周绍娟

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187595},{"body":{"content":"淋巴癌肿大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965238839},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965275173},{"body":{"content":"淋巴癌肿大，治疗方法？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965310785},{"body":{"content":"是什么样的淋巴癌？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965323324},{"body":{"content":"有没有什么资料图片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337592},{"body":{"content":"肿大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965354794},{"body":{"content":"疼痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965370933},{"body":{"content":"没有资料的话只能说个大概，多数是放疗化疗，或者加上手术切除这些办法。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422939}]

女20岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049834447},{"body":{"content":"请问你有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857453},{"body":{"content":"就是大便次数比较少，然后有的时候胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049897005},{"body":{"content":"多长时间大便一次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049926422},{"body":{"content":"除了胃疼有没有胃胀反酸烧心，食欲怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943351},{"body":{"content":"大便次数少，便量很少 食欲正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049982342},{"body":{"content":"一星期能排便一次吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020788},{"body":{"content":"排便费劲儿吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028326},{"body":{"content":"你刚才发了点检查报告吧，你重新发一下我看一下，我现在看不到。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080145},{"body":{"content":"我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050110247},{"body":{"content":"回肠这块的病变看病理，结果确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050170144},{"body":{"content":"其他方面问题不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177520},{"body":{"content":"回肠这块怎么看？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287545},{"body":{"content":"我看已经取了活检了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375976},{"body":{"content":"取下来的组织会到显微镜下去看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384764},{"body":{"content":"应该是没啥大毛病吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091907},{"body":{"content":"如果活检没事儿，就没什么大事儿。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051359168}]

女21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":"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":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211719},{"body":{"content":"还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050869520}]

男4岁

2022.05.20

[{"body":{"content":"一千块钱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046396105},{"body":{"content":"多久能好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046414598},{"body":{"content":"要休息多少天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046451389},{"body":{"content":"一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046547501},{"body":{"content":"多谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046586817},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046609339}]

男25岁

2022.05.20

[{"body":{"content":"医生，请帮忙看下是不是干性湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879089929},{"body":{"content":"您好，有没有照片呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879098262},{"body":{"content":"就脖子一圈，包括后面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879123532},{"body":{"content":"您好，是婴儿湿疹的，目前处于慢性状态，因此干燥，需要最好保湿的，***大白罐不断涂抹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879223922},{"body":{"content":"是干性湿疹么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250192},{"body":{"content":"另外如果用药的话，可以用***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879279106},{"body":{"content":"不是干性湿疹，干性湿疹指皮脂分泌少诱发的湿疹状态，宝宝这个只是炎症消退后皮肤脱屑，不过与他本身皮肤屏障功能不佳有关，失水更多，也容易干燥。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879420302},{"body":{"content":"这么小出现湿疹样皮炎，如果家族有过敏性疾病，那么属于特应性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879453401},{"body":{"content":"能否推荐用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879547524},{"body":{"content":"没有家族过敏性疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879583035},{"body":{"content":"可以外用*****，＋******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881110637},{"body":{"content":"***一天两次，宝宝一层，消退以后减为一天一次巩固2－3天停用，之后需要长期使用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881143796},{"body":{"content":"好的，感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652885233240}]

男2岁1个月

2022.05.20

[{"body":{"content":"你好，能否上传照片看看？按压痛吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965402026},{"body":{"content":"按压不痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965426017},{"body":{"content":"有无挤压过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965442252},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965454819},{"body":{"content":"根据您症状情况，考虑是甲下出血，与无意中挤压有关系的。对身体没有影响的。可以不用管它的。自己会**恢复退掉的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965490474}]

