刘继帅

[{"body":{"content":"哪水肿？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817242},{"body":{"content":"脸和脚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965887007},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965900449},{"body":{"content":"从来没查过","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965906301},{"body":{"content":"多大岁数？有高血压糖尿病这些基础病没","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965923452},{"body":{"content":"心脏病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925601},{"body":{"content":"一个星期了，没有检查，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965967980},{"body":{"content":"多大岁数","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965979969},{"body":{"content":"水肿的原因有很多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965989764},{"body":{"content":"心脏原因，肾脏原因，肝脏原因，甲状腺原因等等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966022738}]

女20岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050097450},{"body":{"content":"你好，淡盐水鼻滴真的幼儿能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050124282},{"body":{"content":"我上次不小心流了一滴进嘴里，超级咸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050161918},{"body":{"content":"您好，这款适用于28天以上宝宝呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050166970},{"body":{"content":"口鼻相通","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050169362},{"body":{"content":"幼儿不是不能吃盐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050180982},{"body":{"content":"您好，请问宝宝多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202800},{"body":{"content":"三个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050209399},{"body":{"content":"出月开始用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219663},{"body":{"content":"在想真的能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227013},{"body":{"content":"您好，参考详情页是可以用的哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050298016},{"body":{"content":"您好，主张宝宝在一岁以后才可以吃盐哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050376097},{"body":{"content":"您好，在一岁以内也并不是完全要禁忌食盐，只是在一岁以内已经添加辅食，很多的调味品中已含有少量的盐，而此类盐的含量已足够宝宝食用，所以可以少量的在一岁以后逐渐添加。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050437980},{"body":{"content":"请问您是否还有其他问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050442803},{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童生长发育方面的相关问题，欢迎您随时联系我！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050466211}]

女

2022.05.20

[{"body":{"content":"你****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879114305},{"body":{"content":"您好，我是京东皮肤专业主治医生***，由于问诊时间或者次数有限制，为给您提供更好的的诊疗方案，请问您依次回答您这种情况多久了？最近都用过什么药物治疗（具体药物名称），如果有过敏药物，肝肾，心脏等慢性疾病以及备孕请提前说明（不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879239331},{"body":{"content":"最近一直在涂抹*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879283186},{"body":{"content":"口服的什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365203},{"body":{"content":"没有口服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879395084},{"body":{"content":"之前在地方医院开过药是口服的 但是忘了叫啥名字了 因为是前年看的病 那个医生说是痤疮 开口服的就行 好像是去火的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879460551},{"body":{"content":"因为我是军人 所以外出看病有些限制","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879477824},{"body":{"content":"当时口服那个药物确实痘痘下去了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498922},{"body":{"content":"什么时候严重一些？与熬夜，饮食辛辣，作息不规律，心情不好，长期使用电子产品（电脑前工作，刷**，玩游戏），***等有关系嘛？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879542397},{"body":{"content":"都有一点吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879572253},{"body":{"content":"因为职业问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879579311},{"body":{"content":"熬夜几乎不会 除非晚上执勤 几乎都十点半左右入睡了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879632755},{"body":{"content":"根据您目前的情况，我建议口服******一天2次，一次50mg（如果口服后有头晕等不适，放到睡前一次性吃2粒），白天外用******一天两次。晚上点涂******一次，外用药物都只摸痘痘上（您需要的处方已开，审核通过后按照提示购买，京东大药房的都是正品）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879720639},{"body":{"content":"好的我已经购买","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879821448},{"body":{"content":"如果有不适我再联系您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879837819},{"body":{"content":"医生这和饮食有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879980571},{"body":{"content":"成人奶粉和***增肌类型的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880035989},{"body":{"content":"主要与饮食辛辣，熬夜，作息不规律有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880054885},{"body":{"content":"这段时间尽量要注意休息，清淡饮食，不要吃辛辣刺激的食物（麻辣烫，火锅，烧烤等），少吃油腻的食物（肯德基，麦当劳，红烧肉等），甜食（巧克力，糖果等），多吃蔬菜水果，保持大**畅，少熬夜，少抽烟喝酒，尽量不要长期玩电脑游戏，刷**，看**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880059065},{"body":{"content":"牛奶和成人奶粉之类的奶制品可以饮用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880153298},{"body":{"content":"而且我是油性皮肤 易出汗 我们训练量也很大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880180838},{"body":{"content":"洗面奶护肤之类的有要求吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880274343},{"body":{"content":"高脂的牛奶尽量少喝。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881745118},{"body":{"content":"********的这几个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881772419},{"body":{"content":"好的明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882190289},{"body":{"content":"嗯，好的，不客气，按时用药治疗的同时注意我说的注意事项同等重要，一般2周左右复诊，根据病情变化调整治疗方案（如果用药过程中有不适请及时复诊或者附近医院及时就诊）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882283910}]

