刘继帅

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965428700},{"body":{"content":"请问这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965435066},{"body":{"content":"以前做过什么检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965451686},{"body":{"content":"有半年了吧，没有检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965519521},{"body":{"content":"好像是一次开夜车，那天有大雾，一直很紧张的开车回家，之后疼痛，开始还以为是累的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965604625},{"body":{"content":"现在一直没好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965623417},{"body":{"content":"怀疑是膝关节骨关节炎，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965662901},{"body":{"content":"要注意以下措施以减缓病情的发展： 1.患者要注意保暖，不要让患处接触凉风； 2.这种情况建议适度休息，控制日常活动量，平时避免机械性损伤，避免爬很陡的楼梯，少走上下坡路；避免长距离行走、久站、攀爬、登高、弹跳、跑步及球类等剧烈运动。 4. 酌情局部理疗、热敷，局部外用*********等，口服***或*******，口服***保护关节软骨！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965676081},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762389},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965769097},{"body":{"content":"您****，要是想确定是不是膝关节骨关节炎，需要做什么检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966405789},{"body":{"content":"您可以拍片或者做核磁检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966434937},{"body":{"content":"拍片子能看出来吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966531666},{"body":{"content":"是不是必须需要核磁检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966588065},{"body":{"content":"拍片看**关节间隙，当然比如核磁检查好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966748181},{"body":{"content":"不如","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966761112},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966917759},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967085569}]

男40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":1653049839309},{"body":{"content":"有可能是淋巴结","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857125},{"body":{"content":"淋巴结过几天会消失","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881080},{"body":{"content":"如果一直不消失，建议你带宝宝去医院就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049897407},{"body":{"content":"这是怎么引起的呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902384},{"body":{"content":"一般几天会消失呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924167},{"body":{"content":"一般出牙.感冒发热都有可能引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050018794},{"body":{"content":"一般一周之内会消失","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050044355},{"body":{"content":"宝宝刚好在长大牙","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046039},{"body":{"content":"嗯，观察一下看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154915},{"body":{"content":"需要用手按摩一下吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174377},{"body":{"content":"不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186792},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241830},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050270044}]

女1岁10个月

2022.05.20

[{"body":{"content":"感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965468324},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476175},{"body":{"content":"以前也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965499994},{"body":{"content":"是睡觉感觉呼吸累","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965553940},{"body":{"content":"这次多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965555643},{"body":{"content":"睡觉打呼噜吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965566242},{"body":{"content":"油腻的吃了就这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585895},{"body":{"content":"有时有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965597895},{"body":{"content":"平时右上腹部疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965629866},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659238},{"body":{"content":"那就是感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965677765},{"body":{"content":"可以吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965684753},{"body":{"content":"就是口水特别浓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965698892},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965718412},{"body":{"content":"考虑感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965720925},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965757581}]

男43岁

2022.05.20

[{"body":{"content":"你好，我是三级甲等医院神经内科中级医师，***，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400673},{"body":{"content":"血糖高多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050409326},{"body":{"content":"好长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050439010},{"body":{"content":"有10年了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520345},{"body":{"content":"你这种情况预防和早期诊断是防止糖尿病神经病变造成严重后悔的基本措施。\n\n1、严格控制血糖，戒烟，纠正血脂异常，控制高血压。\n\n2、加强足部**：选择透气性良好质软的合脚的鞋袜，经常检查并取出鞋内异物。患者应每日洗脚，水温不宜过高。秋冬季节足部易干裂，可用中性润肤霜均匀涂擦，汗脚可撒些***。\n\n3、定期进行筛查及病情评价：\n\n","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533052},{"body":{"content":"差不多吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050590876},{"body":{"content":"**，那你需要注意一下了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615418},{"body":{"content":"我把上面的注意事项也发给你了，预防非常关键。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050623422},{"body":{"content":"预防糖尿病周围神经病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050630880},{"body":{"content":"这吃什么药，好的快点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050683754},{"body":{"content":"可以试试****，早中晚各一粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050805140},{"body":{"content":"那个厂家的药会好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050946956},{"body":{"content":"***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956406},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977650},{"body":{"content":"试试吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051024582}]

