刘继帅

[{"body":{"content":"您好，我是主治医师王现磊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050135579},{"body":{"content":"您好，我是京东互联网医院王医生，很高兴为您提供线上咨询服务，请问您有什么问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050156855},{"body":{"content":"建议选择****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050170585}]

女

2022.05.20

[{"body":{"content":"您好，可以治愈，功能性高血压。治疗焦虑就行，**就好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965496859},{"body":{"content":"那怎么控制血压？体检的时候血压会高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965541135},{"body":{"content":"****一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694683},{"body":{"content":"是***吗？普通的***降不下来的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965735980},{"body":{"content":"****可以降压，可以抗焦虑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965765866},{"body":{"content":"像****就没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965776098},{"body":{"content":"2片效果有没有比较好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965793237},{"body":{"content":"是，所以不用他，可以吃两片，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965820666},{"body":{"content":"好像这种也有开过来吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965915355},{"body":{"content":"这个相对是最好的，可以配点****抗焦虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965970173},{"body":{"content":"哪一种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966074006},{"body":{"content":"**就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966092386},{"body":{"content":"有镇静的药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966160035},{"body":{"content":"我容易比较紧张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966168512},{"body":{"content":"****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966173977},{"body":{"content":"可以跟那两种一起吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966228325},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966254618},{"body":{"content":"****买不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966302394},{"body":{"content":"一吃血压就能降吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966324708},{"body":{"content":"医院开的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966324707},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966332208},{"body":{"content":"****，****，****？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966578031},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966588378},{"body":{"content":"还有强效药吗？麻烦给我开点强效药，我怕到时又高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966633250},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966647651},{"body":{"content":"再说您是外部单，开不成药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966665507},{"body":{"content":"去别的医院一般都是开这种是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966709781},{"body":{"content":"不一定，你可以给医生说，开一些就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966734209},{"body":{"content":"好的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966811782},{"body":{"content":"一般去心理医院就可以开的吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966827107},{"body":{"content":"嗯，可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966847612},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966861455},{"body":{"content":"不客气，放松先，早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966890002},{"body":{"content":"感谢啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966903442},{"body":{"content":"没事儿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966914128},{"body":{"content":"嗯嗯，那就不麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966935327},{"body":{"content":"嗯哪，晚安","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966947779}]

男24岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050217047},{"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":1653050218322},{"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":1653050221674},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050238773},{"body":{"content":"主要不适症状是什么呢？肛门口肿胀疼痛？还是出血呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050257646},{"body":{"content":"吃过***等药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050261443},{"body":{"content":"主要是便秘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050276183},{"body":{"content":"大便 几天一次？干硬么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290694},{"body":{"content":"是否有腹痛腹胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296230},{"body":{"content":"三天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050298064},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302823},{"body":{"content":"是否有腹痛腹胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309695},{"body":{"content":"有时是硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327198},{"body":{"content":"没有腹痛腹胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355582},{"body":{"content":"好的，您有什么需要咨询了解的问题呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050363809},{"body":{"content":"这种药搭配***吃，是否可以改善便秘？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050429797},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477523},{"body":{"content":"可以的，这个药物 是减少肠道对**的吸收 达到软化大便的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050542512},{"body":{"content":"配合***口服 效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050547769},{"body":{"content":"******可以搭着吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050571807},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607864},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050621192},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662642},{"body":{"content":"关诊时间临近，后续您如果还有需要咨询的问题可以通过京东APP搜索“张泽医生”找到我，欢迎您咨询，我看到后**时回复您。希望我的建议能够帮助到您，感谢您的信任。请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。京东健康，祝您健康，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051870719}]

男85岁

2022.05.20

[{"body":{"content":"\n您好，麻烦您给开一下药吧，跟上次的一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051262054},{"body":{"content":"跟上次开一样的吗？最近病情平稳吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274742},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051369752},{"body":{"content":"上次一样的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051375177},{"body":{"content":"最近病情平稳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051415870},{"body":{"content":"好的，稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515588},{"body":{"content":"能多开几盒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051620003},{"body":{"content":"可以多开一盒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051693908}]

女57岁

2022.05.20

[{"body":{"content":"有没有照片呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965164369},{"body":{"content":"发现这种情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965397189},{"body":{"content":"两年多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965867559},{"body":{"content":"医生，在不在？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965993098},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966204539},{"body":{"content":"这看起来像疱疹感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966223699}]

男50岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050171838},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050174706},{"body":{"content":"新生儿用哪一款面霜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221189},{"body":{"content":"您看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050246620},{"body":{"content":"https://item.m.jd.com/*******/*******.html?gx=***********************************&ad_od=share&**********=**********&**********=********&************=***********&********=*******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050252431},{"body":{"content":"您看看这款","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050258891},{"body":{"content":"请问您还有什么需要咨询的问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050378624},{"body":{"content":"对话结束后，麻烦您对我的服务做个评价，耽误您几秒钟，请点右上角的“表扬医生”按钮。拜托拜托??祝\t生活愉快，宝宝健康快乐成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050381178}]

