刘继帅

[{"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":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050378282},{"body":{"content":"您好，颈椎病平时应该注意什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050408672},{"body":{"content":"怎么锻炼呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426915},{"body":{"content":"颈椎不好，时不时会引起**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444940},{"body":{"content":"你这个情况有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050546018},{"body":{"content":"有四五年了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595805},{"body":{"content":"如果是颈椎引起的话，注意平时的生活习惯，注意患处保暖，可以做颈椎保健操","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634914},{"body":{"content":"颈椎操怎么做啊？有参考的视频之类的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674657},{"body":{"content":"有的 网上有很多的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050687842}]

男30岁

2022.05.20

[{"body":{"content":"您好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878499020},{"body":{"content":"请说一下具体病史，如发病时间和部位，症状，有无诱因，家族史，既往史，医院化验结果，诊断， 治疗方案，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878849286},{"body":{"content":"后背，腋下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878865859},{"body":{"content":"化验单刚才发的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878879511},{"body":{"content":"两大块儿，手上之前走过烧伤，感觉开始有小点点的白。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878948430},{"body":{"content":"后背腋下照片发给我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879003392},{"body":{"content":"好的马上拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879058500},{"body":{"content":"后背","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879094766},{"body":{"content":"您看是***吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879129486},{"body":{"content":"腋下跟这个类似，然后就是手上很早年烧伤过，看着像是开始有小白点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879251520},{"body":{"content":"有没有预防再在别处长的药或打针之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880142114},{"body":{"content":"是***！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882524411},{"body":{"content":"预防发展就是用**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882553166},{"body":{"content":"吃药片或打针都行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882574311},{"body":{"content":"能直接给开药？还是要到医院？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884765850},{"body":{"content":"您推荐吃药还是打针好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884795330},{"body":{"content":"**哪能瞎开啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884929788},{"body":{"content":"必须去医院面诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884943531},{"body":{"content":"如果开点外用药膏还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884963618},{"body":{"content":"吃药麻烦但是可以精确控制**的剂量，打针方便（一月一针）但不能精确控制剂量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885046821},{"body":{"content":"打扰下，打针一般需要几针，一个月到一次医院是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968746320},{"body":{"content":"一两针就好了，一个月到一次医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653002754293}]

女48岁

2022.05.20

[{"body":{"content":"以前去医院看过吗用药了吗效果怎么样？根据上述情况我可以给您一些用药建议。为用药安全，请问是否有肝肾功能损伤，请问是否有严重药物过敏史或者药物严重不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965132020},{"body":{"content":"图片看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965134390},{"body":{"content":"身上很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965158594},{"body":{"content":"过敏可以吃抗过敏药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965173771},{"body":{"content":"外用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965175694},{"body":{"content":"可以擦这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965240638},{"body":{"content":"宝宝因为发烧了 给宝宝擦了酒 大人没经验所以造成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965328826},{"body":{"content":"在吗 医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965405971},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528293},{"body":{"content":"听的到吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965545633},{"body":{"content":"我们这边疫情出去不了 家里只有这个药 因为宝宝身上面积大 没有用这个*******， 我就是问看这个药能用不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965643738},{"body":{"content":"这几样 能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965742614},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965781470},{"body":{"content":"哦哦 好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965811717},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965857003},{"body":{"content":"不客气祝宝贝健康，结束后记得给我个好评哦感谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862955},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965994537}]

女1岁

2022.05.20

[{"body":{"content":"您好， 我是京东医生，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049970786},{"body":{"content":"没事的，多喝水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049978852},{"body":{"content":"***那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049987216},{"body":{"content":"嗯，没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049996110},{"body":{"content":"不能药着吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050007491},{"body":{"content":"那以后买钙是不是就可以买片得了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050025841},{"body":{"content":"不能药着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063134},{"body":{"content":"看含量：建议一天300mg钙","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050093984},{"body":{"content":"***建议补充1到2个月以后复查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050115360},{"body":{"content":"不能一直吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050192856},{"body":{"content":"宝宝不建议长时间补钙","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050208267},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287801},{"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":1653051646244},{"body":{"content":"非常感谢您的信任！请对话结束后对我的服务作出评价，谢谢您！再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051699067}]

