刘继帅

[{"body":{"content":"您好贺医生 我要买药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011373161},{"body":{"content":"我觉得我最近状态还可以 我考虑适当减药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011393046},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011399024},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411803},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411803},{"body":{"content":"买什么药物？几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411804},{"body":{"content":"减药最好，找一下，当地医生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011428542},{"body":{"content":"面诊检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011430363},{"body":{"content":"不要自己减药，容易复发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011447299},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011514275},{"body":{"content":"4盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011520574},{"body":{"content":"这个药的副作用我一直很担心 因为吃太久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011531210},{"body":{"content":"定期去医院检查就可以了，一般没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011554417},{"body":{"content":"感觉现在记忆力各方面变差","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011554924},{"body":{"content":"您是患者什么人？病情稳定吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011556592},{"body":{"content":"1)有过青光眼病史吗？\n2)\t服用过****、****吗？\n3)\t目前正在自伤、自杀等消极冲动行为吗？\n 这些有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011558137},{"body":{"content":"本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011569141},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011615655},{"body":{"content":"目前我觉得状态还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011631334},{"body":{"content":"那贺医生你就给我开药吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011650751},{"body":{"content":"我到时候再去找医生看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011661407},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011681831},{"body":{"content":"***4盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011695321},{"body":{"content":"聊天记录里找绿色处方单链接，直接付款！成功后，在家等着收货就行了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011697905},{"body":{"content":"下次买药前，您在【京東app】，搜【***】，图文问诊挂号，就可以给您开药了！最新上线【私人医生】服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011699765},{"body":{"content":"ok","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011896743},{"body":{"content":"帮我点右下角【加号➕】或者右上角的表扬医生，请给我一个好评，【写几个字】就行！或者在结束问诊的时候写评语！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011902879},{"body":{"content":"我只能买预约药品吗 可以买其他的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012007927},{"body":{"content":"我把你这个处方单下载下来 京东大药房的药都可以买？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012022901},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012028553},{"body":{"content":"自己截图处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012051835},{"body":{"content":"自己留着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012054790}]

女44岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822923},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049836642},{"body":{"content":"静脉曲张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049843563},{"body":{"content":"腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049851228},{"body":{"content":"目前没有图片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864504},{"body":{"content":"您可以站立位，发一张下肢的照片吗？我来判断一下严重程度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049864585},{"body":{"content":"因为是帮家人问的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901913},{"body":{"content":"就想看一下有什么可以缓解一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921011},{"body":{"content":"好的，患者多大年纪 确诊是下肢静脉曲张了么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930976},{"body":{"content":"腿部的筋和**差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049957662},{"body":{"content":"下肢静脉曲张 一般引起的是下肢酸胀不适 特别是站久了 酸胀明显 麻木的症状，要除外是腰椎问题引起的不适症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974460},{"body":{"content":"63岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974894},{"body":{"content":"确诊了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988149},{"body":{"content":"暂时可以给您些静脉曲张的治疗建议 和方法 帮患者缓解下肢 酸胀不适的症状，但是彻底治疗下肢静脉曲张 是需要手术的，另外 下肢麻木的情况 需要排除是腰椎问题 压迫神经引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050027005},{"body":{"content":"治疗建议前，为了用药安全，系统需要先排除用药禁忌，请问您既往是否有基础疾病？近期是否有发现肝肾功能异常？是否有药物过敏史？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038945},{"body":{"content":"家里人也没有拍过腰椎片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088917},{"body":{"content":"但是静脉曲张是有的，也是那条腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123140},{"body":{"content":"小腿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050129764},{"body":{"content":"没有药物过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144619},{"body":{"content":"嗯，可以先用药缓解症状的。药物建议前，需要您配合回答一下上边问题。我给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149205},{"body":{"content":"好的，感谢配合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154238},{"body":{"content":"可以用药膏或者喷雾那些药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050185214},{"body":{"content":"建议您注意下肢保暖，避免过久站立，和久坐，平躺休息是尽量抬高下肢，促进血液回流，可以外用*******涂抹下肢 涂抹后轻轻按揉有助于药物吸收 同时可以口服 ****一次2片一天2次，治疗静脉曲张 口服****营养神经 缓解麻木症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189224},{"body":{"content":"这种涂抹的效果比较好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050213207},{"body":{"content":"为了方便您用药，您可以点击“药品名称带有购物车标志”进入链接购买。有些药品为“处方药”，必须要由有医师开处方才能购买。稍后我再帮您开具一张电子处方，并注明用法用量，您作为参考，按照处方用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418267},{"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，请您及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419545},{"body":{"content":"处方已经开好，您可以点击处方，预约购买，药师审核通过后，即可发药,京东物流会配送到您指定的**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050451727},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050579271},{"body":{"content":"祝患者早日康复，身体健康，生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617136},{"body":{"content":"别忘了方便时候 带患者做过彩超检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050946037},{"body":{"content":"你***这个药膏可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060220},{"body":{"content":"因为你说的药膏，我那地区发不了货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087636},{"body":{"content":"也是可以的，效果也是不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051096133},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051112937},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169477},{"body":{"content":"哪个***是一次两片是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051311777},{"body":{"content":"另一个就是一次一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051329844},{"body":{"content":"是的 ***一次2片 另外一个一次一个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051406775},{"body":{"content":"***一天2次，另外一个一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413408},{"body":{"content":"我看另一个处方上写的是一天3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491899},{"body":{"content":"***对痔疮也有用对吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051538715},{"body":{"content":"另外一个一天3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051542879},{"body":{"content":"这个打错字了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051546555},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"对的，对痔疮也是管用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551617},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051559037},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051702209}]

