刘继帅

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049608565},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049618622},{"body":{"content":"十分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049636727},{"body":{"content":"我看足背软组织有肿胀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049641079},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049669291},{"body":{"content":"目前建议24小时之内可以进行冰敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049705102},{"body":{"content":"24小时之内再行热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721933},{"body":{"content":"同时可以使用云南白药气雾剂进行涂擦改善循环，**止痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049749060},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049768337},{"body":{"content":"不客气啦，冰敷时候冰袋要用毛巾包裹，不然会冻伤的哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822121},{"body":{"content":"好的，谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049882113},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049890519}]

女37岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050830329},{"body":{"content":"老师你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050859011},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050894133},{"body":{"content":"备孕可以用哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904084},{"body":{"content":"如果想补充其他***类，建议可以有*********效果好一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920114},{"body":{"content":"也不确定缺不缺*****啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050964640},{"body":{"content":"可以去医院检查一下俣","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050997515},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008703},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051015501},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051030551},{"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":1653052046472},{"body":{"content":"很高兴为您服务，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":1653052054130}]

女

2022.05.20

[{"body":{"content":"这种情况多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049891262},{"body":{"content":"大概一年中途做了一次去斑就没涨逗了，现在年后又开始涨了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049992385},{"body":{"content":"拍个图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050009287},{"body":{"content":"就这个情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050133842},{"body":{"content":"我上面电子处方里给你开了二瓶中药外用**，****，促进皮肤愈合，包括你的痘坑都能修复，使我们三甲医院治疗你这种情况最好的药，点开电子处方购买京东就给你邮寄了，很快就到货。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050220531},{"body":{"content":"生活中还要少吃油，少吃辣少吃糖，痤疮不喜欢这种饮食，另外不要熬夜，就这些注意事项，基本没其他的了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367220},{"body":{"content":"这个病是慢性病中药药水，坚持坚持外用就可以了，买到**后用**蘸取药液，一日三次涂擦患处，或倒在纱布上，像做**一样湿敷脸部都可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050391123},{"body":{"content":"可是总是反复长痘怎么办啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611960},{"body":{"content":"这里好了那里又长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623945},{"body":{"content":"你坚持用我的中药所生活中注意事项，做到就没问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633809},{"body":{"content":"三甲医院主任医师给你出的方案，放心吧。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050648789},{"body":{"content":"大概用多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655875},{"body":{"content":"至少一个月以上，至少两瓶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050681401},{"body":{"content":"这个会不会只治表面，内在身体用不用调呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702688},{"body":{"content":"我觉得暂时不用，你生活中注意好了，就是内在调节。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050720286},{"body":{"content":"好的呢我需要买一瓶还是2瓶呢，在这期间可以用修复类的水乳防晒产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050870848},{"body":{"content":"买两瓶，两瓶都不一定肯定够。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050890943},{"body":{"content":"这个中药**就能修复皮肤，尽量少用化妆品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050927085},{"body":{"content":"你是油性皮肤，在清爽的化妆品也是油脂类的，尽量少用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050939239}]

