刘继帅

[{"body":{"content":"您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050018196},{"body":{"content":"收到您上传的图片了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050019959},{"body":{"content":"您好，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026720},{"body":{"content":"请问您发现这种症状具体有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050053869},{"body":{"content":"病情发展过程是先出现图四，然后图三，然后图二，然后图一，图四是最初出现的，现在是最严重的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098497},{"body":{"content":"最开始出现是去年12月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117337},{"body":{"content":"哪1张是现在的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149609},{"body":{"content":"现在的都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157812},{"body":{"content":"目前有瘙痒，疼痛的感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050179036},{"body":{"content":"首先，照片都是刚拍的，左脚上的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188605},{"body":{"content":"有，痒，疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050197659},{"body":{"content":"我以为是脚气，用了一个月***，不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050214967},{"body":{"content":"是一只脚还是两只脚都有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050241203},{"body":{"content":"我现在开始怀疑是不是湿疹或者混合之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050243684},{"body":{"content":"只有左脚有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050249671},{"body":{"content":"您的脚趾缝有脱皮脱屑的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050260027},{"body":{"content":"基本没有，我是汗脚，但没有脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050295605},{"body":{"content":"最近一个月每天晚上睡前涂抹***，每天换一双鞋垫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326186},{"body":{"content":"患处目前是否有流水、破溃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345241},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351916},{"body":{"content":"根据您的图片和描述考虑 皮炎可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425338},{"body":{"content":"我帮您调整一下用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428696},{"body":{"content":"图一和图四皮肤下有很多肉眼可见的小红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050429529},{"body":{"content":"皮肤上有好几个小孔，会从里面渗出液体","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471714},{"body":{"content":"之前这个部位有水泡吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050473639},{"body":{"content":"最初的时候有过，一个疙瘩一样的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494112},{"body":{"content":"最开始的时候脚趾缝有脱皮吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050529653},{"body":{"content":"手指上有一个，就是最初跟脚底差不多时间出现的，这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050567070},{"body":{"content":"收到了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595326},{"body":{"content":"一直都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599022},{"body":{"content":"之前的脚上的疙瘩是硬的还是软的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050620259},{"body":{"content":"手指上这个没有恶化，它只是一直有个包，软的包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050632265},{"body":{"content":"脚上的之前也是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050652434},{"body":{"content":"不是那种柔软，是硬硬的软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655340},{"body":{"content":"嗯，像青春痘那种疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050670334},{"body":{"content":"青春痘那种柔软度吧，大概是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703282},{"body":{"content":"目前从图片来看是属于皮炎湿疹样改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050731498},{"body":{"content":"***先不要用了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050745059},{"body":{"content":"需要换个药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750130},{"body":{"content":"根据上述情况我可以给您一些用药建议。\n为了用药安全，请问您有无药物过敏史及肝肾功能异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750863},{"body":{"content":"我也越来越觉得不像脚气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050751035},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050762372},{"body":{"content":"好的， 稍等2分钟 我这边给您发送药物链接，用药前请您仔细阅读药品说明书中禁忌，注意事项，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843486},{"body":{"content":"好的，它也适用于我手上的这个包么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865786},{"body":{"content":"您手部这个目前不太典型， 药物不适合的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904527},{"body":{"content":"药物只是治疗目前瘙痒疼痛的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905475},{"body":{"content":"皮肤破损的这一块呢，有没有什么方法让它变好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937187},{"body":{"content":"建议您可以外用 ******* 沾湿纱布湿敷 每天1次 每次 10分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050992733},{"body":{"content":"＋******每天两次治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050993162},{"body":{"content":"*******就有 **祛腐的作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051025874},{"body":{"content":"可以治疗目前这种皮肤病损的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053493},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051124294},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133400},{"body":{"content":"您可以先点击“处方单”-查看详情-预约，稍后再给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051135302},{"body":{"content":"我刚才已经买完您链接里的药品了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051154092},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051162048},{"body":{"content":"缴费也完成了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165144},{"body":{"content":"主要是 建议您穿透气性好的鞋袜，避免焐热，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169579},{"body":{"content":"保持足部干燥， 一定要避免抠抓刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174563},{"body":{"content":"我每天会用这个泡脚，以后还可以么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051220993},{"body":{"content":"这个不是临床常用的药物，个人是不建议使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224703},{"body":{"content":"特别是目前这种疼痛的情况，不要使用 了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231564},{"body":{"content":"以免刺激加重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234448},{"body":{"content":"嗯，那我就正常的洗脚完事敷药就可以了是么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051260215},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051270815},{"body":{"content":"嗯嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051277316},{"body":{"content":"我还有什么其他的注意事项不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291616},{"body":{"content":"用这种，无菌纱布沾湿******* 敷在脚部患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051298787},{"body":{"content":"避免加重感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051301828},{"body":{"content":"基本整个脚底就都需要了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316070},{"body":{"content":"***是敷完睡前再用么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051395786},{"body":{"content":"纱布可以展开使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051397528},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051400348},{"body":{"content":"是早晚各一次吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416502},{"body":{"content":"敷完药，晾干后在涂抹 *****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425661},{"body":{"content":"***** 早晚各1次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051428631},{"body":{"content":"******* 每天一次就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432548},{"body":{"content":"嗯嗯，好的，知道了，谢谢您，我没有问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453672},{"body":{"content":"不客气，能帮到您是我的荣幸。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051471292},{"body":{"content":"给您发送了一张我的排班表 您可以先保存在手机相册中 后期按照我上班的时间 打开京东app 就可以找到我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478689},{"body":{"content":"好的，谢谢，已保存","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051507047},{"body":{"content":"抱歉打错字了，是敷完药，晾干后在涂抹 ******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051510827},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051519377},{"body":{"content":"好的 ，如果没有其他问题，我就结束问诊了，希望我的建议能帮助到您。感谢您的信任，祝您和家人平安健康，晚安","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051531055}]

