刘继帅

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314704},{"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":1653050317985},{"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":1653050320262},{"body":{"content":"7天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326854},{"body":{"content":"主要不适症状是什么呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050343687},{"body":{"content":"左乳房有点胀痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346870},{"body":{"content":"也做血的化验","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050368779},{"body":{"content":"说没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050375096},{"body":{"content":"彩超和抽血都做过了对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050377071},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381877},{"body":{"content":"把结果上传我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050382121},{"body":{"content":"图片没有拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050394934},{"body":{"content":"有外观改变明显，或摸到明显硬块么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050410775},{"body":{"content":"彩超显示有腺体8MM","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050417421},{"body":{"content":"抽血检查的雌性那些指标都是正常的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444844},{"body":{"content":"那确实是偏大了，这个情况，外观改变明显，首先考虑是手术治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519922},{"body":{"content":"那个医生说建议我吃下******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595303},{"body":{"content":"但是医院没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603546},{"body":{"content":"但医生说**指标正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050632504},{"body":{"content":"只有左胸最近才感觉到痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657120},{"body":{"content":"可以吃 3周看看效果 但是 个人经验 止痛效果好，变小腺体的可能性不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050659617},{"body":{"content":"这个****医生也推荐了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702938},{"body":{"content":"这两个药哪个疗效会好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050721296},{"body":{"content":"可以试试 但个人认为不要抱有太大希望","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050722690},{"body":{"content":"一定有这个症状就要做手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756265},{"body":{"content":"这个会一直增长吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050771859},{"body":{"content":"增长的可能性也不大，是否需要手术 要看您对外观的要求 如果很在意 手术是最直接的方法，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798220},{"body":{"content":"另外如果有发现男性乳房有硬块 那要及时手术切除","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809738},{"body":{"content":"他说给我饮食和身体肥胖有很大关系","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050821531},{"body":{"content":"对，跟这个有关系的，如果没有硬块 疼痛不明显外观改变不明显 也不用特别在意","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050851148},{"body":{"content":"硬块没有，就是乳头按压会有胀痛感","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905293},{"body":{"content":"****和******看下开那个好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050961339},{"body":{"content":"麻烦给推荐一下，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970966},{"body":{"content":"外观改变不明显 可以先口服药物看看效果，******临床反馈效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978994},{"body":{"content":"好的，那就给我开下******2盒，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007701},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036573},{"body":{"content":"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？是否处于男性备孕状态呢？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051076149},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051118425},{"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":1653051196208},{"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":1653051198032},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051381470},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051450938}]

