刘继帅

[{"body":{"content":"您好，我是呼吸科医生黎泽树，非常高兴由我为您提供医疗咨询服务。\n亲，由于疫情影响，需要明确：1、你是不是疫区的，2、你是否有新冠肺炎接触史，\n 如果有这方面的，请明确回答，谢谢\n另外，请珍惜时间，没有回话，我将不做提问，请理解。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049756720},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049789514},{"body":{"content":"不在疫区 没有接触过新冠肺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049836315},{"body":{"content":"还有其他不舒服吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049837846},{"body":{"content":"就是鼻塞可能有一点点发热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049861260},{"body":{"content":"鼻涕有点黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049904516},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049908508},{"body":{"content":"十大症状：发热、干咳、乏力、咽痛、嗅（味）觉减退、鼻塞、流涕、结膜炎、肌痛和腹泻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049915177},{"body":{"content":"这里面有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921519},{"body":{"content":"腹泻 鼻塞 流涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049951100},{"body":{"content":"腹泻几天了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049973681},{"body":{"content":"不算腹泻 只是上厕所有点频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050013552},{"body":{"content":"一天几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047319},{"body":{"content":"三到4次吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062478},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050083599},{"body":{"content":"既往有药物过敏及药物不良反应，肝肾功能损害异常及其他慢性病史吗？近期在使用哪些其他药物？是否在孕期，备孕期，哺乳期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050088919},{"body":{"content":"没有 5天前打了二价","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116766},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129394},{"body":{"content":"那个没有问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050135573},{"body":{"content":"稍等开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050144834},{"body":{"content":"吞口水可能一点不太舒服 前晚吃了烧烤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050170800},{"body":{"content":"亲开了处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182135},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050216647},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050240219}]

女24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":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965056977},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965070453},{"body":{"content":"我想咨询一下无痛人流","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965078131},{"body":{"content":"系统分诊不对，我这是内分泌科～","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187356},{"body":{"content":"建议咨询妇科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965222241}]

女22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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878608014},{"body":{"content":"身体健康状态怎么样？身高体重是多少？平时有锻炼身体吗？有没有高血压糖尿病冠心病，有没有再服用治疗慢性病的药物？有没有药物过敏史？平时心理压力怎么样，做事能够集中精力吗？焦虑失眠吗？经常处于紧张状态吗？\n\n性生活规律不，多久一次？\n阴茎勃起功能（硬度）没有问题吧？\n\n最好的状态是几分钟？可以通过转移注意力、中途停顿等方式适度延长性生活时间吗？对方对性生活时间满意吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878643974},{"body":{"content":"身体还可以，就是太久没运动了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878714239},{"body":{"content":"身高171，体重在137左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878734738},{"body":{"content":"没有高血压，冠心病和糖尿病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878752124},{"body":{"content":"没要药物过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878763481},{"body":{"content":"熬夜比较多，上班时偶尔会犯困","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878785273},{"body":{"content":"性生活近一年比较少，勃起没问题，偶尔一次没那么硬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878834274},{"body":{"content":"最好的状态应该在差不多10分钟左右，现在都是3分钟左右比较多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878871403},{"body":{"content":"BP也是比较长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878911654},{"body":{"content":"请问这个需要吃药控制吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879004325},{"body":{"content":"2-7分钟为正常。青年平均6.6分钟。中老年平均4.3分钟。\n\n性生活不稳定，很久一次，一触即发很正常的\n\n有没有乏力，耳鸣，腰酸的症状？是怕热还是怕冷还是没有什么冷热不适的感觉，手脚冰凉或是容易出汗吗？我能看看你的舌苔吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882398248},{"body":{"content":"乏力没睡饱的时候比较明显，耳鸣有时候会，但基本可能一两个月会有一两次，偶尔会怕冷，手脚不会冰凉，出汗比较少，也不大。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925416405},{"body":{"content":"舌苔我晚点发你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925423282}]

男25岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878878455},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878891717},{"body":{"content":"有没有之前的片子，上传看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878909829},{"body":{"content":"受伤后多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652914513320},{"body":{"content":"四周","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652914569768},{"body":{"content":"上面那张片子是四周拍的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652915800313},{"body":{"content":"拆了**可以**开始锻炼了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652915816714},{"body":{"content":"这个已经开始锻炼了，**之后已经开的，这个片子是上周搞的片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652916346502},{"body":{"content":"**只戴了两周吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652916390480},{"body":{"content":"目前锻炼就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652916409584},{"body":{"content":"**制动后关节僵硬，需要**练开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652916444735},{"body":{"content":"是的，现在在家里锻炼。现在看着还是没有改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652916742475},{"body":{"content":"我想问一下你们医院有没有办法给小孩做康复训练","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652916910885},{"body":{"content":"小孩一般不需要到医院做，自己练基本没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652917976897},{"body":{"content":"要做的话到医院康复科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652917988253}]

