刘继帅

[{"body":{"content":"您好，我是副主任医师代维栋，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049643180},{"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":1653049655062},{"body":{"content":"这款产品不具有抗过敏的功能，只有营养保健的功能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049673777},{"body":{"content":"花粉过敏是可以口服的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049680460},{"body":{"content":"你好，心脏病，冠心病，心绞痛，糖尿病适合吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049720664},{"body":{"content":"***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049736682},{"body":{"content":"可以是合适的产品，对高血压糖尿病心脏病没有影响。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049758577},{"body":{"content":"花粉过敏是什么引起的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049799994},{"body":{"content":"这个是个季节，过敏性疾病是非常常见的，尽量避免接触过敏原。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822738},{"body":{"content":"除了吃****外用呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049918848},{"body":{"content":"有些痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934216},{"body":{"content":"可以使用***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049949057},{"body":{"content":"眼角痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049994899},{"body":{"content":"那你必须口服****，过敏性鼻炎，过敏性结膜炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050023280},{"body":{"content":"可以开药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050069265},{"body":{"content":"****请你专科就诊 去眼科耳鼻喉科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050165530},{"body":{"content":"服药期间吃***一起吃没影响吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174072},{"body":{"content":"*******或者*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050224861},{"body":{"content":"****也是可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050252411},{"body":{"content":"没有**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050260531},{"body":{"content":"没有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050268328}]

女

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965657287},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965660973}]

女41岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965385659},{"body":{"content":"你好，想问一下十二岁小女孩一般子宫厚度是多少属于正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965434382},{"body":{"content":"2~3厘米。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965475308},{"body":{"content":"44mm*38mm*31mm这属于正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965554958},{"body":{"content":"稍微增厚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584469},{"body":{"content":"基本正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965621107},{"body":{"content":"那医生说薄薄的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671767},{"body":{"content":"9MM","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965901096},{"body":{"content":"4.4✘3.8✘3.1","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965959454}]

女12岁

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，我是内科尹新禄医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051103000},{"body":{"content":"一直再打***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051127927},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051134566},{"body":{"content":"您好，您是需要开具上述*** 笔芯********药物的电子处方吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051144559},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051154509},{"body":{"content":"好的，开具药物之前，需要向您核实目前有无药物过敏史及肝肾功能异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051175847},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051203633},{"body":{"content":"您需要开具几盒的量？是1盒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234735},{"body":{"content":"3盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051251118},{"body":{"content":"好的，刚查询，因为这个药物是非自营店的药物，需要给您关诊后发送免费的追问包开具处方，看看其他的药房有没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051308006},{"body":{"content":"您先不要离开目前的问诊界面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051310735},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051349985},{"body":{"content":"请您稍等，我正在给您开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051420351},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，药品过敏、有效期等，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":1653051422560},{"body":{"content":"处方已开好，请您核对一下。我已联系药师优先为您审核处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051550043}]

女56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，京东大药房药师工号0580，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050741174},{"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？上为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746532},{"body":{"content":"32，男","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760312},{"body":{"content":"请问吃****可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050789503},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839051},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050857944},{"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":1653050890163},{"body":{"content":"【注意事项】 对本品过敏者禁用，过敏体质者慎用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344197},{"body":{"content":"【用法用量】 口服，一次3~4片，一日3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051352240},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355297},{"body":{"content":"忌烟、忌酒，饮食上当中应该以清淡的食物为主，避免吃过度辛辣刺激性的食物，坚持锻炼身体，多喝水，不要憋尿，有尿意的时候应该立即去排尿，不要久坐和长距离的骑自行车，性生活既不要过度的频繁，也不要长期不过性生活，要坚持定期的规律的排精，可以练习提肛的动作，保持一种良好的生活的习惯，早起早睡。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051497792},{"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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594745},{"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":1653051596362}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师邢书，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050031277},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050034539},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备育期？如果都没有的话，回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050051758},{"body":{"content":"怎么不舒服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060956},{"body":{"content":"有没有过敏情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050066150},{"body":{"content":"既往有没有服用过呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050076772},{"body":{"content":"没过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050091135},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116069},{"body":{"content":"麻烦您回答一下我的问题，我才能够更好的给你推荐合适的产品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050127873},{"body":{"content":"唇干，口疮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050166412},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180076},{"body":{"content":"还有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184168},{"body":{"content":"痔疮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050191050},{"body":{"content":"口臭","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050208090},{"body":{"content":"平时喜欢吃什么样的食物？体型怎么样？大便粘不粘？睡眠如何？怕冷还是怕热？容易出汗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254098},{"body":{"content":"综合自身的症状开一剂*****应该是合适的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050262517},{"body":{"content":"湘菜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050284515},{"body":{"content":"不胖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299926},{"body":{"content":"睡眠一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340007},{"body":{"content":"有这种中成药，你可以直接点击链接购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050352566},{"body":{"content":"如果需要开具中药方建议您完善信息","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050359591},{"body":{"content":"什么信息？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381450},{"body":{"content":"你也可以直接点击我发送的链接，购买中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478010},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669296},{"body":{"content":"你只有完善个人信息，我才能开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050689405},{"body":{"content":"在哪里完善啊？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829932},{"body":{"content":"我不是提醒你了吗 然后你点击一个立即完善就可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918313},{"body":{"content":"以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050923425},{"body":{"content":"开多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134683},{"body":{"content":"中药还是丸剂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051145287},{"body":{"content":"中药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051171165},{"body":{"content":"七付","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051244454}]

男37岁

2022.05.20

[{"body":{"content":"哦哦，知道了，如果不取有啥办法让消下去吗，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051615850},{"body":{"content":"平时加强锻炼身体会有帮助吗，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051697026},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051846319},{"body":{"content":"哦哦，知道了，如果不取有啥办法让消下去吗，\n平时加强锻炼身体会有帮助吗，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051872003},{"body":{"content":"啊，我以为你刚才的问题问完了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051878869},{"body":{"content":"加强锻炼，帮助不大，是这样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051901525},{"body":{"content":"剩这最后一个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051901906},{"body":{"content":"这个线，最后应该是被吸收掉的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051913594},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051913808},{"body":{"content":"那吃***和*****还有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051934406},{"body":{"content":"有的不吸收，可能和体质弱有关，在观察一下，可能会**吸收，如果最后实在吸收不了，就有可能成囊肿，也就是正常的人体组织把线头包裹起来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051965820}]

男27岁

2022.05.20

[{"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