刘继帅

[{"body":{"content":"您好，我是主任医师谷丽梅，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883184},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049887093},{"body":{"content":"你运动锻炼吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049916218},{"body":{"content":"请问您是擅长哪方面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049936797},{"body":{"content":"我想咨询其他的可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049945613},{"body":{"content":"你不是咨询***吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974367},{"body":{"content":"可以咨询其他的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988305},{"body":{"content":"咨询哪方面？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050006005},{"body":{"content":"脚趾甲盖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026842},{"body":{"content":"甲沟炎？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050048464},{"body":{"content":"怎么处理啊之前各种原因，有指甲有白的，后来受伤了有点淤血，然后就空了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094532},{"body":{"content":"我可以发图片吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100610},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050104706},{"body":{"content":"这叫什么我也不知道，我踢足球会伤到指甲","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268275},{"body":{"content":"是开始先变白然后才这样的是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050420920},{"body":{"content":"还是受伤之后这样的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436855},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469538},{"body":{"content":"差不多吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471739},{"body":{"content":"什么差不多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050492097},{"body":{"content":"先变白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496573},{"body":{"content":"本来可能也不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050504141},{"body":{"content":"然后踢球⚽️会伤到指甲","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050517295},{"body":{"content":"那这可能是真菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050556071},{"body":{"content":"也就是所说的灰指甲的原因导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050614573},{"body":{"content":"那怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663057},{"body":{"content":"不是甲沟炎是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674979},{"body":{"content":"我这样真菌感染的怎么处理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050688924},{"body":{"content":"医生?‍⚕️","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050764203},{"body":{"content":"有好的建议吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769497},{"body":{"content":"可以口服****试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050780561},{"body":{"content":"还要保证个人卫生，经常进行洗、更换**以及鞋子，保证透气。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050816851},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050889708},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050892487},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050899169}]

女

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050171337},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050186761},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050287048},{"body":{"content":"有什么问题・_・?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291417},{"body":{"content":"之前有结石，已经排出去了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050500867},{"body":{"content":"这个是今天复查的报告。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507285},{"body":{"content":"请问，能看出来什么吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050528226},{"body":{"content":"嗯，结石已经排出来了，挺好的啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581870},{"body":{"content":"现在已经没有问题了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590972},{"body":{"content":"这句话，代表什么啊？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619642},{"body":{"content":"髂血管旁，可能有血管钙化，或者淋巴结钙化，没有明显的临床意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050666807},{"body":{"content":"有什么危害么？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050692411},{"body":{"content":"没有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050711336},{"body":{"content":"这个是肾结石么？？还是输尿管结石？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050739928},{"body":{"content":"如果肾结石，或者输尿管结石，会有肾积水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050903948},{"body":{"content":"报告没有提示肾积水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050911078},{"body":{"content":"所以暂不考虑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050916748},{"body":{"content":"那，，，是什么结石呢。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050924850},{"body":{"content":"这可能是血管钙化，或者淋巴结钙化","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952152},{"body":{"content":"钙化灶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955679},{"body":{"content":"不是结石","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962460},{"body":{"content":"当时痛的走不了路。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050987150},{"body":{"content":"医院医生说是结石。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050994783},{"body":{"content":"是的，当时不是有肾积水么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051032913},{"body":{"content":"右肾集合系分离","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051055743},{"body":{"content":"就是积水的意思","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051062865},{"body":{"content":"不知道额。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051106981},{"body":{"content":"医生没说。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051110594},{"body":{"content":"报告上写了？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116594},{"body":{"content":"吃完**的药。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306733},{"body":{"content":"也确实排出来了一点点小石头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051315596},{"body":{"content":"结石已经排出来了，预防也很重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051564407},{"body":{"content":"避免复发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051574461},{"body":{"content":"现在没什么问题了嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051707961}]

