刘继帅

[{"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":1653049617749},{"body":{"content":"您好，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049619137},{"body":{"content":"第1阶段：6-9个月。\n第2阶段：10-12个月。\n第3阶段：1岁-2岁。\n第4阶段：2岁-6岁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049621036},{"body":{"content":"一阶的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049635607},{"body":{"content":"平时给宝宝多吃水果，蔬菜，容易消化的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049642804},{"body":{"content":"母乳喂养妈妈不要吃油腻辛辣刺激的食物。\n\n奶粉喂养两餐之间给宝宝喂点温开水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049647302},{"body":{"content":"您可能忙，没关系我一直都在。您有问题随时找我，我会第一时间回复到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049649244}]

女

2022.05.20

[{"body":{"content":"方便拍张照片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965394921},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965482448},{"body":{"content":"有两年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965546615},{"body":{"content":"反反复复的起吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965573635},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965582762},{"body":{"content":"建议您能查个单纯疱疹病毒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965606191},{"body":{"content":"在哪里？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965622278},{"body":{"content":"得去医院查，抽血或者取水泡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965656132},{"body":{"content":"你们医院在哪里呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965670736},{"body":{"content":"我是**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965763597},{"body":{"content":"什么跟什么啊，我是咨询本地医院，怎么你是**的？？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965839049},{"body":{"content":"这个是系统自动分的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965857571}]

男50岁

2022.05.20

[{"body":{"content":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050577657},{"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":1653050587268},{"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":1653050592164},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050602751},{"body":{"content":"就是脚底有水泡，还痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050616340},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050637563},{"body":{"content":"性别女年龄25","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050662692},{"body":{"content":"建议用这个 、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050681537},{"body":{"content":"需要泡脚吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050706279},{"body":{"content":"就是脚痒，用清水洗也不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050761233},{"body":{"content":"还需要搭配泡脚的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050802368},{"body":{"content":"不用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809861},{"body":{"content":"水泡型 不可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050815716},{"body":{"content":"水泡挑了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050847003},{"body":{"content":"怎么使用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050852662},{"body":{"content":"这个药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050890108},{"body":{"content":"使用剂量\n一日一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050928623},{"body":{"content":"温馨提示：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、不良反应等内容，严格按照说明书或药师指导的用法用量使用、若用药14天无效果或病情加重，请及时咨询医生/药师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051664609},{"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":1653051666902},{"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":1653051667410}]

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":1653050634663},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，请您配合回答几个问题，可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050635941},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050647159},{"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":1653050674143},{"body":{"content":"请问您出现不适症状几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050676230},{"body":{"content":"1-3天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681290},{"body":{"content":"有没有出现下列所述症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050686357},{"body":{"content":"尿频 / 尿急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715046},{"body":{"content":"好的，那么有使用过药物进行过治疗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050721071},{"body":{"content":"未使用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050725050},{"body":{"content":"针对以上情况，您到线下医院做过相关检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732068},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050736323},{"body":{"content":"白天大概去几次厕所？超过4-6次吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050743351},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756294},{"body":{"content":"晚上睡着以后会起夜吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050771888},{"body":{"content":"就是今天感到小便次数多 和有点酸胀的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050809425},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050817212},{"body":{"content":"有尿痛或是尿道灼热的表现吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823253},{"body":{"content":"昨天晚上起夜一次吧，睡得晚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050849124},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856944},{"body":{"content":"有尿痛或是尿道灼热的表现吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050859820},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050860275},{"body":{"content":"最近饮水量怎么样呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050866919},{"body":{"content":"不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050872623},{"body":{"content":"有过泌尿系结石的病史吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050884234},{"body":{"content":"需要吃药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050889249},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050895317},{"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？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050912129},{"body":{"content":"在吃血压高的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937180},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050947809},{"body":{"content":"您目前的症状，是有尿路感染的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952582},{"body":{"content":"没有药物过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050953566},{"body":{"content":"女性尿道较短，解剖位置特殊，如果经期或者性生活后不注意个人卫生，加之饮水少，憋尿，很容易诱发尿路感染，急性膀胱炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955604},{"body":{"content":"估计饮水少的原因和抵抗力下降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995594},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000112},{"body":{"content":"有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051001929},{"body":{"content":"建议服用*******+***，口服一周，多饮水多排尿，保证每天饮水量2000-2500ml","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051006206},{"body":{"content":"服用过程中若症状加重或使用药物后没有明显效果，建议及时去线下医院完善尿常规、泌尿系彩超等检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051010570},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051021141},{"body":{"content":"谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051033382},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051046401},{"body":{"content":"用药剂量：0.1g的*******，一天两次，一次2片；***，一天三次，一次三片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049827},{"body":{"content":"可以帮您开个免费的处方参考一下，需要的话点击处方购买即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051292},{"body":{"content":"药能及时送到吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051057325},{"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":1653051094303},{"body":{"content":"如果比较着急使用的话，可以看一下当地是否有开通药急送业务，如果有，可以按照图片的方法购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051103375},{"body":{"content":"哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051104698},{"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":1653051125432},{"body":{"content":"女性尿路感染注意事项：1.多饮水，多排尿，保证每天2000ml饮水量，足量饮水以冲洗清除细菌；2.不要憋尿；3.女性排便后，从前向后擦拭肛门；4.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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131203},{"body":{"content":"近期疫情原因，如果不方便去医院的话，也可以先使用尿液分析自测试纸先自测看一下情况，按说明书使用，简单易操作","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137713},{"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":1653051279836},{"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":1653051364916}]

