刘殿雷

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050054788},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066662},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050079227},{"body":{"content":"是线下医师建议使用的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080386},{"body":{"content":"不是，我们吃这个管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050095564},{"body":{"content":"温馨提示：平台要求凡是六岁以下宝宝购药均需提供线下医院病历或处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182241},{"body":{"content":"麻烦您上传一下具体的病例资料，需要系统匹配到有效病例、购药单或之前开具过的电子处方后，可以直接给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184601},{"body":{"content":"上次也是这个平台医生开的电子的，怎么查看？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050218856},{"body":{"content":"您到之前的问诊记录","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050234837},{"body":{"content":"点击之后再问诊记录之中可以查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245732},{"body":{"content":"或是上传孩子之前的病例报告","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259706},{"body":{"content":"在哪里看问诊记录","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050266536},{"body":{"content":"我的订单中可以查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305018},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050309594},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050948908},{"body":{"content":"有之前的处方或病例吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957364},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051539337},{"body":{"content":"如果您现在没有处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051545718},{"body":{"content":"您可以找到之后直接上传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556464},{"body":{"content":"复诊给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558892},{"body":{"content":"由于您长时间不在线，所以无法了解到您的具体症状，也无法给您更全面的建议，建议您下次方便时可以再次上线咨询，以便我给您一些比较适合的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562558},{"body":{"content":"您好，受接诊时长的控制，如果您没有其他问题咨询了，或者现在不方便在线回复，时限到后，系统会自动关闭并提交结束本次问诊，等您需要或方便的时候再上线免费咨询，谢谢您的理解和配合，下次再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051564303}]

