刘继帅

[{"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

[{"body":{"content":"您好，我是住院医师任凯文，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050152673},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050155988},{"body":{"content":"孕14周可以开始补充钙和DHA了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050163695},{"body":{"content":"钙的话有哪些可以补？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050186648},{"body":{"content":"同时补充这两个不冲突吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219014},{"body":{"content":"这几个钙都比较好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226540},{"body":{"content":"同时吃没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050236764},{"body":{"content":"好的，多谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050244099},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050279066}]

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":1653050877588},{"body":{"content":"从刚开始到现在，这种情况大概有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050879188},{"body":{"content":"局部有无瘙痒或疼痛不适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050890804},{"body":{"content":"有一点痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905091},{"body":{"content":"有三四个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050918927},{"body":{"content":"目前局部皮肤是没有破损渗液的对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920688},{"body":{"content":"现在没破，之前抓烂长好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952407},{"body":{"content":"身上其他部位还有这种情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955556},{"body":{"content":"目前局部是有用药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962691},{"body":{"content":"身上有小红点，不知道是不是，也就是腿上有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995607},{"body":{"content":"还没有用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051004001},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047549},{"body":{"content":"目前您这种情况考虑瘢痕瘙痒的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051068484},{"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":1653051074117},{"body":{"content":"上述情况有没有呢，这边给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051075773},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051092445},{"body":{"content":"目前可以使用*****，局部外涂 早晚各一次，缓解瘙痒不适，局部长好以后，如果想去除局部瘢痕，可以先局部外用****** 每天三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112828},{"body":{"content":"药物治疗效果不佳的情况下可以选择线下皮肤科做激光祛疤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051127516},{"body":{"content":"感觉这不像是疤啊，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165444},{"body":{"content":"之前这个部位受过外伤吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051183861},{"body":{"content":"看有说的说是湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051195556},{"body":{"content":"如果有抓破过，局部还是有伤口情况，既往之前这个部位考虑是皮炎或湿疹的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231653},{"body":{"content":"没有，就以为是蚊子咬的，抓了几次烂了又好，就成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051248554},{"body":{"content":"目前主要是缓解局部瘙痒症状，同时用药缓解这种色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051254862},{"body":{"content":"那您当时这种还是考虑是蚊虫叮咬导致的，本身是小问题，但是由于抓破了，进一步加重，变成现在的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280760},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051319913},{"body":{"content":"建议后续规律使用药物对症观察1周，做好局部皮肤的清洁及保湿**，避免接触刺激性物品，清淡饮食，避免熬夜劳累，不适皮肤科随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051338255},{"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":1653051343489},{"body":{"content":"那到底是啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051365528},{"body":{"content":"湿疹么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051374355},{"body":{"content":"考虑是局部蚊虫叮咬后导致的皮炎，您搔抓刺激以后局部皮肤破损引起的局部炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389623},{"body":{"content":"留下了色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051393298},{"body":{"content":"暂时不考虑湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051482018},{"body":{"content":"皮炎的话用什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051510641},{"body":{"content":"目前上述给您建议的药物都是对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520480},{"body":{"content":"您可以使用1周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051527809},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051679840},{"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":1653051704594},{"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":1653051706604}]

男25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":1653050872675},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050881855},{"body":{"content":"请问您是线下正规医院确诊银屑病了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909724},{"body":{"content":"还没去正规医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952535},{"body":{"content":"您这种情况具体多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964340},{"body":{"content":"有12个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979696},{"body":{"content":"皮疹都出现在哪些部位？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051017396},{"body":{"content":"脚眼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051034877},{"body":{"content":"除了您上传的这个部位，其他部位有类似的情况吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065350},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087211},{"body":{"content":"两只脚对称出现的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121857},{"body":{"content":"就一个脚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143997},{"body":{"content":"白色的鳞屑是一直都有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051180016},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051227443},{"body":{"content":"您的情况不能排除是银屑病的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051245218},{"body":{"content":"请问您有治疗过吗？具体用过什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051248450},{"body":{"content":"外用的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051286448},{"body":{"content":"为了避免重复用药，您记得药名吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051301650},{"body":{"content":"现在想用这个药，但要处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051375030},{"body":{"content":"为了用药安全，请问您有药物过敏史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392628},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051462816},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473666},{"body":{"content":"**********是对症的，可以使用，稍等给您开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051481613},{"body":{"content":"好好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051492740},{"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":1653051526668},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051599253},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051607094},{"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建议的药品，如在用药过程中出现不适，请您及时上线咨询或去医院就诊。建议定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051615901},{"body":{"content":"建议您尽量避免感冒，避免外伤，平时避免搔抓，避免热水烫洗，以免刺激加重病情，饮食清淡，忌辛辣刺激食物，避免饮酒，避免熬夜，多吃蔬菜和水果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051647879},{"body":{"content":"请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051827225},{"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":1653051992932}]