女20岁

2022.05.20

[{"body":{"content":"您好，我是儿科副主任医师石莉医生，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":1653050147784},{"body":{"content":"一天几次大便？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050153513},{"body":{"content":"前天晚上两次，昨天两次 今天两次。拉水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237245},{"body":{"content":"精神状态好不好？食欲好不好？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261359},{"body":{"content":"都好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050265337},{"body":{"content":"那就是有一些消化不了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277754},{"body":{"content":"喂一点鞣酸蛋白酵母散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283350},{"body":{"content":"吃了这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302281},{"body":{"content":"昨天开始吃的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050315682},{"body":{"content":"要不要吃**➕这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050350841},{"body":{"content":"这个就加上****，水样便的话。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357678},{"body":{"content":"哪个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050374787},{"body":{"content":"他就是水样便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050382321},{"body":{"content":"哪两个搭配？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050397607},{"body":{"content":"****和上面那个***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407257},{"body":{"content":"这干吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050451442},{"body":{"content":"这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050476661},{"body":{"content":"这个******和您喂的那个都属于***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485291},{"body":{"content":"我说的是鞣酸蛋白酵母散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497121},{"body":{"content":"*****➕**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050584245},{"body":{"content":"如果是喂鞣酸蛋白酵母散就喂这一种就行。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050611185},{"body":{"content":"如果喂***就加上****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050631836},{"body":{"content":"好的，可以开我开处方吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050645120},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654250},{"body":{"content":"开****吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663332},{"body":{"content":"***和***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050673695},{"body":{"content":"根据上述情况我可以给您一些用药建议。为用药安全，请问是否有严重药物过敏史或者药物严重不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050687570},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715722},{"body":{"content":"用药前您仔细阅读药品说明中禁忌注意事项，如果无禁忌，没有过敏史，没有不适，可使用我为您开的药品，如果您在应用过程中出现不适，请及时上线咨询或者是线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050769307},{"body":{"content":"您别太着急，可以参考上面给您的指导，结束后麻烦您可以给我一个评价，如果后续还有问题，欢迎您随时找我咨询，后期可以直接平台搜索我的名字：**,如果期间有过敏等不良反应，症状持续加重等，建议尽快去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806832},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051054062},{"body":{"content":"****怎么吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051067008},{"body":{"content":"****一次一袋，一天2~3次，空腹吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102872},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051109377},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051115992},{"body":{"content":"***和**间隔时间要多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051120601},{"body":{"content":"两个小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128580},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051139071},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051160374},{"body":{"content":"可以喝牛奶吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051232236},{"body":{"content":"少喝点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250517},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051271631},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051283653}]