女

2022.05.20

[{"body":{"content":"您好，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051004533},{"body":{"content":"医生您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051038529},{"body":{"content":"您这种情况具体多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051213},{"body":{"content":"荨麻疹停车时间了，大概一个月，当时隔离就没吃药，这个泛红是刚刚洗完澡发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051093045},{"body":{"content":"挺长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051099986},{"body":{"content":"皮疹都出现在哪些部位？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110752},{"body":{"content":"腿上，胳膊上，脚上也有，之前脸上也有，泛红只有小腿上外侧部分","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051147167},{"body":{"content":"根据您的图片及描述考虑是丘疹性荨麻疹的可能比较大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051186918},{"body":{"content":"那个红色的也是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051198754},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205826},{"body":{"content":"我刚刚涂了那个*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051214556},{"body":{"content":"还需要口服药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051220600},{"body":{"content":"从您上传的图片看有水泡出现，建议您配合口服药治疗效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051263425},{"body":{"content":"根据您的情况可以给您用药建议，为用药安全，请问您是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？请问您目前是否处于孕期、哺乳期、备孕期？以便为您推荐药物。如没有，可以直接回复“否”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051313028},{"body":{"content":"好的，那麻烦医生帮忙开药，性价比高一点的，就是不要太贵的? ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051322922},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051328694},{"body":{"content":"稍等，我这边给您发送药物链接，用药前请您仔细阅读药品说明书中禁忌，注意事项，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340522},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051372610},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051373609},{"body":{"content":"*****，每天一片，睡前服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051404000},{"body":{"content":"配合家里的*****治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051415740},{"body":{"content":"好的谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468938},{"body":{"content":"医生，吃药期间有什么不能吃的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491864},{"body":{"content":"比如****什么的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051499712},{"body":{"content":"建议您将床垫拍打时用吸尘器吸干净。床上用品、贴身衣物烫洗后再用，避免搔抓刺激，避免接触宠物，避免辛辣刺激食物，鱼虾，牛**，避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051552807},{"body":{"content":"好的谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051572527},{"body":{"content":"不客气，建议您规律用药一周观察疗效，也可以用药一周复诊看一下恢复情况，再给您进一步的用药建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051601281},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051619951},{"body":{"content":"不客气的，请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051632317},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051734280}]

女22岁

2022.05.20

[{"body":{"content":"图片我看到了，你要问什么具体问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051006480},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008996},{"body":{"content":"请讲具体问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014897},{"body":{"content":"就是毛周角化症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023167},{"body":{"content":"胳膊这","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051025790},{"body":{"content":"然后之前去医院开的*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051050427},{"body":{"content":"抹了几个月一开始掉皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051057819},{"body":{"content":"现在就是起皮有颗粒感偶尔痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070536},{"body":{"content":"没有什么改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079556},{"body":{"content":"感觉有的地方扩散了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051090740},{"body":{"content":"这个病是慢性病，就得坚持用药，没有太快的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051093212},{"body":{"content":"生活中可以口服****药店都有卖的，另外洗澡不要用力搓也不要太频繁。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051113590},{"body":{"content":"我看有推荐我*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051129543},{"body":{"content":"这个有效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051136851},{"body":{"content":"我也抹了一段时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051164133},{"body":{"content":"****就可以，就不错。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199238},{"body":{"content":"那***呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051214906},{"body":{"content":"这个用着感觉起皮泛红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051223182},{"body":{"content":"抹起来赖不拉几的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051241653},{"body":{"content":"***可以，能滋养皮肤，没毛病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051321484},{"body":{"content":"那您感觉我是涂**好一点还是**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051345026},{"body":{"content":"一一种用一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051362969},{"body":{"content":"那我平时还需要擦油什么的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051376538},{"body":{"content":"什么也不需要了，有这两种足够了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051388540},{"body":{"content":"我看京东是***里面有**的这个可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051398600},{"body":{"content":"百分之10含量","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051405882},{"body":{"content":"这个的话涂的话频率是每天早晚吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051422753},{"body":{"content":"几次都行，随心，这个药没什么特殊说道。次数越多好的越快，有时间就涂。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499292},{"body":{"content":"就是***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516797},{"body":{"content":"还是*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051524998},{"body":{"content":"***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051573312},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051579154},{"body":{"content":"好的，再见，祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051586761}]

