刘继帅

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965252829},{"body":{"content":"你好，我亲人头部撞伤了，现在人在昭平县人民医院，想去你们医院治疗 你好，我亲人头部撞伤了，现在人在昭平县人民医院，想去你们医院治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965296231},{"body":{"content":"重伤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965315750},{"body":{"content":"这个**特别是病情比较复杂的情况下，需要尽管医生的同意，并且还要适合转院的指正。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965463709},{"body":{"content":"这个病情比较复杂的情况下，需要尽管医生的同意，并且还要适合转院的指正。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965481670}]

男55岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，我是京东互联网医院神经内科主治医师齐灵铄。请稍等，我正在详细阅读您的病情描述。如有病情或者检查需要补充，您可继续上传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965474578},{"body":{"content":"您好，能具体描述一下您的情况吗？或者上传一下报告单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965489015},{"body":{"content":"医生你好，我二十六岁，女性，我经常感到喉咙异物感，然后去查了甲状腺功能，和甲状腺Ｂ超，结果是******* 4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965593562},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965631090},{"body":{"content":"您好，您是患者本人吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965692121},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965710334},{"body":{"content":"除了超声您还做过其他检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965729403},{"body":{"content":"甲功九项","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965774646},{"body":{"content":"结果正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965789345},{"body":{"content":"请您帮我看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965822677},{"body":{"content":"您的这种情况建议您及时线下公立三甲医院，耳鼻喉科就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965882355},{"body":{"content":"部分医院可能在甲乳科，普外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965923067},{"body":{"content":"我需要穿刺吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966021897},{"body":{"content":"建议尽快检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966035438},{"body":{"content":"癌变的机率高不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966058607},{"body":{"content":"目前不好确定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966074522},{"body":{"content":"您及时检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966082820},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966587351},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966590656},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966598492}]

女26岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050171337},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050186761},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050287048},{"body":{"content":"有什么问题・_・?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291417},{"body":{"content":"之前有结石，已经排出去了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050500867},{"body":{"content":"这个是今天复查的报告。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507285},{"body":{"content":"请问，能看出来什么吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050528226},{"body":{"content":"嗯，结石已经排出来了，挺好的啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581870},{"body":{"content":"现在已经没有问题了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590972},{"body":{"content":"这句话，代表什么啊？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619642},{"body":{"content":"髂血管旁，可能有血管钙化，或者淋巴结钙化，没有明显的临床意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050666807},{"body":{"content":"有什么危害么？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050692411},{"body":{"content":"没有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050711336},{"body":{"content":"这个是肾结石么？？还是输尿管结石？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050739928},{"body":{"content":"如果肾结石，或者输尿管结石，会有肾积水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050903948},{"body":{"content":"报告没有提示肾积水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050911078},{"body":{"content":"所以暂不考虑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050916748},{"body":{"content":"那，，，是什么结石呢。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050924850},{"body":{"content":"这可能是血管钙化，或者淋巴结钙化","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952152},{"body":{"content":"钙化灶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955679},{"body":{"content":"不是结石","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962460},{"body":{"content":"当时痛的走不了路。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050987150},{"body":{"content":"医院医生说是结石。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050994783},{"body":{"content":"是的，当时不是有肾积水么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051032913},{"body":{"content":"右肾集合系分离","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051055743},{"body":{"content":"就是积水的意思","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051062865},{"body":{"content":"不知道额。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051106981},{"body":{"content":"医生没说。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051110594},{"body":{"content":"报告上写了？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116594},{"body":{"content":"吃完**的药。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306733},{"body":{"content":"也确实排出来了一点点小石头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051315596},{"body":{"content":"结石已经排出来了，预防也很重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051564407},{"body":{"content":"避免复发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051574461},{"body":{"content":"现在没什么问题了嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051707961}]

女40岁

2022.05.20

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050046786},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050049868},{"body":{"content":"闲趣 自然清咸原味薄脆饼干 休闲零食带提手礼盒装900g（普通装和加量装随机发货 介意慎拍）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050126627},{"body":{"content":"都是独立小包装","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050144938}]

