阳祥春

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154990},{"body":{"content":"痘印一般分为红印和黑印，都需要做激光治疗才有效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188134},{"body":{"content":"用药膏什么的不管用嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050201752},{"body":{"content":"不管用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217377},{"body":{"content":"脸部发红怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241348},{"body":{"content":"鼻翼两侧有红血丝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258708},{"body":{"content":"可以做光子嫩肤祛红模式或者镭射激光祛红模式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050273867},{"body":{"content":"emmmm封校出不去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304517},{"body":{"content":"除了医美呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050321851},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050325919},{"body":{"content":"药物和物理治疗基本没效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050341439},{"body":{"content":"那皮囊炎留下的黑痘印也只能医美？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050386459},{"body":{"content":"hello","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050752546},{"body":{"content":"嗯，这是黑色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050776367},{"body":{"content":"要要祛黑色素沉着的激光","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050792333},{"body":{"content":"关节处黑可以怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050830442},{"body":{"content":"脸上起闭口要涂什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079669},{"body":{"content":"hello","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051137549},{"body":{"content":"关节处黑要避免摩擦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051170646},{"body":{"content":"闭口闭口呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051196508},{"body":{"content":"闭口可以用****红霉素软膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199522},{"body":{"content":"用****有什么注意事项嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051300111},{"body":{"content":"不要涂太多，正常的皮肤不要涂到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328293},{"body":{"content":"后续要补水避光嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051343787},{"body":{"content":"涂完要清洗嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353730},{"body":{"content":"要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051358539},{"body":{"content":"过几个小时可以清洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051369707},{"body":{"content":"OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051391888},{"body":{"content":"有什么补水的推荐嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051399924},{"body":{"content":"面部和喷雾","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051410733},{"body":{"content":"你哪里的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051431369},{"body":{"content":"牌子呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433449},{"body":{"content":"品牌推荐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458686},{"body":{"content":"市面上太多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468292},{"body":{"content":"不知道怎么选择","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473029},{"body":{"content":"医美品牌也OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051482604},{"body":{"content":"我们医院的***很好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490369},{"body":{"content":"医用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051502180},{"body":{"content":"补水的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051548913},{"body":{"content":"这个牌子的一系列的都有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051610968},{"body":{"content":"OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051642891},{"body":{"content":"我混油 外油内干","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051655571},{"body":{"content":"哪个更有针对性啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051668059},{"body":{"content":"医生医生还有四分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051691369},{"body":{"content":"快快快","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051696269},{"body":{"content":"油脂多注意定期清洁就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051769512},{"body":{"content":"但是内干啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051780617},{"body":{"content":"不知道咋整","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051786284},{"body":{"content":"做一下光子嫩肤会改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051820452}]

女21岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050373829},{"body":{"content":"请问您这样多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375745},{"body":{"content":"有二周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050413337},{"body":{"content":"近期是否就医诊疗过，近期是否服用过*西药物缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050427870},{"body":{"content":"有没有缓解眼睛疲劳的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432858},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050440983},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、是否有过敏史），如果没有则回复“无”。\n为了您的用药安全，方便药师指导用药，请问患者的年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050446240},{"body":{"content":"没有用过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050451392},{"body":{"content":"16岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050467987},{"body":{"content":"根据您现在的症状，可能是视疲劳的这些症状，请您稍等，我这边帮您查找适合您的药物链接。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050494356},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050524100},{"body":{"content":"可以用**********缓解眼部干燥或因暴露于阳光或风沙所引起的眼部烧灼、刺痛等不适\n用法用量\n完全扭断然后拉掉瓶盖，打开***瓶。滴1-2滴于患眼。用后即弃\n注意事项\n1、本品只可外用。\n\n2、为防止污染，勿将瓶嘴触及任何物体表面。不可重复使用，用后即弃。\n\n3、瓶嘴不得接触眼睛。\n\n4、如果应用时感觉眼痛、视力改变、眼睛持续充血或刺激感、症状加重或症状持续72小时以上，则应停止用药并咨询医生。\n\n5、孕妇、哺乳期妇女、老年人和儿童应在医师指导下使用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050535180},{"body":{"content":"注意适当休息，养成良好的生活习惯，增强体质；注意眼的调节和保护，照明要充分、适当；有眼病和其他全身性疾病应及时诊治，方能收到满意效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050536998},{"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3天无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050541240},{"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":1653051057194},{"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":1653052036659}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965462800},{"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":1652965465746},{"body":{"content":"肥厚形脑膜炎可以打封闭针不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965513745},{"body":{"content":"请问是什么原因导致肥厚型脑膜炎哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965603517},{"body":{"content":"特发形","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965688464},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965725304},{"body":{"content":"可以打封闭针不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749265},{"body":{"content":"特发性肥厚型脑膜炎需要使用激素或者免疫抑制剂，**以*******为主，常用的有***，****，*****，***等，免疫抑制剂则以****，****为代表，但免疫制剂一般副作用较大，最后还可以考虑手术治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965763884}]

