刘继帅

[{"body":{"content":"您好，我是全科医生李宛霖，非常高兴由我为您提供咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621543},{"body":{"content":"李医生介绍：12年毕业于西南医科大学临床医学,从业十年，一次性通过内科主治、全科主治。擅长社区常见病包括：心血管、内分泌、呼吸科、消化道疾病，婴幼儿喂养，以及皮肤科、妇科、男科、五官科常见疾病的诊治。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622675},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634683},{"body":{"content":"我想买几盒***。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658990},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667592},{"body":{"content":"癫痫多长时间检查一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718689},{"body":{"content":"原来在**检查了，疫情期间有一年多没给孩子检查啦。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740611},{"body":{"content":"开六盒吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765129},{"body":{"content":"一般是3-6个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770163},{"body":{"content":"那我们这个不会有什么问题吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788143},{"body":{"content":"如果没有发作，一般说明药物控制可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807940},{"body":{"content":"平常挺好的，今天有点儿发热，发作了一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050844752},{"body":{"content":"不知道是药量不高，还是发热引起的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858705},{"body":{"content":"如果发作了，必须线下复诊调药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050859554},{"body":{"content":"嗯嗯，好的，明天去化验一下。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050882482},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898192},{"body":{"content":"我这边先给您开2盒吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907057},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050914408},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920395},{"body":{"content":"我们孩子大了两盒吃不了几天。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050920766},{"body":{"content":"现在吃的多大计量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933035},{"body":{"content":"一颗半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957928},{"body":{"content":"尽量给您多开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961028},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050967303},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981148},{"body":{"content":"这可以了吗？我怎么下单呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066309},{"body":{"content":"处方已经审核通过，您可以直接点击处方购买\n在上面，有个绿色的小卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092784},{"body":{"content":"好的，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051108775},{"body":{"content":"您直接点击我给您开的处方，付款就可以，就是那个绿色的卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110722},{"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，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112681},{"body":{"content":"生活建议：保持良好情绪睡眠，适当运动，避免情绪激动，避免强光强声刺激，避免长期辛辣食物刺激，线下神经内科就诊，规律药物治疗，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051417814},{"body":{"content":"后续如果还需开药，可以直接找我，我这边有您之前的问诊记录，开药会比较方便快捷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051712080},{"body":{"content":"如果没有其他问题，我这边就给您关诊了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051753486},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，祝您工作生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051755197}]

男16岁

2022.05.20

[{"body":{"content":"您好，我是儿科医生麻大夫，您看有什么可以帮您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050386139},{"body":{"content":"您好，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050391535},{"body":{"content":"宝宝有那些不舒服症状表现吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050398265},{"body":{"content":"小孩消化不好，上次在医院开了**胃的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050424381},{"body":{"content":"这里处方能开吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050436735},{"body":{"content":"不爱吃饭，大便干","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050455601},{"body":{"content":"从小脾胃一直不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475668},{"body":{"content":"在给您开具处方之前需要先跟您确认一些情况，希望您能够理解。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483987},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494692},{"body":{"content":"*******10ml*10支/盒----您是要开具这个药物吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050506842},{"body":{"content":"宝宝 之前服用 *******效果怎么样？宝宝既往有无药物过敏史？有无肝肾功能损害？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524972},{"body":{"content":"吃过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050544168},{"body":{"content":"根据您提供病史资料，考虑诊断脾胃不和。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050587323},{"body":{"content":"*******。 属于处方药物，请问您有 既往 线下就诊记录、处方、物理检查单、病历等资料吗？您辛苦上传一下宝宝线下病例资料，谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595810},{"body":{"content":"您好，关注我们对话吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051379479},{"body":{"content":"您好，如果没有线下诊疗资料，您可以找社区医生开具处方后再线上购药，或者线下购药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392062},{"body":{"content":"后续如果您还有其他问题需要咨询，可以在京东APP，搜寻--京东医生麻建辉，就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051873403}]

