刘继帅

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965573234},{"body":{"content":"雄性激素过多是不是可以吃**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965607373},{"body":{"content":"可以吃****可以**皮肤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965629966},{"body":{"content":"之前脸上都没有痘痘，生完二胎之后脸上就开始暴涨痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965652542},{"body":{"content":"是雄性激素过多吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965672365},{"body":{"content":"多吃点儿蔬菜水果，保证充足的睡眠。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965681809},{"body":{"content":"应该是着急上火，内分泌失调。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965691013},{"body":{"content":"三十岁了为什么脸上开始长痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965735419},{"body":{"content":"还是因为睡眠不好啊休息不好饮食结构不合理啊总之是内分泌失调","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965770476},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965782555},{"body":{"content":"??","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815122}]

女30岁

2022.05.20

[{"body":{"content":"您好！您今天具体是想咨询些什么呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653043505642},{"body":{"content":"失眠、心烦，上次开的药吃完了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653043551442},{"body":{"content":"您好！您是想开处方吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653043603738},{"body":{"content":"是的。***二盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653043642663},{"body":{"content":"正值疫情期间，各种突发事件不能预知，为免断药引起病情波动，请您提前备好药物！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1660311970192}]

女56岁

2022.05.20

[{"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":1653050227834},{"body":{"content":"您好，我是京东健康互联网医院专业育儿师。很高兴为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230753},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232219},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050260973},{"body":{"content":"孩子被蚊子叮了，要不周围肿了，这个药膏能用眼部周围吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050293431},{"body":{"content":"可以薄薄的涂一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050319447},{"body":{"content":"有没有清凉的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050345085},{"body":{"content":"有没有成分表发一张看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355273},{"body":{"content":"稍等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367411},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050399303},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050450949},{"body":{"content":"不客气?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460352}]

女

2022.05.20

[{"body":{"content":"您好！这里是京东医生皮肤科。你描述的情况我已经收到。为了配合确诊病情，请提供清晰度高的图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965641012},{"body":{"content":"脚拇指指甲边肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965695458},{"body":{"content":"网诊较为局限，完全要靠清晰度高的图片来判断病情，就和线下医院问诊是一个道理，医生也需要看你的患处，对你的情况进行诊断。希望理解，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965708099}]

女28岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433022},{"body":{"content":"请您稍等，我马上为您查询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436181},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050514963},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050530809},{"body":{"content":"左腿腿弯疼 蹲下得时候厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050556783},{"body":{"content":"左腿腿弯蹲着一跪疼得更厉害 请问用什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050616500},{"body":{"content":"请问您这样多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050624627},{"body":{"content":"十天八天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050644537},{"body":{"content":"差不多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050661805},{"body":{"content":"近期是否就医诊疗过，近期是否服用过*西药物缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683461},{"body":{"content":"昨天刚拿的*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722743},{"body":{"content":"用了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734321},{"body":{"content":"还没开始用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050787754},{"body":{"content":"去诊所拿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798236},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050804497},{"body":{"content":"请问这个药可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817435},{"body":{"content":"可以用的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050836660},{"body":{"content":"有****的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844868},{"body":{"content":"您先用药三至五天看看效果，如果没有缓解，建议您及时去医院检查和治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050936238},{"body":{"content":"好的 谢谢药师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050957172},{"body":{"content":"还有**********有吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050969312},{"body":{"content":"请您稍等，我马上为您查询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050987265},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051012891},{"body":{"content":"暂时没有喷剂哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049895},{"body":{"content":"哦哦 喷剂得好用 **不方便啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087945},{"body":{"content":"**效果持久些哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120633},{"body":{"content":"哦哦 效果比喷剂好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143308},{"body":{"content":"喷剂使用方便些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051154525},{"body":{"content":"药物都是一样的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158036},{"body":{"content":"我想着鞋子里也喷点 脚也喷 不是更好嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051176328},{"body":{"content":"可以用其他的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051190603},{"body":{"content":"需要推荐吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051193761},{"body":{"content":"那是一样的嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051202918},{"body":{"content":"药物是一样的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231231},{"body":{"content":"我之前用的**********得 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233643},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051236909},{"body":{"content":"都一样用的 一样的效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051253277},{"body":{"content":"药品的效果与药品的吸收、分布、代谢、排泄等有关。另外患者年龄、性别、体质、以及联合用药情况等 都对药效的体现有影响。所以药效视具体情况而定噢。由于个体差异，不同的人对药物的吸收会有差异，大多数患者见效快，少数患者见效可能会慢一些，一般对症就会有效果的呢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267056},{"body":{"content":"效果相似的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051275628},{"body":{"content":"效果相似","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302795},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051307810},{"body":{"content":"药物成份是相 同的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051324057},{"body":{"content":"我就是手心脚上 水泡氧 完了之后开始褪皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051351724},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051363866},{"body":{"content":"嗯 用****可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423958},{"body":{"content":"可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429241},{"body":{"content":"可以用洛芙联苯苄唑溶液治疗如手、足癣，体、股癣，花斑癣。\n用法用量：外用，一日1次，2～4周为一疗程。用脱脂棉蘸取少量涂擦局部。\n注意事项\n\n1.避免接触眼睛和其他黏膜(如口、鼻等)。\n\n2.用药部位如有烧灼感、红肿等情况应停药，并局部药物洗净，必要时向医生咨询。\n\n3.对本品过敏者禁用，过敏体质者慎用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051436076},{"body":{"content":"喷剂好还**得","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051441492},{"body":{"content":"足癣（脚气）是要按疗程用药的，一般二到四周为一个疗程，不能吃牛**、*****，另外建议您穿宽松透气的鞋袜，勤换鞋袜，保持脚部干燥。治愈后，条件允许的，建议全部换过新的鞋袜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051444545},{"body":{"content":"可以两种搭配使用的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051452938},{"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":1653051493460},{"body":{"content":"**跟喷剂？搭配吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505329},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051518201},{"body":{"content":"喷剂白天 用，**晚上用哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051526106},{"body":{"content":"那怎么搭配","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551276},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051558719},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562291},{"body":{"content":"嗯 行 那不是不一个牌子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574161},{"body":{"content":"不影响的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051583294},{"body":{"content":"**是**** 喷剂是***啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051593077},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051606057},{"body":{"content":"没有影响嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051622941},{"body":{"content":"不影响的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642522},{"body":{"content":"好 那你都推给我看我看看去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051661558},{"body":{"content":"**** 跟这个喷剂**喝酒可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051699984},{"body":{"content":"不建议喝酒的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051706159},{"body":{"content":"好的 谢谢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051714980},{"body":{"content":"那可以把喷剂喷**推给我嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051733426},{"body":{"content":"好的 谢谢药师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051762031},{"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":1653051825432},{"body":{"content":"嗯 没有了 谢谢哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051835464},{"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":1653051841789},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051857505}]