女30岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965317234},{"body":{"content":"您想预约什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965326892}]

男45岁

2022.05.20

[{"body":{"content":"您****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877849046},{"body":{"content":"医生 第一张图是最开始检查去年九月份 然后再第二张 然后再第三张今年健康体检","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878322966},{"body":{"content":"麻烦您帮忙看下谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878331067},{"body":{"content":"都考虑良性的，而且都不大，建议每隔3-6个月定期复查就行了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878972395},{"body":{"content":"从第一张到第三张的情况 是越来越好还是越来越差呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879095954},{"body":{"content":"怎么右边的偶尔一次按着会痛 也有硬块 还有点点热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879556356},{"body":{"content":"我看都差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880454167},{"body":{"content":"会痛的话能不能用这款用电加热的粗盐袋热敷胸部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880455514},{"body":{"content":"结节一般不会引起疼痛的，疼痛一般都是乳腺增生引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880483544},{"body":{"content":"痛的不厉害不要紧，建议您可以调整好生活节奏，保持心情舒畅，清淡饮食，忌辛辣，并坚持体育锻炼，就会有所缓解的。如您痛的很厉害，影响平时工作生活了，可以吃点散瘀**的中成药，比如***、****，*****、******，******。遇到月经量多的时候可暂时停药，月经结束后再服药。局部疼痛厉害也可以尝试局部热敷或者乳腺增生贴。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880527490},{"body":{"content":"乳腺囊肿呢 会不会痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880528300},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880542495},{"body":{"content":"这款乳腺贴痛的时候用可以么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880571110},{"body":{"content":"可以试试的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880579340},{"body":{"content":"这些药平时调理吃可以么 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880619845},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880632977},{"body":{"content":"中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880641392},{"body":{"content":"会痛的话能不能用这款用电加热的粗盐袋热敷胸部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880679098},{"body":{"content":"温敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880686910},{"body":{"content":"热敷容易烫伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880695006},{"body":{"content":"37-40摄氏度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880703853},{"body":{"content":"好的 谢谢 我吃的那些药如果坚持吃两个月 会不会对身体有副作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880719299},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880726899},{"body":{"content":"这种一般没啥副作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880747652},{"body":{"content":"那我不痛了也坚持吃对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880786719},{"body":{"content":"还有那个*** 我平时煮水喝可以么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880860113},{"body":{"content":"我比较担心 因为这个暂时也不敢怀二胎 怕怀***会变 而且像我这样 医生建议我以后再生小孩的话要不要母乳喂养 母乳会不会让我的情况变差","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881067437},{"body":{"content":"您有空再解答 感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881077783},{"body":{"content":"***可以喝的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881203484},{"body":{"content":"吃个1-2个月差不多了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881215322},{"body":{"content":"母乳喂养可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881227288},{"body":{"content":"这个可以喝么 还有喜欢用******泡脚适合不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882853260},{"body":{"content":"拔罐 能么 还有虾 ** 螃蟹能不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882987649},{"body":{"content":"都可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652886200560},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889549714},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889553794},{"body":{"content":"感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889561754},{"body":{"content":"医生 我能不能用土伏 *** ***这三款一起煮水喝 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653025935185},{"body":{"content":"***平时能不能喝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653025967109},{"body":{"content":"晚上睡觉一边鼻子不太通气 估计是有点点鼻炎 不懂喝这些对乳腺 鼻炎好不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653026221768},{"body":{"content":"希望您能抽出点您宝贵的时间为我解答下 祝您生活愉快","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653026325689},{"body":{"content":"姑娘，我是西医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653028196269},{"body":{"content":"不是很懂中药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653028204555},{"body":{"content":"***和***我知道可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653028227725},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653028245242},{"body":{"content":"没事?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653028262979},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653028451234},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653028453172},{"body":{"content":"开啥药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653030604564},{"body":{"content":"请问我的情况不用吃药么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046472161},{"body":{"content":"总是比较担心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046481773}]

