刘继帅

[{"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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049834447},{"body":{"content":"请问你有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857453},{"body":{"content":"就是大便次数比较少，然后有的时候胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049897005},{"body":{"content":"多长时间大便一次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049926422},{"body":{"content":"除了胃疼有没有胃胀反酸烧心，食欲怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943351},{"body":{"content":"大便次数少，便量很少 食欲正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049982342},{"body":{"content":"一星期能排便一次吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020788},{"body":{"content":"排便费劲儿吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028326},{"body":{"content":"你刚才发了点检查报告吧，你重新发一下我看一下，我现在看不到。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080145},{"body":{"content":"我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050110247},{"body":{"content":"回肠这块的病变看病理，结果确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050170144},{"body":{"content":"其他方面问题不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177520},{"body":{"content":"回肠这块怎么看？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287545},{"body":{"content":"我看已经取了活检了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375976},{"body":{"content":"取下来的组织会到显微镜下去看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384764},{"body":{"content":"应该是没啥大毛病吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091907},{"body":{"content":"如果活检没事儿，就没什么大事儿。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051359168}]

女21岁

2022.05.20

[{"body":{"content":"一周前在网上跟您咨询过，您让我先吃点***和*** 然后查一下肝功能。说我这个确实是肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878076516},{"body":{"content":"然后我去附近医院查了一个急诊肝功，我看着数据也挺正常的。不知道为啥会有肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878102413},{"body":{"content":"肝功能化验是没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878624047},{"body":{"content":"这次肝功能化验没事，但是上次是异常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878737725},{"body":{"content":"既往长期的肝功能异常，会造成肝掌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878805720},{"body":{"content":"那我这个肝现在需要怎么处理一下吗？这个肝掌是不是以前肝功能非常不好才会这样？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879085616},{"body":{"content":"现在已经恢复正常了。继续减肥，到BMI正常范围，长期保持就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879138485},{"body":{"content":"肝掌跟既往的肝脏损伤有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879154232},{"body":{"content":"明白了，那请问这个肝掌可以恢复吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879223263},{"body":{"content":"还有我那个乙肝五项报告上写的抗体阳性剩下的都是阴性是啥意思？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250105},{"body":{"content":"肝功能持续正常后，肝掌会恢复的，就算不恢复，也不会有什么影响，反正得定期检测肝功能，肝功能没事，就没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879720373},{"body":{"content":"你的乙肝报告在哪儿呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879781969},{"body":{"content":"那个报告我看不了电子版的，也不方便去医院。但是我给检验科的人打电话，他给我念的，说除了抗体是阳性剩下都是阴性。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879880876},{"body":{"content":"是的大夫，我打算每半年查一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879914703},{"body":{"content":"乙肝五项查的是两个抗原和三个抗体，如果你三个抗体都是阳性，就提示既往曾经感染过乙肝病毒，机体已经把病毒清除后的结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880646824},{"body":{"content":"如果情况稳定，体重下降满意，没有反弹，半年查一次应该没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880671922},{"body":{"content":"好的大夫，那您说我还用吃那两个药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880869497},{"body":{"content":"手里有就吃完，还需要巩固一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880911303},{"body":{"content":"好的，谢谢您，我没问题了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880941660},{"body":{"content":"不客气！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880954583}]

男26岁

2022.05.20

[{"body":{"content":"方便拍照片吗？拍个照片看一下吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292322}]

女67岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049634724},{"body":{"content":"不建议口服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049638360},{"body":{"content":"是有副作用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049658370},{"body":{"content":"孩子额头痤疮严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049667108},{"body":{"content":"18岁以上建议口服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049672476},{"body":{"content":"对肝肾功能影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049687787},{"body":{"content":"还有别的口服药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049714717},{"body":{"content":"11岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732352},{"body":{"content":"孩子太小不建议口服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049773091},{"body":{"content":"能用什么药物？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049801671},{"body":{"content":"如果不重可以不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049860563},{"body":{"content":"额头严重 有的冒出白色东西 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895364},{"body":{"content":"不用用手扣","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049908748},{"body":{"content":"可以外用******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049913438}]

