{"rid": 45638, "pid": "P673780eb6bcb", "date": "2025-07-01", "sex": "男", "age": 45, "cc": "自汗汗多4月", "hpi": "近4月出现排汗多，口中和，腰痛，怕冷", "wm_dx": ["高血压", "高脂血症"], "tcm_dx": [["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "炙黄芪", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "仙茅", "麻黄根", "醋五味子", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45639, "pid": "P9baece89f913", "date": "2025-07-01", "sex": "男", "age": 39, "cc": "腰疼2周", "hpi": "勃起硬度减，或不能持续。症状1-2年，近2周加重。腰疼，无尿。父亲高血压。易腹泻，排尿正常，喝水少，口干口苦，口气重，汗多，怕冷，睡眠中途醒，乏力感", "wm_dx": ["代谢综合征"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "丹参", "鸡血藤", "茯苓", "当归", "川芎", "泽泻", "牡丹皮", "黑顺片", "蜈蚣", "炙淫羊藿", "连翘"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 7} {"rid": 45652, "pid": "P31306c1a39ce", "date": "2025-07-02", "sex": "男", "age": 48, "cc": "尿频1年", "hpi": "尿频1年，体检前列腺增大伴钙化，阴囊潮湿，偶有小腹胀痛，夜尿1-2次，腰痛乏力", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "党参", "茯苓", "麸炒白术", "黄芪", "炒决明子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45704, "pid": "P62f99e786531", "date": "2025-07-03", "sex": "男", "age": 34, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，无明显畏冷或燥热，工作压力适中", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "烫水蛭", "制巴戟天", "酒苁蓉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45717, "pid": "Paacbca1b9931", "date": "2025-07-03", "sex": "男", "age": 44, "cc": "尿频1-2年", "hpi": "尿频，想要2胎未育，性功能正常，同房射精，排尿正常，大便正常，大便正常，纳可，口和。PR 3.2%。腰痛。", "wm_dx": ["尿频", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "烫水蛭", "制巴戟天", "酒苁蓉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45740, "pid": "Pef91e3b5bb23", "date": "2025-07-04", "sex": "男", "age": 36, "cc": "夜尿多半年", "hpi": "夜尿多3次，汗多，无怕冷，大便可，睡眠一般，口干口苦，纳可，阴囊潮湿，时间短", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "赤小豆", "白花蛇舌草", "生石膏", "滑石", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45741, "pid": "P25d13af35d64", "date": "2025-07-04", "sex": "男", "age": 43, "cc": "尿潜血复查", "hpi": "单位体检发现尿潜血+++，平常尿黄，无尿痛，腰酸胀，晨起明显，大便2次，睡眠入睡困难，纳可，时有口干口苦，咽干，无怕冷", "wm_dx": ["血尿"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "盐补骨脂", "桑寄生", "牛膝", "白芍", "菟丝子", "茯苓", "党参", "丹参", "麸炒白术", "地龙", "炙甘草", "麻黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45760, "pid": "Pb035e69106be", "date": "2025-07-05", "sex": "男", "age": 37, "cc": "尿频2周", "hpi": "尿频，尿线细，尿无力，尿淋漓不尽，阴囊潮湿，大便正常，纳可，凉的少吃，睡眠可，口粘，微怕冷，出汗少，乏力感", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩", "党参", "丹参", "鸡血藤", "赤小豆", "白花蛇舌草", "淡竹叶", "当归", "麸炒薏苡仁", "炒苦杏仁", "姜厚朴", "法半夏", "生姜", "麻黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45763, "pid": "P4381ebdc09ad", "date": "2025-07-05", "sex": "男", "age": 39, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["党参", "黄芪", "山药", "麸炒白术", "茯苓", "麸炒枳壳", "陈皮", "姜厚朴", "菟丝子", "蛇床子", "韭菜子", "覆盆子", "酒女贞子", "麦冬", "炙甘草", "木香", "全蝎", "太子参", "制巴戟天", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 4} {"rid": 45770, "pid": "P62e02ee851d4", "date": "2025-07-05", "sex": "男", "age": 41, "cc": "左侧少腹隐痛 左侧睾丸疼痛一月余", "hpi": "左侧少腹隐痛 左侧睾丸疼痛一月余 大小便正常 纳可 眠安 腰痛", "wm_dx": ["前列腺增生", "腹痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "麦冬", "知母", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45778, "pid": "Pc42e68f4557e", "date": "2025-07-05", "sex": "男", "age": 42, "cc": "尿频3年", "hpi": "尿频，包皮环切手术后，硬度一般，时间短1分钟，拟育，排尿正常，大便正常略干2天一次，睡眠多梦，纳可，口和，怕冷，手脚出汗", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["炙淫羊藿", "仙茅", "制巴戟天", "鹿角霜", "麸炒枳实", "北柴胡", "白芍", "酒苁蓉", "牡丹皮", "地黄", "金樱子肉", "煅阳起石", "五倍子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 45779, "pid": "P3621a7f05909", "date": "2025-07-05", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 时间1-2分钟 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45843, "pid": "P0ae7507b137c", "date": "2025-07-06", "sex": "男", "age": 46, "cc": "腰痛半年", "hpi": "伴有射精无力 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "猪苓", "制巴戟天", "麦冬"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45846, "pid": "P1c87a299f2f9", "date": "2025-07-06", "sex": "男", "age": 30, "cc": "腰痛2周", "hpi": "腰痛2周，手淫射精可，同房射精困难，焦虑，口干口苦，长期熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["失眠", "肝郁血瘀证", "疏肝化瘀"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "党参", "黄芪", "山药", "麸炒白术", "茯苓", "砂仁", "木香", "蛇床子", "韭菜子", "菟丝子", "盐车前子", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "麸炒枳壳", "炙甘草", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45858, "pid": "P682dab1d620e", "date": "2025-07-06", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "法半夏", "陈皮", "姜厚朴", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "盐车前子", "覆盆子", "枸杞子", "酒女贞子", "醋五味子", "麸炒枳壳", "炙甘草", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 24, "visit_ix_rx": 0, "n_rx": 23} {"rid": 45862, "pid": "Pad9565e152bc", "date": "2025-07-06", "sex": "男", "age": 68, "cc": "尿等待复诊", "hpi": "尿等待，尿线细，尿无力，外院检查B超前列腺增生，尿动力等。大便粘，口和 腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["菊花", "炒决明子", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 8, "n_visits": 21, "visit_ix_rx": 0, "n_rx": 3} {"rid": 45871, "pid": "P9ee2d001934a", "date": "2025-07-07", "sex": "男", "age": 60, "cc": "包皮刺痒复诊", "hpi": "包皮刺痒缓解不明显，有包皮垢，包皮及龟头皮肤色红，尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["前列腺增生", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连", "栀子", "土茯苓", "败酱草", "茵陈", "当归", "荆芥", "烫水蛭", "白芷", "百部"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45878, "pid": "P19ae537aa410", "date": "2025-07-07", "sex": "男", "age": 26, "cc": "腰痛半年", "hpi": "伴有射精无力 自觉精液发稀 大小便正常 纳可 眠安 晨勃少", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["肉苁蓉", "制巴戟天", "仙茅", "麸炒苍术", "石菖蒲", "制远志", "蛇床子", "韭菜子", "菟丝子", "盐车前子", "土茯苓", "党参", "麸炒枳壳", "炙甘草", "全蝎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45888, "pid": "Pae9a0fe9a333", "date": "2025-07-07", "sex": "男", "age": 37, "cc": "复诊", "hpi": "夜寐改善，精神改善，口干口苦减，手脚怕冷减，小腹坠胀。脚跟疼痛减。", "wm_dx": ["失眠", "腰痛"], "tcm_dx": [["失眠", "肝郁痰凝证", "疏肝理气"]], "rx": ["桂枝", "龙骨", "牡蛎", "白薇", "黑顺片", "盐蒺藜", "炙甘草", "生姜", "大枣", "生石膏", "白芍", "烫狗脊"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45905, "pid": "Pb567b1763cb0", "date": "2025-07-07", "sex": "男", "age": 40, "cc": "乏力腰痛半年抄方", "hpi": "乏力腰痛半年 伴有早泄 勃起可 阴囊炎一周余 大小便正常", "wm_dx": ["慢性支气管炎", "腰痛", "阴囊炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["醋五味子", "莲子", "白术", "当归", "金樱子肉", "制远志", "茯苓", "熟地黄", "沙苑子", "石菖蒲", "龙骨", "菟丝子", "麸炒芡实", "太子参", "牡蛎", "盐补骨脂", "桑寄生", "黄芪", "肉桂", "烫水蛭", "木香", "桂枝", "蛇床子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 45931, "pid": "P01e45debdf7e", "date": "2025-07-08", "sex": "男", "age": 31, "cc": "盗汗2年", "hpi": "盗汗2年，口干口渴，自汗多，长期熬夜，", "wm_dx": ["糖尿病"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["知母", "黄柏", "熟地黄", "生地黄", "酒萸肉", "茯苓", "泽泻", "山药", "麦冬", "锁阳", "牡丹皮", "玄参", "黄芪", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45943, "pid": "Pc0b50d25cd12", "date": "2025-07-08", "sex": "男", "age": 27, "cc": "腰痛乏力1月", "hpi": "腰痛乏力1月 伴有早泄 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45947, "pid": "P9baece89f913", "date": "2025-07-08", "sex": "男", "age": 39, "cc": "腰疼2周", "hpi": "勃起硬度减，或不能持续。症状1-2年，近2周加重。腰疼，无尿。父亲高血压。易腹泻，排尿正常，喝水少，口干口苦，口气重，汗多，怕冷，睡眠中途醒，乏力感", "wm_dx": ["代谢综合征"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩", "丹参", "鸡血藤", "茯苓", "当归", "川芎", "泽泻", "牡丹皮", "附片", "地龙", "炙淫羊藿", "制巴戟天"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "丹参", "鸡血藤", "茯苓", "当归", "川芎", "泽泻", "牡丹皮", "黑顺片", "蜈蚣", "炙淫羊藿", "连翘"], "prev_gap": 7, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 7} {"rid": 45953, "pid": "P587a17c387ba", "date": "2025-07-08", "sex": "男", "age": 46, "cc": "腰酸痛半年", "hpi": "腰酸痛， 勃起正常，时间短，排尿正常，便秘，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["便秘"], "tcm_dx": [["腰痛", "肾气不充证", "补肾扶元"]], "rx": ["麸炒苍术", "黄柏", "牛膝", "麸炒薏苡仁", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "桑寄生", "烫狗脊", "盐杜仲", "知母", "泽泻", "酒萸肉", "北柴胡", "炒蒺藜", "郁金", "醋青皮", "麸炒枳壳", "炙甘草", "烫水蛭", "甜叶菊叶"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 45961, "pid": "Pf719bde84f49", "date": "2025-07-09", "sex": "男", "age": 32, "cc": "包皮龟头炎2年余", "hpi": "包皮龟头炎2年余 大小便正常 纳可 失眠 乏力 疲劳 口干 口苦", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["当归", "白芍", "熟地黄", "生地黄", "川芎", "制何首乌", "桑椹", "石菖蒲", "制远志", "炒酸枣仁", "柏子仁", "麸炒苍术", "麸炒薏苡仁", "玄参", "天花粉", "玉竹", "麸炒枳壳", "桔梗", "麦冬", "炙甘草", "肉苁蓉", "制巴戟天", "仙茅", "炙淫羊藿"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45962, "pid": "Pa031f6a7e73f", "date": "2025-07-09", "sex": "男", "age": 61, "cc": "尿频，尿急一月", "hpi": "尿频，尿不尽，尿骤热感，夜尿增多，右侧腰部不适，大便正常，纳可，口苦", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "党参片", "猪苓", "茯苓", "麸炒白术", "赤小豆", "白花蛇舌草", "炒苦杏仁", "苦地丁", "麸炒薏苡仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 45964, "pid": "P461930dc7774", "date": "2025-07-09", "sex": "男", "age": 43, "cc": "体检发现前列腺钙化灶", "hpi": "体检发现前列腺钙化灶 勃起不坚 晨勃可 尿频 尿急 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["白鲜皮", "防风", "肉苁蓉", "制巴戟天", "仙茅", "陈皮", "石菖蒲", "制远志", "炙淫羊藿", "菟丝子", "干姜", "党参", "锁阳", "山药", "黄芪", "荆芥", "麸炒枳壳", "炙甘草", "全蝎", "合欢皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 45968, "pid": "P4489dbab82f5", "date": "2025-07-09", "sex": "男", "age": 47, "cc": "射精无力一月", "hpi": "射精无力，硬度一般，中途疲软，时间短，精液量少，喝水即尿，大便不成型，纳可，口干口苦，出汗，睡眠一般多梦，怕冷冬天", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "生石膏", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "白芍", "白花蛇舌草", "蜈蚣", "当归", "麦冬", "川芎", "炒苦杏仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 6} {"rid": 45969, "pid": "P046f7471e085", "date": "2025-07-09", "sex": "男", "age": 48, "cc": "腰痛半年", "hpi": "腰痛半年 伴有性功能下降 性欲低 晨勃无 大小便正常 纳可 眠安", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "蛇床子", "五倍子", "花椒", "细辛", "金银花", "蒲公英", "陈皮", "净山楂", "山药", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 45972, "pid": "P565515b9b23b", "date": "2025-07-09", "sex": "男", "age": 36, "cc": "尿频1月", "hpi": "1月前无明显诱因出现尿频，夜尿3次，口中和，夜寐差，腰痛", "wm_dx": ["尿频", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白芍", "麸炒枳实", "乌药", "盐益智仁", "麸炒山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 45987, "pid": "P94022aecc908", "date": "2025-07-09", "sex": "男", "age": 34, "cc": "尿频一年余", "hpi": "尿频，有晨勃，硬度一般，时间短2-3分钟，大便正常，睡眠正常，纳可，口气重，乏力感", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "川芎", "当归", "鸡血藤", "丹参", "石菖蒲", "盐蒺藜", "莲须", "茯苓", "泽泻", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 46025, "pid": "P930c8924d614", "date": "2025-07-10", "sex": "男", "age": 38, "cc": "阴囊瘙痒1月", "hpi": "阴囊瘙痒1月，症状反复，反复抓挠，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。工作压力大，熬夜，硬度和性欲一般。腰痛。晨勃不多。", "wm_dx": ["腰痛", "湿疹"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "地榆炭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46031, "pid": "P8e6fb71ff879", "date": "2025-07-10", "sex": "男", "age": 23, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间一般，硬度可，性欲可，性生活规律，工作可，情绪焦虑，大便可，纳眠可，无排尿不畅、尿后余沥，口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "石菖蒲", "金樱子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46034, "pid": "P8fdd549b2a6f", "date": "2025-07-10", "sex": "男", "age": 74, "cc": "排尿不畅1年", "hpi": "1年前出现排尿不畅，2周前出现排尿外院予导尿，外院，诊断前列腺增生，泌尿系彩超：前列腺增大伴钙化5.2*5.1*5.8cm。1周前就诊急诊拔除尿管，现排尿可", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "制巴戟天", "盐益智仁", "山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46046, "pid": "P67103df7d1e5", "date": "2025-07-11", "sex": "男", "age": 67, "cc": "少腹疼痛20余年", "hpi": "少腹疼痛，早上、明显，揉按无效，在当地检查B超等为前列腺增生，口服左氧氟沙星，前列舒通胶囊等药效果不明显，排尿时有灼热感，大便干，烦躁，夜尿正常，无阴囊潮湿，眼干，口和，无怕冷，睡眠一般，乏力感", "wm_dx": ["腹痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["白芍", "当归", "北柴胡", "麸炒枳实", "枸杞子", "黄芩片", "滑石", "牡丹皮", "桂枝", "燀桃仁", "红花", "地黄", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46053, "pid": "Pe97bda6fb618", "date": "2025-07-11", "sex": "男", "age": 38, "cc": "尿频一年余", "hpi": "尿频，射精无快感，中途疲软，时间可，下午尿急，色黄，大便正常，睡眠可，纳可，口苦", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "丹参", "鸡血藤", "熟地黄", "党参片", "牡丹皮", "石菖蒲", "百合", "枸杞子", "蜈蚣", "赤小豆"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 46080, "pid": "Pb70fa151043f", "date": "2025-07-12", "sex": "男", "age": 30, "cc": "尿频1年", "hpi": "尿频1年，腰痛，乏力，时间短（<100次），硬度可，性欲可，性生活规律，工作出差，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。口服达泊西汀。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 46081, "pid": "P0c60ccfcc7e3", "date": "2025-07-12", "sex": "男", "age": 32, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46083, "pid": "P2890ae173597", "date": "2025-07-12", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，中途疲软，性欲强，乏力，工作劳累，压力大，感情可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，怕冷。工作久站。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "黄芪", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46096, "pid": "P9abcd2859fe0", "date": "2025-07-12", "sex": "男", "age": 25, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短（<100次），硬度一般，性欲可，性生活规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46099, "pid": "P7860f5f14443", "date": "2025-07-12", "sex": "男", "age": 33, "cc": "腰痛2月", "hpi": "腰痛2月，射精困难，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，无明显畏冷或燥热，工作压力适中", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46100, "pid": "Pc849dc5114b5", "date": "2025-07-12", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，中途疲软，性欲一般，乏力，工作可，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46101, "pid": "P540289d76538", "date": "2025-07-12", "sex": "男", "age": 49, "cc": "腰痛伴勃起不坚1年", "hpi": "近2周同房2次，腰痛硬度均有好转，性欲减退，既往射精快多年，排尿可，夜寐差，失眠，口苦，乏力，怕冷，阴囊潮湿，胁肋疼痛", "wm_dx": ["腰痛", "失眠"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "锁阳", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46107, "pid": "P028f4bbfe334", "date": "2025-07-12", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，无明显畏冷或燥热，工作压力适中。超声：前列腺大小4.9*3.2*3.7cm。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["麦冬", "茯苓", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46117, "pid": "P682dab1d620e", "date": "2025-07-12", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["赤小豆", "白花蛇舌草", "虎杖", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "党参", "红景天", "麸炒白术", "酒黄精", "熟地黄", "酒萸肉", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "法半夏", "陈皮", "姜厚朴", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "盐车前子", "覆盆子", "枸杞子", "酒女贞子", "醋五味子", "麸炒枳壳", "炙甘草", "烫水蛭"], "prev_gap": 6, "visit_ix": 2, "n_visits": 24, "visit_ix_rx": 1, "n_rx": 23} {"rid": 46118, "pid": "P7f077ff255db", "date": "2025-07-12", "sex": "男", "age": 36, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短（<100次），硬度可，性欲可，性生活不规律，工作可，同居感情可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 46120, "pid": "P0e468d8e4436", "date": "2025-07-12", "sex": "男", "age": 52, "cc": "腰酸1年", "hpi": "勃起不能持续，硬度可，能射精。腰酸疲劳。尿频不甚，口中和，手脚冷。盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "薤白", "石菖蒲", "五倍子", "地龙", "金樱子肉", "酒萸肉", "醋五味子", "炙甘草", "丹参", "鸡血藤", "川牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46129, "pid": "Pba694a3d1f92", "date": "2025-07-12", "sex": "男", "age": 43, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，中途疲软，性欲一般，乏力，工作可，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。晨勃少。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46153, "pid": "P789df453a5c7", "date": "2025-07-13", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，反复小腹不适", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 46158, "pid": "P98062e9a7215", "date": "2025-07-13", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。工作久坐，睾丸不适。", "wm_dx": ["腰痛", "精索静脉曲张"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46173, "pid": "P0cd0ebbcb9e8", "date": "2025-07-13", "sex": "男", "age": 44, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频、尿急，夜尿1次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，熬夜，压力大。体检前列腺增生。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["蛇床子", "五倍子", "丁香", "细辛", "花椒"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46190, "pid": "P6a70b74fe913", "date": "2025-07-14", "sex": "男", "age": 28, "cc": "小腹疼痛感近一年，加重2周", "hpi": "小腹疼痛感，无尿频。有尿不净无力感。纳差，呃逆 胀气，便调", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "党参片", "姜半夏", "陈皮", "木香", "麸炒苍术", "焦槟榔", "生石膏", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 46191, "pid": "P7a59e8cb4afa", "date": "2025-07-14", "sex": "男", "age": 52, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "蒲公英", "连翘", "黄连", "栀子", "茵陈", "土茯苓", "白花蛇舌草", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46192, "pid": "Pbd1e40ac7703", "date": "2025-07-14", "sex": "男", "age": 39, "cc": "阳痿早泄半年余", "hpi": "阳痿早泄半年余 晨勃无 工作劳累 大小便正常 纳可 眠安 痰多", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["房事阳痿", "肾虚证", "补肾扶元"], ["房事早泄", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46193, "pid": "Pb3153a4820d0", "date": "2025-07-14", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "锁阳", "山药", "党参", "麸炒枳壳", "炙甘草", "菟丝子", "醋五味子", "枸杞子", "覆盆子", "酒女贞子", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46196, "pid": "Pd256a67b9b2c", "date": "2025-07-14", "sex": "男", "age": 66, "cc": "膀胱癌术后阴囊潮湿", "hpi": "膀胱癌术后阴囊潮湿 大便正常 纳可 眠安 小便刺痒微痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["甜叶菊叶", "绵萆薢", "萹蓄", "淡竹叶", "瞿麦", "栀子", "川牛膝", "土茯苓", "败酱草", "烫水蛭", "甘草", "麸炒枳壳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46200, "pid": "P260fcbbb339d", "date": "2025-07-14", "sex": "男", "age": 54, "cc": "射精困难4-5年", "hpi": "射精困难，需要强刺激。尚可勃起。口干不苦，易汗。便调，寐易醒。", "wm_dx": ["代谢综合征"], "tcm_dx": [["男性前阴类病", "气阴两虚证", "滋阴通脉"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "瓜蒌", "醋五味子", "地龙", "制水蛭", "乌梅", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46208, "pid": "P46c492f00233", "date": "2025-07-14", "sex": "男", "age": 49, "cc": "会阴隐痛一月余", "hpi": "尿不尽，夜尿正常，无阴囊潮湿，大便正常，睡眠可，口苦，腰痛 乏力 少腹隐痛", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["乏力", "气虚湿盛", "补气化湿"], ["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46209, "pid": "Pdddd99866e4d", "date": "2025-07-14", "sex": "男", "age": 75, "cc": "自觉性功能差一年", "hpi": "性急。肢冷，易汗。曾服中药。口干", "wm_dx": ["代谢综合征"], "tcm_dx": [["房事阳痿", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "北柴胡", "麸炒枳实", "生石膏", "地龙", "九香虫", "蜂房", "炙甘草", "石菖蒲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 46211, "pid": "Pd27dce2136fe", "date": "2025-07-14", "sex": "男", "age": 47, "cc": "尿急感近1年", "hpi": "勃起困难或硬度不够或持续时间短。尿急，无尿频，无小腹痛，腰酸。时排尿不畅。曾换心脏瓣膜。服药。", "wm_dx": ["前列腺炎", "代谢综合征"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "瓜蒌", "醋五味子", "牡蛎", "地龙", "九香虫", "石菖蒲", "炙甘草", "净山楂", "陈皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 5} {"rid": 46213, "pid": "P21e36ac2c9c8", "date": "2025-07-14", "sex": "男", "age": 31, "cc": "血精3周", "hpi": "血精3周 大小便正常 纳可 眠安", "wm_dx": ["精囊炎"], "tcm_dx": [["血精", "气滞血瘀证", "活血化瘀"]], "rx": ["甜叶菊叶", "血余炭", "当归", "酒大黄", "烫水蛭", "麸炒枳壳", "炙甘草", "蒲黄", "川芎", "北柴胡", "郁金", "醋青皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 46225, "pid": "P9ddaf948cdf4", "date": "2025-07-14", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 早泄", "wm_dx": ["早泄"], "tcm_dx": [["房事早泄", "肝郁气滞证", "疏肝理气"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "炙甘草", "当归", "生地黄", "桃仁", "红花", "麸炒枳壳", "桔梗", "牛膝", "川楝子", "醋香附", "醋青皮", "郁金", "肉桂", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46230, "pid": "Pc01c1c7f874c", "date": "2025-07-14", "sex": "男", "age": 24, "cc": "早泄一月余", "hpi": "早泄一月余 勃起可 大小便正常 纳可 眠安", "wm_dx": ["早泄"], "tcm_dx": [["房事早泄", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46231, "pid": "P99729dc411ac", "date": "2025-07-14", "sex": "男", "age": 34, "cc": "腰痛复诊", "hpi": "勃起不持久 晨勃可 大小便正常 纳可 眠安 无少腹隐痛 无睾丸疼痛 性生活有规律", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾不足证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "制巴戟天", "炒酸枣仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46232, "pid": "P21f0510b9c34", "date": "2025-07-14", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 时间2-3分钟 勃起正常 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46234, "pid": "Pdebd67ad8bd2", "date": "2025-07-14", "sex": "男", "age": 54, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，工作熬夜，口干，乏力，二便可，眠可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "炒决明子", "山药", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 46242, "pid": "P0712e682bbe4", "date": "2025-07-15", "sex": "男", "age": 56, "cc": "睾丸胀痛不适6月", "hpi": "6月前睾丸胀痛不适，坠胀感，外院就诊，诊断精索静脉曲张，无其他不适", "wm_dx": ["精索静脉曲张", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "荔枝核", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46246, "pid": "Pd3f698cd9de2", "date": "2025-07-15", "sex": "男", "age": 65, "cc": "乏力一年", "hpi": "乏力，勃起不坚，精液量少，偶有晨勃，排尿正常，大便正常，睡眠正常，纳可，口和，咽干", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "少阳证类", "疏肝养血"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "党参片", "石菖蒲", "茯苓", "当归", "川芎", "牛膝", "炙淫羊藿", "仙茅", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 46257, "pid": "P90b276090a6a", "date": "2025-07-15", "sex": "男", "age": 35, "cc": "腰痛乏力伴勃起中途疲软6月", "hpi": "6月前出现腰痛乏力伴勃起中途疲软，射精快，尿频，夜尿增多", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "韭菜子", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46268, "pid": "Pcebf9f14b7ed", "date": "2025-07-15", "sex": "男", "age": 42, "cc": "尿频半年", "hpi": "尿频，有晨勃，硬度一般，中途疲软，时间短2-3分钟，睡眠入睡困难，纳可，口干口苦，无怕冷，大便不成型粘，阴囊潮湿", "wm_dx": ["高血压"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["党参", "当归", "白芍", "麦冬", "牡丹皮", "陈皮", "柏子仁", "炒酸枣仁", "制巴戟天", "白术", "北柴胡", "赤小豆", "虎杖"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 46276, "pid": "P919faaae534f", "date": "2025-07-15", "sex": "男", "age": 45, "cc": "尿频一年", "hpi": "尿频，性欲一般，硬度一般，时间短，晨勃少，吸烟，熬夜，颈椎病头晕，睡眠一般，手指发木，纳可，口干，无怕冷，大便正常，排尿正常，阴囊潮湿，郁怒", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["精浊", "肾阴耗损证", "滋补肾阴"]], "rx": ["人参", "当归", "白芍", "郁金", "制远志", "北柴胡", "麦冬", 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"锁阳", "麸炒枳壳", "炙甘草", "砂仁", "太子参", "山药", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46316, "pid": "P97c949cf5181", "date": "2025-07-16", "sex": "男", "age": 28, "cc": "尿频半年", "hpi": "尿频，同房不规律，时间短，排尿正常，大便正常，睡眠正常，早醒，纳可，口干，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "白芍", "北柴胡", "黄芩片", "生石膏", "煅龙骨", "制远志", "郁金", "柏子仁", "炒酸枣仁", "牡丹皮", "制巴戟天", "石菖蒲", "盐蒺藜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46343, "pid": "Padb5cdb6c9ad", "date": "2025-07-17", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作劳累，压力大，同居感情可，二便调，眠一般，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炒酸枣仁", "川牛膝", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, 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"hpi": "2周前出现睾丸针刺样疼痛伴左侧小腹疼痛，平躺时加重，排尿尿少", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["子痈", "气滞血瘀证", "活血化瘀"]], "rx": ["荔枝核", "灵芝", "车前草", "醋三棱", "醋莪术", "威灵仙", "鸡血藤", "泽兰", "丹参", "路路通", "炒王不留行", "夏枯草", "肉桂", "盐小茴香", "野菊花", "北柴胡", "郁金", "醋青皮", "红花", "当归", "赤芍", "烫水蛭", "白芍", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46492, "pid": "Pe659fd5de188", "date": "2025-07-20", "sex": "男", "age": 38, "cc": "尿频伴左侧小腹胀痛4天", "hpi": "尿频伴左侧小腹胀痛，坠胀感，尿道灼热，胁肋疼痛，包皮龟头红疹", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["胁痛", "肝气郁结证", "疏肝散结"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 2} {"rid": 46494, "pid": "P2b0bc8878c86", "date": "2025-07-20", "sex": "男", "age": 38, "cc": "尿频2周", "hpi": "尿频2周，腰痛，口干，夜寐可，大便不成形", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["丹参", 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0, "n_rx": 11} {"rid": 46509, "pid": "P6062b6546c35", "date": "2025-07-20", "sex": "男", "age": 81, "cc": "左侧腹股沟疼痛1月", "hpi": "1月前出现左侧腹股沟疼痛连及左侧下肢疼痛不适，排尿不畅，夜尿3-4次。", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "盐橘核", "郁金", "醋青皮", "燀桃仁", "红花", "当归", "赤芍", "法半夏", "忍冬藤", "白芍", "醋延胡索", "夏枯草", "路路通", "炒王不留行", "醋香附", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 46521, "pid": "P6a70b74fe913", "date": "2025-07-21", "sex": "男", "age": 28, "cc": "复诊", "hpi": "小腹疼痛感减轻，无尿频。尿不净无。胀气，便干", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "党参片", "姜半夏", "陈皮", "麸炒苍术", "生石膏", "炙甘草", "白芍", "大黄", "醋延胡索", "全蝎"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "姜半夏", "陈皮", "木香", "麸炒苍术", "焦槟榔", "生石膏", "炙甘草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 46539, "pid": "Pd27dce2136fe", "date": "2025-07-21", "sex": "男", "age": 47, "cc": "复诊", "hpi": "尿急，无尿频，无小腹痛，腰酸。时排尿不畅。曾换心脏瓣膜。服药。戒酒", "wm_dx": ["代谢综合征", "前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "醋五味子", "牡蛎", "地龙", "九香虫", "石菖蒲", "炙甘草", "净山楂", "陈皮", "姜半夏"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "瓜蒌", "醋五味子", "牡蛎", "地龙", "九香虫", "石菖蒲", "炙甘草", "净山楂", "陈皮"], "prev_gap": 7, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 5} {"rid": 46540, "pid": "Pdddd99866e4d", "date": "2025-07-21", "sex": "男", "age": 75, "cc": "复诊", "hpi": "性急。肢冷，易汗。尿频，口干减，阴囊潮湿", "wm_dx": ["代谢综合征"], "tcm_dx": [["房事阳痿", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "生石膏", "地龙", "九香虫", "炙甘草", "黑顺片"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "北柴胡", "麸炒枳实", "生石膏", "地龙", "九香虫", "蜂房", "炙甘草", "石菖蒲"], "prev_gap": 7, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 46549, "pid": "Pca0488bc5a69", "date": "2025-07-21", "sex": "男", "age": 63, "cc": "小腹及会阴疼痛不适2年", "hpi": "小腹及会阴疼痛不适2年，夜尿好转1次，口干，阴囊潮湿，大便黏 盗汗", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["精癃", "下焦湿热证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "炙甘草", "当归", "地黄", "燀桃仁", "红花", "麸炒枳壳", "桔梗", "肉桂", "瞿麦", "生蒲黄", "醋五灵脂", "炒王不留行", "川楝子", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46561, "pid": "Pd3f698cd9de2", "date": "2025-07-22", "sex": "男", "age": 65, "cc": "乏力一月", "hpi": "乏力，勃起不坚，精液量少，偶有晨勃，排尿正常，大便正常，睡眠正常，纳可，口和，咽干，腰疼一周", "wm_dx": ["高脂血症", "动脉硬化"], "tcm_dx": [["虚劳类病", "少阳证类", "疏肝养血"], ["腰痛", "气滞血瘀证", "活血止痛"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "党参片", "石菖蒲", "茯苓", "当归", "川芎", "白术", "制巴戟天", "肉桂", "蜈蚣", "柏子仁"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "党参片", "石菖蒲", "茯苓", "当归", "川芎", "牛膝", "炙淫羊藿", "仙茅", "蜈蚣"], "prev_gap": 7, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 46569, "pid": "P9ca7aa7d4621", "date": "2025-07-22", "sex": "男", "age": 32, "cc": "腰痛乏力3月", "hpi": "腰痛乏力3月，女方流产一次，尿频尿急，口苦，长期熬夜，夜寐差", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 46581, "pid": "P59c1862f41bc", "date": "2025-07-22", "sex": "男", "age": 45, "cc": "腰痛乏力伴足冷1年", "hpi": "腰痛乏力伴足冷1年，近1月出现射精快，尿频，口干口苦，长期饮酒，夜寐可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "瘀血阻络证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "烫水蛭", "醋三棱", "醋莪术", "桃仁", "红花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46587, "pid": "P590a36cd86a2", "date": "2025-07-22", "sex": "男", "age": 28, "cc": "尿异味小腹胀痛6月", "hpi": "近6月出现尿异味伴小腹胀痛，自觉尿少，偶有起夜，出汗多", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["太子参", "桑椹", "麦冬", "黄芪"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 3} {"rid": 46590, "pid": "Pcebf9f14b7ed", "date": "2025-07-22", "sex": "男", "age": 42, "cc": "尿频半年", "hpi": "尿频，有晨勃，硬度一般，中途疲软，时间短2-3分钟，睡眠入睡困难，纳可，口干口苦，无怕冷，大便不成型粘，阴囊潮湿", "wm_dx": ["高血压"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["党参", "当归", "白芍", "肉桂", "牡丹皮", "陈皮", "柏子仁", "炒酸枣仁", "白术", "北柴胡", "赤小豆", "虎杖", "炒蒺藜", "红花"], "flags": [], "prev_rx": ["党参", "当归", "白芍", "麦冬", "牡丹皮", "陈皮", "柏子仁", "炒酸枣仁", "制巴戟天", "白术", "北柴胡", "赤小豆", "虎杖"], "prev_gap": 7, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 46591, "pid": "Pd4591872c0e6", "date": "2025-07-22", "sex": "男", "age": 36, "cc": "尿频一年", "hpi": "尿频，中途疲软，时间短2-3分钟，多汗，无盗汗，乏力感，睡眠一般，早醒，纳一般，生冷易腹泻，，口干，微怕冷", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "脾肾两虚证", "温补肾精"]], "rx": ["当归", "白芍", "酒萸肉", "炒酸枣仁", "柏子仁", "制远志", "人参", "白术", "炙淫羊藿", "陈皮", "肉桂", "炒蒺藜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 46600, "pid": "P0423b4d23e31", "date": "2025-07-22", "sex": "男", "age": 52, "cc": "尿频10余年", "hpi": "尿频，腰痛，乏力，时间下降，硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，多汗，睾丸坠痛感，怕热", "wm_dx": ["尿频", "前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒萸肉", "生地黄", "牡丹皮", "当归", "白芍", "连翘", "陈皮", "柏子仁", "炒酸枣仁", "白术", "北柴胡", "黄芩", "制远志", "炒蒺藜"], "flags": [], "prev_rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "烫水蛭"], "prev_gap": 5, "visit_ix": 1, "n_visits": 14, "visit_ix_rx": 1, "n_rx": 13} {"rid": 46603, "pid": "P0a1de5c367ba", "date": "2025-07-22", "sex": "男", "age": 39, "cc": "性欲减退3年", "hpi": "心脏搭桥手术后出现性欲减退，有勃起，中途疲软，睡眠正常，纳可，口和，大便正常，排尿正常，怕冷，腰疼，健忘，头皮刺痒", "wm_dx": ["毛囊炎"], "tcm_dx": [["健忘", "脾肾虚衰证", "补肾扶元"], ["健忘", "脾肾两虚证", "补肾扶元"]], "rx": ["当归", "白芍", "制远志", "牡丹皮", "柏子仁", "炒酸枣仁", "白术", "制巴戟天", "人参", "黄芪", "熟地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46615, "pid": "Pc326fe72a170", "date": "2025-07-22", "sex": "男", "age": 42, "cc": "尿频一年", "hpi": "尿频，异味，勃起一般，晨勃少，吸烟，睡眠正常，纳可，口和，晨起轻度口干口苦，大便阴天腹泻。拟育，死胎一次。", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "炒苦杏仁", "麸炒薏苡仁", "豆蔻", "法半夏", "姜厚朴", "菟丝子", "覆盆子", "人参", "白术", "炙黄芪", "熟地黄", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46623, "pid": "P565515b9b23b", "date": "2025-07-23", "sex": "男", "age": 36, "cc": "尿频1月", "hpi": "1月前无明显诱因出现尿频，夜尿3次，口中和，夜寐差，腰痛", "wm_dx": ["慢性前列腺炎", "尿频"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "麸炒枳实", "北柴胡", "玉竹", "百合", "白芍", "丹参", "肉苁蓉", "炙淫羊藿", "赤小豆", "炒白扁豆", "乌药", "盐益智仁", "山药", "炒酸枣仁", "柏子仁", "制远志"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白芍", "麸炒枳实", "乌药", "盐益智仁", "麸炒山药"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 46626, "pid": "P4489dbab82f5", "date": "2025-07-23", "sex": "男", "age": 47, "cc": "射精无力一月", "hpi": "射精无力，硬度一般，中途疲软，时间短，精液量少，喝水即尿，大便不成型，纳可，口干口苦，出汗，睡眠一般多梦，怕冷冬天", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白芍", "当归", "熟地黄", "酒萸肉", "牡丹皮", "北柴胡", "郁金", "石菖蒲", "人参", "炙黄芪", "白术", "制巴戟天", "柏子仁", "炒酸枣仁"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "生石膏", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "白芍", "白花蛇舌草", "蜈蚣", "当归", "麦冬", "川芎", "炒苦杏仁"], "prev_gap": 14, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 6} {"rid": 46634, "pid": "P461930dc7774", "date": "2025-07-23", "sex": "男", "age": 43, "cc": "体检发现前列腺钙化灶", "hpi": "体检发现前列腺钙化灶 勃起不坚 晨勃可 尿频 尿急 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["木香", "防风", "肉苁蓉", "仙茅", "陈皮", "石菖蒲", "制远志", "炙淫羊藿", "菟丝子", "干姜", "党参", "锁阳", "山药", "黄芪", "醋青皮", "麸炒枳壳", "炙甘草", "全蝎", "合欢皮", "郁金", "蛇床子", "韭菜子", "北柴胡", "炒蒺藜"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["白鲜皮", "防风", "肉苁蓉", "制巴戟天", "仙茅", "陈皮", "石菖蒲", "制远志", "炙淫羊藿", "菟丝子", "干姜", "党参", "锁阳", "山药", "黄芪", "荆芥", "麸炒枳壳", "炙甘草", "全蝎", "合欢皮"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 46662, "pid": "Pad9565e152bc", "date": "2025-07-23", "sex": "男", "age": 68, "cc": "尿等待复诊", "hpi": "尿等待，尿线细，尿无力，外院检查B超前列腺增生，尿动力等。大便粘，口和 腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["菊花", "炒决明子", "密蒙花", "天麻"], "flags": ["rx_len_outlier"], "prev_rx": ["菊花", "炒决明子", "猪苓"], "prev_gap": 17, "visit_ix": 9, "n_visits": 21, "visit_ix_rx": 1, "n_rx": 3} {"rid": 46669, "pid": "P605b83e6caf1", "date": "2025-07-24", "sex": "男", "age": 55, "cc": "腰痛乏力6月", "hpi": "腰痛伴勃起不坚6月，口干口苦，乏力，膝软，工作劳累可，睡眠可，排尿无力，纳可。症状改善明显，硬度亦改善，性欲可，晨勃增加。", "wm_dx": ["腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 11, "n_visits": 19, "visit_ix_rx": 0, "n_rx": 3} {"rid": 46670, "pid": "P4749fc18be8e", "date": "2025-07-24", "sex": "男", "age": 44, "cc": "早泄复诊", "hpi": "早泄，缺快感，勃起正常，同房规律，尿频，大便正常略稀，睡眠正常，纳可，口干，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["房事早泄", "湿热下注证", "清热利湿"]], "rx": ["当归", "连翘", "赤小豆", "炒白扁豆", "薏苡仁", "炒苦杏仁", "淡竹叶", "石菖蒲", "炒蒺藜", "白花蛇舌草", "党参", "北柴胡", "黄芩", "甘草", "金樱子", "莲子", "醋五味子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46679, "pid": "Pa71d79b7ed14", "date": "2025-07-24", "sex": "男", "age": 34, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作劳累，压力大，情绪焦虑，同居感情可，二便调，纳可，眠差，无排尿不畅、尿后余沥，口干，盗汗汗多", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "制远志", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 46689, "pid": "Pd6fbba334eb8", "date": "2025-07-25", "sex": "男", "age": 68, "cc": "急性尿潴留插导尿管1天", "hpi": "昨日急性尿潴留，于我院插导尿管，既往尿痛，尿频、尿急可，夜尿0-1次。大便可，睡眠一般。口和。现仍饮酒抽烟。工作劳累可。", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["熟地黄", "菟丝子", "醋莪术", "川牛膝", "炒王不留行", "盐黄柏", "黄芩", "山药", "浙贝母", "泽泻", "桔梗", "酒萸肉", "薏苡仁", "黄芪", "乌药", "白果仁", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46694, "pid": "Pff307c591bed", "date": "2025-07-25", "sex": "男", "age": 57, "cc": "阵发性血精半年", "hpi": "阵发性血精，色暗，无射精痛，排尿正常，无尿痛，现尿道有血，服药后，血精消失，血尿无，现大便略干，口和，睡眠正常，着凉腰背痛，有汗", "wm_dx": ["精囊炎"], "tcm_dx": [["血精", "气滞血瘀证", "活血止血"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "盐杜仲", "牡丹皮", "葛根", "黄芩片", "党参片", "蒲黄炭", "甘草片", "火麻仁"], "flags": [], 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"visit_ix_rx": 0, "n_rx": 1} {"rid": 46705, "pid": "Pe97bda6fb618", "date": "2025-07-25", "sex": "男", "age": 38, "cc": "尿频一年余", "hpi": "尿频，射精无快感，中途疲软，时间可，下午尿急，色黄，大便正常，睡眠可，纳可", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["人参", "柏子仁", "炒酸枣仁", "炒苦杏仁", "北柴胡", "当归", "白术", "白芍", "熟地黄", "丹参", "牡丹皮", "制巴戟天", "炙黄芪"], "flags": [], "prev_rx": ["人参", "柏子仁", "炒酸枣仁", "郁金", "北柴胡", "当归", "白术", "白芍", "熟地黄", "麦冬", "牡丹皮", "制巴戟天", "炙黄芪"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 46714, "pid": "P682dab1d620e", "date": "2025-07-26", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["赤小豆", "白花蛇舌草", "虎杖", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "党参", "红景天", "麸炒白术", "酒黄精", "熟地黄", "酒萸肉", "炒苦杏仁", "炙黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["赤小豆", "白花蛇舌草", "虎杖", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "党参", "红景天", "麸炒白术", "酒黄精", "熟地黄", "酒萸肉", "炙甘草"], "prev_gap": 14, "visit_ix": 3, "n_visits": 24, "visit_ix_rx": 2, "n_rx": 23} {"rid": 46718, "pid": "Pccaadd7f13c2", "date": "2025-07-26", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 早泄 勃起可 性欲低 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 3} {"rid": 46721, "pid": "P789df453a5c7", "date": "2025-07-26", "sex": "男", "age": 35, "cc": "腰痛复诊", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，反复小腹不适", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "防风", "陈皮", "炒酸枣仁", "合欢花", "合欢皮", "盐车前子", "炒王不留行", "川芎", "蒲黄"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁"], "prev_gap": 13, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 46729, "pid": "Pc8cbae7a4854", "date": "2025-07-26", "sex": "男", "age": 43, "cc": "腰痛半年", "hpi": "伴有勃起不坚一年半 性欲下降 大小便正常 纳可 眠安 晨勃消失", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["茯苓", "枸杞子", "知母", "猪苓", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46743, "pid": "P3eb0486b5212", "date": "2025-07-26", "sex": "男", "age": 27, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余伴有多汗 阴囊潮湿 纳可 眠安 盗汗", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "黄连", "白芷", "白花蛇舌草", "连翘", "栀子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 46748, "pid": "Pcf0996ff0945", "date": "2025-07-26", "sex": "男", "age": 37, "cc": "尿痛一周余", "hpi": "尿痛一周余 大便正常 纳可 眠安 早泄 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46754, "pid": "P89ec3c997709", "date": "2025-07-26", "sex": "男", "age": 36, "cc": "附睾囊肿复诊", "hpi": "右侧睾丸疼痛，无尿道灼热、尿急、尿痛，无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，小腹及会阴不适，纳眠可，大便质粘，口和。", "wm_dx": ["静脉曲张", "精索静脉曲张", "附睾囊肿"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["甜叶菊叶", "炒王不留行", "蒲黄", "醋五灵脂", "川芎", "沉香", "肉桂", "夏枯草", "浙贝母", "麸炒枳壳", "炙甘草", "烫水蛭", "当归", "赤芍"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 46762, "pid": "P7114aeaff2e8", "date": "2025-07-26", "sex": "男", "age": 61, "cc": "腰痛半年抄方", "hpi": "腰痛半年 伴有勃起不坚 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炙淫羊藿", "菟丝子", "鹿角霜", "制巴戟天", "酒黄精", "酒萸肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 46775, "pid": "Pcf5bdb6b003c", "date": "2025-07-27", "sex": "男", "age": 47, "cc": "排尿无力一月", "hpi": "排尿无力一月 伴有勃起不坚 大便正常 纳可 眠安 腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳实", "炙甘草", "当归", "生地黄", "桃仁", "红花", "麸炒枳壳", "桔梗", "牛膝", "肉桂", "烫水蛭", "炙淫羊藿", "蛇床子", "韭菜子", "制巴戟天", "仙茅", "菟丝子", "木香", "丁香"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46776, "pid": "P1c9971b015ec", "date": "2025-07-27", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有早泄4年 时间1分钟以内 大小便正常 纳可 眠安 乏力疲劳", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 6} {"rid": 46779, "pid": "P4548da7ce249", "date": "2025-07-27", "sex": "男", "age": 58, "cc": "包皮龟头炎一周余", "hpi": "冠心病 高血压复查 大小便正常 纳可 眠安 包皮龟头炎取药 腰痛", "wm_dx": ["包皮龟头炎", "冠状动脉性心脏病", "高血压"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "知母", "炒酸枣仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 2} {"rid": 46781, "pid": "Pc1be27c7f296", "date": "2025-07-27", "sex": "男", "age": 60, "cc": "右侧睾丸疼痛复诊", "hpi": "右侧睾丸疼痛复诊，伴尿急、尿痛，无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，伴小腹不适，纳眠可，大便质粘，口和。无体温升高。", "wm_dx": ["附睾炎", "精索炎", "泌尿系感染"], "tcm_dx": [["子痈", "气滞血瘀证", "活血化瘀"]], "rx": ["甜叶菊叶", "夏枯草", "浙贝母", "全蝎", "烫水蛭", "防风", "蒲公英", "白花蛇舌草", "砂仁", "麸炒枳壳", "金银花", "荆芥", "川牛膝", "盐小茴香"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46788, "pid": "P99ccd8139fb9", "date": "2025-07-27", "sex": "男", "age": 55, "cc": "夜尿多半年", "hpi": "夜尿多半年 3-4次 排尿不畅 大便正常 纳可 眠差 腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "太子参", "山药"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46791, "pid": "Pe70a208d4ff3", "date": "2025-07-27", "sex": "男", "age": 42, "cc": "尿频一月", "hpi": "少腹胀痛 大小便正常 纳可 眠安 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["太子参", "山药", "炒酸枣仁", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46805, "pid": "P3b8a56feab96", "date": "2025-07-27", "sex": "男", "age": 29, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "山药", "炒酸枣仁", "知母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46806, "pid": "Pde494d3ec35c", "date": "2025-07-27", "sex": "男", "age": 26, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳可 眠安 腰痛", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46809, "pid": "P58a4694a4728", "date": "2025-07-27", "sex": "男", "age": 37, "cc": "左下肢发麻 视物模糊一月余", "hpi": "左下肢发麻 视物模糊一月余 大便稀 腹胀 小便正常 口苦 乏力疲劳 腰酸痛僵硬 熬夜多 喝酒 久坐 思虑重 胁痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["胁痛", "肝郁血瘀证", "疏肝化瘀"], ["失眠", "气血亏虚证", "补气生血"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "炒决明子", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 7, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46813, "pid": "Pa2f2e5d4937a", "date": "2025-07-27", "sex": "男", "age": 29, "cc": "体检发现前列腺增大", "hpi": "体检发现前列腺增大 大小便正常 纳可 眠安 胁痛 腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "陈皮", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46819, "pid": "P3398c0fb72a5", "date": "2025-07-28", "sex": "男", "age": 74, "cc": "排尿疼痛2月", "hpi": "直肠癌术后排尿疼痛，用抗生素部分缓解，目前仍插尿管，有尿痛，饮水600-1000毫升。", "wm_dx": ["前列腺增生", "直肠癌伴出血"], "tcm_dx": [["淋证", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "泽泻", "滑石", "阿胶珠", "血余炭", "白芍", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46820, "pid": "P3000947f306f", "date": "2025-07-28", "sex": "男", "age": 63, "cc": "复诊", "hpi": "血精复诊，核磁已做。一月前症状又现。耳鸣，易汗，头蒙，纳可，寐多梦。", "wm_dx": ["精囊炎"], "tcm_dx": [["癃闭", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "龙骨", "牡蛎", "生石膏", "首乌藤", "石菖蒲", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 8} {"rid": 46828, "pid": "Pd27dce2136fe", "date": "2025-07-28", "sex": "男", "age": 47, "cc": "复诊", "hpi": "无尿急，无小腹痛。排尿畅。曾换心脏瓣膜。服药。戒酒", "wm_dx": ["前列腺炎", "代谢综合征"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "醋五味子", "牡蛎", "地龙", "石菖蒲", "炙甘草", "净山楂", "陈皮", "醋鸡内金"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "醋五味子", "牡蛎", "地龙", "九香虫", "石菖蒲", "炙甘草", "净山楂", "陈皮", "姜半夏"], "prev_gap": 7, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 5} {"rid": 46829, "pid": "Pec17348683eb", "date": "2025-07-28", "sex": "男", "age": 62, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，中途疲软，性欲可，乏力，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，自觉睾丸皮肤紧绷。夜尿0次。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 46848, "pid": "P30a87a4c820b", "date": "2025-07-28", "sex": "男", "age": 46, "cc": "尿频一年", "hpi": "尿频，性功能减退，勃起不坚，晨勃有，排尿正常，尿不尽，大便正常，睡眠可，纳可，口干口苦，腰痛，阴囊潮湿 龟头红斑一月余", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["腰痛", "肾气不充证", "补肾扶元"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["甜叶菊叶", "盐车前子", "酒萸肉", "泽泻", "知母", "醋龟甲", "防风", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "麸炒枳壳", "菟丝子", "党参", "炒蒺藜", "北柴胡", "丁香", "木香", "烫水蛭", "郁金", "醋青皮", "炙甘草", "太子参", "山药", "炒酸枣仁"], "flags": [], "prev_rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "知母", "醋龟甲", "砂仁", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "麸炒枳壳", "菟丝子", "党参", "炒蒺藜", "北柴胡", "丁香", "木香", "大血藤", "郁金", "醋青皮", "炙甘草", "太子参", "山药", "炒酸枣仁"], "prev_gap": 12, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 46853, "pid": "Pb567b1763cb0", "date": "2025-07-28", "sex": "男", "age": 40, "cc": "乏力腰痛半年抄方", "hpi": "乏力腰痛半年 伴有早泄 勃起可 阴囊炎一周余 大小便正常", "wm_dx": ["阴囊炎", "腰痛", "慢性支气管炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛", "炒僵蚕"], "flags": [], "prev_rx": ["醋五味子", "莲子", "白术", "当归", "金樱子肉", "制远志", "茯苓", "熟地黄", "沙苑子", "石菖蒲", "龙骨", "菟丝子", "麸炒芡实", "太子参", "牡蛎", "盐补骨脂", "桑寄生", "黄芪", "肉桂", "烫水蛭", "木香", "桂枝", "蛇床子", "五倍子", "五加皮", "地骨皮", "细辛"], "prev_gap": 21, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 46865, "pid": "Pd3f698cd9de2", "date": "2025-07-29", "sex": "男", "age": 65, "cc": "乏力一月", "hpi": "乏力，勃起不坚，精液量少，偶有晨勃，排尿正常，大便正常，睡眠正常，纳可，口和，咽干，腰疼一周", "wm_dx": ["动脉硬化", "男性性腺功能低下"], "tcm_dx": [["腰痛", "气滞血瘀证", "活血止痛"], ["虚劳类病", "少阳证类", "疏肝养血"]], "rx": ["当归", "白芍", "茯苓", "人参", "柏子仁", "炒酸枣仁", "制远志", "肉桂", "制巴戟天", "白术", "北柴胡", "炙淫羊藿", "熟地黄", "黄芪", "麦冬"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "党参片", "石菖蒲", "茯苓", "当归", "川芎", "白术", "制巴戟天", "肉桂", "蜈蚣", "柏子仁"], "prev_gap": 7, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 46870, "pid": "Pdf8603b632b5", "date": "2025-07-29", "sex": "男", "age": 75, "cc": "尿道瘙痒腰痛伴勃起不坚1年", "hpi": "尿道瘙痒腰痛伴勃起不坚，睡前小腹坠胀，尿痛好转，夜尿2次，排尿不畅，规律口服前列舒通胶囊，失眠", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["失眠", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["热淋", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "绵萆薢", "白花蛇舌草", "小蓟", "大蓟", "马齿苋"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 18, "n_visits": 23, "visit_ix_rx": 0, "n_rx": 3} {"rid": 46897, "pid": "P50c90e82c30f", "date": "2025-07-29", "sex": "男", "age": 63, "cc": "前列腺增生慢性前列腺炎复诊", "hpi": "近一周尿不尽 尿频 尿等待 会阴部隐痛 ，大便干，睡眠一般，纳一般，针灸科治疗中，凉的少吃，口干口苦，龟头包皮垢多", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["当归", "连翘", "赤小豆", "白花蛇舌草", "北柴胡", "黄芩片", "陈皮", "醋鸡内金", "焦山楂", "燀桃仁", "红花", "炒苦杏仁", "柏子仁", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 2} {"rid": 46898, "pid": "Pd4591872c0e6", "date": "2025-07-29", "sex": "男", "age": 36, "cc": "尿频一年", "hpi": "尿频，中途疲软，时间短2-3分钟，多汗，无盗汗，乏力感，睡眠一般，早醒，纳一般，生冷易腹泻，，口干，微怕冷", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "脾肾两虚证", "温补肾精"]], "rx": ["法半夏", "黄连", "黄芩", "干姜", "人参", "制巴戟天", "肉桂", "姜厚朴", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜", "炒酸枣仁"], "flags": [], "prev_rx": ["当归", "白芍", "酒萸肉", "炒酸枣仁", "柏子仁", "制远志", "人参", "白术", "炙淫羊藿", "陈皮", "肉桂", "炒蒺藜"], "prev_gap": 7, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 46904, "pid": "P33413887cbd7", "date": "2025-07-30", "sex": "男", "age": 53, "cc": "排尿无力半年", "hpi": "排尿无力半年 尿不尽 大便正常 纳可 眠安 勃起不坚 晨勃少 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["太子参", "山药", "炒酸枣仁", "知母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46926, "pid": "P50d90dee7660", "date": "2025-07-30", "sex": "男", "age": 70, "cc": "前列腺增生一年", "hpi": "尿潴留4次，一周前因喝酒着凉出现尿潴留，外院插管，昨日拔管。现口服非那雄胺，盐酸坦索罗辛缓释。昨日夜尿4-5次，尿无力，尿不尽，尿痛，无腹痛，无腰疼，大便不成型一天一次，纳可，凉的少吃，睡眠正常，口干口苦.26日因尿频，外院导尿，现仍导尿中", "wm_dx": ["高脂血症", "高血压", "前列腺增生"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "制巴戟天", "黄芩片", "天花粉", "牡蛎", "乌药", "党参片", "茯苓", "猪苓", "燀桃仁", "红花", "赤小豆", "虎杖", "白花蛇舌草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 46965, "pid": "Pc0bbf715fa31", "date": "2025-07-31", "sex": "男", "age": 64, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，尿急，夜尿0-1次，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46973, "pid": "P2c44c3f56a66", "date": "2025-07-31", "sex": "男", "age": 39, "cc": "小腹不适1周", "hpi": "小腹不适1周，尿频、尿急，无尿后余沥、排尿不畅、尿等待，夜尿0-1次。口和，大便无明显异常，无会阴明显不适。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "麸炒白术", "盐车前子", "菟丝子", "牛膝", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46980, "pid": "Pac5836259528", "date": "2025-07-31", "sex": "男", "age": 71, "cc": "少腹隐痛一月余", "hpi": "尿前小腹涨热，排尿无不适，腰椎疼痛，近期饮酒多，夜尿1次", "wm_dx": ["关节痛", "高血压", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["失眠", "肝郁血瘀证", "疏肝化瘀"]], "rx": ["熟地黄", "菟丝子", "醋延胡索", "川牛膝", "炒王不留行", "盐黄柏", "茯苓", "山药", "浙贝母", "泽泻", "桔梗", "酒萸肉", "薏苡仁", "黄芪", "柏子仁", "烫水蛭", "制远志"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 11, "n_visits": 17, "visit_ix_rx": 0, "n_rx": 2} {"rid": 46982, "pid": "P54275b21c1bc", "date": "2025-07-31", "sex": "男", "age": 35, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。眼睑刺痒。", "wm_dx": ["包皮龟头炎", "高血压", "角膜炎", "慢性肝炎", "肝功能异常"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 46983, "pid": "P53c6242e9fa0", "date": "2025-07-31", "sex": "男", "age": 29, "cc": "尿频2年", "hpi": "尿频2年，无尿急、尿线细、尿等待，尿后余沥，夜尿1次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，熬夜，久坐。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "烫水蛭", "白芍", "炙甘草", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "麸炒白术", "盐车前子", "菟丝子", "金樱子", "莲子", "醋五味子", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47004, "pid": "P0423b4d23e31", "date": "2025-08-01", "sex": "男", "age": 52, "cc": "尿频10余年", "hpi": "乏力，时间下降，硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，多汗，睾丸坠痛感，怕热", "wm_dx": ["前列腺炎", "尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "茯苓", "泽兰", "泽泻", "当归", "川芎", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜", "金樱子"], "flags": [], "prev_rx": ["酒萸肉", "生地黄", "牡丹皮", "当归", "白芍", "连翘", "陈皮", "柏子仁", "炒酸枣仁", "白术", "北柴胡", "黄芩", "制远志", "炒蒺藜"], "prev_gap": 10, "visit_ix": 2, "n_visits": 14, "visit_ix_rx": 2, "n_rx": 13} {"rid": 47012, "pid": "P004c663c57dc", "date": "2025-08-01", "sex": "男", "age": 39, "cc": "尿频4年", "hpi": "尿频，硬度不硬，偶有晨勃，时间短，睡眠差多梦，纳可，口气重，大便次数多，量少，排尿尿少", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "当归", "党参", "丹参", "鸡血藤", "制巴戟天", "白术", "柏子仁", "炒酸枣仁", "茯苓", "连翘"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47020, "pid": "P58db7c01ed5f", "date": "2025-08-02", "sex": "男", "age": 52, "cc": "右侧睾丸不适1天", "hpi": "右侧睾丸不适1天，外院查超声报鞘膜积液。无尿道灼热、尿急、尿痛，无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和。工作劳累，盗汗。", "wm_dx": ["前列腺炎", "鞘膜积液"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["炒酸枣仁", "黄芪", "党参片", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47037, "pid": "P585350e10307", "date": "2025-08-02", "sex": "男", "age": 44, "cc": "阴阜瘙痒1周", "hpi": "阴阜瘙痒1周，反复抓挠，色红，无包皮垢，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "太子参", "黄芪", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47041, "pid": "P682dab1d620e", "date": "2025-08-02", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["赤小豆", "白花蛇舌草", "虎杖", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "党参", "白芍", "麸炒白术", "酒黄精", "熟地黄", "酒萸肉", "桂枝", "炙黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["赤小豆", "白花蛇舌草", "虎杖", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "党参", "红景天", "麸炒白术", "酒黄精", "熟地黄", "酒萸肉", "炒苦杏仁", "炙黄芪"], "prev_gap": 7, "visit_ix": 4, "n_visits": 24, "visit_ix_rx": 3, "n_rx": 23} {"rid": 47042, "pid": "Pa4b6ff37b90c", "date": "2025-08-02", "sex": "男", "age": 45, "cc": "腰痛伴勃起硬度欠佳6月", "hpi": "6月前出现腰痛伴勃起硬度欠佳，性欲减退，晨勃可，口干口苦，夜寐可，易困倦，", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳壳", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "韭菜子", "制巴戟天", "仙茅", "麸炒苍术", "关黄柏", "麸炒薏苡仁", "牛膝"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "全蝎", "人参", "仙茅", "锁阳"], "prev_gap": 13, "visit_ix": 1, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 11} {"rid": 47045, "pid": "Pd7f251f09ca7", "date": "2025-08-02", "sex": "男", "age": 29, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短（<100次），硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肝肾"], ["腰痛", "肝肾亏虚证", "滋补肾精"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47046, "pid": "P6062b6546c35", "date": "2025-08-02", "sex": "男", "age": 81, "cc": "左侧腹股沟疼痛1月", "hpi": "1月前出现左侧腹股沟疼痛连及左侧下肢疼痛不适，排尿不畅，夜尿3-4次。", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "盐橘核", "郁金", "醋青皮", "燀桃仁", "红花", "当归", "赤芍", "法半夏", "忍冬藤", "白芍", "醋延胡索", "夏枯草", "路路通", "炒王不留行", "醋香附", "黄芪", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏"], "flags": [], "prev_rx": ["肉桂", "盐小茴香", "荔枝核", "盐橘核", "郁金", "醋青皮", "燀桃仁", "红花", "当归", "赤芍", "法半夏", "忍冬藤", "白芍", "醋延胡索", "夏枯草", "路路通", "炒王不留行", "醋香附", "黄芪"], "prev_gap": 13, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 47053, "pid": "P9924a6a8844d", "date": "2025-08-02", "sex": "男", "age": 35, "cc": "尿无力2月", "hpi": "尿无力，尿分叉，时有阴囊潮湿，中途疲软，晨勃少，困，入睡慢，纳可，口和，大便不成型。", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "赤小豆", "连翘", "白花蛇舌草", "牡丹皮", "丹参", "鸡血藤", "柏子仁", "炒酸枣仁", "熟地黄", "党参片", "茯苓", "川芎", "炒苦杏仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47058, "pid": "P35efbb8d4f66", "date": "2025-08-02", "sex": "男", "age": 37, "cc": "龟头自觉麻木感1年", "hpi": "龟头自觉麻木感1年，房事可，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。腰痛。", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 47060, "pid": "Pc42e68f4557e", "date": "2025-08-02", "sex": "男", "age": 42, "cc": "尿频3年", "hpi": "尿频，包皮环切手术后，硬度一般，时间短1分钟，拟育，排尿正常，大便正常略干2天一次，睡眠多梦，纳可，口和，怕冷，手脚出汗", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["人参", "郁金", "白术", "柏子仁", "炒酸枣仁", "制巴戟天", "酒萸肉", "升麻", "北柴胡", "白芍", "丹参", "鸡血藤", "石菖蒲", "莲须"], "flags": [], "prev_rx": ["人参", "郁金", "白术", "柏子仁", "炒酸枣仁", "煅龙骨", "制巴戟天", "酒萸肉", "当归", "北柴胡", "白芍", "肉桂"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 47063, "pid": "P8e3810b6a547", "date": "2025-08-02", "sex": "男", "age": 39, "cc": "自汗乏力腰痛2年", "hpi": "自汗乏力腰痛2年，口干，夜寐差易醒，食纳可，大便粘，小便黄，无怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["虚劳类病", "气血两虚证", "补益气血"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "黄芩片", "党参片", "牡丹皮", "淡竹叶", "滑石", "炒苦杏仁", "白芍", "牛膝", "煅龙骨", "煅牡蛎", "炒栀子", "淡豆豉", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47067, "pid": "P67d2a154389d", "date": "2025-08-02", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，工作久坐，情绪焦虑，同居感情可，二便调，眠一般，无排尿不畅、尿后余沥，口干，盗汗。晨勃少。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47069, "pid": "P078502f8bdde", "date": "2025-08-02", "sex": "男", "age": 26, "cc": "腰痛乏力伴记忆力减退6月", "hpi": "腰痛乏力伴记忆力减退6月，口中和，长期熬夜，夜寐差，注意力不集中，排尿可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "炙甘草", "麸炒苍术", "茯苓", "生姜", "大枣", "白薇", "炙淫羊藿", "制巴戟天", "仙茅", "黄芪", "当归", "川芎", "制远志", "炒酸枣仁", "北柴胡", "盐杜仲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47071, "pid": "Pc651394b4eb5", "date": "2025-08-02", "sex": "男", "age": 58, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作可，同居感情可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47074, "pid": "P76114bdbce49", "date": "2025-08-02", "sex": "男", "age": 39, "cc": "阴阜瘙痒10天", "hpi": "阴阜瘙痒10天，反复抓挠，出血。无排尿不适，口和。", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆", "盐关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连片", "麸炒苍术", "百部"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47077, "pid": "Pa8105f9c28b6", "date": "2025-08-02", "sex": "男", "age": 37, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口苦，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作劳累熬夜，性欲一般，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47080, "pid": "P73c6f05147c8", "date": "2025-08-02", "sex": "男", "age": 33, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作可，二便调，纳可，眠一般，无排尿不畅、尿后余沥，口和，无盗汗、怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47086, "pid": "Pfc3b5dfcd0d7", "date": "2025-08-02", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，中途疲软，性欲一般，乏力，工作可，同居感情可，二便调，纳眠可，无排尿不畅、尿后余沥", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47095, "pid": "Pfe61669e43c3", "date": "2025-08-03", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。PR 29.3%。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "烫水蛭", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47097, "pid": "P172c306bd81d", "date": "2025-08-03", "sex": "男", "age": 40, "cc": "反复肾结石", "hpi": "反复肾结石，间断腰痛、尿道灼热，无尿后余沥，纳眠可，口和，大便可。工作久坐。", "wm_dx": ["前列腺炎", "肾结石"], "tcm_dx": [["石淋", "湿热下注证", "清热利湿"]], "rx": ["车前草", "醋鸡内金", "瞿麦", "木香", "萹蓄", "麸炒芡实", "金樱子", "醋青皮", "大腹皮", "泽泻", "清半夏", "麸炒枳实", "北柴胡", "制远志", "焦麦芽", "焦神曲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47098, "pid": "Pe6336fe1962a", "date": "2025-08-03", "sex": "男", "age": 41, "cc": "包皮龟头炎1周", "hpi": "包皮龟头炎1周 大小便正常 纳可眠安 阴囊潮湿 无排尿不适", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47100, "pid": "P8ccfa8f8ec87", "date": "2025-08-03", "sex": "男", "age": 38, "cc": "小腹不适2周", "hpi": "小腹不适2周伴尿频，无尿急、尿线细、尿等待、尿后余沥，夜尿0-1次，无会阴不适，大便质干，纳可，眠一般，口干。口服前列舒通症状缓解。工作久坐。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐黄柏", "麸炒白术", "盐车前子", "菟丝子", "牛膝", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47108, "pid": "Pd273b2ee4e3c", "date": "2025-08-03", "sex": "男", "age": 39, "cc": "间断血精6月", "hpi": "间断血精6月，昨日发现尿液浑浊，无射精不适，无尿道灼热、尿急、尿痛，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和，腹痛。", "wm_dx": ["血精"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["黄芪", "牛膝", "炒酸枣仁", "麦冬"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47109, "pid": "Pf504aa30df94", "date": "2025-08-03", "sex": "男", "age": 33, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作劳累可，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 47116, "pid": "P21b3e55a71b5", "date": "2025-08-03", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作劳累，焦虑，盗汗", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "醋五味子", "沙苑子", "制远志", "烫水蛭", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47120, "pid": "Pa34ab609bfe3", "date": "2025-08-03", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，性欲可，乏力，工作可，情绪焦虑，同居感情可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "麦冬", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47126, "pid": "Pbd1a57e26008", "date": "2025-08-03", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47130, "pid": "Pa451471a4f19", "date": "2025-08-03", "sex": "男", "age": 25, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "炒酸枣仁", "盐杜仲", "牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47133, "pid": "P0f0e4d7bed65", "date": "2025-08-03", "sex": "男", "age": 38, "cc": "右侧睾丸不适1周", "hpi": "右侧睾丸不适1周，伴小腹不适，无尿道灼热、尿急、尿痛，无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，纳眠可，大便质粘，口和", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "川牛膝", "炒酸枣仁", "麦冬"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47134, "pid": "P21e36ac2c9c8", "date": "2025-08-03", "sex": "男", "age": 31, "cc": "血精3周", "hpi": "血精3周 大小便正常 纳可 眠安", "wm_dx": ["精囊炎"], "tcm_dx": [["血精", "气滞血瘀证", "活血化瘀"]], "rx": ["血余炭", "当归", "酒大黄", "烫水蛭", "麸炒枳壳", "炙甘草", "蒲黄", "川芎", "北柴胡", "郁金", "醋青皮", "制远志", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "血余炭", "当归", "酒大黄", "烫水蛭", "麸炒枳壳", "炙甘草", "蒲黄", "川芎", "北柴胡", "郁金", "醋青皮"], "prev_gap": 20, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 47138, "pid": "Pca4d0d4c8f86", "date": "2025-08-03", "sex": "男", "age": 57, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，无尿急、尿线细、尿等待，尿后余沥，夜尿1-2次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗。口服复方雪参胶囊，症状改善，行动不便。", "wm_dx": ["前列腺增生", "反流性食管炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "麸炒白术", "党参片", "炒白扁豆", "山药", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47142, "pid": "P3000947f306f", "date": "2025-08-04", "sex": "男", "age": 63, "cc": "复诊", "hpi": "血精复诊，核磁已做。一月前症状又现。耳鸣，易汗，头蒙，纳可，寐多梦。", "wm_dx": ["精囊炎"], "tcm_dx": [["癃闭", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "龙骨", "牡蛎", "生石膏", "首乌藤", "石菖蒲", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "龙骨", "牡蛎", "生石膏", "首乌藤", "石菖蒲", "炙甘草", "生姜", "大枣"], "prev_gap": 7, "visit_ix": 2, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 8} {"rid": 47146, "pid": "Pa031f6a7e73f", "date": "2025-08-04", "sex": "男", "age": 61, "cc": "尿频、尿急一月", "hpi": "夜尿4--5次，尿通畅，右侧腰部不适，大便正常，纳可，多汗，口苦不干", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "桑螵蛸", "酒黄芩", "大枣", "炙甘草", "生姜"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "猪苓", "茯苓", "麸炒白术", "赤小豆", "白花蛇舌草", "炒苦杏仁", "苦地丁", "麸炒薏苡仁"], "prev_gap": 26, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 47150, "pid": "P94635dc1e910", "date": "2025-08-04", "sex": "男", "age": 36, "cc": "腰痛1月", "hpi": "腰痛1月 大小便正常 纳可 失眠 阴囊潮湿 口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "当归", "白芍", "熟地黄", "川芎", "炒酸枣仁", "柏子仁", "烫水蛭", "制远志", "酒女贞子", "覆盆子", "菟丝子", "蛇床子", "韭菜子", "枸杞子", "麸炒枳壳", "酒萸肉", "泽泻", "麸炒白术", "党参", "黄芪", "酒苁蓉", "制巴戟天", "炙淫羊藿", "太子参", "山药", "陈皮", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47151, "pid": "P3e286aa5e8ba", "date": "2025-08-04", "sex": "男", "age": 51, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 时间1分钟 勃起差 晨勃少 大小便正常 纳可 眠安", "wm_dx": ["腰痛", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47154, "pid": "P5001d9179e3d", "date": "2025-08-04", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "腰痛半年 勃起不坚 晨勃消失 熬夜多 大小便正常 纳可 眠差", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "烫水蛭", "党参", "麸炒白术", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "枸杞子", "熟地黄", "酒萸肉", "泽泻", "麸炒枳壳", "盐车前子", "覆盆子", "酒女贞子", "茺蔚子", "醋五味子", "山药", "炙甘草", "太子参", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 47163, "pid": "Pd27dce2136fe", "date": "2025-08-04", "sex": "男", "age": 47, "cc": "复诊", "hpi": "便干。排尿畅。曾换心脏瓣膜。服药。戒酒", "wm_dx": ["代谢综合征", "前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "醋五味子", "牡蛎", "地龙", "炙甘草", "火麻仁"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "醋五味子", "牡蛎", "地龙", "石菖蒲", "炙甘草", "净山楂", "陈皮", "醋鸡内金"], "prev_gap": 7, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 5} {"rid": 47168, "pid": "Pbb83ff99788e", "date": "2025-08-04", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 乏力 疲劳", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "醋五味子", "菟丝子", "盐车前子", "枸杞子", "覆盆子", "酒女贞子", "沙苑子", "麦冬", "石斛", "麸炒枳壳", "炙甘草", "烫水蛭", "太子参", "制巴戟天", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47170, "pid": "P9a83e03bd120", "date": "2025-08-04", "sex": "男", "age": 41, "cc": "血尿4小时", "hpi": "血尿4小时 伴有疼痛 大便正常 纳可 眠安 腹胀抄方", "wm_dx": ["血尿"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹胀", "肝郁脾虚证", "疏肝健脾"]], "rx": ["当归", "白芍", "醋北柴胡", "麸炒白术", "茯苓", "炙甘草", "生姜", "薄荷", "郁金", "茵陈", "炒酸枣仁", "红曲", "玫瑰花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47187, "pid": "P1f0f49623ba9", "date": "2025-08-05", "sex": "男", "age": 53, "cc": "排尿无力 少腹胀痛半年", "hpi": "排尿无力 少腹胀痛半年 尿不尽 夜尿2次 排气多 大便正常 纳可 眠安", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47216, "pid": "P74d4709488d1", "date": "2025-08-06", "sex": "男", "age": 70, "cc": "少腹胀痛感10余天", "hpi": "少腹胀痛，在我院肾病科住院治疗，PSA增高，尿潴留，导尿后，治疗后症状好转，现出院1月复查，夜尿1-2次，少腹胀痛，大便3次/日", "wm_dx": ["泌尿系感染", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "山慈菇"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47224, "pid": "P9a00372bf3d7", "date": "2025-08-06", "sex": "男", "age": 43, "cc": "尿频一年", "hpi": "尿频，大便3次，时有不成型，，无腹胀，无腰疼，阴囊潮湿，饭后明显，睡眠正常，动则汗出，易湿疹，纳可，口和，未怕冷", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "山药"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47225, "pid": "P7b42a64f99b8", "date": "2025-08-06", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 乏力 疲劳 平素贪凉多", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "制巴戟天", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47228, "pid": "P4489dbab82f5", "date": "2025-08-06", "sex": "男", "age": 47, "cc": "射精无力一月", "hpi": "射精无力，硬度一般，中途疲软，时间短，精液量少，喝水即尿，大便不成型，纳可，口干口苦，出汗，睡眠一般多梦，怕冷冬天", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["肉桂", "黄连片", "熟地黄", "酒萸肉", "醋五味子", "地骨皮", "制巴戟天", "柏子仁", "炒酸枣仁", "人参", "石菖蒲", "盐蒺藜", "炙淫羊藿"], "flags": [], "prev_rx": ["白芍", "当归", "熟地黄", "酒萸肉", "牡丹皮", "北柴胡", "郁金", "石菖蒲", "人参", "炙黄芪", "白术", "制巴戟天", "柏子仁", "炒酸枣仁"], "prev_gap": 14, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 6} {"rid": 47231, "pid": "P50d90dee7660", "date": "2025-08-06", "sex": "男", "age": 70, "cc": "前列腺增生一年", "hpi": "尿潴留4次，一周前因喝酒着凉出现尿潴留，外院插管，昨日拔管。现口服非那雄胺，盐酸坦索罗辛缓释。昨日夜尿4-5次，尿无力，尿不尽，尿痛，无腹痛，无腰疼，大便不成型一天一次，纳可，凉的少吃，睡眠正常，口干口苦.26日因尿频，外院导尿，现仍导尿中。导尿管拔除，现 尿中断，尿后余淋，尿痛，夜尿4-5次。头晕，恶心", "wm_dx": ["前列腺增生", "高血压", "高脂血症"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"], ["感冒", "暑湿证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "牡丹皮", "升麻", "桑白皮", "党参片", "桂枝", "猪苓", "赤小豆", "白花蛇舌草", "黑顺片"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "制巴戟天", "黄芩片", "天花粉", "牡蛎", "乌药", "党参片", "茯苓", "猪苓", "燀桃仁", "红花", "赤小豆", "虎杖", "白花蛇舌草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 47237, "pid": "P0b164e7296bb", "date": "2025-08-06", "sex": "男", "age": 44, "cc": "泌尿系感染复诊", "hpi": "尿痛伴有分泌物明显好转 大便正常 纳可 眠安 腰痛 乏力", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["淋证", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "太子参", "山药", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47238, "pid": "Pf576d7f1175c", "date": "2025-08-06", "sex": "男", "age": 25, "cc": "尿频半年", "hpi": "尿频，晨勃有，同房中途疲软，一月半月同房一次，排尿正常，大便正常，纳可，睡眠正常，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "脾肾亏虚证", "补肾益精"]], "rx": ["柏子仁", "炒酸枣仁", "制远志", "丹参", "鸡血藤", "白术", "制巴戟天", "人参", "石菖蒲", "当归", "川芎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47245, "pid": "P94022aecc908", "date": "2025-08-06", "sex": "男", "age": 34, "cc": "尿频一年余", "hpi": "尿频，有晨勃，硬度一般，时间短2-3分钟，大便正常，睡眠正常，纳可，口气重，乏力感", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["柏子仁", "炒酸枣仁", "制远志", "川芎", "当归", "鸡血藤", "丹参", "石菖蒲", "盐蒺藜", "白术", "茯苓", "党参片", "蜈蚣", "醋鸡内金"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "川芎", "当归", "鸡血藤", "丹参", "石菖蒲", "盐蒺藜", "莲须", "茯苓", "泽泻", "蜈蚣"], "prev_gap": 28, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 47247, "pid": "Pae297ae703b4", "date": "2025-08-06", "sex": "男", "age": 63, "cc": "尿频复诊", "hpi": "尿频复诊 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["太子参", "山药", "猪苓", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47248, "pid": "Pc606cca23a25", "date": "2025-08-06", "sex": "男", "age": 34, "cc": "腰痛3月", "hpi": "腰痛3月，拟育3月，口干舌燥口气重，大便不成型粘，硬度下降，性欲强，工作压力可，熬夜，小便可，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "湿热下注证", "清热利湿"]], "rx": ["麸炒薏苡仁", "炒苦杏仁", "豆蔻", "滑石", "法半夏", "姜厚朴", "淡竹叶", "赤小豆", "虎杖", "醋鸡内金", "连翘", "石菖蒲", "丹参", "鸡血藤", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 47251, "pid": "P85ec62b7ae9f", "date": "2025-08-06", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 乏力 疲劳", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "醋龟甲", "砂仁", "酒女贞子", "覆盆子", "枸杞子", "炒酸枣仁", "柏子仁", "大血藤", "麸炒枳壳", "炙甘草", "烫水蛭", "太子参", "山药"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47264, "pid": "P9c64afd1eba1", "date": "2025-08-06", "sex": "男", "age": 63, "cc": "阴毛部刺痒一周", "hpi": "阴毛部刺痒一周 排尿不畅 尿频 大便正常 纳可 眠安 湿疹取药", "wm_dx": ["前列腺增生", "湿疹"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "麸炒薏苡仁", "太子参", "山药"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47279, "pid": "P4381ebdc09ad", "date": "2025-08-07", "sex": "男", "age": 39, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "醋五味子", "沙苑子", "茯苓", "烫水蛭", "制远志", "炙淫羊藿", "太子参", "麦冬", "制巴戟天", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["党参", "黄芪", "山药", "麸炒白术", "茯苓", "麸炒枳壳", "陈皮", "姜厚朴", "菟丝子", "蛇床子", "韭菜子", "覆盆子", "酒女贞子", "麦冬", "炙甘草", "木香", "全蝎", "太子参", "制巴戟天", "炒酸枣仁"], "prev_gap": 33, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 4} {"rid": 47280, "pid": "Pa3eb837f6a74", "date": "2025-08-07", "sex": "男", "age": 51, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作可，同居感情可，二便调，眠一般，纳可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47282, "pid": "P1bc0cfd0b32e", "date": "2025-08-07", "sex": "男", "age": 69, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频、尿急，无尿线细、尿等待，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗", "wm_dx": ["高血压", "高脂血症", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["炒酸枣仁", "川牛膝", "黄芪"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47285, "pid": "Pbdb488f039ff", "date": "2025-08-07", "sex": "男", "age": 64, "cc": "腰痛伴勃起不坚1年", "hpi": "腰痛伴勃起不坚1年，大便正常，夜尿正常，口和，睡眠可，纳一般", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾气不充证", "补肾益精"]], "rx": ["人参", "白术", "丹参", "鸡血藤", "当归", "白芍", "制巴戟天", "肉桂", "麸炒薏苡仁", "柏子仁", "炒酸枣仁", "北柴胡", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 47286, "pid": "P4957cb724fd1", "date": "2025-08-07", "sex": "男", "age": 86, "cc": "尿等待尿分叉4年", "hpi": "4年前出现尿等待尿分叉，夜尿频，夜尿3-4次，无小腹胀痛，无用药，2025.6.9外院住院，发现血PSA升高111ng/ml，诊断前列腺增生，前列腺肿物，予非那雄胺片，盐酸坦索罗辛缓释胶囊口服，口服药物后出现周身瘙痒，大便干，厌食。现停药1月后瘙痒仍有，大便好转，厌食好转。2025.7.25外院行前列腺增强核磁检查，提示：良性前列腺增生6.0*5.3*5.8cm。血PSA:51.1ng/ml(2025.7.15)刻下症：尿等待尿分叉，尿频，夜尿多。", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "天花粉", "墨旱莲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47287, "pid": "P085ed2f3bce8", "date": "2025-08-07", "sex": "男", "age": 84, "cc": "尿频3月", "hpi": "尿频，夜尿4-5次，外院检查口服药物治疗效果不明显，大便正常，睡眠一般，纳可，口和，怕热", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["熟地黄", "菟丝子", "醋莪术", "川牛膝", "盐黄柏", "山药", "浙贝母", "泽泻", "桔梗", "酒萸肉", "薏苡仁", "黄芪", "烫水蛭", "金樱子", "莲子", "茯苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47301, "pid": "Pc3376f8baf3c", "date": "2025-08-07", "sex": "男", "age": 40, "cc": "阴囊瘙痒2周", "hpi": "阴囊瘙痒2周，潮湿，黏腻，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。腰痛，压力大，眠一般。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "金樱子", "醋五味子", "莲子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47304, "pid": "Pb7cf695596cf", "date": "2025-08-07", "sex": "男", "age": 33, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊，排尿不畅改善，尿频、尿急消失，大便正常，夜尿1次，眠可，情绪焦虑", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐黄柏", "麸炒白术", "盐车前子", "酒苁蓉", "川牛膝", "炒酸枣仁", "麸炒薏苡仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "制远志"], "prev_gap": 13, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 47307, "pid": "Pff307c591bed", "date": "2025-08-07", "sex": "男", "age": 57, "cc": "阵发性血精半年", "hpi": "阵发性血精，色暗，无射精痛，排尿正常，无尿痛，现尿道有血，服药后，血精消失，血尿无，现大便略干，口和，睡眠正常，着凉腰背痛，有汗", "wm_dx": ["精囊炎"], "tcm_dx": [["血精", "气滞血瘀证", "活血止血"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "盐杜仲", "牡丹皮", "葛根", "黄芩片", "党参片", "蒲黄炭", "火麻仁", "甘草片", "炒酸枣仁", "黄芪"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "盐杜仲", "牡丹皮", "葛根", "黄芩片", "党参片", "蒲黄炭", "甘草片", "火麻仁"], "prev_gap": 13, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 47308, "pid": "Pd296b0c2763f", "date": "2025-08-07", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，中途疲软，性欲强，乏力，工作熬夜，压力大，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干。房事不规律。晨勃少。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47311, "pid": "Pdebd67ad8bd2", "date": "2025-08-07", "sex": "男", "age": 54, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，工作熬夜，口干，乏力，二便可，眠可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "炒决明子", "山药", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "制巴戟天", "炒决明子", "山药", "炒酸枣仁"], "prev_gap": 24, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 47313, "pid": "P22052dd7b314", "date": "2025-08-07", "sex": "男", "age": 46, "cc": "尿频尿急6月", "hpi": "6月前出现尿频尿急，小腹胀痛，排尿不畅，无其他不适", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "制巴戟天", "盐益智仁", "山药", "牛膝", "金樱子", "麸炒芡实", "醋五味子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 47321, "pid": "Pc101a5e4a306", "date": "2025-08-08", "sex": "男", "age": 37, "cc": "拟育", "hpi": "拟育，性功能正常，排尿正常，大便正常，睡眠正常，纳可，口和，无腰疼，无阴囊潮湿", "wm_dx": ["尿频"], "tcm_dx": [["精少", "肝肾亏虚证", "滋补肝肾"]], "rx": ["党参片", "白术", "柏子仁", "炒酸枣仁", "菟丝子", "醋五味子", "枸杞子", "覆盆子", "盐车前子", "干姜", "熟地黄", "酒萸肉", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47335, "pid": "P5e9973237c71", "date": "2025-08-08", "sex": "男", "age": 32, "cc": "尿频一月", "hpi": "尿频，拟育，大便正常，夜班，纳可，口和，腰疼", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["麸炒薏苡仁", "炒苦杏仁", "草豆蔻", "赤小豆", "茯苓", "滑石", "法半夏", "姜厚朴", "牛膝", "菟丝子", "盐车前子", "牡蛎", "醋鸡内金", "醋龟甲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47364, "pid": "P4fb58884f405", "date": "2025-08-09", "sex": "男", "age": 36, "cc": "腰痛乏力1月", "hpi": "腰痛乏力，口中和，二便调", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "盐车前子", "覆盆子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47370, "pid": "Pbd8e8a487d05", "date": "2025-08-09", "sex": "男", "age": 35, "cc": "左侧少腹隐痛2年", "hpi": "左侧少腹隐痛，乏力感，硬度可，中途疲软，射精无力，尿频，大便不畅，睡眠可，纳可，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "柏子仁", "炒酸枣仁", "白术", "制巴戟天", "石菖蒲", "当归", "白芍", "枸杞子", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 47376, "pid": "Pd54a56aa4a98", "date": "2025-08-09", "sex": "男", "age": 31, "cc": "腰痛乏力1月", "hpi": "腰痛乏力1月，口异味，排尿可，长期熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["盐杜仲", "肉桂", "枸杞子", "白术", "制远志", "酒苁蓉", "制巴戟天", "太子参", "石菖蒲", "酒萸肉", "醋鸡内金", "盐车前子", "覆盆子", "菟丝子", "熟地黄", "醋五味子", "酒大黄", "甜叶菊叶", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47385, "pid": "Pa4b6ff37b90c", "date": "2025-08-09", "sex": "男", "age": 45, "cc": "腰痛伴勃起硬度欠佳6月", "hpi": "6月前出现腰痛伴勃起硬度欠佳，性欲减退，晨勃可，口干口苦，夜寐可，易困倦，", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳壳", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "麸炒枳实", "韭菜子", "制巴戟天"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳壳", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "韭菜子", "制巴戟天", "仙茅", "麸炒苍术", "关黄柏", "麸炒薏苡仁", "牛膝"], "prev_gap": 7, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 11} {"rid": 47391, "pid": "P0523dfc23b2f", "date": "2025-08-09", "sex": "男", "age": 37, "cc": "腰痛乏力脱发2年", "hpi": "2年前出现腰痛乏力脱发，尿混浊，射精快，龟头红疹", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "制何首乌", "当归", "川芎", "麸炒山药", "熟地黄", "蛇床子", "五倍子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "地龙", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47392, "pid": "P11f878fa9eb4", "date": "2025-08-09", "sex": "男", "age": 41, "cc": "尿频半年", "hpi": "献血后自觉晨勃少，硬度一般，排尿正常，大便不成型，不能吃辛辣生冷，睡眠一般，入睡差，口干口苦，乏力", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "人参", "干姜", "柏子仁", "炒酸枣仁", "制巴戟天", "丹参", "鸡血藤", "茯苓", "白术", "菟丝子", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 47396, "pid": "Pd4591872c0e6", "date": "2025-08-09", "sex": "男", "age": 36, "cc": "尿频一年", "hpi": "尿频，中途疲软，时间短2-3分钟，多汗，无盗汗，乏力感，睡眠一般，早醒，纳一般，生冷易腹泻，口干，微怕冷", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "脾肾两虚证", "温补肾精"]], "rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "附片", "柏子仁", "炒酸枣仁", "人参", "石菖蒲", "制远志", "醋五味子"], "flags": [], "prev_rx": ["法半夏", "黄连", "黄芩", "干姜", "人参", "制巴戟天", "肉桂", "姜厚朴", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜", "炒酸枣仁"], "prev_gap": 11, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 47399, "pid": "P682dab1d620e", "date": "2025-08-09", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["当归", "赤小豆", "连翘", "菟丝子", "枸杞子", "盐车前子", "地黄", "牡蛎", "红景天", "酒黄精", "柏子仁", "炒酸枣仁", "人参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["赤小豆", "白花蛇舌草", "虎杖", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "党参", "白芍", "麸炒白术", "酒黄精", "熟地黄", "酒萸肉", "桂枝", "炙黄芪"], "prev_gap": 7, "visit_ix": 5, "n_visits": 24, "visit_ix_rx": 4, "n_rx": 23} {"rid": 47404, "pid": "Pa96fd6883b3c", "date": "2025-08-09", "sex": "男", "age": 38, "cc": "腰痛伴手足冷多年", "hpi": "腰痛乏力，手足冷，射精快，勃起硬度欠佳，易腹泻，易疲倦，尿频，夜尿2-3次，口干口苦，夜寐差易醒，脱发，手心汗出明显。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "制白附子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47407, "pid": "Pd600cac5c32c", "date": "2025-08-09", "sex": "男", "age": 31, "cc": "腰痛乏力伴射精快2年", "hpi": "腰痛乏力伴射精快，包皮刺痒，口渴，易困倦，长期熬夜，二便调，食纳可", "wm_dx": ["包皮龟头炎", "腰痛"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "人参", "蛇床子", "五倍子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47408, "pid": "P78684efa4664", "date": "2025-08-09", "sex": "男", "age": 28, "cc": "阴囊潮湿瘙痒尿频2年", "hpi": "近2年出现阴囊潮湿会阴潮湿，尿频，龟头敏感度高伴红疹，偶有小腹胀痛，夜寐差，口臭，易腹泻，性欲大", "wm_dx": ["慢性前列腺炎", "包皮龟头炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "地龙", "五加皮", "石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "赤小豆", "炒白扁豆", "麸炒苍术", "麸炒薏苡仁", "牛膝", "金樱子", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47433, "pid": "P6062b6546c35", "date": "2025-08-10", "sex": "男", "age": 81, "cc": "左侧腹股沟疼痛1月", "hpi": "1月前出现左侧腹股沟疼痛连及左侧下肢疼痛不适，排尿不畅，夜尿3-4次，尿不尽，腰痛", "wm_dx": ["精索静脉曲张", "腰痛"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "盐橘核", "郁金", "醋青皮", "燀桃仁", "红花", "当归", "赤芍", "法半夏", "忍冬藤", "白芍", "醋延胡索", "夏枯草", "路路通", "炒王不留行", "醋香附", "黄芪", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏", "炙淫羊藿"], "flags": [], "prev_rx": ["肉桂", "盐小茴香", "荔枝核", "盐橘核", "郁金", "醋青皮", "燀桃仁", "红花", "当归", "赤芍", "法半夏", "忍冬藤", "白芍", "醋延胡索", "夏枯草", "路路通", "炒王不留行", "醋香附", "黄芪", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏"], "prev_gap": 8, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 47436, "pid": "P10fee130bcd1", "date": "2025-08-10", "sex": "男", "age": 36, "cc": "腰痛乏力脱发3年", "hpi": "近3年工作劳累，熬夜，睡眠少，腰痛乏力，脱发，口干口苦，夜寐可，食纳可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "全蝎", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47443, "pid": "Pf18e1d3bbd84", "date": "2025-08-10", "sex": "男", "age": 30, "cc": "腰痛射精快2年", "hpi": "腰痛射精快2年，晨勃减退，偶有遗精，排尿可，怕冷，口干，胁肋痛，夜尿2-3次，小腹胀痛", "wm_dx": ["腰痛"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "熟地黄", "麸炒山药", "白芍", "韭菜子", "制巴戟天", "金樱子", "麸炒薏苡仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47448, "pid": "Pd48b40b2b20e", "date": "2025-08-10", "sex": "男", "age": 27, "cc": "腰痛伴龟头红疹1周", "hpi": "1周前出现腰痛伴龟头红疹，射精快，口干口苦", "wm_dx": ["腰痛"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "生地黄", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47456, "pid": "P3000947f306f", "date": "2025-08-11", "sex": "男", "age": 63, "cc": "复诊", "hpi": "血精复诊，有2次性生活，有深色。耳鸣，易汗，头蒙，纳可，寐多梦。", "wm_dx": ["精囊炎"], "tcm_dx": [["癃闭", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "龙骨", "牡蛎", "生石膏", "首乌藤", "炙甘草", "生姜", "大枣", "黑顺片", "白薇", "石菖蒲"], "flags": [], "prev_rx": ["桂枝", "白芍", "龙骨", "牡蛎", "生石膏", "首乌藤", "石菖蒲", "炙甘草", "生姜", "大枣"], "prev_gap": 7, "visit_ix": 3, "n_visits": 9, "visit_ix_rx": 2, "n_rx": 8} {"rid": 47464, "pid": "P853ac325c7b0", "date": "2025-08-11", "sex": "男", "age": 50, "cc": "血精复诊", "hpi": "半年前射精有血，口服抗生素后症状消失，近期又发现3次，精液带血，无腹痛，腰疼，尿黄，大便不成型，口和，纳可，怕冷", "wm_dx": ["精囊炎"], "tcm_dx": [["血精", "气滞血瘀证", "活血化瘀"]], "rx": ["甜叶菊叶", "党参", "黄芪", "山药", "麸炒白术", "麦冬", "石斛", "醋五味子", "玄参", "百合", "血余炭", "酒大黄", "麸炒枳壳", "砂仁", "烫水蛭", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47470, "pid": "Pb1b62d64e18e", "date": "2025-08-11", "sex": "男", "age": 55, "cc": "男性更年期综合征复查", "hpi": "男性更年期综合征复查 腰痛 疲劳乏力 大小便正常 纳可 眠安", "wm_dx": ["男性更年期综合征"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "枸杞子", "醋五味子", "石斛", "麸炒枳壳", "桔梗", "牛膝", "炙甘草", "烫水蛭", "麦冬"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 47477, "pid": "Pa14b6df0d55c", "date": "2025-08-11", "sex": "男", "age": 63, "cc": "复诊", "hpi": "夜尿3-5次，无力，不净， 失眠。汗多。便溏，口干口苦轻微。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["癃闭", "肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "桑螵蛸", "首乌藤", "炙甘草", "大枣", "生姜", "石菖蒲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47483, "pid": "Pdddd99866e4d", "date": "2025-08-11", "sex": "男", "age": 75, "cc": "复诊", "hpi": "自觉症状有所改善。肢冷，易汗。尿频，口干有口苦，阴囊潮湿", "wm_dx": ["代谢综合征"], "tcm_dx": [["房事阳痿", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "生石膏", "地龙", "九香虫", "炙甘草", "黄芩片", "姜厚朴"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "生石膏", "地龙", "九香虫", "炙甘草", "黑顺片"], "prev_gap": 21, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 47484, "pid": "P3823c2dbdbcd", "date": "2025-08-11", "sex": "男", "age": 39, "cc": "体检发现前列腺增大伴钙化", "hpi": "体检发现前列腺增大伴钙化 尿分叉 尿频 大便稀 纳可 眠安 小腹隐痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["炒酸枣仁", "太子参", "猪苓", "山药"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47489, "pid": "Pf768a59156df", "date": "2025-08-11", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "烫水蛭", "熟地黄", "酒萸肉", "泽泻", "麸炒山药", "牡丹皮", "知母", "盐黄柏", "醋龟甲", "炒谷芽", "麸炒枳壳", "炙甘草", "酒女贞子", "覆盆子", "菟丝子", "盐车前子", "韭菜子", "沙苑子", "炒酸枣仁", "太子参", "三七粉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47496, "pid": "P60fcdcbff129", "date": "2025-08-11", "sex": "男", "age": 54, "cc": "腰痛半年", "hpi": "腰痛半年 伴有中途疲软 大小便正常 纳可 眠安 晨勃消失 角膜炎一周取药", "wm_dx": ["角膜炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "知母", "盐黄柏", "醋龟甲", "砂仁", "麸炒枳壳", "炙甘草", "麸炒苍术", "麸炒芡实", "沙苑子", "北柴胡", "郁金", "醋青皮", "烫水蛭", "盐车前子", "炒蒺藜", "丁香", "木香", "制远志", "泽泻", "炒酸枣仁", "合欢皮", "太子参", "陈皮", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47500, "pid": "P1e9ceafac8d6", "date": "2025-08-11", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "伴有早泄 时间1分钟以内 大小便正常 纳可 眠安 勃起可 晨勃消失", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47501, "pid": "P46b06281853c", "date": "2025-08-11", "sex": "男", "age": 20, "cc": "腰痛半年", "hpi": "伴有晨勃消失 失眠 压力大 大小便正常 纳可 勃起不坚 早泄 盗汗 胁痛", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47507, "pid": "P65caf87d9e0f", "date": "2025-08-12", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠差 盗汗 口苦 口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "党参", "麸炒苍术", "茯苓", "枸杞子", "酒女贞子", "覆盆子", "醋五味子", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "盐杜仲", "牛膝", "韭菜子", "麸炒枳壳", "炙甘草", "烫水蛭", "防风"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 47511, "pid": "Ped0dac60366d", "date": "2025-08-12", "sex": "男", 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"滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "生地黄", "炒酸枣仁", "制远志", "石菖蒲"], "flags": [], "prev_rx": ["关黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "知母", "牛膝", "锁阳", "煅阳起石", "醋五味子", "菟丝子", "盐车前子", "覆盆子", "枸杞子", "炙黄芪", "桑螵蛸"], "prev_gap": 23, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 47523, "pid": "Pfe4cefa9585b", "date": "2025-08-12", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": "腰痛乏力，无其他不适症状", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47528, "pid": "P43e886673d7d", "date": "2025-08-12", "sex": "男", "age": 40, "cc": "腰痛乏力射精快多年", "hpi": "多年前出现腰痛乏力伴射精快，夜寐可，长期熬夜，盗汗，性欲大", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47541, "pid": "P9baece89f913", "date": "2025-08-12", "sex": "男", "age": 39, "cc": "腰疼2周", "hpi": "勃起硬度减，或不能持续。症状1-2年，近2周加重。腰疼，无尿。父亲高血压。易腹泻，排尿正常，喝水少，口干口苦，口气重，汗多，怕冷，睡眠中途醒，乏力感", "wm_dx": ["代谢综合征"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "连翘", "醋鸡内金", "煅牡蛎", "煅龙骨", "桂枝", "白芍", "柏子仁", "炒酸枣仁", "蜈蚣", "丹参"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "黄芩", "丹参", "鸡血藤", "茯苓", "当归", "川芎", "泽泻", "牡丹皮", "附片", "地龙", "炙淫羊藿", "制巴戟天"], "prev_gap": 35, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 7} {"rid": 47543, "pid": "Pe24d7cb17326", "date": "2025-08-12", "sex": "男", "age": 59, "cc": "尿频夜尿增多3年", "hpi": "尿频夜尿增多3年，勃起欠佳", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["酒苁蓉", "炙淫羊藿", "炙黄芪", "枸杞子", "酒黄精", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 47548, "pid": "P86ccf8a83233", "date": "2025-08-12", "sex": "男", "age": 43, "cc": "腰痛乏力多年", "hpi": "腰痛乏力，同房后乏力加重，勃起可，性欲减退，射精快，二便调，阴囊潮湿，口干，睡眠一般", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "湿热", "清热利湿"], ["乏力", "气虚", "补气"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["太子参", "桑椹", "酒黄精", "党参片", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47549, "pid": "P198a40055bee", "date": "2025-08-12", "sex": "男", "age": 79, "cc": "前列腺增生复查", "hpi": "前列腺增生复查 现夜尿增多，尿滴沥不尽，尿痛，怕冷， 腰疼痛3月27日在肿瘤科检查PSA6.86，尿白细胞高 包皮龟头炎一月余 湿疹取药", "wm_dx": ["泌尿系感染", "前列腺增生", "包皮龟头炎", "湿疹"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"], ["精癃", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "猪苓", "茯苓", "麸炒白术", "泽泻", "黑顺片", "乌药", "赤小豆"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 23, "n_visits": 35, "visit_ix_rx": 0, "n_rx": 12} {"rid": 47551, "pid": "P0423b4d23e31", "date": "2025-08-12", "sex": "男", "age": 52, "cc": "尿频10余年", "hpi": "乏力，时间下降，硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，多汗，睾丸坠痛感，怕热", "wm_dx": ["尿频", "前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "茯苓", "泽泻", "连翘", "柏子仁", "牡丹皮", "制远志", "石菖蒲", "炒蒺藜", "金樱子", "炒酸枣仁"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "茯苓", "泽兰", "泽泻", "当归", "川芎", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜", "金樱子"], "prev_gap": 11, "visit_ix": 3, "n_visits": 14, "visit_ix_rx": 3, "n_rx": 13} {"rid": 47564, "pid": "P745be893ca00", "date": "2025-08-13", "sex": "男", "age": 36, "cc": "尿频一周", "hpi": "尿频，女方流产一次，排尿正常，无怕冷，睡眠正常，纳可，大便正常，口气重，怕热", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "黄芩", "党参", "桂枝", "连翘", "醋鸡内金", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "虎杖", "白花蛇舌草", "赤小豆"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47574, "pid": "Pe207fe6dddbb", "date": "2025-08-13", "sex": "男", "age": 32, "cc": "尿频，尿急半年", "hpi": "尿频，尿急，尿等待，尿淋漓，色黄，矢气多，阴囊潮湿，夜尿多，时间短1-3分钟，大便正常，辛辣食物后大便干，睡眠一般，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "连翘", "赤小豆", "白花蛇舌草", "滑石", "淡竹叶", "北柴胡", "炒苦杏仁", "制远志", "麸炒薏苡仁", "石菖蒲", "盐蒺藜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 47576, "pid": "P594d7b346f83", "date": "2025-08-13", "sex": "男", "age": 35, "cc": "尿频尿急3年", "hpi": "3年前出现尿频尿急，工作久坐憋尿，阴囊潮湿，口干口苦，夜寐可，长期熬夜", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白花蛇舌草", "黄芪", "党参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47578, "pid": "P23ef2e1ca3ce", "date": "2025-08-13", "sex": "男", "age": 46, "cc": "尿频1年", "hpi": "尿频，晨勃有，偶有中途疲软，近期少腹坠胀，夜尿正常，大便正常，睡眠入睡困难，有夜班，纳一般，口干口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["炒苦杏仁", "麸炒薏苡仁", "草豆蔻", "龙胆", "泽泻", "小通草", "炒栀子", "路路通", "北柴胡", "制远志", "石菖蒲", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47604, "pid": "P91f8ccb0c955", "date": "2025-08-13", "sex": "男", "age": 61, "cc": "尿频 尿急1年余", "hpi": "尿频 尿急1年余 夜尿4-5次 排尿通畅 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["甜叶菊叶", "北柴胡", "白芍", "赤芍", "麸炒枳实", "炙甘草", "当归", "生地黄", "桃仁", "红花", "麸炒枳壳", "桔梗", "牛膝", "肉桂", "炒蒺藜", "丁香", "木香", "制远志", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47607, "pid": "Pfe2b89268d06", "date": "2025-08-14", "sex": "男", "age": 65, "cc": "阴囊瘙痒10天", "hpi": "阴囊瘙痒10天，反复抓挠，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["阴囊湿疹"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47608, "pid": "Paf5557fc2c43", "date": "2025-08-14", "sex": "男", "age": 37, "cc": "腰痛乏力6月", "hpi": "6月前出现腰痛乏力，记忆力减退，性欲减退，勃起可，偶有中途疲软，阴囊潮湿异味，尿道分泌物，尿不尽，夜寐可，长期熬夜。", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "茯苓", "菟丝子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47623, "pid": "P9a8a94d7a238", "date": "2025-08-14", "sex": "男", "age": 37, "cc": "腰痛伴射精快多年", "hpi": "腰痛伴射精快多年，手淫频繁，龟头敏感度高，口干口苦，夜寐差，盗汗，胁肋疼痛，易生气，龟头红疹", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝气郁结证", "疏肝散结"], ["湿疮", "下焦湿热证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["蛇床子", "醋五味子", "细辛", "金银花", "蒲公英", "地肤子", "制远志", "烫水蛭", "五加皮", "木香", "桂枝", "五倍子", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47624, "pid": "P4005f32aecf8", "date": "2025-08-14", "sex": "男", "age": 37, "cc": "右侧睾丸隐痛1月余", "hpi": "右侧睾丸隐痛1月余 小腹隐痛 尿频 尿急 尿等待大便正常 纳可 眠安 腰痛 乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "制巴戟天", "三七粉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47626, "pid": "P9f965abc9918", "date": "2025-08-14", "sex": "男", "age": 28, "cc": "性欲下降半年", "hpi": "性欲下降，3年检查染色体异常，既往口服十一酸睾丸酮胶囊，腰痛 盗汗 大小便正常 纳可 眠差", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["炒酸枣仁", "太子参", "山药", "制巴戟天", "知母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47631, "pid": "P734589ff0a4c", "date": "2025-08-15", "sex": "男", "age": 50, "cc": "尿频一年", "hpi": "尿频，硬度一般，中途疲软，大便正常，睡眠一般，纳可，口苦，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["醋北柴胡", "黄芩", "丹参", "鸡血藤", "茯苓", "泽泻", "柏子仁", "炒酸枣仁", "牡丹皮", "炒栀子", "制远志", "桃仁", "红花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47655, "pid": "P148d70aff47f", "date": "2025-08-15", "sex": "男", "age": 28, "cc": "尿频一月", "hpi": "有尝试性生活，有晨勃，手艺可，关键时不行，排尿正常，大便正常，纳可，口干", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "丹参", "鸡血藤", "柏子仁", "炒酸枣仁", "牡丹皮", "制巴戟天", "蜈蚣", "石菖蒲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 5} {"rid": 47660, "pid": "P8747b88389e5", "date": "2025-08-15", "sex": "男", "age": 74, "cc": "尿频3年", "hpi": "尿频，夜间有勃起，夜尿2次，大便正常，睡眠正常，口干，纳可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾气不充证", "补肾扶元"], ["精浊", "肾气不充证", "补肾扶元"]], "rx": ["韭菜子", "枸杞子"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 12, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47663, "pid": "Pda1fd77592f9", "date": "2025-08-15", "sex": "男", "age": 39, "cc": "腰痛伴勃起不坚1年", "hpi": "腰痛伴勃起不坚1年，可同房，晨勃可，中途疲软，性欲减退，夜寐可，长期饮酒，吃凉腹泻，口中和，乏力，嗜睡", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炮姜", "麸炒白术", "人参", "茯苓", "附片", "制巴戟天", "炙淫羊藿", "烫水蛭", "北柴胡"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 47675, "pid": "P89197c80363d", "date": "2025-08-16", "sex": "男", "age": 22, "cc": "腰痛伴勃起不坚复诊抄方", "hpi": "腰痛伴勃起不坚好转，性欲可，口干，尿频尿急，尿道口异物感，晨勃减少，盗汗", "wm_dx": ["泌尿系感染", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["桂枝", "麸炒苍术", "茯苓", "猪苓", "泽泻", "麸炒薏苡仁", "血余炭", "赤小豆", "当归"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47691, "pid": "Pcd24126940a3", "date": "2025-08-16", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["熟地黄", "酒萸肉", "泽泻", "菟丝子", "盐车前子", "覆盆子", "酒女贞子", "蛇床子", "韭菜子", "枸杞子", "麸炒枳壳", "黄连", "北柴胡", "合欢花", "合欢皮", "川楝子", "烫水蛭", "醋五味子", "炙甘草", "甜叶菊叶", "酒苁蓉", "制巴戟天", "炙淫羊藿", "仙茅"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47693, "pid": "P789df453a5c7", "date": "2025-08-16", "sex": "男", "age": 35, "cc": "腰痛复诊", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，反复小腹不适", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "麸炒苍术", "麸炒枳壳", "炒酸枣仁", "合欢花", "合欢皮", "盐车前子", "炒王不留行", "党参", "蒲黄"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "防风", "陈皮", "炒酸枣仁", "合欢花", "合欢皮", "盐车前子", "炒王不留行", "川芎", "蒲黄"], "prev_gap": 21, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 47706, "pid": "P9f09468d6d10", "date": "2025-08-16", "sex": "男", "age": 38, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 少腹隐痛 胁痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "心肾不交证", "交通心肾"], ["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["桂枝", "白芍", "炙甘草", "煅龙骨", "煅牡蛎", "炒酸枣仁", "知母", "茯神", "川芎", "关黄柏", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 9} {"rid": 47707, "pid": "P621772f3f2be", "date": "2025-08-16", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可眠安 早泄 时间短 龟头敏感", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47713, "pid": "P76c8ba74d8de", "date": "2025-08-16", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "枸杞子", "菟丝子", "盐车前子", "覆盆子", "韭菜子", "醋五味子", "麸炒枳壳", "烫水蛭", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47716, "pid": "P6d049d49f6fa", "date": "2025-08-16", "sex": "男", "age": 34, "cc": "阴囊潮湿半年余", "hpi": "阴囊潮湿半年余 大小便正常 纳可 眠安 腰痛", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "炒酸枣仁", "猪苓", "合欢皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47726, "pid": "P0c126eb89b1d", "date": "2025-08-16", "sex": "男", "age": 54, "cc": "失眠 腰痛取药", "hpi": "尿频，夜尿增多时有尿痛，大便粘，口干，失眠，脚怕冷 盗汗", "wm_dx": ["失眠", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["失眠", "血虚证", "补血养心"], ["腰痛", "肾阴虚证", "滋补肾阴"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "太子参", "山药", "陈皮", "知母", "合欢皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47729, "pid": "Pf03899eb1b76", "date": "2025-08-16", "sex": "男", "age": 42, "cc": "尿频20余天", "hpi": "排尿黄，大便粘，睡眠多梦，纳可，口气重，咽部不适感，鼻炎", "wm_dx": ["过敏性鼻炎[变应性鼻炎]"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["麻黄", "炒苦杏仁", "北柴胡", "黄芩片", "赤小豆", "白花蛇舌草", "茯苓", "泽泻", "滑石", "人参", "煅龙骨", "煅牡蛎", "桂枝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47734, "pid": "P682dab1d620e", "date": "2025-08-16", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["当归", "赤小豆", "白花蛇舌草", "菟丝子", "枸杞子", "盐车前子", "地黄", "牡蛎", "红景天", "酒黄精", "柏子仁", "炒酸枣仁", "人参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "赤小豆", "连翘", "菟丝子", "枸杞子", "盐车前子", "地黄", "牡蛎", "红景天", "酒黄精", "柏子仁", "炒酸枣仁", "人参"], "prev_gap": 7, "visit_ix": 6, "n_visits": 24, "visit_ix_rx": 5, "n_rx": 23} {"rid": 47739, "pid": "P546093f18cd8", "date": "2025-08-16", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 失眠多梦", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "盐补骨脂", "酒黄精", "蛇床子", "韭菜子", "枸杞子", "菟丝子", "覆盆子", "石菖蒲", "制远志", "防风", "麸炒枳壳", "炒酸枣仁", "柏子仁", "炙甘草", "太子参", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47742, "pid": "Pa0a9c4f9e78c", "date": "2025-08-16", "sex": "男", "age": 27, "cc": "尿急 尿频半年余", "hpi": "尿急 尿频半年余 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "山药"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, 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"酒女贞子", "茺蔚子", "醋五味子", "山药", "炙甘草", "太子参", "知母"], "prev_gap": 13, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 47764, "pid": "P06656fc567bd", "date": "2025-08-17", "sex": "男", "age": 28, "cc": "龟头溃疡一周", "hpi": "尿频，硬度好转，时间短2-3分钟，一周同房一次，晨勃可，大便一天一次，纳可，时有胃痛，胃镜-。睡眠一般，口苦。春秋换季时易发热", "wm_dx": ["慢性前列腺炎", "包皮龟头炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47765, "pid": "P1c9971b015ec", "date": "2025-08-17", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有早泄4年 时间1分钟以内 大小便正常 纳可 眠安 乏力疲劳 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": [], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "prev_gap": 21, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 6} {"rid": 47767, "pid": "P992d9a2047fb", "date": "2025-08-17", "sex": "男", "age": 63, "cc": "睾丸隐痛2天", "hpi": "睾丸隐痛2天 大小便正常 纳可 眠安", "wm_dx": ["鞘膜积液"], "tcm_dx": [["子痈", "气滞血瘀证", "活血化瘀"]], "rx": ["甜叶菊叶", "夏枯草", "浙贝母", "炒芥子", "川牛膝", "肉桂", "盐小茴香", "石菖蒲", "制远志", "防风", "荆芥", "白芷", "地龙", "烫水蛭", "麸炒枳壳", "党参", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47772, "pid": "Pf09af2beed6a", "date": "2025-08-17", "sex": "男", "age": 29, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "炒酸枣仁", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47773, "pid": "Pf504aa30df94", "date": "2025-08-17", "sex": "男", "age": 33, "cc": "腰痛复诊", "hpi": "腰痛复诊，硬度下降，性欲可，乏力，工作劳累可，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肝肾亏虚证", "清热利湿"]], "rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "盐补骨脂", "酒黄精", "茯苓", "陈皮", "麸炒枳壳", "砂仁", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "菟丝子", "韭菜子", "炙甘草", "烫水蛭", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 47779, "pid": "P35efbb8d4f66", "date": "2025-08-17", "sex": "男", "age": 37, "cc": "龟头自觉麻木感复诊", "hpi": "龟头自觉麻木感复诊，房事可，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。腰痛。包皮龟头炎一周余", "wm_dx": ["腰痛", "前列腺炎", "包皮龟头炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["湿疮", "热毒壅结证", "清热解毒"]], "rx": ["甜叶菊叶", "烫水蛭", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "覆盆子", "酒女贞子", "枸杞子", "熟地黄", "酒萸肉", "知母", "盐黄柏", "麸炒枳壳", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "菟丝子", "枸杞子", "山药", "酒苁蓉", 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"石菖蒲"], "prev_gap": 7, "visit_ix": 4, "n_visits": 9, "visit_ix_rx": 3, "n_rx": 8} {"rid": 47802, "pid": "P1caefb6db8fa", "date": "2025-08-18", "sex": "男", "age": 57, "cc": "排尿无力 不畅 腰酸痛一月余", "hpi": "排尿无力 不畅 腰酸痛一月余 大便正常 纳可 眠安 盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "猪苓", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47804, "pid": "P51f05eb00049", "date": "2025-08-18", "sex": "男", "age": 36, "cc": "腰痛复诊", "hpi": "腰痛复诊，硬度下降，早泄 性欲旺盛 盗汗，口干苦，大便稀，失眠，烦躁。熬夜。排气多 入睡困难 易醒", "wm_dx": ["腰痛", "失眠"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "制巴戟天", "炒酸枣仁", "合欢皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47805, "pid": "Pa14b6df0d55c", "date": "2025-08-18", "sex": "男", "age": 63, "cc": "复诊", "hpi": "夜尿3次，无力，不净，易汗怕热。汗多。便干，口苦口干不甚。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["癃闭", "肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "首乌藤", "炙甘草", "大枣", "生姜", "泽泻", "木香", "焦槟榔", "姜半夏", "茯苓", "白术"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "桑螵蛸", "首乌藤", "炙甘草", "大枣", "生姜", "石菖蒲"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 47807, "pid": "P6f1f22672219", "date": "2025-08-18", "sex": "男", "age": 35, "cc": "精子活力低4年", "hpi": "精子活力低4年 大小便正常 纳可 眠安", "wm_dx": ["男性不育症"], "tcm_dx": [["不育类病", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "覆盆子", "醋五味子", "枸杞子", "麸炒枳壳", "姜厚朴", "陈皮", "木香", "炙甘草", "菟丝子", "盐车前子", "酒女贞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47812, "pid": "P3057fed6a345", "date": "2025-08-18", "sex": "男", "age": 44, "cc": "尿频一年", "hpi": "病史同前，易汗，无肢冷，口苦不干，眠差，便溏1-2次。", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "首乌藤", "桂枝", "白芍", "牡蛎", "龙骨", "九香虫", "麸炒苍术", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 10} {"rid": 47816, "pid": "P206c769cc9c4", "date": "2025-08-18", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 勃起不坚", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "麸炒苍术", "猪苓", "泽泻", "石菖蒲", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "麸炒枳壳", "防风", "白芷", "盐车前子", "菟丝子", "覆盆子", "酒女贞子", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 47822, "pid": "Pdddd99866e4d", "date": "2025-08-18", "sex": "男", "age": 75, "cc": "复诊", "hpi": "病史同前。肢冷，易汗。尿频1-2次，口干口苦、阴囊潮湿均有减轻", "wm_dx": ["代谢综合征"], "tcm_dx": [["房事阳痿", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "生石膏", "地龙", "九香虫", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "生石膏", "地龙", "九香虫", "炙甘草", "黄芩片", "姜厚朴"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 47835, "pid": "P8da5cb675ef5", "date": "2025-08-18", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛半年 大便正常 尿频 纳可 眠安 多汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47846, "pid": "P65caf87d9e0f", "date": "2025-08-19", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠差 盗汗 口苦 口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "党参", "麸炒苍术", "茯苓", "枸杞子", "酒女贞子", "覆盆子", "醋五味子", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "盐杜仲", "牛膝", "韭菜子", "麸炒枳壳", "炙甘草", "烫水蛭", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "麸炒苍术", "茯苓", "枸杞子", "酒女贞子", "覆盆子", "醋五味子", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "盐杜仲", "牛膝", "韭菜子", "麸炒枳壳", "炙甘草", "烫水蛭", "防风"], "prev_gap": 7, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 47851, "pid": "Pbdb488f039ff", "date": "2025-08-19", "sex": "男", "age": 64, "cc": "腰痛伴勃起不坚1年", "hpi": "腰痛伴勃起不坚1年，大便正常，夜尿正常，口和，睡眠可，纳一般", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾气不充证", "补肾益精"]], "rx": ["人参", "白术", "丹参", "鸡血藤", "当归", "白芍", "制巴戟天", "肉桂", "麸炒薏苡仁", "柏子仁", "炒酸枣仁", "北柴胡", "茯苓", "川芎", "韭菜子", "炙淫羊藿", "龙胆", "炒栀子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["人参", "白术", "丹参", "鸡血藤", "当归", "白芍", "制巴戟天", "肉桂", "麸炒薏苡仁", "柏子仁", "炒酸枣仁", "北柴胡", "茯苓"], "prev_gap": 12, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 47853, "pid": "Pba1bfe1217e7", "date": "2025-08-19", "sex": "男", "age": 23, "cc": "勃起硬度欠佳射精快1年", "hpi": "勃起硬度欠佳射精快1年，晨勃可，下颚红疹，口中和，失眠多梦，尿黄，", "wm_dx": ["早泄"], "tcm_dx": [["房事早泄", "肾虚证", "补肾扶元"]], "rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "炙淫羊藿", "北柴胡", "太子参", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47864, "pid": "P43e886673d7d", "date": "2025-08-19", "sex": "男", "age": 40, "cc": "腰痛乏力射精快多年", "hpi": "多年前出现腰痛乏力伴射精快，夜寐可，长期熬夜，盗汗，性欲大", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 47873, "pid": "P2ba269d51b00", "date": "2025-08-19", "sex": "男", "age": 37, "cc": "腰痛伴勃起硬度欠佳3月", "hpi": "近3月出现腰痛伴勃起硬度欠佳，尿等待尿不尽，夜尿1次，口干口苦，夜寐可，长期熬夜，胁肋疼痛，易生气", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "川芎", "制巴戟天", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 47881, "pid": "P567a1cc3d906", "date": "2025-08-19", "sex": "男", "age": 48, "cc": "尿频一年", "hpi": "尿频，勃起困难，晨勃少，近2月明显加重，中途疲软。排尿正常，大便正常，纳可，睡眠正常，口和，无怕冷", "wm_dx": ["高脂血症"], "tcm_dx": [["精浊", "心肾不交证", "交通心肾"]], "rx": ["柏子仁", "炒酸枣仁", "人参", "丹参", "鸡血藤", "制远志", "制巴戟天", "桂枝", "燀桃仁", "红花", "石菖蒲", "牡丹皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47893, "pid": "Pd4591872c0e6", "date": "2025-08-19", "sex": "男", "age": 36, "cc": "尿频一年", "hpi": "尿频，中途疲软，时间短2-3分钟，多汗，无盗汗，乏力感，睡眠一般，早醒，纳一般，生冷易腹泻，口干，微怕冷", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "脾肾两虚证", "温补肾精"]], "rx": ["黄芩", "桂枝", "北柴胡", "干姜", "大枣", "生地黄", "柏子仁", "炒酸枣仁", "人参", "石菖蒲", "制远志", "醋五味子", "牡丹皮"], "flags": [], "prev_rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "附片", "柏子仁", "炒酸枣仁", "人参", "石菖蒲", "制远志", "醋五味子"], "prev_gap": 10, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 47897, "pid": "P693440996246", "date": "2025-08-20", "sex": "男", "age": 62, "cc": "腰痛半年", "hpi": "伴有早泄 射精无快感 勃起可 大小便正常 纳可 眠安 心情差", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳壳", "炙甘草", "烫水蛭", "全蝎", "麸炒苍术", "黄柏", "牛膝", "薏苡仁", "石菖蒲", "制远志", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "黄芩"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47903, "pid": "P3e286aa5e8ba", "date": "2025-08-20", "sex": "男", "age": 51, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 时间1分钟 勃起差 晨勃少 大小便正常 纳可 眠安 盗汗", "wm_dx": ["前列腺增生", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "prev_gap": 16, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 47905, "pid": "P4489dbab82f5", "date": "2025-08-20", "sex": "男", "age": 47, "cc": "射精无力一月", "hpi": "射精无力，硬度一般，中途疲软，时间短，精液量少，喝水即尿，大便不成型，纳可，口干口苦，出汗，睡眠一般多梦，怕冷冬天", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "牡丹皮", "当归", "防风", "桂枝", "白芍", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "地黄"], "flags": [], "prev_rx": ["肉桂", "黄连片", "熟地黄", "酒萸肉", "醋五味子", "地骨皮", "制巴戟天", "柏子仁", "炒酸枣仁", "人参", "石菖蒲", "盐蒺藜", "炙淫羊藿"], "prev_gap": 14, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 6} {"rid": 47908, "pid": "P4957cb724fd1", "date": "2025-08-20", "sex": "男", "age": 86, "cc": "前列腺增生复诊", "hpi": "4年前出现尿等待尿分叉，夜尿频，夜尿3-4次，无小腹胀痛，无用药，2025.6.9外院住院，发现血PSA升高111ng/ml，诊断前列腺增生，前列腺肿物，予非那雄胺片，盐酸坦索罗辛缓释胶囊口服，口服药物后出现周身瘙痒，大便干，厌食。现停药1月后瘙痒仍有，大便好转，厌食好转。2025.7.25外院行前列腺增强核磁检查，提示：良性前列腺增生6.0*5.3*5.8cm。血PSA:51.1ng/ml(2025.7.15),前列腺特异抗原，46.76ng/mL，*游离前列腺特异性抗原，7.21ng/ml，PSA比值，0.15(2025.8.17)；刻下症：尿等待尿分叉，尿频，夜尿多明显好转，食欲佳。周身瘙痒未见好转，近2周双下肢水肿。", "wm_dx": ["过敏性皮炎", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "猪苓"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "天花粉", "墨旱莲"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 47912, "pid": "P937378cd95a3", "date": "2025-08-20", "sex": "男", "age": 31, "cc": "右侧睾丸隐痛感10天", "hpi": "10天前无明显诱因，始觉睾丸部隐痛感，时作时缓无尿痛。一周前外院查精液、尿常规，PR 80%。腰痛。口干。盗汗。