刘继帅

[{"body":{"content":"尊敬的plus用户您好，我是骨科医生，很高兴能为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050114551},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050128922},{"body":{"content":"这是才拍的mr\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141414},{"body":{"content":"您目前有什么不适的症状，颈肩酸胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145379},{"body":{"content":"想提前知道严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050148509},{"body":{"content":"是的会有恶心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157154},{"body":{"content":"头晕有时","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050166306},{"body":{"content":"感觉脖子硬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050172520},{"body":{"content":"收到，从您上传的资料看存在颈曲变直，椎体的增生退变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244947},{"body":{"content":"不算严重的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253502},{"body":{"content":"您出现不适的症状多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259791},{"body":{"content":"一年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268514},{"body":{"content":"那会不会后期很严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050280018},{"body":{"content":"这样下去\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288395},{"body":{"content":"后期日常生活不注意，是有可能加重的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050323556},{"body":{"content":"最坏是什么结果呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050354498},{"body":{"content":"该怎么主意呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050363690},{"body":{"content":"最坏是什么结果-----------颈椎间盘退变，突出出现手指麻木，走路不稳的情况，这种结果过程是比较长的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050429598},{"body":{"content":"该怎么主意呢----------注意工作、学习姿势正确，避免长时间低头或抬头，尽量每工作一小时左右起身放松脖颈几分钟。晚上睡觉时避免枕头过高或过低，可以枕专门的颈椎枕。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050456370},{"body":{"content":"目前有什么治疗手段","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464408},{"body":{"content":"还能恢复么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469303},{"body":{"content":"还是说只能保持现状是最好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483203},{"body":{"content":"治疗针对性的治疗，请问您有无某些药物过敏史，无肝肾功能异常，无消化道溃疡的病史，并不处于妊娠、哺乳、备孕等特殊阶段。（如无，可直接回复：没有）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050512842},{"body":{"content":"还能恢复么--------无法恢复正常的情况了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050521678},{"body":{"content":"没有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050522153},{"body":{"content":"减缓呢\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533481},{"body":{"content":"或者增生退变没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555033},{"body":{"content":"建议您注意休息，参考使用***** 1日2次 1次1袋 +外用*******1天1次，1次1贴，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050563671},{"body":{"content":"那做做推拿什么有用么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050583192},{"body":{"content":"减缓呢-------药物改善症状，好转后，注意颈部的保养，避免持续发展","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050588865},{"body":{"content":"这种还可以**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591439},{"body":{"content":"或者增生退变没有了-------这个是不会的，随着年龄增长都会出现增生退变","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610903},{"body":{"content":"躺着玩手机会影响么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619553},{"body":{"content":"那做做推拿什么有用么---------推拿属于理疗，有条件可以操作","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050623011},{"body":{"content":"需要颈托么，目前的状况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050668293},{"body":{"content":"躺着玩手机会影响么--------使用专门的颈椎枕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050672730},{"body":{"content":"注意颈肩的距离","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050703714},{"body":{"content":"需要颈托么----------日常工作时可以使用充气颈托起到保护和固定颈椎，避免长时间的低头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767075},{"body":{"content":"目前有带的必要么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050787875},{"body":{"content":"或者我理解的颈托是阻止长时间 并不是治疗工具","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806379},{"body":{"content":"目前有颈肩不适，工作时可以使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820808},{"body":{"content":"还想问一下您说不算严重，那这个属于中度?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050846620},{"body":{"content":"到最后面不会要开刀吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050862377},{"body":{"content":"纠正颈部的姿势，起到治疗作用；轻中度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050879946},{"body":{"content":"然后我转动脖子他会响也是这个引起的?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050916353},{"body":{"content":"到最后面不会要开刀吧----------持续性的加重椎间盘突出 压迫脊髓是需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920718},{"body":{"content":"是的 颈部弹响有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050958253},{"body":{"content":"您还有没有什么推荐的活动动作，可以减缓之类，或者纠正","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050966319},{"body":{"content":"我才28岁这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051065296},{"body":{"content":"会不会太早了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051069916},{"body":{"content":"目前社会的发展，颈腰椎疾病年轻化了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051167093},{"body":{"content":"好难","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051176161},{"body":{"content":"谢谢您了，那个枕头是您推的么?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051194598},{"body":{"content":"是的，为您推荐的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051266508},{"body":{"content":"好的，谢谢您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051278013},{"body":{"content":"不客气的，随时关注身体状况，疾病都存在演变过程，如果症状没有缓解或者出现加重的情况，建议您立即到线下医院骨科就诊，以免延误病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051346612},{"body":{"content":"麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051347116},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051354404},{"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":1653051384376},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389764},{"body":{"content":"好的， 没有其他问题的话我这边就先结束问诊了，希望我的建议能够帮助到您，感谢您的信任，请在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励。祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051400226},{"body":{"content":"后续您如果还有问题需要咨询可以在京东健康APP或京东APP中搜索“***”进行咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051411918},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418711}]

