刘继帅

[{"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":1653050114331},{"body":{"content":"您好，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116283},{"body":{"content":"您好，非常抱歉哈，这款没有增品的哈。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050157918},{"body":{"content":"母乳喂养妈妈不要吃油腻辛辣刺激的食物。\n\n奶粉喂养两餐之间给宝宝喂点温开水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050179124},{"body":{"content":"平时给宝宝多吃水果，蔬菜，容易消化的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186334},{"body":{"content":"您可能忙，没关系我一直都在。您有问题随时找我，我会第一时间回复到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188377}]

女

2022.05.20

[{"body":{"content":"你好！请问宝宝目前多大了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049793053},{"body":{"content":"目前有什么不适的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049801347},{"body":{"content":"5个月10天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049807624},{"body":{"content":"**和辅食都正常吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049829421},{"body":{"content":"还有洗澡也正常洗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049844914},{"body":{"content":"宝宝已经添加了辅食吗？辅食要满六个月才建议添加","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049851886},{"body":{"content":"宝宝没有不舒服的症状，可以洗热水澡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049865032},{"body":{"content":"这两天刚开始吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049868680},{"body":{"content":"*********，不要让孩子受凉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049879067},{"body":{"content":"辅食满六个月可以添加不建议添加太早","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049891006},{"body":{"content":"如果孩子有缺钙，可以吃**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049901956},{"body":{"content":"有点流鼻涕 咳嗽和打喷嚏比较严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049908009},{"body":{"content":"那可以用*********喷喷鼻子","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921699},{"body":{"content":"宝宝目前吃奶精神状态玩的都好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935568},{"body":{"content":"看了医生吃了药效果也不是太好 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049954601},{"body":{"content":"精神状态还是很好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049965659},{"body":{"content":"胃口也一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049995956},{"body":{"content":"是的，感冒没有特效药，属于自限性疾病，一周会自然好转","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049999923},{"body":{"content":"那就用*********喷喷鼻子就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050010638},{"body":{"content":"不需要吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050019715},{"body":{"content":"感冒原因因该是上前天烤烧烤呛了烟 引起咳嗽 然后今天吃辅食又呛起了然后就咳嗽打喷嚏流鼻涕了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050124389},{"body":{"content":"嗯，避免一些污染的粉尘烟雾呛着宝宝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050151509},{"body":{"content":"本来昨天基本很少咳嗽 今天呛到了就加重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050175263},{"body":{"content":"咳嗽症状比较多，那可以给宝宝吃上点小儿咳嗽糖浆","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050221394},{"body":{"content":"好的 谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302478},{"body":{"content":"嗯嗯，别客气！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330394}]

男5个月11天

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":"回了一趟老家然后就这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049750704},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049771479},{"body":{"content":"尊敬的PLUS会员，您好。我是全科医生任佳，非常高兴由我为您提供医疗咨询服务，请问您有哪些医药问题需要咨询的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050005837},{"body":{"content":"宝宝家长您好，请问孩子上述皮肤皮损情况有几天了？孩子是有搔抓动作导致局部皮损破溃是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050053519},{"body":{"content":"皮疹发作前是否伴有，腹痛，腹泻，发热，呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050146625},{"body":{"content":"您好，本次问诊还在进行中，请问您还在关注吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350553},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050918282},{"body":{"content":"您好，请问孩子上述皮肤皮损情况有几天了？孩子是有搔抓动作导致局部皮损破溃是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964605},{"body":{"content":"迟迟没有收到您的回复，鉴于您离线，我根据您的描述，给您一些建议， 结合宝宝上述皮损部位图片信息，建议您带宝宝线下公立医院皮肤科面诊，根据查体及皮肤镜检进一步明确宝宝皮损的性质。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051605309},{"body":{"content":"由于关诊时间临近，系统将会自动关闭，疾病的诊断及治疗需要您提供宝宝的症状，病情演变情况，既往病史等相关信息，如果您现在不方便，建议您方便的时候再来咨询，并保持在线，我们再进行详细沟通，以便给您提供帮助。非常感谢您的关注与信任，祝您生活愉快。再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052113253},{"body":{"content":"考虑您掉线可能，带您上线后可尝试联系客服，为您做出问诊次数补充等操作。感谢您的理解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148971}]

