刘继帅

[{"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":1653049654748},{"body":{"content":"您好，我是京东育儿师，不是客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049668218},{"body":{"content":"再有其他的育儿问题您可以随时咨询我，我一直都在的。祝愿宝宝在您的呵护下健康成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049792387}]

女

2022.05.20

[{"body":{"content":"您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050018196},{"body":{"content":"收到您上传的图片了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050019959},{"body":{"content":"您好，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026720},{"body":{"content":"请问您发现这种症状具体有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050053869},{"body":{"content":"病情发展过程是先出现图四，然后图三，然后图二，然后图一，图四是最初出现的，现在是最严重的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098497},{"body":{"content":"最开始出现是去年12月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117337},{"body":{"content":"哪1张是现在的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149609},{"body":{"content":"现在的都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157812},{"body":{"content":"目前有瘙痒，疼痛的感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050179036},{"body":{"content":"首先，照片都是刚拍的，左脚上的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188605},{"body":{"content":"有，痒，疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050197659},{"body":{"content":"我以为是脚气，用了一个月***，不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050214967},{"body":{"content":"是一只脚还是两只脚都有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050241203},{"body":{"content":"我现在开始怀疑是不是湿疹或者混合之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050243684},{"body":{"content":"只有左脚有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050249671},{"body":{"content":"您的脚趾缝有脱皮脱屑的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050260027},{"body":{"content":"基本没有，我是汗脚，但没有脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050295605},{"body":{"content":"最近一个月每天晚上睡前涂抹***，每天换一双鞋垫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326186},{"body":{"content":"患处目前是否有流水、破溃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345241},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351916},{"body":{"content":"根据您的图片和描述考虑 皮炎可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425338},{"body":{"content":"我帮您调整一下用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428696},{"body":{"content":"图一和图四皮肤下有很多肉眼可见的小红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050429529},{"body":{"content":"皮肤上有好几个小孔，会从里面渗出液体","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471714},{"body":{"content":"之前这个部位有水泡吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050473639},{"body":{"content":"最初的时候有过，一个疙瘩一样的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494112},{"body":{"content":"最开始的时候脚趾缝有脱皮吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050529653},{"body":{"content":"手指上有一个，就是最初跟脚底差不多时间出现的，这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050567070},{"body":{"content":"收到了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595326},{"body":{"content":"一直都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599022},{"body":{"content":"之前的脚上的疙瘩是硬的还是软的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050620259},{"body":{"content":"手指上这个没有恶化，它只是一直有个包，软的包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050632265},{"body":{"content":"脚上的之前也是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050652434},{"body":{"content":"不是那种柔软，是硬硬的软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655340},{"body":{"content":"嗯，像青春痘那种疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050670334},{"body":{"content":"青春痘那种柔软度吧，大概是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703282},{"body":{"content":"目前从图片来看是属于皮炎湿疹样改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050731498},{"body":{"content":"***先不要用了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050745059},{"body":{"content":"需要换个药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750130},{"body":{"content":"根据上述情况我可以给您一些用药建议。\n为了用药安全，请问您有无药物过敏史及肝肾功能异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750863},{"body":{"content":"我也越来越觉得不像脚气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050751035},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050762372},{"body":{"content":"好的， 稍等2分钟 我这边给您发送药物链接，用药前请您仔细阅读药品说明书中禁忌，注意事项，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843486},{"body":{"content":"好的，它也适用于我手上的这个包么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865786},{"body":{"content":"您手部这个目前不太典型， 药物不适合的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904527},{"body":{"content":"药物只是治疗目前瘙痒疼痛的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905475},{"body":{"content":"皮肤破损的这一块呢，有没有什么方法让它变好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937187},{"body":{"content":"建议您可以外用 ******* 沾湿纱布湿敷 每天1次 每次 10分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050992733},{"body":{"content":"＋******每天两次治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050993162},{"body":{"content":"*******就有 **祛腐的作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051025874},{"body":{"content":"可以治疗目前这种皮肤病损的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053493},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051124294},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133400},{"body":{"content":"您可以先点击“处方单”-查看详情-预约，稍后再给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051135302},{"body":{"content":"我刚才已经买完您链接里的药品了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051154092},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051162048},{"body":{"content":"缴费也完成了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165144},{"body":{"content":"主要是 建议您穿透气性好的鞋袜，避免焐热，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169579},{"body":{"content":"保持足部干燥， 一定要避免抠抓刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174563},{"body":{"content":"我每天会用这个泡脚，以后还可以么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051220993},{"body":{"content":"这个不是临床常用的药物，个人是不建议使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224703},{"body":{"content":"特别是目前这种疼痛的情况，不要使用 了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231564},{"body":{"content":"以免刺激加重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234448},{"body":{"content":"嗯，那我就正常的洗脚完事敷药就可以了是么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051260215},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051270815},{"body":{"content":"嗯嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051277316},{"body":{"content":"我还有什么其他的注意事项不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291616},{"body":{"content":"用这种，无菌纱布沾湿******* 敷在脚部患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051298787},{"body":{"content":"避免加重感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051301828},{"body":{"content":"基本整个脚底就都需要了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316070},{"body":{"content":"***是敷完睡前再用么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051395786},{"body":{"content":"纱布可以展开使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051397528},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051400348},{"body":{"content":"是早晚各一次吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416502},{"body":{"content":"敷完药，晾干后在涂抹 *****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425661},{"body":{"content":"***** 早晚各1次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051428631},{"body":{"content":"******* 每天一次就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432548},{"body":{"content":"嗯嗯，好的，知道了，谢谢您，我没有问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453672},{"body":{"content":"不客气，能帮到您是我的荣幸。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051471292},{"body":{"content":"给您发送了一张我的排班表 您可以先保存在手机相册中 后期按照我上班的时间 打开京东app 就可以找到我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478689},{"body":{"content":"好的，谢谢，已保存","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051507047},{"body":{"content":"抱歉打错字了，是敷完药，晾干后在涂抹 ******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051510827},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051519377},{"body":{"content":"好的 ，如果没有其他问题，我就结束问诊了，希望我的建议能帮助到您。感谢您的信任，祝您和家人平安健康，晚安","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051531055}]

