道分型。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829213},{"body":{"content":"并不一定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908770},{"body":{"content":"只能说目前肝功能损害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918361},{"body":{"content":"就吃了根黄瓜，然后整个人就完了，疼的不行了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943471},{"body":{"content":"建议最好是医院能够住院治疗，因为目前的转氨酶还是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051029227},{"body":{"content":"以为是胃，看了，没用，又看了胆，说是胆囊炎，然后说胰腺可能也一般，给打了***和******，就不疼了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051051231},{"body":{"content":"第二天又加了****，但是就感觉没有第一天好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051077607},{"body":{"content":"昨天又去了医院，医生看了甲胎蛋白结果出来了，高一倍，不敢给打针了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102992},{"body":{"content":"目前吃*******和********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051177351},{"body":{"content":"目前就是这样，明天去传染病医院去去加强ct.不知道接下来该怎么办。看了好几个医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051209280},{"body":{"content":"我建议您可以三甲医院挂专家号看下，一般这种水平的转氨酶都是需要住院治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251023},{"body":{"content":"不是说必须去传染病医院看对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291889},{"body":{"content":"三家医院专家号挂什么科。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306587},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306664},{"body":{"content":"消化科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051322832},{"body":{"content":" 好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051340711},{"body":{"content":"不用谢，祝您身体健康","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051351305},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051537815},{"body":{"content":"实在抱歉，电子病历是系统自动识别的问题，您的肝功能是不正常的，这个您不用理会，建议还是三甲医院进一步就诊的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611223},{"body":{"content":"实在抱歉，祝您及您的家人身体健康，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649856}]

女54岁

2022.05.20

[{"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":1653050438341},{"body":{"content":"结石多大呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050445469},{"body":{"content":"这个是我前两天拍的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468280},{"body":{"content":"激光也打不掉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050501784},{"body":{"content":"0.3cm","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518189},{"body":{"content":"去年10月份查的时候是0.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050521891},{"body":{"content":"然后今年上半年军检查的事0.4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050537136},{"body":{"content":"吃点中药排","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545341},{"body":{"content":"现在变成2个最大的事0.3","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555114},{"body":{"content":"尿酸查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050558628},{"body":{"content":"0.3的一般可以排出去的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050565359},{"body":{"content":"没有检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569046},{"body":{"content":"我这个时间挺长了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576313},{"body":{"content":"可以么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580210},{"body":{"content":"还是可以排出去的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592461},{"body":{"content":"我看看您的舌象","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595863},{"body":{"content":"舌淡白，苔白腻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636302},{"body":{"content":"请问您有怕冷，性欲减退，畏寒肢冷，腰膝以下尤甚，腰膝酸软，头晕耳鸣，小便清长，夜尿多的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050644700},{"body":{"content":"夜尿没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050659213},{"body":{"content":"怕冷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663830},{"body":{"content":"腰疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674690},{"body":{"content":"去年有过耳鸣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681785},{"body":{"content":"小便黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687416},{"body":{"content":"根据您提供的信息及症状，目前初步考虑肾阳虚，寒湿证。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050690288},{"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":1653050698266},{"body":{"content":"水喝多了就白色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699418},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702091},{"body":{"content":"那这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050710165},{"body":{"content":"肾结石","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050719687},{"body":{"content":"吃什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050723319},{"body":{"content":"以上用药禁忌可以排除吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754429},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769135},{"body":{"content":"肝肾功能异常及其他慢性病史吗？请问您在备育期吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779472},{"body":{"content":"没有任何疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785391},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050793304},{"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":1653050796934},{"body":{"content":"我有手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050816113},{"body":{"content":"好多年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050819252},{"body":{"content":"代煎吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050837265},{"body":{"content":"请您稍等，给您开具中药，估计需要3-5分钟。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857175},{"body":{"content":"肾结石？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906187},{"body":{"content":"是一起调理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050922215},{"body":{"content":"还有手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050965427},{"body":{"content":"了解了，您目前考虑肾阳不足了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050982718},{"body":{"content":"您稍等我一下，我给您开方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051045843},{"body":{"content":"退出来要重新点处方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053600},{"body":{"content":"给您开的是代煎好的中药，一日3次，一次1袋，服用前温一下，剩余冰箱冷藏。服用7日，观察疗效，再上线复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051440434},{"body":{"content":"中药反应：如您在用药过程中出现不适如皮疹、皮肤瘙痒、发热等，请您及时上线咨询或去医院就诊。 不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051445550},{"body":{"content":"建议您宜选用甘温补脾阳、温肾阳为主的食物，如**、韭菜、红茶、**等。少食生冷、苦寒、黏腻食物，如螃蟹、绿茶、冷冻饮料等。平时1、注意休息，保持良好情绪，规律作息。2.保持室内空气湿润，清淡饮食易消化。3.多饮水，少食辛辣刺激、油炸的食物。4.忌烟酒。5.避风寒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051449857},{"body":{"content":"平时多喝温水，生冷、油腻的不能吃，平时多运动。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051675069},{"body":{"content":"这个肾结石慢慢就没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051682329},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051698758},{"body":{"content":"生冷、油腻的不能吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051709844},{"body":{"content":"您看这样下去肾阳会被伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051718197},{"body":{"content":"肾阳不足，就容易再继续长结石","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051737082},{"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":1653051883055},{"body":{"content":"没有了。。谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051921956},{"body":{"content":"您客气了。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":1653051930848},{"body":{"content":"石清茶平时可以代茶饮喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051974400}]

