刘继帅

[{"body":{"content":"你好，从你反映的情况看，你有自伤自残的行为。但不知道你有没有明显的焦虑，抑郁情绪？睡眠怎么样？你的行为是在缓解你的压力吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879363667},{"body":{"content":"我有很明显的焦虑也很容易情绪崩溃 然后我会通过扇自己巴掌来缓解压力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879473891},{"body":{"content":"如果你从来没有去医院就诊过，建议你首次就诊去医院精神心理科就诊，根据你的具体情况，选择做一些心理测验，进一步明确有无焦虑抑郁情绪。明确诊断后才能确定下一步的治疗方案。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879527396},{"body":{"content":"好那我明天去医院看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550176},{"body":{"content":"好的，应该去医院面诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879584892},{"body":{"content":"那医生有没有办法可以让我睡着我最近在高考我已经两天没有睡觉了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879674298},{"body":{"content":"睡眠不是用心理治疗就能解决问题，可以用一些促进睡眠的药物（非**类的）这些药物只能在医院开。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882258938},{"body":{"content":"我已经告诉你了，促进睡眠的药物要在医院开。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652955042542}]

女21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":1653051708497},{"body":{"content":"开处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051711206},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051723523},{"body":{"content":"糖尿病使用医院医生建议使用的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726966},{"body":{"content":"您是否对药物有不良反应或者过敏？您之前是否查过肝肾功能，是否有异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051730006},{"body":{"content":"*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051738046},{"body":{"content":"一直在用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051741813},{"body":{"content":"现在疫情去不了医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751939},{"body":{"content":"您需要几只呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051833983},{"body":{"content":"2只300的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051850101},{"body":{"content":"处方中的剂量您忽略，建议按医院医生医嘱使用药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051925422},{"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":1653051933846},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051966164},{"body":{"content":"日常勤监测血糖，定期复查糖化血红蛋白浓度检查，医院内分泌专科随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020012},{"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":1653052142994}]

男34岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050194213},{"body":{"content":"您好，我是主治医师高瑞雪，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050196402},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309669},{"body":{"content":"1、（男性）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？是否在备育期？\n2、（女性）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？是否在备孕期、妊娠期或哺乳期？\n3、（婴幼儿，儿童，青少年）为了用药安全，是否有药物及食物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345828},{"body":{"content":"使用补钙吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360000},{"body":{"content":"这个是高钙全脂奶粉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390514},{"body":{"content":"有补钙补充营养作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404939}]

女

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":"图片我看到了，你要问什么具体问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051006480},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008996},{"body":{"content":"请讲具体问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014897},{"body":{"content":"就是毛周角化症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023167},{"body":{"content":"胳膊这","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051025790},{"body":{"content":"然后之前去医院开的*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051050427},{"body":{"content":"抹了几个月一开始掉皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051057819},{"body":{"content":"现在就是起皮有颗粒感偶尔痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070536},{"body":{"content":"没有什么改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079556},{"body":{"content":"感觉有的地方扩散了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051090740},{"body":{"content":"这个病是慢性病，就得坚持用药，没有太快的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051093212},{"body":{"content":"生活中可以口服****药店都有卖的，另外洗澡不要用力搓也不要太频繁。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051113590},{"body":{"content":"我看有推荐我*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051129543},{"body":{"content":"这个有效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051136851},{"body":{"content":"我也抹了一段时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051164133},{"body":{"content":"****就可以，就不错。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199238},{"body":{"content":"那***呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051214906},{"body":{"content":"这个用着感觉起皮泛红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051223182},{"body":{"content":"抹起来赖不拉几的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051241653},{"body":{"content":"***可以，能滋养皮肤，没毛病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051321484},{"body":{"content":"那您感觉我是涂**好一点还是**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051345026},{"body":{"content":"一一种用一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051362969},{"body":{"content":"那我平时还需要擦油什么的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051376538},{"body":{"content":"什么也不需要了，有这两种足够了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051388540},{"body":{"content":"我看京东是***里面有**的这个可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051398600},{"body":{"content":"百分之10含量","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051405882},{"body":{"content":"这个的话涂的话频率是每天早晚吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051422753},{"body":{"content":"几次都行，随心，这个药没什么特殊说道。次数越多好的越快，有时间就涂。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499292},{"body":{"content":"就是***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516797},{"body":{"content":"还是*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051524998},{"body":{"content":"***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051573312},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051579154},{"body":{"content":"好的，再见，祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051586761}]