女40岁

2022.05.20

[{"body":{"content":"您好，我是儿科副主任医师石莉医生，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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050183361},{"body":{"content":"一般情况下需要补充锌和铁。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050200584},{"body":{"content":"这个需要去医院配吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050232942},{"body":{"content":"最好查一下血红蛋白或者****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248376},{"body":{"content":"现在**疫情期间，出门不大方便，能不能自己买点给娃吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304495},{"body":{"content":"也可以的，那就买一个*********。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050334855},{"body":{"content":"宝宝怎么吃呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050390873},{"body":{"content":"宝宝按预防量吃就可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419111},{"body":{"content":"一天15毫升。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433297},{"body":{"content":"天天吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050452325},{"body":{"content":"是呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518129},{"body":{"content":"还是几天吃一次？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643465},{"body":{"content":"一天隔一天吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050652883},{"body":{"content":"每天吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674260},{"body":{"content":"补充一个月，观察一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940630},{"body":{"content":"您别太着急，可以参考上面给您的指导，结束后麻烦您可以给我一个评价，如果后续还有问题，欢迎您随时找我咨询，后期可以直接平台搜索我的名字：**,如果期间有过敏等不良反应，症状持续加重等，建议尽快去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050943629}]

男1岁6个月

2022.05.20

[{"body":{"content":"一千块钱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046396105},{"body":{"content":"多久能好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046414598},{"body":{"content":"要休息多少天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046451389},{"body":{"content":"一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046547501},{"body":{"content":"多谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046586817},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046609339}]

男25岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018330872}]