大便质粘。睡眠可。足癣湿疹取药", "wm_dx": ["附睾囊肿", "慢性前列腺炎", "湿疹", "足癣"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "麸炒枳壳", "桔梗", "砂仁", "木香", "炙甘草", "防风", "川楝子", "炒王不留行", "醋五灵脂", "蒲黄", "赤芍", "醋香附"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47916, "pid": "Pcbf2a9d81773", "date": "2025-08-20", "sex": "男", "age": 34, "cc": "右侧腹股沟连及右侧睾丸疼痛3天", "hpi": "右侧腹股沟连及右侧睾丸疼痛3天 大小便正常 纳可 眠安宁 腰痛一月", "wm_dx": ["鞘膜积液"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "制巴戟天", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47918, "pid": "P0291f989d0a7", "date": "2025-08-20", "sex": "男", "age": 21, "cc": "早泄一周", "hpi": "早泄 大小便正常 纳可 眠安", "wm_dx": ["早泄"], "tcm_dx": [["房事早泄", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47925, "pid": "Pf63a8790ed1d", "date": "2025-08-20", "sex": "男", "age": 26, "cc": "尿频一月", "hpi": "尿频，中途疲软，同房感觉不明显，睡眠正常，纳可，口和，大便正常", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "当归", "川芎", "石菖蒲", "制远志", "柏子仁", "炒酸枣仁", "牡丹皮", "郁金", "人参", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47927, "pid": "P0423b4d23e31", "date": "2025-08-20", "sex": "男", "age": 52, "cc": "尿频10余年", "hpi": "乏力，时间下降，硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，多汗，睾丸坠痛感，怕热", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "茯苓", "泽泻", "黄连", "柏子仁", "炒酸枣仁", "牡丹皮", "制远志", "石菖蒲", "炒蒺藜", "甘草"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "茯苓", "泽泻", "连翘", "柏子仁", "牡丹皮", "制远志", "石菖蒲", "炒蒺藜", "金樱子", "炒酸枣仁"], "prev_gap": 8, "visit_ix": 4, "n_visits": 14, "visit_ix_rx": 4, "n_rx": 13} {"rid": 47940, "pid": "Pf6828dd205e9", "date": "2025-08-20", "sex": "男", "age": 26, "cc": "尿频一月", "hpi": "尿频，2次同房经历，一次未成功，一次时间短，排尿正常，大便正常，睡眠正常，纳一般，口干", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "石菖蒲", "盐蒺藜", "制远志", "柏子仁", "炒酸枣仁", "牡丹皮", "北柴胡", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47950, "pid": "P79758af46a8a", "date": "2025-08-21", "sex": "男", "age": 61, "cc": "泌尿系结石复诊", "hpi": "尿痛伴血尿明显好转，尿频，无小腹胀痛,腰痛乏力，多汗", "wm_dx": ["泌尿系结石"], "tcm_dx": [["石淋", "下焦湿热证", "清热利湿"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["太子参", "猪苓", "黄芪", "桑椹"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47965, "pid": "P392266ce6144", "date": "2025-08-21", "sex": "男", "age": 33, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，工作熬夜，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，汗多", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 47977, "pid": "P5e40a4b0b36c", "date": "2025-08-21", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，熬夜多，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["菟丝子", "制巴戟天", "覆盆子", "枸杞子", "金樱子", "盐车前子", "熟地黄", "炙淫羊藿", "沙苑子", "太子参", "制远志", "知母", "丹参", "麸炒白术", "醋香附", "炒酸枣仁", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47978, "pid": "Pf16631c5e970", "date": "2025-08-21", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，硬度一般，性欲可，性生活不规律，工作可，同居感情可，大便质稀，失眠，胁痛，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "当归"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47979, "pid": "Pa9e6e23796a5", "date": "2025-08-21", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作可，同居感情可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "当归"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47984, "pid": "P2e57148fba1f", "date": "2025-08-22", "sex": "男", "age": 33, "cc": "尿频4年", "hpi": "尿频，硬度正常，时间短1-2分钟，排尿正常，大便正常，纳可，睡眠正常，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "柏子仁", "炒酸枣仁", "人参", "制巴戟天", "石菖蒲", "炒蒺藜", "丹参", "甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47985, "pid": "P98ce72822346", "date": "2025-08-22", "sex": "男", "age": 79, "cc": "尿急6月", "hpi": "尿急6月，稍尿频，无尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗", "wm_dx": ["前列腺增生", "冠状动脉粥样硬化"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["心痹", "气阴两虚证", "补益气阴"]], "rx": ["当归", "炒酸枣仁", "麦冬", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47988, "pid": "Pfec4e2003103", "date": "2025-08-22", "sex": "男", "age": 35, "cc": "尿频半年", "hpi": "尿频，憋不住尿，睡前尿意明显，无尿痛，色黄，无腹痛，无腰疼，大便正常，睡眠一般浅，纳可，口干，无怕冷，阴囊潮湿", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "连翘", "赤小豆", "白花蛇舌草", "人参", "阿胶珠", "猪苓", "茯苓", "滑石", "泽泻"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 47995, "pid": "P18e2eb293740", "date": "2025-08-22", "sex": "男", "age": 34, "cc": "腰痛乏力1月", "hpi": "腰痛乏力，近期想生育，大便正常，排尿正常，睡眠正常，遇寒易腹泻", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "茯苓", "猪苓", "菟丝子", "覆盆子", "盐车前子", "人参", "红景天", "白术"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48008, "pid": "P0ba2d8917ba4", "date": "2025-08-22", "sex": "男", "age": 37, "cc": "查精子", "hpi": "6月1日在韩国行结扎复通手术，外院检查可见精子。排尿正常，大便正常，睡眠可，纳可，口和，怕热，阴囊潮湿", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "连翘", "赤小豆", "炒苦杏仁", "薏苡仁", "草豆蔻", "滑石", "姜厚朴", "法半夏", "菟丝子", "盐车前子", "牡蛎", "红景天", "醋龟甲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48010, "pid": "Pec17348683eb", "date": "2025-08-22", "sex": "男", "age": 62, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，中途疲软，性欲可，乏力，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，自觉睾丸皮肤紧绷消失。夜尿0次。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "太子参", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "炒酸枣仁", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓"], "prev_gap": 25, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48022, "pid": "P6aa0397bd292", "date": "2025-08-23", "sex": "男", "age": 66, "cc": "包皮龟头炎刺痒一年余", "hpi": "包皮龟头炎刺痒一年余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "百部", "白芷", "金银花", "蒲公英", "白花蛇舌草", "黄连", "连翘", "栀子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48026, "pid": "P6062b6546c35", "date": "2025-08-23", "sex": "男", "age": 81, "cc": "左侧腹股沟疼痛1月", "hpi": "1月前出现左侧腹股沟疼痛连及左侧下肢疼痛不适，排尿不畅，夜尿3-4次，尿不尽，腰痛，身僵硬，左侧上臂轻度水肿。", "wm_dx": ["精索静脉曲张", "腰痛", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "盐橘核", "郁金", "醋青皮", "燀桃仁", "红花", "当归", "赤芍", "法半夏", "忍冬藤", "白芍", "醋延胡索", "夏枯草", "路路通", "炒王不留行", "醋香附", "丹参", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏", "炙淫羊藿"], "flags": [], "prev_rx": ["肉桂", "盐小茴香", "荔枝核", "盐橘核", "郁金", "醋青皮", "燀桃仁", "红花", "当归", "赤芍", "法半夏", "忍冬藤", "白芍", "醋延胡索", "夏枯草", "路路通", "炒王不留行", "醋香附", "黄芪", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏", "炙淫羊藿"], "prev_gap": 13, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 48029, "pid": "Pbe5ed9dfa7e3", "date": "2025-08-23", "sex": "男", "age": 70, "cc": "尿频尿急6月", "hpi": "6月前出现尿频尿急，夜尿1-2次，日间尿频严重，阴囊潮湿，无小腹胀痛，口干口苦，夜寐可，食纳可", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "血瘀证", "活血化瘀"], ["精癃", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "麸炒苍术", "麸炒薏苡仁", "牛膝", "太子参", "黄芪", "醋五味子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48032, "pid": "Pa064988b3cc4", "date": "2025-08-23", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 多汗 盗汗 失眠", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "山药", "炒酸枣仁", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48041, "pid": "P6252cd3c3c37", "date": "2025-08-23", "sex": "男", "age": 33, "cc": "尿不尽一年", "hpi": "尿不尽，近一月出现夜尿1次，无尿痛，少腹正常，无腰疼，大便不成型，纳可，睡眠可，早醒，口干口苦，怕冷怕热，出汗，盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "滑石", "人参", "当归", "连翘", "赤小豆", "白花蛇舌草", "茯苓", "猪苓", "桂枝", "泽泻", "煅龙骨"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 8} {"rid": 48045, "pid": "Pb6a4ed6f263a", "date": "2025-08-23", "sex": "男", "age": 32, "cc": "腰痛半年", "hpi": "腰痛半年 伴有中途疲软 早泄 多汗 自汗 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "制巴戟天", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 48046, "pid": "P11f878fa9eb4", "date": "2025-08-23", "sex": "男", "age": 41, "cc": "尿频半年", "hpi": "献血后自觉晨勃少，硬度一般，排尿正常，大便不成型，不能吃辛辣生冷，睡眠一般，入睡差，口干口苦，乏力", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "人参", "干姜", "柏子仁", "炒酸枣仁", "制巴戟天", "丹参", "鸡血藤", "茯苓", "当归", "枸杞子", "炙淫羊藿", "白芍"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "人参", "干姜", "柏子仁", "炒酸枣仁", "制巴戟天", "丹参", "鸡血藤", "茯苓", "白术", "菟丝子", "炙淫羊藿"], "prev_gap": 14, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 48050, "pid": "P792954c0c3c0", "date": "2025-08-23", "sex": "男", "age": 32, "cc": "腰痛乏力1月", "hpi": "腰痛乏力1月 盗汗 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "山药", "炒酸枣仁", "制巴戟天", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 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眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["当归", "赤小豆", "干姜", "菟丝子", "枸杞子", "盐车前子", "熟地黄", "牡蛎", "红景天", "酒黄精", "柏子仁", "炒酸枣仁", "人参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "赤小豆", "白花蛇舌草", "菟丝子", "枸杞子", "盐车前子", "地黄", "牡蛎", "红景天", "酒黄精", "柏子仁", "炒酸枣仁", "人参"], "prev_gap": 7, "visit_ix": 7, "n_visits": 24, "visit_ix_rx": 6, "n_rx": 23} {"rid": 48076, "pid": "P09476fb19f79", "date": "2025-08-23", "sex": "男", "age": 29, "cc": "腰痛乏力2周", "hpi": "腰痛乏力2周，长期熬夜，夜寐差，口干工作劳累 加班多 腹胀 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝气郁结证", "疏肝散结"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "山药", "陈皮", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48079, "pid": "P77d74d1e8fb3", "date": "2025-08-23", "sex": "男", "age": 27, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力复诊，勃起欠佳，射精快，晨勃消失， 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 12, "visit_ix_rx": 0, "n_rx": 6} {"rid": 48081, "pid": "Pdc8e5272a1f4", "date": "2025-08-23", "sex": "男", "age": 30, "cc": "尿频尿急复诊", "hpi": "尿频尿急复诊 腰痛 胁痛 少腹隐痛 盗汗 失眠", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["太子参", "山药", "陈皮", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 9, "n_visits": 12, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48091, "pid": "P4e91d0b6b136", "date": "2025-08-24", "sex": "男", "age": 30, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，近期想生育，同房频率1周一次，长期熬夜，工作劳累，性欲减退，晨勃消失，勃起可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "韭菜子", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48111, "pid": "P97c9e538e741", "date": "2025-08-24", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "伴有早泄 晨勃无 大小便正常 纳可 眠安 腰痛 盗汗,龟头红疹", "wm_dx": ["焦虑状态"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48126, "pid": "P00babe4e6541", "date": "2025-08-24", "sex": "男", "age": 37, "cc": "腰痛乏力1月", "hpi": "腰痛乏力1月，近期想生育，无其他不适症状", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48148, "pid": "P3000947f306f", "date": "2025-08-25", "sex": "男", "age": 63, "cc": "复诊", "hpi": "少量血色浅，有1次性生活。耳鸣，易汗，腰、脚凉可，寐多梦。", "wm_dx": ["精囊炎"], "tcm_dx": [["癃闭", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "龙骨", "牡蛎", "黑顺片", "首乌藤", "白薇", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "龙骨", "牡蛎", "生石膏", "黑顺片", "首乌藤", "白薇", "石菖蒲", "炙甘草", "生姜", "大枣"], "prev_gap": 7, "visit_ix": 5, "n_visits": 9, "visit_ix_rx": 4, "n_rx": 8} {"rid": 48150, "pid": "Pf04c7acb4e10", "date": "2025-08-25", "sex": "男", "age": 39, "cc": "腰痛半年", "hpi": "疲劳乏力 工作劳累 长期熬夜 多梦失眠 大便正常 纳可 盗汗 晨勃少 尿频 尿急 尿等待", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "醋龟甲", "陈皮", "木香", "麸炒枳壳", "党参", "黄芪", "山药", "麸炒白术", "盐补骨脂", "酒黄精", "肉桂", "茯苓", "石菖蒲", "肉苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "炙甘草", "覆盆子", "太子参", "麦冬", "山慈菇"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48154, "pid": "P3057fed6a345", "date": "2025-08-25", "sex": "男", "age": 44, "cc": "复诊", "hpi": "病史同前，夜尿1-2次，易汗，无肢冷，口干，眠差，便溏1-2次。湿疹减轻", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["酒黄芩", "党参片", "姜半夏", "首乌藤", "九香虫", "麸炒苍术", "炙甘草", "黄连片", "干姜"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "首乌藤", "桂枝", "白芍", "牡蛎", "龙骨", "九香虫", "麸炒苍术", "炙甘草"], "prev_gap": 7, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 10} {"rid": 48158, "pid": "P2f7fc3511848", "date": "2025-08-25", "sex": "男", "age": 41, "cc": "复诊", "hpi": "会阴部疼痛消失，勃起差，便调。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["白芍", "九香虫", "炙甘草", "麸炒枳实", "北柴胡", "姜厚朴", "地龙", "蜂房"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 48164, "pid": "Pb1b62d64e18e", "date": "2025-08-25", "sex": "男", "age": 55, "cc": "男性更年期综合征复查", "hpi": "男性更年期综合征复查 腰痛 疲劳乏力 大小便正常 纳可 眠安", "wm_dx": ["男性更年期综合征"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "枸杞子", "醋五味子", "石斛", "麸炒枳壳", "桔梗", "牛膝", "炙甘草", "烫水蛭", "麦冬", "玄参", "制何首乌", "桑椹", "大血藤", "砂仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "枸杞子", "醋五味子", "石斛", "麸炒枳壳", "桔梗", "牛膝", "炙甘草", "烫水蛭", "麦冬"], "prev_gap": 14, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 48170, "pid": "Pd27dce2136fe", "date": "2025-08-25", "sex": "男", "age": 47, "cc": "复诊", "hpi": "便干。排尿畅。曾换心脏瓣膜。服药。戒酒", "wm_dx": ["前列腺炎", "代谢综合征"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "醋五味子", "牡蛎", "地龙", "炙甘草", "龙骨"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "醋五味子", "牡蛎", "地龙", "炙甘草", "火麻仁"], "prev_gap": 21, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 5} {"rid": 48184, "pid": "P65caf87d9e0f", "date": "2025-08-26", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠差 盗汗 口苦 口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["肉桂", "黄连", "当归", "白芍", "熟地黄", "川芎", "石斛", "玄参", "天花粉", "大血藤", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "防风", "麸炒枳壳", "炙甘草", "甜叶菊叶", "菟丝子", "烫水蛭", "酒女贞子", "覆盆子", "盐车前子", "枸杞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "麸炒苍术", "茯苓", "枸杞子", "酒女贞子", "覆盆子", "醋五味子", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "盐杜仲", "牛膝", "韭菜子", "麸炒枳壳", "炙甘草", "烫水蛭", "锁阳"], "prev_gap": 7, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 48186, "pid": "P178e6ca946b5", "date": "2025-08-26", "sex": "男", "age": 61, "cc": "腰痛伴勃起中途疲软3月", "hpi": "近3月出现腰痛乏力，勃起中途疲软，口中和，夜寐差", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "韭菜子", "锁阳", "沙苑子", "仙茅", "制巴戟天", "熟地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48188, "pid": "Pfc9a0dc8a4f4", "date": "2025-08-26", "sex": "男", "age": 63, "cc": "尿频尿急尿痛尿失禁8年", "hpi": "8年前因马尾神经受损出现尿失禁，现尿频尿急伴尿痛，偶有尿失禁，夜尿1次，小腹胀痛，口中和，夜寐可。", "wm_dx": ["慢性前列腺炎", "前列腺增生", "高血压", "高脂血症"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "血瘀证", "活血化瘀"]], "rx": ["炙淫羊藿", "车前草", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "盐益智仁", "麸炒山药", "金樱子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48196, "pid": "Pad57885a6b75", "date": "2025-08-26", "sex": "男", "age": 30, "cc": "腰痛乏力6月", "hpi": "6月前出现腰痛乏力，长期熬夜，夜班频繁，夜寐可，口中和，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["关黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "知母", "牛膝", "锁阳", "煅阳起石", "醋五味子", "菟丝子", "盐车前子", "覆盆子", "枸杞子", "炙黄芪", "桑螵蛸", "北柴胡", "酒白芍"], "flags": [], "prev_rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "生地黄", "炒酸枣仁", "制远志", "石菖蒲"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 48204, "pid": "P9baece89f913", "date": "2025-08-26", "sex": "男", "age": 39, "cc": "腰疼2周", "hpi": "勃起硬度减，或不能持续。症状1-2年，近2周加重。腰疼，无尿。父亲高血压。易腹泻，排尿正常，喝水少，口干口苦，口气重，汗多，怕冷，睡眠中途醒，乏力感", "wm_dx": ["代谢综合征"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "赤小豆", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "煅龙骨", "煅牡蛎", "茯苓", "制巴戟天", "炒酸枣仁"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "连翘", "醋鸡内金", "煅牡蛎", "煅龙骨", "桂枝", "白芍", "柏子仁", "炒酸枣仁", "蜈蚣", "丹参"], "prev_gap": 14, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 7} {"rid": 48207, "pid": "P52835c321770", "date": "2025-08-26", "sex": "男", "age": 40, "cc": "尿频半年", "hpi": "尿频，中途疲软，睡眠一般，纳可，口和，排尿正常，大便正常，服药后睡眠好转，不欲射精", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["柏子仁", "炒酸枣仁", "醋五味子", "菟丝子", "人参", "路路通", "熟地黄", "茯苓", "酒黄精", "丹参", "鸡血藤", "制巴戟天", "白术"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 8} {"rid": 48218, "pid": "P9a9fc099f5c1", "date": "2025-08-26", "sex": "男", "age": 34, "cc": "尿频一年", "hpi": "尿频，硬度不够，中途疲软，时间短2-3分钟，异地1-2月回家一次，尿浑浊，泡沫，大便时干时不成型，睡眠可，纳可，口渴。腰疼", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐黄柏", "生地黄", "牡丹皮", "酒萸肉", "山药", "茯苓", "泽泻", "人参", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48221, "pid": "P198a40055bee", "date": "2025-08-26", "sex": "男", "age": 79, "cc": "前列腺增生复查", "hpi": "前列腺增生复查 现夜尿增多，尿滴沥不尽，尿痛，怕冷， 腰疼痛3月27日在肿瘤科检查PSA6.86，尿白细胞高 包皮龟头炎一月余 现尿痛，尿费劲，口服头孢后尿WBC582，失眠，关节痛", "wm_dx": ["失眠", "包皮龟头炎", "前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "肾气不充证", "补肾扶元"], ["痹证类病", "气滞血瘀证", "活血止痛"]], "rx": ["桂枝", "黑顺片", "地黄", "山药", "酒萸肉", "牡丹皮", "茯苓", "泽泻", "路路通", "燀桃仁", "红花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "猪苓", "茯苓", "麸炒白术", "泽泻", "黑顺片", "乌药", "赤小豆"], "prev_gap": 14, "visit_ix": 24, "n_visits": 35, "visit_ix_rx": 1, "n_rx": 12} {"rid": 48232, "pid": "P0423b4d23e31", "date": "2025-08-27", "sex": "男", "age": 52, "cc": "尿频10余年", "hpi": "乏力，时间下降，硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，多汗，睾丸坠痛感，怕热", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["生地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "桂枝", "附片", "制巴戟天", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜", "人参", "甘草"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "茯苓", "泽泻", "黄连", "柏子仁", "炒酸枣仁", "牡丹皮", "制远志", "石菖蒲", "炒蒺藜", "甘草"], "prev_gap": 7, "visit_ix": 5, "n_visits": 14, "visit_ix_rx": 5, "n_rx": 13} {"rid": 48238, "pid": "Pab273788a770", "date": "2025-08-27", "sex": "男", "age": 25, "cc": "阴囊炎一年余加重三周", "hpi": "阴囊炎一年余加重三周 大便正常 纳可 眠安 尿频 尿急 尿等待", "wm_dx": ["阴囊炎", "慢性前列腺炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "百部", "黄连", "连翘", "栀子", "金银花", "蒲公英", "白花蛇舌草", "土茯苓", "大黄", "当归", "防风", "荆芥", "地肤子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48239, "pid": "P1a4f92ea2b74", "date": "2025-08-27", "sex": "男", "age": 72, "cc": "血尿复诊", "hpi": "血尿复诊 小腹疼痛好转 后腰部疼痛好转 大便正常 纳可 眠安", "wm_dx": ["前列腺增生", "慢性前列腺炎", "泌尿系感染", "泌尿系结石"], "tcm_dx": [["石淋", "湿热下注证", "清热利湿"]], "rx": ["甜叶菊叶", "党参", "黄芪", "瞿麦", "萹蓄", "绵萆薢", "虎杖", "茵陈", "海金沙", "醋鸡内金", "广金钱草", "麸炒枳壳", "丹参", "茯苓", "烫水蛭", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48241, "pid": "P911a630c0494", "date": "2025-08-27", "sex": "男", "age": 33, "cc": "尿频5-6年", "hpi": "尿频，硬度不够，中途疲软，时间短1-3分钟，喝水即有尿意，大便正常，耳鸣，睡眠一般，纳可，晨起口苦，无怕冷，手脚发凉", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "人参", "茵陈", "麸炒枳实", "白芍", "地黄", "鸡血藤", "丹参", "石菖蒲", "盐蒺藜", "茯苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 48244, "pid": "P726e7017be64", "date": "2025-08-27", "sex": "男", "age": 34, "cc": "盗汗5-6年", "hpi": "盗汗，多汗，吃饭时出汗，无怕冷，怕热，大便不成型。排尿正常，睡眠早醒，口干喝水，硬度一般", "wm_dx": ["盗汗", "附睾囊肿"], "tcm_dx": [["盗汗", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "生地黄", "白花蛇舌草", "连翘", "制远志", "石菖蒲", "牡丹皮", "柏子仁", "炒酸枣仁", "桑叶"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48248, "pid": "P24dc3da6dbb2", "date": "2025-08-27", "sex": "男", "age": 25, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48255, "pid": "P2d2881056e33", "date": "2025-08-27", "sex": "男", "age": 39, "cc": "尿频一月", "hpi": "尿频，勃起一般，晨勃少，时间短1-2分钟，大小便正常，口和，睡眠正常", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["精浊", "肾气不足证", "补肾扶元"]], "rx": ["北柴胡", "黄芩", "柏子仁", "炒酸枣仁", "牡丹皮", "制远志", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48259, "pid": "P8dd55535cc03", "date": "2025-08-27", "sex": "男", "age": 48, "cc": "前列腺增生复诊", "hpi": "尿分叉，尿频，尿后余沥，尿涩痛，腰痛 脚踝扭伤行动不便 少腹隐痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["太子参", "山药", "陈皮", "猪苓", "制巴戟天", "三七粉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48262, "pid": "Pc8866ae65fe9", "date": "2025-08-28", "sex": "男", "age": 46, "cc": "小腹胀痛2周", "hpi": "2周前出现小腹胀痛，排尿可，体检：前列腺增大伴钙化2.9*4.3*3.0cm", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精癃", "热毒壅结证", "清热解毒"]], "rx": ["罗汉果", "陈皮", "酒黄精", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48269, "pid": "P376d08f2e711", "date": "2025-08-28", "sex": "男", "age": 43, "cc": "小腹下坠感伴尿频2周", "hpi": "小腹下坠感伴尿频2周，夜尿4-5次", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热证", "清热利湿"], ["咳嗽", "痰热证", "清热化痰"]], "rx": ["薏苡仁", "淡竹叶", "豆蔻", "黄芩片", "蓼大青叶", "盐补骨脂", "甘草片", "牡丹皮", "马齿苋", "木贼", "茵陈", "北柴胡", "龙胆", "夏枯草", "炒酸枣仁", "茯神"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 3} {"rid": 48271, "pid": "Pb913f084729a", "date": "2025-08-28", "sex": "男", "age": 74, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频、尿急，无尿线细、尿等待、尿后余沥，夜尿0-1次，无小腹及会阴不适，大便质干，纳可，眠可。口服特拉唑嗪后血压偏低。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["炒酸枣仁", "川牛膝", "黄芪", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48272, "pid": "P8207a2e50594", "date": "2025-08-28", "sex": "男", "age": 28, "cc": "阴囊湿疹1月", "hpi": "阴囊湿疹1月，色红，脱皮，稍有刺痛，无排尿不适，眠可", "wm_dx": ["湿疹"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48306, "pid": "P750fb1c587dc", "date": "2025-08-28", "sex": "男", "age": 37, "cc": "腰痛2周", "hpi": "腰痛2周，乏力，汗多，工作熬夜，眠可，二便调，口干", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肝肾亏虚证", "滋补肾精"]], "rx": ["炒酸枣仁", "黄芪", "太子参", "醋五味子"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48312, "pid": "P734589ff0a4c", "date": "2025-08-29", "sex": "男", "age": 50, "cc": "尿频一年", "hpi": "尿频，硬度一般，中途疲软，大便正常，睡眠一般，纳可，口苦，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["醋北柴胡", "黄芩", "丹参", "鸡血藤", "茯苓", "泽泻", "柏子仁", "炒酸枣仁", "牡丹皮", "炒栀子", "制远志", "桃仁", "红花"], "flags": [], "prev_rx": ["醋北柴胡", "黄芩", "丹参", "鸡血藤", "茯苓", "泽泻", "柏子仁", "炒酸枣仁", "牡丹皮", "炒栀子", "制远志", "桃仁", "红花"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48331, "pid": "Pff307c591bed", "date": "2025-08-29", "sex": "男", "age": 57, "cc": "阵发性血精半年", "hpi": "阵发性血精，色暗，无射精痛，排尿正常，无尿痛，现尿道有血，服药后，血精消失，血尿无，现大便略干，口和，睡眠正常，着凉腰背痛，有汗", "wm_dx": ["精囊炎"], "tcm_dx": [["血精", "气滞血瘀证", "活血止血"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "茯苓", "牡丹皮", "葛根", "蒲黄炭", "麻黄", "柏子仁", "炒酸枣仁", "阿胶珠", "猪苓", "滑石"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "盐杜仲", "牡丹皮", "葛根", "黄芩片", "党参片", "蒲黄炭", "火麻仁", "甘草片", "炒酸枣仁", "黄芪"], "prev_gap": 22, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 48337, "pid": "Pac5836259528", "date": "2025-08-29", "sex": "男", "age": 71, "cc": "少腹隐痛一月余", "hpi": "尿前小腹涨热，排尿无不适，腰椎疼痛，近期饮酒多，夜尿1次，便秘", "wm_dx": ["前列腺增生", "高血压", "便秘"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["失眠", "肝郁血瘀证", "疏肝化瘀"]], "rx": ["熟地黄", "菟丝子", "醋延胡索", "川牛膝", "炒王不留行", "盐黄柏", "茯苓", "山药", "浙贝母", "泽泻", "桔梗", "酒萸肉", "薏苡仁", "黄芪", "柏子仁", "烫水蛭", "制远志"], "flags": [], "prev_rx": ["熟地黄", "菟丝子", "醋延胡索", "川牛膝", "炒王不留行", "盐黄柏", "茯苓", "山药", "浙贝母", "泽泻", "桔梗", "酒萸肉", "薏苡仁", "黄芪", "柏子仁", "烫水蛭", "制远志"], "prev_gap": 29, "visit_ix": 12, "n_visits": 17, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48349, "pid": "P855c48e128e3", "date": "2025-08-30", "sex": "男", "age": 68, "cc": "排尿不畅小腹胀痛5年", "hpi": "5年前出现排尿不畅伴小腹胀痛，夜尿3-5次，口干口苦，夜寐可，", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "昆布", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "小通草", "麸炒冬瓜子", "苦参", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "夏枯草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48358, "pid": "P5884f9bf0840", "date": "2025-08-30", "sex": "男", "age": 31, "cc": "腰痛乏力下肢无力射精快2年", "hpi": "2年前出现腰痛乏力下肢无力射精快，尿频尿急，口干无口苦，夜寐可，龟头敏感度高，龟头红疹", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热解毒"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "锁阳", "蛇床子", "五倍子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "地龙", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48362, "pid": "P682dab1d620e", "date": "2025-08-30", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["当归", "赤小豆", "干姜", "菟丝子", "枸杞子", "盐车前子", "熟地黄", "牡蛎", "红景天", "酒黄精", "柏子仁", "炒酸枣仁", "人参", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "赤小豆", "干姜", "菟丝子", "枸杞子", "盐车前子", "熟地黄", "牡蛎", "红景天", "酒黄精", "柏子仁", "炒酸枣仁", "人参"], "prev_gap": 7, "visit_ix": 8, "n_visits": 24, "visit_ix_rx": 7, "n_rx": 23} {"rid": 48392, "pid": "P9924a6a8844d", "date": "2025-08-30", "sex": "男", "age": 35, "cc": "尿无力2月", "hpi": "尿无力，尿分叉，时有阴囊潮湿，中途疲软，晨勃少，困，入睡慢，纳可，口和，大便不成型。着凉易腹泻。咽干", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["炙黄芪", "桂枝", "猪苓", "茯苓", "淡竹叶", "北柴胡", "黄芩", "石菖蒲", "炒蒺藜", "丹参", "鸡血藤", "酒黄精", "赤小豆"], "flags": [], "prev_rx": ["当归", "赤小豆", "连翘", "白花蛇舌草", "牡丹皮", "丹参", "鸡血藤", "柏子仁", "炒酸枣仁", "熟地黄", "党参片", "茯苓", "川芎", "炒苦杏仁"], "prev_gap": 28, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48394, "pid": "Pbd8e8a487d05", "date": "2025-08-30", "sex": "男", "age": 35, "cc": "左侧少腹隐痛2年", "hpi": "左侧少腹隐痛，乏力感，硬度可，中途疲软，射精无力，尿频，大便不畅，睡眠可，纳可，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "柏子仁", "炒酸枣仁", "白术", "制巴戟天", "石菖蒲", "当归", "白芍", "枸杞子", "人参", "制远志", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "柏子仁", "炒酸枣仁", "白术", "制巴戟天", "石菖蒲", "当归", "白芍", "枸杞子", "人参"], "prev_gap": 21, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 48396, "pid": "P06a8fd960345", "date": "2025-08-30", "sex": "男", "age": 42, "cc": "腰痛伴勃起中途疲软2月", "hpi": "2月前出现腰痛伴勃起中途疲软，性欲减退，勃起可，晨勃可，耳鸣，口中和，夜寐可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "太子参", "黄芪", "川芎", "山药", "熟地黄", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48405, "pid": "Pd600cac5c32c", "date": "2025-08-30", "sex": "男", "age": 31, "cc": "腰痛乏力伴射精快2年", "hpi": "腰痛乏力伴射精快，包皮刺痒，口渴，易困倦，长期熬夜，二便调，食纳可，尿黄", "wm_dx": ["腰痛", "包皮龟头炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "五加皮", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "制远志", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "石菖蒲", "酒黄精", "炒酸枣仁", "柏子仁"], "flags": [], "prev_rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "人参", "蛇床子", "五倍子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "五加皮"], "prev_gap": 21, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48408, "pid": "P5c2d7bc1baf0", "date": "2025-08-30", "sex": "男", "age": 39, "cc": "腰痛伴勃起硬度欠佳2年", "hpi": "近2年出现腰痛伴勃起硬度欠佳，射精快，排尿可，夜寐可，口干口苦，怕冷，晨勃可，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "锁阳", "熟地黄", "川芎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48412, "pid": "Pa96fd6883b3c", "date": "2025-08-30", "sex": "男", "age": 38, "cc": "腰痛伴手足冷多年", "hpi": "腰痛乏力，手足冷，射精快好转，勃起硬度欠佳，易腹泻，易疲倦，尿频，夜尿2-3次，口干口苦，夜寐差易醒，脱发，手心汗出明显。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "制白附子", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "人参", "韭菜子", "制巴戟天"], "flags": [], "prev_rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "制白附子"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48413, "pid": "P25efd2a3caa1", "date": "2025-08-30", "sex": "男", "age": 31, "cc": "腰痛乏力尿混浊2年", "hpi": "腰痛乏力尿混浊2年，血压偏高，长期熬夜，口中和，夜寐可，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "炒白扁豆", "金银花", "白芍", "麸炒枳实", "陈皮", "龙胆"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48430, "pid": "Pb7cf695596cf", "date": "2025-08-31", "sex": "男", "age": 33, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊，排尿不畅改善，尿频、尿急消失，大便正常，夜尿1次，眠可，情绪焦虑", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "盐小茴香", "路路通", "炒王不留行", "夏枯草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐黄柏", "麸炒白术", "盐车前子", "酒苁蓉", "川牛膝", "炒酸枣仁", "麸炒薏苡仁"], "prev_gap": 24, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 48438, "pid": "P1e2d41a922b1", "date": "2025-08-31", "sex": "男", "age": 58, "cc": "腰痛乏力盗汗1月", "hpi": "1月前出现腰痛乏力伴盗汗，中途疲软，性欲可，口干口苦，夜寐差，易醒，食纳可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "韭菜子", "仙茅", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48440, "pid": "P9a215448d5d7", "date": "2025-08-31", "sex": "男", "age": 36, "cc": "尿不尽尿道分泌物1年", "hpi": "1年前出现尿不尽尿道分泌物，晨勃可，同房中途疲软", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "制白附子", "肉桂", "白芍", "制巴戟天", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48458, "pid": "Pc19ccbd00f3a", "date": "2025-08-31", "sex": "男", "age": 41, "cc": "腰痛4月", "hpi": "腰痛4月，近期想生育，口干，打鼾", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花", "蒲公英", "菟丝子", "枸杞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48461, "pid": "Pc54613ed68e5", "date": "2025-08-31", "sex": "男", "age": 30, "cc": "腰痛伴射精快6月", "hpi": "腰痛伴射精快6月，排尿可，长期熬夜，龟头敏感度高，龟头红疹", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "地龙", "五加皮", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "生地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48464, "pid": "P3627ea655725", "date": "2025-08-31", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛伴有多汗 午后感觉发热 早泄 时间3-4分钟 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["太子参", "黄芪", "猪苓", "桑椹", "龙眼肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48484, "pid": "Pc11371612b73", "date": "2025-09-01", "sex": "男", "age": 71, "cc": "右侧睾丸疼痛复诊", "hpi": "右侧睾丸疼痛复诊 大小便正常 纳可 眠安，服药后症状明显好转", "wm_dx": ["附睾炎"], "tcm_dx": [["子肿", "气滞血瘀证", "活血化瘀"]], "rx": ["甜叶菊叶", "夏枯草", "浙贝母", "蒲公英", "土茯苓", "败酱草", "烫水蛭", "地龙", "石菖蒲", "川牛膝", "盐小茴香", "防风", "白芷", "荆芥", "麸炒枳壳", "炙甘草", "川楝子", "炒王不留行", "醋五灵脂", "川芎", "沉香", "醋香附"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 6} {"rid": 48489, "pid": "P3057fed6a345", "date": "2025-09-01", "sex": "男", "age": 44, "cc": "复诊", "hpi": "病史同前，夜尿1-2次，口干苦不明显，眠差，便调。", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["姜半夏", "首乌藤", "九香虫", "麸炒苍术", "炙甘草", "麸炒枳实", "白芍", "北柴胡", "牡蛎", "龙骨", "地龙", "石菖蒲"], "flags": [], "prev_rx": ["酒黄芩", "党参片", "姜半夏", "首乌藤", "九香虫", "麸炒苍术", "炙甘草", "黄连片", "干姜"], "prev_gap": 7, "visit_ix": 3, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 10} {"rid": 48500, "pid": "P2f7fc3511848", "date": "2025-09-01", "sex": "男", "age": 41, "cc": "复诊", "hpi": "会阴部疼痛消失，勃起差，便调。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["白芍", "九香虫", "炙甘草", "麸炒枳实", "北柴胡", "姜厚朴", "地龙", "蜂房", "麸炒苍术"], "flags": [], "prev_rx": ["白芍", "九香虫", "炙甘草", "麸炒枳实", "北柴胡", "姜厚朴", "地龙", "蜂房"], "prev_gap": 7, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 48507, "pid": "Pd9e51b562ed7", "date": "2025-09-01", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 勃起不持久 晨勃少 大小便正常 纳可 眠安 早泄 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 48517, "pid": "P0cf842cce6c2", "date": "2025-09-01", "sex": "男", "age": 38, "cc": "房事后乏力腰痛疲劳一月", "hpi": "房事后乏力腰痛疲劳一月 伴有早泄 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48518, "pid": "P98c77abe47ab", "date": "2025-09-01", "sex": "男", "age": 25, "cc": "腰痛半年", "hpi": "腰痛半年 伴有阳痿早泄 晨勃少 大便正常 纳可 熬夜多 尿频 尿急", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["甜叶菊叶", "麸炒苍术", "黄柏", "牛膝", "麸炒薏苡仁", "北柴胡", "炒蒺藜", "郁金", "醋青皮", "合欢花", "合欢皮", "丁香", "木香", "薄荷", "烫水蛭", "麸炒枳壳", "车前草", "盐车前子", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 48520, "pid": "Pd2cbad3b6550", "date": "2025-09-01", "sex": "男", "age": 27, "cc": "腰痛半年", "hpi": "腰痛半年 中途疲软 大小便正常 纳可 眠安 晨勃少 乏力", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "麦冬", "醋五味子", "山药", "干姜", "陈皮", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "丁香", "木香", "麸炒枳壳", "郁金", "醋青皮", "炙甘草", "烫水蛭", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48522, "pid": "P693440996246", "date": "2025-09-01", "sex": "男", "age": 62, "cc": "腰痛半年", "hpi": "伴有早泄 射精无快感 勃起可 大小便正常 纳可 眠安 心情差 胁痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳实", "炙甘草", "烫水蛭", "全蝎", "麸炒苍术", "黄柏", "牛膝", "薏苡仁", "石菖蒲", "制远志", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "郁金", "细辛", "丁香", "木香", "麻黄"], "flags": [], "prev_rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳壳", "炙甘草", "烫水蛭", "全蝎", "麸炒苍术", "黄柏", "牛膝", "薏苡仁", "石菖蒲", "制远志", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "黄芩"], "prev_gap": 12, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48530, "pid": "Pa71d79b7ed14", "date": "2025-09-01", "sex": "男", "age": 34, "cc": "腰痛复诊", "hpi": "腰痛复诊，乏力，工作劳累，压力大，情绪焦虑，同居感情可，二便调，纳可，眠差，无排尿不畅、尿后余沥，口干，盗汗汗多", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "制远志", "炒酸枣仁"], "prev_gap": 39, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 48537, "pid": "P745be893ca00", "date": "2025-09-02", "sex": "男", "age": 36, "cc": "尿频一周", "hpi": "尿频，女方流产一次，排尿正常，无怕冷，睡眠正常，纳可，大便正常，口气重，怕热", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "黄芩", "党参", "桂枝", "连翘", "醋鸡内金", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "虎杖", "白花蛇舌草", "赤小豆", "路路通", "生地黄"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "党参", "桂枝", "连翘", "醋鸡内金", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "虎杖", "白花蛇舌草", "赤小豆"], "prev_gap": 20, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48558, "pid": "P7f26b398c555", "date": "2025-09-02", "sex": "男", "age": 59, "cc": "右侧睾丸肿痛4天", "hpi": "右侧睾丸肿痛4天 大小便正常 纳可 眠安 少腹隐痛，服药后复诊，睾丸疼痛消失，肿大缩小", "wm_dx": ["附睾炎", "鞘膜积液"], "tcm_dx": [["子肿", "痰浊证", "化痰通络"], ["子痰", "痰浊证", "化痰散结"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "盐橘核", "金银花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48561, "pid": "P1dce1fd21434", "date": 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"连翘", "赤小豆", "白花蛇舌草", "滑石", "淡竹叶", "北柴胡", "炒苦杏仁", "制远志", "麸炒薏苡仁", "石菖蒲", "盐蒺藜", "姜厚朴", "干姜"], "flags": [], "prev_rx": ["当归", "连翘", "赤小豆", "白花蛇舌草", "滑石", "淡竹叶", "北柴胡", "炒苦杏仁", "制远志", "麸炒薏苡仁", "石菖蒲", "盐蒺藜"], "prev_gap": 20, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 48577, "pid": "P5e7744aac2c0", "date": "2025-09-02", "sex": "男", "age": 27, "cc": "尿频，尿急，尿不尽5-6年", "hpi": "尿频，尿急，尿不尽，睡前尿意明显，夜尿一次，记忆力下降，无阴囊潮湿，大便易腹泻，纳可，口干，腰疼，无腹痛，微怕冷", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "猪苓", "茯苓", "泽泻", "麸炒白术", "当归", "连翘", "赤小豆", "白花蛇舌草", "燀桃仁", "红花", "牡丹皮", "地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48578, "pid": "P275f853eaf1c", "date": "2025-09-02", "sex": "男", "age": 52, "cc": "腹股沟及阴囊红疹瘙痒1周", "hpi": "腹股沟及阴囊红疹瘙痒1周 大小便正常 纳可 眠安", "wm_dx": ["阴囊湿疹", "皮炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["麸炒苍术", "黄柏", "麸炒薏苡仁", "牛膝", "金银花", "黄连", "蒲公英", "地肤子", "白花蛇舌草", "马齿苋", "炙甘草", "桑寄生"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48593, "pid": "Pcbf2a9d81773", "date": "2025-09-03", "sex": "男", "age": 34, "cc": "右侧腹股沟连及右侧睾丸疼痛3天", "hpi": "右侧腹股沟连及右侧睾丸疼痛3天 大小便正常 纳可 眠安宁 腰痛一月", "wm_dx": ["鞘膜积液"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "制巴戟天", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["太子参", "山药", "制巴戟天", "炒酸枣仁"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48596, "pid": "P4489dbab82f5", "date": "2025-09-03", "sex": "男", "age": 47, "cc": "射精无力一月", "hpi": "射精无力，硬度一般，中途疲软，时间短，精液量少，喝水即尿，大便不成型，纳可，口干口苦，出汗，睡眠一般多梦，怕冷冬天", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白薇", "醋五味子", "白芍", "生姜", "大枣", "煅龙骨", "煅牡蛎", "地黄", "麸炒苍术", "黑顺片", "石菖蒲", "盐蒺藜"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "牡丹皮", "当归", "防风", "桂枝", "白芍", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", 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"夏枯草", "白芷"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48608, "pid": "P238034e6aa52", "date": "2025-09-03", "sex": "男", "age": 31, "cc": "阴囊炎一月余", "hpi": "阴囊炎一月余 大小便正常 纳可 眠安", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "土茯苓", "败酱草", "蒲公英", "白花蛇舌草", "烫水蛭", "夏枯草", "白芷", "黄连", "当归"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48616, "pid": "P95621a874d80", "date": "2025-09-03", "sex": "男", "age": 54, "cc": "腰痛半年", "hpi": "腰痛半年 小便正常黄 纳不吃凉 眠多梦，口干口苦，腰怕冷，多汗，下午手痒，手心红点，外院就诊，口服药物治疗，既往口服过他达拉非", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "寒热错杂证", "平调寒热"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "附片", "牡丹皮", "当归", "川芎", "防风", "北柴胡", "黄芩", "人参", "丹参", "鸡血藤", "猪苓", "淡竹叶"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 5} {"rid": 48618, "pid": "P9a8a94d7a238", "date": "2025-09-03", "sex": "男", "age": 37, "cc": "腰痛伴射精快多年", "hpi": "腰痛伴射精快多年，手淫频繁，龟头敏感度高，口干口苦，夜寐差，盗汗，胁肋疼痛，易生气，龟头红疹", "wm_dx": ["腰痛", "包皮龟头炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝气郁结证", "疏肝散结"], ["盗汗", "阴虚证", "滋阴"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "醋五味子", "细辛", "金银花", "蒲公英", "地肤子", "制远志", "烫水蛭", "五加皮", "木香", "桂枝", "五倍子", "地骨皮", "猪苓", "茯苓", "麸炒薏苡仁", "炒酸枣仁", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["蛇床子", "醋五味子", "细辛", "金银花", "蒲公英", "地肤子", "制远志", "烫水蛭", "五加皮", "木香", "桂枝", "五倍子", "地骨皮"], "prev_gap": 20, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48620, "pid": "P02326a88c26f", "date": "2025-09-03", "sex": "男", "age": 43, "cc": "腰痛半年", "hpi": "腰痛半年 伴有中途疲软 怕热 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "制巴戟天", "猪苓", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48625, "pid": "P660b5ec2ac99", "date": "2025-09-03", "sex": "男", "age": 61, "cc": "阴囊潮湿 刺痒4月余", "hpi": "阴囊潮湿 刺痒4月余 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48626, "pid": "P39651c100d22", "date": "2025-09-03", "sex": "男", "age": 36, "cc": "尿频一周", "hpi": "尿频，一周前出现勃起困难，中途疲软，现有好转，仍感硬度一般，晨勃少，排尿正常，大便正常，纳可，口干，运动汗出，服药后症状好转", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "北沙参", "生地黄", "牡丹皮", "石菖蒲", "制远志", "丹参", "鸡血藤", "柏子仁", "炒酸枣仁"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "丹参", "鸡血藤", "石菖蒲", "制远志", "柏子仁", "炒酸枣仁", "制巴戟天", "地黄"], "prev_gap": 11, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48631, "pid": "P0423b4d23e31", "date": "2025-09-03", "sex": "男", "age": 52, "cc": "尿频10余年", "hpi": "乏力，时间下降，硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，多汗，睾丸坠痛感，怕热", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["生地黄", "当归", "川芎", "茯苓", "猪苓", "酒萸肉", "炙甘草", "石菖蒲", "炒蒺藜", "锁阳", "金樱子"], "flags": [], "prev_rx": ["生地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "桂枝", "附片", "制巴戟天", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜", "人参", "甘草"], "prev_gap": 7, "visit_ix": 6, "n_visits": 14, "visit_ix_rx": 6, "n_rx": 13} {"rid": 48642, "pid": "P736797177f8e", "date": "2025-09-04", "sex": "男", "age": 52, "cc": "腰痛9月", "hpi": "腰痛9月，硬度下降，中途疲软，性欲可，乏力，性生活不规律，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 48644, "pid": "Pb493281afcc4", "date": "2025-09-04", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，汗多，白天明显，有盗汗。乏力，工作可，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥。梦多。", "wm_dx": ["腰痛", "高血压"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["党参片", "升麻", "北柴胡", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "酒黄精", "诃子肉", "黄芪", "绵萆薢"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 48651, "pid": "Pab73a0fd22bd", "date": "2025-09-04", "sex": "男", "age": 24, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作劳累，久坐。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48652, "pid": "Pa6eaa168c7ae", "date": "2025-09-04", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。工作环境偏热，PR 4%。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "盐车前子", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48653, "pid": "P301e753815ae", "date": "2025-09-04", "sex": "男", "age": 35, "cc": "尿频1周", "hpi": "1周前出现尿频，久坐后会阴不适，夜尿2次，偶有尿道灼热", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "炒白扁豆", "金银花", "仙茅", "韭菜子", "菟丝子", "金樱子", "乌药", "盐益智仁", "山药", "醋龟甲", "制何首乌", "黑芝麻"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 5} {"rid": 48659, "pid": "P5d27eeb68ae8", "date": "2025-09-04", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作熬夜，压力大，已婚已育，二便调，纳眠可，无排尿不畅、尿后余沥。晨勃有。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48673, "pid": "Pd4ca7f537207", "date": "2025-09-05", "sex": "男", "age": 28, "cc": "尿频一周", "hpi": "右侧睾丸及会阴部酸胀感，精液内色黄有颗粒，尿频，尿分叉，色黄，大便不成型粘，睡眠一般，夜尿多，口干晨起口苦，腰酸痛。头出油，乏力感", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["酒当归", "连翘", "赤小豆", "白花蛇舌草", "滑石", "猪苓", "泽泻", "阿胶珠", "茯苓", "北柴胡", "黄芩片", "醋龟甲", "麸炒薏苡仁", "枸杞子", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48675, "pid": "Pba1bfe1217e7", "date": "2025-09-05", "sex": "男", "age": 23, "cc": "勃起硬度欠佳射精快1年", "hpi": "勃起硬度欠佳射精快1年，晨勃可，下颚红疹，口苦口气重，失眠多梦，尿黄，怕风，纳可", "wm_dx": ["早泄"], "tcm_dx": [["房事早泄", "肾虚证", "补肾扶元"]], "rx": ["炙甘草", "北柴胡", "麸炒枳实", "枸杞子", "黄芩片", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "炙淫羊藿", "炙黄芪", "连翘"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "炙淫羊藿", "北柴胡", "太子参", "黄芪"], "prev_gap": 17, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48683, "pid": "P0ba2d8917ba4", "date": "2025-09-05", "sex": "男", "age": 37, "cc": "复诊", "hpi": "6月1日在韩国行结扎复通手术，外院检查可见精子。排尿正常，大便正常，睡眠可，纳可，口和，怕热，阴囊潮湿。乏力，熬夜。", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "麸炒薏苡仁", "赤小豆", "烫水蛭"], "flags": [], "prev_rx": ["当归", "连翘", "赤小豆", "炒苦杏仁", "薏苡仁", "草豆蔻", "滑石", "姜厚朴", "法半夏", "菟丝子", "盐车前子", "牡蛎", "红景天", "醋龟甲"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48685, "pid": "Pe79aba729cd2", "date": "2025-09-05", "sex": "男", "age": 36, "cc": "尿频一月", "hpi": "尿频，排尿无尿痛，阴囊潮湿，大便不成型2次，睡眠一般易醒，纳可，口气重，无怕冷,睾丸不适感。乏力明显。", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "茯苓", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48695, "pid": "P78213856745e", "date": "2025-09-06", "sex": "男", "age": 71, "cc": "阴囊潮湿2月余", "hpi": "阴囊潮湿2月余 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48697, "pid": "P52e61461512a", "date": "2025-09-06", "sex": "男", "age": 36, "cc": "尿频3年", "hpi": "尿频，时有包皮刺痒，夜尿多，睡眠差，2小时醒一次，大便正常，纳可，硬度可，时间短不足1分钟，口和。两地分居，晨起困", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩", "党参", "制远志", "石菖蒲", "炒蒺藜", "白花蛇舌草", "牛膝", "柏子仁", "炒酸枣仁", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 48707, "pid": "P23d6aa15a088", "date": "2025-09-06", "sex": "男", "age": 56, "cc": "左侧睾丸肿物一周余", "hpi": "左侧睾丸肿物一周余 大便正常 纳可 眠安 前列腺增生复诊取药 尿急 尿频 尿等待", "wm_dx": ["睾丸囊肿", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "山药"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48710, "pid": "P6252cd3c3c37", "date": "2025-09-06", "sex": "男", "age": 33, "cc": "尿不尽一年", "hpi": "尿不尽，近一月出现夜尿1次，无尿痛，少腹正常，无腰疼，大便不成型，纳可，睡眠可，早醒，口干喝水口苦，怕冷怕热，出汗，盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["百合", "地黄", "山药", "生石膏", "知母", "甘草片", "人参", "赤小豆", "柏子仁", "炒酸枣仁", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "滑石", "人参", "当归", "连翘", "赤小豆", "白花蛇舌草", "茯苓", "猪苓", "桂枝", "泽泻", "煅龙骨"], "prev_gap": 14, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 8} {"rid": 48713, "pid": "Pa4b6ff37b90c", "date": "2025-09-06", "sex": "男", "age": 45, "cc": "腰痛复诊", "hpi": "6月前出现腰痛伴勃起硬度欠佳，性欲减退，晨勃可，口干口苦，夜寐可，易困倦，", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["麸炒苍术", "关黄柏", "牛膝", "麸炒薏苡仁", "茯苓", "猪苓", "泽泻", "石菖蒲", "炙淫羊藿", "蛇床子", "韭菜子", "盐车前子", "车前草", "防风", "党参片", "麸炒枳壳", "砂仁", "炙甘草", "锁阳", "制巴戟天", "仙茅", "北柴胡", "盐蒺藜"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳壳", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "麸炒枳实", "韭菜子", "制巴戟天"], "prev_gap": 28, "visit_ix": 3, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 11} {"rid": 48716, "pid": "P955c8a9f6d9d", "date": "2025-09-06", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "麸炒苍术", "茯苓", "烫水蛭", "酒苁蓉", "制巴戟天", "炙淫羊藿", "蛇床子", "韭菜子", "麦冬", "醋五味子", "熟地黄", "砂仁", "酒萸肉", "泽泻", "知母", "麸炒枳壳", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48719, "pid": "P7fc96b1472c4", "date": "2025-09-06", "sex": "男", "age": 38, "cc": "少腹隐痛一周余", "hpi": "少腹隐痛一周余 后腰部疼痛 尿频 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎", "输尿管结石"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "醋鸡内金"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48723, "pid": "P4a87aa1166a8", "date": "2025-09-06", "sex": "男", "age": 73, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿急 尿频 尿等待 尿不尽 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48727, "pid": "P10947e2c68d6", "date": "2025-09-06", "sex": "男", "age": 32, "cc": "阴囊潮湿瘙痒1年余", "hpi": "阴囊潮湿瘙痒1年余 大小便正常 纳可 眠安 盗汗 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "山药", "制巴戟天", "知母", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48728, "pid": "P84750bcfcf42", "date": "2025-09-06", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有早泄 时间1-2分钟 一年余 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48733, "pid": "P9f09468d6d10", "date": "2025-09-06", "sex": "男", "age": 38, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 少腹隐痛 胁痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "心肾不交证", "交通心肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["桂枝", "白芍", "炙甘草", "煅龙骨", "煅牡蛎", "炒酸枣仁", "知母", "茯神", "川芎", "关黄柏", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "白芍", "炙甘草", "煅龙骨", "煅牡蛎", "炒酸枣仁", "知母", "茯神", "川芎", "关黄柏", "菟丝子"], "prev_gap": 21, "visit_ix": 1, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 9} {"rid": 48740, "pid": "P35efbb8d4f66", "date": "2025-09-06", "sex": "男", "age": 37, "cc": "龟头自觉麻木感复诊", "hpi": "龟头自觉麻木感复诊，房事可，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。腰痛。包皮龟头炎一周余", "wm_dx": ["包皮龟头炎", "前列腺炎", "腰痛"], "tcm_dx": [["湿疮", "热毒壅结证", "清热解毒"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["党参", "黄芪", "山药", "麸炒白术", "麸炒苍术", "茯苓", "砂仁", "木香", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "盐车前子", "菟丝子", "麸炒枳壳", "烫水蛭", "炙甘草", "防风"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "烫水蛭", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "覆盆子", "酒女贞子", "枸杞子", "熟地黄", "酒萸肉", "知母", "盐黄柏", "麸炒枳壳", "炙甘草"], "prev_gap": 20, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 48747, "pid": "P7f077ff255db", "date": "2025-09-06", "sex": "男", "age": 36, "cc": "尿频复诊", "hpi": "尿频，腰痛，乏力，时间短（<100次），硬度可，性欲可，性生活不规律，工作可，同居感情可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["党参片", "升麻", "北柴胡", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉"], "prev_gap": 56, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 48752, "pid": "P9c12d8830dd8", "date": "2025-09-06", "sex": "男", "age": 34, "cc": "勃起后睾丸疼痛一月余", "hpi": "勃起后睾丸疼痛一月余 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48756, "pid": "P646d00138dee", "date": "2025-09-06", "sex": "男", "age": 43, "cc": "阴囊表皮泛红3天", "hpi": "阴囊表皮泛红3天 微痒 包皮变硬 大小便正常 纳可 眠安", "wm_dx": ["过敏性皮炎", "阴囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "黄连", "白花蛇舌草", "土茯苓", "败酱草", "金银花", "蒲公英", "白芷", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48757, "pid": "Pdd1a5b3cadfc", "date": "2025-09-06", "sex": "男", "age": 69, "cc": "阴囊刺痒一周余", "hpi": "阴囊刺痒一周余 大小便正常 纳可 眠安", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白芷", "百部", "金银花", "蒲公英", "白花蛇舌草", "土茯苓", "败酱草", "烫水蛭", "黄连", "白鲜皮", "蛇床子", "地肤子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48763, "pid": "Pf9d4c21f4ca9", "date": "2025-09-07", "sex": "男", "age": 47, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 夜尿2-3次 少腹隐痛 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["失眠", "心血虚证", "补血养心"]], "rx": ["太子参", "山药", "制巴戟天", "麸炒薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, 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"hpi": "伴有同房时间短 龟头敏感 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48785, "pid": "P236cc042e312", "date": "2025-09-07", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "山药", "麸炒白术", "盐补骨脂", "酒黄精", "菟丝子", "枸杞子", "醋五味子", "覆盆子", "沙苑子", "韭菜子", "麸炒枳壳", "陈皮", "炙甘草", "麦冬", "蛇床子", "砂仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48788, "pid": "P61a6270edd5b", "date": "2025-09-07", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "制巴戟天", "知母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 48790, "pid": "P13822c7be924", "date": "2025-09-07", "sex": "男", "age": 48, "cc": "腰痛半年", "hpi": "腰痛半年 性功能下降2年 大小便正常 纳可 眠安 口苦 口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "防风", "白术", "盐补骨脂", "酒黄精", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "山药", "麸炒薏苡仁", "麸炒枳壳", "烫水蛭", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 48797, "pid": "P543420ad3298", "date": "2025-09-07", "sex": "男", "age": 37, "cc": "腰痛 盗汗取药", "hpi": "腰痛2月，尿频，咳嗽，乏力，熬夜 盗汗", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "麦冬", "山药", "制巴戟天", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 3} {"rid": 48800, "pid": "Pe8709dbdcbad", "date": "2025-09-07", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "山药", "麸炒白术", "盐补骨脂", "酒黄精", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "覆盆子", "沙苑子", "枸杞子", "菟丝子", "麸炒枳壳", "炙甘草", "砂仁", "防风", "太子参", "麦冬"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48801, "pid": "Ped7ec066cd57", "date": "2025-09-07", "sex": "男", "age": 20, "cc": "包皮及龟头瘙痒复诊取药", "hpi": "包皮及龟头瘙痒取药 尿道刺痒不适 最近口服头孢类 大便正常 纳可 眠安 股癣取药", "wm_dx": ["股癣", "包皮龟头炎", "包皮过长"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "白芷", "百部", "茵陈", "黄连", "金银花", "蒲公英"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48806, "pid": "P177fa80399b6", "date": "2025-09-07", "sex": "男", "age": 41, "cc": "尿频 尿急一月余", "hpi": "尿频 尿急一月余 少腹隐痛 大便正常 纳可 眠安", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛", "太子参", "茯苓", "山慈菇"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48810, "pid": "Pf3373aa4ded2", "date": "2025-09-07", "sex": "男", "age": 28, "cc": "尿道口分泌物刺痒1天", "hpi": "尿道口分泌物刺痒1天 大便正常 纳可 眠安", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["淋证", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48821, "pid": "P3000947f306f", "date": "2025-09-08", "sex": "男", "age": 63, "cc": "复诊抄方", "hpi": "少量血色浅，有1次性生活。耳鸣，易汗，腰、脚凉可，寐多梦。", "wm_dx": ["精囊炎", "前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "龙骨", "牡蛎", "黑顺片", "首乌藤", "白薇", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "龙骨", "牡蛎", "黑顺片", "首乌藤", "白薇", "炙甘草", "生姜", "大枣"], "prev_gap": 14, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 5, "n_rx": 8} {"rid": 48822, "pid": "Pc11371612b73", "date": "2025-09-08", "sex": "男", "age": 71, "cc": "右侧睾丸疼痛复诊", "hpi": "右侧睾丸疼痛复诊 大小便正常 纳可 眠安，服药后症状明显好转", "wm_dx": ["附睾炎"], "tcm_dx": [["子肿", "气滞血瘀证", "活血化瘀"]], "rx": ["甜叶菊叶", "夏枯草", "浙贝母", "蒲公英", "土茯苓", "败酱草", "烫水蛭", "地龙", "石菖蒲", "川牛膝", "盐小茴香", "防风", "白芷", "荆芥", "麸炒枳壳", "炙甘草", "川楝子", "炒王不留行", "醋五灵脂", "川芎", "醋香附", "天麻", "钩藤", "法半夏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "夏枯草", "浙贝母", "蒲公英", "土茯苓", "败酱草", "烫水蛭", "地龙", "石菖蒲", "川牛膝", "盐小茴香", "防风", "白芷", "荆芥", "麸炒枳壳", "炙甘草", "川楝子", "炒王不留行", "醋五灵脂", "川芎", "沉香", "醋香附"], "prev_gap": 7, "visit_ix": 5, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 6} {"rid": 48826, "pid": "P2f7fc3511848", "date": "2025-09-08", "sex": "男", "age": 41, "cc": "复诊", "hpi": "会阴部疼痛消失，勃起差，便调。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["白芍", "九香虫", "炙甘草", "麸炒枳实", "北柴胡", "麸炒苍术", "地龙", "蜂房", "木香", "麸炒白术"], "flags": 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"visit_ix_rx": 0, "n_rx": 1} {"rid": 48834, "pid": "P3057fed6a345", "date": "2025-09-08", "sex": "男", "age": 44, "cc": "复诊", "hpi": "病史同前，夜尿1-2次，时有口干，眠差，便调。", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["首乌藤", "地龙", "石菖蒲", "九香虫", "白芍", "北柴胡", "牡蛎", "龙骨", "炙甘草", "制远志", "金果榄", "醋五味子"], "flags": [], "prev_rx": ["姜半夏", "首乌藤", "九香虫", "麸炒苍术", "炙甘草", "麸炒枳实", "白芍", "北柴胡", "牡蛎", "龙骨", "地龙", "石菖蒲"], "prev_gap": 7, "visit_ix": 4, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 10} {"rid": 48838, "pid": "Pf18e7a85b4fd", "date": "2025-09-08", "sex": "男", "age": 61, "cc": "复诊", "hpi": "勃起不行，晨勃少，硬度不够，性生活2-3次。大便正常，睡眠正常，纳可，口干不甚。糖化血红蛋白6.6. 血压正常。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["消渴类病", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "龙骨", "牡蛎", "九香虫", "地龙", "瓜蒌", "石菖蒲", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 7} {"rid": 48840, "pid": "P34cd649430ad", "date": "2025-09-08", "sex": "男", "age": 61, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 排尿不畅 夜尿频多 大便正常 纳可 眠差 区医院治疗未效伴有腰痛 疲劳 盗汗", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "制巴戟天", "炒酸枣仁", "麦冬"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48843, "pid": "Paf4dfff18b01", "date": "2025-09-08", "sex": "男", "age": 40, "cc": "勃起困难2月", "hpi": "性欲减少，勃起困难，或不能持续。无明显诱因。眠差，脾气急，口干口苦。", "wm_dx": ["代谢综合征"], "tcm_dx": [["失眠", "肝气郁结证", "疏肝理气"]], "rx": ["北柴胡", "黄芩片", "姜半夏", "党参片", "麸炒枳实", "白芍", "石菖蒲", "九香虫", "地龙", "首乌藤", "龙骨", "牡蛎", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 48851, "pid": "Pa815938bebf3", "date": "2025-09-08", "sex": "男", "age": 38, "cc": "少腹隐痛 睾丸隐痛一周余", "hpi": "少腹隐痛 睾丸隐痛一周余 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "茯苓", "麸炒薏苡仁", "三七粉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48852, "pid": "Pbdb488f039ff", "date": "2025-09-08", "sex": "男", "age": 64, "cc": "腰痛伴勃起不坚1年", "hpi": "腰痛伴勃起不坚1年，大便正常，夜尿正常，口和，睡眠可，纳一般", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾气不充证", "补肾益精"]], "rx": ["党参", "黄芪", "麸炒苍术", "茯苓", "熟地黄", "酒萸肉", "生地黄", "泽泻", "知母", "土茯苓", "醋青皮", "北柴胡", "郁金", "合欢皮", "牡丹皮", "麸炒枳壳", "炙淫羊藿", "韭菜子", "盐车前子", "炙甘草", "地龙", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["人参", "白术", "丹参", "鸡血藤", "当归", "白芍", "制巴戟天", "肉桂", "麸炒薏苡仁", "柏子仁", "炒酸枣仁", "北柴胡", "茯苓", "川芎", "韭菜子", "炙淫羊藿", "龙胆", "炒栀子"], "prev_gap": 20, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 48854, "pid": "Pbdc490441ba0", "date": "2025-09-08", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["肉苁蓉", "制巴戟天", "炙淫羊藿", "韭菜子", "菟丝子", "盐车前子", "制何首乌", "桑椹", "炒酸枣仁", "柏子仁", "醋五味子", "茯苓", "干姜", "砂仁", "麸炒枳壳", "炙甘草", "熟地黄", "酒女贞子", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48859, "pid": "P3a1ae20860d9", "date": "2025-09-08", "sex": "男", "age": 29, "cc": "汗多2周", "hpi": "汗多2周，手脚明显，工作久坐，乏力可，压力可，二便调，纳眠可，无排尿不畅、尿后余沥，口干。腰痛。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "知母", "盐黄柏", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48861, "pid": "P1a445b5abdaa", "date": "2025-09-08", "sex": "男", "age": 36, "cc": "腰痛复诊", "hpi": "腰痛好转 盗汗 尿频 尿急缓解 大便正常 纳可 眠安 口干口苦 阴囊潮湿 乏力 烦躁", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["肉苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "菟丝子", "盐车前子", "砂仁", "木香", "陈皮", "醋五味子", "党参", "山药", "麸炒白术", "茯苓", "麸炒枳壳", "炙甘草", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48868, "pid": "P3e646ff623de", "date": "2025-09-09", "sex": "男", "age": 64, "cc": "阴毛部刺痒一周余", "hpi": "阴毛部刺痒一周余 尿频 大便正常 纳可 眠安 湿疹一月取药", "wm_dx": ["阴虱", "湿疹", "慢性前列腺炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "麸炒薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48873, "pid": "P2ba269d51b00", "date": "2025-09-09", "sex": "男", "age": 37, "cc": "腰痛伴勃起硬度欠佳3月", "hpi": "近3月出现腰痛伴勃起硬度欠佳，尿等待尿不尽，夜尿1次，口干口苦，夜寐可，长期熬夜，胁肋疼痛，易生气", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "酒黄精"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "川芎", "制巴戟天", "锁阳"], "prev_gap": 21, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 48879, "pid": "P1f01264e18b9", "date": "2025-09-09", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 失眠", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["当归", "白芍", "熟地黄", "川芎", "制何首乌", "桑椹", "石菖蒲", "制远志", "炒酸枣仁", "柏子仁", "麸炒枳壳", "桔梗", "砂仁", "肉苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "韭菜子", "炙甘草", "太子参", "山药", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48899, "pid": "P8b9d1c601b51", "date": "2025-09-09", "sex": "男", "age": 24, "cc": "包皮系带处疼痛一月", "hpi": "包皮环切手术后，现系带处仍有疼痛感，硬度一般，时间3-5分钟，排尿可，大便不成型，睡眠入睡困难，纳可，口干喝水，怕冷，腰疼，出汗。体检发现前列腺钙化灶，左侧肾结晶，复查.乏力,困", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "气滞血瘀证", "活血止痛"]], "rx": ["桂枝", "白薇", "醋五味子", "煅龙骨", "煅牡蛎", "葛根", "白芍", "生姜", "大枣", "人参", "茯苓", "石菖蒲", "盐蒺藜", "浮小麦"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48903, "pid": "P77d74d1e8fb3", "date": "2025-09-09", "sex": "男", "age": 27, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力复诊，勃起欠佳，射精快，晨勃消失，大小便正常，纳可，眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "prev_gap": 17, "visit_ix": 2, "n_visits": 12, "visit_ix_rx": 1, "n_rx": 6} {"rid": 48904, "pid": "P587a17c387ba", "date": "2025-09-09", "sex": "男", "age": 46, "cc": "腰酸痛半年", "hpi": "腰酸痛， 勃起正常，时间短，排尿正常，便秘，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["便秘"], "tcm_dx": [["腰痛", "肾气不充证", "补肾扶元"]], "rx": ["麸炒苍术", "黄柏", "牛膝", "麸炒薏苡仁", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "桑寄生", "盐杜仲", "知母", "泽泻", "酒萸肉", "北柴胡", "炒蒺藜", "郁金", "醋青皮", "麸炒枳壳", "炙甘草", "烫水蛭", "甜叶菊叶", "盐车前子", "土茯苓", "败酱草"], "flags": [], "prev_rx": ["麸炒苍术", "黄柏", "牛膝", "麸炒薏苡仁", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "桑寄生", "烫狗脊", "盐杜仲", "知母", "泽泻", "酒萸肉", "北柴胡", "炒蒺藜", "郁金", "醋青皮", "麸炒枳壳", "炙甘草", "烫水蛭", "甜叶菊叶"], "prev_gap": 63, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 48905, "pid": "P198a40055bee", "date": "2025-09-09", "sex": "男", "age": 79, "cc": "前列腺增生复查", "hpi": "前列腺增生复查 现夜尿增多，尿滴沥不尽，尿痛，怕冷， 腰疼痛3月27日在肿瘤科检查PSA6.86，尿白细胞高 包皮龟头炎一月余 现尿痛，尿费劲，口服头孢后尿WBC582，失眠，关节痛", "wm_dx": ["泌尿系感染", "前列腺增生", "包皮龟头炎", "失眠"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血止痛"], ["精癃", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "黑顺片", "地黄", "山药", "酒萸肉", "茯苓", "泽泻", "路路通", "燀桃仁", "红花", "阿胶珠", "滑石"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "黑顺片", "地黄", "山药", "酒萸肉", "牡丹皮", "茯苓", "泽泻", "路路通", "燀桃仁", "红花"], "prev_gap": 14, "visit_ix": 25, "n_visits": 35, "visit_ix_rx": 2, "n_rx": 12} {"rid": 48908, "pid": "P52835c321770", "date": "2025-09-09", "sex": "男", "age": 40, "cc": "尿频半年", "hpi": "尿频，中途疲软，睡眠一般，纳可，口和，排尿正常，大便正常，服药后睡眠好转，不欲射精", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["柏子仁", "炒酸枣仁", "醋五味子", "菟丝子", "人参", "路路通", "熟地黄", "茯苓", "酒黄精", "丹参", "鸡血藤", "制巴戟天", "白术", "枸杞子"], "flags": [], "prev_rx": ["柏子仁", "炒酸枣仁", "醋五味子", "菟丝子", "人参", "路路通", "熟地黄", "茯苓", "酒黄精", "丹参", "鸡血藤", "制巴戟天", "白术"], "prev_gap": 14, "visit_ix": 2, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 8} {"rid": 48914, "pid": "P80141f49641f", "date": "2025-09-10", "sex": "男", "age": 55, "cc": "夜间尿频2-3次 排尿不畅复诊", "hpi": "夜间尿频2-3次 排尿不畅复诊 大便正常 纳可 眠安 腰痛 扭伤行动不便", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48915, "pid": "P3aab4122b68c", "date": "2025-09-10", "sex": "男", "age": 63, "cc": "尿后余沥复诊", "hpi": "尿后余沥改善，排尿不畅改善，夜尿2-3次，纳可，眠一般，无小腹坠胀疼痛，大便干，口和，无盗汗乏力 腰痛一月", "wm_dx": ["前列腺增生", "腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "陈皮", "制巴戟天"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 20, "visit_ix_rx": 0, "n_rx": 4} {"rid": 48916, "pid": "P698d3f3d4fb1", "date": "2025-09-10", "sex": "男", "age": 75, "cc": "尿等待2月", "hpi": "尿等待，用温水冲可排出，活动后也可正常排尿，夜尿1-2次，少腹发胀，腰发酸，怕热，口和，纳可，大便时有不成型。口服索罗辛缓释胶囊和双石通淋胶囊", "wm_dx": ["尿频"], "tcm_dx": [["精癃", "肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "黑顺片", "地黄", "茯苓", "泽泻", "猪苓", "滑石", "酒萸肉", "山药", "牡丹皮", "赤小豆", "炒王不留行", "路路通", "白花蛇舌草", "制远志"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 48931, "pid": "Pbc5d28e6e1fb", "date": "2025-09-10", "sex": "男", "age": 48, "cc": "排尿不畅3月", "hpi": "排尿无力3月，尿等待，尿频，夜尿2-3次，口服中药，具体不祥，效果一般。伴小腹不适。", "wm_dx": ["前列腺增生", "前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "鹿角胶", "醋鳖甲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48935, "pid": "P95621a874d80", "date": "2025-09-10", "sex": "男", "age": 54, "cc": "腰痛半年", "hpi": "腰痛半年 小便正常黄 纳不吃凉 眠多梦，口干口苦，腰怕冷，多汗，下午手痒，手心红点，外院就诊，口服药物治疗，既往口服过他达拉非。复诊：症状好转，昨日天冷手心出红点", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "寒热错杂证", "平调寒热"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "牡丹皮", "当归", "川芎", "防风", "北柴胡", "黄芩", "人参", "丹参", "鸡血藤", "猪苓", "淡竹叶", "茯苓", "炙淫羊藿"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "附片", "牡丹皮", "当归", "川芎", "防风", "北柴胡", "黄芩", "人参", "丹参", "鸡血藤", "猪苓", "淡竹叶"], "prev_gap": 7, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 5} {"rid": 48942, "pid": "P4596ae1a6709", "date": "2025-09-10", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛 大小便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "菟丝子", "盐车前子", "覆盆子", "酒女贞子", "醋五味子", "党参", "山药", "麸炒白术", "茯苓", "麸炒枳壳", "炙甘草", "枸杞子", "陈皮", "醋青皮", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48944, "pid": "P59dd78e70bc3", "date": "2025-09-10", "sex": "男", "age": 39, "cc": "尿痛一月余", "hpi": "尿痛一月余 偶见白色分泌物 外院服用半月抗生素未见效果 大便次数多 偏稀 纳可 眠安 少腹隐痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["太子参", "麸炒薏苡仁", "陈皮", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48947, "pid": "P660b5ec2ac99", "date": "2025-09-10", "sex": "男", "age": 61, "cc": "阴囊潮湿 刺痒4月余", "hpi": "阴囊潮湿 刺痒4月余 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "陈皮", "麸炒薏苡仁", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "茯苓", "山慈菇"], "prev_gap": 7, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 2} {"rid": 48953, "pid": "Pa8f0a0b533ee", "date": "2025-09-10", "sex": "男", "age": 33, "cc": "乏力感2年", "hpi": "乏力感，多汗，一运动即汗出，纳可，睡眠好 无怕冷，大便正常，排尿正常，伴有性功能减退，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙黄芪", "人参", "当归", "川芎", "白芍", "浮小麦", "桂枝", "丹参", "鸡血藤", "制远志", "煅龙骨", "煅牡蛎", "地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 5} {"rid": 48956, "pid": "P0d7c14061f32", "date": "2025-09-10", "sex": "男", "age": 69, "cc": "男性性腺功能减退复诊取药", "hpi": "男性性腺功能减退复诊取药 大小便正常 纳可 眠安", "wm_dx": ["男性性腺功能低下", "男性更年期综合征"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "陈皮", "制巴戟天", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48958, "pid": "P109ab221d94f", "date": "2025-09-10", "sex": "男", "age": 38, "cc": "尿急一年", "hpi": "尿急一年 伴有阳痿早泄 勃起困难 晨勃可 大便正常 纳可 乏力 疲劳 眠安 盗汗腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "当归", "白芍", "熟地黄", "川芎", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "制何首乌", "桑椹", "菟丝子", "党参", "黄芪", "山药", "麸炒白术", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "锁阳", "乌药", "盐益智仁", "炙甘草", "太子参", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 48967, "pid": "Pfa734ebd2e4e", "date": "2025-09-11", "sex": "男", "age": 43, "cc": "尿频尿痛3天", "hpi": "尿频尿痛，排尿不畅，夜尿1次，小腹胀痛不适，头晕，腰痛", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["精浊", "下焦湿热证", "清热解毒"], ["精癃", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "金银花", "马齿苋", "小蓟", "麸炒山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48969, "pid": "Pb02243a1b409", "date": "2025-09-11", "sex": "男", "age": 42, "cc": "腰痛乏力伴晨勃减少3月", "hpi": "进3月出现腰痛乏力伴晨勃减少，2025年6月19日就诊我院外科行肾结石手术，入院检查前列腺增大伴钙化灶，血PSA比值0.18，排尿可，夜寐差，失眠", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["失眠", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "炒白扁豆", "金银花", "沉香", "茯苓", "连翘", "牛膝", "麸炒苍术", "车前草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48972, "pid": "Pf8e86f65d7f8", "date": "2025-09-11", "sex": "男", "age": 34, "cc": "慢性前列腺炎复诊", "hpi": "尿不尽，夜尿1次 排尿无力 大便正常 纳可 眠安", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 7} {"rid": 48993, "pid": "Peb9adf9b3197", "date": "2025-09-11", "sex": "男", "age": 41, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。腰痛，乏力，口干口气，二便可，熬夜盗汗。", "wm_dx": ["包皮龟头炎", "腰痛"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "绵萆薢"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 48997, "pid": "P5901c4fc5f06", "date": "2025-09-11", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲强，乏力，情绪焦虑，同居感情可，二便调，纳可，眠一般，中途易醒，无排尿不畅、尿后余沥，口干，盗汗。", "wm_dx": ["腰痛", "失眠"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "知母", "盐关黄柏", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 49005, "pid": "P410df7c5601d", "date": "2025-09-11", "sex": "男", "age": 27, "cc": "泌尿系感染复诊", "hpi": "2周前出现尿道瘙痒，1周前自服头孢+三金片，仍有尿道瘙痒", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "炒白扁豆", "金银花", "小蓟炭", "白花蛇舌草", "黄连", "车前草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49006, "pid": "Pd8fd103dc38a", "date": "2025-09-11", "sex": "男", "age": 37, "cc": "尿频2周", "hpi": "2周前出现尿频，日间尿频，勃起欠佳，口服他达拉非可勃起同房，尿无力，性欲可，牙痛，口腔溃疡", "wm_dx": ["泌尿系感染"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草", "甜叶菊叶", "金银花", "牛膝", "盐杜仲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49008, "pid": "Pf4edf85a5415", "date": "2025-09-11", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。压力大，PR 23.2%。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "烫水蛭", "盐黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49018, "pid": "P104aaf97e236", "date": "2025-09-11", "sex": "男", "age": 49, "cc": "尿分叉2月", "hpi": "尿分叉2月，尿频，乏力，硬度下降，性欲一般。无小腹及会阴不适，大便质干，纳可，眠可。腰痛，情绪焦虑。", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "当归", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49024, "pid": "P48010461f619", "date": "2025-09-12", "sex": "男", "age": 34, "cc": "尿频2-3年", "hpi": "尿频，大便正常，睡眠正常，纳可，伴有性欲减退，持续时间不长，有晨勃，晨起口干喝水，无怕冷，怕热", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "白芍", "茯苓", "泽泻", "北柴胡", "麸炒枳实", "制远志", "丹参", "鸡血藤", "菟丝子", "枸杞子", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 3} {"rid": 49029, "pid": "P0423b4d23e31", "date": "2025-09-12", "sex": "男", "age": 52, "cc": "尿频10余年", "hpi": "乏力，时间下降，硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，多汗，睾丸坠痛感，怕热", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["生地黄", "盐黄柏", "黄芩", "茯苓", "猪苓", "酒萸肉", "炙甘草", "石菖蒲", "炒蒺藜", "锁阳", "金樱子", "白花蛇舌草"], "flags": [], "prev_rx": ["生地黄", "当归", "川芎", "茯苓", "猪苓", "酒萸肉", "炙甘草", "石菖蒲", "炒蒺藜", "锁阳", "金樱子"], "prev_gap": 9, "visit_ix": 7, "n_visits": 14, "visit_ix_rx": 7, "n_rx": 13} {"rid": 49032, "pid": "P07097d104ff2", "date": "2025-09-12", "sex": "男", "age": 74, "cc": "睾丸隐痛近一月", "hpi": "睾丸隐痛，排尿尿急，夜尿3-5次，尿不尽，尿痛，少腹隐痛，轻度腰疼，怕热，大便略干。纳可。口干，口服非那雄胺片，盐酸坦索罗辛缓释胶囊2粒，近一周口服左氧氟沙星片和灵泽片", "wm_dx": ["前列腺增生", "糖尿病"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "阿胶珠", "猪苓", "茯苓", "泽泻", "滑石", "麸炒苍术", "燀桃仁", "红花", "赤小豆", "白花蛇舌草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 49043, "pid": "Pdad57b299057", "date": "2025-09-12", "sex": "男", "age": 66, "cc": "尿频4-5年", "hpi": "尿频，夜尿2-3次，晨起尿频明显，遇冷加重，无尿痛，少腹发胀，无腰疼，大便次数多，纳可，口和，怕冷", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "茯苓", "泽泻", "阿胶珠", "血余炭", "黑顺片", "麸炒苍术", "生姜", "锁阳", "炙甘草", "干姜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 49047, "pid": "Pc424eefa5eb1", "date": "2025-09-12", "sex": "男", "age": 32, "cc": "腰酸痛2年", "hpi": "腰酸痛，睡眠睡不醒感，乏力感，硬度正常，时间短2-3分钟，饭后困倦明显，排尿多，口和，怕冷，出汗，大便可，纳可，无腹痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "脾肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "猪苓", "炙甘草", "燀桃仁", "红花", "煅龙骨", "煅牡蛎", "当归", "石菖蒲", "盐蒺藜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49048, "pid": "Pd191d5be5422", "date": "2025-09-12", "sex": "男", "age": 25, "cc": "尿频2-3年", "hpi": "尿频，夜尿正常，大便正常，无腰疼，硬度可，伴有时间短2-3分钟，睡眠可，纳可，口干", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "煅龙骨", "煅牡蛎", "北柴胡", "黄芩片", "桑螵蛸", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49052, "pid": "P286dae2956b5", "date": "2025-09-12", "sex": "男", "age": 59, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频、尿急，尿线细，尿等待，尿后余沥，夜尿2-5次，无小腹及会阴不适，大便质干，纳可，眠一般。规律服用坦索罗辛、非那雄胺", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "菟丝子", "醋莪术", "川牛膝", "炒王不留行", "盐关黄柏", "山药", "浙贝母", "泽泻", "桔梗", "酒萸肉", "麸炒薏苡仁", "乌药", "白果仁", "酒黄精", "赤小豆"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49058, "pid": "Pb80254f061a4", "date": "2025-09-13", "sex": "男", "age": 35, "cc": "尿频半年", "hpi": "尿频，大便正常，纳可，睡眠正常中途醒，近半年未育。口干喝水，怕冷，出汗少，睾丸坠胀感隐痛", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾阴虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牡丹皮", "泽泻", "茯苓", "菟丝子", "枸杞子", "人参", "牡蛎", "红景天", "醋龟甲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 49064, "pid": "P21855fdbdf5d", "date": "2025-09-13", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "盐车前子", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49070, "pid": "P46a5e2a7ebb2", "date": "2025-09-13", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作可，情绪焦虑可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49072, "pid": "P271ff4428a43", "date": "2025-09-13", "sex": "男", "age": 37, "cc": "尿频一年", "hpi": "尿频，大便正常，睡眠正常，2胎一年未育，伴有时间短，纳可，口气重，无怕冷，易疲劳", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "连翘", "盐黄柏", "焦山楂", "佩兰", "赤小豆", "白花蛇舌草", "菟丝子", "枸杞子", "盐车前子", "醋龟甲", "红景天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49085, "pid": "P06a8fd960345", "date": "2025-09-13", "sex": "男", "age": 42, "cc": "腰痛伴勃起中途疲软2月", "hpi": "2月前出现腰痛伴勃起中途疲软，性欲减退，晨勃可，耳鸣，口中和，夜寐可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "金樱子"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "太子参", "黄芪", "川芎", "山药", "熟地黄", "锁阳"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49094, "pid": "Pe45eb79b0378", "date": "2025-09-13", "sex": "男", "age": 33, "cc": "腰痛1年", "hpi": "腰痛1年，口服他达拉非，硬度下降，性欲可，工作可，压力可。晨勃少。工作可，焦虑可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 5} {"rid": 49099, "pid": "Pdb350c0b12aa", "date": "2025-09-13", "sex": "男", "age": 38, "cc": "腰痛乏力1年", "hpi": "腰痛乏力，排尿可，口中和，夜寐可，长期熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 49102, "pid": "Pfb712cd03c4a", "date": "2025-09-13", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力大。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "炒酸枣仁", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49104, "pid": "P682dab1d620e", "date": "2025-09-13", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["当归", "赤小豆", "干姜", "菟丝子", "枸杞子", "盐车前子", "茯苓", "熟地黄", "牡蛎", "红景天", "酒黄精", "柏子仁", "炒酸枣仁", "人参", "牡丹皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "赤小豆", "干姜", "菟丝子", "枸杞子", "盐车前子", "熟地黄", "牡蛎", "红景天", "酒黄精", "柏子仁", "炒酸枣仁", "人参", "茯苓"], "prev_gap": 14, "visit_ix": 9, "n_visits": 24, "visit_ix_rx": 8, "n_rx": 23} {"rid": 49106, "pid": "P941112801a06", "date": "2025-09-13", "sex": "男", "age": 24, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，注意力不集中，工作可，焦虑，二便调，眠差，无排尿不畅、尿后余沥，口干，胁痛盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["胁痛", "肝郁血瘀证", "疏肝化瘀"]], "rx": ["炒酸枣仁", "太子参", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49107, "pid": "Pb0afabb485ae", "date": "2025-09-13", "sex": "男", "age": 29, "cc": "尿频 尿黄 泡沫多大半年", "hpi": "尿频 尿黄 泡沫多 夜尿1-2次，大便正常， 纳可，吃凉的少， 口气重，口干口苦，乏力", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "天花粉", "牡蛎", "当归", "川芎", "白芍", "茯苓", "泽泻", "人参", "赤小豆", "滑石"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 16, "visit_ix_rx": 0, "n_rx": 11} {"rid": 49115, "pid": "Pb542819849bb", "date": "2025-09-13", "sex": "男", "age": 25, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短（<100次），硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "烫水蛭", "制远志", "地龙", "木香", "桂枝", "蛇床子", "五倍子", "细辛", "蒲公英", "金银花", "地肤子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49116, "pid": "Pa4a75eaee248", "date": "2025-09-13", "sex": "男", "age": 39, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。腰痛，乏力。焦虑。", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "当归", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49132, "pid": "P97c9e538e741", "date": "2025-09-14", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "伴有早泄 晨勃无 大小便正常 纳可 眠安 腰痛 盗汗 龟头红疹", "wm_dx": ["焦虑状态"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "烫水蛭"], "flags": [], "prev_rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙", "五加皮"], "prev_gap": 21, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49135, "pid": "Pb38157e94c1b", "date": "2025-09-14", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力大，性欲一般。盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49137, "pid": "P20a21bd397df", "date": "2025-09-14", "sex": "男", "age": 29, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短（<100次），硬度和性欲可，性生活不规律，工作劳累，压力大，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "焦虑状态"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49144, "pid": "P7fa4a7f55133", "date": "2025-09-14", "sex": "男", "age": 37, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，稍有水肿，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。腰痛。", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49147, "pid": "Pcb1bdcf0635d", "date": "2025-09-14", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，中途疲软，性欲可，乏力，工作劳累，压力大，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "当归", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49148, "pid": "P8dfccd468469", "date": "2025-09-14", "sex": "男", "age": 38, "cc": "尿频2月", "hpi": "尿频2月，无尿等待、尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，口干。工作久坐。", "wm_dx": ["前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["薏苡仁", "太子参", "北柴胡", "炒酸枣仁", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49150, "pid": "P22e54a6a9738", "date": "2025-09-14", "sex": "男", "age": 25, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，中途疲软，性欲可，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。工作久坐。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49152, "pid": "Pa919c50cc0a7", "date": "2025-09-14", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作可，熬夜。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "盐车前子", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49160, "pid": "P48b794c1f5b2", "date": "2025-09-15", "sex": "男", "age": 37, "cc": "睾丸酸痛一周", "hpi": "睾丸酸痛一周 大小便正常 纳可 眠安 阴囊潮湿发热 小腹隐痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山药", "党参片", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49162, "pid": "Pd044f9f48900", "date": "2025-09-15", "sex": "男", "age": 75, "cc": "少腹隐痛 尿急 尿痛复诊", "hpi": "尿等待，夜尿增多，少腹憋胀感，尿无力，大便粘不畅 糖尿病 高血压 高脂血症复查", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["党参片", "山药", "猪苓", "醋五味子", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49163, "pid": "Pf7ac739b9e28", "date": "2025-09-15", "sex": "男", "age": 61, "cc": "阴囊刺痒 尿痛一月余", "hpi": "阴囊刺痒 尿痛一月余 大便正常 纳可 眠安 睾丸疼痛", "wm_dx": ["前列腺增生", "附睾炎", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山药", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49170, "pid": "Pf56293274911", "date": "2025-09-15", "sex": "男", "age": 39, "cc": "尿分叉1年", "hpi": "勃起困难，精液量少，偶有夜间勃起。尿分叉，尿频不甚。口干，汗不多，无肢冷。便调", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "天花粉", "地龙", "九香虫", "石菖蒲", "蜜桑白皮", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 18, "visit_ix_rx": 0, "n_rx": 18} {"rid": 49171, "pid": "Pc11371612b73", "date": "2025-09-15", "sex": "男", "age": 71, "cc": "右侧睾丸疼痛复诊", "hpi": "右侧睾丸疼痛复诊 大小便正常 纳可 眠安，服药后症状明显好转", "wm_dx": ["附睾炎"], "tcm_dx": [["子肿", "气滞血瘀证", "活血化瘀"]], "rx": ["甜叶菊叶", "夏枯草", "浙贝母", "蒲公英", "土茯苓", "败酱草", "烫水蛭", "地龙", "砂仁", "川牛膝", "盐小茴香", "防风", "白芷", "麸炒白术", "麸炒枳壳", "炙甘草", "川楝子", "炒王不留行", "醋五灵脂", "川芎", "醋香附", "天麻", "钩藤", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "夏枯草", "浙贝母", "蒲公英", "土茯苓", "败酱草", "烫水蛭", "地龙", "石菖蒲", "川牛膝", "盐小茴香", "防风", "白芷", "荆芥", "麸炒枳壳", "炙甘草", "川楝子", "炒王不留行", "醋五灵脂", "川芎", "醋香附", "天麻", "钩藤", "法半夏"], "prev_gap": 7, "visit_ix": 6, "n_visits": 10, "visit_ix_rx": 2, "n_rx": 6} {"rid": 49172, "pid": "P2f7fc3511848", "date": "2025-09-15", "sex": "男", "age": 41, "cc": "复诊", "hpi": "会阴部疼痛消失，勃起差，便调。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["白芍", "九香虫", "炙甘草", "麸炒枳实", "北柴胡", "麸炒苍术", "地龙", "蜂房", "木香", "麸炒白术"], "flags": [], "prev_rx": ["白芍", "九香虫", "炙甘草", "麸炒枳实", "北柴胡", "麸炒苍术", "地龙", "蜂房", "木香", "麸炒白术"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 49173, "pid": "P8c62a47f0654", "date": "2025-09-15", "sex": "男", "age": 49, "cc": "口干3年", "hpi": "勃起困难三年，硬度减，持续时间短夜间勃起少。精液量少。口干口苦，便干，易汗，下肢凉。夜尿1次。", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "桂枝", "干姜", "酒黄芩", "党参片", "牡蛎", "大黄", "姜厚朴", "姜半夏", "麸炒苍术", "木香", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 49175, "pid": "Pc64686dcd7c6", "date": "2025-09-15", "sex": "男", "age": 37, "cc": "复诊", "hpi": "病史同前 口干苦减少，便溏4次。无肢冷", "wm_dx": ["代谢综合征"], "tcm_dx": [["男性前阴类病", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "姜半夏", "九香虫", "地龙", "木香", "姜厚朴"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "陈皮", "姜半夏", "炒栀子", "石菖蒲", "龙骨", "牡蛎", "焦神曲", "九香虫", "地龙"], "prev_gap": 7, "visit_ix": 2, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 9} {"rid": 49182, "pid": "P22a6d4733770", "date": "2025-09-15", "sex": "男", "age": 42, "cc": "腰痛半年", "hpi": "伴有早泄一年 时间2分钟 勃起可 大小便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["党参", "茯苓", "土茯苓", "麸炒苍术", "黄柏", "牛膝", "麸炒薏苡仁", "石菖蒲", "肉苁蓉", "仙茅", "炙淫羊藿", "韭菜子", "盐车前子", "麸炒枳壳", "地龙", "合欢皮", "炙甘草", "全蝎", "猪苓", "陈皮", "山药", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49183, "pid": "P3057fed6a345", "date": "2025-09-15", "sex": "男", "age": 44, "cc": "复诊", "hpi": "病史同前，夜尿1-2次，便调。", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "姜半夏", "石菖蒲", "龙骨", "牡蛎", "九香虫", "地龙", "首乌藤"], "flags": [], "prev_rx": ["首乌藤", "地龙", "石菖蒲", "九香虫", "白芍", "北柴胡", "牡蛎", "龙骨", "炙甘草", "制远志", "金果榄", "醋五味子"], "prev_gap": 7, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 10} {"rid": 49185, "pid": "Pc3a8222bf49d", "date": "2025-09-15", "sex": "男", "age": 31, "cc": "右侧睾丸疼痛 遗精半年", "hpi": "右侧睾丸疼痛 遗精半年 大小便正常 纳可 眠安 早泄 勃起可 腰痛 盗汗", "wm_dx": ["静脉曲张", "精索静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "党参片", "山药", "制巴戟天", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49194, "pid": "Pf18e7a85b4fd", "date": "2025-09-15", "sex": "男", "age": 61, "cc": "复诊", "hpi": "病史同前，性生活1次。睡眠正常，纳可，口干不苦。 血压正常。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["消渴类病", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "龙骨", "牡蛎", "九香虫", "地龙", "瓜蒌", "炙甘草", "首乌藤"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "龙骨", "牡蛎", "九香虫", "地龙", "瓜蒌", "石菖蒲", "炙甘草"], "prev_gap": 7, "visit_ix": 3, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 7} {"rid": 49197, "pid": "Paf4dfff18b01", "date": "2025-09-15", "sex": "男", "age": 40, "cc": "勃起困难2月", "hpi": "病史同前，未有性生活。眠差，脾气急，口干口苦消。便调", "wm_dx": ["代谢综合征"], "tcm_dx": [["失眠", "肝气郁结证", "疏肝理气"]], "rx": ["北柴胡", "姜半夏", "首乌藤", "龙骨", "牡蛎", "炙甘草", "麸炒枳实", "白芍", "石菖蒲", "九香虫", "地龙", "合欢皮"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "姜半夏", "党参片", "麸炒枳实", "白芍", "石菖蒲", "九香虫", "地龙", "首乌藤", "龙骨", "牡蛎", "炙甘草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 49208, "pid": "P69e960bb84be", "date": "2025-09-15", "sex": "男", "age": 43, "cc": "腰痛半年", "hpi": "腰痛半年 伴有龟头敏感 早泄 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "醋五味子", "五倍子", "细辛", "花椒", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49215, "pid": "P11f878fa9eb4", "date": "2025-09-16", "sex": "男", "age": 41, "cc": "尿频半年", "hpi": "献血后自觉晨勃少，硬度一般，排尿正常，大便不成型，不能吃辛辣生冷，睡眠一般，入睡差，口干口苦，乏力，服药后症状改善，复查激素", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "天花粉", "牡蛎", "黄芩片", "人参", "制巴戟天", "姜厚朴", "炒紫苏子", "当归", "川芎", "炒栀子", "制远志", "丹参", "鸡血藤", "煅龙骨"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "人参", "干姜", "柏子仁", "炒酸枣仁", "制巴戟天", "丹参", "鸡血藤", "茯苓", "当归", "枸杞子", "炙淫羊藿", "白芍"], "prev_gap": 24, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 49220, "pid": "P376d08f2e711", "date": "2025-09-16", "sex": "男", "age": 43, "cc": "小腹下坠感伴尿频2周", "hpi": "小腹下坠感伴尿频2周，夜尿好转", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热证", "清热利湿"], ["咳嗽", "痰热证", "清热化痰"]], "rx": ["薏苡仁", "淡竹叶", "豆蔻", "黄芩片", "蓼大青叶", "盐补骨脂", "甘草片", "牡丹皮", "马齿苋", "木贼", "茵陈", "北柴胡", "龙胆", "夏枯草", "炒酸枣仁", "茯神", "炒栀子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["薏苡仁", "淡竹叶", "豆蔻", "黄芩片", "蓼大青叶", "盐补骨脂", "甘草片", "牡丹皮", "马齿苋", "木贼", "茵陈", "北柴胡", "龙胆", "夏枯草", "炒酸枣仁", "茯神"], "prev_gap": 19, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 3} {"rid": 49226, "pid": "P9ca7aa7d4621", "date": "2025-09-16", "sex": "男", "age": 32, "cc": "腰痛乏力3月", "hpi": "腰痛乏力3月，女方流产一次，尿频尿急，口苦，长期熬夜，夜寐差", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花", "蒲公英"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花"], "prev_gap": 56, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 49235, "pid": "P65caf87d9e0f", "date": "2025-09-16", "sex": "男", "age": 36, "cc": "包皮刺痒裂口复诊取药", "hpi": "包皮刺痒裂口复诊 大便正常 纳可 眠差 盗汗 口苦 口干 尿频 尿急 腰痛", "wm_dx": ["包皮龟头炎", "慢性前列腺炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["党参片", "醋五味子", "制巴戟天", "猪苓", "山慈菇"], "flags": [], "prev_rx": ["肉桂", "黄连", "当归", "白芍", "熟地黄", "川芎", "石斛", "玄参", "天花粉", "大血藤", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "防风", "麸炒枳壳", "炙甘草", "甜叶菊叶", "菟丝子", "烫水蛭", "酒女贞子", "覆盆子", "盐车前子", "枸杞子"], "prev_gap": 21, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 49238, "pid": "P655c57f00025", "date": "2025-09-16", "sex": "男", "age": 82, "cc": "夜间排尿困难1天", "hpi": "夜间排尿困难1天 白天可 便秘 纳可 眠差", "wm_dx": ["前列腺增生", "泌尿系感染", "慢性膀胱炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 49239, "pid": "Pc18862d80b19", "date": "2025-09-16", "sex": "男", "age": 49, "cc": "尿频一月", "hpi": "尿频，夜尿正常，大便正常，纳可，睡眠一般，入睡困难，紧张，伴有硬度下降，时间短，口和，无怕冷", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "牡丹皮", "地黄", "酒萸肉", "麸炒山药", "蜈蚣", "煅龙骨", "煅牡蛎", "制巴戟天", "枸杞子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49241, "pid": "P9a9fc099f5c1", "date": "2025-09-16", "sex": "男", "age": 34, "cc": "尿频一年", "hpi": "尿频，硬度不够，中途疲软，时间短2-3分钟，异地1-2月回家一次，尿浑浊，泡沫，大便时干时不成型，睡眠可，纳可，口渴。腰疼", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐黄柏", "生地黄", "酒萸肉", "山药", "茯苓", "淡竹叶", "人参", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜", "锁阳", "金樱子"], "flags": [], "prev_rx": ["知母", "盐黄柏", "生地黄", "牡丹皮", "酒萸肉", "山药", "茯苓", "泽泻", "人参", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49248, "pid": "P11f2581af2cc", "date": "2025-09-16", "sex": "男", "age": 40, "cc": "乏力3年", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便稀1-3次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["法半夏", "黄连片", "黄芩片", "干姜", "人参", "滑石", "姜厚朴", "绵萆薢", "菟丝子", "枸杞子", "熟地黄", "制巴戟天", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 24, "visit_ix_rx": 0, "n_rx": 24} {"rid": 49257, "pid": "P966b63b1858b", "date": "2025-09-16", "sex": "男", "age": 37, "cc": "腰痛半年抄方", "hpi": "伴有早泄 勃起差 大小便正常 纳可 眠安 慢性前列腺炎取药", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["炙淫羊藿", "仙茅", "制巴戟天", "当归", "白芍", "党参片", "知母", "覆盆子", "盐车前子", "醋五味子", "陈皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49264, "pid": "Pbeafb442e3d7", "date": "2025-09-17", "sex": "男", "age": 39, "cc": "龟头部异味一年", "hpi": "龟头部异味，略潮红，排尿正常，硬度一般，中途疲软，早醒，大便不畅，睡眠中途易醒，口和，不吃生冷，腰疼，既往口服舍曲林", "wm_dx": ["包皮过长"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "桂枝", "干姜", "天花粉", "煅龙骨", "煅牡蛎", "黄芩片", "当归", "川芎", "丹参", "鸡血藤", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49268, "pid": "P698d3f3d4fb1", "date": "2025-09-17", "sex": "男", "age": 75, "cc": "尿等待2月", "hpi": "尿等待，用温水冲可排出，活动后也可正常排尿，夜尿1-2次，少腹发胀，腰发酸，怕热，口和，纳可，大便时有不成型。口服索罗辛缓释胶囊和双石通淋胶囊", "wm_dx": ["尿频"], "tcm_dx": [["精癃", "肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "黑顺片", "地黄", "茯苓", "泽泻", "猪苓", "滑石", "酒萸肉", "山药", "牡丹皮", "赤小豆", "炒王不留行", "路路通", "白花蛇舌草", "制远志", "制水蛭"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "地黄", "茯苓", "泽泻", "猪苓", "滑石", "酒萸肉", "山药", "牡丹皮", "赤小豆", "炒王不留行", "路路通", "白花蛇舌草", "制远志"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 49271, "pid": "P3ba28fafd9a8", "date": "2025-09-17", "sex": "男", "age": 32, "cc": "右侧睾丸坠胀感一周", "hpi": "右侧睾丸坠胀，排尿正常，无腹痛，无腰疼，反酸，大便便秘2-3天，口干口苦。冬天脚冷，夏天脚热，睡眠一般，乏力，头晕", "wm_dx": ["静脉曲张"], "tcm_dx": [["筋瘤", "肝胆湿热证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "大黄", "白芍", "黄芩片", "大枣", "生姜", "菟丝子", "枸杞子", "覆盆子", "醋五味子", "酒女贞子", "地黄", "醋龟甲", "川楝子", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 13, "visit_ix_rx": 0, "n_rx": 13} {"rid": 49282, "pid": "P4489dbab82f5", "date": "2025-09-17", "sex": "男", "age": 47, "cc": "射精无力一月", "hpi": "射精无力，硬度一般，中途疲软，时间短2-3分钟，精液量少，喝水即尿，大便不成型，纳可，口干口苦，出汗，睡眠一般多梦，怕冷冬天", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "天花粉", "煅龙骨", "煅牡蛎", "干姜", "当归", "川芎", "白芍", "茯苓", "泽泻", "制巴戟天", "制远志", "人参"], "flags": [], "prev_rx": ["桂枝", "白薇", "醋五味子", "白芍", "生姜", "大枣", "煅龙骨", "煅牡蛎", "地黄", "麸炒苍术", "黑顺片", "石菖蒲", "盐蒺藜"], "prev_gap": 14, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 5, "n_rx": 6} {"rid": 49286, "pid": "P5001d9179e3d", "date": "2025-09-17", "sex": "男", "age": 36, "cc": "膀胱炎 尿痛复诊", "hpi": "伴有腰痛 乏力 勃起不坚 晨勃消失 熬夜多 大便正常 纳可 眠差 感冒一周复查", "wm_dx": ["慢性膀胱炎", "泌尿系感染", "感冒"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "烫水蛭", "党参", "麸炒白术", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "枸杞子", "熟地黄", "酒萸肉", "泽泻", "麸炒枳壳", "盐车前子", "覆盆子", "酒女贞子", "茺蔚子", "山药", "炙甘草"], "flags": [], "prev_rx": ["甜叶菊叶", "烫水蛭", "党参", "麸炒白术", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "枸杞子", "熟地黄", "酒萸肉", "泽泻", "麸炒枳壳", "盐车前子", "覆盆子", "酒女贞子", "茺蔚子", "山药", "炙甘草", "太子参", "知母", "陈皮"], "prev_gap": 31, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 49293, "pid": "P206c769cc9c4", "date": "2025-09-17", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 勃起不坚", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "炙甘草", "麸炒苍术", "土茯苓", "茵陈", "地龙", "防风", "盐车前子", "覆盆子", "酒女贞子", "蛇床子", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "麸炒苍术", "猪苓", "泽泻", "石菖蒲", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "麸炒枳壳", "防风", "白芷", "盐车前子", "菟丝子", "覆盆子", "酒女贞子", "炙甘草", "土茯苓", "败酱草"], "prev_gap": 14, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 49300, "pid": "P0fe6c98098e1", "date": "2025-09-17", "sex": "男", "age": 32, "cc": "腰痛半年", "hpi": "伴有性欲低下半年余 感情淡漠 体重增加 晨勃可 大小便正常 纳可 眠差", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳实", "炙甘草", "炒蒺藜", "醋青皮", "郁金", "丁香", "木香", "蛇床子", "韭菜子", "麸炒白术", "茯苓", "麸炒枳壳", "烫水蛭", "防风", "酒苁蓉", "仙茅", "炙淫羊藿", "菟丝子", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49303, "pid": "P942f1d2ebf0e", "date": "2025-09-17", "sex": "男", "age": 78, "cc": "夜尿7-8次半年", "hpi": "夜尿7-8次半年 尿分叉 大便正常 纳可 眠差 低钾血症取药", "wm_dx": ["前列腺增生", "低钾血症", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49307, "pid": "P95621a874d80", "date": "2025-09-17", "sex": "男", "age": 54, "cc": "腰痛半年", "hpi": "腰痛半年 小便正常黄 纳不吃凉 眠多梦，口干口苦，腰怕冷，多汗，下午手痒，手心红点，外院就诊，口服药物治疗，既往口服过他达拉非。复诊：症状好转，昨日天冷手心出红点", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "寒热错杂证", "平调寒热"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩", "人参", "当归", "川芎", "白芍", "茯苓", "泽泻", "制远志", "丹参", "鸡血藤", "牡丹皮", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "牡丹皮", "当归", "川芎", "防风", "北柴胡", "黄芩", "人参", "丹参", "鸡血藤", "猪苓", "淡竹叶", "茯苓", "炙淫羊藿"], "prev_gap": 7, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 5} {"rid": 49308, "pid": "P9a6314d0c56d", "date": "2025-09-17", "sex": "男", "age": 57, "cc": "排尿不畅尿等待8月", "hpi": "8月前出现排尿不畅尿等待，3周前就诊我院脑病科病房，我科会诊予口服盐酸坦索罗辛缓释胶囊、非那雄胺片、前列舒通胶囊症状改善，现出院规律门诊。现夜尿1-2次，口中和，夜寐差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "盐益智仁", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "麸炒山药", "墨旱莲", "党参", "茯苓", "麸炒苍术", "盐黄柏", "麸炒薏苡仁", "牛膝", "甜叶菊叶"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 20, "visit_ix_rx": 0, "n_rx": 9} {"rid": 49310, "pid": "Pf843f4c03028", "date": "2025-09-17", "sex": "男", "age": 35, "cc": "发现血精一周", "hpi": "发现血精一周 大小便正常 纳可 眠安", "wm_dx": ["精囊炎", "慢性前列腺炎"], "tcm_dx": [["血精", "气滞血瘀证", "活血化瘀"], ["精癃", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49311, "pid": "Pdc8e5272a1f4", "date": "2025-09-17", "sex": "男", "age": 30, "cc": "尿频尿急复诊", "hpi": "尿频尿急复诊 腰痛 胁痛 少腹隐痛 盗汗 失眠", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "山药", "陈皮", "炒酸枣仁"], "prev_gap": 25, "visit_ix": 10, "n_visits": 12, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49323, "pid": "P35470141e1e5", "date": "2025-09-17", "sex": "男", "age": 45, "cc": "腰痛半年", "hpi": "伴有勃起不坚一年 晨勃无 大便正常 纳可 眠安 尿频 尿急 口苦口干", "wm_dx": ["男性更年期综合征", "腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49324, "pid": "P8b9d1c601b51", "date": "2025-09-17", "sex": "男", "age": 24, "cc": "包皮系带处疼痛一月", "hpi": "包皮环切手术后，现系带处仍有疼痛感，硬度一般，时间3-5分钟，排尿可，大便不成型，睡眠入睡困难，纳可，口干喝水，怕冷，腰疼，出汗。体检发现前列腺钙化灶，左侧肾结晶，复查.乏力,困。复诊尿频，夜尿1次，硬度可，睡眠好转，乏力好转", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "气滞血瘀证", "活血止痛"]], "rx": ["桂枝", "茯苓", "猪苓", "泽泻", "麸炒白术", "阿胶珠", "丹参", "鸡血藤", "生姜", "大枣", "鹿角霜", "煅龙骨", "煅牡蛎", "炙甘草", "川芎", "赤小豆"], "flags": [], "prev_rx": ["桂枝", "白薇", "醋五味子", "煅龙骨", "煅牡蛎", "葛根", "白芍", "生姜", "大枣", "人参", "茯苓", "石菖蒲", "盐蒺藜", "浮小麦"], "prev_gap": 8, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49325, "pid": "P109ab221d94f", "date": "2025-09-17", "sex": "男", "age": 38, "cc": "尿急一年", "hpi": "尿急一年 伴有阳痿早泄 勃起困难 晨勃可 大便正常 纳可 乏力 疲劳 眠安 盗汗腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "盐车前子", "茯苓", "麸炒枳壳", "党参片", "山药", "盐胡芦巴", "煅阳起石", "紫石英", "赤石脂", "石菖蒲", "陈皮", "木香", "郁金", "醋青皮", "防风", "炙甘草", "蜈蚣"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "当归", "白芍", "熟地黄", "川芎", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "制何首乌", "桑椹", "菟丝子", "党参", "黄芪", "山药", "麸炒白术", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "锁阳", "乌药", "盐益智仁", "炙甘草", "太子参", "知母"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49326, "pid": "Pa8f0a0b533ee", "date": "2025-09-17", "sex": "男", "age": 33, "cc": "乏力感2年", "hpi": "乏力感，多汗，一运动即汗出，纳可，睡眠好 无怕冷，大便正常，排尿正常，伴有性功能减退，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙黄芪", "人参", "当归", "川芎", "白芍", "丹参", "鸡血藤", "浮小麦", "桂枝", "制远志", "煅龙骨", "煅牡蛎", "地黄", "酒萸肉", "制巴戟天"], "flags": [], "prev_rx": ["炙黄芪", "人参", "当归", "川芎", "白芍", "浮小麦", "桂枝", "丹参", "鸡血藤", "制远志", "煅龙骨", "煅牡蛎", "地黄"], "prev_gap": 7, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 5} {"rid": 49339, "pid": "Pbbecda13150f", "date": "2025-09-18", "sex": "男", "age": 32, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，情绪焦虑，二便调，纳可，眠差易醒，无排尿不畅、尿后余沥，口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "当归", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 49361, "pid": "P7d5fa18352c1", "date": "2025-09-18", "sex": "男", "age": 31, "cc": "夜尿频繁1月", "hpi": "夜尿频繁1月，尿频，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗，情绪焦虑。腰痛，性欲可，熬夜。", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "当归", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49364, "pid": "P22e54a6a9738", "date": "2025-09-18", "sex": "男", "age": 25, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，中途疲软，性欲可，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。工作久坐。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "茯苓", "烫水蛭", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "烫水蛭"], "prev_gap": 4, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49366, "pid": "P5c2d7bc1baf0", "date": "2025-09-18", "sex": "男", "age": 39, "cc": "腰痛伴勃起硬度欠佳2年", "hpi": "近2年出现腰痛伴勃起硬度欠佳，射精快，排尿可，夜寐可，口干口苦，怕冷，晨勃可，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "白芍", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "锁阳", "熟地黄", "川芎", "川牛膝", "黄芪"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "锁阳", "熟地黄", "川芎"], "prev_gap": 19, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49370, "pid": "P019010a6d9e5", "date": "2025-09-18", "sex": "男", "age": 73, "cc": "排尿不畅4月", "hpi": "4月前出现排尿不畅，尿无力，尿细，尿混浊，口中和，夜寐差失眠，腰痛。", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "昆布", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "小通草", "麸炒冬瓜子", "苦参", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49371, "pid": "Pa13b514ad2f0", "date": "2025-09-18", "sex": "男", "age": 36, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间和性欲下降，工作劳累，压力大，大便质稀，纳可，眠差梦多，无排尿不畅、尿后余沥，口干，盗汗胁痛", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "烫水蛭", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49377, "pid": "Pff307c591bed", "date": "2025-09-19", "sex": "男", "age": 57, "cc": "阵发性血精半年", "hpi": "阵发性血精，色暗，无射精痛，排尿正常，无尿痛，现尿道有血，服药后，血精消失，血尿无，现大便略干，口和，睡眠正常，着凉腰背痛，有汗，早醒，左腿发凉，尿液色深", "wm_dx": ["精囊炎"], "tcm_dx": [["血精", "气滞血瘀证", "活血止血"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "陈皮", "煅龙骨", "煅牡蛎", "人参", "赤小豆", "当归", "川芎", "白芍", "茯苓", "猪苓", "阿胶珠"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "茯苓", "牡丹皮", "葛根", "蒲黄炭", "麻黄", "柏子仁", "炒酸枣仁", "阿胶珠", "猪苓", "滑石"], "prev_gap": 21, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 49378, "pid": "Pdad57b299057", "date": "2025-09-19", "sex": "男", "age": 66, "cc": "尿频4-5年", "hpi": "尿频，夜尿2-3次，晨起尿频明显，遇冷加重，无尿痛，少腹发胀，无腰疼，大便次数多，纳可，口和，怕冷。服药后，矢气后腹胀好转", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "茯苓", "泽泻", "姜厚朴", "黑顺片", "麸炒苍术", "生姜", "锁阳", "炙甘草", "干姜", "炙淫羊藿", "鹿角霜"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "阿胶珠", "血余炭", "黑顺片", "麸炒苍术", "生姜", "锁阳", "炙甘草", "干姜"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 49386, "pid": "P07097d104ff2", "date": "2025-09-19", "sex": "男", "age": 74, "cc": "睾丸隐痛近一月", "hpi": "睾丸隐痛，排尿尿急，夜尿3-5次，尿不尽，尿痛，少腹隐痛，轻度腰疼，怕热，大便略干。纳可。口干，口服非那雄胺片，盐酸坦索罗辛缓释胶囊2粒，近一周口服左氧氟沙星片和灵泽片，服药后，睾丸疼痛消失，尿频，尿痛消失。现阴囊潮湿，时有脚肿", "wm_dx": ["糖尿病", "前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "阿胶珠", "猪苓", "茯苓", "泽泻", "滑石", "麸炒苍术", "燀桃仁", "红花", "赤小豆", "白花蛇舌草", "火麻仁"], "flags": [], "prev_rx": ["桂枝", "阿胶珠", "猪苓", "茯苓", "泽泻", "滑石", "麸炒苍术", "燀桃仁", "红花", "赤小豆", "白花蛇舌草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 49390, "pid": "P605ae19285b5", "date": "2025-09-19", "sex": "男", "age": 28, "cc": "精力差一年", "hpi": "精力差，乏力感，睡眠浅，纳一般，排尿正常，大便不成型，口和，无腰疼，微怕冷，伴有硬度一般", "wm_dx": ["高尿酸血症"], "tcm_dx": [["虚劳类病", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "制远志", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "莲子", "石菖蒲", "盐蒺藜", "佩兰", "人参", "麸炒薏苡仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49409, "pid": "P39b30a80e01d", "date": "2025-09-19", "sex": "男", "age": 40, "cc": "尿频尿无力6月", "hpi": "6月前出现尿频尿无力，尿混浊，小腹胀痛不适，外院诊断慢性前列腺炎，予口服前列康稍好转，停药后症状再次出现。夜尿1次，口干口苦，夜寐可，", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "盐黄柏", "砂仁", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "丹参", "盐小茴香", "醋香附", "夏枯草", "荔枝核", "路路通", "炒王不留行"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49416, "pid": "Pab111d2c7624", "date": "2025-09-20", "sex": "男", "age": 31, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力射精快，手足冷 大小便正常 纳可 眠安 尿不尽 尿频", "wm_dx": ["腰痛", "乏力", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇", "丹参", "麸炒山药"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 49417, "pid": "P319e7ba40c7d", "date": "2025-09-20", "sex": "男", "age": 33, "cc": "腰痛伴射精快5年", "hpi": "腰痛伴射精快，自汗，近1周勃起欠佳，晨勃可，口中和，夜寐可，龟头红疹", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙", "北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "白芍", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "金樱子", "麸炒芡实"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 49421, "pid": "P6bd2998dd1ea", "date": "2025-09-20", "sex": "男", "age": 44, "cc": "少腹隐痛复诊", "hpi": "少腹隐痛，喜按喜揉，久坐加重，运动后好转，无阴囊潮湿，大便正常，排尿正常。纳可，口和 单位体检B超-，尿常规-", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "气滞血瘀证", "活血止痛"]], "rx": ["当归", "白芍", "燀桃仁", "红花", "桂枝", "细辛", "茯苓", "牡丹皮", "白芷", "醋延胡索", "川芎", "赤小豆", "白花蛇舌草", "醋乳香", "醋没药", "制水蛭", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49436, "pid": "P6252cd3c3c37", "date": "2025-09-20", "sex": "男", "age": 33, "cc": "尿不尽一年", "hpi": "尿不尽，近一月出现夜尿1次，无尿痛，少腹正常，无腰疼，大便不成型，纳可，睡眠可，早醒，口干喝水口苦，怕冷怕热，出汗，盗汗，服用后夜尿，睡眠4点醒，燥热感", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "桂枝", "干姜", "天花粉", "牡蛎", "煅龙骨", "黄芩片", "当归", "川芎", "炒栀子", "柏子仁", "制远志", "茯苓", "猪苓", "炒酸枣仁"], "flags": [], "prev_rx": ["百合", "地黄", "山药", "生石膏", "知母", "甘草片", "人参", "赤小豆", "柏子仁", "炒酸枣仁", "煅龙骨", "煅牡蛎"], "prev_gap": 14, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 8} {"rid": 49441, "pid": "P7a96ecd0abab", "date": "2025-09-20", "sex": "男", "age": 49, "cc": "左侧睾丸疼痛5天", "hpi": "左侧睾丸疼痛5天 大小便正常 纳可 眠安 少腹隐痛", "wm_dx": ["慢性前列腺炎", "附睾囊肿"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49444, "pid": "P45ef42228c40", "date": "2025-09-20", "sex": "男", "age": 41, "cc": "尿频一年", "hpi": "尿频，勃起慢，时间短10余分钟，大小便正常，睡眠可，纳可，口和，吃凉易腹泻", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["失眠", "气血亏虚证", "补益气血"]], "rx": ["甘草", "生姜", "法半夏", "黄连", "黄芩", "广藿香", "人参", "制巴戟天", "炙淫羊藿", "制远志", "丹参", "鸡血藤"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49451, "pid": "P682dab1d620e", "date": "2025-09-20", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草片", "黄芩片", "黄连片", "干姜", "大枣", "生姜", "牡蛎", "红景天", "菟丝子", "枸杞子", "人参", "醋龟甲", "茯苓", "泽泻"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "赤小豆", "干姜", "菟丝子", "枸杞子", "盐车前子", "茯苓", "熟地黄", "牡蛎", "红景天", "酒黄精", "柏子仁", "炒酸枣仁", "人参", "牡丹皮"], "prev_gap": 7, "visit_ix": 10, "n_visits": 24, "visit_ix_rx": 9, "n_rx": 23} {"rid": 49452, "pid": "Pbd8e8a487d05", "date": "2025-09-20", "sex": "男", "age": 35, "cc": "左侧少腹隐痛2年", "hpi": "左侧少腹隐痛，乏力感，硬度可，中途疲软，射精无力，尿频，大便不畅，睡眠可，纳可，口和，胁肋疼痛", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["关黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "知母", "牛膝", "锁阳", "煅阳起石", "醋五味子", "菟丝子", "盐车前子", "覆盆子", "枸杞子", "龙骨", "牡蛎"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "柏子仁", "炒酸枣仁", "白术", "制巴戟天", "石菖蒲", "当归", "白芍", "枸杞子", "人参", "制远志", "炙淫羊藿"], "prev_gap": 21, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 49454, "pid": "Pa4b6ff37b90c", "date": "2025-09-20", "sex": "男", "age": 45, "cc": "腰痛复诊", "hpi": "6月前出现腰痛伴勃起硬度欠佳，性欲减退，晨勃可，口干口苦，夜寐可，易困倦，", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳壳", "北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏"], "flags": [], "prev_rx": ["麸炒苍术", "关黄柏", "牛膝", "麸炒薏苡仁", "茯苓", "猪苓", "泽泻", "石菖蒲", "炙淫羊藿", "蛇床子", "韭菜子", "盐车前子", "车前草", "防风", "党参片", "麸炒枳壳", "砂仁", "炙甘草", "锁阳", "制巴戟天", "仙茅", "北柴胡", "盐蒺藜"], "prev_gap": 14, "visit_ix": 4, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 11} {"rid": 49457, "pid": "P2b9fffad1bc0", "date": "2025-09-20", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，口干有痰，长期熬夜，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 49468, "pid": "P3627ea655725", "date": "2025-09-20", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛伴有多汗 午后感觉发热 早泄 时间3-4分钟 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["猪苓", "桑椹", "玄参", "枸杞子"], "flags": ["rx_len_outlier"], "prev_rx": ["太子参", "黄芪", "猪苓", "桑椹", "龙眼肉"], "prev_gap": 20, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49469, "pid": "P977dc970190b", "date": "2025-09-20", "sex": "男", "age": 29, "cc": "腰痛乏力夜寐差6月", "hpi": "近6月出现腰痛乏力，夜寐差，长期熬夜，口干，食纳可，尿黄，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "韭菜子", "党参片", "诃子", "党参", "黄芪", "黄连", "麸炒薏苡仁", "覆盆子", "甜叶菊叶"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49488, "pid": "P1bdbaf5375d0", "date": "2025-09-21", "sex": "男", "age": 35, "cc": "腰痛乏力伴中途疲软6月", "hpi": "6月前出现腰痛乏力伴中途疲软，手淫频繁，口干口苦，夜寐差，易醒，下肢酸软，头晕，盗汗，燥热", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "生地黄", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49491, "pid": "P7488aeb2b23e", "date": "2025-09-21", "sex": "男", "age": 54, "cc": "附睾炎复诊", "hpi": "睾丸不适感好转 左侧睾丸肿大 大小便正常 纳可 眠安。", "wm_dx": ["前列腺炎", "附睾炎"], "tcm_dx": [["子肿", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"], ["子肿", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "盐橘核", "荔枝核"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49499, "pid": "Pf4ee7cda3c2b", "date": "2025-09-21", "sex": "男", "age": 31, "cc": "腰痛乏力1月", "hpi": "腰痛乏力，精液液化不良，口中和，夜寐可，尿频", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花", "蒲公英"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49517, "pid": "P26e4fe99da27", "date": "2025-09-21", "sex": "男", "age": 38, "cc": "腰痛伴小腹胀痛1月", "hpi": "1月前受凉后出现腰痛伴小腹胀痛，排尿可，怕冷，大便稀，勃起欠佳，中途疲软，性欲可，偶有晨勃，夜寐差，易醒，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痹", "血瘀证", "活血化瘀"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "白芍", "制巴戟天", "锁阳", "韭菜子", "黄芪", "覆盆子", "盐杜仲", "猪苓", "桑椹", "龙眼肉", "大枣", "枸杞子", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49523, "pid": "Pc64686dcd7c6", "date": "2025-09-21", "sex": "男", "age": 37, "cc": "复诊", "hpi": "病史同前 口干苦减少，便溏4次。无肢冷", "wm_dx": ["代谢综合征"], "tcm_dx": [["男性前阴类病", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "姜半夏", "九香虫", "木香", "姜厚朴", "地龙"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "姜半夏", "九香虫", "地龙", "木香", "姜厚朴"], "prev_gap": 6, "visit_ix": 3, "n_visits": 10, "visit_ix_rx": 2, "n_rx": 9} {"rid": 49528, "pid": "P767e95e4c94f", "date": "2025-09-21", "sex": "男", "age": 44, "cc": "尿频半月", "hpi": "尿频，硬度一般，中途疲软，时间短，同房后乏力，出大汗，无怕冷，尿黄，大便正常，睡眠一般，口干喝水", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "薄荷", "牡蛎", "白芍", "川楝子", "阿胶珠", "地黄", "甘草片", "车前草", "炒栀子", "淡竹叶", "黄芩片", "醋五味子", "牡丹皮", "青黛", "覆盆子", "知母", "灯心草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49532, "pid": "Pda4ca9c612a2", "date": "2025-09-21", "sex": "男", "age": 37, "cc": "腰痛乏力伴勃起中途疲软2月", "hpi": "2月前出现腰痛乏力伴勃起中途疲软，夜寐差，易醒，醒后感劳累，排尿可，偶有晨勃，盗汗，手足心热", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "黄芪", "知母", "丹参", "盐杜仲", "牛膝", "锁阳", "醋五味子", "菟丝子", "覆盆子", "枸杞子", "甘草", "炒酸枣仁", "柏子仁", "制巴戟天", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49537, "pid": "P754d76101f09", "date": "2025-09-21", "sex": "男", "age": 46, "cc": "腰痛乏力伴勃起不坚3月", "hpi": "3月前出现腰痛乏力伴勃起不坚，口干口苦，性欲可，偶有晨勃，长期熬夜，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "制巴戟天", "韭菜子", "锁阳", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49540, "pid": "Pf7ac739b9e28", "date": "2025-09-22", "sex": "男", "age": 61, "cc": "阴囊刺痒 尿痛一月余", "hpi": "阴囊刺痒 尿痛一月余 大便正常 纳可 眠安 睾丸疼痛 腰痛", "wm_dx": ["慢性前列腺炎", "附睾炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "山慈菇", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "山药", "山慈菇"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49543, "pid": "Pf56293274911", "date": "2025-09-22", "sex": "男", "age": 39, "cc": "尿分叉1年", "hpi": "勃起困难，精液量少，偶有夜间勃起。