女2岁6个月

2022.05.20

[{"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":1653050087531},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098350},{"body":{"content":"抗体阳性，提示幽门螺旋杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103688},{"body":{"content":"幽门螺杆菌感染的症状主要是反酸、烧心以及胃痛、口臭。幽门螺杆菌感染能够引起慢性胃炎。主要临床表现有：上腹部不适、隐痛，有时发生嗳气、反酸、恶心、呕吐的症状，病程较为缓慢，但是容易反复发作。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050111063},{"body":{"content":"我母亲幽门螺杆菌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111958},{"body":{"content":"恩恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117356},{"body":{"content":"之前药物治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050123871},{"body":{"content":"目前治疗是四联治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366397},{"body":{"content":"疗程为2周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369845},{"body":{"content":"这些症状目前还没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050578532},{"body":{"content":"到检查显示幽门螺杆菌超","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595386},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607365},{"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":1653050614170},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050732835},{"body":{"content":"有中度脂肪肝，无其他病症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769374},{"body":{"content":"稍等，为您开方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843572},{"body":{"content":"*****，一次500mg，一日2次，饭后服用；******，一次1000mg，一日2次，饭后服用； ********，一次20mg，一日2次，饭前服用；*******，一次0.6g，一日2次，饭前服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240919},{"body":{"content":"幽门螺旋杆菌感染 注意事项：\r①注意休息，保持良好情绪，规律作息。\r②三餐定时，饮食清淡易消化，进食要细嚼慢咽，避免过饱，忌烟酒、适当饮水，避免食用生冷、辛辣、油腻的食物。保持口腔健康（勤漱口、刷牙）。\r③幽门螺旋杆菌主要经过消化道传播（主要是共用餐具进餐），建议和您长期一起共用餐具的人进行碳13或碳14呼气试验检查，以便同时治疗，治疗时建议分餐，并做好餐具消毒。\r④幽门螺旋杆菌治疗疗程为2周，建议您治疗疗程结束后停药1月后复查碳13或碳14呼气试验。服药过程中可能会出现黑便（大部分是药物所致），若无症状加重情况，比如：乏力、头晕、胃痛等，建议您观察；反之，建议线上问诊或医院就诊。⑤ 如有不适，及时线上问诊或线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251488},{"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":1653051380153},{"body":{"content":"您好，请问还有**问题需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383024}]

