李星

[{"body":{"content":"您好，我是***副主任医师，将由我为您提供医疗咨询帮助，正在阅读您的病例，请您稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878813327},{"body":{"content":"请问目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878823857},{"body":{"content":"阳痿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878834477},{"body":{"content":"心烦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878838736},{"body":{"content":"手脚冰凉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878847345},{"body":{"content":"多久了？怎么样引起的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878850237},{"body":{"content":"一吃了东西就拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878855226},{"body":{"content":"手淫过多引起的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878877822},{"body":{"content":"平时饮食习惯怎么样？小便怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878884357},{"body":{"content":"小便比较黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878908068},{"body":{"content":"之前治疗过了，现在小便正常了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878930383},{"body":{"content":"口干口苦吗？喝水多不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878939026},{"body":{"content":"口不干，有点点苦，喝水比较少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878971424},{"body":{"content":"要适当多喝暖水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879010898},{"body":{"content":"有过什么病吗？近期是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879035621},{"body":{"content":"没有，最近就是看了中医","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879051360},{"body":{"content":"治疗过两个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879061909},{"body":{"content":"有药方吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879068497},{"body":{"content":"效果怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879077062},{"body":{"content":"药方可能不见了，心没有那么烦躁了，小便之前会有尿不尽，现在不会了，然后说我有瘀血，上次说就是好多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879148642},{"body":{"content":"但是最近有点手脚冰凉，我怀疑有点阳虚了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879177621},{"body":{"content":"但是现在就是开始比较坚硬，但是一下子就比较软了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879214662},{"body":{"content":"而且感觉有点早谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879229459},{"body":{"content":"一次性生活多少时间？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879257937},{"body":{"content":"频繁吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879261218},{"body":{"content":"没治疗之前每天一次，自从治疗之后，现在一周一次或者两周一次了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879302126},{"body":{"content":"怕了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879322799},{"body":{"content":"不敢这样手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879348727},{"body":{"content":"治疗期间有忌口吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365297},{"body":{"content":"吃辣吗？抽烟喝酒吗？熬夜吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879370988},{"body":{"content":"医生叫我不要吃辣和不要喝酒，不要熬夜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879399905},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879413701},{"body":{"content":"发个舌头照片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879430923},{"body":{"content":"还有不要喝冰凉的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879432838},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879465062},{"body":{"content":"舌淡苔白，舌胖大有齿痕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879489697},{"body":{"content":"脾虚湿气重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879494979},{"body":{"content":"先调理脾胃祛湿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879524749},{"body":{"content":"是不是看舌头底有没有瘀血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879542107},{"body":{"content":"能帮我看看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879549627},{"body":{"content":"好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879588182},{"body":{"content":"看得清楚吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879641588},{"body":{"content":"还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879651260},{"body":{"content":"舌底静脉曲张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879665338},{"body":{"content":"是有瘀血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879673537},{"body":{"content":"你觉得身体上哪里痛吗？麻木吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879694638},{"body":{"content":"就肩和脖子不舒服，经常会引起脖子疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879747160},{"body":{"content":"那还能不能帮我看还有没有下焦湿热和心火旺","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879773354},{"body":{"content":"与姿势有关。