刘继帅

[{"body":{"content":"你好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965068363},{"body":{"content":"可以喝***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965072782},{"body":{"content":"小孩感冒了，还没吃***就拉肚子了，拉水的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965152016},{"body":{"content":"化验个大便，顺便把轮状病毒抗体也查一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965177714},{"body":{"content":"请问吃了***要阁多久吃*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965179449},{"body":{"content":"****是空腹的时候吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965229973},{"body":{"content":"***是饭后吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965290114},{"body":{"content":"他们不在一起吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965294246},{"body":{"content":"那现在饭后吃了***，多久后吃****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965346882},{"body":{"content":"临睡前给吃****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965359719},{"body":{"content":"一次吃一包，用50毫升的水化开喝上。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965378926},{"body":{"content":"把她拉的大便用一次性的口杯接上，半小时之内送到化验室去化验一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422172},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457135},{"body":{"content":"因为最近我们病房，轮状病毒性肠炎的孩子还挺多的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476718},{"body":{"content":"他的大便冲走了，没留","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965588937},{"body":{"content":"明天看情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965601254},{"body":{"content":"好的，她拉屎的时候你就接一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965618463},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966111055}]

女3岁

2022.05.20

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

女4岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201269},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050220204},{"body":{"content":"买了胶水 修鞋 ******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050240920},{"body":{"content":"味道很大 有点难受","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050254159},{"body":{"content":"去通风的地方呆几个小时 如果还难受就去医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050614415},{"body":{"content":"闻了 几分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619262},{"body":{"content":"现在好多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050629119},{"body":{"content":"应该没事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638940},{"body":{"content":"那就行 主要是脱离那个环境 问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050652989},{"body":{"content":"好的 谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051589657}]

男32岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050402161},{"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":1653050403727},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050406005},{"body":{"content":"应该是给宝宝吃的多了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050461681},{"body":{"content":"第一次就给宝宝吃150毫升，有点太多了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050482690},{"body":{"content":"**的一次给宝宝吃了多少呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050515388},{"body":{"content":"**是两勺，55ml的温水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050816134},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050825219},{"body":{"content":"刚才冲的没喝完的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050826752},{"body":{"content":"初次添加可以用一平勺约5克米粉，加60毫升的水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050850504},{"body":{"content":"米粉初期添加可以先给宝宝吃5-6口让宝宝适应一下，3天后可以逐渐增加喂养量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050870063},{"body":{"content":"可以发个冲调的顺序吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050876436},{"body":{"content":"一般的婴儿米粉包装上，都会标明米粉的冲调浓度，第一次给宝宝添加的时候，可以比说明书上标明的浓度冲调的更稀一点，在宝宝能够接受这个浓度以后，再逐渐调整到按照说明书上的比例冲调。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050885626},{"body":{"content":"包装就是写着5勺啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906115},{"body":{"content":"将白开水凉到60℃备用\n在碗中加入准备好的温开水，取米粉到小碗中，边加边按一个方向搅拌，搅拌均匀后，静置30秒即可\n，最后一步是试温度,将米粉滴在手腕内侧温热无烫感就合适了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961257},{"body":{"content":"我就是按照这个来冲调的，想着之前吃过米粉，所以就按照平时的冲调","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051006205},{"body":{"content":"那合适冲调比例","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014289},{"body":{"content":"不要一开始就给宝宝吃那么多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051028432},{"body":{"content":"可能是吃太多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051064785},{"body":{"content":"刚开始添加辅食的宝宝肠胃比较娇嫩，还不太适应辅食，需要先稀一些，**再增加喂养量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077589},{"body":{"content":"之前也没吃过那么多的，我以为你们的冲调不一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051083358},{"body":{"content":"宝宝辅食喂养的原则是由少到多，由稀到稠，由单一到多样，循序渐进逐步添加。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051098776},{"body":{"content":"我是京东医生育儿师，不是任何一款商品的客服哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137872},{"body":{"content":"从哪款商品的窗口都可以联系到我的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163171},{"body":{"content":"看起来给宝宝吃的有点多了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051187768},{"body":{"content":"给宝宝减少喂养量，喂***调理，观察会不会好转","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051207013},{"body":{"content":"让宝宝肠胃休息一两天，在**少量开始添加喂养。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231410},{"body":{"content":"??","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051332007},{"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":1653051362747}]

