刘继帅

[{"body":{"content":"尊敬的plus用户您好，我是骨科医生，很高兴能为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050114551},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050128922},{"body":{"content":"这是才拍的mr\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141414},{"body":{"content":"您目前有什么不适的症状，颈肩酸胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145379},{"body":{"content":"想提前知道严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050148509},{"body":{"content":"是的会有恶心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157154},{"body":{"content":"头晕有时","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050166306},{"body":{"content":"感觉脖子硬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050172520},{"body":{"content":"收到，从您上传的资料看存在颈曲变直，椎体的增生退变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244947},{"body":{"content":"不算严重的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253502},{"body":{"content":"您出现不适的症状多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259791},{"body":{"content":"一年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268514},{"body":{"content":"那会不会后期很严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050280018},{"body":{"content":"这样下去\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288395},{"body":{"content":"后期日常生活不注意，是有可能加重的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050323556},{"body":{"content":"最坏是什么结果呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050354498},{"body":{"content":"该怎么主意呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050363690},{"body":{"content":"最坏是什么结果-----------颈椎间盘退变，突出出现手指麻木，走路不稳的情况，这种结果过程是比较长的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050429598},{"body":{"content":"该怎么主意呢----------注意工作、学习姿势正确，避免长时间低头或抬头，尽量每工作一小时左右起身放松脖颈几分钟。晚上睡觉时避免枕头过高或过低，可以枕专门的颈椎枕。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050456370},{"body":{"content":"目前有什么治疗手段","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464408},{"body":{"content":"还能恢复么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469303},{"body":{"content":"还是说只能保持现状是最好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483203},{"body":{"content":"治疗针对性的治疗，请问您有无某些药物过敏史，无肝肾功能异常，无消化道溃疡的病史，并不处于妊娠、哺乳、备孕等特殊阶段。（如无，可直接回复：没有）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050512842},{"body":{"content":"还能恢复么--------无法恢复正常的情况了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050521678},{"body":{"content":"没有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050522153},{"body":{"content":"减缓呢\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533481},{"body":{"content":"或者增生退变没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555033},{"body":{"content":"建议您注意休息，参考使用***** 1日2次 1次1袋 +外用*******1天1次，1次1贴，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050563671},{"body":{"content":"那做做推拿什么有用么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050583192},{"body":{"content":"减缓呢-------药物改善症状，好转后，注意颈部的保养，避免持续发展","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050588865},{"body":{"content":"这种还可以**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591439},{"body":{"content":"或者增生退变没有了-------这个是不会的，随着年龄增长都会出现增生退变","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610903},{"body":{"content":"躺着玩手机会影响么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619553},{"body":{"content":"那做做推拿什么有用么---------推拿属于理疗，有条件可以操作","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050623011},{"body":{"content":"需要颈托么，目前的状况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050668293},{"body":{"content":"躺着玩手机会影响么--------使用专门的颈椎枕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050672730},{"body":{"content":"注意颈肩的距离","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050703714},{"body":{"content":"需要颈托么----------日常工作时可以使用充气颈托起到保护和固定颈椎，避免长时间的低头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767075},{"body":{"content":"目前有带的必要么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050787875},{"body":{"content":"或者我理解的颈托是阻止长时间 并不是治疗工具","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806379},{"body":{"content":"目前有颈肩不适，工作时可以使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820808},{"body":{"content":"还想问一下您说不算严重，那这个属于中度?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050846620},{"body":{"content":"到最后面不会要开刀吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050862377},{"body":{"content":"纠正颈部的姿势，起到治疗作用；轻中度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050879946},{"body":{"content":"然后我转动脖子他会响也是这个引起的?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050916353},{"body":{"content":"到最后面不会要开刀吧----------持续性的加重椎间盘突出 压迫脊髓是需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920718},{"body":{"content":"是的 颈部弹响有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050958253},{"body":{"content":"您还有没有什么推荐的活动动作，可以减缓之类，或者纠正","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050966319},{"body":{"content":"我才28岁这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051065296},{"body":{"content":"会不会太早了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051069916},{"body":{"content":"目前社会的发展，颈腰椎疾病年轻化了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051167093},{"body":{"content":"好难","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051176161},{"body":{"content":"谢谢您了，那个枕头是您推的么?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051194598},{"body":{"content":"是的，为您推荐的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051266508},{"body":{"content":"好的，谢谢您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051278013},{"body":{"content":"不客气的，随时关注身体状况，疾病都存在演变过程，如果症状没有缓解或者出现加重的情况，建议您立即到线下医院骨科就诊，以免延误病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051346612},{"body":{"content":"麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051347116},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051354404},{"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":1653051384376},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389764},{"body":{"content":"好的， 没有其他问题的话我这边就先结束问诊了，希望我的建议能够帮助到您，感谢您的信任，请在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励。祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051400226},{"body":{"content":"后续您如果还有问题需要咨询可以在京东健康APP或京东APP中搜索“***”进行咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051411918},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418711}]