男21岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050063021},{"body":{"content":"尊敬的PLUS会员，您好，我是京东中医科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050064729},{"body":{"content":"您好，请问有什么能帮助到您的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050081540},{"body":{"content":"腰疼 阴囊潮湿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088362},{"body":{"content":"性欲强，但是时间短","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050127842},{"body":{"content":"请问勃起正常的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050138358},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050156478},{"body":{"content":"射精过快的现象有： 1）.在进入阴道之前或进入后约1分钟以内就射了； 2）.相比之前射精潜伏时间显著缩短，通常小于3分钟； 3）.偶尔出现射精过快，短于3分钟。 请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211616},{"body":{"content":"2","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050253552},{"body":{"content":"您好，请问这种情况有多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259622},{"body":{"content":"请问您平时熬夜、抽烟、喝酒、爱吃冷饮、水果这些食品吗？手淫多吗（大于1周1次）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050266827},{"body":{"content":"主要就是性欲特别高，就是时间跟之前比要短很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050297383},{"body":{"content":"最近压力挺大的。抽烟多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314088},{"body":{"content":"请问您现在方便拍舌苔照吗？为您辨证一下看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050334154},{"body":{"content":"手淫多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336221},{"body":{"content":"收到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050477687},{"body":{"content":"您好，我先了解一下您的情况，请您先配合回答几个问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485592},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050495574},{"body":{"content":"请问您平时有以下气血不足的表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497843},{"body":{"content":"活动后容易出汗 / 神疲乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050588990},{"body":{"content":"有以下痰湿、湿热表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593006},{"body":{"content":"面部油光 / 阴囊潮湿或局部瘙痒（男子） / 易生痤疮、粉刺或者湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603783},{"body":{"content":"请问您有以下肝肾不足表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050608820},{"body":{"content":"腰膝酸软 / 脱发 / 双目干涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050628999},{"body":{"content":"请问您平时消化怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633044},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657076},{"body":{"content":"请问您平时小便情况怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662146},{"body":{"content":"小便色黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669974},{"body":{"content":"请问您平时情绪怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674007},{"body":{"content":"经常闷闷不乐，胸胁胀满不适 / 经常急躁易怒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050689654},{"body":{"content":"好的，那睡眠情况怎么样呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050694717},{"body":{"content":"多梦易醒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050709791},{"body":{"content":"收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736412},{"body":{"content":"根据您目前描述的症状（和舌象等资料），考虑为肝郁、湿热的表现为主的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050818255},{"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？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820199},{"body":{"content":"没有药物过敏史 没有慢性病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050854688},{"body":{"content":"跟肾虚没关系吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050903652},{"body":{"content":"有关的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949752},{"body":{"content":"这些都会伤阴的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959753},{"body":{"content":"我该用点什么药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979367},{"body":{"content":"稍等，为您开方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050986961},{"body":{"content":"******，1次4粒，1天3次口服；六味地黄丸，口服，一次8丸，一天3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036627},{"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，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":1653051037851},{"body":{"content":"为什么就是性欲特别高呢？是哪里有火吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051105436},{"body":{"content":"阴虚火旺 的表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122107},{"body":{"content":"湿热也是火","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051141041},{"body":{"content":"都会性欲旺","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147234},{"body":{"content":"就先吃您开的两种药就行是吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051154368},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051181696},{"body":{"content":"一个月一疗程，无特殊情况一般1周或者2 复诊，根据舌苔及症状的变化调整处方，这样针对性强些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185243},{"body":{"content":"开的是9天的量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051192293},{"body":{"content":"建议日常不要熬夜，不能过度思虑，清淡饮食，不要过食辛辣、寒凉食品，戒烟限酒；保持心情愉快有利于疾病的快速恢复；定期复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051214610},{"body":{"content":"复诊时可以打开京东APP，在搜索栏中搜索“***”即可找到我的（轮休状态下图文显示黑白或是不显示，您换个时间段咨询即可）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051219592},{"body":{"content":"好的。两周之后我再麻烦您。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051235566},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051243080},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051295290},{"body":{"content":"如果没有其他问题的话，这边稍后就先为您结束问诊了。希望我的建议能够帮助到您，感谢您的信任，祝您生活愉快，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051298065},{"body":{"content":"好的。再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051369643}]

