刘继帅

[{"body":{"content":"这种情况有可能是孩子刚来生理期不适应，所以全身不舒服呀。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964988304},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652964999436},{"body":{"content":"如果孩子实在难受的厉害，就要去医院就诊啊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965034768},{"body":{"content":"我想问下我女儿14岁来例假身体不舒服怎回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965096511},{"body":{"content":"这种情况有可能是孩子刚来生理期不适应，所以全身不舒服呀。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965114546}]

女14岁

2022.05.20

[{"body":{"content":"您好，我是主任医师谷丽梅，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883184},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049887093},{"body":{"content":"你运动锻炼吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049916218},{"body":{"content":"请问您是擅长哪方面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049936797},{"body":{"content":"我想咨询其他的可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049945613},{"body":{"content":"你不是咨询***吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974367},{"body":{"content":"可以咨询其他的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988305},{"body":{"content":"咨询哪方面？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050006005},{"body":{"content":"脚趾甲盖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026842},{"body":{"content":"甲沟炎？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050048464},{"body":{"content":"怎么处理啊之前各种原因，有指甲有白的，后来受伤了有点淤血，然后就空了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094532},{"body":{"content":"我可以发图片吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100610},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050104706},{"body":{"content":"这叫什么我也不知道，我踢足球会伤到指甲","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268275},{"body":{"content":"是开始先变白然后才这样的是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050420920},{"body":{"content":"还是受伤之后这样的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436855},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469538},{"body":{"content":"差不多吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471739},{"body":{"content":"什么差不多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050492097},{"body":{"content":"先变白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496573},{"body":{"content":"本来可能也不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050504141},{"body":{"content":"然后踢球⚽️会伤到指甲","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050517295},{"body":{"content":"那这可能是真菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050556071},{"body":{"content":"也就是所说的灰指甲的原因导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050614573},{"body":{"content":"那怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663057},{"body":{"content":"不是甲沟炎是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674979},{"body":{"content":"我这样真菌感染的怎么处理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050688924},{"body":{"content":"医生?‍⚕️","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050764203},{"body":{"content":"有好的建议吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769497},{"body":{"content":"可以口服****试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050780561},{"body":{"content":"还要保证个人卫生，经常进行洗、更换**以及鞋子，保证透气。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050816851},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050889708},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050892487},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050899169}]

女

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":1653050227834},{"body":{"content":"您好，我是京东健康互联网医院专业育儿师。很高兴为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230753},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232219},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050260973},{"body":{"content":"孩子被蚊子叮了，要不周围肿了，这个药膏能用眼部周围吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050293431},{"body":{"content":"可以薄薄的涂一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050319447},{"body":{"content":"有没有清凉的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050345085},{"body":{"content":"有没有成分表发一张看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355273},{"body":{"content":"稍等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367411},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050399303},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050450949},{"body":{"content":"不客气?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460352}]