男42岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050010151},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050014000},{"body":{"content":"血糖多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050021913},{"body":{"content":"9点以内","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050042068},{"body":{"content":"空腹?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128138}]

女

2022.05.20

[{"body":{"content":"可有照片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965594642},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965629815},{"body":{"content":"只是囊肿已经扩散成好几小个，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965683865},{"body":{"content":"请问我挂什么科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965801742},{"body":{"content":"在哪地方囊肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965816745},{"body":{"content":"小腿上面头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965891516},{"body":{"content":"我这种情况该挂什么科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965962758},{"body":{"content":"在皮下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966056380}]

男71岁

2022.05.20

[{"body":{"content":"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":1653049924437},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049925861},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049936742},{"body":{"content":"看照片 鼻腔粘膜充血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951228},{"body":{"content":"鼻塞挺严重的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049977363},{"body":{"content":"是过敏吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049989441},{"body":{"content":"有鼻痒 打喷嚏 流鼻涕吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050022776},{"body":{"content":"有鼻痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050054157},{"body":{"content":"经常揉鼻子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050074539},{"body":{"content":"**没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050106979},{"body":{"content":"还有其他的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107223},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153632},{"body":{"content":"孩子的情况考虑是鼻炎 过敏性鼻炎的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050171246},{"body":{"content":"孩子的情况多长时间了？ 有用药治疗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180670},{"body":{"content":"没有用药，这情况快一个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050224147},{"body":{"content":"了解 孩子有不适 建议是用药干预的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254765},{"body":{"content":"有时间最好带孩子去医院检查一下过敏原 看对什么过敏 平时远离的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050274064},{"body":{"content":"孩子行动不便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304810},{"body":{"content":"有什么药可以缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050347613},{"body":{"content":"现在有不适 先用药缓解 有时间带孩子去检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050347744},{"body":{"content":"请问孩子有特殊疾病史，药物过敏史，药物禁忌史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050351256},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050357185},{"body":{"content":"我的建议是****** 每次1毫升 每日1次 口服 + ******** 每侧鼻孔1喷每日1次 + ******：喷鼻 2喷每日4次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394088},{"body":{"content":"先使用一周看症状恢复的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400026},{"body":{"content":"可以线上开药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536617},{"body":{"content":"如果您网上买药 稍等给您发送处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050555651},{"body":{"content":"您可以点击查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559316},{"body":{"content":"如果没有处方药，可以去药店买！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603844},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610300},{"body":{"content":"一般药店都有的 您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617572},{"body":{"content":"稍等给您发送处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645019},{"body":{"content":"去药店，用这个处方可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703582},{"body":{"content":"不可以的 只能线上买药使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761277},{"body":{"content":"那线下，买这些药。需要处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798035},{"body":{"content":"需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050845462},{"body":{"content":"一般药店有坐诊医生以及药师","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050868213},{"body":{"content":"一般是可以买到的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871438},{"body":{"content":"您可以先去问一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050874734},{"body":{"content":"那我看看，谢谢哦！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905433},{"body":{"content":"您客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050916710},{"body":{"content":"应该给您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050919512}]