可以拔罐，针灸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879786336},{"body":{"content":"下焦湿气重，但热不明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879807179},{"body":{"content":"心火旺也不明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879820118},{"body":{"content":"那就是现在还能不能帮我看出是什么肾虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879860928},{"body":{"content":"腰酸吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879892658},{"body":{"content":"看不出，要把脉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879905073},{"body":{"content":"以前会酸疼，现在坐久了会酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879917279},{"body":{"content":"那还好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879931817},{"body":{"content":"还是要注意姿势，要运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879946018},{"body":{"content":"因为治疗过了一段时间，只不过治疗了两个月，一直煲中药，家里人有意见了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879980716},{"body":{"content":"所以看看能不能吃些中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879997114},{"body":{"content":"那吃点中成药吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880005553},{"body":{"content":"试试吃补中益气丸用参苓白术散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880023581},{"body":{"content":"那现在调理脾胃和瘀血要吃些什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880033199},{"body":{"content":"先****，祛湿，活血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880046301},{"body":{"content":"就是吃这两个还是吃其中一个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880083372},{"body":{"content":"两个一起吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880091856},{"body":{"content":"吃半个月看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880099791},{"body":{"content":"有效再吃半个月巩固一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880115662},{"body":{"content":"那个散变成丸可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880124577},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880157936},{"body":{"content":"那阳痿那里呢，应该怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880187658},{"body":{"content":"你那不是阳痿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880208300},{"body":{"content":"最多是质量差一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880222279},{"body":{"content":"**活血会改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880239465},{"body":{"content":"可是之前是12月份治疗的时候，下面站都站不起来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880270011},{"body":{"content":"而且最近会手脚冰凉，手脚爱出汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880302523},{"body":{"content":"后来吃了**阳的中药，才恢复了一点点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880324814},{"body":{"content":"我手淫好多年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880357243},{"body":{"content":"**调理会好转的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880421703},{"body":{"content":"你还年轻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880428980},{"body":{"content":"以后注意就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880453531},{"body":{"content":"那现在那里要怎么调理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880456470},{"body":{"content":"还要坚持运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880462132},{"body":{"content":"最主要我手脚出汗，感觉很不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880505275},{"body":{"content":"中医理论认为肾为先天之本，脾为后天之本。先天本源不断消耗，要靠后天之本来补充","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880534454},{"body":{"content":"而且没有晨勃那些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880540853},{"body":{"content":"所以你要先调理脾胃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880557293},{"body":{"content":"那就是吃一个月之后再来找你吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880597227},{"body":{"content":"才来治疗肾虚那些吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880608877},{"body":{"content":"阳具要充血才能勃起，气血不足怎么能勃起和持久呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880625213},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880628454},{"body":{"content":"你的意思是我现在就是气血不足，导致的不能勃起和持久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880703223},{"body":{"content":"这个是一方面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880727534},{"body":{"content":"目前应该是主要问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880746816},{"body":{"content":"好，如果还是不行再来找你还是去现场找你好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880801079},{"body":{"content":"阳痿大部分不是或不单是肾虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880808141},{"body":{"content":"都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880814652},{"body":{"content":"你在哪个城市？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880830653},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880835824},{"body":{"content":"那面诊当然更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880855061},{"body":{"content":"那还要做检查还是把脉就可以了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880892140},{"body":{"content":"去找你面诊是在哪个医院找你，挂什么科能找到你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880982165},{"body":{"content":"把脉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881000731},{"body":{"content":"你之前有检查过的话把检查单带过来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881024582},{"body":{"content":"江门市人民医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881033529},{"body":{"content":"中医康复科，***三楼","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881055494},{"body":{"content":"那我是吃完你说的两个药后找你还是这几天去找你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881090652},{"body":{"content":"都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881104501},{"body":{"content":"看你方便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881111468},{"body":{"content":"明天我休息。