刘继帅

[{"body":{"content":"您好，我是普内科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196896},{"body":{"content":"大夫您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051208813},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051213462},{"body":{"content":"之前用过是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051216312},{"body":{"content":"请问您既往有药物过敏，肝肾损害及其他疾病史么？用**药物有不良反应么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051218656},{"body":{"content":"我想让你给开处方单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233883},{"body":{"content":"嗯 之前用过 没有不良反应是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241946},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051250102},{"body":{"content":"好的 需要1盒么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260034},{"body":{"content":"我想来一个***的*********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051269744},{"body":{"content":"嗯 需要一盒么 给您开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051277520},{"body":{"content":"很多个盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051288583},{"body":{"content":"最多能开几盒？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297526},{"body":{"content":"6盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051312454},{"body":{"content":"那就给开六盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051327524},{"body":{"content":"好的，用药前请仔细阅读药品说明书中禁忌，过敏史及注意事项，如无禁忌且不在********药品，如在用药过程中出现不适，请及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340381},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353623},{"body":{"content":"给您开了处方 您点击上方处方单 点击：“查看详情”——“预约药品”，就可以购买了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355755},{"body":{"content":"好的呢，这个药能长期使用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400417},{"body":{"content":"有什么副作用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416684},{"body":{"content":"可以 但是改善便秘需要综合治疗，建议摄入足够的**，要适量的运动（可以促进肠胃蠕动），改善饮食结构（如增加****如韭菜和芹菜，以及多摄入一些未加工的豆类，全谷物，多吃粗粮、蔬菜、水果等，还可以适当吃些酸奶，粗茶淡饭）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422483},{"body":{"content":"副作用就是腹泻 腹痛 肠功能紊乱等问题 其他没什么大的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051441025},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051450867},{"body":{"content":"也有过敏的可能 但是您之前吃过没有问题的话 一般不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051454611},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463409},{"body":{"content":"嗯 好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051466690},{"body":{"content":"您后续有什么问题，可以再点我咨询，谢谢您的支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051941652}]

女42岁

2022.05.20

[{"body":{"content":"几点磕的，有恶心呕吐等症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879280990},{"body":{"content":"刚刚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879290159},{"body":{"content":"目前看没有不良反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879301171},{"body":{"content":"脑门那么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879303640},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879317512},{"body":{"content":"目前没有做任何治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879338232},{"body":{"content":"前额的额骨是最硬的骨头之一，一般磕到前额不会伤到骨头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879344832},{"body":{"content":"怕弄严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879347941},{"body":{"content":"但孩子头面部组织疏松","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879361751},{"body":{"content":"所以磕碰后容易出包或者青紫","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879377947},{"body":{"content":"建议观察3天，期间如果出现呕吐、昏迷、抽搐等症状则需要去医院做头部Ct","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879410238},{"body":{"content":"今明两天局部可以冷敷，后天起热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879424584},{"body":{"content":"该吃吃该玩玩，这方面不用特别注意。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879442303},{"body":{"content":"冷敷？用***可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879556542},{"body":{"content":"不一样 建议用毛巾裹冰块","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879592462},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879599390}]

女4岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049614592},{"body":{"content":"图片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049615889},{"body":{"content":"没事，这个考虑是白色糠疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049661853},{"body":{"content":"小孩多见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049664887},{"body":{"content":"哦哦哦是不是营养不良","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049729445},{"body":{"content":"不是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049757197},{"body":{"content":"可以外用***一天二次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049762361},{"body":{"content":"不影响健康的，放心吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049768463},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849528},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049852968}]

男5岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879403707},{"body":{"content":"舌苔黄厚腻，中间有裂纹，有齿痕，食欲不振，盗汗，咳嗽，口水多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879427914},{"body":{"content":"这个舌苔厚腻黄 舌质红","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879428097},{"body":{"content":"上次找过你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879440389},{"body":{"content":"属于肝郁化火脾虚湿热","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879443674},{"body":{"content":"目前感觉怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879457161},{"body":{"content":"前期效果不明显，我另外吃了专治盗汗的药，现在只是多汗，不盗汗，其他改善不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879526875},{"body":{"content":"最近吃的什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879547174},{"body":{"content":"吃东西没胃口，但不胀，不痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879570158},{"body":{"content":"还有什么症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879589858},{"body":{"content":"吃了知柏地黄丸，喝了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879621690},{"body":{"content":"目前你这个情况应该以清湿热为主","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879640623},{"body":{"content":"舌苔黄厚腻，中间有裂纹，有齿痕，食欲不振，咳嗽，口水多，睡眠不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879654892},{"body":{"content":"是的 清湿热为主 配合*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879692924},{"body":{"content":"放屁多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879698760},{"body":{"content":"放屁多与脾虚有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879710791},{"body":{"content":"我本来也在学中医，当地一个中医建议我不清湿热，我也很怀疑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879790669},{"body":{"content":"你不去湿热也不行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879814518},{"body":{"content":"他建议燥热祛湿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879823019},{"body":{"content":"其实燥热祛湿或者是去湿热是一样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879850081},{"body":{"content":"我也感觉应该清湿热，顺带补脾","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879856401},{"body":{"content":"应该中医是没有燥热的概念","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879883459},{"body":{"content":"你再来个方，因为中医很难一蹴而就","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879925951},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879960667},{"body":{"content":"湿性粘腻不容易去","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879975935},{"body":{"content":"可以猛一点，我这个症状几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879986859},{"body":{"content":"目前有没有口干口苦烦躁的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879987957},{"body":{"content":"其实不在于用药猛，而在于用药时间长一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880016921},{"body":{"content":"因为我天天喝酒，口干口苦我一直没往这方面想，肯定有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880023701},{"body":{"content":"服药尽量不要喝酒，不然药物会无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880042600},{"body":{"content":"呵呵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880060885},{"body":{"content":"酒是湿热的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880083380},{"body":{"content":"嗯，辛辣，我的必备","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880099548},{"body":{"content":"辛辣生湿热","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880111057},{"body":{"content":"你这种老吃辛辣的，确实是对服药是有很大影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880124001},{"body":{"content":"这个比较难办，工作性质决定","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880172286},{"body":{"content":"好吧，这个没办法，只能先给你开方吃了，看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880185621},{"body":{"content":"对了，知柏地黄丸吃，没影响吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880253652},{"body":{"content":"没影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880297988},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880374972},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品\n\n如果上述问题你没有，可以直接购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880545291}]

