刘继帅

[{"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":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051114312},{"body":{"content":"目前主要有哪些不适症状？什么时候开始的？持续多长时间了？有没有加重或缓解的因素？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123002},{"body":{"content":"大夫，您好！我母亲68岁，膝盖疼的厉害，医生建议膝关节置换手术，想让您看看是不是必须手术治疗，母亲年龄大了，害怕手术。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051134834},{"body":{"content":"膝关节炎很严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152531},{"body":{"content":"关节间隙没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051159051},{"body":{"content":"疼痛估计也很厉害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163965},{"body":{"content":"活动受限吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171568},{"body":{"content":"她这个5岁时被砸了，是伤腿，一直疼，最近一周影响走路了，疼痛厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200657},{"body":{"content":"必须手术吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051221517},{"body":{"content":"建议手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240693},{"body":{"content":"保守治疗，注射****效果怎么样？她听说周围有人手术恢复不好后来拄拐了，害怕手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051293929},{"body":{"content":"保守治疗，也只是拖延时间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051333861},{"body":{"content":"我觉得早做手术，康复更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051362579},{"body":{"content":"手术风险大吗？她有高血压，血糖的话前两天测的8点多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051426521},{"body":{"content":"可以这样子，先****注射保守治疗三个月看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051435001},{"body":{"content":"如果没有缓解，还是痛的厉害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051443066},{"body":{"content":"再考虑手术也不迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051447803},{"body":{"content":"手术风险还可以，这些术前会调整到正常水平","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051469539},{"body":{"content":"好的，谢谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051487403},{"body":{"content":"希望我的建议能够帮助到您！\n如果您对我的回答表示满意，请在对话结束后给出推荐评语和五星好评～\n祝您早日康复，生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051534285}]

女67岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817477},{"body":{"content":"看是用什么方法降下来的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965830520},{"body":{"content":"你好我这高血脂好降吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965839424},{"body":{"content":"减肥和日常饮食呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876645},{"body":{"content":"如果是吃******，大概率会反弹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965883411},{"body":{"content":"因为我前两年天天喝酒大吃大喝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965891280},{"body":{"content":"然后前几天查出来高血脂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965900851},{"body":{"content":"如果从饮食运动生活规律入手，降下来饮食控制，大多不会反弹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965913341},{"body":{"content":"还年轻，改变饮食，增加锻炼，可以降下来的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965936511},{"body":{"content":"那得高血脂是一辈子喝不了酒了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965942998},{"body":{"content":"年轻是不是血脂更好降啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966272436},{"body":{"content":"我现在天天锻炼然后喝绿茶和**水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966294053},{"body":{"content":"饮食方面不吃油腻的和高胆固醇","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966313509},{"body":{"content":"年轻好一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966844876},{"body":{"content":"身体锻炼更重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966859758},{"body":{"content":"不是一辈子不喝酒，而是有节制，大鱼大肉生活紊乱，身体早晚会出问题的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966893740},{"body":{"content":"可以**配***，**泡茶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966923654},{"body":{"content":"嗯就是降下来以后一个月吃喝那么一次两次那样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966937583},{"body":{"content":"然后经常锻炼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966949350},{"body":{"content":"应该可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966952736},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966971568},{"body":{"content":"我用**干泡水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966991919},{"body":{"content":"有效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966995968},{"body":{"content":"有一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967008049},{"body":{"content":"然后用绿茶泡水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967009098},{"body":{"content":"这些都是辅助，重要是控制饮食，增加运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967039173},{"body":{"content":"我现在基本就是吃素","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967063756},{"body":{"content":"然后偶尔素菜炒瘦肉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967073840},{"body":{"content":"**炒**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967082880},{"body":{"content":"可以吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967085469},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967094249},{"body":{"content":"一般要降下来需要多长时间呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967121927},{"body":{"content":"不是不让吃肉，要控制，晚饭不要吃太多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967125594},{"body":{"content":"我下个月再去检查一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967127509},{"body":{"content":"运动，一两个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967139170},{"body":{"content":"辅助作用最好吃点什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967361755},{"body":{"content":"***是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967366712},{"body":{"content":"苹果***可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967375656},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967511615},{"body":{"content":"大多都可以吃，不必那么小心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967528831},{"body":{"content":"少甜，少油即可，最重要还是运动（特别强调）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967564609},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967573817},{"body":{"content":"我基本不吃甜食","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967578107},{"body":{"content":"运动大概一天30分钟那样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967592308},{"body":{"content":"坚持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967601686},{"body":{"content":"但我不是跑步是做keep那种燃脂可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967608894},{"body":{"content":"另外不要熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967609971},{"body":{"content":"最好有氧运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967627267},{"body":{"content":"就是有氧的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967644058},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967676397},{"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":1652967900491},{"body":{"content":"对了还有一个问题 鸡蛋是不是不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967989864},{"body":{"content":"一周吃几个合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967996728},{"body":{"content":"血脂降下来要天天运动吗 还是一周2-3次就好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968100984},{"body":{"content":"哈喽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652971180445},{"body":{"content":"可以吃鸡蛋","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652998021891},{"body":{"content":"每天一个可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652998037105},{"body":{"content":"如果身体超重把体重降下来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652998057578},{"body":{"content":"锻炼能喝**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653030046202},{"body":{"content":"这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653030536033},{"body":{"content":"可以吃，只能作为辅助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653030915516},{"body":{"content":"这些产品来源一定要搞清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653030946804}]

