刘继帅

[{"body":{"content":"您好，我是京东儿科医生宁冬梅，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965058300},{"body":{"content":"宝宝是母乳喂养吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965067614},{"body":{"content":"是的医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965073776},{"body":{"content":"一天大便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965081290},{"body":{"content":"这种情况多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965088010},{"body":{"content":"昨天开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965096379},{"body":{"content":"这两天平均四五次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965104188},{"body":{"content":"中午看的时候是水样便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965114124},{"body":{"content":"晚上给他换的时候发现看着比较严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965130955},{"body":{"content":"有可能是消化不良","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965140859},{"body":{"content":"晚上看着好像胃粘液**出来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965169445},{"body":{"content":"那需要吃什么改善呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965178527},{"body":{"content":"吃上***调理一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965255193},{"body":{"content":"好的谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965274914},{"body":{"content":"不客气，祝宝宝健康快乐成长，有事联系，很高兴为您提供服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965330290},{"body":{"content":"非常感谢您的咨询，请在对话结束以后对我的服务做出评价，祝您生活愉快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965335013}]

男4个月13天

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879126767},{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879143884},{"body":{"content":"有什么可以帮你的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879160146},{"body":{"content":"我这个病情最近有复发的感觉，请问可以帮我开药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879188489},{"body":{"content":"以前在**看的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879216436},{"body":{"content":"你以前怎么吃的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879227272},{"body":{"content":"白条***，夜晚富马","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879330621},{"body":{"content":"按量**增加，夜晚最多吃一片，白条两片。各一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879486303},{"body":{"content":"请问医生，能帮我开**的药吗？因为我在就近资源未能开到**的****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879744818},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879951182},{"body":{"content":"谢谢，医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880291295},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882299791}]

男33岁

2022.05.20

[{"body":{"content":"您好！您今天具体是想咨询些什么呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653043505642},{"body":{"content":"失眠、心烦，上次开的药吃完了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653043551442},{"body":{"content":"您好！您是想开处方吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653043603738},{"body":{"content":"是的。***二盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653043642663},{"body":{"content":"正值疫情期间，各种突发事件不能预知，为免断药引起病情波动，请您提前备好药物！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1660311970192}]

女56岁

2022.05.20

[{"body":{"content":"您好，我是李威医生，来自中国医科大学附属盛京医院妇科，副教授，副主任医师\n\n非常高兴为您提供咨询服务\n\n我正在看您的简要病例，请稍等…","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049858927},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049876228},{"body":{"content":"生孩子之前月经周期规律吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049892179},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895411},{"body":{"content":"目前孩子几个月？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049906706},{"body":{"content":"7个多月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049914516},{"body":{"content":"正常产，还是剖宫产？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918840},{"body":{"content":"生孩子之前勉强规律","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049927802},{"body":{"content":"剖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049939794},{"body":{"content":"晚上睡眠如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943246},{"body":{"content":"体重较孕前增加多少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049969312},{"body":{"content":"不怎么好，我自己带孩子睡，还会夜醒两次左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974568},{"body":{"content":"目前110斤，孕前98斤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049986656},{"body":{"content":"身高多少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050023119},{"body":{"content":"163厘米","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050042826},{"body":{"content":"保持当前体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050086751},{"body":{"content":"看看这篇科普文章","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096887},{"body":{"content":"不减肥吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098563},{"body":{"content":"163的身高，100-110","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117805},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050120705},{"body":{"content":"好吧，那这下巴十来个痘痘要怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050147063},{"body":{"content":"您的月经没有恢复一是产后，二是作息不规律","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050160325},{"body":{"content":"都可能影响月经复潮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177266},{"body":{"content":"孩子太小睡觉没办法保证","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050183670},{"body":{"content":"不知您孕前脸上愿意起痘痘吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232814},{"body":{"content":"会","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050291482},{"body":{"content":"可能是多囊卵巢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050447824},{"body":{"content":"目前您已经断奶了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460943},{"body":{"content":"可以到当地医院妇科门诊看看，做一个盆腔彩超，看看内膜厚度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050476330},{"body":{"content":"如果内膜达到一定厚度的话，可以用药来月经","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497051},{"body":{"content":"从来月经第一天可以口服***，每天一片，连续口服三个月，也许脸上的痘痘就好了，同时调整月经，**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050542248},{"body":{"content":"***是短效***，比较严重的并发症是增加血栓形成风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581178},{"body":{"content":"但一般发生于有家族史，肥胖，高血压，糖尿病，高龄（＞35岁），吸烟的女性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050624647},{"body":{"content":"明晨买个验孕棒排除一下怀孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050646620},{"body":{"content":"然后去医院做盆腔彩超","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657014},{"body":{"content":"嗯嗯好哒谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050808245},{"body":{"content":"不客气！ 希望我的建议能够帮助到您，非常感谢您的信任！请您对我的服务作出评价，祝您生活愉快啦！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050845733}]

