刘继帅

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050114331},{"body":{"content":"您好，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116283},{"body":{"content":"您好，非常抱歉哈，这款没有增品的哈。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050157918},{"body":{"content":"母乳喂养妈妈不要吃油腻辛辣刺激的食物。\n\n奶粉喂养两餐之间给宝宝喂点温开水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050179124},{"body":{"content":"平时给宝宝多吃水果，蔬菜，容易消化的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186334},{"body":{"content":"您可能忙，没关系我一直都在。您有问题随时找我，我会第一时间回复到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188377}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049739065},{"body":{"content":"血常规问题不大，别担心。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049768254},{"body":{"content":"孩子发烧呢，考虑就是病毒感染或疫苗接种的原因，暂时可观察。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049777869},{"body":{"content":"已经发烧5天，前几天发烧到38.5，吃了***就退了，但从昨天开始(第六天）开始低烧（37.5左右），吃了***，小**温度还不降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050171031},{"body":{"content":"那么拍胸片了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050200942},{"body":{"content":"有可能是幼儿急疹啊，所以可以再观察一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210605},{"body":{"content":"宝宝精神还不错，稍有闹腾","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050212554},{"body":{"content":"总之再观察一天吧，应该快退烧了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050258762},{"body":{"content":"这个没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280316},{"body":{"content":"幼儿急疹不是三四天就下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050286517},{"body":{"content":"有可能是幼儿急疹啊，所以再观察一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050293607},{"body":{"content":"我们这烧7天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314400},{"body":{"content":"一般是反复发烧3~5天，如果发烧7天了，那么要排除是不是有川崎病的可能性，检查一下心脏彩超，做血培养支原体抗体等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050341066},{"body":{"content":"这没问题呀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050480572},{"body":{"content":"住院了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497642},{"body":{"content":"那为啥一直发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507290},{"body":{"content":"没有，我们精神挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050525589},{"body":{"content":"一般就是病毒感染，你再检查一下支原体和****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050527024},{"body":{"content":"如果孩子现在体温逐渐下降不太高的话那么也可以先观察","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050539171},{"body":{"content":"那小**还要吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050588272},{"body":{"content":"有体温的话可以吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050602750},{"body":{"content":"可是吃了体温也不降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643784},{"body":{"content":"这个不好说了，因为没有找到具体原因，但是体温也逐渐下降了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050701450},{"body":{"content":"具体什么原因导致了发烧，还不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050711315},{"body":{"content":"还是再观察一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051180402},{"body":{"content":"因为体温也逐渐下降了，而且精神状态挺好的，可以暂时观察。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051204209}]