尿2次。口干，汗不多，无肢冷。便调", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "蜜桑白皮", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "天花粉", "地龙", "九香虫", "石菖蒲", "蜜桑白皮", "炙甘草", "生姜", "大枣"], "prev_gap": 7, "visit_ix": 1, "n_visits": 18, "visit_ix_rx": 1, "n_rx": 18} {"rid": 49545, "pid": "P3000947f306f", "date": "2025-09-22", "sex": "男", "age": 63, "cc": "复诊", "hpi": "有1次性生活。微量血块，耳鸣，易汗，腰、脚凉可，寐多梦。", "wm_dx": ["前列腺增生", "精囊炎"], "tcm_dx": [["癃闭", "肾虚证", "补肾益精"]], "rx": ["黑顺片", "首乌藤", "合欢皮", "炙甘草", "生石膏", "醋龟甲", "砂仁", "陈皮", "焦神曲"], "flags": [], "prev_rx": ["桂枝", "白芍", "龙骨", "牡蛎", "黑顺片", "首乌藤", "白薇", "炙甘草", "生姜", "大枣"], "prev_gap": 14, "visit_ix": 7, "n_visits": 9, "visit_ix_rx": 6, "n_rx": 8} {"rid": 49547, "pid": "P71f6d7a84f88", "date": "2025-09-22", "sex": "男", "age": 68, "cc": "少腹隐痛 排尿困难3月", "hpi": "少腹隐痛 排尿困难3月 后腰部疼痛 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49551, "pid": "Pc11371612b73", "date": "2025-09-22", "sex": "男", "age": 71, "cc": "右侧睾丸疼痛复诊", "hpi": "右侧睾丸疼痛复诊 大小便正常 纳可 眠安，服药后症状明显好转", "wm_dx": ["附睾炎"], "tcm_dx": [["子肿", "气滞血瘀证", "活血化瘀"]], "rx": ["甜叶菊叶", "夏枯草", "浙贝母", "蒲公英", "土茯苓", "败酱草", "烫水蛭", "地龙", "炒决明子", "川牛膝", "盐小茴香", "防风", "白芷", "麸炒白术", "麸炒枳壳", "炙甘草", "川楝子", "炒王不留行", "醋五灵脂", "川芎", "醋香附", "天麻", "钩藤", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "夏枯草", "浙贝母", "蒲公英", "土茯苓", "败酱草", "烫水蛭", "地龙", "砂仁", "川牛膝", "盐小茴香", "防风", "白芷", "麸炒白术", "麸炒枳壳", "炙甘草", "川楝子", "炒王不留行", "醋五灵脂", "川芎", "醋香附", "天麻", "钩藤", "陈皮"], "prev_gap": 7, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 3, "n_rx": 6} {"rid": 49552, "pid": "Pd9e51b562ed7", "date": "2025-09-22", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 勃起不持久 晨勃少 大小便正常 纳可 眠安 早泄 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "prev_gap": 21, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 49554, "pid": "P8c62a47f0654", "date": "2025-09-22", "sex": "男", "age": 49, "cc": "口干3年", "hpi": "有性生活，能勃起。精液量少。口干口苦减，便调，汗减，下肢凉。夜尿1次。", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "桂枝", "干姜", "酒黄芩", "党参片", "牡蛎", "大黄", "姜厚朴", "姜半夏", "麸炒苍术", "木香", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "酒黄芩", "党参片", "牡蛎", "大黄", "姜厚朴", "姜半夏", "麸炒苍术", "木香", "炙甘草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 49562, "pid": "P3057fed6a345", "date": "2025-09-22", "sex": "男", "age": 44, "cc": "复诊", "hpi": "病史同前，夜尿1-2次，口干不苦。无肢冷", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "姜半夏", "龙骨", "牡蛎", "九香虫", "地龙", "首乌藤", "桑椹", "桑寄生", "蜜桑白皮"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "姜半夏", "石菖蒲", "龙骨", "牡蛎", "九香虫", "地龙", "首乌藤"], "prev_gap": 7, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 5, "n_rx": 10} {"rid": 49568, "pid": "P5e108ab0928b", "date": "2025-09-22", "sex": "男", "age": 48, "cc": "尿痛一周", "hpi": "睡眠正常，睡醒后乏力感，缓一会即正常，纳可，口和，排尿稍痛感，大便不成型。耳鸣，硬度一般 腰痛半年", "wm_dx": ["尿痛"], "tcm_dx": [["虚劳类病", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "山药", "麸炒白术", "干姜", "砂仁", "瞿麦", "绵萆薢", "麸炒枳壳", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "北柴胡", "醋青皮", "郁金", "烫水蛭", "炙甘草", "陈皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 49570, "pid": "Pf18e7a85b4fd", "date": "2025-09-22", "sex": "男", "age": 61, "cc": "复诊", "hpi": "病史同前，性生活1次。睡眠正常，纳可，口干减。血压正常。血糖稳定", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["消渴类病", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "龙骨", "牡蛎", "九香虫", "地龙", "瓜蒌", "炙甘草", "蜜桑白皮"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "龙骨", "牡蛎", "九香虫", "地龙", "瓜蒌", "炙甘草", "首乌藤"], "prev_gap": 7, "visit_ix": 4, "n_visits": 10, "visit_ix_rx": 2, "n_rx": 7} {"rid": 49572, "pid": "Pdca6c0e0d75c", "date": "2025-09-22", "sex": "男", "age": 33, "cc": "尿频2年", "hpi": "尿频2年 大便正常 纳可 眠安 偶见遗尿", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49578, "pid": "Pa68b71df0896", "date": "2025-09-22", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炒酸枣仁", "炙黄芪", "山药", "醋青皮", "北柴胡", "盐蒺藜", "川牛膝", "麸炒薏苡仁", "金樱子肉", "石菖蒲", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49582, "pid": "P7114aeaff2e8", "date": "2025-09-22", "sex": "男", "age": 61, "cc": "腰痛半年抄方", "hpi": "腰痛半年 伴有勃起不坚 大小便正常 纳可 失眠取药", "wm_dx": ["腰痛", "失眠"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炙淫羊藿", "菟丝子", "鹿角霜", "茯苓", "制巴戟天", "酒黄精", "酒萸肉", "枸杞子", "桑椹"], "flags": [], "prev_rx": ["炙淫羊藿", "菟丝子", "鹿角霜", "制巴戟天", "酒黄精", "酒萸肉"], "prev_gap": 58, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 49590, "pid": "P736797177f8e", "date": "2025-09-23", "sex": "男", "age": 52, "cc": "腰痛9月", "hpi": "腰痛9月，硬度下降，中途疲软，性欲可，乏力，性生活不规律，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "地龙", "蜈蚣", "法半夏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "知母"], "prev_gap": 19, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 49594, "pid": "P0423b4d23e31", "date": "2025-09-23", "sex": "男", "age": 52, "cc": "尿频10余年", "hpi": "乏力，时间下降，硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，多汗，睾丸坠痛感，怕热", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "人参", "生姜", "石菖蒲", "制远志", "牡丹皮", "茯苓", "猪苓", "赤小豆", "白术", "炙甘草", "酒萸肉"], "flags": [], "prev_rx": ["生地黄", "盐黄柏", "黄芩", "茯苓", "猪苓", "酒萸肉", "炙甘草", "石菖蒲", "炒蒺藜", "锁阳", "金樱子", "白花蛇舌草"], "prev_gap": 11, "visit_ix": 8, "n_visits": 14, "visit_ix_rx": 8, "n_rx": 13} {"rid": 49598, "pid": "Pdadd74577e00", "date": "2025-09-23", "sex": "男", "age": 36, "cc": "附睾炎复诊", "hpi": "右侧睾丸疼痛，予输液抗炎治疗10余天， 大小便正常 纳可 眠安 血精一月", "wm_dx": ["精索炎", "附睾炎"], "tcm_dx": [["子痈", "血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49610, "pid": "Pe33cbe7f3fa6", "date": "2025-09-23", "sex": "男", "age": 56, "cc": "腰痛乏力6月", "hpi": "6月前出现腰痛乏力，性欲减退，勃起欠佳，晨勃可，尿频、尿线细、尿后余沥，夜尿2次，无尿痛。纳眠可，大便可。口干口气。", "wm_dx": ["腰痛"], "tcm_dx": [["癃闭", "湿热下注证", "清热利湿"], ["腰痹", "瘀血阻络证", "活血通络"], ["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "制远志", "川芎", "韭菜子", "制巴戟天", "仙茅", "锁阳", "白芍", "鸡血藤"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49614, "pid": "P002b9a57566d", "date": "2025-09-23", "sex": "男", "age": 34, "cc": "腰痛乏力2年", "hpi": "近2年出现腰痛乏力，易感冒，性欲减退，晨勃少，口中和", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "韭菜子", "制巴戟天", "仙茅", "熟地黄", "北柴胡", "白芍", "炙甘草", "麸炒枳实", "鸡血藤", "全蝎", "盐杜仲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49615, "pid": "P0a4dfd981f49", "date": "2025-09-23", "sex": "男", "age": 35, "cc": "腰痛乏力1年", "hpi": "近1年出现腰痛乏力，运动后出汗多，同房中途疲软，晨勃可，性欲减退，偏头痛，口苦，长期熬夜，易生气，尿黄，大便可，食纳可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "黄芪", "知母", "丹参", "盐杜仲", "牛膝", "锁阳", "醋五味子", "菟丝子", "覆盆子", "枸杞子", "甘草", "制巴戟天", "韭菜子", "甜叶菊叶", "北柴胡"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49619, "pid": "P52835c321770", "date": "2025-09-23", "sex": "男", "age": 40, "cc": "尿频半年", "hpi": "尿频，中途疲软，睡眠一般，纳可，口和，排尿正常，大便正常，服药后睡眠好转，不欲射精", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "制远志", "石菖蒲", "麸炒枳实", "当归", "川芎", "茯苓", "熟地黄", "山药", "酒萸肉", "菟丝子", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "炙淫羊藿"], "flags": [], "prev_rx": ["柏子仁", "炒酸枣仁", "醋五味子", "菟丝子", "人参", "路路通", "熟地黄", "茯苓", "酒黄精", "丹参", "鸡血藤", "制巴戟天", "白术", "枸杞子"], "prev_gap": 14, "visit_ix": 3, "n_visits": 9, "visit_ix_rx": 2, "n_rx": 8} {"rid": 49621, "pid": "Pb0afabb485ae", "date": "2025-09-23", "sex": "男", "age": 29, "cc": "尿频 尿黄 泡沫多大半年", "hpi": "尿频 尿黄 泡沫多 夜尿1-2次，大便正常， 纳可，吃凉的少， 口气重，口干口苦，乏力", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "牡蛎", "当归", "川芎", "白芍", "茯苓", "泽泻", "人参", "赤小豆", "滑石", "制远志", "石菖蒲", "佩兰", "焦麦芽"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "天花粉", "牡蛎", "当归", "川芎", "白芍", "茯苓", "泽泻", "人参", "赤小豆", "滑石"], "prev_gap": 10, "visit_ix": 4, "n_visits": 16, "visit_ix_rx": 1, "n_rx": 11} {"rid": 49627, "pid": "P11f2581af2cc", "date": "2025-09-23", "sex": "男", "age": 40, "cc": "乏力3年", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便稀1-3次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["法半夏", "黄连片", "黄芩片", "干姜", "人参", "路路通", "姜厚朴", "绵萆薢", "菟丝子", "枸杞子", "熟地黄", "制巴戟天", "酒萸肉", "茯苓", "山药"], "flags": [], "prev_rx": ["法半夏", "黄连片", "黄芩片", "干姜", "人参", "滑石", "姜厚朴", "绵萆薢", "菟丝子", "枸杞子", "熟地黄", "制巴戟天", "蜈蚣"], "prev_gap": 7, "visit_ix": 1, "n_visits": 24, "visit_ix_rx": 1, "n_rx": 24} {"rid": 49635, "pid": "P198a40055bee", "date": "2025-09-23", "sex": "男", "age": 79, "cc": "前列腺增生复查", "hpi": "前列腺增生复查 现夜尿增多，尿滴沥不尽，尿痛，怕冷， 腰疼痛3月27日在肿瘤科检查PSA6.86，尿白细胞高 包皮龟头炎一月余 现尿痛，尿费劲，口服头孢后尿WBC582，失眠，关节痛，复查，WBC235，后背皮肤刺痒明显，一直应用卤米松外用", "wm_dx": ["失眠", "包皮龟头炎", "前列腺增生", "泌尿系感染", "瘙痒症"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血止痛"], ["精癃", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "黑顺片", "地黄", "山药", "酒萸肉", "茯苓", "泽泻", "路路通", "当归", "川芎", "阿胶珠", "滑石", "炙黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "黑顺片", "地黄", "山药", "酒萸肉", "茯苓", "泽泻", "路路通", "燀桃仁", "红花", "阿胶珠", "滑石"], "prev_gap": 14, "visit_ix": 26, "n_visits": 35, "visit_ix_rx": 3, "n_rx": 12} {"rid": 49642, "pid": "P698d3f3d4fb1", "date": "2025-09-24", "sex": "男", "age": 75, "cc": "尿等待2月", "hpi": "尿等待，用温水冲可排出，活动后也可正常排尿，夜尿1-2次，少腹发胀，腰发酸，怕热，口和，纳可，大便时有不成型。口服索罗辛缓释胶囊和双石通淋胶囊", "wm_dx": ["尿频"], "tcm_dx": [["精癃", "肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "黑顺片", "地黄", "茯苓", "制水蛭", "泽泻", "猪苓", "滑石", "酒萸肉", "山药", "牡丹皮", "炒王不留行", "路路通", "乌药", "生石膏"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "地黄", "茯苓", "泽泻", "猪苓", "滑石", "酒萸肉", "山药", "牡丹皮", "赤小豆", "炒王不留行", "路路通", "白花蛇舌草", "制远志", "制水蛭"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 49646, "pid": "Pee08a16eb34c", "date": "2025-09-24", "sex": "男", "age": 28, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["党参", "山药", "黄芪", "麦冬", "醋五味子", "茯苓", "砂仁", "肉苁蓉", "浙贝母", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "醋龟甲", "麸炒枳壳", "炙甘草", "炒酸枣仁", "制远志", "柏子仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 49647, "pid": "P3ba28fafd9a8", "date": "2025-09-24", "sex": "男", "age": 32, "cc": "右侧睾丸坠胀感一周", "hpi": "右侧睾丸坠胀，排尿正常，无腹痛，无腰疼，反酸，大便便秘2-3天，口干口苦。冬天脚冷，夏天脚热，睡眠一般，乏力，头晕", "wm_dx": ["静脉曲张"], "tcm_dx": [["筋瘤", "肝胆湿热证", "清热利湿"]], "rx": ["北柴胡", "桂枝", "干姜", "人参", "牡蛎", "煅龙骨", "天花粉", "当归", "川芎", "茯苓", "泽泻", "菟丝子", "枸杞子", "炒栀子", "川楝子"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "大黄", "白芍", "黄芩片", "大枣", "生姜", "菟丝子", "枸杞子", "覆盆子", "醋五味子", "酒女贞子", "地黄", "醋龟甲", "川楝子", "人参"], "prev_gap": 7, "visit_ix": 1, "n_visits": 13, "visit_ix_rx": 1, "n_rx": 13} {"rid": 49648, "pid": "Pbdb488f039ff", "date": "2025-09-24", "sex": "男", "age": 64, "cc": "腰痛伴勃起不坚1年", "hpi": "腰痛伴勃起不坚1年，大便正常，夜尿正常，口和，睡眠可，纳一般", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾气不充证", "补肾益精"]], "rx": ["党参", "黄芪", "麸炒白术", "茯苓", "醋龟甲", "酒萸肉", "盐黄柏", "泽泻", "知母", "土茯苓", "醋青皮", "北柴胡", "郁金", "合欢皮", "牡丹皮", "麸炒枳壳", "炙淫羊藿", "韭菜子", "盐车前子", "炙甘草", "地龙", "制巴戟天", "锁阳", "蛇床子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["党参", "黄芪", "麸炒苍术", "茯苓", "熟地黄", "酒萸肉", "生地黄", "泽泻", "知母", "土茯苓", "醋青皮", "北柴胡", "郁金", "合欢皮", "牡丹皮", "麸炒枳壳", "炙淫羊藿", "韭菜子", "盐车前子", "炙甘草", "地龙", "白芷"], "prev_gap": 16, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 49649, "pid": "Pbdea1814f78a", "date": "2025-09-24", "sex": "男", "age": 30, "cc": "尿频1月", "hpi": "有晨勃，中途疲软，性欲下降，同房后多汗，睡眠多梦，排尿正常，大便2次稀，口和，无怕冷，阴囊潮湿，", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾气不充证", "补肾扶元"]], "rx": ["制远志", "石菖蒲", "盐蒺藜", "黄连片", "肉桂", "干姜", "人参", "麸炒白术", "茯神", "炒酸枣仁", "制巴戟天", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49651, "pid": "Pf38852017b24", "date": "2025-09-24", "sex": "男", "age": 54, "cc": "阴囊潮湿3年", "hpi": "阴囊潮湿，刺痒明显，腋下裆部出汗多，尿频，尿急，夜尿1次，去年我院住院时检查前列腺钙化，大便3次粘，喜欢凉，热，口干口苦，口气重，无怕冷，无乏力，出汗", "wm_dx": ["阴囊炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "防风", "荆芥", "白芍", "生姜", "大枣", "生石膏", "炒苦杏仁", "麻黄", "北柴胡", "黄芩片", "麸炒枳实", "大黄", "石菖蒲", "郁金", "白鲜皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49652, "pid": "P4a8abc8a47c8", "date": "2025-09-24", "sex": "男", "age": 40, "cc": "尿频一年", "hpi": "尿频，纳可，大便正常，有2孩，半年前胎停一次，睡眠可，晨起头沉，大便正常，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["菟丝子", "枸杞子", "覆盆子", "盐车前子", "醋五味子", "茯苓", "猪苓", "人参", "制远志", "熟地黄", "黑顺片", "醋龟甲", "鹿角霜", "制水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 49656, "pid": "Pea83b8bf0b24", "date": "2025-09-24", "sex": "男", "age": 24, "cc": "尿频2月", "hpi": "尿频2月 大便正常 纳可 眠安 无睾丸疼痛 无少腹隐痛 无口干口苦 腰痛", "wm_dx": ["慢性前列腺炎", "精囊炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "麸炒山药", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 49659, "pid": "P95621a874d80", "date": "2025-09-24", "sex": "男", "age": 54, "cc": "腰痛半年", "hpi": "腰痛半年 小便正常黄 纳不吃凉 眠多梦，口干口苦，腰怕冷，多汗，下午手痒，手心红点，外院就诊，口服药物治疗，既往口服过他达拉非。复诊：症状好转，昨日天冷手心出红点。复诊手正常，勃起不行，腹胀，矢气异味，大便不成型粘", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "寒热错杂证", "平调寒热"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩", "人参", "当归", "川芎", "白芍", "茯苓", "姜厚朴", "制远志", "丹参", "鸡血藤", "炙淫羊藿", "制巴戟天", "黄连"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "桂枝", "干姜", "黄芩", "人参", "当归", "川芎", "白芍", "茯苓", "泽泻", "制远志", "丹参", "鸡血藤", "牡丹皮", "制巴戟天"], "prev_gap": 7, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 5} {"rid": 49662, "pid": "P693c0d8ab852", "date": "2025-09-24", "sex": "男", "age": 36, "cc": "尿频半年", "hpi": "尿频，夜尿正常，大便正常粘，睡眠一般，入睡困难，纳可，口干口苦，伴有硬度一般，时间短，阴囊潮湿", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝郁肾虚证", "滋阴疏肝"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "炒苦杏仁", "薏苡仁", "牛膝", "盐关黄柏", "制远志", "人参", "丹参", "石菖蒲", "盐蒺藜", "鸡血藤", "桑枝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49663, "pid": "Pb1b62d64e18e", "date": "2025-09-24", "sex": "男", "age": 55, "cc": "男性更年期综合征复查", "hpi": "男性更年期综合征复查 腰痛 疲劳乏力 大小便正常 纳可 眠安", "wm_dx": ["男性更年期综合征"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "枸杞子", "醋五味子", "石斛", "麸炒枳壳", "桔梗", "牛膝", "炙甘草", "烫水蛭", "麦冬", "制何首乌", "桑椹", "炒酸枣仁", "砂仁", "柏子仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "枸杞子", "醋五味子", "石斛", "麸炒枳壳", "桔梗", "牛膝", "炙甘草", "烫水蛭", "麦冬", "玄参", "制何首乌", "桑椹", "大血藤", "砂仁"], "prev_gap": 30, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 49666, "pid": "Pea7faf59162e", "date": "2025-09-24", "sex": "男", "age": 44, "cc": "腰痛复诊", "hpi": "晨勃消失 尿分叉 大便正常 纳可 眠差 乏力", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚", "补肾"], ["乏力", "脾肾两虚", "健脾补肾"]], "rx": ["制巴戟天", "桑椹", "龙眼肉", "炒酸枣仁", "醋五味子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49669, "pid": "Pb80254f061a4", "date": "2025-09-24", "sex": "男", "age": 35, "cc": "尿频半年", "hpi": "尿频，大便正常，纳可，睡眠正常中途醒，近半年未育。口干喝水口苦，怕冷，出汗少，睾丸坠胀感隐痛", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾阴虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "生姜", "大枣", "人参", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "牡蛎", "红景天", "熟地黄", "川芎"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牡丹皮", "泽泻", "茯苓", "菟丝子", "枸杞子", "人参", "牡蛎", "红景天", "醋龟甲"], "prev_gap": 11, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 49672, "pid": "P52e61461512a", "date": "2025-09-24", "sex": "男", "age": 36, "cc": "尿频3年", "hpi": "尿频，时有包皮刺痒，夜尿多，睡眠差，2小时醒一次，大便正常，纳可，硬度可，时间短不足1分钟，口和。两地分居，晨起困，服药后腹胀", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["法半夏", "黄连", "黄芩", "干姜", "大枣", "人参", "合欢皮", "锁阳", "金樱子", "姜厚朴"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "党参", "制远志", "石菖蒲", "炒蒺藜", "白花蛇舌草", "牛膝", "柏子仁", "炒酸枣仁", "炙甘草"], "prev_gap": 18, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 49673, "pid": "Pa8f0a0b533ee", "date": "2025-09-24", "sex": "男", "age": 33, "cc": "乏力感2年", "hpi": "乏力感，多汗，一运动即汗出，纳可，睡眠好 无怕冷，大便正常，排尿正常，伴有性功能减退，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙黄芪", "人参", "当归", "川芎", "白芍", "丹参", "鸡血藤", "浮小麦", "制远志", "煅龙骨", "煅牡蛎", "地黄", "北柴胡", "制巴戟天", "滑石", "牡丹皮"], "flags": [], "prev_rx": ["炙黄芪", "人参", "当归", "川芎", "白芍", "丹参", "鸡血藤", "浮小麦", "桂枝", "制远志", "煅龙骨", "煅牡蛎", "地黄", "酒萸肉", "制巴戟天"], "prev_gap": 7, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 5} {"rid": 49709, "pid": "P14d446077478", "date": "2025-09-25", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "酒黄精", "北败酱草", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49716, "pid": "Pa267c2569e54", "date": "2025-09-25", "sex": "男", "age": 22, "cc": "腰痛2月", "hpi": "腰痛2月，时间下降，性欲可，汗出，乏力，工作劳累，性生活不规律，二便调，纳眠可，无排尿不畅、尿后余沥，口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "升麻", "北柴胡", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49725, "pid": "Pdad57b299057", "date": "2025-09-26", "sex": "男", "age": 66, "cc": "尿频4-5年", "hpi": "尿频，夜尿2-3次，晨起尿频明显，遇冷加重，无尿痛，少腹发胀，无腰疼，大便次数多，纳可，口和，怕冷。服药后，矢气后腹胀好转", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "茯苓", "泽泻", "姜厚朴", "黑顺片", "麸炒苍术", "生姜", "锁阳", "炙甘草", "干姜", "炙淫羊藿", "鹿角霜", "乌药", "山药", "盐益智仁"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "姜厚朴", "黑顺片", "麸炒苍术", "生姜", "锁阳", "炙甘草", "干姜", "炙淫羊藿", "鹿角霜"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 49735, "pid": "P02af7ae9f105", "date": "2025-09-26", "sex": "男", "age": 39, "cc": "尿频2月", "hpi": "尿频2月，乏力，压力大，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作久坐熬夜", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐车前子", "菟丝子", "炒酸枣仁", "烫水蛭", "麸炒薏苡仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49739, "pid": "P73f60fe7f24c", "date": "2025-09-26", "sex": "男", "age": 29, "cc": "腰疼2天", "hpi": "腰疼，蹲起明显，大腿内侧隐痛，伴有少腹隐痛，排尿可，排尿后少腹隐痛，着凉严重，纳可，大便正常，睡眠正常，口和", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["盐补骨脂", "桂枝", "黑顺片", "茯苓", "泽泻", "熟地黄", "山药", "酒萸肉", "赤小豆", "麸炒白术", "鹿角霜", "川芎", "当归", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49760, "pid": "Pbfe5af025f7b", "date": "2025-09-26", "sex": "男", "age": 25, "cc": "频繁遗精3-4年", "hpi": "频繁遗精，近一周遗精频繁，遗精后尿道疼痛感，平常排尿正常，无腰酸痛，无腹痛，大便正常，纳可，口苦，无怕冷", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "法半夏", "人参", "赤小豆", "白花蛇舌草", "煅龙骨", "煅牡蛎", "滑石", "猪苓", "泽泻", "阿胶珠", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 49768, "pid": "Pda1fd77592f9", "date": "2025-09-26", "sex": "男", "age": 39, "cc": "腰痛伴勃起不坚1年", "hpi": "腰痛伴勃起不坚1年，可同房，晨勃可，中途疲软，性欲减退，夜寐可，长期饮酒，吃凉腹泻，口中和，乏力，嗜睡", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炮姜", "麸炒白术", "人参", "茯苓", "附片", "制巴戟天", "炙淫羊藿", "烫水蛭", "北柴胡"], "prev_gap": 42, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 49773, "pid": "Pfdfeb81a51a4", "date": "2025-09-27", "sex": "男", "age": 32, "cc": "阵发性射精后会阴发胀一月", "hpi": "阵发性射精后会阴发胀，隐痛，无尿糖，无尿频，时有尿等待，大便可，纳可，睡眠一般，浅，口和，手脚时凉", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "当归", "川芎", "炒酸枣仁", "人参", "煅龙骨", "煅牡蛎", "桑枝", "大枣", "制远志", "赤小豆"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49777, "pid": "Pfbc911902076", "date": "2025-09-27", "sex": "男", "age": 35, "cc": "尿频3年", "hpi": "尿频，夜尿正常，大便不成型粘，睡眠正常，纳可，伴有晨勃少，启动慢，中途疲软，口和，无怕冷，阴囊潮湿", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["法半夏", "黄连", "黄芩", "干姜", "人参", "丹参", "鸡血藤", "麸炒薏苡仁", "炒苦杏仁", "制远志", "白芍", "牡丹皮", "桃仁", "红花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 49779, "pid": "P8721a00262b0", "date": "2025-09-27", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "盐补骨脂", "酒黄精", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "韭菜子", "北柴胡", "升麻", "盐杜仲", "牛膝", "覆盆子", "枸杞子", "醋五味子", "酒女贞子", "麸炒枳壳", "炙甘草", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49780, "pid": "Pf5595fb6e204", "date": "2025-09-27", "sex": "男", "age": 68, "cc": "尿痛一周余", "hpi": "尿痛一周余 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49786, "pid": "Pcb1bdcf0635d", "date": "2025-09-27", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，中途疲软，性欲可，乏力，工作劳累，压力大，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "党参", "黄芪", "山药", "麸炒白术", "酒苁蓉", "制巴戟天", "炙淫羊藿", "蛇床子", "菟丝子", "盐车前子", "熟地黄", "酒萸肉", "泽泻", "烫水蛭", "北柴胡", "炒蒺藜", "丁香", "木香", "合欢皮", "合欢花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "当归", "茯苓"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49788, "pid": "P1c9971b015ec", "date": "2025-09-27", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有早泄4年 时间1分钟以内 大小便正常 纳可 眠安 乏力疲劳 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "韭菜子", "锁阳", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "细辛", "酒苁蓉", "制巴戟天", "韭菜子", "锁阳"], "prev_gap": 20, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 6} {"rid": 49790, "pid": "P7d07885fc839", "date": "2025-09-27", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "盐补骨脂", "酒黄精", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "覆盆子", "酒女贞子", "枸杞子", "醋五味子", "菟丝子", "盐车前子", "麸炒枳壳", "烫水蛭", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49792, "pid": "P667c57b53f09", "date": "2025-09-27", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "少腹隐痛，尿灼热 大便偏稀 发黏 纳可 眠安 腰痛 胁痛", "wm_dx": ["慢性前列腺炎", "静脉曲张", "精索静脉曲张", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "知母", "盐黄柏", "酒女贞子", "覆盆子", "菟丝子", "盐车前子", "枸杞子", "醋五味子", "茯苓", "麸炒枳壳", "炙甘草", "烫水蛭", "砂仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 17, "visit_ix_rx": 0, "n_rx": 12} {"rid": 49799, "pid": "P911a630c0494", "date": "2025-09-27", "sex": "男", "age": 33, "cc": "尿频5-6年", "hpi": "尿频，硬度不够，中途疲软，时间短1-3分钟，喝水即有尿意，大便正常，耳鸣，睡眠一般，纳可，晨起口苦，无怕冷，手脚发凉", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "人参", "桂枝", "当归", "川芎", "制远志", "石菖蒲", "盐蒺藜", "煅龙骨", "煅牡蛎", "牛膝"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "人参", "茵陈", "麸炒枳实", "白芍", "地黄", "鸡血藤", "丹参", "石菖蒲", "盐蒺藜", "茯苓"], "prev_gap": 31, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 49800, "pid": "Pc2e124cae260", "date": "2025-09-27", "sex": "男", "age": 40, "cc": "尿频伴小腹胀痛5年", "hpi": "小腹胀痛，夜尿频2次，大便正常，睡眠正常，纳可，口和。盗汗", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["知母", "炒酸枣仁", "覆盆子"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49804, "pid": "P927e0738bcb3", "date": "2025-09-27", "sex": "男", "age": 28, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "大血藤", "制何首乌", "桑椹", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "酒女贞子", "覆盆子", "沙苑子", "菟丝子", "盐车前子", "醋五味子", "麸炒枳壳", "炙甘草", "陈皮", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49806, "pid": "P92dc4a6ac10a", "date": "2025-09-27", "sex": "男", "age": 24, "cc": "阴囊烧灼感2天", "hpi": "阴囊烧灼感，自涂克霉唑无效果，排尿尿频，", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "白芷", "百部", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "烫水蛭", "马齿苋", "白鲜皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49807, "pid": "Paf70ff8a5aab", "date": "2025-09-27", "sex": "男", "age": 61, "cc": "排尿不畅 尿道灼热 尿分叉半年", "hpi": "排尿不畅 尿道灼热 尿分叉半年 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49809, "pid": "P682dab1d620e", "date": "2025-09-27", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草片", "黄芩片", "黄连片", "干姜", "大枣", "牡蛎", "红景天", "菟丝子", "枸杞子", "人参", "醋龟甲", "茯苓", "泽泻", "莲子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草片", "黄芩片", "黄连片", "干姜", "大枣", "生姜", "牡蛎", "红景天", "菟丝子", "枸杞子", "人参", "醋龟甲", "茯苓", "泽泻"], "prev_gap": 7, "visit_ix": 11, "n_visits": 24, "visit_ix_rx": 10, "n_rx": 23} {"rid": 49810, "pid": "P26a349f8e396", "date": "2025-09-27", "sex": "男", "age": 30, "cc": "尿频半年", "hpi": "尿频半年 3-4次/小时 尿量大 憋尿会阴部不适 久坐加重 偶见排尿不畅一周 同房硬度下降 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49811, "pid": "P543420ad3298", "date": "2025-09-27", "sex": "男", "age": 37, "cc": "腰痛 盗汗取药", "hpi": "腰痛2月，尿频，咳嗽，乏力，熬夜 盗汗 失眠 熬夜多", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["制巴戟天", "炒酸枣仁", "知母", "桑椹", "枸杞子", "麸炒山药"], "flags": [], "prev_rx": ["太子参", "麦冬", "山药", "制巴戟天", "炒酸枣仁"], "prev_gap": 20, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 3} {"rid": 49812, "pid": "P8050630d1400", "date": "2025-09-27", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "茯苓", "麸炒枳壳", "砂仁", "木香", "菟丝子", "韭菜子", "盐车前子", "覆盆子", "酒女贞子", "蛇床子", "沙苑子", "炙甘草", "烫水蛭", "防风"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49816, "pid": "P955c8a9f6d9d", "date": "2025-09-27", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "麸炒苍术", "茯苓", "烫水蛭", "酒苁蓉", "制巴戟天", "炙淫羊藿", "蛇床子", "韭菜子", "麦冬", "醋五味子", "熟地黄", "砂仁", "酒萸肉", "泽泻", "知母", "麸炒枳壳", "炙甘草", "炒酸枣仁", "柏子仁", "桑椹"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "麸炒苍术", "茯苓", "烫水蛭", "酒苁蓉", "制巴戟天", "炙淫羊藿", "蛇床子", "韭菜子", "麦冬", "醋五味子", "熟地黄", "砂仁", "酒萸肉", "泽泻", "知母", "麸炒枳壳", "炙甘草"], "prev_gap": 21, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49817, "pid": "Pe207fe6dddbb", "date": "2025-09-27", "sex": "男", "age": 32, "cc": "尿频，尿急半年", "hpi": "尿频，尿急，尿等待，尿淋漓，色黄，矢气多，阴囊潮湿，夜尿多，时间短1-3分钟，大便正常，辛辣食物后大便干，睡眠一般，口和，服药后，尿频，尿急，尿点滴，阴囊潮湿好转，尿分叉，夜尿1-2次，服用后，尿黄，尿滴沥，性功能正常", "wm_dx": ["尿频"], 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"前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49828, "pid": "P67b623e71eb4", "date": "2025-09-27", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，多梦，纳可，大便时干时稀，口苦口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，多汗，下半夜盗汗", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "生姜", "大枣", "人参", "制远志", "菟丝子", "枸杞子", "石菖蒲", "盐车前子", "茯苓", "牡蛎", "炒栀子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49831, "pid": "P6f545d7de30f", "date": "2025-09-27", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 伴有失眠 易醒 大小便正常 纳可 眠安 压力大 口干痰多 尿黄 异味大 胁痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["麸炒山药", "麸炒薏苡仁", "猪苓", "合欢皮", "知母", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49836, "pid": "P3ae0dc96cfd9", "date": "2025-09-27", "sex": "男", "age": 36, "cc": "尿频一年", "hpi": "尿频，生化2次，性功能正常，排尿正常，大便正常，无阴囊潮湿 ，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["虎杖", "当归", "连翘", "赤小豆", "茯苓", "泽泻", "菟丝子", "覆盆子", "盐车前子", "熟地黄", "肉桂", "制巴戟天", "白花蛇舌草", "茵陈", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 49838, "pid": "Pb0afabb485ae", "date": "2025-09-27", "sex": "男", "age": 29, "cc": "尿频 尿黄 泡沫多大半年", "hpi": "尿频 尿黄 泡沫多 夜尿1-2次，大便正常， 纳可，吃凉的少， 口气重，口干口苦，乏力，服用药物后复诊，口气重，乏力感。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "制远志", "石菖蒲", "佩兰", "麸炒枳实", "桂枝", "干姜", "牡蛎", "当归", "川芎", "白芍", "茯苓", "泽泻", "人参", "赤小豆", "滑石"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "牡蛎", "当归", "川芎", "白芍", "茯苓", "泽泻", "人参", "赤小豆", "滑石", "制远志", "石菖蒲", "佩兰", "焦麦芽"], "prev_gap": 4, "visit_ix": 5, "n_visits": 16, "visit_ix_rx": 2, "n_rx": 11} {"rid": 49839, "pid": "P98c77abe47ab", "date": "2025-09-27", "sex": "男", "age": 25, "cc": "腰痛半年", "hpi": "腰痛半年 伴有阳痿早泄 晨勃少 大便正常 纳可 熬夜多 尿频 尿急", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["甜叶菊叶", "北柴胡", "醋青皮", "郁金", "山药", "麸炒白术", "茯苓", "麸炒枳壳", "烫水蛭", "菟丝子", "韭菜子", "蛇床子", "炙甘草", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "制远志", "合欢皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "麸炒苍术", "黄柏", "牛膝", "麸炒薏苡仁", "北柴胡", "炒蒺藜", "郁金", "醋青皮", "合欢花", "合欢皮", "丁香", "木香", "薄荷", "烫水蛭", "麸炒枳壳", "车前草", "盐车前子", "全蝎"], "prev_gap": 26, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 49842, "pid": "P8324073af6c9", "date": "2025-09-27", "sex": "男", "age": 48, "cc": "腰痛乏力2月", "hpi": "腰痛乏力2月 勃起不坚 早泄 大小便正常 纳可 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": 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"visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49852, "pid": "P3a5bfdda26e0", "date": "2025-09-27", "sex": "男", "age": 33, "cc": "睾丸隐痛1年", "hpi": "睾丸隐痛1年 大小便正常 纳可 眠安 患者自述睾丸附睾彩超未见异常 偶见尿频", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "盐补骨脂", "酒黄精", "侧柏叶", "桑椹", "枸杞子", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "锁阳", "麸炒枳壳", "烫水蛭", "醋延胡索", "蒲黄", "醋五灵脂", "炙甘草", "三七粉", "龙眼肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49860, "pid": "Pd3bd00b635fe", "date": "2025-09-28", "sex": "男", "age": 43, "cc": "尿黄偶见尿痛半月", "hpi": "尿黄偶见尿痛半月 大便正常 纳可 眠安", "wm_dx": ["肾结石", "慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49865, "pid": "P61a6270edd5b", "date": "2025-09-28", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "陈皮", "三七粉", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["太子参", "山药", "制巴戟天", "知母"], "prev_gap": 21, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 49867, "pid": "Pf1379323cb00", "date": "2025-09-28", "sex": "男", "age": 35, "cc": "尿液异味大半年", "hpi": "尿液异味大半年 尿黄 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["石淋", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "麸炒薏苡仁", "麸炒芡实"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49872, "pid": "P2ba269d51b00", "date": "2025-09-28", "sex": "男", "age": 37, "cc": "腰痛伴勃起硬度欠佳3月", "hpi": "近3月出现腰痛伴勃起硬度欠佳，尿等待尿不尽，夜尿1次，口干口苦，夜寐可，长期熬夜，胁肋疼痛，易生气", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "酒黄精", "煅阳起石", "紫石英", "赤石脂"], "flags": [], "prev_rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "酒黄精"], "prev_gap": 19, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 49877, "pid": "P0d742c589f81", "date": "2025-09-28", "sex": "男", "age": 41, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 口苦 脚踝扭伤行动不便 慢性前列腺炎取药", "wm_dx": ["慢性前列腺炎", "关节痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "茯苓", "制巴戟天", "麸炒山药"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["太子参", "山药", "制巴戟天", "茯苓"], "prev_gap": 21, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 5} {"rid": 49880, "pid": "Pe4a4ab39ce11", "date": "2025-09-28", "sex": "男", "age": 41, "cc": "少腹隐痛一周余", "hpi": "少腹隐痛一周余 大小便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["三七粉", "麸炒薏苡仁", "麸炒芡实"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49889, "pid": "P028c1fd7d1dc", "date": "2025-09-28", "sex": "男", "age": 63, "cc": "腰痛半年", "hpi": "腰痛半年 性功能下降 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "膀胱湿热血瘀证", "活血行滞"]], "rx": ["甜叶菊叶", "麸炒苍术", "黄柏", "牛膝", "薏苡仁", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "川楝子", "醋香附", "烫水蛭", "麸炒枳壳", "炙甘草", "防风", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "盐车前子", "麸炒薏苡仁", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 49897, "pid": "Pa919c50cc0a7", "date": "2025-09-28", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作可，熬夜。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "盐车前子", "山药", "醋五味子", "制巴戟天", "红景天", "酒黄精", "北败酱草", "熟地黄", "制水蛭", "陈皮", "姜厚朴", "麸炒白术", "砂仁"], "flags": 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"visit_ix_rx": 0, "n_rx": 9} {"rid": 49908, "pid": "Pf56293274911", "date": "2025-09-29", "sex": "男", "age": 39, "cc": "复诊", "hpi": "有性生活，精液量少。尿2次。口干，汗不多，无肢冷，便调。", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["地龙", "九香虫", "蜜桑白皮", "炙甘草", "地黄", "酒萸肉", "醋五味子", "当归", "天花粉", "皂角刺"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "蜜桑白皮", "炙甘草", "生姜", "大枣"], "prev_gap": 7, "visit_ix": 2, "n_visits": 18, "visit_ix_rx": 2, "n_rx": 18} {"rid": 49914, "pid": "Pf18e7a85b4fd", "date": "2025-09-29", "sex": "男", "age": 61, "cc": "复诊", "hpi": "病史同前，性生活1次。睡眠正常，纳可，口干减。血压正常。血糖稳定", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["消渴类病", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地龙", "瓜蒌", "炙甘草", "蜜桑白皮", "桑椹", "桑寄生"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "龙骨", "牡蛎", "九香虫", "地龙", "瓜蒌", "炙甘草", "蜜桑白皮"], "prev_gap": 7, "visit_ix": 6, "n_visits": 10, "visit_ix_rx": 3, "n_rx": 7} {"rid": 49915, "pid": "Pc11371612b73", "date": "2025-09-29", "sex": "男", "age": 71, "cc": "右侧睾丸疼痛复诊", "hpi": "右侧睾丸疼痛复诊 大小便正常 纳可 眠安，服药后症状明显好转", "wm_dx": ["附睾炎"], "tcm_dx": [["子肿", "气滞血瘀证", "活血化瘀"]], "rx": ["甜叶菊叶", "夏枯草", "浙贝母", "蒲公英", "土茯苓", "败酱草", "烫水蛭", "地龙", "川牛膝", "盐小茴香", "郁金", "白芷", "麸炒苍术", "麸炒枳壳", "炙甘草", "川楝子", "炒王不留行", "醋五灵脂", "川芎", "醋香附", "防风", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "夏枯草", "浙贝母", "蒲公英", "土茯苓", "败酱草", "烫水蛭", "地龙", "炒决明子", "川牛膝", "盐小茴香", "防风", "白芷", "麸炒白术", "麸炒枳壳", "炙甘草", "川楝子", "炒王不留行", "醋五灵脂", "川芎", "醋香附", "天麻", "钩藤", "陈皮"], "prev_gap": 7, "visit_ix": 8, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 6} {"rid": 49920, "pid": "P3057fed6a345", "date": "2025-09-29", "sex": "男", "age": 44, "cc": "复诊", "hpi": "病史同前，夜尿1-2次，口仍干。无肢冷", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["党参片", "九香虫", "地龙", "首乌藤", "桑椹", "桑寄生", "蜜桑白皮", "白术", "茯苓", "姜厚朴"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "姜半夏", "龙骨", "牡蛎", "九香虫", "地龙", "首乌藤", "桑椹", "桑寄生", "蜜桑白皮"], "prev_gap": 7, "visit_ix": 7, "n_visits": 11, "visit_ix_rx": 6, "n_rx": 10} {"rid": 49922, "pid": "P8c62a47f0654", "date": "2025-09-29", "sex": "男", "age": 49, "cc": "复诊", "hpi": "2次有性生活，能勃起。精液量少。口干口苦减，下肢凉。夜尿1次。", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "桂枝", "干姜", "酒黄芩", "党参片", "姜厚朴", "姜半夏", "麸炒苍术", "木香", "炙甘草", "麸炒薏苡仁", "茯苓"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "酒黄芩", "党参片", "牡蛎", "大黄", "姜厚朴", "姜半夏", "麸炒苍术", "木香", "炙甘草"], "prev_gap": 7, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 49927, "pid": "Paf4dfff18b01", "date": "2025-09-29", "sex": "男", "age": 40, "cc": "勃起困难2月", "hpi": "病史同前。眠差，脾气急，口干口苦消。便调", "wm_dx": ["代谢综合征"], "tcm_dx": [["失眠", "肝气郁结证", "疏肝理气"]], "rx": ["北柴胡", "首乌藤", "龙骨", "牡蛎", "炙甘草", "麸炒枳实", "白芍", "合欢皮", "九香虫", "地龙"], "flags": [], "prev_rx": ["北柴胡", "姜半夏", "首乌藤", "龙骨", "牡蛎", "炙甘草", "麸炒枳实", "白芍", "石菖蒲", "九香虫", "地龙", "合欢皮"], "prev_gap": 14, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 49928, "pid": "Pc64686dcd7c6", "date": "2025-09-29", "sex": "男", "age": 37, "cc": "复诊", "hpi": "病史同前 口干，便溏2次，肠鸣。无肢冷", "wm_dx": ["代谢综合征"], "tcm_dx": [["男性前阴类病", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "姜半夏", "九香虫", "木香", "姜厚朴", "地龙", "炙甘草", "姜炭", "焦槟榔"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "姜半夏", "九香虫", "木香", "姜厚朴", "地龙"], "prev_gap": 8, "visit_ix": 4, "n_visits": 10, "visit_ix_rx": 3, "n_rx": 9} {"rid": 49929, "pid": "P1f0f49623ba9", "date": "2025-09-29", "sex": "男", "age": 53, "cc": "排尿无力 少腹胀痛半年", "hpi": "排尿无力 少腹胀痛半年 尿不尽 夜尿2次 排气多 大便正常 纳可 眠安 腰痛", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["陈皮", "猪苓", "麸炒芡实", "麸炒薏苡仁", "山慈菇"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "太子参", "陈皮"], "prev_gap": 55, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 49937, "pid": "P36a3dc6e8909", "date": "2025-09-29", "sex": "男", "age": 25, "cc": "龟头脱皮泛红刺痒一周余", "hpi": "龟头脱皮泛红刺痒一周余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连", "土茯苓", "败酱草", "烫水蛭", "百部", "荆芥"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 49938, "pid": "Pc72fc02db1ce", "date": "2025-09-29", "sex": "男", "age": 23, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 时间1-2分钟 龟头敏感 大小便正常 纳可 眠安 胁痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "地骨皮", "五加皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49951, "pid": "P21cba7aad247", "date": "2025-09-30", "sex": "男", "age": 54, "cc": "少腹隐痛2月", "hpi": "少腹隐痛2月 尿不尽 大便次数多 纳可 眠安 腰痛乏力 盗汗", "wm_dx": ["前列腺增生", "腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["猪苓", "羌活", "知母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49961, "pid": "Pbf9121803c9c", "date": "2025-09-30", "sex": "男", "age": 57, "cc": "阴囊潮湿5年", "hpi": "阴囊潮湿瘙痒伴异味，勃起欠佳，口中和，长期久坐，司机工作，夜寐差，怕冷", "wm_dx": ["阴囊湿疹"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "麸炒苍术", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "麸炒薏苡仁", "牛膝", "黄芪", "茯苓", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49964, "pid": "P7196872f6a8f", "date": "2025-09-30", "sex": "男", "age": 41, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，排尿可，长期久坐，熬夜，口中和，夜寐差，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "菟丝子", "枸杞子", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49970, "pid": "P9ca7aa7d4621", "date": "2025-09-30", "sex": "男", "age": 32, "cc": "腰痛乏力3月", "hpi": "腰痛乏力3月，女方流产一次，尿频尿急，口苦，长期熬夜，夜寐差", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花", "蒲公英"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花", "蒲公英"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 49974, "pid": "P95621a874d80", "date": "2025-09-30", "sex": "男", "age": 54, "cc": "腰痛半年", "hpi": "腰痛半年 小便正常黄 纳不吃凉 眠多梦，口干口苦，腰怕冷，多汗，下午手痒，手心红点，外院就诊，口服药物治疗，既往口服过他达拉非。复诊：症状好转，昨日天冷手心出红点。复诊手正常，勃起不行，腹胀，矢气异味，大便不成型粘，复诊，阴囊潮湿，大便粘", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "寒热错杂证", "平调寒热"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩", "黄连", "人参", "当归", "川芎", "白芍", "茯苓", "姜厚朴", "牡丹皮", "丹参", "鸡血藤", "炒苦杏仁", "薏苡仁", "赤小豆"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "桂枝", "干姜", "黄芩", "人参", "当归", "川芎", "白芍", "茯苓", "姜厚朴", "制远志", "丹参", "鸡血藤", "炙淫羊藿", "制巴戟天", "黄连"], "prev_gap": 6, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 5} {"rid": 49976, "pid": "P016fcb933b53", "date": "2025-09-30", "sex": "男", "age": 64, "cc": "尿频2年", "hpi": "2年前出现尿频，尿急，排尿不畅，夜尿2-3次，无小腹胀痛，口中和，夜寐差，起夜后入睡困难，外院诊断前列腺增生，予口服前列舒通、癃清胶囊、盐酸坦索罗辛缓释胶囊未见好转", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "瘀血阻滞证", "活血通络"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "麸炒山药", "盐益智仁", "乌药", "金樱子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49981, "pid": "Paa18602c28a0", "date": "2025-09-30", "sex": "男", "age": 37, "cc": "周身乏力腰痛3月", "hpi": "近3月出现周身乏力腰痛，四肢末端麻木，眼睛干涩，胸闷，汗出明显，尿分叉尿滴沥尿无力", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "酒黄精", "黄芪", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49985, "pid": "Pa016e8aa0618", "date": "2025-09-30", "sex": "男", "age": 27, "cc": "左侧睾丸隐痛一周余", "hpi": "左侧睾丸隐痛一周余 大小便正常 纳可 眠安 少腹隐痛 腰痛 左侧腹股沟疼痛一周", "wm_dx": ["腹股沟淋巴结炎", "附睾炎", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "野菊花", "北柴胡", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "灵芝", "车前草", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "夏枯草", "醋香附", "醋延胡索"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 28, "visit_ix_rx": 0, "n_rx": 21} {"rid": 49986, "pid": "Pabb527980f05", "date": "2025-09-30", "sex": "男", "age": 76, "cc": "尿疼痛伴会阴不适2周", "hpi": "2周前出现尿疼痛伴会阴不适，夜尿1-2次，自觉肛门大便感", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "玉竹", "百合", "丹参", "连翘", "小蓟", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白花蛇舌草", "黄连", "萹蓄", "酒大黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 49991, "pid": "P16c66b451042", "date": "2025-09-30", "sex": "男", "age": 47, "cc": "腰痛发力伴性欲减退5年", "hpi": "5年前出现腰痛乏力，性欲减退，晨勃可，射精无力，长期饮酒，吸烟1包/天，口干，夜寐可，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "仙茅", "韭菜子", "山药", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 5} {"rid": 49993, "pid": "P7f4a9e470a3f", "date": "2025-09-30", "sex": "男", "age": 39, "cc": "尿频10余年", "hpi": "尿频，夜尿正常，大便正常，纳可，硬度正常，时间短，近2月逐渐加重，睡眠工作原因熬夜，口和，喝水少，无乏力感，微怕冷", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["白薇", "醋五味子", "桂枝", "白芍", "生姜", "大枣", "煅龙骨", "煅牡蛎", "制远志", "石菖蒲", "盐蒺藜", "茯苓", "泽泻", "金樱子肉", "桑螵蛸", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 49996, "pid": "P9be6374becae", "date": "2025-09-30", "sex": "男", "age": 64, "cc": "睾丸不适复诊", "hpi": "睾丸不适好转，阴囊潮湿瘙痒，尿频，夜尿3-4次，勃起不坚，腰痛，口苦 股癣取药", "wm_dx": ["精索静脉曲张", "静脉曲张", "股癣"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "北柴胡", "炒蒺藜", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "石菖蒲", "制远志", "醋青皮", "郁金", "麸炒枳壳", "炙甘草", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 49998, "pid": "P11f2581af2cc", "date": "2025-09-30", "sex": "男", "age": 40, "cc": "乏力3年", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便稀1-3次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["法半夏", "黄连片", "黄芩片", "干姜", "人参", "路路通", "茯苓", "姜厚朴", "川芎", "菟丝子", "枸杞子", "熟地黄", "制巴戟天", "当归", "山药", "百合", "炒酸枣仁", "玫瑰花", "龙眼肉", "合欢皮"], "flags": [], "prev_rx": ["法半夏", "黄连片", "黄芩片", "干姜", "人参", "路路通", "姜厚朴", "绵萆薢", "菟丝子", "枸杞子", "熟地黄", "制巴戟天", "酒萸肉", "茯苓", "山药"], "prev_gap": 7, "visit_ix": 2, "n_visits": 24, "visit_ix_rx": 2, "n_rx": 24} {"rid": 49999, "pid": "Pc18862d80b19", "date": "2025-09-30", "sex": "男", "age": 49, "cc": "尿频一月", "hpi": "尿频，夜尿正常，大便正常，纳可，睡眠一般，入睡困难，紧张，伴有硬度下降，时间短，口和，无怕冷", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "牡丹皮", "熟地黄", "酒萸肉", "麸炒山药", "蜈蚣", "煅龙骨", "煅牡蛎", "制巴戟天", "川芎", "干姜", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "牡丹皮", "地黄", "酒萸肉", "麸炒山药", "蜈蚣", "煅龙骨", "煅牡蛎", "制巴戟天", "枸杞子"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 50002, "pid": "P0a965f1718ad", "date": "2025-09-30", "sex": "男", "age": 62, "cc": "睾丸隐痛4月", "hpi": "睾丸串痛，隐痛，久坐会阴隐痛，洗澡后好转，尿频，夜尿2次，无尿痛，大便可，纳一般，口干喝水，无怕冷，手脚发凉，当地口服汤药治疗", "wm_dx": ["附睾炎"], "tcm_dx": [["子肿", "气滞血瘀证", "活血止痛"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "炙甘草", "燀桃仁", "红花", "桂枝", "牡丹皮", "茯苓", "泽泻", "川楝子", "荔枝核", "赤小豆", "虎杖", "地龙"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50004, "pid": "P0423b4d23e31", "date": "2025-09-30", "sex": "男", "age": 52, "cc": "尿频10余年", "hpi": "乏力，时间下降，硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，多汗，睾丸坠痛感，怕热", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["醋北柴胡", "麸炒枳实", "白芍", "茯苓", "猪苓", "麸炒白术", "干姜", "牡丹皮", "赤小豆", "白花蛇舌草", "甘草"], "flags": [], "prev_rx": ["黄芪", "人参", "生姜", "石菖蒲", "制远志", "牡丹皮", "茯苓", "猪苓", "赤小豆", "白术", "炙甘草", "酒萸肉"], "prev_gap": 7, "visit_ix": 10, "n_visits": 14, "visit_ix_rx": 9, "n_rx": 13} {"rid": 50005, "pid": "P5ff639c5664a", "date": "2025-09-30", "sex": "男", "age": 26, "cc": "左侧睾丸疼痛不适2天", "hpi": "2天前出现左侧睾丸疼痛不适，工作久坐，排尿可，熬夜，口干", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "荔枝核", "路路通", "炒王不留行", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50008, "pid": "P50c90e82c30f", "date": "2025-09-30", "sex": "男", "age": 63, "cc": "前列腺增生慢性前列腺炎复诊", "hpi": "近一周尿不尽 尿频 尿等待 会阴部隐痛 ，大便干，睡眠一般，纳一般，针灸科治疗中，凉的少吃，口干口苦，患者服用盐酸坦索罗辛缓释胶囊后胃部不适 改服盐酸特拉唑嗪胶囊", "wm_dx": ["慢性前列腺炎", "前列腺增生", "高血压"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "黄连", "百部", "白芷", "烫水蛭"], "flags": [], "prev_rx": ["当归", "连翘", "赤小豆", "白花蛇舌草", "北柴胡", "黄芩片", "陈皮", "醋鸡内金", "焦山楂", "燀桃仁", "红花", "炒苦杏仁", "柏子仁", "党参片"], "prev_gap": 63, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 2} {"rid": 50011, "pid": "P42372b70b270", "date": "2025-10-01", "sex": "男", "age": 67, "cc": "尿频 尿急 尿等待复诊取药", "hpi": "尿频 尿急 尿等待复诊取药 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎", "前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 25, "visit_ix_rx": 0, "n_rx": 3} {"rid": 50013, "pid": "P431e995841be", "date": "2025-10-01", "sex": "男", "age": 37, "cc": "自觉尿液里伴随精液排出一月余", "hpi": "自觉尿液里伴随精液排出一月余 勃起不坚 大小便正常 纳可 眠安 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50019, "pid": "P06cb813cdb60", "date": "2025-10-01", "sex": "男", "age": 71, "cc": "尿黄异味大一周余", "hpi": "尿黄异味大一周余 失眠 大便正常 纳可 尿频 夜尿2-3次", "wm_dx": ["前列腺增生"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["炒酸枣仁", "知母", "合欢皮", "石菖蒲"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50020, "pid": "Pbbbf987f858b", "date": "2025-10-01", "sex": "男", "age": 77, "cc": "排尿不畅复诊", "hpi": "排尿不畅复诊，夜尿4-5次，无小腹不适，伴尿频尿急 盗汗半年 阴囊潮湿 烫伤皮肤感染一周", "wm_dx": ["皮肤感染", "烫伤样皮肤综合征", "慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["猪苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 10, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50021, "pid": "Pb0eecd2471c6", "date": "2025-10-01", "sex": "男", "age": 38, "cc": "少腹胀痛2天", "hpi": "少腹胀痛2天 尿液浑浊 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50026, "pid": "Pa4a75eaee248", "date": "2025-10-01", "sex": "男", "age": 39, "cc": "腰痛复诊取药", "hpi": "包皮刺痒1周，有包皮垢，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。腰痛，乏力。焦虑。", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁"], "flags": [], "prev_rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "当归", "炒酸枣仁"], "prev_gap": 18, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 50028, "pid": "Pdc8e49cd7576", "date": "2025-10-01", "sex": "男", "age": 47, "cc": "腰痛抄方", "hpi": "一直口服药物治疗，尿频，夜尿1-2次 腰痛 盗汗 腰疼 纳可 眠安，大便粘，无怕冷 关节炎取药", "wm_dx": ["关节痛", "关节炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["熟地黄", "党参片", "麦冬", "醋五味子", "干姜", "杜仲", "牛膝", "盐补骨脂", "制吴茱萸", "当归", "阿胶珠", "盐小茴香", "高良姜", "盐益智仁", "山药", "乌药", "黑顺片", "肉桂", "制巴戟天", "仙茅", "炙淫羊藿", "薤白"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 22, "n_visits": 33, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50033, "pid": "P4e91d0b6b136", "date": "2025-10-01", "sex": "男", "age": 30, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，同房频率1周一次，长期熬夜，工作劳累，性欲减退，晨勃消失，勃起可 失眠", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "知母", "合欢皮", "枸杞子", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "韭菜子", "锁阳"], "prev_gap": 38, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 50036, "pid": "P655c57f00025", "date": "2025-10-01", "sex": "男", "age": 82, "cc": "夜间排尿困难复诊", "hpi": "夜间排尿困难好转 白天可 便秘 纳可 眠差", "wm_dx": ["慢性膀胱炎", "泌尿系感染", "前列腺增生", "糖尿病"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "陈皮", "山慈菇"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "陈皮"], "prev_gap": 15, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 50037, "pid": "P77d74d1e8fb3", "date": "2025-10-01", "sex": "男", "age": 27, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力好转 ，勃起欠佳好转，射精快好转，晨勃消失，大小便正常，纳可，眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "盐杜仲", "牛膝", "桑寄生", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "prev_gap": 22, "visit_ix": 3, "n_visits": 12, "visit_ix_rx": 2, "n_rx": 6} {"rid": 50039, "pid": "Pea83b8bf0b24", "date": "2025-10-01", "sex": "男", "age": 24, "cc": "尿频2月", "hpi": "尿频2月 大便正常 纳可 眠安 无睾丸疼痛 无少腹隐痛 无口干口苦 腰痛", "wm_dx": ["前列腺增生", "精囊炎", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "麸炒山药", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "麸炒山药", "陈皮"], "prev_gap": 7, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 50043, "pid": "P17ce13b33b22", "date": "2025-10-01", "sex": "男", "age": 38, "cc": "右侧睾丸肿大2周", "hpi": "右侧睾丸肿大2周 大小便正常 纳可 眠安 少腹隐痛", "wm_dx": ["附睾囊肿"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["三七粉", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50044, "pid": "P46782fa182f6", "date": "2025-10-01", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["炒酸枣仁", "知母", "合欢皮", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50046, "pid": "Pbdf4a4edc257", "date": "2025-10-01", "sex": "男", "age": 27, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 时间4-5分钟 勃起可 大小便正常 纳可 失眠", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "炒酸枣仁", "知母", "合欢皮", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50047, "pid": "P3ff2efd886a8", "date": "2025-10-02", "sex": "男", "age": 59, "cc": "睾丸疼痛2周", "hpi": "睾丸疼痛2周 大小便正常 纳可 眠安 少腹隐痛 腰痛", "wm_dx": ["鞘膜积液"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["制巴戟天", "猪苓", "陈皮", "三七粉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 50054, "pid": "Pb8d0fd1ddfea", "date": "2025-10-02", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "腰痛半年 小便正常 纳可 眠安 口臭 大便稀", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "山药", "盐补骨脂", "麸煨肉豆蔻", "干姜", "砂仁", "熟地黄", "酒萸肉", "知母", "盐黄柏", "牡丹皮", "地骨皮", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "麸炒枳壳", "炙甘草", "合欢皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50056, "pid": "Pe38caa9aa004", "date": "2025-10-02", "sex": "男", "age": 27, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余 刺痒 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "百部", "黄连", "蒲公英", "金银花", "土茯苓", "败酱草", "荆芥"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50060, "pid": "P8fcd766c9ad2", "date": "2025-10-02", "sex": "男", "age": 40, "cc": "血精2次", "hpi": "血精2次 无射精疼痛感 大小便正常 纳可 眠安", "wm_dx": ["精囊炎", "前列腺增生"], "tcm_dx": [["血精", "气滞血瘀证", "活血化瘀"]], "rx": ["三七粉", "猪苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50066, "pid": "P189a132e774b", "date": "2025-10-02", "sex": "男", "age": 44, "cc": "龟头红点一周余", "hpi": "龟头红点一周余 无瘙痒疼痛 大小便正常 纳可", "wm_dx": ["包皮龟头炎", "糖尿病"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "败酱草", "土茯苓", "蒲公英", "金银花", "白芷", "百部", "黄连", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50071, "pid": "P50e1dc4104ad", "date": "2025-10-03", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "山药", "盐补骨脂", "酒黄精", "酒苁蓉", "制巴戟天", "炙淫羊藿", "菟丝子", "酒女贞子", "覆盆子", "盐车前子", "枸杞子", "熟地黄", "酒萸肉", "泽泻", "知母", "炒酸枣仁", "柏子仁", "制远志", "麸炒枳壳", "烫水蛭", "炙甘草", "合欢皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50074, "pid": "P5dc6a24a81ec", "date": "2025-10-03", "sex": "男", "age": 37, "cc": "腰痛乏力记忆力减退复诊", "hpi": "腰痛乏力记忆力减退复诊，手淫，口干，夜寐可 盗汗 遗精", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "山慈菇", "猪苓", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50080, "pid": "Pdb350c0b12aa", "date": "2025-10-03", "sex": "男", "age": 38, "cc": "腰痛乏力1年", "hpi": "腰痛乏力，排尿可，口中和，夜寐可，长期熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "醋五味子", "沙苑子", "烫水蛭", "砂仁", "陈皮", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿"], "flags": [], "prev_rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "烫水蛭"], "prev_gap": 20, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 50081, "pid": "P82ed0ed2a6df", "date": "2025-10-03", "sex": "男", "age": 46, "cc": "包皮龟头炎 白膜一月余", "hpi": "包皮龟头炎 白膜一月余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "败酱草", "土茯苓", "茵陈", "黄连", "蝉蜕"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50091, "pid": "Pe284899b02f5", "date": "2025-10-03", "sex": "男", "age": 31, "cc": "慢性前列腺炎复诊", "hpi": "慢性前列腺炎复诊 会阴部不适 尿道灼热感 胁痛 睾丸疼痛一周余 少腹隐痛", "wm_dx": ["慢性前列腺炎", "附睾炎"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "三七粉", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50095, "pid": "Pa0a42cd9ab34", "date": "2025-10-03", "sex": "男", "age": 44, "cc": "腰痛尿频复诊取药", "hpi": "伴有腹胀，早泄，勃起不持久，胁痛，尿频 失眠 易醒 腰痛", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "三七粉", "山慈菇"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50102, "pid": "P3efccce79234", "date": "2025-10-04", "sex": "男", "age": 47, "cc": "阴毛部可见血迹一周余", "hpi": "阴毛部可见血迹一周余 伴有刺痒 大小便正常 纳可 眠安 龟头红点一月", "wm_dx": ["阴虱", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "百部", "白芷", "蛇床子", "地肤子", "白花蛇舌草", "败酱草", "蒲公英", "金银花", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50104, "pid": "Pd34a582f7112", "date": "2025-10-04", "sex": "男", "age": 71, "cc": "尿急半年", "hpi": "尿急半年 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["麸炒薏苡仁", "制巴戟天", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50105, "pid": "P5901c4fc5f06", "date": "2025-10-04", "sex": "男", "age": 38, "cc": "腰痛复诊", "hpi": "腰痛复诊，硬度下降，性欲强，乏力，情绪焦虑，同居感情可，二便调，纳可，眠一般，中途易醒，无排尿不畅、尿后余沥，口干，盗汗。", "wm_dx": ["失眠", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "韭菜子", "知母", "盐关黄柏", "炒酸枣仁", "土茯苓", "北败酱草", "仙茅", "盐胡芦巴", "蛇床子", "川楝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "知母", "盐关黄柏", "炒酸枣仁"], "prev_gap": 23, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 50108, "pid": "P2f9bf857a576", "date": "2025-10-04", "sex": "男", "age": 25, "cc": "腰痛乏力1月", "hpi": "腰痛乏力1月，大小便正常纳可，睡眠差多梦，乏力感，口和，阵发性燥热，盗汗明显 失眠", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "炒酸枣仁", "知母", "合欢皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50109, "pid": "P1e808f413e12", "date": "2025-10-04", "sex": "男", "age": 47, "cc": "少腹隐痛连及睾丸疼痛一月余", "hpi": "少腹隐痛连及睾丸疼痛一月余 大小便正常 纳可 失眠 盗汗半年", "wm_dx": ["附睾炎", "慢性前列腺炎"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["炒酸枣仁", "知母", "合欢皮", "制巴戟天", "三七粉", "麸炒薏苡仁", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50112, "pid": "Pe878b19d4a50", "date": "2025-10-04", "sex": "男", "age": 87, "cc": "骨质疏松 冠心病 咳嗽取药", "hpi": "骨质疏松 冠心病 咳嗽取药 大便正常 纳可 眠差 前列腺增生复诊取药 尿频 尿急 尿不尽 排尿不畅", "wm_dx": ["冠状动脉性心脏病", "骨质疏松", "前列腺增生"], "tcm_dx": [["咳嗽", "痰湿证", "宣肺化痰"], ["心痹", "气滞血瘀证", "活血化瘀"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["川贝母", "陈皮", "麸炒薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50115, "pid": "P3ed1a3942963", "date": "2025-10-04", "sex": "男", "age": 29, "cc": "腰痛复诊", "hpi": "腰痛复诊，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。包皮刺痒脱皮。勃起不持久 中途疲软", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "盐补骨脂", "酒黄精", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "麸炒枳壳", "熟地黄", "酒萸肉", "知母", "盐黄柏", "酒女贞子", "覆盆子", "枸杞子", "炙甘草", "烫水蛭", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50118, "pid": "P319e7ba40c7d", "date": "2025-10-04", "sex": "男", "age": 33, "cc": "腰痛伴射精快复诊", "hpi": "腰痛伴射精快好转，自汗，勃起欠佳好转，晨勃可，口中和，夜寐可，龟头红疹好转", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "金樱子", "醋五味子", "麸炒芡实", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "党参", "黄芪", "山药", "甜叶菊叶", "蛇床子", "五倍子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "五加皮", "地骨皮", "木香", "桂枝"], "flags": [], "prev_rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙", "北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "白芍", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "金樱子", "麸炒芡实"], "prev_gap": 14, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 50119, "pid": "P1fbabcfa13fb", "date": "2025-10-04", "sex": "男", "age": 24, "cc": "多汗一年余", "hpi": "多汗一年余 大小便正常 纳可 眠安 腰痛 早泄 龟头敏感 胁痛半年", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", 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"prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50127, "pid": "P7ed0f41439e8", "date": "2025-10-05", "sex": "男", "age": 55, "cc": "双侧腹股沟潮湿泛红一月余", "hpi": "双侧腹股沟潮湿泛红一月余 大小便正常 纳可 眠安", "wm_dx": ["股癣"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "茵陈", "土茯苓", "败酱草", "黄连", "蝉蜕"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 50130, "pid": "Pa228d1094a1e", "date": "2025-10-05", "sex": "男", "age": 52, "cc": "尿频尿急一月余", "hpi": "尿频尿急一月余 大便正常 纳可 眠差 口服左氧氟沙星片有缓解 腰痛乏力半年", "wm_dx": ["前列腺增生", "泌尿系感染", "肾结石"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["制巴戟天", "知母", "炒酸枣仁", "枸杞子"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50131, "pid": "P028f3e437bc9", "date": "2025-10-05", "sex": "男", "age": 18, "cc": "阴囊瘙痒脱皮半年", "hpi": "阴囊瘙痒脱皮半年 大小便正常 纳可 眠安", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "茵陈", "黄连", "大黄", "蝉蜕"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50134, "pid": "P2eefc5465d5e", "date": "2025-10-05", "sex": "男", "age": 88, "cc": "排尿不畅复诊取药", "hpi": "近10余年排尿不畅，口服灵泽片未见好转，泌尿系彩超：前列腺增大4.7*5.5*4.5cm（2025.5），现夜尿3-4次", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["党参片", "黄芪", "麦冬", "醋五味子", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 10, "n_visits": 27, "visit_ix_rx": 0, "n_rx": 3} {"rid": 50151, "pid": "Pc766fde5f64b", "date": "2025-10-05", "sex": "男", "age": 55, "cc": "腰痛半年", "hpi": "腰痛半年 伴有勃起不坚 大小便正常 纳可 眠差 晨勃少 乏力疲劳 口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["熟地黄", "酒萸肉", "知母", "盐黄柏", "醋龟甲", "砂仁", "酒女贞子", "覆盆子", "麸炒枳壳", "炙甘草", "石菖蒲", "制远志", "炒酸枣仁", "柏子仁", "合欢皮", "黑芝麻", "烫水蛭", "北柴胡", "炒蒺藜", "醋青皮", "郁金"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50152, "pid": "Pd5b34fdc69bf", "date": "2025-10-05", "sex": "男", "age": 43, "cc": "腰痛半年", "hpi": "伴有勃起不坚一月 晨勃少 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["党参", "山药", "川楝子", "醋香附", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "菟丝子", "盐车前子", "枸杞子", "麸炒枳壳", "炙甘草", "制何首乌", "桑椹", "烫水蛭", "大血藤", "炒酸枣仁", "知母", "陈皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50162, "pid": "P7e5217887b96", "date": "2025-10-06", "sex": "男", "age": 66, "cc": "左侧腹股沟疼痛不适2周", "hpi": "2周前出现左侧腹股沟疼痛不适，阴囊潮湿瘙痒，时有尿痛，夜寐差", "wm_dx": ["精索静脉曲张", "静脉曲张", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["筋瘤", "血瘀证", "活血化瘀"]], "rx": ["肉桂", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 6} {"rid": 50168, "pid": "Pb610883b8891", "date": "2025-10-06", "sex": "男", "age": 36, "cc": "左侧睾丸疼痛2月", "hpi": "2月前出现左侧睾丸疼痛，排尿可，无其他不适", "wm_dx": ["精索静脉曲张", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["筋瘤", "血瘀证", "活血化瘀"]], "rx": ["肉桂", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "黄芪", "荔枝核", "路路通", "炒王不留行", "盐橘核"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50172, "pid": "P58dfaecf0f55", "date": "2025-10-06", "sex": "男", "age": 61, "cc": "腰痛伴勃起不坚1年", "hpi": "1年前出现腰痛伴勃起不坚，中途疲软，夜寐差，胁肋疼痛", "wm_dx": ["腰痛", "男性勃起障碍"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "黄芪", "太子参", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50174, "pid": "Pa4b6ff37b90c", "date": "2025-10-06", "sex": "男", "age": 45, "cc": "腰痛复诊", "hpi": "6月前出现腰痛伴勃起硬度欠佳，性欲减退，射精无力，晨勃可，口干口苦，夜寐可，易困倦，", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳壳", "北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏", "金樱子肉", "麸炒芡实"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳壳", "北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏"], "prev_gap": 16, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 5, "n_rx": 11} {"rid": 50177, "pid": "Paf4dfff18b01", "date": "2025-10-06", "sex": "男", "age": 40, "cc": "勃起困难2月", "hpi": "病史同前。眠差，脾气急，口干口苦消。便调", "wm_dx": ["代谢综合征", "男性性腺功能低下"], "tcm_dx": [["失眠", "肝气郁结证", "疏肝理气"]], "rx": ["北柴胡", "首乌藤", "龙骨", "牡蛎", "炙甘草", "麸炒枳实", "白芍", "合欢皮", "九香虫", "地龙", "炙淫羊藿", "韭菜子"], "flags": [], "prev_rx": ["北柴胡", "首乌藤", "龙骨", "牡蛎", "炙甘草", "麸炒枳实", "白芍", "合欢皮", "九香虫", "地龙"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 50179, "pid": "Pa3d8644bcf8c", "date": "2025-10-06", "sex": "男", "age": 31, "cc": "腰痛乏力伴勃起中途疲软4月", "hpi": "4月前出现腰痛乏力伴勃起中途疲软，熬夜，口干无口苦，夜寐差，易生气。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "黄芪", "太子参", "制巴戟天", "韭菜子", "锁阳", "制远志"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 50181, "pid": "P59afdae0f769", "date": "2025-10-06", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 伴有勃起不坚 中途疲软 晨勃可 大小便正常 纳可 眠安。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "韭菜子", "制巴戟天", "太子参", "川芎", "炙黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50193, "pid": "Pe5dedc9f7217", "date": "2025-10-06", "sex": "男", "age": 39, "cc": "乏力复诊", "hpi": "乏力，记忆力下降，怕冷，口干口苦，耳鸣，排尿正常黄，大便不成形3-4次，睡眠正常", "wm_dx": ["腰痛", "贫血"], "tcm_dx": [["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["人参", "太子参", "黄芪", "当归", "川芎", "山药", "熟地黄", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50197, "pid": "P100bd53204ea", "date": "2025-10-06", "sex": "男", "age": 36, "cc": "腰痛乏力伴勃起不坚1月", "hpi": "1月前受冷后出现腰背部疼痛不适，可同房硬度欠佳，右侧肩背部疼痛，性欲可，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "韭菜子", "制远志"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50199, "pid": "Pee08a16eb34c", "date": "2025-10-07", "sex": "男", "age": 28, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炙黄芪", "党参片", "麦冬", "玄参", "干石斛", "醋五味子", "枸杞子", "盐胡芦巴", "沙苑子", "覆盆子", "酒女贞子", "韭菜子", "蛇床子", "菟丝子", "麸炒枳壳", "炙甘草", "石菖蒲", "陈皮", "木香", "制远志", "蜈蚣"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["党参", "山药", "黄芪", "麦冬", "醋五味子", "茯苓", "砂仁", "肉苁蓉", "浙贝母", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "醋龟甲", "麸炒枳壳", "炙甘草", "炒酸枣仁", "制远志", "柏子仁"], "prev_gap": 13, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 50200, "pid": "P655c57f00025", "date": "2025-10-07", "sex": "男", "age": 82, "cc": "夜间排尿困难复诊", "hpi": "夜间排尿困难好转 白天可 便秘 纳可 眠差", "wm_dx": ["糖尿病", "前列腺增生", "泌尿系感染", "慢性膀胱炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "陈皮", "山慈菇", "麸炒薏苡仁"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "陈皮", "山慈菇"], "prev_gap": 6, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 50203, "pid": "P2575ac0a96dc", "date": "2025-10-07", "sex": "男", "age": 44, "cc": "尿混浊1周", "hpi": "1周前出现尿混浊，夜寐差，失眠，无其他不适", "wm_dx": ["泌尿系感染"], "tcm_dx": [["腰痛", "肾虚", "补肾"], ["失眠", "痰凝血瘀", "化痰活血"], ["精浊", "下焦湿热证", "清热利湿"], ["失眠", "心血虚证", "补血养心"]], "rx": ["甜叶菊叶", "当归", "白芍", "熟地黄", "川芎", "制何首乌", "桑椹", "石菖蒲", "制远志", "桂枝", "合欢皮", "知母", "炒酸枣仁", "柏子仁", "麸炒枳壳", "炙甘草", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50204, "pid": "P3c387a4caaf4", "date": "2025-10-07", "sex": "男", "age": 73, "cc": "阴囊潮湿2年", "hpi": "阴囊潮湿2年 大小便正常 纳可 眠安 前列腺增生取药", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["猪苓", "山慈菇", "浙贝母", "羌活", "薏苡仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白芷", "防风", "蒲公英", "金银花", "土茯苓", "败酱草", "石菖蒲", "荆芥", "烫水蛭"], "prev_gap": 8, "visit_ix": 1, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 9} {"rid": 50211, "pid": "P736797177f8e", "date": "2025-10-07", "sex": "男", "age": 52, "cc": "腰痛9月", "hpi": "腰痛9月，硬度下降，中途疲软，性欲可，乏力，性生活不规律，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "炒蒺藜", "醋青皮", "郁金", "地龙", "烫水蛭", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "麸炒枳壳", "炙甘草", "甜叶菊叶"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "地龙", "蜈蚣", "法半夏"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 50214, "pid": "P42372b70b270", "date": "2025-10-07", "sex": "男", "age": 67, "cc": "尿频 尿急 尿等待复诊取药", "hpi": "尿频 尿急 尿等待复诊取药 大便正常 纳可 眠安", "wm_dx": ["泌尿系感染", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇", "三七粉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "山慈菇"], "prev_gap": 6, "visit_ix": 4, "n_visits": 25, "visit_ix_rx": 1, "n_rx": 3} {"rid": 50217, "pid": "Pd5809ce13e6f", "date": "2025-10-07", "sex": "男", "age": 42, "cc": "尿频尿不尽一月", "hpi": "尿频尿不尽一月 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇", "麸炒薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 50218, "pid": "P3a5bfdda26e0", "date": "2025-10-07", "sex": "男", "age": 33, "cc": "睾丸隐痛1年", "hpi": "睾丸隐痛1年 大小便正常 纳可 眠安 患者自述睾丸附睾彩超未见异常 偶见尿频", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "盐补骨脂", "酒黄精", "侧柏叶", "桑椹", "枸杞子", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "锁阳", "麸炒枳壳", "烫水蛭", "醋延胡索", "蒲黄", "醋五灵脂", "炙甘草", "麦冬", "醋五味子", "茯苓", "龙眼肉", "炒酸枣仁", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "盐补骨脂", "酒黄精", "侧柏叶", "桑椹", "枸杞子", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "锁阳", "麸炒枳壳", "烫水蛭", "醋延胡索", "蒲黄", "醋五灵脂", "炙甘草", "三七粉", "龙眼肉"], "prev_gap": 10, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 50221, "pid": "Pd9e51b562ed7", "date": "2025-10-07", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 勃起不持久 晨勃少 大小便正常 纳可 眠安 早泄 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "prev_gap": 15, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 50223, "pid": "Pc39d54b5413a", "date": "2025-10-07", "sex": "男", "age": 30, "cc": "尿频尿急1周", "hpi": "尿频尿急1周，大便正常 纳可 腰酸疼 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["知母", "炒酸枣仁", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 6} {"rid": 50227, "pid": "P36a3dc6e8909", "date": "2025-10-07", "sex": "男", "age": 25, "cc": "龟头脱皮泛红刺痒一周余", "hpi": "龟头脱皮泛红刺痒一周余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连", "土茯苓", "败酱草", "烫水蛭", "百部", "荆芥", "茵陈", "麸炒苍术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连", "土茯苓", "败酱草", "烫水蛭", "百部", "荆芥"], "prev_gap": 8, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 50229, "pid": "Pa97bb6673a6f", "date": "2025-10-07", "sex": "男", "age": 39, "cc": "腰痛复诊", "hpi": "腰痛复诊 ，乏力，口干口苦，睡眠一般早醒，大便正常 阳痿早泄 尿频 尿急", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾阴虚证", "滋阴生津"]], "rx": ["北柴胡", "黄芩片", "生石膏", "天花粉", "党参片", "阿胶珠", "泽兰", "猪苓", "茯苓", "血余炭", "炙甘草", "炒栀子", "茵陈", "牡丹皮", "川楝子", "醋香附"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50238, "pid": "P028c1fd7d1dc", "date": "2025-10-07", "sex": "男", "age": 63, "cc": "腰痛半年", "hpi": "腰痛半年 性功能下降 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "膀胱湿热血瘀证", "活血行滞"]], "rx": ["甜叶菊叶", "北柴胡", "黄芩", "土茯苓", "败酱草", "烫水蛭", "麸炒枳壳", "炙甘草", "石菖蒲", "制远志", "茯苓", "醋青皮", "郁金", "防风", "炙淫羊藿", "蛇床子", "韭菜子", "车前草", "麸炒薏苡仁", "猪苓", "山慈菇"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "麸炒苍术", "黄柏", "牛膝", "薏苡仁", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "川楝子", "醋香附", "烫水蛭", "麸炒枳壳", "炙甘草", "防风", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "盐车前子", "麸炒薏苡仁", "猪苓"], "prev_gap": 9, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 50246, "pid": "P15fa5d9d170b", "date": "2025-10-07", "sex": "男", "age": 30, "cc": "体检发现前列腺钙化灶", "hpi": "体检发现前列腺钙化灶 尿频 大便正常 纳可 眠差 压力大 胁痛一月", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["猪苓", "山慈菇", "麸炒薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50253, "pid": "P1e2d41a922b1", "date": "2025-10-08", "sex": "男", "age": 58, "cc": "腰痛乏力盗汗1月", "hpi": "1月前出现腰痛乏力伴盗汗，中途疲软，性欲可，口干口苦，夜寐差，易醒，食纳可，咽干，咳嗽", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "韭菜子", "仙茅", "制巴戟天", "炙甘草", "甜叶菊叶"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "韭菜子", "仙茅", "制巴戟天"], "prev_gap": 38, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 50254, "pid": "P68959a62b365", "date": "2025-10-08", "sex": "男", "age": 53, "cc": "腰痛乏力伴勃起中途疲软2月", "hpi": "2月前出现腰痛乏力伴勃起中途疲软，口异味，夜寐可，性欲可，晨勃可，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "熟地黄", "麸炒山药", "韭菜子", "制巴戟天", "白芍"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 50255, "pid": "Pabb527980f05", "date": "2025-10-08", "sex": "男", "age": 76, "cc": "尿疼痛伴会阴不适2周", "hpi": "2周前出现尿疼痛伴会阴不适，夜尿1-2次，自觉肛门大便感", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "玉竹", "百合", "丹参", "连翘", "小蓟", "蒲公英", "赤小豆", "炒白扁豆", "白花蛇舌草", "黄连", "萹蓄", "金银花", "酒大黄"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "玉竹", "百合", "丹参", "连翘", "小蓟", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白花蛇舌草", "黄连", "萹蓄", "酒大黄"], "prev_gap": 8, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 50259, "pid": "P4e7aaf71c586", "date": "2025-10-08", "sex": "男", "age": 29, "cc": "腰痛伴勃起欠佳6月", "hpi": "6月前第一次同房紧张出现勃起不坚不能同房，手淫勃起可，近1月再次同房失败，性欲可，手淫频率3-4次/周，自觉手淫硬度可，夫妻感情可，腰痛乏力，长期熬夜，口干，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "锁阳", "川芎", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50269, "pid": "P806922b9bf87", "date": "2025-10-08", "sex": "男", "age": 34, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，性欲减退好转，晨勃可，口苦，长期熬夜，夜寐差", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "白芍", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "韭菜子", "制巴戟天", "仙茅", "盐补骨脂", "覆盆子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50289, "pid": "P6b2cd27697ad", "date": "2025-10-08", "sex": "男", "age": 42, "cc": "腰痛伴勃起不坚2月", "hpi": "2月前出现勃起中途疲软，近期出现勃起不坚，口干口苦，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炒酸枣仁", "桑椹", "龙眼肉", "枸杞子", "山慈菇"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50290, "pid": "Pc3c173d7643d", "date": "2025-10-08", "sex": "男", "age": 81, "cc": "尿频尿急1年", "hpi": "1年前出现尿频尿急，夜尿4-5次，怕冷，口中和，夜寐差，腰痛乏力", "wm_dx": ["前列腺增生", "腰痛"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精癃", "肾虚证", "温补肾阳"]], "rx": ["炙淫羊藿", "黄芪", "酒黄精", "炒酸枣仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50297, "pid": "P8905146ca8e5", "date": "2025-10-08", "sex": "男", "age": 37, "cc": "腰痛伴射精快多年", "hpi": "腰痛伴射精快，射精无力，无快感，自觉龟头敏感度高，尿道不适疼痛，夜寐差，盗汗，龟头红疹", "wm_dx": ["泌尿系感染"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["失眠", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "金银花", "蒲公英", "地肤子", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 50304, "pid": "P5378ea00baa6", "date": "2025-10-09", "sex": "男", "age": 34, "cc": "排尿无力半年", "hpi": "排尿无力半年 无尿痛 无分泌物 尿频 尿不尽 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "麸炒薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50307, "pid": "P97ad41c946a0", "date": "2025-10-09", "sex": "男", "age": 72, "cc": "前列腺增生复诊", "hpi": "尿急，尿频，排尿不畅，尿线细，夜尿可，有小腹及会阴不适，纳差，小便黄，大便干。超声：4.2*3.7*3.5cm。服药后尿急改善，排尿不畅存在，腰痛。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["细辛", "丁香", "肉桂"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50313, "pid": "Pe4d9d2397823", "date": "2025-10-09", "sex": "男", "age": 20, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50315, "pid": "Pf843f4c03028", "date": "2025-10-09", "sex": "男", "age": 35, "cc": "血精复诊", "hpi": "血精症状减轻 大小便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎", "精囊炎"], "tcm_dx": [["血精", "气滞血瘀证", "活血化瘀"], ["精癃", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "三七粉"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓"], "prev_gap": 22, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 50318, "pid": "P4e82997a6fa5", "date": "2025-10-09", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，乏力，工作熬夜，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "当归", "知母", "炒酸枣仁", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50350, "pid": "P1b7fd08a87fb", "date": "2025-10-10", "sex": "男", "age": 71, "cc": "尿频半年", "hpi": "尿频，尿急，尿无力，夜尿多，近2月夜尿3-4次，尿等待感，无尿痛，无腹痛，大便费劲，肠镜有息肉，胃炎，食管返流，口苦口气重，怕热", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "人参", "茯苓", "猪苓", "泽泻", "麸炒白术", "生姜", "大枣", "佩兰", "醋鸡内金", "赤小豆"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 50363, "pid": "P13822c7be924", "date": "2025-10-10", "sex": "男", "age": 48, "cc": "腰痛半年", "hpi": "腰痛半年 性功能下降2年 大小便正常 纳可 眠安 口苦 口干，复诊，有效果", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["党参", "黄芪", "防风", "白术", "丹参", "酒黄精", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "山药", "麸炒薏苡仁", "麸炒枳壳", "烫水蛭", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "黄芪", "防风", "白术", "盐补骨脂", "酒黄精", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "山药", "麸炒薏苡仁", "麸炒枳壳", "烫水蛭", "炙甘草"], "prev_gap": 33, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 50374, "pid": "Pbfe5af025f7b", "date": "2025-10-10", "sex": "男", "age": 25, "cc": "频繁遗精3-4年", "hpi": "频繁遗精，近一周遗精频繁，遗精后尿道疼痛感，平常排尿正常，无腰酸痛，无腹痛，大便正常，纳可，口苦，无怕冷，服药后有一次遗精，多梦，尿黄", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "法半夏", "人参", "赤小豆", "白花蛇舌草", "煅龙骨", "煅牡蛎", "滑石", "猪苓", "泽泻", "阿胶珠", "甘草片", "牡丹皮"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "人参", "赤小豆", "白花蛇舌草", "煅龙骨", "煅牡蛎", "滑石", "猪苓", "泽泻", "阿胶珠", "甘草片"], "prev_gap": 14, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 50378, "pid": "P7ed0f41439e8", "date": "2025-10-11", "sex": "男", "age": 55, "cc": "双侧腹股沟潮湿泛红一月余", "hpi": "双侧腹股沟潮湿泛红一月余 ,阴囊潮湿，大小便正常 纳可 眠安，脚气", "wm_dx": ["股癣", "足癣"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["麸炒苍术", "茯苓", "黄柏", "麸炒薏苡仁", "牛膝", "金银花", "连翘", "炒栀子", "龙胆", "黄芩", "炙甘草", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "茵陈", "土茯苓", "败酱草", "黄连", "蝉蜕"], "prev_gap": 6, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 50379, "pid": "P3ba28fafd9a8", "date": "2025-10-11", "sex": "男", "age": 32, "cc": "右侧睾丸坠胀感一周", "hpi": "右侧睾丸坠胀，排尿正常，无腹痛，无腰疼，反酸，大便便秘2-3天，口干口苦。冬天脚冷，夏天脚热，睡眠一般，乏力，头晕，复诊，睾丸坠胀消失 ，大便1-2天一次，口干，睡眠一般，早醒", "wm_dx": ["静脉曲张"], "tcm_dx": [["筋瘤", "肝胆湿热证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "当归", "川芎", "熟地黄", "茯苓", "炒酸枣仁", "川楝子", "牡丹皮", "炒栀子", "淡豆豉", "醋鸡内金", "干姜", "荔枝核", "人参"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "人参", "牡蛎", "煅龙骨", "天花粉", "当归", "川芎", "茯苓", "泽泻", "菟丝子", "枸杞子", "炒栀子", "川楝子"], "prev_gap": 17, "visit_ix": 2, "n_visits": 13, "visit_ix_rx": 2, "n_rx": 13} {"rid": 50380, "pid": "P02f834dbeb25", "date": "2025-10-11", "sex": "男", "age": 45, "cc": "尿频尿急腰痛疼痛1月", "hpi": "1月前出现尿频，腰背不适，腰发凉，排尿正常，大便易腹泻，睡眠可，纳可，口干口苦，乏力感，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "制巴戟天", "韭菜子", "肉桂", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 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"枸杞子", "人参", "醋龟甲", "茯苓", "泽泻", "莲子"], "prev_gap": 14, "visit_ix": 12, "n_visits": 24, "visit_ix_rx": 11, "n_rx": 23} {"rid": 50387, "pid": "P4a8abc8a47c8", "date": "2025-10-11", "sex": "男", "age": 40, "cc": "尿频一年", "hpi": "尿频，纳可，大便正常，有2孩，半年前胎停一次，睡眠正常，口和，晨起头晕感，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["菟丝子", "枸杞子", "覆盆子", "盐车前子", "醋五味子", "茯苓", "猪苓", "人参", "制远志", "熟地黄", "黑顺片", "醋龟甲", "鹿角霜", "制水蛭", "川芎"], "flags": [], "prev_rx": ["菟丝子", "枸杞子", "覆盆子", "盐车前子", "醋五味子", "茯苓", "猪苓", "人参", "制远志", "熟地黄", "黑顺片", "醋龟甲", "鹿角霜", "制水蛭"], "prev_gap": 17, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 50390, "pid": "P11f878fa9eb4", "date": "2025-10-11", "sex": "男", "age": 41, "cc": "尿频半年", "hpi": "献血后自觉晨勃少，硬度一般，排尿正常，大便不成型，不能吃辛辣生冷，睡眠一般，入睡差，口干口苦，乏力，服药后症状改善，复查激素", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "牡蛎", "煅龙骨", "黄芩片", "人参", "制巴戟天", "姜厚朴", "炒紫苏子", "当归", "川芎", "炒栀子", "制远志", "丹参", "鸡血藤", "麸炒枳实", "白芍"], "flags": [], 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"炙淫羊藿", "韭菜子", "醋五味子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50465, "pid": "P9c6bcbf2f823", "date": "2025-10-12", "sex": "男", "age": 27, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50466, "pid": "P8861b4f579f0", "date": "2025-10-12", "sex": "男", "age": 44, "cc": "腰痛2周", "hpi": "腰痛2周，硬度下降，性欲一般，乏力，工作可，情绪焦虑，同居感情可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50469, "pid": "P339142a245bd", "date": "2025-10-12", "sex": "男", "age": 39, "cc": "腰痛乏力伴射精快多年", "hpi": "腰痛乏力伴射精快多年，自用乳膏外涂可延长时间，口干口苦，盗汗，尿无力，大便可，失眠夜寐差，长期熬夜。龟头红疹", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["失眠", "气血两虚证", "补益气血"], ["湿疮", "下焦湿热证", "清热利湿"], ["盗汗", "肾虚证", "补肾扶元"]], "rx": ["桑椹", "猪苓", "麸炒芡实", "龙眼肉", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50470, "pid": "Pe397f1125e4b", "date": "2025-10-12", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作压力大，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50485, "pid": "P2012b24c84fa", "date": "2025-10-12", "sex": "男", "age": 26, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛", "精索静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "路路通", "炒王不留行"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 50486, "pid": "P2b9fffad1bc0", "date": "2025-10-12", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，口干有痰，长期熬夜，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "甜叶菊叶"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子"], "prev_gap": 22, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 50488, "pid": "Pf2ae12e6d95c", "date": "2025-10-12", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，硬度和时间下降，性欲一般，乏力，工作劳累，压力大，熬夜，大便稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50491, "pid": "P0ccd3c7461f9", "date": "2025-10-12", "sex": "男", "age": 38, "cc": "尿频尿急1年", "hpi": "1年前出现尿频尿急，射精快，龟头敏感度高。腰痛，性生活不规律。盗汗。", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["茯苓", "菊花", "薏苡仁", "麸炒白术", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50494, "pid": "Pf504aa30df94", "date": "2025-10-12", "sex": "男", "age": 33, "cc": "腰痛复诊", "hpi": "腰痛复诊，硬度下降，性欲可，乏力，工作可，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肝肾亏虚证", "清热利湿"]], "rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "盐补骨脂", "酒黄精", "茯苓", "陈皮", "麸炒枳壳", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "菟丝子", "韭菜子", "炙甘草", "红景天", "白芷", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "盐补骨脂", "酒黄精", "茯苓", "陈皮", "麸炒枳壳", "砂仁", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "菟丝子", "韭菜子", "炙甘草", "烫水蛭", "太子参"], "prev_gap": 56, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 50496, "pid": "P11fd934cfd9e", "date": "2025-10-12", "sex": "男", "age": 45, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作压力大，同居感情可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "制巴戟天", "红景天", "白芷", "当归", "川牛膝", "茯苓", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50507, "pid": "Pf56293274911", "date": "2025-10-13", "sex": "男", "age": 39, "cc": "复诊", "hpi": "服药无不适，精液量少。夜尿1次。偶有口干，汗不多，无肢冷，便调。", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["地龙", "醋五味子", "当归", "桑寄生", "酒萸肉", "九香虫", "蜜桑白皮", "炙甘草", "桑椹", "熟地黄", "黑顺片", "牛膝"], "flags": [], "prev_rx": ["地龙", "九香虫", "蜜桑白皮", "炙甘草", "地黄", "酒萸肉", "醋五味子", "当归", "天花粉", "皂角刺"], "prev_gap": 14, "visit_ix": 3, "n_visits": 18, "visit_ix_rx": 3, "n_rx": 18} {"rid": 50508, "pid": "P3aab4122b68c", "date": "2025-10-13", "sex": "男", "age": 63, "cc": "尿后余沥复诊", "hpi": "尿后余沥改善，排尿不畅改善，夜尿2-3次，纳可，眠一般，无小腹坠胀疼痛，大便干，口和，无盗汗乏力 腰痛一月", "wm_dx": ["腰痛", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "麸炒白术", "盐杜仲", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": ["太子参", "山药", "陈皮", "制巴戟天"], "prev_gap": 33, "visit_ix": 6, "n_visits": 20, "visit_ix_rx": 1, "n_rx": 4} {"rid": 50513, "pid": "P3057fed6a345", "date": "2025-10-13", "sex": "男", "age": 44, "cc": "复诊", "hpi": "病史同前，夜尿2次，口稍干。无肢冷", "wm_dx": ["糖尿病", "男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["党参片", "白术", "天花粉", "九香虫", "地龙", "首乌藤", "桑椹", "桑寄生", "蜜桑白皮", "炙甘草", "龙骨", "牡蛎"], "flags": [], "prev_rx": ["党参片", "九香虫", "地龙", "首乌藤", "桑椹", "桑寄生", "蜜桑白皮", "白术", "茯苓", "姜厚朴"], "prev_gap": 14, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 7, "n_rx": 10} {"rid": 50515, "pid": "P16c66b451042", "date": "2025-10-13", "sex": "男", "age": 47, "cc": "腰痛发力伴性欲减退5年", "hpi": "5年前出现腰痛乏力，性欲减退，晨勃可，射精无力，长期饮酒，吸烟1包/天，口干，夜寐可，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "仙茅", "韭菜子", "山药", "锁阳", "炒酸枣仁", "柏子仁"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "仙茅", "韭菜子", "山药", "锁阳"], "prev_gap": 13, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 5} {"rid": 50516, "pid": "P07097d104ff2", "date": "2025-10-13", "sex": "男", "age": 74, "cc": "睾丸隐痛近一月", "hpi": "睾丸隐痛，排尿尿急，夜尿3-5次，尿不尽，尿痛，少腹隐痛，轻度腰疼，怕热，大便略干。纳可。口干，口服非那雄胺片，盐酸坦索罗辛缓释胶囊2粒，近一周口服左氧氟沙星片和灵泽片，服药后，睾丸疼痛消失，尿频，尿痛消失。现阴囊潮湿，时有脚肿", "wm_dx": ["糖尿病", "前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "阿胶珠", "猪苓", "茯苓", "泽泻", "滑石", "麸炒苍术", "燀桃仁", "红花", "赤小豆", "白花蛇舌草", "火麻仁", "乌药", "盐益智仁", "山药"], "flags": [], "prev_rx": ["桂枝", "阿胶珠", "猪苓", "茯苓", "泽泻", "滑石", "麸炒苍术", "燀桃仁", "红花", "赤小豆", "白花蛇舌草", "火麻仁"], "prev_gap": 24, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 50517, "pid": "Pc11371612b73", "date": "2025-10-13", "sex": "男", "age": 71, "cc": "右侧睾丸疼痛复诊", "hpi": "右侧睾丸疼痛复诊 大小便正常 纳可 眠安，服药后症状明显好转", "wm_dx": ["附睾炎"], "tcm_dx": [["子肿", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "盐橘核"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "夏枯草", "浙贝母", "蒲公英", "土茯苓", "败酱草", "烫水蛭", "地龙", "川牛膝", "盐小茴香", "郁金", "白芷", "麸炒苍术", "麸炒枳壳", "炙甘草", "川楝子", "炒王不留行", "醋五灵脂", "川芎", "醋香附", "防风", "陈皮"], "prev_gap": 14, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 5, "n_rx": 6} {"rid": 50519, "pid": "P9a6314d0c56d", "date": "2025-10-13", "sex": "男", "age": 57, "cc": "排尿不畅尿等待8月", "hpi": "8月前出现排尿不畅尿等待，3周前就诊我院脑病科病房，我科会诊予口服盐酸坦索罗辛缓释胶囊、非那雄胺片、前列舒通胶囊症状改善，现出院规律门诊。现夜尿1-2次，口中和，夜寐差,失眠", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "盐益智仁", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "麸炒山药", "墨旱莲", "党参", "茯苓", "炒酸枣仁", "柏子仁", "制远志", "牛膝", "甜叶菊叶"], "flags": [], "prev_rx": ["炙淫羊藿", "盐益智仁", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "麸炒山药", "墨旱莲", "党参", "茯苓", "麸炒苍术", "盐黄柏", "麸炒薏苡仁", "牛膝", "甜叶菊叶"], "prev_gap": 26, "visit_ix": 2, "n_visits": 20, "visit_ix_rx": 1, "n_rx": 9} {"rid": 50533, "pid": "Pd16aa759de9d", "date": "2025-10-13", "sex": "男", "age": 31, "cc": "腰痛乏力伴射精快多年", "hpi": "多年前出现腰痛乏力伴射精快，盗汗，自觉龟头敏感度高，排尿可，口中和，龟头红疹", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50535, "pid": "Pd77c747ae30f", "date": "2025-10-13", "sex": "男", "age": 28, "cc": "包皮龟头炎2月余", "hpi": "包皮龟头炎2月余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["地榆", "盐黄柏", "白花蛇舌草", "连翘", "蛇床子", "金银花", "蒲公英", "地肤子", "马齿苋"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50542, "pid": "Pb035cc441187", "date": "2025-10-14", "sex": "男", "age": 37, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "盐车前子", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "酒黄精", "北败酱草", "当归", "黄芪", "党参片", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 50558, "pid": "P1ef48498027f", "date": "2025-10-14", "sex": "男", "age": 42, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，小便黄，尿频，大便可，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 50563, "pid": "Peb71b070762f", "date": "2025-10-14", "sex": "男", "age": 49, "cc": "乏力1月", "hpi": "乏力明显，工作劳累一般，情绪焦虑，二便调，纳可，梦多，无排尿不畅、尿后余沥，口干，盗汗，腰痛", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "制巴戟天", "红景天", "白芷", "白芍", "当归", "菟丝子", "茯苓", "黄芪", "石菖蒲", "制远志"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50564, "pid": "Pc64686dcd7c6", "date": "2025-10-14", "sex": "男", "age": 37, "cc": "复诊", "hpi": "病史同前 口干，便溏2次，肠鸣。无肢冷", "wm_dx": ["代谢综合征"], "tcm_dx": [["男性前阴类病", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "炙甘草", "姜炭", "姜半夏", "九香虫", "木香", "焦槟榔", "姜厚朴", "地龙"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "姜半夏", "九香虫", "木香", "姜厚朴", "地龙", "炙甘草", "姜炭", "焦槟榔"], "prev_gap": 15, "visit_ix": 5, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 9} {"rid": 50568, "pid": "Pa016e8aa0618", "date": "2025-10-14", "sex": "男", "age": 27, "cc": "左侧睾丸隐痛一周余", "hpi": "左侧睾丸隐痛一周余 大小便正常 纳可 眠安 少腹隐痛 腰痛 左侧腹股沟疼痛一周", "wm_dx": ["静脉曲张", "精索静脉曲张", "附睾炎", "腹股沟淋巴结炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "灵芝", "车前草", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "夏枯草", "醋延胡索"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["肉桂", "盐小茴香", "荔枝核", "野菊花", "北柴胡", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "灵芝", "车前草", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "夏枯草", "醋香附", "醋延胡索"], "prev_gap": 14, "visit_ix": 5, "n_visits": 28, "visit_ix_rx": 1, "n_rx": 21} {"rid": 50574, "pid": "P11f2581af2cc", "date": "2025-10-14", "sex": "男", "age": 40, "cc": "乏力3年", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便稀1-3次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "当归", "川芎", "白芍", "茯苓", "泽泻", "猪苓", "制巴戟天", "仙茅", "炙淫羊藿", "佩兰", "人参"], "flags": [], "prev_rx": ["法半夏", "黄连片", "黄芩片", "干姜", "人参", "路路通", "茯苓", "姜厚朴", "川芎", "菟丝子", "枸杞子", "熟地黄", "制巴戟天", "当归", "山药", "百合", "炒酸枣仁", "玫瑰花", "龙眼肉", "合欢皮"], "prev_gap": 14, "visit_ix": 3, "n_visits": 24, "visit_ix_rx": 3, "n_rx": 24} {"rid": 50580, "pid": "P0423b4d23e31", "date": "2025-10-14", "sex": "男", "age": 52, "cc": "尿频10余年", "hpi": "乏力，时间下降，硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，多汗，睾丸坠痛感，怕热", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "白芍", "熟地黄", "茯苓", "泽泻", "制远志", "石菖蒲", "炒蒺藜", "丹参", "鸡血藤", "人参", "甘草"], "flags": [], "prev_rx": ["醋北柴胡", "麸炒枳实", "白芍", "茯苓", "猪苓", "麸炒白术", "干姜", "牡丹皮", "赤小豆", "白花蛇舌草", "甘草"], "prev_gap": 14, "visit_ix": 11, "n_visits": 14, "visit_ix_rx": 10, "n_rx": 13} {"rid": 50581, "pid": "Pfbc911902076", "date": "2025-10-14", "sex": "男", "age": 35, "cc": "尿频3年", "hpi": "尿频，夜尿正常，大便不成型粘，睡眠正常，纳可，伴有晨勃少，启动慢，中途疲软，口和，无怕冷，阴囊潮湿", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["法半夏", "黄连", "黄芩", "干姜", "人参", "丹参", "鸡血藤", "麸炒薏苡仁", "炒苦杏仁", "生地黄", "白芍", "牡丹皮", "桃仁", "川芎", "麦冬"], "flags": [], "prev_rx": ["法半夏", "黄连", "黄芩", "干姜", "人参", "丹参", "鸡血藤", "麸炒薏苡仁", "炒苦杏仁", "制远志", "白芍", "牡丹皮", "桃仁", "红花"], "prev_gap": 17, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 50588, "pid": "P6252cd3c3c37", "date": "2025-10-14", "sex": "男", "age": 33, "cc": "尿不尽一年", "hpi": "尿不尽，近一月出现夜尿1次，无尿痛，少腹正常，无腰疼，大便不成型，纳可，睡眠可，早醒，口干喝水口苦，怕冷怕热，出汗，盗汗，服用后夜尿，睡眠4点醒，燥热感，复诊，盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "人参", "煅龙骨", "煅牡蛎", "浮小麦", "牡丹皮", "地黄", "白芍", "麸炒枳实", "甘草片", "酒萸肉", "炒栀子"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "天花粉", "牡蛎", "煅龙骨", "黄芩片", "当归", "川芎", "炒栀子", "柏子仁", "制远志", "茯苓", "猪苓", "炒酸枣仁"], "prev_gap": 24, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 8} {"rid": 50593, "pid": "P52835c321770", "date": "2025-10-14", "sex": "男", "age": 40, "cc": "尿频半年", "hpi": "尿频，中途疲软，睡眠一般，纳可，口和，排尿正常，大便正常，服药后睡眠好转，不欲射精", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "制远志", "石菖蒲", "麸炒枳实", "当归", "川芎", "茯苓", "熟地黄", "山药", "酒萸肉", "菟丝子", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "路路通"], "flags": [], "prev_rx": ["北柴胡", "制远志", "石菖蒲", "麸炒枳实", "当归", "川芎", "茯苓", "熟地黄", "山药", "酒萸肉", "菟丝子", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "炙淫羊藿"], "prev_gap": 21, "visit_ix": 4, "n_visits": 9, "visit_ix_rx": 3, "n_rx": 8} {"rid": 50598, "pid": "Pabb527980f05", "date": "2025-10-15", "sex": "男", "age": 76, "cc": "尿疼痛伴会阴不适2周", "hpi": "2周前出现尿疼痛伴会阴不适，夜尿1-2次，自觉肛门大便感", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "玉竹", "百合", "丹参", "连翘", "小蓟", "蒲公英", "赤小豆", "炒白扁豆", "白花蛇舌草", "黄连", "萹蓄", "金银花", "酒大黄"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "玉竹", "百合", "丹参", "连翘", "小蓟", "蒲公英", "赤小豆", "炒白扁豆", "白花蛇舌草", "黄连", "萹蓄", "金银花", "酒大黄"], "prev_gap": 7, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 50600, "pid": "Pc2391ccf7f82", "date": "2025-10-15", "sex": "男", "age": 43, "cc": "包皮溃疡复诊", "hpi": "包皮溃疡 尿频 纳可 眠安 慢性前列腺炎取药", "wm_dx": ["慢性前列腺炎", "包皮龟头炎"], "tcm_dx": [["包皮龟头炎", "热毒", "清热解毒"], ["湿疮", "湿热毒证", "清热解毒"], ["精浊", "湿热下注证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "马齿苋", "地榆", "盐黄柏", "金银花", "蒲公英", "地肤子", "白花蛇舌草", "小蓟", "黄芩", "黄连"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 12, "n_visits": 17, "visit_ix_rx": 0, "n_rx": 3} {"rid": 50604, "pid": "Pc76e019ff681", "date": "2025-10-15", "sex": "男", "age": 67, "cc": "腰痛复诊", "hpi": "腰痛复诊 勃起不坚有所好转 大小便正常 纳可 眠安 晨勃有", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "炒酸枣仁", "覆盆子", "盐杜仲", "酒黄精", "酒萸肉", "山慈菇"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50607, "pid": "P1114c01c431a", "date": "2025-10-15", "sex": "男", "age": 44, "cc": "尿频，尿不尽半年", "hpi": "尿频，尿烧灼感，尿黄，有异味，夜尿2-3次，口服三金片，诺氟沙星症状好转，天凉加重，少腹发胀，腰疼，腿抽筋，耳痒，睡眠一般，大便不成型，不能吃生冷，口干口苦，咽干，乏力，恶心感，伴有性功能减退", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "当归", "川芎", "白芍", "猪苓", "茯苓", "滑石", "生姜", "人参", "炙黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 50618, "pid": "P5b915d2a3c87", "date": "2025-10-15", "sex": "男", "age": 29, "cc": "腰痛一周", "hpi": "腰痛一周 腿软，怕冷，出汗，无咽痛，口苦，睡眠正常，纳可，大便正常，排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "生姜", "大枣", "人参", "制远志", "煅龙骨", "煅牡蛎", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 50627, "pid": "P5d88f661ca62", "date": "2025-10-15", "sex": "男", "age": 35, "cc": "尿不尽5年", "hpi": "尿不尽，睡前明显，夜间勃起2-3次，多梦，3年前在协和检查未见异常，硬度正常，时间短1分钟，无腹痛，偶有腰疼，纳可，口和，大便正常，怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白薇", "桂枝", "白芍", "煅龙骨", "煅牡蛎", "猪苓", "茯苓", "泽泻", "赤小豆", "白花蛇舌草", "石菖蒲", "盐蒺藜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50634, "pid": "P1aa922eda6ec", "date": "2025-10-15", "sex": "男", "age": 53, "cc": "尿频6-7年", "hpi": "尿频，夜尿2-3次，大便正常，头晕，纳可，口干渴，无晨勃，无勃起，无怕冷，乏力", "wm_dx": ["尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["炒苦杏仁", "豆蔻", "砂仁", "法半夏", "牛膝", "滑石", "盐关黄柏", "赤小豆", "白花蛇舌草", "天麻", "钩藤", "丹参", "鸡血藤", "制远志", "茵陈"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 22, "visit_ix_rx": 0, "n_rx": 17} {"rid": 50635, "pid": "Pb61021a1d9eb", "date": "2025-10-15", "sex": "男", "age": 59, "cc": "勃起不坚半年", "hpi": "勃起半年，偶有晨勃，性欲正常，排尿正常，夜尿正常，大便略细，睡眠差，纳可，口干口苦，腰痛，怕冷，乏力", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["乏力", "气虚湿盛", "补气化湿"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "黄芪", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50636, "pid": "P870b9c08cf49", "date": "2025-10-15", "sex": "男", "age": 72, "cc": "排尿不畅2年", "hpi": "2年前出现排尿不畅，尿不尽，夜尿4-5次，口干口苦，夜寐可，怕冷", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "醋五味子", "金樱子", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50639, "pid": "P977dc970190b", "date": "2025-10-15", "sex": "男", "age": 29, "cc": "腰痛乏力夜寐差6月", "hpi": "近6月出现腰痛乏力，夜寐差，长期熬夜，口干，食纳可，尿黄，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "韭菜子", "甜叶菊叶"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "韭菜子", "党参片", "诃子", "党参", "黄芪", "黄连", "麸炒薏苡仁", "覆盆子", "甜叶菊叶"], "prev_gap": 25, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 50646, "pid": "Pa8f0a0b533ee", "date": "2025-10-15", "sex": "男", "age": 33, "cc": "乏力感2年", "hpi": "乏力感，多汗，一运动即汗出，纳可，睡眠好 无怕冷，大便正常，排尿正常，伴有性功能减退，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "熟地黄", "牡丹皮", "酒萸肉", "山药", "茯苓", "泽泻", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "蜈蚣", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["炙黄芪", "人参", "当归", "川芎", "白芍", "丹参", "鸡血藤", "浮小麦", "制远志", "煅龙骨", "煅牡蛎", "地黄", "北柴胡", "制巴戟天", "滑石", "牡丹皮"], "prev_gap": 21, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 5} {"rid": 50653, "pid": "Pb80254f061a4", "date": "2025-10-15", "sex": "男", "age": 35, "cc": "尿频半年", "hpi": "尿频，大便正常，纳可，睡眠正常中途醒，近半年未育。口干喝水口苦，怕冷，出汗少，睾丸坠胀感隐痛", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾阴虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "生姜", "大枣", "人参", "菟丝子", "枸杞子", "川芎", "覆盆子", "盐车前子", "牡蛎", "红景天", "熟地黄", "滑石"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "生姜", "大枣", "人参", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "牡蛎", "红景天", "熟地黄", "川芎"], "prev_gap": 21, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 50658, "pid": "P3c387a4caaf4", "date": "2025-10-16", "sex": "男", "age": 73, "cc": "阴囊潮湿复诊", "hpi": "阴囊潮湿改善 大便正常 纳可 眠安 前列腺增生取药 尿频尿急 尿等待", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["猪苓", "山慈菇", "浙贝母", "羌活", "薏苡仁"], "flags": [], "prev_rx": ["猪苓", "山慈菇", "浙贝母", "羌活", "薏苡仁"], "prev_gap": 9, "visit_ix": 2, "n_visits": 9, "visit_ix_rx": 2, "n_rx": 9} {"rid": 50660, "pid": "P51f5a8db07b5", "date": "2025-10-16", "sex": "男", "age": 37, "cc": "包皮水肿半天", "hpi": "包皮水肿半天 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "当归", "赤芍", "黄连", "大黄", "白花蛇舌草", "蒲公英", "金银花", "木瓜", "蛇床子", "地肤子", "白鲜皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50665, "pid": "P3cb530234853", "date": "2025-10-16", "sex": "男", "age": 61, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 腰痛一月 尿急 偶尿失禁 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "麸炒枳壳"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50667, "pid": "P028c1fd7d1dc", "date": "2025-10-16", "sex": "男", "age": 63, "cc": "腰痛半年", "hpi": "腰痛半年 性功能下降 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "膀胱湿热血瘀证", "活血行滞"]], "rx": ["甜叶菊叶", "北柴胡", "黄芩", "土茯苓", "败酱草", "烫水蛭", "麸炒枳壳", "炙甘草", "石菖蒲", "制远志", "茯苓", "醋青皮", "郁金", "白芷", "炙淫羊藿", "蛇床子", "韭菜子", "车前草", "合欢皮", "制巴戟天", "仙茅", "锁阳", "猪苓", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "北柴胡", "黄芩", "土茯苓", "败酱草", "烫水蛭", "麸炒枳壳", "炙甘草", "石菖蒲", "制远志", "茯苓", "醋青皮", "郁金", "防风", "炙淫羊藿", "蛇床子", "韭菜子", "车前草", "麸炒薏苡仁", "猪苓", "山慈菇"], "prev_gap": 9, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 50677, "pid": "P0061ea603277", "date": "2025-10-16", "sex": "男", "age": 37, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作可，情绪焦虑，二便调，纳可，眠差，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50683, "pid": "P2e5509cc1f52", "date": "2025-10-16", "sex": "男", "age": 32, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度可，性欲强，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "炒酸枣仁", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50689, "pid": "P46f04feed1f2", "date": "2025-10-16", "sex": "男", "age": 40, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作劳累，压力大，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。工作熬夜。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50691, "pid": "P36708336a95b", "date": "2025-10-16", "sex": "男", "age": 73, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊取药 夜尿1次 排尿通畅 大便正常 纳可 眠安 睾丸疼痛", "wm_dx": ["附睾炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50692, "pid": "P816f15bad9d0", "date": "2025-10-16", "sex": "男", "age": 41, "cc": "毛囊炎一月余", "hpi": "毛囊炎一月余 大小便正常 纳可 眠安", "wm_dx": ["毛囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["猪苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50700, "pid": "Pdcd1c63c3e60", "date": "2025-10-16", "sex": "男", "age": 32, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，硬度下降，性欲可，性生活不规律，工作压力大，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 50705, "pid": "P576501e2e557", "date": "2025-10-16", "sex": "男", "age": 56, "cc": "腰痛复诊", "hpi": "腰痛复诊，性功能减退 自汗 健忘 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚", "补肾"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "蛇床子", "韭菜子", "麸炒枳壳", "党参", "烫水蛭", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50717, "pid": "P1b7fd08a87fb", "date": "2025-10-17", "sex": "男", "age": 71, "cc": "尿频半年", "hpi": "尿频，尿急，尿无力，夜尿多，近2月夜尿3-4次，尿等待感，无尿痛，无腹痛，大便费劲，肠镜有息肉，胃炎，食管返流，口苦口气重，怕热，复诊，夜尿少减", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "煅龙骨", "煅牡蛎", "猪苓", "茯苓", "滑石", "当归", "川芎", "赤小豆", "麸炒白术", "焦山楂"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "人参", "茯苓", "猪苓", "泽泻", "麸炒白术", "生姜", "大枣", "佩兰", "醋鸡内金", "赤小豆"], "prev_gap": 7, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 50718, "pid": "Pf4a440054493", "date": "2025-10-17", "sex": "男", "age": 77, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿后余沥，夜尿3-4次，小腹不适，大便质干，纳可，眠一般，梦多，口干，盗汗。", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["川牛膝", "桑寄生", "盐杜仲", "黄芪", "烫狗脊"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50719, "pid": "Pb6a4ed6f263a", "date": "2025-10-17", "sex": "男", "age": 32, "cc": "腰痛半年", "hpi": "腰痛半年 伴有中途疲软 早泄 多汗 自汗 纳可 眠安，服药后腰疼好转，精力好转，大便稀转干，晨起口干口苦，纳可，睡眠正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "黄芩", "桂枝", "白芍", "天花粉", "干姜", "当归", "川芎", "茯苓", "石菖蒲", "炒蒺藜", "丹参", "鸡血藤", "人参", "制巴戟天", "炒酸枣仁", "知母", "麸炒山药", "枸杞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "仙茅", "五加皮", "地骨皮", "制巴戟天", "炒酸枣仁", "知母", "麸炒山药", "枸杞子"], "prev_gap": 20, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 50723, "pid": "P64d1bf0f8bb8", "date": "2025-10-17", "sex": "男", "age": 42, "cc": "阴囊不适3天", "hpi": "阴囊不适3天，外院查睾丸和精索静脉超声报：轻度精索静脉曲张。服用小金丸后症状缓解。易反复。，排尿正常，大便不成型，纳可，口和，睡眠正常，无怕冷，怕热", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["子痈", "气滞血瘀证", "活血化瘀"], ["精浊", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "川芎", "熟地黄", "茯苓", "泽泻", "陈皮", "桂枝", "滑石", "菟丝子", "枸杞子", "覆盆子", "醋龟甲", "射干", "牡蛎", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 9} {"rid": 50724, "pid": "P2f4e4487b8e2", "date": "2025-10-17", "sex": "男", "age": 31, "cc": "尿频一年", "hpi": "尿频，左侧睾丸隐痛，大便不成型，睡眠可，纳可，口和，无怕冷。接触高温，24年5月，25年9月各胎停一次", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "人参", "桂枝", "白芍", "生姜", "大枣", "川楝子", "当归", "荔枝核", "地龙", "菟丝子", "枸杞子", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50725, "pid": "Pf023c745c291", "date": "2025-10-17", "sex": "男", "age": 33, "cc": "右侧睾丸隐痛1-2年", "hpi": "右侧睾丸隐痛，久站后明显，下坠感，排尿时有粘稠，无腹痛，腰疼，无怕冷", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["精浊", "气滞血瘀证", "活血止痛"]], "rx": ["北柴胡", "黄芩片", "人参", "生姜", "大枣", "桂枝", "燀桃仁", "红花", "茯苓", "牡丹皮", "白芍", "川芎", "荔枝核", "盐橘核", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50732, "pid": "Pf1856e57cdd6", "date": "2025-10-17", "sex": "男", "age": 75, "cc": "尿频2-3月", "hpi": "尿频，尿急，尿不尽，无尿痛，夜尿3次，左侧腰疼，腿水肿，少腹发胀，大便正常，纳可，无怕冷，不欲饮水，口干，睡眠一般", "wm_dx": ["尿频"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "猪苓", "茯苓", "泽泻", "麸炒白术", "麻黄", "炒苦杏仁", "赤小豆", "生石膏", "牡丹皮", "燀桃仁", "红花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 6} {"rid": 50741, "pid": "P3ba28fafd9a8", "date": "2025-10-18", "sex": "男", "age": 32, "cc": "右侧睾丸坠胀感一周", "hpi": "右侧睾丸坠胀，排尿正常，无腹痛，无腰疼，反酸，大便便秘2-3天，口干口苦。冬天脚冷，夏天脚热，睡眠一般，乏力，头晕，复诊，睾丸坠胀消失 ，大便1-2天一次，口干，睡眠一般，早醒", "wm_dx": ["静脉曲张"], "tcm_dx": [["筋瘤", "肝胆湿热证", "清热利湿"]], "rx": ["茯苓", "泽泻", "白术", "当归", "川芎", "白芍", "桂枝", "燀桃仁", "红花", "牡丹皮", "细辛", "人参", "菟丝子", "枸杞子", "盐车前子"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "当归", "川芎", "熟地黄", "茯苓", "炒酸枣仁", "川楝子", "牡丹皮", "炒栀子", "淡豆豉", "醋鸡内金", "干姜", "荔枝核", "人参"], "prev_gap": 7, "visit_ix": 3, "n_visits": 13, "visit_ix_rx": 3, "n_rx": 13} {"rid": 50755, "pid": "P2c06a68d26a4", "date": "2025-10-18", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "酒女贞子", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50759, "pid": "P7307c0a2a966", "date": "2025-10-18", "sex": "男", "age": 56, "cc": "尿道疼痛1天", "hpi": "尿道疼痛1天 无分泌物 大便正常 纳可 眠安 尿急 左侧睾丸肿痛半年", "wm_dx": ["前列腺增生", "附睾炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50771, "pid": "Pb7df98d02f5d", "date": "2025-10-18", "sex": "男", "age": 44, "cc": "尿频2-3年", "hpi": "尿频，尿急，夜尿正常，大便2-3次，纳可，睡眠可，时有口干口苦，时有晨勃，硬度一般，时间短，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "人参", "茵陈", "炒栀子", "丹参", "石菖蒲", "制远志", "鸡血藤", "地黄", "白芍", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 12, "visit_ix_rx": 0, "n_rx": 11} {"rid": 50773, "pid": "P667c57b53f09", "date": "2025-10-18", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "左侧少腹隐痛，尿灼热 大便偏稀 发黏 纳可 眠安 腰痛 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"2025-10-18", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有早泄4年 时间1分钟以内 大小便正常 纳可 眠安 乏力疲劳 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "韭菜子", "锁阳", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "韭菜子", "锁阳", "五加皮", "地骨皮"], "prev_gap": 21, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 6} {"rid": 50784, "pid": "Pb1c8fa515d22", "date": "2025-10-18", "sex": "男", "age": 29, "cc": "腰痛腿软半年", "hpi": "腰痛腿软半年 伴有阳痿早泄 大小便正常 纳可 眠安 晨勃少", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "细辛", "酒苁蓉", "制巴戟天", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50788, "pid": "P0a038e34a2ad", "date": "2025-10-18", "sex": "男", "age": 35, "cc": "尿频半年", "hpi": "尿频，夜尿偶有，大便不成型，纳一般，睡眠差，口服西药治疗中，盐酸去唑哃。口和，乏力感，硬度一般", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["北柴胡", "黄芩片", "人参", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "当归", "川芎", "白芍", "麸炒薏苡仁", "赤小豆", "制巴戟天", "丹参", "鸡血藤", "炒栀子", "淡豆豉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50789, "pid": "P5bb2e8d50697", "date": "2025-10-18", "sex": "男", "age": 31, "cc": "腰痛2周", "hpi": "腰痛2周 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "山药", "麸炒苍术", "茯苓", "麸炒枳壳", "炙甘草", "盐车前子", "覆盆子", "酒女贞子", "蛇床子", "韭菜子", "醋五味子", "枸杞子", "黄芩", "烫水蛭", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50791, "pid": "P26a349f8e396", "date": "2025-10-18", "sex": "男", "age": 30, "cc": "尿频半年", "hpi": "尿频半年 3-4次/小时 尿量大 憋尿会阴部不适 久坐加重 偶见排尿不畅一周 同房硬度下降 大便正常 纳可 眠差 腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "制巴戟天", "覆盆子", "三七粉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "陈皮"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 50809, "pid": "Pdc2ad872fac9", "date": "2025-10-18", "sex": "男", "age": 36, "cc": "阴囊潮湿一年", "hpi": "阴囊潮湿，硬度正常，时间短，拟育，两地分居，一月同房一次，尿等待，大便正常，睡眠正常，纳可，不能吃凉，口干，手热，现尿等待，尿不尽，手心热，口干，鼻塞，著涼易腹瀉", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "脾虚证", "疏肝健脾"]], "rx": ["北柴胡", "黄芩片", "牡丹皮", "石菖蒲", "猪苓", "地黄", "百合", "天花粉", "牡蛎", "当归", "连翘", "赤小豆", "炙甘草", "盐蒺藜", "桂枝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 50813, "pid": "Pb0afabb485ae", "date": "2025-10-18", "sex": "男", "age": 29, "cc": "尿频 尿黄 泡沫多大半年", "hpi": "尿频 尿黄 泡沫多 夜尿1-2次，大便正常， 纳可，吃凉的少， 口气重，口干口苦，乏力，服用药物后复诊，口气重，乏力感。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "制远志", "石菖蒲", "佩兰", "麸炒枳实", "桂枝", "干姜", "牡蛎", "当归", "川芎", "白芍", "茯苓", "泽泻", "人参", "赤小豆", "滑石", "炒栀子", "淡豆豉"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "制远志", "石菖蒲", "佩兰", "麸炒枳实", "桂枝", "干姜", "牡蛎", "当归", "川芎", "白芍", "茯苓", "泽泻", "人参", "赤小豆", "滑石"], "prev_gap": 21, "visit_ix": 6, "n_visits": 16, "visit_ix_rx": 3, "n_rx": 11} {"rid": 50817, "pid": "Pbb1295a870e7", "date": "2025-10-18", "sex": "男", "age": 52, "cc": "乏力气短半年", "hpi": "乏力气短半年 自汗 腰痛 大小便正常 纳可 眠安 少腹隐痛", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["自汗", "肺气虚证", "温补肺阳"], ["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "三七粉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 50820, "pid": "P84297c1699c2", "date": "2025-10-18", "sex": "男", "age": 70, "cc": "夜尿4次半年", "hpi": "夜尿4次半年 排尿不畅 尿等待 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50822, "pid": "P10f73283587a", "date": "2025-10-18", "sex": "男", "age": 57, "cc": "排尿不畅 尿等待1年", "hpi": "排尿不畅 尿等待1年 大便正常 纳可 眠安 乏力 消瘦", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50827, "pid": "Pdb350c0b12aa", "date": "2025-10-18", "sex": "男", "age": 38, "cc": "腰痛乏力1年", "hpi": "腰痛乏力，排尿可，口中和，夜寐可，长期熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "醋五味子", "沙苑子", "烫水蛭", "砂仁", "陈皮", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "酒女贞子", "干姜", "麸炒枳壳"], "flags": [], "prev_rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "醋五味子", "沙苑子", "烫水蛭", "砂仁", "陈皮", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿"], "prev_gap": 15, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 50831, "pid": "P446fb8811758", "date": "2025-10-18", "sex": "男", "age": 43, "cc": "腰痛复诊", "hpi": "腰痛复诊 大小便正常 纳可 眠安 性功能下降 晨勃少", "wm_dx": ["腰痛", "精索静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50834, "pid": "P5e108ab0928b", "date": "2025-10-18", "sex": "男", "age": 48, "cc": "尿痛一周", "hpi": "睡眠正常，睡醒后乏力感，缓一会即正常，纳可，口和，排尿稍痛感，大便不成型。