女60岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965090839},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965095161},{"body":{"content":"这十天左右每天体重都在长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965109541},{"body":{"content":"一天0.2斤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965141269},{"body":{"content":"0.3","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965147404},{"body":{"content":"是不是要来月经之前","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965159377},{"body":{"content":"会这样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965162795},{"body":{"content":"有没有慢性病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965188604},{"body":{"content":"就是这次月经走之后体重一直往上升","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965201841},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965206174},{"body":{"content":"这怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965385971},{"body":{"content":"这个不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965406757},{"body":{"content":"您身高体重是多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965417496},{"body":{"content":"最近有没有运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965430818},{"body":{"content":"164","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965441827},{"body":{"content":"56.8","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965447566},{"body":{"content":"您这个体重很好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965460616},{"body":{"content":"不用担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965464913},{"body":{"content":"这个月没来月经之前体重是五十五点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965483952},{"body":{"content":"三斤以内波动是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965515531},{"body":{"content":"然后自从月经结束每天都在增加","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965522747},{"body":{"content":"有没有用药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965522874},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965540104},{"body":{"content":"适当运动一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965549494},{"body":{"content":"就是用了一个涂抹的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965550464},{"body":{"content":"什么**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965556337},{"body":{"content":"就是腿上有个红点然后用的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965571799},{"body":{"content":"也不知道什么名字","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965601134},{"body":{"content":"也不知道这几天是排卵期期的事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965690742},{"body":{"content":"排卵期应该不会增加体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965782714},{"body":{"content":"适当运动一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965845908},{"body":{"content":"适当控制一下饮食","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965854784},{"body":{"content":"再看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965858483},{"body":{"content":"药物也有可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862955},{"body":{"content":"我都是一直在减肥期间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966001499},{"body":{"content":"所以说才奇怪","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966008433},{"body":{"content":"为什么天天涨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966013554},{"body":{"content":"您体重偏瘦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966044275},{"body":{"content":"不要追求过于瘦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966056156},{"body":{"content":"太瘦也不好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966063592},{"body":{"content":"一般早上称体重都是在55点起吧但是这十天左右每天都是56.3左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966229049},{"body":{"content":"然后就一直不掉称","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966245589},{"body":{"content":"三斤以内是正常的波动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966353051},{"body":{"content":"观察就行了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966358374},{"body":{"content":"不用担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966361742}]

女19岁

2022.05.20

[{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742626},{"body":{"content":"尊敬的plus用户您好，我是骨科医生，很高兴能为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049749756},{"body":{"content":"您可以在下图中描述疼痛的具体部位在哪里。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049754449},{"body":{"content":"4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783843},{"body":{"content":"您出现疼痛多长时间了，有受伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049811352},{"body":{"content":"我上学的时候，坐姿不好，就是类似于盆骨往前倾坐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049823322},{"body":{"content":"就是往前顶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049834167},{"body":{"content":"好久了，没受伤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840611},{"body":{"content":"有5年多了估计","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849627},{"body":{"content":"不经常疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856172},{"body":{"content":"就是坐姿不怎么好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049862859},{"body":{"content":"会疼几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049869019},{"body":{"content":"您平常有无久站、负重工作比较多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049870352},{"body":{"content":"这是什么病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874283},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049877069},{"body":{"content":"我是学生，经常坐着","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049885578},{"body":{"content":"您除了臀部疼痛外有没有下肢的麻木酸胀感？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049923637},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959227},{"body":{"content":"您按压疼痛明显吗，平躺放松后是否有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049995798},{"body":{"content":"平躺有改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050017224},{"body":{"content":"不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050031715},{"body":{"content":"因为我也找不准是哪个地方，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050043001},{"body":{"content":"现在也不怎么疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050047650},{"body":{"content":"腰的话。转圈，会有一点点疼，有一点点舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062980},{"body":{"content":"收到，您平常走路、运动有影响吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084194},{"body":{"content":"不疼，转圈，就是有点活动的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050089006},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090892},{"body":{"content":"就是坐姿久做不好得话，会犯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111393},{"body":{"content":"不是中间的骨头那","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144623},{"body":{"content":"骨头两边，没有骨头的地方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050152036},{"body":{"content":"好的，根据您所描述的情况，初步考虑肌筋膜炎，久坐、姿势不良，肌肉张力不平衡有关。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169314},{"body":{"content":"两个屁股上方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050169913},{"body":{"content":"类似于这里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221902},{"body":{"content":"这个怎么治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050225588},{"body":{"content":"我肩膀处好像也有这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236925},{"body":{"content":"就是后面三角肌那里不是有个突起的骨头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274291},{"body":{"content":"肌筋膜炎属于自限性的疾病，对症治疗，理疗、加强肌肉锻炼是会好转的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283412},{"body":{"content":"请问您有无某些药物过敏史，无肝肾功能异常、无消化道溃疡的病史，（如无，可直接回复：没有）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288325},{"body":{"content":"缝隙有时候也会疼，不是骨头，类似于软骨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301305},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050305162},{"body":{"content":"建议您注意休息，参考使用*******，一次2片，一日3次+外用*****1天3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050352003},{"body":{"content":"日常使用加热盐袋用于疼痛处每天2次，每次30分钟，改善循环 缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369645},{"body":{"content":"疼痛症状好转后 加强腰背肌训练 ，提高肌肉力量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379032},{"body":{"content":"现在夏天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427954},{"body":{"content":"加热会不会太热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433854},{"body":{"content":"您可以在空调房内或者使用热水袋，温度不会过高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050486323},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050509356},{"body":{"content":"不客气的，我给您开个电子处方，参考一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050538685},{"body":{"content":"处方已开好，您点击处方，绿色方框处，进入购药流程即可预约直接购买。如果出现多个，建议您选择京东大药房的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051286761},{"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。长期使用药物定期复查肝肾功能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051289712},{"body":{"content":"随时关注身体状况，疾病都存在演变过程，如果症状没有缓解或者出现加重的情况，建议您立即到线下医院骨科检查就诊，以免延误病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390880},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392007},{"body":{"content":"关闭问诊时间临近，如果没有其他问题的话我这边就先结束问诊了，希望我的建议能够帮助到您，感谢您的信任。请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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461697},{"body":{"content":"后续您如果还有问题需要咨询可以在京东健康APP或京东APP中搜索“***”进行咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463713}]