男33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，我是京东健康互联网医院专业育儿顾问，非常高兴由我为您提供咨询服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050337743},{"body":{"content":"请问有什么可以帮到您的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050340115},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050362606},{"body":{"content":"你好我家宝宝五个多月了喝的***一段，喝了一个月了一点肉都没长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050365473},{"body":{"content":"宝宝精神状态怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050386427},{"body":{"content":"小宝宝长到5-7个月的时候，体重常常就长得不快了，有的孩子甚至不长体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050484681},{"body":{"content":"状态很好，有拉绿便还有奶瓣吃了*****好点了，吃不多就吃一100到120","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497056},{"body":{"content":"一般4-5个月的孩子要开始添加辅食，如果还不加辅食，有可能会出现缺铁性贫血，孩子就不长体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554294},{"body":{"content":"要注意孩子是不是存在着消化不良的问题，有没有积食的问题，要注意孩子有没有腹胀、没有食欲的情况。如果出现食欲下降、腹胀，还有便秘的情况，要适当的给孩子服用肠道的***来增强消化功能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050608462},{"body":{"content":"也有的宝宝因为选的奶粉不当，也可能出现这种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683893},{"body":{"content":"大便一天一次有时候两次正常，吃的******奶味的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050684433},{"body":{"content":"你可以换一款产品试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709073},{"body":{"content":"星飞帆卓睿怎么样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050784452},{"body":{"content":"每款奶粉都有它的优点，只是每个宝宝的体质不同","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050869597},{"body":{"content":"可能这款奶粉不适合咱家的宝宝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050937562},{"body":{"content":"你可以换一款产品","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050979401},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请您对我的服务作出评价，祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051101978},{"body":{"content":"祝您平安喜乐，万事胜意，宝宝健康成长 ~","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182125},{"body":{"content":"如果您对我的服务满意的话 辛苦您点击右上角\"表扬\"那里 给我一个五星好评呀?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051190830}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143771},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965153420},{"body":{"content":"怎么了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965159291},{"body":{"content":"我想问下肚子跟长了红点点是什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965177687},{"body":{"content":"看看图片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187658},{"body":{"content":"昨天看还不多，现在感觉多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965242168},{"body":{"content":"一大块红色痒痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965256774},{"body":{"content":"有感觉吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965256955},{"body":{"content":"现在胸上也起了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965273038},{"body":{"content":"过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965324384},{"body":{"content":"9为了您的用药安全，请问您是否有药物过敏史,肝肾功能异常或其他病史吗？是否在备孕哺乳期或怀孕中？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965328397},{"body":{"content":"可以抹点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965331337},{"body":{"content":"口服******，每天一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337585},{"body":{"content":"是什么过敏的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965355147},{"body":{"content":"这个不好说，接触的，吃的都可以引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965401680},{"body":{"content":"我最近看脸上痘痘的，医生配的**跟****跟它们有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965475718},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965506489},{"body":{"content":"那怎么会过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965519920},{"body":{"content":"从来没有过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965527937},{"body":{"content":"越来越多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965549117},{"body":{"content":"嗯嗯，不好说了，很多人都这样，跟免疫力有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965557902},{"body":{"content":"那请问就买点药膏涂涂就可以了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965571041},{"body":{"content":"这个好看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965582640},{"body":{"content":"有时候我还痒痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965590667},{"body":{"content":"不要紧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965623803},{"body":{"content":"用药就没事了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965630610},{"body":{"content":"就涂点药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965648534},{"body":{"content":"口服的******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965656900},{"body":{"content":"每天一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965659157},{"body":{"content":"不吃药可以吗，因为我在吃去痘痘药我怕妨碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965670601},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682481},{"body":{"content":"就涂药好会快点吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965708751},{"body":{"content":"嗯嗯，主要是涂药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728424},{"body":{"content":"好的，那我明天去买这个药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965751600},{"body":{"content":"谢谢医生啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965759903},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965761383},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965762933}]

女31岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045633847},{"body":{"content":"确诊了什么病的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046093492},{"body":{"content":"骨穿报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048721849},{"body":{"content":"血小板减少，血小板23","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048750085},{"body":{"content":"吃什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048800412},{"body":{"content":"白细胞**红蛋白都正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048810692},{"body":{"content":"没有吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048920341},{"body":{"content":"这个需要怎么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048948738},{"body":{"content":"结合骨穿结果，他们诊断什么病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048960537},{"body":{"content":"医生说是血小板再生障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048968545},{"body":{"content":"再生障碍性贫血！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048982217},{"body":{"content":"可以吃****的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049069254},{"body":{"content":"像****，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049079400},{"body":{"content":"你提供的信息实在有限","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049109512},{"body":{"content":"如果诊断再生障碍性贫血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049120893},{"body":{"content":"如果考虑免疫性血小板减少症，可以吃**治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049509354},{"body":{"content":"也可以用*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049520523},{"body":{"content":"当然，现在有23，可以考虑反复吃****的药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049539422},{"body":{"content":"**治疗后对身体有没有啥影响","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049568799},{"body":{"content":"副作用不少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049583073},{"body":{"content":"有啥副作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049608260},{"body":{"content":"长期吃可能引起高血压，糖尿病，骨质疏松，感染增多等等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049651611},{"body":{"content":"四年前治疗过，应该也是用的***，升上去了，一段时间又降下去了。也吃过****，一直都保持在三十以上，一年多没吃完就降到二十多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049725655},{"body":{"content":"如果是这样，干脆就别理它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049757682},{"body":{"content":"有20以上，相对安全","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049770708},{"body":{"content":"如果不考虑经济问题，可以吃****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049782385},{"body":{"content":"一个月可能八千块左右吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049792829},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049892088},{"body":{"content":"确实有点贵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049900409},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904480},{"body":{"content":"或者间断吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049910403},{"body":{"content":"控制费用的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049915871},{"body":{"content":"尝试一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049997767}]