男33岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012845143},{"body":{"content":"大夫您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012880759},{"body":{"content":"我孩子最近说他没有情绪，让我给他找心理医生，说他心理有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012949051},{"body":{"content":"都有什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012974472},{"body":{"content":"我是最近不爱说话他感觉什么都烦，说一天没精神","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653013076079},{"body":{"content":"抑郁症的症状：情绪低落，兴趣减退，精力下降，自卑，自杀，反应迟钝，不爱吃饭，不睡觉或者睡眠多！ 这些症状有几点？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653013100327}]

男15岁

2022.05.20

[{"body":{"content":"请问多大的宝宝可以吃这个***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883252},{"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":1653050935588},{"body":{"content":"2岁以上 就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050942005},{"body":{"content":"好的 谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970873},{"body":{"content":"不客气 这是我应该做的！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051003254},{"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":1653052116774},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052117991}]

女

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":"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":1653050098088},{"body":{"content":"这种情况少量多次喂一点水，妈妈多吃一点蔬菜水果，再观察一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050123756},{"body":{"content":"不是说吃母乳的宝宝半岁之内不喂水吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050171869},{"body":{"content":"也可以用一点开塞露通一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177763},{"body":{"content":"这么小可以用开塞露吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050207434},{"body":{"content":"那怎么可能呢？都是因人而异的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212853},{"body":{"content":"可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219021},{"body":{"content":"好滴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050238567},{"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":1653050266767}]

男3个月17天

2022.05.20

[{"body":{"content":"您好，我是主治医师连爱琴，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393753},{"body":{"content":"买化妆品的，客服怎么说医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050439788},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050442897},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050488080},{"body":{"content":"说明书有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489119}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050381814},{"body":{"content":"目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384637},{"body":{"content":"舌苔白，中间厚腻，有齿痕，现在这个季节没食欲，经常拉肚子，神疲乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453329},{"body":{"content":"手麻腿酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469985},{"body":{"content":"请问医生怎么调理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534151},{"body":{"content":"我看下你舌头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550292},{"body":{"content":"稍等，我拍一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580140},{"body":{"content":"是啥原因啊？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023680},{"body":{"content":"大便之前肚子疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108759},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051213819},{"body":{"content":"有没有凌晨三四点钟拉肚子的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217412},{"body":{"content":"没有五更泄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051228830},{"body":{"content":"一般中午拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051237830},{"body":{"content":"还有点肾虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284560},{"body":{"content":"嗯嗯。看你舌头，结合症状你是脾肾阳虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328307},{"body":{"content":"你能吃汤药嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425169},{"body":{"content":"中成药可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051440240},{"body":{"content":"汤药有点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458677},{"body":{"content":"不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469461},{"body":{"content":"你好，建议你吃汤药治疗，汤药比中成药更对症。汤药有两种形式，一种是*草药，你自己回家煎煮也可以，平台代煎也可以；另一种是做成**，**剂是*草药煎煮、浓缩、提纯之后做成的**，用热水冲服就可以，比较方便。这两种都比中成药要更有效。你是要*草药还是**剂？请确认一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051508059},{"body":{"content":"**剂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051589340},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051604852},{"body":{"content":"请问您肝功、肾功等指标是否正常，是否有过敏史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051618302},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051625040},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051637584},{"body":{"content":"都正常，不过有脂肪肝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051650111},{"body":{"content":"顺便一下*****和***能同吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051684290},{"body":{"content":"最好不要一起吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051843382},{"body":{"content":"药方开好了，可以点击“预约购药”直接下单，收到就是中药配方**，付款后我再给您说一下服用方法和注意事项。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051946097},{"body":{"content":"感觉有点贵了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051981750},{"body":{"content":"能推荐中成药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051990380},{"body":{"content":"你可以吃点参苓白术散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052025941},{"body":{"content":"吃了没有用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052037109},{"body":{"content":"我都吃了好几盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052058661},{"body":{"content":"大概有十多盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052082361},{"body":{"content":"我能吃***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052096610},{"body":{"content":"嗯嗯。所以说中成药效果不好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052104974},{"body":{"content":"脾虚用*****\n肾阳虚用***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052120270},{"body":{"content":"不应该是不好，是没对症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052139817},{"body":{"content":"之前吃的汤药方子和***一样，也没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052170390},{"body":{"content":"不介意同时吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052172312}]

男32岁

2022.05.20