星期五可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881146748},{"body":{"content":"那我想问问手脚爱出汗，这个怎么解决","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881160237},{"body":{"content":"这个阴虚，气虚都可能引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881231212},{"body":{"content":"精神紧张也有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881266970},{"body":{"content":"中医讲整体调理，你不需要太纠结单个症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881314310},{"body":{"content":"整体调理好，这些症状都可改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881346572},{"body":{"content":"对，有时候一紧张就特别出汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881397213},{"body":{"content":"之前的医生说我阴虚还有湿气导致","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881424137},{"body":{"content":"都有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881510537},{"body":{"content":"所以整体调理即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881533758},{"body":{"content":"好，那我先吃这两个药吃一个月先，看看效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881572009},{"body":{"content":"那两个药要买什么牌子的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881731651},{"body":{"content":"吃哪个是活血的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881950360},{"body":{"content":"是那个补中益气丸吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881966763},{"body":{"content":"有活血的成份","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882056707},{"body":{"content":"用***的补中益气丸可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882493007},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882626871}]

[{"body":{"content":"您好，我是儿科医生麻大夫，您看有什么可以帮您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257721},{"body":{"content":"宝宝发热几天了，最高体温多少度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274279},{"body":{"content":"请问宝宝是否有高热惊厥史，宝宝是否正常预防接种**。是否去过疫区。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051287525},{"body":{"content":"宝宝这几天时不时就发烧，但是没有其他症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302091},{"body":{"content":"宝宝精神状态如何？宝宝有咳嗽/流鼻涕/打喷嚏/呕吐/腹痛的表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051313569},{"body":{"content":"有时感觉他会干呕，别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051364644},{"body":{"content":"宝宝最近有受凉、淋雨、吹风、家人有感冒的吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413689},{"body":{"content":"宝宝**接种呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051430293},{"body":{"content":"家人没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051438320},{"body":{"content":"宝宝目前尿量、大便正常吗，宝宝奶量或食量有变化吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439110},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447540},{"body":{"content":"大便有点稀，但是是金黄色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051475557},{"body":{"content":"时不时会打喷嚏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051499979},{"body":{"content":"孩子是否线下医院诊疗过，是否检查过血常规等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051500159},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051509599},{"body":{"content":"根据您的描述，考虑 呼吸道感染 的可能性大，宝宝年龄小，抵抗力弱，受凉，交叉感染后容易出现上述表现。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051513790},{"body":{"content":"为了宝宝用药安全，请问宝宝既往有药物过敏及肝肾损害、慢性病史吗？以便我给您治疗建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515502},{"body":{"content":"宝宝目前服用药物治疗了吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051525087},{"body":{"content":"服用了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551160},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051571315},{"body":{"content":"如果宝宝没有药敏史及用药禁忌，根据宝宝现在病情，建议服用 ********* 口服。一次10毫升；一日4 次，3 天为一个疗程。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611270},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051617339},{"body":{"content":"配合蒲公英颗粒每次1/3袋每日3次服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641794},{"body":{"content":"上述方案：建议治疗2-3天复诊，结合孩子恢复的情况 调整药物。治疗过程中，如果宝宝病情没有缓解，或有其他症状出现， 请及时线下就诊，避免耽误宝宝病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051644981},{"body":{"content":"有没有可能是春天热胃有火呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051694075},{"body":{"content":"宝宝年龄比较小免疫力弱，疾病 期间建议注意保暖、房间多通风，少去人员密集的地方，避免交叉感染。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695877},{"body":{"content":"如果宝宝没有惊厥史，宝宝体温37.5-38.5℃可以物理降温，以温水擦浴、洗温水澡，适当减少衣服，口服温水，多补充液体等，注意保持室内温度24°。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703036},{"body":{"content":"超过38.5℃，可以口服*****，间隔4-6小时可以重复吃，24小时内可以吃4次；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051704862},{"body":{"content":"主要建议：1、用退热药2小时后体温不降，发热超过3天，2、出现高热惊厥，精神萎靡，或烦躁，呼吸困难、喘憋，哭闹不止等。3、食量明显下降、拒食水，6小时内无尿。这些情况出现后立即就诊医院。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710198},{"body":{"content":"喝那个******➕蒲公英颗粒可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051810133},{"body":{"content":"最好配合****一起服用，效果更好一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051853417},{"body":{"content":"干呕，打喷嚏，有时候食欲会不太好，但是喝奶还可以，上述大概是呼吸道感染吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051960515},{"body":{"content":"嗯，还要考虑合并消化不良情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051999507},{"body":{"content":"那如果有消化不良情况怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052028290},{"body":{"content":"可以配合********** 温水冲服，每次1袋，每日2次；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052058107},{"body":{"content":"均衡饮食，少吃油腻、生冷食物，尽量不吃零食。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052066612},{"body":{"content":"请用药前仔细阅读说明书中禁忌，注意事项，有无过敏或者其他副作用，孩子病情如果有变化，请及时到复诊，或到当地医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052073509},{"body":{"content":"******可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052098044},{"body":{"content":"这个药物是可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052122107},{"body":{"content":"好的，谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052130455},{"body":{"content":"不用客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162065},{"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":1653057152981},{"body":{"content":"后续如果您还有其他问题需要咨询，可以在京东APP，搜寻--京东医生麻建辉，就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653057154230}]

