刘继帅

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049784718},{"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":1653049805910},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813520},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049816521},{"body":{"content":"睾丸胀痛 / 会阴胀痛 / 尿急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049855278},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049859268},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049868365},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871360},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049875732},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049879746},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049885094},{"body":{"content":"治疗效果是否满意？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049888174},{"body":{"content":"不满意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891962},{"body":{"content":"是否方便上传检查报告？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049895997},{"body":{"content":"检查结果已上传","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050001310},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063493},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、骑车、骑马、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067212},{"body":{"content":"怎么治疗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050084886},{"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":1653050096134},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050104156},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050190366},{"body":{"content":"医院开了这个吃了感觉没什么效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050207492},{"body":{"content":"针对您的情况，建议您可以使用************+******治疗一下，可以先使用1周的看看效果，1周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361192},{"body":{"content":"我自己买了*****在吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396402},{"body":{"content":"吃了几天了，今天骑车后又开始疼痛起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050418472},{"body":{"content":"减少骑车等不良刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520374},{"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":1653050524354},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050548370},{"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":1653050554150},{"body":{"content":"您可以点击处方，预约购买，药师审核通过后，即可发药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554946},{"body":{"content":"买哪种？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576940},{"body":{"content":"处方已经审核通过了，您点击处方，按流程即可购买的，后续用药问题，可以上线找我复诊，祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592772},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050620295},{"body":{"content":"这个药都是一起吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050631854},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050708421},{"body":{"content":"这是一周量？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050821465},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050832572},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050902240},{"body":{"content":"能治疗好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050929919},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940339},{"body":{"content":"用药1周后，可以线上找我复诊，便于掌握您的病情变化，更好调整治疗用药，指导康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050944237},{"body":{"content":"嗯嗯，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995886},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008112},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051015212},{"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，避免剧烈运动。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051029529},{"body":{"content":"希望我的建议能够帮助到您，后续您如果还有需要咨询的问题，可以打开京东APP，点击“我的”，再点击“问医生”，在搜索栏中搜索“泌尿外科**”，即可找到我。祝您生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551069}]

男27岁

2022.05.20

[{"body":{"content":"你要问什么具体问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908641},{"body":{"content":"发量没有以前多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050916791},{"body":{"content":"上面的头发扁细和软了些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050928244},{"body":{"content":"拍个图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956887},{"body":{"content":"我一直用****和****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050965847},{"body":{"content":"你用了效果怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050995836},{"body":{"content":"感觉也没啥效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007364},{"body":{"content":"平时3个月一烫发，能显着头发多一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051038888},{"body":{"content":"图片我看到了，头发还行，不要太焦虑紧张。生活中不要熬夜，避免焦虑紧张就可以了，越焦虑越掉头发。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051041029},{"body":{"content":"愿意吃药可以用养血生发胶囊，纯中药的药店都有卖的，一个月一个疗程。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051068052},{"body":{"content":"吃的有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051086158},{"body":{"content":"以后是不是可以植发呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051111955},{"body":{"content":"没到那种程度，别自己想的太多。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051148683},{"body":{"content":"我看你头发掉得不重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163258},{"body":{"content":"不严重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169206},{"body":{"content":"没有我18岁时候头发好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051204210},{"body":{"content":"还能恢复道从前吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051240130},{"body":{"content":"你天天不想他，好好睡觉就能恢复到从前，这得靠你自己去做，不是医生的事儿。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051297925},{"body":{"content":"好的 谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051443297},{"body":{"content":"不客气，再见，祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051470742}]

男21岁

2022.05.20

[{"body":{"content":"您好，我是主治医师连爱琴，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393753},{"body":{"content":"买化妆品的，客服怎么说医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050439788},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050442897},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050488080},{"body":{"content":"说明书有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489119}]