[{"body":{"content":"您好，张医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879362760},{"body":{"content":"您好，您目前一周几次性生活？每次大概几分钟？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879391224},{"body":{"content":"我前年出了意外车祸，之前没有勃起障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879400086},{"body":{"content":"之前一周1-2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879409594},{"body":{"content":"加上最近刚开始创业，压力比较大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879432242},{"body":{"content":"阴茎不算大，但也正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879451396},{"body":{"content":"之前在济南齐鲁医院看过，吃了一个疗程的壮阳药，有点效果，但是现在断药了，还是勃起障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879513326},{"body":{"content":"之前迟的是**还有***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879540326},{"body":{"content":"嗯，您现在还有性生活吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879667860},{"body":{"content":"现在没有以前频繁了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879681280},{"body":{"content":"现在只有先吃了药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879697050},{"body":{"content":"才敢过性生活","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879705894},{"body":{"content":"因为勃起障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879712431},{"body":{"content":"嗯，健忘，乏力，盗汗，腰膝酸软，大便溏稀，四肢冰冷，怕冷，怕热，这些情况有哪些症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879870757},{"body":{"content":"我忘了叫什么力的一种药了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879870838},{"body":{"content":"这些基本都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879885996},{"body":{"content":"基本上就是和**差不多的药效","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879936717},{"body":{"content":"请问这个问题的根本是在哪里医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879987020},{"body":{"content":"这个主要是阴茎海绵体受损，导致充血不足，形成的一个阳痿症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880005020},{"body":{"content":"这个跟生活压力，工作压力，生活的不良习惯都是有关系的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880016876},{"body":{"content":"晨勃的情况还有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880028177},{"body":{"content":"之前没有，现在有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880040173},{"body":{"content":"不知道是不是跟前段时间吃药有关系，晨勃之前一直都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880077168},{"body":{"content":"这个情况需要长期吃药调理吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880104165},{"body":{"content":"现在基本上都需要先吃药才敢过性生活","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880130950},{"body":{"content":"不用长期服用，您的这个情况比较严重，至少需要调理两个月。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880131769},{"body":{"content":"需要怎么调","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880141998},{"body":{"content":"有没有三高或者用药过敏史？肝肾功能是否正常？是否有慢性疾病及心脑血管疾病，糖尿病，高血压？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880154842},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880161427},{"body":{"content":"有中成药可以调理的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880175669},{"body":{"content":"希望可以根治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880187061},{"body":{"content":"因为我还年轻才32","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880198302},{"body":{"content":"压力方面因为我才开始创业，压力确实比较大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880219481},{"body":{"content":"所以需要1-2年时间的缓冲期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880239753},{"body":{"content":"但是这时间内，我的勃起障碍让我很不自信","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880258818},{"body":{"content":"现在基本都要性生活之前先吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880278097},{"body":{"content":"不然我怕女朋友不满意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880289174},{"body":{"content":"嗯，根据我多年的临床经验，您的情况见效不是目的，去根才是根本，我建议您中成药结合，治愈率高达95%，可以服用*****和****进行治疗，中成药用于治疗阳痿早泄肾虚等疾病的，****，从根本上去解决问题，这两种药搭配起来使用可以标本兼治。没有问题吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880299708},{"body":{"content":"引起长期的不满","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880304004},{"body":{"content":"需要吃多长时间可以改善调理好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880337564},{"body":{"content":"这两种药需要一起服用多长时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880368356},{"body":{"content":"只要可以根治，没问题的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880384439},{"body":{"content":"您这个情况至少需要调理两个月，我先给您开一个月的药回去服用，没有问题吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880401960},{"body":{"content":"现在有晨勃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880402753},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880406461},{"body":{"content":"多少钱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880413320},{"body":{"content":"先吃一个月看看效果，如果可以就在来一个月的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880447706},{"body":{"content":"我现在半个月回去一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880459641},{"body":{"content":"费用大概是在1700~1800。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880465931},{"body":{"content":"因为在创业阶段","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880473105},{"body":{"content":"嗯，没有问题吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880477849},{"body":{"content":"怎么这么贵哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880482903},{"body":{"content":"因为我还在创业阶段","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880522523},{"body":{"content":"经济条件并不宽裕?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880559042},{"body":{"content":"这个给您开的是一个月的药量，这个治疗效果是比较好的，很多患者都在服用的跟你有相同病例的患者，通过治疗都是可以恢复的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880567927},{"body":{"content":"就这两种药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880613544},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880618131},{"body":{"content":"这期间可以有性生活吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880664105},{"body":{"content":"可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880671062},{"body":{"content":"还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880716521},{"body":{"content":"1800吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880742819},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880748421},{"body":{"content":"一个月的用量","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880755865},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880759444},{"body":{"content":"还有别的办法吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880770830},{"body":{"content":"没有其他办法，您这个情况比较严重，肯定要是用药物去从根源上解决问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880800096},{"body":{"content":"毕竟你现在还年轻。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880804982},{"body":{"content":"如果有效果我还要来京东大药房来找您吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880809946},{"body":{"content":"可以过来找我的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880823944},{"body":{"content":"可以加您私人联系方式吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880837507},{"body":{"content":"稍后我会给您开处方，您订购成功以后我会给您发一张复诊二维码，您后期直接扫码进来，随时和我保持联系。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880866117},{"body":{"content":"后期我会全程跟踪指导您的恢复情况，有什么不懂的随时咨询我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880880578},{"body":{"content":"这个药物吃两个月就不用长期吃了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880891794},{"body":{"content":"是的，不用长期服用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880905815},{"body":{"content":"不会像**一样有依赖性吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880914240},{"body":{"content":"那就麻烦您帮我先开一个月的吧，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880968182},{"body":{"content":"给您开的是中成药没有任何副作用的，是从根源上解决问题的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881013382},{"body":{"content":"我这边帮您开处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881022879},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881032824},{"body":{"content":"********10mg*2片 男性男士勃起功能障碍ED ****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881041289},{"body":{"content":"之前是吃的这个药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881053258},{"body":{"content":"才有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881064972},{"body":{"content":"嗯，你那个是***，是治标不治本的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881087931},{"body":{"content":"搭配我给你建议的中成药去治疗，可以从根源上彻底解决问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881101046},{"body":{"content":"处方已经给您开好了，您直接点击上面处方单预约购买就可以了。购买成功以后，跟我说一下，我这边发复诊二维码给你，后期有什么不懂的可以随时咨询我。服用15天给我反馈一下。处方单上有用量和方法，饭后服用，平时少吃辛辣，不要喝酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881121331},{"body":{"content":"买了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881316330},{"body":{"content":"付款了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881320567},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881334360},{"body":{"content":"这是我的复诊二维码，您保存一下，后期有什么不懂的直接扫码进来咨询，⚠️⚠️⚠️一定记得服用15天后找我复诊！也可以关注我。祝您早日康复！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881357801},{"body":{"content":"好的，我保存了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881393154},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881406479},{"body":{"content":"下次就不用在京东上进来了是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881420060},{"body":{"content":"直接扫码找您就可以是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881441571},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881486558},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881586061},{"body":{"content":"我刚才扫码进去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881593295},{"body":{"content":"还是京东","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881598922},{"body":{"content":"请问需要怎么直接联系您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881613454},{"body":{"content":"还是在这个平台上。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881615278},{"body":{"content":"您给我发消息，我看到会第一时间回复你的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881627336},{"body":{"content":"嗯嗯好的，张医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881639858},{"body":{"content":"下次再来就不用在付费了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881672031},{"body":{"content":"15天以后我再来找您还需要再缴费吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881705304},{"body":{"content":"\n15天以后我再来找您还需要再缴费吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881747666},{"body":{"content":"第1次扫码是免费的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881880827}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018409762},{"body":{"content":"**拍照给我看看，买几盒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018423793},{"body":{"content":"开4合","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018429920},{"body":{"content":"您是患者什么人？病情稳定吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018452366},{"body":{"content":"儿子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018471410},{"body":{"content":"还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018486320},{"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":1653018500837},{"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":1653018510319},{"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":1653018531253}]