[{"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":1653049617749},{"body":{"content":"您好，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049619137},{"body":{"content":"第1阶段：6-9个月。\n第2阶段：10-12个月。\n第3阶段：1岁-2岁。\n第4阶段：2岁-6岁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049621036},{"body":{"content":"一阶的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049635607},{"body":{"content":"平时给宝宝多吃水果，蔬菜，容易消化的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049642804},{"body":{"content":"母乳喂养妈妈不要吃油腻辛辣刺激的食物。\n\n奶粉喂养两餐之间给宝宝喂点温开水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049647302},{"body":{"content":"您可能忙，没关系我一直都在。您有问题随时找我，我会第一时间回复到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049649244}]

[{"body":{"content":"晚上好！非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879147513},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879152563},{"body":{"content":"下班了吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879166548},{"body":{"content":"请您详细的描述一下您的症状好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879168947},{"body":{"content":"我就是用手多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879211670},{"body":{"content":"现在勃起不来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879220381},{"body":{"content":"嗯，有没有腰膝酸软，头晕乏力，失眠多梦的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879238056},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879247460},{"body":{"content":"晚上有时候会失眠","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879256521},{"body":{"content":"嗯，您平时怕冷还是怕热？有没有手脚冰凉，遗精盗汗的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879265281},{"body":{"content":"有时候睡得很晚 醒的很早","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879272830},{"body":{"content":"偶尔会有 盗汗倒不是很严重 以前吃六味地黄丸 盗汗就差不多治好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879307122},{"body":{"content":"嗯，平时怕冷的多还是怕热的多了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879326917},{"body":{"content":"都还好吧 没太注意过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879365953},{"body":{"content":"有没有尿频，尿急，尿痛，尿不尽，尿分叉，尿等待，小腹不适，阴囊潮湿，腰酸腰痛的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879388682},{"body":{"content":"阴囊潮湿偶尔会有 ，腰酸腰痛也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879440027},{"body":{"content":"**症状没有是吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879458868},{"body":{"content":"尿频，尿急，尿不尽，尿分叉，尿等待，小腹不适 用手完了以后偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879473340},{"body":{"content":"记忆力没以前好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879487687},{"body":{"content":"别的就没了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879492313},{"body":{"content":"平时这个有频繁的手淫习惯对吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879510247},{"body":{"content":"对啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879540611},{"body":{"content":"嗯，首先建议要坚决戒除手淫的坏习惯，这个坏习惯对身体是影响非常大的，一定要戒除!!! 不要看刺激的图片或视频，一旦有这个想法，赶快要转移注意力，否则以后影响身心.会越来越严重，却记","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879584043},{"body":{"content":"现在一有感觉就想用手 可是勃起不来 就算*** 也不赢 不到两分钟一会就软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879597261},{"body":{"content":"我会**戒掉的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879607045},{"body":{"content":"因为长时间的手淫会导致阴茎海绵体严重受损，严重的影响身体健康！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879660909},{"body":{"content":"平时有没有喝酒，吃辛辣刺激性的东西，憋尿，久坐，熬夜等不良习惯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879673578},{"body":{"content":"能治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879673790},{"body":{"content":"这些都有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879685629},{"body":{"content":"建议您在饮食上尽量清淡、避免烟酒、少食辛辣食物、规律饮食、保持心情舒畅。规律作息时间，不要熬夜。平时可以适量进行体育锻炼，增加自身免","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879696318},{"body":{"content":"现在开始戒酒了 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879696354},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879706848},{"body":{"content":"根据你所描述的症状，您这是肾阴阳两虚和平时生活的不良习惯导致勃起功能障碍的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879751922},{"body":{"content":"能治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879775159},{"body":{"content":"放心吧，可以治疗康复的。针对你的情况，结合我多年的临床经验，建议你这种情况采用*西药结合治疗。