刘继帅

[{"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

[{"body":{"content":"您好，京东大药房药师工号0364，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050927735},{"body":{"content":"请问这个血丝是用药前没有的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956551},{"body":{"content":"没注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970492},{"body":{"content":"最近是不是用眼过度了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050996944},{"body":{"content":"就是使用完后无意中看到镜子发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050997888},{"body":{"content":"有点，所以买了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008576},{"body":{"content":"用了这个***以后还有别的不舒服吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051012747},{"body":{"content":"有点凉凉的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051027231},{"body":{"content":"目前就没了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037928},{"body":{"content":"有点凉是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047387},{"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？是为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051938},{"body":{"content":"年龄21男，本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051097178},{"body":{"content":"为了您的用药安全，我们需要了解您的既往病史和过敏史，请您先回复以下问题：是否有食物/药物过敏史或慢性疾病史，肝肾功能是否正常，若有以上情况请如实告知，如果没有，可回复“无","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117022},{"body":{"content":"滴2滴的有血丝，一滴无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051136703},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051139789},{"body":{"content":"您的这种情况也有可能 是眼疲劳引起的血丝，建议您再观察一下看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051173359},{"body":{"content":"说明书为1～2滴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051174708},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051181764},{"body":{"content":"一般情况滴1滴也可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051208621},{"body":{"content":"建议您先一次一滴，注间观察，如果出现别的不适立即停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051226285},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051234726},{"body":{"content":"生活和饮食注意：注意用眼保健，晚上早休息，注意消除引起症状的原因。多吃含****的食物，多吃含****的食物，如**、**、**等。**可以明目，也可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051279008},{"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天无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051284624},{"body":{"content":"您好，您看还有其他问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051286293},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051391602}]

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":1652965217679},{"body":{"content":"腿上长起来波纹状的条条","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965328831},{"body":{"content":"方便照片拍一下？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965358002},{"body":{"content":"有接触什么药物或者化妆品？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965406092},{"body":{"content":"前一两天*********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457375},{"body":{"content":"但是我这个都好长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965466899},{"body":{"content":"感觉好像在**扩散","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965484157},{"body":{"content":"有些是激素水平变化引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965490720}]

女17岁

2022.05.20

[{"body":{"content":"你好，我是京东吴医生，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":1653049905593},{"body":{"content":"请问你这样的症状有多久了？还有其他的不舒服吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049908115},{"body":{"content":"5天左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049922262},{"body":{"content":"感觉像是感冒或是支气管炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049935562},{"body":{"content":"嗯，除了乏力还有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950082},{"body":{"content":"好像有点发热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049955156},{"body":{"content":"前几天流鼻涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049962340},{"body":{"content":"现在鼻涕好些了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049973424},{"body":{"content":"咳嗽有痰，深黄色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988360},{"body":{"content":"本周核酸检测三次，都是阴性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050006290},{"body":{"content":"嗯，你这种情况考虑是感冒合并了支气管炎的可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050039649},{"body":{"content":"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?是否正在服用药品？是否在备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050046109},{"body":{"content":"都正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050091420},{"body":{"content":"嗯，那你吃了什么药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106425},{"body":{"content":"无病史，无服药史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050114306},{"body":{"content":"一直没吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050121545},{"body":{"content":"嗯，现在咽喉痛吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129152},{"body":{"content":"平常抽烟喝酒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132813},{"body":{"content":"前两天痛过，现在不痛了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050330584},{"body":{"content":"不抽烟不喝酒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335609},{"body":{"content":"嗯，建议你口服******缓解感冒，口服********，口服*********","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367090},{"body":{"content":"有没有可能恶化成肺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050447343},{"body":{"content":"如果没有控制好，是有可能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050475824},{"body":{"content":"目前的症状需不需要去医院做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494249},{"body":{"content":"当然能去检查一下肯定更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050531788},{"body":{"content":"能不能加一些防止恶化成肺炎的药，因为我以前得过肺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559282},{"body":{"content":"**就是****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578596},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610865},{"body":{"content":"不用谢，还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622633},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050706108},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050709042},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050721128},{"body":{"content":"处方已开具，用药前请您仔细阅读药品说明书，如您在用药过程中出现不适，建议及时线上咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050791787},{"body":{"content":"处方已经给你开好了，点击处方可以查看药品具体信息和用法，以免买错了，如果需要线上购买，可以等药师审核通过后点击处方按提示操作就可以购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798481},{"body":{"content":"治疗期间注意饮食清淡，不要吃生冷、辛辣及刺激性食品，保持室内空气流通，注意多喝温开水，不要饮酒抽烟，避免接触烟尘以及刺激性气体。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050802655},{"body":{"content":"好的，谢谢医生。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051049503},{"body":{"content":"不用谢，还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051116593}]