女28岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050225474},{"body":{"content":"在么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258498},{"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":1653050281191},{"body":{"content":"最近这段时间尿完之后总会流一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307864},{"body":{"content":"就是**尿完了，但是提上裤子之后，他就会给内裤上滴点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346867},{"body":{"content":"尿不尽对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384915},{"body":{"content":"就是尿完之后啊，他总会有那么一点残留，过一会儿再滴几滴出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414380},{"body":{"content":"还就是有时候尿黄且有点浑浊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484069},{"body":{"content":"请问是否还有以下症状：○1尿频○2尿急○3尿痛○5排尿困难○6小腹胀痛○7会阴胀痛○8睾丸胀痛○9尿道口滴白。回复序号即可，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501811},{"body":{"content":"9","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533277},{"body":{"content":"就是偶尔一年可能就出现这么一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569584},{"body":{"content":"尿的时候有点白色的，干了之后就跟淀粉干了之后一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582133},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605037},{"body":{"content":"有几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618089},{"body":{"content":"半年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630874},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎可能性大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700599},{"body":{"content":"可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050703759},{"body":{"content":"你给推荐一下治疗药物吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722158},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050729915},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740719},{"body":{"content":"您还有早泄是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746002},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749879},{"body":{"content":"对于射精时间或控制射精能力是您不满意，还是伴侣不满意，还是您们两人都不满意呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754053},{"body":{"content":"一般多久射精呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761228},{"body":{"content":"不带**套的情况下，进去动几下就想射","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765047},{"body":{"content":"带套的情况下，3到5分钟吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779567},{"body":{"content":"是否有使用什么药物治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050781180},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788488},{"body":{"content":"对于射精的时间和控制射精的能力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050815653},{"body":{"content":"有过几年的手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050839513},{"body":{"content":"嗯，现在很少手淫了对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050853069},{"body":{"content":"戒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050893675},{"body":{"content":"现在有5，6年没有手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050917408},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920911},{"body":{"content":"根据**男科疾病诊断治疗指南，****** 对早泄这个疾病是有治疗作用的，且目前为一线治疗药物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050926498},{"body":{"content":"****\n可以降低精囊内压，降低球海绵体肌的爆发性收缩，降低阴茎背神经敏感性而增加控精能力延长性生活时间，虽然不是每天用药，但是其实是具有治疗作用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930861},{"body":{"content":"******：口服。药片应完整片吞下。建议至少用一满杯水送服药物。推荐的首次剂量为30mg（1片），需要在性生活之前约1至3小时服用。推荐的最大用药剂量使用频率为每24小时一次。推荐使用频率为1周1-2次，服药当天避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050950312},{"body":{"content":"这个是属于根治的还是辅助的药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036275},{"body":{"content":"只是这个疾病没有根治一说，除非像阑尾炎做完手术切除了，就不会再有阑尾发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051048342},{"body":{"content":"治疗作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053853},{"body":{"content":"为用药安全，既往有药物过敏及肝肾损伤、慢性病史吗？请问您是否有严重心血管病史？是否在使用***、****、***、****；****；****、****、****、等药物。是否在备孕？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064359},{"body":{"content":"没有使用这些药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051078684},{"body":{"content":"您这个情况是在泌尿外科非常常见的，也不用过于担心，是可以通过药物治疗的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147511},{"body":{"content":"针对您的情况，建议您可以使用：****+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176272},{"body":{"content":"这两个是治疗早泄和尿不尽的，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200674},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205317},{"body":{"content":"****是一种选择性5-羟色胺再吸收抑制剂。早泄可能是大脑性欲中心存在着5-羟色胺和***之类的化学物质，它们传导强烈的射精冲动，而****能干扰上述化学物质，达到延时射精的目的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051211277},{"body":{"content":"他们经常给我推荐那个*****那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051215428},{"body":{"content":"******适应症: **利湿，****。用于慢性前列腺炎属湿热挟瘀证，症见：小便频急、尿后余沥、尿后滴白、尿道涩痛、少腹疼痛、会阴不适、腰骶疼痛、阴囊潮湿、睾丸疼痛。一天2次 一次4粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217532},{"body":{"content":"*****诊断早泄会有帮助的，但是一般建议中医辩证论治指导会更好些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268539},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284809},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291284},{"body":{"content":"还有就是每到夏天晚上的话，就是脚心发热，心悸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297159},{"body":{"content":"脚心发热等中医症状，建议中医科望闻问切，辩证论治，会更准确些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366288},{"body":{"content":"咱们京东有中医吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389742},{"body":{"content":"我给您一个医院临床治疗反馈效果好的一线用药方案，您可以参考下，比较适合您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392015},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419092},{"body":{"content":"处方供您开好了，供您参考","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463686},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468230},{"body":{"content":"好的，到时候怎么联系您？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051577323},{"body":{"content":"您可以按照上图的这个流程找到我，建议用药一段时间后及时复诊，相对于埋头吃药来说，医生的指导更重要，减量和停药都要在医生的指导下进行；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594542},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735069},{"body":{"content":"这个****一盒够吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051749960},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051780137},{"body":{"content":"4周6片1疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792604},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051807720},{"body":{"content":"给您开一盒3片的****先试试，效果明显的话，没有啥不适症状，再继续按需服用，性生活时间达到满意度以后再停药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051821655},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865666},{"body":{"content":"目前很多患者除了在口服药物治疗以外，都在用***，提高性功能，连续服用效果还是非常不错的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051904967},{"body":{"content":"***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051921229}]