女9岁

2022.05.20

[{"body":{"content":"您好，宝宝这种情况多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883692362},{"body":{"content":"三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883716091},{"body":{"content":"目前一天大便几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883732879},{"body":{"content":"有时候正常的话一天一次，如果喝奶就拉的话一天三次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883777823},{"body":{"content":"体重增长好不好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883799553},{"body":{"content":"也不是每次喝奶**，就是经常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883800016},{"body":{"content":"目前九个月，75cm 10kg","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883830874},{"body":{"content":"九个半月了，不好意思，刚刚说错了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883847838},{"body":{"content":"体重还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883856013},{"body":{"content":"大便稀不稀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883862892},{"body":{"content":"如果一天一次的话就不稀，喝奶拉那种就稀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883896837},{"body":{"content":"不爱吃辅食","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883909998},{"body":{"content":"吃两口就不张嘴了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883933382},{"body":{"content":"这种情况需要查查乳糖不耐受","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883949199},{"body":{"content":"或者蛋白过敏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883956387},{"body":{"content":"这检查需要怎么做的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883979664},{"body":{"content":"乳糖不耐受化验大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883995233},{"body":{"content":"过敏需要抽血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884001048},{"body":{"content":"先查乳糖不耐受吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884018602},{"body":{"content":"比较容易","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884022725},{"body":{"content":"好的。还有没有可能是奶粉不合适导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884025928},{"body":{"content":"奶粉不合适就是考虑过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884044963},{"body":{"content":"那我就先去做乳糖不耐受吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884068907},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884082997},{"body":{"content":"先查乳糖不耐受吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884087518},{"body":{"content":"刘医生，化验大便得去医院拿试管回来取大便吗，还是得带宝宝一起去医院呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884190364},{"body":{"content":"这需要咨询当地儿童医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884241519},{"body":{"content":"看如何开展","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884246959},{"body":{"content":"一般带标本即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884253326},{"body":{"content":"好的，非常感谢你！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884364001},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884376115}]

男9个月16天

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051327336},{"body":{"content":"请问您需要咨询那些医学问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331559},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338381},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051456020},{"body":{"content":"报告提示右侧鼻骨骨折","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490609},{"body":{"content":"现在主要是什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051496316},{"body":{"content":"有治疗吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499027},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051741261},{"body":{"content":"您还在关注对话吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051852575},{"body":{"content":"如果骨折明显，有不适症状，根据骨折症状轻重情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052013571},{"body":{"content":"如果必要时是建议手术的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052022592},{"body":{"content":"避免影响之后的正常生活","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052030600},{"body":{"content":"现在看不到具体的骨折情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052037081},{"body":{"content":"建议遵线下医嘱对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052057916},{"body":{"content":"由于您长时间不在线，所以无法了解到您的具体症状，也无法给您更全面的建议，建议您下次方便时可以再次上线咨询，以便我给您一些比较适合的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052063603},{"body":{"content":"您好，受接诊时长的控制，如果您没有其他问题咨询了，或者现在不方便在线回复，时限到后，系统会自动关闭并提交结束本次问诊，等您需要或方便的时候再上线免费咨询，谢谢您的理解和配合，下次再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052065264}]

男40岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883922},{"body":{"content":"********是一个中成药，大部分的药效都是****的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049906653},{"body":{"content":"宝宝发热几天？，最高体温几度？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928401},{"body":{"content":"我家小朋友经常没有发烧，但是咳嗽，所以我想问问能不能作为常备药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049938542},{"body":{"content":"没有发烧哦，只是咳嗽，现在已经好了，他在幼儿园吃了鸡排什么就容易咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049968928},{"body":{"content":"这个药可以备在家里，但是不生病不建议吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050065547},{"body":{"content":"就是孩子咳嗽的情况下，可以吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050081436},{"body":{"content":"如果宝宝单纯的是咳嗽，肺上没有痰，排除肺炎的情况下。可以在家里做**治疗。副作用小一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050175483},{"body":{"content":"如果有痰可以按说明书吃点吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051075776},{"body":{"content":"如果咳嗽有痰，可以按说明书吃上2~3天的药物。这个药物也有**的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199522},{"body":{"content":"大部分孩子轻微咳嗽，通过**和口服****的药物，效果都很好。如果咳嗽严重，建议及时到医院就诊完善详细的体格检查，排除肺炎后进一步治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257508},{"body":{"content":"好的，谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051355990},{"body":{"content":"不用谢，希望我的建议可以帮助到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051603577}]