男32岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335204},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050398472},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400378},{"body":{"content":"我昨天和一个女的发生关系，我怀疑她是艾滋病患者","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050431438},{"body":{"content":"她身高1.68，体重40kg，我听说体重明显偏瘦的人，有可能是艾滋病患者，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471699},{"body":{"content":"没有这种说法的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050486083},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050510814},{"body":{"content":"那我就放心了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050515678},{"body":{"content":"不用太紧张的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523097},{"body":{"content":"即使她是，我带***了，应该没有影响吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050538319},{"body":{"content":"戴了***会好很多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568880},{"body":{"content":"但是也有点风险的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050576250},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582551},{"body":{"content":"就和带了**套还会怀孕差不多道理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592682},{"body":{"content":"不过几率是比较低的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603543},{"body":{"content":"有这个说法吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050608941},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050630679},{"body":{"content":"这种概率还是很低的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050638642},{"body":{"content":"不用太紧张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050642462},{"body":{"content":"还是有点忐忑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643959},{"body":{"content":"担心啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050647103},{"body":{"content":"我需不需要吃***啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657553},{"body":{"content":"不放心你可以去疾控中心买***吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050666861},{"body":{"content":"现在刚好24h","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669613},{"body":{"content":"要连续吃28天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050680425},{"body":{"content":"72小时内都有效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050688991},{"body":{"content":"不过越早吃越好就是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050699378},{"body":{"content":"京东有卖的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699702},{"body":{"content":"药叫什么名字","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050711580},{"body":{"content":"听你这么说，其实概率非常低了，首先都不能确定她是患者","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050774246},{"body":{"content":"是的概率很低","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051096892},{"body":{"content":"***是几种*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121400},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051183204},{"body":{"content":"我没问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051191010},{"body":{"content":"我觉得不吃也可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051200749},{"body":{"content":"等三周以后检查一下感染四项就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051223735},{"body":{"content":"不过你要是不放心 吃一下***更安心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051258035},{"body":{"content":"不吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051305865},{"body":{"content":"哪里可以查？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317653},{"body":{"content":"医院都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051324942},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051328312},{"body":{"content":"到正规公立医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051333606},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051339662},{"body":{"content":"主要是听到别人说，特别瘦的人有可能是艾滋病患者，我才担心的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051362691},{"body":{"content":"县级及以上的医院都行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051363104},{"body":{"content":"没这个说法的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051381215},{"body":{"content":"那我就放心了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051388249},{"body":{"content":"艾滋病人可以和正常人一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392580},{"body":{"content":"看不出来的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051396726},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051402962},{"body":{"content":"我看了电影上面的艾滋病人，也非常瘦啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423843},{"body":{"content":"他们只是免疫系统出问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051428546},{"body":{"content":"容易生病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051434885},{"body":{"content":"那种电视上看到的很瘦的一般都是比较晚期的了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473271},{"body":{"content":"晚期会有其他的并发症吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051498408},{"body":{"content":"肉眼显而易见的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051523210},{"body":{"content":"也没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051534872},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051541837},{"body":{"content":"所以避免感染最好的方法就是避免高危性生活","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051575962},{"body":{"content":"她那么年轻，不会是艾滋病晚期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051581314},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051584366},{"body":{"content":"有了这次教训，下次不敢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051599398},{"body":{"content":"嗯嗯 现在很多女的都比较瘦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051620763},{"body":{"content":"主要是她也太瘦了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051635551},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051656278},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051671634},{"body":{"content":"我没问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051681705},{"body":{"content":"如果您对此次问诊满意，请给个五星好评，谢谢！\n您以后有任何皮肤性病相关的问题可以在京东健康APP直接搜索“**”找我复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051687148},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051695383},{"body":{"content":"那我结束问诊了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051712937},{"body":{"content":"嗯，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051718117},{"body":{"content":"有问题随时来咨询 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051731272},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051735415},{"body":{"content":"嗯嗯，放轻松点，早点休息","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051759230}]

