刘继帅

[{"body":{"content":"晚上好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049626351},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049633841},{"body":{"content":"一个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049643325},{"body":{"content":"这个是哪里问题，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049658214},{"body":{"content":"一开始是如何引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049669474},{"body":{"content":"吃东西过于寒凉吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049704110},{"body":{"content":"睡眠怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049798350},{"body":{"content":"有点少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049803973},{"body":{"content":"睡眠不好，是引起这一类现象的主要原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049963782},{"body":{"content":"1）养成良好的生活习惯　如建立一天有规律的生活制度，在固定时间睡觉和起床，保持正常的睡眠－觉醒节律。白天适度的体育锻炼，尤其下午锻炼是帮助睡眠的最佳时间。有规律的体育锻炼能提高夜间睡眠的质量。2）建立科学的睡眠卫生习惯　避免睡前吃得过饱，尽量避免在睡前饮用酒、咖啡、茶、可乐等刺激性饮料（但可以喝适量牛奶），避免睡前进行体育活动。另外，应限制白天睡眠时间，避免午睡或减少午睡时间。3）创造良好的睡眠环境　保持卧室清洁、安静、远离噪声、避开光线刺激等。保持室温稍凉，卧室温度稍低有助于睡眠。好的卧具可以帮助入睡，可从选择合适的床垫开始。4）建立“睡眠仪式”　入睡前要抛开清醒时的一切烦恼。“睡眠仪式”可依据个人喜好或繁或简，可始于轻轻地舒展身体，松弛肌肉，或冲个热水澡，也可以听听音乐或者翻翻不具恐怖色彩的书。但是不管选择哪种方式，都要记住每晚睡前做同一件事，直到它成为夜间休息的一种暗示。5）保持乐观、知足的良好心态　对社会竞争、个人得失等有充分的认识，避免因为生活和工作中遇到挫折而导致心理失衡。6）服***　对于失眠较严重的病人，可在医生指导下，短期、适量地服用***或小剂量的抗焦虑、抗抑郁制剂，这样可能会取得更快、更好的治疗效果。但是需要强调的是，***不宜长期服用，否则容易变成习惯，甚至成瘾。另外，长期服用***也可能产生耐药性，使药物的效用降低。有些药品具有一定的肝毒性，并可能引起胃肠功能紊乱。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974359},{"body":{"content":"这个问题应该吃什么中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049994923},{"body":{"content":"中医讲究辨证论治，我需要再详细了解一下您的基础情况，帮您对症分析，再给您一个综合调理的方案。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069342},{"body":{"content":"方便拍个舌头的照片（让舌头对着光线明亮的方向拍照，尽量不要使用美颜，舌体尽量自然伸出来，也可以多拍几张对比一下），传一下看看舌象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080618},{"body":{"content":"舌头很红。有齿痕。舌苔很厚。白，这种情况多数情况是体内湿气比较重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360812},{"body":{"content":"食欲怎么样？油腻的东西吃的多不多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385313},{"body":{"content":"用镜子看没有舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050982926},{"body":{"content":"红头红，有齿痕，无舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050997051},{"body":{"content":"好的，那就是光线的原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008985},{"body":{"content":"食物正常，油腻的东西吃的不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051013228},{"body":{"content":"大便正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051100698},{"body":{"content":"正常吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135618},{"body":{"content":"小便什么颜色的一天几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051167190},{"body":{"content":"小便颜色淡，一天10次吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051285560},{"body":{"content":"有没有口渴？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051320792},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051331257},{"body":{"content":"有没有怕冷的感觉？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371118},{"body":{"content":"有点怕冷吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400343}]

男31岁

2022.05.20

[{"body":{"content":"以前有过这种情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965688681},{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966015377},{"body":{"content":"以前有过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966046509},{"body":{"content":"不能除外癫痫","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966051020},{"body":{"content":"以前没有过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966067259},{"body":{"content":"如果是第一次，建议尽快去医院做个头ct 和脑电图","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966096648},{"body":{"content":"都做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966110041},{"body":{"content":"明确一下是否为癫痫以及抽搐的原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966116097},{"body":{"content":"看过医生了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966122994},{"body":{"content":"核磁也做了没事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966123135},{"body":{"content":"脑电图有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966131261},{"body":{"content":"发病之前有没有熬夜？一共抽过几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966148433},{"body":{"content":"住了四天院，脑电图显示有点电波2.5","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966180862},{"body":{"content":"诊断癫痫了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966195646},{"body":{"content":"诊断了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966209823},{"body":{"content":"吃药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966246758},{"body":{"content":"脑电图如果有异常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966255735},{"body":{"content":"根据症状也可以诊断","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966272597},{"body":{"content":"今天才吃药，******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966299615},{"body":{"content":"嗯，一定要规律吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966314017},{"body":{"content":"不要熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966316542},{"body":{"content":"这毛病能有后抑证吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966379780},{"body":{"content":"先吃药看看吧，如果不严重，有的一两年后可以停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966422994},{"body":{"content":"得看情况哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966429129},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966435827},{"body":{"content":"平时一定注意别饮酒，别熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966437938},{"body":{"content":"规律吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966440575},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966449751},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966458591},{"body":{"content":"电波2.5有事吗，医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966529259},{"body":{"content":"应该不是电波","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966541591},{"body":{"content":"是有异常放电","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966550361},{"body":{"content":"那是什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966554225},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966561274},{"body":{"content":"这个是支持癫痫诊断的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966561870},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966588552}]

