刘继帅

[{"body":{"content":"您好，我是中医科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828469},{"body":{"content":"您好，问一下我咳嗽有2个月了，咳嗽不勤，但几乎天天有咳，咳得时候咳一阵，好像连着咳，不咳的时候大半天都好好的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050837024},{"body":{"content":"请问咳嗽是白天还是晚上剧烈呢，咳嗽是否有痰，痰好咯出吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843063},{"body":{"content":"白天的多，不剧烈，没痰","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050878862},{"body":{"content":"是否伴有胸闷、气紧、咽痒、咽喉异物感的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900988},{"body":{"content":"咳完后有时会清嗓子有少许痰","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050927614},{"body":{"content":"好的。方便发一下舌象吗？可以为您深入辨证看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050988214},{"body":{"content":"咽痒有的，有时咳嗽时喝口水会好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998361},{"body":{"content":"根据您描述的症状结合舌象,目前考虑咳嗽，肺气阴不足。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077712},{"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？请问您在备育期吗？以便我给您用药建议，如果以上都没有，可以回答“都没有”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051082530},{"body":{"content":"无过敏史，无慢性病史，不在备孕期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051126163},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051131198},{"body":{"content":"是否在哺乳期、备孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051232903},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051254808},{"body":{"content":"您看是选择中成药还是中药配方（自煎、代煎、**剂）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051292680},{"body":{"content":"中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051303292},{"body":{"content":"稍等，为您开方，稍后会有一个电子处方，您如果需要购药的话可以直接 点击处方，按处方提示流程即可完成购药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051312441},{"body":{"content":"****** 一日3次，一次1支补**气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051467852},{"body":{"content":"***** 一日3次，一次5片养阴**，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051489536},{"body":{"content":"买不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051508801},{"body":{"content":"咋回事呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515263},{"body":{"content":"****** 给您建议的药物是不需要处方的，您可以直接点击带有小购物车蓝色文字选购，药物品牌您可以任意选择，如您附近有药店（药急送），最快可在1小时内送药上门。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051529224},{"body":{"content":"好的，网上不好买，我在家附近看看，谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051567109},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051612886},{"body":{"content":"各配几盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051618729},{"body":{"content":"可以各2盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051627197},{"body":{"content":"温馨提示：*****、****** 您可以直接点击带有小购物车蓝色文字选购，药物品牌您可以任意选择，如您附近有药店（药急送），最快可在1小时内送药上门。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641802},{"body":{"content":"提示：用药前请您仔细阅读药品说明书中禁忌，注意事项，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":1653051648707},{"body":{"content":"建议您饮食注意：规律饮食，避免过饱饮食，忌辛辣刺激、浓茶咖啡、甜食饮料、生冷食物、海鲜、火锅类的食物，喝温热水。另外注意休息、保持良好情绪、规律作息；保持室内湿润、通风；忌烟酒；避风寒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051651541},{"body":{"content":"好的谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051692106},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051697715},{"body":{"content":"感谢您的咨询和耐心回答，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":1653051701232},{"body":{"content":"如果您没有其他问题，我将结束您的问诊，希望我的建议能够帮助到您，请点击对话框右上角“ 表扬医生“对我的服务作出评价，您的五星好评，就是对我工作最大的鼓励和支持。欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051789920}]

女46岁

2022.05.20

[{"body":{"content":"帮忙开个处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878661387},{"body":{"content":"您好，我是马医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878663188},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878664652},{"body":{"content":"你是本人咨询吗？以往有过线下就诊经历吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878665977},{"body":{"content":"您好，请问您之前在线下医院就诊过吗？目前的药物是您本人在服用吗？具体的诊断是什么？有带有患者名字的诊断记录/病历/处方单/检查单等就诊资料吗？请发给我看一下，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671786},{"body":{"content":"是的，精神分裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878713706},{"body":{"content":"因为精神科药品的特殊性，平台咨询不能代替线下就诊，所以我们只能给要过线下就诊经历诊断明确的病情稳定的开具处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878726455},{"body":{"content":"不可开方情况：\n１.　用药指导不可以\n２.　门诊缴费凭证不可以\n３.　互联网平台处方凭证不可以\n 4. 取药单不可以\n 5. 发票单不可以\n 6. 非精神心理科提供的凭证不可以！（神经内科规范处方除外）\n以上均缺乏专业认证！！！！！！！\n\n可开方情况（满足一种即可)：\n特别说明：以下可开方情况的专业认证与本次问诊的患者姓名、诊断、药品名称三者必须全部一致，否则不可开方！！！！！！！\n\n１．门诊病历（可无盖章，必须有医生签名）\n２.　住院病历（必须有医院公章）\n３.　出院小结（纸质手写必须有医院公章，电子版可无公章）\n４.　诊断证明（必须有医院公章）\n５.　处方单（必须有医生签名）\n 6· 线下实体医院自有互联网医院处方单（必须有医生签名）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879085715}]

