刘继帅

[{"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":1653050124601},{"body":{"content":"请问这样有多长时间了？大概知道是什么原因导致的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129385},{"body":{"content":"这个月没有来例假，本来该10多号来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050145244},{"body":{"content":"上个月10几号来的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050168388},{"body":{"content":"这种情况可以吃嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050190007},{"body":{"content":"吃*****还是***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050206975},{"body":{"content":"排除怀孕了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050241641},{"body":{"content":"对的哈，没有怀孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050250303},{"body":{"content":"吃哪一种啊，还是两种一块吃啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050295651},{"body":{"content":"***** 就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050310834},{"body":{"content":"嗯那，**是针对例假不调吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050380731},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394468},{"body":{"content":"不会吃了也推迟吧医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400769},{"body":{"content":"一般没事的奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050410537},{"body":{"content":"那***呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050411008},{"body":{"content":"治疗血瘀 的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050421129},{"body":{"content":"***用不用配着吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426513},{"body":{"content":"也可以一起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050435283},{"body":{"content":"不来******？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449770},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050456939},{"body":{"content":"**血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458787},{"body":{"content":"咀嚼吃的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468529},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050475228},{"body":{"content":"去年我去医院看彩超，说内膜薄，吃这个可以嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050491639},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050499588},{"body":{"content":"去年也是夏天这时候，是大概6.7月份 没有过来，说内膜薄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533749},{"body":{"content":"内膜薄因为什么呐医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050551050},{"body":{"content":"这个跟自身体质 有关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050583957},{"body":{"content":"比如例假不调，有木有关系是平常吃的太素的原因啊？平常我不怎么吃肉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050609168},{"body":{"content":"也有关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050650595},{"body":{"content":"***如果正吃着 会不会影响来例假啊 比如更推迟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720641},{"body":{"content":"没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820588},{"body":{"content":"好的好的，一天两次 先试段时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050885590},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050892419},{"body":{"content":" 谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050896415},{"body":{"content":"不客气 这是我应该做的！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050931445}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044928},{"body":{"content":"什么部位有这种情况呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049461},{"body":{"content":"额头上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066774},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074368},{"body":{"content":"最初是外伤引起的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092791},{"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、是否有过敏史），如果没有则回复“无”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134400},{"body":{"content":"小时候摔跤磕到的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135783},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139399},{"body":{"content":"请问针对您的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152894},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165871},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174343},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240844},{"body":{"content":"***，一天两次，外用看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252801},{"body":{"content":"建议您平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291611},{"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":1653051297447},{"body":{"content":"要用多久才会有效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051373191},{"body":{"content":"一般一个月是一个疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051394504},{"body":{"content":"可以先用一个疗程，看一下改善的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051403430},{"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":1653051481183},{"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":1653051482788}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965469126},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965476952},{"body":{"content":"拍照看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965497200},{"body":{"content":"嗯没错","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965503247},{"body":{"content":"足内翻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965517456},{"body":{"content":"跟肚子里面姿势有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965525719},{"body":{"content":"内外侧按摩，可以一天四五次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965535292},{"body":{"content":"按摩一段时间就好了没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965545778},{"body":{"content":"宫腔里面空间小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965554928},{"body":{"content":"你好！刚才断线了！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967420909},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967436209},{"body":{"content":"还有什么问题呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967441149},{"body":{"content":"现在该如何处理？附近有没有专业的医院，**阳*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967474461},{"body":{"content":"按摩就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967491802},{"body":{"content":"两侧，活动活动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967498728},{"body":{"content":"很快好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967501815},{"body":{"content":"放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967505216},{"body":{"content":"她脚踝是松动的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967529244},{"body":{"content":"大部分可以好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967532478},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967533929},{"body":{"content":"就是要继续动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967538189},{"body":{"content":"没几个需要手术的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967569214},{"body":{"content":"除了骨头问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967604182},{"body":{"content":"经常用点力向内轻压一下她双小腿行不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967610373},{"body":{"content":"想外","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967674682},{"body":{"content":"不是内","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967676850},{"body":{"content":"内外侧都有按摩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967688050},{"body":{"content":"好的！谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968269835},{"body":{"content":"嗯没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968284248}]