男21岁

2022.05.20

[{"body":{"content":"您好，我是中医科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050438341},{"body":{"content":"结石多大呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050445469},{"body":{"content":"这个是我前两天拍的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468280},{"body":{"content":"激光也打不掉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050501784},{"body":{"content":"0.3cm","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518189},{"body":{"content":"去年10月份查的时候是0.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050521891},{"body":{"content":"然后今年上半年军检查的事0.4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050537136},{"body":{"content":"吃点中药排","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545341},{"body":{"content":"现在变成2个最大的事0.3","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555114},{"body":{"content":"尿酸查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050558628},{"body":{"content":"0.3的一般可以排出去的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050565359},{"body":{"content":"没有检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569046},{"body":{"content":"我这个时间挺长了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576313},{"body":{"content":"可以么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580210},{"body":{"content":"还是可以排出去的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592461},{"body":{"content":"我看看您的舌象","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595863},{"body":{"content":"舌淡白，苔白腻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636302},{"body":{"content":"请问您有怕冷，性欲减退，畏寒肢冷，腰膝以下尤甚，腰膝酸软，头晕耳鸣，小便清长，夜尿多的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050644700},{"body":{"content":"夜尿没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050659213},{"body":{"content":"怕冷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663830},{"body":{"content":"腰疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674690},{"body":{"content":"去年有过耳鸣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681785},{"body":{"content":"小便黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687416},{"body":{"content":"根据您提供的信息及症状，目前初步考虑肾阳虚，寒湿证。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050690288},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？请问您在备育期吗？以便我给您用药建议，如果以上都没有，可以回答“都没有”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698266},{"body":{"content":"水喝多了就白色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699418},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702091},{"body":{"content":"那这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050710165},{"body":{"content":"肾结石","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050719687},{"body":{"content":"吃什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050723319},{"body":{"content":"以上用药禁忌可以排除吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754429},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769135},{"body":{"content":"肝肾功能异常及其他慢性病史吗？请问您在备育期吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779472},{"body":{"content":"没有任何疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785391},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050793304},{"body":{"content":"您看是选择中成药还是中药配方（自煎、代煎、**剂）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050796934},{"body":{"content":"我有手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050816113},{"body":{"content":"好多年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050819252},{"body":{"content":"代煎吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050837265},{"body":{"content":"请您稍等，给您开具中药，估计需要3-5分钟。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857175},{"body":{"content":"肾结石？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906187},{"body":{"content":"是一起调理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050922215},{"body":{"content":"还有手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050965427},{"body":{"content":"了解了，您目前考虑肾阳不足了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050982718},{"body":{"content":"您稍等我一下，我给您开方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051045843},{"body":{"content":"退出来要重新点处方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053600},{"body":{"content":"给您开的是代煎好的中药，一日3次，一次1袋，服用前温一下，剩余冰箱冷藏。服用7日，观察疗效，再上线复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051440434},{"body":{"content":"中药反应：如您在用药过程中出现不适如皮疹、皮肤瘙痒、发热等，请您及时上线咨询或去医院就诊。 不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051445550},{"body":{"content":"建议您宜选用甘温补脾阳、温肾阳为主的食物，如**、韭菜、红茶、**等。少食生冷、苦寒、黏腻食物，如螃蟹、绿茶、冷冻饮料等。平时1、注意休息，保持良好情绪，规律作息。2.保持室内空气湿润，清淡饮食易消化。3.多饮水，少食辛辣刺激、油炸的食物。4.忌烟酒。5.避风寒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051449857},{"body":{"content":"平时多喝温水，生冷、油腻的不能吃，平时多运动。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051675069},{"body":{"content":"这个肾结石慢慢就没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051682329},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051698758},{"body":{"content":"生冷、油腻的不能吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051709844},{"body":{"content":"您看这样下去肾阳会被伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051718197},{"body":{"content":"肾阳不足，就容易再继续长结石","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051737082},{"body":{"content":"感谢您的咨询和耐心回答，请问您是否还有其他医药问题需要我为您解答？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051883055},{"body":{"content":"没有了。。谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051921956},{"body":{"content":"您客气了。如果您没有其他问题，我将结束您的问诊，希望我的建议能够帮助到您，请点击对话框右上角“ 表扬医生“对我的服务作出评价，您的五星好评，就是对我工作最大的鼓励和支持。欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051930848},{"body":{"content":"石清茶平时可以代茶饮喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051974400}]

