师恩惠

[{"body":{"content":"您好，我是普内科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196896},{"body":{"content":"大夫您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051208813},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051213462},{"body":{"content":"之前用过是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051216312},{"body":{"content":"请问您既往有药物过敏，肝肾损害及其他疾病史么？用**药物有不良反应么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051218656},{"body":{"content":"我想让你给开处方单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233883},{"body":{"content":"嗯 之前用过 没有不良反应是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241946},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051250102},{"body":{"content":"好的 需要1盒么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260034},{"body":{"content":"我想来一个***的*********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051269744},{"body":{"content":"嗯 需要一盒么 给您开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051277520},{"body":{"content":"很多个盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051288583},{"body":{"content":"最多能开几盒？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297526},{"body":{"content":"6盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051312454},{"body":{"content":"那就给开六盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051327524},{"body":{"content":"好的，用药前请仔细阅读药品说明书中禁忌，过敏史及注意事项，如无禁忌且不在********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":1653051340381},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353623},{"body":{"content":"给您开了处方 您点击上方处方单 点击：“查看详情”——“预约药品”，就可以购买了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355755},{"body":{"content":"好的呢，这个药能长期使用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400417},{"body":{"content":"有什么副作用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416684},{"body":{"content":"可以 但是改善便秘需要综合治疗，建议摄入足够的**，要适量的运动（可以促进肠胃蠕动），改善饮食结构（如增加****如韭菜和芹菜，以及多摄入一些未加工的豆类，全谷物，多吃粗粮、蔬菜、水果等，还可以适当吃些酸奶，粗茶淡饭）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422483},{"body":{"content":"副作用就是腹泻 腹痛 肠功能紊乱等问题 其他没什么大的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051441025},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051450867},{"body":{"content":"也有过敏的可能 但是您之前吃过没有问题的话 一般不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051454611},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463409},{"body":{"content":"嗯 好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051466690},{"body":{"content":"您后续有什么问题，可以再点我咨询，谢谢您的支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051941652}]

女42岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的顾炜医生，您的咨询问题已收到，接下来我需要再了解一下您现在的整体情况，以便给您合理专业的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272121},{"body":{"content":"之前说是肾结石，然后去医院排出来了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050303453},{"body":{"content":"您能看出来，这是属于什么肾结石么？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050320713},{"body":{"content":"这个是今天复查的报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050390424},{"body":{"content":"已经排出来了。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051743583},{"body":{"content":"这个是今天复查的。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051754394},{"body":{"content":"是什么意思呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051760278},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052002327}]

