刘继帅

[{"body":{"content":"您好，我是副主任医师代维栋，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049643180},{"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":1653049655062},{"body":{"content":"这款产品不具有抗过敏的功能，只有营养保健的功能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049673777},{"body":{"content":"花粉过敏是可以口服的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049680460},{"body":{"content":"你好，心脏病，冠心病，心绞痛，糖尿病适合吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049720664},{"body":{"content":"***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049736682},{"body":{"content":"可以是合适的产品，对高血压糖尿病心脏病没有影响。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049758577},{"body":{"content":"花粉过敏是什么引起的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049799994},{"body":{"content":"这个是个季节，过敏性疾病是非常常见的，尽量避免接触过敏原。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822738},{"body":{"content":"除了吃****外用呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049918848},{"body":{"content":"有些痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934216},{"body":{"content":"可以使用***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049949057},{"body":{"content":"眼角痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049994899},{"body":{"content":"那你必须口服****，过敏性鼻炎，过敏性结膜炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050023280},{"body":{"content":"可以开药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050069265},{"body":{"content":"****请你专科就诊 去眼科耳鼻喉科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050165530},{"body":{"content":"服药期间吃***一起吃没影响吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174072},{"body":{"content":"*******或者*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050224861},{"body":{"content":"****也是可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050252411},{"body":{"content":"没有**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050260531},{"body":{"content":"没有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050268328}]

女

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":1653049797221},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049808584},{"body":{"content":"我想开几个*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049826004},{"body":{"content":"以前吃过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049866399},{"body":{"content":"吃过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049873066},{"body":{"content":"但是我现在没有处方买不到","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049889519},{"body":{"content":"您好，如果您要买药或开电子处方，请发一下患者的线下医院就诊资料（非京东及其他互联网医院处方）。\n包括含有“患者基本信息+诊断+所要开具的药品”的旧处方，或线下就诊病历，或诊断证明的照片（以上均时间不限）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049895057},{"body":{"content":"那些都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049923804},{"body":{"content":"以前在北京**医院看的。 现在在**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049961858},{"body":{"content":"在京东开药需要您有线下就诊资料才能帮您开，如果没有不允许开的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049964864},{"body":{"content":"那怎么办？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050003923},{"body":{"content":"如果一个都没有的话抱歉帮您开不了，平台不允许的，我们也需要您线下就诊资料做参考才能帮您开电子处方。\n您需要再去医院开药，拍个处方单，以后在这里上传一下处方单照片我就能帮您开药了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017422},{"body":{"content":"这个嘛？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117902},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050125590},{"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":1653050133789},{"body":{"content":"稳定","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141968},{"body":{"content":"没有副反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050155990},{"body":{"content":"几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050214441},{"body":{"content":"8盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221160},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050235513},{"body":{"content":"十颗的那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237291},{"body":{"content":"您这是给谁开？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050270249},{"body":{"content":"给我小舅子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289012},{"body":{"content":"叫啥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050307562},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319211},{"body":{"content":"您需要填加他的信息问诊买才行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355573},{"body":{"content":"不然开处方就是你的名字","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368289},{"body":{"content":"不可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050372974},{"body":{"content":"名字不一致修改：\n在手机京东首页搜索（互联网医院）进入，点击我的-健康档案,里面可以完善个人资料实名，填加与患者名字一致后重新问诊。但是这个问诊单医生是无法开方的，需要重新提交一个问诊，用实名问诊可以开方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050378016},{"body":{"content":"那开我的名字吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050387521},{"body":{"content":"可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050416731},{"body":{"content":"那肯定不行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458766},{"body":{"content":"好吧，我从新弄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475423},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050481720},{"body":{"content":"是不是还得从新交钱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497533},{"body":{"content":"是的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050517408},{"body":{"content":"需要重新问诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050525224},{"body":{"content":"不然改不过来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050530639}]

男28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":1653051114312},{"body":{"content":"目前主要有哪些不适症状？什么时候开始的？持续多长时间了？有没有加重或缓解的因素？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123002},{"body":{"content":"大夫，您好！我母亲68岁，膝盖疼的厉害，医生建议膝关节置换手术，想让您看看是不是必须手术治疗，母亲年龄大了，害怕手术。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051134834},{"body":{"content":"膝关节炎很严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152531},{"body":{"content":"关节间隙没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051159051},{"body":{"content":"疼痛估计也很厉害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163965},{"body":{"content":"活动受限吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171568},{"body":{"content":"她这个5岁时被砸了，是伤腿，一直疼，最近一周影响走路了，疼痛厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200657},{"body":{"content":"必须手术吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051221517},{"body":{"content":"建议手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240693},{"body":{"content":"保守治疗，注射****效果怎么样？她听说周围有人手术恢复不好后来拄拐了，害怕手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051293929},{"body":{"content":"保守治疗，也只是拖延时间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051333861},{"body":{"content":"我觉得早做手术，康复更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051362579},{"body":{"content":"手术风险大吗？她有高血压，血糖的话前两天测的8点多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051426521},{"body":{"content":"可以这样子，先****注射保守治疗三个月看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051435001},{"body":{"content":"如果没有缓解，还是痛的厉害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051443066},{"body":{"content":"再考虑手术也不迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051447803},{"body":{"content":"手术风险还可以，这些术前会调整到正常水平","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051469539},{"body":{"content":"好的，谢谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051487403},{"body":{"content":"希望我的建议能够帮助到您！\n如果您对我的回答表示满意，请在对话结束后给出推荐评语和五星好评～\n祝您早日康复，生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051534285}]

