刘继帅

[{"body":{"content":"您好，我是儿科医生麻大夫，您看有什么可以帮您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257721},{"body":{"content":"宝宝发热几天了，最高体温多少度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274279},{"body":{"content":"请问宝宝是否有高热惊厥史，宝宝是否正常预防接种**。是否去过疫区。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051287525},{"body":{"content":"宝宝这几天时不时就发烧，但是没有其他症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302091},{"body":{"content":"宝宝精神状态如何？宝宝有咳嗽/流鼻涕/打喷嚏/呕吐/腹痛的表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051313569},{"body":{"content":"有时感觉他会干呕，别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051364644},{"body":{"content":"宝宝最近有受凉、淋雨、吹风、家人有感冒的吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413689},{"body":{"content":"宝宝**接种呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051430293},{"body":{"content":"家人没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051438320},{"body":{"content":"宝宝目前尿量、大便正常吗，宝宝奶量或食量有变化吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439110},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447540},{"body":{"content":"大便有点稀，但是是金黄色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051475557},{"body":{"content":"时不时会打喷嚏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051499979},{"body":{"content":"孩子是否线下医院诊疗过，是否检查过血常规等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051500159},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051509599},{"body":{"content":"根据您的描述，考虑 呼吸道感染 的可能性大，宝宝年龄小，抵抗力弱，受凉，交叉感染后容易出现上述表现。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051513790},{"body":{"content":"为了宝宝用药安全，请问宝宝既往有药物过敏及肝肾损害、慢性病史吗？以便我给您治疗建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515502},{"body":{"content":"宝宝目前服用药物治疗了吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051525087},{"body":{"content":"服用了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551160},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051571315},{"body":{"content":"如果宝宝没有药敏史及用药禁忌，根据宝宝现在病情，建议服用 ********* 口服。一次10毫升；一日4 次，3 天为一个疗程。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611270},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051617339},{"body":{"content":"配合蒲公英颗粒每次1/3袋每日3次服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641794},{"body":{"content":"上述方案：建议治疗2-3天复诊，结合孩子恢复的情况 调整药物。治疗过程中，如果宝宝病情没有缓解，或有其他症状出现， 请及时线下就诊，避免耽误宝宝病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051644981},{"body":{"content":"有没有可能是春天热胃有火呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051694075},{"body":{"content":"宝宝年龄比较小免疫力弱，疾病 期间建议注意保暖、房间多通风，少去人员密集的地方，避免交叉感染。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695877},{"body":{"content":"如果宝宝没有惊厥史，宝宝体温37.5-38.5℃可以物理降温，以温水擦浴、洗温水澡，适当减少衣服，口服温水，多补充液体等，注意保持室内温度24°。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703036},{"body":{"content":"超过38.5℃，可以口服*****，间隔4-6小时可以重复吃，24小时内可以吃4次；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051704862},{"body":{"content":"主要建议：1、用退热药2小时后体温不降，发热超过3天，2、出现高热惊厥，精神萎靡，或烦躁，呼吸困难、喘憋，哭闹不止等。3、食量明显下降、拒食水，6小时内无尿。这些情况出现后立即就诊医院。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710198},{"body":{"content":"喝那个******➕蒲公英颗粒可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051810133},{"body":{"content":"最好配合****一起服用，效果更好一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051853417},{"body":{"content":"干呕，打喷嚏，有时候食欲会不太好，但是喝奶还可以，上述大概是呼吸道感染吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051960515},{"body":{"content":"嗯，还要考虑合并消化不良情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051999507},{"body":{"content":"那如果有消化不良情况怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052028290},{"body":{"content":"可以配合********** 温水冲服，每次1袋，每日2次；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052058107},{"body":{"content":"均衡饮食，少吃油腻、生冷食物，尽量不吃零食。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052066612},{"body":{"content":"请用药前仔细阅读说明书中禁忌，注意事项，有无过敏或者其他副作用，孩子病情如果有变化，请及时到复诊，或到当地医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052073509},{"body":{"content":"******可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052098044},{"body":{"content":"这个药物是可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052122107},{"body":{"content":"好的，谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052130455},{"body":{"content":"不用客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162065},{"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":1653057152981},{"body":{"content":"后续如果您还有其他问题需要咨询，可以在京东APP，搜寻--京东医生麻建辉，就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653057154230}]

