刘继帅

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815024},{"body":{"content":"能吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817128},{"body":{"content":"没什么疾病啥的吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842759},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965884801}]

男25岁

2022.05.20

[{"body":{"content":"您好，我是京东互联网医院医生，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。\n什么情况？是否有其他疾病？\n近期有没有什么用药史，\n或药物过敏史？\n请说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049650314},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049663735},{"body":{"content":"宝宝老是长这个痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049680636},{"body":{"content":"这样多久","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049683104},{"body":{"content":"有啥不舒服表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049685733},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694229},{"body":{"content":"就是长痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049698586},{"body":{"content":"过几天好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049708727},{"body":{"content":"过了几天又长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049716121},{"body":{"content":"怎么好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721025},{"body":{"content":"自然好 偶尔抹点药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049738267},{"body":{"content":"痒蹭？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049759153},{"body":{"content":"被啥咬？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049763259},{"body":{"content":"背上头上脚上都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049771101},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049774310},{"body":{"content":"线下皮肤镜检查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049791393},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049795828},{"body":{"content":"涂啥药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824861},{"body":{"content":"*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049873159},{"body":{"content":"哦，有*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049919441},{"body":{"content":"需要去医院检查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049938163},{"body":{"content":"建议需要的，反复发作，而且自己好。多是自身免疫因素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017827},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050140134},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050142382},{"body":{"content":"客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050161385}]

男3岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0022，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383530},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384181},{"body":{"content":"是己确诊该病情是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384935},{"body":{"content":"这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409087},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050414902},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415571},{"body":{"content":"两个星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050423749},{"body":{"content":"20岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050428210},{"body":{"content":"女","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434387},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434891},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050438542},{"body":{"content":"目前是否用过药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050449175},{"body":{"content":"反反复复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453235},{"body":{"content":"痛痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460181},{"body":{"content":"涂过药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050462492},{"body":{"content":"痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475986},{"body":{"content":"这种是毛囊炎吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483550},{"body":{"content":"用的哪种药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050529548},{"body":{"content":"您用过什么药膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050569866},{"body":{"content":"需要看您用药情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050576582},{"body":{"content":"这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695654},{"body":{"content":"没有改善是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712500},{"body":{"content":"反反复复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785654},{"body":{"content":"别的地方要长了几颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801041},{"body":{"content":"目前图片看比较 像的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050803976},{"body":{"content":"好嘞 根据您目前的情况，为您提供治疗药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809786},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050921210},{"body":{"content":"//******：本品应外用，局部涂于患处，必要时，患处可用敷料包扎或敷盖，每日3次，5天一疗程，必要时可重复一疗程。\n【用药注意】本品仅供皮肤给药，请勿用于眼、鼻、口等黏膜部位，皮肤大面积破损合并肾病不建议使 用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050925950},{"body":{"content":"//炉甘石洗剂：局部外用，用时摇匀，取适量涂于患处，一日-3次。\n【用药注意】避免接触眼睛和其他黏膜（如口、鼻等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050927346},{"body":{"content":"可以治疗好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050933695},{"body":{"content":"先用这两个看下，复发，与体质有关的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962570},{"body":{"content":"怎么用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050975920},{"body":{"content":"******：本品应外用，局部涂于患处，必要时，患处可用敷料包扎或敷盖，每日3次，5天一疗程，必要时可重复一疗程。\n【用药注意】本品仅供皮肤给药，请勿用于眼、鼻、口等黏膜部位，皮肤大面积破损合并肾病不建议使 用\n\n//炉甘石洗剂：局部外用，用时摇匀，取适量涂于患处，一日-3次。\n【用药注意】避免接触眼睛和其他黏膜（如口、鼻等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051002281},{"body":{"content":"间隔 半小时用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051005241},{"body":{"content":"一天三次？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051064686},{"body":{"content":"间隔半小时？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051072921},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051091263},{"body":{"content":"先涂*** 半小时再用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108915},{"body":{"content":"睡觉前不用用咯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051109096},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051131452},{"body":{"content":"最后一次睡前用呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137405},{"body":{"content":"先涂药膏？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051163016},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051215916},{"body":{"content":"徖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051404931},{"body":{"content":"皮肤瘙痒温馨提示：日常**1.要勤洗勤晒衣物、被单、枕头、被子 2.避免过度烫洗、搔抓等刺激。 3.饮食调理注意饮食调理，均衡营养，多吃一些水果、蔬菜等***丰富的食物。少吃鱼虾、牛**和油腻、甜食及刺激性食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051407146},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。请您查看药品说明书中的注意事项，使用 7 天后如果症状没有改善或出现症状加重的情况，建议尽快线下就医。用药期间禁烟酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051416400},{"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":1653051417706},{"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":1653051481202},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051485641}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050010151},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050014000},{"body":{"content":"血糖多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050021913},{"body":{"content":"9点以内","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050042068},{"body":{"content":"空腹?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128138}]