女40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":1653051257721},{"body":{"content":"宝宝发热几天了，最高体温多少度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274279},{"body":{"content":"请问宝宝是否有高热惊厥史，宝宝是否正常预防接种**。是否去过疫区。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051287525},{"body":{"content":"宝宝这几天时不时就发烧，但是没有其他症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302091},{"body":{"content":"宝宝精神状态如何？宝宝有咳嗽/流鼻涕/打喷嚏/呕吐/腹痛的表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051313569},{"body":{"content":"有时感觉他会干呕，别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051364644},{"body":{"content":"宝宝最近有受凉、淋雨、吹风、家人有感冒的吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413689},{"body":{"content":"宝宝**接种呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051430293},{"body":{"content":"家人没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051438320},{"body":{"content":"宝宝目前尿量、大便正常吗，宝宝奶量或食量有变化吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439110},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447540},{"body":{"content":"大便有点稀，但是是金黄色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051475557},{"body":{"content":"时不时会打喷嚏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051499979},{"body":{"content":"孩子是否线下医院诊疗过，是否检查过血常规等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051500159},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051509599},{"body":{"content":"根据您的描述，考虑 呼吸道感染 的可能性大，宝宝年龄小，抵抗力弱，受凉，交叉感染后容易出现上述表现。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051513790},{"body":{"content":"为了宝宝用药安全，请问宝宝既往有药物过敏及肝肾损害、慢性病史吗？以便我给您治疗建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515502},{"body":{"content":"宝宝目前服用药物治疗了吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051525087},{"body":{"content":"服用了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551160},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051571315},{"body":{"content":"如果宝宝没有药敏史及用药禁忌，根据宝宝现在病情，建议服用 ********* 口服。一次10毫升；一日4 次，3 天为一个疗程。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611270},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051617339},{"body":{"content":"配合蒲公英颗粒每次1/3袋每日3次服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641794},{"body":{"content":"上述方案：建议治疗2-3天复诊，结合孩子恢复的情况 调整药物。治疗过程中，如果宝宝病情没有缓解，或有其他症状出现， 请及时线下就诊，避免耽误宝宝病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051644981},{"body":{"content":"有没有可能是春天热胃有火呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051694075},{"body":{"content":"宝宝年龄比较小免疫力弱，疾病 期间建议注意保暖、房间多通风，少去人员密集的地方，避免交叉感染。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695877},{"body":{"content":"如果宝宝没有惊厥史，宝宝体温37.5-38.5℃可以物理降温，以温水擦浴、洗温水澡，适当减少衣服，口服温水，多补充液体等，注意保持室内温度24°。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703036},{"body":{"content":"超过38.5℃，可以口服*****，间隔4-6小时可以重复吃，24小时内可以吃4次；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051704862},{"body":{"content":"主要建议：1、用退热药2小时后体温不降，发热超过3天，2、出现高热惊厥，精神萎靡，或烦躁，呼吸困难、喘憋，哭闹不止等。3、食量明显下降、拒食水，6小时内无尿。这些情况出现后立即就诊医院。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710198},{"body":{"content":"喝那个******➕蒲公英颗粒可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051810133},{"body":{"content":"最好配合****一起服用，效果更好一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051853417},{"body":{"content":"干呕，打喷嚏，有时候食欲会不太好，但是喝奶还可以，上述大概是呼吸道感染吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051960515},{"body":{"content":"嗯，还要考虑合并消化不良情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051999507},{"body":{"content":"那如果有消化不良情况怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052028290},{"body":{"content":"可以配合********** 温水冲服，每次1袋，每日2次；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052058107},{"body":{"content":"均衡饮食，少吃油腻、生冷食物，尽量不吃零食。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052066612},{"body":{"content":"请用药前仔细阅读说明书中禁忌，注意事项，有无过敏或者其他副作用，孩子病情如果有变化，请及时到复诊，或到当地医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052073509},{"body":{"content":"******可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052098044},{"body":{"content":"这个药物是可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052122107},{"body":{"content":"好的，谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052130455},{"body":{"content":"不用客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162065},{"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":1653057152981},{"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":1653057154230}]

女3岁

2022.05.20

[{"body":{"content":"几天了？之前治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400927},{"body":{"content":"有一段时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415222},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050417672},{"body":{"content":"之前开过**药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427404},{"body":{"content":"这个看着神经性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050438529},{"body":{"content":"但是好了之后一出汗还是容易长疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446555},{"body":{"content":"用过什么药物？见好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050448214},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469176},{"body":{"content":"用了之后能缓解，但是不能根治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050486777},{"body":{"content":"请问这个开什么药比较好呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050581132},{"body":{"content":"***可以 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669439},{"body":{"content":"但是好了以后不能一下停药 要逐渐减量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050685244},{"body":{"content":"比如由以前的一天两次改成一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700516},{"body":{"content":"然后改成隔一天一次 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709245},{"body":{"content":"***不能用的时间过长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050717733},{"body":{"content":"最长能用多长时间呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050855651},{"body":{"content":"7天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908328},{"body":{"content":"然后换成弱效激素或者非激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050932939},{"body":{"content":"非**可以用什么药膏呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944671},{"body":{"content":"可以用******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050970330},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037089},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102520}]

女51岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050205207},{"body":{"content":"请问是怎么受伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217262},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221825},{"body":{"content":"小孩玩耍，不小心用棍棒碰到眼睛了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050261065},{"body":{"content":"昨天这个时候就一点血丝，现在就是图片上的症状了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301978},{"body":{"content":"有没有视力下降？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304757},{"body":{"content":"没有，除了一点点涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336388},{"body":{"content":"这个问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344926},{"body":{"content":"没有其他症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356345},{"body":{"content":"就是结膜下的小血管受外力撞击之后破裂了导致的结膜下出血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375996},{"body":{"content":"就是血丝血块多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381832},{"body":{"content":"1-2天内单位会有逐渐扩大的趋势","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404756},{"body":{"content":"需要进医院治疗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050412595},{"body":{"content":"不需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050423702},{"body":{"content":"这个血块3-4周会自己吸收","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050435641},{"body":{"content":"48小时内建议您用冰袋冷敷一下眼睛促进**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050455062},{"body":{"content":"48小时候可以热敷促进积血吸收","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050467620},{"body":{"content":"昨天不明显，**一直在封控状态，昨天就没有去看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050478335},{"body":{"content":"需要***消毒杀菌之类的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050511077},{"body":{"content":"您如果觉得实在不舒服可以用一点*******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050536958},{"body":{"content":"症状不明显的话不需要特殊处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550412},{"body":{"content":"不舒服到是不明显，不然昨天就开就医证明去医院看了，就是稍微有点涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611544},{"body":{"content":"那不需要特殊处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657921},{"body":{"content":"这几天尽量少用眼就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669522},{"body":{"content":"3-4周积血就能吸收完了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683825},{"body":{"content":"今天可以用冰袋敷一下**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050706072},{"body":{"content":"饮食有什么要求注意的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708917},{"body":{"content":"好的，一会我去冰敷一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050733257},{"body":{"content":"不要吃辛辣的就好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050757726},{"body":{"content":"这个可以滴吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050786167},{"body":{"content":"这不不需要哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050790759},{"body":{"content":"这个是降眼压的，不对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050797576},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806395},{"body":{"content":"谢谢医生了，**封控出不去，麻烦您了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050851738},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050858813},{"body":{"content":"你们都辛苦了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050881845}]