女32岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050420699},{"body":{"content":"宝宝最近有受凉、淋雨、吹风、去过疫区的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428642},{"body":{"content":"大人之前感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050491432},{"body":{"content":"估计有点传染","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497292},{"body":{"content":"好的，宝宝目前是什么喂养方式呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050529781},{"body":{"content":"母乳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534519},{"body":{"content":"宝宝有呼吸不畅，喘憋，喉鸣、声音嘶哑、口吐泡泡等症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050582782},{"body":{"content":"嗓子呼呼的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050605443},{"body":{"content":"查了血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050612089},{"body":{"content":"好的，那宝宝目前有发烧吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657466},{"body":{"content":"宝宝目前的精神状态及尿量如何，食欲如何，大便的情况如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663103},{"body":{"content":"不发烧，精神没问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050668174},{"body":{"content":"有一周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050672494},{"body":{"content":"好的，宝宝还有其他不舒服的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050689373},{"body":{"content":"线下医院给宝宝开具什么药物了么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698133},{"body":{"content":"麻烦看看查**果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749965},{"body":{"content":"要不要吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050755183},{"body":{"content":"好的，线下医院给宝宝什么建议了么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050854732},{"body":{"content":"宝宝有对什么过敏及肝肾功能异常的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856855},{"body":{"content":"根据您的描述，考虑宝宝呼吸道感染的可能性大的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051103358},{"body":{"content":"宝宝目前的血常规提示宝宝病毒感染的情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051111605},{"body":{"content":"目前宝宝比较小，宝宝没有呼吸不畅，喘憋，是可以先暂时不给宝宝口服药物的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133241},{"body":{"content":"自己会好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165535},{"body":{"content":"**属于***吧，病毒感染不用抗生素吧。我觉得三个月太小了，不太敢用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051207356},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240130},{"body":{"content":"目前宝宝情况不严重，是可以给宝宝外用***的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051253474},{"body":{"content":"***是什么，这么小能贴吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051342910},{"body":{"content":"这个一般宝宝没有皮肤破损及过敏，是可以给宝宝使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366531},{"body":{"content":"您点击我给您的健康指导，都是非处方的，就可以直接点击购买的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383931},{"body":{"content":"除了这个，还能干嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051457188},{"body":{"content":"需要**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463386},{"body":{"content":"目前宝宝没有其他不适，暂时不需要给宝宝其他处理的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490024},{"body":{"content":"宝宝没有药物过敏，是可以给宝宝**的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051501453},{"body":{"content":"**只用****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051532171},{"body":{"content":"病毒，需要用*****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051565295},{"body":{"content":"宝宝没有药物过敏，是可以给宝宝使用****的，一次半支，一天2次，搭配****的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642432},{"body":{"content":"目前宝宝暂时不需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649641},{"body":{"content":"一次**多久呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051741038},{"body":{"content":"一般雾化5到10分钟左右就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051776628},{"body":{"content":"我自己买过**，给大宝用的，应该也能用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051810978},{"body":{"content":"一般宝宝没有药物过敏，一般是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051861013},{"body":{"content":"这个可以代替****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052005416},{"body":{"content":"这个一般多用于宝宝喘息的情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052012380},{"body":{"content":"那还是用****是吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052080268},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052106124},{"body":{"content":"宝宝比较小，病情变化快，发现宝宝病情加重或者精神状态及尿量差，食欲差，建议您带宝宝线下医院及时就诊，以免贻误病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052112262},{"body":{"content":"用药后当前症状如果不缓解或者加重，建议线上复诊或者线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052113971},{"body":{"content":"祝宝宝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052115371},{"body":{"content":"天气多变，您给宝宝注意**，避免着凉，正常养护就可以的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052116077},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052116384},{"body":{"content":"您好，关诊时间临近，希望我的建议能够帮助到您，感谢您的信任。欢迎您再次咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052118902},{"body":{"content":"如果您对我的服务满意，可以点击问诊界面 右上角 “表扬医生”，给予五星好评，您的好评是对我工作最好的肯定和鼓励。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052121374},{"body":{"content":"用几天呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052121667},{"body":{"content":"后续有问题，您在京东APP上直接搜索我的名字“京东医生麻建辉”就可以找到我的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052122350},{"body":{"content":"这个是因人而异的，一般是可以给宝宝使用1周左右的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052140233},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052148396},{"body":{"content":"祝您晚安。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148454},{"body":{"content":"祝宝宝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052151934},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052153690},{"body":{"content":"如果宝宝出现呼吸困难，喘憋的情况，建议您及时带宝宝线下医院就诊的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052153721},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052157706},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052158829},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162543}]