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

[{"body":{"content":"您好，你能再详细的说一下现有的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878768015},{"body":{"content":"有没有发烧，局部炎症？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878786767},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879903522},{"body":{"content":"打了三天点滴，有一点消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879937101},{"body":{"content":"有没有查血常规呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880041173},{"body":{"content":"没有查。就做了比超，打了**，现在又有点消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882693354},{"body":{"content":"那您可以继续坚持治疗，另外还是建议您查个血常规，看看是不是炎症引起淋巴结肿大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882763536}]

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653002981947},{"body":{"content":"妇科有没有问题?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003008222},{"body":{"content":"没有检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653003019326},{"body":{"content":"纸巾擦出的血都是很少很少量","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653003035741},{"body":{"content":"考虑是泌尿道感染了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003052170},{"body":{"content":"建议到线下医院检查一下尿常规，泌尿系B超","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003062441},{"body":{"content":"同时妇科检查一下，排除妇科炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003077447},{"body":{"content":"前两天多喝水多排尿情况有好转但是昨天没有忌口今天情况就变差了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653003081847},{"body":{"content":"嗯，需要治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003095727},{"body":{"content":"有建议服用的药物吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653003110899},{"body":{"content":"这样大概费用是多少呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653003118613},{"body":{"content":"检查费用大概200多元","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003152526},{"body":{"content":"您不在国内?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003197661}]

[{"body":{"content":"您好，我是育儿顾问***，很高兴为您提供健康咨询服务，为了更好地解答您的育儿相关问题，请您在描述的时候辛苦补充以下信息:1. 宝宝年龄；2. 宝宝性别；3. 育儿问题；注：育儿顾问为您提供育儿，喂养，**，早教相关的健康咨询服务。涉及医疗问题请您及时就医。祝宝宝健康快乐。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050118298},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050121771},{"body":{"content":"非常抱歉，由于我们是平台育婴师，售后退换问题，或者是质量问题，您需要联系京东客服来处理。您可以在京东首页先点击“我的”，再点那个“客户服务”，可以输入“人工客服”，里面有一个在线客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050142896},{"body":{"content":"我也可以把客服电话给您，您和客服咨询一下产品问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159927},{"body":{"content":"请您拨打客服电话******，咨询具体商品的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050163346},{"body":{"content":"请问您是否有**育婴问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050167734},{"body":{"content":"欢迎您随时访问京东，咨询育婴问题，我会在线为您解答，很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674401},{"body":{"content":"如果暂时没有的话，能不能麻烦你点击对话框右上角；表扬：按钮？给我一个好评，谢谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050677500},{"body":{"content":"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":1653050679861}]

[{"body":{"content":"您好，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051759324},{"body":{"content":"痤疮现在在用什么药物呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051768819},{"body":{"content":"请问******可以和******混着用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051797317},{"body":{"content":"单用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051806206},{"body":{"content":"可以白天****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051820660},{"body":{"content":"晚上****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051824270},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051836014},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051839737},{"body":{"content":"********可以治痘痘吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865581},{"body":{"content":"可以用于痘印","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051875343},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051895907},{"body":{"content":"日常**1.常用温水洗脸，因为冷水不易去除油脂，热水促进皮脂分泌。 2.不要用手去挤压以免引起化脓发炎，脓疮破溃吸收后形成瘢痕和色素沉着，影响美观。3.劳逸结合，保持精神愉快。饮食调理注意饮食习惯，多吃新鲜西红柿、胡萝卜、黄瓜、**、芹菜等粗纤维蔬菜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051901800},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051919102},{"body":{"content":"不客气呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051925151},{"body":{"content":"******睡前使用一次，薄涂点涂。使用前清洁一下，注意保湿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051934058},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051946995},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051957162},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051960432},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051962655},{"body":{"content":"没有了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051969958},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051975870}]