男34岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049792549},{"body":{"content":"已经是确诊的银屑病了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049799973},{"body":{"content":"因为哺乳期，就去过一次医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049821258},{"body":{"content":"说看上去是银屑病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049828254},{"body":{"content":"但是总觉得红点多，鳞屑不多啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049855307},{"body":{"content":"我也不太会判断","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049860223},{"body":{"content":"当时有没有做检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049877375},{"body":{"content":"没有做检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049888591},{"body":{"content":"头皮这块，已经好多年了的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049910334},{"body":{"content":"疼不疼痒不痒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912157},{"body":{"content":"胳膊和腿上，刚刚有，几个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921771},{"body":{"content":"胳膊和腿上不痒也不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934101},{"body":{"content":"头皮上的很痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049940910},{"body":{"content":"您这个是要考虑寻常型银屑病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950075},{"body":{"content":"每天掉很多头皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049951711},{"body":{"content":"需要去做什么检查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049970433},{"body":{"content":"哺乳期可以治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049979338},{"body":{"content":"如果做检查的话，皮肤镜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050010949},{"body":{"content":"哺乳期的话用药是很局限。主要就是润肤为主","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050021416},{"body":{"content":"之前有中医给开过泡洗的药，但是不能治疗，说只能缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026666},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069493},{"body":{"content":"哺乳期差不多结束了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050075522},{"body":{"content":"现在应该怎么做呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050081557},{"body":{"content":"那可以先给您开药，您结束哺乳之后再来治疗，可以接受吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050089790},{"body":{"content":"现在开的药是什么类型的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111476},{"body":{"content":"一般来说银屑病常用药：***，****系列、****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136676},{"body":{"content":"外用药膏治疗为主","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050142013},{"body":{"content":"这些哺乳期也适用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050158292},{"body":{"content":"都不能用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172220},{"body":{"content":"哦，哺乳期还是不能用的的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050192521},{"body":{"content":"哺乳期之后呢？只用药膏应该效果不好吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050208607},{"body":{"content":"都得结束哺乳才能用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210627},{"body":{"content":"银屑病外用药膏治疗为主","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050215036},{"body":{"content":"哦，寻常型的，能治愈吗。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241292},{"body":{"content":"积极治疗的话。可以治愈的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393550},{"body":{"content":"使用前请您仔细阅读说明书中禁忌，注意事项，如无禁忌可使用，若期间出现任何不适及时复诊或线下医院进一步就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050604971},{"body":{"content":"建议您1.避免饮酒，忌辛辣食物；2.避免外伤，3.避免混乱外用药物；4.避免暴晒,会加重皮疹；5.注意皮肤的保湿护肤，和清洁6.避免感冒，避免熬夜。7.保持心情舒畅","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615801},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051310801},{"body":{"content":"之前给您发送的消息没有收到吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051359390}]