耳鸣，硬度一般 腰痛半年", "wm_dx": ["尿痛"], "tcm_dx": [["虚劳类病", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "山药", "麸炒白术", "干姜", "砂仁", "瞿麦", "绵萆薢", "麸炒枳壳", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "北柴胡", "醋青皮", "郁金", "烫水蛭", "炙甘草", "太子参"], "flags": [], "prev_rx": ["甜叶菊叶", "党参", "黄芪", "山药", "麸炒白术", "干姜", "砂仁", "瞿麦", "绵萆薢", "麸炒枳壳", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "北柴胡", "醋青皮", "郁金", "烫水蛭", "炙甘草", "陈皮"], "prev_gap": 26, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 50836, "pid": "P9c8785aa9e97", "date": "2025-10-19", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有双腿发酸 手脚多汗 盗汗 大小便正常 纳可 眠安 感冒咽痛头疼一周", "wm_dx": ["上呼吸道感染", "感冒", "头痛", "咽痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["乳蛾", "湿热毒证", "清热解毒"]], "rx": ["制巴戟天", "酒苁蓉", "炙淫羊藿", "覆盆子", "黄连片", "枸杞子", "桑螵蛸", "黄芪", "锁阳", "知母", "牡丹皮", "炒酸枣仁", "桑椹", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 50843, "pid": "Pee08a16eb34c", "date": "2025-10-19", "sex": "男", "age": 28, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炙黄芪", "党参片", "麦冬", "百合", "干石斛", "醋五味子", "枸杞子", "盐胡芦巴", "沙苑子", "覆盆子", "酒女贞子", "韭菜子", "蛇床子", "菟丝子", "麸炒枳壳", "炙甘草", "石菖蒲", "陈皮", "木香", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炙黄芪", "党参片", "麦冬", "玄参", "干石斛", "醋五味子", "枸杞子", "盐胡芦巴", "沙苑子", "覆盆子", "酒女贞子", "韭菜子", "蛇床子", "菟丝子", "麸炒枳壳", "炙甘草", "石菖蒲", "陈皮", "木香", "制远志", "蜈蚣"], "prev_gap": 12, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 50844, "pid": "P3ff2efd886a8", "date": "2025-10-19", "sex": "男", "age": 59, "cc": "睾丸疼痛2周", "hpi": "睾丸疼痛2周 大小便正常 纳可 眠安 少腹隐痛 腰痛", "wm_dx": ["鞘膜积液"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "猪苓", "三七粉", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "猪苓", "陈皮", "三七粉"], "prev_gap": 17, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 50849, "pid": "Pe82d9d14e8da", "date": "2025-10-19", "sex": "男", "age": 43, "cc": "体检发现前列腺钙化灶", "hpi": "体检发现前列腺钙化灶 大小便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "炒酸枣仁", "牡丹皮", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 50851, "pid": "P0d742c589f81", "date": "2025-10-19", "sex": "男", "age": 41, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 口苦 脚踝扭伤行动不便 慢性前列腺炎取药", "wm_dx": ["关节痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "麸炒山药", "制巴戟天", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["太子参", "茯苓", "制巴戟天", "麸炒山药"], "prev_gap": 21, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 5} {"rid": 50854, "pid": "P42f7349151d1", "date": "2025-10-19", "sex": "男", "age": 24, "cc": "右侧睾丸疼痛半天", "hpi": "右侧睾丸疼痛半天 无发热 大小便正常 纳可 眠安 少腹隐痛", "wm_dx": ["附睾囊肿"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["三七粉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50856, "pid": "P6aba86526443", "date": "2025-10-19", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "腰痛半年 伴有勃起不坚 晨勃可 大小便正常 纳可 失眠 性欲下降 感情淡漠 消瘦 盗汗", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["制巴戟天", "炒酸枣仁", "覆盆子", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50857, "pid": "Pe5f5bc0dd7ea", "date": "2025-10-19", "sex": "男", "age": 34, "cc": "腰痛复诊", "hpi": "腰痛 大小便正常 纳可 眠安 乏力 气短 口干", "wm_dx": ["腰痛", "附睾囊肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "知母", "炒酸枣仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50860, "pid": "P0cd74efc2c5a", "date": "2025-10-19", "sex": "男", "age": 28, "cc": "失眠多梦腰酸疼半年", "hpi": "失眠多梦腰酸疼半年 小便正常 纳可 大便稀 盗汗 双侧膝盖疼痛取药", "wm_dx": ["关节炎", "关节痛"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炒酸枣仁", "知母", "太子参", "合欢花"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50865, "pid": "P82e9dec7eff3", "date": "2025-10-19", "sex": "男", "age": 25, "cc": "阴囊泛红刺痒一周余", "hpi": "阴囊泛红刺痒一周余 大小便正常 纳可 眠安 尿黄 异味大", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["猪苓", "羌活", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50872, "pid": "P36a3dc6e8909", "date": "2025-10-19", "sex": "男", "age": 25, "cc": "龟头脱皮泛红刺痒一周余", "hpi": "龟头脱皮泛红刺痒一周余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连", "土茯苓", "败酱草", "烫水蛭", "百部", "荆芥", "茵陈", "麸炒苍术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连", "土茯苓", "败酱草", "烫水蛭", "百部", "荆芥", "茵陈", "麸炒苍术"], "prev_gap": 12, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 50873, "pid": "P61a6270edd5b", "date": "2025-10-19", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 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{"rid": 50882, "pid": "Pb6f7759f23ca", "date": "2025-10-19", "sex": "男", "age": 42, "cc": "尿频尿急半年", "hpi": "尿频尿急半年 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["麸炒芡实", "羌活", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 50885, "pid": "Pe4fb37c97d67", "date": "2025-10-19", "sex": "男", "age": 32, "cc": "龟头脱皮 少腹隐痛一周余", "hpi": "龟头脱皮 少腹隐痛一周余 大小便正常 纳可 失眠 盗汗 股癣一周", "wm_dx": ["包皮龟头炎", "慢性前列腺炎", "股癣"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["失眠", "血虚证", "补血养心"], ["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "炒酸枣仁", "覆盆子", "制巴戟天", "麸炒芡实", "三七粉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50890, "pid": "P7ed0f41439e8", "date": "2025-10-20", "sex": "男", "age": 55, "cc": "双侧腹股沟潮湿泛红复诊取药", "hpi": "双侧腹股沟潮湿泛红复诊取药 ,阴囊潮湿，大小便正常 纳可 眠安，股癣一月余", "wm_dx": ["股癣", "足癣"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["山慈菇", "羌活", "茯苓", "三七粉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["麸炒苍术", "茯苓", "黄柏", "麸炒薏苡仁", "牛膝", "金银花", "连翘", "炒栀子", "龙胆", "黄芩", "炙甘草", "麸炒白术"], "prev_gap": 9, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 50891, "pid": "Pf56293274911", "date": "2025-10-20", "sex": "男", "age": 39, "cc": "复诊", "hpi": "服药无不适。稍有尿频，偶有口干，汗不多，无肢冷，便调。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["地龙", "醋五味子", "当归", "桑寄生", "桑椹", "熟地黄", "黑顺片", "酒萸肉", "牛膝", "九香虫", "北沙参", "炙甘草"], "flags": [], "prev_rx": ["地龙", "醋五味子", "当归", "桑寄生", "酒萸肉", "九香虫", "蜜桑白皮", "炙甘草", "桑椹", "熟地黄", "黑顺片", "牛膝"], "prev_gap": 7, "visit_ix": 4, "n_visits": 18, "visit_ix_rx": 4, "n_rx": 18} {"rid": 50894, "pid": "Pd11dcf2948a6", "date": "2025-10-20", "sex": "男", "age": 27, "cc": "体检发现前列腺增大伴钙化", "hpi": "体检发现前列腺增大伴钙化 排尿不畅 无尿痛 尿频 尿等待 无腹痛 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["麸炒芡实", "茯苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50897, "pid": "P7e5217887b96", "date": "2025-10-20", "sex": "男", "age": 66, "cc": "左侧腹股沟疼痛不适2周", "hpi": "2周前出现左侧腹股沟疼痛不适，阴囊潮湿瘙痒，时有尿痛，夜寐差", "wm_dx": ["前列腺增生", "静脉曲张", "精索静脉曲张"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["筋瘤", "血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "绵萆薢", "萹蓄", "车前草", "马齿苋"], "flags": [], "prev_rx": ["肉桂", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核"], "prev_gap": 14, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 6} {"rid": 50898, "pid": "Pd338e9b6fb5e", "date": "2025-10-20", "sex": "男", "age": 40, "cc": "肢冷感一年", "hpi": "手脚凉，易汗。腰酸疲劳。性生活差。夜尿0次。无明显口干口苦，眠可。", "wm_dx": ["精索静脉曲张", "男性性腺功能低下"], "tcm_dx": [["精浊", "肾虚证", "温补肾阳"]], "rx": ["桂枝", "白芍", "龙骨", "牡蛎", "白薇", "黑顺片", "当归", "酒苁蓉", "九香虫", "炙甘草", "大枣", "生姜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50909, "pid": "P574d0226f9e7", "date": "2025-10-20", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "伴有中途疲软 大小便正常 纳可 眠安 无腹痛 无睾丸疼痛 晨勃少 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["麸炒芡实", "茯苓", "山慈菇"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50910, "pid": "P3057fed6a345", "date": "2025-10-20", "sex": "男", "age": 44, "cc": "复诊", "hpi": "病史同前，夜尿2次，无口干。无肢冷。便调", "wm_dx": ["男性勃起障碍", "糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["党参片", "龙骨", "牡蛎", "九香虫", "地龙", "炙甘草", "茯苓", "桑椹", "桑寄生", "蜜桑白皮", "麸炒苍术", "姜厚朴"], "flags": [], "prev_rx": ["党参片", "白术", "天花粉", "九香虫", "地龙", "首乌藤", "桑椹", "桑寄生", "蜜桑白皮", "炙甘草", "龙骨", "牡蛎"], "prev_gap": 7, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 8, "n_rx": 10} {"rid": 50916, "pid": "Pc64686dcd7c6", "date": "2025-10-20", "sex": "男", "age": 37, "cc": "复诊", "hpi": "病史同前，服药无不适。无肢冷", "wm_dx": ["代谢综合征"], "tcm_dx": [["男性前阴类病", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "炙甘草", "姜炭", "姜半夏", "九香虫", "木香", "地龙"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "炙甘草", "姜炭", "姜半夏", "九香虫", "木香", "焦槟榔", "姜厚朴", "地龙"], "prev_gap": 6, "visit_ix": 6, "n_visits": 10, "visit_ix_rx": 5, "n_rx": 9} {"rid": 50925, "pid": "Pa3d8644bcf8c", "date": "2025-10-20", "sex": "男", "age": 31, "cc": "腰痛乏力伴勃起中途疲软4月", "hpi": "4月前出现腰痛乏力伴勃起中途疲软，性欲减退，熬夜，口干无口苦，夜寐差，易生气。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "白芍", "川芎", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "黄芪", "太子参", "制巴戟天", "韭菜子", "锁阳", "制远志"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "黄芪", "太子参", "制巴戟天", "韭菜子", "锁阳", "制远志"], "prev_gap": 14, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 50936, "pid": "Pf673a118472d", "date": "2025-10-21", "sex": "男", "age": 37, "cc": "左侧腹股沟隐痛一月余", "hpi": "尿频，性功能减退，勃起硬度好转，左侧大腿根部发热好转，口干好转，口苦，大便不成型，睡眠入睡困难，无怕冷，喝冷易腹泻", "wm_dx": ["腹股沟淋巴结炎", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "肝胆湿热证", "清热利湿"]], "rx": ["甜叶菊叶", "土茯苓", "败酱草", "茵陈", "盐小茴香", "熟地黄", "酒萸肉", "知母", "烫水蛭", "夏枯草", "蒲公英", "麸炒枳壳", "金银花", "炙甘草", "砂仁", "醋龟甲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 50943, "pid": "P3856ec583056", "date": "2025-10-21", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "腰痛半年 大便正常 纳可 眠安 乏力 尿急 疲劳 无少腹隐痛 无睾丸疼痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "醋五味子", "猪苓", "麸炒芡实"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50957, "pid": "Pb41d3fc1ccc6", "date": "2025-10-21", "sex": "男", "age": 46, "cc": "尿频 龟头刺痒泛红一月", "hpi": "尿频 龟头刺痒泛红一月 大便正常 纳可 失眠", "wm_dx": ["慢性前列腺炎", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精浊", "湿热下注证", "清热利湿"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "太子参", "三七粉", "知母", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50965, "pid": "Peafbcd6269f4", "date": "2025-10-21", "sex": "男", "age": 35, "cc": "包皮龟头炎复诊取药", "hpi": "包皮龟头炎复诊 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "百部", "烫水蛭", "白芷"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50968, "pid": "Pde25404752d2", "date": "2025-10-21", "sex": "男", "age": 63, "cc": "腰痛半年", "hpi": "腰痛半年 早泄 时间2分钟左右 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "盐补骨脂", "麸炒芡实", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "灵芝", "莲子", "砂仁", "麸炒枳壳", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "菟丝子", "韭菜子", "姜厚朴", "烫水蛭", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 50976, "pid": "P3def03913425", "date": "2025-10-21", "sex": "男", "age": 57, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 性功能下降 勃起困难", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "炒蒺藜", "醋青皮", "川楝子", "郁金", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "烫水蛭", "麸炒枳壳", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 50977, "pid": "Pf42febd43bc2", "date": "2025-10-21", "sex": "男", "age": 38, "cc": "腰痛乏力5天", "hpi": "5天前出现腰痛乏力，关节疼痛，无其他不适主诉", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["酒白芍", "木瓜", "威灵仙", "鸡血藤", "盐杜仲", "牛膝", "桑寄生", "炙甘草", "菟丝子", "枸杞子", "续断"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50979, "pid": "P198a40055bee", "date": "2025-10-21", "sex": "男", "age": 79, "cc": "前列腺增生复查", "hpi": "前列腺增生复查 现夜尿增多，尿滴沥不尽，尿痛，怕冷， 腰疼痛3月27日在肿瘤科检查PSA6.86，尿白细胞高 包皮龟头炎一月余 现尿痛，尿费劲，口服头孢后尿WBC582，失眠，关节痛，复查，WBC235，后背皮肤刺痒明显，一直应用卤米松外用", "wm_dx": ["失眠", "接触性皮炎", "前列腺增生", "泌尿系感染", "瘙痒症"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血止痛"], ["精癃", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "黑顺片", "熟地黄", "山药", "干姜", "盐补骨脂", "酒萸肉", "茯苓", "泽泻", "路路通", "当归", "川芎", "炙黄芪", "阿胶珠", "麻黄", "人参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "山药", "酒萸肉", "茯苓", "泽泻", "路路通", "当归", "川芎", "炙黄芪", "阿胶珠", "干姜", "盐补骨脂"], "prev_gap": 10, "visit_ix": 28, "n_visits": 35, "visit_ix_rx": 5, "n_rx": 12} {"rid": 50980, "pid": "Pcda18a4d601e", "date": "2025-10-21", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 早泄8年 时间1分钟以内 勃起可 大小便正常 纳可 失眠 晨勃少", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 50982, "pid": "P911a630c0494", "date": "2025-10-21", "sex": "男", "age": 33, "cc": "尿频5-6年", "hpi": "尿频，硬度不够，中途疲软，时间短1-3分钟，喝水即有尿意，大便正常，耳鸣，睡眠一般，纳可，晨起口苦，无怕冷，手脚发凉", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "人参", "枸杞子", "石菖蒲", "盐蒺藜", "金樱子肉", "煅牡蛎", "熟地黄", "当归", "阿胶珠", "酒萸肉", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "人参", "桂枝", "当归", "川芎", "制远志", "石菖蒲", "盐蒺藜", "煅龙骨", "煅牡蛎", "牛膝"], "prev_gap": 24, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 50986, "pid": "P1114c01c431a", "date": "2025-10-22", "sex": "男", "age": 44, "cc": "尿频，尿不尽半年", "hpi": 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"hpi": "腰痛伴射精快，射精无力，无快感，自觉龟头敏感度高，尿道不适疼痛，夜寐差，盗汗，龟头红疹", "wm_dx": ["泌尿系感染"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["失眠", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "金银花", "蒲公英", "地肤子", "烫水蛭"], "flags": [], "prev_rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "金银花", "蒲公英", "地肤子", "烫水蛭"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 50999, "pid": "P4e9232d835e8", "date": "2025-10-22", "sex": "男", "age": 29, "cc": "尿频半年", "hpi": "尿频，夜尿正常，无腰疼，大便可，纳可，睡眠正常，口和，性欲正常开始中途疲软，现勃起困难，晨勃少一月，乏力，怕冷", "wm_dx": ["乏力"], "tcm_dx": [["精浊", "肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "附片", "熟地黄", "山药", "酒萸肉", "茯苓", "泽泻", "牡丹皮", "人参", "当归", "川芎", "丹参", "石菖蒲", "炒蒺藜", "鸡血藤", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 51000, "pid": "P7f4a9e470a3f", "date": "2025-10-22", "sex": "男", "age": 39, "cc": "尿频10余年", "hpi": "尿频，夜尿正常，大便正常，纳可，硬度正常，时间短，近2月逐渐加重，睡眠工作原因熬夜，口和，喝水少，无乏力感，微怕冷", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["白薇", "醋五味子", "桂枝", "白芍", "生姜", "大枣", "煅龙骨", "煅牡蛎", "锁阳", "石菖蒲", "盐蒺藜", "茯苓", "泽泻", "金樱子肉", "桑螵蛸", "炙甘草"], "flags": [], "prev_rx": ["白薇", "醋五味子", "桂枝", "白芍", "生姜", "大枣", "煅龙骨", "煅牡蛎", "制远志", "石菖蒲", "盐蒺藜", "茯苓", "泽泻", "金樱子肉", "桑螵蛸", "炙甘草"], "prev_gap": 22, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51002, "pid": "P693c0d8ab852", "date": "2025-10-22", "sex": "男", "age": 36, "cc": "尿频半年", "hpi": "尿频，夜尿正常，大便正常粘，睡眠一般，入睡困难，纳可，口干口苦，伴有硬度一般，时间短，阴囊潮湿，复诊，硬度睡眠潮湿好转，耳鸣，时间短，口干口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝郁肾虚证", "滋阴疏肝"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "炒苦杏仁", "薏苡仁", "煅龙骨", "盐关黄柏", "制远志", "党参片", "丹参", "炒栀子", "淡豆豉", "鸡血藤", "煅牡蛎", "茯苓", "桂枝", "干姜"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "炒苦杏仁", "薏苡仁", "牛膝", "盐关黄柏", "制远志", "人参", "丹参", "石菖蒲", "盐蒺藜", "鸡血藤", "桑枝"], "prev_gap": 28, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51005, "pid": "P8749a27b1cb0", "date": "2025-10-22", "sex": "男", "age": 27, "cc": "腰痛乏力劳累6月", "hpi": "6月前出现腰痛乏力劳累，午饭后劳累加重，口干，夜寐可，长期熬夜，二便调，偶有头晕，耳鸣，膝盖不适，自觉龟头敏感度高，射精快，性欲可，勃起可，胁肋疼痛，易生气", "wm_dx": ["腰痛"], "tcm_dx": [["耳鸣", "肾虚证", "滋补肾阴"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "醋鳖甲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 51015, "pid": "P98c77abe47ab", "date": "2025-10-22", "sex": "男", "age": 25, "cc": "腰痛半年", "hpi": "腰痛半年 伴有阳痿早泄 晨勃少 大便正常 纳可 熬夜多 尿频 尿急", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["甜叶菊叶", "北柴胡", "醋青皮", "郁金", "山药", "麸炒白术", "茯苓", "麸炒枳壳", "烫水蛭", "菟丝子", "韭菜子", "蛇床子", "炙甘草", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "制远志", "合欢皮", "党参", "醋五味子", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "北柴胡", "醋青皮", "郁金", "山药", "麸炒白术", "茯苓", "麸炒枳壳", "烫水蛭", "菟丝子", "韭菜子", "蛇床子", "炙甘草", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "制远志", "合欢皮"], "prev_gap": 25, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 51018, "pid": "P52e61461512a", "date": "2025-10-22", "sex": "男", "age": 36, "cc": "尿频3年", "hpi": "尿频，时有包皮刺痒，夜尿多，睡眠差，2小时醒一次，大便正常，纳可，硬度可，时间短不足1分钟，口和。两地分居，晨起困，服药后腹胀，复诊，时间2-3分钟", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["法半夏", "黄连", "黄芩", "干姜", "大枣", "人参", "炒蒺藜", "锁阳", "金樱子", "姜厚朴", "炙甘草"], "flags": [], "prev_rx": ["法半夏", "黄连", "黄芩", "干姜", "大枣", "人参", "合欢皮", "锁阳", "金樱子", "姜厚朴"], "prev_gap": 28, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 51020, "pid": "Pa8f0a0b533ee", "date": "2025-10-22", "sex": "男", "age": 33, "cc": "乏力感2年", "hpi": "乏力感，多汗，一运动即汗出，纳可，睡眠好 无怕冷，大便正常，排尿正常，伴有性功能减退，口干，手脚出汗明显", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "煅龙骨", "煅牡蛎", "茯苓", "当归", "川芎", "桂枝", "丹参", "鸡血藤", "生石膏", "大枣", "党参片"], "flags": 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"焦山楂", "醋鸡内金", "炒苦杏仁", "炒栀子"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "赤小豆", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "煅龙骨", "煅牡蛎", "茯苓", "制巴戟天", "炒酸枣仁"], "prev_gap": 57, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 7} {"rid": 51029, "pid": "P3c387a4caaf4", "date": "2025-10-23", "sex": "男", "age": 73, "cc": "阴囊潮湿复诊", "hpi": "阴囊潮湿改善 便秘 纳可 眠安 前列腺增生取药 尿频尿急 尿等待", "wm_dx": ["前列腺增生", "便秘"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["猪苓", "山慈菇", "羌活", "太子参", "制巴戟天", "枸杞子", "麸炒芡实"], "flags": [], "prev_rx": ["猪苓", "山慈菇", "浙贝母", "羌活", "薏苡仁"], "prev_gap": 7, "visit_ix": 3, "n_visits": 9, "visit_ix_rx": 3, "n_rx": 9} {"rid": 51035, "pid": "P54c2ce093cff", "date": "2025-10-23", "sex": "男", "age": 37, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。PR 0.8%。盗汗，口干。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "菟丝子", "枸杞子", "韭菜子", "盐车前子", "覆盆子", "酒女贞子", "陈皮", "木香", "砂仁", "麸炒枳壳", "党参", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51067, "pid": "Pc117dd70b675", "date": "2025-10-24", "sex": "男", "age": 70, "cc": "夜尿4-5次2-3年", "hpi": "尿急，夜尿4-5次，时有尿道疼痛感，色正常，无腹痛，无腰疼，大便正常，纳可，不吃生冷，口和，喝水即尿，怕冷，乏力消瘦", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["淋证", "湿热下注证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "茯苓", "泽泻", "滑石", "阿胶珠", "麸炒白术", "猪苓", "黑顺片", "炙甘草", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51068, "pid": "Pf1856e57cdd6", "date": "2025-10-24", "sex": "男", "age": 75, "cc": "尿频2-3月", "hpi": "尿频，尿急，尿不尽，无尿痛，夜尿3次，左侧腰疼，腿水肿，少腹发胀，大便正常，纳可，无怕冷，不欲饮水，口干苦，有痰，睡眠一般复诊，效果无，乏力感消瘦", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "猪苓", "茯苓", "泽泻", "麸炒白术", "麻黄", "炒苦杏仁", "赤小豆", "北柴胡", "牡丹皮", "燀桃仁", "红花", "黄芩片", "干姜"], "flags": [], "prev_rx": ["桂枝", "猪苓", "茯苓", "泽泻", "麸炒白术", "麻黄", "炒苦杏仁", "赤小豆", "生石膏", "牡丹皮", "燀桃仁", "红花"], "prev_gap": 7, "visit_ix": 1, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 6} {"rid": 51071, "pid": "Pa4b09b78ffca", "date": "2025-10-24", "sex": "男", "age": 46, "cc": "尿频半年", "hpi": "尿频，夜尿正常，大便正常，睡眠一般，纳一般，口和，微怕冷，硬度一般，晨勃少，乏力感", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "当归", "川芎", "茯苓", "泽泻", "丹参", "鸡血藤", "人参", "燀桃仁", "熟地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51075, "pid": "P7314b138e97b", "date": "2025-10-24", "sex": "男", "age": 60, "cc": "尿频3天", "hpi": "尿频，时有尿痛，发热，今早37.5°，口服三金片症状好转，无腹痛，无腰疼，大便正常，出汗，头痛，口和", "wm_dx": ["泌尿系感染"], "tcm_dx": [["淋证", "湿热下注证", "清热利湿"]], "rx": ["滑石", "茯苓", "泽泻", "猪苓", "阿胶珠", "桂枝", "白芍", "葛根", "白花蛇舌草", "赤小豆"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51077, "pid": "P1b7fd08a87fb", "date": "2025-10-24", "sex": "男", "age": 71, "cc": "尿频半年", "hpi": "尿频，尿急，尿无力，夜尿多，近2月夜尿3-4次，尿等待感，无尿痛，无腹痛，大便费劲，肠镜有息肉，胃炎，食管返流，口苦口气重，怕热，复诊，夜尿少减，夜尿一次，咽部有痰", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "煅龙骨", "煅牡蛎", "猪苓", "茯苓", "当归", "川芎", "赤小豆", "姜厚朴", "滑石", "紫苏叶", "炒栀子", "淡豆豉", "法半夏"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "煅龙骨", "煅牡蛎", "猪苓", "茯苓", "滑石", "当归", "川芎", "赤小豆", "麸炒白术", "焦山楂"], "prev_gap": 7, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 51079, "pid": "Pf0f9f0a12f1d", "date": "2025-10-24", "sex": "男", "age": 56, "cc": "泌尿系感染复诊", "hpi": "泌尿系感染复诊 尿频，无小腹胀痛，无其他不适 大便正常 纳可 眠安，外院输液3天，症状好转。口干口苦", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["炒苦杏仁", "薏苡仁", "姜厚朴", "法半夏", "淡竹叶", "北柴胡", "黄芩", "党参", "焦山楂", "广金钱草", "醋鸡内金", "赤小豆", "白花蛇舌草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51086, "pid": 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"气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "羌活", "麸炒芡实", "三七粉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51099, "pid": "P4f971c818a97", "date": "2025-10-24", "sex": "男", "age": 32, "cc": "尿频2天", "hpi": "尿频2天 无尿痛 无分泌物 大便正常 纳可 眠安 无少腹隐痛 无睾丸疼痛 无发热", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "麸炒芡实"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51103, "pid": "P87d48cf565b0", "date": "2025-10-25", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "便秘 勃起不坚 中途疲软 晨勃少 大小便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "猪苓", "羌活"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 51104, "pid": "P57dc8e31d7b0", "date": "2025-10-25", "sex": "男", "age": 68, "cc": "前列腺增生复诊", "hpi": "尿急严重 夜尿4-次 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "羌活", "太子参", "知母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 12, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51105, "pid": "P68959a62b365", "date": "2025-10-25", "sex": "男", "age": 53, "cc": "腰痛乏力伴勃起中途疲软2月", "hpi": "2月前出现腰痛乏力伴勃起中途疲软，口异味，胁肋疼痛，寐可，性欲可，晨勃可，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "熟地黄", "麸炒山药", "盐补骨脂", "韭菜子", "制巴戟天", "白芍", "炒决明子", "山楂"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "熟地黄", "麸炒山药", "韭菜子", "制巴戟天", "白芍"], "prev_gap": 17, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 51108, "pid": "Pbf1ced9d50b8", "date": "2025-10-25", "sex": "男", "age": 31, "cc": "尿频2月", "hpi": 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"砂仁", "瞿麦", "绵萆薢", "麸炒枳壳", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "北柴胡", "醋青皮", "郁金", "烫水蛭", "炙甘草", "太子参"], "prev_gap": 7, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 51124, "pid": "Pf38101f0bf35", "date": "2025-10-25", "sex": "男", "age": 27, "cc": "尿频3年", "hpi": "尿频，夜尿正常，大便正常，睡眠多梦，纳可，口干，晨勃可，硬度一般，时间短1分钟，一月同房一次，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白薇", "醋五味子", "桂枝", "白芍", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "炙甘草", "制巴戟天", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51127, "pid": "P4bf0d477da04", "date": "2025-10-25", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "覆盆子", "酒女贞子", "枸杞子", "醋五味子", "党参", "麸炒枳壳", "烫水蛭", "炙甘草", "太子参", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, 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"尿频尿急1周", "hpi": "尿频尿急1周，精液异味 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肾气不充证", "补肾扶元"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "茯苓", "麸炒山药", "酒女贞子", "覆盆子", "蛇床子", "盐车前子", "沙苑子", "枸杞子", "醋五味子", "麸炒枳壳", "炙甘草", "烫水蛭", "砂仁", "知母", "盐黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51139, "pid": "Pc182f4f4ba5e", "date": "2025-10-25", "sex": "男", "age": 33, "cc": "腰痛乏力1年", "hpi": "1年出现腰痛乏力，既往弱精，盗汗 失眠 大小便正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "枸杞子", "盐车前子", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "陈皮", "覆盆子", "酒女贞子", "沙苑子", "麸炒枳壳", "炙甘草", "炒酸枣仁", "柏子仁", "制远志", "合欢皮"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "枸杞子", "醋五味子", "盐车前子", "菟丝子", "醋龟甲", "醋鳖甲", "醋鸡内金", "酒黄精", "麸炒冬瓜子", "地肤子", "金樱子肉", "覆盆子", "沙苑子", "蜂房", "炙黄芪"], "prev_gap": 13, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 3} {"rid": 51140, "pid": "P3edcf000a1f5", "date": "2025-10-25", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参片", "麸炒枳壳", "山药", "麸炒白术", "茯苓", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "枸杞子", "醋五味子", "沙苑子", "石菖蒲", "陈皮", "制水蛭", "太子参", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51145, "pid": "Pfded5ade02ad", "date": "2025-10-25", "sex": "男", "age": 41, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 阴囊炎一月余 大小便正常 纳可 眠安", "wm_dx": ["阴囊炎", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "金银花", "蒲公英", "烫水蛭", "防风", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51147, "pid": "Pc933f20c6832", "date": "2025-10-25", "sex": "男", "age": 42, "cc": "腰痛半年", "hpi": "腰痛半年 失眠 早泄 大小便正常 纳可 勃起可 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 6} {"rid": 51149, "pid": "P18d6995deb0d", "date": "2025-10-25", "sex": "男", "age": 26, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 早泄 勃起可 晨勃正常 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51154, "pid": "Pb0afabb485ae", "date": "2025-10-25", "sex": "男", "age": 29, "cc": "尿频 尿黄 泡沫多大半年", "hpi": "尿频 尿黄 泡沫多 夜尿1-2次，大便正常， 纳可，吃凉的少， 口气重，口干口苦，乏力，服用药物后复诊，口气重，乏力感。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "制远志", "石菖蒲", "佩兰", "麸炒枳实", "桂枝", "干姜", "牡蛎", "当归", "川芎", "白芍", "茯苓", "醋鸡内金", "人参", "焦山楂", "滑石", "炒栀子", "淡豆豉"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "制远志", "石菖蒲", "佩兰", "麸炒枳实", "桂枝", "干姜", "牡蛎", "当归", "川芎", "白芍", "茯苓", "泽泻", "人参", "赤小豆", "滑石", "炒栀子", "淡豆豉"], "prev_gap": 7, "visit_ix": 7, "n_visits": 16, "visit_ix_rx": 4, "n_rx": 11} {"rid": 51155, "pid": "P3a44daaaf300", "date": "2025-10-25", "sex": "男", "age": 38, "cc": "尿黄5月", "hpi": "尿黄，能勃起，关键时候疲软，大便粘，睡眠可，纳可，口干，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "炒苦杏仁", "石菖蒲", "炒蒺藜", "制远志", "麸炒薏苡仁", "人参", "鸡血藤", "丹参", "路路通", "菟丝子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51156, "pid": "P148d70aff47f", "date": "2025-10-25", "sex": "男", "age": 28, "cc": "尿频一月", "hpi": "有尝试性生活，有晨勃，手艺可，关键时不行，排尿正常，大便正常，纳可，口干", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "丹参", "鸡血藤", "柏子仁", "炒酸枣仁", "牡丹皮", "制巴戟天", "蜈蚣", "石菖蒲", "党参片", "黄芪", "醋五味子", "麦冬", "玄参", "盐胡芦巴", "炙淫羊藿", "仙茅"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "丹参", "鸡血藤", "柏子仁", "炒酸枣仁", "牡丹皮", "制巴戟天", "蜈蚣", "石菖蒲"], "prev_gap": 71, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 5} {"rid": 51159, "pid": "Pdc2ad872fac9", "date": "2025-10-25", "sex": "男", "age": 36, "cc": "阴囊潮湿一年", "hpi": "阴囊潮湿，硬度正常，时间短，拟育，两地分居，一月同房一次，尿等待，大便正常，睡眠正常，纳可，不能吃凉，口干，手热，现尿等待，尿不尽，手心热，口干，鼻塞，著涼易腹瀉", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "脾虚证", "疏肝健脾"]], "rx": ["北柴胡", "黄芩片", "牡丹皮", "石菖蒲", "猪苓", "熟地黄", "牡蛎", "当归", "桂枝", "连翘", "赤小豆", "炙甘草", "山药", "乌药", "盐益智仁"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "牡丹皮", "石菖蒲", "猪苓", "地黄", "百合", "天花粉", "牡蛎", "当归", "连翘", "赤小豆", "炙甘草", "盐蒺藜", "桂枝"], "prev_gap": 7, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 51161, "pid": "P682dab1d620e", "date": "2025-10-25", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草片", "黄芩片", "黄连片", "干姜", "大枣", "牡蛎", "红景天", "菟丝子", "枸杞子", "人参", "醋龟甲", "炒苦杏仁", "赤小豆", "莲子", "覆盆子", "盐车前子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草片", "黄芩片", "黄连片", "干姜", "大枣", "牡蛎", "红景天", "菟丝子", "枸杞子", "人参", "醋龟甲", "炒苦杏仁", "火麻仁", "莲子", "赤小豆", "防风"], "prev_gap": 14, "visit_ix": 13, "n_visits": 24, "visit_ix_rx": 12, "n_rx": 23} {"rid": 51162, "pid": "P028f3e437bc9", "date": "2025-10-25", "sex": "男", "age": 18, "cc": "阴囊瘙痒脱皮半年", "hpi": "阴囊瘙痒脱皮半年 大小便正常 纳可 眠安", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "茵陈", "黄连", "大黄", "蝉蜕", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "茵陈", "黄连", "大黄", "蝉蜕"], "prev_gap": 20, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51164, "pid": "P739099b403b8", "date": "2025-10-25", "sex": "男", "age": 83, "cc": "尿急一月余", "hpi": "尿急一月余 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 5} {"rid": 51166, "pid": "P82cc9bd40ebf", "date": "2025-10-25", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "腰痛半年 性功能下降一月 晨勃有 早泄 龟头敏感 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51171, "pid": "P1b6da9e60314", "date": "2025-10-25", "sex": "男", "age": 45, "cc": "包皮龟头炎抄方", "hpi": "包皮龟头炎抄方 大便正常 纳可 眠安 前列腺增生复诊取药 尿频 尿急 尿等待", "wm_dx": ["前列腺增生"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["苦参", "丁香", "地肤子", "地榆", "大黄", "百部", "白鲜皮", "黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51172, "pid": "P46fca6bb31ec", "date": "2025-10-25", "sex": "男", "age": 42, "cc": "阴囊炎 包皮龟头炎一月余", "hpi": "阴囊炎 包皮龟头炎一月余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎", "阴囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "大黄", "白花蛇舌草", "土茯苓", "黄连", "蒲公英", "败酱草", "茵陈", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51181, "pid": "P434e4b89b4fb", "date": "2025-10-25", "sex": "男", "age": 29, "cc": "腰痛半年", "hpi": "腰痛半年 早泄 时间1分钟左右 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 51186, "pid": "P3822a29657a8", "date": "2025-10-25", "sex": "男", "age": 29, "cc": "尿频尿急复诊", "hpi": "尿频尿急，夜尿2次 腰痛乏力，易醒眠差，压力可，大便少，记忆力下降 早泄 龟头敏感", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "湿热下注证", "清热利湿"], ["淋证", "湿热下注证", "清热利湿"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "prev_gap": 21, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 3} {"rid": 51187, "pid": "P319e7ba40c7d", "date": "2025-10-26", "sex": "男", "age": 33, "cc": "腰痛伴射精快复诊", "hpi": "腰痛伴射精快好转，自汗，勃起欠佳好转，晨勃可，口中和，夜寐可，龟头红疹好转", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "砂仁", "制远志", "酒苁蓉", "石菖蒲", "金樱子", "醋五味子", "麸炒芡实", "炒蒺藜", "当归", "炙淫羊藿", "烫水蛭", "党参", "黄芪", "山药", "甜叶菊叶", "知母", "盐黄柏", "酒女贞子", "覆盆子", "蛇床子", "五倍子", "细辛", "地肤子", "五加皮", "地骨皮", "木香", "桂枝"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "金樱子", "醋五味子", "麸炒芡实", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "党参", "黄芪", "山药", "甜叶菊叶", "蛇床子", "五倍子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "五加皮", "地骨皮", "木香", "桂枝"], "prev_gap": 22, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 51193, "pid": "P97f6f04e1cb5", "date": "2025-10-26", "sex": "男", "age": 44, "cc": "阴囊潮湿复诊", "hpi": "阴囊潮湿复诊，阴囊潮湿瘙痒，排尿可 大便正常 纳可 眠安 腰痛 乏力 口干", "wm_dx": ["精囊炎", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "茵陈", "土茯苓", "败酱草", "蒲公英", "金银花", "百部", "当归"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51194, "pid": "P6352b3b67981", "date": "2025-10-26", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳壳", "麸炒枳实", "炙甘草", "石菖蒲", "制远志", "川楝子", "醋香附", "菟丝子", "韭菜子", "覆盆子", "酒女贞子", "醋五味子", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51195, "pid": "Pe19f87623ed9", "date": "2025-10-26", "sex": "男", "age": 39, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 大小便正常 纳可 眠安 射精无力 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51198, "pid": "P22e63a269d4a", "date": "2025-10-26", "sex": "男", "age": 33, "cc": "腰痛复诊", "hpi": "腰痛好转，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。PR 1.4%。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "覆盆子", "炒酸枣仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51204, "pid": "P22780dad3491", "date": "2025-10-26", "sex": "男", "age": 57, "cc": "尿频半年", "hpi": "尿频半年 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "知母", "制巴戟天", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51205, "pid": "P3d355d521d0d", "date": "2025-10-26", "sex": "男", "age": 28, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "知母", "黄柏", "牛膝", "覆盆子", "酒女贞子", "蛇床子", "韭菜子", "盐车前子", "菟丝子", "烫水蛭", "麸炒枳壳", "枸杞子", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "炙甘草", "麸炒薏苡仁", "麸炒芡实", "防风"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51206, "pid": "Pbd8e8a487d05", "date": "2025-10-26", "sex": "男", "age": 35, "cc": "左侧少腹隐痛复诊", "hpi": "左侧少腹隐痛，乏力感，硬度可，中途疲软，射精无力，尿频，大便不畅，睡眠可，纳可，口和，胁肋疼痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳壳", "炙甘草", "烫水蛭", "麸炒枳实", "百合", "桂枝", "细辛", "石菖蒲", "制远志", "酒苁蓉", "肉桂", "盐小茴香", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "合欢花", "合欢皮", "木香", "丁香", "大血藤"], "flags": [], "prev_rx": ["关黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "知母", "牛膝", "锁阳", "煅阳起石", "醋五味子", "菟丝子", "盐车前子", "覆盆子", "枸杞子", "龙骨", "牡蛎"], "prev_gap": 36, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 51211, "pid": "P1de81eb2c692", "date": "2025-10-26", "sex": "男", "age": 38, "cc": "慢性前列腺炎抄方", "hpi": "慢性前列腺炎抄方 大便正常 尿频 尿急 尿等待 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["龙胆", "炒栀子", "酒黄芩", "醋北柴胡", "地黄", "车前草", "泽泻", "小通草", "红花", "丹参", "当归", "钩藤", "炒决明子", "夏枯草", "炒白扁豆", "葛根", "黄连片", "滑石", "蒲公英", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51213, "pid": "P2e25ad59ade6", "date": "2025-10-26", "sex": "男", "age": 46, "cc": "前列腺增生 慢性前列腺炎复诊取药", "hpi": "前列腺增生 慢性前列腺炎复诊取药 尿道滴白 大小便正常 纳可 口干口苦 眠差", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "麸炒芡实", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51214, "pid": "Paac62ec4392b", "date": "2025-10-26", "sex": "男", "age": 34, "cc": "多梦复诊取药", "hpi": "多梦，口干，纳可，大便正常，小便频，怕冷 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["精浊", "肾气不足证", "补肾扶元"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["罗汉果", "炒酸枣仁", "麸炒芡实", "制巴戟天"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51215, "pid": "P13822c7be924", "date": "2025-10-26", "sex": "男", "age": 48, "cc": "腰痛半年", "hpi": "腰痛半年 性功能下降2年 大小便正常 纳可 眠安 口苦 口干，复诊，有效果", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["肉苁蓉", "制巴戟天", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "醋青皮", "郁金", "木香", "丁香", "麸炒薏苡仁", "荷叶", "广藿香", "党参", "茯苓", "麸炒枳壳", "炙甘草", "全蝎", "菟丝子", "盐车前子", "地龙", "仙茅"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["党参", "黄芪", "防风", "白术", "丹参", "酒黄精", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "山药", "麸炒薏苡仁", "麸炒枳壳", "烫水蛭", "炙甘草"], "prev_gap": 16, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 51216, "pid": "P638e74157580", "date": "2025-10-26", "sex": "男", "age": 32, "cc": "腰痛半年", "hpi": "伴有性欲低下 感情淡漠 体重增加 尿痛 大便正常 纳可 眠安 胁痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "麸炒山药", "制巴戟天", "猪苓", "合欢花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51217, "pid": "P35d3d3fca9e4", "date": "2025-10-26", "sex": "男", "age": 29, "cc": "腰痛乏力足冷1月", "hpi": "腰痛乏力足冷，勃起硬度欠佳，射精快，长期熬夜，久坐", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "蛇床子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "韭菜子", "醋五味子", "党参", "黄芪", "玄参", "麦冬", "制巴戟天", "锁阳", "太子参", "麸炒山药", "炒酸枣仁"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "韭菜子", "醋五味子"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51218, "pid": "Pd11dcf2948a6", "date": "2025-10-26", "sex": "男", "age": 27, "cc": "体检发现前列腺增大伴钙化", "hpi": "体检发现前列腺增大伴钙化 排尿不畅 无尿痛 尿频 尿等待 无腹痛 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["麸炒芡实", "茯苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["麸炒芡实", "茯苓", "山慈菇"], "prev_gap": 6, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51229, "pid": "Pa4b6ff37b90c", "date": "2025-10-26", "sex": "男", "age": 45, "cc": "腰痛复诊", "hpi": "6月前出现腰痛伴勃起硬度欠佳，性欲减退，射精无力，晨勃可，口干口苦，夜寐可，易困倦，中途疲软", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳壳", "北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "蜈蚣", "赤芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏", "麸炒芡实", "金樱子肉", "白芷"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳壳", "北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏", "金樱子肉", "麸炒芡实"], "prev_gap": 20, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 6, "n_rx": 11} {"rid": 51233, "pid": "P69d2a9d95ed8", "date": "2025-10-26", "sex": "男", "age": 36, "cc": "尿频半年", "hpi": "尿频半年 夜尿1次 大便正常 纳可 眠安 腰痛 乏力", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["太子参", "麸炒山药", "覆盆子", "醋五味子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51237, "pid": "P3fdb056018ef", "date": "2025-10-26", "sex": "男", "age": 28, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "石菖蒲", "麸炒芡实", "炒白扁豆", "茯苓", "菟丝子", "酒女贞子", "枸杞子", "醋五味子", "盐车前子", "烫水蛭", "麸炒枳壳", "炙甘草", "山药", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51241, "pid": "P340522121c63", "date": "2025-10-27", "sex": "男", "age": 61, "cc": "尿频半年", "hpi": "尿频半年 夜尿6-7次 失眠 大便正常 排尿不畅 纳可 腰痛疲劳 怕冷乏力", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "麸炒芡实"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51247, "pid": "Pa6b5079bd0d1", "date": "2025-10-27", "sex": "男", "age": 41, "cc": "腰痛乏力尿无力2年", "hpi": "2年前出现腰痛乏力尿无力，勃起欠佳，口中和，脱发，长期熬夜，夜寐差，盗汗，下肢无力", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "熟地黄", "山药", "盐杜仲", "牛膝", "太子参", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 51251, "pid": "Paeb9eeb18720", "date": "2025-10-27", "sex": "男", "age": 45, "cc": "体检发现前列腺钙化灶1月", "hpi": "1月前体检发现前列腺钙化灶，排尿可，长期熬夜，勃起可，腰痛乏力劳累，易困倦", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["太子参", "桑椹", "大枣", "山慈菇", "龙眼肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51253, "pid": "Pf8e86f65d7f8", "date": "2025-10-27", "sex": "男", "age": 34, "cc": "复诊", "hpi": "病史同前，尿不尽，夜尿2-3次 排尿无力，肢冷不甚 无口苦口干。大便正常 纳可 眠安", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "茯苓", "白术", "泽泻", "干姜", "黑顺片", "炙甘草", "石菖蒲"], "flags": [], "prev_rx": ["茯苓", "猪苓"], "prev_gap": 46, "visit_ix": 4, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 7} {"rid": 51254, "pid": "P5901c4fc5f06", "date": "2025-10-27", "sex": "男", "age": 38, "cc": "腰痛复诊", "hpi": "腰痛复诊，硬度下降，性欲强，乏力，情绪焦虑，同居感情可，二便调，纳可，眠一般，中途易醒，无排尿不畅、尿后余沥，口干，盗汗。", "wm_dx": ["腰痛", "失眠"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["北柴胡", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "菟丝子", "山药", "酒苁蓉", "制巴戟天", "红景天", "韭菜子", "知母", "盐关黄柏", "炒酸枣仁", "土茯苓", "北败酱草", "仙茅", "盐胡芦巴", "蛇床子", "川楝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "白芍", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "韭菜子", "知母", "盐关黄柏", "炒酸枣仁", "土茯苓", "北败酱草", "仙茅", "盐胡芦巴", "蛇床子", "川楝子"], "prev_gap": 23, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 51255, "pid": "P3000947f306f", "date": "2025-10-27", "sex": "男", "age": 63, "cc": "复诊", "hpi": "本周有1次性生活。微量血块淡，耳鸣多梦，易汗，腰、脚凉可。", "wm_dx": ["精囊炎", "前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "补肾益精"]], "rx": ["黑顺片", "首乌藤", "合欢皮", "炙甘草", "生石膏", "陈皮", "焦神曲", "桂枝", "牡蛎", "龙骨", "白芍", "生姜", "大枣", "蜜桑白皮"], "flags": [], "prev_rx": ["黑顺片", "首乌藤", "合欢皮", "炙甘草", "生石膏", "醋龟甲", "砂仁", "陈皮", "焦神曲"], "prev_gap": 35, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 7, "n_rx": 8} {"rid": 51256, "pid": "Pe6b212d5cdf8", "date": "2025-10-27", "sex": "男", "age": 37, "cc": "复诊", "hpi": "病史同前，伴勃起硬度不够，性欲减退，射精快，排尿可，无肢冷，夜寐可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["桑椹", "蜜桑白皮", "桑寄生", "桑叶", "地龙", "九香虫", "防风", "炙甘草"], "flags": [], "prev_rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "金银花", "蒲公英", "地肤子", "五加皮", "甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "白芍", "黄芪", "韭菜子", "仙茅", "锁阳", "制巴戟天", "酒黄精"], "prev_gap": 16, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51257, "pid": "P8a514283131d", "date": "2025-10-27", "sex": "男", "age": 62, "cc": "小腹胀痛3周", "hpi": "3周前出现小腹胀痛，尿等待，夜尿2次，口干口苦，夜寐差，易醒，睾丸疼痛伴下肢疼痛不适1周，夜间加重", "wm_dx": ["精索静脉曲张", "附睾囊肿"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["子痈", "血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "白芍", "路路通", "炒王不留行", "炒决明子", "酒黄精", "黄芪", "炒酸枣仁", "柏子仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51266, "pid": "P206c769cc9c4", "date": "2025-10-27", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 勃起不坚", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "炙甘草", "麸炒苍术", "土茯苓", "地龙", "防风", "盐车前子", "覆盆子", "酒女贞子", "蛇床子", "菟丝子", "麸炒薏苡仁", "木香", "合欢皮", "川楝子", "醋香附", "炒蒺藜", "制远志", "酒萸肉", "泽泻"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "白芍", "麸炒枳实", "炙甘草", "麸炒苍术", "土茯苓", "茵陈", "地龙", "防风", "盐车前子", "覆盆子", "酒女贞子", "蛇床子", "菟丝子"], "prev_gap": 40, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 51269, "pid": "P8c62a47f0654", "date": "2025-10-27", "sex": "男", "age": 49, "cc": "复诊", "hpi": "病史同前。精液量少。口干口苦反复，气短，下肢凉消。夜尿0次。", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "桑椹", "牡蛎", "薤白", "炙黄芪", "炙甘草", "瓜蒌", "龙骨", "桑寄生", "蜜桑白皮", "桑叶"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "酒黄芩", "党参片", "姜厚朴", "姜半夏", "麸炒苍术", "木香", "炙甘草", "麸炒薏苡仁", "茯苓"], "prev_gap": 28, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 51271, "pid": "P16c66b451042", "date": "2025-10-27", "sex": "男", "age": 47, "cc": "腰痛发力伴性欲减退5年", "hpi": "5年前出现腰痛乏力，性欲减退，晨勃可，射精无力，长期饮酒，吸烟1包/天，口干，夜寐可，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "仙茅", "韭菜子", "山药", "锁阳", "炒酸枣仁", "柏子仁"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "仙茅", "韭菜子", "山药", "锁阳", "炒酸枣仁", "柏子仁"], "prev_gap": 14, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 5} {"rid": 51277, "pid": "P3057fed6a345", "date": "2025-10-27", "sex": "男", "age": 44, "cc": "复诊", "hpi": "病史同前，夜尿1次，无口干。无肢冷。便干", "wm_dx": ["糖尿病", "男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["龙骨", "牡蛎", "九香虫", "地龙", "炙甘草", "麸炒苍术", "姜厚朴", "桑椹", "桑寄生", "蜜桑白皮", "北柴胡", "麸炒枳实"], "flags": [], "prev_rx": ["党参片", "龙骨", "牡蛎", "九香虫", "地龙", "炙甘草", "茯苓", "桑椹", "桑寄生", "蜜桑白皮", "麸炒苍术", "姜厚朴"], "prev_gap": 7, "visit_ix": 10, "n_visits": 11, "visit_ix_rx": 9, "n_rx": 10} {"rid": 51280, "pid": "P77d74d1e8fb3", "date": "2025-10-27", "sex": "男", "age": 27, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力好转 ，勃起欠佳好转，射精快好转，晨勃消失，大小便正常，纳可，眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "地肤子", "白花蛇舌草", "五加皮"], "flags": [], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "盐杜仲", "牛膝", "桑寄生", "五加皮", "地骨皮"], "prev_gap": 26, "visit_ix": 4, "n_visits": 12, "visit_ix_rx": 3, "n_rx": 6} {"rid": 51281, "pid": "P1f62dda142b7", "date": "2025-10-27", "sex": "男", "age": 44, "cc": "阴囊潮湿刺痒一月余", "hpi": "阴囊潮湿刺痒一月余 腰痛 乏力 大小便正常 纳可 眠差 胁痛", "wm_dx": ["精囊炎", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白芷", "防风", "荆芥", "石菖蒲", "白花蛇舌草", "土茯苓", "败酱草", "烫水蛭", "大黄", "黄连"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51288, "pid": "P7d113536e9d4", "date": "2025-10-27", "sex": "男", "age": 40, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，长期熬夜，易生气，下肢无力，二便调", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "白芍", "韭菜子", "制巴戟天", "酒黄精", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51291, "pid": "Pbbecda13150f", "date": "2025-10-27", "sex": "男", "age": 32, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，情绪焦虑，二便调，纳可，眠差易醒，无排尿不畅、尿后余沥，口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "制巴戟天", "红景天", "白芷", "炒酸枣仁", "酒白芍", "炙甘草", "麸炒枳实", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "当归", "炒酸枣仁"], "prev_gap": 39, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 51303, "pid": "Pb035cc441187", "date": "2025-10-28", "sex": "男", "age": 37, "cc": "腰痛复诊", "hpi": "腰痛复诊，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "盐车前子", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "酒黄精", "北败酱草", "当归", "黄芪", "党参片", "炒酸枣仁", "丹参", "酒苁蓉", "仙茅", "炙淫羊藿", "韭菜子", "麸炒白术", "陈皮", "木香", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "盐车前子", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "酒黄精", "北败酱草", "当归", "黄芪", "党参片", "炒酸枣仁"], "prev_gap": 14, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 51309, "pid": "Pf9f2b2d63abe", "date": "2025-10-28", "sex": "男", "age": 78, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频、尿急，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗。外院查前列腺，PSA（-），超声显示前列腺增生。口服非那雄胺和坦索罗辛，排尿不畅改善，但现尿频尿急仍在。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["川牛膝", "炒酸枣仁", "酒黄精", "麸炒薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51312, "pid": "P4a0ada0395a5", "date": "2025-10-28", "sex": "男", "age": 47, "cc": "腰痛半年", "hpi": "腰痛半年 勃起困难半年 晨勃消失 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "麸炒枳壳", "炒蒺藜", "丁香", "木香", "石菖蒲", "制远志", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "合欢皮", "锁阳", "烫水蛭", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51314, "pid": "Pefebb907d58d", "date": "2025-10-28", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "山药", "麸炒白术", "茯苓", "麸炒枳壳", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "醋五味子", "菟丝子", "酒女贞子", "覆盆子", "土茯苓", "败酱草", "炙甘草", "盐车前子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51315, "pid": "P1ef48498027f", "date": "2025-10-28", "sex": "男", "age": 42, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，小便黄，尿频，大便可，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "丁香", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "制远志", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁", "锁阳", "陈皮", "石菖蒲", "干姜", "木香", "蛇床子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 51317, "pid": "P11f2581af2cc", "date": "2025-10-28", "sex": "男", "age": 40, "cc": "乏力3年", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "当归", "川芎", "白芍", "茯苓", "麸炒枳实", "制巴戟天", "酒苁蓉", "炙淫羊藿", "火麻仁", "人参", "姜厚朴", "焦山楂"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "当归", "川芎", "白芍", "茯苓", "泽泻", "猪苓", "制巴戟天", "仙茅", "炙淫羊藿", "佩兰", "人参"], "prev_gap": 14, "visit_ix": 4, "n_visits": 24, "visit_ix_rx": 4, "n_rx": 24} {"rid": 51323, "pid": "P73ca6d8193eb", "date": "2025-10-28", "sex": "男", "age": 29, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "山药", "砂仁", "木香", "盐补骨脂", "酒黄精", "醋五味子", "菟丝子", "酒女贞子", "覆盆子", "韭菜子", "枸杞子", "麸炒枳壳", "炙甘草", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51328, "pid": "P370f15a83d97", "date": "2025-10-28", "sex": "男", "age": 40, "cc": "肾结石复查", "hpi": "烦躁燥热乏力疲劳一月余 腰痛 大小便正常 纳可 眠安", "wm_dx": ["肾结石", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["石淋", "湿热下注证", "清热利湿"]], "rx": ["醋鸡内金", "秦艽", "制巴戟天", "太子参", "山慈菇", "丹参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51330, "pid": "P6252cd3c3c37", "date": "2025-10-28", "sex": "男", "age": 33, "cc": "尿不尽一年", "hpi": "尿不尽，近一月出现夜尿1次，无尿痛，少腹正常，无腰疼，大便不成型，纳可，睡眠可，早醒，口干喝水口苦，怕冷怕热，出汗，盗汗，服用后夜尿，睡眠4点醒，燥热感，复诊，盗汗，打嗝，腹胀", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["法半夏", "生姜", "干姜", "黄连片", "黄芩片", "人参", "姜厚朴", "石菖蒲", "茯苓", "醋香附", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "人参", "煅龙骨", "煅牡蛎", "浮小麦", "牡丹皮", "地黄", "白芍", "麸炒枳实", "甘草片", "酒萸肉", "炒栀子"], "prev_gap": 14, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 8} {"rid": 51332, "pid": "Pde25404752d2", "date": "2025-10-28", "sex": "男", "age": 63, "cc": "腰痛半年", "hpi": "腰痛半年 早泄 时间2分钟左右 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "石菖蒲", "麸炒芡实", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "灵芝", "莲子", "砂仁", "麸炒枳壳", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "菟丝子", "韭菜子", "醋龟甲", "烫水蛭", "炙甘草", "制吴茱萸", "制远志", "木香", "桂枝", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "黄芪", "盐补骨脂", "麸炒芡实", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "灵芝", "莲子", "砂仁", "麸炒枳壳", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "菟丝子", "韭菜子", "姜厚朴", "烫水蛭", "炙甘草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 51336, "pid": "P0423b4d23e31", "date": "2025-10-28", "sex": "男", "age": 52, "cc": "尿频10余年", "hpi": "乏力，时间下降，硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，多汗，睾丸坠痛感，怕热", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "白芍", "麸炒白术", "茯苓", "淡竹叶", "黄芪", "石菖蒲", "炒蒺藜", "丹参", "桃仁", "人参", "甘草", "金樱子"], "flags": [], "prev_rx": ["当归", "川芎", "白芍", "熟地黄", "茯苓", "泽泻", "制远志", "石菖蒲", "炒蒺藜", "丹参", "鸡血藤", "人参", "甘草"], "prev_gap": 14, "visit_ix": 12, "n_visits": 14, "visit_ix_rx": 11, "n_rx": 13} {"rid": 51337, "pid": "P3def03913425", "date": "2025-10-28", "sex": "男", "age": 57, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 性功能下降 勃起困难", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "土茯苓", "败酱草", "茯苓", "猪苓", "泽泻", "酒萸肉", "合欢花", "合欢皮", "北柴胡", "炒蒺藜", "丁香", "木香", "醋青皮", "川楝子", "炙甘草", "麸炒枳壳", "砂仁", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "炒蒺藜", "醋青皮", "川楝子", "郁金", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "烫水蛭", "麸炒枳壳", "炙甘草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51343, "pid": "P80141f49641f", "date": "2025-10-29", "sex": "男", "age": 55, "cc": "夜间尿频2-3次 排尿不畅复诊", "hpi": "夜间尿频2-3次 排尿不畅复诊 大便正常 纳可 眠安 腰痛 扭伤行动不便", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "覆盆子", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["太子参", "山药", "制巴戟天"], "prev_gap": 49, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51344, "pid": "P79feac279e7e", "date": "2025-10-29", "sex": "男", "age": 72, "cc": "夜间尿等待复诊", "hpi": "夜间尿等待明显好转 大便正常 纳可 失眠 阴囊潮湿", "wm_dx": ["前列腺增生", "失眠"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "秦艽", "羌活"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51346, "pid": "P1114c01c431a", "date": "2025-10-29", "sex": "男", "age": 44, "cc": "尿频，尿不尽半年", "hpi": "尿频，尿烧灼感，尿黄，有异味，夜尿2-3次，口服三金片，诺氟沙星症状好转，天凉加重，少腹发胀，腰疼，腿抽筋，耳痒，睡眠一般，大便不成型，不能吃生冷，口干口苦，咽干，乏力，恶心感，伴有性功能减退,复诊，症状好转，有点烧心", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "当归", "川芎", "白芍", "猪苓", "茯苓", "海螵蛸", "黄连片", "人参", "炙黄芪", "煅瓦楞子"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "当归", "川芎", "白芍", "猪苓", "茯苓", "滑石", "黄连片", "人参", "炙黄芪"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 51347, "pid": "P48010461f619", "date": "2025-10-29", "sex": "男", "age": 34, "cc": "尿频2-3年", "hpi": "尿频，大便正常，睡眠正常，纳可，晨起口干喝水，情绪焦虑，腰痛乏力", "wm_dx": ["尿频", "腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "flags": [], "prev_rx": ["当归", "川芎", "白芍", "茯苓", "泽泻", "北柴胡", "麸炒枳实", "制远志", "丹参", "鸡血藤", "菟丝子", "枸杞子", "蜈蚣"], "prev_gap": 47, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 3} {"rid": 51356, "pid": "Peec7d6fae84b", "date": "2025-10-29", "sex": "男", "age": 40, "cc": "尿频2-3年", "hpi": "尿频，白天可，夜尿3-4次，夜间勃起，无腹痛，无腰疼，睡眠可，同房不规律，大便正常，纳可，口苦，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "茯苓", "猪苓", "牡丹皮", "黄芩片", "石菖蒲", "赤小豆", "煅龙骨", "煅牡蛎", "滑石"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51360, "pid": "P1aa922eda6ec", "date": "2025-10-29", "sex": "男", "age": 53, "cc": "尿频6-7年", "hpi": "尿频，夜尿2-3次，大便正常，头晕，纳可，口干渴，无晨勃，无勃起，无怕冷，乏力", "wm_dx": ["尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "制远志", "知母", "盐关黄柏", "地黄", "牡丹皮", "天花粉", "牡蛎", "醋龟甲", "赤小豆", "丹参", "鸡血藤"], "flags": [], "prev_rx": ["炒苦杏仁", "豆蔻", "砂仁", "法半夏", "牛膝", "滑石", "盐关黄柏", "赤小豆", "白花蛇舌草", "天麻", "钩藤", "丹参", "鸡血藤", "制远志", "茵陈"], "prev_gap": 14, "visit_ix": 1, "n_visits": 22, "visit_ix_rx": 1, "n_rx": 17} {"rid": 51361, "pid": "P8147364f1c09", "date": "2025-10-29", "sex": "男", "age": 34, "cc": "尿频4月", "hpi": "尿频，拟育未成功，排尿可，大便正常，睡眠熬夜易醒，纳可，口和，矢气多，阴囊部刺痒，夜间加重", "wm_dx": ["股癣"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "地黄", "牡丹皮", "山药", "酒萸肉", "茯苓", "泽泻", "醋龟甲", "麦冬", "酒女贞子", "菟丝子", "覆盆子", "盐车前子", "姜厚朴", "北沙参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 51362, "pid": "P62534e4e7100", "date": "2025-10-29", "sex": "男", "age": 38, "cc": "会阴不适感一周", "hpi": "会阴部不适感，睾丸时有串痛，有尿意，无尿痛，无腹痛，无腰疼，大便粘，纳可，凉的吃的少，睡眠多梦，少量口干口苦，怕冷，时间短", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "煅龙骨", "煅牡蛎", "炒苦杏仁", "赤小豆", "当归", "白芍", "川芎", "石菖蒲", "炙黄芪", "天花粉", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51374, "pid": "Pba1b84d2a486", "date": "2025-10-29", "sex": "男", "age": 34, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，PR 20%。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51379, "pid": "P3be10993256d", "date": "2025-10-29", "sex": "男", "age": 70, "cc": "前列腺增生 慢性前列腺炎复诊", "hpi": "前列腺增生 慢性前列腺炎复诊 腰痛 尿频 尿急 排尿不畅 大便正常 纳可 眠安 类风湿性手关节炎 取药", "wm_dx": ["类风湿性手关节炎", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "秦艽", "山慈菇", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 8, "n_visits": 19, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51383, "pid": "Pf1856e57cdd6", "date": "2025-10-30", "sex": "男", "age": 75, "cc": "尿频复诊", "hpi": "尿频，尿急，尿不尽好转，无尿痛，夜尿3次，左侧腰疼，腿水肿，少腹发胀，大便正常，纳可，无怕冷，不欲饮水，口干苦，有痰，睡眠一般复诊，效果无，乏力感消瘦", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "猪苓", "茯苓", "泽泻", "麸炒白术", "麻黄", "炒苦杏仁", "赤小豆", "北柴胡", "牡丹皮", "燀桃仁", "红花", "干姜"], "flags": [], "prev_rx": ["桂枝", "猪苓", "茯苓", "泽泻", "麸炒白术", "麻黄", "炒苦杏仁", "赤小豆", "北柴胡", "牡丹皮", "燀桃仁", "红花", "黄芩片", "干姜"], "prev_gap": 6, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 6} {"rid": 51386, "pid": "P3c387a4caaf4", "date": "2025-10-30", "sex": "男", "age": 73, "cc": "阴囊潮湿复诊", "hpi": "阴囊潮湿改善 便秘 纳可 眠安 前列腺增生取药 尿频尿急 尿等待 腰痛", "wm_dx": ["便秘", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "山慈菇", "羌活", "太子参", "制巴戟天", "枸杞子", "麸炒芡实", "覆盆子"], "flags": [], "prev_rx": ["猪苓", "山慈菇", "羌活", "太子参", "制巴戟天", "枸杞子", "麸炒芡实"], "prev_gap": 7, "visit_ix": 4, "n_visits": 9, "visit_ix_rx": 4, "n_rx": 9} {"rid": 51401, "pid": "Pe4a4ab39ce11", "date": "2025-10-30", "sex": "男", "age": 41, "cc": "少腹隐痛一周余", "hpi": "少腹隐痛一周余 大小便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["川牛膝", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["三七粉", "麸炒薏苡仁", "麸炒芡实"], "prev_gap": 32, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51407, "pid": "P3773c43c9f49", "date": "2025-10-30", "sex": "男", "age": 39, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51410, "pid": "P9ede863498c1", "date": "2025-10-30", "sex": "男", "age": 38, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆", "盐关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连片", "麸炒苍术", "百部", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51412, "pid": "Pe4abc12aa1b9", "date": "2025-10-30", "sex": "男", "age": 74, "cc": "尿频半年", "hpi": "伴有夜尿4-5次 大便正常 纳可 眠安 角膜炎复诊取药", "wm_dx": ["前列腺增生", "角膜炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "秦艽"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51413, "pid": "P2fbabeeded7c", "date": "2025-10-30", "sex": "男", "age": 48, "cc": "会阴不适1月", "hpi": "会阴不适1月，伴尿道灼热，夜尿1次，小腹不适，大便质干，纳可，眠一般，梦多，口干，盗汗。包皮瘙痒。", "wm_dx": ["前列腺炎", "包皮龟头炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51414, "pid": "P0d01202dc68a", "date": "2025-10-30", "sex": "男", "age": 67, "cc": "腰痛半年", "hpi": "腰痛半年 伴有勃起不坚 晨勃少 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51420, "pid": "P320832e83834", "date": "2025-10-30", "sex": "男", "age": 44, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作劳累，压力大，同居感情可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51422, "pid": "Pc39d54b5413a", "date": "2025-10-30", "sex": "男", "age": 30, "cc": "尿频尿急1周", "hpi": "尿频尿急1周，大便正常，纳可，腰酸疼，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["知母", "炒酸枣仁", "猪苓", "太子参", "醋五味子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["知母", "炒酸枣仁", "猪苓"], "prev_gap": 23, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 6} {"rid": 51430, "pid": "P6eccb99a9d20", "date": "2025-10-30", "sex": "男", "age": 69, "cc": "尿不尽 尿频半年", "hpi": "尿不尽 尿频半年 大便正常 纳可 眠安 腰痛乏力 气短 口干", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "制巴戟天", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 51431, "pid": "Pe9ea40128b51", "date": "2025-10-30", "sex": "男", "age": 55, "cc": "尿频复诊", "hpi": "尿频复诊，夜尿3-4次，尿线细改善，无尿后余沥，伴会阴不适，大便质干，纳可，眠一般，口干，腰痛盗汗。工作久坐。 高脂血症取药", "wm_dx": ["前列腺增生", "动脉硬化", "高脂血症", "冠状动脉性心脏病"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "羌活", "秦艽"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51433, "pid": "Pfc8dcd76c49c", "date": "2025-10-30", "sex": "男", "age": 55, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。外院金津医生诊治，抄方。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["龟甲胶", "鹿角胶"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51436, "pid": "Pc117dd70b675", "date": "2025-10-31", "sex": "男", "age": 70, "cc": "夜尿4-5次2-3年", "hpi": "尿急，夜尿4-5次，时有尿道疼痛感，色正常，无腹痛，无腰疼，大便正常，纳可，不吃生冷，口和，喝水即尿，怕冷，乏力消瘦,复诊。排尿疼痛消失，夜尿次数减少，排尿通畅，睡眠好转", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["淋证", "湿热下注证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "茯苓", "泽泻", "滑石", "阿胶珠", "麸炒白术", "猪苓", "黑顺片", "炙甘草", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "滑石", "阿胶珠", "麸炒白术", "猪苓", "黑顺片", "炙甘草", "煅龙骨", "煅牡蛎"], "prev_gap": 7, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51437, "pid": "P1b7fd08a87fb", "date": "2025-10-31", "sex": "男", "age": 71, "cc": "尿频半年", "hpi": "尿频，尿急，尿无力，夜尿多，近2月夜尿3-4次，尿等待感，无尿痛，无腹痛，大便费劲，肠镜有息肉，胃炎，食管返流，口苦口气重，怕热，复诊，夜尿少减，夜尿一次，咽部有痰，阴囊潮湿，大便干", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "煅龙骨", "煅牡蛎", "猪苓", "黄连片", "紫苏叶", "炒栀子", "淡豆豉", "当归", "川芎", "火麻仁", "姜厚朴", "法半夏", "滑石", "人参"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "煅龙骨", "煅牡蛎", "猪苓", "茯苓", "当归", "川芎", "赤小豆", "姜厚朴", "滑石", "紫苏叶", "炒栀子", "淡豆豉", "法半夏"], "prev_gap": 7, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 51438, "pid": "P7ed0f41439e8", "date": "2025-10-31", "sex": "男", "age": 55, "cc": "双侧腹股沟潮湿泛红复诊取药", "hpi": "双侧腹股沟潮湿泛红复诊取药 ,阴囊潮湿，大小便正常 纳可 眠安，股癣一月余,复诊：腹股沟少潮红，排尿正常，大便不成型4-5次，纳可，口和，睡眠正常，无怕冷", "wm_dx": ["足癣", "股癣"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["赤小豆", "白花蛇舌草", "秦皮", "黄连片", "黄芩片", "白头翁", "甘草片", "麸炒薏苡仁", "党参片", "干姜", "茯苓", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["山慈菇", "羌活", "茯苓", "三七粉"], "prev_gap": 11, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 51439, "pid": "P8fbba3930d3a", "date": "2025-10-31", "sex": "男", "age": 45, "cc": "血尿一天", "hpi": "10月1日血尿一次，急诊检查输液3天治疗后，症状好转，前日出现怕冷，体温37.5°，昨日晨起血尿，身痛，无尿痛，左侧时有腰疼，无腹痛，大便稀。38.2°", "wm_dx": ["血尿"], "tcm_dx": [["血淋", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "葛根", "白芍", "生姜", "大枣", "猪苓", "茯苓", "广金钱草", "淡竹叶", "赤小豆", "白花蛇舌草", "荆芥", "防风", "醋鸡内金", "海金沙"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51446, "pid": "P64d1bf0f8bb8", "date": "2025-10-31", "sex": "男", "age": 42, "cc": "阴囊不适3天", "hpi": "阴囊不适3天，外院查睾丸和精索静脉超声报：轻度精索静脉曲张。服用小金丸后症状缓解。易反复。，排尿正常，大便不成型，纳可，口和，睡眠正常，无怕冷，怕热，复诊：症状好转，口干", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["子痈", "气滞血瘀证", "活血化瘀"], ["精浊", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "川芎", "白芍", "茯苓", "泽泻", "猪苓", "牡丹皮", "菟丝子", "枸杞子", "盐车前子", "牡蛎", "麸炒白术", "醋龟甲", "川楝子", "桂枝", "红景天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "川芎", "熟地黄", "茯苓", "泽泻", "陈皮", "桂枝", "滑石", "菟丝子", "枸杞子", "覆盆子", "醋龟甲", "射干", "牡蛎", "酒黄精"], "prev_gap": 14, "visit_ix": 3, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 9} {"rid": 51449, "pid": "Pc3e9ad514f2e", "date": "2025-10-31", "sex": "男", "age": 38, "cc": "尿频半年", "hpi": "尿频，大便便秘粘 ，矢气多，睡眠一般，入睡困难，干呕，胃部不适，现大便好转，睡眠可，纳一般，口和，时有干呕，无怕冷", "wm_dx": ["便秘"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["胁痛", "肝郁证", "疏肝养血"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "人参", "赤小豆", "焦山楂", "焦麦芽", "醋鸡内金", "佩兰", "滑石", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 51458, "pid": "Pa016e8aa0618", "date": "2025-10-31", "sex": "男", "age": 27, "cc": "左侧腹股沟疼痛复查", "hpi": "大小便正常 纳可 眠安 少腹隐痛 腰痛 左侧腹股沟疼痛缓解，口和", "wm_dx": ["静脉曲张", "精索静脉曲张", "附睾炎", "腹股沟淋巴结炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["桂枝", "北柴胡", "黄芩", "法半夏", "人参", "生姜", "大枣", "桃仁", "红花", "牡丹皮", "茯苓", "猪苓", "川楝子", "荔枝核", "炙甘草"], "flags": [], "prev_rx": ["肉桂", "盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "灵芝", "车前草", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "夏枯草", "醋延胡索"], "prev_gap": 17, "visit_ix": 7, "n_visits": 28, "visit_ix_rx": 2, "n_rx": 21} {"rid": 51459, "pid": "P198a40055bee", "date": "2025-10-31", "sex": "男", "age": 79, "cc": "前列腺增生复查", "hpi": "前列腺增生复查 现夜尿增多，尿滴沥不尽，尿痛，怕冷， 腰疼痛3月27日在肿瘤科检查PSA6.86，尿白细胞高 包皮龟头炎一月余 现尿痛，尿费劲，口服头孢后尿WBC582，失眠，关节痛，复查，WBC235，后背皮肤刺痒明显，一直应用卤米松外用", "wm_dx": ["瘙痒症", "前列腺增生", "接触性皮炎", "失眠"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血止痛"], ["精癃", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "黑顺片", "熟地黄", "山药", "干姜", "盐补骨脂", "酒萸肉", "茯苓", "细辛", "路路通", "当归", "川芎", "人参", "炙黄芪", "麻黄", "阿胶珠"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "山药", "干姜", "盐补骨脂", "酒萸肉", "茯苓", "泽泻", "路路通", "当归", "川芎", "炙黄芪", "阿胶珠", "麻黄", "人参"], "prev_gap": 10, "visit_ix": 29, "n_visits": 35, "visit_ix_rx": 6, "n_rx": 12} {"rid": 51468, "pid": "P590a36cd86a2", "date": "2025-10-31", "sex": "男", "age": 28, "cc": "慢性前列腺炎复诊", "hpi": "尿异味伴小腹胀痛明显好转，自觉尿少，前日酒后出现尿痛，尿等待，腰疼，无腹痛，口和，睡眠中途醒多梦，怕热，大便可，有痔疮", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["炒栀子", "淡豆豉", "赤小豆", "白花蛇舌草", "煅龙骨", "煅牡蛎", "炒苦杏仁", "牡丹皮", "白芍", "当归", "地榆", "炒槐花"], "flags": [], "prev_rx": ["太子参", "桑椹", "麦冬", "黄芪"], "prev_gap": 101, "visit_ix": 3, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 3} {"rid": 51471, "pid": "Pda1fd77592f9", "date": "2025-10-31", "sex": "男", "age": 39, "cc": "腰痛伴勃起不坚1年", "hpi": "腰痛伴勃起不坚1年，可同房，晨勃可，硬度改善，性欲一般，夜寐可，长期饮酒，吃凉腹泻，口中和，乏力，嗜睡", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "浙贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓"], "prev_gap": 35, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 51472, "pid": "P63fa8af03037", "date": "2025-10-31", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年，失眠，乏力房事后明显，纳差，大便可，压力大", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["精浊", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "莲子", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51473, "pid": "P5d00af6dc242", "date": "2025-11-01", "sex": "男", "age": 74, "cc": "前列腺增生复诊", "hpi": "尿频 尿急 尿等待 大便正常 纳可 眠差", "wm_dx": ["附睾炎", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "秦艽", "山慈菇"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51477, "pid": "P3ba28fafd9a8", "date": "2025-11-01", "sex": "男", "age": 32, "cc": "右侧睾丸坠胀感一周", "hpi": "右侧睾丸坠胀，排尿正常，无腹痛，无腰疼，反酸，大便便秘2-3天，口干口苦。冬天脚冷，夏天脚热，睡眠一般，乏力，头晕，复诊，睾丸坠胀消失 ，大便1-2天一次，口干，睡眠多梦，入睡困难，颈部不适感", "wm_dx": ["静脉曲张"], "tcm_dx": [["筋瘤", "肝肾亏虚证", "滋补肝肾"]], "rx": ["葛根", "桂枝", "茯苓", "猪苓", "白芍", "生姜", "大枣", "牡丹皮", "荆芥", "防风", "人参", "牡蛎", "红景天", "煅龙骨", "菟丝子", "枸杞子"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "茯苓", "猪苓", "酒苁蓉", "当归", "党参片", "枸杞子", "菟丝子", "覆盆子", "盐车前子"], "prev_gap": 7, "visit_ix": 5, "n_visits": 13, "visit_ix_rx": 5, "n_rx": 13} {"rid": 51480, "pid": "Pcc62d7ad4c8a", "date": "2025-11-01", "sex": "男", "age": 37, "cc": "腰痛乏力中途疲软2周", "hpi": "2周前出现腰痛乏力中途疲软，尿频，夜尿2-3次，长期熬夜，口干，盗汗，手足心潮热", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["太子参", "桑椹", "酒黄精", "山慈菇", "龙眼肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51483, "pid": "P80325e729091", "date": "2025-11-01", "sex": "男", "age": 38, "cc": "腰痛伴射精快3年", "hpi": "3年前出现腰痛乏力射精快，尿频，夜尿1-2次，偶有小腹胀，汗出多，盗汗，手足心潮热汗出，包皮龟头红疹，失眠", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "地龙"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51484, "pid": "Pf07e1820a490", "date": "2025-11-01", "sex": "男", "age": 56, "cc": "左侧睾丸不适2年", "hpi": "2年前出现左侧睾丸不适，疼痛，排尿可", "wm_dx": ["精索静脉曲张", "高血压"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51486, "pid": "Pf7536aadaad8", "date": "2025-11-01", "sex": "男", "age": 39, "cc": "尿频半年", "hpi": "尿频，尿不尽，夜尿正常，大便2-3天一次，纳可，口和，性欲一般，硬度一般，时间短，一月1-2次。怕冷，无腰疼。眼睑发黄", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "茵陈", "炒栀子", "大黄", "北柴胡", "石菖蒲", "盐蒺藜", "当归", "川芎", "丹参", "鸡血藤", "醋龟甲", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51496, "pid": "P22052dd7b314", "date": "2025-11-01", "sex": "男", "age": 46, "cc": "尿频尿急6月", "hpi": "6月前出现尿频尿急，小腹胀痛，排尿不畅，无其他不适", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "小蓟", "白花蛇舌草", "大蓟"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "制巴戟天", "盐益智仁", "山药", "牛膝", "金樱子", "麸炒芡实", "醋五味子"], "prev_gap": 86, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 51497, "pid": "Pa64c58ab650b", "date": "2025-11-01", "sex": "男", "age": 54, "cc": "尿频一年", "hpi": "尿频，夜尿4-5次，睡眠浅，早醒，大便不成型2次粘。纳可，喜凉，时有口苦，无怕冷，无疲乏感，复诊夜尿2-3次，睡眠好转，矢气多，怕冷", "wm_dx": ["脂肪肝"], "tcm_dx": [["精浊", "肝胆湿热证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "桂枝", "人参", "茯苓", "泽泻", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "炒栀子", "淡豆豉", "麸炒白术", "茵陈", "滑石", "干姜", "姜厚朴"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51499, "pid": "P68834639139f", "date": "2025-11-01", "sex": "男", "age": 37, "cc": "尿急一月", "hpi": "尿急一月 尿无力，口苦口干，大便粘，喝冷水，阴囊潮湿，多梦，怕热 腰痛 晨勃少 乏力", "wm_dx": ["慢性前列腺炎", "肾结石", "腰痛"], "tcm_dx": [["石淋", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "猪苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51501, "pid": "Pc2391ccf7f82", "date": "2025-11-01", "sex": "男", "age": 43, "cc": "包皮溃疡复诊", "hpi": "包皮溃疡 尿频 纳可 眠安 慢性前列腺炎取药", "wm_dx": ["包皮龟头炎", "慢性前列腺炎"], "tcm_dx": [["包皮龟头炎", "热毒", "清热解毒"], ["湿疮", "湿热毒证", "清热解毒"], ["精浊", "湿热下注证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "马齿苋", "地榆", "盐黄柏", "金银花", "蒲公英", "地肤子", "白花蛇舌草", "小蓟", "黄芩", "黄连"], "flags": [], "prev_rx": ["蛇床子", "马齿苋", "地榆", "盐黄柏", "金银花", "蒲公英", "地肤子", "白花蛇舌草", "小蓟", "黄芩", "黄连"], "prev_gap": 17, "visit_ix": 13, "n_visits": 17, "visit_ix_rx": 1, "n_rx": 3} {"rid": 51505, "pid": "Pe45eb79b0378", "date": "2025-11-01", "sex": "男", "age": 33, "cc": "腰痛1年", "hpi": "腰痛1年，口服他达拉非，硬度下降改善，性欲可，工作可，压力可。晨勃改善。工作可，焦虑可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "菟丝子", "制远志", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "prev_gap": 49, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 5} {"rid": 51517, "pid": "P965b8a647d74", "date": "2025-11-01", "sex": "男", "age": 35, "cc": "腰痛乏力伴勃起中途疲软2月", "hpi": "2月前出现腰痛乏力伴勃起中途疲软，既往手淫频繁，尿道口红肿，小腹不适，口干，偶有口苦，夜寐可，发白，大便正常，睡眠正常，纳可，怕冷，腰酸疼", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾阳虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "桂枝", "生姜", "大枣", "干姜", "牡蛎", "当归", "川芎", "茯苓", "泽泻", "制巴戟天", "仙茅", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 5} {"rid": 51521, "pid": "Pdc2ad872fac9", "date": "2025-11-01", "sex": "男", "age": 36, "cc": "阴囊潮湿一年", "hpi": "阴囊潮湿，硬度正常，时间短，拟育，两地分居，一月同房一次，尿等待，大便正常，睡眠正常，纳可，不能吃凉，口干，手热，现尿等待，尿不尽，手心热，口干，鼻塞，著涼易腹瀉", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "脾虚证", "疏肝健脾"]], "rx": ["北柴胡", "黄芩片", "牡丹皮", "石菖蒲", "猪苓", "熟地黄", "牡蛎", "当归", "桂枝", "连翘", "赤小豆", "炙甘草", "山药", "乌药", "盐益智仁"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "牡丹皮", "石菖蒲", "猪苓", "熟地黄", "牡蛎", "当归", "桂枝", "连翘", "赤小豆", "炙甘草", "山药", "乌药", "盐益智仁"], "prev_gap": 7, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 51524, "pid": "Pb80254f061a4", "date": "2025-11-01", "sex": "男", "age": 35, "cc": "尿频半年", "hpi": "尿频，大便正常，纳可，睡眠正常中途醒，近半年未育。口干喝水口苦，怕冷，出汗少，睾丸坠胀感隐痛消失", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾阴虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "生姜", "大枣", "炒栀子", "菟丝子", "枸杞子", "川芎", "覆盆子", "盐车前子", "牡蛎", "红景天", "熟地黄", "滑石", "淡豆豉"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "生姜", "大枣", "人参", "菟丝子", "枸杞子", "川芎", "覆盆子", "盐车前子", "牡蛎", "红景天", "熟地黄", "滑石"], "prev_gap": 17, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 51525, "pid": "P2012b24c84fa", "date": "2025-11-01", "sex": "男", "age": 26, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["精索静脉曲张", "腰痛"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "路路通", "炒王不留行"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "路路通", "炒王不留行"], "prev_gap": 20, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 51526, "pid": "P19ee95480429", "date": "2025-11-01", "sex": "男", "age": 32, "cc": "腰痛乏力2月", "hpi": "2月前出现腰痛乏力，近期想生育，长期熬夜，口干口苦，夜寐差，多梦", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "醋五味子", "韭菜子", "盐车前子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51527, "pid": "Pb0afabb485ae", "date": "2025-11-01", "sex": "男", "age": 29, "cc": "尿频 尿黄 泡沫多大半年", "hpi": "尿频 尿黄 泡沫多 夜尿1-2次，大便正常， 纳可，吃凉的少， 口气重，口干口苦，乏力，服用药物后复诊，口气重，乏力感。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "制远志", "石菖蒲", "黑顺片", "麸炒枳实", "桂枝", "干姜", "牡蛎", "当归", "川芎", "白芍", "茯苓", "醋鸡内金", "人参", "焦山楂", "滑石", "炒栀子", "淡豆豉"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "制远志", "石菖蒲", "佩兰", "麸炒枳实", "桂枝", "干姜", "牡蛎", "当归", "川芎", "白芍", "茯苓", "醋鸡内金", "人参", "焦山楂", "滑石", "炒栀子", "淡豆豉"], "prev_gap": 7, "visit_ix": 8, "n_visits": 16, "visit_ix_rx": 5, "n_rx": 11} {"rid": 51529, "pid": "P8c828663469d", "date": "2025-11-01", "sex": "男", "age": 49, "cc": "腰痛乏力伴勃起欠佳1年", "hpi": "1年前出现腰痛乏力伴勃起欠佳，射精快，排尿可，大便可，长期熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["麸炒枳实", "白芍", "茯苓", "麸炒白术", "豆蔻", "炒麦芽", "盐蒺藜", "石菖蒲", "醋香附", "蜈蚣", "川芎", "炒僵蚕", "炙甘草", "北柴胡", "醋龟甲", "炙淫羊藿", "制巴戟天", "锁阳", "韭菜子", "酒苁蓉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 51533, "pid": "Pdf4d5c82755f", "date": "2025-11-01", "sex": "男", "age": 41, "cc": "腰痛半年", "hpi": "腰痛半年，勃起中途疲软，射精快，性欲减退，长期熬夜，晨勃可，口干口苦，易生气，出汗多，盗汗，手足心潮热汗出。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "黄芪", "仙茅", "制巴戟天", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 51543, "pid": "P4548da7ce249", "date": "2025-11-02", "sex": "男", "age": 58, "cc": "腰痛乏力6月", "hpi": "乏力，腰痛，冠心病 高血压复查 大小便正常 纳可 眠安", "wm_dx": ["高血压", "冠状动脉性心脏病"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痹", "瘀血阻络证", "活血通络"]], "rx": ["太子参", "知母", "炒酸枣仁", "桑椹", "山慈菇"], "flags": [], "prev_rx": ["太子参", "山药", "知母", "炒酸枣仁"], "prev_gap": 98, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51544, "pid": "P3d9132260f7f", "date": "2025-11-02", "sex": "男", "age": 40, "cc": "阴囊潮湿龟头红疹瘙痒3月", "hpi": "3月前出现阴囊潮湿龟头红疹瘙痒，性欲减退，勃起欠佳，尿无力，夜尿1次，无小腹胀痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "韭菜子", "麸炒苍术", "黄柏", "麸炒薏苡仁", "牛膝", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51550, "pid": "P3d72af045e83", "date": "2025-11-02", "sex": "男", "age": 70, "cc": "前列腺增生复诊", "hpi": "排尿后腰部不适稍好转，排尿不畅，夜尿1次，夜寐差多梦，无小腹不适", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51552, "pid": "P2592a0dda203", "date": "2025-11-02", "sex": "男", "age": 51, "cc": "阴囊潮湿伴尿分叉6月", "hpi": "6月前出现阴囊潮湿伴尿分叉，尿混浊，射精量少，中途疲软，夜尿3次，打鼾，夜寐差", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天", "仙茅", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51560, "pid": "P8c62a47f0654", "date": "2025-11-02", "sex": "男", "age": 49, "cc": "复诊", "hpi": "病史同前。精液量少。口干口苦反复，气短，下肢凉消。夜尿0次。", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "龙骨", "桑椹", "桑寄生", "蜜桑白皮", "桑叶", "牡蛎", "瓜蒌", "薤白", "炙黄芪", "炙甘草"], "flags": [], "prev_rx": ["桂枝", "白芍", "桑椹", "牡蛎", "薤白", "炙黄芪", "炙甘草", "瓜蒌", "龙骨", "桑寄生", "蜜桑白皮", "桑叶"], "prev_gap": 6, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 51570, "pid": "Pb6f7759f23ca", "date": "2025-11-02", "sex": "男", "age": 42, "cc": "尿频尿急半年", "hpi": "尿频尿急半年 大便正常 纳可 眠安，腰痛乏力", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["麸炒芡实", "羌活", "太子参", "桑椹", "龙眼肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["麸炒芡实", "羌活", "太子参"], "prev_gap": 14, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 51577, "pid": "P47f9b8ca1ced", "date": "2025-11-02", "sex": "男", "age": 36, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，近期想生育，夜寐差，口中和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "韭菜子", "枸杞子", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 6} {"rid": 51582, "pid": "Pdfab8be53cd8", "date": "2025-11-02", "sex": "男", "age": 27, "cc": "腰痛乏力伴勃起硬度欠佳2年", "hpi": "2年前出现腰痛乏力伴勃起硬度欠佳，排尿可，易困倦，口中和，手足心冷，长期熬夜，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "韭菜子", "制巴戟天", "仙茅", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51592, "pid": "P2bb23fa0262e", "date": "2025-11-02", "sex": "男", "age": 38, "cc": "腰痛乏力发白3月", "hpi": "3月前出现腰痛乏力发白，长期熬夜，口中和，偶有喝酒，夜寐可，易生气，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["炙甘草", "麸炒枳壳", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "制何首乌", "黑芝麻", "熟地黄", "川芎", "麸炒山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51593, "pid": "P8dc567817762", "date": "2025-11-02", "sex": "男", "age": 38, "cc": "腰痛乏力汗出2月", "hpi": "2月前出现腰痛乏力汗出，现勃起不坚，性欲可，晨勃消失，口干口苦，长期熬夜，二便调，盗汗，手足心汗出", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "仙茅", "制巴戟天", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 51595, "pid": "P9efb9c546925", "date": "2025-11-02", "sex": "男", "age": 35, "cc": "阴囊潮湿多年", "hpi": "多年前出现阴囊潮湿瘙痒脱屑，排尿可，偶有小腹不适", "wm_dx": ["阴囊湿疹"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["麸炒苍术", "黄柏", "麸炒薏苡仁", "牛膝", "金樱子", "地肤子", "蛇床子", "金银花", "关黄柏", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51597, "pid": "Pa26845647079", "date": "2025-11-02", "sex": "男", "age": 39, "cc": "盗汗多年", "hpi": "多年前出现盗汗，手足心汗出，偶有口苦，二便调，腰痛乏力", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "浮小麦", "地骨皮", "黄芪", "防己", "甜叶菊叶"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 5} {"rid": 51605, "pid": "Pa6b5079bd0d1", "date": "2025-11-03", "sex": "男", "age": 41, "cc": "腰痛乏力尿无力2年", "hpi": "2年前出现腰痛乏力尿无力，勃起欠佳，口中和，脱发，长期熬夜，夜寐差，盗汗，下肢无力", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "熟地黄", "山药", "盐补骨脂", "盐杜仲", "牛膝", "太子参", "人参", "制巴戟天", "锁阳", "韭菜子", "仙茅"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "熟地黄", "山药", "盐杜仲", "牛膝", "太子参", "人参"], "prev_gap": 7, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 51606, "pid": "P37698a006769", "date": "2025-11-03", "sex": "男", "age": 60, "cc": "复诊", "hpi": "勃起困难，仍觉不能持续，硬度一般，口苦消，大便正常，睡眠可，口中异味。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["九香虫", "白芍", "炙甘草", "地龙", "桂枝", "牡蛎", "龙骨", "蜂房", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 51618, "pid": "Pf8e86f65d7f8", "date": "2025-11-03", "sex": "男", "age": 34, "cc": "复诊", "hpi": "病史同前，以尿不尽为主，夜尿4次 排尿无力，肢冷不甚 无口苦口干。大便正常 纳可 眠安", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "茯苓", "白术", "泽泻", "干姜", "黑顺片", "炙甘草", "盐车前子", "炒苦杏仁", "石菖蒲"], "flags": [], "prev_rx": ["北柴胡", "白芍", "麸炒枳实", "茯苓", "白术", "泽泻", "干姜", "黑顺片", "炙甘草", "石菖蒲"], "prev_gap": 7, "visit_ix": 5, "n_visits": 10, "visit_ix_rx": 2, "n_rx": 7} {"rid": 51620, "pid": "P8a514283131d", "date": "2025-11-03", "sex": "男", "age": 62, "cc": "小腹胀痛3周", "hpi": "3周前出现小腹胀痛，尿等待，夜尿2次，口干口苦，夜寐差，易醒，睾丸疼痛伴下肢疼痛不适1周，夜间加重", "wm_dx": ["附睾囊肿", "精索静脉曲张", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["子痈", "血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "白芍", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "炒决明子", "酒黄精", "黄芪", "炒酸枣仁", "柏子仁", "盐橘核"], "flags": [], "prev_rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "白芍", "路路通", "炒王不留行", "炒决明子", "酒黄精", "黄芪", "炒酸枣仁", "柏子仁"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51622, "pid": "P16018f9f1fd5", "date": "2025-11-03", "sex": "男", "age": 24, "cc": "尿频1月", "hpi": "尿频1月，无尿急，尿量可，无尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗。口服前列舒通胶囊症状缓解，房事后加重。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "川牛膝", "太子参", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51631, "pid": "Pa0c031585891", "date": "2025-11-03", "sex": "男", "age": 71, "cc": "尿频尿急2年", "hpi": "2年前出现尿频尿急，夜尿4-5次，口干口苦，夜寐差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["酒萸肉", "盐益智仁", "山药", "桑椹", "葛根", "盐杜仲", "乌药", "金樱子肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51638, "pid": "P44966817579b", "date": "2025-11-03", "sex": "男", "age": 36, "cc": "腰痛乏力5年", "hpi": "5年前出现腰痛乏力，晨勃可，中途疲软，排尿可，口干，手足心汗出，易生气", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "酒黄精", "人参", "川芎", "韭菜子", "制巴戟天", "仙茅", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51640, "pid": "P816f15bad9d0", "date": "2025-11-03", "sex": "男", "age": 41, "cc": "毛囊炎一月余", "hpi": "毛囊炎一月余 大小便正常 纳可 眠安", "wm_dx": ["毛囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["猪苓", "山慈菇", "金银花"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "山慈菇"], "prev_gap": 18, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51652, "pid": "P6d05846a2346", "date": "2025-11-03", "sex": "男", "age": 46, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51655, "pid": "Pf673a118472d", "date": "2025-11-04", "sex": "男", "age": 37, "cc": "腰痛复诊取药", "hpi": "尿频，性功能减退，勃起硬度好转，左侧大腿根部发热好转，口干好转，口苦，大便不成型，睡眠入睡困难，无怕冷，喝冷易腹泻", "wm_dx": ["慢性前列腺炎", "前列腺增生", "腹股沟淋巴结炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "醋龟甲", "砂仁", "酒女贞子", "覆盆子", "盐杜仲", "桑寄生", "牛膝", "石菖蒲", "盐益智仁", "炒酸枣仁", "柏子仁", "合欢皮", "川楝子", "烫水蛭", "麸炒枳壳", "炙甘草", "北柴胡", "炒蒺藜"], "flags": [], "prev_rx": ["甜叶菊叶", "土茯苓", "败酱草", "茵陈", "盐小茴香", "熟地黄", "酒萸肉", "知母", "烫水蛭", "夏枯草", "蒲公英", "麸炒枳壳", "金银花", "炙甘草", "砂仁", "醋龟甲"], "prev_gap": 14, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 51660, "pid": "P1c9b4a2b8d72", "date": "2025-11-04", "sex": "男", "age": 43, "cc": "包皮龟头炎半月", "hpi": "包皮龟头炎半月 刺痒疼痛 大小便正常 纳可 眠安 湿疹取药", "wm_dx": ["包皮龟头炎", "湿疹"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["湿疮", "热毒壅结证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白花蛇舌草", "白芷", "土茯苓", "败酱草", "黄连", "金银花", "蒲公英", "烫水蛭", "蛇床子", "地肤子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51667, "pid": "Pea83b8bf0b24", "date": "2025-11-04", "sex": "男", "age": 24, "cc": "尿频复诊", "hpi": "尿频好转 大便正常 纳可 眠安 无睾丸疼痛 无少腹隐痛 无口干口苦 腰痛", "wm_dx": ["慢性前列腺炎", "精囊炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "麸炒山药", "陈皮", "知母", "炒酸枣仁", "覆盆子"], "flags": [], "prev_rx": ["制巴戟天", "麸炒山药", "陈皮"], "prev_gap": 34, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 51669, "pid": "P58e3cbf1fece", "date": "2025-11-04", "sex": "男", "age": 55, "cc": "尿中絮状物3年", "hpi": "尿中絮状物3年 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "猪苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 51674, "pid": "P59e4c191c0c7", "date": "2025-11-04", "sex": "男", "age": 84, "cc": "尿频 尿急半年抄方", "hpi": "尿频 尿急半年 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肾虚证", "补肾扶元"]], "rx": ["酒萸肉", "盐益智仁", "山药", "桑椹", "葛根", "杜仲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51677, "pid": "P11f2581af2cc", "date": "2025-11-04", "sex": "男", "age": 40, "cc": "乏力3年", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "当归", "川芎", "茯苓", "猪苓", "制巴戟天", "鹿角霜", "仙茅", "蜈蚣", "炙黄芪", "陈皮"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "当归", "川芎", "白芍", "茯苓", "麸炒枳实", "制巴戟天", "酒苁蓉", "炙淫羊藿", "火麻仁", "人参", "姜厚朴", "焦山楂"], "prev_gap": 7, "visit_ix": 5, "n_visits": 24, "visit_ix_rx": 5, "n_rx": 24} {"rid": 51681, "pid": "Pc6c76e1132ec", "date": "2025-11-04", "sex": "男", "age": 37, "cc": "龟头红斑一周余", "hpi": "龟头红斑一周余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "黄连", "茵陈", "白花蛇舌草", "土茯苓", "败酱草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51682, "pid": "Pbe11787a86bc", "date": "2025-11-04", "sex": "男", "age": 29, "cc": "包皮龟头炎一周", "hpi": "包皮龟头炎一周 刺痒 泛红 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎", "过敏性皮炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "败酱草", "土茯苓", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51687, "pid": "Pcbf95c9f33b2", "date": "2025-11-04", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 伴有勃起困难 中途疲软 晨勃少 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "醋五味子", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51688, "pid": "Pd860c3bcc34d", "date": "2025-11-04", "sex": "男", "age": 23, "cc": "包皮龟头炎 阴囊瘙痒一周余", "hpi": "包皮龟头炎 阴囊瘙痒一周余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎", "泌尿系感染"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "地骨皮", "白花蛇舌草", "土茯苓", "败酱草", "茵陈", "黄连", "百部", "蛇床子", "地肤子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51693, "pid": "Pe6382bacfa7f", "date": "2025-11-04", "sex": "男", "age": 56, "cc": "腰痛半年", "hpi": "伴有阳痿早泄 大小便正常 纳可， 失眠 晨勃少 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51695, "pid": "Pbfe5af025f7b", "date": "2025-11-04", "sex": "男", "age": 25, "cc": "频繁遗精3-4年", "hpi": "频繁遗精，近一周遗精频繁，遗精后尿道疼痛感，平常排尿正常，无腰酸痛，无腹痛，大便正常，纳可，口苦，无怕冷，服药后有一次遗精，多梦，尿黄，复诊。遗精一次，睡眠好转。口苦消失，口干", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "法半夏", "人参", "牡丹皮", "生石膏", "白花蛇舌草", "煅龙骨", "煅牡蛎", "滑石", "猪苓", "泽泻", "阿胶珠", "甘草片"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "人参", "赤小豆", "白花蛇舌草", "煅龙骨", "煅牡蛎", "滑石", "猪苓", "泽泻", "阿胶珠", "甘草片", "牡丹皮"], "prev_gap": 25, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 51701, "pid": "Pde25404752d2", "date": "2025-11-04", "sex": "男", "age": 63, "cc": "腰痛半年", "hpi": "腰痛半年 早泄 时间2分钟左右 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "防风", "麸炒芡实", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "灵芝", "莲子", "砂仁", "麸炒枳壳", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "菟丝子", "韭菜子", "山药", "麸炒白术", "炙甘草", "制吴茱萸", "地龙", "五加皮", "地骨皮", "木香", "桂枝", "醋五味子", "五倍子", "细辛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "黄芪", "石菖蒲", "麸炒芡实", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "灵芝", "莲子", "砂仁", "麸炒枳壳", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "菟丝子", "韭菜子", "醋龟甲", "烫水蛭", "炙甘草", "制吴茱萸", "制远志", "木香", "桂枝", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "prev_gap": 7, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 51712, "pid": "Pea0692aa3bb1", "date": "2025-11-04", "sex": "男", "age": 29, "cc": "腰痛半年", "hpi": "腰痛半年 伴有性欲下降2月 大小便正常 纳可 失眠 中途疲软 勃起不持久 晨勃消失", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "麦冬", "醋五味子", "石斛", "山药", "炒酸枣仁", "柏子仁", "石菖蒲", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "麸炒枳壳", "烫水蛭", "炙甘草", "酒黄精", "防风"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51717, "pid": "P52835c321770", "date": "2025-11-04", "sex": "男", "age": 40, "cc": "尿频半年", "hpi": "尿频，中途疲软，睡眠一般，纳可，口和，排尿正常，大便正常，服药后睡眠好转，不欲射精", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "滑石", "石菖蒲", "麸炒枳实", "当归", "川芎", "茯苓", "熟地黄", "山药", "酒萸肉", "菟丝子", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "路路通"], "flags": [], "prev_rx": ["北柴胡", "制远志", "石菖蒲", "麸炒枳实", "当归", "川芎", "茯苓", "熟地黄", "山药", "酒萸肉", "菟丝子", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "路路通"], "prev_gap": 21, "visit_ix": 5, "n_visits": 9, "visit_ix_rx": 4, "n_rx": 8} {"rid": 51718, "pid": "P441434f3356b", "date": "2025-11-05", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 精液发黄 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "枸杞子", "覆盆子", "醋五味子", "酒女贞子", "菟丝子", "麸炒枳壳", "党参", "黄芪", "山药", "熟地黄", "酒萸肉", "知母", "黑芝麻", "砂仁", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51721, "pid": "Pf1837cc0620f", "date": "2025-11-05", "sex": "男", "age": 27, "cc": "尿频一月", "hpi": "尿频，夜尿正常，大便不成型，睡眠中途醒，口渴，怕冷，手脚发凉，无腰疼，硬度正常，晨勃正常，就诊2次同房经历，时间短", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "茯苓", "泽泻", "猪苓", "牡丹皮", "党参片", "煅龙骨", "煅牡蛎", "小通草", "当归", "细辛", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, 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"visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 51731, "pid": "Peb16fc41cd96", "date": "2025-11-05", "sex": "男", "age": 64, "cc": "尿频一月", "hpi": "尿频，夜尿1-2次 ，腰酸痛，晨勃无，大便一次，纳可，睡眠正常，晨起口干口苦，怕冷，复诊，尿频好转，口干口苦减轻，仍腰酸痛，勃起不行", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不足证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "葛根", "生姜", "大枣", "盐补骨脂", "桑寄生", "丹参", "鸡血藤", "制远志", "蜂房", "炙淫羊藿", "黑顺片", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 51733, "pid": "P7f6d3d7fc67f", "date": "2025-11-05", "sex": "男", "age": 39, "cc": "小腹胀痛睾丸不适6月", "hpi": "小腹胀痛睾丸不适6月，排尿可，司机久坐", "wm_dx": ["精索静脉曲张", "静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "滋补肾精"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "盐橘核", "荔枝核"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51735, "pid": "Pb7df98d02f5d", "date": "2025-11-05", "sex": "男", "age": 44, "cc": "尿频2-3年", "hpi": "尿频，尿急，夜尿正常，大便2-3次，纳可，睡眠可，时有口干口苦，时有晨勃，硬度一般，时间短，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "牡丹皮", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "茵陈", "炒栀子", "蜂房", "蜈蚣"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "人参", "茵陈", "炒栀子", "丹参", "石菖蒲", "制远志", "鸡血藤", "地黄", "白芍", "蜈蚣", "牡丹皮"], "prev_gap": 11, "visit_ix": 2, "n_visits": 12, "visit_ix_rx": 2, "n_rx": 11} {"rid": 51736, "pid": "Pf38101f0bf35", "date": "2025-11-05", "sex": "男", "age": 27, "cc": "尿频3年", "hpi": "尿频，夜尿正常，大便正常，睡眠多梦，纳可，口干，晨勃可，硬度一般，时间短1分钟，一月同房一次，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白薇", "醋五味子", "桂枝", "白芍", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "炙甘草", "制巴戟天", "仙茅", "党参片"], "flags": [], "prev_rx": ["白薇", "醋五味子", "桂枝", "白芍", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "炙甘草", "制巴戟天", "仙茅"], "prev_gap": 11, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51737, "pid": "P8905146ca8e5", "date": "2025-11-05", "sex": "男", "age": 37, "cc": "腰痛伴射精快多年", "hpi": "腰痛伴射精快，射精无力，无快感，自觉龟头敏感度高，尿道不适疼痛，夜寐差，盗汗，龟头红疹", "wm_dx": ["泌尿系感染"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["失眠", "气血两虚证", "补益气血"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "金银花", "蒲公英", "地肤子", "茯苓"], "flags": [], "prev_rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "金银花", "蒲公英", "地肤子", "烫水蛭"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 51738, "pid": "P2926585ebf71", "date": "2025-11-05", "sex": "男", "age": 26, "cc": "尿频一月", "hpi": "尿频，晨勃逐渐恢复，性欲一般，硬度一般，乏力感，头晕大便正常，纳可，睡眠正常，口和，无怕冷，怕热易汗", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "丹参", "鸡血藤", "茯苓", "猪苓", "当归", "川芎", "石菖蒲", "制远志", "党参片", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51744, "pid": "Paa452ab2f5eb", "date": "2025-11-05", "sex": "男", "age": 63, "cc": "右侧睾丸疼痛伴肿大1周", "hpi": "1周前着凉后出现右侧睾丸疼痛伴肿大，排尿可，小腹胀痛", "wm_dx": ["附睾炎", "泌尿系感染"], "tcm_dx": [["子痈", "血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "盐橘核", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51748, "pid": "P9baece89f913", "date": "2025-11-05", "sex": "男", "age": 39, "cc": "腰疼2周", "hpi": "勃起硬度减，或不能持续。症状1-2年，近2周加重。腰疼，无尿。父亲高血压。易腹泻，排尿正常，喝水少，口干口苦，口气重，汗多，怕冷，睡眠中途醒，乏力感", "wm_dx": ["代谢综合征"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "黄芩", "干姜", "人参", "当归", "川芎", "白芍", "茯苓", "猪苓", "焦山楂", "醋鸡内金", "黄连", "炒栀子", "甜叶菊叶"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "黄芩", "干姜", "人参", "当归", "川芎", "白芍", "茯苓", "猪苓", "焦山楂", "醋鸡内金", "炒苦杏仁", "炒栀子"], "prev_gap": 14, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 5, "n_rx": 7} {"rid": 51751, "pid": "P11fd934cfd9e", "date": "2025-11-05", "sex": "男", "age": 45, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，晨勃少，工作压力大，同居感情可，二便调，纳眠可，无排尿不畅，口干口苦，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "茯苓", "泽泻", "当归", "川芎", "丹参", "鸡血藤", "黄芩片", "蜈蚣", "制巴戟天", "仙茅", "党参片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "制巴戟天", "红景天", "白芷", "当归", "川牛膝", "茯苓", "酒黄精"], "prev_gap": 24, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51753, "pid": "Pd4591872c0e6", "date": "2025-11-05", "sex": "男", "age": 36, "cc": "尿频一年", "hpi": "尿频，中途疲软，时间短2-3分钟，多汗，无盗汗，乏力感，睡眠一般，早醒，纳一般，生冷易腹泻，口干，微怕冷", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "脾肾两虚证", "温补肾精"]], "rx": ["法半夏", "黄芩片", "黄连片", "人参", "煅龙骨", "煅牡蛎", "干姜", "大枣", "姜厚朴", "熟地黄", "炙淫羊藿", "仙茅"], "flags": [], "prev_rx": ["黄芩", "桂枝", "北柴胡", "干姜", "大枣", "生地黄", "柏子仁", "炒酸枣仁", "人参", "石菖蒲", "制远志", "醋五味子", "牡丹皮"], "prev_gap": 78, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 51759, "pid": "Pcb7311a62e23", "date": "2025-11-05", "sex": "男", "age": 54, "cc": "尿频 半年", "hpi": "尿频，夜尿1次，色黄，大便不畅粘，睡眠一般，多梦早醒，纳可，腹胀，矢气味重，口干口苦，微怕冷，乏力感，晨勃有，关键时不行。性欲正常", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "人参", "煅龙骨", "煅牡蛎", "炒栀子", "淡豆豉", "法半夏", "黄芩片", "黄连片", "干姜", "炙淫羊藿", "石菖蒲", "制远志"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51762, "pid": "Pecfc05ff7b78", "date": "2025-11-05", "sex": "男", "age": 20, "cc": "排尿困难 尿不尽 尿滴沥一月", "hpi": "排尿困难 尿不尽 尿滴沥一月 大便正常 纳可 眠安 腰痛乏力 疲劳", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "猪苓", "炒酸枣仁", "知母", "炒决明子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51769, "pid": "Pee7a2db35c89", "date": "2025-11-05", "sex": "男", "age": 35, "cc": "尿频半年", "hpi": "尿频，睡眠时间短，纳一般，口苦，晨勃可，腰疼，乏力，大便可，硬度一般，中途疲软，性欲一般", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒白术", "茯苓", "黄芩片", "法半夏", "丹参", "鸡血藤", "石菖蒲", "制远志", "蜈蚣", "炙黄芪", "制巴戟天", "桂枝", "燀桃仁", "白芍", "红花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51774, "pid": "P0d742c589f81", "date": "2025-11-05", "sex": "男", "age": 41, "cc": "腰痛半年抄方", "hpi": "腰痛半年 大小便正常 纳可 眠安 口苦 脚踝扭伤行动不便 慢性前列腺炎取药", "wm_dx": ["慢性前列腺炎", "关节痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["盐杜仲", "牛膝", "独活", "秦艽", "当归尾", "赤芍", "炒酸枣仁", "北沙参", "桑寄生", "石斛", "桑椹", "枸杞子", "太子参", "防风"], "flags": [], "prev_rx": ["太子参", "麸炒山药", "制巴戟天", "茯苓"], "prev_gap": 17, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 5} {"rid": 51775, "pid": "Pfd45ef2fc11f", "date": "2025-11-05", "sex": "男", "age": 78, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊取药 尿频 尿急 尿等待 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51781, "pid": "Pfbca104800fb", "date": "2025-11-05", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 伴有勃起困难 大小便正常 纳可 眠安 晨勃少 勃起不持久 龟头麻木", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "烫水蛭", "麸炒枳壳", "土茯苓", "败酱草", "炙甘草", "地龙", "茵陈", "白芷", "覆盆子", "猪苓", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51789, "pid": "P3c387a4caaf4", "date": "2025-11-06", "sex": "男", "age": 73, "cc": "阴囊潮湿复诊", "hpi": "阴囊潮湿改善 便秘 纳可 眠安 前列腺增生取药 尿频尿急 尿等待 腰痛", "wm_dx": ["前列腺增生", "便秘"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["甜叶菊叶", "土茯苓", "败酱草", "夏枯草", "炒苦杏仁", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "麸炒枳实", "麸炒枳壳", "炙甘草", "牛膝", "醋青皮", "郁金", "茵陈", "麸炒苍术", "黄柏", "薏苡仁", "烫水蛭", "木瓜", "猪苓", "山慈菇", "羌活", "太子参", "枸杞子", "覆盆子"], "flags": [], "prev_rx": ["猪苓", "山慈菇", "羌活", "太子参", "制巴戟天", "枸杞子", "麸炒芡实", "覆盆子"], "prev_gap": 7, "visit_ix": 5, "n_visits": 9, "visit_ix_rx": 5, "n_rx": 9} {"rid": 51801, "pid": "P9c2c1d346eac", "date": "2025-11-06", "sex": "男", "age": 40, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，工作乏力，纳眠可，无排尿不畅、尿后余沥，口干，怕冷。腹痛，便秘。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["川牛膝", "太子参", "覆盆子", "麸炒芡实"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51804, "pid": "Pbeb0be8c9883", "date": "2025-11-06", "sex": "男", "age": 28, "cc": "阴囊潮湿3月", "hpi": "阴囊潮湿3月，尿频尿急，硬度下降，夜尿0-1次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗，焦虑，腰痛，耳鸣", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁", "盐益智仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51819, "pid": "P1fb1c907ff2f", "date": "2025-11-06", "sex": "男", "age": 61, "cc": "排尿不畅复诊取药", "hpi": "排尿不畅1年，尿频，尿后余沥，夜尿2次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。9月4日于我院查CT，报肾结石。", "wm_dx": ["肾结石", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["石淋", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "炒麦芽", "醋鸡内金", "羌活", "丹参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51824, "pid": "P392266ce6144", "date": "2025-11-06", "sex": "男", "age": 33, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，工作熬夜，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，汗多", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "烫水蛭"], "prev_gap": 77, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51831, "pid": "Pda98051ba6aa", "date": "2025-11-06", "sex": "男", "age": 32, "cc": "阴囊潮湿半年余", "hpi": "阴囊潮湿半年余，大小便正常，纳可，眠安，起不坚，中途疲软，腰痛。性欲可，乏力可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "茯苓", "麸炒薏苡仁", "盐黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51846, "pid": "P144ef73ad5dd", "date": "2025-11-07", "sex": "男", "age": 42, "cc": "尿后余沥3月", "hpi": "尿后余沥3月，无尿频、尿急、尿线细、尿等待，夜尿1次，伴小腹不适，大便质稀，纳眠可，口干，盗汗，阴囊潮湿。超声提示前列腺钙化灶。工作久坐。", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["覆盆子", "薏苡仁", "牛膝", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51849, "pid": "Pc3e9ad514f2e", "date": "2025-11-07", "sex": "男", "age": 38, "cc": "尿频半年", "hpi": "尿频，大便便秘粘 ，矢气多，睡眠一般，入睡困难，干呕，胃部不适，现大便好转，睡眠可，纳一般，口和，时有干呕，无怕冷，复诊，纳一般，不觉饿。睡眠好转，干呕好转，大便好转", "wm_dx": ["便秘"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["胁痛", "肝郁证", "疏肝养血"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "人参", "赤小豆", "焦山楂", "焦麦芽", "醋鸡内金", "佩兰", "滑石", "炙甘草", "麸炒枳实"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "人参", "赤小豆", "焦山楂", "焦麦芽", "醋鸡内金", "佩兰", "滑石", "炙甘草"], "prev_gap": 7, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 51852, "pid": "Pfbe47ae9bd03", "date": "2025-11-07", "sex": "男", "age": 40, "cc": "阴囊潮湿2月", "hpi": "阴囊潮湿，失眠一年多，入睡困难多梦，中途醒，性欲一般，勃起不佳，排尿可，大便不成型，纳可，口干口苦，怕冷，腰酸疼", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "肝肾亏虚证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "干姜", "制远志", "人参", "桂枝", "防风", "荆芥", "麸炒白术", "茯苓", "泽泻", "制巴戟天", "炙黄芪", "红花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 9} {"rid": 51853, "pid": "P1b7fd08a87fb", "date": "2025-11-07", "sex": "男", "age": 71, "cc": "尿频半年", "hpi": "尿频，尿急，尿无力，夜尿多，近2月夜尿3-4次，尿等待感，无尿痛，无腹痛，大便费劲，肠镜有息肉，胃炎，食管返流，口苦口气重，怕热，复诊，夜尿少减，夜尿一次，咽部有痰，阴囊潮湿，大便干", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "煅龙骨", "煅牡蛎", "猪苓", "紫苏叶", "炒栀子", "淡豆豉", "当归", "川芎", "火麻仁", "姜厚朴", "法半夏", "赤小豆", "人参"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "煅龙骨", "煅牡蛎", "猪苓", "黄连片", "紫苏叶", "炒栀子", "淡豆豉", "当归", "川芎", "火麻仁", "姜厚朴", "法半夏", "滑石", "人参"], "prev_gap": 7, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 51864, "pid": "P0423b4d23e31", "date": "2025-11-07", "sex": "男", "age": 52, "cc": "尿频10余年", "hpi": "乏力，时间下降，硬度可，性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，多汗，睾丸坠痛感，怕热", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "白芍", "麸炒白术", "茯苓", "淡竹叶", "牡丹皮", "石菖蒲", "炒蒺藜", "丹参", "醋五味子", "人参", "甘草", "金樱子"], "flags": [], "prev_rx": ["当归", "川芎", "白芍", "麸炒白术", "茯苓", "淡竹叶", "黄芪", "石菖蒲", "炒蒺藜", "丹参", "桃仁", "人参", "甘草", "金樱子"], "prev_gap": 10, "visit_ix": 13, "n_visits": 14, "visit_ix_rx": 12, "n_rx": 13} {"rid": 51866, "pid": "Pc3a8222bf49d", "date": "2025-11-07", "sex": "男", "age": 31, "cc": "右侧睾丸疼痛 遗精半年", "hpi": "右侧睾丸疼痛 遗精半年 大小便正常 纳可 眠安 早泄 勃起可 腰痛 口气重口干口苦", "wm_dx": ["精索静脉曲张", "静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["筋瘤", "气滞血瘀证", "活血通络"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "麸炒枳实", "燀桃仁", "红花", "桂枝", "牡丹皮", "茯苓", "猪苓", "煅龙骨", "煅牡蛎", "川楝子", "醋鸡内金"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "党参片", "山药", "制巴戟天", "炒酸枣仁"], "prev_gap": 53, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 51867, "pid": "Pa016e8aa0618", "date": "2025-11-07", "sex": "男", "age": 27, "cc": "左侧腹股沟疼痛复查", "hpi": "大小便正常 纳可 眠安 少腹隐痛 腰痛 左侧腹股沟疼痛缓解，口和", "wm_dx": ["腹股沟淋巴结炎", "附睾炎", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["桂枝", "北柴胡", "黄芩", "法半夏", "人参", "干姜", "白芍", "桃仁", "红花", "牡丹皮", "茯苓", "猪苓", "川楝子", "荔枝核", "炙甘草", "大黄"], "flags": [], "prev_rx": ["桂枝", "北柴胡", "黄芩", "法半夏", "人参", "生姜", "大枣", "桃仁", "红花", "牡丹皮", "茯苓", "猪苓", "川楝子", "荔枝核", "炙甘草"], "prev_gap": 7, "visit_ix": 8, "n_visits": 28, "visit_ix_rx": 3, "n_rx": 21} {"rid": 51873, "pid": "P5e1d85378026", "date": "2025-11-07", "sex": "男", "age": 65, "cc": "睡眠多梦一周", "hpi": "失眠多梦，原方继服，尿频，夜尿3-5次", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["湿疮", "下焦湿热证", "清热利湿"], ["失眠", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒苁蓉", "桑椹", "枸杞子", "菊花", "山药", "白术", "陈皮", "肉桂"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51874, "pid": "P198a40055bee", "date": "2025-11-07", "sex": "男", "age": 79, "cc": "前列腺增生复查", "hpi": "前列腺增生复查 现夜尿增多，尿滴沥不尽，尿痛，怕冷， 腰疼痛3月27日在肿瘤科检查PSA6.86，尿白细胞高 包皮龟头炎一月余 现尿痛，尿费劲，口服头孢后尿WBC582，失眠，关节痛，复查，WBC235，后背皮肤刺痒明显，一直应用卤米松外用", "wm_dx": ["失眠", "接触性皮炎", "前列腺增生", "瘙痒症"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血止痛"], ["精癃", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "黑顺片", "熟地黄", "山药", "干姜", "盐补骨脂", "酒萸肉", "路路通", "当归", "川芎", "人参", "炙黄芪", "麻黄", "阿胶珠"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "山药", "干姜", "盐补骨脂", "酒萸肉", "茯苓", "细辛", "路路通", "当归", "川芎", "人参", "炙黄芪", "麻黄", "阿胶珠"], "prev_gap": 7, "visit_ix": 30, "n_visits": 35, "visit_ix_rx": 7, "n_rx": 12} {"rid": 51875, "pid": "P9d169fc12868", "date": "2025-11-07", "sex": "男", "age": 55, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊取药，现排尿不畅，尿后余沥，夜尿3-4次，尿频尿急，会阴不适。体检前列腺增生。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "覆盆子", "薏苡仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51877, "pid": "P3ba28fafd9a8", "date": "2025-11-08", "sex": "男", "age": 32, "cc": "右侧睾丸坠胀感一周", "hpi": "右侧睾丸坠胀，排尿正常，无腹痛，无腰疼，反酸，大便便秘2-3天，口干口苦。冬天脚冷，夏天脚热，睡眠一般，乏力，头晕，复诊，睾丸坠胀消失 ，大便1-2天一次，口干，睡眠多梦，入睡困难，颈部不适感", "wm_dx": ["静脉曲张"], "tcm_dx": [["筋瘤", "肝肾亏虚证", "滋补肝肾"]], "rx": ["葛根", "桂枝", "茯苓", "当归", "法半夏", "生姜", "大枣", "牡丹皮", "麻黄", "菟丝子", "枸杞子", "人参", "牡蛎", "红景天", "煅龙骨", "炒栀子", "淡豆豉", "川芎"], "flags": [], "prev_rx": ["葛根", "桂枝", "茯苓", "猪苓", "白芍", "生姜", "大枣", "牡丹皮", "荆芥", "防风", "人参", "牡蛎", "红景天", "煅龙骨", "菟丝子", "枸杞子"], "prev_gap": 7, "visit_ix": 6, "n_visits": 13, "visit_ix_rx": 6, "n_rx": 13} {"rid": 51880, "pid": "P7a6c1c88e5a1", "date": "2025-11-08", "sex": "男", "age": 35, "cc": "体检发现前列腺增大伴钙化 PSA10.4升高明显", "hpi": "体检发现前列腺增大伴钙化 PSA10.4升高明显 大小便正常 纳可 眠差 乏力消瘦半年", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 51888, "pid": "P101990dbe119", "date": "2025-11-08", "sex": "男", "age": 50, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 大小便正常 纳可 眠安 勃起不坚 中途疲软 晕动病 消化不良取药", "wm_dx": ["腰痛", "维生素B1缺乏[硫胺素缺乏]", "晕动病", "消化不良", "过敏性鼻炎[变应性鼻炎]"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "防风", "制远志", "石菖蒲", "合欢皮", "合欢花", "麸炒枳壳", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51890, "pid": "Pca75fc5921ab", "date": "2025-11-08", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "土茯苓", "败酱草", "菟丝子", "车前草", "盐车前子", "覆盆子", "酒女贞子", "麸炒枳壳", "枸杞子", "韭菜子", "蛇床子", "醋五味子", "炙甘草", "制远志", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51892, "pid": "Pd61e9d13cdb4", "date": "2025-11-08", "sex": "男", "age": 29, "cc": "尿频一月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，纳可，口和，睾丸不适，乏力，头晕", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "法半夏", "丹参", "北沙参", "牛膝", "赤小豆", "菟丝子", "覆盆子", "盐车前子", "醋五味子", "醋龟甲", "牡蛎", "红景天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51894, "pid": "Pd9d6124d4268", "date": "2025-11-08", "sex": "男", "age": 76, "cc": "前列腺增生复诊", "hpi": "既往有尿潴留病史，平常排尿可，夜尿不多，服药后症状好转，夜尿2次，复查尿常规，查PSA", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51896, "pid": "P40160faf48d7", "date": "2025-11-08", "sex": "男", "age": 38, "cc": "尿频5年", "hpi": "尿频，婚后未有成功性生活，勃起中途疲软，有晨勃，无手艺，性欲一般，大便正常，睡眠正常，纳可，凉的吃少，口和，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "制远志", "丹参", "鸡血藤", "蜈蚣", "黄芩片", "制巴戟天", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51899, "pid": "P5a63845465ab", "date": "2025-11-08", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "菟丝子", "盐车前子", "覆盆子", "蛇床子", "韭菜子", "酒女贞子", "醋五味子", "土茯苓", "败酱草", "麸炒枳壳", "炙甘草", "麸炒苍术", "烫水蛭", "制巴戟天", "猪苓", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 51900, "pid": "P07097d104ff2", "date": "2025-11-08", "sex": "男", "age": 74, "cc": "腰酸痛一月", "hpi": "睾排尿尿急，夜尿3-5次，尿不尽，尿痛，少腹隐痛，轻度腰疼，怕热，大便略干。纳可。口干，口服非那雄胺片，盐酸坦索罗辛缓释胶囊2粒，近一周口服左氧氟沙星片和灵泽片，服药后，睾丸疼痛消失，尿频，尿痛消失。