刘继帅

[{"body":{"content":"\n您好，麻烦您给开一下药吧，跟上次的一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051262054},{"body":{"content":"跟上次开一样的吗？最近病情平稳吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274742},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051369752},{"body":{"content":"上次一样的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051375177},{"body":{"content":"最近病情平稳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051415870},{"body":{"content":"好的，稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515588},{"body":{"content":"能多开几盒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051620003},{"body":{"content":"可以多开一盒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051693908}]

女57岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050187342},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190365},{"body":{"content":"主要是驱寒 排湿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050223812},{"body":{"content":"活血**等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050266450},{"body":{"content":"您好还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050406898},{"body":{"content":"我想咨询商品","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453850},{"body":{"content":"不知道怎么的就变成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468423},{"body":{"content":"具体哪方面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050470047},{"body":{"content":"买牛奶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475858},{"body":{"content":"没关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050476527},{"body":{"content":"我那个光明的牛奶能看保质期吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050558637},{"body":{"content":"一般都是就近安排发货，京东在全国各地都有仓储库","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050644331},{"body":{"content":"具体时间看不到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657189},{"body":{"content":" 您好还早吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051030502},{"body":{"content":"在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051034129}]

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":"您好，我是精神科吴医生！请问有什么能帮您呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049882191},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901062},{"body":{"content":"请拍一下这个病历的封皮(需要有患者名字等信息)","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049952965},{"body":{"content":"我想从网上买那个药品，可以帮我开个证明","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049954889},{"body":{"content":" 这个可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050004551},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060614},{"body":{"content":"这个能不能开","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051457794},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051526928},{"body":{"content":"请问：1，目前病情是否稳定？\n 2，最近服药有严重的副反应吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051528670},{"body":{"content":"一直都很稳定就是药，没停","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051569705},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051578969},{"body":{"content":"几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051580278},{"body":{"content":"开五盒吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051590010},{"body":{"content":"好的，您等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051596978},{"body":{"content":"购药处方已为您开好。 等药师审核后，请点进上面的处方，点“查看详情”，再点“预约药品”购买药品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051624850},{"body":{"content":"刚才忙了下，耽误了一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051645459}]

女28岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965001307},{"body":{"content":"我想问下用****清洗耳朵怎么清洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965025404},{"body":{"content":"滴满外耳道 5到10分钟 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965060396},{"body":{"content":"然后用**吸干吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965105226},{"body":{"content":"可以空出来的 单侧耳朵像下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965150014},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965184212},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965195527},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965210827}]

男20岁

2022.05.20

[{"body":{"content":"您好，我是精神科吴医生！请问有什么能帮您呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049659473},{"body":{"content":"您****，我想开点*****和****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988560},{"body":{"content":"可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066059},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107989},{"body":{"content":"请问：1，目前病情是否稳定？\n 2，最近服药有严重的副反应吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050109671},{"body":{"content":"目前病情稳定，无不良反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050173004},{"body":{"content":"1，具体想开哪个药？\n请发一下要开的药的照片或图片，以确定厂家、剂型、规格。\n2，几盒？（限开4周用量）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230757},{"body":{"content":"***的，75mg的****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301305},{"body":{"content":"**的，******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339532},{"body":{"content":"各几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385855},{"body":{"content":"******开3盒，*****开2盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388268},{"body":{"content":"您诊断是什么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428474},{"body":{"content":"抑郁症，外加神经衰弱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458205},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050534856},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050573507},{"body":{"content":"购药处方已为您开好。 等药师审核后，请点进上面的处方，点“查看详情”，再点“预约药品”购买药品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050591158},{"body":{"content":"感谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685716},{"body":{"content":"别客气，为了用药安全，请定期1到3个月去线下门诊就诊复查。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050697275},{"body":{"content":"如果可以，请给一下五星好评，非常感谢您！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700146},{"body":{"content":"已好评，十分感谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050759069},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050775797}]