男21岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050225474},{"body":{"content":"在么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258498},{"body":{"content":"您好，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050281191},{"body":{"content":"最近这段时间尿完之后总会流一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307864},{"body":{"content":"就是**尿完了，但是提上裤子之后，他就会给内裤上滴点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346867},{"body":{"content":"尿不尽对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384915},{"body":{"content":"就是尿完之后啊，他总会有那么一点残留，过一会儿再滴几滴出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414380},{"body":{"content":"还就是有时候尿黄且有点浑浊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484069},{"body":{"content":"请问是否还有以下症状：○1尿频○2尿急○3尿痛○5排尿困难○6小腹胀痛○7会阴胀痛○8睾丸胀痛○9尿道口滴白。回复序号即可，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501811},{"body":{"content":"9","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533277},{"body":{"content":"就是偶尔一年可能就出现这么一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569584},{"body":{"content":"尿的时候有点白色的，干了之后就跟淀粉干了之后一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582133},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605037},{"body":{"content":"有几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618089},{"body":{"content":"半年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630874},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎可能性大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700599},{"body":{"content":"可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050703759},{"body":{"content":"你给推荐一下治疗药物吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722158},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050729915},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740719},{"body":{"content":"您还有早泄是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746002},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749879},{"body":{"content":"对于射精时间或控制射精能力是您不满意，还是伴侣不满意，还是您们两人都不满意呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754053},{"body":{"content":"一般多久射精呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761228},{"body":{"content":"不带**套的情况下，进去动几下就想射","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765047},{"body":{"content":"带套的情况下，3到5分钟吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779567},{"body":{"content":"是否有使用什么药物治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050781180},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788488},{"body":{"content":"对于射精的时间和控制射精的能力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050815653},{"body":{"content":"有过几年的手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050839513},{"body":{"content":"嗯，现在很少手淫了对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050853069},{"body":{"content":"戒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050893675},{"body":{"content":"现在有5，6年没有手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050917408},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920911},{"body":{"content":"根据**男科疾病诊断治疗指南，****** 对早泄这个疾病是有治疗作用的，且目前为一线治疗药物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050926498},{"body":{"content":"****\n可以降低精囊内压，降低球海绵体肌的爆发性收缩，降低阴茎背神经敏感性而增加控精能力延长性生活时间，虽然不是每天用药，但是其实是具有治疗作用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930861},{"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":1653050950312},{"body":{"content":"这个是属于根治的还是辅助的药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036275},{"body":{"content":"只是这个疾病没有根治一说，除非像阑尾炎做完手术切除了，就不会再有阑尾发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051048342},{"body":{"content":"治疗作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053853},{"body":{"content":"为用药安全，既往有药物过敏及肝肾损伤、慢性病史吗？请问您是否有严重心血管病史？是否在使用***、****、***、****；****；****、****、****、等药物。是否在备孕？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064359},{"body":{"content":"没有使用这些药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051078684},{"body":{"content":"您这个情况是在泌尿外科非常常见的，也不用过于担心，是可以通过药物治疗的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147511},{"body":{"content":"针对您的情况，建议您可以使用：****+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176272},{"body":{"content":"这两个是治疗早泄和尿不尽的，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200674},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205317},{"body":{"content":"****是一种选择性5-羟色胺再吸收抑制剂。早泄可能是大脑性欲中心存在着5-羟色胺和***之类的化学物质，它们传导强烈的射精冲动，而****能干扰上述化学物质，达到延时射精的目的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051211277},{"body":{"content":"他们经常给我推荐那个*****那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051215428},{"body":{"content":"******适应症: **利湿，****。用于慢性前列腺炎属湿热挟瘀证，症见：小便频急、尿后余沥、尿后滴白、尿道涩痛、少腹疼痛、会阴不适、腰骶疼痛、阴囊潮湿、睾丸疼痛。一天2次 一次4粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217532},{"body":{"content":"*****诊断早泄会有帮助的，但是一般建议中医辩证论治指导会更好些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268539},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284809},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291284},{"body":{"content":"还有就是每到夏天晚上的话，就是脚心发热，心悸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297159},{"body":{"content":"脚心发热等中医症状，建议中医科望闻问切，辩证论治，会更准确些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366288},{"body":{"content":"咱们京东有中医吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389742},{"body":{"content":"我给您一个医院临床治疗反馈效果好的一线用药方案，您可以参考下，比较适合您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392015},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419092},{"body":{"content":"处方供您开好了，供您参考","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463686},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468230},{"body":{"content":"好的，到时候怎么联系您？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051577323},{"body":{"content":"您可以按照上图的这个流程找到我，建议用药一段时间后及时复诊，相对于埋头吃药来说，医生的指导更重要，减量和停药都要在医生的指导下进行；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594542},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735069},{"body":{"content":"这个****一盒够吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051749960},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051780137},{"body":{"content":"4周6片1疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792604},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051807720},{"body":{"content":"给您开一盒3片的****先试试，效果明显的话，没有啥不适症状，再继续按需服用，性生活时间达到满意度以后再停药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051821655},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865666},{"body":{"content":"目前很多患者除了在口服药物治疗以外，都在用***，提高性功能，连续服用效果还是非常不错的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051904967},{"body":{"content":"***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":1653051921229}]

男32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