男17岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050225474},{"body":{"content":"在么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258498},{"body":{"content":"您好，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050281191},{"body":{"content":"最近这段时间尿完之后总会流一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307864},{"body":{"content":"就是**尿完了，但是提上裤子之后，他就会给内裤上滴点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346867},{"body":{"content":"尿不尽对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384915},{"body":{"content":"就是尿完之后啊，他总会有那么一点残留，过一会儿再滴几滴出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414380},{"body":{"content":"还就是有时候尿黄且有点浑浊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484069},{"body":{"content":"请问是否还有以下症状：○1尿频○2尿急○3尿痛○5排尿困难○6小腹胀痛○7会阴胀痛○8睾丸胀痛○9尿道口滴白。回复序号即可，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501811},{"body":{"content":"9","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533277},{"body":{"content":"就是偶尔一年可能就出现这么一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569584},{"body":{"content":"尿的时候有点白色的，干了之后就跟淀粉干了之后一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582133},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605037},{"body":{"content":"有几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618089},{"body":{"content":"半年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630874},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎可能性大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700599},{"body":{"content":"可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050703759},{"body":{"content":"你给推荐一下治疗药物吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722158},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050729915},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740719},{"body":{"content":"您还有早泄是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746002},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749879},{"body":{"content":"对于射精时间或控制射精能力是您不满意，还是伴侣不满意，还是您们两人都不满意呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754053},{"body":{"content":"一般多久射精呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761228},{"body":{"content":"不带**套的情况下，进去动几下就想射","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765047},{"body":{"content":"带套的情况下，3到5分钟吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779567},{"body":{"content":"是否有使用什么药物治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050781180},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788488},{"body":{"content":"对于射精的时间和控制射精的能力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050815653},{"body":{"content":"有过几年的手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050839513},{"body":{"content":"嗯，现在很少手淫了对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050853069},{"body":{"content":"戒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050893675},{"body":{"content":"现在有5，6年没有手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050917408},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920911},{"body":{"content":"根据**男科疾病诊断治疗指南，****** 对早泄这个疾病是有治疗作用的，且目前为一线治疗药物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050926498},{"body":{"content":"****\n可以降低精囊内压，降低球海绵体肌的爆发性收缩，降低阴茎背神经敏感性而增加控精能力延长性生活时间，虽然不是每天用药，但是其实是具有治疗作用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930861},{"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":1653050950312},{"body":{"content":"这个是属于根治的还是辅助的药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036275},{"body":{"content":"只是这个疾病没有根治一说，除非像阑尾炎做完手术切除了，就不会再有阑尾发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051048342},{"body":{"content":"治疗作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053853},{"body":{"content":"为用药安全，既往有药物过敏及肝肾损伤、慢性病史吗？请问您是否有严重心血管病史？是否在使用***、****、***、****；****；****、****、****、等药物。是否在备孕？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064359},{"body":{"content":"没有使用这些药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051078684},{"body":{"content":"您这个情况是在泌尿外科非常常见的，也不用过于担心，是可以通过药物治疗的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147511},{"body":{"content":"针对您的情况，建议您可以使用：****+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176272},{"body":{"content":"这两个是治疗早泄和尿不尽的，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200674},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205317},{"body":{"content":"****是一种选择性5-羟色胺再吸收抑制剂。早泄可能是大脑性欲中心存在着5-羟色胺和***之类的化学物质，它们传导强烈的射精冲动，而****能干扰上述化学物质，达到延时射精的目的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051211277},{"body":{"content":"他们经常给我推荐那个*****那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051215428},{"body":{"content":"******适应症: **利湿，****。用于慢性前列腺炎属湿热挟瘀证，症见：小便频急、尿后余沥、尿后滴白、尿道涩痛、少腹疼痛、会阴不适、腰骶疼痛、阴囊潮湿、睾丸疼痛。一天2次 一次4粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217532},{"body":{"content":"*****诊断早泄会有帮助的，但是一般建议中医辩证论治指导会更好些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268539},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284809},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291284},{"body":{"content":"还有就是每到夏天晚上的话，就是脚心发热，心悸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297159},{"body":{"content":"脚心发热等中医症状，建议中医科望闻问切，辩证论治，会更准确些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366288},{"body":{"content":"咱们京东有中医吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389742},{"body":{"content":"我给您一个医院临床治疗反馈效果好的一线用药方案，您可以参考下，比较适合您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392015},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419092},{"body":{"content":"处方供您开好了，供您参考","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463686},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468230},{"body":{"content":"好的，到时候怎么联系您？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051577323},{"body":{"content":"您可以按照上图的这个流程找到我，建议用药一段时间后及时复诊，相对于埋头吃药来说，医生的指导更重要，减量和停药都要在医生的指导下进行；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594542},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735069},{"body":{"content":"这个****一盒够吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051749960},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051780137},{"body":{"content":"4周6片1疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792604},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051807720},{"body":{"content":"给您开一盒3片的****先试试，效果明显的话，没有啥不适症状，再继续按需服用，性生活时间达到满意度以后再停药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051821655},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865666},{"body":{"content":"目前很多患者除了在口服药物治疗以外，都在用***，提高性功能，连续服用效果还是非常不错的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051904967},{"body":{"content":"***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":1653051921229}]

男32岁

2022.05.20

[{"body":{"content":"您好，这里是京东互联网医生，请问您有什么需要解决的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965114185},{"body":{"content":"你好 我感觉我对生活提不起一点兴趣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168515},{"body":{"content":"有没有情绪明显的低落，出现睡眠问题，入睡困难，或者早醒，和朋友接触交流少了，对自我评价过于底，以及心慌心慌胸闷，胃肠道等方面的不适！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965175421},{"body":{"content":"有 比较容易心慌 然后紧张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965218326},{"body":{"content":"有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965241212},{"body":{"content":"一两年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965355889},{"body":{"content":"如果持续性存在不缓解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965375443},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965381170},{"body":{"content":"我不知道是不是因为的病闹的 因为我有癫痫病 一直在吃药 然后就感觉还不如没我这个人 可能我朋友或者家人也不用担心我了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965478421},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965538629},{"body":{"content":"目前症状来说有点抑郁症的症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965565779}]