男19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":1653049843212},{"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":1653049844682},{"body":{"content":"四五天了 会痒 但是破了就不痒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856127},{"body":{"content":"除了图片中其他部位还有这种症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049891287},{"body":{"content":"主要就是腹部 后背腰部 和大腿内侧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049917682},{"body":{"content":"最开始出现 哪个部位呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049965951},{"body":{"content":"腹部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049986287},{"body":{"content":"根据您的图片和描述考虑 玫瑰糠疹 可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049993466},{"body":{"content":"您这种症状出现之后是否有自己用过药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049994452},{"body":{"content":"吃了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050001564},{"body":{"content":"吃了两天每天吃两粒 感觉没啥效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050018443},{"body":{"content":"玫瑰糠疹的病因目前尚不明确，常见的诱发因素包括感染、过敏反应、内分泌系统疾病等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028599},{"body":{"content":"如果效果不理想，我帮您调整一下用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050030284},{"body":{"content":"为了用药安全，请问您有无药物过敏史及肝肾功能异常？ 冒昧问您一下，目前是否在妊娠期或准备怀孕或哺乳期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050068472},{"body":{"content":"暂时没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050114431},{"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":1653050158608},{"body":{"content":"建议您可以口服 ***** 每天一次一片\n＋******* 每天三次每次两片\n＋外用 ******* 每天一次 治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050250322},{"body":{"content":"吃多久啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050250736},{"body":{"content":"任何药物起效都需要一个过程，建议您坚持用药1-2周上线复诊，我再帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254560},{"body":{"content":"这个好了会留疤么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050387938},{"body":{"content":"这个一般不会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050499600},{"body":{"content":"好的 那我先吃两周看看情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050522698},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578195},{"body":{"content":"这个用药是一方面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579646},{"body":{"content":"同时给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050580272},{"body":{"content":"建议避免搔抓和摩擦刺激，以免刺激加重病情，做好皮肤保湿，饮食清淡，忌鸡蛋，海鲜，牛**，多吃蔬菜和水果 避免搓洗患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050591945},{"body":{"content":"关闭问诊时间临近了，希望我的建议能够帮助到您。 后续如有其他医药问题，您可以随时留言咨询。祝您生活愉快，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051061867},{"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":1653051067462}]

女30岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965137870},{"body":{"content":"你***，睾丸鞘膜积液能做无痛的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151068},{"body":{"content":"睡着了做那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965159343},{"body":{"content":"能不能要求做无痛的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965192576},{"body":{"content":"当然可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965204310},{"body":{"content":"可以全麻就无痛了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965229590},{"body":{"content":"三甲医院都可以是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965239014},{"body":{"content":"费用大概多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965245859},{"body":{"content":"全麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965253132},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965255395},{"body":{"content":"成人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965258682},{"body":{"content":"费用2000多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965270407},{"body":{"content":"这么便宜吗？网上看的都要五六千","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965295541},{"body":{"content":"做的时候手术大概要多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965329700},{"body":{"content":"这是麻醉费用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965346163},{"body":{"content":"手术约1小时左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965363169},{"body":{"content":"连准备到结束一个小时吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965382897},{"body":{"content":"问这个没有意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965402355},{"body":{"content":"与医生的手术水平有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965419111},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965444832},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965479896}]

