刘继帅

[{"body":{"content":"您好，我是主治医师何志华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049559529},{"body":{"content":"你好，大便一天几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049570262},{"body":{"content":"拉什么样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049573250},{"body":{"content":"1次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049576753},{"body":{"content":"哭闹吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049585252},{"body":{"content":"之前宝宝正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049591580},{"body":{"content":"食欲怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049605875},{"body":{"content":"傍晚和晚上哭闹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049611186},{"body":{"content":"还有其他异常吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049630454},{"body":{"content":"食欲一次90，3小时一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049633319},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049637246},{"body":{"content":"这种情况没必要吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652137},{"body":{"content":"之前大便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049654338},{"body":{"content":"酸臭","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049665782},{"body":{"content":"哭闹的时候可以吹风机的声音进行安抚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049681487},{"body":{"content":"没有其他办法缓解吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049706834},{"body":{"content":"乳糖不耐受会大便次数多，目前大便次数不多，不考虑乳糖不耐受，也就没必要吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049719101},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049728235},{"body":{"content":"前两天吃了几袋便便变水样，次数没变","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049759082},{"body":{"content":"影响大吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049766629},{"body":{"content":"没有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049800161},{"body":{"content":"好的 不需要吃了对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049816233},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049832089},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049841482},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049866816},{"body":{"content":"宝宝胀气严重怎样缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049978496},{"body":{"content":"意思不需要干预吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050073640},{"body":{"content":"宝宝有时哭的很难受","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088037},{"body":{"content":"不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050112692},{"body":{"content":"哭的时候用吹风机安抚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050124525},{"body":{"content":"吹风机的声音","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131918}]

女

2022.05.20

[{"body":{"content":"而且很痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878654689},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878784166},{"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":1652878790736},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878831734},{"body":{"content":"您好！脸上红印，红血丝较多，形成敏感肌，痘痘为结节囊肿型","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878897261},{"body":{"content":"平时常用洗面奶洗脸的频率如何？都使用哪些类型的洗面奶？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878981247},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881169301},{"body":{"content":"晚上早上洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881195080},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881492821},{"body":{"content":"敏感肌建议您精简护肤，平时用温水洗脸即可。使用洗面奶。尽量避免使用清洁型或磨砂型，使用频率每周不超过两次为宜。每次洗脸之后需涂***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881539035},{"body":{"content":"同时平时注意防晒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881546353},{"body":{"content":"痘痘之所以反复发作跟体内激素水平高有关，会导致毛囊皮脂腺分泌旺盛，堵塞毛管，痤疮丙酸杆菌，细菌灰尘，等会定植毛囊引发炎症。痘痘有硬结是炎症比较深，深达真皮层。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881614316},{"body":{"content":"您都用过哪些药物治疗？效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881640524},{"body":{"content":"没有用其他药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652919276830},{"body":{"content":"根据您的情况，建议您：\n1、中药口服内调体质，增加皮肤修复能力；局部外用药膏改善炎症，减少痘印；\n2、配合使用药妆品和肌肤屏障修复剂；有助于皮肤修复，改善敏感肌，减少痘痘复发；\n3、日常精简护肤，用温水洗脸，尽量避免使用深度清洁型洗面奶及磨砂型洗面奶，选择比较温和的保湿产品，避免选用***类产品。使用洗面奶的频率，每周两次左右。要特别注意防晒、保湿。这些措施要贯彻在你治疗的全过程。\n4、另外一个是饮食注意少食辛辣油炸刺激之品。避免食用奶茶，奶酪，牛奶，奶油等奶制品以及巧克力冰淇淋等甜食甜品。这些都是造成痘痘反复不愈的原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652926585887},{"body":{"content":"什么中药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652934819750},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937215777},{"body":{"content":"需要根据您的舌开具中药方，中药免煎颗粒，开水冲服那种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937252364},{"body":{"content":"您发个舌苔图片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937260673}]

女31岁

2022.05.20

[{"body":{"content":"方便拍照片吗？拍个照片看一下吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292322}]