男23岁

2022.05.20

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

男34岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050171337},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050186761},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050287048},{"body":{"content":"有什么问题・_・?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291417},{"body":{"content":"之前有结石，已经排出去了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050500867},{"body":{"content":"这个是今天复查的报告。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507285},{"body":{"content":"请问，能看出来什么吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050528226},{"body":{"content":"嗯，结石已经排出来了，挺好的啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581870},{"body":{"content":"现在已经没有问题了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590972},{"body":{"content":"这句话，代表什么啊？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619642},{"body":{"content":"髂血管旁，可能有血管钙化，或者淋巴结钙化，没有明显的临床意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050666807},{"body":{"content":"有什么危害么？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050692411},{"body":{"content":"没有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050711336},{"body":{"content":"这个是肾结石么？？还是输尿管结石？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050739928},{"body":{"content":"如果肾结石，或者输尿管结石，会有肾积水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050903948},{"body":{"content":"报告没有提示肾积水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050911078},{"body":{"content":"所以暂不考虑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050916748},{"body":{"content":"那，，，是什么结石呢。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050924850},{"body":{"content":"这可能是血管钙化，或者淋巴结钙化","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952152},{"body":{"content":"钙化灶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955679},{"body":{"content":"不是结石","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962460},{"body":{"content":"当时痛的走不了路。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050987150},{"body":{"content":"医院医生说是结石。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050994783},{"body":{"content":"是的，当时不是有肾积水么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051032913},{"body":{"content":"右肾集合系分离","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051055743},{"body":{"content":"就是积水的意思","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051062865},{"body":{"content":"不知道额。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051106981},{"body":{"content":"医生没说。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051110594},{"body":{"content":"报告上写了？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116594},{"body":{"content":"吃完**的药。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306733},{"body":{"content":"也确实排出来了一点点小石头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051315596},{"body":{"content":"结石已经排出来了，预防也很重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051564407},{"body":{"content":"避免复发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051574461},{"body":{"content":"现在没什么问题了嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051707961}]

女40岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050591753},{"body":{"content":"您做过精液常规吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050597508},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050640416},{"body":{"content":"精液的话一般是60分钟内液化就属于正常的，而且还要以精液常规的检查单为准的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667283},{"body":{"content":"我这个过了一晚上都还是一样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685441},{"body":{"content":"嗯，还有其他的症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050697688},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050704373},{"body":{"content":"没有不适的症状就没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050751488},{"body":{"content":"精液中有米粒大小的**和频繁的手淫和性生活有关系，但是也属于正常的。精液里除了精子以外，还有各种精子存活所必须的各种酶和****、**、肌醇、***、****、卵磷脂小体等组成，这些物质就是说的米粒大小果冻状的透明**，这是正常的，不需要检查和治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050760467},{"body":{"content":"尿频跟这个有没有关系？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050830119},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050853917},{"body":{"content":"有的时候会尿频过了几天就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050854093},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856101},{"body":{"content":"尿频 / 尿不尽 / 尿道口滴白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050873678},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050876664},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050909980},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050913006},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050916632},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920653},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050926970},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930991},{"body":{"content":"超过30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050963744},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050966757},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050973205},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050977230},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050980988},{"body":{"content":"是否有阴囊潮湿或下腹部会阴部不适的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050987169},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051034216},{"body":{"content":"有没有尿分叉、尿等待情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051042861},{"body":{"content":"有尿分叉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051076481},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051084598},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091526},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110515},{"body":{"content":"您上述的症状是有前列腺炎的症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117729},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、憋尿、骑车、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121893},{"body":{"content":"那怎么治疗抗议解决这个问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051158057},{"body":{"content":"前列腺炎的问题，建议您可以使用******+******+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051188276},{"body":{"content":"也可以去正规公立医院完善一个前列腺彩超+前列腺液常规的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051191313},{"body":{"content":"前列腺炎可以治愈，但是生活中需要多注意，易复发，目前的话，就是药物治疗，症状消失即为临床治愈。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051536989},{"body":{"content":"除了吃药，生活习惯也很重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051544175},{"body":{"content":"用药剂量：0.1g的******，一天两次，一次1片；********，一天一次，一次一片；******，一天两次，一次4粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556322},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703023},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051705121},{"body":{"content":"吃药的同时也要注意综合治疗，比如多饮水，多锻炼身体，避免熬夜，避免久坐，避免憋尿，避免烟酒及辛辣刺激饮食等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710511},{"body":{"content":"平时可以口服一点****， ****具有抗氧化能力， 一方面预防和抑制癌症，抑制诱变，抗辐射增强免疫力的作用，另一方面可以预防和减少前列腺炎的反复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051718168},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051723749},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您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。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051827931}]

男18岁

2022.05.20

[{"body":{"content":"你好！可以的三盒！帮我开一下谢谢?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879148314},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879202549},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879223994},{"body":{"content":"亲，前面开完了，您看到了吗？往前看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879258858}]

女3岁

2022.05.20

[{"body":{"content":"药名，厂家，规格及几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878668253},{"body":{"content":"您好刘主任 上次跟你问诊过 ***一日一片的剂量出现勃起障碍 您建议我降半片 经过一个星期的降药 现在情况改善了很多 有晨勃了 也能勃起 但还是差点意思 还是没有性欲 勃起的硬度还是差一些 请问该怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878802100},{"body":{"content":"一片是多少mg的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885475581},{"body":{"content":"50ng","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652923981989},{"body":{"content":"可以停一周看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652926027792}]

男25岁

2022.05.20