女4岁

2022.05.20

[{"body":{"content":"您好，我是普内科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196896},{"body":{"content":"大夫您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051208813},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051213462},{"body":{"content":"之前用过是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051216312},{"body":{"content":"请问您既往有药物过敏，肝肾损害及其他疾病史么？用**药物有不良反应么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051218656},{"body":{"content":"我想让你给开处方单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233883},{"body":{"content":"嗯 之前用过 没有不良反应是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241946},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051250102},{"body":{"content":"好的 需要1盒么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260034},{"body":{"content":"我想来一个***的*********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051269744},{"body":{"content":"嗯 需要一盒么 给您开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051277520},{"body":{"content":"很多个盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051288583},{"body":{"content":"最多能开几盒？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297526},{"body":{"content":"6盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051312454},{"body":{"content":"那就给开六盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051327524},{"body":{"content":"好的，用药前请仔细阅读药品说明书中禁忌，过敏史及注意事项，如无禁忌且不在********药品，如在用药过程中出现不适，请及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340381},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353623},{"body":{"content":"给您开了处方 您点击上方处方单 点击：“查看详情”——“预约药品”，就可以购买了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355755},{"body":{"content":"好的呢，这个药能长期使用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400417},{"body":{"content":"有什么副作用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416684},{"body":{"content":"可以 但是改善便秘需要综合治疗，建议摄入足够的**，要适量的运动（可以促进肠胃蠕动），改善饮食结构（如增加****如韭菜和芹菜，以及多摄入一些未加工的豆类，全谷物，多吃粗粮、蔬菜、水果等，还可以适当吃些酸奶，粗茶淡饭）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422483},{"body":{"content":"副作用就是腹泻 腹痛 肠功能紊乱等问题 其他没什么大的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051441025},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051450867},{"body":{"content":"也有过敏的可能 但是您之前吃过没有问题的话 一般不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051454611},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463409},{"body":{"content":"嗯 好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051466690},{"body":{"content":"您后续有什么问题，可以再点我咨询，谢谢您的支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051941652}]

女42岁

2022.05.20

[{"body":{"content":"老是会话结束...","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879103267},{"body":{"content":"麻烦您再发一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879114801},{"body":{"content":"嗯，那是三次问诊的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879130609},{"body":{"content":"噢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879134217},{"body":{"content":"找社区给你买*****湿敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879143268},{"body":{"content":"您看下 不挠就是干燥的地方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879178364},{"body":{"content":"痒的挠破了还会有水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879190940},{"body":{"content":"我看见了了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879195577},{"body":{"content":"小疹子一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879197742},{"body":{"content":"好 我看下能不能买到","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879209548},{"body":{"content":"现在有渗液，就要湿敷了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879229437},{"body":{"content":"还要什么药嘛配合治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879248555},{"body":{"content":"或者 去医院做皮肤的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879262169},{"body":{"content":"也快解封了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879270496},{"body":{"content":"开始一小块没当回事 现在扩散了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879289143},{"body":{"content":"你能出去的话去医院打个针","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879297465},{"body":{"content":"好 您先帮忙推荐一下药物 我买一下看这段时间也没有好转先","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879333690},{"body":{"content":"你吃的药继续吃上，再买个肤痒颗粒吃上","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879385963},{"body":{"content":"解封了就去医院或者皮肤病诊所面诊治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879420680},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879425626},{"body":{"content":"小病别拖严重了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879450991},{"body":{"content":"好 明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879464555},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879469815},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879514893},{"body":{"content":"那个 ***买不到","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879970357},{"body":{"content":"附近药店没售","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879989010},{"body":{"content":"只能网上买 现在收不到快递","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879998634},{"body":{"content":"肤痒颗粒可以买到","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880044464},{"body":{"content":"那你先把肤痒颗粒买上","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880092947},{"body":{"content":"你给社区说你的情况也不让你出去","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880138552},{"body":{"content":"小问题 不让出去的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880148287},{"body":{"content":"您没看新闻吗 有患者都重症都死家里了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880179494},{"body":{"content":"还要找居委开证明 麻烦死了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880223416},{"body":{"content":"哎|･ω･｀)这疫情影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880259925},{"body":{"content":"不用湿敷的肯定影响效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880294595},{"body":{"content":"家里有**消毒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880310058},{"body":{"content":"有****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880328416},{"body":{"content":"用**消毒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880351588},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880363733},{"body":{"content":"消毒后涂抹****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880367932},{"body":{"content":"这两个还可以用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880374490},{"body":{"content":"喷雾先别用了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880399494},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880407862},{"body":{"content":"消毒后涂抹****，先治疗渗液吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880434314},{"body":{"content":"****也快用完了?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880437051},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880440184},{"body":{"content":"在你们群里借","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880463607},{"body":{"content":"哈哈 谢谢医生了 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880571112},{"body":{"content":"不用谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880652691}]