现阴囊潮湿，时有脚肿", "wm_dx": ["前列腺增生", "糖尿病"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "猪苓", "茯苓", "泽泻", "麸炒苍术", "燀桃仁", "红花", "赤小豆", "白花蛇舌草", "火麻仁", "乌药", "盐益智仁", "山药", "党参片", "炙黄芪", "桑寄生", "牛膝", "盐杜仲", "知母"], "flags": [], "prev_rx": ["桂枝", "阿胶珠", "猪苓", "茯苓", "泽泻", "滑石", "麸炒苍术", "燀桃仁", "红花", "赤小豆", "白花蛇舌草", "火麻仁", "乌药", "盐益智仁", "山药"], "prev_gap": 26, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 51903, "pid": "Pc182f4f4ba5e", "date": "2025-11-08", "sex": "男", "age": 33, "cc": "腰痛乏力1年", "hpi": "1年出现腰痛乏力，既往弱精，盗汗 失眠 大小便正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "枸杞子", "醋五味子", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "陈皮", "覆盆子", "酒女贞子", "沙苑子", "麸炒枳壳", "炙甘草", "炒酸枣仁", "柏子仁", "制远志", "合欢皮", "砂仁"], "flags": [], "prev_rx": ["甜叶菊叶", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "枸杞子", "盐车前子", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "陈皮", "覆盆子", "酒女贞子", "沙苑子", "麸炒枳壳", "炙甘草", "炒酸枣仁", "柏子仁", "制远志", "合欢皮"], "prev_gap": 14, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 3} {"rid": 51906, "pid": "P596a17f8fa75", "date": "2025-11-08", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛半年 伴有性欲下降 阳痿早泄 大小便正常 纳可 晨勃消失 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "麸炒山药", "制巴戟天", "猪苓", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "麸炒山药", "制巴戟天", "猪苓"], "prev_gap": 14, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 51907, "pid": "P1bb492b8aadb", "date": "2025-11-08", "sex": "男", "age": 32, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 中途疲软 晨勃可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51918, "pid": "Pccaadd7f13c2", "date": "2025-11-08", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 早泄 勃起可 性欲低 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "黑芝麻", "酒女贞子", "覆盆子", "墨旱莲", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "枸杞子", "醋五味子", "盐车前子", "韭菜子", "麸炒枳壳", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "prev_gap": 105, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 3} {"rid": 51923, "pid": "Paef3dfedf95a", "date": "2025-11-08", "sex": "男", "age": 29, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["党参片", "炙黄芪", "麦冬", "醋五味子", "菟丝子", "韭菜子", "蛇床子", "枸杞子", "覆盆子", "酒女贞子", "盐车前子", "麸炒枳壳", "炙甘草", "山药", "盐补骨脂", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51926, "pid": "P06d52f7a9a95", "date": "2025-11-08", "sex": "男", "age": 54, "cc": "尿急半年", "hpi": "尿急半年 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "制巴戟天", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51928, "pid": "P682dab1d620e", "date": "2025-11-08", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草片", "黄芩片", "黄连片", "干姜", "大枣", "牡蛎", "茯苓", "菟丝子", "枸杞子", "人参", "醋龟甲", "炒苦杏仁", "赤小豆", "莲子", "覆盆子", "盐车前子", "川芎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草片", "黄芩片", "黄连片", "干姜", "大枣", "牡蛎", "红景天", "菟丝子", "枸杞子", "人参", "醋龟甲", "炒苦杏仁", "赤小豆", "莲子", "覆盆子", "盐车前子"], "prev_gap": 14, "visit_ix": 14, "n_visits": 24, "visit_ix_rx": 13, "n_rx": 23} {"rid": 51930, "pid": "Pb0afabb485ae", "date": "2025-11-08", "sex": "男", "age": 29, "cc": "尿频 尿黄 泡沫多大半年", "hpi": "尿频 尿黄 泡沫多 夜尿1-2次，大便正常， 纳可，吃凉的少， 口气重，口干口苦，乏力，服用药物后复诊，口气重，乏力感。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["生姜", "干姜", "黄连片", "黄芩片", "法半夏", "大枣", "人参", "醋鸡内金", "佩兰", "石菖蒲", "制远志", "盐蒺藜", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "制远志", "石菖蒲", "黑顺片", "麸炒枳实", "桂枝", "干姜", "牡蛎", "当归", "川芎", "白芍", "茯苓", "醋鸡内金", "人参", "焦山楂", "滑石", "炒栀子", "淡豆豉"], "prev_gap": 7, "visit_ix": 9, "n_visits": 16, "visit_ix_rx": 6, "n_rx": 11} {"rid": 51934, "pid": "P14e8cdc10a86", "date": "2025-11-08", "sex": "男", "age": 28, "cc": "腰痛复诊", "hpi": "腰复诊 尿频尿急，久坐 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["太子参", "知母", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 51936, "pid": "Pd544757aec4d", "date": "2025-11-08", "sex": "男", "age": 48, "cc": "腰酸痛一月", "hpi": "腰酸痛一月 同房后加重 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "熟地黄", "泽兰", "猪苓", "茯苓", "泽泻", "酒萸肉", "知母", "盐杜仲", "桑寄生", "牛膝", "醋龟甲", "砂仁", "炒谷芽", "炒酸枣仁", "柏子仁", "制远志", "麸炒枳壳", "炙甘草"], 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["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳壳", "北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "金樱子肉", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏", "麸炒芡实"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳壳", "北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "蜈蚣", "赤芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏", "麸炒芡实", "金樱子肉", "白芷"], "prev_gap": 14, "visit_ix": 7, "n_visits": 11, "visit_ix_rx": 7, "n_rx": 11} {"rid": 51993, "pid": "Pbd8e8a487d05", "date": "2025-11-09", "sex": "男", "age": 35, "cc": "左侧少腹隐痛复诊", "hpi": "左侧少腹隐痛，乏力感，硬度可，中途疲软，射精无力，尿频，大便不畅，睡眠可，纳可，口和，胁肋疼痛 盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "当归", "白芍", "熟地黄", "川芎", "沉香", "炒酸枣仁", "柏子仁", "制何首乌", "桑椹", "酒萸肉", "知母", "盐黄柏", "醋青皮", "川楝子", "郁金", "醋香附", "合欢花", "合欢皮", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "炙甘草"], "flags": [], "prev_rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳壳", "炙甘草", "烫水蛭", "麸炒枳实", "百合", "桂枝", "细辛", "石菖蒲", "制远志", "酒苁蓉", "肉桂", "盐小茴香", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "合欢花", "合欢皮", "木香", "丁香", "大血藤"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 51994, "pid": "P82cc9bd40ebf", "date": "2025-11-09", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "腰痛半年 性功能下降一月 晨勃有 早泄 龟头敏感 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "炒僵蚕"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "prev_gap": 15, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52002, "pid": "P434e4b89b4fb", "date": "2025-11-09", "sex": "男", "age": 29, "cc": "腰痛半年", "hpi": "腰痛半年 早泄 时间1分钟左右 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "五加皮", "地骨皮", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "prev_gap": 15, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 52003, "pid": "P320eb5c272b6", "date": "2025-11-09", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠差", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "砂仁", "木香", "蛇床子", "韭菜子", "沙苑子", "麸炒枳壳", "炙甘草", "锁阳", "桂枝", "党参", "炙黄芪", "麦冬", "醋五味子", "山药", "麸炒白术", "石斛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52004, "pid": "Pdfb6cd1a6434", "date": "2025-11-09", "sex": "男", "age": 76, "cc": "尿频 尿等待 尿痛一月余", "hpi": "尿频 尿等待 尿痛一月余 大便正常 纳可 眠安", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52006, "pid": "Pc40a36b05203", "date": "2025-11-09", "sex": "男", "age": 46, "cc": "腰痛半年", "hpi": "腰痛半年 伴有勃起不坚 晨勃少 大小便正常 纳可 眠少 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "知母", "麸炒芡实", "炒酸枣仁", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 7} {"rid": 52008, "pid": "Pe284899b02f5", "date": "2025-11-09", "sex": "男", "age": 31, "cc": "慢性前列腺炎复诊", "hpi": "慢性前列腺炎复诊 会阴部不适 尿道灼热感 胁痛 睾丸疼痛一周余 少腹隐痛", "wm_dx": ["附睾炎", "慢性前列腺炎"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "三七粉", "陈皮", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "三七粉", "陈皮"], "prev_gap": 37, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52009, "pid": "P460260b3e902", "date": "2025-11-09", "sex": "男", "age": 56, "cc": "血精一次", "hpi": "血精一次 大小便正常 纳可 眠安", "wm_dx": ["精囊炎", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["血精", "气滞血瘀证", "活血化瘀"]], "rx": ["三七粉", "陈皮", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52016, "pid": "P7e5217887b96", "date": "2025-11-10", "sex": "男", "age": 66, "cc": "左侧腹股沟疼痛不适2周", "hpi": "2周前出现左侧腹股沟疼痛不适，阴囊潮湿瘙痒，时有尿痛，夜寐差", "wm_dx": ["精索静脉曲张", "静脉曲张", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["筋瘤", "血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "绵萆薢", "萹蓄", "车前草", "马齿苋"], "flags": [], "prev_rx": ["肉桂", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "绵萆薢", "萹蓄", "车前草", "马齿苋"], "prev_gap": 21, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 6} {"rid": 52018, "pid": "P256bad3ecdbf", "date": "2025-11-10", "sex": "男", "age": 69, "cc": "右侧下腹疼痛不适", "hpi": "右侧下腹疼痛不适，久行后疼痛加剧，伴尿频尿急，排尿不畅，夜尿3-4次。无尿痛。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["山慈菇", "太子参", "牛膝", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52019, "pid": "P72fc22be276b", "date": "2025-11-10", "sex": "男", "age": 36, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，口中和，夜寐差，大便2-3天一行，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "人参", "韭菜子", "制巴戟天", "仙茅", "川芎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 52024, "pid": "Pbdf06749b679", "date": "2025-11-10", "sex": "男", "age": 57, "cc": "尿频2年", "hpi": "尿频、尿不畅、尿无力感，夜尿4-次，无尿痛。腿凉。口干，眠差多梦，便调。", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "温补肾阳"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "生石膏", "牡蛎", "龙骨", "黑顺片", "砂仁", "醋龟甲", "桑螵蛸", "炙甘草", "泽泻"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 52027, "pid": "Pb00f9e676136", "date": "2025-11-10", "sex": "男", "age": 88, "cc": "复诊", "hpi": "病史同前：尿频尿急，淋漓不净，尿失禁。夜尿3次。目前仍在服用可多华。脚凉，易汗，口干不苦，眠可，纳可，便2-3次", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "温补肾阳"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "醋龟甲", "砂仁", "泽泻", "龙骨", "牡蛎", "炙甘草", "石菖蒲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 8} {"rid": 52028, "pid": "Pb64e40719087", "date": "2025-11-10", "sex": "男", "age": 68, "cc": "排尿不畅伴尿痛1月", "hpi": "1月前出现排尿不畅伴尿痛，尿道不适，夜尿2次，口苦，夜寐差多梦，", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "路路通", "炒王不留行", "人参", "乌药", "盐益智仁", "山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52029, "pid": "Pa6b5079bd0d1", "date": "2025-11-10", "sex": "男", "age": 41, "cc": "腰痛乏力尿无力2年", "hpi": "2年前出现腰痛乏力尿无力，勃起欠佳好转，夜尿1-2次，口中和，脱发，长期熬夜，夜寐差，盗汗，下肢无力", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "熟地黄", "山药", "盐补骨脂", "盐杜仲", "牛膝", "太子参", "制巴戟天", "锁阳", "韭菜子", "仙茅", "人参"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "熟地黄", "山药", "盐补骨脂", "盐杜仲", "牛膝", "太子参", "人参", "制巴戟天", "锁阳", "韭菜子", "仙茅"], "prev_gap": 7, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 52041, "pid": "Pa0c031585891", "date": "2025-11-10", "sex": "男", "age": 71, "cc": "尿频尿急2年", "hpi": "2年前出现尿频尿急，夜尿4-5次，口干口苦，夜寐差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["酒萸肉", "盐益智仁", "山药", "桑椹", "葛根", "盐杜仲", "乌药", "金樱子肉", "炙淫羊藿", "醋五味子"], "flags": [], "prev_rx": ["酒萸肉", "盐益智仁", "山药", "桑椹", "葛根", "盐杜仲", "乌药", "金樱子肉"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52046, "pid": "Pa048754a0da1", "date": "2025-11-10", "sex": "男", "age": 35, "cc": "复诊", "hpi": "自觉勃起硬度不够，持续时间短，性生活1次1周。口苦口干，阴囊潮湿，易汗，眠可。抽烟", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["精浊", "肝郁肾虚证", "补肾固精"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "生石膏", "桂枝", "白芍", "龙骨", "牡蛎", "地龙", "紫苏叶", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52048, "pid": "Pc64686dcd7c6", "date": "2025-11-10", "sex": "男", "age": 37, "cc": "复诊", "hpi": "病史同前，无口苦口干。易汗无肢冷。", "wm_dx": ["代谢综合征"], "tcm_dx": [["男性前阴类病", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "炙甘草", "九香虫", "地龙", "桂枝", "牡蛎", "龙骨", "蜂房"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "炙甘草", "姜炭", "姜半夏", "九香虫", "木香", "地龙"], "prev_gap": 21, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 6, "n_rx": 9} {"rid": 52053, "pid": "P16c66b451042", "date": "2025-11-10", "sex": "男", "age": 47, "cc": "腰痛发力伴性欲减退5年", "hpi": "5年前出现腰痛乏力，性欲减退，晨勃可，射精无力，长期饮酒，吸烟1包/天，口干，夜寐可，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "仙茅", "韭菜子", "山药", "锁阳", "熟地黄", "黄连", "黄芪"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "仙茅", "韭菜子", "山药", "锁阳", "炒酸枣仁", "柏子仁"], "prev_gap": 14, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 5} {"rid": 52055, "pid": "P3aef33821710", "date": "2025-11-10", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": "腰痛乏力，近期想生育，夜寐差，长期熬夜久坐", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "路路通", "炒王不留行", "金银花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 14, "visit_ix_rx": 0, "n_rx": 12} {"rid": 52059, "pid": "Pf8e86f65d7f8", "date": "2025-11-10", "sex": "男", "age": 34, "cc": "复诊", "hpi": "病史同前，夜尿2次 尿不净，身冷 无口苦口干。大便正常 纳可 眠安", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "黑顺片", "炙甘草", "石菖蒲", "桂枝", "牡蛎", "龙骨", "桑螵蛸", "生姜", "大枣"], "flags": [], "prev_rx": ["北柴胡", "白芍", "麸炒枳实", "茯苓", "白术", "泽泻", "干姜", "黑顺片", "炙甘草", "盐车前子", "炒苦杏仁", "石菖蒲"], "prev_gap": 7, "visit_ix": 6, "n_visits": 10, "visit_ix_rx": 3, "n_rx": 7} {"rid": 52061, "pid": "P504b8b152bbe", "date": "2025-11-10", "sex": "男", "age": 38, "cc": "间断龟头红疹瘙痒1年", "hpi": "1年前间断出现龟头红疹瘙痒，龟头敏感度高，射精快，腰痛乏力，失眠，盗汗，长期熬夜，口中和，焦虑状态", "wm_dx": ["包皮龟头炎", "焦虑状态"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["失眠", "气血两虚证", "补益气血"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "地龙", "马齿苋", "白花蛇舌草", "车前草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52063, "pid": "Pf5e2954a0d29", "date": "2025-11-10", "sex": "男", "age": 52, "cc": "腰痛2月", "hpi": "腰痛，胸胁胀痛，乏力，口中和，夜寐可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["黄芪", "甘草片", "麦冬", "白术", "丹参", "川芎", "葛根", "桂枝", "醋五味子", "酒黄精", "茯苓", "酒女贞子", "覆盆子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 52069, "pid": "P5bfb3abffbfb", "date": "2025-11-10", "sex": "男", "age": 25, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，工作熬夜，无排尿不畅，大便可。纳眠可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "茯苓", "制水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52070, "pid": "Pb035cc441187", "date": "2025-11-11", "sex": "男", "age": 37, "cc": "腰痛复诊", "hpi": "腰痛复诊，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "盐车前子", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "酒黄精", "北败酱草", "当归", "黄芪", "党参片", "炒酸枣仁", "丹参", "酒苁蓉", "仙茅", "炙淫羊藿", "韭菜子", "麸炒白术", "陈皮", "木香", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "盐车前子", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "酒黄精", "北败酱草", "当归", "黄芪", "党参片", "炒酸枣仁", "丹参", "酒苁蓉", "仙茅", "炙淫羊藿", "韭菜子", "麸炒白术", "陈皮", "木香", "茯苓"], "prev_gap": 14, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 52075, "pid": "P59e4c191c0c7", "date": "2025-11-11", "sex": "男", "age": 84, "cc": "尿频 尿急半年抄方", "hpi": "尿频 尿急半年 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肾虚证", "补肾扶元"]], "rx": ["酒萸肉", "盐益智仁", "山药", "桑椹", "葛根", "杜仲"], "flags": [], "prev_rx": ["酒萸肉", "盐益智仁", "山药", "桑椹", "葛根", "杜仲"], "prev_gap": 7, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52080, "pid": "P179658022152", "date": "2025-11-11", "sex": "男", "age": 59, "cc": "排尿不畅尿分叉20年", "hpi": "20年前出现排尿不畅尿分叉，尿频尿急，夜尿3-4次，尿道瘙痒灼热，长期熬夜，口干口苦，无小腹胀痛。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["艾叶", "川芎", "燀桃仁", "红花", "醋乳香", "醋没药", "肉桂", "铁线透骨草", "炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "醋五味子", "金银花", "甘草", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 52082, "pid": "Pb747cc18dc5a", "date": "2025-11-11", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 疲劳乏力 小便正常 纳可 眠差 大便稀 勃起差 早泄", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["房事早泄", "肾虚证", "补肾扶元"]], "rx": ["酒苁蓉", "制巴戟天", "盐胡芦巴", "桑寄生", "盐杜仲", "牛膝", "党参片", "炙黄芪", "山药", "麸炒白术", "茯苓", "麸炒枳壳", "蛇床子", "韭菜子", "制远志", "桂枝", "蜈蚣", "北柴胡", "盐蒺藜", "木香", "丁香", "炙甘草", "地龙", "醋五味子", "五倍子", "五加皮", "地骨皮", "蜂房", "花椒"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52083, "pid": "P1ef48498027f", "date": "2025-11-11", "sex": "男", "age": 42, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，小便黄，尿频，大便可，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "丁香", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "麸炒白术", "炒酸枣仁", "锁阳", "陈皮", "石菖蒲", "干姜", "木香", "蛇床子"], "flags": [], "prev_rx": ["北柴胡", "当归", "丁香", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "制远志", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁", "锁阳", "陈皮", "石菖蒲", "干姜", "木香", "蛇床子"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 52085, "pid": "P823ef8193aa6", "date": "2025-11-11", "sex": "男", "age": 39, "cc": "阴囊潮湿一月余", "hpi": "阴囊潮湿一月余 性功能下降 勃起差 早泄 大小便正常 纳可 眠差 腰痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 52089, "pid": "P6e59b6ab2ff7", "date": "2025-11-11", "sex": "男", "age": 35, "cc": "尿不尽一月", "hpi": "尿不尽一月 腰酸痛 背痛 早泄 勃起差 晨勃少 大便正常 纳可 眠可", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52092, "pid": "P40a2faa79a8e", "date": "2025-11-11", "sex": "男", "age": 71, "cc": "尿频尿急10余年", "hpi": "10余年前出现排尿不畅，尿频尿急，夜尿2次，小腹胀痛，", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "黑顺片", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "墨旱莲", "肉桂", "乌药", "盐益智仁", "麸炒山药", "炒酸枣仁", "柏子仁", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 52093, "pid": "P923b3c751120", "date": "2025-11-11", "sex": "男", "age": 51, "cc": "腰痛半年", "hpi": "腰痛半年 伴有勃起不坚 晨勃少 大小便正常 纳可 眠差", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["太子参", "炒酸枣仁", "知母", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52095, "pid": "Pbdde85c596d9", "date": "2025-11-11", "sex": "男", "age": 42, "cc": "腰痛乏力2月", "hpi": "2月前出现腰酸痛乏力，口干口苦，易出汗，盗汗，怕热，长期熬夜，夜寐差，多梦。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "盐杜仲", "川牛膝", "桑寄生", "韭菜子", "酒黄精", "生地黄", "熟地黄", "山药", "酒萸肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52097, "pid": "P116f3e179ef7", "date": "2025-11-11", "sex": "男", "age": 59, "cc": "血精复诊取药", "hpi": "血精好转 无射精疼痛 大小便正常 纳可 眠差", "wm_dx": ["精囊炎", 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"鸡血藤", "制远志", "蜂房", "炙淫羊藿", "黑顺片", "蜈蚣", "鹿角霜"], "flags": [], "prev_rx": ["桂枝", "白芍", "葛根", "生姜", "大枣", "盐补骨脂", "桑寄生", "丹参", "鸡血藤", "制远志", "蜂房", "炙淫羊藿", "黑顺片", "蜈蚣"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 52141, "pid": "Pb291c88e7eb3", "date": "2025-11-12", "sex": "男", "age": 56, "cc": "尿频2月", "hpi": "尿频，时有尿急，无疼痛感，夜尿1-2次，无腹痛，1月CT前列腺钙化，纳可，无腹胀，睡眠正常，大便正常，口和，无怕冷，转氨酶高，消瘦明显", "wm_dx": ["尿频", "脂肪肝"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["茵陈", "炒栀子", "大黄", "当归", "连翘", "赤小豆", "白花蛇舌草", "滑石", "阿胶珠", "茯苓", "猪苓", "牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52142, "pid": "P37698a006769", "date": "2025-11-12", "sex": "男", "age": 60, "cc": "复诊", "hpi": "勃起困难，仍觉不能持续，硬度一般，口苦消，大便正常，睡眠可，口中异味。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["九香虫", "白芍", "炙甘草", "地龙", "桂枝", "牡蛎", "龙骨", "蜂房", "生姜", "大枣"], "flags": [], "prev_rx": ["九香虫", "白芍", "炙甘草", "地龙", "桂枝", "牡蛎", "龙骨", "蜂房", "生姜", "大枣"], "prev_gap": 9, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 52143, "pid": "P5f9679fb266b", "date": "2025-11-12", "sex": "男", "age": 38, "cc": "左侧腰痛连及腹部2天", "hpi": "昨日晨起出现左侧腰痛连及左侧腹部疼痛，尿频尿急，", "wm_dx": ["泌尿系结石", "慢性前列腺炎"], "tcm_dx": [["石淋", "下焦湿热证", "清热利湿"]], "rx": ["广金钱草", "陈皮", "炒决明子", "丹参", "甘草", "泽泻", "郁金", "桔梗", "醋香附", "麸炒枳实", "紫苏梗", "北柴胡", "小蓟", "大蓟", "马齿苋", "路路通", "炒王不留行"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52146, "pid": "P1aa922eda6ec", "date": "2025-11-12", "sex": "男", "age": 53, "cc": "尿频6-7年", "hpi": "尿频，夜尿2-3次，大便正常，头晕，纳可，口干渴，无晨勃，无勃起，无怕冷，乏力，不愿吃西药", "wm_dx": ["尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["法半夏", "干姜", "黄芩片", "黄连片", "炙黄芪", "石菖蒲", "制远志", "蜂房", "牛膝", "佩兰", "醋香附", "蜈蚣", "赤小豆"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "制远志", "知母", "盐关黄柏", "地黄", "牡丹皮", "天花粉", "牡蛎", "醋龟甲", "赤小豆", "丹参", "鸡血藤"], "prev_gap": 14, "visit_ix": 2, "n_visits": 22, "visit_ix_rx": 2, "n_rx": 17} {"rid": 52152, "pid": "P3739640b7550", "date": "2025-11-12", "sex": "男", "age": 38, "cc": "尿频10余年", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，纳可，晨起口干口苦，无腰疼，无怕冷近期出现中途疲软，时间1-2分钟，同房规律，口服盐酸达泊西汀效果不明显", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "煅龙骨", "煅牡蛎", "黄芩片", "麸炒薏苡仁", "赤小豆", "炒苦杏仁", "炒栀子", "丹参", "鸡血藤", "滑石", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 52153, "pid": "P9dfc92547833", "date": "2025-11-12", "sex": "男", "age": 38, "cc": "腰痛乏力伴射精快多年", "hpi": "多年前出现腰痛乏力伴射精快，性欲可，勃起可，自觉龟头敏感度高龟头质软，排尿可，盗汗，失眠，发白，长期熬夜，龟头红疹", "wm_dx": ["腰痛", "包皮龟头炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "地龙", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52155, "pid": "P8147364f1c09", "date": "2025-11-12", "sex": "男", "age": 34, "cc": "尿频4月", "hpi": "尿频，拟育未成功，排尿可，大便正常，睡眠熬夜易醒，纳可，口和，矢气多，阴囊部刺痒，夜间加重，复诊。夜尿好转，矢气多", "wm_dx": ["股癣"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐黄柏", "生地黄", "牡丹皮", "酒萸肉", "山药", "酒女贞子", "菟丝子", "麦冬", "醋五味子", "醋龟甲"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "地黄", "牡丹皮", "山药", "酒萸肉", "茯苓", "泽泻", "醋龟甲", "麦冬", "酒女贞子", "菟丝子", "覆盆子", "盐车前子", "姜厚朴", "北沙参"], "prev_gap": 14, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 52158, "pid": "P965b8a647d74", "date": "2025-11-12", "sex": "男", "age": 35, "cc": "腰痛乏力伴勃起中途疲软2月", "hpi": "2月前出现腰痛乏力伴勃起中途疲软，既往手淫频繁，尿道口红肿，小腹不适，口干，偶有口苦，夜寐可，发白，大便正常，睡眠正常，纳可，怕冷，腰酸疼", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾阳虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "桂枝", "石菖蒲", "制远志", "干姜", "牡蛎", "当归", "川芎", "茯苓", "泽泻", "制巴戟天", "仙茅", "人参"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "桂枝", "生姜", "大枣", "干姜", "牡蛎", "当归", "川芎", "茯苓", "泽泻", "制巴戟天", "仙茅", "人参"], "prev_gap": 11, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 5} {"rid": 52166, "pid": "Pfc41db9913d2", "date": "2025-11-12", "sex": "男", "age": 63, "cc": "腰痛乏力一月", "hpi": "腰痛乏力一月 伴有性功能下降 勃起困难 晨勃消失 大便正常 纳可 眠差 盗汗 关节炎取药", "wm_dx": ["关节炎", "关节痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["痹证类病", "气滞血瘀证", "活血化瘀"]], "rx": ["熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "醋龟甲", "砂仁", "木香", "丁香", "桑寄生", "盐杜仲", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "北柴胡", "炒蒺藜", "醋青皮", "麸炒枳壳", "炙甘草", "石斛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52169, "pid": "Pccbb25df72f2", "date": "2025-11-12", "sex": "男", "age": 41, "cc": "发现尿失禁1周", "hpi": "近1周出现2-3次尿失禁，尿频，夜寐差，易醒", "wm_dx": ["泌尿系感染", "肾结石"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"]], "rx": ["广金钱草", "陈皮", "炒决明子", "丹参", "甘草", "泽泻", "郁金", "桔梗", "醋香附", "麸炒枳实", "紫苏梗", "北柴胡", "小蓟", "乌药", "盐益智仁", "山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52181, "pid": "Pc651d555c639", "date": "2025-11-13", "sex": "男", "age": 54, "cc": "尿不尽复诊", "hpi": "尿不尽改善 少腹隐痛偶见 大便正常 纳可 失眠 口干口苦 疲劳", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "陈皮", "制巴戟天", "炒酸枣仁", "知母", "合欢花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52187, "pid": "Pc2b6316414dd", "date": "2025-11-13", "sex": "男", "age": 66, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，有裂口，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52205, "pid": "P2701610d98fc", "date": "2025-11-13", "sex": "男", "age": 57, "cc": "前前列腺增大伴钙化复查", "hpi": "前前列腺增大伴钙化复查 口干 尿频 大便正常 纳差 失眠 腰酸疼 乏力消瘦半年", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52207, "pid": "P8eb04430db88", "date": "2025-11-13", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适。工作熬夜，盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 52208, "pid": "P66ca8322d4a1", "date": "2025-11-13", "sex": "男", "age": 45, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，稍有水肿，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。腰痛，乏力，眠可。", "wm_dx": ["包皮龟头炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52210, "pid": "P0f2a73a27f23", "date": "2025-11-13", "sex": "男", "age": 60, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52235, "pid": "Pd2433cfb3d08", "date": "2025-11-14", "sex": "男", "age": 54, "cc": "夜尿多2月", "hpi": "夜尿多，4点起夜，睡前尿意明显，无尿痛，无腹痛，无腰疼，晨勃有，同房硬度一般，时间短。睡眠4点醒，纳可，口和，无怕冷，消瘦乏力", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "党参", "丹参", "鸡血藤", "石菖蒲", "制远志", "生地黄", "炒蒺藜", "炒栀子", "麦冬", "牡丹皮", "赤小豆", "连翘"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52239, "pid": "P6cdfd09b43f9", "date": "2025-11-14", "sex": "男", "age": 32, "cc": "尿不尽一年", "hpi": "尿频，尿不尽，无尿痛，尿黄，阴囊潮湿，无腹痛，腰疼，睡眠一般，多梦，纳可，口和，无怕冷，偶有盗汗，大便粘，困倦感", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["葛根", "滑石", "阿胶珠", "茯苓", "泽泻", "猪苓", "炒栀子", "牛膝", "盐补骨脂", "炙黄芪", "党参片", "赤小豆", "白花蛇舌草", "炒苦杏仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52244, "pid": "Pc3e9ad514f2e", "date": "2025-11-14", "sex": "男", "age": 38, "cc": "尿频半年", "hpi": "尿频，大便便秘粘 ，矢气多，睡眠一般，入睡困难，干呕，胃部不适，现大便好转，睡眠可，纳一般，口和，时有干呕，无怕冷，复诊，纳一般，不觉饿。睡眠好转，干呕好转，大便好转", "wm_dx": ["便秘"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["胁痛", "肝郁证", "疏肝养血"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "麸炒枳实", "法半夏", "人参", "赤小豆", "焦山楂", "焦麦芽", "醋鸡内金", "佩兰", "滑石", "炒栀子", "醋香附"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "人参", "赤小豆", "焦山楂", "焦麦芽", "醋鸡内金", "佩兰", "滑石", "炙甘草", "麸炒枳实"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 52251, "pid": "P198a40055bee", "date": "2025-11-14", "sex": "男", "age": 79, "cc": "前列腺增生复查", "hpi": "前列腺增生复查 现夜尿增多，尿滴沥不尽，尿痛，怕冷， 腰疼痛3月27日在肿瘤科检查PSA6.86，尿白细胞高 包皮龟头炎一月余 现尿痛，尿费劲，口服头孢后尿WBC582，失眠，关节痛，复查，WBC235，后背皮肤刺痒明显，一直应用卤米松外用", "wm_dx": ["瘙痒症", "前列腺增生", "接触性皮炎", "失眠"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血止痛"], ["精癃", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "黑顺片", "熟地黄", "山药", "干姜", "滑石", "酒萸肉", "路路通", "当归", "川芎", "人参", "炙黄芪", "麻黄", "阿胶珠", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "山药", "干姜", "盐补骨脂", "酒萸肉", "路路通", "当归", "川芎", "人参", "炙黄芪", "麻黄", "阿胶珠"], "prev_gap": 7, "visit_ix": 31, "n_visits": 35, "visit_ix_rx": 8, "n_rx": 12} {"rid": 52257, "pid": "P3ba28fafd9a8", "date": "2025-11-15", "sex": "男", "age": 32, "cc": "右侧睾丸坠胀感一周", "hpi": "右侧睾丸坠胀，排尿正常，无腹痛，无腰疼，反酸，大便便秘2-3天，口干口苦。冬天脚冷，夏天脚热，睡眠一般，乏力，头晕，复诊，睾丸坠胀消失 ，大便1-2天一次，口干，睡眠多梦，入睡困难，颈部不适感", "wm_dx": ["静脉曲张"], "tcm_dx": [["筋瘤", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "燀桃仁", "红花", "茯苓", "泽泻", "牡丹皮", "醋乳香", "醋没药", "白芍", "川芎", "炙黄芪", "焦山楂", "熟地黄", "牡蛎", "枸杞子", "菟丝子"], "flags": [], "prev_rx": ["葛根", "桂枝", "茯苓", "当归", "法半夏", "生姜", "大枣", "牡丹皮", "麻黄", "菟丝子", "枸杞子", "人参", "牡蛎", "红景天", "煅龙骨", "炒栀子", "淡豆豉", "川芎"], "prev_gap": 7, "visit_ix": 7, "n_visits": 13, "visit_ix_rx": 7, "n_rx": 13} {"rid": 52258, "pid": "P347cb54edca7", "date": "2025-11-15", "sex": "男", "age": 25, "cc": "尿频1年", "hpi": "尿频，喝水多尿多，夜尿1-2次，尿不尽，少腹隐痛，无腰疼，睡眠正常，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "茯苓", "泽泻", "麸炒白术", "滑石", "石菖蒲", "制远志", "路路通", "炒王不留行", "淡豆豉", "赤小豆", "白花蛇舌草", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52259, "pid": "P3d9132260f7f", "date": "2025-11-15", "sex": "男", "age": 40, "cc": "阴囊潮湿龟头红疹瘙痒3月", "hpi": "3月前出现阴囊潮湿龟头红疹瘙痒，性欲减退，勃起欠佳，尿无力，夜尿1次，无小腹胀痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "制巴戟天", "韭菜子", "麸炒苍术", "黄柏", "麸炒薏苡仁", "牛膝", "锁阳", "仙茅"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "韭菜子", "麸炒苍术", "黄柏", "麸炒薏苡仁", "牛膝", "锁阳"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52262, "pid": "P68959a62b365", "date": "2025-11-15", "sex": "男", "age": 53, "cc": "腰痛乏力伴勃起中途疲软2月", "hpi": "腰痛乏力伴勃起中途疲软好转，口异味，夜寐可，性欲可，晨勃可，射精快，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "补肾扶元"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "熟地黄", "麸炒山药", "盐补骨脂", "韭菜子", "制巴戟天", "白芍", "炒决明子", "金樱子", "醋五味子"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "熟地黄", "麸炒山药", "盐补骨脂", "韭菜子", "制巴戟天", "白芍", "炒决明子", "山楂"], "prev_gap": 21, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 52275, "pid": "Pf7536aadaad8", "date": "2025-11-15", "sex": "男", "age": 39, "cc": "尿频半年", "hpi": "尿频，尿不尽，夜尿正常，大便2-3天一次，纳可，口和，性欲一般，硬度一般，时间短，一月1-2次。无腰疼。眼睑发黄", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "黄芩片", "茵陈", "炒栀子", "丹参", "赤小豆", "石菖蒲", "盐蒺藜", "牛膝", "鸡血藤", "人参", "炙黄芪", "白芍", "牡丹皮", "炙甘草"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "茵陈", "炒栀子", "大黄", "北柴胡", "石菖蒲", "盐蒺藜", "当归", "川芎", "丹参", "鸡血藤", "醋龟甲", "煅龙骨", "煅牡蛎"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52277, "pid": "Pc933f20c6832", "date": "2025-11-15", "sex": "男", "age": 42, "cc": "腰痛半年", "hpi": "腰痛半年 失眠 早泄 大小便正常 纳可 勃起可 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "prev_gap": 21, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 6} {"rid": 52279, "pid": "P682dab1d620e", "date": "2025-11-15", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草片", "黄芩片", "黄连片", "干姜", "大枣", "牡蛎", "茯苓", "川芎", "菟丝子", "枸杞子", "人参", "醋龟甲", "炒苦杏仁", "赤小豆", "莲子", "覆盆子", "盐车前子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草片", "黄芩片", "黄连片", "干姜", "大枣", "牡蛎", "茯苓", "菟丝子", "枸杞子", "人参", "醋龟甲", "炒苦杏仁", "赤小豆", "莲子", "覆盆子", "盐车前子", "川芎"], "prev_gap": 7, "visit_ix": 15, "n_visits": 24, "visit_ix_rx": 14, "n_rx": 23} {"rid": 52280, "pid": "P3b0854e867ec", "date": "2025-11-15", "sex": "男", "age": 55, "cc": "尿灼热疼痛伴间断发热1月", "hpi": "1月前出现尿灼热疼痛伴间断发热，自服左氧氟沙星片好转停药后再次出现，夜尿3-5次，矢气多，打嗝", "wm_dx": ["慢性前列腺炎", "前列腺增生", "泌尿系感染"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["太子参", "猪苓", "茯苓", "炒酸枣仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52287, "pid": "P55e31664ab44", "date": "2025-11-15", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗，胁痛。", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肾精"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52291, "pid": "P22052dd7b314", "date": "2025-11-15", "sex": "男", "age": 46, "cc": "尿频尿急6月", "hpi": "6月前出现尿频尿急，小腹胀痛，排尿不畅，无其他不适", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "韭菜子", "制巴戟天", "仙茅", "盐杜仲"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "小蓟", "白花蛇舌草", "大蓟"], "prev_gap": 14, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 52294, "pid": "Paece6cd0415f", "date": "2025-11-15", "sex": "男", "age": 37, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗。PR 18%。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制远志", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52295, "pid": "P28f64be41044", "date": "2025-11-15", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，尿频，无小腹及会阴不适，工作压力适中，盗汗，性欲一般，工作久坐", "wm_dx": ["腰痛", "乏力", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["覆盆子", "酒黄精", "太子参", "丹参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52296, "pid": "Pd99e774d8015", "date": "2025-11-15", "sex": "男", "age": 37, "cc": "尿频1月", "hpi": "尿频，夜尿3-5次，白天7-8次，无尿痛，无尿不尽，大便1-2天次，不吃受凉，晨起口干苦，怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白薇", "桂枝", "茯苓", "泽泻", "猪苓", "滑石", "阿胶珠", "赤小豆", "白花蛇舌草", "煅龙骨", "煅牡蛎", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 52297, "pid": "P8c828663469d", "date": "2025-11-15", "sex": "男", "age": 49, "cc": "腰痛乏力伴勃起欠佳1年", "hpi": "1年前出现腰痛乏力伴勃起欠佳，射精快，排尿可，大便可，长期熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["麸炒枳实", "北柴胡", "白芍", "醋龟甲", "茯苓", "麸炒白术", "豆蔻", "炒麦芽", "盐蒺藜", "石菖蒲", "醋香附", "蜈蚣", "川芎", "炒僵蚕", "炙甘草", "炙淫羊藿", "制巴戟天", "锁阳", "韭菜子", "酒苁蓉"], "flags": [], "prev_rx": ["麸炒枳实", "白芍", "茯苓", "麸炒白术", "豆蔻", "炒麦芽", "盐蒺藜", "石菖蒲", "醋香附", "蜈蚣", "川芎", "炒僵蚕", "炙甘草", "北柴胡", "醋龟甲", "炙淫羊藿", "制巴戟天", "锁阳", "韭菜子", "酒苁蓉"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 52298, "pid": "P9022c1a08b5d", "date": "2025-11-15", "sex": "男", "age": 27, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗怕热。", "wm_dx": ["尿频", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "诃子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52299, "pid": "P8749a27b1cb0", "date": "2025-11-15", "sex": "男", "age": 27, "cc": "腰痛乏力劳累6月", "hpi": "6月前出现腰痛乏力劳累，午饭后劳累加重，口干，夜寐可，长期熬夜，二便调，偶有头晕，耳鸣，膝盖不适，自觉龟头敏感度高，射精快，性欲可，勃起可，胁肋疼痛，易生气。药后改善。", "wm_dx": ["腰痛"], "tcm_dx": [["耳鸣", "肾虚证", "滋补肾阴"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "醋鳖甲"], "flags": [], "prev_rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "醋鳖甲"], "prev_gap": 24, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 52302, "pid": "P20f0b5c494b8", "date": "2025-11-15", "sex": "男", "age": 33, "cc": "阴囊潮湿一年", "hpi": "阴囊潮湿，排尿正常，无腹痛，无腰疼，大便正常，睡眠多梦，口干，微怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["白薇", "桂枝", "茯苓", "泽泻", "桔梗", "法半夏", "紫苏叶", "生姜", "赤小豆", "白花蛇舌草", "滑石", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52304, "pid": "Pdcd1c63c3e60", "date": "2025-11-15", "sex": "男", "age": 32, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，硬度下降，性欲可，性生活不规律，工作压力大，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "锁阳", "莲子", "醋五味子", "盐益智仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "prev_gap": 30, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 52305, "pid": "Paca221aefa32", "date": "2025-11-15", "sex": "男", "age": 39, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，硬度和性欲可，性生活不规律，工作劳累，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。包皮刺痒。", "wm_dx": ["尿频", "腰痛", "包皮龟头炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "烫水蛭", "石菖蒲", "绵萆薢"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52309, "pid": "P47f9b8ca1ced", "date": "2025-11-15", "sex": "男", "age": 36, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，近期想生育，夜寐差，口中和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "韭菜子", "枸杞子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "烫水蛭", "甜叶菊叶"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "韭菜子", "枸杞子", "烫水蛭"], "prev_gap": 13, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 6} {"rid": 52313, "pid": "Pf219fe9cc524", "date": "2025-11-15", "sex": "男", "age": 36, "cc": "尿频2周", "hpi": "尿频2周，腰痛，乏力，工作劳累，睡眠可，纳可，喜凉，口干口苦", "wm_dx": ["乏力", "尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "茯苓", "泽泻", "牡丹皮", "北柴胡", "黄芩片", "人参", "覆盆子", "盐车前子", "枸杞子", "牡蛎", "丹参", "鸡血藤", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52321, "pid": "Pa26845647079", "date": "2025-11-15", "sex": "男", "age": 39, "cc": "盗汗多年", "hpi": "多年前出现盗汗，手足心汗出，偶有口苦，二便调，腰痛乏力，失眠", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "浮小麦", "地骨皮", "黄芪", "防己", "甜叶菊叶", "川牛膝"], "flags": [], "prev_rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "浮小麦", "地骨皮", "黄芪", "防己", "甜叶菊叶"], "prev_gap": 13, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 5} {"rid": 52324, "pid": "Pb2acf3d9deba", "date": "2025-11-15", "sex": "男", "age": 48, "cc": "腰酸痛20余天", "hpi": "20余天前出现腰酸痛，尿频尿急，无小腹胀痛，大便正常，睡眠一般，硬度正常，时间短，口和，咽干，纳可，凉的吃得少，无怕冷", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["葛根", "煅龙骨", "煅牡蛎", "桂枝", "白芍", "生姜", "石菖蒲", "盐蒺藜", "金樱子肉", "锁阳", "醋龟甲", "炙甘草", "醋五味子", "盐补骨脂"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52325, "pid": "P8567e16fb46c", "date": "2025-11-15", "sex": "男", "age": 48, "cc": "尿频一月", "hpi": "尿频，阴囊潮湿，发热感，少腹隐痛，阵发性，无腰疼，怕冷，大便正常，纳可，口苦，乏力感，睡眠可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "赤小豆", "白花蛇舌草", "连翘", "淡竹叶", "炒栀子", "牛膝", "麸炒薏苡仁", "桃仁", "红花", "地肤子", "桑白皮", "炒苦杏仁", "菊花", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52326, "pid": "Pb0afabb485ae", "date": "2025-11-15", "sex": "男", "age": 29, "cc": "尿频 尿黄 泡沫多大半年", "hpi": "尿频 尿黄 泡沫多 夜尿1-2次，大便正常， 纳可，吃凉的少， 口气重，口干口苦，乏力，服用药物后复诊，口气重，乏力感。复诊，大便费劲", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["生姜", "干姜", "黄连片", "黄芩片", "法半夏", "人参", "醋鸡内金", "北柴胡", "石菖蒲", "制远志", "盐蒺藜", "煅龙骨", "煅牡蛎", "麸炒枳实", "白芍"], "flags": [], "prev_rx": ["生姜", "干姜", "黄连片", "黄芩片", "法半夏", "大枣", "人参", "醋鸡内金", "佩兰", "石菖蒲", "制远志", "盐蒺藜", "煅龙骨", "煅牡蛎"], "prev_gap": 7, "visit_ix": 10, "n_visits": 16, "visit_ix_rx": 7, "n_rx": 11} {"rid": 52328, "pid": "P3c42e3456009", "date": "2025-11-15", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲强，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52333, "pid": "Pf07e1820a490", "date": "2025-11-15", "sex": "男", "age": 56, "cc": "左侧睾丸不适2年", "hpi": "2年前出现左侧睾丸不适，疼痛，排尿可。药后症状稍有改善。尿频，尿后余沥。", "wm_dx": ["高血压", "精索静脉曲张", "前列腺炎"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪", "烫水蛭", "盐车前子"], "flags": [], "prev_rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52334, "pid": "Pfbe47ae9bd03", "date": "2025-11-15", "sex": "男", "age": 40, "cc": "阴囊潮湿2月", "hpi": "阴囊潮湿，失眠一年多，入睡困难多梦，中途醒，性欲一般，勃起不佳，排尿可，大便不成型，纳可，口干口苦，怕冷，腰酸疼。包皮刺痒。", "wm_dx": ["腰痛", "包皮龟头炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "肝肾亏虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "干姜", "制远志", "人参", "桂枝", "防风", "荆芥", "麸炒白术", "茯苓", "泽泻", "制巴戟天", "炙黄芪", "红花"], "prev_gap": 8, "visit_ix": 3, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 9} {"rid": 52339, "pid": "P8095dbd26d80", "date": "2025-11-15", "sex": "男", "age": 72, "cc": "尿频1天", "hpi": "尿频1天，无尿痛，尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗。药后症状改善。", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "茯苓", "覆盆子"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52349, "pid": "P1cf05228462b", "date": "2025-11-16", "sex": "男", "age": 38, "cc": "尿频6月", "hpi": "尿频6月，尿等待，尿后余沥，夜尿1次，无小腹及会阴不适，大便质干，纳可，眠梦多，口干，盗汗", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "炒酸枣仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52350, "pid": "P8a5fc0300f9d", "date": "2025-11-16", "sex": "男", "age": 38, "cc": "会阴及小腹不适2周", "hpi": "会阴及小腹不适2周，无尿频尿急，无排尿不畅，夜尿0次，工作久站，眠差，梦多，盗汗腰痛", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["炒酸枣仁", "茯苓", "丹参", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52352, "pid": "P94b829b04e3e", "date": "2025-11-16", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，性欲一般，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52353, "pid": "P6ab21fab73d2", "date": "2025-11-16", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作熬夜，同居感情可，二便调，纳眠可，无排尿不畅、尿后余沥，口干。晨勃少。包皮刺痒。", "wm_dx": ["腰痛", "包皮龟头炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52357, "pid": "Peea83405ace1", "date": "2025-11-16", "sex": "男", "age": 67, "cc": "阴囊潮湿2月", "hpi": "阴囊潮湿2月，伴肛门潮湿，射精刺痛，无尿频、尿痛，口干，盗汗", "wm_dx": ["前列腺增生", "前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "茯苓", "丹参", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52364, "pid": "P6266d3b7cd2e", "date": "2025-11-16", "sex": "男", "age": 22, "cc": "左侧睾丸不适3天", "hpi": "左侧睾丸不适3天，无尿频、尿急，无排尿不畅，纳眠可，二便调，口干，盗汗，乏力。工作久坐。下肢酸胀。", "wm_dx": ["精索静脉曲张", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "炒酸枣仁", "丹参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52372, "pid": "Pc13748f16882", "date": "2025-11-16", "sex": "男", "age": 27, "cc": "腰痛伴射精快多年", "hpi": "腰痛伴射精快多年，手淫时间短，口干口苦，长期熬夜，盗汗，失眠", "wm_dx": ["腰痛"], "tcm_dx": [["失眠", "气血两虚证", "补益气血"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["山慈菇", "炒酸枣仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52373, "pid": "Pa540a7d3fdc8", "date": "2025-11-16", "sex": "男", "age": 26, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["乏力", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52375, "pid": "P4bfa20935fbd", "date": "2025-11-16", "sex": "男", "age": 22, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，伴阴囊皮肤脱皮，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52376, "pid": "Pd4c6a2213876", "date": "2025-11-16", "sex": "男", "age": 36, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，硬度和性欲可，性生活不规律，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒苁蓉", "炙淫羊藿", "制巴戟天", "覆盆子", "锁阳", "黄芪", "枸杞子", "黄连片", "诃子肉", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52378, "pid": "P9f09468d6d10", "date": "2025-11-16", "sex": "男", "age": 38, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 少腹隐痛 胁痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "心肾不交证", "交通心肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["桂枝", "知母", "白芍", "盐关黄柏", "炒酸枣仁", "炙甘草", "龙骨", "牡蛎", "菟丝子", "盐车前子", "烫骨碎补", "醋延胡索"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "白芍", "炙甘草", "煅龙骨", "煅牡蛎", "炒酸枣仁", "知母", "茯神", "川芎", "关黄柏", "菟丝子"], "prev_gap": 71, "visit_ix": 2, "n_visits": 9, "visit_ix_rx": 2, "n_rx": 9} {"rid": 52379, "pid": "P47064fd480d5", "date": "2025-11-16", "sex": "男", "age": 66, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，无尿频尿急，无尿后余沥，夜尿2次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗。口服前列舒通，效果一般。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "丹参", "太子参", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52380, "pid": "Pf5d4d31dac7c", "date": "2025-11-16", "sex": "男", "age": 25, "cc": "腰痛半年", "hpi": "伴有早泄 时间1-2分钟 勃起改善 大小便正常 纳可 失眠 盗汗", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉"], "flags": [], "prev_rx": ["制巴戟天", "覆盆子", "炒酸枣仁", "知母", "陈皮"], "prev_gap": 50, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52383, "pid": "P8f3302549580", "date": "2025-11-16", "sex": "男", "age": 66, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频、尿急，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["炒酸枣仁", "茯苓", "丹参", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52384, "pid": "Pbbecda13150f", "date": "2025-11-16", "sex": "男", "age": 32, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，情绪焦虑，二便调，纳可，眠差易醒，无排尿不畅、尿后余沥，口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "酒白芍", "炙甘草", "麸炒枳实", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "制巴戟天", "红景天", "韭菜子", "白芷", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "制巴戟天", "红景天", "白芷", "炒酸枣仁", "酒白芍", "炙甘草", "麸炒枳实", "韭菜子"], "prev_gap": 20, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 52385, "pid": "Pfd829ed970a5", "date": "2025-11-16", "sex": "男", "age": 30, "cc": "左侧小腹不适2周", "hpi": "左侧小腹不适2周，无明显排尿不适，无明显射精不适，二便调，下肢酸胀，乏力，盗汗", "wm_dx": ["前列腺炎", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["山慈菇", "炒酸枣仁", "丹参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52390, "pid": "P887ee3b27f29", "date": "2025-11-16", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作劳累，情绪焦虑，同居感情可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 52392, "pid": "Pd317be17ab65", "date": "2025-11-17", "sex": "男", "age": 61, "cc": "尿急2周", "hpi": "尿急2周，无明显尿频，无尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["炒酸枣仁", "麸炒山药", "丹参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52395, "pid": "Pbdf06749b679", "date": "2025-11-17", "sex": "男", "age": 57, "cc": "复诊", "hpi": "病史见前，psa7.10 B 超 见报告单", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "温补肾阳"]], "rx": ["生石膏", "黑顺片", "砂仁", "醋龟甲", "桑螵蛸", "炙甘草", "泽泻", "金樱子肉", "盐益智仁", "盐补骨脂"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "生石膏", "牡蛎", "龙骨", "黑顺片", "砂仁", "醋龟甲", "桑螵蛸", "炙甘草", "泽泻"], "prev_gap": 7, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 52396, "pid": "Pa6b5079bd0d1", "date": "2025-11-17", "sex": "男", "age": 41, "cc": "腰痛乏力尿无力2年", "hpi": "2年前出现腰痛乏力尿无力，勃起欠佳好转，夜尿1-2次，口中和，脱发，长期熬夜，夜寐差，盗汗，下肢无力", "wm_dx": ["腰痛", "慢性前列腺炎", "肾结石"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "制巴戟天", "韭菜子", "锁阳", "沙苑子", "盐杜仲", "广金钱草", "海金沙", "醋鸡内金", "绵萆薢"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "熟地黄", "山药", "盐补骨脂", "盐杜仲", "牛膝", "太子参", "制巴戟天", "锁阳", "韭菜子", "仙茅", "人参"], "prev_gap": 7, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 52398, "pid": "P179658022152", "date": "2025-11-17", "sex": "男", "age": 59, "cc": "排尿不畅尿分叉20年", "hpi": "20年前出现排尿不畅尿分叉好转，尿频尿急好转，夜尿1次，尿道瘙痒灼热，长期熬夜，口干口苦，无小腹胀痛。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "醋五味子", "金银花", "甘草", "大枣"], "flags": [], "prev_rx": ["艾叶", "川芎", "燀桃仁", "红花", "醋乳香", "醋没药", "肉桂", "铁线透骨草", "炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "醋五味子", "金银花", "甘草", "大枣"], "prev_gap": 6, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 52399, "pid": "Pf56293274911", "date": "2025-11-17", "sex": "男", "age": 39, "cc": "复诊", "hpi": "病史同前，无尿频，有一次性生活，偶有口干，汗不多，无肢冷，便调。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "麸炒枳实", "白芍", "北柴胡", "桑叶", "炙甘草", "酒萸肉", "蜂房"], "flags": [], "prev_rx": ["地龙", "醋五味子", "当归", "桑寄生", "桑椹", "熟地黄", "黑顺片", "酒萸肉", "牛膝", "九香虫", "北沙参", "炙甘草"], "prev_gap": 28, "visit_ix": 5, "n_visits": 18, "visit_ix_rx": 5, "n_rx": 18} {"rid": 52400, "pid": "Pb00f9e676136", "date": "2025-11-17", "sex": "男", "age": 88, "cc": "复诊", "hpi": "病史同前,阴囊潮湿，尿频尿急，淋漓不净，尿失禁。夜尿3次。目前仍在服用可多华。脚凉，易汗，口干不苦，眠可，纳可，便2-3次", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "温补肾阳"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "盐补骨脂", "盐益智仁", "泽泻", "金樱子肉", "乌药", "炙甘草", "石菖蒲"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "醋龟甲", "砂仁", "泽泻", "龙骨", "牡蛎", "炙甘草", "石菖蒲"], "prev_gap": 7, "visit_ix": 2, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 8} {"rid": 52403, "pid": "P7c676a87e5c1", "date": "2025-11-17", "sex": "男", "age": 31, "cc": "尿频半年", "hpi": "尿频，勃起一般，中途疲软，时间短，喝水多尿多，晨勃少，大便正常，受凉易腹泻，口干，睡眠正常，怕冷，腰痛乏力", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["法半夏", "黄连", "黄芩", "干姜", "党参", "大枣", "当归", "川芎", "白芍", "茯苓", "泽泻", "麸炒白术", "丹参", "鸡血藤", "炙甘草", "炙淫羊藿", "人参", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52410, "pid": "P0712f536281c", "date": "2025-11-17", "sex": "男", "age": 41, "cc": "结婚2年未育", "hpi": "结婚2年未育，腰痛乏力，女方检查未见异常，同房频率4-5次/月，排尿可。口干，失眠，夜寐差，长期熬夜，无其他不适", "wm_dx": ["男性不育症"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "金樱子", "盐车前子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52411, "pid": "P4b868542739d", "date": "2025-11-17", "sex": "男", "age": 53, "cc": "尿频10年", "hpi": "尿频,夜尿2次,尿急,不畅,无尿痛.性功能减退,自服药物.", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["桑螵蛸", "黑顺片", "盐益智仁", "盐补骨脂", "金樱子肉", "乌药", "北柴胡", "麸炒枳实", "泽泻", "九香虫"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 8} {"rid": 52417, "pid": "P0417d5797881", "date": "2025-11-17", "sex": "男", "age": 30, "cc": "结婚1年未育", "hpi": "结婚1年未育，同房频率，3-4次/月，口干，长期熬夜，", "wm_dx": ["男性不育症"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "盐车前子", "覆盆子", "枸杞子", "炒酸枣仁", "柏子仁", "茯神", "甜叶菊叶"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52418, "pid": "P92eead348671", "date": "2025-11-17", "sex": "男", "age": 37, "cc": "勃起不能持续5年", "hpi": "阴囊潮湿，易汗，瘙痒感，勃起不能持续。性生活部规律。夫妻关系可。母亲家族高血压。", "wm_dx": ["男性勃起障碍", "代谢综合征"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["炙甘草", "姜半夏", "酒黄芩", "黄连片", "干姜", "紫苏叶", "合欢皮", "地龙", "桂枝", "白芍"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52425, "pid": "P81af78f00fc0", "date": "2025-11-17", "sex": "男", "age": 32, "cc": "腰痛乏力伴勃起欠佳6月", "hpi": "6月前出现腰痛乏力伴勃起欠佳，射精快，自觉龟头敏感度高，排尿可，口中和，长期熬夜，盗汗，包皮龟头红疹", "wm_dx": ["腰痛", "包皮龟头炎"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "地龙", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52429, "pid": "P5b24a8ab10fd", "date": "2025-11-17", "sex": "男", "age": 39, "cc": "尿线细，乏力复诊", "hpi": "尿频，尿线细，夜尿1-2次，腰酸，汗多，乏力，恶热，口干不欲饮，小腿酸，纳可，大便日1-2次，眠可，性生活1次/周，勃起不坚。腹胀，偶有尿急", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["心悸", "气虚证", "补气"], ["精癃", "湿热下注证", "清热利湿"], ["精浊", "湿热", "清热利湿"], ["乏力", "肝肾亏虚", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "路路通", "炒王不留行", "野菊花", "姜厚朴", "夏枯草", "乌药", "盐益智仁", "麸炒山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 16, "n_visits": 26, "visit_ix_rx": 0, "n_rx": 4} {"rid": 52430, "pid": "P49008efed5e2", "date": "2025-11-17", "sex": "男", "age": 58, "cc": "乏力腰痛半年", "hpi": "伴有勃起困难 早泄 眠差，口干口苦，耳鸣，夜尿0次，梦多，大便可，眼干涩", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝郁血瘀证", "疏肝通络"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "盐益智仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52431, "pid": "P5e78ddaf970e", "date": "2025-11-17", "sex": "男", "age": 60, "cc": "腰痛乏力伴勃起不坚7年", "hpi": "7年前出现腰痛乏力伴勃起不坚，性欲可，晨勃消失，司机工作久坐，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "锁阳", "仙茅", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 52443, "pid": "Pf673a118472d", "date": "2025-11-18", "sex": "男", "age": 37, "cc": "腰痛复诊取药", "hpi": "尿频，性功能减退，勃起硬度好转，左侧大腿根部发热好转，口干好转，口苦，大便不成型，睡眠入睡困难，无怕冷，喝冷易腹泻", "wm_dx": ["腹股沟淋巴结炎", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "醋龟甲", "砂仁", "酒女贞子", "覆盆子", "盐杜仲", "桑寄生", "牛膝", "茵陈", "盐益智仁", "炒酸枣仁", "柏子仁", "黄连", "川楝子", "烫水蛭", "北柴胡", "炒蒺藜", "麸炒枳壳", "炙甘草"], "flags": [], "prev_rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "醋龟甲", "砂仁", "酒女贞子", "覆盆子", "盐杜仲", "桑寄生", "牛膝", "石菖蒲", "盐益智仁", "炒酸枣仁", "柏子仁", "合欢皮", "川楝子", "烫水蛭", "麸炒枳壳", "炙甘草", "北柴胡", "炒蒺藜"], "prev_gap": 14, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 52446, "pid": "Pa0bf7b37005e", "date": "2025-11-18", "sex": "男", "age": 71, "cc": "龟头红点一周余", "hpi": "龟头红点一周余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连", "茵陈", "大黄", "当归", "麸炒苍术", "土茯苓", "败酱草", "蝉蜕"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52447, "pid": "P6217bf71365c", "date": "2025-11-18", "sex": "男", "age": 74, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊，夜尿频繁，5-6次，白天可。稍有尿痛，排尿不畅。规律口服坦索罗辛和非那雄胺，现夜尿次数增多。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "醋五味子", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52450, "pid": "P61c822432c2d", "date": "2025-11-18", "sex": "男", "age": 68, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余，腰痛，勃起欠佳，口干口苦", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "土茯苓", "败酱草", "黄连", "茵陈", "当归", "大黄", "白花蛇舌草", "金银花", "蒲公英", "蝉蜕", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52451, "pid": "P42831dc11002", "date": "2025-11-18", "sex": "男", "age": 38, "cc": "尿频6月", "hpi": "6月前出现尿频，无小腹胀痛，夜尿1-2次，夜寐差", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白茅根", "绵萆薢", "小蓟", "制远志", "乌药", "盐益智仁", "山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52452, "pid": "P6b2c6d4b2040", "date": "2025-11-18", "sex": "男", "age": 33, "cc": "阳痿早泄半年", "hpi": "阳痿早泄半年 大小便正常 纳可 眠安 腰痛", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["房事阳痿", "肾虚证", "补肾扶元"], ["房事早泄", "肾虚证", "补肾扶元"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52453, "pid": "Peee6a21441ff", "date": "2025-11-18", "sex": "男", "age": 64, "cc": "排尿不畅夜尿多2年", "hpi": "2年前出现排尿不畅，夜尿频4-5次，尿频尿急，小腹不适", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["艾叶", "川芎", "燀桃仁", "红花", "醋乳香", "醋没药", "肉桂", "铁线透骨草", "炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "川牛膝", "盐杜仲", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52455, "pid": "P8dc6c6b20df4", "date": "2025-11-18", "sex": "男", "age": 30, "cc": "睾丸肿痛一天", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷", "wm_dx": ["睾丸炎"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["干姜", "黄芩片", "黄连片", "法半夏", "人参", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "赤小豆", "牡蛎", "红景天", "麸炒白术", "醋龟甲", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 24, "visit_ix_rx": 0, "n_rx": 23} {"rid": 52457, "pid": "Pb80254f061a4", "date": "2025-11-18", "sex": "男", "age": 35, "cc": "尿频半年", "hpi": "尿频，大便正常，纳可，睡眠正常中途醒，近半年未育。口干喝水口苦，怕冷，出汗少，睾丸坠胀感隐痛消失", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾阴虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "生姜", "大枣", "炒栀子", "淡豆豉", "菟丝子", "枸杞子", "川芎", "覆盆子", "盐车前子", "牡蛎", "红景天", "熟地黄", "醋龟甲"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "生姜", "大枣", "炒栀子", "菟丝子", "枸杞子", "川芎", "覆盆子", "盐车前子", "牡蛎", "红景天", "熟地黄", "滑石", "淡豆豉"], "prev_gap": 17, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 52458, "pid": "Pde25404752d2", "date": "2025-11-18", "sex": "男", "age": 63, "cc": "腰痛半年", "hpi": "腰痛半年 早泄 时间2分钟左右 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["地龙", "五加皮", "地骨皮", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "炒僵蚕", "蒲公英", "金银花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地龙", "五加皮", "地骨皮", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "炒僵蚕"], "prev_gap": 7, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 52460, "pid": "P37e3a2a5b692", "date": "2025-11-18", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛半年 伴有阳痿早泄 时间1分钟 晨勃少 大便正常 纳可 眠安 尿频 尿不尽", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 52464, "pid": "P64d1bf0f8bb8", "date": "2025-11-18", "sex": "男", "age": 42, "cc": "阴囊不适3天", "hpi": "阴囊不适3天，外院查睾丸和精索静脉超声报：轻度精索静脉曲张。服用小金丸后症状缓解。易反复，排尿正常，大便不成型，纳可，口和，睡眠正常，无怕冷，怕热，复诊：症状好转，口干。复诊：大便不成型，口干，有痰", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["子痈", "气滞血瘀证", "活血化瘀"], ["精浊", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "川芎", "白芍", "茯苓", "法半夏", "猪苓", "牡丹皮", "菟丝子", "枸杞子", "化橘红", "牡蛎", "牛膝", "麸炒白术", "醋龟甲", "桂枝", "红景天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "川芎", "白芍", "茯苓", "泽泻", "猪苓", "牡丹皮", "菟丝子", "枸杞子", "盐车前子", "牡蛎", "麸炒白术", "醋龟甲", "川楝子", "桂枝", "红景天"], "prev_gap": 18, "visit_ix": 4, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 9} {"rid": 52465, "pid": "P6652e054edf3", "date": "2025-11-18", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 伴有不射精 中途疲软 大小便正常 纳可 眠安 晨勃可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "茵陈", "北柴胡", "炒蒺藜", "丁香", "木香", "大血藤", "麸炒枳壳", "炙甘草", "烫水蛭", "韭菜子", "盐车前子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52467, "pid": "Pae01bc0f2a5e", "date": "2025-11-18", "sex": "男", "age": 43, "cc": "腰痛乏力多年", "hpi": "多年前出现腰痛乏力，尿频尿急，多汗，夜尿2-3次，食辣多", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "覆盆子", "枸杞子", "韭菜子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "盐车前子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 52468, "pid": "P1bffda8ddab5", "date": "2025-11-18", "sex": "男", "age": 47, "cc": "阴囊瘙痒脱皮半月余", "hpi": "阴囊瘙痒脱皮半月余 大小便正常 纳可 眠安", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "茵陈", "白芷", "烫水蛭", "黄连"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52476, "pid": "P325c184196c9", "date": "2025-11-18", "sex": "男", "age": 40, "cc": "尿频一周", "hpi": "尿频一周 尿急 尿痛 大便正常 纳可 失眠", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["失眠", "心血虚证", "补血养心"]], "rx": ["猪苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52490, "pid": "P620ec176aec4", "date": "2025-11-18", "sex": "男", "age": 37, "cc": "湿疹抄方", "hpi": "湿疹抄方 大小便正常 纳可 眠安 口苦口干", "wm_dx": ["湿疹"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["连翘", "蒲公英", "野菊花", "生石膏", "酒蛇蜕", "炒牛蒡子", "炒酸枣仁", "制远志", "石菖蒲", "柏子仁", "焦槟榔", "大黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52498, "pid": "P24511a22f5bd", "date": "2025-11-18", "sex": "男", "age": 52, "cc": "前列腺增生 慢性前列腺炎 腰痛 盗汗 关节炎复诊取药", "hpi": "前列腺增生 慢性前列腺炎 腰痛 盗汗 关节炎复诊取药 射精后疼痛，阴囊潮湿，尿不尽，大便干，口干 腰痛 耳鸣 包皮炎 失眠 脚踝扭伤行动不便", "wm_dx": ["支气管哮喘", "慢性前列腺炎", "骨质疏松", "关节炎", "关节痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["痹证类病", "气滞血瘀证", "活血化瘀"]], "rx": ["太子参", "麸炒山药", "制巴戟天", "覆盆子", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 16, "n_visits": 21, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52499, "pid": "P0781d80744b2", "date": "2025-11-18", "sex": "男", "age": 45, "cc": "尿频尿急尿不尽6月", "hpi": "6月前出现尿频尿急尿不尽，小腹及腹股沟胀痛不适，睾丸时有不适，体检发现血PSA升高5.19，夜寐差，长期熬夜", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "小蓟", "绵萆薢", "炒决明子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52502, "pid": "Pd5809ce13e6f", "date": "2025-11-18", "sex": "男", "age": 42, "cc": "尿频尿不尽复诊", "hpi": "尿频尿不尽改善 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇", "太子参", "陈皮"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "山慈菇", "麸炒薏苡仁"], "prev_gap": 42, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 52507, "pid": "P50f2f278c637", "date": "2025-11-19", "sex": "男", "age": 37, "cc": "包皮龟裂溃疡复诊", "hpi": "包皮龟裂溃疡复诊 大小便正常 纳可 眠安 湿疹取药", "wm_dx": ["包皮龟头炎", "湿疹"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连", "大黄", "茵陈", "当归", "赤芍", "土茯苓", "败酱草", "白芷", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52510, "pid": "Pf1856e57cdd6", "date": "2025-11-19", "sex": "男", "age": 75, "cc": "尿频复诊", "hpi": "尿频，尿急，尿不尽,尿失禁，无尿痛，夜尿3次，左侧腰疼，腿水肿，少腹发胀，大便正常，纳可，无怕冷，不欲饮水，口干苦，有痰，睡眠一般复诊，效果无，乏力感消瘦", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"], ["乳蛾", "热毒炽盛证", "清热解毒"]], "rx": ["桂枝", "猪苓", "茯苓", "泽泻", "麸炒白术", "麻黄", "炒苦杏仁", "赤小豆", "北柴胡", "牡丹皮", "燀桃仁", "红花", "干姜", "乌药", "盐益智仁", "麸炒山药", "鹿角胶"], "flags": [], "prev_rx": ["桂枝", "猪苓", "茯苓", "泽泻", "麸炒白术", "麻黄", "炒苦杏仁", "赤小豆", "北柴胡", "牡丹皮", "燀桃仁", "红花", "干姜"], "prev_gap": 20, "visit_ix": 3, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 6} {"rid": 52515, "pid": "Peb16fc41cd96", "date": "2025-11-19", "sex": "男", "age": 64, "cc": "尿频一月", "hpi": "尿频，夜尿1-2次 ，腰酸痛，晨勃无，大便一次，纳可，睡眠正常，晨起口干口苦，怕冷，复诊，尿频好转，口干口苦减轻，仍腰酸痛，勃起不行", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不足证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "葛根", "茯苓", "白芍", "燀桃仁", "红花", "牡丹皮", "地黄", "丹参", "鸡血藤", "炙黄芪", "炙甘草", "鹿角霜"], "flags": [], "prev_rx": ["桂枝", "白芍", "葛根", "生姜", "细辛", "盐补骨脂", "桑寄生", "丹参", "鸡血藤", "制远志", "蜂房", "炙淫羊藿", "黑顺片", "蜈蚣", "鹿角霜"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 52517, "pid": "Pb7df98d02f5d", "date": "2025-11-19", "sex": "男", "age": 44, "cc": "尿频2-3年", "hpi": "尿频，尿急，夜尿正常，大便2-3次，纳可，睡眠可，时有口干口苦，时有晨勃，硬度一般，时间短，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牛膝", "茯苓", "泽泻", "牡丹皮", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "酒黄精", "蜈蚣"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "牡丹皮", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "茵陈", "炒栀子", "蜂房", "蜈蚣"], "prev_gap": 14, "visit_ix": 3, "n_visits": 12, "visit_ix_rx": 3, "n_rx": 11} {"rid": 52520, "pid": "P6e59b6ab2ff7", "date": "2025-11-19", "sex": "男", "age": 35, "cc": "尿不尽复诊", "hpi": "尿不尽改善 腰酸痛 背痛 早泄 勃起差 晨勃少 大便正常 纳可 眠差", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "太子参", "制巴戟天"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "茯苓"], "prev_gap": 8, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52526, "pid": "P5bfb3abffbfb", "date": "2025-11-19", "sex": "男", "age": 25, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，工作熬夜，无排尿不畅，大便可。纳眠可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "茯苓", "制水蛭"], "flags": [], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "茯苓", "制水蛭"], "prev_gap": 9, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52528, "pid": "P076cb6473ce5", "date": "2025-11-19", "sex": "男", "age": 45, "cc": "腰痛乏力射精快1年", "hpi": "1年前出现腰痛乏力射精快，同房时间1-2分钟，同房频率2-3次/月，勃起稍差，可同房，遗精，盗汗，尿频，口干口苦，夜寐可，长期熬夜,龟头红疹，胁肋疼痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "地龙", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52531, "pid": "P9136035e5747", "date": "2025-11-19", "sex": "男", "age": 45, "cc": "尿急尿痛尿不尽半年", "hpi": "尿急尿痛尿不尽半年 大便正常 纳可 眠安 体检PSA31.4 乏力消瘦半年", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52532, "pid": "Pbdafb50f5edb", "date": "2025-11-19", "sex": "男", "age": 36, "cc": "阵发性尿痛2年", "hpi": "阵发性尿痛，尿不尽，少腹隐痛，憋气明显，大便粘，睡眠一般，多梦早醒，口干口苦，怕冷，腰疼，盗汗，乏力感。纳差", "wm_dx": ["腹痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩", "桂枝", "干姜", "天花粉", "白芍", "当归", "川芎", "赤小豆", "白花蛇舌草", "炒苦杏仁", "人参", "生姜", "浮小麦", "生地黄", "太子参", "茯苓", "玫瑰花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52536, "pid": "P15dc3ec30e27", "date": "2025-11-19", "sex": "男", "age": 37, "cc": "腰痛乏力伴弱精1周", "hpi": "1周前出现腰痛乏力伴弱精，口干口苦，夜寐差，二便调", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "韭菜子", "当归", "熟地黄", "菟丝子", "炙淫羊藿", "川牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 8} {"rid": 52538, "pid": "P0d742c589f81", "date": "2025-11-19", "sex": "男", "age": 41, "cc": "腰痛半年抄方", "hpi": "腰痛半年 大小便正常 纳可 眠安 口苦 脚踝扭伤行动不便 慢性前列腺炎取药", "wm_dx": ["关节痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炙淫羊藿", "盐胡芦巴", "仙茅", "蛇床子", "韭菜子", "麸炒芡实", "麸炒白术", "炒僵蚕", "炒决明子", "覆盆子", "盐杜仲", "牛膝", "桑寄生", "赤芍", "炒酸枣仁"], "flags": [], "prev_rx": ["盐杜仲", "牛膝", "独活", "秦艽", "当归尾", "赤芍", "炒酸枣仁", "北沙参", "桑寄生", "石斛", "桑椹", "枸杞子", "太子参", "防风"], "prev_gap": 14, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 5} {"rid": 52553, "pid": "P9baece89f913", "date": "2025-11-19", "sex": "男", "age": 39, "cc": "腰疼2周", "hpi": "勃起硬度减，或不能持续。症状1-2年，近2周加重。腰疼，无尿。父亲高血压。易腹泻，排尿正常，喝水少，口干口苦，口气重，汗多，怕冷，睡眠中途醒，乏力感", "wm_dx": ["代谢综合征"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "牡丹皮", "茯苓", "猪苓", "麸炒枳实", "白芍", "人参", "丹参", "鸡血藤", "炒栀子", "合欢皮", "牛膝"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "黄芩", "干姜", "人参", "当归", "川芎", "白芍", "茯苓", "猪苓", "焦山楂", "醋鸡内金", "黄连", "炒栀子", "甜叶菊叶"], "prev_gap": 14, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 6, "n_rx": 7} {"rid": 52569, "pid": "Pfef191acda95", "date": "2025-11-19", "sex": "男", "age": 95, "cc": "前列腺增生复诊", "hpi": "前列腺增生，长期服药，症状控制可。腰痛，关节痛，咳嗽有痰，便秘，行动不便。", "wm_dx": ["便秘", "前列腺增生", "骨质疏松", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 16, "n_visits": 19, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52570, "pid": "Pf72b3cd0946f", "date": "2025-11-19", "sex": "男", "age": 73, "cc": "泌尿系感染复诊", "hpi": "泌尿系感染复诊，1周前尿痛。现尿痛缓解，伴小腹不适，尿道灼热。", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["淋证", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "绵萆薢", "车前草", "白花蛇舌草", "小蓟", "马齿苋"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 17, "n_visits": 22, "visit_ix_rx": 0, "n_rx": 5} {"rid": 52575, "pid": "P6eccb99a9d20", "date": "2025-11-20", "sex": "男", "age": 69, "cc": "尿不尽 尿频复诊", "hpi": "尿不尽 尿频改善 大便正常 纳可 眠安 腰痛乏力 气短 口干", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "制巴戟天", "太子参", "知母"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "制巴戟天", "太子参"], "prev_gap": 21, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 52579, "pid": "P11e75f2039a6", "date": "2025-11-20", "sex": "男", "age": 70, "cc": "前列腺增生复诊", "hpi": "尿不尽 排尿不畅好转，现夜尿由4次转为2次 尿细 腰痛乏力改善 脚踝扭伤行动不便", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "羌活", "炒决明子"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52580, "pid": "Pe6a9826b2fb6", "date": "2025-11-20", "sex": "男", "age": 49, "cc": "阴囊潮湿3月", "hpi": "阴囊潮湿3月，无明显瘙痒，无尿频、尿急，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗。抽烟喝酒。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["丹参", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "炒酸枣仁", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52581, "pid": "P6123bed40e50", "date": "2025-11-20", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52583, "pid": "Pc084f94c7bf3", "date": "2025-11-20", "sex": "男", "age": 31, "cc": "体检发现前列腺囊肿", "hpi": "体检发现前列腺囊肿 尿频 尿急 大便正常 纳可 眠安 腰痛 乏力", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52588, "pid": "P24c86921b8c7", "date": "2025-11-20", "sex": "男", "age": 33, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗，熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52591, "pid": "Pd0cb592ce35f", "date": "2025-11-20", "sex": "男", "age": 26, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作劳累。盗汗。工作久坐。乏力。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "莲子", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 4} {"rid": 52598, "pid": "P0101457d2271", "date": "2025-11-20", "sex": "男", "age": 22, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作劳累，压力大，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52608, "pid": "Pb921c7648b33", "date": "2025-11-20", "sex": "男", "age": 46, "cc": "尿频3年", "hpi": "尿频，夜尿1次，大便黏，睡眠好，口干口苦，阴囊潮湿", "wm_dx": ["前列腺炎", "男性性腺功能低下"], "tcm_dx": [["精浊", "湿热肾虚", "补肾清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩", "党参", "川牛膝", "麸炒枳实", "麸炒山药", "当归", "连翘", "炒蒺藜", "麸炒薏苡仁", "茯苓", "麸炒白术", "炒酸枣仁", "熟地黄", "瓜蒌", "赤小豆", "烫水蛭", "制巴戟天", "红景天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 52612, "pid": "P8fcd590a99c6", "date": "2025-11-20", "sex": "男", "age": 46, "cc": "血精4天", "hpi": "血精4天，无明显射精疼痛，无明显排尿不适，工作可，睡眠一般，易醒，盗汗，口干", "wm_dx": ["血精"], "tcm_dx": [["热淋", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "炒酸枣仁", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52615, "pid": "Pfe37f58fd880", "date": "2025-11-20", "sex": "男", "age": 41, "cc": "尿道刺痒2天", "hpi": "尿道刺痒2天，少尿痛，无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和。口服左氧氟沙星，效果一般。", "wm_dx": ["泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["广金钱草", "茯苓", "山慈菇", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52617, "pid": "P09a1e2c7f09c", "date": "2025-11-20", "sex": "男", "age": 56, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肝肾亏虚证", "滋补肾阴"]], "rx": ["三七粉", "麸炒山药", "莲子", "百合"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52621, "pid": "Pf8e86f65d7f8", "date": "2025-11-21", "sex": "男", "age": 34, "cc": "复诊", "hpi": "病史同前，夜尿2次 尿不净，身冷 无口苦口干。大便正常 纳可 眠安", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "黑顺片", "炙甘草", "石菖蒲", "桂枝", "牡蛎", "龙骨", "桑螵蛸", "生姜", "大枣"], "flags": [], "prev_rx": ["北柴胡", "白芍", "麸炒枳实", "黑顺片", "炙甘草", "石菖蒲", "桂枝", "牡蛎", "龙骨", "桑螵蛸", "生姜", "大枣"], "prev_gap": 11, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 7} {"rid": 52630, "pid": "Pfee12436ae43", "date": "2025-11-21", "sex": "男", "age": 28, "cc": "备育1年", "hpi": "备育1年，生化一次性功能正常，排尿正常，大便正常，睡眠可，纳可，口和，晨起口干口苦。无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精薄", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牡丹皮", "北柴胡", "菟丝子", "酒女贞子", "枸杞子", "覆盆子", "盐车前子", "醋五味子", "牛膝", "牡蛎", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52632, "pid": "Pbeb0be8c9883", "date": "2025-11-21", "sex": "男", "age": 28, "cc": "阴囊潮湿3月", "hpi": "阴囊潮湿3月，尿频尿急，硬度下降，夜尿0-1次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗，焦虑，腰痛，耳鸣", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁", "制远志", "知母", "醋鳖甲", "盐黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁", "盐益智仁"], "prev_gap": 15, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52635, "pid": "P198a40055bee", "date": "2025-11-21", "sex": "男", "age": 79, "cc": "前列腺增生复查", "hpi": "前列腺增生复查 现夜尿增多，尿滴沥不尽，尿痛，怕冷， 腰疼痛3月27日在肿瘤科检查PSA6.86，尿白细胞高 包皮龟头炎一月余 现尿痛，尿费劲，口服头孢后尿WBC582，失眠，关节痛，复查，WBC235，后背皮肤刺痒明显，一直应用卤米松外用", "wm_dx": ["失眠", "泌尿系感染", "前列腺增生", "瘙痒症"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血止痛"], ["精癃", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "黑顺片", "熟地黄", "山药", "干姜", "滑石", "酒萸肉", "路路通", "当归", "川芎", "人参", "炙黄芪", "麻黄", "阿胶珠", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "山药", "干姜", "滑石", "酒萸肉", "路路通", "当归", "川芎", "人参", "炙黄芪", "麻黄", "阿胶珠", "猪苓"], "prev_gap": 7, "visit_ix": 32, "n_visits": 35, "visit_ix_rx": 9, "n_rx": 12} {"rid": 52645, "pid": "P6cdfd09b43f9", "date": "2025-11-21", "sex": "男", "age": 32, "cc": "尿不尽一年", "hpi": "尿频，尿不尽，无尿痛，尿黄，阴囊潮湿，无腹痛，腰疼，睡眠一般，多梦，纳可，口和，无怕冷，偶有盗汗，大便粘，困倦感", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["葛根", "滑石", "阿胶珠", "茯苓", "泽泻", "猪苓", "炒栀子", "牛膝", "盐补骨脂", "炙黄芪", "党参片", "赤小豆", "白花蛇舌草", "炒苦杏仁", "火麻仁"], "flags": [], "prev_rx": ["葛根", "滑石", "阿胶珠", "茯苓", "泽泻", "猪苓", "炒栀子", "牛膝", "盐补骨脂", "炙黄芪", "党参片", "赤小豆", "白花蛇舌草", "炒苦杏仁"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52651, "pid": "Pbfe5af025f7b", "date": "2025-11-21", "sex": "男", "age": 25, "cc": "频繁遗精3-4年", "hpi": "频繁遗精，近一周遗精频繁，遗精后尿道疼痛感，平常排尿正常，无腰酸痛，无腹痛，大便正常，纳可，口苦，无怕冷，服药后有一次遗精，多梦，尿黄，复诊。遗精一次，睡眠好转。口苦消失，口干", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "法半夏", "人参", "牡丹皮", "生石膏", "白花蛇舌草", "煅龙骨", "煅牡蛎", "滑石", "猪苓", "赤小豆", "阿胶珠", "淡竹叶"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "人参", "牡丹皮", "生石膏", "白花蛇舌草", "煅龙骨", "煅牡蛎", "滑石", "猪苓", "泽泻", "阿胶珠", "甘草片"], "prev_gap": 17, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 52652, "pid": "P2d70d7565322", "date": "2025-11-21", "sex": "男", "age": 21, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，性欲可，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52653, "pid": "Pcf971fb29bb7", "date": "2025-11-21", "sex": "男", "age": 42, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作劳累，尿急，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓", "酒黄精", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 52661, "pid": "P68959a62b365", "date": "2025-11-22", "sex": "男", "age": 53, "cc": "腰痛乏力伴勃起中途疲软2月", "hpi": "腰痛乏力伴勃起中途疲软好转，口异味，夜寐可，性欲可，晨勃可，射精快，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "熟地黄", "麸炒山药", "盐补骨脂", "韭菜子", "制巴戟天", "白芍", "锁阳", "人参"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "熟地黄", "麸炒山药", "盐补骨脂", "韭菜子", "制巴戟天", "白芍", "炒决明子", "金樱子", "醋五味子"], "prev_gap": 7, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 52663, "pid": "P939d652f7a74", "date": "2025-11-22", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["盐杜仲", "肉桂", "麸炒白术", "制远志", "肉苁蓉", "制巴戟天", "太子参", "石菖蒲", "酒萸肉", "盐车前子", "覆盆子", "菟丝子", "熟地黄", "酒大黄", "韭菜子", "醋五味子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 52666, "pid": "Pabab35b469de", "date": "2025-11-22", "sex": "男", "age": 37, "cc": "尿频5天", "hpi": "尿频5天，尿道刺痒，尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗", "wm_dx": ["前列腺增生", "前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "黄连", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白茅根", "小蓟", "大蓟", "萹蓄", "绵萆薢", "黄芩", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52668, "pid": "P39388be08df7", "date": "2025-11-22", "sex": "男", "age": 36, "cc": "右侧阴囊睾丸肿大伴疼痛3天", "hpi": "3天前右侧阴囊睾丸肿大伴疼痛，现睾丸肿大明显，排尿可，大便费劲，小腹胀痛", "wm_dx": ["附睾炎"], "tcm_dx": [["子痈", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "绵萆薢", "萹蓄", "小蓟", "金银花", "蒲公英", "路路通", "炒王不留行", "荔枝核"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52670, "pid": "Pdd8943655bd7", "date": "2025-11-22", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年，纳可，大便正常，尿频，夜尿正常，会阴睾丸不适感，无怕冷，无腹痛，大便可，纳可，口和，无怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肝郁血虚证", "疏肝养血"]], "rx": ["北柴胡", "黄芩", "法半夏", "赤小豆", "连翘", "制远志", "牛膝", "牡丹皮", "菟丝子", "枸杞子", "醋五味子", "盐车前子", "白花蛇舌草", "菊花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 52677, "pid": "P301e753815ae", "date": "2025-11-22", "sex": "男", "age": 35, "cc": "尿频1周", "hpi": "1周前出现尿频，久坐后会阴不适，夜尿2次，偶有尿道灼热，射精快，包皮龟头红疹", "wm_dx": ["前列腺炎", "包皮龟头炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙", "五加皮", "石菖蒲", "黄柏", "仙茅", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "炒白扁豆", "韭菜子", "菟丝子", "金樱子", "乌药", "盐益智仁", "山药", "醋龟甲", "制何首乌", "黑芝麻"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "炒白扁豆", "金银花", "仙茅", "韭菜子", "菟丝子", "金樱子", "乌药", "盐益智仁", "山药", "醋龟甲", "制何首乌", "黑芝麻"], "prev_gap": 79, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 5} {"rid": 52680, "pid": "P2012b24c84fa", "date": "2025-11-22", "sex": "男", "age": 26, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛", "精索静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "路路通", "炒王不留行", "盐杜仲", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "路路通", "炒王不留行"], "prev_gap": 21, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 52684, "pid": "Pc04b52d9d2c4", "date": "2025-11-22", "sex": "男", "age": 31, "cc": "尿频一年", "hpi": "尿频，备孕一年未育，不易射精，勃起正常，排尿正常，尿不尽，大便正常，睡眠正常，纳可，口和，无怕冷，龟头瘙痒", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52686, "pid": "P3ba28fafd9a8", "date": "2025-11-22", "sex": "男", "age": 32, "cc": "右侧睾丸坠胀感一周", "hpi": "右侧睾丸坠胀，排尿正常，无腹痛，无腰疼，反酸，大便便秘2-3天，口干口苦。冬天脚冷，夏天脚热，睡眠一般，乏力，头晕，复诊，睾丸坠胀消失 ，大便1-2天一次，口干，睡眠多梦，入睡困难，颈部不适感", "wm_dx": ["静脉曲张"], "tcm_dx": [["筋瘤", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "燀桃仁", "红花", "茯苓", "泽泻", "牡丹皮", "醋乳香", "醋没药", "白芍", "川芎", "炙黄芪", "焦山楂", "枸杞子", "菟丝子", "熟地黄", "牡蛎"], "flags": [], "prev_rx": ["桂枝", "燀桃仁", "红花", "茯苓", "泽泻", "牡丹皮", "醋乳香", "醋没药", "白芍", "川芎", "炙黄芪", "焦山楂", "熟地黄", "牡蛎", "枸杞子", "菟丝子"], "prev_gap": 7, "visit_ix": 8, "n_visits": 13, "visit_ix_rx": 8, "n_rx": 13} {"rid": 52687, "pid": "P086461cdab64", "date": "2025-11-22", "sex": "男", "age": 50, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚。小腹胀痛，排尿可，遗精，下肢冷，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "制巴戟天", "韭菜子", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52690, "pid": "Pf56293274911", "date": "2025-11-22", "sex": "男", "age": 39, "cc": "复诊", "hpi": "病史同前，无尿频，有一次性生活，偶有口干，汗不多，无肢冷，便调。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "麸炒枳实", "白芍", "北柴胡", "桑叶", "炙甘草", "酒萸肉", "蜂房"], "flags": [], "prev_rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "麸炒枳实", "白芍", "北柴胡", "桑叶", "炙甘草", "酒萸肉", "蜂房"], "prev_gap": 5, "visit_ix": 6, "n_visits": 18, "visit_ix_rx": 6, "n_rx": 18} {"rid": 52695, "pid": "Pa4b6ff37b90c", "date": "2025-11-22", "sex": "男", "age": 45, "cc": "腰痛复诊", "hpi": "6月前出现腰痛伴勃起硬度欠佳，性欲减退，射精无力，晨勃可，口干口苦，夜寐可，易困倦，中途疲软", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳壳", "北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "金樱子肉", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "北败酱草", "炙淫羊藿", "醋香附", "土茯苓", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏", "麸炒芡实"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳壳", "北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "金樱子肉", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏", "麸炒芡实"], "prev_gap": 13, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 8, "n_rx": 11} {"rid": 52706, "pid": "P6ef5f8eefa11", "date": "2025-11-22", "sex": "男", "age": 34, "cc": "腰痛乏力2月", "hpi": "2月前出现腰痛乏力，勃起欠佳，性欲减退，焦虑,包皮龟头红疹,射精快", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "韭菜子", "制巴戟天", "沙苑子", "蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 7} {"rid": 52707, "pid": "Pb291c88e7eb3", "date": "2025-11-22", "sex": "男", "age": 56, "cc": "尿频2月", "hpi": "尿频，时有尿急，无疼痛感，夜尿1-2次，无腹痛，1月CT前列腺钙化，纳可，无腹胀，睡眠正常，大便正常，口和，无怕冷，转氨酶高，消瘦明显。复诊：夜尿一次，尿急好转", "wm_dx": ["脂肪肝", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["茵陈", "炒栀子", "大黄", "白芍", "连翘", "赤小豆", "白花蛇舌草", "滑石", "阿胶珠", "茯苓", "猪苓", "牛膝", "甘草片"], "flags": [], "prev_rx": ["茵陈", "炒栀子", "大黄", "当归", "连翘", "赤小豆", "白花蛇舌草", "滑石", "阿胶珠", "茯苓", "猪苓", "牛膝"], "prev_gap": 10, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52710, "pid": "P4d708ff2fd1e", "date": "2025-11-22", "sex": "男", "age": 34, "cc": "阴囊潮湿一月余", "hpi": "阴囊潮湿一月余 小便正常 纳可 眠差 大便稀 乏力 腰痛", "wm_dx": ["静脉曲张", "精索静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["失眠", "肝郁痰凝证", "疏肝化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["党参", "炙黄芪", "山药", "天麻", "钩藤", "炒决明子", "荆芥", "防风", "烫水蛭", "干姜", "砂仁", "木香", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "制远志", "蛇床子", "韭菜子", "麸炒枳壳", "炙甘草", "甜叶菊叶"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "土茯苓", "败酱草", "麸炒枳壳", "石菖蒲", "制远志", "砂仁", "炒酸枣仁", "柏子仁", "茵陈", "炙甘草", "烫水蛭"], "prev_gap": 13, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 52711, "pid": "Pcc5fd990c58a", "date": "2025-11-22", "sex": "男", "age": 55, "cc": "左侧小腹胀痛不适6月", "hpi": "6月前出现左侧小腹胀痛不适，尿道口红肿，周身不适，", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "昆布", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "小通草", "麸炒冬瓜子", "苦参", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "盐益智仁", "山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52718, "pid": "P0a038e34a2ad", "date": "2025-11-22", "sex": "男", "age": 35, "cc": "尿频半年", "hpi": "尿频，夜尿偶有，大便不成型，纳一般，睡眠差，口服西药治疗中，盐酸去唑哃。口和，乏力感，硬度一般", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["北柴胡", "黄芩片", "人参", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "当归", "川芎", "白芍", "麸炒薏苡仁", "赤小豆", "黄连片", "丹参", "鸡血藤", "炒栀子", "淡豆豉"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "人参", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "当归", "川芎", "白芍", "麸炒薏苡仁", "赤小豆", "制巴戟天", "丹参", "鸡血藤", "炒栀子", "淡豆豉"], "prev_gap": 35, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52722, "pid": "P148d70aff47f", "date": "2025-11-22", "sex": "男", "age": 28, "cc": "尿频一月", "hpi": "有尝试性生活，有晨勃，手艺可，关键时不行，排尿正常，大便正常，纳可，口干", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "白芍"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "丹参", "鸡血藤", "柏子仁", "炒酸枣仁", "牡丹皮", "制巴戟天", "蜈蚣", "石菖蒲", "党参片", "黄芪", "醋五味子", "麦冬", "玄参", "盐胡芦巴", "炙淫羊藿", "仙茅"], "prev_gap": 28, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 5} {"rid": 52724, "pid": "P682dab1d620e", "date": "2025-11-22", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草片", "黄芩片", "制远志", "干姜", "大枣", "牡蛎", "茯苓", "川芎", "菟丝子", "枸杞子", "人参", "醋龟甲", "炒苦杏仁", "赤小豆", "莲子", "覆盆子", "盐车前子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草片", "黄芩片", "黄连片", "干姜", "大枣", "牡蛎", "茯苓", "川芎", "菟丝子", "枸杞子", "人参", "醋龟甲", "炒苦杏仁", "赤小豆", "莲子", "覆盆子", "盐车前子"], "prev_gap": 7, "visit_ix": 16, "n_visits": 24, "visit_ix_rx": 15, "n_rx": 23} {"rid": 52729, "pid": "P6765d031fd78", "date": "2025-11-22", "sex": "男", "age": 29, "cc": "体检发现血PSA升高1周", "hpi": "1周前体检发现血PSA升高 大小便正常 纳可 眠差 乏力消瘦半年", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白茅根", "萹蓄", "绵萆薢"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 3} {"rid": 52730, "pid": "Pfb066496f833", "date": "2025-11-22", "sex": "男", "age": 30, "cc": "复诊", "hpi": "病史同前，易汗，二便如常，眠浅，无怕冷。包皮龟头红疹瘙痒", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "五倍子", "醋五味子", "首乌藤", "炙甘草", "地龙", "大枣", "生姜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52731, "pid": "P5d0d5f27b906", "date": "2025-11-22", "sex": "男", "age": 37, "cc": "腰痛1年", "hpi": "腰痛1年,乏力,长期熬夜,夜寐差,二便调", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "枸杞子", "醋五味子", "盐车前子", "菟丝子", "醋龟甲", "醋鸡内金", "酒黄精", "地肤子", "金樱子", "覆盆子", "桑椹", "太子参", "北柴胡", "白芍", "炙甘草", "麸炒枳实"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52740, "pid": "Pab407f4df5bd", "date": "2025-11-22", "sex": "男", "age": 44, "cc": "发现血精1小时", "hpi": "今日午后同房发现血精,近几日饮酒频繁,食辣", "wm_dx": ["精囊炎", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "炒紫苏子", "小蓟", "白花蛇舌草", "马齿苋", "萹蓄", "绵萆薢"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 52750, "pid": "Pa26845647079", "date": "2025-11-23", "sex": "男", "age": 39, "cc": "盗汗多年", "hpi": "多年前出现盗汗，手足心汗出，偶有口苦，二便调，腰痛乏力，失眠", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["失眠", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "浮小麦", "地骨皮", "黄芪", "防己", "甜叶菊叶"], "flags": [], "prev_rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "浮小麦", "地骨皮", "黄芪", "防己", "甜叶菊叶", "川牛膝"], "prev_gap": 8, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 5} {"rid": 52752, "pid": "Pde4018da16f5", "date": "2025-11-23", "sex": "男", "age": 40, "cc": "腰痛1月", "hpi": "腰痛1月，硬度下降明显，性欲低，感情可，工作可，压力大", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52754, "pid": "P7fbb516fdb02", "date": "2025-11-23", "sex": "男", "age": 67, "cc": "排尿不畅尿无力6月", "hpi": "6月前出现排尿不畅尿无力，夜尿2-3次，无小腹不适，口干，夜寐可", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "韭菜子", "乌药", "盐益智仁", "山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52755, "pid": "P1cf6413afb5d", "date": "2025-11-23", "sex": "男", "age": 35, "cc": "尿频一月", "hpi": "尿频，大便可，睡眠可，排尿不畅，夜尿2-3次，口干", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "韭菜子", "乌药", "盐益智仁", "山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52756, "pid": "P7a6c1c88e5a1", "date": "2025-11-23", "sex": "男", "age": 35, "cc": "体检发现前列腺增大伴钙化 PSA10.4升高明显", "hpi": "体检发现前列腺增大伴钙化 PSA10.4升高明显 大小便正常 纳可 眠差 乏力消瘦半年", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "路路通", "炒王不留行", "小蓟", "金银花", "夏枯草", "荔枝核"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "山慈菇"], "prev_gap": 15, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 2} {"rid": 52757, "pid": "P897e54f844fd", "date": "2025-11-23", "sex": "男", "age": 29, "cc": "多汗 腰痛 乏力 疲劳半年余", "hpi": "伴有勃起不坚 中途疲软 晨勃可 大小便正常 纳可 睡眠差 遗精盗汗", "wm_dx": ["乏力", "贫血", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "黄芪", "白芍", "韭菜子", "制巴戟天", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52772, "pid": "P4a1a143bd8e5", "date": "2025-11-23", "sex": "男", "age": 55, "cc": "尿频尿急多年", "hpi": "多年前出现尿频尿急，遇冷加重，手足冷，怕冷，夜尿2次，夜寐差多梦，口干口苦，勃起中途疲软，腰痛乏力。", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "山药", "白芍", "川芎", "制巴戟天", "韭菜子", "肉桂", "熟地黄", "乌药", "盐益智仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52775, "pid": "P582b93567032", "date": "2025-11-23", "sex": "男", "age": 38, "cc": "腰痛乏力怕冷5年", "hpi": "5年前出现腰痛乏力怕冷，口中和，夜寐差，夜尿3-4次，手足汗出，盗汗，", "wm_dx": ["泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "浮小麦", "防己", "黄芪", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52786, "pid": "P8c828663469d", "date": "2025-11-23", "sex": "男", "age": 49, "cc": "腰痛乏力伴勃起欠佳1年", "hpi": "1年前出现腰痛乏力伴勃起欠佳，射精快，排尿可，大便可，长期熬夜，脚气", "wm_dx": ["腰痛", "真菌感染", "足癣"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["麸炒枳实", "北柴胡", "白芍", "醋龟甲", "茯苓", "麸炒白术", "豆蔻", "炒麦芽", "盐蒺藜", "石菖蒲", "醋香附", "蜈蚣", "川芎", "炒僵蚕", "炙甘草", "炙淫羊藿", "制巴戟天", "锁阳", "韭菜子", "酒苁蓉"], "flags": [], "prev_rx": ["麸炒枳实", "北柴胡", "白芍", "醋龟甲", "茯苓", "麸炒白术", "豆蔻", "炒麦芽", "盐蒺藜", "石菖蒲", "醋香附", "蜈蚣", "川芎", "炒僵蚕", "炙甘草", "炙淫羊藿", "制巴戟天", "锁阳", "韭菜子", "酒苁蓉"], "prev_gap": 8, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 52794, "pid": "Pb6a58b1b885b", "date": "2025-11-23", "sex": "男", "age": 36, "cc": "腰痛乏力多年", "hpi": "多年前出现腰痛乏力，射精快，口干，性欲可，偶有反流，手足心汗出", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "锁阳", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52796, "pid": "Pe4a46dd7433e", "date": "2025-11-23", "sex": "男", "age": 41, "cc": "腰酸痛乏力复诊", "hpi": "乏力腰痛伴有早泄，晨起腰痛明显，失眠多梦，轻度口干口苦，纳可，无腹痛，大便正常，小便正常，腰酸痛，乏力，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚", "补肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "黄芪", "人参", "韭菜子", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 9, "n_visits": 15, "visit_ix_rx": 0, "n_rx": 5} {"rid": 52798, "pid": "Pb08bd2af3dd2", "date": "2025-11-23", "sex": "男", "age": 30, "cc": "尿频6月", "hpi": "6月前出现尿频，工作长期久坐，失眠，夜寐差，口干口苦，小腹胀痛，尿不尽，盗汗，足汗出。包皮龟头红疹", "wm_dx": ["慢性前列腺炎", "包皮龟头炎"], "tcm_dx": [["精浊", "肝肾两虚证", "滋补肝肾"], ["精浊", "下焦湿热证", "清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "地榆", "地肤子", "马齿苋", "白花蛇舌草", "盐黄柏", "蒲公英", "金银花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52805, "pid": "P9a6314d0c56d", "date": "2025-11-24", "sex": "男", "age": 57, "cc": "排尿不畅尿等待8月", "hpi": "8月前出现排尿不畅尿等待，3周前就诊我院脑病科病房，我科会诊予口服盐酸坦索罗辛缓释胶囊、非那雄胺片、前列舒通胶囊症状改善，现出院规律门诊。现夜尿1-2次，口中和，夜寐差,失眠，易醒，勃起不坚，腰痛乏力,心脏支架术后有血栓可能，外院就诊口服华法令片，要求用药一周后复查血常规+凝血五项", "wm_dx": ["前列腺增生", "冠状动脉粥样硬化性心脏病"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["精癃", "肝肾两虚证", "滋补肝肾"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["炒酸枣仁", "桑椹", "酒黄精", "太子参", "猪苓"], "flags": [], "prev_rx": ["炙淫羊藿", "盐益智仁", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "麸炒山药", "墨旱莲", "党参", "茯苓", "炒酸枣仁", "柏子仁", "制远志", "牛膝", "甜叶菊叶"], "prev_gap": 42, "visit_ix": 4, "n_visits": 20, "visit_ix_rx": 2, "n_rx": 9} {"rid": 52806, "pid": "Pe39c0da037e5", "date": "2025-11-24", "sex": "男", "age": 64, "cc": "复诊", "hpi": "小腹疼痛感，不凉，反复发作。尿频不著，尿不净感。手脚凉减，汗不多，胸闷感。眠可口干不苦，便溏。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "气滞血瘀证", "理气化瘀"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "乌药", "醋延胡索", "钩藤", "全蝎", "瓜蒌", "盐小茴香", "炙甘草", "薤白", "盐橘核"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52807, "pid": "Pb00f9e676136", "date": "2025-11-24", "sex": "男", "age": 88, "cc": "复诊", "hpi": "病史同前,阴囊潮湿，尿频尿急，淋漓不净，尿失禁。夜尿3次。目前仍在服用可多华。脚凉，易汗，口干不苦，眠可，纳可，便2-3次", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "温补肾阳"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "盐补骨脂", "盐益智仁", "泽泻", "金樱子肉", "乌药", "炙甘草", "石菖蒲"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "盐补骨脂", "盐益智仁", "泽泻", "金樱子肉", "乌药", "炙甘草", "石菖蒲"], "prev_gap": 7, "visit_ix": 3, "n_visits": 10, "visit_ix_rx": 2, "n_rx": 8} {"rid": 52811, "pid": "Pa6b5079bd0d1", "date": "2025-11-24", "sex": "男", "age": 41, "cc": "腰痛乏力尿无力2年", "hpi": "2年前出现腰痛乏力尿无力，勃起欠佳好转，夜尿1-2次，口中和，脱发，长期熬夜，夜寐差，盗汗，下肢无力", "wm_dx": ["肾结石", "慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "制何首乌", "制巴戟天", "韭菜子", "锁阳", "沙苑子", "盐杜仲", "广金钱草", "海金沙", "醋鸡内金", "绵萆薢", "川芎", "熟地黄", "麸炒山药"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "制巴戟天", "韭菜子", "锁阳", "沙苑子", "盐杜仲", "广金钱草", "海金沙", "醋鸡内金", "绵萆薢"], "prev_gap": 7, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 52813, "pid": "P3fc0f304f5f7", "date": "2025-11-24", "sex": "男", "age": 64, "cc": "小腹胀痛尿道不适1年", "hpi": "小腹胀痛尿道不适1年，尿等待，夜尿2-3次，口干口苦，会阴胀痛连及睾丸肛周不适", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "夏枯草", "路路通", "炒王不留行", "荔枝核", "醋香附", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 3} {"rid": 52815, "pid": "P72fc22be276b", "date": "2025-11-24", "sex": "男", "age": 36, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，口中和，夜寐差，大便2-3天一行，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "人参", "韭菜子", "制巴戟天", "仙茅", "川芎", "盐补骨脂", "炒酸枣仁", "柏子仁"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "人参", "韭菜子", "制巴戟天", "仙茅", "川芎"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 52820, "pid": "P534acd07fa98", "date": "2025-11-24", "sex": "男", "age": 32, "cc": "腰痛乏力伴射精快3年", "hpi": "腰痛乏力伴射精快3年，夜寐可，纳可，腰发凉，排尿可，阴囊潮湿", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚", "补肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子", "醋五味子", "韭菜子", "金银花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52821, "pid": "Pbd0f0aad8e7e", "date": "2025-11-24", "sex": "男", "age": 35, "cc": "复诊", "hpi": "病史同前 查见报告单。未婚有性生活，口干感。", "wm_dx": ["男性性腺功能低下", "慢性前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "牡蛎", "龙骨", "瓜蒌", "薤白", "地龙", "九香虫", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52830, "pid": "Pbdf06749b679", "date": "2025-11-24", "sex": "男", "age": 57, "cc": "复诊", "hpi": "病史见前，核磁显示没慢性前列腺炎。夜尿5次，尿畅，时有脚凉", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "温补肾阳"]], "rx": ["黑顺片", "金樱子肉", "盐益智仁", "盐补骨脂", "砂仁", "醋龟甲", "桑螵蛸", "炙甘草"], "flags": [], "prev_rx": ["生石膏", "黑顺片", "砂仁", "醋龟甲", "桑螵蛸", "炙甘草", "泽泻", "金樱子肉", "盐益智仁", "盐补骨脂"], "prev_gap": 7, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 52833, "pid": "P7ba8265cbf33", "date": "2025-11-24", "sex": "男", "age": 64, "cc": "勃起困难感2年，加重一月", "hpi": "勃起困难，加重一月，无明显直接原因。夫妻关系可，性生活3-4次。硬度不够持续。口干苦不明显，性急。", "wm_dx": ["高血压"], "tcm_dx": [["房事阳痿", "肝郁肾虚证", "滋补肾精"], ["房事阳痿", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "瓜蒌", "炙甘草", "石菖蒲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 5} {"rid": 52836, "pid": "Pc64686dcd7c6", "date": "2025-11-24", "sex": "男", "age": 37, "cc": "复诊", "hpi": "病史同前，无口苦口干。易汗无肢冷。", "wm_dx": ["代谢综合征"], "tcm_dx": [["男性前阴类病", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "炙甘草", "九香虫", "桂枝", "牡蛎", "龙骨", "蜂房", "地龙"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "炙甘草", "九香虫", "地龙", "桂枝", "牡蛎", "龙骨", "蜂房"], "prev_gap": 14, "visit_ix": 8, "n_visits": 10, "visit_ix_rx": 7, "n_rx": 9} {"rid": 52843, "pid": "P4b868542739d", "date": "2025-11-24", "sex": "男", "age": 53, "cc": "复诊", "hpi": "病史同前，夜尿2次,尿畅尿急改善,阴囊潮湿.滴白,脚凉。易汗。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["黑顺片", "九香虫", "桂枝", "白芍", "牡蛎", "龙骨", "白薇", "紫苏叶", "炙甘草", "生姜", "大枣", "泽泻"], "flags": [], "prev_rx": ["桑螵蛸", "黑顺片", "盐益智仁", "盐补骨脂", "金樱子肉", "乌药", "北柴胡", "麸炒枳实", "泽泻", "九香虫"], "prev_gap": 7, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 8} {"rid": 52845, "pid": "Pc22064e44668", "date": "2025-11-24", "sex": "男", "age": 31, "cc": "包皮龟头红疹瘙痒5年", "hpi": "5年前出现包皮龟头红疹瘙痒，阴茎根部及阴囊潮湿瘙痒，左侧胁肋部疼痛不适，口干，尿频，夜寐差易醒，心慌心悸，腰痛乏力，失眠多梦", "wm_dx": ["包皮龟头炎", "慢性前列腺炎", "贫血", "湿疹"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["失眠", "气血两虚证", "补益气血"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["枸杞子", "桑椹", "太子参", "山慈菇", "龙眼肉", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52854, "pid": "P8791e4dab162", "date": "2025-11-25", "sex": "男", "age": 64, "cc": "腰痛半年", "hpi": "伴有性功能下降 晨勃可 大小便正常 纳可 眠安 盗汗", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "北柴胡", "麸炒枳实", "麸炒枳壳", "白芍", "炙甘草", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "茵陈", "土茯苓", "败酱草", "烫水蛭", "石斛", "醋龟甲", "砂仁", "绵萆薢", "瞿麦", "虎杖", "牛膝", "知母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52855, "pid": "P11f2581af2cc", "date": "2025-11-25", "sex": "男", "age": 40, "cc": "乏力3年", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "当归", "川芎", "猪苓", "黄芩片", "鹿角霜", "仙茅", "蜈蚣", "炙黄芪", "陈皮", "黄连片", "葛根"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "当归", "川芎", "茯苓", "猪苓", "制巴戟天", "鹿角霜", "仙茅", "蜈蚣", "炙黄芪", "陈皮"], "prev_gap": 21, "visit_ix": 6, "n_visits": 24, "visit_ix_rx": 6, "n_rx": 24} {"rid": 52856, "pid": "P7724bc32021b", "date": "2025-11-25", "sex": "男", "age": 60, "cc": "腰痛半年", "hpi": "腰痛半年 伴有勃起不坚 晨勃少一月余 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "菟丝子", "盐车前子", "覆盆子", "北柴胡", "炒蒺藜", "丁香", "木香", "党参", "炙黄芪", "茯苓", "麸炒白术", "炙甘草", "烫水蛭", "醋青皮", "防风"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52857, "pid": "P3179cf410f5b", "date": "2025-11-25", "sex": "男", "age": 70, "cc": "尿频夜尿多7年", "hpi": "尿频夜尿多7年 夜尿4-5次，口干，夜寐差，大便正常 纳可 ，消瘦，腰痛乏力，头晕，既往尿潜血，心慌心悸", "wm_dx": ["前列腺增生", "高血压", "糖尿病"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "黄芪", "韭菜子", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52859, "pid": "P823ef8193aa6", "date": "2025-11-25", "sex": "男", "age": 39, "cc": "阴囊潮湿一月余", "hpi": "阴囊潮湿一月余 性功能下降 勃起差 早泄 大小便正常 纳可 眠差 腰痛 盗汗 脚踝扭伤行动不便", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "prev_gap": 14, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 52867, "pid": "P614cf3868996", "date": "2025-11-25", "sex": "男", "age": 75, "cc": "尿道口疼痛一周余", "hpi": "尿道口疼痛一周余 大便正常 纳可 眠差 包皮龟头炎一周余 湿疹取药 前列腺增生复诊取药", "wm_dx": ["湿疹", "包皮龟头炎", "前列腺增生"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["地榆", "黄柏", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "黄连", "当归", "赤芍", "茵陈", "苦参", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52871, "pid": "P159d46d330ed", "date": "2025-11-25", "sex": "男", "age": 35, "cc": "腰痛乏力尿频尿等待1年", "hpi": "1年前出现腰痛乏力尿频尿等待，夜尿1次，小腹胀痛，尿不尽，性欲减退，勃起可，口中和，夜寐差，大便日2次", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白茅根", "萹蓄", "绵萆薢", "夏枯草", "荔枝核", "黄芪", "路路通"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 52874, "pid": "P917d74c76fe0", "date": "2025-11-25", "sex": "男", "age": 72, "cc": "排尿不畅3年", "hpi": "3年前出现排尿不畅，夜尿2次，口干，小腹胀痛不适，尿无力，腰痛乏力，勃起不坚，性欲可，偶有晨勃", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "韭菜子", "黄芪", "制巴戟天", "锁阳", "覆盆子", "乌药", "盐益智仁", "麸炒山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 5} {"rid": 52882, "pid": "P9c8785aa9e97", "date": "2025-11-25", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有双腿发酸 手脚多汗 盗汗 大小便正常 纳可 眠安 感冒咽痛头疼一周", "wm_dx": ["咽痛", "头痛", "感冒", "上呼吸道感染", "混合痔"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["乳蛾", "湿热毒证", "清热解毒"], ["混合痔", "湿热毒证", "清热解毒"]], "rx": ["蒲公英", "莲子心", "菊花", "制巴戟天", "炒酸枣仁", "桑椹", "枸杞子", "猪苓", "陈皮", "百合", "炒决明子", "麸炒芡实", "净山楂", "茯苓"], "flags": [], "prev_rx": ["制巴戟天", "酒苁蓉", "炙淫羊藿", "覆盆子", "黄连片", "枸杞子", "桑螵蛸", "黄芪", "锁阳", "知母", "牡丹皮", "炒酸枣仁", "桑椹", "猪苓"], "prev_gap": 37, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 52887, "pid": "P52835c321770", "date": "2025-11-25", "sex": "男", "age": 40, "cc": "尿频半年", "hpi": "尿频，中途疲软，睡眠一般，纳可，口和，排尿正常，大便正常，服药后睡眠好转，不欲射精", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["熟地黄", "地黄", "酒萸肉", "牡丹皮", "山药", "炒栀子", "炙黄芪", "酒黄精", "丹参", "牛膝", "鸡血藤", "制远志", "菟丝子", "枸杞子", "蜈蚣"], "flags": [], "prev_rx": ["北柴胡", "滑石", "石菖蒲", "麸炒枳实", "当归", "川芎", "茯苓", "熟地黄", "山药", "酒萸肉", "菟丝子", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "路路通"], "prev_gap": 21, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 5, "n_rx": 8} {"rid": 52889, "pid": "P9f5380d96e73", "date": "2025-11-25", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛半年 伴有阳痿早泄 时间1-2分钟 大小便正常 纳可 眠安 晨勃少", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 11} {"rid": 52890, "pid": "P6252cd3c3c37", "date": "2025-11-25", "sex": "男", "age": 33, "cc": "尿不尽一年", "hpi": "尿不尽，近一月出现夜尿1次，无尿痛，少腹正常，无腰疼，大便不成型，纳可，睡眠可，早醒，口干喝水口苦，怕冷怕热，出汗，盗汗，服用后夜尿，睡眠4点醒，燥热感，复诊，盗汗，打嗝，腹胀", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "生石膏", "牡丹皮", "炒栀子", "淡豆豉", "地黄", "酒萸肉", "山药", "煅龙骨", "煅牡蛎", "白芍", "甘草片"], "flags": [], "prev_rx": ["法半夏", "生姜", "干姜", "黄连片", "黄芩片", "人参", "姜厚朴", "石菖蒲", "茯苓", "醋香附", "煅龙骨", "煅牡蛎"], "prev_gap": 28, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 5, "n_rx": 8} {"rid": 52891, "pid": "Pdf4d5c82755f", "date": "2025-11-25", "sex": "男", "age": 41, "cc": "腰痛半年", "hpi": "腰痛半年，勃起中途疲软，射精快，性欲减退，长期熬夜，晨勃可，口干口苦，易生气，出汗多，盗汗，手足心潮热汗出。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "韭菜子", "黄芪", "仙茅", "制巴戟天", "锁阳", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "黄芪", "仙茅", "制巴戟天", "锁阳"], "prev_gap": 24, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 52893, "pid": "P743cc211869c", "date": "2025-11-25", "sex": "男", "age": 42, "cc": "腰痛半年", "hpi": "夜尿增多，晨勃少，勃起不坚 ，性欲正常，睡眠可，大便干，口和，怕冷，纳可 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "蛇床子", "韭菜子", "北柴胡", "炒蒺藜", "丁香", "木香", "熟地黄", "酒萸肉", "知母", "桑寄生", "牛膝", "石斛", "醋龟甲", "砂仁", "麸炒枳壳", "炙甘草", "锁阳", "醋青皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52896, "pid": "Pa016e8aa0618", "date": "2025-11-25", "sex": "男", "age": 27, "cc": "左侧腹股沟疼痛复查", "hpi": "大小便正常 纳可 眠安 少腹隐痛 腰痛 左侧腹股沟疼痛缓解，口和", "wm_dx": ["静脉曲张", "精索静脉曲张", "附睾炎", "腹股沟淋巴结炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "灵芝", "车前草", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "夏枯草", "醋延胡索"], "flags": [], "prev_rx": ["桂枝", "北柴胡", "黄芩", "法半夏", "人参", "干姜", "白芍", "桃仁", "红花", "牡丹皮", "茯苓", "猪苓", "川楝子", "荔枝核", "炙甘草", "大黄"], "prev_gap": 18, "visit_ix": 9, "n_visits": 28, "visit_ix_rx": 4, "n_rx": 21} {"rid": 52899, "pid": "P52e61461512a", "date": "2025-11-25", "sex": "男", "age": 36, "cc": "尿频3年", "hpi": "尿频，时有包皮刺痒，夜尿多，睡眠差，2小时醒一次，大便正常，纳可，硬度可，时间短不足1分钟，口和。两地分居，晨起困，服药后腹胀，复诊，时间2-3分钟，夜尿2-3次，色黄", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["法半夏", "黄连", "黄芩", "干姜", "大枣", "人参", "炒蒺藜", "锁阳", "金樱子", "淡竹叶", "炙甘草", "生地黄"], "flags": [], "prev_rx": ["法半夏", "黄连", "黄芩", "干姜", "大枣", "人参", "炒蒺藜", "锁阳", "金樱子", "姜厚朴", "炙甘草"], "prev_gap": 34, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 52901, "pid": "Pdc1d5fd100a5", "date": "2025-11-25", "sex": "男", "age": 30, "cc": "夜尿多3-4年", "hpi": "夜尿多，1-4次，尿频，尿不尽，阴囊潮湿，大便正常，熬夜，黑眼圈，纳可，时有口苦口渴，手心多汗，乏力，无怕冷，时有盗汗", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "连翘", "赤小豆", "白花蛇舌草", "炒苦杏仁", "麸炒薏苡仁", "牛膝", "淡竹叶", "法半夏", "姜厚朴", "路路通", "桑叶", "炒栀子", "生地黄", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52902, "pid": "Pf5e2954a0d29", "date": "2025-11-25", "sex": "男", "age": 52, "cc": "腰痛乏力抄方", "hpi": "腰痛，胸胁胀痛，乏力，口中和，夜寐可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["炙黄芪", "麦冬", "丹参", "川芎", "葛根", "桂枝", "醋五味子", "酒黄精", "酒女贞子", "覆盆子", "茯苓", "麸炒芡实", "陈皮", "净山楂", "醋鸡内金", "白术", "甘草片", "制巴戟天", "炒酸枣仁", "知母"], "flags": [], "prev_rx": ["黄芪", "甘草片", "麦冬", "白术", "丹参", "川芎", "葛根", "桂枝", "醋五味子", "酒黄精", "茯苓", "酒女贞子", "覆盆子"], "prev_gap": 15, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 52904, "pid": "Pd0c0847885a4", "date": "2025-11-25", "sex": "男", "age": 33, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中 中途疲软 勃起不坚 晨勃少 腰痛 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "炒酸枣仁", "石菖蒲", "制远志", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "醋青皮", "郁金", "麸炒枳壳", "锁阳", "醋龟甲", "砂仁", "炙甘草", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 5} {"rid": 52911, "pid": "Pdc2fef6035d6", "date": "2025-11-25", "sex": "男", "age": 27, "cc": "腰痛乏力复诊", "hpi": "同房时间短 早泄 勃起可 大小便正常 纳可 眠安", "wm_dx": ["泌尿系感染"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 52923, "pid": "P745cc99b821f", "date": "2025-11-25", "sex": "男", "age": 57, "cc": "排尿不畅尿不尽5年", "hpi": "5年前出现排尿不畅尿不尽，夜尿3-4次，腰痛乏力，消瘦10KG，体检发现尿脱落癌细胞，口中和，夜寐差入睡困难，腰痛乏力，性欲减退", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["枸杞子", "桑椹", "太子参", "猪苓", "酒黄精", "玫瑰花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 15, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52925, "pid": "Pe9e8112aacb1", "date": "2025-11-25", "sex": "男", "age": 67, "cc": "尿频 夜尿3次半年", "hpi": "尿频 夜尿3次半年 口苦口干 大便正常 纳可 眠差 乏力腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "气虚证", "补气"]], "rx": ["黄芪", "麦冬", "麸炒芡实", "茯苓", "陈皮", "桔梗", "丹参", "金银花", "胖大海"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52927, "pid": "Pb035cc441187", "date": "2025-11-26", "sex": "男", "age": 37, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力改善，失眠改善，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中 盗汗半年", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "盐车前子", "牡蛎", "山药", "醋五味子", "制巴戟天", "盐胡芦巴", "酒黄精", "当归", "黄芪", "党参片", "炒酸枣仁", "丹参", "酒苁蓉", "仙茅", "炙淫羊藿", "韭菜子", "麸炒白术", "陈皮", "木香", "茯苓"], "flags": [], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "盐车前子", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "酒黄精", "北败酱草", "当归", "黄芪", "党参片", "炒酸枣仁", "丹参", "酒苁蓉", "仙茅", "炙淫羊藿", "韭菜子", "麸炒白术", "陈皮", "木香", "茯苓"], "prev_gap": 15, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 52929, "pid": "P48010461f619", "date": "2025-11-26", "sex": "男", "age": 34, "cc": "尿频复诊", "hpi": "尿频改善，大便正常，睡眠正常，纳可，晨起口干喝水，情绪焦虑，腰痛乏力改善 盗汗一月", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "陈皮", "麸炒芡实", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "prev_gap": 28, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 3} {"rid": 52933, "pid": "P92ebf364ebb8", "date": "2025-11-26", "sex": "男", "age": 58, "cc": "尿频尿急1周", "hpi": "1周前出现尿频尿急，尿不尽，就诊北医三院检查尿常规提示泌尿系感染，未予治疗", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白茅根", "小蓟", "马齿苋", "车前草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52935, "pid": "Pf1856e57cdd6", "date": "2025-11-26", "sex": "男", "age": 75, "cc": "尿频复诊", "hpi": "尿频，尿急，尿不尽,尿失禁，无尿痛，夜尿3次，左侧腰疼，腿水肿，少腹发胀，大便正常，纳可，无怕冷，不欲饮水，口干苦，有痰，睡眠一般复诊，效果无，乏力感消瘦", "wm_dx": ["前列腺增生"], "tcm_dx": [["乳蛾", "热毒炽盛证", "清热解毒"], ["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "猪苓", "茯苓", "泽泻", "麸炒白术", "麻黄", "炒苦杏仁", "赤小豆", "北柴胡", "牡丹皮", "燀桃仁", "红花", "干姜", "乌药", "盐益智仁", "麸炒山药", "鹿角胶"], "flags": [], "prev_rx": ["桂枝", "猪苓", "茯苓", "泽泻", "麸炒白术", "麻黄", "炒苦杏仁", "赤小豆", "北柴胡", "牡丹皮", "燀桃仁", "红花", "干姜", "乌药", "盐益智仁", "麸炒山药", "鹿角胶"], "prev_gap": 7, "visit_ix": 4, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 6} {"rid": 52938, "pid": "P917a80a9f53b", "date": "2025-11-26", "sex": "男", "age": 27, "cc": "尿频4-5天", "hpi": "尿频，尿急，无尿痛，腰疼，无腹痛，口服多西环素，热淋清无效果，大便正常，纳可，不能吃生冷，口苦，无怕冷，阴囊潮湿", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["滑石", "猪苓", "茯苓", "泽泻", "桂枝", "葛根", "白芍", "北柴胡", "黄芩片", "党参片", "白花蛇舌草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 52942, "pid": "Pb7df98d02f5d", "date": "2025-11-26", "sex": "男", "age": 44, "cc": "尿频2-3年", "hpi": "尿频，尿急，夜尿正常，大便2-3次，纳可，睡眠可，时有口干口苦，时有晨勃，硬度一般，时间短，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牛膝", "莲须", "牡丹皮", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "酒黄精", "蜈蚣"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牛膝", "茯苓", "泽泻", "牡丹皮", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "酒黄精", "蜈蚣"], "prev_gap": 7, "visit_ix": 4, "n_visits": 12, 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"hpi": "乏力气短改善 自汗 腰痛改善 大小便正常 纳可 眠安 少腹隐痛消失", "wm_dx": ["骨质疏松", "慢性前列腺炎", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精癃", "湿热下注证", "清热利湿"], ["自汗", "肺气虚证", "温补肺阳"]], "rx": ["制巴戟天", "太子参", "牡丹皮", "醋五味子", "炒酸枣仁"], "flags": [], "prev_rx": ["猪苓", "太子参", "三七粉"], "prev_gap": 42, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 53085, "pid": "Pcd90f9bed935", "date": "2025-11-29", "sex": "男", "age": 36, "cc": "腰痛伴射精快勃起硬度欠佳复诊取药", "hpi": "腰痛伴射精快勃起硬度欠佳改善，同房不规律，异地，性欲减退，久咳，盗汗", "wm_dx": ["慢性支气管炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "制巴戟天", "麸炒芡实", "山药"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 4} {"rid": 53086, "pid": "P157d08321251", "date": "2025-11-29", "sex": "男", "age": 25, "cc": "睾丸疼痛 少腹隐痛4天", "hpi": "睾丸疼痛 少腹隐痛4天 大便正常 纳可 眠差 尿频 尿不尽 腰痛", "wm_dx": ["慢性前列腺炎", "鞘膜积液"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "猪苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53088, "pid": "P08b35f533614", "date": "2025-11-29", "sex": "男", "age": 42, "cc": "腰痛半年", "hpi": "腰痛半年 伴有性欲下降 勃起差 大小便正常 纳可 眠安 症状改善", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "沙苑子", "北柴胡", "炒蒺藜", "丁香", "木香", "大血藤", "烫水蛭", "麸炒枳壳", "炙甘草", "党参", "醋青皮", "川楝子", "醋香附", "天麻", "炒蔓荆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "沙苑子", "北柴胡", "炒蒺藜", "丁香", "木香", "大血藤", "烫水蛭", "麸炒枳壳", "炙甘草", "党参", "醋青皮", "川楝子", "醋香附"], "prev_gap": 20, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53089, "pid": "P596a17f8fa75", "date": "2025-11-29", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛半年 伴有性欲下降 阳痿早泄 大小便正常 纳可 晨勃消失 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "麸炒山药", "制巴戟天", "麸炒芡实", "陈皮", "山慈菇"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "麸炒山药", "制巴戟天", "猪苓", "羌活"], "prev_gap": 21, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 53090, "pid": "Pbf1ced9d50b8", "date": "2025-11-29", "sex": "男", "age": 31, "cc": "尿频2月", "hpi": "尿频，尿痛，尿后疼痛感，大便不成型粘，硬度一般，时间5-6分钟，同房不规律，睡眠正常，纳可，口和，微怕冷，复诊。排尿正常，时间硬度未恢复", "wm_dx": ["尿频"], "tcm_dx": [["虚劳类病", "气虚证", "补气生津"], ["精浊", "肾气不充证", "补肾扶元"], ["虚劳类病", "气虚证", "补气"]], "rx": ["茯苓", "煅龙骨", "煅牡蛎", "泽泻", "当归", "川芎", "炒酸枣仁", "牡丹皮", "干姜", "法半夏", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "炙淫羊藿", "覆盆子", "枸杞子"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "黄芩片", "干姜", "煅龙骨", "煅牡蛎", "麸炒枳实", "白芍", "当归", "川芎", "党参片", "炙淫羊藿", "牡丹皮", "茯苓", "制巴戟天", "丹参", "石菖蒲"], "prev_gap": 35, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 53094, "pid": "Pa97f078160d3", "date": "2025-11-29", "sex": "男", "age": 27, "cc": "腰疼5年", "hpi": "腰疼，乏力感，硬度一般，晨勃少，性欲低，时间短1-2分钟，睡眠正常，纳可，喜欢吃生冷，排尿略频，大便不成型粘，口和，怕冷怕热", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "泽泻", "当归", "川芎", "白芍", "牛膝", "麸炒白术", "制巴戟天", "仙茅", "丹参", "鸡血藤", "桂枝", "葛根", "炙黄芪", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 4} {"rid": 53097, "pid": "Pebb5fbd8a693", "date": "2025-11-29", "sex": "男", "age": 46, "cc": "腰痛半年", "hpi": "伴有 大小便正常 纳可 眠安 乏力 疲劳 口干 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "制巴戟天", "麸炒芡实", "炒酸枣仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53098, "pid": "P2537dad4a5b6", "date": "2025-11-29", "sex": "男", "age": 54, "cc": "腰痛2月", "hpi": "腰痛2月，睡眠差总醒，纳 一般，不能吃生冷，大便不成型，排尿正常，夜尿可，焦虑，口干，无怕冷，乏力感，注意力不集中", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "白芍", "石菖蒲", "盐蒺藜", "炒栀子", "淡豆豉", "干姜", "桂枝", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "合欢皮", "炙黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53102, "pid": "P3ba28fafd9a8", "date": "2025-11-29", "sex": "男", "age": 32, "cc": "右侧睾丸坠胀感一周", "hpi": "右侧睾丸坠胀，排尿正常，无腹痛，无腰疼，反酸，大便便秘2-3天，口干口苦。