女75岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0364，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051423697},{"body":{"content":"请问您说的是这个药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051444286},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051449557},{"body":{"content":"头顶稀疏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051464988},{"body":{"content":"请问还有别的什么症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473125},{"body":{"content":"长期使用能长出头发吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051477117},{"body":{"content":"有红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051484095},{"body":{"content":"有时头皮痒 小头屑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505430},{"body":{"content":"这个***是可以治疗脂溢性 皮炎，对**的话效果可能不太好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051506412},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516049},{"body":{"content":"主要是可以缓解脱发的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051518563},{"body":{"content":"那**有什么药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051533711},{"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？是为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558583},{"body":{"content":"为了您的用药安全，我们需要了解您的既往病史和过敏史，请您先回复以下问题：是否有食物/药物过敏史或慢性疾病史，肝肾功能是否正常，若有以上情况请如实告知，如果没有，可回复“无","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051840001},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051862938},{"body":{"content":"男 27岁 是本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051882466},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051907876},{"body":{"content":"**可以用****来治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051924032},{"body":{"content":"局部外用：每次1ml（****50mg，约7喷），涂于头部患处，从患处的中心开始涂抹，并用手按摩3-5分钟，不管患处的大小如何，均使用该剂量。每天的总量不得超过2ml。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052030504},{"body":{"content":"一般几个疗程","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052041173},{"body":{"content":"这个一般要使用时间长点的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052060317},{"body":{"content":"一般使用三个月左右开始长头发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052069455},{"body":{"content":"建议您先使用这一瓶看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052098118},{"body":{"content":"行 等我们这解封快递开始了就买一瓶试下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052134819},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148036},{"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4周无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052154285},{"body":{"content":"注意清淡饮食，忌食辛辣，油腻食物，避免过度劳累。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162185},{"body":{"content":"您好，您看还有其他问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052163954},{"body":{"content":"没有了 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052200401},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052204120},{"body":{"content":"不客气，用我的专业帮到您我非常高兴!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052207186},{"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":1653052208650}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050481173},{"body":{"content":"您是需要开具处方吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483144},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050491941},{"body":{"content":"2瓶***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050499172},{"body":{"content":"是线下医师建议使用的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553355},{"body":{"content":"温馨提示：平台要求凡是六岁以下宝宝购药均需提供线下医院病历或处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050557520},{"body":{"content":"麻烦您上传一下具体的病例资料，需要系统匹配到有效病例、购药单或之前开具过的电子处方后，可以直接给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050561686},{"body":{"content":"直接开吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572735},{"body":{"content":"非常抱歉，国家为保证儿童的用药安全，所以现在儿童用药都需要线下明确的的病例或药单资料，系统匹配到病例才能使用处方系统，没有匹配到明确的病例或药单开方系统不能使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579843},{"body":{"content":"那我去找","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050589964},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050830441},{"body":{"content":"请问孩子是否有药物过敏史，肝肾功能异常史，其他慢性疾病及心血管疾病史，近期在使用哪些其他药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050834886},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050894877},{"body":{"content":"问诊中只能开具一次 处方，处方是一次性的，一旦确认不能更改","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050942056},{"body":{"content":"您需要几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050945455},{"body":{"content":"您好、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137305},{"body":{"content":"2盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051142229},{"body":{"content":"您稍等，处方开具需要2-3分钟，马上给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171030},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233440},{"body":{"content":"您好，处方已开好，您可以直接点击处方预约购药了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051302221},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051303471},{"body":{"content":"注意遵线下医嘱用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051305450},{"body":{"content":"有问题您随时复诊咨询我，您在京东健康首页，看病，直接搜索我的名字，就可以找到我","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051589464},{"body":{"content":"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":1653051590549},{"body":{"content":"希望我的建议能帮助到您，如在治疗过程中还有任何问题，欢迎您随时上线咨询或者给我留言，非常感谢您的信任。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051595984},{"body":{"content":"祝孩子早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051601707}]