男25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，我正在详细阅读您提供的相关信息。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049568431},{"body":{"content":"您好 开的中药药方有嘛？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049608124},{"body":{"content":"现在医生开的药吃两剂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049609515},{"body":{"content":"有的，等一下，我拍一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049621073},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049624090},{"body":{"content":"医生，辛苦您看看了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049861140},{"body":{"content":"现在咳嗽是什么样的？一阵一阵的还是？有诱因嘛？嗓子疼么？有痰嘛？除了咳嗽还有其他症状嘛？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049910043},{"body":{"content":"是桑子痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921362},{"body":{"content":"哦 还有其他症状么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049982344},{"body":{"content":"偶尔有痰，黄色，一阵子咳，喉咙痒就咳，没有其他症状了，嗓子不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049989615},{"body":{"content":"白天晚上都会咳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021585},{"body":{"content":"嗯 那就目前您提供的信息来看 这个药还是对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028567},{"body":{"content":"但是吃完以后咳嗽的次数多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050055585},{"body":{"content":"因为您目前也有一些外感的症状 感冒没好彻底 所以用了一下解表的药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050061968},{"body":{"content":"那咳嗽次数增多是什么原因呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050089087},{"body":{"content":"可能解表散寒的药偏热 所以导致咳嗽加重了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050109042},{"body":{"content":"但是也需要先把外感治好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129460},{"body":{"content":"那是继续吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050133091},{"body":{"content":"这边医生还交代煲药之前放三片姜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050152870},{"body":{"content":"是的 对 他这个都是解表治感冒的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192139},{"body":{"content":"好的，那我们继续吃，谢谢你，放心多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050243266},{"body":{"content":"辛苦您了，十分感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050284056},{"body":{"content":"不客气 没有外感症状之后可能还要着重治咳嗽 咳嗽是比较不好好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296054},{"body":{"content":"有个心理准备","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304135},{"body":{"content":"就是说还有继续看医生，继续吃药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327045},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050335731},{"body":{"content":"一般情况下，多久才能好呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050353985},{"body":{"content":"这个没有一般 都是因人而异的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367210},{"body":{"content":"好的，谢谢医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050376726},{"body":{"content":"咱们比较年轻 积极治疗 不用太担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384092},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050389686},{"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":1653050427442},{"body":{"content":"没有了呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050443401},{"body":{"content":"希望我的建议能够帮助到您，右上角有表扬医生的按钮，您可以对我本次的服务进行评价，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050446981},{"body":{"content":"谢谢医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449441},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050452951},{"body":{"content":"后续如果您还有需要咨询的问题，在您的咨询列表里找到我。或者打开京东互联网医院，在搜索栏搜我的名字即可找到我，欢迎您随时留言咨询。祝您生活健康每一天！下次再会！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050455126}]

男32岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143771},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965153420},{"body":{"content":"怎么了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965159291},{"body":{"content":"我想问下肚子跟长了红点点是什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965177687},{"body":{"content":"看看图片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187658},{"body":{"content":"昨天看还不多，现在感觉多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965242168},{"body":{"content":"一大块红色痒痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965256774},{"body":{"content":"有感觉吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965256955},{"body":{"content":"现在胸上也起了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965273038},{"body":{"content":"过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965324384},{"body":{"content":"9为了您的用药安全，请问您是否有药物过敏史,肝肾功能异常或其他病史吗？是否在备孕哺乳期或怀孕中？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965328397},{"body":{"content":"可以抹点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965331337},{"body":{"content":"口服******，每天一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337585},{"body":{"content":"是什么过敏的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965355147},{"body":{"content":"这个不好说，接触的，吃的都可以引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965401680},{"body":{"content":"我最近看脸上痘痘的，医生配的**跟****跟它们有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965475718},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965506489},{"body":{"content":"那怎么会过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965519920},{"body":{"content":"从来没有过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965527937},{"body":{"content":"越来越多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965549117},{"body":{"content":"嗯嗯，不好说了，很多人都这样，跟免疫力有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965557902},{"body":{"content":"那请问就买点药膏涂涂就可以了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965571041},{"body":{"content":"这个好看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965582640},{"body":{"content":"有时候我还痒痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965590667},{"body":{"content":"不要紧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965623803},{"body":{"content":"用药就没事了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965630610},{"body":{"content":"就涂点药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965648534},{"body":{"content":"口服的******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965656900},{"body":{"content":"每天一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965659157},{"body":{"content":"不吃药可以吗，因为我在吃去痘痘药我怕妨碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965670601},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682481},{"body":{"content":"就涂药好会快点吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965708751},{"body":{"content":"嗯嗯，主要是涂药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728424},{"body":{"content":"好的，那我明天去买这个药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965751600},{"body":{"content":"谢谢医生啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965759903},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965761383},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965762933}]

