刘继帅

[{"body":{"content":"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":1653050018196},{"body":{"content":"收到您上传的图片了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050019959},{"body":{"content":"您好，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026720},{"body":{"content":"请问您发现这种症状具体有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050053869},{"body":{"content":"病情发展过程是先出现图四，然后图三，然后图二，然后图一，图四是最初出现的，现在是最严重的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098497},{"body":{"content":"最开始出现是去年12月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117337},{"body":{"content":"哪1张是现在的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149609},{"body":{"content":"现在的都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157812},{"body":{"content":"目前有瘙痒，疼痛的感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050179036},{"body":{"content":"首先，照片都是刚拍的，左脚上的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188605},{"body":{"content":"有，痒，疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050197659},{"body":{"content":"我以为是脚气，用了一个月***，不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050214967},{"body":{"content":"是一只脚还是两只脚都有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050241203},{"body":{"content":"我现在开始怀疑是不是湿疹或者混合之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050243684},{"body":{"content":"只有左脚有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050249671},{"body":{"content":"您的脚趾缝有脱皮脱屑的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050260027},{"body":{"content":"基本没有，我是汗脚，但没有脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050295605},{"body":{"content":"最近一个月每天晚上睡前涂抹***，每天换一双鞋垫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326186},{"body":{"content":"患处目前是否有流水、破溃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345241},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351916},{"body":{"content":"根据您的图片和描述考虑 皮炎可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425338},{"body":{"content":"我帮您调整一下用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428696},{"body":{"content":"图一和图四皮肤下有很多肉眼可见的小红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050429529},{"body":{"content":"皮肤上有好几个小孔，会从里面渗出液体","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471714},{"body":{"content":"之前这个部位有水泡吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050473639},{"body":{"content":"最初的时候有过，一个疙瘩一样的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494112},{"body":{"content":"最开始的时候脚趾缝有脱皮吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050529653},{"body":{"content":"手指上有一个，就是最初跟脚底差不多时间出现的，这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050567070},{"body":{"content":"收到了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595326},{"body":{"content":"一直都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599022},{"body":{"content":"之前的脚上的疙瘩是硬的还是软的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050620259},{"body":{"content":"手指上这个没有恶化，它只是一直有个包，软的包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050632265},{"body":{"content":"脚上的之前也是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050652434},{"body":{"content":"不是那种柔软，是硬硬的软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655340},{"body":{"content":"嗯，像青春痘那种疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050670334},{"body":{"content":"青春痘那种柔软度吧，大概是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703282},{"body":{"content":"目前从图片来看是属于皮炎湿疹样改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050731498},{"body":{"content":"***先不要用了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050745059},{"body":{"content":"需要换个药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750130},{"body":{"content":"根据上述情况我可以给您一些用药建议。\n为了用药安全，请问您有无药物过敏史及肝肾功能异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750863},{"body":{"content":"我也越来越觉得不像脚气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050751035},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050762372},{"body":{"content":"好的， 稍等2分钟 我这边给您发送药物链接，用药前请您仔细阅读药品说明书中禁忌，注意事项，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843486},{"body":{"content":"好的，它也适用于我手上的这个包么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865786},{"body":{"content":"您手部这个目前不太典型， 药物不适合的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904527},{"body":{"content":"药物只是治疗目前瘙痒疼痛的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905475},{"body":{"content":"皮肤破损的这一块呢，有没有什么方法让它变好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937187},{"body":{"content":"建议您可以外用 ******* 沾湿纱布湿敷 每天1次 每次 10分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050992733},{"body":{"content":"＋******每天两次治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050993162},{"body":{"content":"*******就有 **祛腐的作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051025874},{"body":{"content":"可以治疗目前这种皮肤病损的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053493},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051124294},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133400},{"body":{"content":"您可以先点击“处方单”-查看详情-预约，稍后再给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051135302},{"body":{"content":"我刚才已经买完您链接里的药品了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051154092},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051162048},{"body":{"content":"缴费也完成了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165144},{"body":{"content":"主要是 建议您穿透气性好的鞋袜，避免焐热，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169579},{"body":{"content":"保持足部干燥， 一定要避免抠抓刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174563},{"body":{"content":"我每天会用这个泡脚，以后还可以么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051220993},{"body":{"content":"这个不是临床常用的药物，个人是不建议使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224703},{"body":{"content":"特别是目前这种疼痛的情况，不要使用 了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231564},{"body":{"content":"以免刺激加重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234448},{"body":{"content":"嗯，那我就正常的洗脚完事敷药就可以了是么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051260215},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051270815},{"body":{"content":"嗯嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051277316},{"body":{"content":"我还有什么其他的注意事项不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291616},{"body":{"content":"用这种，无菌纱布沾湿******* 敷在脚部患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051298787},{"body":{"content":"避免加重感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051301828},{"body":{"content":"基本整个脚底就都需要了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316070},{"body":{"content":"***是敷完睡前再用么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051395786},{"body":{"content":"纱布可以展开使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051397528},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051400348},{"body":{"content":"是早晚各一次吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416502},{"body":{"content":"敷完药，晾干后在涂抹 *****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425661},{"body":{"content":"***** 早晚各1次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051428631},{"body":{"content":"******* 每天一次就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432548},{"body":{"content":"嗯嗯，好的，知道了，谢谢您，我没有问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453672},{"body":{"content":"不客气，能帮到您是我的荣幸。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051471292},{"body":{"content":"给您发送了一张我的排班表 您可以先保存在手机相册中 后期按照我上班的时间 打开京东app 就可以找到我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478689},{"body":{"content":"好的，谢谢，已保存","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051507047},{"body":{"content":"抱歉打错字了，是敷完药，晾干后在涂抹 ******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051510827},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051519377},{"body":{"content":"好的 ，如果没有其他问题，我就结束问诊了，希望我的建议能帮助到您。感谢您的信任，祝您和家人平安健康，晚安","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051531055}]