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878751835},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878757655},{"body":{"content":"您出现这些症状有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878777002},{"body":{"content":"胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878788382},{"body":{"content":"有没有做过什么检查 用过什么药物治疗过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878793740},{"body":{"content":"有一周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878803316},{"body":{"content":"检查和治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824793},{"body":{"content":"吃了***和","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878902511},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878935338},{"body":{"content":"症状有没有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878950872},{"body":{"content":"头两天还行，可能昨天晚上吃了西瓜，今天觉得更不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878996604},{"body":{"content":"大便什么的都正常，也不拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879111150},{"body":{"content":"就是觉得胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879163995},{"body":{"content":"您现在的症状与胃食管反流病比较符合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879176323},{"body":{"content":"也不排除存在幽门螺杆菌感染可能 如果有可能最好可以先做个呼气试验看看有没有幽门螺杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879226217},{"body":{"content":"那能开点中药回来熬吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879313227},{"body":{"content":"也不胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879361188},{"body":{"content":"像您这种反酸比较厉害的 中药不太能解决问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879395349},{"body":{"content":"抑酸方面西药更有优势 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879463216},{"body":{"content":"反酸不厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879466808},{"body":{"content":"以胃胀为主是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879487322},{"body":{"content":"主要是胃胀，打嗝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879494210},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498226},{"body":{"content":"今天才有一点反酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879514619},{"body":{"content":"主要还是胃胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879555114},{"body":{"content":"您是希望自己熬中药 还是用现成的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879560324},{"body":{"content":"现成的中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879707325},{"body":{"content":"明白了 您拍一张舌苔图给我看一下哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879775212},{"body":{"content":"您稍等片刻 我这就给您处方建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880064892},{"body":{"content":"好的，不急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880128078},{"body":{"content":" 平时不要吃的太饱 晚餐不要吃稀的 不要喝汤 流质半流质更容易反流 平时不要喝茶、咖啡、碳酸饮料 不能抽烟 会导致食管下括约肌的松弛 更易反流 不要吃红薯 糯米食等淀粉含量高的食物 容易产酸 还包括一些甜品 平时不要穿紧身的衣物 严重反流时床头需要抬高15-20°","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880454202},{"body":{"content":"您没有药物过敏史和特殊禁忌症吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880491500},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880499041},{"body":{"content":"不在备孕期妊娠期哺乳期吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880513147},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880520229},{"body":{"content":"处方已开具 另外生活方面需要注意的事项已经发给您了 请按照上面的做 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880592796},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880632462},{"body":{"content":"不客气的 祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880650916},{"body":{"content":"能再帮我开一份自己熬的中药处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880724824},{"body":{"content":"万一服药后症状缓解不明显 您停用****14天后需要去医院查个呼气试验 看看有么有幽门螺杆菌感染 或者做个胃镜 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880727121},{"body":{"content":"中药只有**剂 就是我按照处方开好每个成分的**剂 您回去自己放一起冲服 没有传统的那种中药饮片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880835746},{"body":{"content":"您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880854866},{"body":{"content":"比丸好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880862883},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880901761},{"body":{"content":"冲剂好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880913990},{"body":{"content":"谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880919406},{"body":{"content":" 丸剂起效慢 发挥作用持久 **剂作用快一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880931254},{"body":{"content":"那就麻烦帮我开冲剂，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881446891},{"body":{"content":"已经开过了 中药开方没有西药那么快 要一个个点击","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881489337},{"body":{"content":"没事，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881575533},{"body":{"content":"您在吃*****时就不要再吃这个**剂了 两个分开服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881711375},{"body":{"content":"有些成分有重合 功效也差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881732581},{"body":{"content":"只喝冲剂，不吃那个*****，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881778008},{"body":{"content":"可以的 您可以把冲剂吃完再吃***** *****效果挺好的 我平时在门诊经常开给嗳气 呃逆的患者用 患者反馈过来的信息效果都不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881875821},{"body":{"content":"您要是在不愿意用丸剂 我就把前面那个处方的*****撤回来了 要么开了也浪费了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881941121},{"body":{"content":"实在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881947172},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881970031},{"body":{"content":"好的 是撤回来吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881988422},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882003978},{"body":{"content":"我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882012304},{"body":{"content":"这个是小丸还是大丸？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882050781},{"body":{"content":"小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882068549},{"body":{"content":"就是一包里有好多小丸子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882089668},{"body":{"content":"怎么驳回了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882177331},{"body":{"content":"我刚又确认一下是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882270931},{"body":{"content":"是小丸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882281601},{"body":{"content":"既然这个不错，先试试这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882370713},{"body":{"content":"对胃胀效果好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882384944},{"body":{"content":"平台上出售*****的药房太多 不同厂家生产的有所区别 我刚特意点进去查了一下我开的这个是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882414140},{"body":{"content":"是的 对于脾胃虚弱引起的腹胀效果还是不错的 对嗳气也有明显效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882447873},{"body":{"content":"那好，我试试","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882462404},{"body":{"content":"马上下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882471237},{"body":{"content":"您平时不适合吃生冷食物 舌苔白腻厚 脾胃虚弱 还有湿偏重 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882576232},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882587008},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882594502},{"body":{"content":"要21才拿到药，我能去药房买吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882625758},{"body":{"content":"今天是18号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882641731},{"body":{"content":"可以的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882644513},{"body":{"content":"您可以按照处方建议去购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882662317},{"body":{"content":"药有没有指定厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882678275},{"body":{"content":"麻烦帮我看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882684987},{"body":{"content":"*****买****的或者***的都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882715882},{"body":{"content":"****随便哪个厂家 没有太大差异","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882745562},{"body":{"content":"*******制药的也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882768672},{"body":{"content":"这几个都是大厂 药材质量有保证","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882785288},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882801245},{"body":{"content":"不客气的啦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882818882},{"body":{"content":"我已经5星好评了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882972123},{"body":{"content":"谢谢您的好评","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882992756}]