女31岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050271052},{"body":{"content":"您好，我是河南大学淮河医院男科副主任医师***，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细的阅读您的病情描述*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050274699},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050282935},{"body":{"content":"①　请问您是否从第一次性生活开始就出现射精过快？\n②　射精过快的现象有：1）.在进入阴道之前或进入后约1分钟以内就射了；2）.相比之前射精潜伏时间显著缩短，通常小于3分钟；3）.偶尔出现射精过快，短于3分钟。请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291324},{"body":{"content":"③　性欲如何？性刺激下阴茎能否勃起？硬度是否足以插入？能否维持足够时间？有无早泄等射精功能障碍？有无***异常？\n④　勃起硬度：1级，阴茎只胀大但不硬，类似豆腐，为重度勃起功能障碍；2级，阴茎有硬度，但硬度不足以插入阴道，类似剥了皮的香蕉，为中度勃起功能障碍；3级，能插入阴道但不坚挺，类似香蕉，为轻度勃起功能障碍；4级，阴茎完全勃起并坚挺，类似黄瓜，为勃起功能正常。请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050295243},{"body":{"content":"符合以上哪种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305598},{"body":{"content":",第四种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050364986},{"body":{"content":"阴茎能硬，但也软的快","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050438886},{"body":{"content":"就是硬的时候，**进不去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474879},{"body":{"content":"结婚了吗性生活频率是\n睡眠质量好吗有失眠多梦盗汗耳鸣吗\n有腰漆酸软口干舌燥吗\n有手淫的习惯吗多久一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276080},{"body":{"content":"依次回答","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051278772},{"body":{"content":"没有结婚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302033},{"body":{"content":"睡眠还行，就是睡得晚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051327738},{"body":{"content":"有盗汗耳鸣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051380222},{"body":{"content":"有腰漆酸软，口干舌燥，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051421492},{"body":{"content":"之前手淫频繁，每天天一两次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458375},{"body":{"content":"性生活的时候**进不去，硬的慢，软的快，有四五年手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468640},{"body":{"content":"有精神不振乏力脾气暴躁容易上火吗\n有性生活后腰痛吗\n有怕冷怕热吗\n熬夜饮酒多吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478743},{"body":{"content":"有精神不振乏力脾气暴躁容易上火\n\n有怕冷怕热\n熬夜饮酒多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051552722},{"body":{"content":"没有性生活过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051561049},{"body":{"content":"有阴囊潮湿大便挂壁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051578045},{"body":{"content":"有尿频尿急尿不尽尿分叉尿痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051585226},{"body":{"content":"都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051587589},{"body":{"content":"拍个舌苔照片不要美颜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611738},{"body":{"content":"尿分叉，尿痛的情况少了，其他的情况都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051629316},{"body":{"content":"根据你的描述和舌苔表现考虑为肾虚湿热勃起功能障碍可以通过药物结合行为疗法进行治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726339},{"body":{"content":"那都吃些什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051754494},{"body":{"content":"你现在是匿名患者无法开具处方，开具处方需要扫描我的复诊二维码进行问诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051763301},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051822397},{"body":{"content":"这个对话框结束后再扫描","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051847144}]