女67岁

2022.05.20

[{"body":{"content":"这种情况多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049891262},{"body":{"content":"大概一年中途做了一次去斑就没涨逗了，现在年后又开始涨了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049992385},{"body":{"content":"拍个图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050009287},{"body":{"content":"就这个情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050133842},{"body":{"content":"我上面电子处方里给你开了二瓶中药外用**，****，促进皮肤愈合，包括你的痘坑都能修复，使我们三甲医院治疗你这种情况最好的药，点开电子处方购买京东就给你邮寄了，很快就到货。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050220531},{"body":{"content":"生活中还要少吃油，少吃辣少吃糖，痤疮不喜欢这种饮食，另外不要熬夜，就这些注意事项，基本没其他的了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367220},{"body":{"content":"这个病是慢性病中药药水，坚持坚持外用就可以了，买到**后用**蘸取药液，一日三次涂擦患处，或倒在纱布上，像做**一样湿敷脸部都可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050391123},{"body":{"content":"可是总是反复长痘怎么办啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611960},{"body":{"content":"这里好了那里又长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623945},{"body":{"content":"你坚持用我的中药所生活中注意事项，做到就没问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633809},{"body":{"content":"三甲医院主任医师给你出的方案，放心吧。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050648789},{"body":{"content":"大概用多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655875},{"body":{"content":"至少一个月以上，至少两瓶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050681401},{"body":{"content":"这个会不会只治表面，内在身体用不用调呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702688},{"body":{"content":"我觉得暂时不用，你生活中注意好了，就是内在调节。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050720286},{"body":{"content":"好的呢我需要买一瓶还是2瓶呢，在这期间可以用修复类的水乳防晒产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050870848},{"body":{"content":"买两瓶，两瓶都不一定肯定够。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050890943},{"body":{"content":"这个中药**就能修复皮肤，尽量少用化妆品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050927085},{"body":{"content":"你是油性皮肤，在清爽的化妆品也是油脂类的，尽量少用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050939239}]

女38岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051288686},{"body":{"content":"鼻子黑头肉眼可见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291720},{"body":{"content":"为了方便医生对病情做出正确的判断，您能发一个异常地方的图片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051292070},{"body":{"content":"皮肤表面黑色素太多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051305904},{"body":{"content":"用那个洗面奶好呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051314445},{"body":{"content":"目前方便拍一个面部的图片吗，我帮您看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330102},{"body":{"content":"鼻子有事容易出油","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051335498},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338792},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051346597},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051401807},{"body":{"content":"目前有用药治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051405926},{"body":{"content":"相机看不见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051407458},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051410416},{"body":{"content":"有好用的洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418841},{"body":{"content":"目前您的情况考虑黑头粉刺的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425760},{"body":{"content":"请问有无肝肾功异常、药物过敏史、相关用药禁忌及其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429951},{"body":{"content":"上述情况有没有呢，这边给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432168},{"body":{"content":"不用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051437902},{"body":{"content":"你介绍个洗面奶吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447709},{"body":{"content":"目前主要是注意局部皮肤清洁及**，可以的话可以适当用点改善油脂分泌及局部对症的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051458696},{"body":{"content":"如果是洗面奶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461047},{"body":{"content":"可以使用这种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051470824},{"body":{"content":"建议您平时要清淡饮食，避免进食辛辣刺激，油腻及过甜的食物，同时做好面部清洁，避免抠抓挤压，生活规律，避免熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051560745},{"body":{"content":"其他还有什么可以帮到您吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562072},{"body":{"content":"可以去黑头嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051570441},{"body":{"content":"去黑头的话还是建议用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582777},{"body":{"content":"洗面奶的作用是比较小的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051588161},{"body":{"content":"用这个还用洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051624854},{"body":{"content":"还是建议使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051636376},{"body":{"content":"平时的护肤也比较重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642392},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051644590},{"body":{"content":"您没有药物禁忌吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051651154},{"body":{"content":"平时保养都用什么呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051654351},{"body":{"content":"我感觉我脸越来越油了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051678169},{"body":{"content":"之前还不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051682790},{"body":{"content":"是的，所以可以建议用点药物来改善一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051696192},{"body":{"content":"没有上述禁忌的情况下建议您 搭配维生素B6片 口服 每次2片20mg 每天一次 缓解油脂分泌过多情况，同时局部黑头处点涂****** 晚上避光使用一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051738971},{"body":{"content":"去黑头怎么去呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051748088},{"body":{"content":"柔和点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751882},{"body":{"content":"*****主要是改善油脂分泌，******可以改善局部黑头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051774161},{"body":{"content":"平时用洗面奶洗脸后适当使用水乳面霜就可以的，做好保湿**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051806442},{"body":{"content":"那个洗面奶用着好点也","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051871766},{"body":{"content":"目前给您推荐的可以控油祛痘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051891267},{"body":{"content":"效果还是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051896234},{"body":{"content":"配合药物一起使用，一般2周左右会有一定的改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051914931},{"body":{"content":"后续您可以根据药物效果找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051922546},{"body":{"content":"、治疗期间您有其他问题需要问诊咨询，打开京东APP，搜索我的名字即可点诊我为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051929213},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051946528},{"body":{"content":"后续用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌及注意事项中提及的问题可使用，使用请严格遵循说明书用法用量，如在用药过程中出现不适则请及时停药，同时上线咨询或线下就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051958164},{"body":{"content":"如果没有其他问题，这边就先帮您关闭问诊了，希望我的建议能够帮助到您，非常感谢您的信任","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051959684}]