女8个月8天

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965025702},{"body":{"content":"能拍个照片看一下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965047862},{"body":{"content":"身体右侧肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965053284},{"body":{"content":"颜面部肿吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965055421},{"body":{"content":"右侧是上肢和下肢吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965072607},{"body":{"content":"既往有什么基础疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965083725},{"body":{"content":"上肢不肿对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143453},{"body":{"content":"按压肿得地方有凹陷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965163733},{"body":{"content":"从图上看您左侧下肢及脚面是肿的，而不是右侧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965225387},{"body":{"content":"整个右边都是肿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257392},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272777},{"body":{"content":"心脏和肾脏都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285570},{"body":{"content":"没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965292020},{"body":{"content":"我自己拍不到全身","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965311743},{"body":{"content":"单侧水肿考虑血管的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965318746},{"body":{"content":"哪的血管呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965364390},{"body":{"content":"建议您查下腔静脉及下肢动静脉超声或血管核磁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965384820},{"body":{"content":"都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965401080},{"body":{"content":"血管核磁可能更清楚一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409087},{"body":{"content":"有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965420435},{"body":{"content":"有点静脉曲张。但不足以导致整个右侧的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965429488},{"body":{"content":"脸的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459714},{"body":{"content":"如果水肿部位比较的应该考虑上面血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965459845},{"body":{"content":"胳膊没法拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468281},{"body":{"content":"自身免疫抗体谱有没有查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476117},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488092},{"body":{"content":"属于内分泌么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965498738},{"body":{"content":"主要考虑血管的问题，就是全身血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965501139},{"body":{"content":"属于风湿免疫科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965509879},{"body":{"content":"腰脱或颈椎问题会导致这种问题么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534492},{"body":{"content":"需要做个全身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965569183},{"body":{"content":"ct或核磁么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965592431},{"body":{"content":"不会的，颈椎和腰椎的问题，它不会引起单侧的颜面的问题，除非是脑神经脑血管堵塞，但是会伴行运动障碍。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965614130},{"body":{"content":"核磁看血管比较清楚。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965625364},{"body":{"content":"需要挂什么科室呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659792},{"body":{"content":"风湿免疫科么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671643},{"body":{"content":"可以的，可以挂风湿免疫科，考虑全身血管病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682508},{"body":{"content":"早晨起来手抓不严","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965712402},{"body":{"content":"这就是晨僵现象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728966},{"body":{"content":"活动一会才会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729784},{"body":{"content":"建议到上级比较好的风湿免疫专科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746669},{"body":{"content":"就是血管的病变引起的是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766140},{"body":{"content":"对血管病变引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965788618},{"body":{"content":"好的。我去查查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965807547},{"body":{"content":"一定要到上级最好的风湿免疫专科就诊，这样的话查的比较全面，不延误您的病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838817},{"body":{"content":"之前做了心脏肾脏。。。。好多检查。。都没有解决问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844364},{"body":{"content":"这种能治不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855891},{"body":{"content":"目前考虑大血管的病变，具体还要等检查结果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862258},{"body":{"content":"不要紧张，根据病情制定方案就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874445},{"body":{"content":"一般情况会是做手术还是吃药调理呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965902348},{"body":{"content":"嗯，不会做手术的，主要是内科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965918896},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935466},{"body":{"content":"等下。我拍个手和胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999057},{"body":{"content":"手指没有变形，但是皮肤颜色有变化，所以仍考虑风湿免疫类问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966146725},{"body":{"content":"感谢您的回复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966159379},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966167409},{"body":{"content":"最近会安排做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172223},{"body":{"content":"因为已经折磨我几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966186522},{"body":{"content":"找不到病因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966198089},{"body":{"content":"放宽心情，积极面对，尽早的明确病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966288526},{"body":{"content":"应该是手机镜像的原因你看着是左边。其实是右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360372},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380243},{"body":{"content":"有凹陷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966382190},{"body":{"content":"按下去不回来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966406626},{"body":{"content":"静脉的水肿一般就为凹陷性水肿，血管炎会有这样的表现，血管炎呢，它一般情况下属于也是属于风湿免疫结缔组织病的一种，所以建议您尽快的行，专科检查，专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966444186},{"body":{"content":"但不回弹的地方只在膝盖以下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966459709},{"body":{"content":"我是做整身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966495949},{"body":{"content":"还是只做右侧呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966515102},{"body":{"content":"我建议您不要只做单项检查，我建议您先走风湿免疫科的专科医院，然后由专科医生给您开一系列的检查，您再去做，检查结果，方便医生进行总体病情评估。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966555759},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966570901},{"body":{"content":"您自己不要再去单独的开检查了，必须让专科医生进行专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966574409},{"body":{"content":"我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966577447},{"body":{"content":"感谢您的帮助","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585320},{"body":{"content":"这就是所谓的一叶障目不见泰山，所以不要自作主张，及时的进行专科诊疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966627887},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966643652},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966676573},{"body":{"content":"您早点休息。我尽快安排检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966736986},{"body":{"content":"嗯嗯，加油","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966760292}]

女40岁

2022.05.20

[{"body":{"content":"您好，感谢您体验京东育儿师咨询服务，我您有新生儿或儿童必备药品，或有关儿童生长发育相关问题的，需要京东平台为您准备，儿科专家及一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284274},{"body":{"content":"您好，在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292403},{"body":{"content":"多大的孩子适用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296393},{"body":{"content":"宝宝多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308122},{"body":{"content":"1个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325278},{"body":{"content":"？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427503},{"body":{"content":"适用6至12岁的宝宝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050471620},{"body":{"content":"这么小不要乱吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050513996},{"body":{"content":"宝宝不爱吃奶吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050546407},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，祝宝宝健康快乐成长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703533},{"body":{"content":"您还有其他问题吗，咨询结束前，我一直都在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051711325},{"body":{"content":"感谢您的支持，您的评价对我非常重要，麻烦您给个好评，谢谢！！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051716064}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049611186},{"body":{"content":"图片资料下载中，请您稍候。谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049613129},{"body":{"content":"图片看到，受伤多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049624481},{"body":{"content":"今天下午","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049671615},{"body":{"content":"目前这种情况，属于2级动物导致的暴露损伤，是需要狂犬**注射的，受伤后24小时内注射","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049687642},{"body":{"content":"注射前，您最好先通过网络查询您所在地区的**注射地点时间，避免跑冤枉路。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049704296},{"body":{"content":"要打五针吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049809243},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049817963},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891000},{"body":{"content":"祝您身体健康，生活愉快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049938077}]

