刘继帅

[{"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":1653050245171},{"body":{"content":"可以吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248473},{"body":{"content":"买回来需要放冰箱把，出生20天的宝宝应该怎么服用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050275202},{"body":{"content":"一次三分之一代","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050276165},{"body":{"content":"一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050279621},{"body":{"content":"储存条件\n常温密闭干燥避光处保存","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050293996},{"body":{"content":"不需要放到冰箱的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050299638},{"body":{"content":"好的，需要吃多久？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319034},{"body":{"content":"如果胀气没有减退，可以一直吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329441},{"body":{"content":"建议一疗程 一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345297},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356943},{"body":{"content":"不客气 这是我应该做的！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383204},{"body":{"content":"小于40度水冲服 奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390933},{"body":{"content":"温馨提示：为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌、不良反应等内容，严格按照说明书或药师指导的用法用量使用、若用药7天无效果或病情加重，请及时咨询医生/药师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649921},{"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":1653051651298},{"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":1653051652465}]

女

2022.05.20

[{"body":{"content":"您好，我是副主任医师常瑜，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049563276},{"body":{"content":"你好，我是京东医生，请问有什么可以帮助你吗？\n请实名，实名后提供更完整的诊疗服务，然后开始问诊！\n是否有药物过敏史，肝肾功能是否正常？是否备孕期？女性的话是否在哺乳期，孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049566003}]

女

2022.05.20

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

男37岁

2022.05.20

[{"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":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878608014},{"body":{"content":"身体健康状态怎么样？身高体重是多少？平时有锻炼身体吗？有没有高血压糖尿病冠心病，有没有再服用治疗慢性病的药物？有没有药物过敏史？平时心理压力怎么样，做事能够集中精力吗？焦虑失眠吗？经常处于紧张状态吗？\n\n性生活规律不，多久一次？\n阴茎勃起功能（硬度）没有问题吧？\n\n最好的状态是几分钟？可以通过转移注意力、中途停顿等方式适度延长性生活时间吗？对方对性生活时间满意吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878643974},{"body":{"content":"身体还可以，就是太久没运动了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878714239},{"body":{"content":"身高171，体重在137左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878734738},{"body":{"content":"没有高血压，冠心病和糖尿病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878752124},{"body":{"content":"没要药物过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878763481},{"body":{"content":"熬夜比较多，上班时偶尔会犯困","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878785273},{"body":{"content":"性生活近一年比较少，勃起没问题，偶尔一次没那么硬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878834274},{"body":{"content":"最好的状态应该在差不多10分钟左右，现在都是3分钟左右比较多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878871403},{"body":{"content":"BP也是比较长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878911654},{"body":{"content":"请问这个需要吃药控制吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879004325},{"body":{"content":"2-7分钟为正常。青年平均6.6分钟。中老年平均4.3分钟。\n\n性生活不稳定，很久一次，一触即发很正常的\n\n有没有乏力，耳鸣，腰酸的症状？是怕热还是怕冷还是没有什么冷热不适的感觉，手脚冰凉或是容易出汗吗？我能看看你的舌苔吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882398248},{"body":{"content":"乏力没睡饱的时候比较明显，耳鸣有时候会，但基本可能一两个月会有一两次，偶尔会怕冷，手脚不会冰凉，出汗比较少，也不大。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925416405},{"body":{"content":"舌苔我晚点发你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925423282}]

男25岁

2022.05.20

[{"body":{"content":"您好，我是主治医师陈宗梅，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346289},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050349203},{"body":{"content":"您好，我是京东互联网医院陈医生，很高兴为您提供线上咨询服务，请问您有什么问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367810},{"body":{"content":"***和***都有治疗肺燥咳嗽、咽痛，喑哑，失音的作用，同时都有**通便的作用。***味甘、寒，有****的作用，同时，有****，**通便的功效，用于热邪出现的肺热伤津，声音嘶哑，干咳无痰，咽干，咽痛的症状。***治疗热结便秘的症状，可以治疗头痛和目赤肿痛。***味甘、凉，也归肺经和大肠经，同样****、**通便，可以治疗肠燥导致的便秘，这两个药物都可以治疗肺热伤到咽喉的部位，出现咽痛、失音及肠燥便秘的功效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390926},{"body":{"content":"***或******茶都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050469460}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师陈宗梅，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049607384},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049609932},{"body":{"content":"怀孕多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049622033},{"body":{"content":"**柚子茶是一道味道酸甜的饮品，从中医的角度来讲，其药性，甘酸性凉，具有****，**降火，**通便，****的功效用于治疗消化不良，口舌生疮，大便秘结，肺燥咳嗽，咳痰等症。**柚子茶中含有丰富的***，***，糖类，****等成分具有降低血液粘稠度，减少血栓的形成，预防心脑血管的作用具有清除自由基，抗氧化，**淡斑延缓衰老的作用，具有解酒和保**细胞的作用，具有促进肠蠕动，瘦身减肥的作用，具有消除疲劳的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049634938},{"body":{"content":"35周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049637891},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049677228},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049682153},{"body":{"content":"很高兴在您提供线上问诊服务，如问题已得到解决，可以直接点击我们对话页面右上角“表扬医生”，给出您的宝贵的建议；后期有任何中医相关问题，可以在京东搜索我的名字进行咨询，我会继续为您提供优质问诊服务，为您的健康保驾护航","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049694419}]