女28岁

2022.05.20

[{"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":"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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878608014},{"body":{"content":"身体健康状态怎么样？身高体重是多少？平时有锻炼身体吗？有没有高血压糖尿病冠心病，有没有再服用治疗慢性病的药物？有没有药物过敏史？平时心理压力怎么样，做事能够集中精力吗？焦虑失眠吗？经常处于紧张状态吗？\n\n性生活规律不，多久一次？\n阴茎勃起功能（硬度）没有问题吧？\n\n最好的状态是几分钟？可以通过转移注意力、中途停顿等方式适度延长性生活时间吗？对方对性生活时间满意吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878643974},{"body":{"content":"身体还可以，就是太久没运动了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878714239},{"body":{"content":"身高171，体重在137左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878734738},{"body":{"content":"没有高血压，冠心病和糖尿病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878752124},{"body":{"content":"没要药物过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878763481},{"body":{"content":"熬夜比较多，上班时偶尔会犯困","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878785273},{"body":{"content":"性生活近一年比较少，勃起没问题，偶尔一次没那么硬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878834274},{"body":{"content":"最好的状态应该在差不多10分钟左右，现在都是3分钟左右比较多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878871403},{"body":{"content":"BP也是比较长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878911654},{"body":{"content":"请问这个需要吃药控制吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879004325},{"body":{"content":"2-7分钟为正常。青年平均6.6分钟。中老年平均4.3分钟。\n\n性生活不稳定，很久一次，一触即发很正常的\n\n有没有乏力，耳鸣，腰酸的症状？是怕热还是怕冷还是没有什么冷热不适的感觉，手脚冰凉或是容易出汗吗？我能看看你的舌苔吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882398248},{"body":{"content":"乏力没睡饱的时候比较明显，耳鸣有时候会，但基本可能一两个月会有一两次，偶尔会怕冷，手脚不会冰凉，出汗比较少，也不大。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925416405},{"body":{"content":"舌苔我晚点发你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925423282}]

男25岁

2022.05.20

[{"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":1653050529765},{"body":{"content":"建议1-2贴","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050541791},{"body":{"content":"一盒6贴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050557178},{"body":{"content":"1-2贴就可以完全好了呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582018},{"body":{"content":"因人而异奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603138},{"body":{"content":"1-2盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612306},{"body":{"content":"抱歉 打错字了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615946},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633123},{"body":{"content":"掉了后会不会还会疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050721610},{"body":{"content":"**会恢复的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050759372},{"body":{"content":"谢谢您，我先买一盒试试","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050775431},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050832428},{"body":{"content":"不客气奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050838619},{"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":1653052173863},{"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":1653052175595}]

女

2022.05.20

[{"body":{"content":"月经干净多少天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965106620},{"body":{"content":"一直没来有两三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965148008},{"body":{"content":"同房下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168340},{"body":{"content":"怀孕了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965171665},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965191955},{"body":{"content":"测过是吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965202230},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965214450},{"body":{"content":"这是什么情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965233982},{"body":{"content":"怎么知道不是月经呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965239830},{"body":{"content":"月经没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285963},{"body":{"content":"下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965302789},{"body":{"content":"来月经那两天肚子就痛下就没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965386787},{"body":{"content":"流血流了几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965431601},{"body":{"content":"没来月经就","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457497},{"body":{"content":"没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965466845},{"body":{"content":"没有流血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965487845},{"body":{"content":"奥奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965492818},{"body":{"content":"这是炎症引起的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965517844},{"body":{"content":"同房痛可能是炎症引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965536621},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584225},{"body":{"content":"没来月经那该怎么治啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585017},{"body":{"content":"有几个月没来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965609048},{"body":{"content":"内膜有多厚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965611613},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965623084},{"body":{"content":"上个推迟了只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965676573},{"body":{"content":"上个月只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965716437},{"body":{"content":"这个月还没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965736108},{"body":{"content":"月经量少和什么原因有关呢？突然就少了？有没有受凉？经期生气？或是人工流产等情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815370},{"body":{"content":"以前流过产","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876268},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965890783},{"body":{"content":"你这种情况最好去医院做个彩超看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965917528},{"body":{"content":"这段时间没空去，我老公忙，我又带两个小孩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965980231},{"body":{"content":"可不可以先开点药吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966002227},{"body":{"content":"不能盲目吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966243856},{"body":{"content":"月经不调大多要吃激素类药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966264598}]