男31岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科郝医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050298553},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299022},{"body":{"content":"您的症状多长时间了，有没有用药，用药后有没有缓解？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308929},{"body":{"content":"我耳朵疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308937},{"body":{"content":"没有用药，持续的痛感有2天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329507},{"body":{"content":"是 耳廓那吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050353106},{"body":{"content":"还是耳朵里边疼痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415560},{"body":{"content":"里面哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430758},{"body":{"content":"现在感觉脸都有点痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050445674},{"body":{"content":"您有挖耳或是洗头洗澡外耳道进水的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050462708},{"body":{"content":"外面是摸到也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050470268},{"body":{"content":"没有进水的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477284},{"body":{"content":"考虑是发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050517119},{"body":{"content":"我看有耳鸣或是听力下降吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050537915},{"body":{"content":"现在没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050548135},{"body":{"content":"局部有泡吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050560289},{"body":{"content":"也没有，就是有个洞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050575646},{"body":{"content":"以前哪有小眼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612069},{"body":{"content":"以前没有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050624725},{"body":{"content":"这个是左边耳朵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642776},{"body":{"content":"您可以先用些口服的***加*****对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669527},{"body":{"content":"为了您的用药安全，请问您有没有药物过敏史？有没有在备孕期、孕期或哺乳期？肝肾功能有没有异常？或是其他用药禁忌的情况，如果有请提前说明。没有异常回“无”即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050675952},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050684082},{"body":{"content":"建议******* 每次1粒每天2次， 局部涂抹******日3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050714181},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050732805},{"body":{"content":"建议您清淡饮食避免辛辣及刺激性食物，耳部避免碰水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770314},{"body":{"content":"很高兴能为您解答，希望我的建议对您所帮助，但是网络问诊毕竟有一定的局限性，如果病情变化或是病情恢复不理想，建议您及时复诊或去专科就诊，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050773129},{"body":{"content":"收到。谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050992304}]

女43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":1653051236153},{"body":{"content":"你干活的时候一直要用眼，所以眼睛干涩疼，还有点儿红，该用什么***呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051257512},{"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":1653051282432},{"body":{"content":"性别女，年龄50。没有其他病史。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458997},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463229},{"body":{"content":"该用什么***啊，医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051652429},{"body":{"content":"这个药物看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051662985},{"body":{"content":"功能主治】 用于缓解眼睛疲劳、结膜充血以及眼睛发痒等症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894673},{"body":{"content":"【用法用量】 滴眼，一次1～2滴，一日3～4次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020068},{"body":{"content":".打开后应在4周内用完，逾期请勿使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052080547},{"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3-4天无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052092811},{"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":1653052098010},{"body":{"content":"没有没有，谢谢，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052155151},{"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":1653052188223}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314704},{"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":1653050317985},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050320262},{"body":{"content":"7天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326854},{"body":{"content":"主要不适症状是什么呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050343687},{"body":{"content":"左乳房有点胀痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346870},{"body":{"content":"也做血的化验","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050368779},{"body":{"content":"说没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050375096},{"body":{"content":"彩超和抽血都做过了对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050377071},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381877},{"body":{"content":"把结果上传我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050382121},{"body":{"content":"图片没有拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050394934},{"body":{"content":"有外观改变明显，或摸到明显硬块么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050410775},{"body":{"content":"彩超显示有腺体8MM","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050417421},{"body":{"content":"抽血检查的雌性那些指标都是正常的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444844},{"body":{"content":"那确实是偏大了，这个情况，外观改变明显，首先考虑是手术治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519922},{"body":{"content":"那个医生说建议我吃下******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595303},{"body":{"content":"但是医院没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603546},{"body":{"content":"但医生说**指标正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050632504},{"body":{"content":"只有左胸最近才感觉到痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657120},{"body":{"content":"可以吃 3周看看效果 但是 个人经验 止痛效果好，变小腺体的可能性不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050659617},{"body":{"content":"这个****医生也推荐了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702938},{"body":{"content":"这两个药哪个疗效会好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050721296},{"body":{"content":"可以试试 但个人认为不要抱有太大希望","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050722690},{"body":{"content":"一定有这个症状就要做手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756265},{"body":{"content":"这个会一直增长吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050771859},{"body":{"content":"增长的可能性也不大，是否需要手术 要看您对外观的要求 如果很在意 手术是最直接的方法，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798220},{"body":{"content":"另外如果有发现男性乳房有硬块 那要及时手术切除","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809738},{"body":{"content":"他说给我饮食和身体肥胖有很大关系","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050821531},{"body":{"content":"对，跟这个有关系的，如果没有硬块 疼痛不明显外观改变不明显 也不用特别在意","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050851148},{"body":{"content":"硬块没有，就是乳头按压会有胀痛感","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905293},{"body":{"content":"****和******看下开那个好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050961339},{"body":{"content":"麻烦给推荐一下，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970966},{"body":{"content":"外观改变不明显 可以先口服药物看看效果，******临床反馈效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978994},{"body":{"content":"好的，那就给我开下******2盒，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007701},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036573},{"body":{"content":"为了用药安全，系统需要先排除用药禁忌，请问您既往是否有基础疾病？近期是否有发现肝肾功能异常？是否有药物过敏史？是否处于男性备孕状态呢？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051076149},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051118425},{"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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196208},{"body":{"content":"处方已经开好，您可以点击处方，预约购买，药师审核通过后，即可发药,京东物流会配送到您指定的**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051198032},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051381470},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051450938}]

