刘继帅

[{"body":{"content":"我是中医内科主任医师张玲军医生，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965571258},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965579051},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965596256},{"body":{"content":"指甲发生这种情况是啥原因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965624189},{"body":{"content":"需不需要去医院挂科看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965644714},{"body":{"content":"去医院看看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965680552},{"body":{"content":"应该挂啥科室","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965694530},{"body":{"content":"皮肤科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965702052},{"body":{"content":"好的谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965804374},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965813884}]

女24岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042721704},{"body":{"content":"买什么药物？几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042731070},{"body":{"content":"你****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042731945},{"body":{"content":"\n焦虑，失眠，麻烦开两盒*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042755191},{"body":{"content":"您是患者什么人？病情稳定吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042760414},{"body":{"content":"1)有过青光眼病史吗？\n2)\t服用过****、****吗？\n3)\t目前正在自伤、自杀等消极冲动行为吗？\n 这些有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042761992},{"body":{"content":"本人\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042772918},{"body":{"content":"没有\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042786507},{"body":{"content":"聊天记录里找绿色处方单链接，直接付款！成功后，在家等着收货就行了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042800998}]

女48岁

2022.05.20

[{"body":{"content":"汤主任：请问一下**这几天摆头和挤眼的症状又多了些，怎么办呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877386796},{"body":{"content":"现在吃的***早晚各一颗，***早一粒半，晚二粒，**晚上一粒半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877494310},{"body":{"content":"有没有发生特殊情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880096737},{"body":{"content":"班上最要好的一个女同学前几天不跟她玩了，在学校时她很难过，我开导了她，这两天情绪蛮好了！就是症状缓解不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889003141},{"body":{"content":"先观察几天看看吧！应该和情绪波动有关，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652915277224}]

女13岁

2022.05.20

[{"body":{"content":"您已确诊过此疾病并使用过该药，且无过敏史、无相关禁忌症和不良反应。请问您是否还有其他的信息需要补充？如无，我将依据病情为您开具处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050262502},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050273350},{"body":{"content":"没有过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050280643},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290878},{"body":{"content":"已了解您的情况，正在为您开具处方，请稍候。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050294808},{"body":{"content":"我之前在京东买过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050297297},{"body":{"content":"我要两盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302242},{"body":{"content":"开好了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357605},{"body":{"content":"核对一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360684},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050366611},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050372694},{"body":{"content":"不客气，祝您健康快乐。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050376790},{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446052},{"body":{"content":"怎么付不了款","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050456650},{"body":{"content":"联系一下客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050486074},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497424},{"body":{"content":"祝您健康快乐！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050508404},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051082802},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051085402},{"body":{"content":"限购，先开一盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098454},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051098999},{"body":{"content":"买不了两盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051106456},{"body":{"content":"我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108370},{"body":{"content":"改过了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051138440},{"body":{"content":"限购0件？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051158502},{"body":{"content":"买不了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051163861},{"body":{"content":"这个联系客服，我只能开处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185123},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051237334},{"body":{"content":"??","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257102}]

女29岁

2022.05.20

[{"body":{"content":"您好，我是主治医师陈宗梅，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049607384},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049609932},{"body":{"content":"怀孕多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049622033},{"body":{"content":"**柚子茶是一道味道酸甜的饮品，从中医的角度来讲，其药性，甘酸性凉，具有****，**降火，**通便，****的功效用于治疗消化不良，口舌生疮，大便秘结，肺燥咳嗽，咳痰等症。**柚子茶中含有丰富的***，***，糖类，****等成分具有降低血液粘稠度，减少血栓的形成，预防心脑血管的作用具有清除自由基，抗氧化，**淡斑延缓衰老的作用，具有解酒和保**细胞的作用，具有促进肠蠕动，瘦身减肥的作用，具有消除疲劳的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049634938},{"body":{"content":"35周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049637891},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049677228},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049682153},{"body":{"content":"很高兴在您提供线上问诊服务，如问题已得到解决，可以直接点击我们对话页面右上角“表扬医生”，给出您的宝贵的建议；后期有任何中医相关问题，可以在京东搜索我的名字进行咨询，我会继续为您提供优质问诊服务，为您的健康保驾护航","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049694419}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师邢书，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050031277},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050034539},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备育期？如果都没有的话，回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050051758},{"body":{"content":"怎么不舒服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060956},{"body":{"content":"有没有过敏情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050066150},{"body":{"content":"既往有没有服用过呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050076772},{"body":{"content":"没过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050091135},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116069},{"body":{"content":"麻烦您回答一下我的问题，我才能够更好的给你推荐合适的产品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050127873},{"body":{"content":"唇干，口疮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050166412},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180076},{"body":{"content":"还有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184168},{"body":{"content":"痔疮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050191050},{"body":{"content":"口臭","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050208090},{"body":{"content":"平时喜欢吃什么样的食物？体型怎么样？大便粘不粘？睡眠如何？怕冷还是怕热？容易出汗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254098},{"body":{"content":"综合自身的症状开一剂*****应该是合适的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050262517},{"body":{"content":"湘菜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050284515},{"body":{"content":"不胖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299926},{"body":{"content":"睡眠一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340007},{"body":{"content":"有这种中成药，你可以直接点击链接购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050352566},{"body":{"content":"如果需要开具中药方建议您完善信息","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050359591},{"body":{"content":"什么信息？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381450},{"body":{"content":"你也可以直接点击我发送的链接，购买中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478010},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669296},{"body":{"content":"你只有完善个人信息，我才能开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050689405},{"body":{"content":"在哪里完善啊？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829932},{"body":{"content":"我不是提醒你了吗 然后你点击一个立即完善就可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918313},{"body":{"content":"以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050923425},{"body":{"content":"开多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134683},{"body":{"content":"中药还是丸剂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051145287},{"body":{"content":"中药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051171165},{"body":{"content":"七付","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051244454}]