女2岁3个月

2022.05.20

[{"body":{"content":"您好。我是全科医生任佳，非常高兴由我为您提供医疗咨询服务，请问您有哪些医药问题需要咨询的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159423},{"body":{"content":"上述问题怎么回事？如何解决","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050180476},{"body":{"content":"哺乳2个多月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050199051},{"body":{"content":"请问您您爱人母亲啊有发热疼痛不适表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050204392},{"body":{"content":"爱人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050211456},{"body":{"content":"平时哺乳吸奶及时吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219553},{"body":{"content":"没有固定规律","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241815},{"body":{"content":"请问您爱人哺乳有发热疼痛不适表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244170},{"body":{"content":"昨天洗了洗头有点小感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050286215},{"body":{"content":"您爱人有明显涨奶感觉吗？乳汁吸出有颜色异常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289841},{"body":{"content":"上述情况是单侧还是双侧，乳房排空后上述情况是否缓解或者消失？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333339},{"body":{"content":"乳汁是清水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415625},{"body":{"content":"吃完也没消失还有块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471114},{"body":{"content":"好的了解，结合您的上述情况描述，目前是考虑您爱人存在堵奶情况导致的乳房出现肿块的可能性比较大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559387},{"body":{"content":"但不完全除外可能存在的乳腺炎的可能，我可为您做出初步对症的用药建议，您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593163},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642478},{"body":{"content":"为了您的用药安全，推荐用药前需要和您确认一下：没有药物过敏史，没有肝肾功能异常？------------对吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657825},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669537},{"body":{"content":"然后呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050758235},{"body":{"content":"没有药物过敏，肝肾功能正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050793484},{"body":{"content":"好的了解，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839777},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050856077},{"body":{"content":"口服 蒲公英颗粒，不影响哺乳 联合外敷*****治疗的，一次20-30分钟，一天2-3次的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050863461},{"body":{"content":"*****外敷乳房，蒲公英颗粒口服。喂奶前热敷乳房硬块，宝宝吸吮时手法轻轻按摩，从乳房周围轻推至乳头根部。按需哺乳，保证双乳通畅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050883044},{"body":{"content":"口服 蒲公英颗粒 一日3次 一次1袋**对症缓解乳腺炎症不适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050934619},{"body":{"content":"以上药物均是非处方用药，您可直接点击链接购药使用即可，付费后如您附近药店支持药急送，购药您可以选择药急送，就近药店配送一般1小时左右可以到达。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000267},{"body":{"content":"需要先将乳房疏通，建议增加哺乳次数，宝宝吸不完的奶可以用吸奶器吸出，建议减少汤水摄入，如果疏通不了，可以请**师按摩疏通或线下医院就诊；体温超过38.5度建议线下公立医院急诊外科就诊，根据查体检查进一步评估，调整治疗方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074955},{"body":{"content":"好的??谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051132340},{"body":{"content":"您客气了，希望我的建议能够帮助到您，望您在百忙中，右上角表扬医生评价一个\"5星\"好评，感谢您支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224156},{"body":{"content":"温馨提示：您爱人在用药后如果病情缓解不佳后出现发热局部明显红肿热痛的表现，建议您及时线上复诊或者线下公立医院急诊外科就诊，根据查体检查，指导治疗方案的调整。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051270408},{"body":{"content":"您之后有任何其他问题，可以在京东APP搜索“京东医生任佳”就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274372},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051404626},{"body":{"content":"希望我的建议对您有所帮助，请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051421732},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051429009},{"body":{"content":"如果您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，感谢您的关注与信任。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，欢迎您再次咨询。祝您和家人生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051446589}]

