高明

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

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965056977},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965070453},{"body":{"content":"我想咨询一下无痛人流","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965078131},{"body":{"content":"系统分诊不对，我这是内分泌科～","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187356},{"body":{"content":"建议咨询妇科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965222241}]

[{"body":{"content":"您好，我是主治医师胡春燕，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049994715},{"body":{"content":"这款常温保存6个月。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050039118},{"body":{"content":"如果开封后建议冷藏。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050044308},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062759}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154990},{"body":{"content":"痘印一般分为红印和黑印，都需要做激光治疗才有效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188134},{"body":{"content":"用药膏什么的不管用嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050201752},{"body":{"content":"不管用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217377},{"body":{"content":"脸部发红怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241348},{"body":{"content":"鼻翼两侧有红血丝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258708},{"body":{"content":"可以做光子嫩肤祛红模式或者镭射激光祛红模式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050273867},{"body":{"content":"emmmm封校出不去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304517},{"body":{"content":"除了医美呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050321851},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050325919},{"body":{"content":"药物和物理治疗基本没效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050341439},{"body":{"content":"那皮囊炎留下的黑痘印也只能医美？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050386459},{"body":{"content":"hello","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050752546},{"body":{"content":"嗯，这是黑色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050776367},{"body":{"content":"要要祛黑色素沉着的激光","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050792333},{"body":{"content":"关节处黑可以怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050830442},{"body":{"content":"脸上起闭口要涂什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079669},{"body":{"content":"hello","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051137549},{"body":{"content":"关节处黑要避免摩擦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051170646},{"body":{"content":"闭口闭口呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051196508},{"body":{"content":"闭口可以用****红霉素软膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199522},{"body":{"content":"用****有什么注意事项嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051300111},{"body":{"content":"不要涂太多，正常的皮肤不要涂到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328293},{"body":{"content":"后续要补水避光嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051343787},{"body":{"content":"涂完要清洗嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353730},{"body":{"content":"要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051358539},{"body":{"content":"过几个小时可以清洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051369707},{"body":{"content":"OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051391888},{"body":{"content":"有什么补水的推荐嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051399924},{"body":{"content":"面部和喷雾","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051410733},{"body":{"content":"你哪里的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051431369},{"body":{"content":"牌子呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433449},{"body":{"content":"品牌推荐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458686},{"body":{"content":"市面上太多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468292},{"body":{"content":"不知道怎么选择","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473029},{"body":{"content":"医美品牌也OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051482604},{"body":{"content":"我们医院的***很好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490369},{"body":{"content":"医用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051502180},{"body":{"content":"补水的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051548913},{"body":{"content":"这个牌子的一系列的都有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051610968},{"body":{"content":"OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051642891},{"body":{"content":"我混油 外油内干","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051655571},{"body":{"content":"哪个更有针对性啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051668059},{"body":{"content":"医生医生还有四分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051691369},{"body":{"content":"快快快","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051696269},{"body":{"content":"油脂多注意定期清洁就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051769512},{"body":{"content":"但是内干啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051780617},{"body":{"content":"不知道咋整","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051786284},{"body":{"content":"做一下光子嫩肤会改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051820452}]

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050171337},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050186761},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050287048},{"body":{"content":"有什么问题・_・?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291417},{"body":{"content":"之前有结石，已经排出去了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050500867},{"body":{"content":"这个是今天复查的报告。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507285},{"body":{"content":"请问，能看出来什么吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050528226},{"body":{"content":"嗯，结石已经排出来了，挺好的啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581870},{"body":{"content":"现在已经没有问题了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590972},{"body":{"content":"这句话，代表什么啊？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619642},{"body":{"content":"髂血管旁，可能有血管钙化，或者淋巴结钙化，没有明显的临床意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050666807},{"body":{"content":"有什么危害么？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050692411},{"body":{"content":"没有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050711336},{"body":{"content":"这个是肾结石么？？还是输尿管结石？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050739928},{"body":{"content":"如果肾结石，或者输尿管结石，会有肾积水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050903948},{"body":{"content":"报告没有提示肾积水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050911078},{"body":{"content":"所以暂不考虑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050916748},{"body":{"content":"那，，，是什么结石呢。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050924850},{"body":{"content":"这可能是血管钙化，或者淋巴结钙化","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952152},{"body":{"content":"钙化灶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955679},{"body":{"content":"不是结石","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962460},{"body":{"content":"当时痛的走不了路。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050987150},{"body":{"content":"医院医生说是结石。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050994783},{"body":{"content":"是的，当时不是有肾积水么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051032913},{"body":{"content":"右肾集合系分离","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051055743},{"body":{"content":"就是积水的意思","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051062865},{"body":{"content":"不知道额。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051106981},{"body":{"content":"医生没说。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051110594},{"body":{"content":"报告上写了？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116594},{"body":{"content":"吃完**的药。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306733},{"body":{"content":"也确实排出来了一点点小石头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051315596},{"body":{"content":"结石已经排出来了，预防也很重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051564407},{"body":{"content":"避免复发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051574461},{"body":{"content":"现在没什么问题了嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051707961}]

[{"body":{"content":"您好，我是妇产科医生汪娟，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051184027},{"body":{"content":"收到，请稍等，我正在详细阅读您的报告单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051195833},{"body":{"content":"您****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051204359},{"body":{"content":"看到了您上面的检查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241766},{"body":{"content":"**还可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247510},{"body":{"content":"您目前有阴道出血或腹痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255574},{"body":{"content":"左下腹偶尔有一点点隐隐痛的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051280873},{"body":{"content":"平时月经规律吗？多少天来一次？最后一次月经哪天来的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280943},{"body":{"content":"平时月经不规律，有时候差不多两个月才来一次，最后一次来月经是上个月的4号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051322830},{"body":{"content":"嗯，那目前停经有46天，但从超声看应该没有这么长时间，考虑近期受孕的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383789},{"body":{"content":"从超声看目前36天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051443109},{"body":{"content":"请问医生，那早期有什么注意的事项吗，我这是第一胎，不知道有什么该要注意的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051457791},{"body":{"content":"**吃上了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473869},{"body":{"content":"吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051483976},{"body":{"content":"昨天检查怀孕了之后就开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051495963},{"body":{"content":"嗯嗯。继续用上，如无用药禁忌，后续保持生活作息规律，心情愉悦，饮食清淡，劳逸结合，保持大便顺畅，暂禁性生活，勿提重物，定期产检。如有阴道出血或腹痛需要及时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551343},{"body":{"content":"好的，那饮食上有什么注意的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051586190},{"body":{"content":"辛辣刺激的及冰冻的食物不要吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051630005},{"body":{"content":"别的可以适量都吃点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641548},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051667325},{"body":{"content":"不客气，请问还有什么可以帮助到您的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051690420},{"body":{"content":"没有了，谢谢医生，麻烦医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051706356},{"body":{"content":"好的，希望我的建议能够帮助到您，祝您生活愉快，孕期顺利，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051791115}]

[{"body":{"content":"有没有照片呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965164369},{"body":{"content":"发现这种情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965397189},{"body":{"content":"两年多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965867559},{"body":{"content":"医生，在不在？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965993098},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966204539},{"body":{"content":"这看起来像疱疹感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966223699}]