男42岁

2022.05.20

[{"body":{"content":"您好，我是京东互联网医院医生，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。\n什么情况？是否有其他疾病？\n近期有没有什么用药史，\n或药物过敏史？\n请说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049650314},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049663735},{"body":{"content":"宝宝老是长这个痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049680636},{"body":{"content":"这样多久","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049683104},{"body":{"content":"有啥不舒服表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049685733},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694229},{"body":{"content":"就是长痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049698586},{"body":{"content":"过几天好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049708727},{"body":{"content":"过了几天又长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049716121},{"body":{"content":"怎么好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721025},{"body":{"content":"自然好 偶尔抹点药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049738267},{"body":{"content":"痒蹭？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049759153},{"body":{"content":"被啥咬？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049763259},{"body":{"content":"背上头上脚上都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049771101},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049774310},{"body":{"content":"线下皮肤镜检查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049791393},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049795828},{"body":{"content":"涂啥药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824861},{"body":{"content":"*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049873159},{"body":{"content":"哦，有*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049919441},{"body":{"content":"需要去医院检查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049938163},{"body":{"content":"建议需要的，反复发作，而且自己好。多是自身免疫因素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017827},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050140134},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050142382},{"body":{"content":"客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050161385}]

男3岁

2022.05.20

[{"body":{"content":"你近期有没有高兴不起来，对什么事都提不起兴趣，反应迟钝，注意力难以集中，记忆力下降，容易疲劳，烦躁易怒，失眠等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965696627},{"body":{"content":"有点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965716950},{"body":{"content":"你先做个心理测试吧，如果打不开就把链接复制或手动输入到浏览器再打开，做完把总分或截图发给我帮你分析一下。\nhttp://www.apesk.com/sds/","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965737872},{"body":{"content":"你做完测试之后点击表格下方的提交答案按钮，会自动出结果，麻烦你把分数截图告诉我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965744324},{"body":{"content":"自己一个人的时候很孤独","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965748300},{"body":{"content":"把心理测试做一下吧。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965822393},{"body":{"content":"做完了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965986145},{"body":{"content":"做好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967367455},{"body":{"content":"截图给我看看，这是第三方网站，我这边收不到。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967579368}]

女16岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050187342},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190365},{"body":{"content":"主要是驱寒 排湿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050223812},{"body":{"content":"活血**等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050266450},{"body":{"content":"您好还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050406898},{"body":{"content":"我想咨询商品","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453850},{"body":{"content":"不知道怎么的就变成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468423},{"body":{"content":"具体哪方面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050470047},{"body":{"content":"买牛奶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475858},{"body":{"content":"没关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050476527},{"body":{"content":"我那个光明的牛奶能看保质期吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050558637},{"body":{"content":"一般都是就近安排发货，京东在全国各地都有仓储库","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050644331},{"body":{"content":"具体时间看不到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657189},{"body":{"content":" 您好还早吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051030502},{"body":{"content":"在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051034129}]