男1岁10个月

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965262280},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272031},{"body":{"content":"手汗症手术多少钱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965277380},{"body":{"content":"四五千吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965314770},{"body":{"content":"有医保","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965338165},{"body":{"content":"那就一两千块钱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965349841},{"body":{"content":"湖南省衡阳市衡南县仁济医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965382011},{"body":{"content":"这个手术有后yi","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965419120},{"body":{"content":"那就不知道这个医院了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965419664},{"body":{"content":"一般没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965423379},{"body":{"content":"南华大学附属第一医院做手汗症手术多少钱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965454286},{"body":{"content":"这就不知道","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965486730},{"body":{"content":"我不是这医院的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965491402},{"body":{"content":"每个医院补一张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965494823},{"body":{"content":"不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965497441},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585529},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965590301},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965615549}]

男21岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049954296},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049967542},{"body":{"content":"你*****过敏吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049969712},{"body":{"content":"牙疼能吃头孢吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049977645},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049985952},{"body":{"content":"近几天有没有和含**的东西","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049991066},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050012737},{"body":{"content":"那是可以吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050026085},{"body":{"content":"吃**不能喝酒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050028163},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050032895},{"body":{"content":"含**的东西也不行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040343},{"body":{"content":"要间隔多长时间呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050063601},{"body":{"content":"一般都是72小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096467},{"body":{"content":"你现在牙齿怎么疼痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103604},{"body":{"content":"牙疼 要是早上吃了** 晚上能喝酒吗？因为有应酬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050106701},{"body":{"content":"不能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050125816},{"body":{"content":"感觉有点牙龈发炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050151882},{"body":{"content":"你如果晚上有应酬，是不能和酒的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186925},{"body":{"content":"好吧.谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050201240},{"body":{"content":"如果觉得是牙龈疼痛，可以用一用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050255929},{"body":{"content":"漱漱口缓解疼痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050264124},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050349590}]

女34岁

2022.05.20

[{"body":{"content":"你好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878830704},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878834247},{"body":{"content":"有没有偏侧咀嚼习惯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878865385},{"body":{"content":"半年时间。之前只是弹响，最近有几次吃东西时有突然关节错位的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878874148},{"body":{"content":"考虑是颞颌关节功能紊乱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878895447},{"body":{"content":"有偏侧咀嚼可能是之前正畸牙齿时导致的习惯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878928090},{"body":{"content":"这种情况应该怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878954772},{"body":{"content":"疼痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878962516},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878974137},{"body":{"content":"可以热敷热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878986733},{"body":{"content":"但是有几天较为严重时有肌肉紧绷感","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878991781},{"body":{"content":"避免偏侧咀嚼习惯，及过度张口，别熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879014092},{"body":{"content":"如果症状不见好转，建议到医院口腔科实诊一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879034142},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879052709},{"body":{"content":"早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879065329}]

女20岁

2022.05.20

[{"body":{"content":"请问出现这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878926609},{"body":{"content":"出现这个情况跟一些遗传因素有关系，如果经常熬夜吃辛辣刺激性也会导致现在这个情况可以通过涂抹*****，口服******，也可以使用透明质酸修复生物膜，或者使用******等进行治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878953126},{"body":{"content":"这是什么病啊\n出现好久了\n\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879095560},{"body":{"content":"一直没管\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879111127},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879129557},{"body":{"content":"这个。鱼鳞病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879445984},{"body":{"content":"附近药店都有购买，现在平台缺货。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879452591},{"body":{"content":"应该用什么药啊\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879480796},{"body":{"content":"有什么注意事项没啊\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879596817},{"body":{"content":"这个病能根治吗\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879714129},{"body":{"content":"这个只能缓解，不能根治，口服******，涂抹*****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879772459},{"body":{"content":"要注意忌口，不要熬夜，不要吃**，海鲜鱼虾蟹，然后要注意经常锻炼身体，提高机体免疫力。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879780059},{"body":{"content":"他能不能恢复到看不出来的样子啊\n\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879939503},{"body":{"content":"大概看不出。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880518711}]