女3岁

2022.05.20

[{"body":{"content":"用过**，药店也买过湿疹的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878936880},{"body":{"content":"你好，从图片条件来看，考虑面部皮炎。与过敏、皮肤屏障功能受损有关。可以外擦0.03%******，每天一次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879230600},{"body":{"content":"小硬包的症状和皮炎能对应的上是不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879266431},{"body":{"content":"这个药**店有卖么，平时需要注意什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879289517},{"body":{"content":"和天气冷热有关么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879305911},{"body":{"content":"对的上。大的药店有卖。和冷热有关系的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879598098},{"body":{"content":"生活规律，睡眠充足，调节饮食，多吃蔬菜水果，限制多脂及多糖食物，忌饮酒及辛辣刺激性食物，避免过度精神紧张！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879600223},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880231720},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881138221}]

女34岁

2022.05.20

[{"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":1653049617749},{"body":{"content":"您好，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049619137},{"body":{"content":"第1阶段：6-9个月。\n第2阶段：10-12个月。\n第3阶段：1岁-2岁。\n第4阶段：2岁-6岁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049621036},{"body":{"content":"一阶的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049635607},{"body":{"content":"平时给宝宝多吃水果，蔬菜，容易消化的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049642804},{"body":{"content":"母乳喂养妈妈不要吃油腻辛辣刺激的食物。\n\n奶粉喂养两餐之间给宝宝喂点温开水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049647302},{"body":{"content":"您可能忙，没关系我一直都在。您有问题随时找我，我会第一时间回复到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049649244}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045633847},{"body":{"content":"确诊了什么病的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046093492},{"body":{"content":"骨穿报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048721849},{"body":{"content":"血小板减少，血小板23","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048750085},{"body":{"content":"吃什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048800412},{"body":{"content":"白细胞**红蛋白都正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048810692},{"body":{"content":"没有吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048920341},{"body":{"content":"这个需要怎么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048948738},{"body":{"content":"结合骨穿结果，他们诊断什么病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048960537},{"body":{"content":"医生说是血小板再生障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048968545},{"body":{"content":"再生障碍性贫血！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048982217},{"body":{"content":"可以吃****的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049069254},{"body":{"content":"像****，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049079400},{"body":{"content":"你提供的信息实在有限","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049109512},{"body":{"content":"如果诊断再生障碍性贫血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049120893},{"body":{"content":"如果考虑免疫性血小板减少症，可以吃**治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049509354},{"body":{"content":"也可以用*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049520523},{"body":{"content":"当然，现在有23，可以考虑反复吃****的药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049539422},{"body":{"content":"**治疗后对身体有没有啥影响","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049568799},{"body":{"content":"副作用不少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049583073},{"body":{"content":"有啥副作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049608260},{"body":{"content":"长期吃可能引起高血压，糖尿病，骨质疏松，感染增多等等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049651611},{"body":{"content":"四年前治疗过，应该也是用的***，升上去了，一段时间又降下去了。也吃过****，一直都保持在三十以上，一年多没吃完就降到二十多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049725655},{"body":{"content":"如果是这样，干脆就别理它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049757682},{"body":{"content":"有20以上，相对安全","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049770708},{"body":{"content":"如果不考虑经济问题，可以吃****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049782385},{"body":{"content":"一个月可能八千块左右吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049792829},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049892088},{"body":{"content":"确实有点贵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049900409},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904480},{"body":{"content":"或者间断吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049910403},{"body":{"content":"控制费用的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049915871},{"body":{"content":"尝试一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049997767}]