女

2022.05.20

[{"body":{"content":"几天了？痒不痒？之前治疗过吗？有没有照片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355050},{"body":{"content":"痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369853},{"body":{"content":"治疗过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050379953},{"body":{"content":"以前是后背上有，治疗了后面前又有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453311},{"body":{"content":"没有照片，老年人在老家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050500622},{"body":{"content":"以前诊断过什么病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543374},{"body":{"content":"用过什么药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050547447},{"body":{"content":"医生说是湿疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576141},{"body":{"content":"用了什么药就不知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050600228},{"body":{"content":"首先没有照片我没办法判断病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050758640},{"body":{"content":"第二您没法提供药物 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050768521},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858961},{"body":{"content":"麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050863657},{"body":{"content":"不麻烦 下次您最好拍个照片 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050880674},{"body":{"content":"病历和用药都拍一下 这样好判断","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898686},{"body":{"content":"嗯，我人没在家所以没有这些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050942882},{"body":{"content":"好的 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959696}]

男75岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965056977},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965070453},{"body":{"content":"我想咨询一下无痛人流","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965078131},{"body":{"content":"系统分诊不对，我这是内分泌科～","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187356},{"body":{"content":"建议咨询妇科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965222241}]

女22岁

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":1653049822923},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049836642},{"body":{"content":"静脉曲张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049843563},{"body":{"content":"腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049851228},{"body":{"content":"目前没有图片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864504},{"body":{"content":"您可以站立位，发一张下肢的照片吗？我来判断一下严重程度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049864585},{"body":{"content":"因为是帮家人问的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901913},{"body":{"content":"就想看一下有什么可以缓解一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921011},{"body":{"content":"好的，患者多大年纪 确诊是下肢静脉曲张了么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930976},{"body":{"content":"腿部的筋和**差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049957662},{"body":{"content":"下肢静脉曲张 一般引起的是下肢酸胀不适 特别是站久了 酸胀明显 麻木的症状，要除外是腰椎问题引起的不适症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974460},{"body":{"content":"63岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974894},{"body":{"content":"确诊了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988149},{"body":{"content":"暂时可以给您些静脉曲张的治疗建议 和方法 帮患者缓解下肢 酸胀不适的症状，但是彻底治疗下肢静脉曲张 是需要手术的，另外 下肢麻木的情况 需要排除是腰椎问题 压迫神经引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050027005},{"body":{"content":"治疗建议前，为了用药安全，系统需要先排除用药禁忌，请问您既往是否有基础疾病？近期是否有发现肝肾功能异常？是否有药物过敏史？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038945},{"body":{"content":"家里人也没有拍过腰椎片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088917},{"body":{"content":"但是静脉曲张是有的，也是那条腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123140},{"body":{"content":"小腿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050129764},{"body":{"content":"没有药物过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144619},{"body":{"content":"嗯，可以先用药缓解症状的。药物建议前，需要您配合回答一下上边问题。我给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149205},{"body":{"content":"好的，感谢配合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154238},{"body":{"content":"可以用药膏或者喷雾那些药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050185214},{"body":{"content":"建议您注意下肢保暖，避免过久站立，和久坐，平躺休息是尽量抬高下肢，促进血液回流，可以外用*******涂抹下肢 涂抹后轻轻按揉有助于药物吸收 同时可以口服 ****一次2片一天2次，治疗静脉曲张 口服****营养神经 缓解麻木症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189224},{"body":{"content":"这种涂抹的效果比较好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050213207},{"body":{"content":"为了方便您用药，您可以点击“药品名称带有购物车标志”进入链接购买。有些药品为“处方药”，必须要由有医师开处方才能购买。稍后我再帮您开具一张电子处方，并注明用法用量，您作为参考，按照处方用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418267},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，请您及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419545},{"body":{"content":"处方已经开好，您可以点击处方，预约购买，药师审核通过后，即可发药,京东物流会配送到您指定的**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050451727},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050579271},{"body":{"content":"祝患者早日康复，身体健康，生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617136},{"body":{"content":"别忘了方便时候 带患者做过彩超检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050946037},{"body":{"content":"你***这个药膏可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060220},{"body":{"content":"因为你说的药膏，我那地区发不了货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087636},{"body":{"content":"也是可以的，效果也是不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051096133},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051112937},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169477},{"body":{"content":"哪个***是一次两片是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051311777},{"body":{"content":"另一个就是一次一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051329844},{"body":{"content":"是的 ***一次2片 另外一个一次一个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051406775},{"body":{"content":"***一天2次，另外一个一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413408},{"body":{"content":"我看另一个处方上写的是一天3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491899},{"body":{"content":"***对痔疮也有用对吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051538715},{"body":{"content":"另外一个一天3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051542879},{"body":{"content":"这个打错字了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051546555},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"对的，对痔疮也是管用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551617},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051559037},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051702209}]

女30岁

2022.05.20