男70岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050837557},{"body":{"content":"您是明确诊断为早泄，需要开具*******吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050846891},{"body":{"content":"其他药物都是试了 没效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050892863},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905801},{"body":{"content":"请问您近6个月内有无性生活？（仅指阴道内性交，不包含手淫、飞机杯等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050910794},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050946970},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949985},{"body":{"content":"1—3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050954851},{"body":{"content":"每次几分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956911},{"body":{"content":"1—3分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970570},{"body":{"content":"双方均满意概率是否到达50%？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975576},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050980688},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050983701},{"body":{"content":"一直存在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050987461},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050991463},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002970},{"body":{"content":"还有别的疾病或者不适吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051007028},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023576},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051035951},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060975},{"body":{"content":"那您这个早泄的情况是可以使用***的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074403},{"body":{"content":"******* 这个药物是目前国内唯一获得CFDA(国家药品监督管理局)批准治疗早泄的西药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077668},{"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":1653051078646},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098190},{"body":{"content":"***有3片和6片装的，您需要哪种？需要几盒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051106247},{"body":{"content":"三盒六片装","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051179112},{"body":{"content":"好的，稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196462},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231610},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051233865},{"body":{"content":"建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物，规律性生活，减少手淫次数。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051235346},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051283649},{"body":{"content":"推荐您可以搭配用这个*** ， ***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051300500},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051305153},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051528201}]

男33岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129118},{"body":{"content":"经常口腔溃疡吃维生素可以改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143416},{"body":{"content":"那应该吃什么***呢，麻烦您推荐一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050165124},{"body":{"content":"吃*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050243017},{"body":{"content":"我发给您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050246657},{"body":{"content":"这两种都可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050275345},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339963},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355621}]

女

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、儿童生长发育相关问题的需要，京东平台为您准备了儿科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267136},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050269292},{"body":{"content":"宝宝3个多月吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280206},{"body":{"content":"您好！是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296372},{"body":{"content":"不建议吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304638},{"body":{"content":"等再大一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315963},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050332861},{"body":{"content":"一般吃辅食最早不早于4个月。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346601},{"body":{"content":"很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050353421},{"body":{"content":"请问您是否还有其他育婴问题需要咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355357},{"body":{"content":"如果暂时没有别的话，能不能麻烦你点击对话框右上角“表扬医生”按纽。给我一个好评，谢谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360869}]

女

2022.05.20

[{"body":{"content":"您好，我是副主任医师石红梅，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049741718},{"body":{"content":"医生你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049754985},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049755082},{"body":{"content":"我测两次第二个都没颜色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049767490},{"body":{"content":"你好，有什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049774397},{"body":{"content":"你好，结果是阴性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822940},{"body":{"content":"显示的是没有怀孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049838239},{"body":{"content":"第二个窗口为啥没反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840781},{"body":{"content":"都给我整无语了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049850057},{"body":{"content":"您好，您可以拍一下说明书吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049887205},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924734},{"body":{"content":"您好，我是医生，早孕试纸的生产厂家非常多，其制动过程，结果显示也不是完全相同的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049929298},{"body":{"content":"五秒也有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049942314},{"body":{"content":"第二个质控窗就是没反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049955929},{"body":{"content":"你好，这种结果，建议您进行复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050014066},{"body":{"content":"质控窗口没有正确显示，这个结果的参考意义比较小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050042337},{"body":{"content":"那是晚上测还是早上测","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050075512},{"body":{"content":"影响大吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050084083},{"body":{"content":"你好，正常情况下，早孕试纸检测，是用晨尿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116321},{"body":{"content":"晨尿相对于其他时间的尿液是比较浓缩的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136155},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050168093},{"body":{"content":"如果第二个窗口还是没有咋整呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050177218},{"body":{"content":"质控窗口不显示，结果就不是那么可靠，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050204048},{"body":{"content":"希望对您有所帮助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277881}]

女

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":1653049617749},{"body":{"content":"您好，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049619137},{"body":{"content":"第1阶段：6-9个月。\n第2阶段：10-12个月。\n第3阶段：1岁-2岁。\n第4阶段：2岁-6岁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049621036},{"body":{"content":"一阶的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049635607},{"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":1653049642804},{"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":1653049647302},{"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":1653049649244}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050093555},{"body":{"content":"没发红吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106452},{"body":{"content":"您好，稍微有点发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117836},{"body":{"content":"****涂一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181976},{"body":{"content":"******涂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189340},{"body":{"content":"好的，另外请问一下医生，这个影响宝宝打**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227142},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244112},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245361},{"body":{"content":"注意**屁股","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248907},{"body":{"content":"有点发炎的样子","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253539},{"body":{"content":"好的，****是一天涂一次吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288519},{"body":{"content":"一天三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304780},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319832},{"body":{"content":"我没有其他问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050337529},{"body":{"content":"表皮也用一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050337768},{"body":{"content":"嗯嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343422}]

男2个月22天

2022.05.20