女67岁

2022.05.20

[{"body":{"content":"方便拍照片吗？拍个照片看一下吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292322}]

女67岁

2022.05.20

[{"body":{"content":"考虑是毛周角化病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231756},{"body":{"content":"又称毛发苔藓或毛发角化病，是一种慢性毛囊角化性皮肤病，有一定遗传倾向，好发于上臂外侧及大腿前侧，也可发生于面颊部和臀部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050235923},{"body":{"content":"是的大腿上手臂 背部都有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274350},{"body":{"content":"本病一般不需要治疗。症状明显或有治疗要求，可涂抹一些外用药物；可以涂抹尿素维E乳膏，一天1次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284354},{"body":{"content":"平时多抹点保湿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050326118},{"body":{"content":"是全身涂抹 还是 有的部位涂抹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050368562},{"body":{"content":"有鸡皮肤的地方涂抹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404394},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458375}]

男25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":1653050268932},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272232},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050370812},{"body":{"content":"不知道是几段您可以选选","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050388629},{"body":{"content":"您看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050507983}]

女

2022.05.20

[{"body":{"content":"月经干净多少天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965106620},{"body":{"content":"一直没来有两三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965148008},{"body":{"content":"同房下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168340},{"body":{"content":"怀孕了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965171665},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965191955},{"body":{"content":"测过是吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965202230},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965214450},{"body":{"content":"这是什么情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965233982},{"body":{"content":"怎么知道不是月经呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965239830},{"body":{"content":"月经没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285963},{"body":{"content":"下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965302789},{"body":{"content":"来月经那两天肚子就痛下就没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965386787},{"body":{"content":"流血流了几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965431601},{"body":{"content":"没来月经就","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457497},{"body":{"content":"没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965466845},{"body":{"content":"没有流血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965487845},{"body":{"content":"奥奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965492818},{"body":{"content":"这是炎症引起的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965517844},{"body":{"content":"同房痛可能是炎症引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965536621},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584225},{"body":{"content":"没来月经那该怎么治啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585017},{"body":{"content":"有几个月没来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965609048},{"body":{"content":"内膜有多厚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965611613},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965623084},{"body":{"content":"上个推迟了只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965676573},{"body":{"content":"上个月只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965716437},{"body":{"content":"这个月还没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965736108},{"body":{"content":"月经量少和什么原因有关呢？突然就少了？有没有受凉？经期生气？或是人工流产等情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815370},{"body":{"content":"以前流过产","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876268},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965890783},{"body":{"content":"你这种情况最好去医院做个彩超看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965917528},{"body":{"content":"这段时间没空去，我老公忙，我又带两个小孩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965980231},{"body":{"content":"可不可以先开点药吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966002227},{"body":{"content":"不能盲目吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966243856},{"body":{"content":"月经不调大多要吃激素类药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966264598}]

女29岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050093555},{"body":{"content":"没发红吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106452},{"body":{"content":"您好，稍微有点发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117836},{"body":{"content":"****涂一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181976},{"body":{"content":"******涂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189340},{"body":{"content":"好的，另外请问一下医生，这个影响宝宝打**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227142},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244112},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245361},{"body":{"content":"注意**屁股","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248907},{"body":{"content":"有点发炎的样子","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253539},{"body":{"content":"好的，****是一天涂一次吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288519},{"body":{"content":"一天三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304780},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319832},{"body":{"content":"我没有其他问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050337529},{"body":{"content":"表皮也用一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050337768},{"body":{"content":"嗯嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343422}]

男2个月22天

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051480572},{"body":{"content":"什么原因引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051489741},{"body":{"content":"不知道，早上还好好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051522302},{"body":{"content":"眼皮肿了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051547461},{"body":{"content":"孩子几岁了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051708329},{"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，若用药无效果或病情加重，请及时咨询医生师或立即线下就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051779059},{"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":1653051780973},{"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":1653051969425}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965573234},{"body":{"content":"雄性激素过多是不是可以吃**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965607373},{"body":{"content":"可以吃****可以**皮肤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965629966},{"body":{"content":"之前脸上都没有痘痘，生完二胎之后脸上就开始暴涨痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965652542},{"body":{"content":"是雄性激素过多吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965672365},{"body":{"content":"多吃点儿蔬菜水果，保证充足的睡眠。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965681809},{"body":{"content":"应该是着急上火，内分泌失调。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965691013},{"body":{"content":"三十岁了为什么脸上开始长痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965735419},{"body":{"content":"还是因为睡眠不好啊休息不好饮食结构不合理啊总之是内分泌失调","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965770476},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965782555},{"body":{"content":"??","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815122}]

女30岁

2022.05.20