男20岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051004533},{"body":{"content":"医生您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051038529},{"body":{"content":"您这种情况具体多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051213},{"body":{"content":"荨麻疹停车时间了，大概一个月，当时隔离就没吃药，这个泛红是刚刚洗完澡发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051093045},{"body":{"content":"挺长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051099986},{"body":{"content":"皮疹都出现在哪些部位？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110752},{"body":{"content":"腿上，胳膊上，脚上也有，之前脸上也有，泛红只有小腿上外侧部分","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051147167},{"body":{"content":"根据您的图片及描述考虑是丘疹性荨麻疹的可能比较大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051186918},{"body":{"content":"那个红色的也是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051198754},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205826},{"body":{"content":"我刚刚涂了那个*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051214556},{"body":{"content":"还需要口服药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051220600},{"body":{"content":"从您上传的图片看有水泡出现，建议您配合口服药治疗效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051263425},{"body":{"content":"根据您的情况可以给您用药建议，为用药安全，请问您是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？请问您目前是否处于孕期、哺乳期、备孕期？以便为您推荐药物。如没有，可以直接回复“否”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051313028},{"body":{"content":"好的，那麻烦医生帮忙开药，性价比高一点的，就是不要太贵的? ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051322922},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051328694},{"body":{"content":"稍等，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":1653051340522},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051372610},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051373609},{"body":{"content":"*****，每天一片，睡前服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051404000},{"body":{"content":"配合家里的*****治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051415740},{"body":{"content":"好的谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468938},{"body":{"content":"医生，吃药期间有什么不能吃的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491864},{"body":{"content":"比如****什么的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051499712},{"body":{"content":"建议您将床垫拍打时用吸尘器吸干净。床上用品、贴身衣物烫洗后再用，避免搔抓刺激，避免接触宠物，避免辛辣刺激食物，鱼虾，牛**，避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051552807},{"body":{"content":"好的谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051572527},{"body":{"content":"不客气，建议您规律用药一周观察疗效，也可以用药一周复诊看一下恢复情况，再给您进一步的用药建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051601281},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051619951},{"body":{"content":"不客气的，请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051632317},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051734280}]

女22岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0580，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050741174},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？上为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746532},{"body":{"content":"32，男","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760312},{"body":{"content":"请问吃****可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050789503},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839051},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050857944},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050890163},{"body":{"content":"【注意事项】 对本品过敏者禁用，过敏体质者慎用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344197},{"body":{"content":"【用法用量】 口服，一次3~4片，一日3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051352240},{"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":1653051355297},{"body":{"content":"忌烟、忌酒，饮食上当中应该以清淡的食物为主，避免吃过度辛辣刺激性的食物，坚持锻炼身体，多喝水，不要憋尿，有尿意的时候应该立即去排尿，不要久坐和长距离的骑自行车，性生活既不要过度的频繁，也不要长期不过性生活，要坚持定期的规律的排精，可以练习提肛的动作，保持一种良好的生活的习惯，早起早睡。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051497792},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594745},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051596362}]

女

2022.05.20

[{"body":{"content":"疼不疼啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049637956},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049650135},{"body":{"content":"按着也不疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738144},{"body":{"content":"几天了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049741272},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049744356},{"body":{"content":"其他地方有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049745087},{"body":{"content":"至少一个星期了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761158},{"body":{"content":"鼻子上之前长了个疖子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049785365},{"body":{"content":"对 我看着这个也像","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824160},{"body":{"content":"不过之前也没疼过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049832675},{"body":{"content":"但是这个一点都不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049839455},{"body":{"content":"他自己都没发现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049866205},{"body":{"content":"目前我看着也怀疑疖肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049909261},{"body":{"content":"您可以用点**消毒几天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918273},{"body":{"content":"没破","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049983185},{"body":{"content":"用**消毒几天 或者外用点***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084158}]