男45岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965474928},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965486110},{"body":{"content":"看看图片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965515869},{"body":{"content":"疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965567040},{"body":{"content":"出汗多吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965569920},{"body":{"content":"疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965573436},{"body":{"content":"多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965576807},{"body":{"content":"我需要经常走路","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965589712},{"body":{"content":"跟出汗有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965591881},{"body":{"content":"可以抹点氧化锌软膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965596481},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史,肝肾功能异常或其他病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965601832},{"body":{"content":"尽量少活动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965605250},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965611614},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965637141}]

女17岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965262280},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272031},{"body":{"content":"手汗症手术多少钱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965277380},{"body":{"content":"四五千吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965314770},{"body":{"content":"有医保","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965338165},{"body":{"content":"那就一两千块钱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965349841},{"body":{"content":"湖南省衡阳市衡南县仁济医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965382011},{"body":{"content":"这个手术有后yi","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965419120},{"body":{"content":"那就不知道这个医院了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965419664},{"body":{"content":"一般没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965423379},{"body":{"content":"南华大学附属第一医院做手汗症手术多少钱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965454286},{"body":{"content":"这就不知道","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965486730},{"body":{"content":"我不是这医院的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965491402},{"body":{"content":"每个医院补一张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965494823},{"body":{"content":"不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965497441},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585529},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965590301},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965615549}]

男21岁

2022.05.20

[{"body":{"content":"哦哦，知道了，如果不取有啥办法让消下去吗，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051615850},{"body":{"content":"平时加强锻炼身体会有帮助吗，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051697026},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051846319},{"body":{"content":"哦哦，知道了，如果不取有啥办法让消下去吗，\n平时加强锻炼身体会有帮助吗，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051872003},{"body":{"content":"啊，我以为你刚才的问题问完了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051878869},{"body":{"content":"加强锻炼，帮助不大，是这样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051901525},{"body":{"content":"剩这最后一个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051901906},{"body":{"content":"这个线，最后应该是被吸收掉的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051913594},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051913808},{"body":{"content":"那吃***和*****还有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051934406},{"body":{"content":"有的不吸收，可能和体质弱有关，在观察一下，可能会**吸收，如果最后实在吸收不了，就有可能成囊肿，也就是正常的人体组织把线头包裹起来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051965820}]

男27岁

2022.05.20

[{"body":{"content":"您好，我是全科医生李宛霖，非常高兴由我为您提供咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621543},{"body":{"content":"李医生介绍：12年毕业于西南医科大学临床医学,从业十年，一次性通过内科主治、全科主治。擅长社区常见病包括：心血管、内分泌、呼吸科、消化道疾病，婴幼儿喂养，以及皮肤科、妇科、男科、五官科常见疾病的诊治。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622675},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634683},{"body":{"content":"我想买几盒***。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658990},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667592},{"body":{"content":"癫痫多长时间检查一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718689},{"body":{"content":"原来在**检查了，疫情期间有一年多没给孩子检查啦。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740611},{"body":{"content":"开六盒吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765129},{"body":{"content":"一般是3-6个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770163},{"body":{"content":"那我们这个不会有什么问题吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788143},{"body":{"content":"如果没有发作，一般说明药物控制可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807940},{"body":{"content":"平常挺好的，今天有点儿发热，发作了一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050844752},{"body":{"content":"不知道是药量不高，还是发热引起的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858705},{"body":{"content":"如果发作了，必须线下复诊调药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050859554},{"body":{"content":"嗯嗯，好的，明天去化验一下。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050882482},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898192},{"body":{"content":"我这边先给您开2盒吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907057},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050914408},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920395},{"body":{"content":"我们孩子大了两盒吃不了几天。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050920766},{"body":{"content":"现在吃的多大计量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933035},{"body":{"content":"一颗半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957928},{"body":{"content":"尽量给您多开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961028},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050967303},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981148},{"body":{"content":"这可以了吗？我怎么下单呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066309},{"body":{"content":"处方已经审核通过，您可以直接点击处方购买\n在上面，有个绿色的小卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092784},{"body":{"content":"好的，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051108775},{"body":{"content":"您直接点击我给您开的处方，付款就可以，就是那个绿色的卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110722},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112681},{"body":{"content":"生活建议：保持良好情绪睡眠，适当运动，避免情绪激动，避免强光强声刺激，避免长期辛辣食物刺激，线下神经内科就诊，规律药物治疗，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051417814},{"body":{"content":"后续如果还需开药，可以直接找我，我这边有您之前的问诊记录，开药会比较方便快捷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051712080},{"body":{"content":"如果没有其他问题，我这边就给您关诊了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051753486},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，祝您工作生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051755197}]

男16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， 我是京东医生，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049906600},{"body":{"content":"可以喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921163},{"body":{"content":"最好喝***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049929073},{"body":{"content":"***吸收好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049934220},{"body":{"content":"如果没有药物过敏和不良反应可以按说明书使用，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051672333}]

女1岁

2022.05.20