男13岁

2022.05.20

[{"body":{"content":"脚指头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050010986},{"body":{"content":"这个药效果怎么样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050028862},{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050035330},{"body":{"content":"请问您这样多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040444},{"body":{"content":"不知道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046866},{"body":{"content":"近期是否就医诊疗过，近期是否服用过*西药物缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050066008},{"body":{"content":"今天修脚！足疗店的人发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050068579},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050074664},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050095773},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050112142},{"body":{"content":"根据您现在的症状，可能是灰指甲引起的这些症状，楚甲可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131147},{"body":{"content":"用法用量\n将本品施用于病甲，每7天使用1-2次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050200962},{"body":{"content":"这个啊**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050203228},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050215623},{"body":{"content":"几瓶能好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050216928},{"body":{"content":"大概","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221165},{"body":{"content":"用药注意事项\n1、哺乳期妇女避免使用本品。 2、使用本品前请仔细阅读说明书，严格按照说明书使用本品。 3、本品不得吸入，本品应避免接触粘膜（如口腔，鼻）和皮肤皱褶处。 4、如果不慎将搽剂误入眼内或耳内，立即用水冲洗，就近立即去医院咨询医生或药师。 5、如果误服本品，就近立即去医院咨询医生或药师。 6、甲真菌感染面积较大的患者，如多于2个指（趾）甲、单（趾）感染面积超过指甲面积二分之一的患者需要综合治疗，使用本品前应咨询专科医生。 7、由于缺乏相关的临床研究资料，不推荐用于儿童。 8、老年患者应在医师指导下使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231958},{"body":{"content":"建议用药两至三盒左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244375},{"body":{"content":"1.养成良好的卫生习惯，不穿他人的鞋袜，不用他人的毛巾、浴巾、不与他人共用面盆、脚盆；2.经常清洗手脚，保持手足清洁**适的湿度；3.避免用手搔抓患部；4.避免进食辛辣刺激性食物和发物，戒烟酒，饮食以清淡为宜，多吃些新鲜蔬菜和水果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050246875},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药7天无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254523},{"body":{"content":"前一瓶用多久可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050270679},{"body":{"content":"我看量很小","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050278181},{"body":{"content":"根据病甲多少哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304024},{"body":{"content":"两个大母脚趾","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325765},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346703},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050762489}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师许奇峰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049741234},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049744692},{"body":{"content":"您好，我是中医科医生，主要从中医角度给您一些建议，以上相关问题，点击主页面左边“客服”按钮，直接联系商家的客服，详细为您解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049747823},{"body":{"content":"目前京东商城很多产品都没有客服，或者您可以联系平台客服，咨询商家客服的联系方式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049750990}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044928},{"body":{"content":"什么部位有这种情况呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049461},{"body":{"content":"额头上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066774},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074368},{"body":{"content":"最初是外伤引起的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092791},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、是否有过敏史），如果没有则回复“无”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134400},{"body":{"content":"小时候摔跤磕到的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135783},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139399},{"body":{"content":"请问针对您的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152894},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165871},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174343},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240844},{"body":{"content":"***，一天两次，外用看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252801},{"body":{"content":"建议您平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291611},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051297447},{"body":{"content":"要用多久才会有效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051373191},{"body":{"content":"一般一个月是一个疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051394504},{"body":{"content":"可以先用一个疗程，看一下改善的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051403430},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051481183},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051482788}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143771},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965153420},{"body":{"content":"怎么了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965159291},{"body":{"content":"我想问下肚子跟长了红点点是什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965177687},{"body":{"content":"看看图片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187658},{"body":{"content":"昨天看还不多，现在感觉多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965242168},{"body":{"content":"一大块红色痒痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965256774},{"body":{"content":"有感觉吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965256955},{"body":{"content":"现在胸上也起了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965273038},{"body":{"content":"过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965324384},{"body":{"content":"9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？是否在备孕哺乳期或怀孕中？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965328397},{"body":{"content":"可以抹点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965331337},{"body":{"content":"口服******，每天一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337585},{"body":{"content":"是什么过敏的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965355147},{"body":{"content":"这个不好说，接触的，吃的都可以引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965401680},{"body":{"content":"我最近看脸上痘痘的，医生配的**跟****跟它们有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965475718},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965506489},{"body":{"content":"那怎么会过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965519920},{"body":{"content":"从来没有过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965527937},{"body":{"content":"越来越多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965549117},{"body":{"content":"嗯嗯，不好说了，很多人都这样，跟免疫力有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965557902},{"body":{"content":"那请问就买点药膏涂涂就可以了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965571041},{"body":{"content":"这个好看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965582640},{"body":{"content":"有时候我还痒痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965590667},{"body":{"content":"不要紧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965623803},{"body":{"content":"用药就没事了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965630610},{"body":{"content":"就涂点药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965648534},{"body":{"content":"口服的******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965656900},{"body":{"content":"每天一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965659157},{"body":{"content":"不吃药可以吗，因为我在吃去痘痘药我怕妨碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965670601},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682481},{"body":{"content":"就涂药好会快点吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965708751},{"body":{"content":"嗯嗯，主要是涂药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728424},{"body":{"content":"好的，那我明天去买这个药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965751600},{"body":{"content":"谢谢医生啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965759903},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965761383},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965762933}]

