莫培培

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019888555},{"body":{"content":"各地价格不一样，一千左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019893630},{"body":{"content":"**的医院做心理疾病诊断要多少钱？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653020051879},{"body":{"content":"具体需要，问当地医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653020626158},{"body":{"content":"这里是互联网医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653020630696}]

女14岁

2022.05.20

[{"body":{"content":"以前有过这种情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965688681},{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966015377},{"body":{"content":"以前有过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966046509},{"body":{"content":"不能除外癫痫","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966051020},{"body":{"content":"以前没有过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966067259},{"body":{"content":"如果是第一次，建议尽快去医院做个头ct 和脑电图","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966096648},{"body":{"content":"都做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966110041},{"body":{"content":"明确一下是否为癫痫以及抽搐的原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966116097},{"body":{"content":"看过医生了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966122994},{"body":{"content":"核磁也做了没事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966123135},{"body":{"content":"脑电图有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966131261},{"body":{"content":"发病之前有没有熬夜？一共抽过几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966148433},{"body":{"content":"住了四天院，脑电图显示有点电波2.5","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966180862},{"body":{"content":"诊断癫痫了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966195646},{"body":{"content":"诊断了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966209823},{"body":{"content":"吃药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966246758},{"body":{"content":"脑电图如果有异常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966255735},{"body":{"content":"根据症状也可以诊断","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966272597},{"body":{"content":"今天才吃药，******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966299615},{"body":{"content":"嗯，一定要规律吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966314017},{"body":{"content":"不要熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966316542},{"body":{"content":"这毛病能有后抑证吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966379780},{"body":{"content":"先吃药看看吧，如果不严重，有的一两年后可以停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966422994},{"body":{"content":"得看情况哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966429129},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966435827},{"body":{"content":"平时一定注意别饮酒，别熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966437938},{"body":{"content":"规律吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966440575},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966449751},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966458591},{"body":{"content":"电波2.5有事吗，医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966529259},{"body":{"content":"应该不是电波","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966541591},{"body":{"content":"是有异常放电","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966550361},{"body":{"content":"那是什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966554225},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966561274},{"body":{"content":"这个是支持癫痫诊断的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966561870},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966588552}]

男17岁

2022.05.20

[{"body":{"content":"你好，现在有什么症状吗？能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965540168},{"body":{"content":"我是皮肤一直泛红脸上有疙瘩白白的挤出来是水洗完脸会脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965626211},{"body":{"content":"能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965672376},{"body":{"content":"疙疙瘩瘩的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965854114},{"body":{"content":"有什么感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965886442},{"body":{"content":"就是戴口罩的时候会觉得热热的平常偶尔会有蚊子包一两个这样痒痒的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965971555},{"body":{"content":"根据您症状情况，考虑是皮炎，就是过敏性了，引起的原因很多的，可能与接触东西有关系的，还有各种物理性因素如日光，动物的皮毛，**，化妆品，以及精神紧张都可以导致本病。有时不好找确切原因的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965986339},{"body":{"content":"可以这样治疗的，口服*****（晚饭后），一天一次一片，外用******，一天两次，同时需要忌口，腥，辛辣，牛**等刺激性食物尽量不要吃。不要用护肤品了。经过治疗会**恢复的。没有大问题的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990722},{"body":{"content":"我皮肤泛红有好久了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966035350},{"body":{"content":"偶尔还有蚊子包痒痒的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966056102},{"body":{"content":"只是这两天特别严重会长白头一样的痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966099864},{"body":{"content":"按上面我给你的方法注意和治疗就可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966116486},{"body":{"content":"******没有**很安全的。可以长期使用来修复的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966131447}]

女29岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965489231},{"body":{"content":"图片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965490675},{"body":{"content":"就颈部吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965550038},{"body":{"content":"病史多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965555910},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965560893},{"body":{"content":"这个考虑是神经性皮炎，有过敏因素参与其中，建议忌口鱼虾蟹，可以外用*****，一天二次，口服*******，一天一次，一次一片，口服*******，一天三次，一次二粒，不要熬夜，清淡饮食，烟酒不要接触，没有传染性。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965576476},{"body":{"content":"一个星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965577186},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965582023}]