女58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":1653050837557},{"body":{"content":"您是明确诊断为早泄，需要开具*******吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050846891},{"body":{"content":"其他药物都是试了 没效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050892863},{"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":1653050905801},{"body":{"content":"请问您近6个月内有无性生活？（仅指阴道内性交，不包含手淫、飞机杯等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050910794},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050946970},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949985},{"body":{"content":"1—3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050954851},{"body":{"content":"每次几分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956911},{"body":{"content":"1—3分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970570},{"body":{"content":"双方均满意概率是否到达50%？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975576},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050980688},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050983701},{"body":{"content":"一直存在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050987461},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050991463},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002970},{"body":{"content":"还有别的疾病或者不适吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051007028},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023576},{"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":1653051035951},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060975},{"body":{"content":"那您这个早泄的情况是可以使用***的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074403},{"body":{"content":"******* 这个药物是目前国内唯一获得CFDA(国家药品监督管理局)批准治疗早泄的西药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077668},{"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":1653051078646},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098190},{"body":{"content":"***有3片和6片装的，您需要哪种？需要几盒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051106247},{"body":{"content":"三盒六片装","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051179112},{"body":{"content":"好的，稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196462},{"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":1653051231610},{"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":1653051233865},{"body":{"content":"建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物，规律性生活，减少手淫次数。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051235346},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051283649},{"body":{"content":"推荐您可以搭配用这个*** ， ***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":1653051300500},{"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":1653051305153},{"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":1653051528201}]

男33岁

2022.05.20

[{"body":{"content":"您好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878499020},{"body":{"content":"请说一下具体病史，如发病时间和部位，症状，有无诱因，家族史，既往史，医院化验结果，诊断， 治疗方案，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878849286},{"body":{"content":"后背，腋下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878865859},{"body":{"content":"化验单刚才发的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878879511},{"body":{"content":"两大块儿，手上之前走过烧伤，感觉开始有小点点的白。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878948430},{"body":{"content":"后背腋下照片发给我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879003392},{"body":{"content":"好的马上拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879058500},{"body":{"content":"后背","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879094766},{"body":{"content":"您看是***吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879129486},{"body":{"content":"腋下跟这个类似，然后就是手上很早年烧伤过，看着像是开始有小白点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879251520},{"body":{"content":"有没有预防再在别处长的药或打针之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880142114},{"body":{"content":"是***！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882524411},{"body":{"content":"预防发展就是用**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882553166},{"body":{"content":"吃药片或打针都行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882574311},{"body":{"content":"能直接给开药？还是要到医院？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884765850},{"body":{"content":"您推荐吃药还是打针好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884795330},{"body":{"content":"**哪能瞎开啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884929788},{"body":{"content":"必须去医院面诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884943531},{"body":{"content":"如果开点外用药膏还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884963618},{"body":{"content":"吃药麻烦但是可以精确控制**的剂量，打针方便（一月一针）但不能精确控制剂量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885046821},{"body":{"content":"打扰下，打针一般需要几针，一个月到一次医院是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968746320},{"body":{"content":"一两针就好了，一个月到一次医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653002754293}]

