刘继帅

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049671056},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049683371},{"body":{"content":"不可以喂奶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049692432},{"body":{"content":"有传染性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049695215},{"body":{"content":"但是他不吃奶粉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049725839},{"body":{"content":"他可以跟我一起睡吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049754937},{"body":{"content":"不可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049775192},{"body":{"content":"容易得水痘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049780172},{"body":{"content":"建议不要一个房间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049786284}]

女32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":"感谢您体验京东育婴师育儿咨询服务，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072504},{"body":{"content":"您好，这款不含**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050113651},{"body":{"content":"蛋白质过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050114050},{"body":{"content":"我们一岁4个月了喝***8个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153813},{"body":{"content":"最近有查过过敏程度吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177325},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050185944},{"body":{"content":"1岁以上了辅食正常了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186822},{"body":{"content":"不必在吃***与深度水解了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050199621},{"body":{"content":"米面都不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050204665},{"body":{"content":"如果是重度过敏深度水解可能需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050220171},{"body":{"content":"查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226470},{"body":{"content":"因为会改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231503},{"body":{"content":"9个月左右就会改变","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249749},{"body":{"content":"这是开始查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050250634},{"body":{"content":"别担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050251761},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254038},{"body":{"content":"喝米汤都会拉肚子的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289732},{"body":{"content":"喝了含乳酸的钙都会拉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050323596},{"body":{"content":"怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336387},{"body":{"content":"可以喝什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050353310},{"body":{"content":"上面这款奶粉可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366803},{"body":{"content":"建议您再检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050374076},{"body":{"content":"吃什么**，有必要查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446406},{"body":{"content":"现在还有湿疹吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050487292},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494026},{"body":{"content":"如果只是乳糖不耐受了，可以喝点***就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502505},{"body":{"content":"如果还有蛋白过敏，在根据程度选择奶粉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520139},{"body":{"content":"因为我们啥都没吃过，就喝***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050523680},{"body":{"content":"添加辅食","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050541894},{"body":{"content":"必须添加辅食的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545374},{"body":{"content":"不然更糟糕的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551982},{"body":{"content":"你看一下单子是啥情况啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559010},{"body":{"content":"我不知道是啥原因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050579892},{"body":{"content":"喝无**奶粉也不拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050624991},{"body":{"content":"我这边是育婴问题服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050648442},{"body":{"content":"这样就说明是乳糖不耐受吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654877},{"body":{"content":"对于单子了解不全的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663571},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050671061},{"body":{"content":"只是宝宝有过敏源","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671533},{"body":{"content":"轻度过敏一般9个月就没事儿了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050693577},{"body":{"content":"去哪里买***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703103},{"body":{"content":"中度、重度、在1岁以上也是会改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050708557},{"body":{"content":"您化验后再决定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050715300},{"body":{"content":"现在出门回家要隔离","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050743998},{"body":{"content":"去不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050752317},{"body":{"content":"哪里买","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765248},{"body":{"content":"那先喝这款奶粉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767007},{"body":{"content":"吃点蔬菜水果是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050774384},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050780610},{"body":{"content":"也会拉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050794139},{"body":{"content":"都试了","type":"text"},"from":{"app":"jd.dyf"},"tim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女

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":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050054788},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066662},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050079227},{"body":{"content":"是线下医师建议使用的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080386},{"body":{"content":"不是，我们吃这个管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050095564},{"body":{"content":"温馨提示：平台要求凡是六岁以下宝宝购药均需提供线下医院病历或处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182241},{"body":{"content":"麻烦您上传一下具体的病例资料，需要系统匹配到有效病例、购药单或之前开具过的电子处方后，可以直接给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184601},{"body":{"content":"上次也是这个平台医生开的电子的，怎么查看？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050218856},{"body":{"content":"您到之前的问诊记录","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050234837},{"body":{"content":"点击之后再问诊记录之中可以查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245732},{"body":{"content":"或是上传孩子之前的病例报告","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259706},{"body":{"content":"在哪里看问诊记录","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050266536},{"body":{"content":"我的订单中可以查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305018},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050309594},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050948908},{"body":{"content":"有之前的处方或病例吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957364},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051539337},{"body":{"content":"如果您现在没有处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051545718},{"body":{"content":"您可以找到之后直接上传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556464},{"body":{"content":"复诊给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558892},{"body":{"content":"由于您长时间不在线，所以无法了解到您的具体症状，也无法给您更全面的建议，建议您下次方便时可以再次上线咨询，以便我给您一些比较适合的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562558},{"body":{"content":"您好，受接诊时长的控制，如果您没有其他问题咨询了，或者现在不方便在线回复，时限到后，系统会自动关闭并提交结束本次问诊，等您需要或方便的时候再上线免费咨询，谢谢您的理解和配合，下次再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051564303}]