男22岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050063021},{"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":1653050064729},{"body":{"content":"您好，请问有什么能帮助到您的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050081540},{"body":{"content":"腰疼 阴囊潮湿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088362},{"body":{"content":"性欲强，但是时间短","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050127842},{"body":{"content":"请问勃起正常的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050138358},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050156478},{"body":{"content":"射精过快的现象有： 1）.在进入阴道之前或进入后约1分钟以内就射了； 2）.相比之前射精潜伏时间显著缩短，通常小于3分钟； 3）.偶尔出现射精过快，短于3分钟。 请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211616},{"body":{"content":"2","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050253552},{"body":{"content":"您好，请问这种情况有多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259622},{"body":{"content":"请问您平时熬夜、抽烟、喝酒、爱吃冷饮、水果这些食品吗？手淫多吗（大于1周1次）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050266827},{"body":{"content":"主要就是性欲特别高，就是时间跟之前比要短很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050297383},{"body":{"content":"最近压力挺大的。抽烟多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314088},{"body":{"content":"请问您现在方便拍舌苔照吗？为您辨证一下看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050334154},{"body":{"content":"手淫多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336221},{"body":{"content":"收到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050477687},{"body":{"content":"您好，我先了解一下您的情况，请您先配合回答几个问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485592},{"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":1653050495574},{"body":{"content":"请问您平时有以下气血不足的表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497843},{"body":{"content":"活动后容易出汗 / 神疲乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050588990},{"body":{"content":"有以下痰湿、湿热表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593006},{"body":{"content":"面部油光 / 阴囊潮湿或局部瘙痒（男子） / 易生痤疮、粉刺或者湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603783},{"body":{"content":"请问您有以下肝肾不足表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050608820},{"body":{"content":"腰膝酸软 / 脱发 / 双目干涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050628999},{"body":{"content":"请问您平时消化怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633044},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657076},{"body":{"content":"请问您平时小便情况怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662146},{"body":{"content":"小便色黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669974},{"body":{"content":"请问您平时情绪怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674007},{"body":{"content":"经常闷闷不乐，胸胁胀满不适 / 经常急躁易怒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050689654},{"body":{"content":"好的，那睡眠情况怎么样呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050694717},{"body":{"content":"多梦易醒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050709791},{"body":{"content":"收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736412},{"body":{"content":"根据您目前描述的症状（和舌象等资料），考虑为肝郁、湿热的表现为主的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050818255},{"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":1653050820199},{"body":{"content":"没有药物过敏史 没有慢性病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050854688},{"body":{"content":"跟肾虚没关系吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050903652},{"body":{"content":"有关的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949752},{"body":{"content":"这些都会伤阴的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959753},{"body":{"content":"我该用点什么药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979367},{"body":{"content":"稍等，为您开方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050986961},{"body":{"content":"******，1次4粒，1天3次口服；六味地黄丸，口服，一次8丸，一天3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036627},{"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":1653051037851},{"body":{"content":"为什么就是性欲特别高呢？是哪里有火吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051105436},{"body":{"content":"阴虚火旺 的表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122107},{"body":{"content":"湿热也是火","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051141041},{"body":{"content":"都会性欲旺","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147234},{"body":{"content":"就先吃您开的两种药就行是吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051154368},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051181696},{"body":{"content":"一个月一疗程，无特殊情况一般1周或者2 复诊，根据舌苔及症状的变化调整处方，这样针对性强些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185243},{"body":{"content":"开的是9天的量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051192293},{"body":{"content":"建议日常不要熬夜，不能过度思虑，清淡饮食，不要过食辛辣、寒凉食品，戒烟限酒；保持心情愉快有利于疾病的快速恢复；定期复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051214610},{"body":{"content":"复诊时可以打开京东APP，在搜索栏中搜索“***”即可找到我的（轮休状态下图文显示黑白或是不显示，您换个时间段咨询即可）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051219592},{"body":{"content":"好的。两周之后我再麻烦您。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051235566},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051243080},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051295290},{"body":{"content":"如果没有其他问题的话，这边稍后就先为您结束问诊了。希望我的建议能够帮助到您，感谢您的信任，祝您生活愉快，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051298065},{"body":{"content":"好的。再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051369643}]

男31岁

2022.05.20