男26岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051410219},{"body":{"content":"请具体描述一下不适的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051420855},{"body":{"content":"身上长大块红疹痒痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051451983},{"body":{"content":"有时还?水泡","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051467721},{"body":{"content":"这个情况多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051474072},{"body":{"content":"基本上上半年都会这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491751},{"body":{"content":"下半年没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051499428},{"body":{"content":"之前在用什么药物呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051506365},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051515147},{"body":{"content":"孩子一直这样就是气候环境变化就会有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051531424},{"body":{"content":"好像不起什么作用，反反复复一直复发","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051545309},{"body":{"content":"看一下中医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051557942},{"body":{"content":"用药浴调理一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562919},{"body":{"content":"和自身的体质有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051571463},{"body":{"content":"喝不了中药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051573965},{"body":{"content":"外用药物就是缓解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600928},{"body":{"content":"这个中医上缺少什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051601363},{"body":{"content":"达不到根治","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051603496},{"body":{"content":"药浴要开些什么吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051681637},{"body":{"content":"线下看中医开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695853},{"body":{"content":"好的，先用***可不可以，有没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051725801},{"body":{"content":"可用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051737356},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051744725},{"body":{"content":"不客气呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051755030},{"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":1653051947143},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051949094},{"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":1653051950772}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009905420},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653009913298},{"body":{"content":"你看看我验血报告单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653009937677},{"body":{"content":"有整个血常规结果图片吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009958161},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653009974322},{"body":{"content":"最下面8项还不够","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009976341},{"body":{"content":"血常规有二三十项","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009987270},{"body":{"content":"只有这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010011693},{"body":{"content":"你是不是有痔疮，经常出血？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010016793},{"body":{"content":"你看看不合格的这些是什么原因导致","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010030240},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010039539},{"body":{"content":"痔疮引起的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010092653},{"body":{"content":"好的，如果是痔疮问题导致的话还好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010327455},{"body":{"content":"还有最近晚上睡觉脚不自觉的抽搐什么原因呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010380267},{"body":{"content":"可能也是贫血引起的气血不足，虚弱引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010428275},{"body":{"content":"你现在铁蛋白肯定很低","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010443154},{"body":{"content":"要吃铁剂，而且坚持一直吃，不能吃吃停停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010462026},{"body":{"content":"当然根源在痔疮！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010471115},{"body":{"content":"缸破了洞，肯定要先堵了，再加水才能加满","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010501715},{"body":{"content":"药店可以买得到铁剂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010527991},{"body":{"content":"以后治疗显效了，每个月复查一次血常规和铁蛋白，铁蛋白升到四五十才能停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010535342},{"body":{"content":"药店有卖吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010606490},{"body":{"content":"我这里可以给你开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010957194},{"body":{"content":"快递到家","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010961764},{"body":{"content":"也可以去查铁蛋白的时候叫他们顺便给你开铁剂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653013065714}]