女33岁

2022.05.20

[{"body":{"content":"你好你的阴道内环境检查结果显示是细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878869106},{"body":{"content":"彩超检查结果应该是有子宫内膜息肉及宫颈纳囊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878916080},{"body":{"content":"我月经是4月27日来的，这些报告是5月15日去检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879046288},{"body":{"content":"这个生殖道支原体衣原体感染检查结果显示是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879066593},{"body":{"content":"现在在备孕中，这个月排卵期同房了，不知道成功了没有。结合报告我需要吃点什么药治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879101414},{"body":{"content":"宫颈纳囊是什么来的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879118068},{"body":{"content":"宫颈**又叫纳氏囊肿、宫颈囊肿，是发生于宫颈部位的一种良性病变，与宫颈息肉、宫颈糜烂、宫颈肥大等，都是慢性宫颈炎的一种类型。宫颈**的形成，是由于在宫颈糜烂愈合的过程中，新生的鳞状上皮覆盖宫颈腺管口或伸入腺管，将宫颈腺管口堵塞，管口内的分泌物不能排出，滞留后形成的一种病变。在进行妇科常规检查时，可以看到宫颈表面有大小不一，单个或者是多发的青白色的囊泡，突出于宫颈表面，宫颈部位的组织充血水肿，炎性分泌物附着。小的的宫颈**，没有明显临床症状时一般不需要进行治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879274966},{"body":{"content":"目前这个月如果没有怀孕需要用药治疗一下阴道炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879300664},{"body":{"content":"我的阴道炎严重吗？是霉菌性阴道炎？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879706598},{"body":{"content":"细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879745114},{"body":{"content":"检查前同房了，有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882073958},{"body":{"content":"精子里面是没有细菌的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882657301},{"body":{"content":"医生，细菌性阴道炎建议吃点什么药呢？短期内想要孩子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925563923},{"body":{"content":"对了，子宫内膜息肉大吗，影响受孕不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925587611},{"body":{"content":"建议给予*****或者******按照1：10的比例稀释冲洗阴道，冲洗完后每天晚上阴道放置******治疗一下。严重时还可以口服****/****2G顿服一次，也可以****400mg一日两次连服7天，全身用药治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925878266},{"body":{"content":"你的子宫内膜比较小一般不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925890503},{"body":{"content":"用药塞阴和口服药，复检指标正常后，要隔多久才能要小孩？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652933206303},{"body":{"content":"排卵期之后不要用药就可以正常备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652933639385}]

女32岁

2022.05.20

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

女17岁

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，您的问题已经收到，我正在详细阅读您的病情描述。感谢您对我的信任！请理解线上诊疗的局限性，因为缺乏查体环节！我向您提出以下问题，请尽可能逐一回答！为了您的健康！同时便于我尽可能多的掌握足够有效信息，从而更准确有效的做出回答，给予合理的意见和最大的帮助！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779902},{"body":{"content":"报告已阅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050783802},{"body":{"content":"大夫你好，患者身体乏力，厌食，去两个医院，一个让住院，一个说不用住院，回家吃药就行。请问一下，她这种情况应该怎么治疗比较妥当？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947915},{"body":{"content":"你这个是药物性肝损伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051026285},{"body":{"content":"怀疑是这个，因为患者4个月前注射过***，然后出现这个症状，而且尿液茶色。前天去检查然后医院得出的结论","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051099658},{"body":{"content":"这个最好住院治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051146487},{"body":{"content":"转氨酶有点高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250827},{"body":{"content":"我们这市医院检查说不需要住院，那不住院吃药可以治疗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051283923},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051296846},{"body":{"content":"但有风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306094},{"body":{"content":"医院开的药是这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316433},{"body":{"content":"单吃这个不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051319673},{"body":{"content":"好的，我知道了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453200},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051507384},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"感谢你的信任，祝您**！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051561414}]

女59岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051759324},{"body":{"content":"痤疮现在在用什么药物呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051768819},{"body":{"content":"请问******可以和******混着用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051797317},{"body":{"content":"单用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051806206},{"body":{"content":"可以白天****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051820660},{"body":{"content":"晚上****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051824270},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051836014},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051839737},{"body":{"content":"********可以治痘痘吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865581},{"body":{"content":"可以用于痘印","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051875343},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051895907},{"body":{"content":"日常**1.常用温水洗脸，因为冷水不易去除油脂，热水促进皮脂分泌。 2.不要用手去挤压以免引起化脓发炎，脓疮破溃吸收后形成瘢痕和色素沉着，影响美观。3.劳逸结合，保持精神愉快。饮食调理注意饮食习惯，多吃新鲜西红柿、胡萝卜、黄瓜、**、芹菜等粗纤维蔬菜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051901800},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051919102},{"body":{"content":"不客气呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051925151},{"body":{"content":"******睡前使用一次，薄涂点涂。使用前清洁一下，注意保湿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051934058},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051946995},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051957162},{"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":1653051960432},{"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":1653051962655},{"body":{"content":"没有了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051969958},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051975870}]

女

2022.05.20