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，我是***副主任医师，将由我为您提供医疗咨询帮助，正在阅读您的病例，请您稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878813327},{"body":{"content":"请问目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878823857},{"body":{"content":"阳痿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878834477},{"body":{"content":"心烦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878838736},{"body":{"content":"手脚冰凉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878847345},{"body":{"content":"多久了？怎么样引起的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878850237},{"body":{"content":"一吃了东西就拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878855226},{"body":{"content":"手淫过多引起的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878877822},{"body":{"content":"平时饮食习惯怎么样？小便怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878884357},{"body":{"content":"小便比较黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878908068},{"body":{"content":"之前治疗过了，现在小便正常了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878930383},{"body":{"content":"口干口苦吗？喝水多不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878939026},{"body":{"content":"口不干，有点点苦，喝水比较少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878971424},{"body":{"content":"要适当多喝暖水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879010898},{"body":{"content":"有过什么病吗？近期是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879035621},{"body":{"content":"没有，最近就是看了中医","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879051360},{"body":{"content":"治疗过两个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879061909},{"body":{"content":"有药方吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879068497},{"body":{"content":"效果怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879077062},{"body":{"content":"药方可能不见了，心没有那么烦躁了，小便之前会有尿不尽，现在不会了，然后说我有瘀血，上次说就是好多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879148642},{"body":{"content":"但是最近有点手脚冰凉，我怀疑有点阳虚了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879177621},{"body":{"content":"但是现在就是开始比较坚硬，但是一下子就比较软了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879214662},{"body":{"content":"而且感觉有点早谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879229459},{"body":{"content":"一次性生活多少时间？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879257937},{"body":{"content":"频繁吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879261218},{"body":{"content":"没治疗之前每天一次，自从治疗之后，现在一周一次或者两周一次了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879302126},{"body":{"content":"怕了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879322799},{"body":{"content":"不敢这样手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879348727},{"body":{"content":"治疗期间有忌口吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365297},{"body":{"content":"吃辣吗？抽烟喝酒吗？熬夜吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879370988},{"body":{"content":"医生叫我不要吃辣和不要喝酒，不要熬夜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879399905},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879413701},{"body":{"content":"发个舌头照片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879430923},{"body":{"content":"还有不要喝冰凉的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879432838},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879465062},{"body":{"content":"舌淡苔白，舌胖大有齿痕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879489697},{"body":{"content":"脾虚湿气重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879494979},{"body":{"content":"先调理脾胃祛湿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879524749},{"body":{"content":"是不是看舌头底有没有瘀血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879542107},{"body":{"content":"能帮我看看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879549627},{"body":{"content":"好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879588182},{"body":{"content":"看得清楚吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879641588},{"body":{"content":"还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879651260},{"body":{"content":"舌底静脉曲张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879665338},{"body":{"content":"是有瘀血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879673537},{"body":{"content":"你觉得身体上哪里痛吗？麻木吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879694638},{"body":{"content":"就肩和脖子不舒服，经常会引起脖子疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879747160},{"body":{"content":"那还能不能帮我看还有没有下焦湿热和心火旺","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879773354},{"body":{"content":"与姿势有关。可以拔罐，针灸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879786336},{"body":{"content":"下焦湿气重，但热不明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879807179},{"body":{"content":"心火旺也不明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879820118},{"body":{"content":"那就是现在还能不能帮我看出是什么肾虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879860928},{"body":{"content":"腰酸吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879892658},{"body":{"content":"看不出，要把脉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879905073},{"body":{"content":"以前会酸疼，现在坐久了会酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879917279},{"body":{"content":"那还好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879931817},{"body":{"content":"还是要注意姿势，要运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879946018},{"body":{"content":"因为治疗过了一段时间，只不过治疗了两个月，一直煲中药，家里人有意见了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879980716},{"body":{"content":"所以看看能不能吃些中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879997114},{"body":{"content":"那吃点中成药吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880005553},{"body":{"content":"试试吃补中益气丸用参苓白术散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880023581},{"body":{"content":"那现在调理脾胃和瘀血要吃些什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880033199},{"body":{"content