男31岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051421835},{"body":{"content":"您说六味地黄丸吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429362},{"body":{"content":"中成药的，比较安全的药物的，目前还没有严重不良反应的报道的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051457464},{"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":1653051598918},{"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":1653051604514}]

女

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050837557},{"body":{"content":"您是明确诊断为早泄，需要开具*******吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050846891},{"body":{"content":"其他药物都是试了 没效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050892863},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905801},{"body":{"content":"请问您近6个月内有无性生活？（仅指阴道内性交，不包含手淫、飞机杯等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050910794},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050946970},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949985},{"body":{"content":"1—3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050954851},{"body":{"content":"每次几分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956911},{"body":{"content":"1—3分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970570},{"body":{"content":"双方均满意概率是否到达50%？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975576},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050980688},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050983701},{"body":{"content":"一直存在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050987461},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050991463},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002970},{"body":{"content":"还有别的疾病或者不适吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051007028},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023576},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051035951},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060975},{"body":{"content":"那您这个早泄的情况是可以使用***的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074403},{"body":{"content":"******* 这个药物是目前国内唯一获得CFDA(国家药品监督管理局)批准治疗早泄的西药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077668},{"body":{"content":"*********：口服。药片应完整片吞下。建议至少用一满杯水送服药物。推荐的首次剂量为30mg（1片），需要在性生活之前约1至3小时服用。推荐的最大用药剂量使用频率为每24小时一次。推荐使用频率为1周1-2次，服药当天避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051078646},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098190},{"body":{"content":"***有3片和6片装的，您需要哪种？需要几盒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051106247},{"body":{"content":"三盒六片装","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051179112},{"body":{"content":"好的，稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196462},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231610},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051233865},{"body":{"content":"建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物，规律性生活，减少手淫次数。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051235346},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051283649},{"body":{"content":"推荐您可以搭配用这个*** ， ***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051300500},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051305153},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051528201}]

男33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":"这些疾病是常见病，多发病，不是什么严重的疑难杂症。一般规范药物治疗，大部分人症状可以得到缓解，不影响生活质量，不需要过分担心。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084848},{"body":{"content":"直系亲属有胃部疾病这个有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050136642},{"body":{"content":"当地医院建议内镜手术，想咨询下手术有哪些利弊，非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050234915},{"body":{"content":"内镜手术可以确实有效的清除异形增生的上皮细胞，可以比较好的，防止这些异形增生的粘膜上皮细胞癌变的可能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330388},{"body":{"content":"内镜手术，虽然是微创，但也是属于有创的手术治疗，还是有一定的风险，这个无法避免，虽然风险不大，但是也不能避免说一定不会发生。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389946},{"body":{"content":"如果现在不手术，后期发展成高级别异型增生再手术时的效果会有什么差异吗，或者说风险会不会更高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050938981},{"body":{"content":"风险肯定会升高，而且手术难度会加大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051273949},{"body":{"content":"非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051675680},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710018}]

男38岁

2022.05.20