女75岁

2022.05.20

[{"body":{"content":"您好！请问有什么问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049992712},{"body":{"content":"最近咽部又开始不适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050056898},{"body":{"content":"有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050071002},{"body":{"content":"嗓子干有灼烧感 偶有吞咽困难","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100988},{"body":{"content":"这是以前的检查报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050130614},{"body":{"content":"有没有咽痛、咽痒、咳嗽、咳痰？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050134431},{"body":{"content":"基本没有 偶尔咽痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050179873},{"body":{"content":"症状不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050192321},{"body":{"content":"吃东西时有梗阻感吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209002},{"body":{"content":"有一点点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050246050},{"body":{"content":"这次有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297832},{"body":{"content":"这次有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368318},{"body":{"content":"周一比较严重 这几天略微好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377177},{"body":{"content":"和以前症状一样吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407452},{"body":{"content":"接近一周了 从上周六开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409838},{"body":{"content":"差不多 但是咽部干涩比以前频繁一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050436123},{"body":{"content":"最近用了什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050457252},{"body":{"content":"最近只吃了*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050512831},{"body":{"content":"再考虑要不要加些***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050530400},{"body":{"content":"有无过敏史和肝肾功能不全？有无其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050541093},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050546929},{"body":{"content":"潘医生 我这个程度严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562019},{"body":{"content":"可以用点********，******，***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572684},{"body":{"content":"没大问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050583055},{"body":{"content":"但是工作性质就是要一直讲话","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050598235},{"body":{"content":"就是慢性咽炎急性发作","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610032},{"body":{"content":"有点担心影响工作","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611330},{"body":{"content":"说话多也容易引起慢性咽炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662943},{"body":{"content":"我职业生涯可刚刚开始","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715109},{"body":{"content":"不要太担心！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050738522},{"body":{"content":"那我良好作息饮食清淡 正常工作没问题吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050752327},{"body":{"content":"平时除了工作还是要注意一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050756982},{"body":{"content":"主要担心病情加重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760157},{"body":{"content":"好的 谢谢医生了 那我*****还继续吃么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050778564},{"body":{"content":"偶尔症状明显一点没关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050787672},{"body":{"content":"可以继续使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794202},{"body":{"content":"好的 谢谢潘医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050803145},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839372},{"body":{"content":"平时饮食要清淡，禁烟酒**，房里多通风，不要吸二手烟，可以用***泡水喝，不要喝茶，进食不要太饱，进食后不要立即平躺，适当走动一下，睡觉垫枕，加强自身抵抗力，避免用声过度，调整心态，找点事做转移自己的注意力！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050847502},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050991356}]

女23岁

2022.05.20

[{"body":{"content":"你好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878830704},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878834247},{"body":{"content":"有没有偏侧咀嚼习惯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878865385},{"body":{"content":"半年时间。之前只是弹响，最近有几次吃东西时有突然关节错位的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878874148},{"body":{"content":"考虑是颞颌关节功能紊乱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878895447},{"body":{"content":"有偏侧咀嚼可能是之前正畸牙齿时导致的习惯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878928090},{"body":{"content":"这种情况应该怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878954772},{"body":{"content":"疼痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878962516},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878974137},{"body":{"content":"可以热敷热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878986733},{"body":{"content":"但是有几天较为严重时有肌肉紧绷感","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878991781},{"body":{"content":"避免偏侧咀嚼习惯，及过度张口，别熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879014092},{"body":{"content":"如果症状不见好转，建议到医院口腔科实诊一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879034142},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879052709},{"body":{"content":"早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879065329}]

女20岁

2022.05.20

[{"body":{"content":"您好，我是主治医师刘丹，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813368},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049816548},{"body":{"content":"有什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049827619},{"body":{"content":"屁股上三块蚕豆大小的掉皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902529},{"body":{"content":"没有照片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049933740},{"body":{"content":"帮你转老年科了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062321},{"body":{"content":"你点确认转诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072897}]