男35岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879403707},{"body":{"content":"舌苔黄厚腻，中间有裂纹，有齿痕，食欲不振，盗汗，咳嗽，口水多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879427914},{"body":{"content":"这个舌苔厚腻黄 舌质红","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879428097},{"body":{"content":"上次找过你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879440389},{"body":{"content":"属于肝郁化火脾虚湿热","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879443674},{"body":{"content":"目前感觉怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879457161},{"body":{"content":"前期效果不明显，我另外吃了专治盗汗的药，现在只是多汗，不盗汗，其他改善不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879526875},{"body":{"content":"最近吃的什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879547174},{"body":{"content":"吃东西没胃口，但不胀，不痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879570158},{"body":{"content":"还有什么症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879589858},{"body":{"content":"吃了知柏地黄丸，喝了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879621690},{"body":{"content":"目前你这个情况应该以清湿热为主","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879640623},{"body":{"content":"舌苔黄厚腻，中间有裂纹，有齿痕，食欲不振，咳嗽，口水多，睡眠不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879654892},{"body":{"content":"是的 清湿热为主 配合*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879692924},{"body":{"content":"放屁多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879698760},{"body":{"content":"放屁多与脾虚有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879710791},{"body":{"content":"我本来也在学中医，当地一个中医建议我不清湿热，我也很怀疑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879790669},{"body":{"content":"你不去湿热也不行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879814518},{"body":{"content":"他建议燥热祛湿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879823019},{"body":{"content":"其实燥热祛湿或者是去湿热是一样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879850081},{"body":{"content":"我也感觉应该清湿热，顺带补脾","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879856401},{"body":{"content":"应该中医是没有燥热的概念","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879883459},{"body":{"content":"你再来个方，因为中医很难一蹴而就","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879925951},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879960667},{"body":{"content":"湿性粘腻不容易去","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879975935},{"body":{"content":"可以猛一点，我这个症状几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879986859},{"body":{"content":"目前有没有口干口苦烦躁的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879987957},{"body":{"content":"其实不在于用药猛，而在于用药时间长一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880016921},{"body":{"content":"因为我天天喝酒，口干口苦我一直没往这方面想，肯定有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880023701},{"body":{"content":"服药尽量不要喝酒，不然药物会无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880042600},{"body":{"content":"呵呵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880060885},{"body":{"content":"酒是湿热的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880083380},{"body":{"content":"嗯，辛辣，我的必备","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880099548},{"body":{"content":"辛辣生湿热","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880111057},{"body":{"content":"你这种老吃辛辣的，确实是对服药是有很大影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880124001},{"body":{"content":"这个比较难办，工作性质决定","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880172286},{"body":{"content":"好吧，这个没办法，只能先给你开方吃了，看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880185621},{"body":{"content":"对了，知柏地黄丸吃，没影响吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880253652},{"body":{"content":"没影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880297988},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880374972},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品\n\n如果上述问题你没有，可以直接购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880545291}]

男45岁

2022.05.20

[{"body":{"content":"你好，我是朱医生，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":1652965801798},{"body":{"content":"下肢出现红色硬币大小斑块，这种引起的原因比较多，比如真菌感染过敏，建议可以拍个图片给我看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652972364296}]

男60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":1653050328707},{"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":1653050330967},{"body":{"content":"哺乳期发热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346805},{"body":{"content":"37.5度","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351322},{"body":{"content":"乳房疼痛，怀疑是乳腺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050376910},{"body":{"content":"乳房有硬块吗？局部皮肤有发红发烫么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050395609},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050411205},{"body":{"content":"怀疑急性乳腺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050419774},{"body":{"content":"好的，乳房疼伴有发烧 这首先考虑是急性乳腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050481366},{"body":{"content":"给您些治疗的方法您参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489713},{"body":{"content":"治疗建议前，为了用药安全，系统需要先排除药物禁忌，请问您既往是否有任何基础疾病，近期是否有发现肝肾功能异常？是否有药物过敏史？是否处于妊娠，备孕状态呢？您回答有或者没有就可以了。谢谢。（例行询问，请您配合回答，谢谢。）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501647},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050511762},{"body":{"content":"现在是哺乳期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050518156},{"body":{"content":"用药肯定得注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050526472},{"body":{"content":"乳腺炎一般是由于乳汁淤积引起的，您可以局部冷敷，后由肿块向乳头方向按揉，将肿块揉散，后排出乳汁，按揉前清洗乳头，保证乳头清洁干燥，乳头处乳管通畅。平日也要保持乳头乳晕清洁干燥，哺乳和挤奶前后都要清洁乳头及乳晕周围。平日尽量保持乳房空虚，避免乳汁淤积。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050566076},{"body":{"content":"如果体温超过38.5度可以口服退热药物，**就可以。一般一次10ml，4到6小时可以重复一次。这个不影响哺乳 不到38度5 物理降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578776},{"body":{"content":"药物可以口服 蒲公英颗粒 ****治疗 也不影响哺乳","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590018},{"body":{"content":"如果自行保守治疗2天无效，乳房红肿痛加重，有脓性乳汁出现，或者高热不退，您需要到医院普外科或乳腺外科就诊，查彩超，明确具体情况，针对性治疗了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051748495}]