女24岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965782154},{"body":{"content":"可以看看图片吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965787405},{"body":{"content":"不好意思","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965823950},{"body":{"content":"没有图片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965828378},{"body":{"content":"是否有同房史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965870483},{"body":{"content":"很久没有过了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965888328},{"body":{"content":"建议检查宫颈筛查看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965916519},{"body":{"content":"如果正常就可以打**了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965923786},{"body":{"content":"宫颈筛查之前检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965957542},{"body":{"content":"正常吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965977208},{"body":{"content":"正常的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965991643},{"body":{"content":"可以打","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966021007},{"body":{"content":"去年十月份检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966045556},{"body":{"content":"打吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966069937},{"body":{"content":"但是前两天洗澡 我才摸到阴道下面有一坨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966082779},{"body":{"content":"摸起来的感觉像痘痘一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966092039},{"body":{"content":"是怎么了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966098554},{"body":{"content":"没有看图片不能确定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966116178},{"body":{"content":"更不清楚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966429410},{"body":{"content":"是看不清楚吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966447013},{"body":{"content":"就是下面一点有一个红色的像痘痘一样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966476450},{"body":{"content":"你拍清楚一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966561477},{"body":{"content":"感觉右边比较红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967054285},{"body":{"content":"没有看见异常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967065116},{"body":{"content":"可以打**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967071117},{"body":{"content":"这里有一坨肿一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967179357},{"body":{"content":"为什么会这样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967297734},{"body":{"content":"而且右边还很红 没事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967327544},{"body":{"content":"没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967369294},{"body":{"content":"毛囊堵塞的原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967374412},{"body":{"content":"这个影响打九价吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967542897},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967577925},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967600525},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967755225},{"body":{"content":"请问喝了凉茶夏桑菊颗粒 会影响打九价吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653045375983},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046336159}]

