王欣

[{"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":1653049563276},{"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":1653049566003}]

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050046786},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050049868},{"body":{"content":"闲趣 自然清咸原味薄脆饼干 休闲零食带提手礼盒装900g（普通装和加量装随机发货 介意慎拍）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050126627},{"body":{"content":"都是独立小包装","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050144938}]

[{"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}]

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049707352},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049722908},{"body":{"content":"稍等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049747385},{"body":{"content":"含糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049837671},{"body":{"content":"少量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049844258},{"body":{"content":"平时血糖高吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049860189},{"body":{"content":"您好还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967200}]

[{"body":{"content":"您好!\n我是卢主任，非常感谢您的信任，很高兴由我为您提供医疗咨询服务。正在详细阅读您的病情描述，为进一步分析希望您再仔细描述一下下列情况。\n\n1.目前主要怎么不舒服，症状出现多久了？\n2.还有局部其他症状出现吗？\n3.是否有医院检查或治疗过？有用过什么药物？\n4.为了给您更准确的诊断，如果方便最好拍个局部照片看一下（平台对您的病史，照片保密，请您放心）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878798050},{"body":{"content":"就是今天发现屁股眼上长了肉疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879510257},{"body":{"content":"不知道多久了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879525725},{"body":{"content":"然后这阵子大便干结，拉不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550705},{"body":{"content":"根据您的症状及提供病史情况，初步考虑便秘引起“痔疮”，我可以给您一些用药方面的建议。为了您的用药安全，请问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？您是否处于生理期、备孕期、孕期或哺乳期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885176551},{"body":{"content":"没有药物过敏，近期有过玫瑰糠疹，还没有完全好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652886482438},{"body":{"content":"肛周瘙痒容易反复发作，与个人生活习惯和体质有关。治疗在于三分治七分养，在发作期可以用药物控制瘙痒症状，缓解期要注意保养，保持肛门透气，避免经常潮湿，减少复发，提高生活质量。\n建议\n1、饮食:注意清淡饮食，多吃蔬菜水果、粗粮等纤维素含量高的食物，不要吃**等辛辣刺激食物，多喝水，保持大便软通畅，避免便秘或者腹泻。避免接触过敏源，刺激物。\n2、排便:大便以后避免用力摩擦及用带有香味的纸巾**擦屁股，避免过度清洁及有刺激性的洗剂应用，最好凉水冲洗后柔纸蘸干，（可以配合睡前*****半片泡5000ml坐浴10分钟，每天1～2次，坐浴水温不宜太高，太高会更痒）。注意肛周卫生，勤换内衣内裤，保持肛周透气。\n3、避免局部搔抓，注意局部保湿，可考虑局部尿素乳膏外涂保护皮肤屏障避免感染。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964459953}]

[{"body":{"content":"您好，我是中医科医生，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049865517},{"body":{"content":"对症的话，对慢性肾功能不全有一定的帮助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049945130},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050437751},{"body":{"content":"请问您收到消息了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050443195},{"body":{"content":"还在关注我们的对话吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050451699},{"body":{"content":"由于问诊时间有限，时间到了系统会自动关诊，请您充分利用好时间，感谢您的理解与配合，请问您是否在线呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458255}]