男42岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049784718},{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049805910},{"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":1653049813520},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049816521},{"body":{"content":"睾丸胀痛 / 会阴胀痛 / 尿急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049855278},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049859268},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049868365},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871360},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049875732},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049879746},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049885094},{"body":{"content":"治疗效果是否满意？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049888174},{"body":{"content":"不满意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891962},{"body":{"content":"是否方便上传检查报告？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049895997},{"body":{"content":"检查结果已上传","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050001310},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063493},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、骑车、骑马、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067212},{"body":{"content":"怎么治疗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050084886},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096134},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050104156},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050190366},{"body":{"content":"医院开了这个吃了感觉没什么效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050207492},{"body":{"content":"针对您的情况，建议您可以使用************+******治疗一下，可以先使用1周的看看效果，1周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361192},{"body":{"content":"我自己买了*****在吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396402},{"body":{"content":"吃了几天了，今天骑车后又开始疼痛起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050418472},{"body":{"content":"减少骑车等不良刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520374},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524354},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050548370},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554150},{"body":{"content":"您可以点击处方，预约购买，药师审核通过后，即可发药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554946},{"body":{"content":"买哪种？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576940},{"body":{"content":"处方已经审核通过了，您点击处方，按流程即可购买的，后续用药问题，可以上线找我复诊，祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592772},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050620295},{"body":{"content":"这个药都是一起吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050631854},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050708421},{"body":{"content":"这是一周量？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050821465},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050832572},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050902240},{"body":{"content":"能治疗好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050929919},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940339},{"body":{"content":"用药1周后，可以线上找我复诊，便于掌握您的病情变化，更好调整治疗用药，指导康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050944237},{"body":{"content":"嗯嗯，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995886},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008112},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051015212},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，避免剧烈运动。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051029529},{"body":{"content":"希望我的建议能够帮助到您，后续您如果还有需要咨询的问题，可以打开京东APP，点击“我的”，再点击“问医生”，在搜索栏中搜索“泌尿外科**”，即可找到我。祝您生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551069}]

男27岁

2022.05.20

[{"body":{"content":"您好！您今天具体是想咨询些什么呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653043505642},{"body":{"content":"失眠、心烦，上次开的药吃完了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653043551442},{"body":{"content":"您好！您是想开处方吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653043603738},{"body":{"content":"是的。***二盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653043642663},{"body":{"content":"正值疫情期间，各种突发事件不能预知，为免断药引起病情波动，请您提前备好药物！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1660311970192}]