女

2022.05.20

[{"body":{"content":"以前去医院看过吗用药了吗效果怎么样？根据上述情况我可以给您一些用药建议。为用药安全，请问是否有肝肾功能损伤，请问是否有严重药物过敏史或者药物严重不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965132020},{"body":{"content":"图片看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965134390},{"body":{"content":"身上很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965158594},{"body":{"content":"过敏可以吃抗过敏药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965173771},{"body":{"content":"外用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965175694},{"body":{"content":"可以擦这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965240638},{"body":{"content":"宝宝因为发烧了 给宝宝擦了酒 大人没经验所以造成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965328826},{"body":{"content":"在吗 医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965405971},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528293},{"body":{"content":"听的到吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965545633},{"body":{"content":"我们这边疫情出去不了 家里只有这个药 因为宝宝身上面积大 没有用这个*******， 我就是问看这个药能用不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965643738},{"body":{"content":"这几样 能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965742614},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965781470},{"body":{"content":"哦哦 好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965811717},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965857003},{"body":{"content":"不客气祝宝贝健康，结束后记得给我个好评哦感谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862955},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965994537}]

女1岁

2022.05.20

[{"body":{"content":"你好，青岛大学附属医院有足踝外科，一般是放在四肢骨骨科里面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965632045},{"body":{"content":"怎么了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965636345},{"body":{"content":"有什么需要帮忙","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965640440},{"body":{"content":"能帮忙看个核磁吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965686642},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965698605},{"body":{"content":"把片子和检查结果一起发过来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965714552},{"body":{"content":"你这个有积液，有点韧带损伤，但是没有出现断裂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965816702},{"body":{"content":"这个可以先考虑保守治疗，保守治疗期间定期复查，如果好转就继续治疗，如果病情加重就要考虑做修复术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874173},{"body":{"content":"损伤是撕裂吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965874345},{"body":{"content":"是的，撕裂伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965882823},{"body":{"content":"保守了六个月有效果，但是左右脚踝不一样大了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965916595},{"body":{"content":"没有断裂吗？只是撕裂了多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965933533},{"body":{"content":"能前后左右各个方向活动吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965948657},{"body":{"content":"图片来看没有完全的断裂，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965965617},{"body":{"content":"可以，没啥问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965965705},{"body":{"content":"这个肯定会不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965974399},{"body":{"content":"受过伤的就是受过伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965983511},{"body":{"content":"和原装货肯定不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990394},{"body":{"content":"怎么继续恢复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966005785},{"body":{"content":"只要它功能正常的就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966011113},{"body":{"content":"需要吃点药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966015761},{"body":{"content":"爆发没以前高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966025893},{"body":{"content":"平时适当功能锻炼，可以喷的******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966030207},{"body":{"content":"揉一揉，功能锻炼就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966041351},{"body":{"content":"需不需要稳定性力量训练","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966077633},{"body":{"content":"大约还需要多久能恢复到之前","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966127854},{"body":{"content":"这个受伤的前三年都会不舒服，后期会**好起来，但是很难恢复到和之前一模一样，只能比较接近之前的状态","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966247888},{"body":{"content":"前三年吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966320823},{"body":{"content":"我不会残疾吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966328783},{"body":{"content":"不会残疾的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966369602},{"body":{"content":"你是骨关节医生吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966398895},{"body":{"content":"我是全科医生，之前做骨科医生，现在做外科医生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966442436},{"body":{"content":"你的情况大概就是这样的。如果你想指定莫个人去看，可以直接指定的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966478144},{"body":{"content":"好的，我这个脚踝问题大不大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966589514},{"body":{"content":"只能说目前还好，加强功能锻炼就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966638161},{"body":{"content":"好的 谢谢你医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966686744},{"body":{"content":"不用谢，祝早日康复，身体健康，万事如意。如果后面有什么问题可以随时找我，你可以关注一下，或者指定我为你的私人医生，方便以后健康咨询。亲，等下系统会自动发一个评价界面过来，记得给一个免费的五星好评哦，非常感谢您的支持！再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966735133},{"body":{"content":"医生，您帮我看下距骨有撕脱吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652979612769},{"body":{"content":"韧带有损伤，骨头没有看到明显得断裂之类的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652997594683}]