男23岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0081，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051236153},{"body":{"content":"你干活的时候一直要用眼，所以眼睛干涩疼，还有点儿红，该用什么***呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051257512},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051282432},{"body":{"content":"性别女，年龄50。没有其他病史。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458997},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463229},{"body":{"content":"该用什么***啊，医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051652429},{"body":{"content":"这个药物看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051662985},{"body":{"content":"功能主治】 用于缓解眼睛疲劳、结膜充血以及眼睛发痒等症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894673},{"body":{"content":"【用法用量】 滴眼，一次1～2滴，一日3～4次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020068},{"body":{"content":".打开后应在4周内用完，逾期请勿使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052080547},{"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3-4天无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052092811},{"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":1653052098010},{"body":{"content":"没有没有，谢谢，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052155151},{"body":{"content":"很高兴为您服务，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":1653052188223}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师连爱琴，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296702},{"body":{"content":"吃多会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050302598}]

女

2022.05.20

[{"body":{"content":"而且很痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878654689},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878784166},{"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":1652878790736},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878831734},{"body":{"content":"您好！脸上红印，红血丝较多，形成敏感肌，痘痘为结节囊肿型","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878897261},{"body":{"content":"平时常用洗面奶洗脸的频率如何？都使用哪些类型的洗面奶？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878981247},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881169301},{"body":{"content":"晚上早上洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881195080},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881492821},{"body":{"content":"敏感肌建议您精简护肤，平时用温水洗脸即可。使用洗面奶。尽量避免使用清洁型或磨砂型，使用频率每周不超过两次为宜。每次洗脸之后需涂***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881539035},{"body":{"content":"同时平时注意防晒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881546353},{"body":{"content":"痘痘之所以反复发作跟体内激素水平高有关，会导致毛囊皮脂腺分泌旺盛，堵塞毛管，痤疮丙酸杆菌，细菌灰尘，等会定植毛囊引发炎症。痘痘有硬结是炎症比较深，深达真皮层。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881614316},{"body":{"content":"您都用过哪些药物治疗？效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881640524},{"body":{"content":"没有用其他药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652919276830},{"body":{"content":"根据您的情况，建议您：\n1、中药口服内调体质，增加皮肤修复能力；局部外用药膏改善炎症，减少痘印；\n2、配合使用药妆品和肌肤屏障修复剂；有助于皮肤修复，改善敏感肌，减少痘痘复发；\n3、日常精简护肤，用温水洗脸，尽量避免使用深度清洁型洗面奶及磨砂型洗面奶，选择比较温和的保湿产品，避免选用***类产品。使用洗面奶的频率，每周两次左右。要特别注意防晒、保湿。这些措施要贯彻在你治疗的全过程。\n4、另外一个是饮食注意少食辛辣油炸刺激之品。避免食用奶茶，奶酪，牛奶，奶油等奶制品以及巧克力冰淇淋等甜食甜品。这些都是造成痘痘反复不愈的原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652926585887},{"body":{"content":"什么中药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652934819750},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937215777},{"body":{"content":"需要根据您的舌开具中药方，中药免煎颗粒，开水冲服那种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937252364},{"body":{"content":"您发个舌苔图片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937260673}]

女31岁

2022.05.20

[{"body":{"content":"几天了？痒不痒？之前治疗过吗？有没有照片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049608443}]

男37岁

2022.05.20