女56岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965489231},{"body":{"content":"图片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965490675},{"body":{"content":"就颈部吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965550038},{"body":{"content":"病史多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965555910},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965560893},{"body":{"content":"这个考虑是神经性皮炎，有过敏因素参与其中，建议忌口鱼虾蟹，可以外用*****，一天二次，口服*******，一天一次，一次一片，口服*******，一天三次，一次二粒，不要熬夜，清淡饮食，烟酒不要接触，没有传染性。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965576476},{"body":{"content":"一个星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965577186},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965582023}]

男26岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009905420},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653009913298},{"body":{"content":"你看看我验血报告单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653009937677},{"body":{"content":"有整个血常规结果图片吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009958161},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653009974322},{"body":{"content":"最下面8项还不够","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009976341},{"body":{"content":"血常规有二三十项","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009987270},{"body":{"content":"只有这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010011693},{"body":{"content":"你是不是有痔疮，经常出血？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010016793},{"body":{"content":"你看看不合格的这些是什么原因导致","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010030240},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010039539},{"body":{"content":"痔疮引起的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010092653},{"body":{"content":"好的，如果是痔疮问题导致的话还好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010327455},{"body":{"content":"还有最近晚上睡觉脚不自觉的抽搐什么原因呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010380267},{"body":{"content":"可能也是贫血引起的气血不足，虚弱引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010428275},{"body":{"content":"你现在铁蛋白肯定很低","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010443154},{"body":{"content":"要吃铁剂，而且坚持一直吃，不能吃吃停停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010462026},{"body":{"content":"当然根源在痔疮！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010471115},{"body":{"content":"缸破了洞，肯定要先堵了，再加水才能加满","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010501715},{"body":{"content":"药店可以买得到铁剂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010527991},{"body":{"content":"以后治疗显效了，每个月复查一次血常规和铁蛋白，铁蛋白升到四五十才能停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010535342},{"body":{"content":"药店有卖吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010606490},{"body":{"content":"我这里可以给你开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010957194},{"body":{"content":"快递到家","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010961764},{"body":{"content":"也可以去查铁蛋白的时候叫他们顺便给你开铁剂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653013065714}]

男35岁

2022.05.20

[{"body":{"content":"晚上好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049626351},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049633841},{"body":{"content":"一个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049643325},{"body":{"content":"这个是哪里问题，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049658214},{"body":{"content":"一开始是如何引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049669474},{"body":{"content":"吃东西过于寒凉吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049704110},{"body":{"content":"睡眠怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049798350},{"body":{"content":"有点少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049803973},{"body":{"content":"睡眠不好，是引起这一类现象的主要原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049963782},{"body":{"content":"1）养成良好的生活习惯　如建立一天有规律的生活制度，在固定时间睡觉和起床，保持正常的睡眠－觉醒节律。白天适度的体育锻炼，尤其下午锻炼是帮助睡眠的最佳时间。有规律的体育锻炼能提高夜间睡眠的质量。2）建立科学的睡眠卫生习惯　避免睡前吃得过饱，尽量避免在睡前饮用酒、咖啡、茶、可乐等刺激性饮料（但可以喝适量牛奶），避免睡前进行体育活动。另外，应限制白天睡眠时间，避免午睡或减少午睡时间。3）创造良好的睡眠环境　保持卧室清洁、安静、远离噪声、避开光线刺激等。保持室温稍凉，卧室温度稍低有助于睡眠。好的卧具可以帮助入睡，可从选择合适的床垫开始。4）建立“睡眠仪式”　入睡前要抛开清醒时的一切烦恼。“睡眠仪式”可依据个人喜好或繁或简，可始于轻轻地舒展身体，松弛肌肉，或冲个热水澡，也可以听听音乐或者翻翻不具恐怖色彩的书。但是不管选择哪种方式，都要记住每晚睡前做同一件事，直到它成为夜间休息的一种暗示。5）保持乐观、知足的良好心态　对社会竞争、个人得失等有充分的认识，避免因为生活和工作中遇到挫折而导致心理失衡。6）服***　对于失眠较严重的病人，可在医生指导下，短期、适量地服用***或小剂量的抗焦虑、抗抑郁制剂，这样可能会取得更快、更好的治疗效果。但是需要强调的是，***不宜长期服用，否则容易变成习惯，甚至成瘾。另外，长期服用***也可能产生耐药性，使药物的效用降低。有些药品具有一定的肝毒性，并可能引起胃肠功能紊乱。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974359},{"body":{"content":"这个问题应该吃什么中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049994923},{"body":{"content":"中医讲究辨证论治，我需要再详细了解一下您的基础情况，帮您对症分析，再给您一个综合调理的方案。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069342},{"body":{"content":"方便拍个舌头的照片（让舌头对着光线明亮的方向拍照，尽量不要使用美颜，舌体尽量自然伸出来，也可以多拍几张对比一下），传一下看看舌象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080618},{"body":{"content":"舌头很红。有齿痕。舌苔很厚。白，这种情况多数情况是体内湿气比较重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360812},{"body":{"content":"食欲怎么样？油腻的东西吃的多不多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385313},{"body":{"content":"用镜子看没有舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050982926},{"body":{"content":"红头红，有齿痕，无舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050997051},{"body":{"content":"好的，那就是光线的原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008985},{"body":{"content":"食物正常，油腻的东西吃的不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051013228},{"body":{"content":"大便正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051100698},{"body":{"content":"正常吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135618},{"body":{"content":"小便什么颜色的一天几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051167190},{"body":{"content":"小便颜色淡，一天10次吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051285560},{"body":{"content":"有没有口渴？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051320792},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051331257},{"body":{"content":"有没有怕冷的感觉？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371118},{"body":{"content":"有点怕冷吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400343}]

