刘继帅

[{"body":{"content":"您好，我是上海宏康医院皮肤科室的李伟庭主治医生，我已经接诊到您的咨询，我正在看您的主诉，请您稍等，我马上解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965130291},{"body":{"content":"您这个症状有多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965144671},{"body":{"content":"一个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151174},{"body":{"content":"以前有类似发病史吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965173086},{"body":{"content":"痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965179953},{"body":{"content":"痒，以前没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965246136},{"body":{"content":"手心还有一块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257446},{"body":{"content":"从照片上看像红丘疹过敏引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965266958},{"body":{"content":"根据上述情况我可以给您一些用药方面的建议。 为用药安全，请问是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？您是否处于备孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965273549},{"body":{"content":"表皮变硬，痒，裂口","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965278140},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965286388},{"body":{"content":"知道了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965290355},{"body":{"content":"建议一，要忌口鱼虾牛**和酒别吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965298648},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965306036},{"body":{"content":"二，外用*****或*****一天二次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965306381},{"body":{"content":"三，口服***********一天一粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965314535},{"body":{"content":"先口服三天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965330579},{"body":{"content":"治疗后应该会好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965339903},{"body":{"content":"手少接触肥皂和洗洁精","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965360379},{"body":{"content":"切记，暂时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965370756},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965379544},{"body":{"content":"不谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965388155},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965395523},{"body":{"content":"不严重吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965398064},{"body":{"content":"不严重的，放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965413218},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966822906},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967683576},{"body":{"content":"电子处方已开好，等药师审核通过了，可以点击购买了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967798518}]

男31岁

2022.05.20

[{"body":{"content":"请问有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049990642},{"body":{"content":"喘不上气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049999803},{"body":{"content":"以前在煤矿工作4.5年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020517},{"body":{"content":"要注意尘肺病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028086},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050034131},{"body":{"content":"现在用什么药物治疗呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096189},{"body":{"content":"一直是口吸的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123908},{"body":{"content":"药品名称是什么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180673},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201502},{"body":{"content":"就是什么**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230708},{"body":{"content":"****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261965},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050266533},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050267286},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327226},{"body":{"content":"要开****吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050342758},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050347366},{"body":{"content":"请问有没有食物或者药物过敏史？有没有什么基础疾病？是否怀孕或者在哺乳期？肝功能，肾功能等是否正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357383},{"body":{"content":"没有过敏史，只是有肺气肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396511}]

男57岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0081，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350090},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050359424},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367492},{"body":{"content":"我脱发严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050371161},{"body":{"content":"用于治疗男性型脱发和斑秃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389915},{"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":1653050393169},{"body":{"content":"男，34岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050420058},{"body":{"content":"这个药物是可以治疗脱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050439537},{"body":{"content":"****多久见效","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464972},{"body":{"content":"一般是需要用3个月以上的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489374},{"body":{"content":"怎么使用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050499136},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050509524},{"body":{"content":"【用法用量】 局部外用：每次1ml（****50mg，约7喷），涂于头部患处，从患处的中心开始涂抹，并用手按摩3～5分钟，不管患处的大小如何，均使用该剂量。每天的总量不得超过2ml。**应在头发和头皮完全干燥时使用。使用**后，应清洗双手。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050526541},{"body":{"content":"发际线后移也管用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050537196},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050557534},{"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个月无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856933},{"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":1653050860117},{"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":1653051337254}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050205207},{"body":{"content":"请问是怎么受伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217262},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221825},{"body":{"content":"小孩玩耍，不小心用棍棒碰到眼睛了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050261065},{"body":{"content":"昨天这个时候就一点血丝，现在就是图片上的症状了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301978},{"body":{"content":"有没有视力下降？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304757},{"body":{"content":"没有，除了一点点涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336388},{"body":{"content":"这个问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344926},{"body":{"content":"没有其他症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356345},{"body":{"content":"就是结膜下的小血管受外力撞击之后破裂了导致的结膜下出血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375996},{"body":{"content":"就是血丝血块多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381832},{"body":{"content":"1-2天内单位会有逐渐扩大的趋势","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404756},{"body":{"content":"需要进医院治疗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050412595},{"body":{"content":"不需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050423702},{"body":{"content":"这个血块3-4周会自己吸收","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050435641},{"body":{"content":"48小时内建议您用冰袋冷敷一下眼睛促进**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050455062},{"body":{"content":"48小时候可以热敷促进积血吸收","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050467620},{"body":{"content":"昨天不明显，**一直在封控状态，昨天就没有去看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050478335},{"body":{"content":"需要***消毒杀菌之类的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050511077},{"body":{"content":"您如果觉得实在不舒服可以用一点*******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050536958},{"body":{"content":"症状不明显的话不需要特殊处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550412},{"body":{"content":"不舒服到是不明显，不然昨天就开就医证明去医院看了，就是稍微有点涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611544},{"body":{"content":"那不需要特殊处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657921},{"body":{"content":"这几天尽量少用眼就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669522},{"body":{"content":"3-4周积血就能吸收完了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683825},{"body":{"content":"今天可以用冰袋敷一下**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050706072},{"body":{"content":"饮食有什么要求注意的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708917},{"body":{"content":"好的，一会我去冰敷一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050733257},{"body":{"content":"不要吃辛辣的就好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050757726},{"body":{"content":"这个可以滴吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050786167},{"body":{"content":"这不不需要哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050790759},{"body":{"content":"这个是降眼压的，不对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050797576},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806395},{"body":{"content":"谢谢医生了，**封控出不去，麻烦您了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050851738},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050858813},{"body":{"content":"你们都辛苦了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050881845}]