女31岁

2022.05.20

[{"body":{"content":"您好，我是耳鼻喉科医生，非常高兴为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050057489},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067959},{"body":{"content":"局部触摸质硬还是质软","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050075715},{"body":{"content":"摸起来有点硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094520},{"body":{"content":"有破溃吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132344},{"body":{"content":"之前是否有外伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136068},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050138718},{"body":{"content":"之前经常佩戴耳机","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153966},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188310},{"body":{"content":"长出来之后就一直没佩戴过任何耳机，一直是保持外露的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050193806},{"body":{"content":"最近有感冒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050196645},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050200078},{"body":{"content":"之前有过这个症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202789},{"body":{"content":"之前出现过长包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219930},{"body":{"content":"但是比这次轻的多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227519},{"body":{"content":"三天左右就自然消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236406},{"body":{"content":"这次已经持续四天了也没有消退的迹象","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259007},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280424},{"body":{"content":"有分泌物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291780},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050310436},{"body":{"content":"就一个包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050315079},{"body":{"content":"根据您的描述，考虑 外耳道疖肿 的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330234},{"body":{"content":"您之前有使用药物治疗改善吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050332048},{"body":{"content":"之前试着涂过两次红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356158},{"body":{"content":"但貌似没什么效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050364271},{"body":{"content":"就再没涂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050370278},{"body":{"content":"可以对症治疗改善看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050423478},{"body":{"content":"为用药安全，请问您是否有药物过敏史，肝肾功能异常史，其他慢性疾病及心血管疾病史，是否处于特殊时期不能用药，近期在使用哪些其他药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050426032},{"body":{"content":"没有用药禁忌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050452528},{"body":{"content":"最近没吃任何药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461647},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050598586},{"body":{"content":"一般建议， 1、在饮食方面要清淡的饮食， 2、多休息，平时避免熬夜和太疲劳的情况， 3、注意不要长时间带耳机 洗澡以及洗头避免耳部进水，4、不要长期挖耳，挖耳时要轻柔","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603304},{"body":{"content":"针对你的呢症状建议先使用点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618594},{"body":{"content":"一天2次使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050640463},{"body":{"content":"使用3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645882},{"body":{"content":"用药期间注意是否有破溃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653539},{"body":{"content":"如果破溃之后*****暂停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050664091},{"body":{"content":"使用***********一天2次使用治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050680700},{"body":{"content":"也可以直接交替使用，一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050691579},{"body":{"content":"间隔1小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695412},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718771},{"body":{"content":"这个病容易复发吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757011},{"body":{"content":"一般考虑和个人体质，外界环境，生活方式习惯，情绪压力等等都有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857225},{"body":{"content":"医生这个**可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050863475},{"body":{"content":"之后可以注意点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050867613},{"body":{"content":"避免长期戴耳机等刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050880235},{"body":{"content":"*****是帮助排脓治疗疖肿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900222},{"body":{"content":"考虑更对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050911082},{"body":{"content":"那这个可以涂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952122},{"body":{"content":"上述药物有一点**的功效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051003718},{"body":{"content":"如果您想要使用试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051009616},{"body":{"content":"可以使用看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051012722},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014960},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051043095},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051118032},{"body":{"content":"使用之后可以上线复诊咨询我，给您看看具体的用药效果，是否调整用药或停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122599},{"body":{"content":"好的，我会先用我自己的**尝试一下，如果无效我就会换到您推荐的那一款，后续有什么问题我会再来咨询您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051210164},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246285},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247144},{"body":{"content":"请问您是否还有其他医药问题需要我为您解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250511},{"body":{"content":"再没有了，谢谢您嘞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320953},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051334279},{"body":{"content":"希望我的建议能帮助到您，如在治疗过程中还有任何问题，欢迎您随时上线咨询或者给我留言，非常感谢您的信任。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337362},{"body":{"content":"再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051358116},{"body":{"content":"因线上咨询条件有限，且疾病具有相对复杂及发展变化的特点，如果使用药物治疗一疗程效果不佳 或 出现 其他不适 、甚至加重的情况，请您及时再次上线咨询或线下医院就诊 防止延误病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051450250}]

男21岁

2022.05.20