男6岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018710983},{"body":{"content":"抱歉，平台最新规定，必须有原来当地医院纸质处方，才能开药！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018758185},{"body":{"content":"贺医生最近有反复医院医生把我***加量了但是医生开的量不够","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018778069},{"body":{"content":"纸质处方在医院就诊药诊单可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018821521},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019125134},{"body":{"content":"您可以去当地的医院下次就诊时，留着病例，处方（必须有姓名，诊断，医院，用药情况）。这样下次就可以网上买药了，京东软件，搜索 {***} 就可以找到我了！价格便宜！感谢配合！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019133190},{"body":{"content":"这个可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021670247},{"body":{"content":"这个不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021729356},{"body":{"content":"不可开方情况：\n１.　用药指导不可以\n２.　门诊缴费凭证不可以\n３.　互联网平台处方凭证不可以\n 4. 取药单不可以\n 5. 发票单不可以\n 6. 非精神心理科提供的凭证不可以！（神经内科规范处方除外）\n以上均缺乏专业认证！！！！！！！\n\n可开方情况（满足一种即可)：\n特别说明：以下可开方情况的专业认证与本次问诊的患者姓名、诊断、药品名称三者必须全部一致，否则不可开方！！！！！！！\n\n１．门诊病历（可无盖章，必须有医生签名）\n２.　住院病历（必须有医院公章）\n３.　出院小结（纸质手写必须有医院公章，电子版可无公章）\n４.　诊断证明（必须有医院公章）\n５.　处方单（必须有医生签名）\n 6· 线下实体医院自有互联网医院处方单（必须有医生签名）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021731887}]

女33岁

2022.05.20

[{"body":{"content":"你****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879114305},{"body":{"content":"您好，我是京东皮肤专业主治医生***，由于问诊时间或者次数有限制，为给您提供更好的的诊疗方案，请问您依次回答您这种情况多久了？最近都用过什么药物治疗（具体药物名称），如果有过敏药物，肝肾，心脏等慢性疾病以及备孕请提前说明（不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879239331},{"body":{"content":"最近一直在涂抹*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879283186},{"body":{"content":"口服的什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365203},{"body":{"content":"没有口服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879395084},{"body":{"content":"之前在地方医院开过药是口服的 但是忘了叫啥名字了 因为是前年看的病 那个医生说是痤疮 开口服的就行 好像是去火的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879460551},{"body":{"content":"因为我是军人 所以外出看病有些限制","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879477824},{"body":{"content":"当时口服那个药物确实痘痘下去了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498922},{"body":{"content":"什么时候严重一些？与熬夜，饮食辛辣，作息不规律，心情不好，长期使用电子产品（电脑前工作，刷**，玩游戏），***等有关系嘛？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879542397},{"body":{"content":"都有一点吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879572253},{"body":{"content":"因为职业问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879579311},{"body":{"content":"熬夜几乎不会 除非晚上执勤 几乎都十点半左右入睡了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879632755},{"body":{"content":"根据您目前的情况，我建议口服******一天2次，一次50mg（如果口服后有头晕等不适，放到睡前一次性吃2粒），白天外用******一天两次。晚上点涂******一次，外用药物都只摸痘痘上（您需要的处方已开，审核通过后按照提示购买，京东大药房的都是正品）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879720639},{"body":{"content":"好的我已经购买","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879821448},{"body":{"content":"如果有不适我再联系您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879837819},{"body":{"content":"医生这和饮食有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879980571},{"body":{"content":"成人奶粉和***增肌类型的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880035989},{"body":{"content":"主要与饮食辛辣，熬夜，作息不规律有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880054885},{"body":{"content":"这段时间尽量要注意休息，清淡饮食，不要吃辛辣刺激的食物（麻辣烫，火锅，烧烤等），少吃油腻的食物（肯德基，麦当劳，红烧肉等），甜食（巧克力，糖果等），多吃蔬菜水果，保持大**畅，少熬夜，少抽烟喝酒，尽量不要长期玩电脑游戏，刷**，看**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880059065},{"body":{"content":"牛奶和成人奶粉之类的奶制品可以饮用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880153298},{"body":{"content":"而且我是油性皮肤 易出汗 我们训练量也很大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880180838},{"body":{"content":"洗面奶护肤之类的有要求吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880274343},{"body":{"content":"高脂的牛奶尽量少喝。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881745118},{"body":{"content":"********的这几个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881772419},{"body":{"content":"好的明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882190289},{"body":{"content":"嗯，好的，不客气，按时用药治疗的同时注意我说的注意事项同等重要，一般2周左右复诊，根据病情变化调整治疗方案（如果用药过程中有不适请及时复诊或者附近医院及时就诊）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882283910}]

男23岁

2022.05.20