达到标本兼治的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879794233},{"body":{"content":"这个是不是也是阳痿了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879795554},{"body":{"content":"能从地方药店买到吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879813300},{"body":{"content":"药的话我这里帮你开处方，然后通过京东互联网医院帮你安排邮寄治疗就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879866192},{"body":{"content":"现在快递很慢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879900598},{"body":{"content":"而且我现在还在***这边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879918821},{"body":{"content":"根据你描述的情况，您这个情况建议服用，*****，****，****，来起到一个最佳的改善和恢复的治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879920286},{"body":{"content":"建议配合治疗，因为线下不一定有咱们的药，也方便你后期复诊好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879961003},{"body":{"content":"****。。。 不是**啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879963629},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880000794},{"body":{"content":"****是助你勃起功能障碍的药，还有两位是中药稳固治疗，才能起到最佳的效果，好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880042474},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880060044},{"body":{"content":"嗯，要帮你开处方治疗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880067732},{"body":{"content":"这个?多久见效啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880069694},{"body":{"content":"开吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880072834},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880087549},{"body":{"content":"服用一个疗程10天左右的药，就基本改善恢复，达到满意稳定的情况后，就可以考虑停药了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880139642},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880153223},{"body":{"content":"根据您的症状情况为了您的用药安全，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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880158926},{"body":{"content":"没有过敏的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880175073},{"body":{"content":"就是在备孕。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880182876},{"body":{"content":"嗯，建议您这个情况先调理好身体，然后再备孕，否则会影响你的备孕情况好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880217959},{"body":{"content":"我觉得备孕期间吃 ****。。。 不是特别好啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880229865},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880236277},{"body":{"content":"好的您稍等，我这就帮你开处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880251120},{"body":{"content":"*****，****，**** 这三种药还吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880262411},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880425821},{"body":{"content":"是的，一起服用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880453942},{"body":{"content":"处方帮你开好了，你点击购买就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880484406},{"body":{"content":"购买成功后给我说一声，我把我个人二维码发给您，方便日后复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880507724},{"body":{"content":"就这三种吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880545121},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880553712},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880569580},{"body":{"content":"购买成功了给我说一声，我帮你留一个复诊名额","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880599177},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880632039},{"body":{"content":"这些能吃多长时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880722143},{"body":{"content":"这是一个疗程7天左右的用药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880742043},{"body":{"content":"先服用一个疗程的用药看看，达到稳定和满意的情况后，就可以考虑停药了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880936977},{"body":{"content":"你购买成功了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880975062},{"body":{"content":"你好，你点击购买成功了吗？您这个情况不能再往后拖了，你现在还年轻，及时调理的话还是比较好康复的，不要拖到后期严重了，那么就不好治疗了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882002040},{"body":{"content":"早上好！昨天帮你开的处方审核通过了，你点击购买成功了吗？然后我好帮你做健康档案登记，留复诊名额。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652920093505},{"body":{"content":"主要是怕快递。。。 寄来的慢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652921979918},{"body":{"content":"放心好了！现在帮你安排邮寄，大概三天左右您就能收到了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922011086},{"body":{"content":"那么长时间都过来了，咱们也不差这两三天对吧！建议配合治疗，才能得到改善和恢复好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922056071},{"body":{"content":"这是我作为医生，给你的建议，你自己考虑吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922097382},{"body":{"content":"你现在还年轻，及时调理的话，那么还是比较好康复的，不要拖到后期严重了在治疗，那么就不好治疗了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922176197},{"body":{"content":"帮你开的药都是根据你的身体情况，来搭配取到最佳改善和恢复治疗的药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922592811},{"body":{"content":"线下不一定有咱们的药，而且方便你复诊好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922617832}]

[{"body":{"content":"您好，我是主治医师连爱琴，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393753},{"body":{"content":"买化妆品的，客服怎么说医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050439788},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050442897},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050488080},{"body":{"content":"说明书有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489119}]