男17岁

2022.05.20

[{"body":{"content":"您好，请详细说一下您的疑问","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824388},{"body":{"content":"就是阴道分泌物粉末状，特别痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879832895},{"body":{"content":"去医院开过吃的药，塞的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879884910},{"body":{"content":"都用过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879890662},{"body":{"content":"比原来轻点了，但是还是刺挠痒，白色粉末状，跟豆腐渣似的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879925233},{"body":{"content":"2月份化验的时候，是这样的白带吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879952972},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879973891},{"body":{"content":"具体都用了哪些药呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880009728},{"body":{"content":"**挫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880046566},{"body":{"content":"赛过***用，塞完便秘。大便出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880095862},{"body":{"content":"还有，具体忘了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880111816},{"body":{"content":"吃的****吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880152721},{"body":{"content":"去医院看，就是里面有一层白膜，老出粉末状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880170542},{"body":{"content":"爱过一盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880182748},{"body":{"content":"吃过一盒，没有了，没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880194138},{"body":{"content":"***塞了几天呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880199796},{"body":{"content":"感觉这个药吃了火大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880205579},{"body":{"content":"那个赛过三四天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880219448},{"body":{"content":"后来就没有再塞药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880230221},{"body":{"content":"便秘，大便总出血，就没敢在塞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880252129},{"body":{"content":"塞了火大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880263439},{"body":{"content":"这个怎么这么反复啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880282191},{"body":{"content":"您的便秘症状和塞药没有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880313531},{"body":{"content":"没塞的时候没事啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880328114},{"body":{"content":"应该是霉菌性阴道炎合并细菌性阴道病，本次建议塞药+口服，更换其他药物，需要坚持治疗至少一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880348951},{"body":{"content":"稍等给您发用药方法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880363430},{"body":{"content":"用啥药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880364624},{"body":{"content":"现在疫情严重了，也没法去医院买药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880385067},{"body":{"content":"京东现在也不送","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880400144},{"body":{"content":"还赛过一个往外拽的，带绳的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880447173},{"body":{"content":"口服的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880455946},{"body":{"content":"也不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880461217},{"body":{"content":"治疗建议：\n1.口服****，每日2次，每次2片，一共吃7天，这个不受月经期影响。\n2.同时，*************/****，每晚1粒阴道用，7天。用药后垫卫生巾，免得弄脏衣裤。月经干净后再连用7天，巩固治疗。\n3.用药期间不要同房。瘙痒时可以用较冷的水坐浴，可以明显缓解瘙痒症状，不能用热水烫，会肿。\n4.不要做阴道冲洗，因为阴道有自净的功能，冲洗会破坏环境。\n5.穿透气裤子，不要久坐。\n6.月经期勤换卫生巾，白天2小时换一次。\n7.适当锻炼增强免疫力，对预防阴道炎复发有一定好处。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880489031},{"body":{"content":"如果京东不能送，可以看看其他平台，或者和社区申请买药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880587389},{"body":{"content":"治疗建议：\n1.口服****，每日2次，每次2片，一共吃7天，这个不受月经期影响。\n2.同时，*************，每晚1粒阴道用，7天。用药后垫卫生巾，免得弄脏衣裤。月经干净后再连用7天，巩固治疗。\n3.用药期间不要同房。瘙痒时可以用较冷的水坐浴，可以明显缓解瘙痒症状，不能用热水烫，会肿。\n4.不要做阴道冲洗，因为阴道有自净的功能，冲洗会破坏环境。\n5.穿透气裤子，不要久坐。\n6.月经期勤换卫生巾，白天2小时换一次。\n7.适当锻炼增强免疫力，对预防阴道炎复发有一定好处。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880611028},{"body":{"content":"是这两种药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880991871},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881026321},{"body":{"content":"不用管哪个厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881064154},{"body":{"content":"不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881146325},{"body":{"content":"我每天都要用水洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881152939},{"body":{"content":"水洗外阴就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881187659},{"body":{"content":"要是来月经了，就不能塞了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881199156},{"body":{"content":"估计快来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881206782},{"body":{"content":"吃药不受月经影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881225103},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881236694},{"body":{"content":"塞药塞到来月经，然后月经后不要等症状复发，也不要同房，继续塞药一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881243206},{"body":{"content":"能加个微信吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881245747},{"body":{"content":"抱歉平台要求不可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881262104},{"body":{"content":"我之前赛过一个**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881269055},{"body":{"content":"后续假如有疑问，可以选择追问包","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881278041},{"body":{"content":"忘记啥名了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881279625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881287153},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881294016},{"body":{"content":"什么样子的**，塞了以后怎样了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881300094},{"body":{"content":"我忘记了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881335770},{"body":{"content":"没起啥作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881345116},{"body":{"content":"这个************应该是效果比较好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881500303},{"body":{"content":"先用用看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881506084},{"body":{"content":"得坚持用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881514338},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881556468},{"body":{"content":"还有盒装的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881720093},{"body":{"content":"用瓶装的，还是盒装的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881734928},{"body":{"content":"瓶装的吧，更便宜应该","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881898474},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881926245},{"body":{"content":"您给开的是这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882871258},{"body":{"content":"都可以的，这都是很普通的药，品牌不重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882950158},{"body":{"content":"那就买这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883119713},{"body":{"content":"第一个买3盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883128464},{"body":{"content":"是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883134145},{"body":{"content":"我按您这个下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883147529},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883186232},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883195851},{"body":{"content":"早点休息","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883202045},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883212863},{"body":{"content":"怎么显示一个药是疫情有关，不会手机弹窗吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884037998},{"body":{"content":"不应该啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884056176},{"body":{"content":"我已经下单了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884102991},{"body":{"content":"***和疫情无关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884103597},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884107673},{"body":{"content":"不过现在天天核酸，不会弹窗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884115231},{"body":{"content":"您快休息吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884116078},{"body":{"content":"好的?