女

2022.05.20

[{"body":{"content":"您好，我是***副主任医师，将由我为您提供医疗咨询帮助，正在阅读您的病例，请您稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878813327},{"body":{"content":"请问目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878823857},{"body":{"content":"阳痿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878834477},{"body":{"content":"心烦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878838736},{"body":{"content":"手脚冰凉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878847345},{"body":{"content":"多久了？怎么样引起的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878850237},{"body":{"content":"一吃了东西就拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878855226},{"body":{"content":"手淫过多引起的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878877822},{"body":{"content":"平时饮食习惯怎么样？小便怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878884357},{"body":{"content":"小便比较黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878908068},{"body":{"content":"之前治疗过了，现在小便正常了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878930383},{"body":{"content":"口干口苦吗？喝水多不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878939026},{"body":{"content":"口不干，有点点苦，喝水比较少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878971424},{"body":{"content":"要适当多喝暖水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879010898},{"body":{"content":"有过什么病吗？近期是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879035621},{"body":{"content":"没有，最近就是看了中医","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879051360},{"body":{"content":"治疗过两个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879061909},{"body":{"content":"有药方吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879068497},{"body":{"content":"效果怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879077062},{"body":{"content":"药方可能不见了，心没有那么烦躁了，小便之前会有尿不尽，现在不会了，然后说我有瘀血，上次说就是好多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879148642},{"body":{"content":"但是最近有点手脚冰凉，我怀疑有点阳虚了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879177621},{"body":{"content":"但是现在就是开始比较坚硬，但是一下子就比较软了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879214662},{"body":{"content":"而且感觉有点早谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879229459},{"body":{"content":"一次性生活多少时间？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879257937},{"body":{"content":"频繁吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879261218},{"body":{"content":"没治疗之前每天一次，自从治疗之后，现在一周一次或者两周一次了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879302126},{"body":{"content":"怕了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879322799},{"body":{"content":"不敢这样手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879348727},{"body":{"content":"治疗期间有忌口吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365297},{"body":{"content":"吃辣吗？抽烟喝酒吗？熬夜吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879370988},{"body":{"content":"医生叫我不要吃辣和不要喝酒，不要熬夜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879399905},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879413701},{"body":{"content":"发个舌头照片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879430923},{"body":{"content":"还有不要喝冰凉的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879432838},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879465062},{"body":{"content":"舌淡苔白，舌胖大有齿痕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879489697},{"body":{"content":"脾虚湿气重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879494979},{"body":{"content":"先调理脾胃祛湿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879524749},{"body":{"content":"是不是看舌头底有没有瘀血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879542107},{"body":{"content":"能帮我看看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879549627},{"body":{"content":"好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879588182},{"body":{"content":"看得清楚吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879641588},{"body":{"content":"还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879651260},{"body":{"content":"舌底静脉曲张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879665338},{"body":{"content":"是有瘀血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879673537},{"body":{"content":"你觉得身体上哪里痛吗？麻木吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879694638},{"body":{"content":"就肩和脖子不舒服，经常会引起脖子疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879747160},{"body":{"content":"那还能不能帮我看还有没有下焦湿热和心火旺","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879773354},{"body":{"content":"与姿势有关。可以拔罐，针灸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879786336},{"body":{"content":"下焦湿气重，但热不明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879807179},{"body":{"content":"心火旺也不明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879820118},{"body":{"content":"那就是现在还能不能帮我看出是什么肾虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879860928},{"body":{"content":"腰酸吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879892658},{"body":{"content":"看不出，要把脉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879905073},{"body":{"content":"以前会酸疼，现在坐久了会酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879917279},{"body":{"content":"那还好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879931817},{"body":{"content":"还是要注意姿势，要运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879946018},{"body":{"content":"因为治疗过了一段时间，只不过治疗了两个月，一直煲中药，家里人有意见了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879980716},{"body":{"content":"所以看看能不能吃些中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879997114},{"body":{"content":"那吃点中成药吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880005553},{"body":{"content":"试试吃补中益气丸用参苓白术散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880023581},{"body":{"content":"那现在调理脾胃和瘀血要吃些什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880033199},{"body":{"content":"先****，祛湿，活血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880046301},{"body":{"content":"就是吃这两个还是吃其中一个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880083372},{"body":{"content":"两个一起吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880091856},{"body":{"content":"吃半个月看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880099791},{"body":{"content":"有效再吃半个月巩固一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880115662},{"body":{"content":"那个散变成丸可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880124577},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880157936},{"body":{"content":"那阳痿那里呢，应该怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880187658},{"body":{"content":"你那不是阳痿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880208300},{"body":{"content":"最多是质量差一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880222279},{"body":{"content":"**活血会改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880239465},{"body":{"content":"可是之前是12月份治疗的时候，下面站都站不起来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880270011},{"body":{"content":"而且最近会手脚冰凉，手脚爱出汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880302523},{"body":{"content":"后来吃了**阳的中药，才恢复了一点点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880324814},{"body":{"content":"我手淫好多年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880357243},{"body":{"content":"**调理会好转的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880421703},{"body":{"content":"你还年轻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880428980},{"body":{"content":"以后注意就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880453531},{"body":{"content":"那现在那里要怎么调理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880456470},{"body":{"content":"还要坚持运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880462132},{"body":{"content":"最主要我手脚出汗，感觉很不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880505275},{"body":{"content":"中医理论认为肾为先天之本，脾为后天之本。先天本源不断消耗，要靠后天之本来补充","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880534454},{"body":{"content":"而且没有晨勃那些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880540853},{"body":{"content":"所以你要先调理脾胃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880557293},{"body":{"content":"那就是吃一个月之后再来找你吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880597227},{"body":{"content":"才来治疗肾虚那些吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880608877},{"body":{"content":"阳具要充血才能勃起，气血不足怎么能勃起和持久呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880625213},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880628454},{"body":{"content":"你的意思是我现在就是气血不足，导致的不能勃起和持久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880703223},{"body":{"content":"这个是一方面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880727534},{"body":{"content":"目前应该是主要问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880746816},{"body":{"content":"好，如果还是不行再来找你还是去现场找你好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880801079},{"body":{"content":"阳痿大部分不是或不单是肾虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880808141},{"body":{"content":"都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880814652},{"body":{"content":"你在哪个城市？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880830653},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880835824},{"body":{"content":"那面诊当然更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880855061},{"body":{"content":"那还要做检查还是把脉就可以了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880892140},{"body":{"content":"去找你面诊是在哪个医院找你，挂什么科能找到你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880982165},{"body":{"content":"把脉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881000731},{"body":{"content":"你之前有检查过的话把检查单带过来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881024582},{"body":{"content":"江门市人民医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881033529},{"body":{"content":"中医康复科，***三楼","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881055494},{"body":{"content":"那我是吃完你说的两个药后找你还是这几天去找你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881090652},{"body":{"content":"都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881104501},{"body":{"content":"看你方便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881111468},{"body":{"content":"明天我休息。星期五可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881146748},{"body":{"content":"那我想问问手脚爱出汗，这个怎么解决","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881160237},{"body":{"content":"这个阴虚，气虚都可能引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881231212},{"body":{"content":"精神紧张也有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881266970},{"body":{"content":"中医讲整体调理，你不需要太纠结单个症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881314310},{"body":{"content":"整体调理好，这些症状都可改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881346572},{"body":{"content":"对，有时候一紧张就特别出汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881397213},{"body":{"content":"之前的医生说我阴虚还有湿气导致","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881424137},{"body":{"content":"都有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881510537},{"body":{"content":"所以整体调理即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881533758},{"body":{"content":"好，那我先吃这两个药吃一个月先，看看效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881572009},{"body":{"content":"那两个药要买什么牌子的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881731651},{"body":{"content":"吃哪个是活血的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881950360},{"body":{"content":"是那个补中益气丸吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881966763},{"body":{"content":"有活血的成份","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882056707},{"body":{"content":"用***的补中益气丸可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882493007},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882626871}]