[{"body":{"content":"您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051288686},{"body":{"content":"鼻子黑头肉眼可见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291720},{"body":{"content":"为了方便医生对病情做出正确的判断，您能发一个异常地方的图片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051292070},{"body":{"content":"皮肤表面黑色素太多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051305904},{"body":{"content":"用那个洗面奶好呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051314445},{"body":{"content":"目前方便拍一个面部的图片吗，我帮您看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330102},{"body":{"content":"鼻子有事容易出油","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051335498},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338792},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051346597},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051401807},{"body":{"content":"目前有用药治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051405926},{"body":{"content":"相机看不见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051407458},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051410416},{"body":{"content":"有好用的洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418841},{"body":{"content":"目前您的情况考虑黑头粉刺的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425760},{"body":{"content":"请问有无肝肾功异常、药物过敏史、相关用药禁忌及其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429951},{"body":{"content":"上述情况有没有呢，这边给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432168},{"body":{"content":"不用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051437902},{"body":{"content":"你介绍个洗面奶吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447709},{"body":{"content":"目前主要是注意局部皮肤清洁及**，可以的话可以适当用点改善油脂分泌及局部对症的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051458696},{"body":{"content":"如果是洗面奶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461047},{"body":{"content":"可以使用这种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051470824},{"body":{"content":"建议您平时要清淡饮食，避免进食辛辣刺激，油腻及过甜的食物，同时做好面部清洁，避免抠抓挤压，生活规律，避免熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051560745},{"body":{"content":"其他还有什么可以帮到您吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562072},{"body":{"content":"可以去黑头嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051570441},{"body":{"content":"去黑头的话还是建议用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582777},{"body":{"content":"洗面奶的作用是比较小的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051588161},{"body":{"content":"用这个还用洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051624854},{"body":{"content":"还是建议使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051636376},{"body":{"content":"平时的护肤也比较重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642392},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051644590},{"body":{"content":"您没有药物禁忌吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051651154},{"body":{"content":"平时保养都用什么呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051654351},{"body":{"content":"我感觉我脸越来越油了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051678169},{"body":{"content":"之前还不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051682790},{"body":{"content":"是的，所以可以建议用点药物来改善一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051696192},{"body":{"content":"没有上述禁忌的情况下建议您 搭配维生素B6片 口服 每次2片20mg 每天一次 缓解油脂分泌过多情况，同时局部黑头处点涂****** 晚上避光使用一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051738971},{"body":{"content":"去黑头怎么去呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051748088},{"body":{"content":"柔和点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751882},{"body":{"content":"*****主要是改善油脂分泌，******可以改善局部黑头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051774161},{"body":{"content":"平时用洗面奶洗脸后适当使用水乳面霜就可以的，做好保湿**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051806442},{"body":{"content":"那个洗面奶用着好点也","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051871766},{"body":{"content":"目前给您推荐的可以控油祛痘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051891267},{"body":{"content":"效果还是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051896234},{"body":{"content":"配合药物一起使用，一般2周左右会有一定的改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051914931},{"body":{"content":"后续您可以根据药物效果找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051922546},{"body":{"content":"、治疗期间您有其他问题需要问诊咨询，打开京东APP，搜索我的名字即可点诊我为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051929213},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051946528},{"body":{"content":"后续用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌及注意事项中提及的问题可使用，使用请严格遵循说明书用法用量，如在用药过程中出现不适则请及时停药，同时上线咨询或线下就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051958164},{"body":{"content":"如果没有其他问题，这边就先帮您关闭问诊了，希望我的建议能够帮助到您，非常感谢您的信任","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051959684}]

[{"body":{"content":"您好贺医生 我要买药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011373161},{"body":{"content":"我觉得我最近状态还可以 我考虑适当减药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011393046},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011399024},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411803},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411803},{"body":{"content":"买什么药物？几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411804},{"body":{"content":"减药最好，找一下，当地医生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011428542},{"body":{"content":"面诊检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011430363},{"body":{"content":"不要自己减药，容易复发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011447299},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011514275},{"body":{"content":"4盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011520574},{"body":{"content":"这个药的副作用我一直很担心 因为吃太久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011531210},{"body":{"content":"定期去医院检查就可以了，一般没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011554417},{"body":{"content":"感觉现在记忆力各方面变差","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011554924},{"body":{"content":"您是患者什么人？病情稳定吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011556592},{"body":{"content":"1)有过青光眼病史吗？\n2)\t服用过****、****吗？\n3)\t目前正在自伤、自杀等消极冲动行为吗？\n 这些有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011558137},{"body":{"content":"本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011569141},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011615655},{"body":{"content":"目前我觉得状态还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011631334},{"body":{"content":"那贺医生你就给我开药吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011650751},{"body":{"content":"我到时候再去找医生看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011661407},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011681831},{"body":{"content":"***4盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011695321},{"body":{"content":"聊天记录里找绿色处方单链接，直接付款！成功后，在家等着收货就行了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011697905},{"body":{"content":"下次买药前，您在【京東app】，搜【***】，图文问诊挂号，就可以给您开药了！最新上线【私人医生】服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011699765},{"body":{"content":"ok","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011896743},{"body":{"content":"帮我点右下角【加号➕】或者右上角的表扬医生，请给我一个好评，【写几个字】就行！或者在结束问诊的时候写评语！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011902879},{"body":{"content":"我只能买预约药品吗 可以买其他的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012007927},{"body":{"content":"我把你这个处方单下载下来 京东大药房的药都可以买？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012022901},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012028553},{"body":{"content":"自己截图处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012051835},{"body":{"content":"自己留着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012054790}]