男23岁

2022.05.20

[{"body":{"content":"您好，我是主治医师许奇峰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049832526},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049835926},{"body":{"content":"可以吃这款巧克力吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049883034},{"body":{"content":"一般情况下是不建议，容易升高血糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049888896},{"body":{"content":"无糖的也不能吃啊？?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921498},{"body":{"content":"该产品是高热量的，容易升高血糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478552}]

女

2022.05.20

[{"body":{"content":"您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049843212},{"body":{"content":"收到您上传的图片了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049844682},{"body":{"content":"四五天了 会痒 但是破了就不痒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856127},{"body":{"content":"除了图片中其他部位还有这种症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049891287},{"body":{"content":"主要就是腹部 后背腰部 和大腿内侧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049917682},{"body":{"content":"最开始出现 哪个部位呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049965951},{"body":{"content":"腹部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049986287},{"body":{"content":"根据您的图片和描述考虑 玫瑰糠疹 可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049993466},{"body":{"content":"您这种症状出现之后是否有自己用过药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049994452},{"body":{"content":"吃了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050001564},{"body":{"content":"吃了两天每天吃两粒 感觉没啥效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050018443},{"body":{"content":"玫瑰糠疹的病因目前尚不明确，常见的诱发因素包括感染、过敏反应、内分泌系统疾病等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028599},{"body":{"content":"如果效果不理想，我帮您调整一下用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050030284},{"body":{"content":"为了用药安全，请问您有无药物过敏史及肝肾功能异常？ 冒昧问您一下，目前是否在妊娠期或准备怀孕或哺乳期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050068472},{"body":{"content":"暂时没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050114431},{"body":{"content":"好的， 稍等2分钟 我这边给您发送药物链接，用药前请您仔细阅读药品说明书中禁忌，注意事项，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050158608},{"body":{"content":"建议您可以口服 ***** 每天一次一片\n＋******* 每天三次每次两片\n＋外用 ******* 每天一次 治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050250322},{"body":{"content":"吃多久啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050250736},{"body":{"content":"任何药物起效都需要一个过程，建议您坚持用药1-2周上线复诊，我再帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254560},{"body":{"content":"这个好了会留疤么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050387938},{"body":{"content":"这个一般不会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050499600},{"body":{"content":"好的 那我先吃两周看看情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050522698},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578195},{"body":{"content":"这个用药是一方面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579646},{"body":{"content":"同时给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050580272},{"body":{"content":"建议避免搔抓和摩擦刺激，以免刺激加重病情，做好皮肤保湿，饮食清淡，忌鸡蛋，海鲜，牛**，多吃蔬菜和水果 避免搓洗患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050591945},{"body":{"content":"关闭问诊时间临近了，希望我的建议能够帮助到您。 后续如有其他医药问题，您可以随时留言咨询。祝您生活愉快，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051061867},{"body":{"content":"给您发送了一张我的排班表 您可以先保存在手机相册中 后期按照我上班的时间 打开京东app 就可以找到我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051067462}]

女30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，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051708497},{"body":{"content":"开处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051711206},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051723523},{"body":{"content":"糖尿病使用医院医生建议使用的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726966},{"body":{"content":"您是否对药物有不良反应或者过敏？您之前是否查过肝肾功能，是否有异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051730006},{"body":{"content":"*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051738046},{"body":{"content":"一直在用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051741813},{"body":{"content":"现在疫情去不了医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751939},{"body":{"content":"您需要几只呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051833983},{"body":{"content":"2只300的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051850101},{"body":{"content":"处方中的剂量您忽略，建议按医院医生医嘱使用药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051925422},{"body":{"content":"用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用药品。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":1653051933846},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051966164},{"body":{"content":"日常勤监测血糖，定期复查糖化血红蛋白浓度检查，医院内分泌专科随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020012},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052142994}]

男34岁

2022.05.20

[{"body":{"content":"大概有十年了，我媳妇之前也是这种情况，后来就好了，我怀疑是被我媳妇传染的，我之前去过空军总医院看过，开的药抹了就好，过段时间不抹就犯了。我拍的照片是摸过药的，除了胳膊上，大腿外侧也有，也是左右对称的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879157601},{"body":{"content":"犯的时候会有皮屑，抹的药是***，抹几天就好一点，一个周不抹就长皮屑了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879300873},{"body":{"content":"诊断的是湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881660500},{"body":{"content":"不抹药时间长了，就会有皮屑，这种情况用什么药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882173091},{"body":{"content":"帮我推荐推荐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882489802}]