男33岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015860},{"body":{"content":"有什么可以帮到你的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020634},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050027922},{"body":{"content":"有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050041968},{"body":{"content":"有没有使用改善睡眠药物治疗，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047708},{"body":{"content":"患者77岁 女 无精神病史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062178},{"body":{"content":"晚上睡觉总是说梦话，而且时常会大声喊叫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050083264},{"body":{"content":"您看这种情况可能是什么原因导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119544},{"body":{"content":"平时有没有感觉全身无力，不愿意活动？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159947},{"body":{"content":"这种现象有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184561},{"body":{"content":"突然出现的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192023},{"body":{"content":"这种状况有些年了，一直没太在意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230467},{"body":{"content":"没有不愿意活动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050251206},{"body":{"content":"精神状态还挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259244},{"body":{"content":"白天是正常的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267219},{"body":{"content":"白天很正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289403},{"body":{"content":"以前有什么疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308938},{"body":{"content":"主要是晚上睡觉不紧说梦话，喊，还手脚乱动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050317092},{"body":{"content":"没有精神类疾病的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325951},{"body":{"content":"曾经有过突然发生的强烈不适感或心慌、眩晕、感到憋气或呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336992},{"body":{"content":"心脏不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340716},{"body":{"content":"心慌 呼吸和困难 偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377017},{"body":{"content":"毕竟岁数在那了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050384975},{"body":{"content":"最近有没有压力增大？\n思虑过多，精神紧张等表现？ ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389309},{"body":{"content":"这个是有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396735},{"body":{"content":"老人心思比较重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403645},{"body":{"content":"之前跟老伴总生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422826},{"body":{"content":"情绪有没有波动？有没有容易生气发怒等，不易控制自己的情绪？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433781},{"body":{"content":"会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050440827},{"body":{"content":"但去年老伴去世了，这回基本不生气了，但这个病根留下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496464},{"body":{"content":"根据你提供的资料，目前考虑两方面问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514044},{"body":{"content":"您看吃什么药或者怎样能对这种状况有缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516839},{"body":{"content":"第一，首先去医院神经内科门诊就诊，化验血常规，血糖，肝肾功能，甲状腺功能，查头颅CT，明确身体本身有没有问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551156},{"body":{"content":"如果检查没有问题，可以口服****，*****等治疗观察一下效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607954},{"body":{"content":"好的，神经性的可能大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626918},{"body":{"content":"可以吃**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050634655},{"body":{"content":"第二，需要排查一下有没有焦虑等精神心理问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645672},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658470},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663775},{"body":{"content":"**意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671382},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676368},{"body":{"content":"不过，在诊断焦虑问题前，必须先除外身体本身疾病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698859},{"body":{"content":"嗯嗯，明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708573},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712867},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720067},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728783},{"body":{"content":"那***吃什么对脑细胞好些呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050734096},{"body":{"content":"考虑出现的症状时间比较长，需要药物治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772106},{"body":{"content":"***作用不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050782890},{"body":{"content":"那要是辅助营养呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785297},{"body":{"content":"意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050814411},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883307},{"body":{"content":" 多谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050896464},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050896594},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900794}]

女41岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211719},{"body":{"content":"还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050869520}]

男4岁

2022.05.20