女24岁

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":1652878751835},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878757655},{"body":{"content":"您出现这些症状有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878777002},{"body":{"content":"胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878788382},{"body":{"content":"有没有做过什么检查 用过什么药物治疗过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878793740},{"body":{"content":"有一周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878803316},{"body":{"content":"检查和治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824793},{"body":{"content":"吃了***和","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878902511},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878935338},{"body":{"content":"症状有没有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878950872},{"body":{"content":"头两天还行，可能昨天晚上吃了西瓜，今天觉得更不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878996604},{"body":{"content":"大便什么的都正常，也不拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879111150},{"body":{"content":"就是觉得胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879163995},{"body":{"content":"您现在的症状与胃食管反流病比较符合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879176323},{"body":{"content":"也不排除存在幽门螺杆菌感染可能 如果有可能最好可以先做个呼气试验看看有没有幽门螺杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879226217},{"body":{"content":"那能开点中药回来熬吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879313227},{"body":{"content":"也不胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879361188},{"body":{"content":"像您这种反酸比较厉害的 中药不太能解决问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879395349},{"body":{"content":"抑酸方面西药更有优势 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879463216},{"body":{"content":"反酸不厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879466808},{"body":{"content":"以胃胀为主是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879487322},{"body":{"content":"主要是胃胀，打嗝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879494210},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498226},{"body":{"content":"今天才有一点反酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879514619},{"body":{"content":"主要还是胃胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879555114},{"body":{"content":"您是希望自己熬中药 还是用现成的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879560324},{"body":{"content":"现成的中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879707325},{"body":{"content":"明白了 您拍一张舌苔图给我看一下哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879775212},{"body":{"content":"您稍等片刻 我这就给您处方建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880064892},{"body":{"content":"好的，不急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880128078},{"body":{"content":" 平时不要吃的太饱 晚餐不要吃稀的 不要喝汤 流质半流质更容易反流 平时不要喝茶、咖啡、碳酸饮料 不能抽烟 会导致食管下括约肌的松弛 更易反流 不要吃红薯 糯米食等淀粉含量高的食物 容易产酸 还包括一些甜品 平时不要穿紧身的衣物 严重反流时床头需要抬高15-20°","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880454202},{"body":{"content":"您没有药物过敏史和特殊禁忌症吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880491500},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880499041},{"body":{"content":"不在备孕期妊娠期哺乳期吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880513147},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880520229},{"body":{"content":"处方已开具 另外生活方面需要注意的事项已经发给您了 请按照上面的做 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880592796},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880632462},{"body":{"content":"不客气的 祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880650916},{"body":{"content":"能再帮我开一份自己熬的中药处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880724824},{"body":{"content":"万一服药后症状缓解不明显 您停用****14天后需要去医院查个呼气试验 看看有么有幽门螺杆菌感染 或者做个胃镜 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880727121},{"body":{"content":"中药只有**剂 就是我按照处方开好每个成分的**剂 您回去自己放一起冲服 没有传统的那种中药饮片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880835746},{"body":{"content":"您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880854866},{"body":{"content":"比丸好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880862883},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880901761},{"body":{"content":"冲剂好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880913990},{"body":{"content":"谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880919406},{"body":{"content":" 丸剂起效慢 发挥作用持久 **剂作用快一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880931254},{"body":{"content":"那就麻烦帮我开冲剂，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881446891},{"body":{"content":"已经开过了 中药开方没有西药那么快 要一个个点击","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881489337},{"body":{"content":"没事，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881575533},{"body":{"content":"您在吃*****时就不要再吃这个**剂了 两个分开服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881711375},{"body":{"content":"有些成分有重合 功效也差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881732581},{"body":{"content":"只喝冲剂，不吃那个*****，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881778008},{"body":{"content":"可以的 您可以把冲剂吃完再吃***** *****效果挺好的 我平时在门诊经常开给嗳气 呃逆的患者用 患者反馈过来的信息效果都不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881875821},{"body":{"content":"您要是在不愿意用丸剂 我就把前面那个处方的*****撤回来了 要么开了也浪费了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881941121},{"body":{"content":"实在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881947172},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881970031},{"body":{"content":"好的 是撤回来吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881988422},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882003978},{"body":{"content":"我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882012304},{"body":{"content":"这个是小丸还是大丸？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882050781},{"body":{"content":"小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882068549},{"body":{"content":"就是一包里有好多小丸子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882089668},{"body":{"content":"怎么驳回了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882177331},{"body":{"content":"我刚又确认一下是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882270931},{"body":{"content":"是小丸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882281601},{"body":{"content":"既然这个不错，先试试这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882370713},{"body":{"content":"对胃胀效果好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882384944},{"body":{"content":"平台上出售*****的药房太多 不同厂家生产的有所区别 我刚特意点进去查了一下我开的这个是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882414140},{"body":{"content":"是的 对于脾胃虚弱引起的腹胀效果还是不错的 对嗳气也有明显效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882447873},{"body":{"content":"那好，我试试","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882462404},{"body":{"content":"马上下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882471237},{"body":{"content":"您平时不适合吃生冷食物 舌苔白腻厚 脾胃虚弱 还有湿偏重 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882576232},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882587008},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882594502},{"body":{"content":"要21才拿到药，我能去药房买吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882625758},{"body":{"content":"今天是18号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882641731},{"body":{"content":"可以的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882644513},{"body":{"content":"您可以按照处方建议去购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882662317},{"body":{"content":"药有没有指定厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882678275},{"body":{"content":"麻烦帮我看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882684987},{"body":{"content":"*****买****的或者***的都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882715882},{"body":{"content":"****随便哪个厂家 没有太大差异","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882745562},{"body":{"content":"*******制药的也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882768672},{"body":{"content":"这几个都是大厂 药材质量有保证","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882785288},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882801245},{"body":{"content":"不客气的啦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882818882},{"body":{"content":"我已经5星好评了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882972123},{"body":{"content":"谢谢您的好评","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882992756}]

女43岁

2022.05.20