男60岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0081，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050473597},{"body":{"content":"您好，请问您有什么用药问题需要咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050475311},{"body":{"content":"生脉饮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495419},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050515389},{"body":{"content":"贫血，血压低，的人适合喝生脉饮吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050524592},{"body":{"content":"女，五十岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050540845},{"body":{"content":"功能主治】 *****生津。用于气阴两亏，心悸气短，自汗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553036},{"body":{"content":"凡脾胃虚弱，呕吐泄泻，腹胀便溏、咳嗽痰多者慎用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050585427},{"body":{"content":"我想买可以买吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050616232},{"body":{"content":"生脉饮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050621880},{"body":{"content":"还有别的疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050632075},{"body":{"content":"我刚说的症状，可以购买生脉饮吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638744},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645681},{"body":{"content":"就是贫血，血压低","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657659},{"body":{"content":"买给我妈妈喝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050665191},{"body":{"content":"好的 可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050665410},{"body":{"content":"是不是可以**胃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050682433},{"body":{"content":"生脉饮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687697},{"body":{"content":"脾胃虚弱是不能喝的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696650},{"body":{"content":"那有没有其他药可以推荐呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050717858},{"body":{"content":"我刚说的症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050726246},{"body":{"content":"黄芪精","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050742008},{"body":{"content":"我的理解是，**胃了就会感到饿，就可以多吃饭，吃饭多了贫血就会好些了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050790409},{"body":{"content":"贫血严重 是需要 治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050815574},{"body":{"content":"食补效果不好就要吃治疗贫血的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831813},{"body":{"content":"缺铁性贫血需要喝些什么好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865017},{"body":{"content":"这是另外一个问题哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050874784},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905756},{"body":{"content":"一次喝几粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051092336},{"body":{"content":"两粒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098093},{"body":{"content":"最多是2粒 一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108158},{"body":{"content":"一次是1-2粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051114996},{"body":{"content":"好吧，这个作用好像不太大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051151820},{"body":{"content":"您缺铁性贫血还服用什么药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051170974},{"body":{"content":"之前朋友怀孕的时候喝过这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051172994},{"body":{"content":"中药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051182416},{"body":{"content":"是这个吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051221753},{"body":{"content":"还有******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051226119},{"body":{"content":"*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051252758},{"body":{"content":"都效果不好吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051264043},{"body":{"content":"不是哈，中医开的中药 需要煎服喝的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051294326},{"body":{"content":"貌似感觉比以前好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320719},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328431},{"body":{"content":"贫血是需要坚持用药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051354880},{"body":{"content":"服用药物一个月 检查下血常规的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383479},{"body":{"content":"嗯，大概喝药的话需要治疗多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051386016},{"body":{"content":"一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051416853},{"body":{"content":"服用一个月复查血常规，有上升的话，还需要继续用药治疗是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051475467},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490829},{"body":{"content":"上升到多少克就可以不需要药物治疗了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051532093},{"body":{"content":"稍等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051545450},{"body":{"content":"女性患者血红蛋白<110g/L通常也提示出现贫血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051572914},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051590386},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051596888},{"body":{"content":"嗯，好的，我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051641137},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051670889},{"body":{"content":"对了，你刚才说的***效果好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051694619},{"body":{"content":"功能主治是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051710435},{"body":{"content":"黄芪精也是有一定的作用 稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051714914},{"body":{"content":"补血养气，**止汗。用于气虚血亏，表虚自汗，四肢乏力，精神不足或久病衰弱，脾胃不壮。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051800714},{"body":{"content":"贫血就会血压低","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051852173},{"body":{"content":"是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051857288},{"body":{"content":"有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051871753},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051890428},{"body":{"content":"好的 我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051895261},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051900407},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051900796},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051906017},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051908294},{"body":{"content":"很高兴为您服务，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051910664}]

女

2022.05.20

[{"body":{"content":"您好，我是精神科吴医生！请问有什么能帮您呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049659473},{"body":{"content":"您****，我想开点*****和****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988560},{"body":{"content":"可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066059},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107989},{"body":{"content":"请问：1，目前病情是否稳定？\n 2，最近服药有严重的副反应吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050109671},{"body":{"content":"目前病情稳定，无不良反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050173004},{"body":{"content":"1，具体想开哪个药？\n请发一下要开的药的照片或图片，以确定厂家、剂型、规格。\n2，几盒？（限开4周用量）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230757},{"body":{"content":"***的，75mg的****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301305},{"body":{"content":"**的，******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339532},{"body":{"content":"各几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385855},{"body":{"content":"******开3盒，*****开2盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388268},{"body":{"content":"您诊断是什么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428474},{"body":{"content":"抑郁症，外加神经衰弱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458205},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050534856},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050573507},{"body":{"content":"购药处方已为您开好。 等药师审核后，请点进上面的处方，点“查看详情”，再点“预约药品”购买药品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050591158},{"body":{"content":"感谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685716},{"body":{"content":"别客气，为了用药安全，请定期1到3个月去线下门诊就诊复查。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050697275},{"body":{"content":"如果可以，请给一下五星好评，非常感谢您！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700146},{"body":{"content":"已好评，十分感谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050759069},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050775797}]