女

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050269114},{"body":{"content":"今天也是这种不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299433},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050300067},{"body":{"content":"请问您最后一次月经什么时候来的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050300909},{"body":{"content":"5.5来的 5.11结束的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468760},{"body":{"content":"平时月经多少天来一次呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050509610},{"body":{"content":"28天 一次来7天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050614814},{"body":{"content":"嗯嗯，现在疼痛的严重吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633360},{"body":{"content":"不是特严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050671108},{"body":{"content":"就是坠得慌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687816},{"body":{"content":"之前有出现过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050689994},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708365},{"body":{"content":"请问您有性生活史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050716023},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050719782},{"body":{"content":"已婚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722444},{"body":{"content":"怀孕也是可能引起腹痛腰疼的，您目前有先排除怀孕的可能性吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734638},{"body":{"content":"因为来完事没几天 所以没考虑怀孕的可能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756823},{"body":{"content":"嗯嗯，最好是排除一下怀孕，如果没有怀孕有可能是排卵痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050811959},{"body":{"content":"白带有发黄吗/","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820267},{"body":{"content":"刚完事几天 验孕棒能查出来吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050872107},{"body":{"content":"昨天有一点点黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050884583},{"body":{"content":"可以的，如果是怀孕也可以测试出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050889705},{"body":{"content":"您之前有盆腔炎病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050895158},{"body":{"content":"没有盆腔炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050931579},{"body":{"content":"好的，那可能是排卵痛，您可以局部热敷一下，注意保暖，可以再观察看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959911},{"body":{"content":"好的，那还要考虑怀孕嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008294},{"body":{"content":"先测孕？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051020140},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051027167},{"body":{"content":"不一定怀孕，但是测试没有怀孕更放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051037356},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037470},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051040202},{"body":{"content":"不会有其他炎症吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051048400},{"body":{"content":"如果您腹痛、腰疼一直有不缓解，也有可能是有盆腔炎的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051107536},{"body":{"content":"这个是需要到线下医院让医生给您做触诊检查判断的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117975},{"body":{"content":"那观察几天没缓解需要去医院呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051179711},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051214935},{"body":{"content":"如果一直不缓解有加重就建议医院检查了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051232131},{"body":{"content":"两三天后不缓解去可以吗，还是四五天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051335040},{"body":{"content":"观察2-3天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051361757},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051367274},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051398565},{"body":{"content":"注意休息、少熬夜；别吃生冷、刺激食物。睡前用温水泡泡脚，注意保暖；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051585920},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051587787},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051589549}]

女25岁

2022.05.20

[{"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":"药吃了一个多月，咋感觉没效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967270903},{"body":{"content":"目前主要是什么重要，和前面相比怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968917330},{"body":{"content":"感觉还是射精快，中途疲软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969326209},{"body":{"content":"硬度不够","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969348009},{"body":{"content":"尿频尿急尿不尽或者尿痛尿无力尿分叉尿滴白有哪些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969497527},{"body":{"content":"尿不尽，无力分叉 痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018804405},{"body":{"content":"这是前列腺炎的症状，有检查治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018827420},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447993},{"body":{"content":"有尿频尿急尿不尽或者尿痛尿无力尿分叉尿滴白吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499893}]