男31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":1653049657759},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725112},{"body":{"content":"您能帮我看看过敏源结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049743731},{"body":{"content":"总IGE浓度高是怎么回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761513},{"body":{"content":"发下结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769640},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819142},{"body":{"content":"平时有什么过敏吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826542},{"body":{"content":"前阵子去检查哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049899416},{"body":{"content":"IgE多与过敏性的反应有关，总IgE升高最常见于过敏体质的人，或者有过敏性疾病的患者。另外，寄生虫感染引起的变态免疫反应，也会引起总IgE升高，部分的血液系统疾病例如部分的骨髓瘤，还有霍奇金淋巴瘤等疾病，也可能会出现总IgE的升高。真菌感染、病毒感染或者结核病等少部分特异性的感染性疾病，患者也可能会出现总IgE的升高，与免疫功能相关的疾病包括类风湿性关节炎、格林-巴利综合征或者高IgE综合征、肾病综合征等疾病都有可能会出现总IgE的升高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935421},{"body":{"content":"血常规还有****检查都显示是过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944973},{"body":{"content":"建议进一步检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951764},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021673},{"body":{"content":"不客气，建议进一步检查。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103691}]

男39岁

2022.05.20

[{"body":{"content":"您好，我是住院医师任凯文，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049854489},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857603},{"body":{"content":"一岁半宝宝平时肚子胀可以吃这个***粉的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871895},{"body":{"content":"1岁宝宝便秘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049880148},{"body":{"content":"胃口特别好就是不消化","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049894230},{"body":{"content":"食欲怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049894542},{"body":{"content":"可能是积食了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900187},{"body":{"content":"这个怎么改善呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049912600},{"body":{"content":"可以吃*****改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049931191},{"body":{"content":"平时吃的要不要注意呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049948977},{"body":{"content":"要少吃生冷油腻的食物，多吃一些生鲜蔬菜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049976253},{"body":{"content":"要少吃生冷油腻的食物，多吃一些新鲜蔬菜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985077},{"body":{"content":"饭量是不是要不要控制","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050005144},{"body":{"content":"可以少量多餐，但是不能一次吃得太饱。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040859},{"body":{"content":"好 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050134156},{"body":{"content":"谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050140455},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149265}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师白艳，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049571817},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049576332},{"body":{"content":"60多岁能喝这种牛奶吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049613045},{"body":{"content":"本产品为中老年配方奶粉，无蔗糖营养健康易于吸收，60岁老人可以喝的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049620352},{"body":{"content":"一天喝几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049629837},{"body":{"content":"建议早餐喝就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049641933},{"body":{"content":"分别喝多少合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049642525},{"body":{"content":"饭后吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049652017},{"body":{"content":"早餐喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049671396},{"body":{"content":"空腹吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049687330},{"body":{"content":"是的，牛奶，面包搭配","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049700363},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796196},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049814104},{"body":{"content":"平时有点腿麻痛，腰椎病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049848494},{"body":{"content":"喝这个牛奶有点缓解吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049869233},{"body":{"content":"嗯嗯，应该是有益处的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049886524},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901301},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912274},{"body":{"content":"一点胖喝这个可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050295408},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313894},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050331722},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345981}]

女

2022.05.20