刘继帅

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015860},{"body":{"content":"有什么可以帮到你的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020634},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050027922},{"body":{"content":"有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050041968},{"body":{"content":"有没有使用改善睡眠药物治疗，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047708},{"body":{"content":"患者77岁 女 无精神病史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062178},{"body":{"content":"晚上睡觉总是说梦话，而且时常会大声喊叫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050083264},{"body":{"content":"您看这种情况可能是什么原因导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119544},{"body":{"content":"平时有没有感觉全身无力，不愿意活动？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159947},{"body":{"content":"这种现象有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184561},{"body":{"content":"突然出现的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192023},{"body":{"content":"这种状况有些年了，一直没太在意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230467},{"body":{"content":"没有不愿意活动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050251206},{"body":{"content":"精神状态还挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259244},{"body":{"content":"白天是正常的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267219},{"body":{"content":"白天很正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289403},{"body":{"content":"以前有什么疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308938},{"body":{"content":"主要是晚上睡觉不紧说梦话，喊，还手脚乱动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050317092},{"body":{"content":"没有精神类疾病的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325951},{"body":{"content":"曾经有过突然发生的强烈不适感或心慌、眩晕、感到憋气或呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336992},{"body":{"content":"心脏不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340716},{"body":{"content":"心慌 呼吸和困难 偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377017},{"body":{"content":"毕竟岁数在那了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050384975},{"body":{"content":"最近有没有压力增大？\n思虑过多，精神紧张等表现？ ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389309},{"body":{"content":"这个是有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396735},{"body":{"content":"老人心思比较重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403645},{"body":{"content":"之前跟老伴总生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422826},{"body":{"content":"情绪有没有波动？有没有容易生气发怒等，不易控制自己的情绪？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433781},{"body":{"content":"会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050440827},{"body":{"content":"但去年老伴去世了，这回基本不生气了，但这个病根留下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496464},{"body":{"content":"根据你提供的资料，目前考虑两方面问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514044},{"body":{"content":"您看吃什么药或者怎样能对这种状况有缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516839},{"body":{"content":"第一，首先去医院神经内科门诊就诊，化验血常规，血糖，肝肾功能，甲状腺功能，查头颅CT，明确身体本身有没有问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551156},{"body":{"content":"如果检查没有问题，可以口服****，*****等治疗观察一下效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607954},{"body":{"content":"好的，神经性的可能大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626918},{"body":{"content":"可以吃**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050634655},{"body":{"content":"第二，需要排查一下有没有焦虑等精神心理问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645672},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658470},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663775},{"body":{"content":"**意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671382},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676368},{"body":{"content":"不过，在诊断焦虑问题前，必须先除外身体本身疾病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698859},{"body":{"content":"嗯嗯，明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708573},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712867},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720067},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728783},{"body":{"content":"那***吃什么对脑细胞好些呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050734096},{"body":{"content":"考虑出现的症状时间比较长，需要药物治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772106},{"body":{"content":"***作用不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050782890},{"body":{"content":"那要是辅助营养呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785297},{"body":{"content":"意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050814411},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883307},{"body":{"content":" 多谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050896464},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050896594},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900794}]

女41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":"您好，京东大药房药师工号0089，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857239},{"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":1653050871627},{"body":{"content":"我脚的第三个指甲盖上有白色的点 这个是灰指甲吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050884376},{"body":{"content":"可以用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050891047},{"body":{"content":"请问有图片看一下吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904444},{"body":{"content":"我这个属于灰指甲吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050904910},{"body":{"content":"可以上面图片看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918505},{"body":{"content":"如果有图片看更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050941699},{"body":{"content":"是灰指甲的一种。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050972913},{"body":{"content":"坚持用药两个月以上。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978108},{"body":{"content":"严重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995325},{"body":{"content":"中等的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051001623},{"body":{"content":"饮食上不要吃辣的冷的食物和鱼虾，海鲜等发物。日常多喝温水，排出身上的毒素。晚上不能熬夜，22点之后要入睡。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051006699},{"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7天无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051052515},{"body":{"content":"我这个用上面那个连接的要药就可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051063068},{"body":{"content":"可以用的。是对症这样的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051082541},{"body":{"content":"这个怎么用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051107147},{"body":{"content":"一天几次?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051114152},{"body":{"content":"我这个会传染给孩子吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051123125},{"body":{"content":"早晚一次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128622},{"body":{"content":"会有传染性。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134189},{"body":{"content":"不要让别人穿自己的鞋子。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051141256},{"body":{"content":"直接涂在指甲盖上吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051149654},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158130},{"body":{"content":"要用多久？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051158331},{"body":{"content":"两个月以上。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163850},{"body":{"content":"这个是膏状的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051175568},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051193069},{"body":{"content":"您看还有**药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224145},{"body":{"content":"这个药只能治灰指甲吗脚气管用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051254429},{"body":{"content":"吸收好，就是效果快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274038},{"body":{"content":"也治脚气。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051302428},{"body":{"content":"坚持用药就可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051393673},{"body":{"content":"您看还有**药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051409916},{"body":{"content":"您好，请问您咨询的是这个药品吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051474898},{"body":{"content":"很高兴为您服务，请对我本次服务做出评价，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":1653051512387}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050830329},{"body":{"content":"老师你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050859011},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050894133},{"body":{"content":"备孕可以用哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904084},{"body":{"content":"如果想补充其他***类，建议可以有*********效果好一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920114},{"body":{"content":"也不确定缺不缺*****啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050964640},{"body":{"content":"可以去医院检查一下俣","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050997515},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008703},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051015501},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051030551},{"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":1653052046472},{"body":{"content":"很高兴为您服务，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":1653052054130}]