女

2022.05.20

[{"body":{"content":"马主任，孩子现在一直吃的是每天一粒六毫克的**，情绪等方面都很好，今天他说傍晚头蒙，他想把**换成前年吃过的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652873194510},{"body":{"content":"孩子说就是去年初把***换成**后才会出现头蒙的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652873262258},{"body":{"content":"国内外研究结果******副反应少，对认知功能影响小，安全性和耐受性良好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878960337},{"body":{"content":"哦！刚吃**时，天天头蒙，现在隔很长时间头蒙一次（人愣着），这种吃了不舒服的感觉怎么解决？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879389242},{"body":{"content":"若不适，就服用之前的药物，一切依据患者的感受为主。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964303603},{"body":{"content":"前天和昨天都是傍晚出现了头蒙，人有点发呆，感觉有人跟踪的幻觉。傍晚出现这现情况后，他加吃了一粒3毫克**后，症状就好些.平时都只是中午吃一粒6毫克**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015955713},{"body":{"content":"这说明出现症状还是病情的原因吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036897716},{"body":{"content":"有症状原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051297412}]

男13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":1653050872675},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050881855},{"body":{"content":"请问您是线下正规医院确诊银屑病了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909724},{"body":{"content":"还没去正规医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952535},{"body":{"content":"您这种情况具体多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964340},{"body":{"content":"有12个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979696},{"body":{"content":"皮疹都出现在哪些部位？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051017396},{"body":{"content":"脚眼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051034877},{"body":{"content":"除了您上传的这个部位，其他部位有类似的情况吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065350},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087211},{"body":{"content":"两只脚对称出现的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121857},{"body":{"content":"就一个脚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143997},{"body":{"content":"白色的鳞屑是一直都有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051180016},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051227443},{"body":{"content":"您的情况不能排除是银屑病的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051245218},{"body":{"content":"请问您有治疗过吗？具体用过什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051248450},{"body":{"content":"外用的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051286448},{"body":{"content":"为了避免重复用药，您记得药名吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051301650},{"body":{"content":"现在想用这个药，但要处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051375030},{"body":{"content":"为了用药安全，请问您有药物过敏史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392628},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051462816},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473666},{"body":{"content":"**********是对症的，可以使用，稍等给您开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051481613},{"body":{"content":"好好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051492740},{"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":1653051526668},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051599253},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051607094},{"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建议的药品，如在用药过程中出现不适，请您及时上线咨询或去医院就诊。建议定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051615901},{"body":{"content":"建议您尽量避免感冒，避免外伤，平时避免搔抓，避免热水烫洗，以免刺激加重病情，饮食清淡，忌辛辣刺激食物，避免饮酒，避免熬夜，多吃蔬菜和水果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051647879},{"body":{"content":"请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051827225},{"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":1653051992932}]