男4岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878751835},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878757655},{"body":{"content":"您出现这些症状有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878777002},{"body":{"content":"胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878788382},{"body":{"content":"有没有做过什么检查 用过什么药物治疗过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878793740},{"body":{"content":"有一周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878803316},{"body":{"content":"检查和治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824793},{"body":{"content":"吃了***和","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878902511},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878935338},{"body":{"content":"症状有没有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878950872},{"body":{"content":"头两天还行，可能昨天晚上吃了西瓜，今天觉得更不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878996604},{"body":{"content":"大便什么的都正常，也不拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879111150},{"body":{"content":"就是觉得胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879163995},{"body":{"content":"您现在的症状与胃食管反流病比较符合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879176323},{"body":{"content":"也不排除存在幽门螺杆菌感染可能 如果有可能最好可以先做个呼气试验看看有没有幽门螺杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879226217},{"body":{"content":"那能开点中药回来熬吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879313227},{"body":{"content":"也不胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879361188},{"body":{"content":"像您这种反酸比较厉害的 中药不太能解决问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879395349},{"body":{"content":"抑酸方面西药更有优势 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879463216},{"body":{"content":"反酸不厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879466808},{"body":{"content":"以胃胀为主是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879487322},{"body":{"content":"主要是胃胀，打嗝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879494210},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498226},{"body":{"content":"今天才有一点反酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879514619},{"body":{"content":"主要还是胃胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879555114},{"body":{"content":"您是希望自己熬中药 还是用现成的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879560324},{"body":{"content":"现成的中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879707325},{"body":{"content":"明白了 您拍一张舌苔图给我看一下哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879775212},{"body":{"content":"您稍等片刻 我这就给您处方建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880064892},{"body":{"content":"好的，不急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880128078},{"body":{"content":" 平时不要吃的太饱 晚餐不要吃稀的 不要喝汤 流质半流质更容易反流 平时不要喝茶、咖啡、碳酸饮料 不能抽烟 会导致食管下括约肌的松弛 更易反流 不要吃红薯 糯米食等淀粉含量高的食物 容易产酸 还包括一些甜品 平时不要穿紧身的衣物 严重反流时床头需要抬高15-20°","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880454202},{"body":{"content":"您没有药物过敏史和特殊禁忌症吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880491500},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880499041},{"body":{"content":"不在备孕期妊娠期哺乳期吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880513147},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880520229},{"body":{"content":"处方已开具 另外生活方面需要注意的事项已经发给您了 请按照上面的做 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880592796},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880632462},{"body":{"content":"不客气的 祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880650916},{"body":{"content":"能再帮我开一份自己熬的中药处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880724824},{"body":{"content":"万一服药后症状缓解不明显 您停用****14天后需要去医院查个呼气试验 看看有么有幽门螺杆菌感染 或者做个胃镜 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880727121},{"body":{"content":"中药只有**剂 就是我按照处方开好每个成分的**剂 您回去自己放一起冲服 没有传统的那种中药饮片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880835746},{"body":{"content":"您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880854866},{"body":{"content":"比丸好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880862883},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880901761},{"body":{"content":"冲剂好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880913990},{"body":{"content":"谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880919406},{"body":{"content":" 丸剂起效慢 发挥作用持久 **剂作用快一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880931254},{"body":{"content":"那就麻烦帮我开冲剂，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881446891},{"body":{"content":"已经开过了 中药开方没有西药那么快 要一个个点击","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881489337},{"body":{"content":"没事，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881575533},{"body":{"content":"您在吃*****时就不要再吃这个**剂了 两个分开服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881711375},{"body":{"content":"有些成分有重合 功效也差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881732581},{"body":{"content":"只喝冲剂，不吃那个*****，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881778008},{"body":{"content":"可以的 您可以把冲剂吃完再吃***** *****效果挺好的 我平时在门诊经常开给嗳气 呃逆的患者用 患者反馈过来的信息效果都不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881875821},{"body":{"content":"您要是在不愿意用丸剂 我就把前面那个处方的*****撤回来了 要么开了也浪费了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881941121},{"body":{"content":"实在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881947172},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881970031},{"body":{"content":"好的 是撤回来吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881988422},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882003978},{"body":{"content":"我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882012304},{"body":{"content":"这个是小丸还是大丸？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882050781},{"body":{"content":"小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882068549},{"body":{"content":"就是一包里有好多小丸子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882089668},{"body":{"content":"怎么驳回了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882177331},{"body":{"content":"我刚又确认一下是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882270931},{"body":{"content":"是小丸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882281601},{"body":{"content":"既然这个不错，先试试这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882370713},{"body":{"content":"对胃胀效果好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882384944},{"body":{"content":"平台上出售*****的药房太多 不同厂家生产的有所区别 我刚特意点进去查了一下我开的这个是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882414140},{"body":{"content":"是的 对于脾胃虚弱引起的腹胀效果还是不错的 对嗳气也有明显效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882447873},{"body":{"content":"那好，我试试","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882462404},{"body":{"content":"马上下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882471237},{"body":{"content":"您平时不适合吃生冷食物 舌苔白腻厚 脾胃虚弱 还有湿偏重 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882576232},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882587008},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882594502},{"body":{"content":"要21才拿到药，我能去药房买吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882625758},{"body":{"content":"今天是18号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882641731},{"body":{"content":"可以的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882644513},{"body":{"content":"您可以按照处方建议去购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882662317},{"body":{"content":"药有没有指定厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882678275},{"body":{"content":"麻烦帮我看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882684987},{"body":{"content":"*****买****的或者***的都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882715882},{"body":{"content":"****随便哪个厂家 没有太大差异","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882745562},{"body":{"content":"*******制药的也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882768672},{"body":{"content":"这几个都是大厂 药材质量有保证","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882785288},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882801245},{"body":{"content":"不客气的啦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882818882},{"body":{"content":"我已经5星好评了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882972123},{"body":{"content":"谢谢您的好评","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882992756}]

女43岁

2022.05.20