男28岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346479},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，请您配合回答几个问题，可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050347688},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050357199},{"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":1653050372690},{"body":{"content":"请问您近6个月内有无性生活？（仅指阴道内性交，不包含手淫、飞机杯等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375083},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050380316},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383361},{"body":{"content":"3—7次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409981},{"body":{"content":"每次几分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050412010},{"body":{"content":"超过3分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414915},{"body":{"content":"双方均满意概率是否到达50%？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419951},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427681},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050430728},{"body":{"content":"一直存在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050436280},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050440311},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050443856},{"body":{"content":"还有别的疾病或者不适吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050447902},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464370},{"body":{"content":"控精能力不满意，是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050472622},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483903},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050511341},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050529714},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050537838},{"body":{"content":"控精能力不满意，也属于早泄的一种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050544219},{"body":{"content":"那您这个早泄的情况是可以使用*******的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553347},{"body":{"content":"******* 这个药物是目前国内唯一获得CFDA(国家药品监督管理局)批准治疗早泄的西药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050556533},{"body":{"content":"******：口服。药片应完整片吞下。建议至少用一满杯水送服药物。推荐的首次剂量为30mg（1片），需要在性生活之前约1至3小时服用。推荐的最大用药剂量使用频率为每24小时一次。推荐使用频率为1周1-2次，服药当天避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050558880},{"body":{"content":"这个药吃多久管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050593981},{"body":{"content":"******能够显著延长性生活时间，考虑到个体差异，延时效果是原来的2-4倍，第一次用药就可以起效，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050608575},{"body":{"content":"通常建议4周内用药6次为一疗程，才能达到较理想的疗效，1个起始疗程后随着用药次数的增加，能巩固疗效和持续改善症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050609892},{"body":{"content":"******一般服用两到三个疗程之后治疗效果能达到70%左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612571},{"body":{"content":"吃过几个疗程以后不吃了会回复原来的样子吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050705197},{"body":{"content":"这个按疗是治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728912},{"body":{"content":"但是不能保证一辈子感知","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734797},{"body":{"content":"根治","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736290},{"body":{"content":"性能力方面的疾病没有根治一说，类似感冒，一次感冒症状消失就是临床治愈，不代表永远不感冒。您这个情况也是如此，用药期间症状消失就是临床治愈，不代表根治。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050739293},{"body":{"content":"还是吃过几个疗程就可以永久延长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050739688},{"body":{"content":"这个按疗程是治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779481},{"body":{"content":"都是根据个人体质而定呗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050782771},{"body":{"content":"但是不能保证一辈子根治的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050783405},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050785155},{"body":{"content":"主要是不良生活习惯等情况，也会影响性功能的‘’","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050792029},{"body":{"content":"药物是没有依赖性的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050995868},{"body":{"content":"可以帮您开个免费的处方参考一下，需要的话点击处方购买即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158656},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051225104},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051227163},{"body":{"content":"建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物，规律性生活，减少手淫次数。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051228552},{"body":{"content":"推荐您可以搭配用这个*** ， ***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051316339},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051321274},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还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，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051434781}]

男27岁

2022.05.20

[{"body":{"content":"我偏**，眼眶也疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050110774},{"body":{"content":"想申请开药，封控区也不能去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050133076},{"body":{"content":"可以开药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143736},{"body":{"content":"我吃的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154759},{"body":{"content":"**的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182957},{"body":{"content":"**的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188167},{"body":{"content":"居委会可以代配药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212118},{"body":{"content":"但是现在买不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050233235},{"body":{"content":"我现在想自己先买因为很疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050253066},{"body":{"content":"如果等他们开，需要下周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050280918},{"body":{"content":"买不到的话要不您换个药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283687},{"body":{"content":"我就差一个处方，你这不能帮我开吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050306349},{"body":{"content":"我回不去那个家，处方不在这边所以传不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050333087},{"body":{"content":"开不了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050339272},{"body":{"content":"需要您之前的病史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345968}]

女42岁

2022.05.20

[{"body":{"content":"发现多久了这样的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965595629},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965603278},{"body":{"content":"两天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965616239},{"body":{"content":"就是这样子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965667986},{"body":{"content":"两只脚都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965686271},{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965727967},{"body":{"content":"痒不痒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965730447},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965743084},{"body":{"content":"做剧烈运动了么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965752800},{"body":{"content":"就是走路会痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965759100},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762629},{"body":{"content":"看着是摩擦或者硌的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965769166},{"body":{"content":"应该是吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965806600},{"body":{"content":"可以碘伏消毒一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965825159},{"body":{"content":"然后抹点***预防感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965831167},{"body":{"content":"抹点*******促进愈合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838467},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965838916},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965842600},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965848749},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965860670}]

女14岁

2022.05.20