张苏香

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049777045},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049787966},{"body":{"content":"什么时候发生的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808161},{"body":{"content":"前天磕的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811656},{"body":{"content":"之前老人喷的****、**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840682},{"body":{"content":"碘伏消毒消毒，一天三次，再用点***********涂一涂促进表皮生长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852694},{"body":{"content":"**+**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874198},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883447},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049897666},{"body":{"content":"不用谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049920524}]

[{"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":"帮忙开个处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878661387},{"body":{"content":"您好，我是马医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878663188},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878664652},{"body":{"content":"你是本人咨询吗？以往有过线下就诊经历吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878665977},{"body":{"content":"您好，请问您之前在线下医院就诊过吗？目前的药物是您本人在服用吗？具体的诊断是什么？有带有患者名字的诊断记录/病历/处方单/检查单等就诊资料吗？请发给我看一下，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671786},{"body":{"content":"是的，精神分裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878713706},{"body":{"content":"因为精神科药品的特殊性，平台咨询不能代替线下就诊，所以我们只能给要过线下就诊经历诊断明确的病情稳定的开具处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878726455},{"body":{"content":"不可开方情况：\n１.　用药指导不可以\n２.　门诊缴费凭证不可以\n３.　互联网平台处方凭证不可以\n 4. 取药单不可以\n 5. 发票单不可以\n 6. 非精神心理科提供的凭证不可以！（神经内科规范处方除外）\n以上均缺乏专业认证！！！！！！！\n\n可开方情况（满足一种即可)：\n特别说明：以下可开方情况的专业认证与本次问诊的患者姓名、诊断、药品名称三者必须全部一致，否则不可开方！！！！！！！\n\n１．门诊病历（可无盖章，必须有医生签名）\n２.　住院病历（必须有医院公章）\n３.　出院小结（纸质手写必须有医院公章，电子版可无公章）\n４.　诊断证明（必须有医院公章）\n５.　处方单（必须有医生签名）\n 6· 线下实体医院自有互联网医院处方单（必须有医生签名）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879085715}]

[{"body":{"content":"一周前在网上跟您咨询过，您让我先吃点***和*** 然后查一下肝功能。说我这个确实是肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878076516},{"body":{"content":"然后我去附近医院查了一个急诊肝功，我看着数据也挺正常的。不知道为啥会有肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878102413},{"body":{"content":"肝功能化验是没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878624047},{"body":{"content":"这次肝功能化验没事，但是上次是异常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878737725},{"body":{"content":"既往长期的肝功能异常，会造成肝掌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878805720},{"body":{"content":"那我这个肝现在需要怎么处理一下吗？这个肝掌是不是以前肝功能非常不好才会这样？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879085616},{"body":{"content":"现在已经恢复正常了。继续减肥，到BMI正常范围，长期保持就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879138485},{"body":{"content":"肝掌跟既往的肝脏损伤有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879154232},{"body":{"content":"明白了，那请问这个肝掌可以恢复吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879223263},{"body":{"content":"还有我那个乙肝五项报告上写的抗体阳性剩下的都是阴性是啥意思？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250105},{"body":{"content":"肝功能持续正常后，肝掌会恢复的，就算不恢复，也不会有什么影响，反正得定期检测肝功能，肝功能没事，就没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879720373},{"body":{"content":"你的乙肝报告在哪儿呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879781969},{"body":{"content":"那个报告我看不了电子版的，也不方便去医院。但是我给检验科的人打电话，他给我念的，说除了抗体是阳性剩下都是阴性。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879880876},{"body":{"content":"是的大夫，我打算每半年查一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879914703},{"body":{"content":"乙肝五项查的是两个抗原和三个抗体，如果你三个抗体都是阳性，就提示既往曾经感染过乙肝病毒，机体已经把病毒清除后的结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880646824},{"body":{"content":"如果情况稳定，体重下降满意，没有反弹，半年查一次应该没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880671922},{"body":{"content":"好的大夫，那您说我还用吃那两个药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880869497},{"body":{"content":"手里有就吃完，还需要巩固一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880911303},{"body":{"content":"好的，谢谢您，我没问题了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880941660},{"body":{"content":"不客气！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880954583}]

[{"body":{"content":"可有照片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965594642},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965629815},{"body":{"content":"只是囊肿已经扩散成好几小个，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965683865},{"body":{"content":"请问我挂什么科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965801742},{"body":{"content":"在哪地方囊肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965816745},{"body":{"content":"小腿上面头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965891516},{"body":{"content":"我这种情况该挂什么科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965962758},{"body":{"content":"在皮下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966056380}]

[{"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}]