男25岁

2022.05.20

[{"body":{"content":"您好，我是中医科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049699062},{"body":{"content":"请问您出汗是白天还是夜间比较多呢？吃辛辣或运动后出汗是否更重。身体哪些部位出汗呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049711941},{"body":{"content":"白天，头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049739259},{"body":{"content":"方便发一下舌象吗？可以为您深入辨证看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769533},{"body":{"content":"请问您平时有怕冷、腰酸酸软、失眠多梦、大便稀溏，肢体倦怠，神疲乏力，少气懒言的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049979736},{"body":{"content":"怕热，腰酸，大便稀，乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050056542},{"body":{"content":"s收到，还有其他症状补充吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050068645},{"body":{"content":"就是流汗厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119956},{"body":{"content":"根据您提供的信息及症状，目前初步考虑脾虚气虚兼有湿热证可能性大，这里可以给您一些用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131208},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？请问您在备育期吗？以便我给您用药建议，如果以上都没有，可以回答“都没有”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136598},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050151073},{"body":{"content":"您看是选择中成药还是中药配方（自煎、代煎、**剂）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050173404},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188942},{"body":{"content":"请您稍等，给您开具中药，估计需要3-5分钟。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231181},{"body":{"content":"给您开具的是**剂，方便携带，一共14小袋，一日2次，一次1袋，用150-200ml开水冲调。服用7日，观察疗效，再上线复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050401280},{"body":{"content":"会不会是肾阴虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050455476},{"body":{"content":"不是肾","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050474145},{"body":{"content":"但是有些阴虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478296},{"body":{"content":"中药反应：如您在用药过程中出现不适如皮疹、皮肤瘙痒、发热等，请您及时上线咨询或去医院就诊。 不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485306},{"body":{"content":"还是主要是气虚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050490740},{"body":{"content":"有点阳痿早泄，性生活以前有点频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563885},{"body":{"content":"中医讲究的是整体观，给您用药是调理全身的，在对症的情况下很多症状是可以得到改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050613008},{"body":{"content":"主要是跟您**阴的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622921},{"body":{"content":"你说的这种情况是什么原因造成的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050693529},{"body":{"content":"跟方面都有关系，但是跟手淫关系不是那么大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050721909},{"body":{"content":"可以适当吃一些**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050762277},{"body":{"content":"**的食物建议有瘦肉,鸡肉,鸭肉,兔肉,鱼类、大豆,**,***,**,**,菌菇类、**肉,***,**，**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772080},{"body":{"content":"日常调摄以以下为原则：1、饮食清淡一些，少吃辛辣油腻及生冷食物。 戒烟戒酒，2、适当运动，最好运动到后背微微汗出，不宜大汗淋漓。运动既能增强体质，又能缓解情绪压力 3、注意情绪调节，少思虑，少熬夜 ，尽量在11点前入睡。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050813690},{"body":{"content":"**的有什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050818758},{"body":{"content":"如果您平时有爱喝茶的习惯，推荐您*****，有**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823464},{"body":{"content":"你说会不会是手淫多了导致的肾阴虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050913639},{"body":{"content":"这个有一定的可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050931674},{"body":{"content":"但多引起肾精不足","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050948789},{"body":{"content":"这个***可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952389},{"body":{"content":"另外如果是中成药，就吃*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962480},{"body":{"content":"吃六味地黄丸怎么样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051022303},{"body":{"content":"暂时不吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051034806},{"body":{"content":"五子，主要是管什么的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051089075},{"body":{"content":"**精的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051097096},{"body":{"content":"气虚一般是什么原因造成的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051161011},{"body":{"content":"跟自身体质关系更大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268508},{"body":{"content":"生活中跟熬夜、饮食不规律有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051281848},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051339721},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390286},{"body":{"content":"感谢您的咨询和耐心回答，请问您是否还有其他医药问题需要我为您解答？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392167},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423236},{"body":{"content":"如果您没有其他问题，我将结束您的问诊，希望我的建议能够帮助到您，请点击对话框右上角“ 表扬医生“对我的服务作出评价，您的五星好评，就是对我工作最大的鼓励和支持。欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051431590}]

男32岁

2022.05.20

[{"body":{"content":"晚上好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049626351},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049633841},{"body":{"content":"一个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049643325},{"body":{"content":"这个是哪里问题，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049658214},{"body":{"content":"一开始是如何引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049669474},{"body":{"content":"吃东西过于寒凉吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049704110},{"body":{"content":"睡眠怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049798350},{"body":{"content":"有点少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049803973},{"body":{"content":"睡眠不好，是引起这一类现象的主要原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049963782},{"body":{"content":"1）养成良好的生活习惯　如建立一天有规律的生活制度，在固定时间睡觉和起床，保持正常的睡眠－觉醒节律。白天适度的体育锻炼，尤其下午锻炼是帮助睡眠的最佳时间。有规律的体育锻炼能提高夜间睡眠的质量。2）建立科学的睡眠卫生习惯　避免睡前吃得过饱，尽量避免在睡前饮用酒、咖啡、茶、可乐等刺激性饮料（但可以喝适量牛奶），避免睡前进行体育活动。另外，应限制白天睡眠时间，避免午睡或减少午睡时间。3）创造良好的睡眠环境　保持卧室清洁、安静、远离噪声、避开光线刺激等。保持室温稍凉，卧室温度稍低有助于睡眠。好的卧具可以帮助入睡，可从选择合适的床垫开始。4）建立“睡眠仪式”　入睡前要抛开清醒时的一切烦恼。“睡眠仪式”可依据个人喜好或繁或简，可始于轻轻地舒展身体，松弛肌肉，或冲个热水澡，也可以听听音乐或者翻翻不具恐怖色彩的书。但是不管选择哪种方式，都要记住每晚睡前做同一件事，直到它成为夜间休息的一种暗示。5）保持乐观、知足的良好心态　对社会竞争、个人得失等有充分的认识，避免因为生活和工作中遇到挫折而导致心理失衡。6）服***　对于失眠较严重的病人，可在医生指导下，短期、适量地服用***或小剂量的抗焦虑、抗抑郁制剂，这样可能会取得更快、更好的治疗效果。但是需要强调的是，***不宜长期服用，否则容易变成习惯，甚至成瘾。另外，长期服用***也可能产生耐药性，使药物的效用降低。有些药品具有一定的肝毒性，并可能引起胃肠功能紊乱。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974359},{"body":{"content":"这个问题应该吃什么中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049994923},{"body":{"content":"中医讲究辨证论治，我需要再详细了解一下您的基础情况，帮您对症分析，再给您一个综合调理的方案。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069342},{"body":{"content":"方便拍个舌头的照片（让舌头对着光线明亮的方向拍照，尽量不要使用美颜，舌体尽量自然伸出来，也可以多拍几张对比一下），传一下看看舌象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080618},{"body":{"content":"舌头很红。有齿痕。舌苔很厚。白，这种情况多数情况是体内湿气比较重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360812},{"body":{"content":"食欲怎么样？油腻的东西吃的多不多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385313},{"body":{"content":"用镜子看没有舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050982926},{"body":{"content":"红头红，有齿痕，无舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050997051},{"body":{"content":"好的，那就是光线的原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008985},{"body":{"content":"食物正常，油腻的东西吃的不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051013228},{"body":{"content":"大便正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051100698},{"body":{"content":"正常吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135618},{"body":{"content":"小便什么颜色的一天几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051167190},{"body":{"content":"小便颜色淡，一天10次吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051285560},{"body":{"content":"有没有口渴？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051320792},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051331257},{"body":{"content":"有没有怕冷的感觉？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371118},{"body":{"content":"有点怕冷吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400343}]