女

2022.05.20

[{"body":{"content":"您好，我是京东健康互联网医院专业育儿师，非常高兴由我为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050193734},{"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、科学备孕相关问题的需要，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":1653050197476},{"body":{"content":"您好！引起婴儿吐奶的原因有很多，主要考虑是以下几种原因导致的：一，喂奶量过多。婴儿胃容量比较小，吃奶比较频繁。如果婴儿吃奶太多，就会出现吐奶的情况。二，喂养不当。在喂奶时如果大量的空气被孩子吞入胃内，家长没有及时拍嗝，后期就可能出现吐奶的情况。三，消化功能异常。如果孩子受凉导致胃肠功能出现问题，导致进食的乳汁不能及时被消化吸收，就会出现吐奶的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226732},{"body":{"content":"那跟室内温度较高没关系是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258128},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050320102},{"body":{"content":"您好现在我们是奶粉喂养，这个喂养姿势有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339866},{"body":{"content":"有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393005},{"body":{"content":"正确的喂养姿势也会减少宝宝吐奶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050413184},{"body":{"content":"您那边方便介绍一下喂奶姿势吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495555},{"body":{"content":"还有现阶段针对吐奶呛奶有什么办法吗，大约多少周会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536135},{"body":{"content":"喂养姿势，宝宝的嘴巴跟奶粉呈45度角。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050675473},{"body":{"content":"根据宝宝体质，最早也得三个月以后吐奶情况才会缓解。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050707330},{"body":{"content":"那宝宝怎么抱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050864955},{"body":{"content":"现在孩子不到满月可以这样坐着吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925888},{"body":{"content":"可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050970806},{"body":{"content":"还想咨询您一下，孩子喂奶粉的时候是让孩子一次性喝饱还是手动给她暂停一下呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981326},{"body":{"content":"孩子每次吃奶粉都咕咚咕咚的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050994566},{"body":{"content":"感觉他很着急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002925},{"body":{"content":"宝宝吐奶的可以给宝宝拍拍嗝。宝宝吃完奶以后右侧位躺着。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008061},{"body":{"content":"像夏天宝宝屋里需要开风扇或者空调给她调节一下温度维持在26度吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051068856},{"body":{"content":"这会儿晚上睡觉孩子盖多厚呀一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091059},{"body":{"content":"嗯感谢啦，那现在室内温度27.5还算可以是么？不用一直稳定在26度左右是嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051301606},{"body":{"content":"我们现在晚上给她盖两层纱布","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316707},{"body":{"content":"还有一个问题麻烦您，白天有时候看孩子头发有点汗汲汲的，头发有点揪揪在一起，需要物理降温用毛巾擦擦吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051455052},{"body":{"content":"感谢您的咨询，祝您和宝宝健康快乐每一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051897666},{"body":{"content":"您好！感谢您的咨询，如果我的回复您还满意的话，请您在百忙之中抽出时间在我们的对话框的右上角，点开“表扬”给我个五星⭐好评呗！谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051910364},{"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，宝宝健康快乐！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051919631}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878954453},{"body":{"content":"您好，有清楚的皮疹照片么？我看看目前皮疹什么情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879001158},{"body":{"content":"这就是刚拍的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879152636},{"body":{"content":"患处的头破了，有点流水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879375974},{"body":{"content":"现在就是这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879557700},{"body":{"content":"在吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880084219},{"body":{"content":"*******湿敷，用*******和*****掺起来抹，早晚用药。如果痒明显口服*******或者*********。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652963426939}]

女2岁4个月

2022.05.20

[{"body":{"content":"你好，我是三级甲等医院神经内科中级医师，***，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400673},{"body":{"content":"血糖高多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050409326},{"body":{"content":"好长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050439010},{"body":{"content":"有10年了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520345},{"body":{"content":"你这种情况预防和早期诊断是防止糖尿病神经病变造成严重后悔的基本措施。\n\n1、严格控制血糖，戒烟，纠正血脂异常，控制高血压。\n\n2、加强足部**：选择透气性良好质软的合脚的鞋袜，经常检查并取出鞋内异物。患者应每日洗脚，水温不宜过高。秋冬季节足部易干裂，可用中性润肤霜均匀涂擦，汗脚可撒些***。\n\n3、定期进行筛查及病情评价：\n\n","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533052},{"body":{"content":"差不多吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050590876},{"body":{"content":"**，那你需要注意一下了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615418},{"body":{"content":"我把上面的注意事项也发给你了，预防非常关键。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050623422},{"body":{"content":"预防糖尿病周围神经病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050630880},{"body":{"content":"这吃什么药，好的快点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050683754},{"body":{"content":"可以试试****，早中晚各一粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050805140},{"body":{"content":"那个厂家的药会好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050946956},{"body":{"content":"***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956406},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977650},{"body":{"content":"试试吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051024582}]

