刘继帅

[{"body":{"content":"以前去医院看过吗用药了吗效果怎么样？根据上述情况我可以给您一些用药建议。为用药安全，请问是否有肝肾功能损伤，请问是否有严重药物过敏史或者药物严重不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965132020},{"body":{"content":"图片看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965134390},{"body":{"content":"身上很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965158594},{"body":{"content":"过敏可以吃抗过敏药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965173771},{"body":{"content":"外用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965175694},{"body":{"content":"可以擦这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965240638},{"body":{"content":"宝宝因为发烧了 给宝宝擦了酒 大人没经验所以造成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965328826},{"body":{"content":"在吗 医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965405971},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528293},{"body":{"content":"听的到吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965545633},{"body":{"content":"我们这边疫情出去不了 家里只有这个药 因为宝宝身上面积大 没有用这个*******， 我就是问看这个药能用不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965643738},{"body":{"content":"这几样 能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965742614},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965781470},{"body":{"content":"哦哦 好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965811717},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965857003},{"body":{"content":"不客气祝宝贝健康，结束后记得给我个好评哦感谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862955},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965994537}]

女1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":1653049639164},{"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":1653049647673},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652407},{"body":{"content":"尿频 / 尿急 / 尿不尽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049686434},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689814},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694504},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049697555},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049702785},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049706923},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049717311},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721005},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049726512},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049729514},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732828},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736919},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742290},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049753165},{"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":1653049824357},{"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、骑车、骑马、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":1653049826372},{"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":1653049828244},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049888699},{"body":{"content":"开点药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944598},{"body":{"content":"针对您的情况，建议您可以使用************+******治疗一下，可以先使用1周的看看效果，1周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049948591},{"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":1653049970685},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077740},{"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":1653051079804}]

男31岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965115388},{"body":{"content":"胆总管下段肿瘤需要手术，还是保守治疗，已经有黄疸症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965192284},{"body":{"content":"身体条件允许情况下 手术是第一选择","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965242082},{"body":{"content":"？能看到吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966811640},{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966851195},{"body":{"content":"能告知，胆总管下段肿瘤比较好的医院是哪里？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969309302},{"body":{"content":"你在哪个城市","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969338548},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652971360472},{"body":{"content":"那去上海东方肝胆医院吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000668058},{"body":{"content":"你做的检查结果发来给我看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001057760},{"body":{"content":"这个属于中期还是晚期扩散？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001165906},{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001169378},{"body":{"content":"这个病本身恶性程度比较高 但是目前没看到转移的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001191946},{"body":{"content":"应该还有手术机会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001200270},{"body":{"content":"手听说有一个药****是不是可以用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001291325},{"body":{"content":"这是化疗药物 不能治本","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001366555},{"body":{"content":"要手术切除才最好啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001375558},{"body":{"content":"*，手术第一选择","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001460362},{"body":{"content":"能手术的情况下肯定先选择手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001525761},{"body":{"content":"疫情期间**也不方便去 省内的话就去省立医院和安医附院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001775219},{"body":{"content":"好的，谢谢。?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001836863}]

男77岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877478815},{"body":{"content":"开药?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877540497},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671700},{"body":{"content":"你好能给我开一下药?吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878722371},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878762072},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878768086},{"body":{"content":"没有****，无货，开不出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878878352},{"body":{"content":"定单也开了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878954299},{"body":{"content":"等审核了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879139326},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879161678},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365472}]

男44岁

2022.05.20

[{"body":{"content":"您好， 我是京东医生，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":1653049839309},{"body":{"content":"有可能是淋巴结","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857125},{"body":{"content":"淋巴结过几天会消失","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881080},{"body":{"content":"如果一直不消失，建议你带宝宝去医院就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049897407},{"body":{"content":"这是怎么引起的呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902384},{"body":{"content":"一般几天会消失呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924167},{"body":{"content":"一般出牙.感冒发热都有可能引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050018794},{"body":{"content":"一般一周之内会消失","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050044355},{"body":{"content":"宝宝刚好在长大牙","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046039},{"body":{"content":"嗯，观察一下看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154915},{"body":{"content":"需要用手按摩一下吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174377},{"body":{"content":"不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186792},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241830},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050270044}]

