刘继帅

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049644789},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049646501},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049649414},{"body":{"content":"您方便发一下照片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655406},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049673723},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049678540},{"body":{"content":"发现多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049949564},{"body":{"content":"硬的软的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049955278},{"body":{"content":"有快一年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050018888},{"body":{"content":"软的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050022320},{"body":{"content":"之前下去过一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030153},{"body":{"content":"然后又起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050035261},{"body":{"content":"现在有什么不舒服的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045516},{"body":{"content":"现在是经期，老上厕所纸摩擦的有点痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050072546},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050076062},{"body":{"content":"不是经期的时候没有感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050085953},{"body":{"content":"好的，您没有来月经前有外阴痒吗？白带量多、颜色改变、有异味等情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050095781},{"body":{"content":"有时候有点味道 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116542},{"body":{"content":"偶尔会有青黄色的白带","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050130544},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050136539},{"body":{"content":"您这个部位有做过手术史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050148091},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157598},{"body":{"content":"您的白带情况考虑是有炎症的，但是这个疙瘩从照片看考虑是软疣，需要到皮肤科咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050194187},{"body":{"content":"我可以先给您一些炎症的建议，您这个疙瘩的情况可以到皮肤科咨询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209724},{"body":{"content":"看看皮肤科医生给您什么处理意见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217140},{"body":{"content":"这好尴尬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237284},{"body":{"content":"没关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259471},{"body":{"content":" 一定要去皮肤科问一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050278876},{"body":{"content":"嗯嗯，需要问一下的，不像炎症引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292828},{"body":{"content":"好的吧 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301849},{"body":{"content":"那需要先给您炎症的建议吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309578},{"body":{"content":"应该是到皮肤科得建议吧. ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329799},{"body":{"content":"我需要重新购买一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339694},{"body":{"content":"这个阴道炎症是属于我们妇科的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344227},{"body":{"content":"我先给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350547},{"body":{"content":"请问您有性生活史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050351173},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355213},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050364304},{"body":{"content":" 有些阴道炎哈？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050365985},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369210},{"body":{"content":" 好吧 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458301},{"body":{"content":" 用什么处理？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050465904},{"body":{"content":" 稍微问下，卫生巾和棉条哪一个比较好？ ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495293},{"body":{"content":"以上禁忌症有吗？、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523339},{"body":{"content":"卫生巾或者卫生棉都可以的，您月经期间勤换，每天清洗外阴，换洗内裤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543519},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545272},{"body":{"content":" 没有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559235},{"body":{"content":"等您月经干净三天，您可以使用**********放置阴道，每天睡前放1粒，用6天；同时配合洁尔阴洗液，10ml稀释*****后清洗外阴，早晚清洗外阴；使用一周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050574992},{"body":{"content":"点击链接可以直接购买的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593681},{"body":{"content":"治疗期间不要同房，不要饮食辛辣刺激的食物和甜食，多喝水，减少熬夜，适当运动提高免疫力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594672},{"body":{"content":"红斑狼疮可以正常用吗？ ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695828},{"body":{"content":"外用药一般影响不大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709874},{"body":{"content":" 好的 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806378},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823841},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、孕妇及哺乳期妇女用药部分，如无禁忌可使用，用药过程中如有不适，或用药症状不缓解可上线咨询或线下就诊。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050824826},{"body":{"content":"阴道炎跟卫生、饮食、作息，身体体抗力下降有关系，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828517},{"body":{"content":"建议您饮食宜清淡，忌辛辣刺激、甜的食物，多喝水，多吃水果蔬菜，减少熬夜，治疗期间不建议同房，每日清水清洗外阴（不要洗阴道里面），内裤穿棉质、宽松内裤，可以减少阴道炎复发。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829584},{"body":{"content":"再给您一些生活建议可以参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050836413},{"body":{"content":"好的。谢谢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905124},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050912633},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978863},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051235076}]

