刘继帅

[{"body":{"content":"您好，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050690150},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699955},{"body":{"content":"不确认怀孕的情况下是可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050702870},{"body":{"content":"确认没有怀孕的情况下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050720012},{"body":{"content":"刚测到排卵强阳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722379},{"body":{"content":"影响排卵受精吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050730994},{"body":{"content":"这个不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050737764},{"body":{"content":"尽量不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744595},{"body":{"content":"因为有点感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050746507},{"body":{"content":"如果准备同房的话","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750313},{"body":{"content":"准备同房","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757990},{"body":{"content":"可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763263},{"body":{"content":"感冒嗓子太不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050772129},{"body":{"content":"女方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050776791},{"body":{"content":"还是建议治疗好以后下个月同房","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050791234},{"body":{"content":"或者是就多喝水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794116},{"body":{"content":"不建议吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801276},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050816686},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820317},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823656},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050826690},{"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":1653050828193},{"body":{"content":"您对肾虚有了解吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050838706},{"body":{"content":"肾虚分为肾阳虚和肾阴虚，肾阳虚——肾阳虚主要表现为脸色苍白、畏寒怕冷、浮肿、腰腿冷痛、尿频而少、慢性腹泻等症状。肾阴虚——腰膝部位酸痛，头晕或耳鸣，听力下降，口乾咽燥，烦热，手足掌心发热，晚上出汗，大便乾结，男子遗精。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871606},{"body":{"content":"有点早泄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050876687},{"body":{"content":"在吃药物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050892879},{"body":{"content":"射的快，三五分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050897582},{"body":{"content":"没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050900527},{"body":{"content":"敏感","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905253},{"body":{"content":"如果一直这个情况的话，还是需要看一下男科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920927},{"body":{"content":"医院吗？挂什么号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944676},{"body":{"content":"饮食宜清淡营养，忌辛辣不容易消化食物，节制房事，加强体育锻炼，增强体质，多吃一些清淡的食物，含有***和蛋白质比较高的食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949685},{"body":{"content":"男科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050951789},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036039},{"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":1653051039837},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070292},{"body":{"content":"能治吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051075031},{"body":{"content":"线下看男科看一下是先天敏感还是什么原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051100683},{"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":1653051360547}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是儿科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050055570},{"body":{"content":"宝宝这种情况多久啦？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056985},{"body":{"content":"前天的打的**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050063499},{"body":{"content":"昨天没注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066674},{"body":{"content":"今天发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050069355},{"body":{"content":"宝宝肿的厉害吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050071865},{"body":{"content":"按了会疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100110},{"body":{"content":"好的，宝宝之前出现过这种前情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050126268},{"body":{"content":"没有，之前就是打****后身上起过疹子发热，就一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050187136},{"body":{"content":"好的，宝宝目前的精神状态及尿量如何，食欲如何，大便的情况如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050195312},{"body":{"content":"基本都是正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241401},{"body":{"content":"好的，宝宝还有其他不舒服的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050258780},{"body":{"content":"宝宝有对什么过敏及肝肾功能异常的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261100},{"body":{"content":"没有不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050271212},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296176},{"body":{"content":"根据您的描述，考虑宝宝**接种后的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309554},{"body":{"content":"就是能用**什么的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335847},{"body":{"content":"目前宝宝没有不适，您给宝宝注意局部的**，给宝宝避免沾水，保持局部的干燥清洁就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345781},{"body":{"content":"目前宝宝是不用特殊干预的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050354124},{"body":{"content":"就是洗澡沾水了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388044},{"body":{"content":"后续给宝宝多注意就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050414554},{"body":{"content":"如果宝宝肿胀持续增大，宝宝出现皮疹，瘙痒等情况，是可以及时带宝宝小儿皮肤科明确检查一下的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050516117},{"body":{"content":"宝宝的接种部位，您给宝宝注意日常的**，避免摩擦和捂热、注意局部的干燥清洁，避免皮肤破损与感染，密切观察就可以的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051685507}]

男3岁

2022.05.20

[{"body":{"content":"您好，我是住院医师任凯文，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050152673},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050155988},{"body":{"content":"孕14周可以开始补充钙和DHA了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050163695},{"body":{"content":"钙的话有哪些可以补？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050186648},{"body":{"content":"同时补充这两个不冲突吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219014},{"body":{"content":"这几个钙都比较好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226540},{"body":{"content":"同时吃没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050236764},{"body":{"content":"好的，多谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050244099},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050279066}]