男34岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514965},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，请您配合回答几个问题，可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050516453},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050525224},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050534791},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050537276},{"body":{"content":"尿不尽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050561400},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050565408},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569636},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572680},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050575526},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579572},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050581899},{"body":{"content":"是否有阴囊潮湿或下腹部会阴部不适的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050619788},{"body":{"content":"有时候会有一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638977},{"body":{"content":"睾丸侧边隐隐作痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654092},{"body":{"content":"有没有尿分叉、尿等待、尿滴白等情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669728},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699710},{"body":{"content":"睾丸局部有明显的红肿肿大吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050713120},{"body":{"content":"就是尿完尿感觉不干净 还会在盛出来一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757371},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760594},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767867},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788543},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794658},{"body":{"content":"尿不尽是指尿液不能完全排尽，滴沥不已或排尿后仍有尿意。尿不尽，一般主要病变部位，就是在膀胱颈口，男性主要就是因为前列腺的原因引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050799780},{"body":{"content":"您目前的症状，考虑有轻微的前列腺炎的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807220},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、憋尿、骑车、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050811341},{"body":{"content":"大部分全占了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050860356},{"body":{"content":"嗯，目前的话症状不严重，可以先药物治疗看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050878942},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944874},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050954196},{"body":{"content":"前列腺炎的问题，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":1653050974021},{"body":{"content":"也可以去正规公立医院完善一个前列腺彩超+前列腺液常规的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975020},{"body":{"content":"用药剂量：********，一天一次，一次一片；******，一天两次，一次4粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051020534},{"body":{"content":"建议先口服2周的治疗看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051028083},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051126736},{"body":{"content":"谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051133780},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051140853},{"body":{"content":"可以帮您开个免费的处方参考一下，需要的话点击处方购买即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051142790},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051218376},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051220510},{"body":{"content":"吃药的同时也要注意综合治疗，比如多饮水，多锻炼身体，避免熬夜，避免久坐，避免憋尿，避免烟酒及辛辣刺激饮食等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051222880},{"body":{"content":"平时可以口服一点****， ****具有抗氧化能力， 一方面预防和抑制癌症，抑制诱变，抗辐射增强免疫力的作用，另一方面可以预防和减少前列腺炎的反复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051290099},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051295128},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051368767},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您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，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051408654}]

男19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":"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":"您好，这里是京东互联网医生，请问您有什么需要解决的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965114185},{"body":{"content":"你好 我感觉我对生活提不起一点兴趣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168515},{"body":{"content":"有没有情绪明显的低落，出现睡眠问题，入睡困难，或者早醒，和朋友接触交流少了，对自我评价过于底，以及心慌心慌胸闷，胃肠道等方面的不适！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965175421},{"body":{"content":"有 比较容易心慌 然后紧张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965218326},{"body":{"content":"有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965241212},{"body":{"content":"一两年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965355889},{"body":{"content":"如果持续性存在不缓解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965375443},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965381170},{"body":{"content":"我不知道是不是因为的病闹的 因为我有癫痫病 一直在吃药 然后就感觉还不如没我这个人 可能我朋友或者家人也不用担心我了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965478421},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965538629},{"body":{"content":"目前症状来说有点抑郁症的症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965565779}]

女24岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965782154},{"body":{"content":"可以看看图片吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965787405},{"body":{"content":"不好意思","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965823950},{"body":{"content":"没有图片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965828378},{"body":{"content":"是否有同房史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965870483},{"body":{"content":"很久没有过了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965888328},{"body":{"content":"建议检查宫颈筛查看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965916519},{"body":{"content":"如果正常就可以打**了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965923786},{"body":{"content":"宫颈筛查之前检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965957542},{"body":{"content":"正常吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965977208},{"body":{"content":"正常的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965991643},{"body":{"content":"可以打","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966021007},{"body":{"content":"去年十月份检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966045556},{"body":{"content":"打吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966069937},{"body":{"content":"但是前两天洗澡 我才摸到阴道下面有一坨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966082779},{"body":{"content":"摸起来的感觉像痘痘一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966092039},{"body":{"content":"是怎么了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966098554},{"body":{"content":"没有看图片不能确定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966116178},{"body":{"content":"更不清楚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966429410},{"body":{"content":"是看不清楚吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966447013},{"body":{"content":"就是下面一点有一个红色的像痘痘一样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966476450},{"body":{"content":"你拍清楚一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966561477},{"body":{"content":"感觉右边比较红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967054285},{"body":{"content":"没有看见异常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967065116},{"body":{"content":"可以打**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967071117},{"body":{"content":"这里有一坨肿一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967179357},{"body":{"content":"为什么会这样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967297734},{"body":{"content":"而且右边还很红 没事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967327544},{"body":{"content":"没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967369294},{"body":{"content":"毛囊堵塞的原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967374412},{"body":{"content":"这个影响打九价吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967542897},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967577925},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967600525},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967755225},{"body":{"content":"请问喝了凉茶夏桑菊颗粒 会影响打九价吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653045375983},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046336159}]