男25岁

2022.05.20

[{"body":{"content":"您好，我是主治医师谭久志，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050314547},{"body":{"content":"您好，我是中医科医生，只能从中医角度跟您讲一下您咨询产品的性、味、归经，以及食用建议，具体产品相关的问题，辛苦您 点击加入购物车左边的“客服”按钮，直接联系商家的客服，他们会为您进行详细解答","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050317493},{"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":1653050320127},{"body":{"content":"希望我的建议能够帮到您！非常感谢您的信任！对话结束后麻烦您点击右上角表扬医生，您的好评是对我最好的肯定和鼓励，以后您遇到任何健康方面的问题都可以找我咨询，直接在京东主页搜索（我的名字谭久志医生）就可以很方便的找到我。祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050322393},{"body":{"content":"牛奶可以退货吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050406271},{"body":{"content":"怎么都找不到客服的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050419429},{"body":{"content":"您哪里","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050424628},{"body":{"content":"晕，买个牛奶来个医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050442387},{"body":{"content":"你们是什么意思","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050450489},{"body":{"content":"您好，我是中医科医生，只能从中医角度跟您讲一下您咨询产品的性、味、归经，以及食用建议，具体产品相关的问题，辛苦您 点击加入购物车左边的“客服”按钮，直接联系商家的客服，他们会为您进行详细解答","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050459563},{"body":{"content":"您找客服吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050473702},{"body":{"content":"希望我的建议能够帮到您！非常感谢您的信任！对话结束后麻烦您点击右上角表扬医生，您的好评是对我最好的肯定和鼓励，以后您遇到任何健康方面的问题都可以找我咨询，直接在京东主页搜索（我的名字谭久志医生）就可以很方便的找到我。祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050505352}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049820341},{"body":{"content":"疼不疼痒不痒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049825634},{"body":{"content":"疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049830392},{"body":{"content":"开始是*****有疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049867819},{"body":{"content":"这样的情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049868128},{"body":{"content":"三四天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049871999},{"body":{"content":"有没有衣服摩擦痛，牵扯到其他部位的疼痛感？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049886390},{"body":{"content":"不碰就疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049900463},{"body":{"content":"请问是分布于身体的单侧吗？都在左边或者右边","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049920582},{"body":{"content":"右边胳膊上边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020483},{"body":{"content":"据您的情况考虑带状疱疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050026380},{"body":{"content":"俗称蛇盘疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050033204},{"body":{"content":"这个有一定传染性的.病毒感染导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050052323},{"body":{"content":"出现这种情况的原因是上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050056221},{"body":{"content":"目前有在用药治疗吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056412},{"body":{"content":"传染导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063164},{"body":{"content":"没有 因为疫情没法出去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050072093},{"body":{"content":"治疗的话需要怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050082294},{"body":{"content":"下面给您针对性的用药建议。为了安全用药，请问既往是否有药物过敏史？肝肾功能正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050148131},{"body":{"content":"没有过敏史 肝肾功能正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050160093},{"body":{"content":"目前疼痛是否明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182239},{"body":{"content":"明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050213049},{"body":{"content":"好的稍等，我这边给您发送药物链接，使用前请您仔细阅读说明书中禁忌，注意事项，如无禁忌可使用，若期间出现任何不适及时复诊或线下医院进一步就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050282003},{"body":{"content":"处方上边开具好了，可以直接购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501618},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050513593},{"body":{"content":"***吃完 另外一个口服药使用7-10天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524129},{"body":{"content":"确定是这个病症是吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050540896},{"body":{"content":"据我的临床经验是要考虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553914},{"body":{"content":"如果需要明确诊断的话需要到线下医院皮肤科做检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050564993},{"body":{"content":"建议您保持患部清洁卫生，避免摩擦刺激，清淡饮食，避免辛辣刺激食物，避免饮酒，避免熬夜及劳累。期间要和老人小孩隔离，避免传染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050627651},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050661085},{"body":{"content":"希望我的建议能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050718704},{"body":{"content":"请问您是否还有其他问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050719819},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050726597},{"body":{"content":"如果您对我的服务满意，可以点击手机右上角“表扬医生”给我五星好评，您的好评是对我工作最好的肯定和鼓励。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732248}]