女37岁

2022.05.20

[{"body":{"content":"方便再拍别的地方的照片吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383104},{"body":{"content":"刚刚洗澡热水烫过之后","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449899},{"body":{"content":"很热的烫的，烫过去很舒服，但是会起疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050509490},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050510027},{"body":{"content":"有一个多月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050518924},{"body":{"content":"有没有那种止痒的涂的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050558351},{"body":{"content":"有没有晚上加重？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590560},{"body":{"content":"别的人有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050602978},{"body":{"content":"就是晚上会痒一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607966},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642362},{"body":{"content":"手缝严重吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050659556},{"body":{"content":"阴囊有疙瘩吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662679},{"body":{"content":"首先呢考虑是湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050774989},{"body":{"content":"但是得问问你的情况，需要看看是不是疥疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050792091},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829601},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871264},{"body":{"content":"可以口服******晚上一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050874879},{"body":{"content":"手缝我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050893045},{"body":{"content":"这么痒我得看看是不是疥疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905879},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908354},{"body":{"content":"手缝和手腕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050919324},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925580},{"body":{"content":"手缝和手腕都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050957249},{"body":{"content":"也不咋痒是不","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964294},{"body":{"content":"都不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050974485},{"body":{"content":"那就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050983850},{"body":{"content":"外用*****一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050991828},{"body":{"content":"这个药膏含有**，不过局部用是没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050993872},{"body":{"content":"吃过了了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998994},{"body":{"content":"不管用的话可以口服********，这个是好点的抗过敏药，不过吃这个不能吃西柚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051019359},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051121252},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131534},{"body":{"content":"痒的厉害也可以外用*****，一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051142988},{"body":{"content":"吃的这个没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051178695},{"body":{"content":"再加一个吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182880},{"body":{"content":"这个是考虑过敏是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051217636},{"body":{"content":"不是湿疹对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051225655},{"body":{"content":"是湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247843},{"body":{"content":"湿疹就是过敏性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252683},{"body":{"content":"湿疹就是过敏反应","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268901},{"body":{"content":"疥疮呢，是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051269557},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274671},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051293853},{"body":{"content":"不客气哒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051314331},{"body":{"content":"就是在打***有没有关联","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051314393},{"body":{"content":"不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331183},{"body":{"content":"这个也属于是过敏反应，但是具体什么东西过敏不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051347470},{"body":{"content":"好的。我先按照你说的先吃点药先","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051367714},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051385341},{"body":{"content":"会不会有传染性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051530004},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558796},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051752898},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051766439}]

男32岁

2022.05.20

[{"body":{"content":"您好，我是主治医师胡春燕，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049956373},{"body":{"content":"由疫情管控，各地发货会以就近仓库为准。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049965179},{"body":{"content":"建议下单填写**，查看系统提示。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049978338}]

女

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":"您好，我是互联网王医师，非常感谢你的信任，您先别担心，我会仔细看您的资料以后，再详细回复您。分析病情和回复需要一些时间，请您耐心等待。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965366727},{"body":{"content":"***活血通络的，心肌缺血可以吃，对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965383352}]