女

2022.05.20

[{"body":{"content":"您好！我是全科杨医生。请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965475971},{"body":{"content":"感冒发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965485010},{"body":{"content":"请问您有线下就诊过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965514462},{"body":{"content":"需要我提供什么帮助呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965525570},{"body":{"content":"***可以和**和***一起吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965540383},{"body":{"content":"可以一起服用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965561331},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965581040},{"body":{"content":"不用谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965586690},{"body":{"content":"****可以治发烧吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965669759},{"body":{"content":"昨晚去医院看完，打完吊针","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965682373},{"body":{"content":"今天中午又发烧回来了37.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965691186},{"body":{"content":"昨天发烧38.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965696493},{"body":{"content":"***是***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965707704},{"body":{"content":"37.7度可以吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729561},{"body":{"content":"不建议服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965762260},{"body":{"content":"那吃了会没事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799008},{"body":{"content":"37.6度","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965815288},{"body":{"content":"体温一般超过38.5℃才需要服用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965822709},{"body":{"content":"那服用了不会有什么事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844698},{"body":{"content":"问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965894003},{"body":{"content":"但没有必要服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965900255},{"body":{"content":"物理降温即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965913330},{"body":{"content":"那***呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965913596},{"body":{"content":"***也是***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965922176},{"body":{"content":"***37.6可以吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965925074},{"body":{"content":"也没有必要服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965930767},{"body":{"content":"多喝水，物理降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965949178},{"body":{"content":"怎么物理降温","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965955308},{"body":{"content":"用凉水敷额头有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966000654},{"body":{"content":"多喝水，温水擦浴","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966003850},{"body":{"content":"主要擦哪里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966081566},{"body":{"content":"比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966091055},{"body":{"content":"擦全身","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966092507},{"body":{"content":"凉水敷额头也可以帮助降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966123990},{"body":{"content":"吃多了药，晚上肾疼正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966157179},{"body":{"content":"两边肾都有点疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966174897},{"body":{"content":"偶尔喝点水，一喝过一会就想上厕所","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966199470},{"body":{"content":"正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966203328},{"body":{"content":"人是感受不到肾疼的，除非肾结石、肾破裂等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966235048},{"body":{"content":"多喝水，排尿多，帮助降温好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966257939},{"body":{"content":"如反复发热，不缓解，建议及时当地医院发热门诊就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966311743},{"body":{"content":"去医院看过了的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966575564},{"body":{"content":"去医院看的时候38.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585946},{"body":{"content":"然后晚上就退烧了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966593801},{"body":{"content":"昨晚又发烧了37.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966600376},{"body":{"content":"到现在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966606503},{"body":{"content":"都是差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966612136},{"body":{"content":"嗯嗯，比昨天好，说明发热有好转。可物理降温，然后继续观察","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966669500},{"body":{"content":"昨天晚上都退烧了，然后今天又发回来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966707244},{"body":{"content":"昨晚打了吊针的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966714874},{"body":{"content":"如果再不能好，需不需要去医院看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966726231},{"body":{"content":"如果药物有效，也需要一定时间，一般如果3天都无明显好转，需要复查，更改方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966796601},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966826024},{"body":{"content":"还有拉不出屎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966832820},{"body":{"content":"有感觉想拉，就去拉不出正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966844795},{"body":{"content":"***有没有用呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967020917},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967027257},{"body":{"content":"服用的**多少会对****有点影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967060806},{"body":{"content":"***有帮助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967071490},{"body":{"content":"那买那种比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967105415},{"body":{"content":"这个没有推荐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967137916},{"body":{"content":"成人儿童的都可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967186022},{"body":{"content":"可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967194654},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967228858},{"body":{"content":"多吃蔬菜、水果，补充蛋白质，提高抵抗力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967232010},{"body":{"content":"不用谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967236835},{"body":{"content":"好的谢谢你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967312057},{"body":{"content":"嗯嗯，不用谢。请问您还有其他医学问题需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967337071},{"body":{"content":"暂时没了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967368155},{"body":{"content":"好的。感谢您的咨询，希望我的建议能够帮助到您，非常感谢您的信任！对话结束后可对我的服务作出评价。祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967396570}]

男20岁

2022.05.20

[{"body":{"content":"您好， 我是京东医生，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":1653049839309},{"body":{"content":"有可能是淋巴结","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857125},{"body":{"content":"淋巴结过几天会消失","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881080},{"body":{"content":"如果一直不消失，建议你带宝宝去医院就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049897407},{"body":{"content":"这是怎么引起的呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902384},{"body":{"content":"一般几天会消失呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924167},{"body":{"content":"一般出牙.感冒发热都有可能引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050018794},{"body":{"content":"一般一周之内会消失","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050044355},{"body":{"content":"宝宝刚好在长大牙","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046039},{"body":{"content":"嗯，观察一下看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154915},{"body":{"content":"需要用手按摩一下吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174377},{"body":{"content":"不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186792},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241830},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050270044}]