冬天脚冷，夏天脚热，睡眠一般，乏力，头晕，复诊，睾丸坠胀消失 ，大便1-2天一次，口干，睡眠多梦，入睡困难，颈部不适感", "wm_dx": ["静脉曲张"], "tcm_dx": [["筋瘤", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "燀桃仁", "红花", "茯苓", "泽泻", "牡丹皮", "醋乳香", "醋没药", "白芍", "川芎", "炙黄芪", "麸炒白术", "枸杞子", "菟丝子", "熟地黄", "牡蛎"], "flags": [], "prev_rx": ["桂枝", "燀桃仁", "红花", "茯苓", "泽泻", "牡丹皮", "醋乳香", "醋没药", "白芍", "川芎", "炙黄芪", "焦山楂", "枸杞子", "菟丝子", "熟地黄", "牡蛎"], "prev_gap": 7, "visit_ix": 9, "n_visits": 13, "visit_ix_rx": 9, "n_rx": 13} {"rid": 53106, "pid": "P5c6faf3a13be", "date": "2025-11-29", "sex": "男", "age": 27, "cc": "阴囊瘙痒一月余", "hpi": "阴囊瘙痒一月余 大小便正常 纳可 眠安 湿疹取药", "wm_dx": ["湿疹", "阴囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "土茯苓", "败酱草", "麸炒苍术", "茵陈", "黄连", "当归", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53107, "pid": "Pb0afabb485ae", "date": "2025-11-29", "sex": "男", "age": 29, "cc": "尿频 尿黄 泡沫多大半年", "hpi": "尿频 尿黄 泡沫多 夜尿1-2次，大便正常， 纳可，吃凉的少， 口气重，口干口苦，乏力，服用药物后复诊，口气重，乏力感。复诊，大便费劲 腰痛。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["生姜", "干姜", "黄连片", "黄芩片", "法半夏", "人参", "醋鸡内金", "北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "盐蒺藜", "煅龙骨", "煅牡蛎", "柏子仁"], "flags": [], "prev_rx": ["生姜", "干姜", "黄连片", "黄芩片", "法半夏", "人参", "醋鸡内金", "北柴胡", "石菖蒲", "制远志", "盐蒺藜", "煅龙骨", "煅牡蛎", "麸炒枳实", "白芍"], "prev_gap": 14, "visit_ix": 12, "n_visits": 16, "visit_ix_rx": 8, "n_rx": 11} {"rid": 53108, "pid": "P1c9971b015ec", "date": "2025-11-29", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有早泄4年 时间1分钟以内 大小便正常 纳可 眠安 乏力疲劳 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "酒黄精", "麸炒芡实", "茯苓", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "麸炒枳壳", "熟地黄", "酒萸肉", "泽泻", "知母", "砂仁", "炙甘草", "石斛"], "flags": [], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "韭菜子", "锁阳", "五加皮", "地骨皮"], "prev_gap": 42, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 5, "n_rx": 6} {"rid": 53109, "pid": "Pda0cc8bffc65", "date": "2025-11-29", "sex": "男", "age": 28, "cc": "腰痛半年", "hpi": "伴有早泄 时间1分钟以内 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53111, "pid": "Pe45eb79b0378", "date": "2025-11-29", "sex": "男", "age": 33, "cc": "腰痛1年", "hpi": "腰痛1年，硬度改善明显，性欲可，工作可，压力可。晨勃改善。工作可，焦虑可。行动不便。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "菟丝子", "制远志", "酒黄精", "茯苓", "玫瑰花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "菟丝子", "制远志", "酒黄精"], "prev_gap": 28, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 5} {"rid": 53112, "pid": "Pb559e373887b", "date": "2025-11-29", "sex": "男", "age": 33, "cc": "尿频一月", "hpi": "尿频，性功能正常，久坐，排尿可，大便略干，睡眠正常，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "党参片", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "红景天", "牡蛎", "醋龟甲", "地黄", "酒萸肉", "山药", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 7} {"rid": 53114, "pid": "P682dab1d620e", "date": "2025-11-29", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草片", "黄芩片", "柏子仁", "干姜", "大枣", "牡蛎", "茯苓", "川芎", "菟丝子", "枸杞子", "人参", "醋龟甲", "炒苦杏仁", "赤小豆", "莲子", "覆盆子", "盐车前子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草片", "黄芩片", "制远志", "干姜", "大枣", "牡蛎", "茯苓", "川芎", "菟丝子", "枸杞子", "人参", "醋龟甲", "炒苦杏仁", "赤小豆", "莲子", "覆盆子", "盐车前子"], "prev_gap": 7, "visit_ix": 17, "n_visits": 24, "visit_ix_rx": 16, "n_rx": 23} {"rid": 53116, "pid": "P714c4a43e4a9", "date": "2025-11-29", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠次 早泄 勃起差", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "猪苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53120, "pid": "P2b9fffad1bc0", "date": "2025-11-29", "sex": "男", "age": 46, "cc": "腰痛复诊", "hpi": "腰痛改善，口干有痰，长期熬夜，盗汗 大小便正常 纳可 眠差", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "盐车前子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "甜叶菊叶", "法半夏", "陈皮", "姜厚朴"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "甜叶菊叶"], "prev_gap": 48, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 53128, "pid": "Pfc854d91721d", "date": "2025-11-29", "sex": "男", "age": 38, "cc": "腰痛乏力尿频尿急一月余", "hpi": "腰痛乏力尿频尿急一月余 尿分叉 大便正常 纳可 眠差 盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "制巴戟天", "知母", "酒黄精", "玫瑰花", "金银花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53131, "pid": "Pab111d2c7624", "date": "2025-11-29", "sex": "男", "age": 31, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力射精快，手足冷 大小便正常 纳可 眠安 尿不尽 尿频", "wm_dx": ["慢性前列腺炎", "乏力", "腰痛"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", 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"制远志", "合欢皮", "麸炒枳壳", "炙甘草", "烫水蛭", "佩兰"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53156, "pid": "Pe5e90c295d29", "date": "2025-11-30", "sex": "男", "age": 50, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53162, "pid": "P8bdbda3a3eab", "date": "2025-11-30", "sex": "男", "age": 55, "cc": "前列腺增生 精索静脉曲张复诊", "hpi": "前列腺增生 精索静脉曲张复诊 大便正常 纳可 眠差 久坐睾丸麻木 大小便正常 腰痛乏力", "wm_dx": ["糖尿病", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "太子参", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53164, "pid": "Pe4e826016e93", "date": "2025-11-30", "sex": "男", "age": 61, "cc": "前列腺增生复诊", "hpi": "遗尿 小腹胀痛尿不尽尿频，尿灼热好转，久坐后加重，外院确诊，症状好转，现时有遗尿 乏力消瘦", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["热淋", "下焦湿热证", "清热利湿"]], "rx": ["茯苓", "山慈菇", "太子参", "酒黄精"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53171, "pid": "P5a63845465ab", "date": "2025-11-30", "sex": "男", "age": 33, "cc": "腰痛复诊", "hpi": "腰痛改善 大小便正常 纳可 眠安 盗汗 口干口苦 乏力疲劳", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "菟丝子", "盐车前子", "覆盆子", "蛇床子", "韭菜子", "酒女贞子", "醋五味子", "炙淫羊藿", "砂仁", "麸炒枳壳", "炙甘草", "麸炒苍术", "干姜", "熟地黄", "酒萸肉", "知母", "枸杞子", "党参", "黄芪", "天冬", "制巴戟天", "仙茅", "陈皮"], "flags": [], "prev_rx": ["甜叶菊叶", "菟丝子", "盐车前子", "覆盆子", "蛇床子", "韭菜子", "酒女贞子", "醋五味子", "土茯苓", "败酱草", "麸炒枳壳", "炙甘草", "麸炒苍术", "烫水蛭", "制巴戟天", "猪苓", "太子参"], "prev_gap": 22, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 53178, "pid": "Pfe1f57bea60a", "date": "2025-11-30", "sex": "男", "age": 43, "cc": "腰痛复诊", "hpi": "腰痛复诊，工作压力大，硬度下降，性欲低，感情可，眠差，纳可，二便调 怕冷 乏力 晨勃消失", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["失眠", "肝郁血瘀证", "疏肝化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "酒黄精", "山药"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53179, "pid": "P2b830b93079a", "date": "2025-11-30", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "山药", "覆盆子"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53192, "pid": "Pc40a36b05203", "date": "2025-11-30", "sex": "男", "age": 46, "cc": "腰痛半年", "hpi": "腰痛半年 伴有勃起不坚 晨勃少 大小便正常 纳可 眠少 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "覆盆子", "酒黄精", "山药", "三七粉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "知母", "麸炒芡实", "炒酸枣仁", "覆盆子"], "prev_gap": 21, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 7} {"rid": 53193, "pid": "Pe82d9d14e8da", "date": "2025-11-30", "sex": "男", "age": 43, "cc": "体检发现前列腺钙化灶", "hpi": "体检发现前列腺钙化灶 大小便正常 纳可 眠安 腰痛 盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["茯苓", "薏苡仁", "酒黄精"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "黄芪", "茯苓", "猪苓", "山药", "盐补骨脂", "酒黄精", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "麸炒枳壳", "炙甘草", "川楝子", "醋香附", "知母", "酒萸肉", "熟地黄", "醋龟甲", "砂仁"], "prev_gap": 21, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 53201, "pid": "P56cf7701254c", "date": "2025-11-30", "sex": "男", "age": 32, "cc": "腰痛乏力汗出6月", "hpi": "近6月出现腰痛乏力汗出，动则汗出，口干口苦，夜寐差易醒，排尿可，长期熬夜，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "酒黄精", "桑椹", "龙眼肉"], "flags": ["rx_len_outlier"], "prev_rx": ["制巴戟天", "麸炒山药", "枸杞子", "桑椹", "太子参", "黄芪"], "prev_gap": 133, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53202, "pid": "P81bdcbdbf03d", "date": "2025-11-30", "sex": "男", "age": 30, "cc": "阴毛部红疹3月", "hpi": "阴毛部红疹3月 刺痒 大小便正常 纳可 眠安", "wm_dx": ["湿疹"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "黄连", "当归", "赤芍", "白花蛇舌草", "蒲公英", "金银花", "荆芥", "防风", "白芷", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53205, "pid": "P336e673343d2", "date": "2025-11-30", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "腰痛半年 伴有晨勃消失 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "酒黄精", "龙眼肉", "桑椹"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53208, "pid": "Pc208f661ece6", "date": "2025-11-30", "sex": "男", "age": 39, "cc": "腰痛复诊", "hpi": "腰痛复诊 大小便正常 纳可 眠差 口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "砂仁", "木香", "麸炒枳壳", "炙甘草", "覆盆子", "酒女贞子", "醋五味子", "茯苓", "石斛", "党参", "山药"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53210, "pid": "P887ee3b27f29", "date": "2025-11-30", "sex": "男", "age": 38, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度下降，性欲可，乏力，工作劳累，情绪焦虑，同居感情可，二便调，纳眠可、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "麸炒苍术", "陈皮", "石菖蒲", "木香"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁"], "prev_gap": 14, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 53214, "pid": "Pb00f9e676136", "date": "2025-12-01", "sex": "男", "age": 88, "cc": "复诊", "hpi": "病史同前,阴囊潮湿，尿频尿急，淋漓不净，尿失禁。夜尿3次。目前仍在服用可多华。脚凉，易汗，口干不苦，眠可，纳可，便2-3次", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "温补肾阳"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "盐补骨脂", "盐益智仁", "泽泻", "金樱子肉", "乌药", "炙甘草", "石菖蒲"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "盐补骨脂", "盐益智仁", "泽泻", "金樱子肉", "乌药", "炙甘草", "石菖蒲"], "prev_gap": 7, "visit_ix": 4, "n_visits": 10, "visit_ix_rx": 3, "n_rx": 8} {"rid": 53216, "pid": "P7e5217887b96", "date": "2025-12-01", "sex": "男", "age": 66, "cc": "左侧腹股沟疼痛不适2周", "hpi": "2周前出现左侧腹股沟疼痛不适，阴囊潮湿瘙痒，时有尿痛，夜寐差，腰痛行动不便", "wm_dx": ["前列腺增生", "静脉曲张", "精索静脉曲张"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["筋瘤", "血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "绵萆薢", "萹蓄", "车前草", "黄芪"], "flags": [], "prev_rx": ["肉桂", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "绵萆薢", "萹蓄", "车前草", "马齿苋"], "prev_gap": 21, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 6} {"rid": 53218, "pid": "P19129a6df09b", "date": "2025-12-01", "sex": "男", "age": 56, "cc": "尿混浊2月", "hpi": "2月前出现尿混浊，腰痛乏力，射精快，口中和，长期夜班", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "白芍", "川芎", "韭菜子", "金樱子", "制巴戟天", "黄芪", "锁阳", "熟地黄", "山药", "枸杞子", "桑椹", "太子参", "龙眼肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 18, "visit_ix_rx": 0, "n_rx": 7} {"rid": 53221, "pid": "P7ba8265cbf33", "date": "2025-12-01", "sex": "男", "age": 64, "cc": "复诊", "hpi": "勃起改善，加重一月，咽部不适感。", "wm_dx": ["高血压"], "tcm_dx": [["房事阳痿", "肝郁肾虚证", "滋补肾精"], ["房事阳痿", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "石菖蒲", "生石膏", "桔梗", "姜厚朴"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "瓜蒌", "炙甘草", "石菖蒲"], "prev_gap": 7, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 5} {"rid": 53227, "pid": "P92eead348671", "date": "2025-12-01", "sex": "男", "age": 37, "cc": "复诊", "hpi": "有2次性生活，阴囊潮湿减，勃起不能持续。咽痛无痰。母亲家族高血压。", "wm_dx": ["代谢综合征", "男性勃起障碍"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["炙甘草", "地龙", "桂枝", "白芍", "牡蛎", "龙骨", "九香虫", "盐补骨脂", "生姜", "大枣"], "flags": [], "prev_rx": ["炙甘草", "姜半夏", "酒黄芩", "黄连片", "干姜", "紫苏叶", "合欢皮", "地龙", "桂枝", "白芍"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53235, "pid": "Pf8e86f65d7f8", "date": "2025-12-01", "sex": "男", "age": 34, "cc": "复诊", "hpi": "病史同前，夜尿3次 尿不尽，身冷 无口苦口干。大便正常 纳可 眠安", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "首乌藤", "炙甘草", "桑螵蛸", "白术", "茯苓", "黑顺片", "石菖蒲", "盐益智仁", "乌药"], "flags": [], "prev_rx": ["北柴胡", "白芍", "麸炒枳实", "黑顺片", "炙甘草", "石菖蒲", "桂枝", "牡蛎", "龙骨", "桑螵蛸", "生姜", "大枣"], "prev_gap": 10, "visit_ix": 8, "n_visits": 10, "visit_ix_rx": 5, "n_rx": 7} {"rid": 53241, "pid": "P80d8d35fbc27", "date": "2025-12-01", "sex": "男", "age": 38, "cc": "勃起持续时间短", "hpi": "自觉勃起持续时间短，分居2月探家。有2次性生活。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肝郁肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "白薇", "黑顺片", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 6} {"rid": 53247, "pid": "P65d7af42cbcb", "date": "2025-12-01", "sex": "男", "age": 25, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期想生育，勃起欠佳，可同房，中途疲软，口中和，饮酒后腹泻，尿无力，盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "覆盆子", "金樱子", "盐车前子", "白芍", "韭菜子", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53248, "pid": "Pc64686dcd7c6", "date": "2025-12-01", "sex": "男", "age": 37, "cc": "复诊", "hpi": "病史同前，无口苦口干。易汗无肢冷。", "wm_dx": ["代谢综合征", "男性勃起障碍"], "tcm_dx": [["男性前阴类病", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "炙甘草", "九香虫", "桂枝", "牡蛎", "龙骨", "地龙", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "炙甘草", "九香虫", "桂枝", "牡蛎", "龙骨", "蜂房", "地龙"], "prev_gap": 7, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 8, "n_rx": 9} {"rid": 53252, "pid": "Pbdf06749b679", "date": "2025-12-01", "sex": "男", "age": 57, "cc": "复诊", "hpi": "病史见前，核磁显示没慢性前列腺炎。夜尿5次，尿畅，时有脚凉", "wm_dx": ["前列腺增生", "脑出血后遗症"], "tcm_dx": [["癃闭", "肾虚证", "温补肾阳"], ["中风病", "瘀血阻络证", "活血通络"]], "rx": ["黑顺片", "金樱子肉", "盐益智仁", "盐补骨脂", "砂仁", "醋龟甲", "桑螵蛸", "炙甘草"], "flags": [], "prev_rx": ["黑顺片", "金樱子肉", "盐益智仁", "盐补骨脂", "砂仁", "醋龟甲", "桑螵蛸", "炙甘草"], "prev_gap": 7, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 53256, "pid": "P68ece23259b7", "date": "2025-12-01", "sex": "男", "age": 44, "cc": "腰痛乏力伴射精快3年", "hpi": "3年前出现腰痛乏力射精快，近3月出现勃起不坚，晨勃消失，性欲可，盗汗，耳鸣，口干，夜寐可，二便调", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "白芍", "金樱子", "锁阳", "制巴戟天", "黄芪", "韭菜子", "桑寄生"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 53258, "pid": "Pfbe47ae9bd03", "date": "2025-12-01", "sex": "男", "age": 40, "cc": "阴囊潮湿2月", "hpi": "阴囊潮湿，失眠一年多，入睡困难多梦，中途醒，性欲一般，勃起不佳，排尿可，大便不成型，纳可，口干口苦，怕冷，腰酸疼。包皮刺痒。", "wm_dx": ["包皮龟头炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "肝肾亏虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "黄芪", "麸炒枳实", "炙甘草", "炒酸枣仁", "柏子仁", "茯神", "太子参", "桑椹", "龙眼肉"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁"], "prev_gap": 16, "visit_ix": 4, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 9} {"rid": 53262, "pid": "Pfd8cf442c74c", "date": "2025-12-01", "sex": "男", "age": 36, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，长期熬夜，口中和，夜寐可，大便2-3日一行，小便调", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "白芍", "山药", "熟地黄", "覆盆子", "金樱子", "盐车前子", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53268, "pid": "P159d46d330ed", "date": "2025-12-02", "sex": "男", "age": 35, "cc": "腰痛乏力尿频尿等待复诊", "hpi": "腰痛乏力尿频尿等待改善，夜尿1次，小腹胀痛，尿不尽，性欲减退，勃起可，口中和，夜寐差，大便日2次", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "赤小豆", "炒白扁豆", "萹蓄", "绵萆薢", "荔枝核", "黄芪", "路路通", "炒酸枣仁", "制远志", "柏子仁", "川楝子", "醋青皮", "干姜", "砂仁"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白茅根", "萹蓄", "绵萆薢", "夏枯草", "荔枝核", "黄芪", "路路通"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 53269, "pid": "P53f0e0424177", "date": "2025-12-02", "sex": "男", "age": 37, "cc": "包皮龟头炎10天", "hpi": "包皮龟头炎10天 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "黄连", "白芷", "蒲公英", "金银花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53271, "pid": "P8dc6c6b20df4", "date": "2025-12-02", "sex": "男", "age": 30, "cc": "睾丸肿痛一天", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷,复诊：睾丸肿痛消失，仍多梦，口气重", "wm_dx": ["睾丸炎"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["北柴胡", "黄芩片", "党参片", "牡丹皮", "丹参", "地黄", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "牡蛎", "红景天", "醋龟甲", "酒黄精"], "flags": [], "prev_rx": ["干姜", "黄芩片", "黄连片", "法半夏", "人参", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "赤小豆", "牡蛎", "红景天", "麸炒白术", "醋龟甲", "炙甘草"], "prev_gap": 14, "visit_ix": 2, "n_visits": 24, "visit_ix_rx": 1, "n_rx": 23} {"rid": 53276, "pid": "Pe2530650d7a9", "date": "2025-12-02", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 时间1-2分钟 勃起可 大小便正常 纳可 失眠", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "炒酸枣仁", "知母", "太子参", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53277, "pid": "Pe61cfe16fbc3", "date": "2025-12-02", "sex": "男", "age": 51, "cc": "包皮龟头炎复诊", "hpi": "包皮龟头炎复诊 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白花蛇舌草", "白鲜皮", "蛇床子", "地肤子", "黄连", "白芷", "土茯苓", "败酱草", "金银花", "荆芥穗", "防风"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53279, "pid": "P179658022152", "date": "2025-12-02", "sex": "男", "age": 59, "cc": "排尿不畅尿分叉20年", "hpi": "20年前出现排尿不畅尿分叉好转，尿频尿急好转，夜尿1次，尿道瘙痒灼热，长期熬夜，口干口苦，无小腹胀痛。", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "醋五味子", "甘草", "大枣", "醋三棱", "路路通", "炒王不留行"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "醋五味子", "金银花", "甘草", "大枣"], "prev_gap": 15, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 53281, "pid": "P3179cf410f5b", "date": "2025-12-02", "sex": "男", "age": 70, "cc": "尿频夜尿多7年", "hpi": "尿频夜尿多7年 夜尿4次，口干，夜寐差，大便正常 纳可 ，消瘦，腰痛乏力，头晕，既往尿潜血，心慌心悸", "wm_dx": ["糖尿病", "高血压", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "黄芪", "韭菜子", "制巴戟天", "金樱子", "醋五味子", "醋三棱"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "黄芪", "韭菜子", "制巴戟天"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53283, "pid": "P917d74c76fe0", "date": "2025-12-02", "sex": "男", "age": 72, "cc": "排尿不畅3年", "hpi": "3年前出现排尿不畅，夜尿2次，口干，小腹胀痛不适好转，尿无力，腰痛乏力，勃起不坚，性欲可，偶有晨勃", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "韭菜子", "黄芪", "制巴戟天", "锁阳", "覆盆子", "乌药", "盐益智仁", "麸炒山药", "炒酸枣仁", "金樱子", "柏子仁", "制远志"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "韭菜子", "黄芪", "制巴戟天", "锁阳", "覆盆子", "乌药", "盐益智仁", "麸炒山药"], "prev_gap": 7, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 5} {"rid": 53287, "pid": "P38d3c7a21dbe", "date": "2025-12-02", "sex": "男", "age": 74, "cc": "尿频半年余", "hpi": "尿频半年余 大便正常 纳可 眠差 夜尿4-5次", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53288, "pid": "P317847f39a51", "date": "2025-12-02", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "伴有尿黄 尿液沉淀物 大便正常 纳可 眠安 早泄时间1-2分钟 勃起可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "太子参", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53291, "pid": "P37e3a2a5b692", "date": "2025-12-02", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛半年 伴有阳痿早泄 时间1分钟 晨勃少 大便正常 纳可 眠安 尿频 尿不尽", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "太子参", "山药", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "prev_gap": 14, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 53295, "pid": "P4b071f48d691", "date": "2025-12-02", "sex": "男", "age": 37, "cc": "龟头溃疡2月", "hpi": "龟头溃疡2月 大小便正常 纳可 眠安", "wm_dx": ["皮肤溃疡", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "金银花", "蒲公英", "白芷", "大黄", "黄连", "猪苓", "太子参", "制巴戟天", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53299, "pid": "P813fe8b2a710", "date": "2025-12-02", "sex": "男", "age": 35, "cc": "失眠多梦一月", "hpi": "失眠多梦一月 小腹胀痛 排尿无力 大便正常 纳可 尿黄 泡沫多 早泄 时间5-6分钟 腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["太子参", "制巴戟天", "炒酸枣仁", "知母", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53306, "pid": "Pc7c7178df1cc", "date": "2025-12-02", "sex": "男", "age": 29, "cc": "尿频1年", "hpi": "1年前出现尿频，夜尿1次，小腹鼓胀，口苦，夜寐可，多梦，长期熬夜", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "金樱子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 53308, "pid": "P1b43e22f5fca", "date": "2025-12-02", "sex": "男", "age": 29, "cc": "尿频，尿急1月", "hpi": "尿频，尿急，喝水多尿多，无尿痛，无腹痛，脊柱侧弯，无怕冷，纳可，大便正常，睡眠正常稍微早醒，口和，时有口气", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁血瘀证", "疏肝化瘀"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "茯苓", "泽泻", "赤小豆", "猪苓", "麸炒白术", "醋鸡内金", "连翘", "焦山楂", "白花蛇舌草", "牛膝", "生地黄", "石菖蒲", "甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53309, "pid": "P96c491dc4378", "date": "2025-12-02", "sex": "男", "age": 44, "cc": "少腹隐痛2月", "hpi": "少腹隐痛2月 便秘 排尿不畅 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "羌活", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 53310, "pid": "P7767c5eedb4d", "date": "2025-12-02", "sex": "男", "age": 39, "cc": "胆结石复诊", "hpi": "胆结石，少腹疼痛，复方抄", "wm_dx": ["胆囊结石"], "tcm_dx": [["腹痛", "湿热下注证", "清热利湿"]], "rx": ["醋北柴胡", "黄芩片", "茵陈", "炒栀子", "郁金", "醋鸡内金", "木香", "麸炒枳实", "醋青皮", "醋延胡索", "川楝子", "黄连片", "广金钱草", "威灵仙", "浙贝母", "丝瓜络", "麸炒白术", "醋莪术", "煅瓦楞子", "山慈菇"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53313, "pid": "P680bdf1e8e3a", "date": "2025-12-02", "sex": "男", "age": 49, "cc": "腰痛乏力抄方", "hpi": "6月前出现腰痛乏力，下肢冷，尿频尿急", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["黑顺片", "炙甘草", "肉桂", "黄芪", "盐益智仁", "绵萆薢", "茯苓", "白术", "醋延胡索", "醋香附", "陈皮", "藁本片"], "flags": [], "prev_rx": ["黑顺片", "炙甘草", "肉桂", "黄芪", "盐益智仁", "绵萆薢", "茯苓", "白术", "醋延胡索", "醋香附", "陈皮", "藁本片"], "prev_gap": 6, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 53314, "pid": "P4e9232d835e8", "date": "2025-12-02", "sex": "男", "age": 29, "cc": "尿频半年", "hpi": "尿频，夜尿正常，无腰疼，大便可，纳可，睡眠正常，口和，性欲正常开始中途疲软，现勃起困难，晨勃少一月，乏力，怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾阳虚证", "温补肾阳"]], "rx": ["茯苓", "泽泻", "当归", "川芎", "牛膝", "制远志", "石菖蒲", "桂枝", "丹参", "鸡血藤", "人参", "麻黄", "细辛", "附片"], "flags": [], "prev_rx": ["桂枝", "附片", "熟地黄", "山药", "酒萸肉", "茯苓", "泽泻", "牡丹皮", "人参", "当归", "川芎", "丹参", "石菖蒲", "炒蒺藜", "鸡血藤", "制巴戟天"], "prev_gap": 41, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 53315, "pid": "Pa016e8aa0618", "date": "2025-12-02", "sex": "男", "age": 27, "cc": "左侧腹股沟疼痛复查", "hpi": "大小便正常 纳可 眠安 少腹隐痛 腰痛 左侧腹股沟疼痛酸胀，口和", "wm_dx": ["腹股沟淋巴结炎", "附睾炎", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "北柴胡", "车前草", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "夏枯草", "醋延胡索"], "flags": [], "prev_rx": ["肉桂", "盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "灵芝", "车前草", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "夏枯草", "醋延胡索"], "prev_gap": 7, "visit_ix": 10, "n_visits": 28, "visit_ix_rx": 5, "n_rx": 21} {"rid": 53318, "pid": "P7c9e89f87266", "date": "2025-12-02", "sex": "男", "age": 34, "cc": "阴茎短小2-3年", "hpi": "自述阴茎短小，硬度逐渐下降2-3年，近2-3月无勃起，性欲正常。排尿正常，大便正常，睡眠可，纳可，口和，无怕冷，腰疼，乏力，淡漠", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "党参", "麸炒薏苡仁", "牛膝", "制远志", "生地黄", "石菖蒲", "丹参", "鸡血藤", "菟丝子"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "炒苦杏仁", "麸炒薏苡仁", "淡竹叶", "牛膝", "制远志", "生地黄", "石菖蒲", "丹参", "鸡血藤"], "prev_gap": 6, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 3} {"rid": 53320, "pid": "Pa5f036675908", "date": "2025-12-02", "sex": "男", "age": 34, "cc": "血精泌尿系感染复诊", "hpi": "血精改善，小腹坠胀，尿道灼热，尿频尿急基本消失。 腰痛 乏力疲劳压力大", "wm_dx": ["泌尿系感染", "血精"], "tcm_dx": [["热淋", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"], ["血精", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "山药", "三七粉"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53328, "pid": "Pd10de0b0b109", "date": "2025-12-03", "sex": "男", "age": 34, "cc": "右侧睾丸胀痛 右下腹酸胀一周余", "hpi": "右侧睾丸胀痛 右下腹酸胀一周余 大小便正常 纳可 眠差 乏力腰痛", "wm_dx": ["慢性前列腺炎", "附睾炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["太子参", "制巴戟天", "炒酸枣仁", "知母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53333, "pid": "P1549952f168e", "date": "2025-12-03", "sex": "男", "age": 31, "cc": "腰痛伴射精快1年", "hpi": "1年前出现腰痛乏力射精快，同房频率1月1次，勃起欠佳，手淫频繁，长期熬夜，口干口苦，胁肋疼痛，龟头红疹", "wm_dx": ["腰痛"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "韭菜子", "制巴戟天", "锁阳", "蛇床子", "五倍子", "醋五味子", "细辛", "金银花", "蒲公英"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53338, "pid": "P9112c3910093", "date": "2025-12-03", "sex": "男", "age": 40, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，近期易怒，胁肋疼痛，勃起欠佳，性欲减退", "wm_dx": ["腰痛", "糖尿病"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["当归", "枸杞子", "北柴胡", "白芍", "太子参", "炒酸枣仁", "龙眼肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53342, "pid": "Pf1856e57cdd6", "date": "2025-12-03", "sex": "男", "age": 75, "cc": "尿频复诊", "hpi": "尿频，尿急，尿不尽,尿失禁，无尿痛，夜尿3次，左侧腰疼，腿水肿，少腹发胀，大便正常，纳可，无怕冷，不欲饮水，口干苦，有痰，睡眠一般复诊，效果无，乏力感消瘦", "wm_dx": ["前列腺增生"], "tcm_dx": [["乳蛾", "热毒炽盛证", "清热解毒"], ["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "昆布", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "小通草", "麸炒冬瓜子", "苦参", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "盐益智仁", "麸炒山药", "金樱子肉", "醋五味子"], "flags": [], "prev_rx": ["桂枝", "猪苓", "茯苓", "泽泻", "麸炒白术", "麻黄", "炒苦杏仁", "赤小豆", "北柴胡", "牡丹皮", "燀桃仁", "红花", "干姜", "乌药", "盐益智仁", "麸炒山药", "鹿角胶"], "prev_gap": 7, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 5, "n_rx": 6} {"rid": 53343, "pid": "P82913ed25a10", "date": "2025-12-03", "sex": "男", "age": 35, "cc": "尿痛半月伴有分泌物复诊", "hpi": "尿痛半月伴有分泌物改善 大便正常 纳可 眠安 中途疲软 腰痛 乏力 胁痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "酒女贞子", "覆盆子", "墨旱莲", "牛膝", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "砂仁", "石斛", "麸炒枳壳", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53346, "pid": "Pd8d14a52ebb5", "date": "2025-12-03", "sex": "男", "age": 43, "cc": "腰痛乏力2年", "hpi": "腰痛乏力，左侧腹股沟不适，眠差，小腹胀痛，盗汗，汗出", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["莲子", "醋五味子", "菟丝子", "盐蒺藜", "麸炒芡实", "莲须", "煅龙骨", "煅牡蛎", "盐补骨脂", "酒萸肉", "炙淫羊藿", "黄连片", "肉桂", "关黄柏", "知母", "酒苁蓉", "金樱子肉", "盐杜仲", "续断片", "制巴戟天", "韭菜子", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 53348, "pid": "Pdcd1c63c3e60", "date": "2025-12-03", "sex": "男", "age": 32, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，硬度下降，性欲可，性生活不规律，工作压力大，大便略干，睡眠一般半夜醒，纳可，口和，无排尿不畅，微怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "炒栀子", "淡豆豉", "牛膝", "当归", "川芎", "丹参", "鸡血藤", "人参", "石菖蒲", "盐蒺藜", "熟地黄", "葛根"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "锁阳", "莲子", "醋五味子", "盐益智仁"], "prev_gap": 18, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 53350, "pid": "Pb023b640cd42", "date": "2025-12-03", "sex": "男", "age": 33, "cc": "硬度差一月", "hpi": "阴茎勃起硬度一般，中途疲软，晨勃少，睡眠正常，纳可，排尿正常，大便正常，口和，无怕冷，乏力", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["房事阳痿", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "山药", "酒萸肉", "牡丹皮", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "制远志", "菟丝子", "川芎", "当归", "酒黄精", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53351, "pid": "P3e0a331f5e9b", "date": "2025-12-03", "sex": "男", "age": 36, "cc": "腰痛乏力3月", "hpi": "3月前出现腰痛乏力，勃起欠佳，性欲减退，口中和，夜寐差，射精快", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "麸炒苍术", "麸炒薏苡仁", "川牛膝", "茯苓", "制巴戟天", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53352, "pid": "Pb7df98d02f5d", "date": "2025-12-03", "sex": "男", "age": 44, "cc": "尿频2-3年", "hpi": "尿频，尿急，夜尿正常，大便2-3次，纳可，睡眠可，时有口干口苦，时有晨勃，硬度一般，时间短，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "淡竹叶", "莲须", "茵陈", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "酒黄精", "蜈蚣"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牛膝", "莲须", "牡丹皮", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "酒黄精", "蜈蚣"], "prev_gap": 7, "visit_ix": 5, "n_visits": 12, "visit_ix_rx": 5, "n_rx": 11} {"rid": 53355, "pid": "P3739640b7550", "date": "2025-12-03", "sex": "男", "age": 38, "cc": "尿频10余年", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，纳可，晨起口干口苦，无腰疼，无怕冷近期出现中途疲软，时间1-2分钟，同房规律，口服盐酸达泊西汀效果不明显", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "煅龙骨", "煅牡蛎", "黄芩片", "赤小豆", "地黄", "炒苦杏仁", "炒栀子", "丹参", "鸡血藤", "滑石", "甘草片"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "煅龙骨", "煅牡蛎", "黄芩片", "麸炒薏苡仁", "地黄", "炒苦杏仁", "炒栀子", "丹参", "鸡血藤", "滑石", "甘草片"], "prev_gap": 7, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 53357, "pid": "P4a8abc8a47c8", "date": "2025-12-03", "sex": "男", "age": 40, "cc": "尿频一年", "hpi": "尿频，纳可，大便正常，有2孩，半年前胎停一次，睡眠正常，口和，晨起头晕感，腰疼，怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["葛根", "白芍", "桂枝", "麻黄", "生石膏", "地黄", "盐补骨脂", "荆芥", "防风", "炙甘草", "菟丝子", "枸杞子"], "flags": [], "prev_rx": ["菟丝子", "枸杞子", "覆盆子", "盐车前子", "醋五味子", "茯苓", "猪苓", "人参", "制远志", "熟地黄", "黑顺片", "醋龟甲", "鹿角霜", "制水蛭", "川芎"], "prev_gap": 53, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 53358, "pid": "P5550d96d52cd", "date": "2025-12-03", "sex": "男", "age": 47, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 大便正常 尿频 尿急 纳可 眠安 乏力 气短 口干 口苦 失眠 前列腺增生取药 腰部扭伤一周余", "wm_dx": ["前列腺增生", "腰痛"], "tcm_dx": [["腰痛", "气滞血瘀证", "活血化瘀"], ["失眠", "心血虚证", "补血养心"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53362, "pid": "P19b7ebf602e3", "date": "2025-12-03", "sex": "男", "age": 46, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 尿急 尿不尽 大便正常 纳可 眠安 夜尿0-1次 口服可多华，爱普力特治疗半年，大便不成型时有粘，纳可，睡眠时有失眠 ，口苦，无怕冷，阴囊潮湿，腰疼", "wm_dx": ["反流性食管炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "气滞血瘀证", "活血止痛"]], "rx": ["葛根", "桂枝", "猪苓", "茯苓", "泽泻", "淡竹叶", "生地黄", "赤小豆", "白花蛇舌草", "牛膝", "桃仁", "北柴胡", "黄芩", "连翘", "人参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 6} {"rid": 53363, "pid": "P12b62e366baa", "date": "2025-12-03", "sex": "男", "age": 62, "cc": "腰痛 抄方", "hpi": "尿分叉半年 大便正常 纳可 眠安 伴有勃起不坚 腰痛抄方", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["熟地黄", "酒萸肉", "山药", "泽泻", "牡丹皮", "玄参", "醋五味子", "黄连片", "萹蓄", "瞿麦", "川楝子", "关黄柏", "姜厚朴", "砂仁", "白鲜皮", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53364, "pid": "Pf3638e1d7ab0", "date": "2025-12-03", "sex": "男", "age": 60, "cc": "腰痛乏力伴失眠多年", "hpi": "多年前出现腰痛乏力，失眠，大便不成形", "wm_dx": ["失眠", "腰椎间盘突出"], "tcm_dx": [["失眠", "气血两虚证", "补益气血"]], "rx": ["黑芝麻", "炒酸枣仁", "枸杞子", "太子参", "龙眼肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53365, "pid": "P8fc920db017b", "date": "2025-12-03", "sex": "男", "age": 51, "cc": "尿频尿急6月", "hpi": "6月前出现尿频尿急，尿不尽，阴囊潮湿，夜尿0-1次，小腹胀，口干，失眠多梦，腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["石菖蒲", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "茯苓", "麸炒苍术", "麸炒薏苡仁", "川牛膝", "黄芩"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53371, "pid": "P1aa922eda6ec", "date": "2025-12-03", "sex": "男", "age": 53, "cc": "尿频6-7年", "hpi": "尿频，夜尿2-3次，大便正常，头晕，纳可，口干渴，无晨勃，无勃起，无怕冷，乏力，不愿吃西药，腿酸胀", "wm_dx": ["尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["川芎", "炒栀子", "茯苓", "炒酸枣仁", "牡丹皮", "人参", "牛膝", "石菖蒲", "盐蒺藜", "滑石", "赤小豆", "白花蛇舌草", "北柴胡"], "flags": [], "prev_rx": ["炙甘草", "人参", "桂枝", "干姜", "麦冬", "阿胶珠", "大枣", "火麻仁", "牛膝", "竹茹", "麸炒薏苡仁", "炒栀子", "淡豆豉"], "prev_gap": 7, "visit_ix": 4, "n_visits": 22, "visit_ix_rx": 4, "n_rx": 17} {"rid": 53375, "pid": "Pc38c77c54d01", "date": "2025-12-03", "sex": "男", "age": 62, "cc": "尿频复诊", "hpi": "尿频，夜尿正常，大便稀，睡眠一般，口干口苦，勃起不坚，乏力困倦 腹胀一月", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["腹胀", "脾虚气滞证", "理气健脾"]], "rx": ["甜叶菊叶", "土茯苓", "败酱草", "茵陈", "白芷", "北柴胡", "炒蒺藜", "木香", "醋青皮", "郁金", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "党参", "大血藤", "黄芪", "茯苓", "泽泻", "麸炒枳壳", "炙甘草", "防风", "地龙"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 53380, "pid": "P6252cd3c3c37", "date": "2025-12-03", "sex": "男", "age": 33, "cc": "尿不尽一年", "hpi": "尿不尽，近一月出现夜尿1次，无尿痛，少腹正常，无腰疼，大便不成型，纳可，睡眠可，早醒，口干喝水口苦，怕冷怕热，出汗，盗汗，服用后夜尿，睡眠4点醒，燥热感，复诊，盗汗，打嗝，腹胀，复诊：盗汗消失，尿不尽，口干", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "生石膏", "牡丹皮", "炒栀子", "淡豆豉", "地黄", "酒萸肉", "山药", "煅龙骨", "煅牡蛎", "白芍", "天花粉", "党参片", "滑石"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "生石膏", "牡丹皮", "炒栀子", "淡豆豉", "地黄", "酒萸肉", "山药", "煅龙骨", "煅牡蛎", "白芍", "甘草片"], "prev_gap": 8, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 6, "n_rx": 8} {"rid": 53383, "pid": "P28d8e44b88f6", "date": "2025-12-03", "sex": "男", "age": 33, "cc": "体检发现前列腺增大伴钙化", "hpi": "体检发现前列腺增大伴钙化 大便正常 排尿不畅 纳可 眠安 腰痛一月 胁痛一月", "wm_dx": ["慢性前列腺炎", "附睾囊肿"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53396, "pid": "P6eae7f0b5ba5", "date": "2025-12-03", "sex": "男", "age": 25, "cc": "腰痛乏力伴射精快2月", "hpi": "2月前出现腰痛乏力伴射精快，同房时间小于1分钟，排尿可，口中和，性欲可，勃起可", "wm_dx": ["腰痛"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "五加皮", "白花蛇舌草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53398, "pid": "Paafd7d3d2961", "date": "2025-12-03", "sex": "男", "age": 52, "cc": "夜尿2次2周", "hpi": "夜尿多，2次，晨勃少，硬度差不能勃起，性欲差，大便时好时坏，纳可，睡眠正常，口和，微怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["地黄", "牡丹皮", "山药", "酒萸肉", "滑石", "石菖蒲", "制远志", "北柴胡", "麸炒枳实", "白芍", "炒栀子", "丹参", "鸡血藤"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 53401, "pid": "P5b24a8ab10fd", "date": "2025-12-03", "sex": "男", "age": 39, "cc": "尿线细，乏力复诊", "hpi": "尿频，尿线细，夜尿1-2次，腰酸，汗多，乏力，恶热，口干不欲饮，小腿酸，纳可，大便日1-2次，眠可，性生活1次/周，勃起不坚。腹胀，偶有尿急", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["腰痛", 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"age": 69, "cc": "泌尿系结石复诊", "hpi": "半月前出现血尿，无尿痛，诊断为肾结石，无服药，昨晚又出现尿血，尿后色更深，也无腰疼，无腹痛，无尿痛，大便粘，睡眠可，纳可，口和，无怕冷", "wm_dx": ["血尿", "肾结石"], "tcm_dx": [["石淋", "湿热下注证", "清热利湿"], ["尿血", "气滞血瘀证", "活血止血"]], "rx": ["盐车前子", "广金钱草", "山慈菇", "薏苡仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53408, "pid": "Pa90f0e3441f3", "date": "2025-12-04", "sex": "男", "age": 82, "cc": "夜尿增多年", "hpi": "夜尿增多，时有中断，时有发胀，口苦 重度骨关节炎取药 腰痛 乏力一月", "wm_dx": ["前列腺增生", "骨关节病", "重度骨关节病"], "tcm_dx": [["精癃", "湿热", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "酒黄精"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53410, "pid": "P9f5380d96e73", "date": "2025-12-04", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛半年 伴有阳痿早泄 时间1-2分钟 大便正常 纳可 眠安 晨勃少 胁痛 尿频 尿等待", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "炒僵蚕"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "prev_gap": 9, "visit_ix": 1, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 11} {"rid": 53417, "pid": "P434e4b89b4fb", "date": "2025-12-04", "sex": "男", "age": 29, "cc": "腰痛半年", "hpi": "腰痛改善 早泄 时间1分钟左右 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "五加皮", "地骨皮", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "炒僵蚕"], "flags": [], "prev_rx": ["制远志", "地龙", "五加皮", "地骨皮", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛"], "prev_gap": 25, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 53422, "pid": "P0bdae36cfd0a", "date": "2025-12-04", "sex": "男", "age": 44, "cc": "尿频复诊取药", "hpi": "尿频复诊取药，夜尿3-4次，症状好转 压力大，失眠 大便正常 纳可 失眠 腰痛", "wm_dx": ["尿频", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["失眠", "肝郁血瘀证", "疏肝化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "酒黄精", "制巴戟天", "炒酸枣仁", "知母", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53424, "pid": "P853ac951a723", "date": "2025-12-04", "sex": "男", "age": 40, "cc": "会阴不适1周", "hpi": "会阴不适1周，伴阴茎胀痛，无射精不适，无排尿不适，尿后余沥，工作熬夜劳累，腹痛腰痛，盗汗", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "绵萆薢", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53425, "pid": "Pb921c7648b33", "date": "2025-12-04", "sex": "男", "age": 46, "cc": "尿频3年", "hpi": "尿频，夜尿1次，大便黏，睡眠好，口干口苦，阴囊潮湿", "wm_dx": ["男性性腺功能低下", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "湿热肾虚", "补肾清热利湿"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "盐杜仲"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "党参", "川牛膝", "麸炒枳实", "麸炒山药", "当归", "连翘", "炒蒺藜", "麸炒薏苡仁", "茯苓", "麸炒白术", "炒酸枣仁", "熟地黄", "瓜蒌", "赤小豆", "烫水蛭", "制巴戟天", "红景天"], "prev_gap": 14, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 53428, "pid": "Pfa9ec17e004d", "date": "2025-12-04", "sex": "男", "age": 49, "cc": "尿频复诊", "hpi": "尿频改善 夜尿4-5次 排尿通畅 大便正常 纳可 眠安 胁痛 肠道菌群失调取药", "wm_dx": ["前列腺增生", "肠道菌群失调"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["醋鸡内金"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53435, "pid": "P95d654737876", "date": "2025-12-04", "sex": "男", "age": 71, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊取药 尿频 夜尿4次 尿等待 排尿不畅 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53445, "pid": "P64d1bf0f8bb8", "date": "2025-12-05", "sex": "男", "age": 42, "cc": "阴囊不适3天", "hpi": "阴囊不适3天，外院查睾丸和精索静脉超声报：轻度精索静脉曲张。服用小金丸后症状缓解。易反复，排尿正常，大便不成型，纳可，口和，睡眠正常，无怕冷，怕热，复诊：症状好转，口干。复诊：大便不成型，口干，有痰", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["子痈", "气滞血瘀证", "活血化瘀"], ["精浊", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "川芎", "白芍", "地黄", "天花粉", "猪苓", "牡丹皮", "菟丝子", "枸杞子", "化橘红", "牡蛎", "牛膝", "麸炒白术", "醋龟甲", "桂枝", "红景天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "川芎", "白芍", "茯苓", "法半夏", "猪苓", "牡丹皮", "菟丝子", "枸杞子", "化橘红", "牡蛎", "牛膝", "麸炒白术", "醋龟甲", "桂枝", "红景天"], "prev_gap": 17, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 9} {"rid": 53447, "pid": "P6176900645da", "date": "2025-12-05", "sex": "男", "age": 50, "cc": "尿频一月", "hpi": "尿频，既往检查弱精，流产一次，大便正常，睡眠正常，纳可，怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "醋龟甲", "赤小豆", "酒黄精", "牛膝", "竹茹", "红花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53457, "pid": "Pd3df3d3a527a", "date": "2025-12-05", "sex": "男", "age": 35, "cc": "腰痛1月", "hpi": "腰痛1月，排尿正常，大便可，纳可，吃凉易腹泻，睡眠正常，口苦，无怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "牡丹皮", "干姜", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "酒黄精", "醋龟甲", "牛膝", "地黄", "酒萸肉", "山药"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53468, "pid": "Pb70fa151043f", "date": "2025-12-05", "sex": "男", "age": 30, "cc": "尿频1年", "hpi": "尿频1年，腰痛，乏力，时间改善，停药后反复。硬度可，性欲可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "石菖蒲", "绵萆薢", "炒酸枣仁", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "烫水蛭"], "prev_gap": 146, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 53481, "pid": "P97146ca403ff", "date": "2025-12-05", "sex": "男", "age": 39, "cc": "尿频一月", "hpi": "尿频，尿不尽夜尿3-4次现一次，肚子胀大便不畅，勃起不坚，射精无快感，时短，睡眠不足，纳可，无怕冷", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["滑石", "阿胶珠", "猪苓", "山药", "小通草", "葛根", "桂枝", "蜈蚣", "赤小豆", "地黄", "白花蛇舌草", "酒萸肉", "制巴戟天", "北柴胡", "麸炒枳实"], "flags": [], "prev_rx": ["滑石", "阿胶珠", "猪苓", "茯苓", "泽泻", "党参片", "川芎", "葛根", "桂枝", "蜈蚣", "赤小豆", "地黄", "盐蒺藜", "甘草片"], "prev_gap": 7, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 53489, "pid": "P939d652f7a74", "date": "2025-12-06", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["盐杜仲", "肉桂", "麸炒白术", "制远志", "肉苁蓉", "制巴戟天", "太子参", "石菖蒲", "酒萸肉", "盐车前子", "覆盆子", "韭菜子", "菟丝子", "醋五味子", "熟地黄", "酒大黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["盐杜仲", "肉桂", "麸炒白术", "制远志", "肉苁蓉", "制巴戟天", "太子参", "石菖蒲", "酒萸肉", "盐车前子", "覆盆子", "菟丝子", "熟地黄", "酒大黄", "韭菜子", "醋五味子"], "prev_gap": 14, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 53495, "pid": "P02af5317983a", "date": "2025-12-06", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作可，情绪焦虑，同居感情可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53496, "pid": "P347cb54edca7", "date": "2025-12-06", "sex": "男", "age": 25, "cc": "尿频1年", "hpi": "尿频，喝水多尿多，夜尿1-2次，尿不尽，少腹隐痛，无腰疼，睡眠正常，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "茯苓", "泽泻", "麸炒白术", "滑石", "石菖蒲", "制远志", "路路通", "炒王不留行", "淡豆豉", "赤小豆", "白花蛇舌草", "炙甘草", "丹参", "鸡血藤"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "麸炒白术", "滑石", "石菖蒲", "制远志", "路路通", "炒王不留行", "淡豆豉", "赤小豆", "白花蛇舌草", "炙甘草"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53497, "pid": "P38ec74bd3a85", "date": "2025-12-06", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作久坐", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "茯苓", "薏苡仁", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 7} {"rid": 53501, "pid": "Pd04957b797d6", "date": "2025-12-06", "sex": "男", "age": 27, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["尿频"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "绵萆薢", "石菖蒲", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53502, "pid": "Pe43d29dbe225", "date": "2025-12-06", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["覆盆子", "山慈菇", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53503, "pid": "P03133a2d830e", "date": "2025-12-06", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "覆盆子", "沙苑子", "醋五味子", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53504, "pid": "P859b0fa5f637", "date": "2025-12-06", "sex": "男", "age": 37, "cc": "尿频尿急1月", "hpi": "尿频尿急1月，尿等待，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠可，口干，复诊腰疼左侧为主，尿频，尿急好转，夜尿1次，睡眠正常，纳可，口干，无怕冷", "wm_dx": ["前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["葛根", "桂枝", "白芍", "赤小豆", "白花蛇舌草", "燀桃仁", "红花", "茯苓", "牡丹皮", "牛膝", "连翘", "醋龟甲", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 53511, "pid": "Pa34eb630e11b", "date": "2025-12-06", "sex": "男", "age": 31, "cc": "尿频1月", "hpi": "尿频1月，排尿不畅，夜尿0次，伴小腹不适，大便质正常，纳可，眠一般，梦多，口干。体检前列腺增生。腰痛。", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["葛根", "当归", "连翘", "赤小豆", "滑石", "白花蛇舌草", "牛膝", "猪苓", "白芍", "桂枝", "燀桃仁", "牡丹皮", "红花", "石菖蒲", "制远志", "路路通"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, 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"蜈蚣", "炙黄芪", "陈皮", "黄连片", "葛根"], "prev_gap": 11, "visit_ix": 7, "n_visits": 24, "visit_ix_rx": 7, "n_rx": 24} {"rid": 53521, "pid": "P3ba28fafd9a8", "date": "2025-12-06", "sex": "男", "age": 32, "cc": "右侧睾丸坠胀感一周", "hpi": "右侧睾丸坠胀，排尿正常，无腹痛，无腰疼，反酸，大便便秘2-3天，口干口苦。冬天脚冷，夏天脚热，睡眠一般，乏力，头晕，复诊，睾丸坠胀消失 ，大便1-2天一次，口干，睡眠多梦，入睡困难，颈部不适感", "wm_dx": ["静脉曲张"], "tcm_dx": [["筋瘤", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "燀桃仁", "红花", "茯苓", "泽泻", "牡丹皮", "醋乳香", "醋没药", "白芍", "川芎", "炙黄芪", "麸炒白术", "枸杞子", "菟丝子", "地黄", "牡蛎", "葛根"], "flags": [], "prev_rx": ["桂枝", "燀桃仁", "红花", "茯苓", "泽泻", "牡丹皮", "醋乳香", "醋没药", "白芍", "川芎", "炙黄芪", "麸炒白术", "枸杞子", "菟丝子", "熟地黄", "牡蛎"], "prev_gap": 7, "visit_ix": 10, "n_visits": 13, "visit_ix_rx": 10, "n_rx": 13} {"rid": 53533, "pid": "Pa4b6ff37b90c", "date": "2025-12-06", "sex": "男", "age": 45, "cc": "腰痛复诊", "hpi": "6月前出现腰痛伴勃起硬度欠佳，性欲减退，射精无力，晨勃可，口干口苦，夜寐可，易困倦，中途疲软", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙甘草", "北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "金樱子肉", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "北败酱草", "炙淫羊藿", "醋香附", "土茯苓", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏", "麸炒芡实", "韭菜子"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳壳", "北柴胡", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "金樱子肉", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "北败酱草", "炙淫羊藿", "醋香附", "土茯苓", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "牛膝", "关黄柏", "麸炒芡实"], "prev_gap": 14, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 9, "n_rx": 11} {"rid": 53534, "pid": "P6ada58ba2573", "date": "2025-12-06", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作熬夜，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53535, "pid": "P6765d031fd78", "date": "2025-12-06", "sex": "男", "age": 29, "cc": "体检发现血PSA升高1周", "hpi": "1周前体检发现血PSA升高 大小便正常 纳可 眠差 乏力消瘦半年", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白茅根", "萹蓄", "绵萆薢", "路路通", "炒王不留行", "夏枯草"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白茅根", "萹蓄", "绵萆薢"], "prev_gap": 14, "visit_ix": 5, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 3} {"rid": 53537, "pid": "P682dab1d620e", "date": "2025-12-06", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草片", "黄芩片", "柏子仁", "干姜", "大枣", "牡蛎", "茯苓", "川芎", "菟丝子", "枸杞子", "人参", "醋龟甲", "炒苦杏仁", "赤小豆", "莲子", "覆盆子", "盐车前子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草片", "黄芩片", "柏子仁", "干姜", "大枣", "牡蛎", "茯苓", "川芎", "菟丝子", "枸杞子", "人参", "醋龟甲", "炒苦杏仁", "赤小豆", "莲子", "覆盆子", "盐车前子"], "prev_gap": 7, "visit_ix": 18, "n_visits": 24, "visit_ix_rx": 17, "n_rx": 23} {"rid": 53538, "pid": "Pc933f20c6832", "date": "2025-12-06", "sex": "男", "age": 42, "cc": "腰痛半年", "hpi": "腰痛半年 失眠浅多梦 早泄1-2分钟 大小便正常 纳可 勃起可 ，排尿正常，大便略不成型，纳可，口和，无怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["当归", "桂枝", "白薇", "牡丹皮", "川芎", "白芍", "茯苓", "泽泻", "煅龙骨", "煅牡蛎", "麸炒白术", "干姜", "石菖蒲", "盐蒺藜", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "prev_gap": 21, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 6} {"rid": 53540, "pid": "Pc01901f62e2a", "date": "2025-12-06", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊取药", "hpi": "尿痛，尿道口红肿，尿频，无夜尿，包皮刺痒。药后症状改善。腰痛 乏力 失眠。盗汗。", "wm_dx": ["包皮龟头炎", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, 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"茯苓", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 15, "visit_ix_rx": 0, "n_rx": 15} {"rid": 53547, "pid": "P9f09468d6d10", "date": "2025-12-06", "sex": "男", "age": 38, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 少腹隐痛 胁痛 行动不便", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "心肾不交证", "交通心肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["桂枝", "知母", "白芍", "盐关黄柏", "炒酸枣仁", "炙甘草", "龙骨", "牡蛎", "菟丝子", "盐车前子", "烫骨碎补", "醋延胡索"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "知母", "白芍", "盐关黄柏", "炒酸枣仁", "炙甘草", "龙骨", "牡蛎", "菟丝子", "盐车前子", "烫骨碎补", "醋延胡索"], "prev_gap": 20, "visit_ix": 3, "n_visits": 9, "visit_ix_rx": 3, "n_rx": 9} {"rid": 53554, "pid": "Pa3aab6361747", "date": "2025-12-06", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作劳累，压力大，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", 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"酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53564, "pid": "P5255ad6a6ccd", "date": "2025-12-06", "sex": "男", "age": 26, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期想生育 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "醋五味子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "醋五味子"], "prev_gap": 55, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 53566, "pid": "P55e31664ab44", "date": "2025-12-06", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗，胁痛。", "wm_dx": ["乏力", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肝肾亏虚证", "滋补肾精"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53569, "pid": "Pef2de353a004", "date": "2025-12-06", "sex": "男", "age": 24, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53572, "pid": "Pc41a7c0e22e2", "date": "2025-12-06", "sex": "男", "age": 39, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和，盗汗", "wm_dx": ["包皮龟头炎", "前列腺炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53575, "pid": "P2f57e992dffa", "date": "2025-12-07", "sex": "男", "age": 31, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，工作熬夜，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。", "wm_dx": ["乏力", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53578, "pid": "P8b7315f5463c", "date": "2025-12-07", "sex": "男", "age": 32, "cc": "左侧小腹不适2周", "hpi": "左侧小腹不适2周，尿频，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和，腰痛", "wm_dx": ["前列腺炎", "泌尿系感染"], "tcm_dx": [["热淋", "湿热下注证", "清热利湿"], ["石淋", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "薏苡仁", "茯苓", "牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53584, "pid": "P296330fda027", "date": "2025-12-07", "sex": "男", "age": 37, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，尿频，无尿急，无小腹及会阴不适，工作压力适中，盗汗", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53588, "pid": "P235d50efd030", "date": "2025-12-07", "sex": "男", "age": 59, "cc": "阴囊不适1周", "hpi": "阴囊不适1周，久坐后明显，有体力劳动", "wm_dx": ["前列腺增生", "精索静脉曲张"], "tcm_dx": [["筋瘤", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "茯苓", "牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53601, "pid": "P82092b1228b3", "date": "2025-12-07", "sex": "男", "age": 65, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频尿急，尿线细，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["热淋", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53603, "pid": "P7eec9706aa99", "date": "2025-12-07", "sex": "男", "age": 40, "cc": "腰酸痛3-4年", "hpi": "腰酸痛，多汗，动则汗出，手脚出汗，无盗汗，咳嗽有痰白痰，怕冷，排尿尿不尽，色黄，大便正常，纳可，口和，硬度一般", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "炒苦杏仁", "生姜", "大枣", "桑白皮", "浙贝母", "竹茹", "葛根", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "党参片", "滑石", "甘草片"], "flags": [], "prev_rx": ["桂枝", "白芍", "炒苦杏仁", "生姜", "大枣", "桑白皮", "浙贝母", "竹茹", "葛根", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "党参片", "滑石", "甘草片"], "prev_gap": 9, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 7} {"rid": 53604, "pid": "Pa26845647079", "date": "2025-12-07", "sex": "男", "age": 39, "cc": "盗汗多年", "hpi": "多年前出现盗汗，手足心汗出，偶有口苦，二便调，腰痛乏力，失眠，时间下降", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["失眠", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "烫水蛭"], "flags": [], "prev_rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "浮小麦", "地骨皮", "黄芪", "防己", "甜叶菊叶"], "prev_gap": 14, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 5} {"rid": 53608, "pid": "Pd61df334d2e7", "date": "2025-12-07", "sex": "男", "age": 25, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作劳累，压力大，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53609, "pid": "P87d48cf565b0", "date": "2025-12-07", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "便秘 勃起不坚 中途疲软 晨勃少 大小便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓"], "flags": [], "prev_rx": ["太子参", "猪苓", "麸炒芡实", "山慈菇"], "prev_gap": 28, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 53615, "pid": "P75a714f914ef", "date": "2025-12-07", "sex": "男", "age": 43, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53617, "pid": "P8e5379f61c4b", "date": "2025-12-07", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "烫水蛭", "川牛膝", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53618, "pid": "P6ed0394edf5e", "date": "2025-12-07", "sex": "男", "age": 41, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作可，同居感情可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53625, "pid": "P1241ea2f1531", "date": "2025-12-07", "sex": "男", "age": 44, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作压力可，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53628, "pid": "Pdb350c0b12aa", "date": "2025-12-07", "sex": "男", "age": 38, "cc": "腰痛乏力1年", "hpi": "腰痛乏力，排尿可，口中和，夜寐可，长期熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "醋五味子", "沙苑子", "烫水蛭", "陈皮", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "酒女贞子"], "flags": [], "prev_rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "醋五味子", "沙苑子", "烫水蛭", "砂仁", "陈皮", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "酒女贞子", "干姜", "麸炒枳壳"], "prev_gap": 50, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 53632, "pid": "P64def759c4d1", "date": "2025-12-08", "sex": "男", "age": 60, "cc": "尿频尿急6月", "hpi": "6月前出现尿频尿急，尿混浊尿异味，夜尿4-5次，夜寐差，口中和，大便正常", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "薏苡仁", "炒酸枣仁", "牛膝"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 5} {"rid": 53633, "pid": "Pb00f9e676136", "date": "2025-12-08", "sex": "男", "age": 88, "cc": "复诊", "hpi": "病史同前,夜尿4-5，较前稍畅，阴囊潮湿，尿急、尿失禁或不尽。目前仍在服用可多华。脚凉，易汗，口干不苦，眠可，纳可。便调。", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "温补肾阳"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "炙甘草", "白术", "桂枝", "干姜", "盐益智仁", "金樱子肉", "茯苓"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "盐补骨脂", "盐益智仁", "泽泻", "金樱子肉", "乌药", "炙甘草", "石菖蒲"], "prev_gap": 7, "visit_ix": 6, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 8} {"rid": 53637, "pid": "P49111f9ad4c8", "date": "2025-12-08", "sex": "男", "age": 55, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲有，乏力，工作劳累，压力大，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，晨勃有", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53639, "pid": "Pf56293274911", "date": "2025-12-08", "sex": "男", "age": 39, "cc": "复诊", "hpi": "病史同前，无尿频，有一次性生活，偶有口干，汗不多，无肢冷，便粘稠。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "牛膝", "桑叶", "炙甘草", "酒萸肉", "蜂房"], "flags": [], "prev_rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "麸炒枳实", "白芍", "北柴胡", "桑叶", "炙甘草", "酒萸肉", "蜂房"], "prev_gap": 16, "visit_ix": 7, "n_visits": 18, "visit_ix_rx": 7, "n_rx": 18} {"rid": 53641, "pid": "Pab407f4df5bd", "date": "2025-12-08", "sex": "男", "age": 44, "cc": "发现血精1小时", "hpi": "今日午后同房发现血精,近几日饮酒频繁,食辣", "wm_dx": ["慢性前列腺炎", "精囊炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "甘草", "北柴胡", "炒紫苏子", "玉竹", "百合", "丹参", "大蓟", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "小蓟", "白花蛇舌草", "马齿苋", "萹蓄", "绵萆薢"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "炒紫苏子", "小蓟", "白花蛇舌草", "马齿苋", "萹蓄", "绵萆薢"], "prev_gap": 16, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 53644, "pid": "P80d8d35fbc27", "date": "2025-12-08", "sex": "男", "age": 38, "cc": "复诊", "hpi": "病史同前，自觉勃起持续时间短，未有性生活。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肝郁肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "白薇", "黑顺片", "炙甘草", "生姜", "大枣", "五倍子", "金樱子肉"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "白薇", "黑顺片", "炙甘草", "生姜", "大枣"], "prev_gap": 7, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 6} {"rid": 53645, "pid": "P0f1544f73700", "date": "2025-12-08", "sex": "男", "age": 28, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期想生育，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花", "蒲公英", "菟丝子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53654, "pid": "Pf9f2b2d63abe", "date": "2025-12-08", "sex": "男", "age": 78, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频、尿急，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗。外院查前列腺，PSA（-），超声显示前列腺增生。口服非那雄胺和坦索罗辛，排尿不畅改善，但现尿频尿急仍在。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["薏苡仁", "太子参", "炒酸枣仁", "黄芪", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["川牛膝", "炒酸枣仁", "酒黄精", "麸炒薏苡仁"], "prev_gap": 41, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53657, "pid": "P3fc0f304f5f7", "date": "2025-12-08", "sex": "男", "age": 64, "cc": "小腹胀痛尿道不适1年", "hpi": "小腹胀痛尿道不适1年，尿等待，夜尿2-3次，口干口苦，会阴胀痛连及睾丸肛周不适", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "制巴戟天", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "夏枯草", "路路通", "炒王不留行", "荔枝核", "醋香附", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "夏枯草", "路路通", "炒王不留行", "荔枝核", "醋香附", "黄芪"], "prev_gap": 14, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 3} {"rid": 53663, "pid": "Pf2147c64fd48", "date": "2025-12-08", "sex": "男", "age": 45, "cc": "尿灼热排尿不畅5天", "hpi": "5天前出现尿灼热排尿不畅，周身乏力，腰痛，无小腹胀痛，夜寐差", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "甘草", "北柴胡", "玉竹", "百合", "丹参", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "绵萆薢", "萹蓄", "小蓟", "大蓟", "车前草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 6} {"rid": 53664, "pid": "P534acd07fa98", "date": "2025-12-08", "sex": "男", "age": 32, "cc": "腰痛乏力伴射精快3年", "hpi": "腰痛乏力伴射精快3年，夜寐可，纳可，腰发凉，排尿可，阴囊潮湿，午后潮热，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚", "补肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "盐车前子", "炒白扁豆", "覆盆子", "炒蒺藜", "醋五味子", "韭菜子", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "金银花", "炙淫羊藿"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子", "醋五味子", "韭菜子", "金银花"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53673, "pid": "P51f05eb00049", "date": "2025-12-08", "sex": "男", "age": 36, "cc": "腰痛复诊", "hpi": "腰痛复诊，硬度下降，早泄，性欲旺盛，盗汗，口干苦，大便稀，失眠，烦躁。熬夜。排气多，入睡困难，易醒。", "wm_dx": ["失眠", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "茯苓", "知母", "盐关黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "山药", "制巴戟天", "炒酸枣仁", "合欢皮"], "prev_gap": 112, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53678, "pid": "P680bdf1e8e3a", "date": "2025-12-08", "sex": "男", "age": 49, "cc": "腰痛乏力抄方", "hpi": "6月前出现腰痛乏力，下肢冷，尿频尿急", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["黑顺片", "炙甘草", "肉桂", "黄芪", "盐益智仁", "绵萆薢", "茯苓", "白术", "醋延胡索", "醋香附", "陈皮", "藁本片"], "flags": [], "prev_rx": ["黑顺片", "炙甘草", "肉桂", "黄芪", "盐益智仁", "绵萆薢", "茯苓", "白术", "醋延胡索", "醋香附", "陈皮", "藁本片"], "prev_gap": 6, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 53679, "pid": "Pb6037c4aafe0", "date": "2025-12-08", "sex": "男", "age": 35, "cc": "腰痛乏力伴射精快3月", "hpi": "3月前出现腰痛乏力伴射精快，勃起欠佳，下肢乏力，龟头红疹", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "五加皮", "知母", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "制远志", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "龙胆", "盐杜仲", "续断", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 8} {"rid": 53682, "pid": "P8e3810b6a547", "date": "2025-12-08", "sex": "男", "age": 39, "cc": "自汗乏力腰痛2年", "hpi": "自汗乏力腰痛2年，口干，夜寐差易醒，食纳可，大便粘，小便黄，无怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["酒苁蓉", "锁阳", "人参", "熟地黄", "陈皮", "茯苓", "百合", "太子参", "制巴戟天", "桑椹", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "党参片", "牡丹皮", "淡竹叶", "滑石", "炒苦杏仁", "白芍", "牛膝", "煅龙骨", "煅牡蛎", "炒栀子", "淡豆豉", "太子参"], "prev_gap": 128, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53684, "pid": "Pfbe47ae9bd03", "date": "2025-12-08", "sex": "男", "age": 40, "cc": "阴囊潮湿2月", "hpi": "阴囊潮湿，失眠一年多，入睡困难多梦，中途醒，性欲一般，勃起不佳，排尿可，大便不成型，纳可，口干口苦，怕冷，腰酸疼。包皮刺痒。", "wm_dx": ["腰痛", "包皮龟头炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "肝肾亏虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["关黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "知母", "牛膝", "锁阳", "煅阳起石", "醋五味子", "菟丝子", "盐车前子", "覆盆子", "枸杞子", "黄芪", "柏子仁", "茯神", "首乌藤", "炒酸枣仁", "酒黄精"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "黄芪", "麸炒枳实", "炙甘草", "炒酸枣仁", "柏子仁", "茯神", "太子参", "桑椹", "龙眼肉"], "prev_gap": 7, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 9} {"rid": 53686, "pid": "P3aef33821710", "date": "2025-12-08", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": "腰痛乏力，近期想生育，夜寐差，长期熬夜久坐", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "覆盆子", "枸杞子", "盐车前子", "制水蛭", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "炙甘草", "韭菜子"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "覆盆子", "枸杞子", "盐车前子", "制水蛭", "炙甘草", "韭菜子"], "prev_gap": 12, "visit_ix": 2, "n_visits": 14, "visit_ix_rx": 2, "n_rx": 12} {"rid": 53691, "pid": "P5e78ddaf970e", "date": "2025-12-08", "sex": "男", "age": 60, "cc": "腰痛乏力伴勃起不坚7年", "hpi": "7年前出现腰痛乏力伴勃起不坚，性欲可，晨勃消失，司机工作久坐，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "锁阳", "仙茅", "韭菜子", "黄芪"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "锁阳", "仙茅", "韭菜子"], "prev_gap": 21, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 53694, "pid": "P50c0ba4d6459", "date": "2025-12-08", "sex": "男", "age": 33, "cc": "腰痛乏力伴勃起不坚1月", "hpi": "1月前出现腰痛乏力伴勃起不坚，性欲可，晨勃可，长期熬夜，口干，夜寐可，心悸气短", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "白芍", "韭菜子", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53699, "pid": "P62105a5a32c5", "date": "2025-12-09", "sex": "男", "age": 84, "cc": "前列腺增生复查", "hpi": "前列腺增生复查 排尿困难 便秘 留置导尿管 纳可 眠差 无腹痛 无发热", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53703, "pid": "P159d46d330ed", "date": "2025-12-09", "sex": "男", "age": 35, "cc": "腰痛乏力尿频尿等待复诊", "hpi": "腰痛乏力尿频尿等待改善，夜尿1次，小腹胀痛，尿不尽，性欲减退，勃起可，口中和，夜寐差，大便日2次", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "山药", "炒酸枣仁"], "flags": ["rx_len_outlier"], "prev_rx": ["石菖蒲", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "赤小豆", "炒白扁豆", "萹蓄", "绵萆薢", "荔枝核", "黄芪", "路路通", "炒酸枣仁", "制远志", "柏子仁", "川楝子", "醋青皮", "干姜", "砂仁"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 53705, "pid": "P0efb8d996986", "date": "2025-12-09", "sex": "男", "age": 59, "cc": "血尿一月", "hpi": "血尿一月 尿频 尿急 尿等待 大便正常 纳可 眠差 包茎 乏力消瘦", "wm_dx": ["包茎", "前列腺增生", "泌尿系感染"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53711, "pid": "Pbe989ebe8ff3", "date": "2025-12-09", "sex": "男", "age": 63, "cc": "腰痛半年", "hpi": "腰痛半年 早泄 时间几十秒 勃起不坚 大小便正常 纳可 失眠", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["人参", "黄芪", "茯苓", "土茯苓", "败酱草", "酒苁蓉", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "石菖蒲", "制远志", "熟地黄", "酒萸肉", "知母", "炒酸枣仁", "柏子仁", "制何首乌", "桑椹", "麸炒枳壳", "炙甘草", "砂仁", "木香"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53714, "pid": "P5d3dde8a6bad", "date": "2025-12-09", "sex": "男", "age": 42, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗 早泄", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53718, "pid": "Pb30dccb4e26e", "date": "2025-12-09", "sex": "男", "age": 35, "cc": "腰痛1月", "hpi": "腰痛1月 大小便正常 纳可 眠差 晨勃消失 勃起不坚", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "温补肾精"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "麸炒芡实", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53719, "pid": "Pbd2e9cb62153", "date": "2025-12-09", "sex": "男", "age": 49, "cc": "腰痛半年", "hpi": "腰痛半年 伴有勃起不坚 早泄 晨勃消失 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53721, "pid": "P917d74c76fe0", "date": "2025-12-09", "sex": "男", "age": 72, "cc": "排尿不畅3年", "hpi": "3年前出现排尿不畅，夜尿2次，口干，小腹胀痛不适好转，尿无力，腰痛乏力，勃起不坚，性欲可，偶有晨勃", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "韭菜子", "黄芪", "制巴戟天", "锁阳", "覆盆子", "炒酸枣仁", "金樱子", "柏子仁", "制远志", "菟丝子", "夏枯草", "仙茅"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "韭菜子", "黄芪", "制巴戟天", "锁阳", "覆盆子", "乌药", "盐益智仁", "麸炒山药", "炒酸枣仁", "金樱子", "柏子仁", "制远志"], "prev_gap": 7, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 5} {"rid": 53722, "pid": "P2304e0277f31", "date": "2025-12-09", "sex": "男", "age": 67, "cc": "间断尿痛复诊", "hpi": "间断尿痛复诊，超声提示前列腺尿道强回声，结石可能，前列腺增大。口服头孢后症状缓解，停药后尿痛反复。", "wm_dx": ["泌尿系结石", "泌尿系感染", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["淋证", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "山慈菇", "小通草"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "山慈菇", "小通草"], "prev_gap": 12, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53725, "pid": "P7114aeaff2e8", "date": "2025-12-09", "sex": "男", "age": 61, "cc": "腰痛半年抄方", "hpi": "腰痛半年 伴有勃起不坚 大小便正常 纳可 失眠取药 乏力消瘦 前列腺增生复查 头晕一周", "wm_dx": ["失眠", "腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["眩晕", "肝阳上亢证", "平肝潜阳"]], "rx": ["菟丝子", "茯苓", "鹿角霜", "天麻", "炒决明子", "菊花", "钩藤"], "flags": [], "prev_rx": ["炙淫羊藿", "菟丝子", "鹿角霜", "茯苓", "制巴戟天", "酒黄精", "酒萸肉", "枸杞子", "桑椹"], "prev_gap": 78, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 53728, "pid": "Pa016e8aa0618", "date": "2025-12-09", "sex": "男", "age": 27, "cc": "左侧腹股沟疼痛复诊", "hpi": "大小便正常 纳可 眠安 少腹隐痛 腰痛 左侧腹股沟疼痛酸胀好转，口和", "wm_dx": ["静脉曲张", "精索静脉曲张", "附睾炎", "腹股沟淋巴结炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "北柴胡", "车前草", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "夏枯草", "醋延胡索"], "flags": [], "prev_rx": ["肉桂", "盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "北柴胡", "车前草", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "夏枯草", "醋延胡索"], "prev_gap": 7, "visit_ix": 11, "n_visits": 28, "visit_ix_rx": 6, "n_rx": 21} {"rid": 53729, "pid": "Pc2fad13396b3", "date": "2025-12-09", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 时间1-2分钟 勃起差 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53739, "pid": "P9c8785aa9e97", "date": "2025-12-09", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有双腿发酸 手脚多汗 盗汗 大小便正常 纳可 眠安 感冒咽痛头疼半月", "wm_dx": ["混合痔", "上呼吸道感染", "感冒", "头痛", "咽痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["乳蛾", "湿热毒证", "清热解毒"], ["混合痔", "湿热毒证", "清热解毒"]], "rx": ["覆盆子", "太子参", "炒酸枣仁", "桑椹", "百合", "金银花"], "flags": [], "prev_rx": ["蒲公英", "莲子心", "菊花", "制巴戟天", "炒酸枣仁", "桑椹", "枸杞子", "猪苓", "陈皮", "百合", "炒决明子", "麸炒芡实", "净山楂", "茯苓"], "prev_gap": 14, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 53741, "pid": "P34764f841309", "date": "2025-12-09", "sex": "男", "age": 54, "cc": "尿频1年", "hpi": "尿频，有晨勃，夜尿正常，大便粘，吃生冷辛辣都不适，睡眠正常，口和，鼻子干，无怕冷，无乏力，复诊：口干鼻子干", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "知母", "盐关黄柏", "丹参", "鸡血藤", "蜈蚣", "制巴戟天", "地黄", "北沙参", "牡蛎", "天花粉", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 53742, "pid": "P826707393cbd", "date": "2025-12-09", "sex": "男", "age": 58, "cc": "尿频复诊", "hpi": "夜尿3-4次 腰痛 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["气短", "气虚", "补气"], ["腰痛", "肾虚", "补肾"], ["精癃", "湿热下注证", "清热利湿"], ["尿频", "肾虚血瘀", "补肾活血"]], "rx": ["猪苓", "太子参", "茯苓", "炒酸枣仁", "知母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53756, "pid": "Pb559e373887b", "date": "2025-12-09", "sex": "男", "age": 33, "cc": "尿频一月", "hpi": "尿频，性功能正常，久坐，排尿可，大便略干，睡眠正常，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "北沙参", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "红景天", "牡蛎", "醋龟甲", "地黄", "酒萸肉", "山药", "酒黄精", "酒女贞子"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "红景天", "牡蛎", "醋龟甲", "地黄", "酒萸肉", "山药", "酒黄精"], "prev_gap": 10, "visit_ix": 3, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 7} {"rid": 53767, "pid": "P20417c341ca7", "date": "2025-12-09", "sex": "男", "age": 26, "cc": "尿频半年", "hpi": "尿频，夜尿正常，大便易腹泻，喜欢冰水，口和，无怕冷晨勃少，硬度一般，无乏力感", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "山药", "酒萸肉", "北沙参", "人参", "炙黄芪", "石菖蒲", "制远志", "制巴戟天", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 53768, "pid": "P0ac7ff231dcd", "date": "2025-12-09", "sex": "男", "age": 30, "cc": "失眠一年余", "hpi": "失眠一年余 腰酸痛腿软，多汗，排尿尿频，大便不成型，尿黄，怕冷怕热，口干口气重，易怒，口腔溃疡，盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["胁痛", "肝郁血虚证", "疏肝养血"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "山药", "炙黄芪", "醋五味子"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 14, "visit_ix_rx": 0, "n_rx": 7} {"rid": 53769, "pid": "P250a93c4b17e", "date": "2025-12-09", "sex": "男", "age": 40, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "石菖蒲", "川楝子", "醋香附"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "石菖蒲"], "prev_gap": 12, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53779, "pid": "P3c10d6994b65", "date": "2025-12-10", "sex": "男", "age": 24, "cc": "尿频尿不尽伴射精快5年", "hpi": "5年前出现尿频尿不尽伴射精快，阴囊潮湿，长期熬夜，夜寐可，口中和，盗汗，耳鸣", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 53780, "pid": "P741d7ea3befe", "date": "2025-12-10", "sex": "男", "age": 40, "cc": "尿急复诊", "hpi": "尿急改善，无尿后余沥，夜尿1次，伴会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗 尿意频繁 腰痛乏力", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "麸炒芡实", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53784, "pid": "P7ba8265cbf33", "date": "2025-12-10", "sex": "男", "age": 64, "cc": "复诊", "hpi": "勃起改善，加重一月，咽部不适感。", "wm_dx": ["高血压"], "tcm_dx": [["房事阳痿", "肝郁肾虚证", "滋补肾精"], ["房事阳痿", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "石菖蒲", "生石膏", "桔梗", "姜厚朴"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "石菖蒲", "生石膏", "桔梗", "姜厚朴"], "prev_gap": 9, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 5} {"rid": 53791, "pid": "Pf8e86f65d7f8", "date": "2025-12-10", "sex": "男", "age": 34, "cc": "复诊", "hpi": "病史同前，夜尿3次 尿不尽，身冷 无口苦口干。大便正常 纳可 眠安", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "首乌藤", "石菖蒲", "炙甘草", "桑螵蛸", "白术", "茯苓", "黑顺片", "盐益智仁", "乌药"], "flags": [], "prev_rx": ["北柴胡", "白芍", "麸炒枳实", "首乌藤", "炙甘草", "桑螵蛸", "白术", "茯苓", "黑顺片", "石菖蒲", "盐益智仁", "乌药"], "prev_gap": 9, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 6, "n_rx": 7} {"rid": 53795, "pid": "P1aa922eda6ec", "date": "2025-12-10", "sex": "男", "age": 53, "cc": "尿频6-7年", "hpi": "尿频，夜尿2-3次，大便正常，头晕，纳可，口干渴，无晨勃，无勃起，无怕冷，乏力，不愿吃西药，腿酸胀，复诊，夜尿1-2次", "wm_dx": ["尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["阿胶珠", "猪苓", "天花粉", "牡蛎", "北柴胡", "黄芩片", "生石膏", "人参", "北沙参", "地黄", "滑石"], "flags": [], "prev_rx": ["川芎", "炒栀子", "茯苓", "炒酸枣仁", "牡丹皮", "人参", "牛膝", "石菖蒲", "盐蒺藜", "滑石", "赤小豆", "白花蛇舌草", "北柴胡"], "prev_gap": 7, "visit_ix": 5, "n_visits": 22, "visit_ix_rx": 5, "n_rx": 17} {"rid": 53796, "pid": "P65810d8559f2", "date": "2025-12-10", "sex": "男", "age": 36, "cc": "尿频1-2年", "hpi": "尿频，晨勃少，性欲正常，硬度一般，时间短1分钟，有夜班，排尿正常，大便正常，纳可，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "茯苓", "川芎", "当归", "白芍", "猪苓", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "熟地黄", "路路通", "制巴戟天", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53797, "pid": "Pb7df98d02f5d", "date": "2025-12-10", "sex": "男", "age": 44, "cc": "尿频2-3年", "hpi": "尿频，尿急，夜尿正常，大便2-3次，纳可，睡眠可，时有口干口苦，时有晨勃，硬度一般，时间短，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "莲须", "茵陈", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "酒黄精", "蜈蚣", "金樱子肉"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "淡竹叶", "莲须", "茵陈", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "酒黄精", "蜈蚣"], "prev_gap": 7, "visit_ix": 6, "n_visits": 12, "visit_ix_rx": 6, "n_rx": 11} {"rid": 53800, "pid": "P7c9e89f87266", "date": "2025-12-10", "sex": "男", "age": 34, "cc": "阴茎短小2-3年", "hpi": "自述阴茎短小，硬度逐渐下降2-3年，近2-3月无勃起，性欲正常。排尿正常，大便正常，睡眠可，纳可，口和，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "党参", "麸炒薏苡仁", "牛膝", "菟丝子", "郁金", "生地黄", "石菖蒲", "丹参", "鸡血藤", "炒王不留行", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "党参", "麸炒薏苡仁", "牛膝", "制远志", "生地黄", "石菖蒲", "丹参", "鸡血藤", "菟丝子"], "prev_gap": 8, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 3} {"rid": 53801, "pid": "P82913ed25a10", "date": "2025-12-10", "sex": "男", "age": 35, "cc": "尿痛半月伴有分泌物复诊", "hpi": "尿痛半月伴有分泌物改善 大便正常 纳可 眠安 中途疲软 腰痛 乏力 胁痛 盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "知母", "盐黄柏", "酒女贞子", "覆盆子", "墨旱莲", "牛膝", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "砂仁", "石斛", "麸炒枳壳", "炙甘草"], "flags": [], "prev_rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "酒女贞子", "覆盆子", "墨旱莲", "牛膝", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "砂仁", "石斛", "麸炒枳壳", "炙甘草"], "prev_gap": 7, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53802, "pid": "P3739640b7550", "date": "2025-12-10", "sex": "男", "age": 38, "cc": "尿频10余年", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，纳可，晨起口干口苦，无腰疼，无怕冷近期出现中途疲软，时间1-2分钟，同房规律，口服盐酸达泊西汀效果不明显", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "煅龙骨", "煅牡蛎", "黄芩片", "红花", "地黄", "天花粉", "炒栀子", "丹参", "鸡血藤", "滑石", "甘草片"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "煅龙骨", "煅牡蛎", "黄芩片", "赤小豆", "地黄", "炒苦杏仁", "炒栀子", "丹参", "鸡血藤", "滑石", "甘草片"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 53803, "pid": "Pef4a67e835a7", "date": "2025-12-10", "sex": "男", "age": 69, "cc": "腰痛乏力复诊", "hpi": "大小便正常 纳可 失眠 腰痛 乏力 疲劳 盗汗改善 勃起不坚 性欲低下 口干口苦", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["失眠", "气血亏虚证", "补益气血"]], "rx": ["甜叶菊叶", "土茯苓", "败酱草", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "盐车前子", "麸炒枳壳", "北柴胡", "炒蒺藜", "茯苓", "醋青皮", "郁金", "石菖蒲", "制远志", "防风", "白芷", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53807, "pid": "Pc15ce7d87876", "date": "2025-12-10", "sex": "男", "age": 40, "cc": "性功能减退2年", "hpi": "性功能减退，硬度可，时间短，乏力，口干舌燥喝水，不喜欢喝凉，尿有泡沫，大便2次，睡眠可，怕冷，腰酸，有汗", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "盐补骨脂", "天花粉", "牡蛎", "生姜", "大枣", "煅龙骨", "煅牡蛎", "地黄", "炙黄芪", "炙甘草", "生石膏"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 7} {"rid": 53809, "pid": "Pb59730e44698", "date": "2025-12-10", "sex": "男", "age": 63, "cc": "腰痛乏力1年", "hpi": "腰痛乏力，性欲一般，性功能减退，勃起不坚，夜尿2次,夜寐差，失眠，腰痛乏力，二便调，口干口苦，盗汗", "wm_dx": ["前列腺增生", "糖尿病", "男性性腺功能低下", "高血压"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["腰痛", "肾虚证", "补肾扶元"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["黄芪", "党参片", "酒萸肉", "麦冬"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53814, "pid": "P482c7c32c3a0", "date": "2025-12-10", "sex": "男", "age": 45, "cc": "尿频1年", "hpi": "尿频，勃起启动慢，硬度一般，有晨勃，有同房，时间短2-5分钟，尿不尽，夜尿有，睡眠可，口干。大便正常，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "赤小豆", "蜈蚣", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 53815, "pid": "P19b7ebf602e3", "date": "2025-12-10", "sex": "男", "age": 46, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 尿急 尿不尽 大便正常 纳可 眠安 夜尿0-1次 口服可多华，爱普力特治疗半年，大便不成型时有粘，纳可，睡眠时有失眠 ，口苦，无怕冷，阴囊潮湿，腰疼", "wm_dx": ["前列腺增生", "反流性食管炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["失眠", "心肾不交证", "清心安神"]], "rx": ["葛根", "桂枝", "滑石", "猪苓", "茯苓", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "天花粉", "阿胶珠", "石菖蒲", "赤小豆", "白花蛇舌草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["葛根", "桂枝", "猪苓", "茯苓", "泽泻", "淡竹叶", "生地黄", "赤小豆", "白花蛇舌草", "牛膝", "桃仁", "北柴胡", "黄芩", "连翘", "人参"], "prev_gap": 7, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 6} {"rid": 53816, "pid": "P5e108ab0928b", "date": "2025-12-10", "sex": "男", "age": 48, "cc": "腰痛复诊", "hpi": "睡眠正常，睡醒后乏力感，缓一会即正常，纳可，口和，大便不成型。耳鸣", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["麸炒芡实", "太子参", "山药", "制巴戟天"], "flags": ["rx_len_outlier"], "prev_rx": ["甜叶菊叶", "党参", "黄芪", "山药", "麸炒白术", "干姜", "砂仁", "瞿麦", "绵萆薢", "麸炒枳壳", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "北柴胡", "醋青皮", "郁金", "烫水蛭", "炙甘草", "太子参"], "prev_gap": 46, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 53818, "pid": "P52e61461512a", "date": "2025-12-10", "sex": "男", "age": 36, "cc": "尿频3年", "hpi": "尿频，时有包皮刺痒，夜尿多，睡眠差，2小时醒一次，大便正常，纳可，硬度可，时间短不足1分钟，口和。两地分居，晨起困，服药后腹胀，复诊，时间2-3分钟，夜尿2-3次，色黄", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["法半夏", "黄连", "黄芩", "干姜", "大枣", "人参", "炒蒺藜", "锁阳", "金樱子", "淡竹叶", "生地黄", "炙甘草", "制巴戟天"], "flags": [], "prev_rx": ["法半夏", "黄连", "黄芩", "干姜", "大枣", "人参", "炒蒺藜", "锁阳", "金樱子", "淡竹叶", "炙甘草", "生地黄"], "prev_gap": 15, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 53822, "pid": "P317847f39a51", "date": "2025-12-10", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "伴有尿黄 尿液沉淀物 大便正常 纳可 眠安 早泄时间1-2分钟 勃起可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "太子参", "猪苓", "陈皮"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "太子参", "猪苓"], "prev_gap": 8, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53823, "pid": "P9a176e53e9b9", "date": "2025-12-10", "sex": "男", "age": 29, "cc": "腰痛乏力遗精2月", "hpi": "2月前出现腰痛乏力遗精，同房中途疲软，口中和，多梦，长期熬夜，易生气", "wm_dx": ["腰痛"], "tcm_dx": [["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肾虚证", "温补肾阳"], ["虚劳类病", "肝肾两虚证", "滋补肝肾"]], "rx": ["莲子", "醋五味子", "菟丝子", "盐蒺藜", "麸炒芡实", "莲须", "煅龙骨", "煅牡蛎", "盐补骨脂", "酒萸肉", "炙淫羊藿", "黄连片", "肉桂", "关黄柏", "知母", "酒苁蓉", "金樱子肉", "盐杜仲", "续断片", "韭菜子"], "flags": [], "prev_rx": ["知母", "黄柏", "熟地黄", "生地黄", "酒萸肉", "茯苓", "泽泻", "山药", "麦冬", "锁阳", "牡丹皮", "醋五味子", "黄芪", "人参", "炙淫羊藿", "韭菜子"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53825, "pid": "P7cf826fc1d57", "date": "2025-12-10", "sex": "男", "age": 25, "cc": "尿分叉半月", "hpi": "尿分叉半月 腰酸痛 大便正常 纳可 眠安", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["热淋", "下焦湿热证", "清热通淋"], ["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "陈皮", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53833, "pid": "Pc38c77c54d01", "date": "2025-12-10", "sex": "男", "age": 62, "cc": "尿频复诊", "hpi": "尿频，夜尿正常，大便稀，睡眠一般，口干口苦，勃起不坚，乏力困倦 腹胀一月", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腹胀", "脾虚气滞证", "理气健脾"], ["精浊", "肾气不充证", "补肾扶元"]], "rx": ["甜叶菊叶", "土茯苓", "败酱草", "川楝子", "白芷", "北柴胡", "炒蒺藜", "木香", "醋青皮", "郁金", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "党参", "大血藤", "黄芪", "茯苓", "醋五味子", "麸炒枳壳", "炙甘草", "麦冬", "地龙", "锁阳"], "flags": [], "prev_rx": ["甜叶菊叶", "土茯苓", "败酱草", "茵陈", "白芷", "北柴胡", "炒蒺藜", "木香", "醋青皮", "郁金", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "党参", "大血藤", "黄芪", "茯苓", "泽泻", "麸炒枳壳", "炙甘草", "防风", "地龙"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 53837, "pid": "P16c66b451042", "date": "2025-12-10", "sex": "男", "age": 47, "cc": "腰痛发力伴性欲减退5年", "hpi": "5年前出现腰痛乏力，性欲减退，晨勃可，射精无力，长期饮酒，吸烟1包/天，口干，夜寐可，胁肋疼痛，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "黄连", "黄芪", "仙茅", "韭菜子", "山药", "熟地黄", "锁阳", "酒黄精", "麻黄"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "仙茅", "韭菜子", "山药", "锁阳", "熟地黄", "黄连", "黄芪"], "prev_gap": 30, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 5} {"rid": 53839, "pid": "Pfd66f6ae8b1d", "date": "2025-12-10", "sex": "男", "age": 44, "cc": "排尿不畅一月", "hpi": "晨起排尿可，下午晚上尿等待明显，排尿通畅，无尿痛，无腹胀，无腰疼。一月前急诊导尿一次。地坛导尿一次，301治疗，口服爱普力特，怕冷，大便时干时稀，纳一般，口干", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "生姜", "大枣", "人参", "桂枝", "猪苓", "茯苓", "滑石", "赤小豆", "白花蛇舌草", "炒苦杏仁", "陈皮", "地黄", "麦冬"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53841, "pid": "P0712f536281c", "date": "2025-12-10", "sex": "男", "age": 41, "cc": "结婚2年未育", "hpi": "结婚2年未育，腰痛乏力，女方检查未见异常，同房频率4-5次/月，排尿可。口干，失眠，夜寐差，长期熬夜，无其他不适", "wm_dx": ["男性不育症"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "金樱子", "盐车前子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "金樱子", "盐车前子"], "prev_gap": 23, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 53846, "pid": "Paafd7d3d2961", "date": "2025-12-10", "sex": "男", "age": 52, "cc": "夜尿2次2周", "hpi": "夜尿多，2次，晨勃少，硬度差不能勃起，性欲差，大便时好时坏，纳可，睡眠正常，口和，微怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["地黄", "牡丹皮", "山药", "酒萸肉", "滑石", "石菖蒲", "郁金", "北柴胡", "麸炒枳实", "白芍", "炒栀子", "丹参", "鸡血藤", "制远志", "蜈蚣"], "flags": [], "prev_rx": ["地黄", "牡丹皮", "山药", "酒萸肉", "滑石", "石菖蒲", "制远志", "北柴胡", "麸炒枳实", "白芍", "炒栀子", "丹参", "鸡血藤"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 53856, "pid": "P028cfe0a4ad3", "date": "2025-12-11", "sex": "男", "age": 63, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 夜尿3次 大便正常 纳可 眠差 关节炎抄方", "wm_dx": ["慢性前列腺炎", "前列腺增生", "关节炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血化瘀"]], "rx": ["泽兰", "羌活", "铁线透骨草", "伸筋草", "海桐皮", "北刘寄奴", "苏木", "马齿苋", "桂枝", "醋乳香", "牛膝", "续断片", "桑寄生", "红花", "威灵仙", "烫骨碎补", "当归", "猪苓", "覆盆子", "山慈菇"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53857, "pid": "Pcf4a478ccaf4", "date": "2025-12-11", "sex": "男", "age": 62, "cc": "尿不尽10天", "hpi": "尿后余沥，尿频尿急不明显，无尿痛，伴小腹不适，无分泌物，夜尿0-1次。体检前列腺增生。腰痛，盗汗。", "wm_dx": ["前列腺增生", "腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["山慈菇", "茯苓", "川牛膝", "薏苡仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53860, "pid": "P75fb33381b2f", "date": "2025-12-11", "sex": "男", "age": 40, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作可，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "盐杜仲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53861, "pid": "P43e8b54e7959", "date": "2025-12-11", "sex": "男", "age": 44, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作可，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 53863, "pid": "P15dc3ec30e27", "date": "2025-12-11", "sex": "男", "age": 37, "cc": "腰痛乏力伴弱精1周", "hpi": "1周前出现腰痛乏力伴弱精，口干口苦，夜寐差，二便调", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "韭菜子", "当归", "熟地黄", "菟丝子", "炙淫羊藿", "川牛膝"], "flags": [], "prev_rx": ["制何首乌", "韭菜子", "当归", "熟地黄", "菟丝子", "炙淫羊藿", "川牛膝"], "prev_gap": 22, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 8} {"rid": 53866, "pid": "Pea4443576cfe", "date": "2025-12-11", "sex": "男", "age": 44, "cc": "尿频半年", "hpi": "尿频半年 症见好转，偶见尿痛 腰痛一月 大便正常 纳可 排气多 盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "知母", "炒酸枣仁", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53878, "pid": "Pb345557bb617", "date": "2025-12-11", "sex": "男", "age": 48, "cc": "尿频 夜尿3次半年", "hpi": "尿频 夜尿3次半年 少腹隐痛 无睾丸疼痛 大便正常 纳可 眠差 腰痛 乏力 疲劳", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "麸炒芡实", "太子参", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 53879, "pid": "P545c3589f427", "date": "2025-12-11", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "伴有口苦眼睛干涩，夜间易醒，大便正常，纳可，失眠，怕冷，出汗，尿黄，早醒，乏力感，食管反酸", "wm_dx": ["食管反流"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 53880, "pid": "P5643e1c8d728", "date": "2025-12-11", "sex": "男", "age": 73, "cc": "前列腺增生复诊", "hpi": "尿频，尿急，烧灼感，右侧少腹疼痛，夜尿频多，腰痛 勃起不坚 大便正常 纳可 眠差", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53883, "pid": "Pc1a7ab9e1c26", "date": "2025-12-12", "sex": "男", "age": 48, "cc": "尿频半年", "hpi": "尿频，有晨勃可，硬度一般，时间短，夜尿偶有一次，中途醒一次，纳可，阴囊潮湿，大便不成型1-2次，口苦，无怕冷，怕热", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "石菖蒲", "知母", "盐关黄柏", "地黄", "郁金", "盐蒺藜", "煅龙骨", "煅牡蛎", "酒萸肉", "山药", "麦冬", "炙甘草", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 53889, "pid": "Pb4d3bcd9ff33", "date": "2025-12-12", "sex": "男", "age": 32, "cc": "尿频7-8年", "hpi": "尿频，一直未育，既往检查液化不行，活力差，排尿正常，大便正常，时有便秘，阴囊潮湿，睡眠正常，纳可，口苦，手脚发凉", "wm_dx": ["男性不育症"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "牡丹皮", "地黄", "赤小豆", "菟丝子", "枸杞子", "覆盆子", "醋龟甲", "山药", "牡蛎", "红景天", "麦冬", "桔梗"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 53893, "pid": "P4748040939bf", "date": "2025-12-12", "sex": "男", "age": 33, "cc": "夜尿频繁1月", "hpi": "夜尿频繁1月，4-5次，尿量不多，白天可，尿后余沥，工作久坐，体检前列腺钙化灶，偶有小腹不适，睡眠差。口苦，盗汗。", "wm_dx": ["前列腺炎", "尿频"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "麸炒薏苡仁", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 53897, "pid": "Pe446a5dbcddb", "date": "2025-12-12", "sex": "男", "age": 45, "cc": "小腹不适1周", "hpi": "小腹不适1周，尿频，尿道灼热，近期饮酒多，夜尿0次，无明显会阴不适", "wm_dx": ["前列腺炎", "输尿管结石"], "tcm_dx": [["石淋", "湿热下注证", "清热利湿"]], "rx": ["广金钱草", "茯苓", "薏苡仁", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53900, "pid": "Pbdf06749b679", "date": "2025-12-12", "sex": "男", "age": 57, "cc": "复诊", "hpi": "病史见前，核磁显示没慢性前列腺炎。夜尿5次，尿畅，时有脚凉", "wm_dx": ["脑出血后遗症", "前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "温补肾阳"], ["中风病", "瘀血阻络证", "活血通络"]], "rx": ["黑顺片", "金樱子肉", "盐益智仁", "盐补骨脂", "砂仁", "醋龟甲", "桑螵蛸", "炙甘草"], "flags": [], "prev_rx": ["黑顺片", "金樱子肉", "盐益智仁", "盐补骨脂", "砂仁", "醋龟甲", "桑螵蛸", "炙甘草"], "prev_gap": 11, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 53904, "pid": "Pd65781a59ee2", "date": "2025-12-12", "sex": "男", "age": 47, "cc": "尿有异味半年", "hpi": "尿有异味，色黄，阴囊潮湿，大便正常，睡眠正常，纳可，口和。晨勃少，中途疲软，时间短", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茵陈", "炒栀子", "枸杞子", "地黄", "淡竹叶", "滑石", "牛膝", "麦冬", "牡丹皮", "麸炒枳实", "北柴胡", "白芍", "蜈蚣", "赤小豆", "石菖蒲", "盐蒺藜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53905, "pid": "P711a57a670b0", "date": "2025-12-12", "sex": "男", "age": 59, "cc": "尿频1年", "hpi": "尿频，尿意明显，无尿痛，下午明显，夜尿4点尿一次，睡眠4、5点醒，无腹痛，无腰疼，无怕冷，大便略干，口干喝水，乏力消瘦", "wm_dx": ["前列腺增生"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "滑石", "赤小豆", "茯苓", "猪苓", "炒苦杏仁", "地黄", "白术", "炒栀子", "北柴胡", "黑顺片", "金樱子肉", "火麻仁", "阿胶珠"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53920, "pid": "P97146ca403ff", "date": "2025-12-12", "sex": "男", "age": 39, "cc": "尿频一月", "hpi": "尿频，尿不尽夜尿3-4次现一次，肚子胀大便不畅，勃起不坚，射精无快感，时短，睡眠不足，纳可，无怕冷", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "丹参", "赤小豆", "姜厚朴", "党参片", "茯苓", "鸡血藤", "石菖蒲", "地黄", "麦冬", "炙黄芪", "白花蛇舌草"], "flags": [], "prev_rx": ["滑石", "阿胶珠", "猪苓", "山药", "小通草", "葛根", "桂枝", "蜈蚣", "赤小豆", "地黄", "白花蛇舌草", "酒萸肉", "制巴戟天", "北柴胡", "麸炒枳实"], "prev_gap": 7, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 53925, "pid": "Pcf971fb29bb7", "date": "2025-12-12", "sex": "男", "age": 42, "cc": "腰痛2月", "hpi": "腰痛2月，硬度改善，性欲一般，乏力，工作劳累，尿急，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "地龙"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓", "酒黄精", "黄芪", "石菖蒲"], "prev_gap": 14, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 53928, "pid": "Pd99e774d8015", "date": "2025-12-13", "sex": "男", "age": 37, "cc": "尿频1月", "hpi": "尿频，夜尿3-5次，白天7-8次，无尿痛，无尿不尽，大便1-2天次，不吃受凉，晨起口干苦，怕冷，复诊夜尿4-5次，白天正常，睡眠多梦，口干口苦，怕冷好转", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "淡豆豉", "炒栀子", "桂枝", "煅龙骨", "煅牡蛎", "干姜", "山药", "乌药", "盐益智仁", "滑石", "茯苓", "人参"], "flags": [], "prev_rx": ["白薇", "桂枝", "茯苓", "泽泻", "猪苓", "滑石", "阿胶珠", "赤小豆", "白花蛇舌草", "煅龙骨", "煅牡蛎", "炙甘草"], "prev_gap": 28, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 53939, "pid": "P13822c7be924", "date": "2025-12-13", "sex": "男", "age": 48, "cc": "腰痛半年", "hpi": "腰痛半年 性功能下降2年 大小便正常 纳可 眠安 口苦 口干，复诊，有效果，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "锁阳", "韭菜子", "人参", "黄芪", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["肉苁蓉", "制巴戟天", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "醋青皮", "郁金", "木香", "丁香", "麸炒薏苡仁", "荷叶", "广藿香", "党参", "茯苓", "麸炒枳壳", "炙甘草", "全蝎", "菟丝子", "盐车前子", "地龙", "仙茅"], "prev_gap": 48, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 53940, "pid": "P667c57b53f09", "date": "2025-12-13", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "左侧少腹隐痛，左侧睾丸隐痛，耳鸣，排尿可， 大便偏干 发黏 纳一般， 眠中途醒口和", "wm_dx": ["慢性前列腺炎", "静脉曲张", "精索静脉曲张", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "白芍", "当归", "黄芩", "生地黄", "川楝子", "秦艽", "乌药", "盐小茴香", "桂枝", "桔梗", "牛膝", "菟丝子", "盐车前子", "火麻仁", "川芎", "醋龟甲", "炒栀子", "桃仁"], "flags": [], "prev_rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "知母", "盐黄柏", "酒女贞子", "覆盆子", "菟丝子", "盐车前子", "枸杞子", "醋五味子", "茯苓", "麸炒枳壳", "炙甘草", "天麻", "砂仁", "炒蔓荆子", "炒王不留行", "蒲黄", "醋五灵脂", "醋龟甲", "盐杜仲", "炒酸枣仁", "牛膝"], "prev_gap": 34, "visit_ix": 8, "n_visits": 17, "visit_ix_rx": 3, "n_rx": 12} {"rid": 53944, "pid": "P3ba28fafd9a8", "date": "2025-12-13", "sex": "男", "age": 32, "cc": "右侧睾丸坠胀感一周", "hpi": "右侧睾丸坠胀，排尿正常，无腹痛，无腰疼，反酸，大便便秘2-3天，口干口苦。冬天脚冷，夏天脚热，睡眠一般，乏力，头晕，复诊，睾丸坠胀消失 ，大便1-2天一次，口干，睡眠多梦，入睡困难，颈部不适感", "wm_dx": ["静脉曲张"], "tcm_dx": [["筋瘤", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "燀桃仁", "葛根", "红花", "茯苓", "泽泻", "牡丹皮", "醋乳香", "醋没药", "白芍", "川芎", "炙黄芪", "麸炒白术", "枸杞子", "菟丝子", "地黄", "牡蛎", "党参片"], "flags": [], "prev_rx": ["桂枝", "燀桃仁", "红花", "茯苓", "泽泻", "牡丹皮", "醋乳香", "醋没药", "白芍", "川芎", "炙黄芪", "麸炒白术", "枸杞子", "菟丝子", "地黄", "牡蛎", "葛根"], "prev_gap": 7, "visit_ix": 11, "n_visits": 13, "visit_ix_rx": 11, "n_rx": 13} {"rid": 53945, "pid": "Pe44bea741f71", "date": "2025-12-13", "sex": "男", "age": 43, "cc": "阴囊潮湿1周", "hpi": "1周前出现阴囊潮湿，夜间加重，排尿可，口异味，夜寐差，长期熬夜", "wm_dx": ["阴囊湿疹"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["麸炒苍术", "麸炒薏苡仁", "黄柏", "川牛膝", "北柴胡", "白芍", "麸炒枳实", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53946, "pid": "Pcfcae7556a0b", "date": "2025-12-13", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "当归", "白芍", "熟地黄", "川芎", "制何首乌", "桑椹", "大血藤", "川楝子", "醋龟甲", "砂仁", "人参", "炙黄芪", "茯苓", "山药", "盐补骨脂", "酒黄精", "酒苁蓉", "制巴戟天", "仙茅", "菟丝子", "酒女贞子", "覆盆子", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53948, "pid": "P3ea09294989a", "date": "2025-12-13", "sex": "男", "age": 48, "cc": "包皮龟头炎半月余", "hpi": "包皮龟头炎半月余 大便正常 纳可 眠安 尿频 尿急", "wm_dx": ["过敏性皮炎", "包皮龟头炎", "包皮溃疡", "慢性前列腺炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白芷", "百部", "白花蛇舌草", "蒲公英", "金银花", "黄连", "大黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53951, "pid": "Pc933f20c6832", "date": "2025-12-13", "sex": "男", "age": 42, "cc": "腰痛半年", "hpi": "腰痛半年 失眠浅多梦 早泄1-2分钟 大小便正常 纳可 勃起可 ，排尿正常，大便略不成型，纳可，口和，无怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["当归", "桂枝", "白薇", "牡丹皮", "川芎", "白芍", "茯苓", "泽泻", "煅龙骨", "煅牡蛎", "麸炒白术", "干姜", "石菖蒲", "盐蒺藜", "炙甘草", "黑顺片", "金樱子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "桂枝", "白薇", "牡丹皮", "川芎", "白芍", "茯苓", "泽泻", "煅龙骨", "煅牡蛎", "麸炒白术", "干姜", "石菖蒲", "盐蒺藜", "炙甘草"], "prev_gap": 7, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 6} {"rid": 53953, "pid": "Pe3b18414ee66", "date": "2025-12-13", "sex": "男", "age": 50, "cc": "阴囊潮湿6月", "hpi": "6月前出现阴囊潮湿，龟头敏感度高，口中和，夜寐可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙", "白花蛇舌草", "黄柏", "麸炒薏苡仁", "川牛膝", "麸炒苍术", "茯苓", "党参", "麸炒白术", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53954, "pid": "P2b9c50623716", "date": "2025-12-13", "sex": "男", "age": 44, "cc": "尿频一年", "hpi": "尿频，性欲可，硬度一般，时间短，1-2分钟，排尿正常，大便不成型，睡眠可，口苦，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "煅龙骨", "煅牡蛎", "地黄", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 53957, "pid": "P9f627f6df310", "date": "2025-12-13", "sex": "男", "age": 30, "cc": "阴囊潮湿3月", "hpi": "阴囊潮湿，硬度可，时间短，时长时短.排尿正常，尿黄，口干，睡眠正常，大便粘，无怕冷", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "炒苦杏仁", "生石膏", "地黄", "牡丹皮", "石菖蒲", "盐蒺藜", "煅龙骨", "煅牡蛎", "炙甘草", "赤小豆", "白花蛇舌草", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53958, "pid": "P675fbd896546", "date": "2025-12-13", "sex": "男", "age": 42, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，硬度和性欲一般，性生活频繁，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "生地黄", "酒黄精", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "玄参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53959, "pid": "Pa4b6ff37b90c", "date": "2025-12-13", "sex": "男", "age": 45, "cc": "腰痛复诊", "hpi": "6月前出现腰痛伴勃起硬度欠佳，性欲减退，射精无力，晨勃可，口干口苦，夜寐可，易困倦，中途疲软", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": 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"cc": "腰痛乏力伴勃起中途疲软1月", "hpi": "1月前出现腰痛乏力伴勃起中途疲软，自服他达拉非可勃起，晨勃可，长期熬夜，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "锁阳", "白芍"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53966, "pid": "Pbf1ced9d50b8", "date": "2025-12-13", "sex": "男", "age": 31, "cc": "尿频2月", "hpi": "尿频，尿痛，尿后疼痛感，大便不成型粘，硬度一般，时间5-6分钟，同房不规律，睡眠正常，纳可，口和，微怕冷，复诊。排尿正常，时间硬度未恢复", "wm_dx": ["尿频"], "tcm_dx": [["虚劳类病", "气虚证", "补气生津"], ["精浊", "肾气不充证", "补肾扶元"], ["虚劳类病", "气虚证", "补气"]], "rx": ["茯苓", "煅龙骨", "煅牡蛎", "泽泻", "当归", "川芎", "黑顺片", "牡丹皮", "干姜", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "炙淫羊藿", "麸炒白术", "制巴戟天", "龙眼肉", "枸杞子", "大枣", "炙甘草"], "flags": [], "prev_rx": ["茯苓", "煅龙骨", "煅牡蛎", "泽泻", "当归", "川芎", "炒酸枣仁", "牡丹皮", "干姜", "法半夏", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "炙淫羊藿", "覆盆子", "枸杞子"], "prev_gap": 14, "visit_ix": 3, 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"酒萸肉", "盐车前子", "覆盆子", "韭菜子", "菟丝子", "醋五味子", "熟地黄", "酒大黄"], "prev_gap": 7, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 53974, "pid": "P3c6c36911916", "date": "2025-12-13", "sex": "男", "age": 37, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期想生育", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花", "菟丝子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 53984, "pid": "P7ecfae3b2461", "date": "2025-12-13", "sex": "男", "age": 58, "cc": "尿频尿急2年", "hpi": "2年前出现尿频尿急，近3月出现尿频急尿加重，夜尿1-2次，口干口苦，夜寐可。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "醋五味子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 53992, "pid": "Pf86ba939254a", "date": "2025-12-13", "sex": "男", "age": 33, "cc": "腰痛乏力伴射精快6月", "hpi": "6月前出现腰痛乏力伴射精快，自觉龟头敏感度高，口异味，长期熬夜，易生气", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "知母", "黄柏", "熟地黄", "生地黄", "酒萸肉", "茯苓", "泽泻", "麦冬", "锁阳", "牡丹皮", "北柴胡", "白芍", "炙甘草", "麸炒枳实"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54007, "pid": "P340dbc3d8dd0", "date": "2025-12-14", "sex": "男", "age": 31, "cc": "尿频尿急多年", "hpi": "多年前出现尿频尿急，夜尿3-4次，夜寐差易醒，无小腹胀痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "醋五味子", "熟地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54023, "pid": "Pdf4e5736ed14", "date": "2025-12-14", "sex": "男", "age": 29, "cc": "腰痛乏力伴射精快1年", "hpi": "1年前出现腰痛乏力，射精快，硬度欠佳，盗汗，偶有耳鸣，口苦，夜寐可，偶有失眠，长期熬夜，性欲可，晨勃减少。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "补肾扶元"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "醋鳖甲", "炒酸枣仁", "制远志", "石菖蒲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54026, "pid": "P6ef5f8eefa11", "date": "2025-12-14", "sex": "男", "age": 34, "cc": "腰痛乏力2月", "hpi": "2月前出现腰痛乏力，勃起欠佳，性欲减退，焦虑,包皮龟头红疹,射精快", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "韭菜子", "制巴戟天", "沙苑子", "川芎", "仙茅", "煅阳起石"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "韭菜子", "制巴戟天", "沙苑子", "蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "五加皮"], "prev_gap": 22, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 7} {"rid": 54030, "pid": "Pf56293274911", "date": "2025-12-14", "sex": "男", "age": 39, "cc": "复诊", "hpi": "病史同前，无尿频，有一次性生活，偶有口干，汗不多，无肢冷，便粘稠。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "牛膝", "桑叶", "炙甘草", "酒萸肉", "蜂房"], "flags": [], "prev_rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "牛膝", "桑叶", "炙甘草", "酒萸肉", "蜂房"], "prev_gap": 6, "visit_ix": 8, "n_visits": 18, "visit_ix_rx": 8, "n_rx": 18} {"rid": 54035, "pid": "Pdb1635f6e775", "date": "2025-12-14", "sex": "男", "age": 36, "cc": "腰痛乏力3年", "hpi": "3年前出现腰痛乏力，脱发，下肢无力，虚劳，口干，大便干，夜寐差，失眠多梦", "wm_dx": ["腰痛"], "tcm_dx": [["虚劳类病", "气血两虚证", "补益气血"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["桑椹", "枸杞子", "太子参", "龙眼肉", "黄芪", "当归", "山慈菇"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54036, "pid": "Pdf4d5c82755f", "date": "2025-12-14", "sex": "男", "age": 41, "cc": "腰痛半年", "hpi": "腰痛半年，勃起中途疲软，射精快，性欲减退，长期熬夜，晨勃可，口干口苦，易生气，出汗多，盗汗，手足心潮热汗出。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "韭菜子", "黄芪", "仙茅", "制巴戟天", "锁阳", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "韭菜子", "黄芪", "仙茅", "制巴戟天", "锁阳", "酒黄精"], "prev_gap": 19, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 54043, "pid": "P3fdb056018ef", "date": "2025-12-14", "sex": "男", "age": 28, "cc": "腰痛半年", "hpi": "腰痛半年 勃起欠佳，中途疲软，易生气，胁肋疼痛，口苦 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "韭菜子", "锁阳", "沙苑子", "制巴戟天", "炙黄芪", "甘草", "酒女贞子", "肉苁蓉", "炒蒺藜", "盐补骨脂", "川芎", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "石菖蒲", "麸炒芡实", "炒白扁豆", "茯苓", "菟丝子", "酒女贞子", "枸杞子", "醋五味子", "盐车前子", "烫水蛭", "麸炒枳壳", "炙甘草", "山药", "麸炒白术"], "prev_gap": 49, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54044, "pid": "Pa0e12999c2e8", "date": "2025-12-14", "sex": "男", "age": 29, "cc": "尿频6月", "hpi": "病史同前 易汗 尿频，勃起一般，晨勃，排尿正常，大便正常，睡眠正常，纳可，", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "五倍子", "醋五味子", "石菖蒲", "地龙", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54045, "pid": "P887ee3b27f29", "date": "2025-12-14", "sex": "男", "age": 38, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度下降，性欲可，乏力，工作劳累，情绪焦虑，同居感情可，二便调，纳眠可、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "麸炒苍术", "陈皮", "石菖蒲", "木香", "麸炒枳实", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "麸炒苍术", "陈皮", "石菖蒲", "木香"], "prev_gap": 14, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 54047, "pid": "P685297dbc888", "date": "2025-12-14", "sex": "男", "age": 37, "cc": "腰痛乏力伴勃起不坚1周", "hpi": "1周前出现腰痛乏力伴勃起不坚，长期熬夜，口干口苦，夜寐可，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳壳", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "麸炒枳实", "煅阳起石", "锁阳", "制巴戟天", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54049, "pid": "P738b72a330a0", "date": "2025-12-14", "sex": "男", "age": 54, "cc": "少腹隐痛一周", "hpi": "少腹隐痛一周 大小便正常 纳可 眠安 睾丸发凉 腰酸痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "路路通", "炒王不留行", "夏枯草", "醋香附", "荔枝核"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 14, "visit_ix_rx": 0, "n_rx": 7} {"rid": 54056, "pid": "Pb00f9e676136", "date": "2025-12-15", "sex": "男", "age": 88, "cc": "复诊", "hpi": "病史同前,夜尿4-5，较前稍畅，阴囊潮湿，尿急、尿失禁或不尽。目前仍在服用可多华。脚凉，易汗，口干不苦，眠可，纳可。便调。", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "温补肾阳"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "炙甘草", "白术", "桂枝", "干姜", "盐益智仁", "金樱子肉", "茯苓"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "炙甘草", "白术", "桂枝", "干姜", "盐益智仁", "金樱子肉", "茯苓"], "prev_gap": 7, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 5, "n_rx": 8} {"rid": 54063, "pid": "P3aab4122b68c", "date": "2025-12-15", "sex": "男", "age": 63, "cc": "尿后余沥复诊", "hpi": "尿后余沥改善，排尿不畅改善，夜尿2-3次，纳可，眠一般，无小腹坠胀疼痛，大便干，口和，无盗汗乏力 腰痛一月", "wm_dx": ["腰痛", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["太子参", "龙眼肉", "大枣", "炒酸枣仁", "菟丝子", "覆盆子"], "flags": [], "prev_rx": ["制巴戟天", "麸炒白术", "盐杜仲", "猪苓"], "prev_gap": 63, "visit_ix": 8, "n_visits": 20, "visit_ix_rx": 2, "n_rx": 4} {"rid": 54068, "pid": "P7e5217887b96", "date": "2025-12-15", "sex": "男", "age": 66, "cc": "左侧腹股沟疼痛不适2周", "hpi": "2周前出现左侧腹股沟疼痛不适，阴囊潮湿瘙痒，时有尿痛，夜寐差，腰痛行动不便，阴茎根部瘙痒", "wm_dx": ["精索静脉曲张", "静脉曲张", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["筋瘤", "血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝"], "flags": [], "prev_rx": ["肉桂", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "绵萆薢", "萹蓄", "车前草", "黄芪"], "prev_gap": 14, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 6} {"rid": 54076, "pid": "P19129a6df09b", "date": "2025-12-15", "sex": "男", "age": 56, "cc": "尿混浊2月", "hpi": "2月前出现尿混浊，腰痛乏力，射精快，口中和，长期夜班,勃起可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["知母", "黄柏", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "制远志", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "金樱子", "续断", "石菖蒲", "醋五味子", "枸杞子", "太子参", "龙眼肉"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "白芍", "川芎", "韭菜子", "金樱子", "制巴戟天", "黄芪", "锁阳", "熟地黄", "山药", "枸杞子", "桑椹", "太子参", "龙眼肉"], "prev_gap": 14, "visit_ix": 1, "n_visits": 18, "visit_ix_rx": 1, "n_rx": 7} {"rid": 54077, "pid": "P995d0ea8c954", "date": "2025-12-15", "sex": "男", "age": 26, "cc": "腰痛乏力盗汗1月", "hpi": "1月前出现腰痛乏力盗汗，大便粘排便不畅，口中和，入睡困难，长期熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["盗汗", "肝肾两虚证", "滋补肝肾"]], "rx": ["知母", "黄柏", "熟地黄", "生地黄", "酒萸肉", "茯苓", "泽泻", "麦冬", "锁阳", "牡丹皮", "醋五味子", "酒黄精", "炒酸枣仁", "防己", "黄芪", "防风"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54081, "pid": "P1d010d4290c8", "date": "2025-12-15", "sex": "男", "age": 39, "cc": "腰痛乏力发现阴茎根部红疹1周", "hpi": "1周前发现阴茎根部红疹，无其他不适，性欲减退，长期熬夜，胁肋疼痛，腰痛乏力，盗汗", "wm_dx": ["高尿酸血症"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["枸杞子", "酒黄精", "制巴戟天", "炒酸枣仁", "太子参", "龙眼肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54082, "pid": "P80d8d35fbc27", "date": "2025-12-15", "sex": "男", "age": 38, "cc": "复诊", "hpi": "病史同前，未有性生活。 无肢冷汗出。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肝郁肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "白薇", "黑顺片", "炙甘草", "生姜", "盐补骨脂", "金樱子肉", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "白薇", "黑顺片", "炙甘草", "生姜", "大枣", "五倍子", "金樱子肉"], "prev_gap": 7, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 6} {"rid": 54083, "pid": "P9e471ab71ab9", "date": "2025-12-15", "sex": "男", "age": 57, "cc": "尿不尽3年", "hpi": "3年前出现尿不尽，夜尿1次，排尿不畅，小腹胀痛，口中和，夜寐可", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["精浊", "肾虚证", "滋补肾精"], ["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 54086, "pid": "P901fa1d05425", "date": "2025-12-15", "sex": "男", "age": 45, "cc": "腰痛乏力伴勃起欠佳2月", "hpi": "2月前出现腰痛乏力伴勃起欠佳，长期熬夜，口苦，性欲可，勃起不坚，晨勃可", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天", "锁阳", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54100, "pid": "P825731677707", "date": "2025-12-15", "sex": "男", "age": 43, "cc": "阴囊潮湿6月", "hpi": "6月前出现阴囊潮湿，勃起欠佳，中途疲软，性欲减退，久坐，夜寐可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "制巴戟天", "韭菜子", "煅阳起石"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54104, "pid": "P68ece23259b7", "date": "2025-12-15", "sex": "男", "age": 44, "cc": "腰痛乏力伴射精快3年", "hpi": "3年前出现腰痛乏力射精快，近3月出现勃起不坚，晨勃消失，性欲可，盗汗，耳鸣，口干，夜寐可，二便调", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "白芍", "金樱子", "酒黄精", "制巴戟天", "黄芪", "韭菜子", "仙茅"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "白芍", "金樱子", "锁阳", "制巴戟天", "黄芪", "韭菜子", "桑寄生"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 54107, "pid": "Paeb9eeb18720", "date": "2025-12-15", "sex": "男", "age": 45, "cc": "体检发现前列腺钙化灶1月", "hpi": "1月前体检发现前列腺钙化灶，排尿可，长期熬夜，勃起可，腰痛乏力劳累，易困倦，胁肋疼痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["虚劳类病", "气血两虚证", "补益气血"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["太子参", "山慈菇", "龙眼肉", "牛膝", "酒黄精", "炒决明子"], "flags": [], "prev_rx": ["太子参", "桑椹", "大枣", "山慈菇", "龙眼肉"], "prev_gap": 49, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54110, "pid": "P69814976633f", "date": "2025-12-15", "sex": "男", "age": 53, "cc": "尿频尿急尿失禁6月", "hpi": "6月前出现尿频尿急尿失禁，尿灼热，性欲可，勃起不坚，晨勃可，2025.11.20外院检查血PSA未见异常，尿常规未见异常，彩超提示前列腺增生。予口服盐酸坦索罗辛缓释胶囊+前列舒通胶囊未见好转", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天", "仙茅", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54119, "pid": "P8dc6c6b20df4", "date": "2025-12-16", "sex": "男", "age": 30, "cc": "睾丸肿痛一天", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有", "wm_dx": ["睾丸炎"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["北柴胡", "桂枝", "干姜", "人参", "炒栀子", "淡豆豉", "黄芩片", "煅龙骨", "煅牡蛎", "当归", "川芎", "茯苓", "醋鸡内金", "菟丝子", "枸杞子", "石菖蒲"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "牡丹皮", "丹参", "地黄", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "牡蛎", "红景天", "醋龟甲", "酒黄精"], "prev_gap": 14, "visit_ix": 3, "n_visits": 24, "visit_ix_rx": 2, "n_rx": 23} {"rid": 54122, "pid": "P7d7e3464903b", "date": "2025-12-16", "sex": "男", "age": 45, "cc": "毛囊炎复诊抄方", "hpi": "毛囊炎复诊 大小便正常 纳可 眠差", "wm_dx": ["毛囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["广藿香", "金银花", "蒲公英", "桂枝", "丹参", "牡丹皮", "桃仁", "醋乳香", "龙胆", "大青叶", "黄连", "黄芩", "连翘", "藕节", "肉桂", "土茯苓", "败酱草", "猪苓", "山慈菇", "茯苓", "陈皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 10} {"rid": 54123, "pid": "P6b4ce2b25c93", "date": "2025-12-16", "sex": "男", "age": 30, "cc": "尿频2年", "hpi": "尿频，同房正常，人工3次，试管一次未成功，排尿正常，大便不成型2-3次，纳可，口和，口异味，睡眠可，无怕冷，复诊，大便正常，药后困", "wm_dx": ["男性不育症"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["法半夏", "人参", "干姜", "黄芩片", "地黄", "黄连片", "炒栀子", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "赤小豆", "红景天", "牡蛎", "醋龟甲", "酒黄精", "合欢皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54127, "pid": "P8749a27b1cb0", "date": "2025-12-16", "sex": "男", "age": 27, "cc": "腰痛乏力劳累6月", "hpi": "6月前出现腰痛乏力劳累，午饭后劳累加重，口干，夜寐可，长期熬夜，二便调，偶有头晕，耳鸣，膝盖不适，自觉龟头敏感度高，射精快，性欲可，勃起可，胁肋疼痛，易生气。