女

2022.05.20

[{"body":{"content":"您好，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":1653050650020},{"body":{"content":"您报告提示iGE很高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696794},{"body":{"content":"对，您知道怎么回事儿吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050707033},{"body":{"content":"这个反映过敏的状况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050716319},{"body":{"content":"周一我们检查确诊是哮喘了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720453},{"body":{"content":"查了****还有肺功能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050729040},{"body":{"content":"哮喘常常合并过敏性体质","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744283},{"body":{"content":"比较常见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050751184},{"body":{"content":"他这个这么高和哮喘有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760791},{"body":{"content":"多数哮喘有过敏的影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050788699},{"body":{"content":"因为他哮喘所以这个高也正常是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050807472},{"body":{"content":"查那个****检查也是65ppb显示过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050826707},{"body":{"content":"经过治疗之后可以下降","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828153},{"body":{"content":"主要是哮喘引起的高？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050846815},{"body":{"content":"****也是提示嗜酸性粒细胞性炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050866604},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050880780},{"body":{"content":"不是有别的病吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050887617},{"body":{"content":"我百度说除了过敏可能还有别的问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050898310},{"body":{"content":"iGE最常见就是过敏引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050928658},{"body":{"content":"他这个哮喘属于过敏性哮喘吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050941317},{"body":{"content":"有一部分是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962997},{"body":{"content":"之前问诊也是您，然后我们去医院查了肺功能检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050967081},{"body":{"content":"有一部分跟过敏没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975600},{"body":{"content":"确实医生说是哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050978586},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050993358},{"body":{"content":"哮喘的确诊依据主要是肺功能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050998138},{"body":{"content":"我们周一去的医院，查的这个结果，一个月后复查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051013744},{"body":{"content":"我们有必要再去医院专门看这个过敏源检查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051041936},{"body":{"content":"有部分哮喘发作就是接触过敏诱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047039},{"body":{"content":"这个过敏原不急着复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051069203},{"body":{"content":"哦哦，那就是我们一个月以后复查也行？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051086461},{"body":{"content":"可以抽血复查iGE","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110184},{"body":{"content":"皮肤过敏性检测可以暂时不用测","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123899},{"body":{"content":"如果用药有效，我们一般建议三个月再复查相关指标即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169273},{"body":{"content":"不用急","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051173657},{"body":{"content":"肺功能，****检测有点贵","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051206773},{"body":{"content":"过敏源这个着急查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051241982},{"body":{"content":"我们很少复查这个过敏源","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268494},{"body":{"content":"确诊之后，主要看治疗的反应","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051293402},{"body":{"content":"****还有肺功能检查三百多还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051299491},{"body":{"content":"那我们现在就等着用药一个月复查就可以了吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317896},{"body":{"content":"过敏源抽血那个三百多我觉得还挺贵的，哈哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051339338},{"body":{"content":"症状明显好转，不用急着复查，当然也看您当时确诊的情况，如果比较严重，可以早点复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344514},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356049},{"body":{"content":"我现在就是担心那个总ige浓度太高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051366235},{"body":{"content":"平时有过敏源鼻炎吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376792},{"body":{"content":"平时他就爱咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400333},{"body":{"content":"以为抽烟抽的没当回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051407745},{"body":{"content":"也打喷嚏，但是没那么严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418061},{"body":{"content":"有不少哮喘都是接触过敏源诱发的，平时要尽快避免接触这些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425841},{"body":{"content":"治疗有效的话，iGE会明显下降的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463008},{"body":{"content":"因为吃的喝的都没过敏，就没想着他会过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051470827},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051485690},{"body":{"content":"那我们就一个月以后复查就行了，是吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051497311},{"body":{"content":"不用太担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051498684},{"body":{"content":"对，不急的话，用药三个月之后","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520955},{"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":1653051564147},{"body":{"content":"没有了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051688729},{"body":{"content":"感谢感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051707361},{"body":{"content":"若您无其他问题，我将结束本次咨询。希望我的建议能够帮助到您，非常感谢您的信任！还得麻烦您在对话结束后对我的服务作出评价，祝您和家人生活愉快，身体健康，工作顺利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051713502}]