女

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":1653050877588},{"body":{"content":"从刚开始到现在，这种情况大概有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050879188},{"body":{"content":"局部有无瘙痒或疼痛不适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050890804},{"body":{"content":"有一点痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905091},{"body":{"content":"有三四个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050918927},{"body":{"content":"目前局部皮肤是没有破损渗液的对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920688},{"body":{"content":"现在没破，之前抓烂长好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952407},{"body":{"content":"身上其他部位还有这种情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955556},{"body":{"content":"目前局部是有用药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962691},{"body":{"content":"身上有小红点，不知道是不是，也就是腿上有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995607},{"body":{"content":"还没有用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051004001},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047549},{"body":{"content":"目前您这种情况考虑瘢痕瘙痒的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051068484},{"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":1653051074117},{"body":{"content":"上述情况有没有呢，这边给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051075773},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051092445},{"body":{"content":"目前可以使用*****，局部外涂 早晚各一次，缓解瘙痒不适，局部长好以后，如果想去除局部瘢痕，可以先局部外用****** 每天三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112828},{"body":{"content":"药物治疗效果不佳的情况下可以选择线下皮肤科做激光祛疤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051127516},{"body":{"content":"感觉这不像是疤啊，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165444},{"body":{"content":"之前这个部位受过外伤吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051183861},{"body":{"content":"看有说的说是湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051195556},{"body":{"content":"如果有抓破过，局部还是有伤口情况，既往之前这个部位考虑是皮炎或湿疹的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231653},{"body":{"content":"没有，就以为是蚊子咬的，抓了几次烂了又好，就成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051248554},{"body":{"content":"目前主要是缓解局部瘙痒症状，同时用药缓解这种色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051254862},{"body":{"content":"那您当时这种还是考虑是蚊虫叮咬导致的，本身是小问题，但是由于抓破了，进一步加重，变成现在的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280760},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051319913},{"body":{"content":"建议后续规律使用药物对症观察1周，做好局部皮肤的清洁及保湿**，避免接触刺激性物品，清淡饮食，避免熬夜劳累，不适皮肤科随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051338255},{"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":1653051343489},{"body":{"content":"那到底是啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051365528},{"body":{"content":"湿疹么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051374355},{"body":{"content":"考虑是局部蚊虫叮咬后导致的皮炎，您搔抓刺激以后局部皮肤破损引起的局部炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389623},{"body":{"content":"留下了色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051393298},{"body":{"content":"暂时不考虑湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051482018},{"body":{"content":"皮炎的话用什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051510641},{"body":{"content":"目前上述给您建议的药物都是对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520480},{"body":{"content":"您可以使用1周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051527809},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051679840},{"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":1653051704594},{"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":1653051706604}]

男25岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0364，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051022825},{"body":{"content":"请问还有别的什么症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051028487},{"body":{"content":"好像没有了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051072503},{"body":{"content":"请问这种情况有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051081014},{"body":{"content":"今年开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051101595},{"body":{"content":"是不是经常看看手机之类的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112506},{"body":{"content":"去年好像没有这么怕光吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051118944},{"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？是为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128668},{"body":{"content":"是有时候经常看手机","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051141279},{"body":{"content":"女，23岁，本人用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051156649},{"body":{"content":"为了您 的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史）、如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051233158},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433031},{"body":{"content":"但是不知道有没有怀孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051445098},{"body":{"content":"月经有推迟 吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051458067},{"body":{"content":"我的经期还要过两三天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051465732},{"body":{"content":"那建议您等月经过后再服用药物了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051531675},{"body":{"content":"是口服的药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051560566},{"body":{"content":"口服和外用都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051579224},{"body":{"content":"都建议等经期过后再用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051589592},{"body":{"content":"可以用这个珍珠明目 滴眼液来缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735955},{"body":{"content":"为了安全注意要在确定没有怀孕的情况下使用哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051759297},{"body":{"content":"如果怀孕滴这个是有副作用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051793861},{"body":{"content":"这个不一定的，但为了安全怀孕期是不建议随便使用药物的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051824258},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051845752},{"body":{"content":"不客气，用我的专业帮到您我非常高兴!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051887876},{"body":{"content":"生活和饮食注意：注意用眼保健，晚上早休息，注意消除引起症状的原因。多吃含****的食物，多吃含****的食物，如**、**、**等。**可以明目，也可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051892478},{"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3天无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051897184},{"body":{"content":"您好，您看还有其他问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051898803},{"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":1653052105079}]

女

2022.05.20

[{"body":{"content":"您好，我是副主任医师周继峰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652754},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655447},{"body":{"content":"你好，这里是京东医生，主要提供该商品的医学相关问题的咨询服务。请问你有什么需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049657144},{"body":{"content":"不好意思点错了，还以为是客服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049703243},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049712430},{"body":{"content":"你可以从我的--客服--找到京东客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049714222},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049911967},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928266}]

女

2022.05.20

[{"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":1653050268932},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272232},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050370812},{"body":{"content":"不知道是几段您可以选选","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050388629},{"body":{"content":"您看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050507983}]

女

2022.05.20

[{"body":{"content":"您好，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049726762},{"body":{"content":"您好，我那个双手因为颈椎病压迫手僵硬，服药后缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049775705},{"body":{"content":"想照方开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049786549},{"body":{"content":"需要多少副？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049823607},{"body":{"content":"10副谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049836042},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049848240},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049983115},{"body":{"content":"***是不是5克？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249338}]

女62岁

2022.05.20

[{"body":{"content":"有没有照片呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965164369},{"body":{"content":"发现这种情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965397189},{"body":{"content":"两年多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965867559},{"body":{"content":"医生，在不在？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965993098},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966204539},{"body":{"content":"这看起来像疱疹感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966223699}]

男50岁

2022.05.20