女24岁

2022.05.20

[{"body":{"content":"您好，我是主治医师何志华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049559529},{"body":{"content":"你好，大便一天几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049570262},{"body":{"content":"拉什么样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049573250},{"body":{"content":"1次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049576753},{"body":{"content":"哭闹吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049585252},{"body":{"content":"之前宝宝正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049591580},{"body":{"content":"食欲怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049605875},{"body":{"content":"傍晚和晚上哭闹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049611186},{"body":{"content":"还有其他异常吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049630454},{"body":{"content":"食欲一次90，3小时一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049633319},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049637246},{"body":{"content":"这种情况没必要吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652137},{"body":{"content":"之前大便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049654338},{"body":{"content":"酸臭","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049665782},{"body":{"content":"哭闹的时候可以吹风机的声音进行安抚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049681487},{"body":{"content":"没有其他办法缓解吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049706834},{"body":{"content":"乳糖不耐受会大便次数多，目前大便次数不多，不考虑乳糖不耐受，也就没必要吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049719101},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049728235},{"body":{"content":"前两天吃了几袋便便变水样，次数没变","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049759082},{"body":{"content":"影响大吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049766629},{"body":{"content":"没有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049800161},{"body":{"content":"好的 不需要吃了对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049816233},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049832089},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049841482},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049866816},{"body":{"content":"宝宝胀气严重怎样缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049978496},{"body":{"content":"意思不需要干预吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050073640},{"body":{"content":"宝宝有时哭的很难受","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088037},{"body":{"content":"不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050112692},{"body":{"content":"哭的时候用吹风机安抚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050124525},{"body":{"content":"吹风机的声音","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131918}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878987744},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878999596},{"body":{"content":"医生劳烦您 按照之前的量 帮开一下 处方吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879016958},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879098866},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879273106},{"body":{"content":"给您开完了，您看看，对不对？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879499099},{"body":{"content":"对的哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652961784227},{"body":{"content":"谢谢啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652961786370},{"body":{"content":"不谢不谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652961897521}]

男56岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050316161},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050319087},{"body":{"content":"收到了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050447947}]

女

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":1653050634663},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，请您配合回答几个问题，可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050635941},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050647159},{"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":1653050674143},{"body":{"content":"请问您出现不适症状几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050676230},{"body":{"content":"1-3天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681290},{"body":{"content":"有没有出现下列所述症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050686357},{"body":{"content":"尿频 / 尿急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715046},{"body":{"content":"好的，那么有使用过药物进行过治疗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050721071},{"body":{"content":"未使用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050725050},{"body":{"content":"针对以上情况，您到线下医院做过相关检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732068},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050736323},{"body":{"content":"白天大概去几次厕所？超过4-6次吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050743351},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756294},{"body":{"content":"晚上睡着以后会起夜吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050771888},{"body":{"content":"就是今天感到小便次数多 和有点酸胀的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050809425},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050817212},{"body":{"content":"有尿痛或是尿道灼热的表现吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823253},{"body":{"content":"昨天晚上起夜一次吧，睡得晚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050849124},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856944},{"body":{"content":"有尿痛或是尿道灼热的表现吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050859820},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050860275},{"body":{"content":"最近饮水量怎么样呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050866919},{"body":{"content":"不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050872623},{"body":{"content":"有过泌尿系结石的病史吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050884234},{"body":{"content":"需要吃药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050889249},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050895317},{"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？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050912129},{"body":{"content":"在吃血压高的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937180},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050947809},{"body":{"content":"您目前的症状，是有尿路感染的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952582},{"body":{"content":"没有药物过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050953566},{"body":{"content":"女性尿道较短，解剖位置特殊，如果经期或者性生活后不注意个人卫生，加之饮水少，憋尿，很容易诱发尿路感染，急性膀胱炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955604},{"body":{"content":"估计饮水少的原因和抵抗力下降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995594},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000112},{"body":{"content":"有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051001929},{"body":{"content":"建议服用*******+***，口服一周，多饮水多排尿，保证每天饮水量2000-2500ml","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051006206},{"body":{"content":"服用过程中若症状加重或使用药物后没有明显效果，建议及时去线下医院完善尿常规、泌尿系彩超等检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051010570},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051021141},{"body":{"content":"谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051033382},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051046401},{"body":{"content":"用药剂量：0.1g的*******，一天两次，一次2片；***，一天三次，一次三片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049827},{"body":{"content":"可以帮您开个免费的处方参考一下，需要的话点击处方购买即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051292},{"body":{"content":"药能及时送到吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051057325},{"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":1653051094303},{"body":{"content":"如果比较着急使用的话，可以看一下当地是否有开通药急送业务，如果有，可以按照图片的方法购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051103375},{"body":{"content":"哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051104698},{"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":1653051125432},{"body":{"content":"女性尿路感染注意事项：1.多饮水，多排尿，保证每天2000ml饮水量，足量饮水以冲洗清除细菌；2.不要憋尿；3.女性排便后，从前向后擦拭肛门；4.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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131203},{"body":{"content":"近期疫情原因，如果不方便去医院的话，也可以先使用尿液分析自测试纸先自测看一下情况，按说明书使用，简单易操作","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137713},{"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":1653051279836},{"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":1653051364916}]