男35岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433022},{"body":{"content":"请您稍等，我马上为您查询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436181},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050514963},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050530809},{"body":{"content":"左腿腿弯疼 蹲下得时候厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050556783},{"body":{"content":"左腿腿弯蹲着一跪疼得更厉害 请问用什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050616500},{"body":{"content":"请问您这样多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050624627},{"body":{"content":"十天八天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050644537},{"body":{"content":"差不多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050661805},{"body":{"content":"近期是否就医诊疗过，近期是否服用过*西药物缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683461},{"body":{"content":"昨天刚拿的*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722743},{"body":{"content":"用了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734321},{"body":{"content":"还没开始用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050787754},{"body":{"content":"去诊所拿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798236},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050804497},{"body":{"content":"请问这个药可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817435},{"body":{"content":"可以用的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050836660},{"body":{"content":"有****的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844868},{"body":{"content":"您先用药三至五天看看效果，如果没有缓解，建议您及时去医院检查和治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050936238},{"body":{"content":"好的 谢谢药师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050957172},{"body":{"content":"还有**********有吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050969312},{"body":{"content":"请您稍等，我马上为您查询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050987265},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051012891},{"body":{"content":"暂时没有喷剂哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049895},{"body":{"content":"哦哦 喷剂得好用 **不方便啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087945},{"body":{"content":"**效果持久些哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120633},{"body":{"content":"哦哦 效果比喷剂好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143308},{"body":{"content":"喷剂使用方便些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051154525},{"body":{"content":"药物都是一样的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158036},{"body":{"content":"我想着鞋子里也喷点 脚也喷 不是更好嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051176328},{"body":{"content":"可以用其他的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051190603},{"body":{"content":"需要推荐吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051193761},{"body":{"content":"那是一样的嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051202918},{"body":{"content":"药物是一样的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231231},{"body":{"content":"我之前用的**********得 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233643},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051236909},{"body":{"content":"都一样用的 一样的效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051253277},{"body":{"content":"药品的效果与药品的吸收、分布、代谢、排泄等有关。另外患者年龄、性别、体质、以及联合用药情况等 都对药效的体现有影响。所以药效视具体情况而定噢。由于个体差异，不同的人对药物的吸收会有差异，大多数患者见效快，少数患者见效可能会慢一些，一般对症就会有效果的呢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267056},{"body":{"content":"效果相似的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051275628},{"body":{"content":"效果相似","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302795},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051307810},{"body":{"content":"药物成份是相 同的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051324057},{"body":{"content":"我就是手心脚上 水泡氧 完了之后开始褪皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051351724},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051363866},{"body":{"content":"嗯 用****可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423958},{"body":{"content":"可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429241},{"body":{"content":"可以用洛芙联苯苄唑溶液治疗如手、足癣，体、股癣，花斑癣。\n用法用量：外用，一日1次，2～4周为一疗程。用脱脂棉蘸取少量涂擦局部。\n注意事项\n\n1.避免接触眼睛和其他黏膜(如口、鼻等)。\n\n2.用药部位如有烧灼感、红肿等情况应停药，并局部药物洗净，必要时向医生咨询。\n\n3.对本品过敏者禁用，过敏体质者慎用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051436076},{"body":{"content":"喷剂好还**得","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051441492},{"body":{"content":"足癣（脚气）是要按疗程用药的，一般二到四周为一个疗程，不能吃牛**、*****，另外建议您穿宽松透气的鞋袜，勤换鞋袜，保持脚部干燥。治愈后，条件允许的，建议全部换过新的鞋袜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051444545},{"body":{"content":"可以两种搭配使用的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051452938},{"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":1653051493460},{"body":{"content":"**跟喷剂？搭配吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505329},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051518201},{"body":{"content":"喷剂白天 用，**晚上用哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051526106},{"body":{"content":"那怎么搭配","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551276},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051558719},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562291},{"body":{"content":"嗯 行 那不是不一个牌子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574161},{"body":{"content":"不影响的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051583294},{"body":{"content":"**是**** 喷剂是***啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051593077},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051606057},{"body":{"content":"没有影响嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051622941},{"body":{"content":"不影响的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642522},{"body":{"content":"好 那你都推给我看我看看去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051661558},{"body":{"content":"**** 跟这个喷剂**喝酒可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051699984},{"body":{"content":"不建议喝酒的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051706159},{"body":{"content":"好的 谢谢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051714980},{"body":{"content":"那可以把喷剂喷**推给我嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051733426},{"body":{"content":"好的 谢谢药师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051762031},{"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":1653051825432},{"body":{"content":"嗯 没有了 谢谢哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051835464},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051841789},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051857505}]