女48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":1653050473597},{"body":{"content":"您好，请问您有什么用药问题需要咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050475311},{"body":{"content":"生脉饮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495419},{"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":1653050515389},{"body":{"content":"贫血，血压低，的人适合喝生脉饮吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050524592},{"body":{"content":"女，五十岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050540845},{"body":{"content":"功能主治】 *****生津。用于气阴两亏，心悸气短，自汗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553036},{"body":{"content":"凡脾胃虚弱，呕吐泄泻，腹胀便溏、咳嗽痰多者慎用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050585427},{"body":{"content":"我想买可以买吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050616232},{"body":{"content":"生脉饮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050621880},{"body":{"content":"还有别的疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050632075},{"body":{"content":"我刚说的症状，可以购买生脉饮吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638744},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645681},{"body":{"content":"就是贫血，血压低","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657659},{"body":{"content":"买给我妈妈喝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050665191},{"body":{"content":"好的 可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050665410},{"body":{"content":"是不是可以**胃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050682433},{"body":{"content":"生脉饮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687697},{"body":{"content":"脾胃虚弱是不能喝的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696650},{"body":{"content":"那有没有其他药可以推荐呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050717858},{"body":{"content":"我刚说的症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050726246},{"body":{"content":"黄芪精","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050742008},{"body":{"content":"我的理解是，**胃了就会感到饿，就可以多吃饭，吃饭多了贫血就会好些了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050790409},{"body":{"content":"贫血严重 是需要 治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050815574},{"body":{"content":"食补效果不好就要吃治疗贫血的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831813},{"body":{"content":"缺铁性贫血需要喝些什么好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865017},{"body":{"content":"这是另外一个问题哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050874784},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905756},{"body":{"content":"一次喝几粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051092336},{"body":{"content":"两粒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098093},{"body":{"content":"最多是2粒 一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108158},{"body":{"content":"一次是1-2粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051114996},{"body":{"content":"好吧，这个作用好像不太大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051151820},{"body":{"content":"您缺铁性贫血还服用什么药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051170974},{"body":{"content":"之前朋友怀孕的时候喝过这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051172994},{"body":{"content":"中药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051182416},{"body":{"content":"是这个吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051221753},{"body":{"content":"还有******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051226119},{"body":{"content":"*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051252758},{"body":{"content":"都效果不好吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051264043},{"body":{"content":"不是哈，中医开的中药 需要煎服喝的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051294326},{"body":{"content":"貌似感觉比以前好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320719},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328431},{"body":{"content":"贫血是需要坚持用药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051354880},{"body":{"content":"服用药物一个月 检查下血常规的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383479},{"body":{"content":"嗯，大概喝药的话需要治疗多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051386016},{"body":{"content":"一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051416853},{"body":{"content":"服用一个月复查血常规，有上升的话，还需要继续用药治疗是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051475467},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490829},{"body":{"content":"上升到多少克就可以不需要药物治疗了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051532093},{"body":{"content":"稍等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051545450},{"body":{"content":"女性患者血红蛋白<110g/L通常也提示出现贫血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051572914},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051590386},{"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":1653051596888},{"body":{"content":"嗯，好的，我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051641137},{"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":1653051670889},{"body":{"content":"对了，你刚才说的***效果好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051694619},{"body":{"content":"功能主治是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051710435},{"body":{"content":"黄芪精也是有一定的作用 稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051714914},{"body":{"content":"补血养气，**止汗。用于气虚血亏，表虚自汗，四肢乏力，精神不足或久病衰弱，脾胃不壮。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051800714},{"body":{"content":"贫血就会血压低","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051852173},{"body":{"content":"是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051857288},{"body":{"content":"有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051871753},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051890428},{"body":{"content":"好的 我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051895261},{"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":1653051900407},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051900796},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051906017},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051908294},{"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":1653051910664}]

