刘继帅

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

男25岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师代维栋，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049643180},{"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":1653049655062},{"body":{"content":"这款产品不具有抗过敏的功能，只有营养保健的功能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049673777},{"body":{"content":"花粉过敏是可以口服的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049680460},{"body":{"content":"你好，心脏病，冠心病，心绞痛，糖尿病适合吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049720664},{"body":{"content":"***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049736682},{"body":{"content":"可以是合适的产品，对高血压糖尿病心脏病没有影响。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049758577},{"body":{"content":"花粉过敏是什么引起的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049799994},{"body":{"content":"这个是个季节，过敏性疾病是非常常见的，尽量避免接触过敏原。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822738},{"body":{"content":"除了吃****外用呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049918848},{"body":{"content":"有些痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934216},{"body":{"content":"可以使用***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049949057},{"body":{"content":"眼角痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049994899},{"body":{"content":"那你必须口服****，过敏性鼻炎，过敏性结膜炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050023280},{"body":{"content":"可以开药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050069265},{"body":{"content":"****请你专科就诊 去眼科耳鼻喉科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050165530},{"body":{"content":"服药期间吃***一起吃没影响吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174072},{"body":{"content":"*******或者*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050224861},{"body":{"content":"****也是可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050252411},{"body":{"content":"没有**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050260531},{"body":{"content":"没有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050268328}]

女

2022.05.20

[{"body":{"content":"您好，我是京东健康互联网医院专业育儿顾问，非常高兴由我为您提供咨询服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050337743},{"body":{"content":"请问有什么可以帮到您的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050340115},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050362606},{"body":{"content":"你好我家宝宝五个多月了喝的***一段，喝了一个月了一点肉都没长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050365473},{"body":{"content":"宝宝精神状态怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050386427},{"body":{"content":"小宝宝长到5-7个月的时候，体重常常就长得不快了，有的孩子甚至不长体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050484681},{"body":{"content":"状态很好，有拉绿便还有奶瓣吃了*****好点了，吃不多就吃一100到120","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497056},{"body":{"content":"一般4-5个月的孩子要开始添加辅食，如果还不加辅食，有可能会出现缺铁性贫血，孩子就不长体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554294},{"body":{"content":"要注意孩子是不是存在着消化不良的问题，有没有积食的问题，要注意孩子有没有腹胀、没有食欲的情况。如果出现食欲下降、腹胀，还有便秘的情况，要适当的给孩子服用肠道的***来增强消化功能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050608462},{"body":{"content":"也有的宝宝因为选的奶粉不当，也可能出现这种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683893},{"body":{"content":"大便一天一次有时候两次正常，吃的******奶味的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050684433},{"body":{"content":"你可以换一款产品试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709073},{"body":{"content":"星飞帆卓睿怎么样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050784452},{"body":{"content":"每款奶粉都有它的优点，只是每个宝宝的体质不同","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050869597},{"body":{"content":"可能这款奶粉不适合咱家的宝宝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050937562},{"body":{"content":"你可以换一款产品","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050979401},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请您对我的服务作出评价，祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051101978},{"body":{"content":"祝您平安喜乐，万事胜意，宝宝健康成长 ~","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182125},{"body":{"content":"如果您对我的服务满意的话 辛苦您点击右上角\"表扬\"那里 给我一个五星好评呀?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051190830}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是京东中医科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050087531},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098350},{"body":{"content":"抗体阳性，提示幽门螺旋杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103688},{"body":{"content":"幽门螺杆菌感染的症状主要是反酸、烧心以及胃痛、口臭。幽门螺杆菌感染能够引起慢性胃炎。主要临床表现有：上腹部不适、隐痛，有时发生嗳气、反酸、恶心、呕吐的症状，病程较为缓慢，但是容易反复发作。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050111063},{"body":{"content":"我母亲幽门螺杆菌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111958},{"body":{"content":"恩恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117356},{"body":{"content":"之前药物治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050123871},{"body":{"content":"目前治疗是四联治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366397},{"body":{"content":"疗程为2周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369845},{"body":{"content":"这些症状目前还没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050578532},{"body":{"content":"到检查显示幽门螺杆菌超","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595386},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607365},{"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？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050614170},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050732835},{"body":{"content":"有中度脂肪肝，无其他病症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769374},{"body":{"content":"稍等，为您开方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843572},{"body":{"content":"*****，一次500mg，一日2次，饭后服用；******，一次1000mg，一日2次，饭后服用； ********，一次20mg，一日2次，饭前服用；*******，一次0.6g，一日2次，饭前服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240919},{"body":{"content":"幽门螺旋杆菌感染 注意事项：\r①注意休息，保持良好情绪，规律作息。\r②三餐定时，饮食清淡易消化，进食要细嚼慢咽，避免过饱，忌烟酒、适当饮水，避免食用生冷、辛辣、油腻的食物。保持口腔健康（勤漱口、刷牙）。\r③幽门螺旋杆菌主要经过消化道传播（主要是共用餐具进餐），建议和您长期一起共用餐具的人进行碳13或碳14呼气试验检查，以便同时治疗，治疗时建议分餐，并做好餐具消毒。\r④幽门螺旋杆菌治疗疗程为2周，建议您治疗疗程结束后停药1月后复查碳13或碳14呼气试验。服药过程中可能会出现黑便（大部分是药物所致），若无症状加重情况，比如：乏力、头晕、胃痛等，建议您观察；反之，建议线上问诊或医院就诊。⑤ 如有不适，及时线上问诊或线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251488},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，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":1653051380153},{"body":{"content":"您好，请问还有**问题需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383024}]