女1岁4个月

2022.05.20

[{"body":{"content":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014645967},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014759142},{"body":{"content":"具体咨询什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014771935},{"body":{"content":"我想问一下青光眼手术后牙根疼怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014788458},{"body":{"content":"***也一碗一碗的疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014796635},{"body":{"content":"都是一侧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014807384},{"body":{"content":"手术的那边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014812586},{"body":{"content":"这两者没什么关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014827152},{"body":{"content":"和青光眼手术没关系是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014848449},{"body":{"content":"***疼需要看看眼压是否还高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014855038},{"body":{"content":"眼压不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014862420},{"body":{"content":"现在眼压正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014868423},{"body":{"content":"牙痛和青光眼手术没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014872581},{"body":{"content":"就是有并发症 脉络膜上腔积血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014888611},{"body":{"content":"和这个有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014891695},{"body":{"content":"牙疼和***疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014898306},{"body":{"content":"牙根疼还不是牙疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014918132},{"body":{"content":"吃了***也不好使 后来又吃了*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014936355},{"body":{"content":"现在也还疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014945075},{"body":{"content":"即使是有积血也不会引起牙痛的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014945173},{"body":{"content":"建议看看口腔科，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014958128},{"body":{"content":"积血会引起***疼吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014969874},{"body":{"content":"眼珠子有点斯啦啦的疼 和积血有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014988845},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014989204},{"body":{"content":"这个和缝线有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015021827},{"body":{"content":"那***疼和牙根疼会是手术后的后遗症吗 比如说神经性的疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015030143},{"body":{"content":"不会，手术不会损伤神经","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015059378},{"body":{"content":"那咋回事啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015096427},{"body":{"content":"眼压也不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015102608},{"body":{"content":"现在就是牙疼和***疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015117879},{"body":{"content":"有什么好使得药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015124502},{"body":{"content":"只疼的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015127876},{"body":{"content":"或者吃点***可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015138061},{"body":{"content":"可以吃，还是建议去看看牙，看看牙有没有问题需不需要治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015241766},{"body":{"content":"内眼手术都不会引起牙疼和神经疼吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015322452},{"body":{"content":"我妈做了两次手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015328089},{"body":{"content":"除了青光眼还有一个二次手术 但是不知道叫什么名字","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015345644},{"body":{"content":"眼部手术不会引起牙痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015385279},{"body":{"content":"****和***隔一会吃冲突嘛 还有*** 可以一起吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015400641},{"body":{"content":"不过这个着急上火会引起牙痛的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015423135},{"body":{"content":"可以，没什么冲突","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015436032},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015480422},{"body":{"content":"17号的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015546868},{"body":{"content":"19好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015558440},{"body":{"content":"见好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015573679},{"body":{"content":"不明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653016046135},{"body":{"content":"那这个脉络膜积血可以自己吸收吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653016396945},{"body":{"content":"用手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653016406130},{"body":{"content":"我这个结果你看着严重嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653016424521},{"body":{"content":"一般是很难自己完全吸收的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653016574474},{"body":{"content":"会有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653017443879},{"body":{"content":"我这个你看着严重嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653017448472},{"body":{"content":"需要手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653017456680},{"body":{"content":"单从B超看还是比较重的，考虑需要手术手术。具体还需结合其他检查来分析。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018409461}]

女67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":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049763804},{"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":1653049794992},{"body":{"content":"结节性痘痘该用什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049826947},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049903224},{"body":{"content":"这个可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049922330}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655968},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049673944},{"body":{"content":"家里老人，身上一到夏天就痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690746},{"body":{"content":"其他季节没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049704566},{"body":{"content":"这次几天了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736451},{"body":{"content":"有一个月左右了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049759393},{"body":{"content":"和季节有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049784806},{"body":{"content":"过敏导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049790056},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049790428},{"body":{"content":"可以口服*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808166},{"body":{"content":"过敏？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811885},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849017},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049857953},{"body":{"content":"平时应该注意什么啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049878705},{"body":{"content":"没有什么注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049890619},{"body":{"content":"有没有外用的药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049929274},{"body":{"content":"可以用*******兑水洗澡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967391},{"body":{"content":"好，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049987578},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050009781},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050025628},{"body":{"content":"肝肾功能正常，只有皮肤痒的历史。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050081103},{"body":{"content":"开了两盒，可以兑水洗澡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137337},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050156673},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182245}]

男80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":"看到了，尿频尿急尿痛么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050071585},{"body":{"content":"需要几瓶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050079710},{"body":{"content":"就想问一下小孩子可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090054},{"body":{"content":"4岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050093651},{"body":{"content":"可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050094849},{"body":{"content":"这个是直接配比好了的对吧，不需要加水了嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050120937},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050126626},{"body":{"content":"是冲洗还是坐浴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157281},{"body":{"content":"冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050168384},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174172},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186724}]

女5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