女

2022.05.20

[{"body":{"content":"尊敬的plus用户您好，我是骨科医生，很高兴能为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050114551},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050128922},{"body":{"content":"这是才拍的mr\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141414},{"body":{"content":"您目前有什么不适的症状，颈肩酸胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145379},{"body":{"content":"想提前知道严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050148509},{"body":{"content":"是的会有恶心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157154},{"body":{"content":"头晕有时","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050166306},{"body":{"content":"感觉脖子硬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050172520},{"body":{"content":"收到，从您上传的资料看存在颈曲变直，椎体的增生退变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244947},{"body":{"content":"不算严重的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253502},{"body":{"content":"您出现不适的症状多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259791},{"body":{"content":"一年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268514},{"body":{"content":"那会不会后期很严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050280018},{"body":{"content":"这样下去\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288395},{"body":{"content":"后期日常生活不注意，是有可能加重的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050323556},{"body":{"content":"最坏是什么结果呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050354498},{"body":{"content":"该怎么主意呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050363690},{"body":{"content":"最坏是什么结果-----------颈椎间盘退变，突出出现手指麻木，走路不稳的情况，这种结果过程是比较长的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050429598},{"body":{"content":"该怎么主意呢----------注意工作、学习姿势正确，避免长时间低头或抬头，尽量每工作一小时左右起身放松脖颈几分钟。晚上睡觉时避免枕头过高或过低，可以枕专门的颈椎枕。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050456370},{"body":{"content":"目前有什么治疗手段","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464408},{"body":{"content":"还能恢复么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469303},{"body":{"content":"还是说只能保持现状是最好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483203},{"body":{"content":"治疗针对性的治疗，请问您有无某些药物过敏史，无肝肾功能异常，无消化道溃疡的病史，并不处于妊娠、哺乳、备孕等特殊阶段。（如无，可直接回复：没有）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050512842},{"body":{"content":"还能恢复么--------无法恢复正常的情况了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050521678},{"body":{"content":"没有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050522153},{"body":{"content":"减缓呢\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533481},{"body":{"content":"或者增生退变没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555033},{"body":{"content":"建议您注意休息，参考使用***** 1日2次 1次1袋 +外用*******1天1次，1次1贴，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050563671},{"body":{"content":"那做做推拿什么有用么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050583192},{"body":{"content":"减缓呢-------药物改善症状，好转后，注意颈部的保养，避免持续发展","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050588865},{"body":{"content":"这种还可以**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591439},{"body":{"content":"或者增生退变没有了-------这个是不会的，随着年龄增长都会出现增生退变","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610903},{"body":{"content":"躺着玩手机会影响么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619553},{"body":{"content":"那做做推拿什么有用么---------推拿属于理疗，有条件可以操作","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050623011},{"body":{"content":"需要颈托么，目前的状况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050668293},{"body":{"content":"躺着玩手机会影响么--------使用专门的颈椎枕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050672730},{"body":{"content":"注意颈肩的距离","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050703714},{"body":{"content":"需要颈托么----------日常工作时可以使用充气颈托起到保护和固定颈椎，避免长时间的低头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767075},{"body":{"content":"目前有带的必要么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050787875},{"body":{"content":"或者我理解的颈托是阻止长时间 并不是治疗工具","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806379},{"body":{"content":"目前有颈肩不适，工作时可以使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820808},{"body":{"content":"还想问一下您说不算严重，那这个属于中度?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050846620},{"body":{"content":"到最后面不会要开刀吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050862377},{"body":{"content":"纠正颈部的姿势，起到治疗作用；轻中度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050879946},{"body":{"content":"然后我转动脖子他会响也是这个引起的?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050916353},{"body":{"content":"到最后面不会要开刀吧----------持续性的加重椎间盘突出 压迫脊髓是需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920718},{"body":{"content":"是的 颈部弹响有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050958253},{"body":{"content":"您还有没有什么推荐的活动动作，可以减缓之类，或者纠正","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050966319},{"body":{"content":"我才28岁这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051065296},{"body":{"content":"会不会太早了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051069916},{"body":{"content":"目前社会的发展，颈腰椎疾病年轻化了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051167093},{"body":{"content":"好难","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051176161},{"body":{"content":"谢谢您了，那个枕头是您推的么?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051194598},{"body":{"content":"是的，为您推荐的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051266508},{"body":{"content":"好的，谢谢您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051278013},{"body":{"content":"不客气的，随时关注身体状况，疾病都存在演变过程，如果症状没有缓解或者出现加重的情况，建议您立即到线下医院骨科就诊，以免延误病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051346612},{"body":{"content":"麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051347116},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051354404},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051384376},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389764},{"body":{"content":"好的， 没有其他问题的话我这边就先结束问诊了，希望我的建议能够帮助到您，感谢您的信任，请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。祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051400226},{"body":{"content":"后续您如果还有问题需要咨询可以在京东健康APP或京东APP中搜索“***”进行咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051411918},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418711}]

女28岁

2022.05.20