男55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":1653051288686},{"body":{"content":"鼻子黑头肉眼可见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291720},{"body":{"content":"为了方便医生对病情做出正确的判断，您能发一个异常地方的图片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051292070},{"body":{"content":"皮肤表面黑色素太多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051305904},{"body":{"content":"用那个洗面奶好呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051314445},{"body":{"content":"目前方便拍一个面部的图片吗，我帮您看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330102},{"body":{"content":"鼻子有事容易出油","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051335498},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338792},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051346597},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051401807},{"body":{"content":"目前有用药治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051405926},{"body":{"content":"相机看不见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051407458},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051410416},{"body":{"content":"有好用的洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418841},{"body":{"content":"目前您的情况考虑黑头粉刺的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425760},{"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":1653051429951},{"body":{"content":"上述情况有没有呢，这边给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432168},{"body":{"content":"不用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051437902},{"body":{"content":"你介绍个洗面奶吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447709},{"body":{"content":"目前主要是注意局部皮肤清洁及**，可以的话可以适当用点改善油脂分泌及局部对症的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051458696},{"body":{"content":"如果是洗面奶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461047},{"body":{"content":"可以使用这种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051470824},{"body":{"content":"建议您平时要清淡饮食，避免进食辛辣刺激，油腻及过甜的食物，同时做好面部清洁，避免抠抓挤压，生活规律，避免熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051560745},{"body":{"content":"其他还有什么可以帮到您吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562072},{"body":{"content":"可以去黑头嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051570441},{"body":{"content":"去黑头的话还是建议用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582777},{"body":{"content":"洗面奶的作用是比较小的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051588161},{"body":{"content":"用这个还用洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051624854},{"body":{"content":"还是建议使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051636376},{"body":{"content":"平时的护肤也比较重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642392},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051644590},{"body":{"content":"您没有药物禁忌吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051651154},{"body":{"content":"平时保养都用什么呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051654351},{"body":{"content":"我感觉我脸越来越油了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051678169},{"body":{"content":"之前还不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051682790},{"body":{"content":"是的，所以可以建议用点药物来改善一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051696192},{"body":{"content":"没有上述禁忌的情况下建议您 搭配维生素B6片 口服 每次2片20mg 每天一次 缓解油脂分泌过多情况，同时局部黑头处点涂****** 晚上避光使用一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051738971},{"body":{"content":"去黑头怎么去呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051748088},{"body":{"content":"柔和点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751882},{"body":{"content":"*****主要是改善油脂分泌，******可以改善局部黑头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051774161},{"body":{"content":"平时用洗面奶洗脸后适当使用水乳面霜就可以的，做好保湿**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051806442},{"body":{"content":"那个洗面奶用着好点也","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051871766},{"body":{"content":"目前给您推荐的可以控油祛痘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051891267},{"body":{"content":"效果还是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051896234},{"body":{"content":"配合药物一起使用，一般2周左右会有一定的改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051914931},{"body":{"content":"后续您可以根据药物效果找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051922546},{"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":1653051929213},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051946528},{"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":1653051958164},{"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":1653051959684}]