女

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049780054},{"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":1653049782685},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049785031},{"body":{"content":"有防尘收纳盒的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049829640}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049954296},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049967542},{"body":{"content":"你*****过敏吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049969712},{"body":{"content":"牙疼能吃头孢吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049977645},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049985952},{"body":{"content":"近几天有没有和含**的东西","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049991066},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050012737},{"body":{"content":"那是可以吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050026085},{"body":{"content":"吃**不能喝酒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050028163},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050032895},{"body":{"content":"含**的东西也不行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040343},{"body":{"content":"要间隔多长时间呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050063601},{"body":{"content":"一般都是72小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096467},{"body":{"content":"你现在牙齿怎么疼痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103604},{"body":{"content":"牙疼 要是早上吃了** 晚上能喝酒吗？因为有应酬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050106701},{"body":{"content":"不能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050125816},{"body":{"content":"感觉有点牙龈发炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050151882},{"body":{"content":"你如果晚上有应酬，是不能和酒的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186925},{"body":{"content":"好吧.谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050201240},{"body":{"content":"如果觉得是牙龈疼痛，可以用一用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050255929},{"body":{"content":"漱漱口缓解疼痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050264124},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050349590}]

女34岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050381814},{"body":{"content":"目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384637},{"body":{"content":"舌苔白，中间厚腻，有齿痕，现在这个季节没食欲，经常拉肚子，神疲乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453329},{"body":{"content":"手麻腿酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469985},{"body":{"content":"请问医生怎么调理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534151},{"body":{"content":"我看下你舌头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550292},{"body":{"content":"稍等，我拍一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580140},{"body":{"content":"是啥原因啊？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023680},{"body":{"content":"大便之前肚子疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108759},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051213819},{"body":{"content":"有没有凌晨三四点钟拉肚子的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217412},{"body":{"content":"没有五更泄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051228830},{"body":{"content":"一般中午拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051237830},{"body":{"content":"还有点肾虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284560},{"body":{"content":"嗯嗯。看你舌头，结合症状你是脾肾阳虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328307},{"body":{"content":"你能吃汤药嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425169},{"body":{"content":"中成药可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051440240},{"body":{"content":"汤药有点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458677},{"body":{"content":"不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469461},{"body":{"content":"你好，建议你吃汤药治疗，汤药比中成药更对症。汤药有两种形式，一种是*草药，你自己回家煎煮也可以，平台代煎也可以；另一种是做成**，**剂是*草药煎煮、浓缩、提纯之后做成的**，用热水冲服就可以，比较方便。这两种都比中成药要更有效。你是要*草药还是**剂？请确认一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051508059},{"body":{"content":"**剂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051589340},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051604852},{"body":{"content":"请问您肝功、肾功等指标是否正常，是否有过敏史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051618302},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051625040},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051637584},{"body":{"content":"都正常，不过有脂肪肝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051650111},{"body":{"content":"顺便一下*****和***能同吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051684290},{"body":{"content":"最好不要一起吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051843382},{"body":{"content":"药方开好了，可以点击“预约购药”直接下单，收到就是中药配方**，付款后我再给您说一下服用方法和注意事项。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051946097},{"body":{"content":"感觉有点贵了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051981750},{"body":{"content":"能推荐中成药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051990380},{"body":{"content":"你可以吃点参苓白术散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052025941},{"body":{"content":"吃了没有用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052037109},{"body":{"content":"我都吃了好几盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052058661},{"body":{"content":"大概有十多盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052082361},{"body":{"content":"我能吃***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052096610},{"body":{"content":"嗯嗯。所以说中成药效果不好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052104974},{"body":{"content":"脾虚用*****\n肾阳虚用***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052120270},{"body":{"content":"不应该是不好，是没对症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052139817},{"body":{"content":"之前吃的汤药方子和***一样，也没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052170390},{"body":{"content":"不介意同时吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052172312}]

男32岁

2022.05.20

[{"body":{"content":"你好，我是京东互联网医院王医生，很高兴为你提供医学服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468353},{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051530229},{"body":{"content":"今天做胸部CT 右肺上叶小空腔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051668511},{"body":{"content":"我这里是泌尿外科，挂普外科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051692645}]

男31岁

2022.05.20