男6岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217789},{"body":{"content":"孩子这种情况多久啦？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226914},{"body":{"content":"应该是很久了，他之前有过，后来没有了，今天发现了，一问他，他说每天都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050270009},{"body":{"content":"好的，孩子目前有不适吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288074},{"body":{"content":"他都是趁没人的时候自己在屋里的时候","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307321},{"body":{"content":"所以我一直被发现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319054},{"body":{"content":"没有不适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325332},{"body":{"content":"我就很焦虑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050332320},{"body":{"content":"之前是上幼儿园中午不睡觉无聊发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050360787},{"body":{"content":"后来不让他在那睡觉以为没事了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381498},{"body":{"content":"今天突然发现一问他说每天都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396665},{"body":{"content":"应该是很长很长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409452},{"body":{"content":"从第一次发现到现在得有好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050425967},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050432204},{"body":{"content":"孩子目前有不适吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452027},{"body":{"content":"孩子平时的饮食与消化如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050459276},{"body":{"content":"没有不适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050561040},{"body":{"content":"平时吃饭消化都挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050578787},{"body":{"content":"好的，孩子去线下医院检查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605894},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610571},{"body":{"content":"我一直以为没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618876},{"body":{"content":"今天刚知道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050624505},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050668212},{"body":{"content":"根据您的描述，考虑孩子目前的情况，是不考虑手淫的情况的，多考虑孩子不良习惯的情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050740390},{"body":{"content":"孩子目前是可以线下医院儿保科给孩子检查一下是否有注意力不集中，多动等情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050764911},{"body":{"content":"您是不用过于担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770316},{"body":{"content":"我一听他每天都弄，特别焦虑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798847},{"body":{"content":"他说他就是搓，觉得好玩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050832639},{"body":{"content":"他说每次都搓痒痒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050879164},{"body":{"content":"这不是手淫吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050886472},{"body":{"content":"对的，目前孩子还是比较小的，目前是不考虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050950722},{"body":{"content":"哦，怎么让他改正呢，我听到了就很生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977244},{"body":{"content":"如果您实在担心，是可以给孩子线下医院儿保科以及泌尿外科给孩子检查一下的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050981966},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051004960},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051140559},{"body":{"content":"您平时可以让孩子适度运动，多晒**，多吃蔬菜水果，规律饮食与作息，少吃辛辣刺激的食物，定期儿保科体检，不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051148920},{"body":{"content":"让孩子多活动，多看一些有益身心的书籍，给孩子多引导，**纠正就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051180432},{"body":{"content":"祝孩子早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051542914},{"body":{"content":"您平时让孩子注意均衡饮食。适当进行户外运动。保证充足的睡眠。疾病高发季节适当补充维生素C泡腾片。平时注意饮食起居，减少接触病原体，疾病高发期避免去人群密集地区。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051555821},{"body":{"content":"后续有问题，您在京东APP上直接搜索我的名字“京东医生麻建辉”就可以找到我的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556675}]

男7岁

2022.05.20

[{"body":{"content":"现在睡着了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049663249},{"body":{"content":"摸着可以抹平的那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049697752},{"body":{"content":"那可以总","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049718740},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049720064},{"body":{"content":"用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721144},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808641},{"body":{"content":"躺着好点，做起来就凸起来明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049853106},{"body":{"content":"嗯，符合脐疝。可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049872614},{"body":{"content":"这个有规格吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891620},{"body":{"content":"这个就需要咨询客服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904914},{"body":{"content":"一般用多久能好呀长平点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049911246},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049954647},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984305}]