男31岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050381814},{"body":{"content":"目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384637},{"body":{"content":"舌苔白，中间厚腻，有齿痕，现在这个季节没食欲，经常拉肚子，神疲乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453329},{"body":{"content":"手麻腿酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469985},{"body":{"content":"请问医生怎么调理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534151},{"body":{"content":"我看下你舌头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550292},{"body":{"content":"稍等，我拍一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580140},{"body":{"content":"是啥原因啊？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023680},{"body":{"content":"大便之前肚子疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108759},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051213819},{"body":{"content":"有没有凌晨三四点钟拉肚子的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217412},{"body":{"content":"没有五更泄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051228830},{"body":{"content":"一般中午拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051237830},{"body":{"content":"还有点肾虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284560},{"body":{"content":"嗯嗯。看你舌头，结合症状你是脾肾阳虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328307},{"body":{"content":"你能吃汤药嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425169},{"body":{"content":"中成药可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051440240},{"body":{"content":"汤药有点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458677},{"body":{"content":"不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469461},{"body":{"content":"你好，建议你吃汤药治疗，汤药比中成药更对症。汤药有两种形式，一种是*草药，你自己回家煎煮也可以，平台代煎也可以；另一种是做成**，**剂是*草药煎煮、浓缩、提纯之后做成的**，用热水冲服就可以，比较方便。这两种都比中成药要更有效。你是要*草药还是**剂？请确认一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051508059},{"body":{"content":"**剂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051589340},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051604852},{"body":{"content":"请问您肝功、肾功等指标是否正常，是否有过敏史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051618302},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051625040},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051637584},{"body":{"content":"都正常，不过有脂肪肝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051650111},{"body":{"content":"顺便一下*****和***能同吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051684290},{"body":{"content":"最好不要一起吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051843382},{"body":{"content":"药方开好了，可以点击“预约购药”直接下单，收到就是中药配方**，付款后我再给您说一下服用方法和注意事项。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051946097},{"body":{"content":"感觉有点贵了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051981750},{"body":{"content":"能推荐中成药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051990380},{"body":{"content":"你可以吃点参苓白术散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052025941},{"body":{"content":"吃了没有用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052037109},{"body":{"content":"我都吃了好几盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052058661},{"body":{"content":"大概有十多盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052082361},{"body":{"content":"我能吃***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052096610},{"body":{"content":"嗯嗯。所以说中成药效果不好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052104974},{"body":{"content":"脾虚用*****\n肾阳虚用***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052120270},{"body":{"content":"不应该是不好，是没对症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052139817},{"body":{"content":"之前吃的汤药方子和***一样，也没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052170390},{"body":{"content":"不介意同时吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052172312}]

男32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":1653050828469},{"body":{"content":"您好，问一下我咳嗽有2个月了，咳嗽不勤，但几乎天天有咳，咳得时候咳一阵，好像连着咳，不咳的时候大半天都好好的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050837024},{"body":{"content":"请问咳嗽是白天还是晚上剧烈呢，咳嗽是否有痰，痰好咯出吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843063},{"body":{"content":"白天的多，不剧烈，没痰","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050878862},{"body":{"content":"是否伴有胸闷、气紧、咽痒、咽喉异物感的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900988},{"body":{"content":"咳完后有时会清嗓子有少许痰","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050927614},{"body":{"content":"好的。方便发一下舌象吗？可以为您深入辨证看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050988214},{"body":{"content":"咽痒有的，有时咳嗽时喝口水会好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998361},{"body":{"content":"根据您描述的症状结合舌象,目前考虑咳嗽，肺气阴不足。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077712},{"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":1653051082530},{"body":{"content":"无过敏史，无慢性病史，不在备孕期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051126163},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051131198},{"body":{"content":"是否在哺乳期、备孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051232903},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051254808},{"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":1653051292680},{"body":{"content":"中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051303292},{"body":{"content":"稍等，为您开方，稍后会有一个电子处方，您如果需要购药的话可以直接 点击处方，按处方提示流程即可完成购药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051312441},{"body":{"content":"****** 一日3次，一次1支补**气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051467852},{"body":{"content":"***** 一日3次，一次5片养阴**，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051489536},{"body":{"content":"买不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051508801},{"body":{"content":"咋回事呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515263},{"body":{"content":"****** 给您建议的药物是不需要处方的，您可以直接点击带有小购物车蓝色文字选购，药物品牌您可以任意选择，如您附近有药店（药急送），最快可在1小时内送药上门。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051529224},{"body":{"content":"好的，网上不好买，我在家附近看看，谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051567109},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051612886},{"body":{"content":"各配几盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051618729},{"body":{"content":"可以各2盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051627197},{"body":{"content":"温馨提示：*****、****** 您可以直接点击带有小购物车蓝色文字选购，药物品牌您可以任意选择，如您附近有药店（药急送），最快可在1小时内送药上门。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641802},{"body":{"content":"提示：用药前请您仔细阅读药品说明书中禁忌，注意事项，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":1653051648707},{"body":{"content":"建议您饮食注意：规律饮食，避免过饱饮食，忌辛辣刺激、浓茶咖啡、甜食饮料、生冷食物、海鲜、火锅类的食物，喝温热水。另外注意休息、保持良好情绪、规律作息；保持室内湿润、通风；忌烟酒；避风寒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051651541},{"body":{"content":"好的谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051692106},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051697715},{"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":1653051701232},{"body":{"content":"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":1653051789920}]

女46岁

2022.05.20