男32岁

2022.05.20

[{"body":{"content":"考虑是毛周角化病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231756},{"body":{"content":"又称毛发苔藓或毛发角化病，是一种慢性毛囊角化性皮肤病，有一定遗传倾向，好发于上臂外侧及大腿前侧，也可发生于面颊部和臀部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050235923},{"body":{"content":"是的大腿上手臂 背部都有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274350},{"body":{"content":"本病一般不需要治疗。症状明显或有治疗要求，可涂抹一些外用药物；可以涂抹尿素维E乳膏，一天1次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284354},{"body":{"content":"平时多抹点保湿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050326118},{"body":{"content":"是全身涂抹 还是 有的部位涂抹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050368562},{"body":{"content":"有鸡皮肤的地方涂抹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404394},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458375}]

男25岁

2022.05.20

[{"body":{"content":"你好，有没有做过腰椎磁共振，腿痛常见的就是腰椎间盘突出压迫神经引起的疼痛。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965387414},{"body":{"content":"可以对症用一些营养神经的药物。常用的****，*****，B6。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965403426},{"body":{"content":"运动来把腿跳伤一年，理疗一年之后好了3个月，冬天受凉又疼了1年半没有好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965739100},{"body":{"content":"怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762185},{"body":{"content":"一般是关节的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965806619},{"body":{"content":"？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965810468},{"body":{"content":"可以做个膝关节的磁共振","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817975},{"body":{"content":"做了关节没事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965838358},{"body":{"content":"那到底是哪个地方痛呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965898411},{"body":{"content":"你可以做个腰椎磁共振","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965916581},{"body":{"content":"臀部，膝盖，裸关节也不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965916723},{"body":{"content":"应该腰椎的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925849},{"body":{"content":"你跳的时候也容易伤到腰椎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965944407},{"body":{"content":"做了腰椎也没问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965961416},{"body":{"content":"臀部，膝盖，裸关节走路时也疼，不走路也疼怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966014277},{"body":{"content":"如果是没问题，只是单纯的痛，可以做针灸理疗，有助于好转","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966016307},{"body":{"content":"走路疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966107557},{"body":{"content":"所以现在就是治疗的问题，去做一下理疗，有些人效果会很好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966143588},{"body":{"content":"感觉就不能多走，一多走就难受的走不动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172574},{"body":{"content":"嗯，可以理解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966198318},{"body":{"content":"检查是神经紊乱睡觉不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968374876},{"body":{"content":"怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968380565},{"body":{"content":"可以吃点*****看看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968425908},{"body":{"content":"这个药起什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968511839},{"body":{"content":"这个是改善睡眠的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968684790},{"body":{"content":"吃*****1个月了，吃上睡，不吃就不睡，怎么办能不能在跟上吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968790997},{"body":{"content":"？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968981828},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969002316},{"body":{"content":"这个可以长期吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969027766},{"body":{"content":"就是中成药没有什么副作用的，可以长期吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969052565}]

女53岁

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":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049703486},{"body":{"content":"医生您好，问一下我脸上有好几个痣，激光点痣后3个多月了，本来很小的黑痣现在变成了很大的色沉一直退不掉怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049719765},{"body":{"content":"看照片考虑色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049761157},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049773009},{"body":{"content":"那怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796901},{"body":{"content":"可以外用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049798246},{"body":{"content":"什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049815133},{"body":{"content":"要涂多久有效","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049847729},{"body":{"content":"可以外用一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049870843},{"body":{"content":"淡化色斑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049878595},{"body":{"content":"脸上为什么会出现这种情况呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901575},{"body":{"content":"本来是很小的黑痣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049912369},{"body":{"content":"现在反而难看了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049922965},{"body":{"content":"点痣后留的色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935351},{"body":{"content":"一般的人点痣后都会留有吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049961542},{"body":{"content":"很少留","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050004233},{"body":{"content":"那为什么我脸上会这样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050022404},{"body":{"content":"点痣的副作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062689},{"body":{"content":"除了涂药还有什么好方法吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066631},{"body":{"content":"没有其他办法了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050088841},{"body":{"content":"是医生的缘故还是本人皮肤的缘故","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050092200},{"body":{"content":"都有原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050156870},{"body":{"content":"肤质有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050161361},{"body":{"content":"涂药只能淡化，不能完全与肤色一样是不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237023},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050256520},{"body":{"content":"**怎么使用，一个月大概用几只","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335609},{"body":{"content":"晚上用一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415139},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572467},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605881}]

女20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