女37岁

2022.05.20

[{"body":{"content":"你好，我是京东吴医生，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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049905593},{"body":{"content":"请问你这样的症状有多久了？还有其他的不舒服吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049908115},{"body":{"content":"5天左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049922262},{"body":{"content":"感觉像是感冒或是支气管炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049935562},{"body":{"content":"嗯，除了乏力还有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950082},{"body":{"content":"好像有点发热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049955156},{"body":{"content":"前几天流鼻涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049962340},{"body":{"content":"现在鼻涕好些了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049973424},{"body":{"content":"咳嗽有痰，深黄色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988360},{"body":{"content":"本周核酸检测三次，都是阴性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050006290},{"body":{"content":"嗯，你这种情况考虑是感冒合并了支气管炎的可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050039649},{"body":{"content":"请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050046109},{"body":{"content":"都正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050091420},{"body":{"content":"嗯，那你吃了什么药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106425},{"body":{"content":"无病史，无服药史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050114306},{"body":{"content":"一直没吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050121545},{"body":{"content":"嗯，现在咽喉痛吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129152},{"body":{"content":"平常抽烟喝酒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132813},{"body":{"content":"前两天痛过，现在不痛了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050330584},{"body":{"content":"不抽烟不喝酒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335609},{"body":{"content":"嗯，建议你口服******缓解感冒，口服********，口服*********","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367090},{"body":{"content":"有没有可能恶化成肺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050447343},{"body":{"content":"如果没有控制好，是有可能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050475824},{"body":{"content":"目前的症状需不需要去医院做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494249},{"body":{"content":"当然能去检查一下肯定更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050531788},{"body":{"content":"能不能加一些防止恶化成肺炎的药，因为我以前得过肺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559282},{"body":{"content":"**就是****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578596},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610865},{"body":{"content":"不用谢，还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622633},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050706108},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050709042},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050721128},{"body":{"content":"处方已开具，用药前请您仔细阅读药品说明书，如您在用药过程中出现不适，建议及时线上咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050791787},{"body":{"content":"处方已经给你开好了，点击处方可以查看药品具体信息和用法，以免买错了，如果需要线上购买，可以等药师审核通过后点击处方按提示操作就可以购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798481},{"body":{"content":"治疗期间注意饮食清淡，不要吃生冷、辛辣及刺激性食品，保持室内空气流通，注意多喝温开水，不要饮酒抽烟，避免接触烟尘以及刺激性气体。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050802655},{"body":{"content":"好的，谢谢医生。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051049503},{"body":{"content":"不用谢，还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051116593}]

男32岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129118},{"body":{"content":"经常口腔溃疡吃维生素可以改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143416},{"body":{"content":"那应该吃什么***呢，麻烦您推荐一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050165124},{"body":{"content":"吃*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050243017},{"body":{"content":"我发给您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050246657},{"body":{"content":"这两种都可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050275345},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339963},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355621}]