男4岁

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":1653050028505},{"body":{"content":"不用于通风的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050034459},{"body":{"content":"大拇指红肿可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050137134},{"body":{"content":"这情况多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050157219},{"body":{"content":"吗多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050172250},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174354},{"body":{"content":"之前医院检查过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050206024},{"body":{"content":"跑步跑下脚趾头红肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050215505},{"body":{"content":"是痛风引起的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230924},{"body":{"content":"医院看过不确定是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281230},{"body":{"content":"尿酸就比正常的高一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050305846},{"body":{"content":"那没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050319683},{"body":{"content":"可以用这个**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050324236},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351654},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356381},{"body":{"content":"不客气 奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050362146}]

女

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419300},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051427973},{"body":{"content":"您是感觉大便次数增多，还是大便困难呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051448219},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463653},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051472188},{"body":{"content":"增多是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051477175},{"body":{"content":"不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051485533},{"body":{"content":"经常早餐吃完后就完啦，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051528036},{"body":{"content":"大便还是正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551682},{"body":{"content":"症状大致多久了？腹胀，腹痛，排气异常，肠道咕噜响有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556085},{"body":{"content":"很久了，没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051590175},{"body":{"content":"您查过肠镜吗？用过什么药物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051625079},{"body":{"content":"还没去检查，也没有吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051650820},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051654511},{"body":{"content":"请问您有什么药物过敏史吗？既往有什么疾病史吗？肝肾功能正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051655583},{"body":{"content":"没有，正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051677905},{"body":{"content":"结合您描述的情况，考虑肠易激综合征可能性大一些，建议您可以服用****0.1g 3次/日口服+**********，每次2粒，每日3次。与其他药物分开2小时服用，联合使用一周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051682049},{"body":{"content":"用药症状改善不理想，医院消化科就诊，必要时查个肠镜检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695160},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051719784},{"body":{"content":"用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用药品。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":1653051787948},{"body":{"content":"给您开个处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792678},{"body":{"content":"少食多餐，忌辛辣刺激饮食，忌浓茶咖啡，忌过多甜食，忌过饱饮食，少吃生冷食物，少吃海鲜、鱼，火锅类的食物，喝温热水，不喝饮料，保持***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051848752},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052108584}]

男34岁

2022.05.20

[{"body":{"content":"家长好，我没有理解家长的问诊描述意思","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049681174},{"body":{"content":"那地方红了 应该还没有烂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049695679},{"body":{"content":"涂什么能好呢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049711184},{"body":{"content":"太红了 可能是水或者尿没有及时擦干","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049727850},{"body":{"content":"这个是局部潮湿引起的类似湿疹，涂点***或者紫草膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738483},{"body":{"content":"在哪可以买到呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080246},{"body":{"content":"药店都有吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050085168},{"body":{"content":"是的，基本药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192012},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925692}]

男4个月28天

2022.05.20

[{"body":{"content":"您好！这里是京东医生皮肤科，很高兴可以为您解答问题，请稍等，我正在阅读你的咨询描述。咨询患者较多，希望你可以在收到我的消息之后，和我说一句话，方便我找到你的聊天页面。非常感谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965465842},{"body":{"content":"除了痒，皮肤表面有什么变化？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965470962},{"body":{"content":"胳膊上长了小疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965551497},{"body":{"content":"请提供图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965577411},{"body":{"content":"这种情况出现多久了，只有胳膊上痒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965686392},{"body":{"content":"就昨天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965726365},{"body":{"content":"只有胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965741471},{"body":{"content":"之前有没有受过暴晒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965759091},{"body":{"content":"没有呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965765884},{"body":{"content":"目前的情况考虑是过敏性皮炎，但是没有办法帮你判断具体诱因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965777213},{"body":{"content":"汗湿刺激，摩擦刺激，日光刺激等都有可能导致。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965787881},{"body":{"content":"尤其是洗完澡之后比较痒，其他时间不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965848516},{"body":{"content":"这是什么情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965853875},{"body":{"content":"目前的情况考虑是过敏性皮炎，但是没有办法帮你判断具体诱因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965860095}]

女20岁

2022.05.20