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884120414},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884121125},{"body":{"content":"晚安","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884126346},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884130280},{"body":{"content":"您***，那个药我看24号才能发","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652920824313},{"body":{"content":"那先塞几天***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652927872667},{"body":{"content":"那个也没拿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652929531711},{"body":{"content":"那只能先洗洗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652929576590},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652931563618},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652931571572},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652931576532},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967383148},{"body":{"content":"那个不发货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967400728},{"body":{"content":"这个美团可以送","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967412549},{"body":{"content":"这款药可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967421386},{"body":{"content":"可以的，一样的成份","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967590673},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dy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女46岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050402161},{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050403727},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050406005},{"body":{"content":"应该是给宝宝吃的多了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050461681},{"body":{"content":"第一次就给宝宝吃150毫升，有点太多了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050482690},{"body":{"content":"**的一次给宝宝吃了多少呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050515388},{"body":{"content":"**是两勺，55ml的温水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050816134},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050825219},{"body":{"content":"刚才冲的没喝完的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050826752},{"body":{"content":"初次添加可以用一平勺约5克米粉，加60毫升的水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050850504},{"body":{"content":"米粉初期添加可以先给宝宝吃5-6口让宝宝适应一下，3天后可以逐渐增加喂养量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050870063},{"body":{"content":"可以发个冲调的顺序吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050876436},{"body":{"content":"一般的婴儿米粉包装上，都会标明米粉的冲调浓度，第一次给宝宝添加的时候，可以比说明书上标明的浓度冲调的更稀一点，在宝宝能够接受这个浓度以后，再逐渐调整到按照说明书上的比例冲调。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050885626},{"body":{"content":"包装就是写着5勺啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906115},{"body":{"content":"将白开水凉到60℃备用\n在碗中加入准备好的温开水，取米粉到小碗中，边加边按一个方向搅拌，搅拌均匀后，静置30秒即可\n，最后一步是试温度,将米粉滴在手腕内侧温热无烫感就合适了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961257},{"body":{"content":"我就是按照这个来冲调的，想着之前吃过米粉，所以就按照平时的冲调","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051006205},{"body":{"content":"那合适冲调比例","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014289},{"body":{"content":"不要一开始就给宝宝吃那么多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051028432},{"body":{"content":"可能是吃太多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051064785},{"body":{"content":"刚开始添加辅食的宝宝肠胃比较娇嫩，还不太适应辅食，需要先稀一些，**再增加喂养量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077589},{"body":{"content":"之前也没吃过那么多的，我以为你们的冲调不一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051083358},{"body":{"content":"宝宝辅食喂养的原则是由少到多，由稀到稠，由单一到多样，循序渐进逐步添加。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051098776},{"body":{"content":"我是京东医生育儿师，不是任何一款商品的客服哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137872},{"body":{"content":"从哪款商品的窗口都可以联系到我的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163171},{"body":{"content":"看起来给宝宝吃的有点多了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051187768},{"body":{"content":"给宝宝减少喂养量，喂***调理，观察会不会好转","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051207013},{"body":{"content":"让宝宝肠胃休息一两天，在**少量开始添加喂养。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231410},{"body":{"content":"??","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051332007},{"body":{"content":"您还有问题咨询吗，如果方便的话麻烦右上角给点个评价，谢谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051362747}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965115388},{"body":{"content":"胆总管下段肿瘤需要手术，还是保守治疗，已经有黄疸症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965192284},{"body":{"content":"身体条件允许情况下 手术是第一选择","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965242082},{"body":{"content":"？能看到吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966811640},{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966851195},{"body":{"content":"能告知，胆总管下段肿瘤比较好的医院是哪里？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969309302},{"body":{"content":"你在哪个城市","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969338548},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652971360472},{"body":{"content":"那去上海东方肝胆医院吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000668058},{"body":{"content":"你做的检查结果发来给我看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001057760},{"body":{"content":"这个属于中期还是晚期扩散？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001165906},{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001169378},{"body":{"content":"这个病本身恶性程度比较高 但是目前没看到转移的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001191946},{"body":{"content":"应该还有手术机会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001200270},{"body":{"content":"手听说有一个药****是不是可以用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001291325},{"body":{"content":"这是化疗药物 不能治本","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001366555},{"body":{"content":"要手术切除才最好啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001375558},{"body":{"content":"*，手术第一选择","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001460362},{"body":{"content":"能手术的情况下肯定先选择手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001525761},{"body":{"content":"疫情期间**也不方便去 省内的话就去省立医院和安医附院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001775219},{"body":{"content":"好的，谢谢。?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001836863}]