":"先****，祛湿，活血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880046301},{"body":{"content":"就是吃这两个还是吃其中一个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880083372},{"body":{"content":"两个一起吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880091856},{"body":{"content":"吃半个月看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880099791},{"body":{"content":"有效再吃半个月巩固一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880115662},{"body":{"content":"那个散变成丸可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880124577},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880157936},{"body":{"content":"那阳痿那里呢，应该怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880187658},{"body":{"content":"你那不是阳痿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880208300},{"body":{"content":"最多是质量差一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880222279},{"body":{"content":"**活血会改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880239465},{"body":{"content":"可是之前是12月份治疗的时候，下面站都站不起来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880270011},{"body":{"content":"而且最近会手脚冰凉，手脚爱出汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880302523},{"body":{"content":"后来吃了**阳的中药，才恢复了一点点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880324814},{"body":{"content":"我手淫好多年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880357243},{"body":{"content":"**调理会好转的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880421703},{"body":{"content":"你还年轻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880428980},{"body":{"content":"以后注意就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880453531},{"body":{"content":"那现在那里要怎么调理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880456470},{"body":{"content":"还要坚持运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880462132},{"body":{"content":"最主要我手脚出汗，感觉很不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880505275},{"body":{"content":"中医理论认为肾为先天之本，脾为后天之本。先天本源不断消耗，要靠后天之本来补充","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880534454},{"body":{"content":"而且没有晨勃那些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880540853},{"body":{"content":"所以你要先调理脾胃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880557293},{"body":{"content":"那就是吃一个月之后再来找你吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880597227},{"body":{"content":"才来治疗肾虚那些吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880608877},{"body":{"content":"阳具要充血才能勃起，气血不足怎么能勃起和持久呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880625213},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880628454},{"body":{"content":"你的意思是我现在就是气血不足，导致的不能勃起和持久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880703223},{"body":{"content":"这个是一方面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880727534},{"body":{"content":"目前应该是主要问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880746816},{"body":{"content":"好，如果还是不行再来找你还是去现场找你好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880801079},{"body":{"content":"阳痿大部分不是或不单是肾虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880808141},{"body":{"content":"都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880814652},{"body":{"content":"你在哪个城市？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880830653},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880835824},{"body":{"content":"那面诊当然更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880855061},{"body":{"content":"那还要做检查还是把脉就可以了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880892140},{"body":{"content":"去找你面诊是在哪个医院找你，挂什么科能找到你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880982165},{"body":{"content":"把脉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881000731},{"body":{"content":"你之前有检查过的话把检查单带过来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881024582},{"body":{"content":"江门市人民医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881033529},{"body":{"content":"中医康复科，***三楼","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881055494},{"body":{"content":"那我是吃完你说的两个药后找你还是这几天去找你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881090652},{"body":{"content":"都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881104501},{"body":{"content":"看你方便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881111468},{"body":{"content":"明天我休息。星期五可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881146748},{"body":{"content":"那我想问问手脚爱出汗，这个怎么解决","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881160237},{"body":{"content":"这个阴虚，气虚都可能引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881231212},{"body":{"content":"精神紧张也有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881266970},{"body":{"content":"中医讲整体调理，你不需要太纠结单个症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881314310},{"body":{"content":"整体调理好，这些症状都可改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881346572},{"body":{"content":"对，有时候一紧张就特别出汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881397213},{"body":{"content":"之前的医生说我阴虚还有湿气导致","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881424137},{"body":{"content":"都有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881510537},{"body":{"content":"所以整体调理即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881533758},{"body":{"content":"好，那我先吃这两个药吃一个月先，看看效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881572009},{"body":{"content":"那两个药要买什么牌子的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881731651},{"body":{"content":"吃哪个是活血的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881950360},{"body":{"content":"是那个补中益气丸吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881966763},{"body":{"content":"有活血的成份","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882056707},{"body":{"content":"用***的补中益气丸可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882493007},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882626871}]