男70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

[{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822923},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049836642},{"body":{"content":"静脉曲张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049843563},{"body":{"content":"腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049851228},{"body":{"content":"目前没有图片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864504},{"body":{"content":"您可以站立位，发一张下肢的照片吗？我来判断一下严重程度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049864585},{"body":{"content":"因为是帮家人问的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901913},{"body":{"content":"就想看一下有什么可以缓解一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921011},{"body":{"content":"好的，患者多大年纪 确诊是下肢静脉曲张了么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930976},{"body":{"content":"腿部的筋和**差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049957662},{"body":{"content":"下肢静脉曲张 一般引起的是下肢酸胀不适 特别是站久了 酸胀明显 麻木的症状，要除外是腰椎问题引起的不适症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974460},{"body":{"content":"63岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974894},{"body":{"content":"确诊了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988149},{"body":{"content":"暂时可以给您些静脉曲张的治疗建议 和方法 帮患者缓解下肢 酸胀不适的症状，但是彻底治疗下肢静脉曲张 是需要手术的，另外 下肢麻木的情况 需要排除是腰椎问题 压迫神经引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050027005},{"body":{"content":"治疗建议前，为了用药安全，系统需要先排除用药禁忌，请问您既往是否有基础疾病？近期是否有发现肝肾功能异常？是否有药物过敏史？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038945},{"body":{"content":"家里人也没有拍过腰椎片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088917},{"body":{"content":"但是静脉曲张是有的，也是那条腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123140},{"body":{"content":"小腿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050129764},{"body":{"content":"没有药物过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144619},{"body":{"content":"嗯，可以先用药缓解症状的。药物建议前，需要您配合回答一下上边问题。我给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149205},{"body":{"content":"好的，感谢配合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154238},{"body":{"content":"可以用药膏或者喷雾那些药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050185214},{"body":{"content":"建议您注意下肢保暖，避免过久站立，和久坐，平躺休息是尽量抬高下肢，促进血液回流，可以外用*******涂抹下肢 涂抹后轻轻按揉有助于药物吸收 同时可以口服 ****一次2片一天2次，治疗静脉曲张 口服****营养神经 缓解麻木症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189224},{"body":{"content":"这种涂抹的效果比较好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050213207},{"body":{"content":"为了方便您用药，您可以点击“药品名称带有购物车标志”进入链接购买。有些药品为“处方药”，必须要由有医师开处方才能购买。稍后我再帮您开具一张电子处方，并注明用法用量，您作为参考，按照处方用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418267},{"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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419545},{"body":{"content":"处方已经开好，您可以点击处方，预约购买，药师审核通过后，即可发药,京东物流会配送到您指定的**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050451727},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050579271},{"body":{"content":"祝患者早日康复，身体健康，生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617136},{"body":{"content":"别忘了方便时候 带患者做过彩超检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050946037},{"body":{"content":"你***这个药膏可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060220},{"body":{"content":"因为你说的药膏，我那地区发不了货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087636},{"body":{"content":"也是可以的，效果也是不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051096133},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051112937},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169477},{"body":{"content":"哪个***是一次两片是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051311777},{"body":{"content":"另一个就是一次一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051329844},{"body":{"content":"是的 ***一次2片 另外一个一次一个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051406775},{"body":{"content":"***一天2次，另外一个一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413408},{"body":{"content":"我看另一个处方上写的是一天3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491899},{"body":{"content":"***对痔疮也有用对吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051538715},{"body":{"content":"另外一个一天3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051542879},{"body":{"content":"这个打错字了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051546555},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"对的，对痔疮也是管用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551617},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051559037},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051702209}]

女28岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080929},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084032},{"body":{"content":"有什么可以帮助的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050165402},{"body":{"content":"您好 还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051061508}]

女

2022.05.20

[{"body":{"content":"你近期有没有高兴不起来，对什么事都提不起兴趣，反应迟钝，注意力难以集中，记忆力下降，容易疲劳，烦躁易怒，失眠等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965696627},{"body":{"content":"有点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965716950},{"body":{"content":"你先做个心理测试吧，如果打不开就把链接复制或手动输入到浏览器再打开，做完把总分或截图发给我帮你分析一下。\nhttp://www.apesk.com/sds/","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965737872},{"body":{"content":"你做完测试之后点击表格下方的提交答案按钮，会自动出结果，麻烦你把分数截图告诉我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965744324},{"body":{"content":"自己一个人的时候很孤独","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965748300},{"body":{"content":"把心理测试做一下吧。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965822393},{"body":{"content":"做完了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965986145},{"body":{"content":"做好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967367455},{"body":{"content":"截图给我看看，这是第三方网站，我这边收不到。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967579368}]

女14岁

2022.05.20