男77岁

2022.05.20

[{"body":{"content":"您好，我是互联网王医师，非常感谢你的信任，您先别担心，我会仔细看您的资料以后，再详细回复您。分析病情和回复需要一些时间，请您耐心等待。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965366727},{"body":{"content":"***活血通络的，心肌缺血可以吃，对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965383352}]

女33岁

2022.05.20

[{"body":{"content":"现在睡着了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049663249},{"body":{"content":"摸着可以抹平的那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049697752},{"body":{"content":"那可以总","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049718740},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049720064},{"body":{"content":"用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721144},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808641},{"body":{"content":"躺着好点，做起来就凸起来明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049853106},{"body":{"content":"嗯，符合脐疝。可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049872614},{"body":{"content":"这个有规格吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891620},{"body":{"content":"这个就需要咨询客服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904914},{"body":{"content":"一般用多久能好呀长平点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049911246},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049954647},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984305}]

女

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049980726},{"body":{"content":"您稍等会我给您查询一下！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049983132},{"body":{"content":"上火：这种情况常见于天气炎热，宝宝喝水少或饮食中进食过多辛辣、油腻、甜甘食物。让宝宝多吃点水果蔬菜泥，多喝点水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050093518},{"body":{"content":"这是上火还是疱疹啊？身上没有，牙龈上没有，舌头上没有，舌苔有点厚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050103854},{"body":{"content":"可以用口腔溃疡散吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050128997},{"body":{"content":"有哭闹情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050147637},{"body":{"content":"可以用口腔溃疡散。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050162403},{"body":{"content":"用的是瑞和口腔溃疡散行吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050203470},{"body":{"content":"需要及时调整饮食结构，同时局部疱疹部位可以适当涂抹口腔溃疡散，以缓解局部疼痛症状，通常疱疹1周左右就可以恢复正常；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050203702},{"body":{"content":"可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050216841},{"body":{"content":"一天可以涂几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236570},{"body":{"content":"给宝宝煮点苹果梨，**水，让宝宝多喝点水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249699},{"body":{"content":"三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261556},{"body":{"content":"涂完口腔溃疡散嘴唇干要不要在嘴唇上涂点水？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288692},{"body":{"content":"希望我的回答能帮到您，再有其他的育儿问题您可以随时咨询我，我一直都在的。祝愿宝宝在您的呵护下健康成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292989},{"body":{"content":"给宝宝多喝点水，不用在嘴巴上涂水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050327798},{"body":{"content":"宝宝是母乳喂养还是吃奶粉？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344260},{"body":{"content":"如果宝宝是吃母乳，妈妈饮食上也要多注意些，多吃水果蔬菜，多喝水，别吃辛辣刺激的食物，别吃油腻的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366628},{"body":{"content":"希望我的回答能帮到您，再有其他的育儿问题您可以随时咨询我，我一直都在的。祝愿宝宝在您的呵护下健康成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050377682},{"body":{"content":"今天我们的服务考核，需要您的好评。希望您能在右上角的表扬点一下，给一个五星好评，辛苦您了，谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050382850},{"body":{"content":"母乳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050385413},{"body":{"content":"送您一个追问包。再有其他关于育儿方面的问题，您可以随时咨询我。期待您的支持和好评！谢谢您了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050401080},{"body":{"content":"已好评","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050443862},{"body":{"content":"祝情人节快乐！