女31岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965468505},{"body":{"content":"有什么咨询的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965478411},{"body":{"content":"可以麻烦医生看一下这个病理结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965516714},{"body":{"content":"是恶性的吗 原发性的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965531653},{"body":{"content":"可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965595472},{"body":{"content":"可能性较大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965633477},{"body":{"content":"您可以简单解释一下这个检查结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965644223},{"body":{"content":"是直肠息肉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965649684},{"body":{"content":"异性增生就提示恶性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965698858},{"body":{"content":"病理活检已经比较明确考虑恶性肿瘤了，建议进一步做免疫组化等，具体看你主治医生的意见较好，他比较了解具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965756329},{"body":{"content":"看到明显的肿物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965794243},{"body":{"content":"那高级别上级内瘤是代表什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799805},{"body":{"content":"提示恶性程度可能没那么高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966022000},{"body":{"content":"就是可能是恶性的 但是要进行进一步的检查确认","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966092014},{"body":{"content":"那这样的情况容易转移吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966130964},{"body":{"content":"只能看个人情况咯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966172955},{"body":{"content":"医生会帮你评估的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966187979},{"body":{"content":"好的 谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966201795},{"body":{"content":"不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966213005}]

女49岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879070773},{"body":{"content":"一直持续的气短 呼吸困难 干呕 **","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879110703},{"body":{"content":"可以说得更具体，比如发生的时间？有多久了？和以前有区别吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879160653},{"body":{"content":"一直有 隔半小时就会有一会 然后又停一会 再继续 有两三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879204774},{"body":{"content":"以前没那么频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879215110},{"body":{"content":"现在每天都会","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879220435},{"body":{"content":"睡眠情况或者食欲如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879306001},{"body":{"content":"没什么食欲 睡眠一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879352948},{"body":{"content":"想吃东西 但是吃不进 吃两口就不想吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879371233},{"body":{"content":"还有时候全身无力 用不上力气要不然就是很想用力抓着东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879423679},{"body":{"content":"目前是高三阶段？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879660388},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879710079},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881191975},{"body":{"content":"医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881260404},{"body":{"content":"依据京东健康服务要求，首次开药，需要提供既往病历和处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884182789},{"body":{"content":"我们团队正在参加全国科普视频大赛，投票通道见二维码。我们是56号作品，共有四个视频，请全部点赞。一个视频链接请点一个赞（多点无效）。截止时间是7月3日24：00。感谢您的支持 。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1656039263361},{"body":{"content":"围绕青少年问题，我们团队制作了科普视频，正在参加全国科普大赛复赛，截止时间是7月3日24时https://pro.m.jd.com/mall/******/4********************9******/index.html欢迎您点赞支持（一个视频点一个赞，多点无效）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1656846356210},{"body":{"content":"围绕青少年问题，我们团队制作了科普视频，正在参加全国科普大赛复赛，截止时间是7月3日24时https://pro.m.jd.com/mall/******/4********************9******/index.html欢迎您点赞支持（一个视频点一个赞，多点无效）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1656847802846}]

女19岁

2022.05.20