[{"body":{"content":"发现多久了这样的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965595629},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965603278},{"body":{"content":"两天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965616239},{"body":{"content":"就是这样子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965667986},{"body":{"content":"两只脚都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965686271},{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965727967},{"body":{"content":"痒不痒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965730447},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965743084},{"body":{"content":"做剧烈运动了么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965752800},{"body":{"content":"就是走路会痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965759100},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762629},{"body":{"content":"看着是摩擦或者硌的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965769166},{"body":{"content":"应该是吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965806600},{"body":{"content":"可以碘伏消毒一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965825159},{"body":{"content":"然后抹点***预防感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965831167},{"body":{"content":"抹点*******促进愈合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838467},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965838916},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965842600},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965848749},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965860670}]

[{"body":{"content":"您好，我是主治医师安利娟，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212449},{"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":1653050216565},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050475108},{"body":{"content":"我这边是医生端，建议您联系京东客服修改**，或者拨打******修改**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050509117}]

[{"body":{"content":"您好，一天的体重变化没有意义的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964981124},{"body":{"content":"要一周以上变化才有意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964990367},{"body":{"content":"哦哦，好的，我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965020351},{"body":{"content":"体脂较高怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965052880},{"body":{"content":"采用调整饮食结构，增加运动量的方式。调整饮食不是控制饮食，而是调整为高蛋白（鸡胸，**，鱼，虾，豆制品等）低碳水（粗粮为主）低脂肪（少食肥肉，烧菜时少放油等）这种饮食模式。另外运动是为了增加基础代谢率的，这样减肥才能持续，不容易反弹。运动方式比较多，跑步，跳绳，仰卧起坐，爬楼梯，游泳等都是可以的，可以根据自己平时的生活习惯选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965234553}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018330872}]

[{"body":{"content":"您好，宝宝这种情况多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883692362},{"body":{"content":"三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883716091},{"body":{"content":"目前一天大便几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883732879},{"body":{"content":"有时候正常的话一天一次，如果喝奶就拉的话一天三次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883777823},{"body":{"content":"体重增长好不好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883799553},{"body":{"content":"也不是每次喝奶**，就是经常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883800016},{"body":{"content":"目前九个月，75cm 10kg","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883830874},{"body":{"content":"九个半月了，不好意思，刚刚说错了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883847838},{"body":{"content":"体重还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883856013},{"body":{"content":"大便稀不稀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883862892},{"body":{"content":"如果一天一次的话就不稀，喝奶拉那种就稀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883896837},{"body":{"content":"不爱吃辅食","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883909998},{"body":{"content":"吃两口就不张嘴了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883933382},{"body":{"content":"这种情况需要查查乳糖不耐受","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883949199},{"body":{"content":"或者蛋白过敏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883956387},{"body":{"content":"这检查需要怎么做的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883979664},{"body":{"content":"乳糖不耐受化验大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883995233},{"body":{"content":"过敏需要抽血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884001048},{"body":{"content":"先查乳糖不耐受吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884018602},{"body":{"content":"比较容易","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884022725},{"body":{"content":"好的。还有没有可能是奶粉不合适导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884025928},{"body":{"content":"奶粉不合适就是考虑过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884044963},{"body":{"content":"那我就先去做乳糖不耐受吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884068907},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884082997},{"body":{"content":"先查乳糖不耐受吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884087518},{"body":{"content":"刘医生，化验大便得去医院拿试管回来取大便吗，还是得带宝宝一起去医院呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884190364},{"body":{"content":"这需要咨询当地儿童医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884241519},{"body":{"content":"看如何开展","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884246959},{"body":{"content":"一般带标本即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884253326},{"body":{"content":"好的，非常感谢你！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884364001},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884376115}]