女28岁

2022.05.20

[{"body":{"content":"大概有十年了，我媳妇之前也是这种情况，后来就好了，我怀疑是被我媳妇传染的，我之前去过空军总医院看过，开的药抹了就好，过段时间不抹就犯了。我拍的照片是摸过药的，除了胳膊上，大腿外侧也有，也是左右对称的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879157601},{"body":{"content":"犯的时候会有皮屑，抹的药是***，抹几天就好一点，一个周不抹就长皮屑了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879300873},{"body":{"content":"诊断的是湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881660500},{"body":{"content":"不抹药时间长了，就会有皮屑，这种情况用什么药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882173091},{"body":{"content":"帮我推荐推荐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882489802}]

男43岁

2022.05.20

[{"body":{"content":"你好 你的情况多久了？有什么症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879374844},{"body":{"content":"后牙根嚼东西就疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550467},{"body":{"content":"这个是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879580174},{"body":{"content":"怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879588782},{"body":{"content":"图片看考虑甲沟炎引起的肉芽增生 这个可以去医院做手术去除","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879914228},{"body":{"content":"这个症状已经两天了，就是脚疼，红肿，目前没有其他症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880615215},{"body":{"content":"局部炎症引起的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880644613},{"body":{"content":"你好，平时肝肾功能正常吗？有没有药物过敏史？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880649717},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880942114},{"body":{"content":"可局部外用******看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880951520}]

女23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":1653050373786},{"body":{"content":"你好，我需要配药，需要京东处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421728},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432354},{"body":{"content":"是你本人开药吗？目前病情稳定吗？有没有不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460202},{"body":{"content":"是我本人，就是偶尔有些耳鸣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050486072},{"body":{"content":"哪个品牌的？开几盒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497427},{"body":{"content":"开一盒就好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536630},{"body":{"content":"哪个品牌的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050555599},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599798},{"body":{"content":"好了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050675252},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050705693},{"body":{"content":"如果您没有其他问题我将结束问诊，您可以点击右上角关注我，以后有什么问题可以随时留言，我有空后**时回复你，请耐心等待，感谢你的支持！祝你健康生活每一天！如果您对服务满意，也请您给一个好评！！谢谢！！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050740904}]

女42岁

2022.05.20

[{"body":{"content":"需要购药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878292042}]

女11岁

2022.05.20

[{"body":{"content":"你好，能否上传照片看看？有多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965473931},{"body":{"content":"几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528532},{"body":{"content":"能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965547978}]

女17岁

2022.05.20

[{"body":{"content":"几天了？痒不痒？之前治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217587},{"body":{"content":"不痒，1个月左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259136},{"body":{"content":"没治疗过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050278260},{"body":{"content":"是您拍的这个吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379455},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050392020},{"body":{"content":"这是什么病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414491},{"body":{"content":"这个不疼不痒吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050567834},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050574927},{"body":{"content":"这个从照片来看可能是疣","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050630244},{"body":{"content":"建议您去医院做冷冻治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050639976},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050677264},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050784355}]