女38岁

2022.05.20

[{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742626},{"body":{"content":"尊敬的plus用户您好，我是骨科医生，很高兴能为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049749756},{"body":{"content":"您可以在下图中描述疼痛的具体部位在哪里。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049754449},{"body":{"content":"4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783843},{"body":{"content":"您出现疼痛多长时间了，有受伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049811352},{"body":{"content":"我上学的时候，坐姿不好，就是类似于盆骨往前倾坐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049823322},{"body":{"content":"就是往前顶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049834167},{"body":{"content":"好久了，没受伤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840611},{"body":{"content":"有5年多了估计","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849627},{"body":{"content":"不经常疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856172},{"body":{"content":"就是坐姿不怎么好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049862859},{"body":{"content":"会疼几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049869019},{"body":{"content":"您平常有无久站、负重工作比较多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049870352},{"body":{"content":"这是什么病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874283},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049877069},{"body":{"content":"我是学生，经常坐着","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049885578},{"body":{"content":"您除了臀部疼痛外有没有下肢的麻木酸胀感？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049923637},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959227},{"body":{"content":"您按压疼痛明显吗，平躺放松后是否有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049995798},{"body":{"content":"平躺有改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050017224},{"body":{"content":"不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050031715},{"body":{"content":"因为我也找不准是哪个地方，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050043001},{"body":{"content":"现在也不怎么疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050047650},{"body":{"content":"腰的话。转圈，会有一点点疼，有一点点舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062980},{"body":{"content":"收到，您平常走路、运动有影响吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084194},{"body":{"content":"不疼，转圈，就是有点活动的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050089006},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090892},{"body":{"content":"就是坐姿久做不好得话，会犯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111393},{"body":{"content":"不是中间的骨头那","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144623},{"body":{"content":"骨头两边，没有骨头的地方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050152036},{"body":{"content":"好的，根据您所描述的情况，初步考虑肌筋膜炎，久坐、姿势不良，肌肉张力不平衡有关。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169314},{"body":{"content":"两个屁股上方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050169913},{"body":{"content":"类似于这里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221902},{"body":{"content":"这个怎么治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050225588},{"body":{"content":"我肩膀处好像也有这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236925},{"body":{"content":"就是后面三角肌那里不是有个突起的骨头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274291},{"body":{"content":"肌筋膜炎属于自限性的疾病，对症治疗，理疗、加强肌肉锻炼是会好转的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283412},{"body":{"content":"请问您有无某些药物过敏史，无肝肾功能异常、无消化道溃疡的病史，（如无，可直接回复：没有）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288325},{"body":{"content":"缝隙有时候也会疼，不是骨头，类似于软骨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301305},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050305162},{"body":{"content":"建议您注意休息，参考使用*******，一次2片，一日3次+外用*****1天3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050352003},{"body":{"content":"日常使用加热盐袋用于疼痛处每天2次，每次30分钟，改善循环 缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369645},{"body":{"content":"疼痛症状好转后 加强腰背肌训练 ，提高肌肉力量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379032},{"body":{"content":"现在夏天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427954},{"body":{"content":"加热会不会太热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433854},{"body":{"content":"您可以在空调房内或者使用热水袋，温度不会过高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050486323},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050509356},{"body":{"content":"不客气的，我给您开个电子处方，参考一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050538685},{"body":{"content":"处方已开好，您点击处方，绿色方框处，进入购药流程即可预约直接购买。如果出现多个，建议您选择京东大药房的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051286761},{"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。长期使用药物定期复查肝肾功能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051289712},{"body":{"content":"随时关注身体状况，疾病都存在演变过程，如果症状没有缓解或者出现加重的情况，建议您立即到线下医院骨科检查就诊，以免延误病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390880},{"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":1653051392007},{"body":{"content":"关闭问诊时间临近，如果没有其他问题的话我这边就先结束问诊了，希望我的建议能够帮助到您，感谢您的信任。请在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461697},{"body":{"content":"后续您如果还有问题需要咨询可以在京东健康APP或京东APP中搜索“***”进行咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463713}]

男21岁

2022.05.20

[{"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":1653050075476},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050078438},{"body":{"content":"宝宝 身高体重多少\n饮食、睡眠、大小便怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116019},{"body":{"content":"您好。\n 还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051447782}]