女29岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964984201},{"body":{"content":"过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965013685},{"body":{"content":"痒了吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965016363},{"body":{"content":"不是很痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965028672},{"body":{"content":"看着有点肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965046423},{"body":{"content":"冷敷冷敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965063319},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史,肝肾功能异常或其他病史吗？是否在备孕哺乳期或怀孕中？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965065527},{"body":{"content":"可以抹点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965069167},{"body":{"content":"一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965071373},{"body":{"content":"结肠癌术后两年，治疗结束，现在不吃药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965167225},{"body":{"content":"可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965181601},{"body":{"content":"***可以用吗？家里现在有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965223524},{"body":{"content":"可以，但是效果没有那个好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965248328},{"body":{"content":"好的，谢谢您！还要请教您，我这个过敏和吃东西有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965296852},{"body":{"content":"医生，请帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965339600},{"body":{"content":"外面药店买吧，很常见的药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965390222},{"body":{"content":"好的，非常感谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965421948},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965479930}]

女41岁

2022.05.20

[{"body":{"content":"你好，有没有做过腰椎磁共振，腿痛常见的就是腰椎间盘突出压迫神经引起的疼痛。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965387414},{"body":{"content":"可以对症用一些营养神经的药物。常用的****，*****，B6。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965403426},{"body":{"content":"运动来把腿跳伤一年，理疗一年之后好了3个月，冬天受凉又疼了1年半没有好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965739100},{"body":{"content":"怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762185},{"body":{"content":"一般是关节的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965806619},{"body":{"content":"？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965810468},{"body":{"content":"可以做个膝关节的磁共振","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817975},{"body":{"content":"做了关节没事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965838358},{"body":{"content":"那到底是哪个地方痛呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965898411},{"body":{"content":"你可以做个腰椎磁共振","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965916581},{"body":{"content":"臀部，膝盖，裸关节也不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965916723},{"body":{"content":"应该腰椎的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925849},{"body":{"content":"你跳的时候也容易伤到腰椎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965944407},{"body":{"content":"做了腰椎也没问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965961416},{"body":{"content":"臀部，膝盖，裸关节走路时也疼，不走路也疼怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966014277},{"body":{"content":"如果是没问题，只是单纯的痛，可以做针灸理疗，有助于好转","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966016307},{"body":{"content":"走路疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966107557},{"body":{"content":"所以现在就是治疗的问题，去做一下理疗，有些人效果会很好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966143588},{"body":{"content":"感觉就不能多走，一多走就难受的走不动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172574},{"body":{"content":"嗯，可以理解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966198318},{"body":{"content":"检查是神经紊乱睡觉不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968374876},{"body":{"content":"怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968380565},{"body":{"content":"可以吃点*****看看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968425908},{"body":{"content":"这个药起什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968511839},{"body":{"content":"这个是改善睡眠的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968684790},{"body":{"content":"吃*****1个月了，吃上睡，不吃就不睡，怎么办能不能在跟上吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968790997},{"body":{"content":"？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968981828},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969002316},{"body":{"content":"这个可以长期吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969027766},{"body":{"content":"就是中成药没有什么副作用的，可以长期吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969052565}]

女53岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051480572},{"body":{"content":"什么原因引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051489741},{"body":{"content":"不知道，早上还好好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051522302},{"body":{"content":"眼皮肿了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051547461},{"body":{"content":"孩子几岁了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051708329},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051779059},{"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":1653051780973},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051969425}]

女

2022.05.20

[{"body":{"content":"你好，从你反映的情况看，你有自伤自残的行为。但不知道你有没有明显的焦虑，抑郁情绪？睡眠怎么样？你的行为是在缓解你的压力吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879363667},{"body":{"content":"我有很明显的焦虑也很容易情绪崩溃 然后我会通过扇自己巴掌来缓解压力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879473891},{"body":{"content":"如果你从来没有去医院就诊过，建议你首次就诊去医院精神心理科就诊，根据你的具体情况，选择做一些心理测验，进一步明确有无焦虑抑郁情绪。明确诊断后才能确定下一步的治疗方案。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879527396},{"body":{"content":"好那我明天去医院看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550176},{"body":{"content":"好的，应该去医院面诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879584892},{"body":{"content":"那医生有没有办法可以让我睡着我最近在高考我已经两天没有睡觉了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879674298},{"body":{"content":"睡眠不是用心理治疗就能解决问题，可以用一些促进睡眠的药物（非**类的）这些药物只能在医院开。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882258938},{"body":{"content":"我已经告诉你了，促进睡眠的药物要在医院开。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652955042542}]

女21岁

2022.05.20