女24岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050063021},{"body":{"content":"尊敬的PLUS会员，您好，我是京东中医科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050064729},{"body":{"content":"您好，请问有什么能帮助到您的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050081540},{"body":{"content":"腰疼 阴囊潮湿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088362},{"body":{"content":"性欲强，但是时间短","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050127842},{"body":{"content":"请问勃起正常的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050138358},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050156478},{"body":{"content":"射精过快的现象有： 1）.在进入阴道之前或进入后约1分钟以内就射了； 2）.相比之前射精潜伏时间显著缩短，通常小于3分钟； 3）.偶尔出现射精过快，短于3分钟。 请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211616},{"body":{"content":"2","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050253552},{"body":{"content":"您好，请问这种情况有多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259622},{"body":{"content":"请问您平时熬夜、抽烟、喝酒、爱吃冷饮、水果这些食品吗？手淫多吗（大于1周1次）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050266827},{"body":{"content":"主要就是性欲特别高，就是时间跟之前比要短很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050297383},{"body":{"content":"最近压力挺大的。抽烟多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314088},{"body":{"content":"请问您现在方便拍舌苔照吗？为您辨证一下看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050334154},{"body":{"content":"手淫多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336221},{"body":{"content":"收到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050477687},{"body":{"content":"您好，我先了解一下您的情况，请您先配合回答几个问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485592},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050495574},{"body":{"content":"请问您平时有以下气血不足的表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497843},{"body":{"content":"活动后容易出汗 / 神疲乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050588990},{"body":{"content":"有以下痰湿、湿热表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593006},{"body":{"content":"面部油光 / 阴囊潮湿或局部瘙痒（男子） / 易生痤疮、粉刺或者湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603783},{"body":{"content":"请问您有以下肝肾不足表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050608820},{"body":{"content":"腰膝酸软 / 脱发 / 双目干涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050628999},{"body":{"content":"请问您平时消化怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633044},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657076},{"body":{"content":"请问您平时小便情况怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662146},{"body":{"content":"小便色黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669974},{"body":{"content":"请问您平时情绪怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674007},{"body":{"content":"经常闷闷不乐，胸胁胀满不适 / 经常急躁易怒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050689654},{"body":{"content":"好的，那睡眠情况怎么样呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050694717},{"body":{"content":"多梦易醒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050709791},{"body":{"content":"收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736412},{"body":{"content":"根据您目前描述的症状（和舌象等资料），考虑为肝郁、湿热的表现为主的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050818255},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820199},{"body":{"content":"没有药物过敏史 没有慢性病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050854688},{"body":{"content":"跟肾虚没关系吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050903652},{"body":{"content":"有关的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949752},{"body":{"content":"这些都会伤阴的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959753},{"body":{"content":"我该用点什么药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979367},{"body":{"content":"稍等，为您开方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050986961},{"body":{"content":"******，1次4粒，1天3次口服；六味地黄丸，口服，一次8丸，一天3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036627},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051037851},{"body":{"content":"为什么就是性欲特别高呢？是哪里有火吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051105436},{"body":{"content":"阴虚火旺 的表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122107},{"body":{"content":"湿热也是火","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051141041},{"body":{"content":"都会性欲旺","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147234},{"body":{"content":"就先吃您开的两种药就行是吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051154368},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051181696},{"body":{"content":"一个月一疗程，无特殊情况一般1周或者2 复诊，根据舌苔及症状的变化调整处方，这样针对性强些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185243},{"body":{"content":"开的是9天的量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051192293},{"body":{"content":"建议日常不要熬夜，不能过度思虑，清淡饮食，不要过食辛辣、寒凉食品，戒烟限酒；保持心情愉快有利于疾病的快速恢复；定期复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051214610},{"body":{"content":"复诊时可以打开京东APP，在搜索栏中搜索“***”即可找到我的（轮休状态下图文显示黑白或是不显示，您换个时间段咨询即可）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051219592},{"body":{"content":"好的。两周之后我再麻烦您。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051235566},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051243080},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051295290},{"body":{"content":"如果没有其他问题的话，这边稍后就先为您结束问诊了。希望我的建议能够帮助到您，感谢您的信任，祝您生活愉快，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051298065},{"body":{"content":"好的。再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051369643}]

男31岁

2022.05.20