男19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":1652965412873},{"body":{"content":"肺结核早期症状：乏力，纳差，盗汗，消瘦等，部分病人会出现咳嗽，咳痰等症状！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965417578},{"body":{"content":"我想检查一下结核","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965461649},{"body":{"content":"想复查一下，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965535071},{"body":{"content":"那你就去结核病专科门诊检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965535620},{"body":{"content":"你是已经诊断肺结核，在服药治疗了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965577198},{"body":{"content":"可以去线下医院复查，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965759507}]

女49岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878987744},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878999596},{"body":{"content":"医生劳烦您 按照之前的量 帮开一下 处方吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879016958},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879098866},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879273106},{"body":{"content":"给您开完了，您看看，对不对？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879499099},{"body":{"content":"对的哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652961784227},{"body":{"content":"谢谢啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652961786370},{"body":{"content":"不谢不谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652961897521}]

男56岁

2022.05.20

[{"body":{"content":"尊敬的plus用户您好，我是骨科医生，很高兴能为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050114551},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050128922},{"body":{"content":"这是才拍的mr\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141414},{"body":{"content":"您目前有什么不适的症状，颈肩酸胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145379},{"body":{"content":"想提前知道严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050148509},{"body":{"content":"是的会有恶心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157154},{"body":{"content":"头晕有时","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050166306},{"body":{"content":"感觉脖子硬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050172520},{"body":{"content":"收到，从您上传的资料看存在颈曲变直，椎体的增生退变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244947},{"body":{"content":"不算严重的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253502},{"body":{"content":"您出现不适的症状多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259791},{"body":{"content":"一年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268514},{"body":{"content":"那会不会后期很严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050280018},{"body":{"content":"这样下去\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288395},{"body":{"content":"后期日常生活不注意，是有可能加重的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050323556},{"body":{"content":"最坏是什么结果呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050354498},{"body":{"content":"该怎么主意呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050363690},{"body":{"content":"最坏是什么结果-----------颈椎间盘退变，突出出现手指麻木，走路不稳的情况，这种结果过程是比较长的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050429598},{"body":{"content":"该怎么主意呢----------注意工作、学习姿势正确，避免长时间低头或抬头，尽量每工作一小时左右起身放松脖颈几分钟。晚上睡觉时避免枕头过高或过低，可以枕专门的颈椎枕。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050456370},{"body":{"content":"目前有什么治疗手段","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464408},{"body":{"content":"还能恢复么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469303},{"body":{"content":"还是说只能保持现状是最好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483203},{"body":{"content":"治疗针对性的治疗，请问您有无某些药物过敏史，无肝肾功能异常，无消化道溃疡的病史，并不处于妊娠、哺乳、备孕等特殊阶段。（如无，可直接回复：没有）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050512842},{"body":{"content":"还能恢复么--------无法恢复正常的情况了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050521678},{"body":{"content":"没有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050522153},{"body":{"content":"减缓呢\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533481},{"body":{"content":"或者增生退变没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555033},{"body":{"content":"建议您注意休息，参考使用***** 1日2次 1次1袋 +外用*******1天1次，1次1贴，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050563671},{"body":{"content":"那做做推拿什么有用么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050583192},{"body":{"content":"减缓呢-------药物改善症状，好转后，注意颈部的保养，避免持续发展","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050588865},{"body":{"content":"这种还可以**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591439},{"body":{"content":"或者增生退变没有了-------这个是不会的，随着年龄增长都会出现增生退变","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610903},{"body":{"content":"躺着玩手机会影响么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619553},{"body":{"content":"那做做推拿什么有用么---------推拿属于理疗，有条件可以操作","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050623011},{"body":{"content":"需要颈托么，目前的状况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050668293},{"body":{"content":"躺着玩手机会影响么--------使用专门的颈椎枕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050672730},{"body":{"content":"注意颈肩的距离","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050703714},{"body":{"content":"需要颈托么----------日常工作时可以使用充气颈托起到保护和固定颈椎，避免长时间的低头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767075},{"body":{"content":"目前有带的必要么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050787875},{"body":{"content":"或者我理解的颈托是阻止长时间 并不是治疗工具","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806379},{"body":{"content":"目前有颈肩不适，工作时可以使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820808},{"body":{"content":"还想问一下您说不算严重，那这个属于中度?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050846620},{"body":{"content":"到最后面不会要开刀吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050862377},{"body":{"content":"纠正颈部的姿势，起到治疗作用；轻中度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050879946},{"body":{"content":"然后我转动脖子他会响也是这个引起的?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050916353},{"body":{"content":"到最后面不会要开刀吧----------持续性的加重椎间盘突出 压迫脊髓是需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920718},{"body":{"content":"是的 颈部弹响有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050958253},{"body":{"content":"您还有没有什么推荐的活动动作，可以减缓之类，或者纠正","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050966319},{"body":{"content":"我才28岁这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051065296},{"body":{"content":"会不会太早了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051069916},{"body":{"content":"目前社会的发展，颈腰椎疾病年轻化了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051167093},{"body":{"content":"好难","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051176161},{"body":{"content":"谢谢您了，那个枕头是您推的么?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051194598},{"body":{"content":"是的，为您推荐的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051266508},{"body":{"content":"好的，谢谢您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051278013},{"body":{"content":"不客气的，随时关注身体状况，疾病都存在演变过程，如果症状没有缓解或者出现加重的情况，建议您立即到线下医院骨科就诊，以免延误病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051346612},{"body":{"content":"麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051347116},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051354404},{"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":1653051384376},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389764},{"body":{"content":"好的， 没有其他问题的话我这边就先结束问诊了，希望我的建议能够帮助到您，感谢您的信任，请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。祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051400226},{"body":{"content":"后续您如果还有问题需要咨询可以在京东健康APP或京东APP中搜索“***”进行咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051411918},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418711}]