女

2022.05.20

[{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050225474},{"body":{"content":"在么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258498},{"body":{"content":"您好，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050281191},{"body":{"content":"最近这段时间尿完之后总会流一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307864},{"body":{"content":"就是**尿完了，但是提上裤子之后，他就会给内裤上滴点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346867},{"body":{"content":"尿不尽对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384915},{"body":{"content":"就是尿完之后啊，他总会有那么一点残留，过一会儿再滴几滴出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414380},{"body":{"content":"还就是有时候尿黄且有点浑浊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484069},{"body":{"content":"请问是否还有以下症状：○1尿频○2尿急○3尿痛○5排尿困难○6小腹胀痛○7会阴胀痛○8睾丸胀痛○9尿道口滴白。回复序号即可，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501811},{"body":{"content":"9","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533277},{"body":{"content":"就是偶尔一年可能就出现这么一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569584},{"body":{"content":"尿的时候有点白色的，干了之后就跟淀粉干了之后一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582133},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605037},{"body":{"content":"有几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618089},{"body":{"content":"半年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630874},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎可能性大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700599},{"body":{"content":"可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050703759},{"body":{"content":"你给推荐一下治疗药物吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722158},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050729915},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740719},{"body":{"content":"您还有早泄是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746002},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749879},{"body":{"content":"对于射精时间或控制射精能力是您不满意，还是伴侣不满意，还是您们两人都不满意呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754053},{"body":{"content":"一般多久射精呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761228},{"body":{"content":"不带**套的情况下，进去动几下就想射","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765047},{"body":{"content":"带套的情况下，3到5分钟吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779567},{"body":{"content":"是否有使用什么药物治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050781180},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788488},{"body":{"content":"对于射精的时间和控制射精的能力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050815653},{"body":{"content":"有过几年的手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050839513},{"body":{"content":"嗯，现在很少手淫了对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050853069},{"body":{"content":"戒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050893675},{"body":{"content":"现在有5，6年没有手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050917408},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920911},{"body":{"content":"根据**男科疾病诊断治疗指南，****** 对早泄这个疾病是有治疗作用的，且目前为一线治疗药物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050926498},{"body":{"content":"****\n可以降低精囊内压，降低球海绵体肌的爆发性收缩，降低阴茎背神经敏感性而增加控精能力延长性生活时间，虽然不是每天用药，但是其实是具有治疗作用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930861},{"body":{"content":"******：口服。药片应完整片吞下。建议至少用一满杯水送服药物。推荐的首次剂量为30mg（1片），需要在性生活之前约1至3小时服用。推荐的最大用药剂量使用频率为每24小时一次。推荐使用频率为1周1-2次，服药当天避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050950312},{"body":{"content":"这个是属于根治的还是辅助的药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036275},{"body":{"content":"只是这个疾病没有根治一说，除非像阑尾炎做完手术切除了，就不会再有阑尾发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051048342},{"body":{"content":"治疗作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053853},{"body":{"content":"为用药安全，既往有药物过敏及肝肾损伤、慢性病史吗？请问您是否有严重心血管病史？是否在使用***、****、***、****；****；****、****、****、等药物。是否在备孕？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064359},{"body":{"content":"没有使用这些药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051078684},{"body":{"content":"您这个情况是在泌尿外科非常常见的，也不用过于担心，是可以通过药物治疗的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147511},{"body":{"content":"针对您的情况，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":1653051176272},{"body":{"content":"这两个是治疗早泄和尿不尽的，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200674},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205317},{"body":{"content":"****是一种选择性5-羟色胺再吸收抑制剂。早泄可能是大脑性欲中心存在着5-羟色胺和***之类的化学物质，它们传导强烈的射精冲动，而****能干扰上述化学物质，达到延时射精的目的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051211277},{"body":{"content":"他们经常给我推荐那个*****那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051215428},{"body":{"content":"******适应症: **利湿，****。用于慢性前列腺炎属湿热挟瘀证，症见：小便频急、尿后余沥、尿后滴白、尿道涩痛、少腹疼痛、会阴不适、腰骶疼痛、阴囊潮湿、睾丸疼痛。一天2次 一次4粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217532},{"body":{"content":"*****诊断早泄会有帮助的，但是一般建议中医辩证论治指导会更好些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268539},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284809},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291284},{"body":{"content":"还有就是每到夏天晚上的话，就是脚心发热，心悸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297159},{"body":{"content":"脚心发热等中医症状，建议中医科望闻问切，辩证论治，会更准确些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366288},{"body":{"content":"咱们京东有中医吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389742},{"body":{"content":"我给您一个医院临床治疗反馈效果好的一线用药方案，您可以参考下，比较适合您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392015},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419092},{"body":{"content":"处方供您开好了，供您参考","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463686},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468230},{"body":{"content":"好的，到时候怎么联系您？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051577323},{"body":{"content":"您可以按照上图的这个流程找到我，建议用药一段时间后及时复诊，相对于埋头吃药来说，医生的指导更重要，减量和停药都要在医生的指导下进行；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594542},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735069},{"body":{"content":"这个****一盒够吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051749960},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051780137},{"body":{"content":"4周6片1疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792604},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051807720},{"body":{"content":"给您开一盒3片的****先试试，效果明显的话，没有啥不适症状，再继续按需服用，性生活时间达到满意度以后再停药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051821655},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865666},{"body":{"content":"目前很多患者除了在口服药物治疗以外，都在用***，提高性功能，连续服用效果还是非常不错的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051904967},{"body":{"content":"***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051921229}]

男32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":1653049657759},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725112},{"body":{"content":"您能帮我看看过敏源结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049743731},{"body":{"content":"总IGE浓度高是怎么回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761513},{"body":{"content":"发下结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769640},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819142},{"body":{"content":"平时有什么过敏吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826542},{"body":{"content":"前阵子去检查哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049899416},{"body":{"content":"IgE多与过敏性的反应有关，总IgE升高最常见于过敏体质的人，或者有过敏性疾病的患者。另外，寄生虫感染引起的变态免疫反应，也会引起总IgE升高，部分的血液系统疾病例如部分的骨髓瘤，还有霍奇金淋巴瘤等疾病，也可能会出现总IgE的升高。真菌感染、病毒感染或者结核病等少部分特异性的感染性疾病，患者也可能会出现总IgE的升高，与免疫功能相关的疾病包括类风湿性关节炎、格林-巴利综合征或者高IgE综合征、肾病综合征等疾病都有可能会出现总IgE的升高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935421},{"body":{"content":"血常规还有****检查都显示是过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944973},{"body":{"content":"建议进一步检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951764},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021673},{"body":{"content":"不客气，建议进一步检查。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103691}]

男39岁

2022.05.20