男31岁

2022.05.20

[{"body":{"content":"你好，这个指甲这样的情况多长时间了。我看到左脚大拇指有一些甲下出血的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050994821},{"body":{"content":"踢球被踩到了那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051030916},{"body":{"content":"右脚这个是指甲空了，然后被我抠掉了一半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051053503},{"body":{"content":"从你提供的图片来看，多个指甲都有灰指甲的表现，这种情况口服******，按规律按疗程治疗效果比较好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051072425},{"body":{"content":"这个外服会管用吗？确定是灰指甲吗？吃了就会好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051118450},{"body":{"content":"外服没有用的，因为指甲比较厚，药物很难渗进去，所以达不到完全治疗好的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051145567},{"body":{"content":"你的情况我建议把指甲剪下来去医院做个皮肤科，做个真菌化验来确定一下真菌类型，然后再对症口服药物治疗，这样比较好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051188750},{"body":{"content":"如果一直这样的话不理会的话，结果会是什么样的？可以跟我说说吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051237734},{"body":{"content":"可能导致多个指甲出现灰指甲的症状，就是指甲变厚变空。严重的时候会引起甲沟炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051305400},{"body":{"content":"如果确定了真菌类型，服药可以根治吗？彻底变好吗？大概需要多少才能好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051368294},{"body":{"content":"******：每日 2 次，每次 2 粒（100mg/粒），吃一周停三周为一个疗程，一般需要吃 4 个疗程。因该药是脂溶性的，故应在吃炒菜时服用或牛奶送服效果更好。这个疗程结束一般就都可以完全治疗好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429661},{"body":{"content":"好吧这个药好贵啊，这么久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051542961},{"body":{"content":"这个药有很多不同的厂家，进口的是比较贵的，你买国产的并不贵的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051557277}]

男33岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师常瑜，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050013730},{"body":{"content":"你好，我是京东医生，请问有什么可以帮助你吗？\n请实名，实名后提供更完整的诊疗服务，然后开始问诊！\n是否有药物过敏史，肝肾功能是否正常？是否备孕期？女性的话是否在哺乳期，孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050016430},{"body":{"content":"都是正常状态","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050065332},{"body":{"content":"不是哺乳期孕期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080629},{"body":{"content":"你好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050122056},{"body":{"content":"您在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050895968},{"body":{"content":"你线下看过了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909329}]

女

2022.05.20