女28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

[{"body":{"content":"尊敬的PLUS会员您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049792549},{"body":{"content":"已经是确诊的银屑病了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049799973},{"body":{"content":"因为哺乳期，就去过一次医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049821258},{"body":{"content":"说看上去是银屑病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049828254},{"body":{"content":"但是总觉得红点多，鳞屑不多啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049855307},{"body":{"content":"我也不太会判断","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049860223},{"body":{"content":"当时有没有做检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049877375},{"body":{"content":"没有做检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049888591},{"body":{"content":"头皮这块，已经好多年了的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049910334},{"body":{"content":"疼不疼痒不痒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912157},{"body":{"content":"胳膊和腿上，刚刚有，几个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921771},{"body":{"content":"胳膊和腿上不痒也不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934101},{"body":{"content":"头皮上的很痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049940910},{"body":{"content":"您这个是要考虑寻常型银屑病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950075},{"body":{"content":"每天掉很多头皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049951711},{"body":{"content":"需要去做什么检查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049970433},{"body":{"content":"哺乳期可以治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049979338},{"body":{"content":"如果做检查的话，皮肤镜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050010949},{"body":{"content":"哺乳期的话用药是很局限。主要就是润肤为主","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050021416},{"body":{"content":"之前有中医给开过泡洗的药，但是不能治疗，说只能缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026666},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069493},{"body":{"content":"哺乳期差不多结束了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050075522},{"body":{"content":"现在应该怎么做呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050081557},{"body":{"content":"那可以先给您开药，您结束哺乳之后再来治疗，可以接受吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050089790},{"body":{"content":"现在开的药是什么类型的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111476},{"body":{"content":"一般来说银屑病常用药：***，****系列、****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136676},{"body":{"content":"外用药膏治疗为主","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050142013},{"body":{"content":"这些哺乳期也适用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050158292},{"body":{"content":"都不能用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172220},{"body":{"content":"哦，哺乳期还是不能用的的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050192521},{"body":{"content":"哺乳期之后呢？只用药膏应该效果不好吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050208607},{"body":{"content":"都得结束哺乳才能用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210627},{"body":{"content":"银屑病外用药膏治疗为主","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050215036},{"body":{"content":"哦，寻常型的，能治愈吗。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241292},{"body":{"content":"积极治疗的话。可以治愈的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393550},{"body":{"content":"使用前请您仔细阅读说明书中禁忌，注意事项，如无禁忌可使用，若期间出现任何不适及时复诊或线下医院进一步就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050604971},{"body":{"content":"建议您1.避免饮酒，忌辛辣食物；2.避免外伤，3.避免混乱外用药物；4.避免暴晒,会加重皮疹；5.注意皮肤的保湿护肤，和清洁6.避免感冒，避免熬夜。7.保持心情舒畅","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615801},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051310801},{"body":{"content":"之前给您发送的消息没有收到吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051359390}]

女37岁

2022.05.20