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050402161},{"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":1653050403727},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050406005},{"body":{"content":"应该是给宝宝吃的多了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050461681},{"body":{"content":"第一次就给宝宝吃150毫升，有点太多了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050482690},{"body":{"content":"**的一次给宝宝吃了多少呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050515388},{"body":{"content":"**是两勺，55ml的温水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050816134},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050825219},{"body":{"content":"刚才冲的没喝完的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050826752},{"body":{"content":"初次添加可以用一平勺约5克米粉，加60毫升的水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050850504},{"body":{"content":"米粉初期添加可以先给宝宝吃5-6口让宝宝适应一下，3天后可以逐渐增加喂养量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050870063},{"body":{"content":"可以发个冲调的顺序吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050876436},{"body":{"content":"一般的婴儿米粉包装上，都会标明米粉的冲调浓度，第一次给宝宝添加的时候，可以比说明书上标明的浓度冲调的更稀一点，在宝宝能够接受这个浓度以后，再逐渐调整到按照说明书上的比例冲调。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050885626},{"body":{"content":"包装就是写着5勺啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906115},{"body":{"content":"将白开水凉到60℃备用\n在碗中加入准备好的温开水，取米粉到小碗中，边加边按一个方向搅拌，搅拌均匀后，静置30秒即可\n，最后一步是试温度,将米粉滴在手腕内侧温热无烫感就合适了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961257},{"body":{"content":"我就是按照这个来冲调的，想着之前吃过米粉，所以就按照平时的冲调","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051006205},{"body":{"content":"那合适冲调比例","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014289},{"body":{"content":"不要一开始就给宝宝吃那么多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051028432},{"body":{"content":"可能是吃太多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051064785},{"body":{"content":"刚开始添加辅食的宝宝肠胃比较娇嫩，还不太适应辅食，需要先稀一些，**再增加喂养量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077589},{"body":{"content":"之前也没吃过那么多的，我以为你们的冲调不一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051083358},{"body":{"content":"宝宝辅食喂养的原则是由少到多，由稀到稠，由单一到多样，循序渐进逐步添加。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051098776},{"body":{"content":"我是京东医生育儿师，不是任何一款商品的客服哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137872},{"body":{"content":"从哪款商品的窗口都可以联系到我的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163171},{"body":{"content":"看起来给宝宝吃的有点多了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051187768},{"body":{"content":"给宝宝减少喂养量，喂***调理，观察会不会好转","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051207013},{"body":{"content":"让宝宝肠胃休息一两天，在**少量开始添加喂养。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231410},{"body":{"content":"??","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051332007},{"body":{"content":"您还有问题咨询吗，如果方便的话麻烦右上角给点个评价，谢谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051362747}]