男25岁

2022.05.20

[{"body":{"content":"而且很痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878654689},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878784166},{"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":1652878790736},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878831734},{"body":{"content":"您好！脸上红印，红血丝较多，形成敏感肌，痘痘为结节囊肿型","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878897261},{"body":{"content":"平时常用洗面奶洗脸的频率如何？都使用哪些类型的洗面奶？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878981247},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881169301},{"body":{"content":"晚上早上洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881195080},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881492821},{"body":{"content":"敏感肌建议您精简护肤，平时用温水洗脸即可。使用洗面奶。尽量避免使用清洁型或磨砂型，使用频率每周不超过两次为宜。每次洗脸之后需涂***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881539035},{"body":{"content":"同时平时注意防晒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881546353},{"body":{"content":"痘痘之所以反复发作跟体内激素水平高有关，会导致毛囊皮脂腺分泌旺盛，堵塞毛管，痤疮丙酸杆菌，细菌灰尘，等会定植毛囊引发炎症。痘痘有硬结是炎症比较深，深达真皮层。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881614316},{"body":{"content":"您都用过哪些药物治疗？效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881640524},{"body":{"content":"没有用其他药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652919276830},{"body":{"content":"根据您的情况，建议您：\n1、中药口服内调体质，增加皮肤修复能力；局部外用药膏改善炎症，减少痘印；\n2、配合使用药妆品和肌肤屏障修复剂；有助于皮肤修复，改善敏感肌，减少痘痘复发；\n3、日常精简护肤，用温水洗脸，尽量避免使用深度清洁型洗面奶及磨砂型洗面奶，选择比较温和的保湿产品，避免选用***类产品。使用洗面奶的频率，每周两次左右。要特别注意防晒、保湿。这些措施要贯彻在你治疗的全过程。\n4、另外一个是饮食注意少食辛辣油炸刺激之品。避免食用奶茶，奶酪，牛奶，奶油等奶制品以及巧克力冰淇淋等甜食甜品。这些都是造成痘痘反复不愈的原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652926585887},{"body":{"content":"什么中药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652934819750},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937215777},{"body":{"content":"需要根据您的舌开具中药方，中药免煎颗粒，开水冲服那种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937252364},{"body":{"content":"您发个舌苔图片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937260673}]

女31岁

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808638},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819558},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840997},{"body":{"content":"以上是我前几天的检查结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856231},{"body":{"content":"我这是不是乙肝了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864936},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049956033},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049960711},{"body":{"content":"转氨酶很高，胆红素异常，乙肝两对半提示两种情况：1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974790},{"body":{"content":"目前转氨酶还高的，建议您要提高重视程度，建议住院输液治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049998887},{"body":{"content":"这是前几天的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116194},{"body":{"content":"建议要进一步完善肝胆彩超，肝炎分型等检查，还要查下乙肝DNA定量检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128581},{"body":{"content":"报告单我看到了，之前也是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137132},{"body":{"content":"我看下我做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144502},{"body":{"content":"还有一些片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050245858},{"body":{"content":"从目前看，我这是不是乙肝？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050256649},{"body":{"content":"又做了一个加强ct明天出结果。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296122},{"body":{"content":"我就想知道目前我应该往哪个方向治疗。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050311889},{"body":{"content":"我看了乙型肝炎表面抗体超了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335860},{"body":{"content":"我是突然这样的，不是长期，积极在看，但是，就是一堆检查，一天一个样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050360001},{"body":{"content":"需要查乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383844},{"body":{"content":"表面抗体这个升高不用太担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418817},{"body":{"content":"乙肝两对半目前就提示可能存在两种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433181},{"body":{"content":"1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441603},{"body":{"content":"需要查下乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450125},{"body":{"content":"还需要查啥别的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050459962},{"body":{"content":"从这个单子上看不到我是否得了乙肝对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475784},{"body":{"content":"大小**啥的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050481360},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533339},{"body":{"content":"那我现在去医院应该再整点啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607012},{"body":{"content":"哎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611643},{"body":{"content":"把您说的那个检测了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050620233},{"body":{"content":"还有啥其他的不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623987},{"body":{"content":"还有就是您说的这个是不是只有传染病医院能做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638144},{"body":{"content":"一般三甲医院都是可以查的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736075},{"body":{"content":"其他的还可以查下肝炎分型，排除下是否有甲肝，丙肝等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763379},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801944},{"body":{"content":"我这目前是不是就是一定有肝炎？只是不知道分型。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829213},{"body":{"content":"并不一定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908770},{"body":{"content":"只能说目前肝功能损害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918361},{"body":{"content":"就吃了根黄瓜，然后整个人就完了，疼的不行了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943471},{"body":{"content":"建议最好是医院能够住院治疗，因为目前的转氨酶还是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051029227},{"body":{"content":"以为是胃，看了，没用，又看了胆，说是胆囊炎，然后说胰腺可能也一般，给打了***和******，就不疼了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051051231},{"body":{"content":"第二天又加了****，但是就感觉没有第一天好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051077607},{"body":{"content":"昨天又去了医院，医生看了甲胎蛋白结果出来了，高一倍，不敢给打针了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102992},{"body":{"content":"目前吃*******和********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051177351},{"body":{"content":"目前就是这样，明天去传染病医院去去加强ct.不知道接下来该怎么办。看了好几个医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051209280},{"body":{"content":"我建议您可以三甲医院挂专家号看下，一般这种水平的转氨酶都是需要住院治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251023},{"body":{"content":"不是说必须去传染病医院看对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291889},{"body":{"content":"三家医院专家号挂什么科。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306587},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306664},{"body":{"content":"消化科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051322832},{"body":{"content":" 好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051340711},{"body":{"content":"不用谢，祝您身体健康","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051351305},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051537815},{"body":{"content":"实在抱歉，电子病历是系统自动识别的问题，您的肝功能是不正常的，这个您不用理会，建议还是三甲医院进一步就诊的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611223},{"body":{"content":"实在抱歉，祝您及您的家人身体健康，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649856}]