药后改善。", "wm_dx": ["腰痛"], "tcm_dx": [["耳鸣", "肾虚证", "滋补肾阴"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "醋鳖甲", "制巴戟天", "韭菜子", "锁阳", "净山楂", "茯苓", "桑椹", "龙眼肉", "太子参", "炒麦芽"], "flags": [], "prev_rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "醋鳖甲"], "prev_gap": 31, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 54128, "pid": "P8cf2b5e07541", "date": "2025-12-16", "sex": "男", "age": 35, "cc": "腰痛复诊", "hpi": "性欲差，熬夜，晨勃可，硬度差，腰痛，大便正常，睡眠一般，口和，纳差 乏力", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "覆盆子", "陈皮"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 54133, "pid": "P917d74c76fe0", "date": "2025-12-16", "sex": "男", "age": 72, "cc": "排尿不畅3年", "hpi": "3年前出现排尿不畅，夜尿2次，口干，小腹胀痛不适好转，尿无力，腰痛乏力，勃起不坚，性欲可，偶有晨勃", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "仙茅", "韭菜子", "蛇床子", "覆盆子", "盐车前子"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "韭菜子", "黄芪", "制巴戟天", "锁阳", "覆盆子", "炒酸枣仁", "金樱子", "柏子仁", "制远志", "菟丝子", "夏枯草", "仙茅"], "prev_gap": 7, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 5} {"rid": 54135, "pid": "P11f2581af2cc", "date": "2025-12-16", "sex": "男", "age": 40, "cc": "乏力3年", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "当归", "川芎", "茯苓", "黄芩片", "黄连片", "葛根", "炒栀子", "焦山楂", "仙茅", "蜈蚣", "炙黄芪", "陈皮", "淡豆豉"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "当归", "川芎", "猪苓", "黄芩片", "黄连片", "葛根", "醋鸡内金", "仙茅", "蜈蚣", "炙黄芪", "陈皮", "焦山楂"], "prev_gap": 10, "visit_ix": 8, "n_visits": 24, "visit_ix_rx": 8, "n_rx": 24} {"rid": 54139, "pid": "Pa016e8aa0618", "date": "2025-12-16", "sex": "男", "age": 27, "cc": "左侧腹股沟疼痛复诊", "hpi": "大小便正常 纳可 眠安 少腹隐痛 腰痛 左侧腹股沟疼痛酸胀好转，口和", "wm_dx": ["腹股沟淋巴结炎", "附睾炎", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "北柴胡", "酒白芍", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "夏枯草", "醋延胡索"], "flags": [], "prev_rx": ["肉桂", "盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "北柴胡", "车前草", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "夏枯草", "醋延胡索"], "prev_gap": 7, "visit_ix": 12, "n_visits": 28, "visit_ix_rx": 7, "n_rx": 21} {"rid": 54142, "pid": "P3b63bcbf57b3", "date": "2025-12-16", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "砂仁", "木香", "石菖蒲", "制远志", "炒酸枣仁", "酒苁蓉", "制巴戟天", "仙茅", "蛇床子", "韭菜子", "菟丝子", "麸炒枳壳", "炙甘草", "茯苓", "酒女贞子", "覆盆子", "盐车前子", "防风", "麸炒枳实", "陈皮", "醋香附"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54144, "pid": "P37e3a2a5b692", "date": "2025-12-16", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛改善 阳痿早泄改善 时间2分钟 晨勃可 大便正常 纳可 眠安 尿频 尿不尽", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "山药", "猪苓", "醋五味子", "山慈菇"], "flags": [], "prev_rx": ["烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "太子参", "山药", "猪苓"], "prev_gap": 14, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 54152, "pid": "P34764f841309", "date": "2025-12-16", "sex": "男", "age": 54, "cc": "尿频1年", "hpi": "尿频，有晨勃，夜尿正常，大便粘，吃生冷辛辣都不适，睡眠正常，口和，鼻子干，无怕冷，无乏力，复诊：口干鼻子干，口服他达拉非后胃部不舒服，反酸，烧心。口干鼻子干正常，大便粘", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "知母", "盐关黄柏", "丹参", "鸡血藤", "蜈蚣", "制巴戟天", "仙茅", "地黄", "北沙参", "牡蛎", "天花粉", "姜厚朴"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "知母", "盐关黄柏", "丹参", "鸡血藤", "蜈蚣", "制巴戟天", "地黄", "北沙参", "牡蛎", "天花粉", "仙茅"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 54153, "pid": "P445ceecfb36f", "date": "2025-12-16", "sex": "男", "age": 53, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "秦皮", "紫花地丁", "黄连", "当归", "白芷", "土茯苓", "败酱草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54158, "pid": "P4d8630e77b95", "date": "2025-12-16", "sex": "男", "age": 33, "cc": "尿频3月", "hpi": "尿频，晨勃少，硬度一般，时间短1分钟，口服复方玄驹胶囊，前列疏通，口服草药治疗效果不行，阴囊潮湿，大便不成型，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "赤小豆", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "郁金", "地黄", "炙黄芪", "党参片", "蜈蚣", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54162, "pid": "P198a40055bee", "date": "2025-12-16", "sex": "男", "age": 79, "cc": "前列腺增生复查", "hpi": "前列腺增生复查 现夜尿增多，尿滴沥不尽，尿痛，怕冷， 腰疼痛3月27日在肿瘤科检查PSA6.86，尿白细胞高 包皮龟头炎一月余 现尿痛，尿费劲，口服头孢后尿WBC582，失眠，关节痛，复查，WBC235，后背皮肤刺痒明显，一直应用卤米松外用", "wm_dx": ["失眠", "前列腺增生", "瘙痒症", "脂溢性皮炎"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血止痛"], ["精癃", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "黑顺片", "熟地黄", "山药", "干姜", "酒萸肉", "赤小豆", "当归", "川芎", "人参", "炙黄芪", "麻黄", "阿胶珠", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "山药", "干姜", "滑石", "酒萸肉", "路路通", "当归", "川芎", "人参", "炙黄芪", "麻黄", "阿胶珠", "茯苓"], "prev_gap": 18, "visit_ix": 34, "n_visits": 35, "visit_ix_rx": 11, "n_rx": 12} {"rid": 54163, "pid": "P29a5ef8fb7a0", "date": "2025-12-16", "sex": "男", "age": 38, "cc": "体检发现前列腺钙化", "hpi": "尿分叉 排尿不畅 大便正常 纳可 眠安 腰痛 乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54165, "pid": "P620ec176aec4", "date": "2025-12-16", "sex": "男", "age": 37, "cc": "湿疹抄方", "hpi": "湿疹抄方 大小便正常 纳可 眠安 口苦口干", "wm_dx": ["湿疹"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["连翘", "蒲公英", "野菊花", "生石膏", "酒蛇蜕", "炒牛蒡子", "炒酸枣仁", "制远志", "石菖蒲", "柏子仁", "焦槟榔", "大黄", "竹茹", "麸炒枳实", "黄连片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["连翘", "蒲公英", "野菊花", "生石膏", "酒蛇蜕", "炒牛蒡子", "炒酸枣仁", "制远志", "石菖蒲", "柏子仁", "焦槟榔", "大黄"], "prev_gap": 28, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54168, "pid": "P3008044a3ec4", "date": "2025-12-16", "sex": "男", "age": 67, "cc": "体检发现前列腺增大", "hpi": "尿频 遗尿 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54173, "pid": "P8147364f1c09", "date": "2025-12-16", "sex": "男", "age": 34, "cc": "尿频4月", "hpi": "尿频，拟育未成功，排尿可，大便正常，睡眠熬夜易醒，纳可，口和，矢气多，阴囊部刺痒，夜间加重，复诊。夜尿好转，矢气多", "wm_dx": ["股癣"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "生石膏", "地黄", "牡丹皮", "山药", "酒萸肉", "醋龟甲", "麦冬", "酒女贞子", "菟丝子", "覆盆子", "姜厚朴", "北沙参", "天花粉", "郁金"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "地黄", "牡丹皮", "山药", "酒萸肉", "醋龟甲", "麦冬", "酒女贞子", "菟丝子", "覆盆子", "盐车前子", "姜厚朴", "北沙参", "生石膏"], "prev_gap": 20, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 54174, "pid": "P52835c321770", "date": "2025-12-16", "sex": "男", "age": 40, "cc": "尿频半年", "hpi": "尿频，中途疲软，睡眠一般，纳可，口和，排尿正常，大便正常，服药后睡眠好转，不欲射精", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["熟地黄", "地黄", "酒萸肉", "牡丹皮", "山药", "炒栀子", "炙黄芪", "酒黄精", "丹参", "牛膝", "鸡血藤", "制远志", "菟丝子", "枸杞子", "蜈蚣", "路路通"], "flags": [], "prev_rx": ["熟地黄", "地黄", "酒萸肉", "牡丹皮", "山药", "炒栀子", "炙黄芪", "酒黄精", "丹参", "牛膝", "鸡血藤", "制远志", "菟丝子", "枸杞子", "蜈蚣"], "prev_gap": 21, "visit_ix": 7, "n_visits": 9, "visit_ix_rx": 6, "n_rx": 8} {"rid": 54175, "pid": "Pb6d6981fd93e", "date": "2025-12-16", "sex": "男", "age": 39, "cc": "尿频复诊", "hpi": "尿频复诊 大便正常 纳可 眠安 偶见尿痛 无腰痛 无睾丸疼痛 无少腹疼痛 包皮泛红2天 微痛 湿疹取药", "wm_dx": ["湿疹", "尿频", "慢性前列腺炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["地榆", "黄柏", "苦参", "秦皮", "白花蛇舌草", "蛇床子", "地肤子", "白芷", "黄连", "当归", "土茯苓", "败酱草", "白鲜皮", "百部", "紫花地丁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54177, "pid": "P557273f6a1ba", "date": "2025-12-17", "sex": "男", "age": 53, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 时间1-2分钟 龟头敏感 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "蒲公英", "金银花", "地骨皮", "五加皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54179, "pid": "P3c387a4caaf4", "date": "2025-12-17", "sex": "男", "age": 73, "cc": "阴囊潮湿复诊", "hpi": "阴囊潮湿,脚发凉，遇凉抽筋，尿黄，大便正常1-2天一次，09年开始左侧睾丸增大 纳一般可 眠安 腰酸痛，怕冷，口和", "wm_dx": ["便秘", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["桂枝", "茯苓", "泽泻", "白芍", "生姜", "滑石", "细辛", "小通草", "赤小豆", "白花蛇舌草", "黑顺片", "党参片", "炙甘草", "炙淫羊藿"], "flags": [], "prev_rx": ["甜叶菊叶", "土茯苓", "败酱草", "夏枯草", "炒苦杏仁", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "麸炒枳实", "麸炒枳壳", "炙甘草", "牛膝", "醋青皮", "郁金", "茵陈", "麸炒苍术", "黄柏", "薏苡仁", "烫水蛭", "木瓜", "猪苓", "山慈菇", "羌活", "太子参", "枸杞子", "覆盆子"], "prev_gap": 41, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 6, "n_rx": 9} {"rid": 54192, "pid": "Pb69e98b235eb", "date": "2025-12-17", "sex": "男", "age": 30, "cc": "小腹胀痛2月", "hpi": "2月前出现小腹胀痛，排尿可，体检提示前列腺多发钙化灶，失眠，长期熬夜，口中和", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "路路通", "炒王不留行", "荔枝核", "黄芪", "夏枯草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54194, "pid": "P25140403e41d", "date": "2025-12-17", "sex": "男", "age": 68, "cc": "包皮龟头炎1月余", "hpi": "1月前出现包皮龟头炎,包皮过长,皱缩龟裂, 大小便正常 纳可 眠安。", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["金银花", "栀子", "白鲜皮", "地肤子", "百部", "白芷", "防己", "蒲公英", "土茯苓", "苦参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54200, "pid": "P4792c56fa840", "date": "2025-12-17", "sex": "男", "age": 47, "cc": "腰痛乏力伴勃起不坚1年", "hpi": "1年前出现腰痛乏力，勃起不坚，性欲减退，尿频，射精快，无小腹不适，口干，长期熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "韭菜子", "仙茅", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54204, "pid": "P1aa922eda6ec", "date": "2025-12-17", "sex": "男", "age": 53, "cc": "尿频6-7年", "hpi": "尿频，夜尿2-3次，大便正常，头晕，纳可，口干渴，无晨勃，无勃起，无怕冷，乏力，不愿吃西药，腿酸胀，复诊，夜尿1-2次，复诊：口苦", "wm_dx": ["尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["阿胶珠", "猪苓", "天花粉", "牡蛎", "北柴胡", "黄芩片", "生石膏", "人参", "麸炒枳实", "地黄", "滑石", "白芍", "郁金", "焦麦芽"], "flags": [], "prev_rx": ["阿胶珠", "猪苓", "天花粉", "牡蛎", "北柴胡", "黄芩片", "生石膏", "人参", "北沙参", "地黄", "滑石"], "prev_gap": 7, "visit_ix": 6, "n_visits": 22, "visit_ix_rx": 6, "n_rx": 17} {"rid": 54207, "pid": "Pf18e7a85b4fd", "date": "2025-12-17", "sex": "男", "age": 61, "cc": "尿频复诊", "hpi": "病史同前，中途疲软，夜尿一次，大便正常。睡眠正常，纳可，偶有口苦。血压正常。血糖稳定", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["消渴类病", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地龙", "瓜蒌", "炙甘草", "桑椹", "桑寄生", "当归", "川芎", "炙淫羊藿", "制巴戟天", "韭菜子", "黄芪", "仙茅", "锁阳"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地龙", "瓜蒌", "炙甘草", "蜜桑白皮", "桑椹", "桑寄生"], "prev_gap": 79, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 7} {"rid": 54208, "pid": "Pb7df98d02f5d", "date": "2025-12-17", "sex": "男", "age": 44, "cc": "尿频2-3年", "hpi": "尿频，尿急，夜尿正常，大便2-3次，纳可，睡眠可，时有口干口苦，时有晨勃，硬度一般，时间短，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "莲须", "茵陈", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "酒黄精", "蜈蚣", "麦冬"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "莲须", "茵陈", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "酒黄精", "蜈蚣", "金樱子肉"], "prev_gap": 7, "visit_ix": 7, "n_visits": 12, "visit_ix_rx": 7, "n_rx": 11} {"rid": 54211, "pid": "Pfbe47ae9bd03", "date": "2025-12-17", "sex": "男", "age": 40, "cc": "阴囊潮湿2月", "hpi": "阴囊潮湿，失眠一年多，入睡困难多梦，中途醒，性欲一般，勃起不佳，排尿可，大便不成型，纳可，口干口苦，怕冷，腰酸疼。包皮刺痒。", "wm_dx": ["包皮龟头炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "肝肾亏虚证", "补肾扶元"]], "rx": ["关黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "知母", "牛膝", "麸炒苍术", "麸炒薏苡仁", "醋五味子", "菟丝子", "盐车前子", "覆盆子", "枸杞子", "川牛膝", "柏子仁", "茯神", "首乌藤", "炒酸枣仁", "酒黄精"], "flags": [], "prev_rx": ["关黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "知母", "牛膝", "锁阳", "煅阳起石", "醋五味子", "菟丝子", "盐车前子", "覆盆子", "枸杞子", "黄芪", "柏子仁", "茯神", "首乌藤", "炒酸枣仁", "酒黄精"], "prev_gap": 9, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 9} {"rid": 54213, "pid": "Pb921c7648b33", "date": "2025-12-17", "sex": "男", "age": 46, "cc": "尿频3年", "hpi": "尿频，夜尿1次，大便黏，睡眠好，口干口苦，阴囊潮湿，腰痛乏力", "wm_dx": ["前列腺炎", "男性性腺功能低下", "前列腺增生"], "tcm_dx": [["精浊", "湿热肾虚", "补肾清热利湿"], ["精癃", "下焦湿热证", "清热利湿"], ["腰痹", "血瘀证", "活血化瘀"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "盐杜仲"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "盐杜仲"], "prev_gap": 13, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 54218, "pid": "Pa333d4e72737", "date": "2025-12-17", "sex": "男", "age": 33, "cc": "尿频3-5月", "hpi": "尿频，硬度一般，中途疲软，不易射精，尿频，夜尿正常，大便正常，腰疼，无怕冷，少腹发胀，睡眠一般，纳可，口和，乏力感", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "白芍", "茯苓", "泽泻", "麸炒白术", "桂枝", "干姜", "姜厚朴", "炙淫羊藿", "仙茅", "牡丹皮", "煅龙骨", "煅牡蛎", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54219, "pid": "P96c491dc4378", "date": "2025-12-17", "sex": "男", "age": 44, "cc": "少腹隐痛复诊", "hpi": "少腹隐痛改善 便秘 排尿不畅 纳可 眠差 腰痛 乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "制巴戟天", "太子参", "炒酸枣仁", "知母", "山慈菇"], "flags": [], "prev_rx": ["猪苓", "羌活", "茯苓"], "prev_gap": 15, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 54220, "pid": "Pabb527980f05", "date": "2025-12-17", "sex": "男", "age": 76, "cc": "尿疼痛伴会阴不适2周", "hpi": "2周前出现尿疼痛伴会阴不适，夜尿1-2次，自觉肛门大便感", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "玉竹", "百合", "丹参", "连翘", "小蓟", "蒲公英", "赤小豆", "炒白扁豆", "白花蛇舌草", "黄连", "萹蓄", "金银花", "酒大黄", "夏枯草", "路路通", "炒王不留行", "黄芪", "制远志", "炒酸枣仁"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "玉竹", "百合", "丹参", "连翘", "小蓟", "蒲公英", "赤小豆", "炒白扁豆", "白花蛇舌草", "黄连", "萹蓄", "金银花", "酒大黄"], "prev_gap": 63, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 54227, "pid": "P7767c5eedb4d", "date": "2025-12-17", "sex": "男", "age": 39, "cc": "胆结石复诊", "hpi": "胆结石，少腹疼痛，喜按喜揉，睡眠正常，纳可，吃凉易腹泻，大便糖稀，肠镜正常，无怕冷，口和", "wm_dx": ["胆囊结石"], "tcm_dx": [["腹痛", "湿热下注证", "清热利湿"]], "rx": ["醋北柴胡", "黄芩片", "茵陈", "炒栀子", "醋鸡内金", "木香", "麸炒枳实", "醋延胡索", "川楝子", "黄连片", "广金钱草", "干姜", "浙贝母", "丝瓜络", "麸炒白术", "醋莪术", "煅瓦楞子", "炙淫羊藿", "桂枝"], "flags": [], "prev_rx": ["醋北柴胡", "黄芩片", "茵陈", "炒栀子", "郁金", "醋鸡内金", "木香", "麸炒枳实", "醋青皮", "醋延胡索", "川楝子", "黄连片", "广金钱草", "威灵仙", "浙贝母", "丝瓜络", "麸炒白术", "醋莪术", "煅瓦楞子", "山慈菇"], "prev_gap": 15, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54236, "pid": "P482c7c32c3a0", "date": "2025-12-17", "sex": "男", "age": 45, "cc": "尿频1年", "hpi": "尿频，勃起启动慢，硬度一般，有晨勃，有同房，时间短2-5分钟，尿不尽，夜尿有，睡眠可，口干。大便正常，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "知母", "蜈蚣", "制巴戟天", "盐关黄柏"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "赤小豆", "蜈蚣", "制巴戟天"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 54237, "pid": "P587a17c387ba", "date": "2025-12-17", "sex": "男", "age": 46, "cc": "腰酸痛半年", "hpi": "腰酸痛， 勃起可，时间短，排尿正常，便秘，睡眠正常，纳可，口和，脂溢性皮炎 消化不良 腹胀取药", "wm_dx": ["消化不良", "关节炎", "关节痛", "骨关节病", "脂溢性皮炎", "腹胀"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肾气不充证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "覆盆子", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": ["麸炒苍术", "黄柏", "牛膝", "麸炒薏苡仁", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "桑寄生", "盐杜仲", "知母", "泽泻", "酒萸肉", "北柴胡", "炒蒺藜", "郁金", "醋青皮", "麸炒枳壳", "炙甘草", "烫水蛭", "甜叶菊叶", "盐车前子", "土茯苓", "败酱草"], "prev_gap": 99, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 54244, "pid": "Pe15480e5188b", "date": "2025-12-18", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，晨起勃起明显，尿道灼热，房事可，乏力，工作久坐，二便调，纳可，尿频，尿后余沥，口干，盗汗，眠差，胁痛", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁血瘀证", "疏肝化瘀"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["炒酸枣仁", "浙贝母", "薏苡仁", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54248, "pid": "P9f5380d96e73", "date": "2025-12-18", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛半年 伴有阳痿早泄 时间1-2分钟 大便正常 纳可 眠安 晨勃少 胁痛 尿频 尿等待", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "炒僵蚕", "蒲公英", "金银花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "炒僵蚕"], "prev_gap": 14, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 11} {"rid": 54249, "pid": "P806922b9bf87", "date": "2025-12-18", "sex": "男", "age": 34, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，性欲减退好转，晨勃可，口苦，长期熬夜，夜寐差", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "白芍", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "韭菜子", "制巴戟天", "仙茅", "盐补骨脂", "覆盆子", "绵萆薢", "酒黄精"], "flags": [], "prev_rx": ["甘草", "白芍", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "韭菜子", "制巴戟天", "仙茅", "盐补骨脂", "覆盆子"], "prev_gap": 71, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54254, "pid": "Pc084f94c7bf3", "date": "2025-12-18", "sex": "男", "age": 31, "cc": "慢性前列腺炎复诊", "hpi": "体检发现前列腺囊肿 尿频 尿急改善 大便正常 纳可 眠差 腰痛 乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "知母", "覆盆子"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "羌活", "茯苓"], "prev_gap": 28, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54255, "pid": "P76b05616c5d2", "date": "2025-12-18", "sex": "男", "age": 47, "cc": "乏力脱发一月", "hpi": "乏力脱发一月 梦多 大小便正常 纳可 盗汗 腰痛 乏力明显 焦虑", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炙黄芪", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 54256, "pid": "Pbbe40291001e", "date": "2025-12-18", "sex": "男", "age": 29, "cc": "乏力困倦1月", "hpi": "乏力困倦1月，燥热，工作可，焦虑可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，腰痛", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54257, "pid": "P4e9232d835e8", "date": "2025-12-18", "sex": "男", "age": 29, "cc": "尿频半年", "hpi": "尿频，夜尿正常，腰疼，大便可，纳可，睡眠正常，口和，性欲正常开始中途疲软，现勃起困难，晨勃少一月，乏力，怕冷", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["精浊", "肾阳虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "制远志"], "flags": [], "prev_rx": ["茯苓", "泽泻", "当归", "川芎", "牛膝", "制远志", "石菖蒲", "桂枝", "丹参", "鸡血藤", "人参", "麻黄", "细辛", "附片"], "prev_gap": 16, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 54261, "pid": "Pa342451a9311", "date": "2025-12-18", "sex": "男", "age": 42, "cc": "排尿不畅夜间明显一月余", "hpi": "排尿不畅夜间明显一月余 大便正常 失眠 腰痛 疲劳怕冷 乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "炒酸枣仁", "知母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 54266, "pid": "P60c7443e6b8a", "date": "2025-12-18", "sex": "男", "age": 76, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["菊花", "栀子", "炒僵蚕", "白芍", "盐蒺藜", "制何首乌", 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"包皮刺痒，包皮垢和裂口改善，稍尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，纳眠可，大便质干，口和，腰痛乏力 中途疲软", "wm_dx": ["包皮龟头炎", "慢性前列腺炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "覆盆子"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54324, "pid": "P596a17f8fa75", "date": "2025-12-20", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛半年 伴有性欲下降 阳痿早泄 大小便正常 纳可 晨勃消失 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "山药", "制巴戟天", "麸炒芡实", "山慈菇"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "麸炒山药", "制巴戟天", "麸炒芡实", "陈皮", "山慈菇"], "prev_gap": 21, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 54325, "pid": "P634538fb770b", "date": "2025-12-20", "sex": "男", "age": 28, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["覆盆子", "制巴戟天", "太子参", "菟丝子"], 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"煅龙骨", "煅牡蛎", "麸炒白术", "干姜", "石菖蒲", "盐蒺藜", "炙甘草", "黑顺片", "金樱子肉"], "prev_gap": 7, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 6} {"rid": 54381, "pid": "Pe633826b2083", "date": "2025-12-20", "sex": "男", "age": 32, "cc": "尿频2-3月", "hpi": "尿频，晨勃正常，性欲正常，启动可，中途疲软，睡眠一般，纳可，排尿正常，大便正常，口和，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "制远志", "丹参", "鸡血藤", "牛膝", "炒栀子", "淡豆豉", "地黄", "麸炒薏苡仁", "赤小豆", "柏子仁", "石菖蒲", "人参", "盐蒺藜"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "制远志", "丹参", "鸡血藤", "牛膝", "炒栀子", "淡豆豉", "地黄", "麸炒薏苡仁", "赤小豆", "柏子仁", "石菖蒲", "人参"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54382, "pid": "P26997844080b", "date": "2025-12-20", "sex": "男", "age": 50, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期想生育，怕冷，盗汗。", "wm_dx": ["糖尿病", "腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子", "韭菜子", "醋五味子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54392, "pid": "P296330fda027", "date": "2025-12-20", "sex": "男", "age": 37, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，尿频，无尿急，无小腹及会阴不适，工作压力适中，盗汗", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "茯苓", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "茯苓"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54405, "pid": "Pc8b93c77a4c3", "date": "2025-12-20", "sex": "男", "age": 27, "cc": "慢性前列腺炎复诊取药", "hpi": "慢性前列腺炎复诊取药 大便正常 纳可 失眠 腰痛 尿不尽 胁痛一月", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["太子参", "炒酸枣仁", "知母", "玫瑰花", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54410, "pid": "P319e7ba40c7d", "date": "2025-12-21", "sex": "男", "age": 33, "cc": "腰痛伴射精快复诊", "hpi": "腰痛伴射精快 中途疲软改善，自汗改善，晨勃可，口中和，夜寐可， 排尿正常，大便正常，睡眠正常，纳可，无怕冷，阴囊刺痒", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "地肤子", "制远志", "五加皮", "地骨皮", "木香", "桂枝", "烫水蛭", "北柴胡", "黄芩", "人参", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜", "牛膝", "熟地黄", "酒萸肉", "山药", "牡丹皮", "金樱子", "炙甘草"], "flags": [], "prev_rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "地肤子", "制远志", "五加皮", "地骨皮", "北柴胡", "黄芩", "人参", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜", "牛膝", "熟地黄", "酒萸肉", "山药", "牡丹皮", "金樱子", "炙甘草"], "prev_gap": 23, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 54416, "pid": "P0efb8d996986", "date": "2025-12-21", "sex": "男", "age": 59, "cc": "前列腺增生复诊", "hpi": "尿频 尿急 尿等待改善 大便正常 纳可 眠差 包茎 乏力消瘦", "wm_dx": ["泌尿系感染", "前列腺增生", "包茎"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "制巴戟天", "山药", "麸炒芡实"], "flags": [], "prev_rx": ["猪苓", "羌活"], "prev_gap": 12, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54423, "pid": "Peee6a21441ff", "date": "2025-12-21", "sex": "男", "age": 64, "cc": "排尿不畅夜尿多复诊取药", "hpi": "2年前出现排尿不畅，夜尿频4-5次，尿频尿急，小腹不适 大便正常 纳可 眠安 高尿酸血症 痛风取药", "wm_dx": ["前列腺增生", "高尿酸血症", "痛风"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "麸炒芡实"], "flags": ["rx_len_outlier"], "prev_rx": ["艾叶", "川芎", "燀桃仁", "红花", "醋乳香", "醋没药", "肉桂", "铁线透骨草", "炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "川牛膝", "盐杜仲", "制巴戟天"], "prev_gap": 33, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54424, "pid": "Pc40a36b05203", "date": "2025-12-21", "sex": "男", "age": 46, "cc": "腰痛复诊", "hpi": "腰痛改善 伴有勃起不坚 晨勃少 大小便正常 纳可 眠少 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "酒黄精", "山药", "制巴戟天", "炒酸枣仁"], "flags": [], "prev_rx": ["太子参", "覆盆子", "酒黄精", "山药", "三七粉"], "prev_gap": 21, "visit_ix": 3, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 7} {"rid": 54430, "pid": "Pe82d9d14e8da", "date": "2025-12-21", "sex": "男", "age": 43, "cc": "体检发现前列腺钙化灶", "hpi": "体检发现前列腺钙化灶 大小便正常 纳可 眠安 腰痛 盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "炙黄芪", "酒黄精", "山药", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["茯苓", "薏苡仁", "酒黄精"], "prev_gap": 21, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 54432, "pid": "Pa75a059b64fc", "date": "2025-12-21", "sex": "男", "age": 61, "cc": "排尿困难一月", "hpi": "排尿困难一月 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "麸炒芡实"], "flags": ["rx_len_outlier", 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"prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54463, "pid": "P8bdbda3a3eab", "date": "2025-12-21", "sex": "男", "age": 55, "cc": "前列腺增生 精索静脉曲张复诊", "hpi": "前列腺增生 精索静脉曲张复诊 大便正常 纳可 眠差 久坐睾丸麻木 大小便正常 腰痛乏力", "wm_dx": ["前列腺增生", "糖尿病"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["陈皮", "茯苓", "太子参", "麸炒芡实"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "茯苓", "太子参", "制巴戟天"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54470, "pid": "Pb00f9e676136", "date": "2025-12-22", "sex": "男", "age": 88, "cc": "复诊", "hpi": "病史同前,夜尿5次，阴囊潮湿，尿急、尿失禁或不尽。目前仍在服用可多华。易汗，眠可，纳可。便调。", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "温补肾阳"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "盐益智仁", "炙甘草", "桂枝", "覆盆子", "金樱子肉", "乌药", "盐补骨脂"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "炙甘草", "白术", "桂枝", "干姜", "盐益智仁", "金樱子肉", "茯苓"], "prev_gap": 7, "visit_ix": 8, "n_visits": 10, "visit_ix_rx": 6, "n_rx": 8} {"rid": 54476, "pid": "Peb8ce1217bb9", "date": "2025-12-22", "sex": "男", "age": 48, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，夜寐差，口中和，排尿可，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "覆盆子", "北柴胡", "白芍", "盐车前子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54478, "pid": "Pab407f4df5bd", "date": "2025-12-22", "sex": "男", "age": 44, "cc": "精囊炎复诊", "hpi": "今日午后同房发现血精,近几日饮酒频繁,食辣", "wm_dx": ["精囊炎", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "甘草", "北柴胡", "炒紫苏子", "玉竹", "百合", "丹参", "大蓟", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "小蓟", "白花蛇舌草", "马齿苋", "萹蓄", "绵萆薢", "炒苍耳子", "辛夷", "野菊花"], "flags": [], "prev_rx": ["石菖蒲", "甘草", "北柴胡", "炒紫苏子", "玉竹", "百合", "丹参", "大蓟", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "小蓟", "白花蛇舌草", "马齿苋", "萹蓄", "绵萆薢"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 54481, "pid": "Pc3ab8672f9ad", "date": "2025-12-22", "sex": "男", "age": 62, "cc": "失眠腰痛乏力6月", "hpi": "6月前出现失眠腰痛乏力，头晕，情绪低落，欲望减退，记忆力减退，食欲减退，口干口苦，易生气，胁肋疼痛，夜间心率过速", "wm_dx": ["男性更年期综合征"], "tcm_dx": [["虚劳类病", "肝肾两虚证", "滋补肝肾"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "丹参", "制巴戟天", "韭菜子", "肉桂", "熟地黄", "酒萸肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54482, "pid": "P3c10d6994b65", "date": "2025-12-22", "sex": "男", "age": 24, "cc": "尿频尿不尽伴射精快5年", "hpi": "5年前出现尿频尿不尽伴射精快，阴囊潮湿，长期熬夜，夜寐可，口中和，盗汗，耳鸣，腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "山药"], "flags": [], "prev_rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断"], "prev_gap": 12, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 54484, "pid": "P2cd58c50af1c", "date": "2025-12-22", "sex": "男", "age": 87, "cc": "排尿不畅2年", "hpi": "2年前出现排尿不畅，尿频尿急，夜尿4-5次，尿不尽，口干口苦，夜寐差，腰痛乏力，怕冷", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "熟地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54485, "pid": "Pb82767401e25", "date": "2025-12-22", "sex": "男", "age": 41, "cc": "腰痛乏力伴勃起不坚1月", "hpi": "1月前出现腰痛乏力伴勃起不坚，1月前因外院行包皮环切，海绵体手术，术后出现勃起不坚，偶有晨勃，口干口苦，夜寐可，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "仙茅", "韭菜子", "黄芪", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54487, "pid": "P33165d1d073f", "date": "2025-12-22", "sex": "男", "age": 56, "cc": "腰痛乏力伴勃起欠佳2年", "hpi": "2年前出现腰痛乏力伴勃起欠佳，性欲减退，周身乏力，双膝疼痛，胁肋疼痛", "wm_dx": ["男性更年期综合征"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "仙茅", "川芎", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54489, "pid": "P80d8d35fbc27", "date": "2025-12-22", "sex": "男", "age": 38, "cc": "复诊", "hpi": "病史同前，未有性生活。 纳可寐安", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肝郁肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "白薇", "黑顺片", "炙甘草", "生姜", "锁阳", "酒萸肉", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "白薇", "黑顺片", "炙甘草", "生姜", "盐补骨脂", "金樱子肉", "大枣"], "prev_gap": 7, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 6} {"rid": 54500, "pid": "Pa9f2ef976413", "date": "2025-12-22", "sex": "男", "age": 52, "cc": "尿频1年", "hpi": "尿频1年，尿痛一周，右侧阴囊潮湿异味，夜尿一次 无小腹会阴不适，时有腰疼，大便正常，纳可，口干，怕冷，乏力，睡眠正常，纳可，阴茎海绵体硬结疼痛", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["淋证", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "全蝎", "杜仲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "茯苓", "猪苓", "赤小豆", "白花蛇舌草", "阿胶珠", "滑石", "麸炒白术", "泽泻", "绵萆薢", "炙甘草"], "prev_gap": 61, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 4} {"rid": 54504, "pid": "P216780d1c79f", "date": "2025-12-22", "sex": "男", "age": 62, "cc": "腰痛乏力10余年", "hpi": "10余年前出现乏力腰痛，口干口苦，尿频尿急", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["麸炒苍术", "黄柏", "麸炒薏苡仁", "川牛膝", "龙胆", "炒栀子", "茯苓", "猪苓", "炒酸枣仁", "柏子仁", "党参", "麸炒白术"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54506, "pid": "Pd9100a2408e5", "date": "2025-12-22", "sex": "男", "age": 67, "cc": "排尿不畅2年", "hpi": "2年前出现排尿不畅，既往前列腺增生，自服前列安通未见明显患者，夜尿1-2次，口干口苦，夜寐差，大便稀，", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "人参", "制巴戟天", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 54508, "pid": "Pa81a889f0e69", "date": "2025-12-22", "sex": "男", "age": 40, "cc": "腰痛乏力怕冷2年", "hpi": "2年前出现腰痛乏力，怕冷手足冷，勃起欠佳，性欲减退，偶有晨勃，失眠多梦，口干，射精快，盗汗，近期腰痛明显，二便调。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "肉桂", "韭菜子", "仙茅", "熟地黄", "酒萸肉", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54522, "pid": "P3699a4fd2f71", "date": "2025-12-22", "sex": "男", "age": 32, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，头汗多，勃起中途疲软，射精快，偶有口干口苦，耳鸣，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "盐车前子", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54526, "pid": "P9a0c0df7fa02", "date": "2025-12-23", "sex": "男", "age": 33, "cc": "尿频一月", "hpi": "尿频，大便正常 纳可 眠安 腰痛乏力", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肾虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "山药", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54530, "pid": "P83b934bb0896", "date": "2025-12-23", "sex": "男", "age": 62, "cc": "尿频尿急尿失禁多年", "hpi": "多年前出现尿频尿急尿失禁，遇冷加重，无小腹胀痛，口干口苦，腰痛乏力，怕冷", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["制巴戟天", "猪苓", "麸炒芡实", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54534, "pid": "Pfc9a0dc8a4f4", "date": "2025-12-23", "sex": "男", "age": 63, "cc": "前列腺增生复诊取药", "hpi": "8年前因马尾神经受损出现尿失禁，现尿频尿急伴尿痛，偶有尿失禁，夜尿1次，小腹胀痛，口中和，夜寐可。", "wm_dx": ["高脂血症", "高血压", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "盐益智仁", "麸炒山药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "金樱子"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "盐益智仁", "麸炒山药", "金樱子"], "prev_gap": 119, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54536, "pid": "P3eb0486b5212", "date": "2025-12-23", "sex": "男", "age": 27, "cc": "腰痛抄方", "hpi": "腰痛抄方 伴有多汗 阴囊潮湿 纳可 眠安 盗汗", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["北柴胡", "升麻", "川芎", "醋香附", "煅阳起石", "制巴戟天", "麸炒枳壳", "盐蒺藜", "白芍", "炙淫羊藿", "茯苓", "煅牡蛎", "鹿角霜"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "黄连", "白芷", "白花蛇舌草", "连翘", "栀子"], "prev_gap": 150, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 54538, "pid": "Pd8d14a52ebb5", "date": "2025-12-23", "sex": "男", "age": 43, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力改善，左侧腹股沟不适，眠差，小腹胀痛，盗汗，汗出", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "党参", "茯苓", "泽泻", "酒萸肉", "锁阳", "桂枝", "乌梅", "麸炒芡实", "炙甘草", "石斛", "烫水蛭"], "flags": [], "prev_rx": ["莲子", "醋五味子", "菟丝子", "盐蒺藜", "麸炒芡实", "莲须", "煅龙骨", "煅牡蛎", "盐补骨脂", "酒萸肉", "炙淫羊藿", "黄连片", "肉桂", "关黄柏", "知母", "酒苁蓉", "金樱子肉", "盐杜仲", "续断片", "制巴戟天", "韭菜子", "锁阳"], "prev_gap": 20, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 54544, "pid": "P20417c341ca7", "date": "2025-12-23", "sex": "男", "age": 26, "cc": "尿频半年", "hpi": "尿频，夜尿正常，大便易腹泻，喜欢冰水，口和，无怕冷晨勃少，硬度一般，无乏力感", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "山药", "酒萸肉", "北沙参", "人参", "炙黄芪", "石菖蒲", "制远志", "制巴戟天", "仙茅"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "山药", "酒萸肉", "北沙参", "人参", "炙黄芪", "石菖蒲", "制远志", "制巴戟天", "仙茅"], "prev_gap": 14, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 54546, "pid": "P34764f841309", "date": "2025-12-23", "sex": "男", "age": 54, "cc": "尿频1年", "hpi": "尿频，有晨勃，夜尿正常，大便粘，吃生冷辛辣都不适，睡眠正常，口和，鼻子干，无怕冷，无乏力，复诊：口干鼻子干，口服他达拉非后胃部不舒服，反酸，烧心。口干鼻子干正常，大便粘", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "知母", "盐关黄柏", "丹参", "鸡血藤", "蜈蚣", "制巴戟天", "焦麦芽", "地黄", "北沙参", "牡蛎", "天花粉", "姜厚朴"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "知母", "盐关黄柏", "丹参", "鸡血藤", "蜈蚣", "制巴戟天", "仙茅", "地黄", "北沙参", "牡蛎", "天花粉", "姜厚朴"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 54549, "pid": "Pacf8803a3d17", "date": "2025-12-23", "sex": "男", "age": 31, "cc": "阴囊部刺痒3月", "hpi": "阴囊部刺痒，屁股上也有，夜尿正常，大便正常，睡眠正常，纳可，口苦，微怕冷，腰疼", "wm_dx": ["阴囊炎", "股癣"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "麸炒枳实", "石菖蒲", "郁金", "牡丹皮", "枸杞子", "菟丝子", "覆盆子", "盐车前子", "茺蔚子", "地黄", "酒萸肉", "红景天", "桑螵蛸", "蜂房"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54551, "pid": "P859b0fa5f637", "date": "2025-12-23", "sex": "男", "age": 37, "cc": "尿频尿急1月", "hpi": "尿频尿急1月，尿等待，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠可，口干，复诊腰疼左侧为主，尿频，尿急好转，夜尿1次，睡眠正常，纳可，口干，无怕冷", "wm_dx": ["尿频", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["葛根", "桂枝", "白芍", "赤小豆", "白花蛇舌草", "燀桃仁", "红花", "茯苓", "牡丹皮", "牛膝", "连翘", "醋龟甲", "滑石", "地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["葛根", "桂枝", "白芍", "赤小豆", "白花蛇舌草", "燀桃仁", "红花", "茯苓", "牡丹皮", "牛膝", "连翘", "醋龟甲", "炙甘草"], "prev_gap": 17, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 54553, "pid": "P4d8630e77b95", "date": "2025-12-23", "sex": "男", "age": 33, "cc": "尿频3月", "hpi": "尿频，晨勃少，硬度一般，时间短1分钟，口服复方玄驹胶囊，前列疏通，口服草药治疗效果不行，阴囊潮湿，大便不成型，睡眠正常，纳可，口和，无怕冷，复诊：硬度有恢复，晨勃好，时间短", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "赤小豆", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "煅龙骨", "地黄", "炙黄芪", "桂枝", "蜈蚣", "炙淫羊藿", "煅牡蛎"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "赤小豆", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "郁金", "地黄", "炙黄芪", "党参片", "蜈蚣", "炙淫羊藿"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54558, "pid": "P901fa1d05425", "date": "2025-12-23", "sex": "男", "age": 45, "cc": "腰痛乏力伴勃起欠佳2月", "hpi": "2月前出现腰痛乏力伴勃起欠佳，长期熬夜，晨起口苦，性欲可，勃起不坚，晨勃可，乏力感，排尿正常，尿不尽，大便正常，睡眠可，纳可，无怕冷", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "麸炒白术", "麸炒枳实", "地黄", "石菖蒲", "郁金", "醋香附", "人参", "炙黄芪", "炙淫羊藿", "仙茅", "大枣"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天", "锁阳", "黄芪"], "prev_gap": 8, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54559, "pid": "P445ceecfb36f", "date": "2025-12-23", "sex": "男", "age": 53, "cc": "包皮龟头炎复诊", "hpi": "包皮龟头炎改善 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "秦皮", "紫花地丁", "黄连", "当归", "白芷", "土茯苓", "败酱草", "金银花", "蒲公英"], "flags": [], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "秦皮", "紫花地丁", "黄连", "当归", "白芷", "土茯苓", "败酱草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54561, "pid": "Pce8b86b25218", "date": "2025-12-23", "sex": "男", "age": 53, "cc": "少腹隐痛一周", "hpi": "少腹酸胀疼痛感，排精时明显。排尿细，无力，尿黄，泡沫多，腰疼，硬度不行，无晨勃，大便2-3天，时干时稀，纳可，睡眠可，口干口苦，无怕冷，全身酸痛乏力，消瘦，复诊：症状无变化，大便2-3天未行，乏力感", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不足证", "补肾扶元"], ["失眠", "气血两虚证", "补益气血"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋阴"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "炒苦杏仁", "葛根", "滑石", "石菖蒲", "燀桃仁", "红花", "牡丹皮", "茯苓", "白薇", "酒苁蓉", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54562, "pid": "P2eefc5465d5e", "date": "2025-12-23", "sex": "男", "age": 88, "cc": "关节炎抄方 前列腺增生取药", "hpi": "近10余年排尿不畅，口服灵泽片未见好转，泌尿系彩超：前列腺增大4.7*5.5*4.5cm（2025.5），现夜尿3-4次", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血化瘀"]], "rx": ["伸筋草", "铁线透骨草", "忍冬藤", "鸡血藤", "红花", "川芎", "白芷", "醋延胡索", "醋没药", "桑寄生"], "flags": [], "prev_rx": ["党参片", "黄芪", "麦冬", "醋五味子", "猪苓"], "prev_gap": 79, "visit_ix": 13, "n_visits": 27, "visit_ix_rx": 1, "n_rx": 3} {"rid": 54564, "pid": "P0e8bc196f265", "date": "2025-12-23", "sex": "男", "age": 59, "cc": "关节炎取药抄方", "hpi": "关节炎取药 伴有排尿不畅，小腹不适，尿灼热", "wm_dx": ["关节炎"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血化瘀"]], "rx": ["伸筋草", "铁线透骨草", "忍冬藤", "鸡血藤", "红花", "川芎", "白芷", "醋延胡索", "醋没药", "桑寄生"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54568, "pid": "Pfd45ef2fc11f", "date": "2025-12-23", "sex": "男", "age": 78, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊取药 尿频 尿急 尿等待 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "茯苓", "羌活"], "prev_gap": 48, "visit_ix": 2, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54576, "pid": "Pa9a601d25208", "date": "2025-12-23", "sex": "男", "age": 32, "cc": "龟头部刺痒半月", "hpi": "龟头部刺痒，口服头孢外洗等后症状好转，排尿正常，硬度稍差，乏力感，大便正常稍粘，口儿，纳可，睡眠正常，无怕冷", "wm_dx": ["龟头炎", "股癣"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "肝郁肾虚证", "养血舒肝"]], "rx": ["生地黄", "酒萸肉", "山药", "牡丹皮", "玄参", "醋龟甲", "牛膝", "赤小豆", "白花蛇舌草", "人参", "丹参", "石菖蒲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54585, "pid": "P3c387a4caaf4", "date": "2025-12-24", "sex": "男", "age": 73, "cc": "阴囊潮湿复诊", "hpi": "阴囊潮湿,脚发凉，遇凉抽筋，尿黄，大便正常1-2天一次，09年开始左侧睾丸增大 纳一般可 眠安 腰酸痛，怕冷，口和", "wm_dx": ["前列腺增生", "便秘"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["桂枝", "茯苓", "泽泻", "白芍", "生姜", "滑石", "细辛", "小通草", "赤小豆", "白花蛇舌草", "黑顺片", "党参片", "北柴胡", "炙淫羊藿", "麸炒枳实"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "白芍", "生姜", "滑石", "细辛", "小通草", "赤小豆", "白花蛇舌草", "黑顺片", "党参片", "炙甘草", "炙淫羊藿"], "prev_gap": 7, "visit_ix": 7, "n_visits": 9, "visit_ix_rx": 7, "n_rx": 9} {"rid": 54587, "pid": "P19129a6df09b", "date": "2025-12-24", "sex": "男", "age": 56, "cc": "尿混浊2月", "hpi": "2月前出现尿混浊，腰痛乏力，射精快，口中和，长期夜班,勃起可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾两虚证", "滋补肝肾"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["知母", "黄柏", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "制远志", "石菖蒲", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "金樱子", "醋五味子", "续断", "党参", "麸炒白术", "枸杞子", "太子参", "龙眼肉"], "flags": [], "prev_rx": ["知母", "黄柏", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "制远志", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "金樱子", "续断", "石菖蒲", "醋五味子", "枸杞子", "太子参", "龙眼肉"], "prev_gap": 9, "visit_ix": 2, "n_visits": 18, "visit_ix_rx": 2, "n_rx": 7} {"rid": 54589, "pid": "P1ac366308d42", "date": "2025-12-24", "sex": "男", "age": 56, "cc": "龟头部刺痒一周", "hpi": "龟头部刺痒，有少量破溃点，自涂药膏有效，有接触史，排尿正常，中途疲软，阴囊潮湿，口服西药头疼，大便可，纳可，口苦，睡眠5点醒", "wm_dx": ["龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "赤小豆", "白花蛇舌草", "牛膝", "石菖蒲", "丹参", "鸡血藤", "蜈蚣", "制巴戟天", "茯苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54590, "pid": "Pbc2cc36de89c", "date": "2025-12-24", "sex": "男", "age": 48, "cc": "腰痛 失眠 胁痛一年余", "hpi": "腰痛 失眠 胁痛一年余 大小便正常 纳可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["失眠", "心血虚证", "补血养心"]], "rx": ["太子参", "炒酸枣仁", "丹参", "山药", "醋五味子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54596, "pid": "P3e0a331f5e9b", "date": "2025-12-24", "sex": "男", "age": 36, "cc": "腰痛乏力3月", "hpi": "3月前出现腰痛乏力，勃起欠佳，性欲减退，口中和，夜寐差，射精快，出汗多，纳可，无怕冷，乏力感", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["生地黄", "牛膝", "丹参", "鸡血藤", "制巴戟天"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "麸炒苍术", "麸炒薏苡仁", "川牛膝", "茯苓", "制巴戟天", "韭菜子"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54597, "pid": "Pd02bca794e14", "date": "2025-12-24", "sex": "男", "age": 63, "cc": "阴囊潮湿异味2年", "hpi": "2年前阴囊潮湿异味，夜尿2次，尿频尿急，勃起不坚", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "麸炒苍术", "麸炒薏苡仁", "牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54603, "pid": "P65810d8559f2", "date": "2025-12-24", "sex": "男", "age": 36, "cc": "尿频1-2年", "hpi": "尿频，晨勃少，性欲正常，硬度一般，时间短1分钟，有夜班，排尿正常，大便正常，纳可，口和，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "当归", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "茯苓", "川芎", "当归", "白芍", "猪苓", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "熟地黄", "路路通", "制巴戟天", "仙茅"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54609, "pid": "P667a0b29f054", "date": "2025-12-24", "sex": "男", "age": 32, "cc": "尿频3天", "hpi": "尿频，硬度可，时间短2分钟，外用喷剂后近2天出现勃起困难，排尿正常，大便正常，睡眠正常入睡难，纳可，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["石菖蒲", "制远志", "郁金", "柏子仁", "丹参", "鸡血藤", "牛膝", "茯苓", "当归", "川芎", "蜈蚣", "北柴胡", "麸炒枳实", "白芍", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54616, "pid": "Pb7df98d02f5d", "date": "2025-12-24", "sex": "男", "age": 44, "cc": "尿频2-3年", "hpi": "尿频，尿急，夜尿正常，大便2-3次，纳可，睡眠可，时有口干口苦，时有晨勃，硬度一般，时间短，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "白芍", "麸炒枳实", "茵陈", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "阿胶珠", "蜈蚣", "北柴胡"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "莲须", "茵陈", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "酒黄精", "蜈蚣", "麦冬"], "prev_gap": 7, "visit_ix": 8, "n_visits": 12, "visit_ix_rx": 8, "n_rx": 11} {"rid": 54618, "pid": "P917d74c76fe0", "date": "2025-12-24", "sex": "男", "age": 72, "cc": "排尿不畅3年", "hpi": "3年前出现排尿不畅，夜尿2次，口干，小腹胀痛不适好转，尿无力，腰痛乏力，勃起不坚，性欲可，偶有晨勃", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "制巴戟天", "仙茅", "韭菜子", "蛇床子", "覆盆子", "盐车前子", "盐补骨脂"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "仙茅", "韭菜子", "蛇床子", "覆盆子", "盐车前子"], "prev_gap": 8, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 5} {"rid": 54623, "pid": "P3fc0f304f5f7", "date": "2025-12-24", "sex": "男", "age": 64, "cc": "小腹胀痛尿道不适1年", "hpi": "小腹胀痛尿道不适1年，尿等待，夜尿2-3次，口干口苦，会阴胀痛连及睾丸肛周不适", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "制巴戟天", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "夏枯草", "路路通", "炒王不留行", "荔枝核", "醋香附", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "制巴戟天", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "夏枯草", "路路通", "炒王不留行", "荔枝核", "醋香附", "黄芪"], "prev_gap": 16, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 3} {"rid": 54624, "pid": "P675fbd896546", "date": "2025-12-24", "sex": "男", "age": 42, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，硬度和性欲一般，性生活频繁，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "生地黄", "酒黄精", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "玄参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "生地黄", "酒黄精", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "玄参"], "prev_gap": 11, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54626, "pid": "P4e10889470ba", "date": "2025-12-24", "sex": "男", "age": 32, "cc": "尿潜血复查", "hpi": "尿潜血复查 会阴部隐痛 少腹隐痛 大小便正常 纳可 眠差 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "羌活", "炒酸枣仁", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54629, "pid": "P64d1bf0f8bb8", "date": "2025-12-24", "sex": "男", "age": 42, "cc": "阴囊不适3天", "hpi": "阴囊不适3天，外院查睾丸和精索静脉超声报：轻度精索静脉曲张。服用小金丸后症状缓解。易反复，排尿正常，大便不成型，纳可，口和，睡眠正常，无怕冷，怕热，复诊：症状好转，口干。复诊：大便不成型，口干，有痰，腰疼", "wm_dx": ["精索静脉曲张", "慢性肾炎", "糖尿病"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "湿热下注证", "清热利湿"]], "rx": ["法半夏", "陈皮", "化橘红", "炒苦杏仁", "茯苓", "乌梅", "醋五味子", "生石膏", "地黄", "赤小豆", "枸杞子", "醋龟甲", "菟丝子", "红景天", "牡蛎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "川芎", "白芍", "地黄", "天花粉", "猪苓", "牡丹皮", "菟丝子", "枸杞子", "化橘红", "牡蛎", "牛膝", "麸炒白术", "醋龟甲", "桂枝", "红景天"], "prev_gap": 19, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 9} {"rid": 54630, "pid": "P44a0866ae5cb", "date": "2025-12-24", "sex": "男", "age": 58, "cc": "腰痛乏力伴勃起不坚1年", "hpi": "1年前出现腰痛乏力伴勃起不坚，性欲减退，晨勃消失，口干口苦，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "韭菜子", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54631, "pid": "P19b7ebf602e3", "date": "2025-12-24", "sex": "男", "age": 46, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 尿急 尿不尽 大便正常 纳可 眠安 夜尿0-1次 口服可多华，爱普力特治疗半年，大便不成型时有粘，纳可，睡眠时有失眠 ，口苦，无怕冷，阴囊潮湿，腰疼", "wm_dx": ["反流性食管炎", "前列腺增生"], "tcm_dx": [["失眠", "心肾不交证", "清心安神"], ["精癃", "湿热下注证", "清热利湿"], ["腰痛", "气滞血瘀证", "活血止痛"]], "rx": ["葛根", "桂枝", "滑石", "猪苓", "茯苓", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "燀桃仁", "地黄", "红花", "赤小豆", "白花蛇舌草", "牡丹皮", "路路通"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["葛根", "桂枝", "滑石", "猪苓", "茯苓", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "天花粉", "阿胶珠", "石菖蒲", "赤小豆", "白花蛇舌草"], "prev_gap": 14, "visit_ix": 7, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 6} {"rid": 54633, "pid": "Pa016e8aa0618", "date": "2025-12-24", "sex": "男", "age": 27, "cc": "左侧腹股沟疼痛复诊", "hpi": "大小便正常 纳可 眠安 少腹隐痛 腰痛 左侧腹股沟疼痛酸胀好转，口和", "wm_dx": ["静脉曲张", "精索静脉曲张", "附睾炎", "腹股沟淋巴结炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "北柴胡", "酒白芍", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "夏枯草", "醋延胡索"], "flags": [], "prev_rx": ["肉桂", "盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "北柴胡", "酒白芍", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "夏枯草", "醋延胡索"], "prev_gap": 8, "visit_ix": 13, "n_visits": 28, "visit_ix_rx": 8, "n_rx": 21} {"rid": 54634, "pid": "Pa07c2940460e", "date": "2025-12-24", "sex": "男", "age": 41, "cc": "性功能减退半年", "hpi": "性功能减退，硬度一般，中途疲软，晨勃可，排尿正常，大便便秘，纳可，口干喝水少，睡眠可，无怕冷，5mg一直口服", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["房事阳痿", "肠道实热证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "郁金", "火麻仁", "柏子仁", "牡丹皮", "醋鸡内金", "地黄", "丹参", "鸡血藤", "蜈蚣", "炙黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54636, "pid": "Pd5d7cd1e2adb", "date": "2025-12-24", "sex": "男", "age": 69, "cc": "腰痛乏力阴囊潮湿3年", "hpi": "3年前出现腰痛乏力阴囊潮湿，勃起不坚，性欲减退，晨勃消失，盗汗", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54637, "pid": "P6d4d5e7fb861", "date": "2025-12-24", "sex": "男", "age": 35, "cc": "腰痛乏力失眠2年", "hpi": "腰痛乏力，失眠，尿不尽，硬度一般，中途疲软，时间时长时短，近半年未孕，天冷明显，无怕冷，大便正常，口和", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["炙甘草", "麸炒枳壳", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "韭菜子", "制巴戟天", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54638, "pid": "P52b9708fc48a", "date": "2025-12-24", "sex": "男", "age": 58, "cc": "尿频3年", "hpi": "尿频，性欲一般，晨勃有，硬度不够，自服伟哥有效，乏力，淡漠，排尿正常，大便正常，睡眠正常，纳可，口和", "wm_dx": ["尿频", "乏力"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "当归", "石菖蒲", "郁金", "丹参", "鸡血藤", "炙淫羊藿", "蜈蚣", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 54640, "pid": "Pbf8f8fd928d3", "date": "2025-12-24", "sex": "男", "age": 31, "cc": "腰痛乏力伴勃起欠佳2年", "hpi": "2年前出现腰痛乏力伴勃起欠佳，勃起中体疲软，性欲可，晨勃消失，口干口苦，夜寐差，长期熬夜，易生气。胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "仙茅", "韭菜子", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54641, "pid": "P47f9b8ca1ced", "date": "2025-12-24", "sex": "男", "age": 36, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，近期想生育，夜寐差，口中和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "覆盆子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "韭菜子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "烫水蛭", "甜叶菊叶"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "韭菜子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "烫水蛭", "甜叶菊叶", "覆盆子"], "prev_gap": 18, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 6} {"rid": 54642, "pid": "Pc38c77c54d01", "date": "2025-12-24", "sex": "男", "age": 62, "cc": "尿频复诊", "hpi": "尿频，夜尿正常，大便稀，睡眠一般，口干口苦，勃起不坚，乏力困倦 腹胀一月", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腹胀", "脾虚气滞证", "理气健脾"], ["精浊", "肾气不充证", "补肾扶元"]], "rx": ["炒芥子", "姜厚朴", "麸炒枳实", "地龙", "姜半夏", "石菖蒲", "羌活", "白芷", "防风", "蛇床子", "韭菜子", "北柴胡", "炒蒺藜", "郁金", "醋青皮", "麸炒枳壳", "炙甘草", "炙淫羊藿", "土茯苓", "败酱草", "瞿麦", "盐车前子", "甜叶菊叶", "炒僵蚕"], "flags": [], "prev_rx": ["甜叶菊叶", "土茯苓", "败酱草", "川楝子", "白芷", "北柴胡", "炒蒺藜", "木香", "醋青皮", "郁金", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "党参", "大血藤", "黄芪", "茯苓", "醋五味子", "麸炒枳壳", "炙甘草", "麦冬", "地龙", "锁阳"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 54644, "pid": "P1f6f83b95d8f", "date": "2025-12-24", "sex": "男", "age": 60, "cc": "排尿不畅尿不尽3年", "hpi": "3年前出现排尿不畅尿不尽，勃起不坚，夜尿2次，口干口苦，夜寐可", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "仙茅", "韭菜子", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54646, "pid": "P7eec9706aa99", "date": "2025-12-24", "sex": "男", "age": 40, "cc": "腰酸痛3-4年", "hpi": "腰酸痛，多汗，动则汗出，手脚出汗，无盗汗，咳嗽有痰白痰，怕冷，排尿尿不尽，色黄，大便正常，纳可，口和，硬度一般", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "炒苦杏仁", "生姜", "大枣", "桑白皮", "浙贝母", "竹茹", "葛根", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "党参片", "滑石", "甘草片"], "flags": [], "prev_rx": ["桂枝", "白芍", "炒苦杏仁", "生姜", "大枣", "桑白皮", "浙贝母", "竹茹", "葛根", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "党参片", "滑石", "甘草片"], "prev_gap": 17, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 7} {"rid": 54657, "pid": "Pf2147c64fd48", "date": "2025-12-24", "sex": "男", "age": 45, "cc": "尿灼热排尿不畅5天", "hpi": "5天前出现尿灼热排尿不畅，周身乏力，腰痛，无小腹胀痛，夜寐差", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "甘草", "北柴胡", "玉竹", "百合", "丹参", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "绵萆薢", "萹蓄", "小蓟", "大蓟", "车前草"], "flags": [], "prev_rx": ["石菖蒲", "甘草", "北柴胡", "玉竹", "百合", "丹参", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "绵萆薢", "萹蓄", "小蓟", "大蓟", "车前草"], "prev_gap": 16, "visit_ix": 1, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 6} {"rid": 54660, "pid": "Pbb27ce0407c1", "date": "2025-12-24", "sex": "男", "age": 28, "cc": "尿频2年", "hpi": "尿频，性欲一般，硬度一般，中途疲软，熬夜，乏力感，睡眠可，排尿正常，大便正常，纳可，喝水少时有口干，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["当归", "川芎", "熟地黄", "麸炒白术", "茯苓", "泽泻", "人参", "炙淫羊藿", "干姜", "仙茅", "牡丹皮", "炒栀子", "黑顺片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54667, "pid": "Paafd7d3d2961", "date": "2025-12-24", "sex": "男", "age": 52, "cc": "夜尿2次2周", "hpi": "夜尿多，2次，晨勃少，硬度差不能勃起，性欲差，大便时好时坏，纳可，睡眠正常，口和，微怕冷，第一次口服他达拉非腰背疼痛，后三次口服无疼痛感", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["地黄", "牡丹皮", "山药", "酒萸肉", "石菖蒲", "郁金", "北柴胡", "麸炒枳实", "白芍", "枸杞子", "丹参", "鸡血藤", "制远志", "蜈蚣"], "flags": [], "prev_rx": ["地黄", "牡丹皮", "山药", "酒萸肉", "滑石", "石菖蒲", "郁金", "北柴胡", "麸炒枳实", "白芍", "炒栀子", "丹参", "鸡血藤", "制远志", "蜈蚣"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 54669, "pid": "Pb9e43b036576", "date": "2025-12-24", "sex": "男", "age": 44, "cc": "腰痛乏力盗汗2年", "hpi": "2年前出现腰痛乏力盗汗，射精快，口干口苦，夜寐差，阴囊潮湿，勃起可，易生气", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "麸炒苍术", "麸炒薏苡仁", "牛膝", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54670, "pid": "P482c7c32c3a0", "date": "2025-12-24", "sex": "男", "age": 45, "cc": "尿频1年", "hpi": "尿频，勃起启动慢，硬度一般，有晨勃，有同房，时间短2-5分钟，尿不尽，夜尿有，睡眠可，口干。大便正常，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "赤小豆", "蜈蚣", "制巴戟天"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "知母", "蜈蚣", "制巴戟天", "盐关黄柏"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 54671, "pid": "P66ef3d37f11a", "date": "2025-12-24", "sex": "男", "age": 53, "cc": "尿频尿急2月", "hpi": "近2月出现尿频尿急，夜间尿不尽，夜尿1次，口中和，夜寐差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "乌药", "盐益智仁", "麸炒山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54677, "pid": "P382dae6509c8", "date": "2025-12-25", "sex": "男", "age": 54, "cc": "夜尿1-2次2月余", "hpi": "夜尿1-2次2月余 排尿不畅 尿等待 大便次数少 纳可 眠差 肝脏血管瘤复查", "wm_dx": ["慢性前列腺炎", "肝血管瘤病"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54678, "pid": "P7d7e3464903b", "date": "2025-12-25", "sex": "男", "age": 45, "cc": "毛囊炎复诊抄方", "hpi": "毛囊炎复诊 大小便正常 纳可 眠差", "wm_dx": ["毛囊炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["广藿香", "金银花", "蒲公英", "丹参", "牡丹皮", "桃仁", "醋乳香", "龙胆", "大青叶", "黄连", "黄芩", "连翘", "藕节", "肉桂", "土茯苓", "败酱草", "紫花地丁", "秦皮", "白芷", "防风", "羌活", "猪苓", "山慈菇", "陈皮"], "flags": [], "prev_rx": ["广藿香", "金银花", "蒲公英", "桂枝", "丹参", "牡丹皮", "桃仁", "醋乳香", "龙胆", "大青叶", "黄连", "黄芩", "连翘", "藕节", "肉桂", "土茯苓", "败酱草", "猪苓", "山慈菇", "茯苓", "陈皮"], "prev_gap": 9, "visit_ix": 1, 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["太子参", "酒黄精", "制巴戟天", "炒酸枣仁", "知母", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "酒黄精", "制巴戟天", "炒酸枣仁", "知母", "丹参"], "prev_gap": 21, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54690, "pid": "Pf9cfe8492014", "date": "2025-12-25", "sex": "男", "age": 36, "cc": "腰痛乏力伴射精快多年", "hpi": "多年前出现腰痛乏力伴射精快，勃起欠佳1年，性欲减退，晨勃可，口干，夜寐可，长期熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["枸杞子", "太子参", "龙眼肉", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 8} {"rid": 54709, "pid": "P9f5380d96e73", "date": "2025-12-25", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛改善 伴有阳痿早泄 时间3-5分钟 大便正常 纳可 眠安 晨勃少 胁痛 尿频 尿等待 盗汗", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "炒僵蚕", "蒲公英", "金银花", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", 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"煅牡蛎", "干姜", "山药", "乌药", "盐益智仁", "滑石", "茯苓", "人参", "黑顺片"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "淡豆豉", "炒栀子", "桂枝", "煅龙骨", "煅牡蛎", "干姜", "山药", "乌药", "盐益智仁", "滑石", "茯苓", "人参"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 54785, "pid": "Pe996c04b4986", "date": "2025-12-27", "sex": "男", "age": 29, "cc": "腰痛乏力盗汗1月", "hpi": "1月前出现腰痛乏力盗汗，长期熬夜，口干", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "熟地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54786, "pid": "Pbcde72c6fcf8", "date": "2025-12-27", "sex": "男", "age": 60, "cc": "尿频半年", "hpi": "尿频，偶有晨勃，不能勃起，排尿正常，夜尿1次，大便正常，睡眠可，饭后腹胀 ，打嗝，口干口苦，无怕冷，腰疼", "wm_dx": ["高血压"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "桂枝", "麻黄", "知母", "丹参", "鸡血藤", "石菖蒲", "郁金", "地黄", "制巴戟天", "黑顺片", "蜈蚣", "牛膝", "麸炒苍术"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 54790, "pid": "P9dce862987c1", "date": "2025-12-27", "sex": "男", "age": 39, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，硬度可，性欲一般，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54795, "pid": "P667c57b53f09", "date": "2025-12-27", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "左侧少腹隐痛，左侧睾丸隐痛，耳鸣，排尿可， 大便偏干 发黏 纳一般， 眠中途醒口和。复诊：睾丸隐痛左侧，少腹偶有隐痛", "wm_dx": ["前列腺增生", "精索静脉曲张", "静脉曲张", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "白芍", "当归", "炒栀子", "郁金", "熟地黄", "川楝子", "乌药", "盐小茴香", "桂枝", "桑叶", "牛膝", "菟丝子", "盐车前子", "茯苓", "川芎", "醋龟甲", "桃仁"], "flags": [], "prev_rx": ["北柴胡", "白芍", "当归", "黄芩", "生地黄", "川楝子", "秦艽", "乌药", "盐小茴香", "桂枝", "桔梗", "牛膝", "菟丝子", "盐车前子", "火麻仁", "川芎", "醋龟甲", "炒栀子", "桃仁"], "prev_gap": 14, "visit_ix": 9, "n_visits": 17, "visit_ix_rx": 4, "n_rx": 12} {"rid": 54798, "pid": "P10e7457d1a9a", "date": "2025-12-27", "sex": "男", "age": 41, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗，包皮刺痒。", "wm_dx": ["腰痛", "包皮龟头炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "蒲公英", "金银花", "地肤子", "锁阳", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54799, "pid": "P6765d031fd78", "date": "2025-12-27", "sex": "男", "age": 29, "cc": "体检发现血PSA升高1周", "hpi": "1周前体检发现血PSA升高 大小便正常 纳可 眠差 乏力消瘦半年", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "路路通", "炒王不留行", "白茅根", "萹蓄", "绵萆薢", "夏枯草"], "flags": [], "prev_rx": ["石菖蒲", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "白茅根", "萹蓄", "绵萆薢", "路路通", "炒王不留行", "夏枯草"], "prev_gap": 21, "visit_ix": 7, "n_visits": 9, "visit_ix_rx": 2, "n_rx": 3} {"rid": 54804, "pid": "P6b4ce2b25c93", "date": "2025-12-27", "sex": "男", "age": 30, "cc": "尿频2年", "hpi": "尿频，同房正常，人工3次，试管一次未成功，排尿正常，大便不成型2-3次，纳可，口和，口异味，睡眠可，无怕冷，复诊，大便正常，药后困", "wm_dx": ["男性不育症"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "牛膝", "天花粉", "酒黄精", "牡蛎", "醋龟甲"], "flags": [], "prev_rx": ["法半夏", "人参", "干姜", "黄芩片", "地黄", "黄连片", "炒栀子", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "赤小豆", "红景天", "牡蛎", "醋龟甲", "酒黄精", "合欢皮"], "prev_gap": 11, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54808, "pid": "Pb559e373887b", "date": "2025-12-27", "sex": "男", "age": 33, "cc": "尿频一月", "hpi": "尿频，性功能正常，久坐，排尿可，大便略干，睡眠正常，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "党参片", "菟丝子", "酒女贞子", "枸杞子", "覆盆子", "盐车前子", "茯苓", "红景天", "牡蛎", "醋龟甲", "熟地黄", "酒萸肉", "山药", "酒黄精", "麸炒白术", "佩兰"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "菟丝子", "酒女贞子", "枸杞子", "覆盆子", "盐车前子", "红景天", "牡蛎", "醋龟甲", "熟地黄", "酒萸肉", "山药", "酒黄精", "茯苓", "麸炒白术"], "prev_gap": 7, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 7} {"rid": 54814, "pid": "P6ef5f8eefa11", "date": "2025-12-27", "sex": "男", "age": 34, "cc": "腰痛乏力2月", "hpi": "2月前出现腰痛乏力，勃起欠佳，性欲减退，焦虑,包皮龟头红疹,射精快，虚劳", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "川芎", "仙茅", "炙淫羊藿", "醋香附", "韭菜子", "制巴戟天", "沙苑子", "煅阳起石", "酒黄精", "炙黄芪", "熟地黄"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "韭菜子", "制巴戟天", "沙苑子", "川芎", "仙茅", "煅阳起石"], "prev_gap": 13, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 7} {"rid": 54815, "pid": "Pe045acd6e9b2", "date": "2025-12-27", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作可，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54816, "pid": "P3ba28fafd9a8", "date": "2025-12-27", "sex": "男", "age": 32, "cc": "右侧睾丸坠胀感一周", "hpi": "右侧睾丸坠胀，排尿正常，无腹痛，无腰疼，反酸，大便便秘2-3天，口干口苦。冬天脚冷，夏天脚热，睡眠一般，乏力，头晕，复诊，睾丸坠胀消失 ，大便1-2天一次，口干，睡眠多梦，入睡困难，颈部不适感", "wm_dx": ["静脉曲张"], "tcm_dx": [["筋瘤", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "燀桃仁", "黑顺片", "红花", "茯苓", "当归", "牡丹皮", "醋乳香", "醋没药", "白芍", "川芎", "炙黄芪", "麸炒白术", "枸杞子", "党参片", "菟丝子", "熟地黄", "牡蛎"], "flags": [], "prev_rx": ["桂枝", "燀桃仁", "葛根", "红花", "茯苓", "泽泻", "牡丹皮", "醋乳香", "醋没药", "白芍", "川芎", "炙黄芪", "麸炒白术", "枸杞子", "菟丝子", "地黄", "牡蛎", "党参片"], "prev_gap": 14, "visit_ix": 12, "n_visits": 13, "visit_ix_rx": 12, "n_rx": 13} {"rid": 54824, "pid": "P4ea58e8eb4ed", "date": "2025-12-27", "sex": "男", "age": 49, "cc": "尿分叉尿无力1年", "hpi": "尿分叉尿无力1年，尿不尽，阴囊潮湿，夜寐可，夜尿1次，体检前列腺彩超提示前列腺增大，性欲减退，汗出明显，盗汗，腰痛乏力，虚劳", "wm_dx": ["前列腺增生", "贫血"], "tcm_dx": [["精癃", "血瘀证", "活血化瘀"], ["盗汗", "肾虚证", "滋补肾阴"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["黄芪", "党参片", "龙眼肉", "百合", "麸炒枳实", "蒲公英", "茯苓", "麸炒白术", "杜仲", "续断片", "酒苁蓉", "枸杞子", "当归", "制远志", "首乌藤", "红参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54825, "pid": "P4a9097824228", "date": "2025-12-27", "sex": "男", "age": 37, "cc": "尿频一月", "hpi": "体检发现前列腺稍大,尿频正常,睡前尿频,无阴囊潮湿，无腹痛，无腰疼", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["滑石", "茯苓", "泽泻", "阿胶珠", "猪苓", "石菖蒲", "赤小豆", "桂枝", "燀桃仁", "红花", "郁金", "柏子仁", "白花蛇舌草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 10} {"rid": 54828, "pid": "Pa9909438078e", "date": "2025-12-27", "sex": "男", "age": 29, "cc": "尿频尿急2周", "hpi": "尿频尿急2周，尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗，腰痛，乏力。焦虑抑郁。", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54830, "pid": "Pf1066d91d2f3", "date": "2025-12-27", "sex": "男", "age": 44, "cc": "尿频1月", "hpi": "尿频，无晨勃，无自主勃起，排尿正常，纳可，睡眠正常，大便正常，口和，无怕冷，无乏力", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "茯苓", "川芎", "当归", "石菖蒲", "丹参", "鸡血藤", "郁金", "制远志", "蜈蚣", "炙淫羊藿", "仙茅", "黑顺片", "鹿角霜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54831, "pid": "P2b9c50623716", "date": "2025-12-27", "sex": "男", "age": 44, "cc": "尿频一年", "hpi": "尿频，性欲可，硬度一般，时间短，1-2分钟，排尿正常，大便不成型，睡眠可，口苦，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "地黄", "制巴戟天", "滑石", "煅龙骨", "煅牡蛎", "炙黄芪", "法半夏", "煅瓦楞子", "炒栀子"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "地黄", "制巴戟天", "滑石", "煅龙骨", "煅牡蛎", "炙黄芪", "赤小豆"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 54835, "pid": "Pc933f20c6832", "date": "2025-12-27", "sex": "男", "age": 42, "cc": "腰痛半年", "hpi": "腰痛半年 失眠浅多梦 早泄1-2分钟 大小便正常 纳可 勃起可 ，排尿正常，大便略不成型，纳可，口和，无怕冷。生气", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["北柴胡", "黄芩片", "茯苓", "当归", "牡丹皮", "煅龙骨", "煅牡蛎", "炒栀子", "熟地黄", "焦麦芽", "麸炒白术", "石菖蒲", "盐蒺藜", "炙甘草", "党参片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "茯苓", "当归", "牡丹皮", "煅龙骨", "煅牡蛎", "炒栀子", "地黄", "赤小豆", "白花蛇舌草", "石菖蒲", "盐蒺藜", "炙甘草"], "prev_gap": 7, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 5, "n_rx": 6} {"rid": 54837, "pid": "P17c3d868b695", "date": "2025-12-27", "sex": "男", "age": 38, "cc": "尿等待2周", "hpi": "尿等待2周，涩黄，有泡沫，夜尿1次，睡眠正常，大便正常，纳可，口和，既往憋尿，伴小腹不适，坐着明显，热敷好转，无排尿不畅，膝盖疼痛", "wm_dx": ["前列腺炎", "高脂血症"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血止痛"]], "rx": ["桂枝", "茯苓", "猪苓", "燀桃仁", "红花", "滑石", "阿胶珠", "淡竹叶", "白芍", "地黄", "干姜", "荔枝核", "盐橘核", "川楝子", "炙甘草", "炒栀子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "茯苓", "猪苓", "燀桃仁", "红花", "滑石", "阿胶珠", "淡竹叶", "白芍", "地黄", "干姜"], "prev_gap": 14, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 54841, "pid": "Pc7c7178df1cc", "date": "2025-12-27", "sex": "男", "age": 29, "cc": "尿频1年", "hpi": "1年前出现尿频，夜尿1次，小腹鼓胀，口苦，夜寐可，多梦，长期熬夜", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "金樱子"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "金樱子"], "prev_gap": 25, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 54848, "pid": "P00d35097db7e", "date": "2025-12-27", "sex": "男", "age": 43, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作劳累，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54851, "pid": "Pc7ca8fdcebcc", "date": "2025-12-27", "sex": "男", "age": 43, "cc": "发现尿潜血3年", "hpi": "发现尿潜血3年，尿频尿急，工作劳累可，夜尿0-2次，腰痛，眠差，大便可，纳可，怕冷", "wm_dx": ["慢性前列腺炎", "泌尿系结石", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["广金钱草", "麦冬", "炒酸枣仁", "陈皮", "黄芪", "白茅根", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54854, "pid": "P34128846ea89", "date": "2025-12-27", "sex": "男", "age": 39, "cc": "会阴不适1周", "hpi": "会阴不适1周，久坐后明显，无尿频尿急，无尿后余沥，夜尿0-1次，盗汗", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["丹参", "烫水蛭", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐黄柏", "麸炒白术", "盐车前子", "菟丝子", "橘络"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54860, "pid": "P0d5419db703c", "date": "2025-12-28", "sex": "男", "age": 35, "cc": "遗精2次", "hpi": "遗精2次，眠可，乏力可，有晨勃，工作焦虑劳累，便稀，稍有尿痛，胁痛腰痛", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炒酸枣仁", "知母", "太子参", "茯苓", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54876, "pid": "Pd5b9176568f7", "date": "2025-12-28", "sex": "男", "age": 55, "cc": "腰痛伴勃起不坚2年", "hpi": "腰痛伴勃起不坚2年，性欲可，盗汗，腰痛，焦虑", "wm_dx": ["男性性腺功能低下", "男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "滋补肾精"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲", "绵萆薢", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54878, "pid": "Pafdf83289e26", "date": "2025-12-28", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "绵萆薢", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54879, "pid": "P301e753815ae", "date": "2025-12-28", "sex": "男", "age": 35, "cc": "尿频1周", "hpi": "1周前出现尿频，久坐后会阴不适，夜尿2次，偶有尿道灼热，射精快。复诊现尿频明显。", "wm_dx": ["前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "制远志", "炒酸枣仁", "烫水蛭"], "flags": [], "prev_rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙", "五加皮", "石菖蒲", "黄柏", "仙茅", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "炒白扁豆", "韭菜子", "菟丝子", "金樱子", "乌药", "盐益智仁", "山药", "醋龟甲", "制何首乌", "黑芝麻"], "prev_gap": 36, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 5} {"rid": 54883, "pid": "P7c30f6d235cb", "date": "2025-12-28", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，射精困难，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗明显，阴囊潮湿，梦多", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "绵萆薢"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54886, "pid": "Peecfe7303c2b", "date": "2025-12-28", "sex": "男", "age": 44, "cc": "失眠一月余", "hpi": "失眠一月余 乏力疲劳 腰痛 大小便正常 纳可 盗汗", "wm_dx": ["失眠", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["盐益智仁", "制远志", "黄芪", "太子参", "山药", "制巴戟天", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54887, "pid": "Pc208f661ece6", "date": "2025-12-28", "sex": "男", "age": 39, "cc": "腰痛复诊", "hpi": "腰痛复诊 大小便正常 纳可 眠差 口干 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "砂仁", "木香", "麸炒枳壳", "炙甘草", "覆盆子", "酒女贞子", "醋五味子", "茯苓", "石斛", "党参", "山药", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "砂仁", "木香", "麸炒枳壳", "炙甘草", "覆盆子", "酒女贞子", "醋五味子", "茯苓", "石斛", "党参", "山药"], "prev_gap": 28, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54893, "pid": "P9523ea20606f", "date": "2025-12-28", "sex": "男", "age": 38, "cc": "腰痛乏力多梦1月", "hpi": "1月前出现腰痛乏力，多梦，口干口苦，夜寐差易醒，尿频，足跟痛，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炒酸枣仁", "知母", "茯苓", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54895, "pid": "P3aef33821710", "date": "2025-12-28", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": "腰痛乏力，近期想生育，夜寐差，长期熬夜久坐", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "覆盆子", "枸杞子", "盐车前子", "制水蛭", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "炙甘草", "韭菜子"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "覆盆子", "枸杞子", "盐车前子", "制水蛭", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "炙甘草", "韭菜子"], "prev_gap": 20, "visit_ix": 4, "n_visits": 14, "visit_ix_rx": 3, "n_rx": 12} {"rid": 54898, "pid": "Pdc4c2b1c69f3", "date": "2025-12-28", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗 口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 54902, "pid": "Pe7bbb9e01f20", "date": "2025-12-28", "sex": "男", "age": 33, "cc": "精液颜色暗沉2次", "hpi": "精液颜色暗沉2次，无射精疼痛，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和。包皮刺痒。", "wm_dx": ["精囊炎", "包皮龟头炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "茯苓", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54904, "pid": "P5255ad6a6ccd", "date": "2025-12-28", "sex": "男", "age": 26, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期想生育 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "醋五味子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "醋五味子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿"], "prev_gap": 22, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 54908, "pid": "P098a0b1c5b41", "date": "2025-12-28", "sex": "男", "age": 39, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干口苦，盗汗，口气重", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒栀子", "泽泻", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54909, "pid": "P2318d35f49b4", "date": "2025-12-28", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，失眠，盗汗，高尿酸血症取药，大小便正常，纳可", "wm_dx": ["高尿酸血症", "腰痛", "失眠"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["失眠", "肾精亏虚证", "补肾益精"], ["腰痛", "气滞血瘀证", "活血通络"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炒酸枣仁", "陈皮", "茯苓", "太子参", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54910, "pid": "P5d016f19e9fd", "date": "2025-12-28", "sex": "男", "age": 33, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作可，焦虑，二便调，纳可，无排尿不畅、尿后余沥，口干，盗汗多汗，眠差易醒", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 54911, "pid": "Pac46d59d1756", "date": "2025-12-28", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，硬度和性欲一般，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54913, "pid": "Pe44fc5a83364", "date": "2025-12-28", "sex": "男", "age": 40, "cc": "腰痛2月", "hpi": "腰痛2月，时间下降，性欲可，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54914, "pid": "Pdf4d5c82755f", "date": "2025-12-28", "sex": "男", "age": 41, "cc": "腰痛半年", "hpi": "腰痛半年，勃起中途疲软，射精快，性欲减退，长期熬夜，晨勃可，口干口苦，易生气，出汗多，盗汗，手足心潮热汗出。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "韭菜子", "黄芪", "仙茅", "制巴戟天", "锁阳", "酒黄精", "莲子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "韭菜子", "黄芪", "仙茅", "制巴戟天", "锁阳", "酒黄精"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 54919, "pid": "P887ee3b27f29", "date": "2025-12-28", "sex": "男", "age": 38, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度改善，时间下降，性欲可，乏力，工作劳累，情绪焦虑，同居感情可，二便调，纳眠可、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "焦虑状态"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "炒酸枣仁"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "麸炒苍术", "陈皮", "石菖蒲", "木香", "麸炒枳实", "炙甘草"], "prev_gap": 14, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 54925, "pid": "Pb00f9e676136", "date": "2025-12-29", "sex": "男", "age": 88, "cc": "复诊", "hpi": "病史同前,夜尿5次，阴囊潮湿，尿急、尿失禁或不尽。目前仍在服用可多华。易汗，眠可，纳可。便调。", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "温补肾阳"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "盐益智仁", "金樱子肉", "乌药", "桂枝", "覆盆子", "盐补骨脂", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "黑顺片", "盐益智仁", "炙甘草", "桂枝", "覆盆子", "金樱子肉", "乌药", "盐补骨脂"], "prev_gap": 7, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 7, "n_rx": 8} {"rid": 54930, "pid": "P7e5217887b96", "date": "2025-12-29", "sex": "男", "age": 66, "cc": "左侧腹股沟疼痛不适2周", "hpi": "2周前出现左侧腹股沟疼痛不适，阴囊潮湿瘙痒，时有尿痛，夜寐差，腰痛行动不便，阴茎根部瘙痒", "wm_dx": ["慢性前列腺炎", "前列腺增生", "静脉曲张", "精索静脉曲张"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["筋瘤", "血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝", "蛇床子"], "flags": [], "prev_rx": ["肉桂", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝"], "prev_gap": 14, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 5, "n_rx": 6} {"rid": 54933, "pid": "P3aab4122b68c", "date": "2025-12-29", "sex": "男", "age": 63, "cc": "尿后余沥复诊", "hpi": "尿后余沥改善，排尿不畅改善，夜尿2次，纳可，眠一般，无小腹坠胀疼痛，大便干，口和，无盗汗乏力 腰痛一月", "wm_dx": ["前列腺增生", "腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "龙眼肉", "大枣", "菟丝子", "覆盆子"], "flags": [], "prev_rx": ["太子参", "龙眼肉", "大枣", "炒酸枣仁", "菟丝子", "覆盆子"], "prev_gap": 14, "visit_ix": 9, "n_visits": 20, "visit_ix_rx": 3, "n_rx": 4} {"rid": 54936, "pid": "P1407db622766", "date": "2025-12-29", "sex": "男", "age": 37, "cc": "发现PSA升高1周", "hpi": "发现PSA升高1周，5.62 ng/ml，工作久坐，无明显尿频、尿急、排尿不畅，夜尿0次。无尿后余沥，无小腹及会阴不适。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 16, "visit_ix_rx": 0, "n_rx": 10} {"rid": 54943, "pid": "Pd61c7d115cda", "date": "2025-12-29", "sex": "男", "age": 43, "cc": "腰痛乏力1年加重1周", "hpi": "腰痛乏力盗汗，近1周出现盗汗加重，夜寐差，口干，手足心汗出，勃起可，欲望减退，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["胁痛", "肝气郁结证", "疏肝散结"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["太子参", "枸杞子", "大枣", "龙眼肉", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54951, "pid": "P46e7cb1e4b30", "date": "2025-12-29", "sex": "男", "age": 39, "cc": "腰痛乏力小腹胀痛1年", "hpi": "1年前出现腰痛乏力小腹胀痛，自觉龟头充血状态，射精快，尿痛，尿分叉，口干口苦。夜寐差，失眠，长期熬夜，盗汗", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾益精"], ["精浊", "下焦湿热证", "清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "金樱子", "酒黄精", "炒酸枣仁", "柏子仁", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 5} {"rid": 54952, "pid": "P80d8d35fbc27", "date": "2025-12-29", "sex": "男", "age": 38, "cc": "复诊", "hpi": "病史同前，未有性生活。 纳可寐安", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肝郁肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "白薇", "黑顺片", "炙甘草", "生姜", "酒萸肉", "大枣", "牛膝"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "白薇", "黑顺片", "炙甘草", "生姜", "锁阳", "酒萸肉", "大枣"], "prev_gap": 7, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 6} {"rid": 54953, "pid": "P8749a27b1cb0", "date": "2025-12-29", "sex": "男", "age": 27, "cc": "腰痛乏力劳累6月", "hpi": "6月前出现腰痛乏力劳累，午饭后劳累加重，口干，夜寐可，长期熬夜，二便调，偶有头晕，耳鸣，膝盖不适，自觉龟头敏感度高，射精快，性欲可，勃起可，胁肋疼痛，易生气。药后改善。", "wm_dx": ["腰痛"], "tcm_dx": [["耳鸣", "肾虚证", "滋补肾阴"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "醋鳖甲", "制巴戟天", "韭菜子", "锁阳", "北柴胡", "酒白芍"], "flags": [], "prev_rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "醋鳖甲", "制巴戟天", "韭菜子", "锁阳", "净山楂", "茯苓", "桑椹", "龙眼肉", "太子参", "炒麦芽"], "prev_gap": 13, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 54954, "pid": "Pad138e968679", "date": "2025-12-29", "sex": "男", "age": 39, "cc": "偶有尿痛6月", "hpi": "6月前出现偶有尿痛，上火后加重，口中和，盗汗，腰痛乏力", "wm_dx": ["腰痛", "泌尿系感染"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "盐车前子", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54960, "pid": "Pd0f5c68be385", "date": "2025-12-29", "sex": "男", "age": 41, "cc": "尿频尿急6月", "hpi": "尿频尿急6月，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。工作久坐。", "wm_dx": ["前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54971, "pid": "Pd3df3d3a527a", "date": "2025-12-29", "sex": "男", "age": 35, "cc": "腰痛1月", "hpi": "腰痛1月，排尿正常，大便可，纳可，吃凉易腹泻，睡眠正常，口苦，无怕冷,盗汗乏力", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["北柴胡", "黄芩片", "牡丹皮", "干姜", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "酒黄精", "醋龟甲", "牛膝", "地黄", "酒萸肉", "山药"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "牡丹皮", "干姜", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "酒黄精", "醋龟甲", "牛膝", "地黄", "酒萸肉", "山药"], "prev_gap": 24, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54979, "pid": "P4fa474b47526", "date": "2025-12-29", "sex": "男", "age": 46, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，龟头红疹瘙痒，口干口苦，长期熬夜，夜寐差易醒", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "金樱子", "锁阳", "制巴戟天", "熟地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54986, "pid": "P7b6923916902", "date": "2025-12-29", "sex": "男", "age": 58, "cc": "痛乏力伴勃起不坚5年", "hpi": "5年前出现痛乏力伴勃起不坚，射精快，可同房，硬度欠佳，口中和，手足冷，怕冷，长期熬夜", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "制巴戟天", "炙黄芪", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54989, "pid": "P60c7443e6b8a", "date": "2025-12-29", "sex": "男", "age": 76, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "酒黄精", "丹参", "酒苁蓉", "锁阳", "沙苑子", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["菊花", "栀子", "炒僵蚕", "白芍", "盐蒺藜", "制何首乌", "地黄", "天冬", "醋香附", "乌药", "琥珀粉", "蝉蜕", "白鲜皮", "薏苡仁", "牡丹皮", "牛膝", "酒黄精", "丹参", "酒苁蓉", "锁阳", "黄芪"], "prev_gap": 11, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 54990, "pid": "P2ae0d1f1585d", "date": "2025-12-29", "sex": "男", "age": 50, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，多梦，射精快，排尿可，口干", "wm_dx": ["慢性前列腺炎", "腰痛", "泌尿系感染"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "酒黄精", "金樱子", "韭菜子", "制巴戟天", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 54991, "pid": "P538554851f1d", "date": "2025-12-29", "sex": "男", "age": 41, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，偶有晨勃，性欲减退，长期熬夜，口干苦，盗汗，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天", "仙茅", "黄芪", "人参", "酒黄精", "太子参", "枸杞子", "桑椹", "猪苓", "龙眼肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 54992, "pid": "Pe4283b958d0e", "date": "2025-12-29", "sex": "男", "age": 42, "cc": "腰痛2月", "hpi": "腰痛2月，二便调，眠差改善，无排尿不畅、尿后余沥，盗汗口干。乏力头晕，颈部不适。症状改善明显，可停药。", "wm_dx": ["腰痛", "失眠", "高血压"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["失眠", "气血亏虚证", "补益气血"]], "rx": ["川牛膝", "石菖蒲", "制巴戟天", "红景天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 2} {"rid": 54999, "pid": "Pd9100a2408e5", "date": "2025-12-29", "sex": "男", "age": 67, "cc": "排尿不畅2年", "hpi": "2年前出现排尿不畅，既往前列腺增生，自服前列安通未见明显患者，夜尿1-2次，口干口苦，夜寐差，大便稀，", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "人参", "制巴戟天", "酒黄精", "炒酸枣仁", "柏子仁"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "人参", "制巴戟天", "酒黄精"], "prev_gap": 7, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 55003, "pid": "P8dc6c6b20df4", "date": "2025-12-30", "sex": "男", "age": 30, "cc": "睾丸肿痛一天", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有", "wm_dx": ["睾丸炎"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["北柴胡", "葛根", "干姜", "人参", "炒栀子", "淡豆豉", "黄芩片", "煅龙骨", "煅牡蛎", "当归", "川芎", "茯苓", "醋鸡内金", "菟丝子", "枸杞子", "地黄"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "人参", "炒栀子", "淡豆豉", "黄芩片", "煅龙骨", "煅牡蛎", "当归", "川芎", "茯苓", "醋鸡内金", "菟丝子", "枸杞子", "石菖蒲"], "prev_gap": 14, "visit_ix": 4, "n_visits": 24, "visit_ix_rx": 3, "n_rx": 23} {"rid": 55004, "pid": "P37e3a2a5b692", "date": "2025-12-30", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛改善 阳痿早泄改善 时间2分钟 晨勃可 大便正常 纳可 眠安 尿频 尿不尽 盗汗", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "太子参", "猪苓", "炙黄芪"], "flags": [], "prev_rx": ["太子参", "制巴戟天", "山药", "猪苓", "醋五味子", "山慈菇"], "prev_gap": 14, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 55006, "pid": "P270a6e6e0547", "date": "2025-12-30", "sex": "男", "age": 75, "cc": "前列腺增生复诊", "hpi": "排尿不畅 大便正常 纳可 眠安", "wm_dx": ["前列腺增生", "肾结石"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55008, "pid": "Pcf971fb29bb7", "date": "2025-12-30", "sex": "男", "age": 42, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度改善，性欲一般，乏力，工作劳累，尿急，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "地龙"], "flags": [], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "地龙"], "prev_gap": 18, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 55013, "pid": "P3e6b6012e230", "date": "2025-12-30", "sex": "男", "age": 89, "cc": "前列腺增生 泌尿系感染 慢性膀胱炎 腰痛取药", "hpi": "尿频排尿不畅 少腹隐痛 症状明显好转 要求继续服药治疗 大便正常 纳可 眠安 腰痛 行动不便", "wm_dx": ["泌尿系感染", "前列腺增生", "高血压", "慢性膀胱炎"], "tcm_dx": [["精窿", "湿热下注", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精癃", "下焦湿热证", "清热利湿"]], "rx": ["甜叶菊叶", "瞿麦", "虎杖", "茵陈", "麸炒苍术", "泽兰", "猪苓", "泽泻", "绵萆薢", "萹蓄", "党参", "黄芪", "麸炒枳壳", "麸炒枳实", "姜厚朴", "防风", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 25, "n_visits": 26, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55019, "pid": "P926b7a848c54", "date": "2025-12-30", "sex": "男", "age": 68, "cc": "尿频尿急尿等待一年", "hpi": "尿频尿急尿等待一年 大便正常 纳可 眠差 口苦口干 乏力消瘦疲劳", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 6} {"rid": 55027, "pid": "Pe2530650d7a9", "date": "2025-12-30", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 时间1-2分钟 勃起可 大小便正常 纳可 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["炒酸枣仁", "知母", "太子参", "猪苓", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "炒酸枣仁", "知母", "太子参", "猪苓"], "prev_gap": 28, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 55041, "pid": "P8eb04430db88", "date": "2025-12-30", "sex": "男", "age": 35, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适。工作熬夜，盗汗。 胁痛半年", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "猪苓", "陈皮", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制远志"], "prev_gap": 47, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 55050, "pid": "P0d740fb20cef", "date": "2025-12-30", "sex": "男", "age": 47, "cc": "夜尿3-4次一年", "hpi": "夜尿3-4次，喝水即尿，色黄，无腹痛，无腰疼，大便不成型，睡眠可，纳可，吃生冷易腹泻，口和，无怕冷，肩膀痛", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "麸炒白术", "茯苓", "阿胶珠", "猪苓", "滑石", "牡丹皮", "山药", "乌药", "盐益智仁", "砂仁", "黑顺片", "炙甘草", "干姜", "赤小豆"], "flags": [], "prev_rx": ["桂枝", "麸炒白术", "茯苓", "泽泻", "猪苓", "滑石", "牡丹皮", "干姜", "山药", "乌药", "盐益智仁", "砂仁", "黑顺片", "炙甘草"], "prev_gap": 10, "visit_ix": 1, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 10} {"rid": 55057, "pid": "Pcaf26ee38ba7", "date": "2025-12-30", "sex": "男", "age": 37, "cc": "尿频 右下腹隐痛3天", "hpi": "尿频 右下腹隐痛3天 大便正常 纳可 眠安 腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["热淋", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "太子参", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55060, "pid": "P68ece23259b7", "date": "2025-12-30", "sex": "男", "age": 44, "cc": "腰痛乏力伴射精快3年", "hpi": "3年前出现腰痛乏力射精快，近3月出现勃起不坚，晨勃消失，性欲可，盗汗，耳鸣，口干，夜寐可，二便调", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "白芍", "金樱子", "酒黄精", "制巴戟天", "黄芪", "韭菜子", "仙茅", "麸炒苍术", "麸炒白术", "麸炒薏苡仁", "白芷"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "白芍", "金樱子", "酒黄精", "制巴戟天", "黄芪", "韭菜子", "仙茅"], "prev_gap": 15, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 55064, "pid": "P9c8785aa9e97", "date": "2025-12-30", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有双腿发酸 手脚多汗 盗汗 大小便正常 纳可 眠安 感冒咽痛头疼半月", "wm_dx": ["咽痛", "头痛", "感冒", "上呼吸道感染", "混合痔"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["乳蛾", "湿热毒证", "清热解毒"], ["混合痔", "湿热毒证", "清热解毒"]], "rx": ["酒苁蓉", "沙苑子", "覆盆子", "太子参", "炒酸枣仁", "桑椹", "陈皮", "麸炒山药", "菟丝子", "枸杞子", "茯苓", "制巴戟天", "酒黄精"], "flags": [], "prev_rx": ["覆盆子", "太子参", "炒酸枣仁", "桑椹", "百合", "金银花"], "prev_gap": 21, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 55069, "pid": "Pfbe47ae9bd03", "date": "2025-12-30", "sex": "男", "age": 40, "cc": "阴囊潮湿复诊", "hpi": "阴囊潮湿，失眠一年多，入睡困难多梦，中途醒，性欲一般，勃起不佳，排尿可，大便不成型，纳可，口干口苦，怕冷，腰酸疼。包皮刺痒。", "wm_dx": ["包皮龟头炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "肝肾亏虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["太子参", "炒酸枣仁", "知母", "丹参", "三七粉"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天", "党参", "麸炒白术", "黄芪", "炒酸枣仁", "柏子仁"], "prev_gap": 5, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 6, "n_rx": 9} {"rid": 55070, "pid": "Pc3376f8baf3c", "date": "2025-12-30", "sex": "男", "age": 40, "cc": "腰痛复诊", "hpi": "腰痛乏力，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，失眠，大便质干，口和。腰痛，压力大。 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "金樱子", "醋五味子", "莲子", "砂仁", "木香", "麸炒白术", "党参", "麸炒枳壳", "仙茅", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "金樱子", "醋五味子", "莲子"], "prev_gap": 145, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 55077, "pid": "P2fb1cffe286b", "date": "2025-12-30", "sex": "男", "age": 84, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 夜尿4次 排尿通畅 尿分叉 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55081, "pid": "Pfb26b7a633f7", "date": "2025-12-30", "sex": "男", "age": 31, "cc": "血PSA6.8半月", "hpi": "体检发现血PSA6.8，F/T0.09，排尿正常，夜尿正常，阴囊潮湿，无腹痛，无腰疼，大便易腹泻，睡眠可，纳可，口和", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "脾肾两虚证", "补肾扶元"]], "rx": ["赤小豆", "白花蛇舌草", "蛇莓", "虎杖", "党参片", "茯苓", "干姜", "当归", "连翘", "牛膝", "熟地黄", "醋龟甲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55087, "pid": "Pd741671a0143", "date": "2025-12-31", "sex": "男", "age": 46, "cc": "中途疲软2月", "hpi": "有过一次中途疲软，后即出现中途疲软，晨勃少，排尿尿频，上午明显，尿不尽，色黄，阴囊潮湿，大便不成型，纳可，吃生冷易腹泻，睡眠可，口和，后背发凉，耳鸣，久站腰疼，无汗出，性欲低", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "石菖蒲", "制远志", "柏子仁", "郁金", "丹参", "鸡血藤", "蜈蚣", "牛膝", "麸炒薏苡仁", "制巴戟天", "仙茅"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "当归", "川芎", "茯苓", "泽泻", "滑石", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "炙甘草", "郁金", "柏子仁"], "prev_gap": 11, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 55088, "pid": "P67d05828d1b4", "date": "2025-12-31", "sex": "男", "age": 25, "cc": "尿频一年", "hpi": "尿频，异地，硬度正常，时间短1分钟，排尿尿不尽，无阴囊潮湿，无腹痛，1-2周手艺一次，睡眠正常，纳可，口和，微怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "金樱子肉", "赤小豆", "炙甘草", "北柴胡", "地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55092, "pid": "P3c387a4caaf4", "date": "2025-12-31", "sex": "男", "age": 73, "cc": "阴囊潮湿复诊", "hpi": "阴囊潮湿,脚发凉，遇凉抽筋，尿黄，大便正常1-2天一次，09年开始左侧睾丸增大 纳一般可 眠安 腰酸痛，怕冷，口和", "wm_dx": ["便秘", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["桂枝", "茯苓", "麻黄", "白芍", "生姜", "滑石", "细辛", "小通草", "赤小豆", "白花蛇舌草", "黑顺片", "党参片", "北柴胡", "麸炒枳实", "炙淫羊藿", "乌药"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "白芍", "生姜", "滑石", "细辛", "小通草", "赤小豆", "白花蛇舌草", "黑顺片", "党参片", "北柴胡", "炙淫羊藿", "麸炒枳实"], "prev_gap": 7, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 8, "n_rx": 9} {"rid": 55097, "pid": "P3ba7f29be367", "date": "2025-12-31", "sex": "男", "age": 42, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，性欲可，勃起欠佳可同房，口干口苦，长期熬夜，夜班，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["枸杞子", "桑椹", "菟丝子", "龙眼肉", "太子参", "猪苓", "山慈菇"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55100, "pid": "Pad92e9f69f16", "date": "2025-12-31", "sex": "男", "age": 43, "cc": "腰痛乏力伴勃起欠佳1月", "hpi": "1月前出现腰痛乏力伴勃起欠佳，口干，夜寐差，焦虑，无小腹不适", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制远志", "制巴戟天", "韭菜子", "山药", "锁阳", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55103, "pid": "Pef4a67e835a7", "date": "2025-12-31", "sex": "男", "age": 69, "cc": "腰痛乏力复诊", "hpi": "大小便正常 纳可 失眠 腰痛 乏力 疲劳 盗汗改善 勃起不坚 性欲低下 口干口苦", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["失眠", "气血亏虚证", "补益气血"]], "rx": ["制巴戟天", "太子参", "覆盆子", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": ["甜叶菊叶", "土茯苓", "败酱草", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "盐车前子", "麸炒枳壳", "北柴胡", "炒蒺藜", "茯苓", "醋青皮", "郁金", "石菖蒲", "制远志", "防风", "白芷", "烫水蛭"], "prev_gap": 21, "visit_ix": 4, 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"visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 55113, "pid": "P15dc3ec30e27", "date": "2025-12-31", "sex": "男", "age": 37, "cc": "腰痛乏力伴弱精1周", "hpi": "1周前出现腰痛乏力伴弱精，口干口苦，夜寐差，二便调", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "韭菜子", "当归", "熟地黄", "菟丝子", "炙淫羊藿", "川牛膝"], "flags": [], "prev_rx": ["制何首乌", "韭菜子", "当归", "熟地黄", "菟丝子", "炙淫羊藿", "川牛膝"], "prev_gap": 20, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 8} {"rid": 55120, "pid": "Pde037336503e", "date": "2025-12-31", "sex": "男", "age": 41, "cc": "体检发现前列腺特异抗原异常 今日复查", "hpi": "腰酸腰疼，尿不净，夜尿0次，失眠 口干口苦，便调。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["太子参", "麸炒山药", "麸炒芡实", "炒酸枣仁", "知母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55125, "pid": "Pc3140f221363", "date": "2025-12-31", "sex": "男", "age": 66, "cc": "左侧睾丸肿大4年", "hpi": 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"制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55185, "pid": "P5c322ff3b2ba", "date": "2026-01-01", "sex": "男", "age": 48, "cc": "腰痛数年", "hpi": "腰痛数年，硬度下降，性欲低，乏力，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55187, "pid": "P17446dfa9ee0", "date": "2026-01-01", "sex": "男", "age": 24, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，工作久坐，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", 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"红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55206, "pid": "P8f1accab3087", "date": "2026-01-02", "sex": "男", "age": 43, "cc": "尿频一月", "hpi": "尿频，尿不尽，试管2次未成功，既往检查精液2.49%，排尿正常，大便不成型，肠镜-，睡眠正常，纳可，口干，腰痛，近期乏力，体重下降\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n5", "wm_dx": ["乏力", "腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["菟丝子", "枸杞子", "醋五味子", "熟地黄", "牡丹皮", "酒萸肉", "北柴胡", "红景天", "天花粉", "牡蛎", "醋龟甲", "酒黄精", "石菖蒲", "赤小豆", "白花蛇舌草", "党参片", "绵萆薢", "金樱子肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 10} {"rid": 55208, "pid": "P0c17abf739f5", "date": "2026-01-02", "sex": "男", "age": 32, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55209, "pid": "Pb86b2ba70df5", "date": "2026-01-02", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗口干。", "wm_dx": ["乏力", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "茯苓", "熟地黄", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄"], "prev_gap": 35, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 55213, "pid": "P97a57361f3a3", "date": "2026-01-02", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，硬度下降，性欲可，工作压力大，失眠，阴囊潮湿，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，盗汗，晨勃少", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "知母", "盐关黄柏", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 55214, "pid": "Pa57aec92b993", "date": "2026-01-02", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲低，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55218, "pid": "Pd44ce55a2624", "date": "2026-01-02", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作压力大，情绪焦虑，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗胁痛，晨勃少", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55219, "pid": "Pe4f9b465189f", "date": "2026-01-02", "sex": "男", "age": 34, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度、性欲一般，性生活不规律，工作劳累，压力大，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55220, "pid": "P97146ca403ff", "date": "2026-01-02", "sex": "男", "age": 39, "cc": "尿频一月", "hpi": "尿频，尿不尽夜尿3-4次现一次，肚子胀大便不畅，勃起不坚，射精无快感，时短，睡眠不足，纳可，无怕冷", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["甘草片", "法半夏", "黄连片", "黄芩片", "干姜", "焦麦芽", "焦神曲", "姜厚朴", "牛膝", "制巴戟天", "醋鸡内金", "丹参", "鸡血藤", "炙淫羊藿", "麸炒薏苡仁"], "flags": [], "prev_rx": ["甘草片", "法半夏", "黄连片", "黄芩片", "干姜", "焦麦芽", "焦神曲", "姜厚朴", "牛膝", "制巴戟天", "醋鸡内金", "丹参", "鸡血藤", "炙淫羊藿", "麸炒薏苡仁"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 55225, "pid": "Pd681eb81f824", "date": "2026-01-03", "sex": "男", "age": 47, "cc": "阴囊潮湿2年", "hpi": "阴囊潮湿2年，阴茎根部潮湿，肛周潮湿瘙痒，尿频，无夜尿，排尿不畅改善。眠差，纳可，大便粘。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["麸炒苍术", "麸炒薏苡仁", "黄柏", "川牛膝", "北柴胡", "龙胆", "炒栀子", "茯苓", "猪苓", "蒲公英", "炒酸枣仁", "柏子仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 24, "visit_ix_rx": 0, "n_rx": 6} {"rid": 55227, "pid": "Pae01bc0f2a5e", "date": "2026-01-03", "sex": "男", "age": 43, "cc": "腰痛乏力多年", "hpi": "多年前出现腰痛乏力，尿频尿急，多汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "覆盆子", "韭菜子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "盐车前子", "金樱子", "酒苁蓉"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "覆盆子", "枸杞子", "韭菜子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "盐车前子"], "prev_gap": 46, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 55228, "pid": "Pf42772310e92", "date": "2026-01-03", "sex": "男", "age": 39, "cc": "尿不尽尿无力6年", "hpi": "6年前出现尿不尽尿无力，手淫频繁，左侧睾丸肿大，阴茎根部瘙痒，耳鸣，夜寐差，腰痛乏力，盗汗", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["盐车前子", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "醋五味子", "制巴戟天", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 16, "visit_ix_rx": 0, "n_rx": 9} {"rid": 55235, "pid": "P06e662ce01ad", "date": "2026-01-03", "sex": "男", "age": 39, "cc": "阴囊潮湿6月", "hpi": "6月前出现阴囊潮湿，排尿尿少，无小腹不适，房事中途疲软，夜寐差入睡困难，口干口苦，腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝", "茯苓", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55257, "pid": "Pc08a8d0f3df7", "date": "2026-01-03", "sex": "男", "age": 46, "cc": "腰痛乏力6月", "hpi": "6月前出现腰痛乏力，长期饮酒，口干口苦，夜寐差，长期熬夜，失眠，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "盐车前子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55264, "pid": "P939d652f7a74", "date": "2026-01-04", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制何首乌", "茯苓", "枸杞子", "醋五味子", "盐车前子", "菟丝子", "醋龟甲", "醋鳖甲", "醋鸡内金", "酒黄精", "麸炒冬瓜子", "地肤子", "金樱子肉", "覆盆子", "沙苑子", "蜂房", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["盐杜仲", "肉桂", "麸炒白术", "制远志", "肉苁蓉", "制巴戟天", "太子参", "石菖蒲", "酒萸肉", "盐车前子", "覆盆子", "韭菜子", "菟丝子", "醋五味子", "熟地黄", "酒大黄"], "prev_gap": 22, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 55269, "pid": "Pb82767401e25", "date": "2026-01-04", "sex": "男", "age": 41, "cc": "腰痛乏力伴勃起不坚复诊", "hpi": "1月前出现腰痛乏力伴勃起不坚，1月前因外院行包皮环切，海绵体手术，术后出现勃起不坚，偶有晨勃，口干口苦，夜寐可。今日复诊，前症好转，近2周同房2-3次，勃起硬度可，晨勃可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "制巴戟天", "仙茅", "韭菜子", "黄芪", "人参", "酒黄精"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "仙茅", "韭菜子", "黄芪", "人参"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 55274, "pid": "Pc12c426b051f", "date": "2026-01-04", "sex": "男", "age": 57, "cc": "尿频半月", "hpi": "尿频，硬度下降，晨勃有，纳可，凉的少吃，大小便正常，睡眠可，口渴，无怕冷，阴囊潮湿", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "丹参", "鸡血藤", "制远志", "柏子仁", "党参片", "石菖蒲", "蜈蚣", "北柴胡", "麸炒枳实", "白芍", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 13, "visit_ix_rx": 0, "n_rx": 10} {"rid": 55278, "pid": "Paafa833c2209", "date": "2026-01-04", "sex": "男", "age": 62, "cc": "排尿不畅小腹胀痛1年余", "hpi": "1年前出现排尿不畅，尿等待，小腹胀痛，夜尿3次，口中和，夜寐差易醒，", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "昆布", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "小通草", "麸炒冬瓜子", "盐益智仁", "山药", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "夏枯草", "盐小茴香", "醋香附", "路路通", "炒王不留行"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55283, "pid": "Pd434b29c6155", "date": "2026-01-04", "sex": "男", "age": 63, "cc": "尿频尿急尿失禁2月", "hpi": "2月前出现尿频尿急尿失禁，尿不尽，无小腹胀痛，自服补肾药物", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["盐车前子", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "金樱子", "制巴戟天", "锁阳", "醋五味子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55288, "pid": "P537e6ea9d0aa", "date": "2026-01-04", "sex": "男", "age": 37, "cc": "腰痛乏力6月", "hpi": "6月前出现腰痛乏力，排尿可，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肝肾两虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋五味子", "盐车前子", "菟丝子", "醋龟甲", "醋鸡内金", "酒黄精", "地肤子", "金樱子", "覆盆子", "桑椹", "生地黄", "熟地黄", "炙淫羊藿", "酒苁蓉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55292, "pid": "P49c7245b0333", "date": "2026-01-04", "sex": "男", "age": 44, "cc": "排尿不畅3年", "hpi": "3年前出现排尿不畅，尿频，尿分叉，夜尿1次，偶有小腹不适，腹股沟不适，眼干", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "制巴戟天", "酒黄精", "麦冬", "乌药", "麸炒山药", "盐益智仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55294, "pid": "P376d08f2e711", "date": "2026-01-04", "sex": "男", "age": 43, "cc": "小腹下坠感伴失眠2月", "hpi": "2月前出现小腹下坠感伴失眠，夜尿2次，无其他不适", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热证", "清热利湿"], ["咳嗽", "痰热证", "清热化痰"]], "rx": ["薏苡仁", "淡竹叶", "豆蔻", "黄芩片", "党参片", "盐补骨脂", "甘草片", "牡丹皮", "马齿苋", "木贼", "茵陈", "北柴胡", "龙胆", "夏枯草", "炒酸枣仁", "茯神", "炒栀子", "炙黄芪"], "flags": [], "prev_rx": ["薏苡仁", "淡竹叶", "豆蔻", "黄芩片", "蓼大青叶", "盐补骨脂", "甘草片", "牡丹皮", "马齿苋", "木贼", "茵陈", "北柴胡", "龙胆", "夏枯草", "炒酸枣仁", "茯神", "炒栀子"], "prev_gap": 110, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 3} {"rid": 55295, "pid": "P4e9232d835e8", "date": "2026-01-04", "sex": "男", "age": 29, "cc": "尿频半年", "hpi": "尿频，夜尿正常，腰疼，大便可，纳可，睡眠正常，口和，性欲正常开始中途疲软，现勃起困难，晨勃少一月，乏力，怕冷", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["精浊", "肾阳虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "制远志"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "制远志"], "prev_gap": 17, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 55301, "pid": "P659c657a0473", "date": "2026-01-05", "sex": "男", "age": 60, "cc": "尿急一周", "hpi": "感冒后出现尿急，尿痛，排尿不畅感，尿频。无明显诱因。自服抗生素。", "wm_dx": ["尿道炎"], "tcm_dx": [["淋证", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "茯苓", "泽泻", "赤芍", "滑石", "牡丹皮", "小通草", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55310, "pid": "P53bced466627", "date": "2026-01-05", "sex": "男", "age": 51, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，偶有勃起不坚，中途疲软，性欲可，晨勃可，口中和，自觉痰多，夜寐差，长期熬夜，不易入睡，易醒，", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天", "仙茅", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 55317, "pid": "P7b03cab6dab5", "date": "2026-01-05", "sex": "男", "age": 30, "cc": "复诊", "hpi": "近一月疲劳，突觉勃起困难，有夜间自发勃起", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["精浊", "肝郁气滞证", "疏肝理气"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "盐蒺藜", "九香虫", "石菖蒲", "炙甘草", "地龙"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 55321, "pid": "P80d8d35fbc27", "date": "2026-01-05", "sex": "男", "age": 38, "cc": "复诊", "hpi": "病史同前，未有肢冷汗出。 纳可寐安。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肝郁肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "九香虫", "白薇", "黑顺片", "炙甘草", "生姜", "酒萸肉", "牛膝", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "白薇", "黑顺片", "炙甘草", "生姜", "酒萸肉", "大枣", "牛膝"], "prev_gap": 7, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 5, "n_rx": 6} {"rid": 55333, "pid": "P19b7ebf602e3", "date": "2026-01-05", "sex": "男", "age": 46, "cc": "复诊", "hpi": "病史同前， 尿频 夜尿2次，尿不尽 大便正常 纳可 眠易醒 口服可多华，爱普力特治疗半年， ，口苦口干，无肢冷，阴囊潮湿。", "wm_dx": ["前列腺增生", "反流性食管炎"], "tcm_dx": [["失眠", "心肾不交证", "清心安神"], ["腰痛", "气滞血瘀证", "活血止痛"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "泽泻", "覆盆子", "首乌藤", "生石膏", "黄芩片", "炙甘草", "生姜", "大枣", "紫苏叶"], "flags": [], "prev_rx": ["葛根", "桂枝", "滑石", "猪苓", "茯苓", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "燀桃仁", "地黄", "红花", "赤小豆", "白花蛇舌草", "牡丹皮", "路路通"], "prev_gap": 12, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 6} {"rid": 55339, "pid": "P16a18133986b", "date": "2026-01-05", "sex": "男", "age": 30, "cc": "腰痛乏力1月", "hpi": "1月前腰痛乏力,既往弱精，盗汗，口干口苦。无其他不适", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "盐车前子", "甜叶菊叶"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55340, "pid": "P9789511a7d4b", "date": "2026-01-05", "sex": "男", "age": 32, "cc": "腰痛乏力伴下肢无力6月", "hpi": "6月前出现腰痛乏力伴下肢无力,口干口苦,长期熬夜,易生气,盗汗,耳鸣,失眠易醒", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "黄芪", "知母", "丹参", "盐杜仲", "牛膝", "锁阳", "醋五味子", "菟丝子", "覆盆子", "甘草", "盐车前子", "酒黄精", "北柴胡", "白芍", "麸炒枳实", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55345, "pid": "Pa203c7f644da", "date": "2026-01-05", "sex": "男", "age": 43, "cc": "尿道分泌物1年", "hpi": "1年前尿道分泌物,,勃起不坚,性欲减退，口干口苦，夜寐差，长期熬夜", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "酒黄精", "人参", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55353, "pid": "Pd9100a2408e5", "date": "2026-01-05", "sex": "男", "age": 67, "cc": "排尿不畅2年", "hpi": "2年前出现排尿不畅，既往前列腺增生，自服前列安通未见明显缓解，夜尿1-2次，口干口苦，夜寐差，大便稀，", "wm_dx": ["前列腺增生", "高血压"], "tcm_dx": [["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "人参", "制巴戟天", "酒黄精", "炒酸枣仁", "柏子仁"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "人参", "制巴戟天", "酒黄精", "炒酸枣仁", "柏子仁"], "prev_gap": 7, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 55356, "pid": "Pc2771b7e08be", "date": "2026-01-05", "sex": "男", "age": 40, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，性生活规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。饮酒多。", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55358, "pid": "P64def759c4d1", "date": "2026-01-06", "sex": "男", "age": 60, "cc": "尿频尿急6月", "hpi": "6月前出现尿频尿急，尿混浊尿异味，夜尿4-5次，夜寐差，口中和，大便正常", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "薏苡仁", "猪苓", "羌活"], "flags": ["rx_len_outlier"], "prev_rx": ["山慈菇", "薏苡仁", "炒酸枣仁", "牛膝"], "prev_gap": 29, "visit_ix": 2, "n_visits": 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伴有性功能下降 盗汗 早泄 大小便正常 纳可 眠安 中途疲软", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "制巴戟天", "菟丝子", "覆盆子", "麸炒山药"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55388, "pid": "P528bd05035c1", "date": "2026-01-06", "sex": "男", "age": 62, "cc": "包皮龟头炎4天", "hpi": "包皮龟头炎4天 大小便正常 纳可 眠差", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "热毒壅结证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "土茯苓", "败酱草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55390, "pid": "P2eefc5465d5e", "date": "2026-01-06", "sex": "男", "age": 88, "cc": "关节炎抄方 前列腺增生取药", "hpi": "近10余年排尿不畅，口服灵泽片未见好转，泌尿系彩超：前列腺增大4.7*5.5*4.5cm（2025.5），现夜尿3-4次", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血化瘀"]], "rx": ["伸筋草", "铁线透骨草", "忍冬藤", "鸡血藤", "红花", "川芎", "白芷", "醋延胡索", "醋没药", "桑寄生"], "flags": [], "prev_rx": ["伸筋草", "铁线透骨草", "忍冬藤", "鸡血藤", "红花", "川芎", "白芷", "醋延胡索", "醋没药", "桑寄生"], "prev_gap": 14, "visit_ix": 14, "n_visits": 27, "visit_ix_rx": 2, "n_rx": 3} {"rid": 55403, "pid": "P3c10d6994b65", "date": "2026-01-07", "sex": "男", "age": 24, "cc": "尿频尿不尽伴射精快5年", "hpi": "5年前出现尿频尿不尽伴射精快，阴囊潮湿，长期熬夜，夜寐可，口中和，盗汗，耳鸣，腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "山药"], "flags": [], "prev_rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "山药"], "prev_gap": 16, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 55405, "pid": "P56205621c14c", "date": "2026-01-07", "sex": "男", "age": 36, "cc": "阴茎根部红肿疼痛3天", "hpi": "3天前出现阴茎根部红肿疼痛，腹痛", "wm_dx": ["毛囊炎"], "tcm_dx": 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"2026-01-07", "sex": "男", "age": 66, "cc": "右下腹疼痛一月余", "hpi": "右下腹疼痛一月余 偶见尿痛 夜尿多 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55425, "pid": "P95f088a1957d", "date": "2026-01-07", "sex": "男", "age": 59, "cc": "尿频尿急排尿不畅1年", "hpi": "1年前出现尿频尿急排尿不畅，尿等待，尿不尽", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55427, "pid": "P0574ef7ad1f4", "date": "2026-01-07", "sex": "男", "age": 31, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，口干，腹痛，手足热，手心汗出", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "炙甘草", "龙骨", "牡蛎", "生地黄炭", "黑顺片", "麸炒苍术", "茯苓", "生姜", "大枣", "桔梗"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 55429, "pid": "Pe39549cc84fd", "date": "2026-01-07", "sex": "男", "age": 48, "cc": "腰痛乏力伴勃起不坚3年", "hpi": "3年前出现腰痛乏力伴勃起不坚，口服他达拉非可同房，性欲可，晨勃消失，口干口苦，夜寐差，失眠，无小腹胀痛，射精快，盗汗，胁肋疼痛，易生气", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天", "锁阳", "酒黄精", "人参", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 12, "visit_ix_rx": 0, "n_rx": 10} {"rid": 55437, "pid": "Pae878ceadecc", "date": "2026-01-08", "sex": "男", "age": 61, "cc": "尿频复诊", "hpi": "尿频 失眠一月 前列腺增生 慢性前列腺炎取药 大便正常 纳可", "wm_dx": ["前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["失眠", "气滞痰凝证", "化痰通络"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "薏苡仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55442, "pid": "P7e5c5df41ce5", "date": "2026-01-08", "sex": "男", "age": 37, "cc": "少腹隐痛3月", "hpi": "少腹隐痛3月 大便正常 尿不尽 纳可 眠安 胆囊息肉复查 腰痛 口干", "wm_dx": ["腹痛", "胆囊息肉"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55443, "pid": "P0e227536144c", "date": "2026-01-08", "sex": "男", "age": 25, "cc": "体检发现前列腺回声不均", "hpi": "体检发现前列腺回声不均 尿频 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55450, "pid": "P3a8c83296916", "date": "2026-01-08", "sex": "男", "age": 44, "cc": "尿急4年", "hpi": "尿急4年 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 6} {"rid": 55452, "pid": "P66a42d5ceb6f", "date": "2026-01-08", "sex": "男", "age": 58, "cc": "夜尿频 少腹胀痛半年", "hpi": "夜尿频 少腹胀痛半年 大便正常 纳可 眠安 尿不尽", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["羌活", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55453, "pid": "Pbc4342dd1a40", "date": "2026-01-08", "sex": "男", "age": 59, "cc": "少腹隐痛", "hpi": "大便正常 纳可 眠安 泡沫多 尿频 夜尿1-2次", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "薏苡仁", "陈皮"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55459, "pid": "Pc44f3a20803c", "date": "2026-01-08", "sex": "男", "age": 47, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55467, "pid": "Pe6e5eb734315", "date": "2026-01-08", "sex": "男", "age": 81, "cc": "腰痛抄方", "hpi": "腰痛抄方，乏力，口干，纳可，眠一般，汗多，小便频，大便可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "熟地黄", "炒芥子", "麻黄", "茯苓", "泽泻", "肉桂", "酒苁蓉", "麸炒白术", "大枣", "党参片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 55468, "pid": "P42db430d722f", "date": "2026-01-08", "sex": "男", "age": 35, "cc": "乏力2周", "hpi": "乏力2周，偶有中途疲软，性欲可，时间可，同居，情感可，压力可。性生活2-3次/周。急躁。腰痛，盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55479, "pid": "Pd3c3187980dd", "date": "2026-01-08", "sex": "男", "age": 33, "cc": "腰痛 盗汗一月", "hpi": "腰痛 盗汗一月 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "覆盆子", "猪苓", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55485, "pid": "P14aa898148e8", "date": "2026-01-08", "sex": "男", "age": 57, "cc": "体检发现PSA升高复查", "hpi": "体检发现PSA升高复查 附睾囊肿复查 少腹隐痛 大小便正常", "wm_dx": ["前列腺增生"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "山慈菇", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55496, "pid": "P25140403e41d", "date": "2026-01-09", "sex": "男", "age": 68, "cc": "包皮龟头炎1月余", "hpi": "1月前出现包皮龟头炎,包皮过长,皱缩龟裂, 大小便正常 纳可 眠安。