女58岁

2022.05.20

[{"body":{"content":"[**]1（男性患者）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?是否正在服用药品？是否在备育期？\n[**]2（女性患者）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?是否正在服用药品？是否在备孕期、妊娠期或哺乳期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965180882},{"body":{"content":"您好，眼睛什么症状？请详细描述一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965184346},{"body":{"content":"症状多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965189121},{"body":{"content":"去医院检查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965194004},{"body":{"content":"前几天孩子一只眼红，过几天没有好转，另一只也有点发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965227554},{"body":{"content":"有分泌物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965245360},{"body":{"content":"是红血丝吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965251793},{"body":{"content":"没有去，想明天去医院做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965252392},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965256716},{"body":{"content":"还有其他症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965260157},{"body":{"content":"没有分泌物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965262071},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965265728},{"body":{"content":"结膜炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965271333},{"body":{"content":"使用******和","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965276430},{"body":{"content":"毛巾冷水拧干冷敷缓解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965281298},{"body":{"content":"这个影响因素有什么原因呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965306363},{"body":{"content":"嗯考虑是过敏或者是细菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965328743},{"body":{"content":"要经常给孩子洗手，注意手部眼部的卫生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337209},{"body":{"content":"如果特别痒过敏的话，就使用******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965353688},{"body":{"content":"没有血块，只是白眼球发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965354463},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965359458},{"body":{"content":"痒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965364987},{"body":{"content":"会不会跟颅内压高有关","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965373132},{"body":{"content":"不只是红血丝吗？孩子还有其他症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965387326},{"body":{"content":"还有其他疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965391869},{"body":{"content":"没见孩子有什么其他异常反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965394051},{"body":{"content":"他还有其他疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965401791},{"body":{"content":"没有其他疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965404999},{"body":{"content":"眼睛有红血丝，属于挺正常的一件","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965407177},{"body":{"content":"眼睛红血丝一般结膜炎过敏都会有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965414168},{"body":{"content":"吃饭睡觉没有任何影响","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965418122},{"body":{"content":"嗯，那没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965425267},{"body":{"content":"考虑是结膜炎，经常给孩子洗手","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965430913},{"body":{"content":"有半个月了，不见好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965438809},{"body":{"content":"毛巾冷敷缓解红血丝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965439391},{"body":{"content":"给孩子使用什么药物进行治疗了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965446341},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457374},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965462818},{"body":{"content":"给孩子摸*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965475391},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965482005},{"body":{"content":"涂抹*****没有见效果吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965487563},{"body":{"content":"痒不痒？如果特别痒的话，考虑是过敏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965492697},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965499895},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965503912},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965504860},{"body":{"content":"使用点***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965508413},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965517874},{"body":{"content":"感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528186},{"body":{"content":"治疗期间，注意用眼卫生，避免劳累，避免过度使用电子产品，多吃新鲜的水果和蔬菜，忌辛辣刺激的食物，情况没有改善时，建议及时就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965529312},{"body":{"content":"不客气祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965534613},{"body":{"content":"祝早日康复，健康幸福，感谢支持请为我的服务作出完整全面评价，十分感谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965537723},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965550704},{"body":{"content":"感谢支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965558449}]

女2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，我正在详细阅读您提供的相关信息。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049568431},{"body":{"content":"您好 开的中药药方有嘛？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049608124},{"body":{"content":"现在医生开的药吃两剂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049609515},{"body":{"content":"有的，等一下，我拍一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049621073},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049624090},{"body":{"content":"医生，辛苦您看看了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049861140},{"body":{"content":"现在咳嗽是什么样的？一阵一阵的还是？有诱因嘛？嗓子疼么？有痰嘛？除了咳嗽还有其他症状嘛？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049910043},{"body":{"content":"是桑子痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921362},{"body":{"content":"哦 还有其他症状么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049982344},{"body":{"content":"偶尔有痰，黄色，一阵子咳，喉咙痒就咳，没有其他症状了，嗓子不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049989615},{"body":{"content":"白天晚上都会咳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021585},{"body":{"content":"嗯 那就目前您提供的信息来看 这个药还是对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028567},{"body":{"content":"但是吃完以后咳嗽的次数多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050055585},{"body":{"content":"因为您目前也有一些外感的症状 感冒没好彻底 所以用了一下解表的药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050061968},{"body":{"content":"那咳嗽次数增多是什么原因呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050089087},{"body":{"content":"可能解表散寒的药偏热 所以导致咳嗽加重了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050109042},{"body":{"content":"但是也需要先把外感治好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129460},{"body":{"content":"那是继续吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050133091},{"body":{"content":"这边医生还交代煲药之前放三片姜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050152870},{"body":{"content":"是的 对 他这个都是解表治感冒的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192139},{"body":{"content":"好的，那我们继续吃，谢谢你，放心多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050243266},{"body":{"content":"辛苦您了，十分感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050284056},{"body":{"content":"不客气 没有外感症状之后可能还要着重治咳嗽 咳嗽是比较不好好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296054},{"body":{"content":"有个心理准备","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304135},{"body":{"content":"就是说还有继续看医生，继续吃药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327045},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050335731},{"body":{"content":"一般情况下，多久才能好呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050353985},{"body":{"content":"这个没有一般 都是因人而异的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367210},{"body":{"content":"好的，谢谢医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050376726},{"body":{"content":"咱们比较年轻 积极治疗 不用太担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384092},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050389686},{"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":1653050427442},{"body":{"content":"没有了呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050443401},{"body":{"content":"希望我的建议能够帮助到您，右上角有表扬医生的按钮，您可以对我本次的服务进行评价，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050446981},{"body":{"content":"谢谢医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449441},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050452951},{"body":{"content":"后续如果您还有需要咨询的问题，在您的咨询列表里找到我。或者打开京东互联网医院，在搜索栏搜我的名字即可找到我，欢迎您随时留言咨询。祝您生活健康每一天！下次再会！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050455126}]