女54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":1653049657759},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725112},{"body":{"content":"您能帮我看看过敏源结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049743731},{"body":{"content":"总IGE浓度高是怎么回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761513},{"body":{"content":"发下结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769640},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819142},{"body":{"content":"平时有什么过敏吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826542},{"body":{"content":"前阵子去检查哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049899416},{"body":{"content":"IgE多与过敏性的反应有关，总IgE升高最常见于过敏体质的人，或者有过敏性疾病的患者。另外，寄生虫感染引起的变态免疫反应，也会引起总IgE升高，部分的血液系统疾病例如部分的骨髓瘤，还有霍奇金淋巴瘤等疾病，也可能会出现总IgE的升高。真菌感染、病毒感染或者结核病等少部分特异性的感染性疾病，患者也可能会出现总IgE的升高，与免疫功能相关的疾病包括类风湿性关节炎、格林-巴利综合征或者高IgE综合征、肾病综合征等疾病都有可能会出现总IgE的升高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935421},{"body":{"content":"血常规还有****检查都显示是过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944973},{"body":{"content":"建议进一步检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951764},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021673},{"body":{"content":"不客气，建议进一步检查。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103691}]

男39岁

2022.05.20

[{"body":{"content":"您好，我是耳鼻喉科医生，非常高兴为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050057489},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067959},{"body":{"content":"局部触摸质硬还是质软","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050075715},{"body":{"content":"摸起来有点硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094520},{"body":{"content":"有破溃吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132344},{"body":{"content":"之前是否有外伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136068},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050138718},{"body":{"content":"之前经常佩戴耳机","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153966},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188310},{"body":{"content":"长出来之后就一直没佩戴过任何耳机，一直是保持外露的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050193806},{"body":{"content":"最近有感冒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050196645},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050200078},{"body":{"content":"之前有过这个症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202789},{"body":{"content":"之前出现过长包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219930},{"body":{"content":"但是比这次轻的多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227519},{"body":{"content":"三天左右就自然消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236406},{"body":{"content":"这次已经持续四天了也没有消退的迹象","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259007},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280424},{"body":{"content":"有分泌物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291780},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050310436},{"body":{"content":"就一个包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050315079},{"body":{"content":"根据您的描述，考虑 外耳道疖肿 的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330234},{"body":{"content":"您之前有使用药物治疗改善吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050332048},{"body":{"content":"之前试着涂过两次红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356158},{"body":{"content":"但貌似没什么效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050364271},{"body":{"content":"就再没涂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050370278},{"body":{"content":"可以对症治疗改善看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050423478},{"body":{"content":"为用药安全，请问您是否有药物过敏史，肝肾功能异常史，其他慢性疾病及心血管疾病史，是否处于特殊时期不能用药，近期在使用哪些其他药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050426032},{"body":{"content":"没有用药禁忌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050452528},{"body":{"content":"最近没吃任何药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461647},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050598586},{"body":{"content":"一般建议， 1、在饮食方面要清淡的饮食， 2、多休息，平时避免熬夜和太疲劳的情况， 3、注意不要长时间带耳机 洗澡以及洗头避免耳部进水，4、不要长期挖耳，挖耳时要轻柔","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603304},{"body":{"content":"针对你的呢症状建议先使用点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618594},{"body":{"content":"一天2次使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050640463},{"body":{"content":"使用3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645882},{"body":{"content":"用药期间注意是否有破溃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653539},{"body":{"content":"如果破溃之后*****暂停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050664091},{"body":{"content":"使用***********一天2次使用治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050680700},{"body":{"content":"也可以直接交替使用，一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050691579},{"body":{"content":"间隔1小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695412},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718771},{"body":{"content":"这个病容易复发吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757011},{"body":{"content":"一般考虑和个人体质，外界环境，生活方式习惯，情绪压力等等都有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857225},{"body":{"content":"医生这个**可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050863475},