女

2022.05.20

[{"body":{"content":"冷敷抬高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049760432},{"body":{"content":"必须下地活动，避免长时间走路","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049765719},{"body":{"content":"先冷敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049771413},{"body":{"content":"嗯好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049814288},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049829195},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049839550},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049841186},{"body":{"content":"48小时后热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049851954},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049863238},{"body":{"content":"不用客气，有问题就给我留言。也感谢您的咨询，如果您对我的服务满意，请帮忙评价一下满意请打五星，您的鼓励对我很重要。谢谢您对我工作的支持和鼓励。祝您健康！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069083}]

女37岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0580，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050741174},{"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？上为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746532},{"body":{"content":"32，男","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760312},{"body":{"content":"请问吃****可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050789503},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839051},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050857944},{"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":1653050890163},{"body":{"content":"【注意事项】 对本品过敏者禁用，过敏体质者慎用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344197},{"body":{"content":"【用法用量】 口服，一次3~4片，一日3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051352240},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355297},{"body":{"content":"忌烟、忌酒，饮食上当中应该以清淡的食物为主，避免吃过度辛辣刺激性的食物，坚持锻炼身体，多喝水，不要憋尿，有尿意的时候应该立即去排尿，不要久坐和长距离的骑自行车，性生活既不要过度的频繁，也不要长期不过性生活，要坚持定期的规律的排精，可以练习提肛的动作，保持一种良好的生活的习惯，早起早睡。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051497792},{"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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594745},{"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":1653051596362}]

女

2022.05.20

[{"body":{"content":"晚上好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049626351},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049633841},{"body":{"content":"一个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049643325},{"body":{"content":"这个是哪里问题，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049658214},{"body":{"content":"一开始是如何引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049669474},{"body":{"content":"吃东西过于寒凉吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049704110},{"body":{"content":"睡眠怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049798350},{"body":{"content":"有点少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049803973},{"body":{"content":"睡眠不好，是引起这一类现象的主要原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049963782},{"body":{"content":"1）养成良好的生活习惯　如建立一天有规律的生活制度，在固定时间睡觉和起床，保持正常的睡眠－觉醒节律。白天适度的体育锻炼，尤其下午锻炼是帮助睡眠的最佳时间。有规律的体育锻炼能提高夜间睡眠的质量。2）建立科学的睡眠卫生习惯　避免睡前吃得过饱，尽量避免在睡前饮用酒、咖啡、茶、可乐等刺激性饮料（但可以喝适量牛奶），避免睡前进行体育活动。另外，应限制白天睡眠时间，避免午睡或减少午睡时间。3）创造良好的睡眠环境　保持卧室清洁、安静、远离噪声、避开光线刺激等。保持室温稍凉，卧室温度稍低有助于睡眠。好的卧具可以帮助入睡，可从选择合适的床垫开始。4）建立“睡眠仪式”　入睡前要抛开清醒时的一切烦恼。“睡眠仪式”可依据个人喜好或繁或简，可始于轻轻地舒展身体，松弛肌肉，或冲个热水澡，也可以听听音乐或者翻翻不具恐怖色彩的书。但是不管选择哪种方式，都要记住每晚睡前做同一件事，直到它成为夜间休息的一种暗示。5）保持乐观、知足的良好心态　对社会竞争、个人得失等有充分的认识，避免因为生活和工作中遇到挫折而导致心理失衡。6）服***　对于失眠较严重的病人，可在医生指导下，短期、适量地服用***或小剂量的抗焦虑、抗抑郁制剂，这样可能会取得更快、更好的治疗效果。但是需要强调的是，***不宜长期服用，否则容易变成习惯，甚至成瘾。另外，长期服用***也可能产生耐药性，使药物的效用降低。有些药品具有一定的肝毒性，并可能引起胃肠功能紊乱。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974359},{"body":{"content":"这个问题应该吃什么中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049994923},{"body":{"content":"中医讲究辨证论治，我需要再详细了解一下您的基础情况，帮您对症分析，再给您一个综合调理的方案。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069342},{"body":{"content":"方便拍个舌头的照片（让舌头对着光线明亮的方向拍照，尽量不要使用美颜，舌体尽量自然伸出来，也可以多拍几张对比一下），传一下看看舌象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080618},{"body":{"content":"舌头很红。有齿痕。舌苔很厚。白，这种情况多数情况是体内湿气比较重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360812},{"body":{"content":"食欲怎么样？油腻的东西吃的多不多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385313},{"body":{"content":"用镜子看没有舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050982926},{"body":{"content":"红头红，有齿痕，无舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050997051},{"body":{"content":"好的，那就是光线的原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008985},{"body":{"content":"食物正常，油腻的东西吃的不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051013228},{"body":{"content":"大便正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051100698},{"body":{"content":"正常吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135618},{"body":{"content":"小便什么颜色的一天几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051167190},{"body":{"content":"小便颜色淡，一天10次吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051285560},{"body":{"content":"有没有口渴？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051320792},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051331257},{"body":{"content":"有没有怕冷的感觉？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371118},{"body":{"content":"有点怕冷吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400343}]