男43岁

2022.05.20

[{"body":{"content":"您好，我是妇产科医生汪娟，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051184027},{"body":{"content":"收到，请稍等，我正在详细阅读您的报告单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051195833},{"body":{"content":"您****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051204359},{"body":{"content":"看到了您上面的检查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241766},{"body":{"content":"**还可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247510},{"body":{"content":"您目前有阴道出血或腹痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255574},{"body":{"content":"左下腹偶尔有一点点隐隐痛的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051280873},{"body":{"content":"平时月经规律吗？多少天来一次？最后一次月经哪天来的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280943},{"body":{"content":"平时月经不规律，有时候差不多两个月才来一次，最后一次来月经是上个月的4号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051322830},{"body":{"content":"嗯，那目前停经有46天，但从超声看应该没有这么长时间，考虑近期受孕的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383789},{"body":{"content":"从超声看目前36天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051443109},{"body":{"content":"请问医生，那早期有什么注意的事项吗，我这是第一胎，不知道有什么该要注意的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051457791},{"body":{"content":"**吃上了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473869},{"body":{"content":"吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051483976},{"body":{"content":"昨天检查怀孕了之后就开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051495963},{"body":{"content":"嗯嗯。继续用上，如无用药禁忌，后续保持生活作息规律，心情愉悦，饮食清淡，劳逸结合，保持大便顺畅，暂禁性生活，勿提重物，定期产检。如有阴道出血或腹痛需要及时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551343},{"body":{"content":"好的，那饮食上有什么注意的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051586190},{"body":{"content":"辛辣刺激的及冰冻的食物不要吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051630005},{"body":{"content":"别的可以适量都吃点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641548},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051667325},{"body":{"content":"不客气，请问还有什么可以帮助到您的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051690420},{"body":{"content":"没有了，谢谢医生，麻烦医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051706356},{"body":{"content":"好的，希望我的建议能够帮助到您，祝您生活愉快，孕期顺利，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051791115}]

女24岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051288686},{"body":{"content":"鼻子黑头肉眼可见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291720},{"body":{"content":"为了方便医生对病情做出正确的判断，您能发一个异常地方的图片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051292070},{"body":{"content":"皮肤表面黑色素太多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051305904},{"body":{"content":"用那个洗面奶好呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051314445},{"body":{"content":"目前方便拍一个面部的图片吗，我帮您看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330102},{"body":{"content":"鼻子有事容易出油","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051335498},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338792},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051346597},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051401807},{"body":{"content":"目前有用药治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051405926},{"body":{"content":"相机看不见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051407458},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051410416},{"body":{"content":"有好用的洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418841},{"body":{"content":"目前您的情况考虑黑头粉刺的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425760},{"body":{"content":"请问有无肝肾功异常、药物过敏史、相关用药禁忌及其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429951},{"body":{"content":"上述情况有没有呢，这边给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432168},{"body":{"content":"不用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051437902},{"body":{"content":"你介绍个洗面奶吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447709},{"body":{"content":"目前主要是注意局部皮肤清洁及**，可以的话可以适当用点改善油脂分泌及局部对症的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051458696},{"body":{"content":"如果是洗面奶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461047},{"body":{"content":"可以使用这种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051470824},{"body":{"content":"建议您平时要清淡饮食，避免进食辛辣刺激，油腻及过甜的食物，同时做好面部清洁，避免抠抓挤压，生活规律，避免熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051560745},{"body":{"content":"其他还有什么可以帮到您吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562072},{"body":{"content":"可以去黑头嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051570441},{"body":{"content":"去黑头的话还是建议用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582777},{"body":{"content":"洗面奶的作用是比较小的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051588161},{"body":{"content":"用这个还用洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051624854},{"body":{"content":"还是建议使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051636376},{"body":{"content":"平时的护肤也比较重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642392},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051644590},{"body":{"content":"您没有药物禁忌吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051651154},{"body":{"content":"平时保养都用什么呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051654351},{"body":{"content":"我感觉我脸越来越油了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051678169},{"body":{"content":"之前还不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051682790},{"body":{"content":"是的，所以可以建议用点药物来改善一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051696192},{"body":{"content":"没有上述禁忌的情况下建议您 搭配维生素B6片 口服 每次2片20mg 每天一次 缓解油脂分泌过多情况，同时局部黑头处点涂****** 晚上避光使用一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051738971},{"body":{"content":"去黑头怎么去呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051748088},{"body":{"content":"柔和点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751882},{"body":{"content":"*****主要是改善油脂分泌，******可以改善局部黑头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051774161},{"body":{"content":"平时用洗面奶洗脸后适当使用水乳面霜就可以的，做好保湿**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051806442},{"body":{"content":"那个洗面奶用着好点也","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051871766},{"body":{"content":"目前给您推荐的可以控油祛痘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051891267},{"body":{"content":"效果还是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051896234},{"body":{"content":"配合药物一起使用，一般2周左右会有一定的改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051914931},{"body":{"content":"后续您可以根据药物效果找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051922546},{"body":{"content":"、治疗期间您有其他问题需要问诊咨询，打开京东APP，搜索我的名字即可点诊我为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051929213},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051946528},{"body":{"content":"后续用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌及注意事项中提及的问题可使用，使用请严格遵循说明书用法用量，如在用药过程中出现不适则请及时停药，同时上线咨询或线下就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051958164},{"body":{"content":"如果没有其他问题，这边就先帮您关闭问诊了，希望我的建议能够帮助到您，非常感谢您的信任","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051959684}]

男19岁

2022.05.20