男36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":1652965172866},{"body":{"content":"你好，我想问一下十二岁的小女孩一般子宫厚度是多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965241103},{"body":{"content":"你这个是要去咨询妇科的，我们这边是儿科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965301296}]

女12岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050381814},{"body":{"content":"目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384637},{"body":{"content":"舌苔白，中间厚腻，有齿痕，现在这个季节没食欲，经常拉肚子，神疲乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453329},{"body":{"content":"手麻腿酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469985},{"body":{"content":"请问医生怎么调理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534151},{"body":{"content":"我看下你舌头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550292},{"body":{"content":"稍等，我拍一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580140},{"body":{"content":"是啥原因啊？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023680},{"body":{"content":"大便之前肚子疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108759},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051213819},{"body":{"content":"有没有凌晨三四点钟拉肚子的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217412},{"body":{"content":"没有五更泄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051228830},{"body":{"content":"一般中午拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051237830},{"body":{"content":"还有点肾虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284560},{"body":{"content":"嗯嗯。看你舌头，结合症状你是脾肾阳虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328307},{"body":{"content":"你能吃汤药嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425169},{"body":{"content":"中成药可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051440240},{"body":{"content":"汤药有点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458677},{"body":{"content":"不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469461},{"body":{"content":"你好，建议你吃汤药治疗，汤药比中成药更对症。汤药有两种形式，一种是*草药，你自己回家煎煮也可以，平台代煎也可以；另一种是做成**，**剂是*草药煎煮、浓缩、提纯之后做成的**，用热水冲服就可以，比较方便。这两种都比中成药要更有效。你是要*草药还是**剂？请确认一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051508059},{"body":{"content":"**剂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051589340},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051604852},{"body":{"content":"请问您肝功、肾功等指标是否正常，是否有过敏史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051618302},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051625040},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051637584},{"body":{"content":"都正常，不过有脂肪肝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051650111},{"body":{"content":"顺便一下*****和***能同吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051684290},{"body":{"content":"最好不要一起吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051843382},{"body":{"content":"药方开好了，可以点击“预约购药”直接下单，收到就是中药配方**，付款后我再给您说一下服用方法和注意事项。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051946097},{"body":{"content":"感觉有点贵了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051981750},{"body":{"content":"能推荐中成药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051990380},{"body":{"content":"你可以吃点参苓白术散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052025941},{"body":{"content":"吃了没有用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052037109},{"body":{"content":"我都吃了好几盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052058661},{"body":{"content":"大概有十多盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052082361},{"body":{"content":"我能吃***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052096610},{"body":{"content":"嗯嗯。所以说中成药效果不好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052104974},{"body":{"content":"脾虚用*****\n肾阳虚用***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052120270},{"body":{"content":"不应该是不好，是没对症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052139817},{"body":{"content":"之前吃的汤药方子和***一样，也没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052170390},{"body":{"content":"不介意同时吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052172312}]

男32岁

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，很高兴能够由我为您提供问诊服务，请问您有什么要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965211568},{"body":{"content":"是男性吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965222644},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965231697},{"body":{"content":"还有其他不舒服吗？肚子疼吗？发烧吗？拉肚子吗？便秘吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965249384},{"body":{"content":"最近几天一直想吐，但是吐不出来那种，吃饭也想吐？吃几口就恶心的不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965289423},{"body":{"content":"这些我看到了，你直接回答我什么的问题就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965302323},{"body":{"content":"不发烧，就是想吐，也拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965360220},{"body":{"content":"一天拉几次呢？肚子疼吗？我上面问的问题麻烦你都回答完好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965394314},{"body":{"content":"不发烧，肚子疼，拉肚子，也便秘，一天差不多5，6次，而且每天都想吐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965575012},{"body":{"content":"但你说的这些明显很矛盾，一天拉五六次又怎么会便秘呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965608941},{"body":{"content":"对照上图告诉我肚子哪一块疼。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965627072}]

男18岁

2022.05.20