男25岁

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":1652879070773},{"body":{"content":"一直持续的气短 呼吸困难 干呕 **","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879110703},{"body":{"content":"可以说得更具体，比如发生的时间？有多久了？和以前有区别吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879160653},{"body":{"content":"一直有 隔半小时就会有一会 然后又停一会 再继续 有两三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879204774},{"body":{"content":"以前没那么频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879215110},{"body":{"content":"现在每天都会","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879220435},{"body":{"content":"睡眠情况或者食欲如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879306001},{"body":{"content":"没什么食欲 睡眠一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879352948},{"body":{"content":"想吃东西 但是吃不进 吃两口就不想吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879371233},{"body":{"content":"还有时候全身无力 用不上力气要不然就是很想用力抓着东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879423679},{"body":{"content":"目前是高三阶段？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879660388},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879710079},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881191975},{"body":{"content":"医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881260404},{"body":{"content":"依据京东健康服务要求，首次开药，需要提供既往病历和处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884182789},{"body":{"content":"我们团队正在参加全国科普视频大赛，投票通道见二维码。我们是56号作品，共有四个视频，请全部点赞。一个视频链接请点一个赞（多点无效）。截止时间是7月3日24：00。感谢您的支持 。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1656039263361},{"body":{"content":"围绕青少年问题，我们团队制作了科普视频，正在参加全国科普大赛复赛，截止时间是7月3日24时https://pro.m.jd.com/mall/******/4********************9******/index.html欢迎您点赞支持（一个视频点一个赞，多点无效）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1656846356210},{"body":{"content":"围绕青少年问题，我们团队制作了科普视频，正在参加全国科普大赛复赛，截止时间是7月3日24时https://pro.m.jd.com/mall/******/4********************9******/index.html欢迎您点赞支持（一个视频点一个赞，多点无效）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1656847802846}]

女19岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049982852},{"body":{"content":"有人吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050004984},{"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":1653050014264},{"body":{"content":"请问是想咨询药物还是关于脑部有声音？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050092447},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050110217},{"body":{"content":"与***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050115690},{"body":{"content":"效果是不是一样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050126801},{"body":{"content":"有些区别","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050151576},{"body":{"content":"****是两种物质合成一起的。主要针对头晕头昏。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172782},{"body":{"content":"哦，****吃完了。可以用***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050242722},{"body":{"content":"你吃****有用吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267807},{"body":{"content":"如果效果很好，是不能代替的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283347},{"body":{"content":"之前脑袋受过伤，现在感觉有响声","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287486},{"body":{"content":"嗯嗯，知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050298920},{"body":{"content":"脑鸣的原因很多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050302950},{"body":{"content":"甚至有时候和情绪都有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315121},{"body":{"content":"嗯嗯，那等吃完药在说吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050342280},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050353224},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050363919},{"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":1653050369916}]

男59岁

2022.05.20