女55岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390682},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050399789},{"body":{"content":"之前吃的什么**？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407132},{"body":{"content":"能吃新盖中盖中老年补钙的**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435445},{"body":{"content":"之前没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050441367},{"body":{"content":"这个适合老年人","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050484515},{"body":{"content":"孕妇一般用**，****比较多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050506883},{"body":{"content":"那吃什么样的可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050517069},{"body":{"content":"**，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050532551},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050593665},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050616479}]

女23岁

2022.05.20

[{"body":{"content":"您好，我是中医科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050438341},{"body":{"content":"结石多大呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050445469},{"body":{"content":"这个是我前两天拍的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468280},{"body":{"content":"激光也打不掉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050501784},{"body":{"content":"0.3cm","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518189},{"body":{"content":"去年10月份查的时候是0.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050521891},{"body":{"content":"然后今年上半年军检查的事0.4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050537136},{"body":{"content":"吃点中药排","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545341},{"body":{"content":"现在变成2个最大的事0.3","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555114},{"body":{"content":"尿酸查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050558628},{"body":{"content":"0.3的一般可以排出去的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050565359},{"body":{"content":"没有检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569046},{"body":{"content":"我这个时间挺长了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576313},{"body":{"content":"可以么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580210},{"body":{"content":"还是可以排出去的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592461},{"body":{"content":"我看看您的舌象","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595863},{"body":{"content":"舌淡白，苔白腻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636302},{"body":{"content":"请问您有怕冷，性欲减退，畏寒肢冷，腰膝以下尤甚，腰膝酸软，头晕耳鸣，小便清长，夜尿多的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050644700},{"body":{"content":"夜尿没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050659213},{"body":{"content":"怕冷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663830},{"body":{"content":"腰疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674690},{"body":{"content":"去年有过耳鸣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681785},{"body":{"content":"小便黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687416},{"body":{"content":"根据您提供的信息及症状，目前初步考虑肾阳虚，寒湿证。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050690288},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？请问您在备育期吗？以便我给您用药建议，如果以上都没有，可以回答“都没有”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698266},{"body":{"content":"水喝多了就白色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699418},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702091},{"body":{"content":"那这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050710165},{"body":{"content":"肾结石","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050719687},{"body":{"content":"吃什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050723319},{"body":{"content":"以上用药禁忌可以排除吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754429},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769135},{"body":{"content":"肝肾功能异常及其他慢性病史吗？请问您在备育期吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779472},{"body":{"content":"没有任何疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785391},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050793304},{"body":{"content":"您看是选择中成药还是中药配方（自煎、代煎、**剂）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050796934},{"body":{"content":"我有手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050816113},{"body":{"content":"好多年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050819252},{"body":{"content":"代煎吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050837265},{"body":{"content":"请您稍等，给您开具中药，估计需要3-5分钟。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857175},{"body":{"content":"肾结石？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906187},{"body":{"content":"是一起调理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050922215},{"body":{"content":"还有手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050965427},{"body":{"content":"了解了，您目前考虑肾阳不足了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050982718},{"body":{"content":"您稍等我一下，我给您开方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051045843},{"body":{"content":"退出来要重新点处方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053600},{"body":{"content":"给您开的是代煎好的中药，一日3次，一次1袋，服用前温一下，剩余冰箱冷藏。服用7日，观察疗效，再上线复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051440434},{"body":{"content":"中药反应：如您在用药过程中出现不适如皮疹、皮肤瘙痒、发热等，请您及时上线咨询或去医院就诊。 不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051445550},{"body":{"content":"建议您宜选用甘温补脾阳、温肾阳为主的食物，如**、韭菜、红茶、**等。少食生冷、苦寒、黏腻食物，如螃蟹、绿茶、冷冻饮料等。平时1、注意休息，保持良好情绪，规律作息。2.保持室内空气湿润，清淡饮食易消化。3.多饮水，少食辛辣刺激、油炸的食物。4.忌烟酒。5.避风寒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051449857},{"body":{"content":"平时多喝温水，生冷、油腻的不能吃，平时多运动。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051675069},{"body":{"content":"这个肾结石慢慢就没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051682329},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051698758},{"body":{"content":"生冷、油腻的不能吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051709844},{"body":{"content":"您看这样下去肾阳会被伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051718197},{"body":{"content":"肾阳不足，就容易再继续长结石","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051737082},{"body":{"content":"感谢您的咨询和耐心回答，请问您是否还有其他医药问题需要我为您解答？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051883055},{"body":{"content":"没有了。。谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051921956},{"body":{"content":"您客气了。如果您没有其他问题，我将结束您的问诊，希望我的建议能够帮助到您，请点击对话框右上角“ 表扬医生“对我的服务作出评价，您的五星好评，就是对我工作最大的鼓励和支持。欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051930848},{"body":{"content":"石清茶平时可以代茶饮喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051974400}]