男31岁

2022.05.20

[{"body":{"content":"根据描述肠炎可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050372493},{"body":{"content":"你可以试试****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385705},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050487318},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050491133},{"body":{"content":"别吃辛辣刺激食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051146399},{"body":{"content":"使用两天如果不减轻的话，建议线下到医院就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051228890},{"body":{"content":"给您开具了【处方/用药建议】可以直接点击下单配送到家，具体用法用量使用方法可点击链接查看，用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用为您开具的药品，如在用药过程中出现不适，请及时上线咨询或去医院就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051233079}]

男24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":1653051055014},{"body":{"content":"你好我平时做一次就很难硬起来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079166},{"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":1653051088695},{"body":{"content":"请问您近6个月内有无性生活？（仅指阴道内性交，不包含手淫、飞机杯等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051090936},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051103421},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051106429},{"body":{"content":"3—7次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116329},{"body":{"content":"您近期的晨勃情况如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120367},{"body":{"content":"每周1-3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051125326},{"body":{"content":"勃起后，按照豆腐、剥了皮的香蕉、香蕉、黄瓜，四个硬度分级的话，您感觉属于哪个级别？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139358},{"body":{"content":"剥了皮的香蕉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051151422},{"body":{"content":"性生活过程中是否有未射精就疲软的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158449},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051168179},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171220},{"body":{"content":"近期出现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051174528},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051178552},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051181015},{"body":{"content":"还有别的慢性疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185023},{"body":{"content":"以上都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051192333},{"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":1653051212726},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051234887},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051238412},{"body":{"content":"首先，您这个硬度不够，中途疲软的症状属于勃起功能障碍的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246625},{"body":{"content":"这种情况影响因素还是很多的，压力，身体状况，情绪，烟酒，熬夜，手淫过度，性生活过多等，都可能会导致性能力的下降。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255153},{"body":{"content":"性生活建议一周不要超过2-3次，也不建议一晚多次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260266},{"body":{"content":"您多次性生活，是会影响勃起功能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268430},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317310},{"body":{"content":"药物的话， 可以使用******看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330926},{"body":{"content":"***物，针对治疗勃起功能障碍，辅助勃起增加硬度的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337176},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340180},{"body":{"content":"主要是需要控制性生活频率","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051350979},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356627},{"body":{"content":"药物没有依赖性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371842},{"body":{"content":"******主要副作用头痛、面部潮红、消化不良和肌肉疼痛，其次为鼻塞、腹泻、头晕和皮疹等，一般症状较轻，且是一过性的，安全可控的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376243},{"body":{"content":"不是用药就一定会有副作用，也没有什么永久性副作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051378776},{"body":{"content":"备孕如果吃这个药物有什么影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051379441},{"body":{"content":"药物说明书中表示，药物一般不影响精子质量的，优生优育角度来说，建议停药2-3个月再备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389032},{"body":{"content":"但是这个药物本身是不会影响备孕精子质量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051399581},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051401361},{"body":{"content":"我可以帮您先开一盒25mg7片装的小剂量的看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422888},{"body":{"content":"这个25mg和50mg什么区别啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469495},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051475807},{"body":{"content":"2片25mg就等于50mg","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051486820},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051494390},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051496322},{"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":1653051559812},{"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":1653051563907},{"body":{"content":"建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物，规律性生活，减少手淫次数。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051565403},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574679},{"body":{"content":"备孕建议您常规口服*** ，具有补充锌硒、***等作用，提高精子活力和存活率，增加受孕几率，男性精液的重要组成部分就是锌。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051584906},{"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":1653051636650},{"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":1653051751732}]

男28岁

2022.05.20

[{"body":{"content":"考虑是毛周角化病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231756},{"body":{"content":"又称毛发苔藓或毛发角化病，是一种慢性毛囊角化性皮肤病，有一定遗传倾向，好发于上臂外侧及大腿前侧，也可发生于面颊部和臀部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050235923},{"body":{"content":"是的大腿上手臂 背部都有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274350},{"body":{"content":"本病一般不需要治疗。症状明显或有治疗要求，可涂抹一些外用药物；可以涂抹尿素维E乳膏，一天1次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284354},{"body":{"content":"平时多抹点保湿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050326118},{"body":{"content":"是全身涂抹 还是 有的部位涂抹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050368562},{"body":{"content":"有鸡皮肤的地方涂抹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404394},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458375}]

男25岁

2022.05.20