男41岁

2022.05.20

[{"body":{"content":"您好，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":1652965432936},{"body":{"content":"HPV病毒可以导致湿疣，有传染性，正常人没有不洁性接触史不会得的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965516151}]

男24岁

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419300},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051427973},{"body":{"content":"您是感觉大便次数增多，还是大便困难呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051448219},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463653},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051472188},{"body":{"content":"增多是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051477175},{"body":{"content":"不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051485533},{"body":{"content":"经常早餐吃完后就完啦，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051528036},{"body":{"content":"大便还是正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551682},{"body":{"content":"症状大致多久了？腹胀，腹痛，排气异常，肠道咕噜响有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556085},{"body":{"content":"很久了，没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051590175},{"body":{"content":"您查过肠镜吗？用过什么药物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051625079},{"body":{"content":"还没去检查，也没有吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051650820},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051654511},{"body":{"content":"请问您有什么药物过敏史吗？既往有什么疾病史吗？肝肾功能正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051655583},{"body":{"content":"没有，正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051677905},{"body":{"content":"结合您描述的情况，考虑肠易激综合征可能性大一些，建议您可以服用****0.1g 3次/日口服+**********，每次2粒，每日3次。与其他药物分开2小时服用，联合使用一周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051682049},{"body":{"content":"用药症状改善不理想，医院消化科就诊，必要时查个肠镜检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695160},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051719784},{"body":{"content":"用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用药品。如在用药过程中出现不适，请及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051787948},{"body":{"content":"给您开个处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792678},{"body":{"content":"少食多餐，忌辛辣刺激饮食，忌浓茶咖啡，忌过多甜食，忌过饱饮食，少吃生冷食物，少吃海鲜、鱼，火锅类的食物，喝温热水，不喝饮料，保持***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051848752},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052108584}]

男34岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018409762},{"body":{"content":"**拍照给我看看，买几盒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018423793},{"body":{"content":"开4合","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018429920},{"body":{"content":"您是患者什么人？病情稳定吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018452366},{"body":{"content":"儿子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018471410},{"body":{"content":"还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018486320},{"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":1653018500837},{"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":1653018510319},{"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":1653018531253}]

男89岁

2022.05.20

[{"body":{"content":"这种情况考虑耵聍","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965181744},{"body":{"content":"没有不适症状的话，不用担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965194189},{"body":{"content":"耵聍腺分泌物脱水氧化形成的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965298433},{"body":{"content":"不用担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965302362},{"body":{"content":"是这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965303335},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965312330},{"body":{"content":"不客气！希望我的建议可以帮助到您！非常感谢您的信任！请对话结束后对我的服务做出评价！祝您早日康复！谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965317998}]

女17岁

2022.05.20