[{"body":{"content":"一千块钱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046396105},{"body":{"content":"多久能好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046414598},{"body":{"content":"要休息多少天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046451389},{"body":{"content":"一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046547501},{"body":{"content":"多谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046586817},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046609339}]

[{"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":1653050438341},{"body":{"content":"结石多大呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050445469},{"body":{"content":"这个是我前两天拍的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468280},{"body":{"content":"激光也打不掉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050501784},{"body":{"content":"0.3cm","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518189},{"body":{"content":"去年10月份查的时候是0.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050521891},{"body":{"content":"然后今年上半年军检查的事0.4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050537136},{"body":{"content":"吃点中药排","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545341},{"body":{"content":"现在变成2个最大的事0.3","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555114},{"body":{"content":"尿酸查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050558628},{"body":{"content":"0.3的一般可以排出去的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050565359},{"body":{"content":"没有检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569046},{"body":{"content":"我这个时间挺长了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576313},{"body":{"content":"可以么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580210},{"body":{"content":"还是可以排出去的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592461},{"body":{"content":"我看看您的舌象","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595863},{"body":{"content":"舌淡白，苔白腻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636302},{"body":{"content":"请问您有怕冷，性欲减退，畏寒肢冷，腰膝以下尤甚，腰膝酸软，头晕耳鸣，小便清长，夜尿多的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050644700},{"body":{"content":"夜尿没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050659213},{"body":{"content":"怕冷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663830},{"body":{"content":"腰疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674690},{"body":{"content":"去年有过耳鸣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681785},{"body":{"content":"小便黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687416},{"body":{"content":"根据您提供的信息及症状，目前初步考虑肾阳虚，寒湿证。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050690288},{"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":1653050698266},{"body":{"content":"水喝多了就白色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699418},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702091},{"body":{"content":"那这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050710165},{"body":{"content":"肾结石","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050719687},{"body":{"content":"吃什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050723319},{"body":{"content":"以上用药禁忌可以排除吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754429},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769135},{"body":{"content":"肝肾功能异常及其他慢性病史吗？请问您在备育期吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779472},{"body":{"content":"没有任何疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785391},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050793304},{"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":1653050796934},{"body":{"content":"我有手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050816113},{"body":{"content":"好多年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050819252},{"body":{"content":"代煎吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050837265},{"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":1653050857175},{"body":{"content":"肾结石？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906187},{"body":{"content":"是一起调理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050922215},{"body":{"content":"还有手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050965427},{"body":{"content":"了解了，您目前考虑肾阳不足了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050982718},{"body":{"content":"您稍等我一下，我给您开方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051045843},{"body":{"content":"退出来要重新点处方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053600},{"body":{"content":"给您开的是代煎好的中药，一日3次，一次1袋，服用前温一下，剩余冰箱冷藏。服用7日，观察疗效，再上线复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051440434},{"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":1653051445550},{"body":{"content":"建议您宜选用甘温补脾阳、温肾阳为主的食物，如**、韭菜、红茶、**等。少食生冷、苦寒、黏腻食物，如螃蟹、绿茶、冷冻饮料等。平时1、注意休息，保持良好情绪，规律作息。2.保持室内空气湿润，清淡饮食易消化。3.多饮水，少食辛辣刺激、油炸的食物。4.忌烟酒。5.避风寒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051449857},{"body":{"content":"平时多喝温水，生冷、油腻的不能吃，平时多运动。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051675069},{"body":{"content":"这个肾结石慢慢就没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051682329},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051698758},{"body":{"content":"生冷、油腻的不能吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051709844},{"body":{"content":"您看这样下去肾阳会被伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051718197},{"body":{"content":"肾阳不足，就容易再继续长结石","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051737082},{"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":1653051883055},{"body":{"content":"没有了。。谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051921956},{"body":{"content":"您客气了。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":1653051930848},{"body":{"content":"石清茶平时可以代茶饮喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051974400}]