女

2022.05.20

[{"body":{"content":"您好！请问有什么问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049992712},{"body":{"content":"最近咽部又开始不适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050056898},{"body":{"content":"有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050071002},{"body":{"content":"嗓子干有灼烧感 偶有吞咽困难","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100988},{"body":{"content":"这是以前的检查报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050130614},{"body":{"content":"有没有咽痛、咽痒、咳嗽、咳痰？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050134431},{"body":{"content":"基本没有 偶尔咽痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050179873},{"body":{"content":"症状不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050192321},{"body":{"content":"吃东西时有梗阻感吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209002},{"body":{"content":"有一点点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050246050},{"body":{"content":"这次有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297832},{"body":{"content":"这次有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368318},{"body":{"content":"周一比较严重 这几天略微好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377177},{"body":{"content":"和以前症状一样吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407452},{"body":{"content":"接近一周了 从上周六开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409838},{"body":{"content":"差不多 但是咽部干涩比以前频繁一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050436123},{"body":{"content":"最近用了什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050457252},{"body":{"content":"最近只吃了*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050512831},{"body":{"content":"再考虑要不要加些***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050530400},{"body":{"content":"有无过敏史和肝肾功能不全？有无其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050541093},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050546929},{"body":{"content":"潘医生 我这个程度严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562019},{"body":{"content":"可以用点********，******，***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572684},{"body":{"content":"没大问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050583055},{"body":{"content":"但是工作性质就是要一直讲话","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050598235},{"body":{"content":"就是慢性咽炎急性发作","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610032},{"body":{"content":"有点担心影响工作","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611330},{"body":{"content":"说话多也容易引起慢性咽炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662943},{"body":{"content":"我职业生涯可刚刚开始","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715109},{"body":{"content":"不要太担心！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050738522},{"body":{"content":"那我良好作息饮食清淡 正常工作没问题吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050752327},{"body":{"content":"平时除了工作还是要注意一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050756982},{"body":{"content":"主要担心病情加重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760157},{"body":{"content":"好的 谢谢医生了 那我*****还继续吃么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050778564},{"body":{"content":"偶尔症状明显一点没关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050787672},{"body":{"content":"可以继续使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794202},{"body":{"content":"好的 谢谢潘医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050803145},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839372},{"body":{"content":"平时饮食要清淡，禁烟酒**，房里多通风，不要吸二手烟，可以用***泡水喝，不要喝茶，进食不要太饱，进食后不要立即平躺，适当走动一下，睡觉垫枕，加强自身抵抗力，避免用声过度，调整心态，找点事做转移自己的注意力！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050847502},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050991356}]

女23岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050217047},{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050218322},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050221674},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050238773},{"body":{"content":"主要不适症状是什么呢？肛门口肿胀疼痛？还是出血呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050257646},{"body":{"content":"吃过***等药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050261443},{"body":{"content":"主要是便秘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050276183},{"body":{"content":"大便 几天一次？干硬么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290694},{"body":{"content":"是否有腹痛腹胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296230},{"body":{"content":"三天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050298064},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302823},{"body":{"content":"是否有腹痛腹胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309695},{"body":{"content":"有时是硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327198},{"body":{"content":"没有腹痛腹胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355582},{"body":{"content":"好的，您有什么需要咨询了解的问题呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050363809},{"body":{"content":"这种药搭配***吃，是否可以改善便秘？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050429797},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477523},{"body":{"content":"可以的，这个药物 是减少肠道对**的吸收 达到软化大便的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050542512},{"body":{"content":"配合***口服 效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050547769},{"body":{"content":"******可以搭着吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050571807},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607864},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050621192},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662642},{"body":{"content":"关诊时间临近，后续您如果还有需要咨询的问题可以通过京东APP搜索“张泽医生”找到我，欢迎您咨询，我看到后**时回复您。希望我的建议能够帮助到您，感谢您的信任。请在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。京东健康，祝您健康，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051870719}]

