刘继帅

[{"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

[{"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":1653049707352},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049722908},{"body":{"content":"稍等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049747385},{"body":{"content":"含糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049837671},{"body":{"content":"少量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049844258},{"body":{"content":"平时血糖高吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049860189},{"body":{"content":"您好还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967200}]

女

2022.05.20

[{"body":{"content":"您好，我是住院医师曹众辰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049672688},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049697863}]

女

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，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":1653049698659},{"body":{"content":"您好，可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049703911},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049729820},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049756789},{"body":{"content":"你好，两岁半大约喝多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049764502},{"body":{"content":"一天两次一次10克就可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049786356},{"body":{"content":"如果不上火了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049790441},{"body":{"content":"一次5--10克","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049797880},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874857},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900587}]

女

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051055014},{"body":{"content":"你好我平时做一次就很难硬起来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079166},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051088695},{"body":{"content":"请问您近6个月内有无性生活？（仅指阴道内性交，不包含手淫、飞机杯等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051090936},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051103421},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051106429},{"body":{"content":"3—7次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116329},{"body":{"content":"您近期的晨勃情况如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120367},{"body":{"content":"每周1-3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051125326},{"body":{"content":"勃起后，按照豆腐、剥了皮的香蕉、香蕉、黄瓜，四个硬度分级的话，您感觉属于哪个级别？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139358},{"body":{"content":"剥了皮的香蕉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051151422},{"body":{"content":"性生活过程中是否有未射精就疲软的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158449},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051168179},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171220},{"body":{"content":"近期出现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051174528},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051178552},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051181015},{"body":{"content":"还有别的慢性疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185023},{"body":{"content":"以上都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051192333},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051212726},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051234887},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051238412},{"body":{"content":"首先，您这个硬度不够，中途疲软的症状属于勃起功能障碍的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246625},{"body":{"content":"这种情况影响因素还是很多的，压力，身体状况，情绪，烟酒，熬夜，手淫过度，性生活过多等，都可能会导致性能力的下降。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255153},{"body":{"content":"性生活建议一周不要超过2-3次，也不建议一晚多次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260266},{"body":{"content":"您多次性生活，是会影响勃起功能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268430},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317310},{"body":{"content":"药物的话， 可以使用******看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330926},{"body":{"content":"***物，针对治疗勃起功能障碍，辅助勃起增加硬度的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337176},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340180},{"body":{"content":"主要是需要控制性生活频率","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051350979},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356627},{"body":{"content":"药物没有依赖性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371842},{"body":{"content":"******主要副作用头痛、面部潮红、消化不良和肌肉疼痛，其次为鼻塞、腹泻、头晕和皮疹等，一般症状较轻，且是一过性的，安全可控的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376243},{"body":{"content":"不是用药就一定会有副作用，也没有什么永久性副作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051378776},{"body":{"content":"备孕如果吃这个药物有什么影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051379441},{"body":{"content":"药物说明书中表示，药物一般不影响精子质量的，优生优育角度来说，建议停药2-3个月再备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389032},{"body":{"content":"但是这个药物本身是不会影响备孕精子质量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051399581},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051401361},{"body":{"content":"我可以帮您先开一盒25mg7片装的小剂量的看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422888},{"body":{"content":"这个25mg和50mg什么区别啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469495},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051475807},{"body":{"content":"2片25mg就等于50mg","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051486820},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051494390},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051496322},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051559812},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051563907},{"body":{"content":"建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物，规律性生活，减少手淫次数。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051565403},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574679},{"body":{"content":"备孕建议您常规口服*** ，具有补充锌硒、***等作用，提高精子活力和存活率，增加受孕几率，男性精液的重要组成部分就是锌。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051584906},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051636650},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您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。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051751732}]

男28岁

2022.05.20

[{"body":{"content":"您好!\n我是卢主任，非常感谢您的信任，很高兴由我为您提供医疗咨询服务。正在详细阅读您的病情描述，为进一步分析希望您再仔细描述一下下列情况。\n\n1.目前主要怎么不舒服，症状出现多久了？\n2.还有局部其他症状出现吗？\n3.是否有医院检查或治疗过？有用过什么药物？\n4.为了给您更准确的诊断，如果方便最好拍个局部照片看一下（平台对您的病史，照片保密，请您放心）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878798050},{"body":{"content":"就是今天发现屁股眼上长了肉疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879510257},{"body":{"content":"不知道多久了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879525725},{"body":{"content":"然后这阵子大便干结，拉不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550705},{"body":{"content":"根据您的症状及提供病史情况，初步考虑便秘引起“痔疮”，我可以给您一些用药方面的建议。为了您的用药安全，请问是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？您是否处于生理期、备孕期、孕期或哺乳期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885176551},{"body":{"content":"没有药物过敏，近期有过玫瑰糠疹，还没有完全好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652886482438},{"body":{"content":"肛周瘙痒容易反复发作，与个人生活习惯和体质有关。治疗在于三分治七分养，在发作期可以用药物控制瘙痒症状，缓解期要注意保养，保持肛门透气，避免经常潮湿，减少复发，提高生活质量。\n建议\n1、饮食:注意清淡饮食，多吃蔬菜水果、粗粮等纤维素含量高的食物，不要吃**等辛辣刺激食物，多喝水，保持大便软通畅，避免便秘或者腹泻。避免接触过敏源，刺激物。\n2、排便:大便以后避免用力摩擦及用带有香味的纸巾**擦屁股，避免过度清洁及有刺激性的洗剂应用，最好凉水冲洗后柔纸蘸干，（可以配合睡前*****半片泡5000ml坐浴10分钟，每天1～2次，坐浴水温不宜太高，太高会更痒）。注意肛周卫生，勤换内衣内裤，保持肛周透气。\n3、避免局部搔抓，注意局部保湿，可考虑局部尿素乳膏外涂保护皮肤屏障避免感染。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964459953}]

女35岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049780054},{"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":1653049782685},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049785031},{"body":{"content":"有防尘收纳盒的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049829640}]

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,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769454},{"body":{"content":"不建议应用，有导致癫痫发作风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050005569},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050267302}]

女29岁

2022.05.20

[{"body":{"content":"您好，我是京东的多荣医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965081371},{"body":{"content":"住院有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965084443}]

女78岁

2022.05.20