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050468302}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是京东中医科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050087531},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098350},{"body":{"content":"抗体阳性，提示幽门螺旋杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103688},{"body":{"content":"幽门螺杆菌感染的症状主要是反酸、烧心以及胃痛、口臭。幽门螺杆菌感染能够引起慢性胃炎。主要临床表现有：上腹部不适、隐痛，有时发生嗳气、反酸、恶心、呕吐的症状，病程较为缓慢，但是容易反复发作。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050111063},{"body":{"content":"我母亲幽门螺杆菌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111958},{"body":{"content":"恩恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117356},{"body":{"content":"之前药物治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050123871},{"body":{"content":"目前治疗是四联治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366397},{"body":{"content":"疗程为2周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369845},{"body":{"content":"这些症状目前还没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050578532},{"body":{"content":"到检查显示幽门螺杆菌超","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595386},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607365},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050614170},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050732835},{"body":{"content":"有中度脂肪肝，无其他病症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769374},{"body":{"content":"稍等，为您开方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843572},{"body":{"content":"*****，一次500mg，一日2次，饭后服用；******，一次1000mg，一日2次，饭后服用； ********，一次20mg，一日2次，饭前服用；*******，一次0.6g，一日2次，饭前服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240919},{"body":{"content":"幽门螺旋杆菌感染 注意事项：\r①注意休息，保持良好情绪，规律作息。\r②三餐定时，饮食清淡易消化，进食要细嚼慢咽，避免过饱，忌烟酒、适当饮水，避免食用生冷、辛辣、油腻的食物。保持口腔健康（勤漱口、刷牙）。\r③幽门螺旋杆菌主要经过消化道传播（主要是共用餐具进餐），建议和您长期一起共用餐具的人进行碳13或碳14呼气试验检查，以便同时治疗，治疗时建议分餐，并做好餐具消毒。\r④幽门螺旋杆菌治疗疗程为2周，建议您治疗疗程结束后停药1月后复查碳13或碳14呼气试验。服药过程中可能会出现黑便（大部分是药物所致），若无症状加重情况，比如：乏力、头晕、胃痛等，建议您观察；反之，建议线上问诊或医院就诊。⑤ 如有不适，及时线上问诊或线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251488},{"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":1653051380153},{"body":{"content":"您好，请问还有**问题需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383024}]

男60岁

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":1653049896183},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049897919},{"body":{"content":"看见照片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049915012},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921373},{"body":{"content":"蛮久了，几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049946443},{"body":{"content":"这个包考虑是皮脂腺囊肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049977310},{"body":{"content":"腺管堵塞（灰尘 感染等）引起内容物无法排出形成","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984292},{"body":{"content":"怎么医治啊？会越长越大不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050003147},{"body":{"content":"这个需要去医院耳鼻喉科 门诊 切除的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050007187},{"body":{"content":"有可能增大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050013237},{"body":{"content":"必须切除吗？不会自愈？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050028687},{"body":{"content":"有可能自愈 如果平时没有什么影响 可以先观察 如果有增大 及时线下医院耳鼻喉科切除的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050065389},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050093232},{"body":{"content":"您客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050110630},{"body":{"content":"不要频繁的触摸刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117054},{"body":{"content":"要外涂药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050132402},{"body":{"content":"不用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154825},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050182171},{"body":{"content":"您客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050236280},{"body":{"content":"如果病情没有缓解或者出现加重的情况，建议您及时线下公立医院就诊，以免延误病情。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051707250}]

男28岁

2022.05.20