男60岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965288348},{"body":{"content":"医院说是无法救治，不供血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965354892},{"body":{"content":"已经中毒到心脏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965406308},{"body":{"content":"已经在医院采取过措施，已经到心脏了，应该是无法救治了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965523909}]

男66岁

2022.05.20

[{"body":{"content":"您好，我是京东的多荣医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965081371},{"body":{"content":"住院有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965084443}]

女78岁

2022.05.20

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

男32岁

2022.05.20

[{"body":{"content":"您好，我是上海宏康医院皮肤科室的李伟庭主治医生，我已经接诊到您的咨询，我正在看您的主诉，请您稍等，我马上解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965130291},{"body":{"content":"您这个症状有多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965144671},{"body":{"content":"一个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151174},{"body":{"content":"以前有类似发病史吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965173086},{"body":{"content":"痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965179953},{"body":{"content":"痒，以前没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965246136},{"body":{"content":"手心还有一块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257446},{"body":{"content":"从照片上看像红丘疹过敏引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965266958},{"body":{"content":"根据上述情况我可以给您一些用药方面的建议。 为用药安全，请问是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？您是否处于备孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965273549},{"body":{"content":"表皮变硬，痒，裂口","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965278140},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965286388},{"body":{"content":"知道了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965290355},{"body":{"content":"建议一，要忌口鱼虾牛**和酒别吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965298648},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965306036},{"body":{"content":"二，外用*****或*****一天二次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965306381},{"body":{"content":"三，口服***********一天一粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965314535},{"body":{"content":"先口服三天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965330579},{"body":{"content":"治疗后应该会好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965339903},{"body":{"content":"手少接触肥皂和洗洁精","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965360379},{"body":{"content":"切记，暂时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965370756},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965379544},{"body":{"content":"不谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965388155},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965395523},{"body":{"content":"不严重吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965398064},{"body":{"content":"不严重的，放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965413218},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966822906},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967683576},{"body":{"content":"电子处方已开好，等药师审核通过了，可以点击购买了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967798518}]

男31岁

2022.05.20

[{"body":{"content":"？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050707191},{"body":{"content":"您好，我是皮肤科医师曾强，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712676},{"body":{"content":"图片比较模糊，请问方便重新拍摄一下吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050722476},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050728821},{"body":{"content":"好的，您这种黑斑前身是受过外伤或者得过皮炎湿疹类疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050826399},{"body":{"content":"现在黑斑是平的还是凸起的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831436},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050834620},{"body":{"content":"平的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050838675},{"body":{"content":"这种情况有多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050875325},{"body":{"content":"黑斑的范围有没有持续扩大呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050881564},{"body":{"content":"大约有3年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906112},{"body":{"content":"一年比一年大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050922878},{"body":{"content":"表面有没有皮屑呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933231},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937954},{"body":{"content":"结合您的描述考虑 色素沉着可能 较大，一般会在外伤或者皮肤疾病之后出现，但没有相关诱因，可以线下医院皮肤科做个皮肤镜明确下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051017917},{"body":{"content":"如果不方便就诊，我先给您一些外用药物建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051022838},{"body":{"content":"好的你给开点药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051052985},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051063738},{"body":{"content":"我给您治疗建议，为用药安全，请问有药物过敏史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051067551},{"body":{"content":"我吃了9天的中药也没用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051074541},{"body":{"content":"没有过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051094292},{"body":{"content":"可以选择******每日均匀外涂三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110008},{"body":{"content":"这个要几周时间才能看到淡化效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051118240},{"body":{"content":"请稍等一会儿，我给您开个处方单发送到对话框。可以按照提示流程直接购买，不用上传处方单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128127},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051140041},{"body":{"content":"这些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051175208},{"body":{"content":"您平时要注意防晒，多吃富含****的水果和蔬菜，有利于印记淡化","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234089},{"body":{"content":"处方单已经开具过来了，您可以向上翻看一下直接点击绿色小框购药。您看看收到了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051239095},{"body":{"content":"收到了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051288615},{"body":{"content":"建议定期三周复诊。 使用前请仔细阅读说明书，如无禁忌可使用。如您使用过程中出现不适或效果不佳，请及时停用药物并就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355727},{"body":{"content":"如果有皮肤科相关问题可以打开京东APP，在搜索栏中搜索“皮肤科医生曾强”即可找我复诊。祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051356697}]

男28岁

2022.05.20

[{"body":{"content":"您好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145900},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050155471},{"body":{"content":"非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169129},{"body":{"content":"低血糖跑步会心脏疼吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050172782},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221224},{"body":{"content":"低血糖跑步与心脏疼痛没有必然的关系。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222903},{"body":{"content":"您哪里不舒服吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050242074},{"body":{"content":"近期是否做过相关检查？请发给我看看！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309724},{"body":{"content":"没做过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050372145},{"body":{"content":"之前一直都没事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050382100},{"body":{"content":"是不是最近有氧做多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403364},{"body":{"content":"请您描述一下心脏疼痛的特点。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050429076},{"body":{"content":"疼痛部位？疼痛诱因？每次疼痛持续时间？疼痛缓解方式？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550482},{"body":{"content":"咳嗽？咳痰？发热？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831856},{"body":{"content":"您心脏疼痛，建议您去医院看看，做心脏彩超、心电图，化验肌钙蛋白**常规等，明确原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051734452},{"body":{"content":"欢迎您随时咨询！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051748962},{"body":{"content":"祝您早日康复！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051876337},{"body":{"content":"与最近有氧做多了无关。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051936307}]

男22岁

2022.05.20