刘继帅

[{"body":{"content":"你好，现在有什么症状吗？能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965540168},{"body":{"content":"我是皮肤一直泛红脸上有疙瘩白白的挤出来是水洗完脸会脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965626211},{"body":{"content":"能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965672376},{"body":{"content":"疙疙瘩瘩的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965854114},{"body":{"content":"有什么感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965886442},{"body":{"content":"就是戴口罩的时候会觉得热热的平常偶尔会有蚊子包一两个这样痒痒的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965971555},{"body":{"content":"根据您症状情况，考虑是皮炎，就是过敏性了，引起的原因很多的，可能与接触东西有关系的，还有各种物理性因素如日光，动物的皮毛，**，化妆品，以及精神紧张都可以导致本病。有时不好找确切原因的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965986339},{"body":{"content":"可以这样治疗的，口服*****（晚饭后），一天一次一片，外用******，一天两次，同时需要忌口，腥，辛辣，牛**等刺激性食物尽量不要吃。不要用护肤品了。经过治疗会**恢复的。没有大问题的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990722},{"body":{"content":"我皮肤泛红有好久了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966035350},{"body":{"content":"偶尔还有蚊子包痒痒的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966056102},{"body":{"content":"只是这两天特别严重会长白头一样的痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966099864},{"body":{"content":"按上面我给你的方法注意和治疗就可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966116486},{"body":{"content":"******没有**很安全的。可以长期使用来修复的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966131447}]

女29岁

2022.05.20

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177337},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180307},{"body":{"content":"*** 抹茶零食曲奇饼干大礼包380g","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050242842},{"body":{"content":"是独立包装","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249654}]

女

2022.05.20

[{"body":{"content":"您好，这里是京东互联网医生，请问您有什么需要解决的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965804059},{"body":{"content":"请问你们医院有没有3mg的**卖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965825924},{"body":{"content":"请问您是咸阳中心医院的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965858717},{"body":{"content":"这里是洛阳市精神卫生中心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965910084},{"body":{"content":"哦，不好意思","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965922705},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965926555},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965939740}]

男29岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965662436},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965673099},{"body":{"content":"有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965693194},{"body":{"content":"左侧精索静脉曲张1级左侧精索静脉曲张1级","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965695029},{"body":{"content":"这个是啥意思","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965710829},{"body":{"content":"轻度精索静脉曲张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965743779},{"body":{"content":"影响怀孕吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965763106},{"body":{"content":"精液常规正常就不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965792801}]

男29岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051410219},{"body":{"content":"请具体描述一下不适的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051420855},{"body":{"content":"身上长大块红疹痒痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051451983},{"body":{"content":"有时还?水泡","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051467721},{"body":{"content":"这个情况多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051474072},{"body":{"content":"基本上上半年都会这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491751},{"body":{"content":"下半年没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051499428},{"body":{"content":"之前在用什么药物呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051506365},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051515147},{"body":{"content":"孩子一直这样就是气候环境变化就会有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051531424},{"body":{"content":"好像不起什么作用，反反复复一直复发","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051545309},{"body":{"content":"看一下中医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051557942},{"body":{"content":"用药浴调理一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562919},{"body":{"content":"和自身的体质有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051571463},{"body":{"content":"喝不了中药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051573965},{"body":{"content":"外用药物就是缓解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600928},{"body":{"content":"这个中医上缺少什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051601363},{"body":{"content":"达不到根治","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051603496},{"body":{"content":"药浴要开些什么吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051681637},{"body":{"content":"线下看中医开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695853},{"body":{"content":"好的，先用***可不可以，有没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051725801},{"body":{"content":"可用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051737356},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051744725},{"body":{"content":"不客气呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051755030},{"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":1653051947143},{"body":{"content":"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，若用药无效果或病情加重，请及时咨询医生师或立即线下就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051949094},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051950772}]

女

2022.05.20

[{"body":{"content":"您好，你能再详细的说一下现有的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878768015},{"body":{"content":"有没有发烧，局部炎症？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878786767},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879903522},{"body":{"content":"打了三天点滴，有一点消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879937101},{"body":{"content":"有没有查血常规呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880041173},{"body":{"content":"没有查。就做了比超，打了**，现在又有点消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882693354},{"body":{"content":"那您可以继续坚持治疗，另外还是建议您查个血常规，看看是不是炎症引起淋巴结肿大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882763536}]

男34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":"你好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878830704},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878834247},{"body":{"content":"有没有偏侧咀嚼习惯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878865385},{"body":{"content":"半年时间。之前只是弹响，最近有几次吃东西时有突然关节错位的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878874148},{"body":{"content":"考虑是颞颌关节功能紊乱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878895447},{"body":{"content":"有偏侧咀嚼可能是之前正畸牙齿时导致的习惯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878928090},{"body":{"content":"这种情况应该怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878954772},{"body":{"content":"疼痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878962516},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878974137},{"body":{"content":"可以热敷热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878986733},{"body":{"content":"但是有几天较为严重时有肌肉紧绷感","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878991781},{"body":{"content":"避免偏侧咀嚼习惯，及过度张口，别熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879014092},{"body":{"content":"如果症状不见好转，建议到医院口腔科实诊一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879034142},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879052709},{"body":{"content":"早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879065329}]

女20岁

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":"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":1653050328707},{"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":1653050330967},{"body":{"content":"哺乳期发热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346805},{"body":{"content":"37.5度","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351322},{"body":{"content":"乳房疼痛，怀疑是乳腺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050376910},{"body":{"content":"乳房有硬块吗？局部皮肤有发红发烫么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050395609},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050411205},{"body":{"content":"怀疑急性乳腺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050419774},{"body":{"content":"好的，乳房疼伴有发烧 这首先考虑是急性乳腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050481366},{"body":{"content":"给您些治疗的方法您参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489713},{"body":{"content":"治疗建议前，为了用药安全，系统需要先排除药物禁忌，请问您既往是否有任何基础疾病，近期是否有发现肝肾功能异常？是否有药物过敏史？是否处于妊娠，备孕状态呢？您回答有或者没有就可以了。谢谢。（例行询问，请您配合回答，谢谢。）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501647},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050511762},{"body":{"content":"现在是哺乳期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050518156},{"body":{"content":"用药肯定得注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050526472},{"body":{"content":"乳腺炎一般是由于乳汁淤积引起的，您可以局部冷敷，后由肿块向乳头方向按揉，将肿块揉散，后排出乳汁，按揉前清洗乳头，保证乳头清洁干燥，乳头处乳管通畅。平日也要保持乳头乳晕清洁干燥，哺乳和挤奶前后都要清洁乳头及乳晕周围。平日尽量保持乳房空虚，避免乳汁淤积。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050566076},{"body":{"content":"如果体温超过38.5度可以口服退热药物，**就可以。一般一次10ml，4到6小时可以重复一次。这个不影响哺乳 不到38度5 物理降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578776},{"body":{"content":"药物可以口服 蒲公英颗粒 ****治疗 也不影响哺乳","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590018},{"body":{"content":"如果自行保守治疗2天无效，乳房红肿痛加重，有脓性乳汁出现，或者高热不退，您需要到医院普外科或乳腺外科就诊，查彩超，明确具体情况，针对性治疗了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051748495}]

女31岁

2022.05.20