男33岁

2022.05.20

[{"body":{"content":"根据上述情况给予您相关用药建议，为了您的用药安全，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? 是否在备育期？或是其他用药禁忌的情况，如果有请提前说明。没有异常回复‘无’就可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050359253},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362614},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610141},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655076},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662327}]

男24岁

2022.05.20

[{"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","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050063021},{"body":{"content":"尊敬的PLUS会员，您好，我是京东中医科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050064729},{"body":{"content":"您好，请问有什么能帮助到您的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050081540},{"body":{"content":"腰疼 阴囊潮湿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088362},{"body":{"content":"性欲强，但是时间短","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050127842},{"body":{"content":"请问勃起正常的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050138358},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050156478},{"body":{"content":"射精过快的现象有： 1）.在进入阴道之前或进入后约1分钟以内就射了； 2）.相比之前射精潜伏时间显著缩短，通常小于3分钟； 3）.偶尔出现射精过快，短于3分钟。 请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211616},{"body":{"content":"2","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050253552},{"body":{"content":"您好，请问这种情况有多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259622},{"body":{"content":"请问您平时熬夜、抽烟、喝酒、爱吃冷饮、水果这些食品吗？手淫多吗（大于1周1次）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050266827},{"body":{"content":"主要就是性欲特别高，就是时间跟之前比要短很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050297383},{"body":{"content":"最近压力挺大的。抽烟多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314088},{"body":{"content":"请问您现在方便拍舌苔照吗？为您辨证一下看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050334154},{"body":{"content":"手淫多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336221},{"body":{"content":"收到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050477687},{"body":{"content":"您好，我先了解一下您的情况，请您先配合回答几个问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485592},{"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":1653050495574},{"body":{"content":"请问您平时有以下气血不足的表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497843},{"body":{"content":"活动后容易出汗 / 神疲乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050588990},{"body":{"content":"有以下痰湿、湿热表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593006},{"body":{"content":"面部油光 / 阴囊潮湿或局部瘙痒（男子） / 易生痤疮、粉刺或者湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603783},{"body":{"content":"请问您有以下肝肾不足表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050608820},{"body":{"content":"腰膝酸软 / 脱发 / 双目干涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050628999},{"body":{"content":"请问您平时消化怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633044},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657076},{"body":{"content":"请问您平时小便情况怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662146},{"body":{"content":"小便色黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669974},{"body":{"content":"请问您平时情绪怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674007},{"body":{"content":"经常闷闷不乐，胸胁胀满不适 / 经常急躁易怒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050689654},{"body":{"content":"好的，那睡眠情况怎么样呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050694717},{"body":{"content":"多梦易醒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050709791},{"body":{"content":"收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736412},{"body":{"content":"根据您目前描述的症状（和舌象等资料），考虑为肝郁、湿热的表现为主的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050818255},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820199},{"body":{"content":"没有药物过敏史 没有慢性病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050854688},{"body":{"content":"跟肾虚没关系吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050903652},{"body":{"content":"有关的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949752},{"body":{"content":"这些都会伤阴的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959753},{"body":{"content":"我该用点什么药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979367},{"body":{"content":"稍等，为您开方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050986961},{"body":{"content":"******，1次4粒，1天3次口服；六味地黄丸，口服，一次8丸，一天3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036627},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051037851},{"body":{"content":"为什么就是性欲特别高呢？是哪里有火吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051105436},{"body":{"content":"阴虚火旺 的表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122107},{"body":{"content":"湿热也是火","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051141041},{"body":{"content":"都会性欲旺","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147234},{"body":{"content":"就先吃您开的两种药就行是吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051154368},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051181696},{"body":{"content":"一个月一疗程，无特殊情况一般1周或者2 复诊，根据舌苔及症状的变化调整处方，这样针对性强些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185243},{"body":{"content":"开的是9天的量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051192293},{"body":{"content":"建议日常不要熬夜，不能过度思虑，清淡饮食，不要过食辛辣、寒凉食品，戒烟限酒；保持心情愉快有利于疾病的快速恢复；定期复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051214610},{"body":{"content":"复诊时可以打开京东APP，在搜索栏中搜索“***”即可找到我的（轮休状态下图文显示黑白或是不显示，您换个时间段咨询即可）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051219592},{"body":{"content":"好的。两周之后我再麻烦您。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051235566},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051243080},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051295290},{"body":{"content":"如果没有其他问题的话，这边稍后就先为您结束问诊了。希望我的建议能够帮助到您，感谢您的信任，祝您生活愉快，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051298065},{"body":{"content":"好的。再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051369643}]

男31岁

2022.05.20