女1岁10个月

2022.05.20

[{"body":{"content":"根据上述情况给予您相关用药建议，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? 是否在备育期？或是其他用药禁忌的情况，如果有请提前说明。没有异常回复‘无’就可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050359253},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362614},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610141},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655076},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662327}]

男24岁

2022.05.20

[{"body":{"content":"您好，仝（tong）医生为您提供医疗咨询服务。不是AI智能机器人。我正在详细阅读您的病情描述。点击我的头像，可以看到有关信息。回复您慢了，请不要着急，还有其他人也在咨询。多谢理解*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918043},{"body":{"content":"消毒**蘸温****，或者双氧水清洗局部。方法是将消毒**朝这个方向轻轻转动。或者用3%******，在药师指导下清洗局部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049941703},{"body":{"content":"局部清洗后可用氧化锌软膏，或者*****轻轻涂抹，也可以口服******，或者******，抗过敏，缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950195},{"body":{"content":"尽可能不要频繁掏耳朵，洗头洗澡时不要让耳朵进水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049981180},{"body":{"content":"不抽烟，不喝酒，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985696},{"body":{"content":"饮食清淡，少吃辛辣油腻食物和肉类，少吃油炸食品，少吃奶制品和甜食，少吃咸菜，少吃海鲜类食品。不吃零食，不吃泡面。尽可能不要熬夜，多喝温水，多吃蔬菜，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049989183},{"body":{"content":"现在有炎症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050015406},{"body":{"content":"右耳耳鸣已经几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046843},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050102605},{"body":{"content":"上医院不方便，这个月去过两次，都是清洗耳道换药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154441},{"body":{"content":"**的能用吗？感觉这个******没什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205123},{"body":{"content":"耳朵里面晚上回有点痒，白天就没什么感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241170},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050272606},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281101},{"body":{"content":"根据您目前症状，结合我的临床经验，特此推荐上述产品信息。都属于非处方药，无需医生开处方，您直接下单订购，即可寄到自己手中。请按照说明书使用1周左右，对恢复健康有帮助。请自由选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309288},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319826},{"body":{"content":"上述综合措施，对恢复健康有帮助。您是否已经理解了？还有其他健康问题需要帮助咨询吗？结束本次问诊后，请留下墨宝，简单给予评价。祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361877},{"body":{"content":"不建议随意使用***，譬如****，**等。需要根据医院血液检查结果，判断是否需要***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366313},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050391898},{"body":{"content":"自己用双氧水洗方便吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421915},{"body":{"content":"双氧水耳浴办法~在医生或者药师指导下，将患侧耳朵朝上，把双氧水滴满耳道静置10分钟左右，这时可能会有气泡，属于正常现象，等**与耳道内脓性分泌物充分混合反应后坐起来，再将患侧耳朵朝下，让**从外耳道流出来即可。当然，可以用**轻轻将外耳道残留**擦净。每天两次，连续清洗3天即可。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050464730},{"body":{"content":"右耳真菌感染也可以用双氧水洗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050498415},{"body":{"content":"外耳道霉菌、真菌感染时，可以用双氧水清洗外耳道后，再用********，或者******耳浴，或者******进行外耳道冲洗，抑制真菌，缓解症状。在药师指导下，按照说明书使用，滴耳或者涂擦外耳道。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050838529},{"body":{"content":"明白了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051006204},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任！本次问诊结束后，请留下您的墨宝，简单给予留言评价。假如还有其他问题，可再次发起问诊，祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044309}]