女1岁10个月

2022.05.20

[{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049611186},{"body":{"content":"图片资料下载中，请您稍候。谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049613129},{"body":{"content":"图片看到，受伤多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049624481},{"body":{"content":"今天下午","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049671615},{"body":{"content":"目前这种情况，属于2级动物导致的暴露损伤，是需要狂犬**注射的，受伤后24小时内注射","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049687642},{"body":{"content":"注射前，您最好先通过网络查询您所在地区的**注射地点时间，避免跑冤枉路。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049704296},{"body":{"content":"要打五针吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049809243},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049817963},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891000},{"body":{"content":"祝您身体健康，生活愉快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049938077}]

男20岁

2022.05.20

[{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742626},{"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":1653049749756},{"body":{"content":"您可以在下图中描述疼痛的具体部位在哪里。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049754449},{"body":{"content":"4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783843},{"body":{"content":"您出现疼痛多长时间了，有受伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049811352},{"body":{"content":"我上学的时候，坐姿不好，就是类似于盆骨往前倾坐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049823322},{"body":{"content":"就是往前顶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049834167},{"body":{"content":"好久了，没受伤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840611},{"body":{"content":"有5年多了估计","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849627},{"body":{"content":"不经常疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856172},{"body":{"content":"就是坐姿不怎么好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049862859},{"body":{"content":"会疼几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049869019},{"body":{"content":"您平常有无久站、负重工作比较多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049870352},{"body":{"content":"这是什么病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874283},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049877069},{"body":{"content":"我是学生，经常坐着","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049885578},{"body":{"content":"您除了臀部疼痛外有没有下肢的麻木酸胀感？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049923637},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959227},{"body":{"content":"您按压疼痛明显吗，平躺放松后是否有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049995798},{"body":{"content":"平躺有改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050017224},{"body":{"content":"不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050031715},{"body":{"content":"因为我也找不准是哪个地方，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050043001},{"body":{"content":"现在也不怎么疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050047650},{"body":{"content":"腰的话。转圈，会有一点点疼，有一点点舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062980},{"body":{"content":"收到，您平常走路、运动有影响吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084194},{"body":{"content":"不疼，转圈，就是有点活动的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050089006},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090892},{"body":{"content":"就是坐姿久做不好得话，会犯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111393},{"body":{"content":"不是中间的骨头那","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144623},{"body":{"content":"骨头两边，没有骨头的地方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050152036},{"body":{"content":"好的，根据您所描述的情况，初步考虑肌筋膜炎，久坐、姿势不良，肌肉张力不平衡有关。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169314},{"body":{"content":"两个屁股上方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050169913},{"body":{"content":"类似于这里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221902},{"body":{"content":"这个怎么治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050225588},{"body":{"content":"我肩膀处好像也有这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236925},{"body":{"content":"就是后面三角肌那里不是有个突起的骨头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274291},{"body":{"content":"肌筋膜炎属于自限性的疾病，对症治疗，理疗、加强肌肉锻炼是会好转的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283412},{"body":{"content":"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，（如无，可直接回复：没有）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288325},{"body":{"content":"缝隙有时候也会疼，不是骨头，类似于软骨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301305},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050305162},{"body":{"content":"建议您注意休息，参考使用*******，一次2片，一日3次+外用*****1天3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050352003},{"body":{"content":"日常使用加热盐袋用于疼痛处每天2次，每次30分钟，改善循环 缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369645},{"body":{"content":"疼痛症状好转后 加强腰背肌训练 ，提高肌肉力量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379032},{"body":{"content":"现在夏天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427954},{"body":{"content":"加热会不会太热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433854},{"body":{"content":"您可以在空调房内或者使用热水袋，温度不会过高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050486323},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050509356},{"body":{"content":"不客气的，我给您开个电子处方，参考一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050538685},{"body":{"content":"处方已开好，您点击处方，绿色方框处，进入购药流程即可预约直接购买。如果出现多个，建议您选择京东大药房的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051286761},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，请您及时上线咨询或去医院就诊。长期使用药物定期复查肝肾功能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051289712},{"body":{"content":"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检查就诊，以免延误病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390880},{"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":1653051392007},{"body":{"content":"关闭问诊时间临近，如果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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461697},{"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":1653051463713}]

男21岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044928},{"body":{"content":"什么部位有这种情况呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049461},{"body":{"content":"额头上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066774},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074368},{"body":{"content":"最初是外伤引起的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092791},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、是否有过敏史），如果没有则回复“无”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134400},{"body":{"content":"小时候摔跤磕到的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135783},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139399},{"body":{"content":"请问针对您的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152894},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165871},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174343},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240844},{"body":{"content":"***，一天两次，外用看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252801},{"body":{"content":"建议您平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291611},{"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":1653051297447},{"body":{"content":"要用多久才会有效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051373191},{"body":{"content":"一般一个月是一个疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051394504},{"body":{"content":"可以先用一个疗程，看一下改善的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051403430},{"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":1653051481183},{"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":1653051482788}]