女33岁

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049755331},{"body":{"content":"您好，今天刚刚做的检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049766323},{"body":{"content":"昨天的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049772927},{"body":{"content":"这个结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049774188},{"body":{"content":"您月经推迟几天了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049779666},{"body":{"content":"末次月经4.14号开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783326},{"body":{"content":"好的，您是有生育要求的是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049801808},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049805615},{"body":{"content":"好的，目前有腹痛出血吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813459},{"body":{"content":"腰有些酸痛，偶有腹痛，躺一会儿就能好，没有出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049833174},{"body":{"content":"好的，那可以再复查看看的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049838371},{"body":{"content":"早孕一般血hcg隔天翻倍一般考虑胚胎发育良好、宫内孕的几率高，一般血hcg大于3500可以查超声，是否宫内孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852937},{"body":{"content":"应该是怀孕吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049865021},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049867699},{"body":{"content":"结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049872491},{"body":{"content":"我的症状不是宫外孕的典型症状吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895146},{"body":{"content":"因为是二胎，比较担心炎症会导致宫外孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924550},{"body":{"content":"宫内孕以及宫外孕的区分只能是做B超宫内看到孕囊，根据症状没有办法区分","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930518},{"body":{"content":"理解您的心情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049936372},{"body":{"content":"B超6周去做合理吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959240},{"body":{"content":"太早怕什么都看不到，太晚怕宫外孕危险","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049984333},{"body":{"content":"也可以的，主要是看血HCG的情况，血HCG大于*****般可以做B超看到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049987461},{"body":{"content":"好的，那我明白了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050049669},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056730},{"body":{"content":"有吃**吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050228063},{"body":{"content":"昨天开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050252387},{"body":{"content":"好的，整个孕期都是可以吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277266},{"body":{"content":"不是吃到三个月就行吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050300988},{"body":{"content":"整个孕期可以一直吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315836},{"body":{"content":"您吃的是单纯的**还是*****呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333453},{"body":{"content":"哦哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335431},{"body":{"content":"单纯的**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050341137},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357369},{"body":{"content":"以上情况有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361380},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369750},{"body":{"content":"您可以吃********，含有**和孕期建议补充的多种***，一天一粒，可以吃到宝宝出生的，就不需要再吃单纯的**了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050421634},{"body":{"content":"可以参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425281},{"body":{"content":"好的，我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050442751},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050449940},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、孕妇及哺乳期妇女用药部分，如无禁忌可使用，用药过程中如有不适，或用药症状不缓解可上线咨询或线下就诊。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450678},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452889},{"body":{"content":"好的，谢谢哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050473180},{"body":{"content":"拜拜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477944},{"body":{"content":"早孕建议您多休息，减少活动，注意保暖，避免碰冷水，适当加强营养如瘦肉、鱼、蛋、奶、水果蔬菜等，避免刺激乳房，前三个月禁止性生活及盆浴；定期医院检查，如有腹痛、阴道出血等情况随时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483522},{"body":{"content":"不客气的，给您一些孕期的建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491700},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timest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女31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":"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":1653050124601},{"body":{"content":"请问这样有多长时间了？大概知道是什么原因导致的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129385},{"body":{"content":"这个月没有来例假，本来该10多号来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050145244},{"body":{"content":"上个月10几号来的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050168388},{"body":{"content":"这种情况可以吃嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050190007},{"body":{"content":"吃*****还是***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050206975},{"body":{"content":"排除怀孕了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050241641},{"body":{"content":"对的哈，没有怀孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050250303},{"body":{"content":"吃哪一种啊，还是两种一块吃啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050295651},{"body":{"content":"***** 就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050310834},{"body":{"content":"嗯那，**是针对例假不调吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050380731},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394468},{"body":{"content":"不会吃了也推迟吧医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400769},{"body":{"content":"一般没事的奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050410537},{"body":{"content":"那***呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050411008},{"body":{"content":"治疗血瘀 的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050421129},{"body":{"content":"***用不用配着吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426513},{"body":{"content":"也可以一起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050435283},{"body":{"content":"不来******？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449770},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050456939},{"body":{"content":"**血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458787},{"body":{"content":"咀嚼吃的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468529},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050475228},{"body":{"content":"去年我去医院看彩超，说内膜薄，吃这个可以嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050491639},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050499588},{"body":{"content":"去年也是夏天这时候，是大概6.7月份 没有过来，说内膜薄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533749},{"body":{"content":"内膜薄因为什么呐医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050551050},{"body":{"content":"这个跟自身体质 有关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050583957},{"body":{"content":"比如例假不调，有木有关系是平常吃的太素的原因啊？平常我不怎么吃肉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050609168},{"body":{"content":"也有关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050650595},{"body":{"content":"***如果正吃着 会不会影响来例假啊 比如更推迟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720641},{"body":{"content":"没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820588},{"body":{"content":"好的好的，一天两次 先试段时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050885590},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050892419},{"body":{"content":" 谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050896415},{"body":{"content":"不客气 这是我应该做的！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050931445}]

女

2022.05.20

[{"body":{"content":"疼不疼啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049637956},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049650135},{"body":{"content":"按着也不疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738144},{"body":{"content":"几天了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049741272},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049744356},{"body":{"content":"其他地方有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049745087},{"body":{"content":"至少一个星期了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761158},{"body":{"content":"鼻子上之前长了个疖子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049785365},{"body":{"content":"对 我看着这个也像","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824160},{"body":{"content":"不过之前也没疼过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049832675},{"body":{"content":"但是这个一点都不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049839455},{"body":{"content":"他自己都没发现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049866205},{"body":{"content":"目前我看着也怀疑疖肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049909261},{"body":{"content":"您可以用点**消毒几天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918273},{"body":{"content":"没破","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049983185},{"body":{"content":"用**消毒几天 或者外用点***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084158}]

男31岁

2022.05.20