男32岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049896493},{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049897757},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900549},{"body":{"content":"三件套怎么用的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049931237},{"body":{"content":"请问宝宝多大了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943009},{"body":{"content":"9个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049951957},{"body":{"content":"原液是倒进洗澡水里给宝宝泡澡祛痱止痒。防蚊液直接喷涂于皮肤上防止蚊虫叮咬，止痒凝露是宝宝被蚊虫叮咬后涂抹的，可以快速止痒**哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049996958},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050019927},{"body":{"content":"***和****都是可以直接喷涂的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050023234},{"body":{"content":"不客气哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050026644},{"body":{"content":"您还有问题咨询吗，如果方便的话麻烦右上角给点个评价，谢谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050031211},{"body":{"content":"麻烦您帮我点一下星星，非常感谢您的支持，祝您生活愉快，祝宝宝健康成长?。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050034975}]

女

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999828008},{"body":{"content":"你好，问问以前手淫后还有点睡意想休息","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999850205},{"body":{"content":"现在手淫后就没有了，不怎么有睡意了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999864778},{"body":{"content":"这个问题?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999905154},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999915068},{"body":{"content":"问问","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999917300},{"body":{"content":"是不是有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999921480},{"body":{"content":"还是正常没事的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999925392},{"body":{"content":"没有问题的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999928181},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999934940},{"body":{"content":"比较精神现在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999957576},{"body":{"content":"没事对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999959837},{"body":{"content":"兴奋缘故","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999971724},{"body":{"content":"没事对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999978456},{"body":{"content":"没有关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999980086},{"body":{"content":"我也还好啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999991364},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999999283},{"body":{"content":"不是很兴奋","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000001619},{"body":{"content":"没有关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000016063},{"body":{"content":"反正这样没事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000018701},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000027394},{"body":{"content":"我问问我晚上8点做的 晚上12点睡 6点起 睡6个小时不影响手淫后身体吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000049108},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000070874},{"body":{"content":"睡6个小时够了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000106619},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000156318},{"body":{"content":"好的感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000181998},{"body":{"content":"别结束，让他24小时自动关闭","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000189740},{"body":{"content":"后期有可能还有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000195169},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000195786}]