女

2022.05.20

[{"body":{"content":"您好，我是副主任医师邬美俊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131453},{"body":{"content":"这种情况多久了？\n出现症状之后最近都用过什么药物治疗？\n\n（具体用药药物名称，是否有过敏药物，肝肾等疾病、慢性病、基础疾病，备孕（老幼可忽略）、妊娠期哺乳期（男性、老幼可忽略）等情况请提前说明，不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159732},{"body":{"content":"用过**** 和红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255616},{"body":{"content":"您的图片收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272096},{"body":{"content":"俩个多星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050277219},{"body":{"content":"从您提供的图片上可以看到一些闭口粉刺。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277651},{"body":{"content":"****对于粉刺不具有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284159},{"body":{"content":"熬夜吃辛辣食物了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289836},{"body":{"content":"*****具有**的作用，对于粉刺治疗帮助也不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292537},{"body":{"content":"对呢，熬夜和吃辛辣饮食是不对的。^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050306921},{"body":{"content":"那应该用什么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308827},{"body":{"content":"闭合性粉刺，主要是跟饮食辛辣刺激上火油腻甜腻，心情不好急躁，作息不规律，睡眠不足，熬夜，学习压力大、便秘等有关。\n\n要清淡饮食，辛辣、油腻、甜腻、烫的、刺激的不要吃；不熬夜；多喝水，多吃水果蔬菜；\n\n保持心情愉快，大**畅，营养均衡，保证足够睡眠；\n\n饭后根据面部油腻情况建议温水洗脸，可以用控油洗面奶。\n\n用药上可以晚上涂抹******，不要轻易挤压。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050329984},{"body":{"content":"****使用的注意事项为：\n该药怕光。\n需要夜间避光使用。\n白天必须清洗掉。\n用药前皮肤要清洁干燥，不要有水。\n皮肤有破损的地方不可以涂抹。\n要避开眼周皮肤薄嫩的区域。\n\n它在治疗的过程中有一部分皮肤敏感的患者可能会有一定的刺激感。因此建议使用时先小范围、短时间（起初15-20分钟左右，就可以清洗掉了）少量点涂。\n如果1~2天没有明显的刺激感，再全部患处、较长时间点涂于患处。\n\n如果患处出现轻微的瘙痒、刺痛感，是正常的，**可以耐受。\n\n若出现患处出现明显红肿，瘙痒，刺痛明显等症状。就需要停药，将药品清洗掉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050356472},{"body":{"content":"如果皮肤比较敏感。\n可以先涂护肤品再涂药膏，这样可以减少药物的刺激。\n\n如果不是敏感肌是属于正常皮肤。\n先涂药膏后涂乳液可以增加药膏的吸收量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368175},{"body":{"content":"这个痘印现在属于红痘印还是黑痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430712},{"body":{"content":"怎么可以祛除呀?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444099},{"body":{"content":"红色。略偏黑。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050446189},{"body":{"content":"这种情况也可以使用******来淡化。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452082},{"body":{"content":"需要涂精华产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474982},{"body":{"content":"一定要注意防晒，是晒会导致痘痘形成痘印","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050488048},{"body":{"content":"不需要。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491640},{"body":{"content":"可以用**类的产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516997},{"body":{"content":"和那种修红痘印的精华","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534521},{"body":{"content":"聊胜于无。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543455},{"body":{"content":"治疗作用肯定是不如药物强的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050548565},{"body":{"content":"我这些天一直用****涂痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050549458},{"body":{"content":"也可以呀。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554346},{"body":{"content":"发现没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555996},{"body":{"content":"看不出来太大效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563278},{"body":{"content":"***对于粉刺和痘印也有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050563510},{"body":{"content":"需要连续用药一段时间。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568860},{"body":{"content":"还是得****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572135},{"body":{"content":"***要温和一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594274},{"body":{"content":"****的力量要强一些。当然了，****的刺激感可能要比***要强一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617775},{"body":{"content":"***可以和***一起使用吗 还是就***就可以了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623303},{"body":{"content":"所以如果您的皮肤特别敏感，可以继续使用一段时间***\n\n如果不是敏感肌，是正常的皮肤，****的治疗作用更强","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645846},{"body":{"content":"只用***就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653898},{"body":{"content":"我用的是百分之15的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654011},{"body":{"content":"对的，绝大多数患者最开始使用的时候都要从低浓度用起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674738},{"body":{"content":"大概使用一个月之后，当皮肤建立耐受，可以适当提高浓度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696093},{"body":{"content":"好的 之后耐受用百分之多少的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050755914},{"body":{"content":"20%","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050764558},{"body":{"content":"好谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050780488},{"body":{"content":"不客气哒^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050797143}]