女

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049644789},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049646501},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049649414},{"body":{"content":"您方便发一下照片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655406},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049673723},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049678540},{"body":{"content":"发现多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049949564},{"body":{"content":"硬的软的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049955278},{"body":{"content":"有快一年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050018888},{"body":{"content":"软的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050022320},{"body":{"content":"之前下去过一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030153},{"body":{"content":"然后又起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050035261},{"body":{"content":"现在有什么不舒服的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045516},{"body":{"content":"现在是经期，老上厕所纸摩擦的有点痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050072546},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050076062},{"body":{"content":"不是经期的时候没有感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050085953},{"body":{"content":"好的，您没有来月经前有外阴痒吗？白带量多、颜色改变、有异味等情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050095781},{"body":{"content":"有时候有点味道 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116542},{"body":{"content":"偶尔会有青黄色的白带","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050130544},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050136539},{"body":{"content":"您这个部位有做过手术史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050148091},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157598},{"body":{"content":"您的白带情况考虑是有炎症的，但是这个疙瘩从照片看考虑是软疣，需要到皮肤科咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050194187},{"body":{"content":"我可以先给您一些炎症的建议，您这个疙瘩的情况可以到皮肤科咨询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209724},{"body":{"content":"看看皮肤科医生给您什么处理意见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217140},{"body":{"content":"这好尴尬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237284},{"body":{"content":"没关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259471},{"body":{"content":" 一定要去皮肤科问一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050278876},{"body":{"content":"嗯嗯，需要问一下的，不像炎症引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292828},{"body":{"content":"好的吧 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301849},{"body":{"content":"那需要先给您炎症的建议吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309578},{"body":{"content":"应该是到皮肤科得建议吧. ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329799},{"body":{"content":"我需要重新购买一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339694},{"body":{"content":"这个阴道炎症是属于我们妇科的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344227},{"body":{"content":"我先给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350547},{"body":{"content":"请问您有性生活史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050351173},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355213},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050364304},{"body":{"content":" 有些阴道炎哈？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050365985},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369210},{"body":{"content":" 好吧 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458301},{"body":{"content":" 用什么处理？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050465904},{"body":{"content":" 稍微问下，卫生巾和棉条哪一个比较好？ ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495293},{"body":{"content":"以上禁忌症有吗？、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523339},{"body":{"content":"卫生巾或者卫生棉都可以的，您月经期间勤换，每天清洗外阴，换洗内裤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543519},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545272},{"body":{"content":" 没有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559235},{"body":{"content":"等您月经干净三天，您可以使用**********放置阴道，每天睡前放1粒，用6天；同时配合洁尔阴洗液，10ml稀释*****后清洗外阴，早晚清洗外阴；使用一周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050574992},{"body":{"content":"点击链接可以直接购买的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593681},{"body":{"content":"治疗期间不要同房，不要饮食辛辣刺激的食物和甜食，多喝水，减少熬夜，适当运动提高免疫力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594672},{"body":{"content":"红斑狼疮可以正常用吗？ ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695828},{"body":{"content":"外用药一般影响不大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709874},{"body":{"content":" 好的 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806378},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823841},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、孕妇及哺乳期妇女用药部分，如无禁忌可使用，用药过程中如有不适，或用药症状不缓解可上线咨询或线下就诊。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050824826},{"body":{"content":"阴道炎跟卫生、饮食、作息，身体体抗力下降有关系，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828517},{"body":{"content":"建议您饮食宜清淡，忌辛辣刺激、甜的食物，多喝水，多吃水果蔬菜，减少熬夜，治疗期间不建议同房，每日清水清洗外阴（不要洗阴道里面），内裤穿棉质、宽松内裤，可以减少阴道炎复发。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829584},{"body":{"content":"再给您一些生活建议可以参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050836413},{"body":{"content":"好的。谢谢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905124},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050912633},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978863},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051235076}]

女24岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806963},{"body":{"content":"请问医生在吗?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050903303},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050913454},{"body":{"content":"方便上传清晰的患处图片吗？以便更好地为您分析病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050917115},{"body":{"content":"发际线吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050928378},{"body":{"content":"对的，或者发量比较稀疏的部位","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050945827},{"body":{"content":"您看我都快秃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050986862},{"body":{"content":"主要是前面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007730},{"body":{"content":"收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008188},{"body":{"content":"您家里有遗传的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051011148},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051016910},{"body":{"content":"根据您的图片及描述考虑是脂溢性脱发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036030},{"body":{"content":"我爷爷是秃顶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037530},{"body":{"content":"那是遗传问题可以治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070591},{"body":{"content":"目前考虑是脂溢性脱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051072776},{"body":{"content":"遗传基因是改变不了的，但是可以用药控制和缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051084087},{"body":{"content":"应该怎么治疗啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051117557},{"body":{"content":"根据您的情况可以给您用药建议，为用药安全，请问您是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？ 如没有，可以直接回复“否”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131286},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051137625},{"body":{"content":"建议您口服*****，外用******治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199561},{"body":{"content":"平时的***可以换成*****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051254933},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，请您及时上线咨询或去医院就诊。建议您定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267574},{"body":{"content":"稍后可以给您推荐一种***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280416},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051354247},{"body":{"content":"谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359453},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376322},{"body":{"content":"可以给您开具处方方便您线上购药，如果需要稍后可以直接点击处方单预约购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051380747},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051445699},{"body":{"content":"******是是非处方药，您可以自己购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051457350},{"body":{"content":"建议您避免辛辣刺激油腻饮食，均衡饮食，多吃高蛋白的食物，蔬菜和水果，适当锻炼身体，避免头皮长时间暴露在阳光下，避免熬夜，焦虑，精神紧张等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051569208},{"body":{"content":"请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051744111},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051832312}]

男21岁

2022.05.20