男23岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050037218},{"body":{"content":"这个表不适合女性，有什么问题可以直接咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212394}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0022，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383530},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384181},{"body":{"content":"是己确诊该病情是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384935},{"body":{"content":"这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409087},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050414902},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415571},{"body":{"content":"两个星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050423749},{"body":{"content":"20岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050428210},{"body":{"content":"女","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434387},{"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":1653050434891},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050438542},{"body":{"content":"目前是否用过药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050449175},{"body":{"content":"反反复复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453235},{"body":{"content":"痛痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460181},{"body":{"content":"涂过药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050462492},{"body":{"content":"痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475986},{"body":{"content":"这种是毛囊炎吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483550},{"body":{"content":"用的哪种药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050529548},{"body":{"content":"您用过什么药膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050569866},{"body":{"content":"需要看您用药情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050576582},{"body":{"content":"这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695654},{"body":{"content":"没有改善是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712500},{"body":{"content":"反反复复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785654},{"body":{"content":"别的地方要长了几颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801041},{"body":{"content":"目前图片看比较 像的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050803976},{"body":{"content":"好嘞 根据您目前的情况，为您提供治疗药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809786},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050921210},{"body":{"content":"//******：本品应外用，局部涂于患处，必要时，患处可用敷料包扎或敷盖，每日3次，5天一疗程，必要时可重复一疗程。\n【用药注意】本品仅供皮肤给药，请勿用于眼、鼻、口等黏膜部位，皮肤大面积破损合并肾病不建议使 用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050925950},{"body":{"content":"//炉甘石洗剂：局部外用，用时摇匀，取适量涂于患处，一日-3次。\n【用药注意】避免接触眼睛和其他黏膜（如口、鼻等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050927346},{"body":{"content":"可以治疗好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050933695},{"body":{"content":"先用这两个看下，复发，与体质有关的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962570},{"body":{"content":"怎么用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050975920},{"body":{"content":"******：本品应外用，局部涂于患处，必要时，患处可用敷料包扎或敷盖，每日3次，5天一疗程，必要时可重复一疗程。\n【用药注意】本品仅供皮肤给药，请勿用于眼、鼻、口等黏膜部位，皮肤大面积破损合并肾病不建议使 用\n\n//炉甘石洗剂：局部外用，用时摇匀，取适量涂于患处，一日-3次。\n【用药注意】避免接触眼睛和其他黏膜（如口、鼻等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051002281},{"body":{"content":"间隔 半小时用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051005241},{"body":{"content":"一天三次？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051064686},{"body":{"content":"间隔半小时？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051072921},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051091263},{"body":{"content":"先涂*** 半小时再用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108915},{"body":{"content":"睡觉前不用用咯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051109096},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051131452},{"body":{"content":"最后一次睡前用呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137405},{"body":{"content":"先涂药膏？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051163016},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051215916},{"body":{"content":"徖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051404931},{"body":{"content":"皮肤瘙痒温馨提示：日常**1.要勤洗勤晒衣物、被单、枕头、被子 2.避免过度烫洗、搔抓等刺激。 3.饮食调理注意饮食调理，均衡营养，多吃一些水果、蔬菜等***丰富的食物。少吃鱼虾、牛**和油腻、甜食及刺激性食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051407146},{"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。请您查看药品说明书中的注意事项，使用 7 天后如果症状没有改善或出现症状加重的情况，建议尽快线下就医。用药期间禁烟酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051416400},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051417706},{"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":1653051481202},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051485641}]

女

2022.05.20

[{"body":{"content":"方便拍张照片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965394921},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965482448},{"body":{"content":"有两年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965546615},{"body":{"content":"反反复复的起吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965573635},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965582762},{"body":{"content":"建议您能查个单纯疱疹病毒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965606191},{"body":{"content":"在哪里？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965622278},{"body":{"content":"得去医院查，抽血或者取水泡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965656132},{"body":{"content":"你们医院在哪里呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965670736},{"body":{"content":"我是**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965763597},{"body":{"content":"什么跟什么啊，我是咨询本地医院，怎么你是**的？？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965839049},{"body":{"content":"这个是系统自动分的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965857571}]

男50岁

2022.05.20