女4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":1653050346479},{"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":1653050347688},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050357199},{"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":1653050372690},{"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":1653050375083},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050380316},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383361},{"body":{"content":"3—7次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409981},{"body":{"content":"每次几分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050412010},{"body":{"content":"超过3分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414915},{"body":{"content":"双方均满意概率是否到达50%？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419951},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427681},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050430728},{"body":{"content":"一直存在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050436280},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050440311},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050443856},{"body":{"content":"还有别的疾病或者不适吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050447902},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464370},{"body":{"content":"控精能力不满意，是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050472622},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483903},{"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":1653050511341},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050529714},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050537838},{"body":{"content":"控精能力不满意，也属于早泄的一种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050544219},{"body":{"content":"那您这个早泄的情况是可以使用*******的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553347},{"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":1653050556533},{"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":1653050558880},{"body":{"content":"这个药吃多久管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050593981},{"body":{"content":"******能够显著延长性生活时间，考虑到个体差异，延时效果是原来的2-4倍，第一次用药就可以起效，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050608575},{"body":{"content":"通常建议4周内用药6次为一疗程，才能达到较理想的疗效，1个起始疗程后随着用药次数的增加，能巩固疗效和持续改善症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050609892},{"body":{"content":"******一般服用两到三个疗程之后治疗效果能达到70%左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612571},{"body":{"content":"吃过几个疗程以后不吃了会回复原来的样子吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050705197},{"body":{"content":"这个按疗是治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728912},{"body":{"content":"但是不能保证一辈子感知","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734797},{"body":{"content":"根治","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736290},{"body":{"content":"性能力方面的疾病没有根治一说，类似感冒，一次感冒症状消失就是临床治愈，不代表永远不感冒。您这个情况也是如此，用药期间症状消失就是临床治愈，不代表根治。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050739293},{"body":{"content":"还是吃过几个疗程就可以永久延长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050739688},{"body":{"content":"这个按疗程是治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779481},{"body":{"content":"都是根据个人体质而定呗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050782771},{"body":{"content":"但是不能保证一辈子根治的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050783405},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050785155},{"body":{"content":"主要是不良生活习惯等情况，也会影响性功能的‘’","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050792029},{"body":{"content":"药物是没有依赖性的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050995868},{"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":1653051158656},{"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":1653051225104},{"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":1653051227163},{"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":1653051228552},{"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":1653051316339},{"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":1653051321274},{"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":1653051434781}]

男27岁

2022.05.20

[{"body":{"content":"上次吃了一顿这个没吃了两天后又拉了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049986448},{"body":{"content":"这个是需要连续吃几天的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050011577},{"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":1653050014234},{"body":{"content":"建议一疗程 3-5天奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050025288},{"body":{"content":"吃了一顿没拉了还继续吃，，要吃够三天吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050055100},{"body":{"content":"建议不拉了之后 巩固 1-2天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050078609},{"body":{"content":"用法用量\n口服。一次6片，一日3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050095602},{"body":{"content":"发错了 抱歉奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102848},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050162685},{"body":{"content":"用法发错了 抱歉奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050183040},{"body":{"content":"这个建议空腹 服用奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192939}]

女

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769454},{"body":{"content":"不建议应用，有导致癫痫发作风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050005569},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050267302}]

女29岁

2022.05.20