{"body":{"content":"之后可以注意点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050867613},{"body":{"content":"避免长期戴耳机等刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050880235},{"body":{"content":"*****是帮助排脓治疗疖肿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900222},{"body":{"content":"考虑更对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050911082},{"body":{"content":"那这个可以涂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952122},{"body":{"content":"上述药物有一点**的功效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051003718},{"body":{"content":"如果您想要使用试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051009616},{"body":{"content":"可以使用看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051012722},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014960},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051043095},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051118032},{"body":{"content":"使用之后可以上线复诊咨询我，给您看看具体的用药效果，是否调整用药或停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122599},{"body":{"content":"好的，我会先用我自己的**尝试一下，如果无效我就会换到您推荐的那一款，后续有什么问题我会再来咨询您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051210164},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246285},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247144},{"body":{"content":"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":1653051250511},{"body":{"content":"再没有了，谢谢您嘞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320953},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051334279},{"body":{"content":"希望我的建议能帮助到您，如在治疗过程中还有任何问题，欢迎您随时上线咨询或者给我留言，非常感谢您的信任。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337362},{"body":{"content":"再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051358116},{"body":{"content":"因线上咨询条件有限，且疾病具有相对复杂及发展变化的特点，如果使用药物治疗一疗程效果不佳 或 出现 其他不适 、甚至加重的情况，请您及时再次上线咨询或线下医院就诊 防止延误病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051450250}]

男21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":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965259994},{"body":{"content":"稍等我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965264379},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965271609},{"body":{"content":"孕周？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965280343},{"body":{"content":"怀孕了下面流绿色液体","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965322873},{"body":{"content":"孕周？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965359745},{"body":{"content":"有痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965367530},{"body":{"content":"什么感染","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965369501},{"body":{"content":"有异味吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965375083},{"body":{"content":"不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965381082},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965389773},{"body":{"content":"滴虫感染。可有绿色白带","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965403316},{"body":{"content":"建议检查一下白带","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965416655}]

女22岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务。请问您有什么需要咨询的医学问题？具体问题能描述详细些吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049629543},{"body":{"content":"您是咨询这个产品吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049656154},{"body":{"content":"有什么不适症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049660434},{"body":{"content":"您好，我最近锻炼膝盖有些不舒服，现在正在吃**，然后想补补钙","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049733607},{"body":{"content":"我爱人说***适合女性和儿童，不适合男性，所以我想咨询一下您，我吃什么钙合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049853707},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049934727},{"body":{"content":"男性也可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049938663},{"body":{"content":"这款即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049942247},{"body":{"content":"这个***吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049970691},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050010777},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050018108},{"body":{"content":"您发的那个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050021792},{"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！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050024601},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030302},{"body":{"content":"有任何医学问题，可以随时再找我问诊即可，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038181}]

男36岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965462800},{"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":1652965465746},{"body":{"content":"肥厚形脑膜炎可以打封闭针不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965513745},{"body":{"content":"请问是什么原因导致肥厚型脑膜炎哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965603517},{"body":{"content":"特发形","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965688464},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965725304},{"body":{"content":"可以打封闭针不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749265},{"body":{"content":"特发性肥厚型脑膜炎需要使用激素或者免疫抑制剂，**以*******为主，常用的有***，****，*****，***等，免疫抑制剂则以****，****为代表，但免疫制剂一般副作用较大，最后还可以考虑手术治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965763884}]

女60岁

2022.05.20