女55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":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879374111},{"body":{"content":"上传一下检查报告看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879386392},{"body":{"content":"上面的报告打不开，重新上传一下吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879405513},{"body":{"content":"你好！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882815930},{"body":{"content":"我总觉得我是内分泌激素的问题，但是为什么检查都是正常范围","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882838913},{"body":{"content":"长唇毛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882854038},{"body":{"content":"脱发特别少头顶部位，然后月经量特别少时间也短","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882872926},{"body":{"content":"性激素是月经第二天或第三天查的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882890306},{"body":{"content":"月经能不能按月来？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882900595},{"body":{"content":"身高体重？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882904122},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882907764},{"body":{"content":"身高一米五五体重95左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882926989},{"body":{"content":"激素六项都是月经第三天左右空腹去检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882946723},{"body":{"content":"月经能按时间来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882958015},{"body":{"content":"去年一直往后推迟，从月底推到月头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882992450},{"body":{"content":"今年都是月初几号来，还算准时","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883020862},{"body":{"content":"但是只有一天或者两天，第二天都很少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883049265},{"body":{"content":"95斤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883106934},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883232702},{"body":{"content":"剖腹产手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883239315},{"body":{"content":"做过一次流产手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883253820},{"body":{"content":"五年前做的流产做完来月经有三四天但是量少，后来去找中医调，吃的**血的药，吃了几个月越来越好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883399124},{"body":{"content":"只有一天半左右了，然后一直没看好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883416122},{"body":{"content":"去年吃了***还有三个月的****都没有起色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883454966},{"body":{"content":"吃了几个月中药量越来越少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883499819},{"body":{"content":"但是这种情况会导致掉头发严重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883820408},{"body":{"content":"需要做脑垂体吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883834729},{"body":{"content":"我们这边人民医院医生建议我在脑垂体检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884043069},{"body":{"content":"目前不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652911883274}]

女34岁

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

[{"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":1653049777045},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049787966},{"body":{"content":"什么时候发生的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808161},{"body":{"content":"前天磕的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811656},{"body":{"content":"之前老人喷的****、**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840682},{"body":{"content":"碘伏消毒消毒，一天三次，再用点***********涂一涂促进表皮生长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852694},{"body":{"content":"**+**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874198},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883447},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049897666},{"body":{"content":"不用谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049920524}]

男13岁

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

[{"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":1653051055014},{"body":{"content":"你好我平时做一次就很难硬起来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079166},{"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":1653051088695},{"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":1653051090936},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051103421},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051106429},{"body":{"content":"3—7次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116329},{"body":{"content":"您近期的晨勃情况如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120367},{"body":{"content":"每周1-3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051125326},{"body":{"content":"勃起后，按照豆腐、剥了皮的香蕉、香蕉、黄瓜，四个硬度分级的话，您感觉属于哪个级别？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139358},{"body":{"content":"剥了皮的香蕉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051151422},{"body":{"content":"性生活过程中是否有未射精就疲软的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158449},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051168179},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171220},{"body":{"content":"近期出现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051174528},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051178552},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051181015},{"body":{"content":"还有别的慢性疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185023},{"body":{"content":"以上都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051192333},{"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":1653051212726},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051234887},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051238412},{"body":{"content":"首先，您这个硬度不够，中途疲软的症状属于勃起功能障碍的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246625},{"body":{"content":"这种情况影响因素还是很多的，压力，身体状况，情绪，烟酒，熬夜，手淫过度，性生活过多等，都可能会导致性能力的下降。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255153},{"body":{"content":"性生活建议一周不要超过2-3次，也不建议一晚多次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260266},{"body":{"content":"您多次性生活，是会影响勃起功能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268430},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317310},{"body":{"content":"药物的话， 可以使用******看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330926},{"body":{"content":"***物，针对治疗勃起功能障碍，辅助勃起增加硬度的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337176},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340180},{"body":{"content":"主要是需要控制性生活频率","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051350979},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356627},{"body":{"content":"药物没有依赖性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371842},{"body":{"content":"******主要副作用头痛、面部潮红、消化不良和肌肉疼痛，其次为鼻塞、腹泻、头晕和皮疹等，一般症状较轻，且是一过性的，安全可控的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376243},{"body":{"content":"不是用药就一定会有副作用，也没有什么永久性副作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051378776},{"body":{"content":"备孕如果吃这个药物有什么影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051379441},{"body":{"content":"药物说明书中表示，药物一般不影响精子质量的，优生优育角度来说，建议停药2-3个月再备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389032},{"body":{"content":"但是这个药物本身是不会影响备孕精子质量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051399581},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051401361},{"body":{"content":"我可以帮您先开一盒25mg7片装的小剂量的看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422888},{"body":{"content":"这个25mg和50mg什么区别啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469495},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051475807},{"body":{"content":"2片25mg就等于50mg","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051486820},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051494390},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051496322},{"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":1653051559812},{"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":1653051563907},{"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":1653051565403},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574679},{"body":{"content":"备孕建议您常规口服*** ，具有补充锌硒、***等作用，提高精子活力和存活率，增加受孕几率，男性精液的重要组成部分就是锌。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051584906},{"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":1653051636650},{"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":1653051751732}]

男28岁

2022.05.20