男85岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0081，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350090},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050359424},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367492},{"body":{"content":"我脱发严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050371161},{"body":{"content":"用于治疗男性型脱发和斑秃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389915},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393169},{"body":{"content":"男，34岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050420058},{"body":{"content":"这个药物是可以治疗脱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050439537},{"body":{"content":"****多久见效","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464972},{"body":{"content":"一般是需要用3个月以上的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489374},{"body":{"content":"怎么使用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050499136},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050509524},{"body":{"content":"【用法用量】 局部外用：每次1ml（****50mg，约7喷），涂于头部患处，从患处的中心开始涂抹，并用手按摩3～5分钟，不管患处的大小如何，均使用该剂量。每天的总量不得超过2ml。**应在头发和头皮完全干燥时使用。使用**后，应清洗双手。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050526541},{"body":{"content":"发际线后移也管用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050537196},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050557534},{"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3个月无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856933},{"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":1653050860117},{"body":{"content":"很高兴为您服务，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":1653051337254}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015860},{"body":{"content":"有什么可以帮到你的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020634},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050027922},{"body":{"content":"有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050041968},{"body":{"content":"有没有使用改善睡眠药物治疗，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047708},{"body":{"content":"患者77岁 女 无精神病史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062178},{"body":{"content":"晚上睡觉总是说梦话，而且时常会大声喊叫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050083264},{"body":{"content":"您看这种情况可能是什么原因导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119544},{"body":{"content":"平时有没有感觉全身无力，不愿意活动？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159947},{"body":{"content":"这种现象有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184561},{"body":{"content":"突然出现的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192023},{"body":{"content":"这种状况有些年了，一直没太在意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230467},{"body":{"content":"没有不愿意活动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050251206},{"body":{"content":"精神状态还挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259244},{"body":{"content":"白天是正常的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267219},{"body":{"content":"白天很正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289403},{"body":{"content":"以前有什么疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308938},{"body":{"content":"主要是晚上睡觉不紧说梦话，喊，还手脚乱动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050317092},{"body":{"content":"没有精神类疾病的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325951},{"body":{"content":"曾经有过突然发生的强烈不适感或心慌、眩晕、感到憋气或呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336992},{"body":{"content":"心脏不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340716},{"body":{"content":"心慌 呼吸和困难 偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377017},{"body":{"content":"毕竟岁数在那了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050384975},{"body":{"content":"最近有没有压力增大？\n思虑过多，精神紧张等表现？ ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389309},{"body":{"content":"这个是有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396735},{"body":{"content":"老人心思比较重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403645},{"body":{"content":"之前跟老伴总生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422826},{"body":{"content":"情绪有没有波动？有没有容易生气发怒等，不易控制自己的情绪？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433781},{"body":{"content":"会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050440827},{"body":{"content":"但去年老伴去世了，这回基本不生气了，但这个病根留下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496464},{"body":{"content":"根据你提供的资料，目前考虑两方面问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514044},{"body":{"content":"您看吃什么药或者怎样能对这种状况有缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516839},{"body":{"content":"第一，首先去医院神经内科门诊就诊，化验血常规，血糖，肝肾功能，甲状腺功能，查头颅CT，明确身体本身有没有问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551156},{"body":{"content":"如果检查没有问题，可以口服****，*****等治疗观察一下效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607954},{"body":{"content":"好的，神经性的可能大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626918},{"body":{"content":"可以吃**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050634655},{"body":{"content":"第二，需要排查一下有没有焦虑等精神心理问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645672},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658470},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663775},{"body":{"content":"**意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671382},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676368},{"body":{"content":"不过，在诊断焦虑问题前，必须先除外身体本身疾病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698859},{"body":{"content":"嗯嗯，明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708573},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712867},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720067},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728783},{"body":{"content":"那***吃什么对脑细胞好些呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050734096},{"body":{"content":"考虑出现的症状时间比较长，需要药物治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772106},{"body":{"content":"***作用不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050782890},{"body":{"content":"那要是辅助营养呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785297},{"body":{"content":"意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050814411},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883307},{"body":{"content":" 多谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050896464},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050896594},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900794}]

女41岁

2022.05.20

[{"body":{"content":"我偏**，眼眶也疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050110774},{"body":{"content":"想申请开药，封控区也不能去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050133076},{"body":{"content":"可以开药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143736},{"body":{"content":"我吃的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154759},{"body":{"content":"**的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182957},{"body":{"content":"**的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188167},{"body":{"content":"居委会可以代配药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212118},{"body":{"content":"但是现在买不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050233235},{"body":{"content":"我现在想自己先买因为很疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050253066},{"body":{"content":"如果等他们开，需要下周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050280918},{"body":{"content":"买不到的话要不您换个药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283687},{"body":{"content":"我就差一个处方，你这不能帮我开吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050306349},{"body":{"content":"我回不去那个家，处方不在这边所以传不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050333087},{"body":{"content":"开不了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050339272},{"body":{"content":"需要您之前的病史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345968}]

女42岁

2022.05.20