男19岁

2022.05.20

[{"body":{"content":"您好，我是中医科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050438341},{"body":{"content":"结石多大呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050445469},{"body":{"content":"这个是我前两天拍的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468280},{"body":{"content":"激光也打不掉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050501784},{"body":{"content":"0.3cm","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518189},{"body":{"content":"去年10月份查的时候是0.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050521891},{"body":{"content":"然后今年上半年军检查的事0.4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050537136},{"body":{"content":"吃点中药排","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545341},{"body":{"content":"现在变成2个最大的事0.3","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555114},{"body":{"content":"尿酸查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050558628},{"body":{"content":"0.3的一般可以排出去的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050565359},{"body":{"content":"没有检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569046},{"body":{"content":"我这个时间挺长了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576313},{"body":{"content":"可以么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580210},{"body":{"content":"还是可以排出去的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592461},{"body":{"content":"我看看您的舌象","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595863},{"body":{"content":"舌淡白，苔白腻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636302},{"body":{"content":"请问您有怕冷，性欲减退，畏寒肢冷，腰膝以下尤甚，腰膝酸软，头晕耳鸣，小便清长，夜尿多的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050644700},{"body":{"content":"夜尿没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050659213},{"body":{"content":"怕冷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663830},{"body":{"content":"腰疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674690},{"body":{"content":"去年有过耳鸣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681785},{"body":{"content":"小便黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687416},{"body":{"content":"根据您提供的信息及症状，目前初步考虑肾阳虚，寒湿证。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050690288},{"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？请问您在备育期吗？以便我给您用药建议，如果以上都没有，可以回答“都没有”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698266},{"body":{"content":"水喝多了就白色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699418},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702091},{"body":{"content":"那这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050710165},{"body":{"content":"肾结石","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050719687},{"body":{"content":"吃什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050723319},{"body":{"content":"以上用药禁忌可以排除吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754429},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769135},{"body":{"content":"肝肾功能异常及其他慢性病史吗？请问您在备育期吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779472},{"body":{"content":"没有任何疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785391},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050793304},{"body":{"content":"您看是选择中成药还是中药配方（自煎、代煎、**剂）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050796934},{"body":{"content":"我有手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050816113},{"body":{"content":"好多年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050819252},{"body":{"content":"代煎吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050837265},{"body":{"content":"请您稍等，给您开具中药，估计需要3-5分钟。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857175},{"body":{"content":"肾结石？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906187},{"body":{"content":"是一起调理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050922215},{"body":{"content":"还有手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050965427},{"body":{"content":"了解了，您目前考虑肾阳不足了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050982718},{"body":{"content":"您稍等我一下，我给您开方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051045843},{"body":{"content":"退出来要重新点处方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053600},{"body":{"content":"给您开的是代煎好的中药，一日3次，一次1袋，服用前温一下，剩余冰箱冷藏。服用7日，观察疗效，再上线复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051440434},{"body":{"content":"中药反应：如您在用药过程中出现不适如皮疹、皮肤瘙痒、发热等，请您及时上线咨询或去医院就诊。 不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051445550},{"body":{"content":"建议您宜选用甘温补脾阳、温肾阳为主的食物，如**、韭菜、红茶、**等。少食生冷、苦寒、黏腻食物，如螃蟹、绿茶、冷冻饮料等。平时1、注意休息，保持良好情绪，规律作息。2.保持室内空气湿润，清淡饮食易消化。3.多饮水，少食辛辣刺激、油炸的食物。4.忌烟酒。5.避风寒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051449857},{"body":{"content":"平时多喝温水，生冷、油腻的不能吃，平时多运动。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051675069},{"body":{"content":"这个肾结石慢慢就没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051682329},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051698758},{"body":{"content":"生冷、油腻的不能吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051709844},{"body":{"content":"您看这样下去肾阳会被伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051718197},{"body":{"content":"肾阳不足，就容易再继续长结石","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051737082},{"body":{"content":"感谢您的咨询和耐心回答，请问您是否还有其他医药问题需要我为您解答？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051883055},{"body":{"content":"没有了。。谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051921956},{"body":{"content":"您客气了。如果您没有其他问题，我将结束您的问诊，希望我的建议能够帮助到您，请点击对话框右上角“ 表扬医生“对我的服务作出评价，您的五星好评，就是对我工作最大的鼓励和支持。欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051930848},{"body":{"content":"石清茶平时可以代茶饮喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051974400}]

男23岁

2022.05.20