男20岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878751835},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878757655},{"body":{"content":"您出现这些症状有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878777002},{"body":{"content":"胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878788382},{"body":{"content":"有没有做过什么检查 用过什么药物治疗过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878793740},{"body":{"content":"有一周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878803316},{"body":{"content":"检查和治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824793},{"body":{"content":"吃了***和","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878902511},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878935338},{"body":{"content":"症状有没有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878950872},{"body":{"content":"头两天还行，可能昨天晚上吃了西瓜，今天觉得更不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878996604},{"body":{"content":"大便什么的都正常，也不拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879111150},{"body":{"content":"就是觉得胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879163995},{"body":{"content":"您现在的症状与胃食管反流病比较符合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879176323},{"body":{"content":"也不排除存在幽门螺杆菌感染可能 如果有可能最好可以先做个呼气试验看看有没有幽门螺杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879226217},{"body":{"content":"那能开点中药回来熬吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879313227},{"body":{"content":"也不胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879361188},{"body":{"content":"像您这种反酸比较厉害的 中药不太能解决问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879395349},{"body":{"content":"抑酸方面西药更有优势 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879463216},{"body":{"content":"反酸不厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879466808},{"body":{"content":"以胃胀为主是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879487322},{"body":{"content":"主要是胃胀，打嗝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879494210},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498226},{"body":{"content":"今天才有一点反酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879514619},{"body":{"content":"主要还是胃胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879555114},{"body":{"content":"您是希望自己熬中药 还是用现成的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879560324},{"body":{"content":"现成的中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879707325},{"body":{"content":"明白了 您拍一张舌苔图给我看一下哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879775212},{"body":{"content":"您稍等片刻 我这就给您处方建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880064892},{"body":{"content":"好的，不急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880128078},{"body":{"content":" 平时不要吃的太饱 晚餐不要吃稀的 不要喝汤 流质半流质更容易反流 平时不要喝茶、咖啡、碳酸饮料 不能抽烟 会导致食管下括约肌的松弛 更易反流 不要吃红薯 糯米食等淀粉含量高的食物 容易产酸 还包括一些甜品 平时不要穿紧身的衣物 严重反流时床头需要抬高15-20°","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880454202},{"body":{"content":"您没有药物过敏史和特殊禁忌症吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880491500},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880499041},{"body":{"content":"不在备孕期妊娠期哺乳期吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880513147},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880520229},{"body":{"content":"处方已开具 另外生活方面需要注意的事项已经发给您了 请按照上面的做 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880592796},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880632462},{"body":{"content":"不客气的 祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880650916},{"body":{"content":"能再帮我开一份自己熬的中药处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880724824},{"body":{"content":"万一服药后症状缓解不明显 您停用****14天后需要去医院查个呼气试验 看看有么有幽门螺杆菌感染 或者做个胃镜 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880727121},{"body":{"content":"中药只有**剂 就是我按照处方开好每个成分的**剂 您回去自己放一起冲服 没有传统的那种中药饮片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880835746},{"body":{"content":"您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880854866},{"body":{"content":"比丸好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880862883},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880901761},{"body":{"content":"冲剂好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880913990},{"body":{"content":"谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880919406},{"body":{"content":" 丸剂起效慢 发挥作用持久 **剂作用快一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880931254},{"body":{"content":"那就麻烦帮我开冲剂，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881446891},{"body":{"content":"已经开过了 中药开方没有西药那么快 要一个个点击","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881489337},{"body":{"content":"没事，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881575533},{"body":{"content":"您在吃*****时就不要再吃这个**剂了 两个分开服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881711375},{"body":{"content":"有些成分有重合 功效也差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881732581},{"body":{"content":"只喝冲剂，不吃那个*****，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881778008},{"body":{"content":"可以的 您可以把冲剂吃完再吃***** *****效果挺好的 我平时在门诊经常开给嗳气 呃逆的患者用 患者反馈过来的信息效果都不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881875821},{"body":{"content":"您要是在不愿意用丸剂 我就把前面那个处方的*****撤回来了 要么开了也浪费了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881941121},{"body":{"content":"实在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881947172},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881970031},{"body":{"content":"好的 是撤回来吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881988422},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882003978},{"body":{"content":"我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882012304},{"body":{"content":"这个是小丸还是大丸？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882050781},{"body":{"content":"小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882068549},{"body":{"content":"就是一包里有好多小丸子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882089668},{"body":{"content":"怎么驳回了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882177331},{"body":{"content":"我刚又确认一下是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882270931},{"body":{"content":"是小丸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882281601},{"body":{"content":"既然这个不错，先试试这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882370713},{"body":{"content":"对胃胀效果好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882384944},{"body":{"content":"平台上出售*****的药房太多 不同厂家生产的有所区别 我刚特意点进去查了一下我开的这个是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882414140},{"body":{"content":"是的 对于脾胃虚弱引起的腹胀效果还是不错的 对嗳气也有明显效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882447873},{"body":{"content":"那好，我试试","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882462404},{"body":{"content":"马上下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882471237},{"body":{"content":"您平时不适合吃生冷食物 舌苔白腻厚 脾胃虚弱 还有湿偏重 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882576232},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882587008},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882594502},{"body":{"content":"要21才拿到药，我能去药房买吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882625758},{"body":{"content":"今天是18号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882641731},{"body":{"content":"可以的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882644513},{"body":{"content":"您可以按照处方建议去购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882662317},{"body":{"content":"药有没有指定厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882678275},{"body":{"content":"麻烦帮我看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882684987},{"body":{"content":"*****买****的或者***的都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882715882},{"body":{"content":"****随便哪个厂家 没有太大差异","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882745562},{"body":{"content":"*******制药的也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882768672},{"body":{"content":"这几个都是大厂 药材质量有保证","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882785288},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882801245},{"body":{"content":"不客气的啦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882818882},{"body":{"content":"我已经5星好评了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882972123},{"body":{"content":"谢谢您的好评","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882992756}]

女43岁

2022.05.20