女

2022.05.20

[{"body":{"content":"您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049924437},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049925861},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049936742},{"body":{"content":"看照片 鼻腔粘膜充血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951228},{"body":{"content":"鼻塞挺严重的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049977363},{"body":{"content":"是过敏吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049989441},{"body":{"content":"有鼻痒 打喷嚏 流鼻涕吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050022776},{"body":{"content":"有鼻痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050054157},{"body":{"content":"经常揉鼻子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050074539},{"body":{"content":"**没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050106979},{"body":{"content":"还有其他的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107223},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153632},{"body":{"content":"孩子的情况考虑是鼻炎 过敏性鼻炎的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050171246},{"body":{"content":"孩子的情况多长时间了？ 有用药治疗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180670},{"body":{"content":"没有用药，这情况快一个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050224147},{"body":{"content":"了解 孩子有不适 建议是用药干预的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254765},{"body":{"content":"有时间最好带孩子去医院检查一下过敏原 看对什么过敏 平时远离的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050274064},{"body":{"content":"孩子行动不便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304810},{"body":{"content":"有什么药可以缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050347613},{"body":{"content":"现在有不适 先用药缓解 有时间带孩子去检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050347744},{"body":{"content":"请问孩子有特殊疾病史，药物过敏史，药物禁忌史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050351256},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050357185},{"body":{"content":"我的建议是****** 每次1毫升 每日1次 口服 + ******** 每侧鼻孔1喷每日1次 + ******：喷鼻 2喷每日4次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394088},{"body":{"content":"先使用一周看症状恢复的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400026},{"body":{"content":"可以线上开药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536617},{"body":{"content":"如果您网上买药 稍等给您发送处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050555651},{"body":{"content":"您可以点击查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559316},{"body":{"content":"如果没有处方药，可以去药店买！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603844},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610300},{"body":{"content":"一般药店都有的 您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617572},{"body":{"content":"稍等给您发送处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645019},{"body":{"content":"去药店，用这个处方可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703582},{"body":{"content":"不可以的 只能线上买药使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761277},{"body":{"content":"那线下，买这些药。需要处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798035},{"body":{"content":"需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050845462},{"body":{"content":"一般药店有坐诊医生以及药师","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050868213},{"body":{"content":"一般是可以买到的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871438},{"body":{"content":"您可以先去问一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050874734},{"body":{"content":"那我看看，谢谢哦！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905433},{"body":{"content":"您客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050916710},{"body":{"content":"应该给您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050919512}]

男13岁

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，您的问题已经收到，我正在详细阅读您的病情描述。感谢您对我的信任！请理解线上诊疗的局限性，因为缺乏查体环节！我向您提出以下问题，请尽可能逐一回答！为了您的健康！同时便于我尽可能多的掌握足够有效信息，从而更准确有效的做出回答，给予合理的意见和最大的帮助！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779902},{"body":{"content":"报告已阅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050783802},{"body":{"content":"大夫你好，患者身体乏力，厌食，去两个医院，一个让住院，一个说不用住院，回家吃药就行。请问一下，她这种情况应该怎么治疗比较妥当？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947915},{"body":{"content":"你这个是药物性肝损伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051026285},{"body":{"content":"怀疑是这个，因为患者4个月前注射过***，然后出现这个症状，而且尿液茶色。前天去检查然后医院得出的结论","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051099658},{"body":{"content":"这个最好住院治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051146487},{"body":{"content":"转氨酶有点高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250827},{"body":{"content":"我们这市医院检查说不需要住院，那不住院吃药可以治疗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051283923},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051296846},{"body":{"content":"但有风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306094},{"body":{"content":"医院开的药是这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316433},{"body":{"content":"单吃这个不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051319673},{"body":{"content":"好的，我知道了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453200},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051507384},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"感谢你的信任，祝您**！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051561414}]