女

2022.05.20

[{"body":{"content":"您好，仝（tong）医生为您提供医疗咨询服务。不是AI智能机器人。我正在详细阅读您的病情描述。点击我的头像，可以看到有关信息。回复您慢了，请不要着急，还有其他人也在咨询。多谢理解*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918043},{"body":{"content":"消毒**蘸温****，或者双氧水清洗局部。方法是将消毒**朝这个方向轻轻转动。或者用3%******，在药师指导下清洗局部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049941703},{"body":{"content":"局部清洗后可用氧化锌软膏，或者*****轻轻涂抹，也可以口服******，或者******，抗过敏，缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950195},{"body":{"content":"尽可能不要频繁掏耳朵，洗头洗澡时不要让耳朵进水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049981180},{"body":{"content":"不抽烟，不喝酒，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985696},{"body":{"content":"饮食清淡，少吃辛辣油腻食物和肉类，少吃油炸食品，少吃奶制品和甜食，少吃咸菜，少吃海鲜类食品。不吃零食，不吃泡面。尽可能不要熬夜，多喝温水，多吃蔬菜，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049989183},{"body":{"content":"现在有炎症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050015406},{"body":{"content":"右耳耳鸣已经几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046843},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050102605},{"body":{"content":"上医院不方便，这个月去过两次，都是清洗耳道换药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154441},{"body":{"content":"**的能用吗？感觉这个******没什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205123},{"body":{"content":"耳朵里面晚上回有点痒，白天就没什么感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241170},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050272606},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281101},{"body":{"content":"根据您目前症状，结合我的临床经验，特此推荐上述产品信息。都属于非处方药，无需医生开处方，您直接下单订购，即可寄到自己手中。请按照说明书使用1周左右，对恢复健康有帮助。请自由选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309288},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319826},{"body":{"content":"上述综合措施，对恢复健康有帮助。您是否已经理解了？还有其他健康问题需要帮助咨询吗？结束本次问诊后，请留下墨宝，简单给予评价。祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361877},{"body":{"content":"不建议随意使用***，譬如****，**等。需要根据医院血液检查结果，判断是否需要***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366313},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050391898},{"body":{"content":"自己用双氧水洗方便吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421915},{"body":{"content":"双氧水耳浴办法~在医生或者药师指导下，将患侧耳朵朝上，把双氧水滴满耳道静置10分钟左右，这时可能会有气泡，属于正常现象，等**与耳道内脓性分泌物充分混合反应后坐起来，再将患侧耳朵朝下，让**从外耳道流出来即可。当然，可以用**轻轻将外耳道残留**擦净。每天两次，连续清洗3天即可。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050464730},{"body":{"content":"右耳真菌感染也可以用双氧水洗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050498415},{"body":{"content":"外耳道霉菌、真菌感染时，可以用双氧水清洗外耳道后，再用********，或者******耳浴，或者******进行外耳道冲洗，抑制真菌，缓解症状。在药师指导下，按照说明书使用，滴耳或者涂擦外耳道。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050838529},{"body":{"content":"明白了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051006204},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任！本次问诊结束后，请留下您的墨宝，简单给予留言评价。假如还有其他问题，可再次发起问诊，祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044309}]

男32岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育相关问题的需要，京东平台为您准备了儿科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049631016},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049634260},{"body":{"content":"纯棉的宽松一点，好穿脱的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049679842},{"body":{"content":"您好！6个月宝宝刚做完心脏手术适合穿什么衣服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049695744},{"body":{"content":"\n要注意保暖吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049722892},{"body":{"content":"注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738286},{"body":{"content":"不能穿太凉快是不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049739838},{"body":{"content":"注意**啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049758577},{"body":{"content":"长袖长裤比较合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049777870},{"body":{"content":"看室内温度。增减衣物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049815786},{"body":{"content":"合理增减衣物，避免引起感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900120},{"body":{"content":"很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049913000},{"body":{"content":"如有疑问，可以再次追加哈！要是没有问题，欢迎您在右上角表扬医生按钮给我点个“满意”的好评！您的满意是对我的支持和鼓励！祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928153}]

女

2022.05.20