男37岁

2022.05.20

[{"body":{"content":"您好，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":1653050245171},{"body":{"content":"可以吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248473},{"body":{"content":"买回来需要放冰箱把，出生20天的宝宝应该怎么服用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050275202},{"body":{"content":"一次三分之一代","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050276165},{"body":{"content":"一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050279621},{"body":{"content":"储存条件\n常温密闭干燥避光处保存","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050293996},{"body":{"content":"不需要放到冰箱的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050299638},{"body":{"content":"好的，需要吃多久？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319034},{"body":{"content":"如果胀气没有减退，可以一直吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329441},{"body":{"content":"建议一疗程 一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345297},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356943},{"body":{"content":"不客气 这是我应该做的！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383204},{"body":{"content":"小于40度水冲服 奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390933},{"body":{"content":"温馨提示：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、不良反应等内容，严格按照说明书或药师指导的用法用量使用、若用药7天无效果或病情加重，请及时咨询医生/药师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649921},{"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":1653051651298},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051652465}]

女

2022.05.20

[{"body":{"content":"您好，感谢您体验京东育儿师咨询服务，我您有新生儿或儿童必备药品，或有关儿童生长发育相关问题的，需要京东平台为您准备，儿科专家及一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284274},{"body":{"content":"您好，在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292403},{"body":{"content":"多大的孩子适用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296393},{"body":{"content":"宝宝多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308122},{"body":{"content":"1个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325278},{"body":{"content":"？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427503},{"body":{"content":"适用6至12岁的宝宝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050471620},{"body":{"content":"这么小不要乱吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050513996},{"body":{"content":"宝宝不爱吃奶吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050546407},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，祝宝宝健康快乐成长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703533},{"body":{"content":"您还有其他问题吗，咨询结束前，我一直都在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051711325},{"body":{"content":"感谢您的支持，您的评价对我非常重要，麻烦您给个好评，谢谢！！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051716064}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394644},{"body":{"content":"胃间质瘤，晚期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422226},{"body":{"content":"你发一下报告吧，你这样子拿着拍片子，我一点都看不见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434568},{"body":{"content":"发现半年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434790},{"body":{"content":"要什么样的报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050448111},{"body":{"content":" CT报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502699},{"body":{"content":"发一下病理报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518452},{"body":{"content":"没做病理，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050546380},{"body":{"content":"大夫没让做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562605},{"body":{"content":"没做病理怎么知道是胃间质瘤？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568380},{"body":{"content":"沈阳肿瘤大夫根据加强ct给的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050589143},{"body":{"content":"建议你第1个是取病理明确病理诊断，只有病理诊断才能够确诊恶性肿瘤，第二如果是胃肠间质瘤，如果有CD117阳性的话，可以进行靶向治疗，效果还是挺好的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618619},{"body":{"content":"光影像没有办法确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050626187},{"body":{"content":"之前寇有为大夫给开的****，吃了之后效果不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676700},{"body":{"content":"除了这个药还有别的药好用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050689817},{"body":{"content":"因为你没明确，也不知道你到底适合不适合吃这个药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705748},{"body":{"content":"就是做个胃镜取一块东西就能确诊的事儿，怎么那么麻烦呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050719225},{"body":{"content":"你首先不明确诊断让大夫怎么跟你说怎么治疗。现在要求治疗恶性肿瘤，必须有病的诊断。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050739267},{"body":{"content":"如果确诊是恶性肿瘤，胃间质瘤，那怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817617},{"body":{"content":"得看CD117和CD34的表达水平。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844452},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050848684},{"body":{"content":"大夫没让做病理的原因是，现在肚子里全是肿瘤，怕破裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050968254},{"body":{"content":"这么这边的底线是病理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000334},{"body":{"content":"没有病理不能按恶性肿瘤治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051018839},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051045812},{"body":{"content":"因为不知道到底是间质瘤还是胃癌，怕方向错了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051392},{"body":{"content":"希望您可以理解，都是家里人带老人去治疗的，我这边也是想多一个方向","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051105127},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117743}]

男73岁

2022.05.20

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

男33岁

2022.05.20