男32岁

2022.05.20

[{"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":1653050877588},{"body":{"content":"从刚开始到现在，这种情况大概有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050879188},{"body":{"content":"局部有无瘙痒或疼痛不适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050890804},{"body":{"content":"有一点痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905091},{"body":{"content":"有三四个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050918927},{"body":{"content":"目前局部皮肤是没有破损渗液的对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920688},{"body":{"content":"现在没破，之前抓烂长好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952407},{"body":{"content":"身上其他部位还有这种情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955556},{"body":{"content":"目前局部是有用药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962691},{"body":{"content":"身上有小红点，不知道是不是，也就是腿上有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995607},{"body":{"content":"还没有用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051004001},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047549},{"body":{"content":"目前您这种情况考虑瘢痕瘙痒的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051068484},{"body":{"content":"请问有无肝肾功异常、药物过敏史、相关用药禁忌及其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074117},{"body":{"content":"上述情况有没有呢，这边给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051075773},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051092445},{"body":{"content":"目前可以使用*****，局部外涂 早晚各一次，缓解瘙痒不适，局部长好以后，如果想去除局部瘢痕，可以先局部外用****** 每天三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112828},{"body":{"content":"药物治疗效果不佳的情况下可以选择线下皮肤科做激光祛疤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051127516},{"body":{"content":"感觉这不像是疤啊，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165444},{"body":{"content":"之前这个部位受过外伤吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051183861},{"body":{"content":"看有说的说是湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051195556},{"body":{"content":"如果有抓破过，局部还是有伤口情况，既往之前这个部位考虑是皮炎或湿疹的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231653},{"body":{"content":"没有，就以为是蚊子咬的，抓了几次烂了又好，就成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051248554},{"body":{"content":"目前主要是缓解局部瘙痒症状，同时用药缓解这种色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051254862},{"body":{"content":"那您当时这种还是考虑是蚊虫叮咬导致的，本身是小问题，但是由于抓破了，进一步加重，变成现在的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280760},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051319913},{"body":{"content":"建议后续规律使用药物对症观察1周，做好局部皮肤的清洁及保湿**，避免接触刺激性物品，清淡饮食，避免熬夜劳累，不适皮肤科随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051338255},{"body":{"content":"治疗期间您有其他问题需要问诊咨询，打开京东APP，搜索我的名字即可点诊我为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051343489},{"body":{"content":"那到底是啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051365528},{"body":{"content":"湿疹么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051374355},{"body":{"content":"考虑是局部蚊虫叮咬后导致的皮炎，您搔抓刺激以后局部皮肤破损引起的局部炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389623},{"body":{"content":"留下了色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051393298},{"body":{"content":"暂时不考虑湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051482018},{"body":{"content":"皮炎的话用什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051510641},{"body":{"content":"目前上述给您建议的药物都是对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520480},{"body":{"content":"您可以使用1周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051527809},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051679840},{"body":{"content":"后续用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌及注意事项中提及的问题可使用，使用请严格遵循说明书用法用量，如在用药过程中出现不适则请及时停药，同时上线咨询或线下就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051704594},{"body":{"content":"如果没有其他问题，这边就先帮您关闭问诊了，希望我的建议能够帮助到您，非常感谢您的信任","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051706604}]

男25岁

2022.05.20