女59岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883922},{"body":{"content":"********是一个中成药，大部分的药效都是****的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049906653},{"body":{"content":"宝宝发热几天？，最高体温几度？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928401},{"body":{"content":"我家小朋友经常没有发烧，但是咳嗽，所以我想问问能不能作为常备药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049938542},{"body":{"content":"没有发烧哦，只是咳嗽，现在已经好了，他在幼儿园吃了鸡排什么就容易咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049968928},{"body":{"content":"这个药可以备在家里，但是不生病不建议吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050065547},{"body":{"content":"就是孩子咳嗽的情况下，可以吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050081436},{"body":{"content":"如果宝宝单纯的是咳嗽，肺上没有痰，排除肺炎的情况下。可以在家里做**治疗。副作用小一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050175483},{"body":{"content":"如果有痰可以按说明书吃点吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051075776},{"body":{"content":"如果咳嗽有痰，可以按说明书吃上2~3天的药物。这个药物也有**的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199522},{"body":{"content":"大部分孩子轻微咳嗽，通过**和口服****的药物，效果都很好。如果咳嗽严重，建议及时到医院就诊完善详细的体格检查，排除肺炎后进一步治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257508},{"body":{"content":"好的，谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051355990},{"body":{"content":"不用谢，希望我的建议可以帮助到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051603577}]

男6岁

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":"您好，我是主治医师胡春燕，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049562802},{"body":{"content":"请问是什么手术呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049571766},{"body":{"content":"手术后一般是要注意容易吸收，营养丰富的更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049595577},{"body":{"content":"胃穿孔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049642041},{"body":{"content":"术后可以用有机纯牛奶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049673495},{"body":{"content":"那哪个比较好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690163},{"body":{"content":"脱脂的，可不可以呀？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049699553},{"body":{"content":"金典有机纯牛奶会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049706917},{"body":{"content":"脱脂的和低脂的，适合体型偏胖的，或者血脂高的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049719532},{"body":{"content":"如果比较瘦是可以用全脂奶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049726494},{"body":{"content":"好的，感谢你。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049741872}]

女

2022.05.20

[{"body":{"content":"脚指头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050010986},{"body":{"content":"这个药效果怎么样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050028862},{"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":1653050035330},{"body":{"content":"请问您这样多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040444},{"body":{"content":"不知道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046866},{"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":1653050066008},{"body":{"content":"今天修脚！足疗店的人发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050068579},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050074664},{"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":1653050095773},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050112142},{"body":{"content":"根据您现在的症状，可能是灰指甲引起的这些症状，楚甲可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131147},{"body":{"content":"用法用量\n将本品施用于病甲，每7天使用1-2次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050200962},{"body":{"content":"这个啊**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050203228},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050215623},{"body":{"content":"几瓶能好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050216928},{"body":{"content":"大概","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221165},{"body":{"content":"用药注意事项\n1、哺乳期妇女避免使用本品。 2、使用本品前请仔细阅读说明书，严格按照说明书使用本品。 3、本品不得吸入，本品应避免接触粘膜（如口腔，鼻）和皮肤皱褶处。 4、如果不慎将搽剂误入眼内或耳内，立即用水冲洗，就近立即去医院咨询医生或药师。 5、如果误服本品，就近立即去医院咨询医生或药师。 6、甲真菌感染面积较大的患者，如多于2个指（趾）甲、单（趾）感染面积超过指甲面积二分之一的患者需要综合治疗，使用本品前应咨询专科医生。 7、由于缺乏相关的临床研究资料，不推荐用于儿童。 8、老年患者应在医师指导下使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231958},{"body":{"content":"建议用药两至三盒左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244375},{"body":{"content":"1.养成良好的卫生习惯，不穿他人的鞋袜，不用他人的毛巾、浴巾、不与他人共用面盆、脚盆；2.经常清洗手脚，保持手足清洁**适的湿度；3.避免用手搔抓患部；4.避免进食辛辣刺激性食物和发物，戒烟酒，饮食以清淡为宜，多吃些新鲜蔬菜和水果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050246875},{"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":1653050254523},{"body":{"content":"前一瓶用多久可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050270679},{"body":{"content":"我看量很小","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050278181},{"body":{"content":"根据病甲多少哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304024},{"body":{"content":"两个大母脚趾","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325765},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346703},{"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":1653050762489}]

女

2022.05.20