，症状好转，仍有疼痛感", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["金银花", "栀子", "白鲜皮", "地肤子", "百部", "白芷", "防己", "蒲公英", "土茯苓", "苦参"], "flags": [], "prev_rx": ["金银花", "栀子", "白鲜皮", "地肤子", "百部", "白芷", "防己", "蒲公英", "土茯苓", "苦参"], "prev_gap": 23, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 2} {"rid": 55501, "pid": "Paa2aa28354fe", "date": "2026-01-09", "sex": "男", "age": 49, "cc": "腰痛阴囊潮湿5天", "hpi": "5天前出现阴囊潮湿，勃起欠佳，中途软，性欲减退，口干，夜寐差。情绪焦虑可。大便偏干，睡眠一般，中途醒，纳可", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "生石膏", "丹参", "鸡血藤", "石菖蒲", "郁金", "蜈蚣", "焦麦芽", "焦山楂", "炒栀子", "淡豆豉", "制巴戟天", "地黄"], "flags": [], "prev_rx": null, 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"date": "2026-01-10", "sex": "男", "age": 57, "cc": "排尿不畅一月余", "hpi": "排尿不畅一月余 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["太子参", "猪苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55526, "pid": "P1c3cc4fb2514", "date": "2026-01-10", "sex": "男", "age": 37, "cc": "腰痛乏力1月", "hpi": "腰痛乏力1月 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肾虚", "补肾"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "制巴戟天", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55527, "pid": "Pcead64a62349", "date": "2026-01-10", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "伴有早泄3年 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "地骨皮", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 7} {"rid": 55529, "pid": "P1f8015bf695d", "date": "2026-01-10", "sex": "男", "age": 29, "cc": "体检发现前列腺钙化灶 PSA+FPSA异常", "hpi": "体检发现前列腺钙化灶 PSA+FPSA异常 大小便正常 纳可 眠安 乏力消瘦 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "酒女贞子"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55530, "pid": "P87d48cf565b0", "date": "2026-01-10", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "便秘 勃起不坚 中途疲软 晨勃少 大小便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓", "土茯苓", "北败酱草", "泽泻", "炒苦杏仁", "薏苡仁", "仙茅"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓", "土茯苓", "北败酱草"], "prev_gap": 21, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 55532, "pid": "Pd741671a0143", "date": "2026-01-10", "sex": "男", "age": 46, "cc": "中途疲软2月", "hpi": "有过一次中途疲软，后即出现中途疲软，晨勃少，排尿尿频，上午明显，尿不尽，色黄，阴囊潮湿，大便不成型，纳可，吃生冷易腹泻，睡眠可，口和，后背发凉，耳鸣，久站腰疼，无汗出，性欲低，时间短", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "麸炒枳实", "石菖蒲", "郁金", "醋香附", "醋鸡内金", "焦麦芽", "盐蒺藜", "丹参", "鸡血藤", "赤小豆", "白花蛇舌草", "党参片"], "flags": [], "prev_rx": ["北柴胡", "石菖蒲", "制远志", "柏子仁", "郁金", "丹参", "鸡血藤", "蜈蚣", "牛膝", "麸炒薏苡仁", "制巴戟天", "仙茅"], "prev_gap": 10, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 55533, "pid": "P91e62eee1966", "date": "2026-01-10", "sex": "男", "age": 39, "cc": "尿频一月", "hpi": "尿频，准备2胎，性功能正常，排尿正常，大便正常，睡眠一般，早醒，口苦，纳可，怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "生地黄", "酒萸肉", "山药", "牡丹皮", "酒女贞子", "菟丝子", "赤小豆", "白花蛇舌草", "牛膝", "人参", "醋龟甲"], "flags": [], "prev_rx": null, 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"桃仁"], "prev_gap": 14, "visit_ix": 10, "n_visits": 17, "visit_ix_rx": 5, "n_rx": 12} {"rid": 55542, "pid": "Pb3938a41884b", "date": "2026-01-10", "sex": "男", "age": 37, "cc": "右侧睾丸右下腹隐痛1天", "hpi": "右侧睾丸右下腹隐痛1天 大便正常 纳可 眠安 血尿3小时", "wm_dx": ["附睾囊肿", "慢性前列腺炎"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 3} {"rid": 55550, "pid": "Pc7fa0ede9eab", "date": "2026-01-10", "sex": "男", "age": 29, "cc": "精液发黄一月余", "hpi": "精液发黄一月余 大小便正常 纳可 眠安 腰痛 乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "覆盆子", "石斛"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55551, "pid": "Pc8c8e710438f", "date": "2026-01-10", "sex": "男", "age": 26, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["覆盆子", "酒女贞子", "制巴戟天", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55553, "pid": "Pff41957884d5", "date": "2026-01-10", "sex": "男", "age": 22, "cc": "睾丸隐痛一周余", "hpi": "睾丸隐痛一周余 大小便正常 纳可 眠安", "wm_dx": ["附睾囊肿", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55556, "pid": "Pb7df98d02f5d", "date": "2026-01-10", "sex": "男", "age": 44, "cc": "尿频2-3年", "hpi": "尿频，尿急，夜尿正常，大便2-3次，纳可，睡眠可，时有口干口苦，时有晨勃，硬度一般，时间短，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "白芍", "麸炒枳实", "茵陈", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "蜈蚣", "北柴胡", "赤小豆", "白花蛇舌草"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "白芍", "麸炒枳实", "茵陈", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "阿胶珠", "蜈蚣", "北柴胡"], "prev_gap": 17, "visit_ix": 9, "n_visits": 12, "visit_ix_rx": 9, "n_rx": 11} {"rid": 55557, "pid": "Pb559e373887b", "date": "2026-01-10", "sex": "男", "age": 33, "cc": "尿频一月", "hpi": "尿频，性功能正常，久坐，排尿可，大便略干，睡眠正常，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "党参片", "菟丝子", "酒女贞子", "枸杞子", "覆盆子", "盐车前子", "茯苓", "红景天", "牡蛎", "醋龟甲", "熟地黄", "酒萸肉", "山药", "酒黄精", "麸炒白术", "佩兰"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "菟丝子", "酒女贞子", "枸杞子", "覆盆子", "盐车前子", "茯苓", "红景天", "牡蛎", "醋龟甲", "熟地黄", "酒萸肉", "山药", "酒黄精", "麸炒白术", "佩兰"], "prev_gap": 14, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 7} {"rid": 55558, "pid": "Pc1e404794f76", "date": "2026-01-10", "sex": "男", "age": 36, "cc": "会阴部不适半年", "hpi": "会阴部不适半年 尿频 腰酸痛 大便正常 阴囊潮湿 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["土茯苓", "茵陈", "茯苓", "泽泻", "肉苁蓉", "制巴戟天", "仙茅", "盐杜仲", "牛膝", "菟丝子", "盐车前子", "覆盆子", "酒女贞子", "麸炒枳壳", "炙甘草", "白芷", "蛇床子", "韭菜子", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55562, "pid": "P1ae3ea116cb5", "date": "2026-01-10", "sex": "男", "age": 29, "cc": "腰痛乏力盗汗1年", "hpi": "1年前出现腰痛乏力盗汗，口干，龟头红疹，失眠", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "气血两虚证", "补益气血"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "prev_gap": 21, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 55564, "pid": "P4a9097824228", "date": "2026-01-10", "sex": "男", "age": 37, "cc": "尿频一月", "hpi": "体检发现前列腺稍大,尿频正常,睡前尿频,无阴囊潮湿，无腹痛，无腰疼，口干，易早醒", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["滑石", "茯苓", "泽泻", "阿胶珠", "猪苓", "石菖蒲", "赤小豆", "桂枝", "燀桃仁", "红花", "北柴胡", "柏子仁", "白花蛇舌草", "黄芩片", "地黄"], "flags": [], "prev_rx": ["滑石", "茯苓", "泽泻", "阿胶珠", "猪苓", "石菖蒲", "赤小豆", "桂枝", "燀桃仁", "红花", "郁金", "柏子仁", "白花蛇舌草"], "prev_gap": 14, "visit_ix": 1, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 10} {"rid": 55570, "pid": "P17c3d868b695", "date": "2026-01-10", "sex": "男", "age": 38, "cc": "尿等待2周", "hpi": "尿等待2周，涩黄，有泡沫，夜尿1次，睡眠正常，大便排干，纳可，口和，既往憋尿，伴小腹不适，坐着明显，热敷好转，无排尿不畅，膝盖疼痛消失", "wm_dx": ["高脂血症", "前列腺炎"], "tcm_dx": [["痹证类病", "气滞血瘀证", "活血止痛"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["赤小豆", "当归", "连翘", "白花蛇舌草", "滑石", "北柴胡", "麸炒枳实", "白芍", "醋鸡内金", "焦麦芽", "炒苦杏仁", "柏子仁", "郁金", "石菖蒲", "淡竹叶", "牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "茯苓", "猪苓", "燀桃仁", "红花", "滑石", "阿胶珠", "淡竹叶", "白芍", "地黄", "干姜", "荔枝核", "盐橘核", "川楝子", "炙甘草", "炒栀子"], "prev_gap": 14, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 55578, "pid": "P6f386d4eabea", "date": "2026-01-10", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 口苦 口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["土茯苓", "败酱草", "茵陈", "茯苓", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "石菖蒲", "车前草", "佩兰", "盐车前子", "锁阳", "知母", "盐黄柏", "制何首乌", "桑椹", "炒酸枣仁", "制远志", "合欢皮", "麸炒枳壳", "烫水蛭", "炙甘草", "砂仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "土茯苓", "败酱草", "茵陈", "茯苓", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "石菖蒲", "车前草", "盐车前子", "酒萸肉", "知母", "盐黄柏", "制何首乌", "桑椹", "炒酸枣仁", "制远志", "合欢皮", "麸炒枳壳", "炙甘草", "烫水蛭", "佩兰"], "prev_gap": 41, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 55582, "pid": "P72fc22be276b", "date": "2026-01-10", "sex": "男", "age": 36, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力改善不明显，口中和，夜寐差，大便2-3天一行，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "合欢花", "韭菜子", "制巴戟天", "仙茅", "川芎", "盐补骨脂", "炒酸枣仁", "柏子仁", "全蝎", "知母", "制远志", "防风"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "人参", "韭菜子", "制巴戟天", "仙茅", "川芎", "盐补骨脂", "炒酸枣仁", "柏子仁"], "prev_gap": 47, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 55584, "pid": "P18dd3b5d684c", "date": "2026-01-10", "sex": "男", "age": 22, "cc": "小腹不适1周", "hpi": "小腹不适1周，无明显尿频尿急、排尿不畅、尿后余沥，伴睾丸不适，下肢酸胀，腰痛", "wm_dx": ["精索静脉曲张", "前列腺炎", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["三七粉", "太子参", "当归尾"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55586, "pid": "P28d418c9de85", "date": "2026-01-10", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 乏力 疲劳", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["党参", "山药", "白术", "茯苓", "炙甘草", "砂仁", "肉苁蓉", "制巴戟天", "仙茅", "醋五味子", "麦冬", "菟丝子", "盐车前子", "炙淫羊藿", "蛇床子", "韭菜子", "覆盆子", "酒女贞子", "熟地黄", "酒萸肉", "炒酸枣仁", "制远志", "石菖蒲", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 6} {"rid": 55594, "pid": "P5643e1c8d728", "date": "2026-01-10", "sex": "男", "age": 73, "cc": "前列腺增生复诊", "hpi": "尿频，尿急，烧灼感，右侧少腹疼痛，夜尿频多，腰痛 勃起不坚 大便正常 纳可 眠差", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["炒决明子", "茯苓", "党参片", "枸杞子", "炒酸枣仁"], "flags": [], "prev_rx": ["猪苓", "山慈菇"], "prev_gap": 30, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 2} {"rid": 55599, "pid": "Pf1066d91d2f3", "date": "2026-01-10", "sex": "男", "age": 44, "cc": "尿频复诊", "hpi": "尿频改善，无晨勃，无自主勃起，排尿正常，纳可，睡眠正常，大便正常，口和，无怕冷，无乏力", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "茯苓", "川芎", "当归", "石菖蒲", "丹参", "鸡血藤", "郁金", "制远志", "蜈蚣", "炙淫羊藿", "仙茅", "黑顺片", "鹿角霜"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "茯苓", "川芎", "当归", "石菖蒲", "丹参", "鸡血藤", "郁金", "制远志", "蜈蚣", "炙淫羊藿", "仙茅", "黑顺片", "鹿角霜"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 55602, "pid": "P86b366a50f8d", "date": "2026-01-11", "sex": "男", "age": 37, "cc": "尿频复诊", "hpi": "尿频改善，尿道灼热，尿痛，伴小腹不适，无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和。腰痛，盗汗。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["猪苓", "山慈菇", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55604, "pid": "P8e1e55783c5a", "date": "2026-01-11", "sex": "男", "age": 29, "cc": "少腹隐痛4天", "hpi": "少腹隐痛4天 大小便正常 纳可 眠安 会阴部阵痛 腰痛 多汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55613, "pid": "P7879b12921d5", "date": "2026-01-11", "sex": "男", "age": 34, "cc": "阴毛部毛囊炎一月余", "hpi": "阴毛部毛囊炎一月余 大小便正常 纳可 眠安 尿不尽", "wm_dx": ["毛囊炎", "慢性前列腺炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["猪苓", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55621, "pid": "P1b6da9e60314", "date": "2026-01-11", "sex": "男", "age": 45, "cc": "包皮龟头炎抄方", "hpi": "包皮龟头炎抄方 大便正常 纳可 眠安 前列腺增生复诊取药 尿频 尿急 尿等待", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["苦参", "地肤子", "地榆", "大黄", "百部", "白鲜皮", "黄柏", "马齿苋", "蛇床子", "蒲公英", "金银花", "白花蛇舌草", "白芷", "荆芥"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["苦参", "丁香", "地肤子", "地榆", "大黄", "百部", "白鲜皮", "黄柏"], "prev_gap": 78, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 55628, "pid": "P83ba287d5451", "date": "2026-01-11", "sex": "男", "age": 67, "cc": "排尿无力尿不尽1年", "hpi": "排尿无力尿不尽1年，夜尿3次，大便正常 尿急 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热解毒"]], "rx": ["猪苓", "陈皮", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55632, "pid": "P71c919585dda", "date": "2026-01-11", "sex": "男", "age": 35, "cc": "少腹隐痛一月", "hpi": "尿频，睡眠可，吃凉易腹泻，时有口苦，无怕冷 大便正常 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "茯苓", "太子参", "陈皮"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55636, "pid": "P8877790776eb", "date": "2026-01-11", "sex": "男", "age": 66, "cc": "尿频 尿急1年余", "hpi": "尿频 尿急1年余 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "麸炒芡实", "太子参", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55640, "pid": "P1ae95d15a6c1", "date": "2026-01-11", "sex": "男", "age": 44, "cc": "阴囊潮湿半年", "hpi": "阴囊潮湿半年 大便正常 纳可 眠安 慢性前列腺炎取药", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "薏苡仁", "陈皮", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55643, "pid": "P8f3302549580", "date": "2026-01-11", "sex": "男", "age": 66, "cc": "排尿不畅复诊取药", "hpi": "排尿不畅，尿频、尿急，尿后余沥改善，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗", "wm_dx": ["前列腺增生", "高血压"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["炒酸枣仁", "茯苓", "丹参", "薏苡仁"], "flags": ["rx_len_outlier"], "prev_rx": ["炒酸枣仁", "茯苓", "丹参", "薏苡仁"], "prev_gap": 56, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 55644, "pid": "Pbee9a6a2a389", "date": "2026-01-11", "sex": "男", "age": 52, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "当归", "大黄", "白芷", "荆芥"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55649, "pid": "P6b55f6a0491a", "date": "2026-01-12", "sex": "男", "age": 31, "cc": "小腹不适1周", "hpi": "小腹不适1周，近期工作久坐，体检前列腺钙化。稍有尿频，夜尿0-1次。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "山慈菇", "猪苓", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55653, "pid": "P054c89f3a7ef", "date": "2026-01-12", "sex": "男", "age": 64, "cc": "阴茎根部及睾丸疼痛6月", "hpi": "6月前出现阴茎根部及睾丸疼痛，外院，予检查泌尿系彩超，提示：前列腺钙化灶（2025.9.25）诊断慢性前列腺炎，予药物（具体不详）口服后未见好转。尿频，会阴微痛，夜尿3次。腹痛", "wm_dx": ["精索静脉曲张", "慢性前列腺炎", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["筋瘤", "瘀血阻络证", "活血通络"], ["腹痛", "血瘀证", "活血化瘀"]], "rx": ["醋延胡索", "铁线透骨草", "荔枝核", "盐车前子", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "忍冬藤", "肉桂", "盐小茴香", "盐橘核", "郁金", "醋青皮", "燀桃仁", "红花", "当归", "赤芍", "法半夏", "白芍", "夏枯草", "路路通", "炒王不留行", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55662, "pid": "Pb6af9874bccc", "date": "2026-01-12", "sex": "男", "age": 36, "cc": "阴囊潮湿腰痛乏力3月", "hpi": "3月前出现阴囊潮湿腰痛乏力，盗汗，性欲减退，排尿可，口苦，长期熬夜，", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "麸炒苍术", "麸炒薏苡仁", "牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55665, "pid": "P19129a6df09b", "date": "2026-01-12", "sex": "男", "age": 56, "cc": "尿混浊2月", "hpi": "2月前出现尿混浊，腰痛乏力，射精快，口中和，长期夜班,勃起可，焦虑状态", "wm_dx": ["慢性前列腺炎", "焦虑状态"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "金樱子", "制巴戟天", "黄芪", "锁阳", "熟地黄", "山药"], "flags": [], "prev_rx": ["知母", "黄柏", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "制远志", "石菖蒲", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "金樱子", "醋五味子", "续断", "党参", "麸炒白术", "枸杞子", "太子参", "龙眼肉"], "prev_gap": 19, "visit_ix": 3, "n_visits": 18, "visit_ix_rx": 3, "n_rx": 7} {"rid": 55670, "pid": "P9a60429a8514", "date": "2026-01-12", "sex": "男", "age": 61, "cc": "排尿不畅2年", "hpi": "2年前出现排尿不畅，尿频尿急，夜尿5-7次，小腹胀痛，易汗出，夜寐差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "昆布", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "小通草", "麸炒冬瓜子", "苦参", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "盐益智仁", "山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55671, "pid": "Pce61b3558595", "date": "2026-01-12", "sex": "男", "age": 28, "cc": "腰痛乏力3月", "hpi": "3月前出现腰痛乏力，性欲减退，长期熬夜，夜班，手足汗出，盗汗，口干无口苦，夜寐可，", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "锁阳", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55672, "pid": "P301e753815ae", "date": "2026-01-12", "sex": "男", "age": 35, "cc": "尿频1周", "hpi": "1周前出现尿频，久坐后会阴不适，夜尿2次，偶有尿道灼热，射精快。复诊现尿频明显。", "wm_dx": ["前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["黄芪", "党参", "炙淫羊藿", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "酒苁蓉", "锁阳", "酒萸肉", "制远志", "炒酸枣仁", "肉桂"], "flags": [], "prev_rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "制远志", "炒酸枣仁", "烫水蛭"], "prev_gap": 15, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 5} {"rid": 55674, "pid": "P4748040939bf", "date": "2026-01-12", "sex": "男", "age": 33, "cc": "腰痛伴尿频2月", "hpi": "2月前出现腰痛，尿频，夜尿多，4-5次，尿量不多，白天可，尿后余沥，工作久坐，小腹不适下坠感，睡眠差。口苦，盗汗。", "wm_dx": ["泌尿系感染", "前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "砂仁", "乌药", "盐益智仁", "麸炒山药"], "flags": [], "prev_rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "麸炒薏苡仁", "炒酸枣仁"], "prev_gap": 31, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 55675, "pid": "P545e3a50efe4", "date": "2026-01-12", "sex": "男", "age": 32, "cc": "腹股沟及阴囊潮湿异味2年", "hpi": "2年前出现腹股沟及阴囊潮湿异味，天热加重，口干口苦，无小腹不适，偶有腹泻，怕冷，腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "砂仁", "麸炒苍术", "麸炒薏苡仁", "牛膝", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 55680, "pid": "Pfad22a83c227", "date": "2026-01-12", "sex": "男", "age": 37, "cc": "腰痛乏力伴射精快3年", "hpi": "3年前出现腰痛乏力伴射精快，排尿可，盗汗，失眠，龟头红疹", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["失眠", "气血两虚证", "补益气血"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["黄柏", "白花蛇舌草", "地榆", "马齿苋", "蒲公英", "花椒", "小蓟炭", "大蓟"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55686, "pid": "P19b7ebf602e3", "date": "2026-01-12", "sex": "男", "age": 46, "cc": "复诊", "hpi": "病史同前， 夜尿2次，尿不尽无力感， 大便正常 纳可 眠易醒 口服可多华，爱普力特治疗半年， ，，无肢冷，阴囊潮湿。", "wm_dx": ["反流性食管炎", "前列腺增生"], "tcm_dx": [["失眠", "心肾不交证", "清心安神"], ["腰痛", "气滞血瘀证", "活血止痛"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "泽泻", "覆盆子", "首乌藤", "炙甘草", "生姜", "大枣", "独活", "牛膝"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "泽泻", "覆盆子", "首乌藤", "生石膏", "黄芩片", "炙甘草", "生姜", "大枣", "紫苏叶"], "prev_gap": 7, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 6} {"rid": 55704, "pid": "Paa6307153e8c", "date": "2026-01-13", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "伴有早泄 时间2-3分钟 勃起可 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55705, "pid": "P4cfca596116d", "date": "2026-01-13", "sex": "男", "age": 71, "cc": "腹股沟淋巴结炎复查", "hpi": "腹股沟淋巴结炎，右侧少腹腹股沟处疼痛感3月，劳累后加重，排尿可，大便没规律 \r\n少腹隐痛 盗汗", "wm_dx": ["前列腺增生", "脂肪肝", "腹股沟淋巴结炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["猪苓", "陈皮", "瓜蒌", "竹茹", "炒酸枣仁", "知母", "三七粉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 10, "n_visits": 12, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55734, "pid": "P52835c321770", "date": "2026-01-13", "sex": "男", "age": 40, "cc": "尿频半年", "hpi": "尿频，中途疲软，睡眠一般，纳可，口和，排尿正常，大便正常，服药后睡眠好转，不欲射精", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["熟地黄", "地黄", "酒萸肉", "牡丹皮", "山药", "炒栀子", "炙黄芪", "酒黄精", "丹参", "牛膝", "鸡血藤", "制远志", "菟丝子", "枸杞子", "蜈蚣", "淡豆豉", "党参片"], "flags": [], "prev_rx": ["熟地黄", "地黄", "酒萸肉", "牡丹皮", "山药", "炒栀子", "炙黄芪", "酒黄精", "丹参", "牛膝", "鸡血藤", "制远志", "菟丝子", "枸杞子", "蜈蚣", "路路通"], "prev_gap": 28, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 7, "n_rx": 8} {"rid": 55735, "pid": "P427032402902", "date": "2026-01-13", "sex": "男", "age": 31, "cc": "尿急3月", "hpi": "尿急3月 大便正常 纳可 眠安 尿无力 勃起不坚", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "麸炒山药"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55736, "pid": "Paf0e03e5a63d", "date": "2026-01-13", "sex": "男", "age": 52, "cc": "尿频2天", "hpi": "尿频2天 下午明显 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55737, "pid": "P2ae0d1f1585d", "date": "2026-01-13", "sex": "男", "age": 50, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，多梦，射精快，排尿可，口干", "wm_dx": ["泌尿系感染", "腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["肉苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "炒蒺藜", "丁香", "木香", "麸炒枳壳", "全蝎", "锁阳", "党参", "山药", "合欢皮", "川楝子", "炙甘草", "防风", "白芷"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "酒黄精", "金樱子", "韭菜子", "制巴戟天", "锁阳"], "prev_gap": 15, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 55740, "pid": "P859b0fa5f637", "date": "2026-01-13", "sex": "男", "age": 37, "cc": "尿频尿急1月", "hpi": "尿频尿急1月，尿等待，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠可，口干，复诊腰疼左侧为主，尿频，尿急好转，夜尿1次，睡眠正常，纳可，口干，无怕冷", "wm_dx": ["前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["葛根", "桂枝", "白芍", "赤小豆", "白花蛇舌草", "燀桃仁", "红花", "茯苓", "牡丹皮", "牛膝", "阿胶珠", "地黄", "醋龟甲", "滑石", "桑寄生"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["葛根", "桂枝", "白芍", "赤小豆", "白花蛇舌草", "燀桃仁", "红花", "茯苓", "牡丹皮", "牛膝", "连翘", "醋龟甲", "滑石", "地黄"], "prev_gap": 21, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 55748, "pid": "P1407db622766", "date": "2026-01-13", "sex": "男", "age": 37, "cc": "发现PSA升高复查", "hpi": "发现PSA升高1周，5.62 ng/ml，工作久坐，无明显尿频、尿急、排尿不畅，夜尿0次。无尿后余沥，无小腹及会阴不适。乏力消瘦半年", "wm_dx": ["前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "小蓟", "白花蛇舌草", "半枝莲", "连翘", "醋三棱", "醋莪术", "红花"], "flags": [], "prev_rx": ["山慈菇", "茯苓", "太子参"], "prev_gap": 15, "visit_ix": 2, "n_visits": 16, "visit_ix_rx": 1, "n_rx": 10} {"rid": 55750, "pid": "P837746064b2b", "date": "2026-01-13", "sex": "男", "age": 37, "cc": "尿频1年", "hpi": "尿频，夜尿正常，晨勃没有，硬度一般，时间短，大便正常，纳可，睡眠正常，腰酸痛，口干口苦，无怕冷乏力感", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["生地黄", "酒萸肉", "山药", "牡丹皮", "北柴胡", "麸炒枳实", "白芍", "桃仁", "红花", "丹参", "鸡血藤", "石菖蒲", "郁金", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 55751, "pid": "P5e78ddaf970e", "date": "2026-01-13", "sex": "男", "age": 60, "cc": "腰痛乏力伴勃起不坚7年", "hpi": "7年前出现腰痛乏力伴勃起不坚，性欲可，晨勃消失，司机工作久坐，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "全蝎", "地龙", "砂仁", "北柴胡", "盐杜仲", "牛膝", "防风", "白芷", "炙甘草", "菟丝子", "盐车前子", "醋青皮", "丁香", "木香", "石菖蒲", "制远志"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "锁阳", "仙茅", "韭菜子", "黄芪"], "prev_gap": 36, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 55757, "pid": "Pf537e1fcb5bf", "date": "2026-01-13", "sex": "男", "age": 27, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期想生育，左侧睾丸不适，小腹不适，腹痛,盗汗，怕冷，失眠", "wm_dx": ["精索静脉曲张", "腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["失眠", "心神不宁证", "安神定志"]], "rx": ["桑椹", "太子参", "炒酸枣仁", "猪苓", "茯苓", "枸杞子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55758, "pid": "P37d5deb224b0", "date": "2026-01-13", "sex": "男", "age": 43, "cc": "左侧睾丸疼痛连及左下腹疼痛3天", "hpi": "左侧睾丸疼痛连及左下腹疼痛3天 大小便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "羌活", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55759, "pid": "P624d68adaf4a", "date": "2026-01-14", "sex": "男", "age": 57, "cc": "左侧睾丸疼痛腰酸疼一周余", "hpi": "左侧睾丸疼痛腰酸疼一周余 腿软 大小便正常 纳可眠安", "wm_dx": ["慢性前列腺炎", "附睾囊肿", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "太子参", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, 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"左侧睾丸不适连及小腹疼痛不适1年", "hpi": "1年前间断出现左侧睾丸不适连及小腹疼痛不适，尿等待，夜寐差，失眠，口苦，腹痛", "wm_dx": ["精索静脉曲张", "静脉曲张", "附睾囊肿"], "tcm_dx": [["筋瘤", "血瘀证", "活血化瘀"], ["腹痛", "瘀血阻络证", "活血通络"], ["筋瘤", "瘀血阻络证", "活血通络"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "白芍", "路路通", "炒王不留行", "荔枝核"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55767, "pid": "P54aa1f54c10f", "date": "2026-01-14", "sex": "男", "age": 30, "cc": "阴囊潮湿3月", "hpi": "腰痛 大小便正常 纳可 眠安 阴囊潮湿 晨起严重 腹胀", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "茯苓", "麸炒芡实", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55769, "pid": "P07ee191ff4da", "date": "2026-01-14", "sex": "男", "age": 43, "cc": "尿频半年", "hpi": "尿频，夜尿正常，色黄，大便正常，睡眠可", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "茯苓", "麸炒白术", "制巴戟天", "地黄", "赤小豆", "煅龙骨", "煅牡蛎", "炙甘草", "菟丝子", "山药", "莲须", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55770, "pid": "P27e3919b170f", "date": "2026-01-14", "sex": "男", "age": 72, "cc": "阴囊潮湿尿不尽2周", "hpi": "2周前出现阴囊潮湿尿不尽，排尿不畅，尿细，夜尿4次，尿灼热，口中和，夜寐差易醒，", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "麸炒苍术", "黄柏", "麸炒薏苡仁", "牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55774, "pid": "Pc15ce7d87876", "date": "2026-01-14", "sex": "男", "age": 40, "cc": "性功能减退2年", "hpi": "性功能减退，硬度可，时间短，乏力，口干舌燥喝水，不喜欢喝凉，尿有泡沫，大便2次，睡眠可，怕冷，腰酸，有汗", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "党参片", "生姜", "大枣", "蜈蚣", "地黄", "制巴戟天"], "flags": [], "prev_rx": ["桂枝", "白芍", "盐补骨脂", "天花粉", "牡蛎", "生姜", "大枣", "煅龙骨", "煅牡蛎", "地黄", "炙黄芪", "炙甘草", "生石膏"], "prev_gap": 35, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 7} {"rid": 55778, "pid": "Pd19783c21c6e", "date": "2026-01-14", "sex": "男", "age": 49, "cc": "腰痛乏力伴勃起不坚1年", "hpi": "1年前出现腰痛乏力伴勃起不坚，中途疲软，偶有晨勃，性欲可，夜寐可，口中和", "wm_dx": ["腰痛", "男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["枸杞子", "太子参", "桑椹", "山慈菇"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55784, "pid": "Pe4a46dd7433e", "date": "2026-01-14", "sex": "男", "age": 41, "cc": "腰酸痛乏力复诊", "hpi": "乏力腰痛伴有早泄，晨起腰痛明显，失眠多梦，轻度口干口苦，纳可，无腹痛，大便正常，小便正常，腰酸痛，乏力，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚", "补肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "黄芪", "人参", "韭菜子", "制巴戟天", "盐补骨脂"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "黄芪", "人参", "韭菜子", "制巴戟天"], "prev_gap": 52, "visit_ix": 10, "n_visits": 15, "visit_ix_rx": 1, "n_rx": 5} {"rid": 55786, "pid": "P9e471ab71ab9", "date": "2026-01-14", "sex": "男", "age": 57, "cc": "尿不尽3年", "hpi": "3年前出现尿不尽，夜尿1次，排尿不畅，小腹胀痛，口中和，夜寐可", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["精癃", "下焦湿热证", "清热利湿"], ["精浊", "肾虚证", "滋补肾精"]], "rx": ["车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪", "砂仁"], "flags": [], "prev_rx": ["车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪", "砂仁"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 55787, "pid": "P6252cd3c3c37", "date": "2026-01-14", "sex": "男", "age": 33, "cc": "尿不尽一年", "hpi": "尿不尽，近一月出现夜尿1次，无尿痛，少腹正常，无腰疼，大便不成型，纳可，睡眠可，早醒，口干喝水口苦，怕冷怕热，出汗，盗汗，服用后夜尿，睡眠4点醒，燥热感，复诊，盗汗，打嗝，腹胀，复诊：盗汗消失，尿不尽，口干", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["滑石", "猪苓", "阿胶珠", "茯苓", "泽泻", "锁阳", "莲须", "炒栀子", "淡豆豉", "党参片", "赤小豆", "煅龙骨"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "生石膏", "牡丹皮", "炒栀子", "淡豆豉", "地黄", "酒萸肉", "山药", "煅龙骨", "煅牡蛎", "白芍", "天花粉", "党参片", "滑石"], "prev_gap": 42, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 7, "n_rx": 8} {"rid": 55789, "pid": "Pa016e8aa0618", "date": "2026-01-14", "sex": "男", "age": 27, "cc": "左侧腹股沟疼痛复诊", "hpi": "大小便正常 纳可 眠安 少腹隐痛 腰痛 左侧腹股沟疼痛酸胀好转，口和", "wm_dx": ["腹股沟淋巴结炎", "附睾炎", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["炙淫羊藿", "车前草", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "路路通", "炒王不留行", "盐小茴香", "夏枯草", "荔枝核", "黄芪", "墨旱莲", "北柴胡", "白芍"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "路路通", "墨旱莲", "炒王不留行", "盐小茴香", "夏枯草", "荔枝核", "黄芪"], "prev_gap": 7, "visit_ix": 16, "n_visits": 28, "visit_ix_rx": 11, "n_rx": 21} {"rid": 55795, "pid": "Pccaadd7f13c2", "date": "2026-01-14", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 早泄 勃起可 性欲低 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "盐车前子", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "黑芝麻", "酒女贞子", "覆盆子", "墨旱莲", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "枸杞子", "醋五味子", "盐车前子", "韭菜子", "麸炒枳壳", "炙甘草"], "prev_gap": 67, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 3} {"rid": 55796, "pid": "Pa8d74483e394", "date": "2026-01-14", "sex": "男", "age": 33, "cc": "尿频1.5月", "hpi": "尿频，晨勃有，硬度一般，时间短，易汗，睡眠一般，纳可，大便不成型3-4次，口干", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "北柴胡", "郁金", "醋香附", "柏子仁", "酒黄精", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55799, "pid": "P46e7cb1e4b30", "date": "2026-01-14", "sex": "男", "age": 39, "cc": "腰痛乏力小腹胀痛1年", "hpi": "1年前出现腰痛乏力小腹胀痛，自觉龟头充血状态，射精快，尿痛，尿分叉，口干口苦。夜寐差，失眠，长期熬夜，盗汗", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾益精"], ["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["茯苓", "太子参", "猪苓", "桑椹", "炒酸枣仁", "丹参"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "金樱子", "酒黄精", "炒酸枣仁", "柏子仁", "韭菜子"], "prev_gap": 16, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 5} {"rid": 55801, "pid": "Pc71fb4794961", "date": "2026-01-14", "sex": "男", "age": 28, "cc": "小腹胀痛会阴疼痛1月", "hpi": "1月前出现小腹胀痛会阴疼痛，10外院，诊断慢性前列腺炎，予左氧氟沙星片+盐酸坦索罗辛缓释胶囊口服未见好转，排尿可，夜尿1-2次，口干口苦，夜寐可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55803, "pid": "P71d8b8547383", "date": "2026-01-14", "sex": "男", "age": 62, "cc": "尿频尿痛1月", "hpi": "1月前出现尿频尿痛，腰痛乏力，勃起不坚，性欲减退，晨勃消失，多梦，口干，体检发现CA724升高。", "wm_dx": ["腰痛", "泌尿系感染", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "川芎", "菟丝子", "酒女贞子", "醋龟甲", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "仙茅", "韭菜子", "制巴戟天", "黄芪", "酒黄精", "人参", "炙淫羊藿", "全蝎"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "仙茅", "韭菜子", "制巴戟天", "黄芪", "酒黄精", "人参"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 55805, "pid": "Pb345557bb617", "date": "2026-01-14", "sex": "男", "age": 48, "cc": "尿频 夜尿3次复诊", "hpi": "尿频 夜尿3次改善 少腹隐痛改善 无睾丸疼痛 大便正常 纳可 眠差 腰痛 乏力 疲劳", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "麸炒芡实", "太子参", "制巴戟天", "覆盆子", "菟丝子"], "flags": [], "prev_rx": ["猪苓", "麸炒芡实", "太子参", "制巴戟天"], "prev_gap": 20, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 55808, "pid": "Pd9100a2408e5", "date": "2026-01-14", "sex": "男", "age": 67, "cc": "排尿不畅2年", "hpi": "2年前出现排尿不畅，既往前列腺增生，自服前列安通未见明显缓解，夜尿1-2次，口干口苦，夜寐差，大便稀，", "wm_dx": ["高血压", "前列腺增生"], "tcm_dx": [["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "人参", "制巴戟天", "酒黄精", "炒酸枣仁", "柏子仁", "石菖蒲"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "人参", "制巴戟天", "酒黄精", "炒酸枣仁", "柏子仁"], "prev_gap": 9, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 55815, "pid": "Pa342451a9311", "date": "2026-01-14", "sex": "男", "age": 42, "cc": "排尿不畅夜间明显一月余", "hpi": "排尿不畅夜间明显改善 大便正常 失眠改善 腰痛 疲劳怕冷 乏力 盗汗", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["知母", "炒酸枣仁", "覆盆子", "菟丝子", "制巴戟天", "太子参"], "flags": [], "prev_rx": ["太子参", "制巴戟天", "炒酸枣仁", "知母", "猪苓"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 55823, "pid": "P1549952f168e", "date": "2026-01-15", "sex": "男", "age": 31, "cc": "腰痛伴射精快1年", "hpi": "1年前出现腰痛乏力射精快，同房频率1月1次，勃起欠佳，手淫频繁，长期熬夜，口干口苦，胁肋疼痛，龟头红疹。", "wm_dx": ["腰痛"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "韭菜子", "制巴戟天", "锁阳", "蛇床子", "五倍子", "醋五味子", "细辛", "金银花", "蒲公英"], "prev_gap": 43, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 55828, "pid": "P15dc3ec30e27", "date": "2026-01-15", "sex": "男", "age": 37, "cc": "腰痛乏力伴弱精1周", "hpi": "1周前出现腰痛乏力伴弱精，口干口苦，夜寐差，二便调", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "韭菜子", "当归", "熟地黄", "菟丝子", "炙淫羊藿", "川牛膝"], "flags": [], "prev_rx": ["制何首乌", "韭菜子", "当归", "熟地黄", "菟丝子", "炙淫羊藿", "川牛膝"], "prev_gap": 15, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 8} {"rid": 55831, "pid": "Pa1b71f87e1cd", "date": "2026-01-15", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，熬夜，焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55834, "pid": "P7cf31553c491", "date": "2026-01-15", "sex": "男", "age": 27, "cc": "腰痛乏力2周", "hpi": "腰痛乏力2周，长期熬夜，口中和，胁肋疼痛，眠差，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55839, "pid": "P3f606aeebe3d", "date": "2026-01-15", "sex": "男", "age": 37, "cc": "阴囊潮湿半月", "hpi": "阴囊潮湿半月 大便正常 纳可 眠差 夜班多 尿频 少腹隐痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55844, "pid": "P98c77abe47ab", "date": "2026-01-15", "sex": "男", "age": 25, "cc": "腰痛复诊", "hpi": "腰痛改善 阳痿早泄改善 晨勃少 大便正常 纳可 熬夜多 尿频 尿急", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "炙甘草", "陈皮", "姜厚朴", "炒芥子", "石菖蒲", "制远志", "盐胡芦巴", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "醋香附", "川楝子", "煅阳起石", "紫石英", "赤石脂", "麸炒枳壳", "防风", "白芷", "韭菜子"], "flags": [], "prev_rx": ["北柴胡", "白芍", "麸炒枳实", "炙甘草", "姜半夏", "陈皮", "姜厚朴", "炒芥子", "石菖蒲", "制远志", "盐胡芦巴", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "醋香附", "川楝子", "煅阳起石", "紫石英", "赤石脂", "麸炒枳壳", "防风", "白芷"], "prev_gap": 28, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 55846, "pid": "P567aefbb482b", "date": "2026-01-15", "sex": "男", "age": 37, "cc": "尿频 腰酸疼 失眠 尿不尽一月余", "hpi": "尿频 腰酸疼 失眠 尿不尽一月余 大便正常 纳可 失眠 体检前列腺钙化灶", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "知母", "太子参", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 55847, "pid": "P20417c341ca7", "date": "2026-01-15", "sex": "男", "age": 26, "cc": "尿频半年", "hpi": "尿频，夜尿正常，大便易腹泻，喜欢冰水，口和，无怕冷晨勃少，硬度一般，无乏力感", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "山药", "酒萸肉", "北沙参", "人参", "炙黄芪", "石菖蒲", "制远志", "制巴戟天", "仙茅", "川牛膝"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "山药", "酒萸肉", "北沙参", "人参", "炙黄芪", "石菖蒲", "制远志", "制巴戟天", "仙茅"], "prev_gap": 23, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 55848, "pid": "P96c491dc4378", "date": "2026-01-15", "sex": "男", "age": 44, "cc": "少腹隐痛复诊", "hpi": "少腹隐痛改善 便秘 排尿不畅 纳可 失眠 腰痛 乏力 盗汗", "wm_dx": ["盗汗", "腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "炒酸枣仁", "知母", "山慈菇", "麸炒枳壳", "牡丹皮"], "flags": [], "prev_rx": ["猪苓", "制巴戟天", "太子参", "炒酸枣仁", "知母", "山慈菇", "牡丹皮"], "prev_gap": 15, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 55861, "pid": "P8f1accab3087", "date": "2026-01-16", "sex": "男", "age": 43, "cc": "尿频一月", "hpi": "尿频，尿不尽，试管2次未成功，既往检查精液2.49%，排尿正常，大便不成型，肠镜-，睡眠正常，纳可，口干，腰痛，近期乏力，体重下降\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n5", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["菟丝子", "枸杞子", "醋五味子", "熟地黄", "牡丹皮", "酒萸肉", "北柴胡", "红景天", "天花粉", "牡蛎", "醋龟甲", "酒黄精", "石菖蒲", "赤小豆", "白花蛇舌草", "党参片", "绵萆薢", "金樱子肉", "覆盆子", "盐车前子", "韭菜子", "炙淫羊藿"], "flags": [], "prev_rx": ["菟丝子", "枸杞子", "醋五味子", "熟地黄", "牡丹皮", "酒萸肉", "北柴胡", "红景天", "天花粉", "牡蛎", "醋龟甲", "酒黄精", "石菖蒲", "赤小豆", "白花蛇舌草", "党参片", "绵萆薢", "金樱子肉"], "prev_gap": 14, "visit_ix": 1, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 10} {"rid": 55871, "pid": "Pbf12032d4ffc", "date": "2026-01-16", "sex": "男", "age": 47, "cc": "腰痛乏力尿频尿急1月", "hpi": "腰痛乏力，尿频尿急，盗汗，长期熬夜，口干口苦", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子", "韭菜子", "金樱子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55876, "pid": "Pde604b0ada69", "date": "2026-01-16", "sex": "男", "age": 40, "cc": "尿频2周", "hpi": "尿频2周，尿道灼热，肛周瘙痒，夜尿3次，无小腹及会阴不适，大便质干，纳可，眠差，易醒，口干，盗汗", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "知母", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55879, "pid": "P523c70639239", "date": "2026-01-16", "sex": "男", "age": 35, "cc": "会阴不适1月", "hpi": "会阴不适1月，开车久坐后加重，伴尿频，尿量少，夜尿0次", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "川牛膝", "炒王不留行", "麸炒薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55889, "pid": "P77df1b3c5528", "date": "2026-01-16", "sex": "男", "age": 65, "cc": "腰痛乏力伴勃起不坚1月", "hpi": "1月前出现腰痛乏力，勃起不坚，性欲可，晨勃可，口干口苦，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "全蝎", "韭菜子", "制巴戟天", "黄芪", "锁阳", "太子参", "桑椹", "猪苓", "枸杞子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55893, "pid": "Pd69f18f5e02a", "date": "2026-01-17", "sex": "男", "age": 39, "cc": "腰疼一年", "hpi": "腰疼，尿有泡沫，色黄，大便1-2次，时有口苦口气重，精液味道重，汗多，手脚出汗，睡眠中途醒，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "葛根", "白芍", "大枣", "赤小豆", "白花蛇舌草", "地黄", "燀桃仁", "红花", "牡丹皮", "滑石"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55894, "pid": "P0d740fb20cef", "date": "2026-01-17", "sex": "男", "age": 47, "cc": "夜尿3-4次一年", "hpi": "夜尿3-4次，喝水即尿，色黄，无腹痛，无腰疼，大便不成型，睡眠可，纳可，吃生冷易腹泻，口和，无怕冷，肩膀痛", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "麸炒白术", "茯苓", "猪苓", "滑石", "牡丹皮", "山药", "乌药", "盐益智仁", "砂仁", "黑顺片", "炙甘草", "干姜", "赤小豆", "淡豆豉", "炒栀子"], "flags": [], "prev_rx": ["桂枝", "麸炒白术", "茯苓", "猪苓", "滑石", "牡丹皮", "山药", "乌药", "盐益智仁", "砂仁", "黑顺片", "炙甘草", "干姜", "赤小豆", "麻黄"], "prev_gap": 7, "visit_ix": 3, "n_visits": 10, "visit_ix_rx": 3, "n_rx": 10} {"rid": 55895, "pid": "Pf578ef89335d", "date": "2026-01-17", "sex": "男", "age": 36, "cc": "腰痛乏力伴勃起中途疲软3月", "hpi": "3月前出现腰痛乏力伴勃起中途疲软，晨勃减少，性欲可，长期熬夜，夜尿2次多年，长期开车憋尿，小腹胀痛，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "锁阳", "黄芪", "全蝎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 55896, "pid": "P8dc6c6b20df4", "date": "2026-01-17", "sex": "男", "age": 30, "cc": "睾丸肿痛一天", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有", "wm_dx": ["睾丸炎"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["北柴胡", "黄芩片", "合欢皮", "石菖蒲", "制远志", "醋香附", "酒萸肉", "山药", "熟地黄", "茯苓", "泽泻", "滑石", "红景天", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["北柴胡", "葛根", "干姜", "人参", "炒栀子", "淡豆豉", "黄芩片", "煅龙骨", "煅牡蛎", "当归", "川芎", "茯苓", "醋鸡内金", "菟丝子", "枸杞子", "地黄"], "prev_gap": 18, "visit_ix": 5, "n_visits": 24, "visit_ix_rx": 4, "n_rx": 23} {"rid": 55897, "pid": "P0cf786e70347", "date": "2026-01-17", "sex": "男", "age": 37, "cc": "会阴不适2周", "hpi": "会阴不适2周，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般", "wm_dx": ["附睾囊肿", "精索静脉曲张", "前列腺炎", "静脉曲张"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "当归", "秦艽", "乌药", "盐小茴香", "桂枝", "燀桃仁", "红花", "牡丹皮", "白芍", "川楝子", "牛膝", "赤小豆", "大黄", "甘草片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 25, "visit_ix_rx": 0, "n_rx": 18} {"rid": 55901, "pid": "P91e62eee1966", "date": "2026-01-17", "sex": "男", "age": 39, "cc": "尿频一月", "hpi": "尿频，准备2胎，性功能正常，排尿正常，大便正常，睡眠一般，早醒，口苦，纳可，怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "生地黄", "酒萸肉", "山药", "牡丹皮", "酒女贞子", "菟丝子", "赤小豆", "白花蛇舌草", "牛膝", "党参", "醋龟甲"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "生地黄", "酒萸肉", "山药", "牡丹皮", "酒女贞子", "菟丝子", "赤小豆", "白花蛇舌草", "牛膝", "人参", "醋龟甲"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 55904, "pid": "Pf42772310e92", "date": "2026-01-17", "sex": "男", "age": 39, "cc": "左侧睾丸疼痛不适1月", "hpi": "1月前出现左侧睾丸不适，尿不尽尿无力，手淫频繁，左侧睾丸肿大，阴茎根部瘙痒，耳鸣，夜寐差，腰痛乏力，盗汗，阴茎根部红疹瘙痒", "wm_dx": ["慢性前列腺炎", "腰痛", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["白花蛇舌草", "马齿苋", "蒲公英", "盐黄柏", "蛇床子", "金银花", "地肤子", "苦参", "盐车前子", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "制巴戟天", "锁阳", "麸炒山药", "金樱子", "醋五味子", "路路通", "炒王不留行", "夏枯草", "荔枝核", "黄芪", "炙甘草"], "flags": [], "prev_rx": ["盐车前子", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "醋五味子", "制巴戟天", "锁阳"], "prev_gap": 14, "visit_ix": 3, "n_visits": 16, "visit_ix_rx": 1, "n_rx": 9} {"rid": 55909, "pid": "P9c19f9d7936d", "date": "2026-01-17", "sex": "男", "age": 45, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。饮酒多。", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55910, "pid": "P4a8abc8a47c8", "date": "2026-01-17", "sex": "男", "age": 40, "cc": "尿频一年", "hpi": "尿频，纳可，大便正常，有2孩，半年前胎停一次，睡眠正常，口和，晨起头晕感，腰疼，怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["葛根", "白芍", "桂枝", "麻黄", "生石膏", "地黄", "天花粉", "荆芥", "防风", "牡丹皮", "菟丝子", "枸杞子", "焦山楂", "炒栀子", "牡蛎"], "flags": [], "prev_rx": ["葛根", "白芍", "桂枝", "麻黄", "生石膏", "地黄", "盐补骨脂", "荆芥", "防风", "炙甘草", "菟丝子", "枸杞子"], "prev_gap": 45, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 55911, "pid": "P7c30f6d235cb", "date": "2026-01-17", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，射精困难，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗明显，阴囊潮湿，梦多", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "制远志", "知母", "盐关黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "绵萆薢"], "prev_gap": 20, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 55918, "pid": "P83bc12459177", "date": "2026-01-17", "sex": "男", "age": 34, "cc": "尿频2月", "hpi": "尿频2月，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗，工作久坐", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "茯苓", "薏苡仁", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55919, "pid": "P8152ca6a225d", "date": "2026-01-17", "sex": "男", "age": 26, "cc": "尿频1周", "hpi": "尿频1周，气味重，尿急，夜尿0-1次，纳可，盗汗，口干", "wm_dx": ["尿频", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "川牛膝", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55930, "pid": "Pd681eb81f824", "date": "2026-01-17", "sex": "男", "age": 47, "cc": "阴囊潮湿2年", "hpi": "阴囊潮湿2年，阴茎根部潮湿，肛周潮湿瘙痒，尿频，无夜尿，排尿不畅改善。眠差，纳可，大便粘。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["麸炒苍术", "麸炒薏苡仁", "黄柏", "川牛膝", "北柴胡", "龙胆", "炒栀子", "茯苓", "猪苓", "蒲公英", "炒酸枣仁", "柏子仁", "党参", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["麸炒苍术", "麸炒薏苡仁", "黄柏", "川牛膝", "北柴胡", "龙胆", "炒栀子", "茯苓", "猪苓", "蒲公英", "炒酸枣仁", "柏子仁"], "prev_gap": 14, "visit_ix": 1, "n_visits": 24, "visit_ix_rx": 1, "n_rx": 6} {"rid": 55931, "pid": "P871e8d677e5e", "date": "2026-01-17", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗，胁痛", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55935, "pid": "P7eec9706aa99", "date": "2026-01-17", "sex": "男", "age": 40, "cc": "腰酸痛3-4年", "hpi": "腰酸痛，多汗，动则汗出，手脚出汗，无盗汗，咳嗽有痰白痰，怕冷，排尿尿不尽，色黄，大便正常，纳可，口和，硬度一般", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "炒苦杏仁", "生姜", "大枣", "桑白皮", "浙贝母", "竹茹", "葛根", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "党参片", "滑石", "甘草片"], "flags": [], "prev_rx": ["桂枝", "白芍", "炒苦杏仁", "生姜", "大枣", "桑白皮", "浙贝母", "竹茹", "葛根", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "党参片", "滑石", "甘草片"], "prev_gap": 24, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 7} {"rid": 55936, "pid": "P45d65bd4ec94", "date": "2026-01-17", "sex": "男", "age": 44, "cc": "尿频2周", "hpi": "尿频，夜尿正常，大便一般，睡眠差，多梦，早醒，纳可，口干，偶有，怕冷，腰疼", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "麸炒薏苡仁", "赤小豆", "石菖蒲", "郁金", "醋香附", "豆蔻", "炒栀子", "淡豆豉", "丹参", "鸡血藤", "蜈蚣", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55942, "pid": "P5c322ff3b2ba", "date": "2026-01-17", "sex": "男", "age": 48, "cc": "腰痛数年", "hpi": "腰痛数年，硬度下降，性欲低，乏力，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "石菖蒲", "制远志", "醋香附", "丹参", "鸡血藤", "制巴戟天", "牛膝", "蜈蚣", "麸炒白术", "路路通", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓"], "prev_gap": 16, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 55943, "pid": "P3ae0dc96cfd9", "date": "2026-01-17", "sex": "男", "age": 36, "cc": "尿频一年", "hpi": "尿频，生化2次，性功能正常，排尿正常，大便正常，无阴囊潮湿 ，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["虎杖", "当归", "连翘", "赤小豆", "茯苓", "泽泻", "菟丝子", "覆盆子", "盐车前子", "熟地黄", "制巴戟天", "白花蛇舌草", "淡竹叶", "人参", "炒栀子"], "flags": [], "prev_rx": ["虎杖", "当归", "连翘", "赤小豆", "茯苓", "泽泻", "菟丝子", "覆盆子", "盐车前子", "熟地黄", "肉桂", "制巴戟天", "白花蛇舌草", "茵陈", "人参"], "prev_gap": 112, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 55959, "pid": "Pcf9ea87015d7", "date": "2026-01-17", "sex": "男", "age": 39, "cc": "少腹隐痛一月", "hpi": "少腹隐痛一月 腰疼，大便不成型 尿频 纳可 眠差，口干", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "燀桃仁", "红花", "牡丹皮", "茯苓", "党参片", "地黄", "滑石", "茵陈", "天花粉", "牡蛎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55960, "pid": "Pe45eb79b0378", "date": "2026-01-17", "sex": "男", "age": 33, "cc": "腰痛1年", "hpi": "腰痛1年，硬度改善明显，性欲可，工作可，压力可。晨勃改善。工作可，焦虑可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "石菖蒲", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "菟丝子", "制远志", "酒黄精", "茯苓", "玫瑰花"], "prev_gap": 49, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 5} {"rid": 55962, "pid": "Pb394ca49ee62", "date": "2026-01-17", "sex": "男", "age": 32, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55971, "pid": "Pcd1e9b21f041", "date": "2026-01-17", "sex": "男", "age": 33, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作加班劳累，二便调，纳眠可，口干，盗汗，夜尿1-2次。今日体检前列腺超声未见明显异常。", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55973, "pid": "P2f622073451c", "date": "2026-01-17", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，焦虑", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55977, "pid": "Pc2e50c875d74", "date": "2026-01-17", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，怕冷，手脚冷，工作可，大便质干，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 55978, "pid": "P7cf2dcdd34c1", "date": "2026-01-17", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，稍有盗汗口干", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "麸炒白术", "麸炒山药"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 55979, "pid": "P124ce4692abe", "date": "2026-01-17", "sex": "男", "age": 31, "cc": "尿后余沥1年", "hpi": "尿后余沥1年，尿频，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗，腰痛，乏力，焦虑。", "wm_dx": ["前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55980, "pid": "P6b64d9015934", "date": "2026-01-17", "sex": "男", "age": 58, "cc": "腰痛2月", "hpi": "腰痛2月，硬度和性欲下降，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，怕冷", "wm_dx": ["腰痛", "高血压"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 55990, "pid": "P8cf2b5e07541", "date": "2026-01-17", "sex": "男", "age": 35, "cc": "腰痛复诊", "hpi": "性欲差，熬夜，晨勃可，硬度差，腰痛，大便正常，睡眠一般，口和，纳差 乏力", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "覆盆子", "陈皮", "川牛膝", "炒酸枣仁", "知母", "白芍"], "flags": [], "prev_rx": ["太子参", "制巴戟天", "覆盆子", "陈皮"], "prev_gap": 32, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 55996, "pid": "P8d80c4cfe69a", "date": "2026-01-18", "sex": "男", "age": 55, "cc": "阴茎疼痛3月", "hpi": "3月前出现阴茎疼痛，排尿可，勃起疼痛加重", "wm_dx": ["阴茎海绵体硬结症"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["子痰", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "白芍", "荔枝核", "黄芪", "路路通", "炒王不留行"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 55999, "pid": "P59d91c22a653", "date": "2026-01-18", "sex": "男", "age": 28, "cc": "阴囊潮湿1年", "hpi": "1年前出现阴囊潮湿，口干，汗出，盗汗，下肢无力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "黄柏", "甘草", "麸炒苍术", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "酒黄精", "车前草", "麸炒薏苡仁", "牛膝", "生地黄", "酒萸肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56000, "pid": "P43aa029afbd9", "date": "2026-01-18", "sex": "男", "age": 26, "cc": "尿频2周", "hpi": "尿频2周，腰痛乏力，口中和，夜寐可，", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花", "蒲公英"], "flags": 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"人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56009, "pid": "P44a0866ae5cb", "date": "2026-01-18", "sex": "男", "age": 58, "cc": "腰痛乏力伴勃起不坚1年", "hpi": "1年前出现腰痛乏力伴勃起不坚，性欲减退，晨勃消失，口干口苦，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "制巴戟天", "韭菜子", "锁阳"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "韭菜子", "锁阳"], "prev_gap": 25, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56016, "pid": "P537e6ea9d0aa", "date": "2026-01-18", "sex": "男", "age": 37, "cc": "腰痛乏力6月", "hpi": "6月前出现腰痛乏力，排尿可，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肝肾两虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋五味子", "生地黄", "熟地黄", "炙淫羊藿", "酒苁蓉", "盐车前子", "菟丝子", "醋龟甲", "醋鸡内金", "酒黄精", "地肤子", "金樱子", "覆盆子", 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"覆盆子", "菟丝子", "盐车前子", "醋延胡索"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "知母", "白芍", "盐关黄柏", "炒酸枣仁", "炙甘草", "龙骨", "牡蛎", "菟丝子", "盐车前子", "烫骨碎补", "醋延胡索"], "prev_gap": 43, "visit_ix": 4, "n_visits": 9, "visit_ix_rx": 4, "n_rx": 9} {"rid": 56033, "pid": "P5d8ab38ed934", "date": "2026-01-18", "sex": "男", "age": 31, "cc": "腰痛1月", "hpi": "腰痛1月，口干口苦，胁肋疼痛，长期熬夜.", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾纳气"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "prev_gap": 17, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 5} {"rid": 56042, "pid": "P1701303a601e", "date": "2026-01-18", "sex": "男", "age": 30, "cc": "腰痛伴射精快3年", "hpi": "腰痛伴射精快3年，乏力，阴囊潮湿，勃起硬度欠佳，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚", "补肾"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["肉桂", "麸炒白术", "肉苁蓉", "制巴戟天", "太子参", "石菖蒲", "酒萸肉", "盐车前子", "覆盆子", "菟丝子", "锁阳", "炙淫羊藿", "仙茅", "熟地黄", "酒大黄", "金樱子", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["肉桂", "麸炒白术", "制远志", "肉苁蓉", "制巴戟天", "太子参", "石菖蒲", "酒萸肉", "盐车前子", "覆盆子", "菟丝子", "熟地黄", "酒大黄", "炙淫羊藿", "仙茅", "锁阳"], "prev_gap": 29, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56045, "pid": "P7f077ff255db", "date": "2026-01-18", "sex": "男", "age": 36, "cc": "尿频复诊", "hpi": "尿频，腰痛，乏力，时间短（<100次），硬度可，性欲可，性生活不规律，工作可，同居感情可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["升麻", "北柴胡", "菟丝子", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "黄芪", "莲须"], "flags": [], "prev_rx": ["党参片", "升麻", "北柴胡", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉"], "prev_gap": 134, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 56050, "pid": "Pea53a62fc779", "date": "2026-01-18", "sex": "男", "age": 70, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，性欲减退，口中和，排尿不畅，夜尿3次，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "人参", "川芎", "制巴戟天", "韭菜子", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 56052, "pid": "P38bd8dbe9263", "date": "2026-01-18", "sex": "男", "age": 25, "cc": "腰痛乏力伴勃起中途疲软6月", "hpi": "6月前出现腰痛乏力伴勃起中途疲软，记忆力减退，晨勃减少，口干，无口苦，长期熬夜，喜饮冷食辣", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "酒黄精", "制巴戟天", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56053, "pid": "P357de1671945", "date": "2026-01-18", "sex": "男", "age": 32, "cc": "龟头红疹瘙痒2天", "hpi": "2天前出现龟头红疹瘙痒，包皮水肿，焦虑状态，腰痛乏力，盗汗", "wm_dx": ["焦虑状态", "包皮龟头炎"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56057, "pid": "P5e80805fd514", "date": "2026-01-19", "sex": "男", "age": 71, "cc": "排尿不畅10年", "hpi": "排尿不畅，淋漓不尽，尿无力，勃起困难，无尿痛，曾服中药。眠差多梦，手脚凉，易汗，夜间口干不苦，反酸呃逆，时有腹胀，便调", "wm_dx": ["前列腺增生"], "tcm_dx": [["痨病", "肾虚证", "补肾固精"], ["癃闭", "肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "泽泻", "生石膏", "茯苓", "白术", "砂仁", "陈皮", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 11} {"rid": 56058, "pid": "P53bced466627", "date": "2026-01-19", "sex": "男", "age": 51, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，偶有勃起不坚，中途疲软，性欲可，晨勃可，口中和，自觉痰多，夜寐差，长期熬夜，不易入睡，易醒，", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "制巴戟天", "仙茅", "人参", "盐补骨脂", "全蝎"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天", "仙茅", "人参"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 56060, "pid": "Pb68bcb0827ae", "date": "2026-01-19", "sex": "男", "age": 47, "cc": "性功能减退感一年", "hpi": "勃起持续时间短，勃起硬度减或不能持续，性欲减少，自用他达拉非，有改善，但持续服。平素怕冷、尿频。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "盐补骨脂", "地龙", "九香虫", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 56064, "pid": "P7014af9c21de", "date": "2026-01-19", "sex": "男", "age": 70, "cc": "阴囊潮湿4年", "hpi": "阴囊潮湿瘙痒，天热明显，腹股沟红疹瘙痒，大便正常，排尿正常，睡眠正常，口和，口唇干，无怕冷，尿等待", "wm_dx": ["湿疹"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾阴虚证", "滋补肾阴"], ["精癃", "下焦湿热证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["地肤子", "白花蛇舌草", "黄柏", "金银花", "连翘", "苦参", "蛇床子", "百部", "地榆", "蒲公英", "小蓟", "马齿苋"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56070, "pid": "P7cd2b34c459a", "date": "2026-01-19", "sex": "男", "age": 40, "cc": "尿频10年", "hpi": "尿蘋，无尿急尿痛，排尿畅。曾在当地诊为前列腺炎。易汗，无肢冷。纳可寐安。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "桑螵蛸", "盐益智仁", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56071, "pid": "P3c10d6994b65", "date": "2026-01-19", "sex": "男", "age": 24, "cc": "尿频尿不尽伴射精快5年", "hpi": "5年前出现尿频尿不尽伴射精快，阴囊潮湿，长期熬夜，夜寐可，口中和，盗汗，耳鸣，腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "山药", "北柴胡", "醋鸡内金"], "flags": [], "prev_rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "山药"], "prev_gap": 12, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 56076, "pid": "P62ca93cdaf70", "date": "2026-01-19", "sex": "男", "age": 43, "cc": "腰痛乏力4月", "hpi": "4月前出现腰痛乏力，勃起不坚，射精快，既往手淫，口干口苦，吸烟饮酒多年，晨勃消失", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "全蝎", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "韭菜子", "炒酸枣仁", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 56087, "pid": "Pccb461239ddb", "date": "2026-01-19", "sex": "男", "age": 68, "cc": "腰痛乏力伴勃起不坚1年", "hpi": "1年前出现腰痛乏力伴勃起不坚，性欲减退，晨勃消失，记忆力减退，", "wm_dx": ["男性更年期综合征"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["太子参", "炒酸枣仁", "枸杞子", "桑椹"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56090, "pid": "Pa6b5cf6b66f7", "date": "2026-01-19", "sex": "男", "age": 54, "cc": "尿混浊6月", "hpi": "6月前发现尿混浊，咽部不适有异物感，腰痛乏力，勃起欠佳，", "wm_dx": ["泌尿系感染", "高血压"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "韭菜子", "仙茅", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56096, "pid": "Pc222064e9e82", "date": "2026-01-19", "sex": "男", "age": 32, "cc": "尿黄伴腰痛乏力1月", "hpi": "1月前出现尿黄伴腰痛乏力，咽部不适有痰，口干，长期熬夜，易醒，大便稀", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["太子参", "枸杞子", "桑椹", "猪苓", "龙眼肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56097, "pid": "Pd7704a403bd5", "date": "2026-01-19", "sex": "男", "age": 33, "cc": "尿异味伴小腹不适1月", "hpi": "1月前出现尿异味伴小腹不适，同房后左侧腹股沟不适，乏力腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "枸杞子", "桑椹", "龙眼肉"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56102, "pid": "P6822c4d08baf", "date": "2026-01-20", "sex": "男", "age": 63, "cc": "尿频3月", "hpi": "尿频，性功能减退，勃起不坚，无晨勃，排尿正常，夜尿正常，大便正常，睡眠正常，口干，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚", "补肾"], ["尿频", "肾虚", "补肾"]], "rx": ["地黄", "天花粉", "牡蛎", "麦冬", "酒萸肉", "山药", "牡丹皮", "丹参", "知母", "鸡血藤", "蜈蚣", "党参片", "制巴戟天", "盐关黄柏"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 56110, "pid": "Pffd8817d0f54", "date": "2026-01-20", "sex": "男", "age": 65, "cc": "尿频半年", "hpi": "尿频，半年前出现勃起不行，无晨勃，排尿不畅，夜尿正常，尿黄，大便正常，睡眠差早醒，纳可，口和，无怕冷，无腰疼，在杏园金方口服3月汤药未效", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "石菖蒲", "炒栀子", "淡豆豉", "北柴胡", "麸炒枳实", "白芍", "煅龙骨", "煅牡蛎", "制巴戟天", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 6} {"rid": 56114, "pid": "P680bdf1e8e3a", "date": "2026-01-20", "sex": "男", "age": 49, "cc": "腰痛乏力抄方", "hpi": "6月前出现腰痛乏力，下肢冷，尿频尿急", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["荆芥穗", "葶苈子", "炒苦杏仁", "桑叶", "紫苏叶", "炒苍耳子", "金樱子肉", "辛夷", "陈皮", "细辛", "绵萆薢", "石韦"], "flags": [], "prev_rx": ["黑顺片", "炙甘草", "肉桂", "黄芪", "盐益智仁", "绵萆薢", "茯苓", "白术", "醋延胡索", "醋香附", "陈皮", "藁本片"], "prev_gap": 43, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 56115, "pid": "Pd8d14a52ebb5", "date": "2026-01-20", "sex": "男", "age": 43, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力改善，左侧腹股沟不适，眠差，小腹胀痛，盗汗，汗出", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "太子参", "覆盆子", "菟丝子", "知母", "炒酸枣仁", "丹参"], "flags": [], "prev_rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "党参", "茯苓", "泽泻", "酒萸肉", "锁阳", "桂枝", "乌梅", "麸炒芡实", "炙甘草", "石斛", "烫水蛭"], "prev_gap": 28, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 56116, "pid": "P8eb04430db88", "date": "2026-01-20", "sex": "男", "age": 35, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适。工作熬夜，盗汗。 胁痛半年", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["太子参", "麸炒山药", "陈皮", "知母", "炒酸枣仁", "制巴戟天"], "flags": [], "prev_rx": ["制巴戟天", "猪苓", "陈皮", "太子参"], "prev_gap": 21, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 56118, "pid": "P63c7c8c4e3fc", "date": "2026-01-20", "sex": "男", "age": 22, "cc": "早泄半年", "hpi": "早泄半年 勃起不坚 大小便正常 纳可 眠安", "wm_dx": ["早泄"], "tcm_dx": [["房事早泄", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56123, "pid": "P22fd68a1e6f2", "date": "2026-01-20", "sex": "男", "age": 56, "cc": "前列腺增生取药", "hpi": "前列腺增生取药 尿急 尿频 尿等待 排尿不畅改善 大便正常 纳可 眠差改善", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "制巴戟天", "太子参", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56127, "pid": "P682dab1d620e", "date": "2026-01-20", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常，复诊：大便2次，少腹跳", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["茯苓", "泽泻", "当归", "川芎", "麸炒白术", "陈皮", "姜厚朴", "菟丝子", "枸杞子", "北柴胡", "黄芩片", "人参", "赤小豆", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草片", "黄芩片", "柏子仁", "干姜", "大枣", "牡蛎", "茯苓", "川芎", "菟丝子", "枸杞子", "人参", "醋龟甲", "炒苦杏仁", "赤小豆", "莲子", "覆盆子", "盐车前子"], "prev_gap": 31, "visit_ix": 20, "n_visits": 24, "visit_ix_rx": 19, "n_rx": 23} {"rid": 56134, "pid": "Pa4dd2f17d766", "date": "2026-01-20", "sex": "男", "age": 45, "cc": "手脚发凉2月", "hpi": "手脚发凉，纳可，吃生冷易腹胀，睡眠一般，大便不成型，排尿正常，口和，怕冷，无腰疼，无晨勃，硬度一般", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "细辛", "通草", "桂枝", "法半夏", "姜厚朴", "人参", "丹参", "鸡血藤", "石菖蒲", "茯苓", "制巴戟天", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56138, "pid": "P0b98d0b98ed2", "date": "2026-01-20", "sex": "男", "age": 42, "cc": "腰痛一月", "hpi": "腰痛 勃起困难，持续时间。腰痛，同房后加重，尿频不尽。反酸，怕冷食。嗳气，腹胀。阴囊潮湿，牙床肿痛，口粘 睾丸疼痛 少腹隐痛", "wm_dx": ["附睾炎", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56140, "pid": "P511beca507d9", "date": "2026-01-20", "sex": "男", "age": 61, "cc": "尿急 尿不尽一月", "hpi": "尿急 尿不尽一月 大便正常 纳可 失眠 耳鸣 怕冷 阴囊潮湿", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "制巴戟天", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 6} {"rid": 56142, "pid": "Pcff444c81e2b", "date": "2026-01-20", "sex": "男", "age": 56, "cc": "排尿刺痛一月", "hpi": "排尿刺痛，阵发性，外院检查，口服左氧氟沙星未效，睾丸胀痛，偶有少腹坠痛，腰疼，怕冷，硬度不行，大便正常，睡眠多梦，口干，慢性咽炎，近期消瘦乏力感", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "地黄", "酒萸肉", "滑石", "淡竹叶", "赤小豆", "鸡血藤", "白花蛇舌草", "石菖蒲", "炒栀子", "淡豆豉", "制巴戟天", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 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"hpi": "2月前出现尿混浊，腰痛乏力，射精快，口中和，长期夜班,勃起可，焦虑状态", "wm_dx": ["焦虑状态", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "全蝎", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "金樱子", "制巴戟天", "黄芪", "锁阳", "熟地黄", "山药"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "金樱子", "制巴戟天", "黄芪", "锁阳", "熟地黄", "山药"], "prev_gap": 9, "visit_ix": 4, "n_visits": 18, "visit_ix_rx": 4, "n_rx": 7} {"rid": 56163, "pid": "P64d1bf0f8bb8", "date": "2026-01-21", "sex": "男", "age": 42, "cc": "阴囊不适3天", "hpi": "阴囊不适3天，外院查睾丸和精索静脉超声报：轻度精索静脉曲张。服用小金丸后症状缓解。易反复，排尿正常，大便不成型，纳可，口和，睡眠正常，无怕冷，怕热，复诊：症状好转，口干。复诊：大便不成型，口干，有痰，腰疼", "wm_dx": ["糖尿病", "慢性肾炎", "精索静脉曲张"], "tcm_dx": [["腰痛", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["法半夏", "陈皮", "化橘红", "炒苦杏仁", "茯苓", "乌梅", "醋五味子", "生石膏", "地黄", "赤小豆", "枸杞子", "醋龟甲", "菟丝子", "红景天", "牡蛎", "北柴胡", "黄芩片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": 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"麸炒苍术", "茯苓", "生姜", "大枣", "桔梗"], "flags": [], "prev_rx": ["桂枝", "白芍", "炙甘草", "龙骨", "牡蛎", "生地黄炭", "黑顺片", "麸炒苍术", "茯苓", "生姜", "大枣", "桔梗"], "prev_gap": 15, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 56222, "pid": "P823d4faed404", "date": "2026-01-22", "sex": "男", "age": 59, "cc": "阴囊表皮疖肿3天", "hpi": "阴囊表皮疖肿3天 大小便正常 纳可 眠安", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["猪苓", "金银花", "茯苓", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56227, "pid": "Pcec5621c5e7d", "date": "2026-01-22", "sex": "男", "age": 60, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 大便正常 右侧腹股沟肿痛 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["麸炒芡实", "猪苓", "薏苡仁", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56233, "pid": "P624d68adaf4a", "date": "2026-01-22", "sex": "男", "age": 57, "cc": "左侧睾丸疼痛腰酸疼复诊", "hpi": "左侧睾丸疼痛腰酸疼改善 腿软改善 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生", "附睾囊肿", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "山慈菇", "太子参", "制巴戟天", "茯苓"], "flags": [], "prev_rx": ["猪苓", "羌活", "太子参", "制巴戟天"], "prev_gap": 8, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 56238, "pid": "Pa919a4c106a2", "date": "2026-01-22", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作劳累，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗，晨勃有。", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 56239, "pid": "P567aefbb482b", "date": "2026-01-22", "sex": "男", "age": 37, "cc": "尿频 腰酸疼 失眠 尿不尽一月余", "hpi": "尿频 腰酸疼 失眠 尿不尽一月余 大便正常 纳可 失眠 体检前列腺钙化灶 盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["炒酸枣仁", "知母", "太子参", "陈皮", "石斛", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炒酸枣仁", "知母", "太子参", "陈皮"], "prev_gap": 7, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 56241, "pid": "P22ba7153c010", "date": "2026-01-22", "sex": "男", "age": 59, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，晨勃少", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 56251, "pid": "Pc1a7ab9e1c26", "date": "2026-01-23", "sex": "男", "age": 48, "cc": "尿频半年", "hpi": "尿频，有晨勃可，硬度一般，时间短，夜尿偶有一次，中途醒一次，纳可，阴囊潮湿，大便不成型1-2次，口苦，无怕冷，怕热", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "熟地黄", "地黄", "牡丹皮", "燀桃仁", "麦冬", "枸杞子", "蜈蚣", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "生石膏", "酒萸肉", "地黄", "熟地黄", "麦冬", "石菖蒲", "麸炒枳实", "北柴胡", "白芍", "玄参", "醋龟甲", "蜈蚣"], "prev_gap": 14, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 56254, "pid": "P1e1b1a3810af", "date": "2026-01-23", "sex": "男", "age": 66, "cc": "右下腹疼痛一月余", "hpi": "右下腹疼痛一月余 偶见尿痛 夜尿多 大便正常 纳可 眠差。症状改善。近期腰痛，盗汗，口干，乏力。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["炒酸枣仁", "川牛膝", "覆盆子"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "薏苡仁"], "prev_gap": 16, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56273, "pid": "Pe6e5eb734315", "date": "2026-01-23", "sex": "男", "age": 81, "cc": "腰痛抄方", "hpi": "腰痛抄方，乏力，口干，纳可，眠一般，汗多，小便频，大便可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "熟地黄", "炒芥子", "麻黄", "茯苓", "泽泻", "肉桂", "党参片", "酒苁蓉", "麸炒白术", "大枣", "炙黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "川芎", "熟地黄", "炒芥子", "麻黄", "茯苓", "泽泻", "肉桂", "酒苁蓉", "麸炒白术", "大枣", "党参片"], "prev_gap": 15, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 56276, "pid": "P829d5412ff95", "date": "2026-01-24", "sex": "男", "age": 25, "cc": "左侧睾丸肿痛2天", "hpi": "左侧睾丸肿痛2天 少腹隐痛 大小便正常 纳可 眠安 乏力气短 腰痛 口干", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["太子参", "醋五味子", "麸炒山药", "制巴戟天", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56281, "pid": "P29888af7b171", "date": "2026-01-24", "sex": "男", "age": 26, "cc": "尿频半年", "hpi": "尿频，近半年出现同房中途疲软，晨勃可，时间短30分钟降到10分钟，排尿正常，大便正常，纳可，睡眠可，晨起口干口苦，微怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["醋北柴胡", "黄芩", "法半夏", "石菖蒲", "炒蒺藜", "郁金", "牛膝", "党参", "丹参", "鸡血藤", "赤小豆", "牡丹皮", "当归", "醋香附", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56283, "pid": "P0d740fb20cef", "date": "2026-01-24", "sex": "男", "age": 47, "cc": "夜尿3-4次一年", "hpi": "夜尿3-4次，喝水即尿，色黄，无腹痛，无腰疼，大便不成型，睡眠可，纳可，吃生冷易腹泻，口和，无怕冷，肩膀痛", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "麸炒白术", "茯苓", "猪苓", "滑石", "牡丹皮", "山药", "乌药", "盐益智仁", "砂仁", "黑顺片", "炙甘草", "干姜", "阿胶珠", "金樱子肉"], "flags": [], "prev_rx": ["桂枝", "麸炒白术", "茯苓", "猪苓", "滑石", "牡丹皮", "山药", "乌药", "盐益智仁", "砂仁", "黑顺片", "炙甘草", "干姜", "赤小豆", "淡豆豉", "炒栀子"], "prev_gap": 7, "visit_ix": 4, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 10} {"rid": 56287, "pid": "Pb7b66200fb37", "date": "2026-01-24", "sex": "男", "age": 70, "cc": "排尿不畅夜尿频1周", "hpi": "1周前出现排尿不畅夜尿频，夜尿6-7次，口干口苦，阴囊潮湿冷，腰痛乏力", "wm_dx": ["前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"], ["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "昆布", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "小通草", "麸炒冬瓜子", "苦参", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 3} {"rid": 56294, "pid": "Pcbfd6b1c0f73", "date": "2026-01-24", "sex": "男", "age": 81, "cc": "阴囊潮湿泛红半年", "hpi": "阴囊潮湿泛红半年 无脱皮 大小便正常 纳可 眠差 前列腺增生复诊取药 湿疹取药", "wm_dx": ["阴囊炎", "前列腺增生", "湿疹"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "茵陈", "白芷", "羌活", "防风", "麸炒薏苡仁", "牛膝", "土茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 56295, "pid": "P3f5a9d9f7de4", "date": "2026-01-24", "sex": "男", "age": 39, "cc": "腰痛乏力伴勃起不坚3周", "hpi": "3周前出现腰痛乏力伴勃起不坚，性欲减退，偶有晨勃，射精快，排尿尿分叉，口中和，", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "砂仁", "韭菜子", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56299, "pid": "Pd3c3187980dd", "date": "2026-01-24", "sex": "男", "age": 33, "cc": "腰痛 盗汗一月", "hpi": "腰痛 盗汗改善 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "覆盆子", "猪苓", "茯苓", "菟丝子", "太子参"], "flags": [], "prev_rx": ["制巴戟天", "覆盆子", "猪苓", "茯苓"], "prev_gap": 16, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56301, "pid": "P667c57b53f09", "date": "2026-01-24", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "左侧少腹隐痛，左侧睾丸隐痛，耳鸣，排尿可， 大便偏干 发黏 纳一般， 眠中途醒口和。复诊：睾丸隐痛左侧，少腹偶有隐痛", "wm_dx": ["前列腺增生", "下肢静脉曲张", "静脉曲张", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["筋瘤", "气滞血瘀证", "活血止痛"]], "rx": ["北柴胡", "黄芩", "桂枝", "干姜", "白芍", "当归", "川芎", "茯苓", "泽泻", "麸炒白术", "炙甘草", "川楝子", "荔枝核", "盐橘核", "白芷", "附片", "牛膝"], "flags": [], "prev_rx": ["北柴胡", "白芍", "当归", "炒栀子", "生地黄", "川楝子", "麸炒枳实", "盐小茴香", "桂枝", "牛膝", "菟丝子", "盐车前子", "茯苓", "川芎", "红花", "桃仁", "大黄", "醋延胡索"], "prev_gap": 14, "visit_ix": 11, "n_visits": 17, "visit_ix_rx": 6, "n_rx": 12} {"rid": 56305, "pid": "Pa3d8644bcf8c", "date": "2026-01-24", "sex": "男", "age": 31, "cc": "腰痛乏力伴勃起中途疲软复诊", "hpi": "4月前出现腰痛乏力伴勃起中途疲软，性欲减退，熬夜，口干无口苦，夜寐差，易生气。大便不成型", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "茯苓", "泽泻", "牡丹皮", "当归", "川芎", "牛膝", "石菖蒲", "炒蒺藜", "丹参", "鸡血藤", "醋香附", "制巴戟天", "仙茅"], "flags": [], "prev_rx": ["北柴胡", "白芍", "麸炒枳壳", "麸炒枳实", "炙甘草", "土茯苓", "茵陈", "肉苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "合欢花", "合欢皮", "川楝子", "醋香附", "郁金", "醋青皮", "防风", "盐车前子", "菟丝子", "地龙", "全蝎", "猪苓", "太子参", "麸炒芡实"], "prev_gap": 76, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 56309, "pid": "Pd681eb81f824", "date": "2026-01-24", "sex": "男", "age": 47, "cc": "阴囊潮湿2年", "hpi": "阴囊潮湿2年，阴茎根部潮湿，肛周潮湿瘙痒，尿频，无夜尿，排尿不畅改善。眠差，纳可，大便粘。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["麸炒苍术", "麸炒薏苡仁", "黄柏", "川牛膝", "北柴胡", "龙胆", "炒栀子", "茯苓", "猪苓", "蒲公英", "党参", "麸炒白术", "炒酸枣仁", "柏子仁", "蛇床子", "地肤子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["麸炒苍术", "麸炒薏苡仁", "黄柏", "川牛膝", "北柴胡", "龙胆", "炒栀子", "茯苓", "猪苓", "蒲公英", "炒酸枣仁", "柏子仁", "党参", "麸炒白术"], "prev_gap": 7, "visit_ix": 2, "n_visits": 24, "visit_ix_rx": 2, "n_rx": 6} {"rid": 56313, "pid": "Pdc4c2b1c69f3", "date": "2026-01-24", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗 口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄"], "prev_gap": 27, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 56317, "pid": "P17c3d868b695", "date": "2026-01-24", "sex": "男", "age": 38, "cc": "尿等待2周", "hpi": "尿等待2周，涩黄，有泡沫，夜尿1次，睡眠正常，大便排干，纳可，口和，既往憋尿，伴小腹不适，坐着明显，热敷好转，无排尿不畅，膝盖疼痛消失", "wm_dx": ["前列腺炎", "高脂血症"], "tcm_dx": [["痹证类病", "气滞血瘀证", "活血止痛"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["赤小豆", "当归", "连翘", "白花蛇舌草", "滑石", "北柴胡", "麸炒枳实", "白芍", "醋鸡内金", "炒栀子", "炒苦杏仁", "柏子仁", "郁金", "石菖蒲", "淡竹叶", "牛膝", "淡豆豉", "火麻仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["赤小豆", "当归", "连翘", "白花蛇舌草", "滑石", "北柴胡", "麸炒枳实", "白芍", "醋鸡内金", "焦麦芽", "炒苦杏仁", "柏子仁", "郁金", "石菖蒲", "淡竹叶", "牛膝"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 56319, "pid": "Pfc46b9d172f1", "date": "2026-01-24", "sex": "男", "age": 26, "cc": "腰痛半年", "hpi": "腰痛半年 早泄 龟头敏感 勃起可，龟头红疹", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙", "五加皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 56322, "pid": "P47f9b8ca1ced", "date": "2026-01-24", "sex": "男", "age": 36, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，近期想生育，夜寐差，口中和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "韭菜子", "盐车前子"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "覆盆子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "韭菜子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "烫水蛭", "甜叶菊叶"], "prev_gap": 17, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 5, "n_rx": 6} {"rid": 56326, "pid": "P038e88dda8eb", "date": "2026-01-24", "sex": "男", "age": 43, "cc": "腰痛乏力伴射精快2年", "hpi": "2年前出现腰痛乏力，射精快，勃起可，口中和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["知母", "黄柏", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "盐杜仲", "续断", "醋五味子", "酒黄精", "金樱子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56327, "pid": "Pdb2eb477c044", "date": "2026-01-24", "sex": "男", "age": 38, "cc": "腰痛2年", "hpi": "腰痛2年，要二胎，中间留2次，脚心出汗，睡眠正常，排尿正常，大便正常，纳可，口和，无怕冷,股癣", "wm_dx": ["股癣"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "炒栀子", "淡豆豉", "赤小豆", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "酒黄精", "牡蛎", "醋龟甲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 56330, "pid": "P4748040939bf", "date": "2026-01-24", "sex": "男", "age": 33, "cc": "腰痛伴尿频2月", "hpi": "2月前出现腰痛，尿频，夜尿多，4-5次，尿量不多，白天可，尿后余沥，工作久坐，小腹不适下坠感，睡眠差。口苦，盗汗。", "wm_dx": ["前列腺炎", "泌尿系感染"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["石菖蒲", "黄柏", "砂仁", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "赤小豆", "炒白扁豆", "乌药", "盐益智仁", "麸炒山药", "金樱子", "醋五味子", "韭菜子", "覆盆子", "酒黄精", "太子参"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "砂仁", "乌药", "盐益智仁", "麸炒山药"], "prev_gap": 12, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 56331, "pid": "P0cf786e70347", "date": "2026-01-24", "sex": "男", "age": 37, "cc": "会阴不适2周", "hpi": "会阴不适2周，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力", "wm_dx": ["静脉曲张", "前列腺炎", "精索静脉曲张", "附睾囊肿"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["北柴胡", "黄芩片", "当归", "秦艽", "乌药", "盐小茴香", "桂枝", "燀桃仁", "红花", "牡丹皮", "白芍", "川楝子", "牛膝", "赤小豆", "大黄", "甘草片", "夏枯草", "路路通", "炒王不留行", "荔枝核"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "当归", "秦艽", "乌药", "盐小茴香", "桂枝", "燀桃仁", "红花", "牡丹皮", "白芍", "川楝子", "牛膝", "赤小豆", "大黄", "甘草片"], "prev_gap": 7, "visit_ix": 6, "n_visits": 25, "visit_ix_rx": 1, "n_rx": 18} {"rid": 56338, "pid": "P6eba0ffe2f2c", "date": "2026-01-24", "sex": "男", "age": 32, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，久坐，熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "盐车前子", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 56356, "pid": "P76833f8a5853", "date": "2026-01-25", "sex": "男", "age": 42, "cc": "腰痛一月", "hpi": "包皮刺痒，包皮垢和裂口改善，稍尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，纳眠可，大便质干，口和，腰痛乏力，中途疲软。症状改善。", "wm_dx": ["慢性前列腺炎", "包皮龟头炎", "腰痛"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "覆盆子"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "茯苓", "覆盆子"], "prev_gap": 36, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56358, "pid": "Pc8866ae65fe9", "date": "2026-01-25", "sex": "男", "age": 46, "cc": "小腹胀痛2周", "hpi": "2周前出现小腹胀痛，排尿可，体检：前列腺增大伴钙化2.9*4.3*3.0cm。腰痛，盗汗。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精癃", "热毒壅结证", "清热解毒"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["陈皮", "猪苓", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": ["罗汉果", "陈皮", "酒黄精", "太子参"], "prev_gap": 150, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56364, "pid": "P83ebeff8e443", "date": "2026-01-25", "sex": "男", "age": 45, "cc": "阴囊潮湿一年", "hpi": "阴囊潮湿、尿不尽消失，勃起改善，时间短改善，晨勃一般，大便可，睡眠一般，口涩，腰痛，乏力困倦，多汗，胁痛，腹胀。", "wm_dx": ["高脂血症", "更年期综合征", "神经功能障碍", "动脉硬化"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾气不充证", "补肾扶元"], ["胁痛", "肝郁血瘀证", "疏肝化瘀"], ["腹胀", "脾虚证", "理气健脾"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["太子参", "麸炒白术", "麸炒山药", "炙黄芪"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56366, "pid": "Pe2364fbdb84c", "date": "2026-01-25", "sex": "男", "age": 34, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间和硬度一般，性欲可，工作劳累可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56368, "pid": "P4d99500240d8", "date": "2026-01-25", "sex": "男", "age": 52, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频尿急，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，口干，焦虑，腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "气滞血瘀证", "活血通络"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "制远志", "炒酸枣仁", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56370, "pid": "Pdc8e49cd7576", "date": "2026-01-25", "sex": "男", "age": 47, "cc": "腰痛抄方", "hpi": "一直口服药物治疗，尿频，夜尿1-2次 腰痛 盗汗 腰疼，膝关节疼痛 纳可 眠安，大便粘，无怕冷 关节炎取药", "wm_dx": ["关节痛", "关节炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["盐小茴香", "制巴戟天", "醋五味子"], "flags": ["rx_len_outlier"], "prev_rx": ["熟地黄", "党参片", "麦冬", "醋五味子", "干姜", "杜仲", "牛膝", "盐补骨脂", "制吴茱萸", "当归", "阿胶珠", "盐小茴香", "高良姜", "盐益智仁", "山药", "乌药", "黑顺片", "肉桂", "制巴戟天", "仙茅", "炙淫羊藿", "薤白"], "prev_gap": 116, "visit_ix": 26, "n_visits": 33, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56372, "pid": "Pa5a7c7cb6268", "date": "2026-01-25", "sex": "男", "age": 36, "cc": "尿频1周", "hpi": "尿频1周，尿道灼热，尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和", "wm_dx": ["泌尿系结石", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["石淋", "湿热下注证", "清热利湿"]], "rx": ["广金钱草", "石菖蒲", "太子参", "山慈菇", "猪苓", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56374, "pid": "P79e1c863ccb6", "date": "2026-01-25", "sex": "男", "age": 29, "cc": "尿痛1月", "hpi": "尿痛1月，尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，口干，盗汗，时间下降。腰痛。", "wm_dx": ["前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁", "制远志", "石菖蒲", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 56380, "pid": "P99001e29dfdc", "date": "2026-01-25", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作熬夜，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，晨勃可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 56382, "pid": "P27a3f7786de3", "date": "2026-01-25", "sex": "男", "age": 27, "cc": "左侧阴囊不适疼痛1月", "hpi": "左侧阴囊不适疼痛1月，无射精和排尿不适，下午尿频", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "烫水蛭", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "橘络"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56390, "pid": "Pb672581227a6", "date": "2026-01-25", "sex": "男", "age": 30, "cc": "晨起尿道白色分泌物2周", "hpi": "晨起尿道白色分泌物2周，尿等待，小腹不适，无排尿不畅", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56394, "pid": "Pf493dffd6e88", "date": "2026-01-26", "sex": "男", "age": 72, "cc": "前列腺增生复诊", "hpi": "排尿困难，尿线细，静脉曲张，夜尿1-2次，无其他不适主诉 冠心病取药,盗汗", "wm_dx": ["前列腺增生", "冠状动脉性心脏病", "心绞痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["心痹", "气滞血瘀证", "活血化瘀"], ["盗汗", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "黄柏", "熟地黄", "生地黄", "酒萸肉", "茯苓", "泽泻", "山药", "麦冬", "锁阳", "牡丹皮", "醋五味子", "麸炒苍术", "麸炒薏苡仁", "牛膝", "酒黄精", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 8, "n_visits": 13, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56397, "pid": "Pc29da8bf0b0d", "date": "2026-01-26", "sex": "男", "age": 49, "cc": "尿后余沥3周", "hpi": "尿后余沥3周，尿频尿急，夜尿1次，偶有小腹不适，大便质干，纳可，眠可", "wm_dx": ["前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "知母", "猪苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56398, "pid": "P406dc6221981", "date": "2026-01-26", "sex": "男", "age": 36, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，口中和，颈椎不适，肩颈不适，夜寐差，勃起可。盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "炒白扁豆", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子", "韭菜子", "醋五味子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56399, "pid": "P3445e3af807f", "date": "2026-01-26", "sex": "男", "age": 61, "cc": "左侧睾丸不适连及小腹疼痛不适1年", "hpi": "1年前间断出现左侧睾丸不适连及小腹疼痛不适，尿等待，夜寐差，失眠，口苦，腹痛", "wm_dx": ["附睾囊肿", "静脉曲张", "精索静脉曲张"], "tcm_dx": [["筋瘤", "血瘀证", "活血化瘀"], ["腹痛", "瘀血阻络证", "活血通络"], ["筋瘤", "瘀血阻络证", "活血通络"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "白芍", "路路通", "炒王不留行", "荔枝核"], "flags": [], "prev_rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "白芍", "路路通", "炒王不留行", "荔枝核"], "prev_gap": 12, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56401, "pid": "P5e80805fd514", "date": "2026-01-26", "sex": "男", "age": 71, "cc": "复诊", "hpi": "病史同前。排尿不畅，淋漓不尽，尿无力，勃起困难，无尿痛，曾服中药。眠差多梦，手脚凉，易汗，夜间口干不苦，反酸呃逆，时有腹胀，便调", "wm_dx": ["前列腺增生"], "tcm_dx": [["痨病", "肾虚证", "补肾固精"], ["癃闭", "肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "泽泻", "茯苓", "白术", "生姜", "大枣", "生石膏", "覆盆子", "石菖蒲"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "泽泻", "生石膏", "茯苓", "白术", "砂仁", "陈皮", "生姜", "大枣"], "prev_gap": 7, "visit_ix": 1, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 11} {"rid": 56404, "pid": "Pc71fb4794961", "date": "2026-01-26", "sex": "男", "age": 28, "cc": "慢性前列腺炎复诊", "hpi": "服药后小腹胀痛会阴疼痛明显好转，10外院，诊断慢性前列腺炎，予左氧氟沙星片+盐酸坦索罗辛缓释胶囊口服未见好转，排尿可，夜尿1-2次，口干口苦，夜寐可", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪"], "flags": [], "prev_rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪"], "prev_gap": 12, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56405, "pid": "P0024e533394b", "date": "2026-01-26", "sex": "男", "age": 33, "cc": "腰痛失眠1年", "hpi": "腰痛失眠1年，排尿可，偶有晨勃，长期熬夜，口中和，胁痛，硬度欠佳，中途疲软，焦虑状态", "wm_dx": ["焦虑状态", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "盐杜仲", "牛膝", "制巴戟天", "锁阳", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 20, "n_visits": 23, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56411, "pid": "P7ed680720b0b", "date": "2026-01-26", "sex": "男", "age": 48, "cc": "阴囊潮湿冷2年", "hpi": "2年前出现阴囊潮湿冷，腰痛乏力，怕冷，汗出明显，射精快，勃起中途疲软，口干，偶有口苦，夜寐差，易醒，尿频尿急尿不尽，", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["腹胀", "脾胃不和证", "健脾和胃"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "肉桂", "制巴戟天", "韭菜子", "黑顺片", "酒黄精", "陈皮", "焦神曲", "醋鸡内金", "太子参", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56412, "pid": "Pf42772310e92", "date": "2026-01-26", "sex": "男", "age": 39, "cc": "左侧睾丸疼痛不适1月", "hpi": "1月前出现左侧睾丸不适，尿不尽尿无力，手淫频繁，左侧睾丸肿大，阴茎根部瘙痒，耳鸣，夜寐差，腰痛乏力，盗汗，阴茎根部红疹瘙痒", "wm_dx": ["静脉曲张", "精索静脉曲张", "腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["白花蛇舌草", "马齿苋", "蒲公英", "盐黄柏", "蛇床子", "金银花", "地肤子", "苦参", "地榆", "盐车前子", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "炙淫羊藿", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "制巴戟天", "锁阳", "麸炒山药", "金樱子", "醋五味子", "路路通", "炒王不留行", "夏枯草", "荔枝核", "黄芪", "炙甘草"], "flags": [], "prev_rx": ["白花蛇舌草", "马齿苋", "蒲公英", "盐黄柏", "蛇床子", "金银花", "地肤子", "苦参", "盐车前子", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "制巴戟天", "锁阳", "麸炒山药", "金樱子", "醋五味子", "路路通", "炒王不留行", "夏枯草", "荔枝核", "黄芪", "炙甘草"], "prev_gap": 9, "visit_ix": 4, "n_visits": 16, "visit_ix_rx": 2, "n_rx": 9} {"rid": 56416, "pid": "P863e5b26805f", "date": "2026-01-26", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，阴茎根部包皮瘙痒，长期熬夜", "wm_dx": ["腰痛", "真菌感染"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 56419, "pid": "Pfa8c49aa334d", "date": "2026-01-26", "sex": "男", "age": 68, "cc": "会阴部疼痛伴肛周疼痛4年加重1月", "hpi": "4年前出现会阴部疼痛，肛周疼痛伴潮湿，排尿可，久坐后肛周疼痛加重，近一个月症状加重，慢性支气管炎，腰痛取药", "wm_dx": ["前列腺增生"], "tcm_dx": [["精窿", "湿热下注", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "路路通", "炒王不留行", "夏枯草", "荔枝核", "黄芪", "醋延胡索", "醋香附"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 56421, "pid": "Pb59730e44698", "date": "2026-01-26", "sex": "男", "age": 63, "cc": "腰痛乏力1年", "hpi": "腰痛乏力，性欲一般，性功能减退，勃起不坚，夜尿2次,夜寐差，失眠，腰痛乏力，二便调，口干口苦，盗汗,头晕头疼", "wm_dx": ["前列腺增生", "糖尿病", "男性性腺功能低下", "高血压"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["腰痛", "肾虚证", "补肾扶元"], ["眩晕", "瘀血阻络证", "活血化瘀"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["黄芪", "党参片", "麦冬", "酒萸肉"], "flags": ["rx_len_outlier"], "prev_rx": ["黄芪", "党参片", "酒萸肉", "麦冬"], "prev_gap": 47, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56422, "pid": "P301e753815ae", "date": "2026-01-26", "sex": "男", "age": 35, "cc": "尿频1周", "hpi": "1周前出现尿频，久坐后会阴不适，夜尿2次，偶有尿道灼热，射精快。复诊现尿频明显。", "wm_dx": ["尿频", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "乌药", "盐益智仁", "山药"], "flags": [], "prev_rx": ["黄芪", "党参", "炙淫羊藿", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "酒苁蓉", "锁阳", "酒萸肉", "制远志", "炒酸枣仁", "肉桂"], "prev_gap": 14, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 5} {"rid": 56423, "pid": "P03da28dc6f21", "date": "2026-01-26", "sex": "男", "age": 56, "cc": "疲劳腰酸2月", "hpi": "勃起硬度不够,不能持续,尿频,尿畅.无明显肢冷汗.口干不苦.纳可.", "wm_dx": ["代谢综合征"], "tcm_dx": [["消渴类病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "瓜蒌", "石菖蒲", "九香虫", "地龙", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 56424, "pid": "P95f088a1957d", "date": "2026-01-26", "sex": "男", "age": 59, "cc": "尿频尿急排尿不畅1年", "hpi": "排尿不畅好转，夜尿6次，尿等待，尿不尽", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "金樱子", "乌药", "盐益智仁", "麸炒山药", "人参", "炒酸枣仁", "柏子仁"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子"], "prev_gap": 19, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56425, "pid": "Pb86b2ba70df5", "date": "2026-01-26", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗口干。", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "茯苓", "熟地黄", "沙苑子", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "茯苓", "熟地黄", "制远志"], "prev_gap": 24, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 56440, "pid": "P749eab251701", "date": "2026-01-26", "sex": "男", "age": 35, "cc": "腰痛乏力伴勃起中途疲软6年", "hpi": "6年前出现腰痛乏力伴勃起欠佳，2次后同房硬度欠佳，口中和，性欲减退，晨勃减少，长期熬夜，夜寐差", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["艾叶", "川芎", "燀桃仁", "红花", "醋乳香", "醋没药", "肉桂", "铁线透骨草", "甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "锁阳", "黄芪", "人参", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 56443, "pid": "P445c67a44e12", "date": "2026-01-26", "sex": "男", "age": 39, "cc": "排尿不畅3年", "hpi": "3年前出现排尿不畅，尿频尿急，夜尿1-2次，尿无力尿不尽，腰痛乏力，盗汗，射精快", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 56452, "pid": "Pcb03cc66bdee", "date": "2026-01-26", "sex": "男", "age": 54, "cc": "前列腺增生复诊", "hpi": "尿频尿不尽好转,夜尿1-2次,口中和，阴囊潮湿，腹股沟瘙痒", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["茯苓", "麸炒白术", "麸炒苍术", "麸炒薏苡仁", "白鲜皮", "炒蒺藜", "马齿苋", "泽泻", "车前草", "黄柏", "赤芍", "牡丹皮", "苦参", "益母草", "牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56456, "pid": "P0f80ac24d79b", "date": "2026-01-26", "sex": "男", "age": 36, "cc": "尿道刺痒1月", "hpi": "尿道刺痒1月，自述有白色絮状物，夜尿2-3次，无尿后余沥，尿痛不明显", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "猪苓", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56459, "pid": "P64def759c4d1", "date": "2026-01-27", "sex": "男", "age": 60, "cc": "手脚凉1年", "hpi": "手脚凉1年 尿频尿急，尿混浊尿异味，夜尿4-5次，夜寐差，口中和，大便正常 腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["山慈菇", "猪苓", "羌活", "制巴戟天", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["山慈菇", "薏苡仁", "猪苓", "羌活"], "prev_gap": 21, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 5} {"rid": 56461, "pid": "Pffd8817d0f54", "date": "2026-01-27", "sex": "男", "age": 65, "cc": "尿频半年", "hpi": "尿频，半年前出现勃起不行，无晨勃，排尿不畅，夜尿正常，尿黄，大便正常，睡眠差早醒，纳可，口和，无怕冷，无腰疼，在杏园金方口服3月汤药未效", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "石菖蒲", "炒栀子", "淡豆豉", "北柴胡", "麸炒枳实", "白芍", "煅龙骨", "煅牡蛎", "制巴戟天", "蜈蚣", "合欢皮"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "石菖蒲", "炒栀子", "淡豆豉", "北柴胡", "麸炒枳实", "白芍", "煅龙骨", "煅牡蛎", "制巴戟天", "蜈蚣"], "prev_gap": 7, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 6} {"rid": 56464, "pid": "Pbf5f8531a082", "date": "2026-01-27", "sex": "男", "age": 64, "cc": "尿频 尿急2年", "hpi": "尿频 尿急2年 大便正常 纳可 眠安 无 少腹隐痛 无 睾丸疼痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56465, "pid": "Pb468bd45f69d", "date": "2026-01-27", "sex": "男", "age": 28, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "陈皮", "麸炒芡实", "太子参", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56467, "pid": "Pa5b467680781", "date": "2026-01-27", "sex": "男", "age": 56, "cc": "腰痛半年", "hpi": "伴有性功能下降 勃起困难 大便正常 纳可 眠安 尿频 尿急", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "知母", "丹参", "猪苓", "茯苓", "白芷"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56473, "pid": "Paa6307153e8c", "date": "2026-01-27", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "伴有早泄 时间2-3分钟 勃起可 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56475, "pid": "P7a60dbac8322", "date": "2026-01-27", "sex": "男", "age": 26, "cc": "腰痛半年", "hpi": "腰痛半年 乏力 气短 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "党参", "黄芪", "山药", "白术", "茯苓", "炙甘草", "肉苁蓉", "菟丝子", "盐车前子", "覆盆子", "麸炒枳壳", "砂仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56482, "pid": "P1a7249e9f806", "date": "2026-01-27", "sex": "男", "age": 66, "cc": "阴囊潮湿瘙痒半月", "hpi": "阴囊潮湿瘙痒半月 大小便正常 纳可 眠安 性功能下降 腰痛", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "覆盆子", "菟丝子"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56483, "pid": "P3aef33821710", "date": "2026-01-27", "sex": "男", "age": 33, "cc": "腰痛乏力抄方", "hpi": "腰痛乏力，近期想生育，夜寐差，长期熬夜久坐", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["鹿角霜", "菟丝子", "醋五味子", "紫石英", "牡丹皮", "酒萸肉", "醋龟甲", "熟地黄", "人参", "肉桂", "泽泻"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "覆盆子", "枸杞子", "盐车前子", "制水蛭", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "炙甘草", "韭菜子"], "prev_gap": 30, "visit_ix": 5, "n_visits": 14, "visit_ix_rx": 4, "n_rx": 12} {"rid": 56486, "pid": "P426534f44dea", "date": "2026-01-27", "sex": "男", "age": 33, "cc": "尿后余沥1月", "hpi": "尿后余沥1月，尿频，夜尿0-1次，偶有小腹不适，无排尿不畅，工作久坐熬夜", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "炒酸枣仁", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56490, "pid": "P47f55d59414a", "date": "2026-01-27", "sex": "男", "age": 57, "cc": "腰痛抄方", "hpi": "腰痛伴射精快4年，1-2分钟， 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒苁蓉", "盐杜仲", "制巴戟天", "炙淫羊藿", "锁阳"], "flags": [], 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"熟地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "当归", "石菖蒲", "郁金", "丹参", "鸡血藤", "炙淫羊藿", "蜈蚣", "党参片"], "prev_gap": 27, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 56497, "pid": "P7ddb2255422e", "date": "2026-01-27", "sex": "男", "age": 44, "cc": "尿不尽 排尿无力一月余", "hpi": "尿不尽 排尿无力一月余 大便正常 纳可 眠安 勃起困难 中途疲软 乏力 耳鸣", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["瞿麦", "虎杖", "绵萆薢", "茵陈", "丹参", "防风", "白芷", "天麻", "炒蔓荆子", "菊花", "姜黄", "石菖蒲", "制远志", "麸炒枳壳", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 56499, "pid": "Pedc6a66dab0c", "date": "2026-01-27", "sex": "男", "age": 41, "cc": "腰痛乏力伴勃起欠佳1年", "hpi": "1年前出现腰痛乏力伴勃起欠佳，晨勃可，勃起硬度欠佳，易生气，胁肋疼痛，大小便正常 ，睡眠可，纳可，口干", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "石菖蒲", "制远志", "盐蒺藜", "柏子仁", "牛膝", "丹参", "鸡血藤", "地黄", "枸杞子", "蜈蚣", "郁金", "制巴戟天"], "flags": 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"n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 56719, "pid": "Pe7c49a87389a", "date": "2026-02-01", "sex": "男", "age": 50, "cc": "排尿无力一月余", "hpi": "排尿无力一月余 尿不尽 大便正常 纳可 眠安 口干口苦", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "薏苡仁", "麸炒芡实"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56728, "pid": "Pcead64a62349", "date": "2026-02-01", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "伴有早泄3年 大小便正常 纳可 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "地骨皮", "五加皮"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "地骨皮", "五加皮"], "prev_gap": 22, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 7} {"rid": 56729, "pid": "P8189f4907771", "date": "2026-02-01", "sex": "男", "age": 34, "cc": "阴茎根部片状红疹瘙痒5天", "hpi": "5天前出现阴茎根部片状红疹瘙痒", "wm_dx": ["皮炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "茵陈", "白花蛇舌草", "蒲公英", "连翘", "金银花", "白芷", "麸炒苍术"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56731, "pid": "P738b72a330a0", "date": "2026-02-01", "sex": "男", "age": 54, "cc": "少腹隐痛复诊", "hpi": "少腹隐痛复诊 大小便正常 纳可 眠安 睾丸发凉 腰酸痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "路路通", "炒王不留行", "夏枯草", "醋香附", "荔枝核"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "路路通", "炒王不留行", "夏枯草", "醋香附", "荔枝核"], "prev_gap": 49, "visit_ix": 3, "n_visits": 14, "visit_ix_rx": 1, "n_rx": 7} {"rid": 56739, "pid": "P9235f888fbd4", "date": "2026-02-01", "sex": "男", "age": 39, "cc": "腰痛半年", "hpi": "伴有 尿等待 尿不尽 阴囊潮湿 大便正常 纳可 失眠 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["党参片", "炙黄芪", "山药", "猪苓", "泽泻", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "覆盆子", "麸炒枳壳", "牛膝", "绵萆薢", "车前草", "炙甘草", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "知母", "丹参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 56743, "pid": "P43e8b54e7959", "date": "2026-02-01", "sex": "男", "age": 44, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度下降，性欲一般，乏力，工作可，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "石斛", "知母", "炒酸枣仁", "丹参"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "石菖蒲", "菟丝子", "黄芪"], "prev_gap": 37, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 56765, "pid": "Pc66dc345b332", "date": "2026-02-02", "sex": "男", "age": 64, "cc": "复诊", "hpi": "尿道灼热，稍尿痛，尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，便干。包皮刺痒。硬度下降。", "wm_dx": ["前列腺炎", "男性性腺功能低下", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["淋证", "湿热下注证", "清热通淋"]], "rx": ["猪苓", "茯苓", "泽泻", "滑石", "阿胶珠", "车前草", "赤小豆", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56773, "pid": "P03da28dc6f21", "date": "2026-02-02", "sex": "男", "age": 56, "cc": "复诊", "hpi": "勃起硬度不够,不能持续,尿频,尿畅.腰疼.口干轻微.纳可.", "wm_dx": ["代谢综合征", "男性勃起障碍"], "tcm_dx": [["消渴类病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "瓜蒌", "石菖蒲", "九香虫", "地龙", "炙甘草", "独活", "桑寄生"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "瓜蒌", "石菖蒲", "九香虫", "地龙", "炙甘草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 56777, "pid": "P7b03cab6dab5", "date": "2026-02-02", "sex": "男", "age": 30, "cc": "复诊", "hpi": "近一月疲劳，突觉勃起困难，有夜间自发勃起", "wm_dx": ["乏力"], "tcm_dx": [["精浊", "肝郁气滞证", "疏肝理气"]], "rx": ["北柴胡", "麸炒枳实", "九香虫", "炙甘草", "白芍", "瓜蒌", "蜈蚣", "石菖蒲"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "盐蒺藜", "九香虫", "石菖蒲", "炙甘草", "地龙"], "prev_gap": 28, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 56783, "pid": "P5e80805fd514", "date": "2026-02-02", "sex": "男", "age": 71, "cc": "复诊", "hpi": "病史同前，服药后头蒙感，排尿稍畅，淋漓不尽，尿无力，曾服中药。眠差多梦，手脚凉，易汗，夜间口干不苦，反酸呃逆，阴囊潮湿，便调", "wm_dx": ["前列腺增生"], "tcm_dx": [["痨病", "肾虚证", "补肾固精"], ["癃闭", "肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "泽泻", "茯苓", "白术", "覆盆子", "生姜", "大枣", "生石膏", "炙甘草"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "泽泻", "茯苓", "白术", "生姜", "大枣", "生石膏", "覆盆子", "石菖蒲"], "prev_gap": 7, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 11} {"rid": 56784, "pid": "P19129a6df09b", "date": "2026-02-02", "sex": "男", "age": 56, "cc": "尿混浊2月", "hpi": "2月前出现尿混浊，腰痛乏力，射精快，口中和，长期夜班,勃起可，焦虑状态", "wm_dx": ["慢性前列腺炎", "焦虑状态"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "全蝎", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "金樱子", "制巴戟天", "黄芪", "锁阳", "熟地黄", "山药", "人参", "酒黄精"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "全蝎", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "金樱子", "制巴戟天", "黄芪", "锁阳", "熟地黄", "山药"], "prev_gap": 12, "visit_ix": 5, "n_visits": 18, "visit_ix_rx": 5, "n_rx": 7} {"rid": 56786, "pid": "P158d929849bd", "date": "2026-02-02", "sex": "男", "age": 45, "cc": "眠差10年", "hpi": "眠差，皮肤红疹瘙痒。每在晚间发作，乏力，盗汗，怕冷。纳可，鼻塞。近期消瘦，要痛乏力疲劳加重，", "wm_dx": ["前列腺炎", "男性性腺功能低下"], "tcm_dx": [["风疹", "风邪外袭证", "祛风解肌"], ["风疹", "风邪袭表证", "祛风解肌"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "防风", "蜜麻黄", "炙甘草", "生石膏", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56789, "pid": "P53bced466627", "date": "2026-02-02", "sex": "男", "age": 51, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，偶有勃起不坚，中途疲软，性欲可，晨勃可，口中和，自觉痰多，夜寐差，长期熬夜，不易入睡，易醒，", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "制巴戟天", "仙茅", "人参", "锁阳", "盐补骨脂", "熟地黄"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "制巴戟天", "仙茅", "人参", "盐补骨脂", "全蝎"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 56792, "pid": "P62ca93cdaf70", "date": "2026-02-02", "sex": "男", "age": 43, "cc": "腰痛乏力4月", "hpi": "4月前出现腰痛乏力，勃起不坚，射精快，既往手淫，口干口苦，吸烟饮酒多年，晨勃消失", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "全蝎", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "韭菜子", "炒酸枣仁", "人参"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "全蝎", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "韭菜子", "炒酸枣仁", "人参"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56808, "pid": "P20417c341ca7", "date": "2026-02-02", "sex": "男", "age": 26, "cc": "尿频半年", "hpi": "尿频，夜尿正常，大便易腹泻，喜欢冰水，口和，无怕冷晨勃少，硬度一般，无乏力感", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "山药", "酒萸肉", "北沙参", "人参", "炙黄芪", "石菖蒲", "制远志", "制巴戟天", "仙茅"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "山药", "酒萸肉", "北沙参", "人参", "炙黄芪", "石菖蒲", "制远志", "制巴戟天", "仙茅", "川牛膝"], "prev_gap": 18, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 56809, "pid": "Pea53a62fc779", "date": "2026-02-02", "sex": "男", "age": 70, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，性欲减退，口中和，排尿不畅，夜尿3次，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "人参", "川芎", "制巴戟天", "韭菜子", "锁阳"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "人参", "川芎", "制巴戟天", "韭菜子", "锁阳"], "prev_gap": 15, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 56811, "pid": "Pfb128de33994", "date": "2026-02-02", "sex": "男", "age": 32, "cc": "腰痛乏力伴射精快2年", "hpi": "2年前出现腰痛乏力伴射精快，尿频，睡前尿频加重，无小腹不适，夜寐差，长期熬夜，龟头红疹", "wm_dx": ["腰痛"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56812, "pid": "Pf578ef89335d", "date": "2026-02-02", "sex": "男", "age": 36, "cc": "腰痛乏力伴勃起中途疲软3月", "hpi": "3月前出现腰痛乏力伴勃起中途疲软，晨勃减少，性欲可，长期熬夜，夜尿2次多年，长期开车憋尿，小腹胀痛，胁肋疼痛，复诊：夜寐好转，尿无力好转，晨勃增加", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "白芍", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "锁阳", "黄芪", "全蝎", "人参"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "锁阳", "黄芪", "全蝎"], "prev_gap": 16, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 56821, "pid": "P6822c4d08baf", "date": "2026-02-03", "sex": "男", "age": 63, "cc": "尿频3月", "hpi": "尿频，性功能减退，勃起不坚，无晨勃，排尿正常，夜尿正常，大便正常，睡眠正常，口干，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚", "补肾"], ["尿频", "肾虚", "补肾"]], "rx": ["地黄", "天花粉", "牡蛎", "麦冬", "酒萸肉", "山药", "牡丹皮", "丹参", "知母", "盐关黄柏", "鸡血藤", "蜈蚣", "党参片", "制巴戟天", "酒女贞子", "路路通"], "flags": [], "prev_rx": ["地黄", "天花粉", "牡蛎", "麦冬", "酒萸肉", "山药", "牡丹皮", "丹参", "知母", "鸡血藤", "蜈蚣", "党参片", "制巴戟天", "盐关黄柏"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56824, "pid": "Pff748d5795f0", "date": "2026-02-03", "sex": "男", "age": 75, "cc": "小腹不适2周", "hpi": "小腹不适2周，尿异味重，色黄，无尿频尿急，无排尿不畅，夜尿0-1次", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56826, "pid": "P926b7a848c54", "date": "2026-02-03", "sex": "男", "age": 68, "cc": "尿频尿急尿等待复诊", "hpi": "尿频尿急尿等待改善 大便正常 纳可 眠差 口苦口干 乏力消瘦疲劳", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "制巴戟天", "薏苡仁"], "flags": [], "prev_rx": ["猪苓", "羌活", "太子参", "制巴戟天"], "prev_gap": 35, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 6} {"rid": 56827, "pid": "P11f2581af2cc", "date": "2026-02-03", "sex": "男", "age": 40, "cc": "乏力抄方", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多，复诊多梦盗汗，口气重", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草片", "黄连片", "黄芩片", "干姜", "党参片", "煅龙骨", "煅牡蛎", "炒栀子", "淡豆豉", "浮小麦", "蜈蚣", "熟地黄"], "flags": [], "prev_rx": ["熟地黄", "酒萸肉", "山药", "醋鸡内金", "净山楂", "焦麦芽", "牛膝", "黑顺片", "肉桂", "丹参", "鸡血藤", "制巴戟天", "仙茅", "茯苓"], "prev_gap": 14, "visit_ix": 11, "n_visits": 24, "visit_ix_rx": 11, "n_rx": 24} {"rid": 56831, "pid": "Pc15ce7d87876", "date": "2026-02-03", "sex": "男", "age": 40, "cc": "性功能减退2年", "hpi": "性功能减退，硬度可，时间短，乏力，口干舌燥喝水，不喜欢喝凉，尿有泡沫，大便2次，睡眠可，怕冷，腰酸，有汗,复诊：尿黄，有泡沫，大便色黑，腰酸，乏力感", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "党参片", "干姜", "大枣", "蜈蚣", "地黄", "制巴戟天", "煅龙骨", "煅牡蛎", "滑石"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "党参片", "生姜", "大枣", "蜈蚣", "地黄", "制巴戟天"], "prev_gap": 20, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 7} {"rid": 56850, "pid": "Pe80ff59b0e45", "date": "2026-02-03", "sex": "男", "age": 32, "cc": "尿频6月", "hpi": "尿频，尿不尽，有泡沫，阴囊潮湿，大便正常，睡眠差，纳可，口干口苦口气重，乏力感。既往UU总反复，近一年未育", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "党参片", "地黄", "酒萸肉", "山药", "牡丹皮", "连翘", "菟丝子", "枸杞子", "醋龟甲", "醋鸡内金", "酒黄精", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56853, "pid": "P7191a8ca8e9f", "date": "2026-02-03", "sex": "男", "age": 32, "cc": "腰痛1年", "hpi": "腰痛1年，近期想生育，排尿正常，大便不成型，纳可，矢气多，睡眠正常，口中和，怕冷，汗出，手脚凉，出汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "当归", "细辛", "通草", "生姜", "白芍", "北柴胡", "麸炒枳实", "炙甘草", "茯苓", "猪苓", "人参", "菟丝子", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 2} {"rid": 56855, "pid": "P96c491dc4378", "date": "2026-02-03", "sex": "男", "age": 44, "cc": "少腹隐痛复诊", "hpi": "少腹隐痛改善 便秘 排尿不畅 纳可 失眠 腰痛 乏力 盗汗", "wm_dx": ["慢性前列腺炎", "腰痛", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "炒酸枣仁", "知母", "山慈菇", "太子参", "丹参"], "flags": [], "prev_rx": ["猪苓", "炒酸枣仁", "知母", "山慈菇", "麸炒枳壳", "牡丹皮"], 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"sex": "男", "age": 39, "cc": "尿频尿急尿失禁2月", "hpi": "2月前出现尿频尿急尿失禁，遗尿，胁肋疼痛，腰痛乏力。复诊：遗尿好转，近2周遗尿5次，", "wm_dx": ["泌尿系感染"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["知母", "黄柏", "熟地黄", "生地黄", "酒萸肉", "茯苓", "泽泻", "山药", "麦冬", "锁阳", "牡丹皮", "醋五味子", "乌药", "盐益智仁", "人参", "炙淫羊藿", "酒黄精"], "flags": [], "prev_rx": ["知母", "黄柏", "熟地黄", "生地黄", "酒萸肉", "茯苓", "泽泻", "山药", "麦冬", "锁阳", "牡丹皮", "醋五味子", "乌药", "盐益智仁", "人参", "炙淫羊藿"], "prev_gap": 17, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 56882, "pid": "P71d8b8547383", "date": "2026-02-04", "sex": "男", "age": 62, "cc": "腰痛乏力1年", "hpi": "腰痛乏力，勃起不坚，性欲减退，晨勃消失，多梦，口干，体检发现CA724升高。复诊：偶有晨勃，", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "全蝎", "白芍", "川芎", "菟丝子", "酒女贞子", "醋龟甲", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "仙茅", "韭菜子", "制巴戟天", "黄芪", "酒黄精", "人参", "炙淫羊藿"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "川芎", "菟丝子", "酒女贞子", "醋龟甲", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "仙茅", "韭菜子", "制巴戟天", "黄芪", "酒黄精", "人参", "炙淫羊藿", "全蝎"], "prev_gap": 21, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 56883, "pid": "P225537bc4931", "date": "2026-02-04", "sex": "男", "age": 45, "cc": "发现右侧睾丸肿大伴疼痛3天", "hpi": "3天前出现右侧睾丸肿大伴疼痛，无其他不适", "wm_dx": ["精索静脉曲张", "附睾囊肿"], "tcm_dx": [["子痈", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "醋三棱", "荔枝核"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56885, "pid": "P3c10d6994b65", "date": "2026-02-04", "sex": "男", "age": 24, "cc": "尿频尿不尽伴射精快5年", "hpi": "5年前出现尿频尿不尽伴射精快，阴囊潮湿，长期熬夜，夜寐可，口中和，盗汗，耳鸣，腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "肉桂", "黄柏", "北柴胡", "醋鸡内金", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "山药"], "flags": [], "prev_rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "酒黄精", "山药", "北柴胡", "醋鸡内金"], "prev_gap": 16, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 56890, "pid": "Pb60ce1c97ab7", "date": "2026-02-04", "sex": "男", "age": 38, "cc": "腰痛一月", "hpi": "腰疼，酸痛，晨勃有，硬度不行，中途疲软 口服一次西地那非，睡眠差 小便尿频 ，大便可，纳可，口干口苦，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "郁金", "党参片", "桂枝", "生姜", "大枣", "燀桃仁", "红花", "蜈蚣", "地黄", "桑寄生", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56891, "pid": "P42979ea90956", "date": "2026-02-04", "sex": "男", "age": 59, "cc": "夜尿频多一年", "hpi": "夜尿频多一年 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56896, "pid": "P1aa922eda6ec", "date": "2026-02-04", "sex": "男", "age": 53, "cc": "尿频6-7年", "hpi": "尿频，夜尿2-3次，大便正常，头晕，纳可，口干渴，无晨勃，无勃起，无怕冷，乏力，不愿吃西药，腿酸胀，复诊，夜尿1-2次，复诊：口苦", "wm_dx": ["反流性食管炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["当归", "川芎", "白芍", "麸炒薏苡仁", "法半夏", "豆蔻", "煅瓦楞子", "猪苓", "北柴胡", "黄芩片", "醋鸡内金", "石菖蒲", "郁金", "牛膝", "蜈蚣"], "flags": [], "prev_rx": ["石菖蒲", "枸杞子", "柏子仁", "川芎", "炒栀子", "淡豆豉", "白芍", "黄芩片", "陈皮", "茯苓", "法半夏", "竹茹", "麸炒枳实", "人参", "地黄", "北柴胡", "炙黄芪"], "prev_gap": 14, "visit_ix": 9, "n_visits": 22, "visit_ix_rx": 9, "n_rx": 17} {"rid": 56897, "pid": "P9449915ea37c", "date": "2026-02-04", "sex": "男", "age": 34, "cc": "腰痛乏力伴勃起中途疲软1月", "hpi": "1月前出现腰痛乏力伴勃起中途疲软，既往频繁手淫，口中和，勃起可性欲可，近期熬夜频繁", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "锁阳", "生地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56900, "pid": "P294452892e4f", "date": "2026-02-04", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作劳累，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗，晨勃有。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56903, "pid": "P3b8c0ebc80ad", "date": "2026-02-04", "sex": "男", "age": 44, "cc": "尿频半年", "hpi": "尿频，晨勃没有，硬度下降，时间短，中途醒，大便正常，纳可，时有腹胀，口和，体重增加明显", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "牡丹皮", "石菖蒲", "炒栀子", "酒萸肉", "山药", "丹参", "鸡血藤", "蜈蚣", "酒黄精", "炙淫羊藿", "盐胡芦巴"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "牡丹皮", "石菖蒲", "炒栀子", "酒萸肉", "山药", "丹参", "鸡血藤", "蜈蚣", "酒黄精", "炙淫羊藿"], "prev_gap": 7, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 56908, "pid": "P511beca507d9", "date": "2026-02-04", "sex": "男", "age": 61, "cc": "尿急 尿不尽一月", "hpi": "尿急 尿不尽一月 大便正常 纳可 失眠 耳鸣 怕冷 阴囊潮湿", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝", "黄芪", "龙胆", "炒栀子", "生地黄", "麦冬", "醋五味子", "人参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝", "黄芪", "龙胆", "炒栀子", "紫苏梗"], "prev_gap": 7, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 6} {"rid": 56909, "pid": "P1c9db7f12257", "date": "2026-02-04", "sex": "男", "age": 46, "cc": "腰痛乏力伴勃起不坚1年", "hpi": "1年前出现腰痛乏力伴勃起不坚，口干，长期熬夜，夜寐差，易醒，易生气", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "锁阳", "黄芪", "人参", "韭菜子", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56917, "pid": "Pb75956d0a811", "date": "2026-02-05", "sex": "男", "age": 76, "cc": "尿痛一周余", "hpi": "尿痛一周余 排尿困难 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "薏苡仁", "茯苓", "麸炒芡实"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 8} {"rid": 56922, "pid": "Pb6f7759f23ca", "date": "2026-02-05", "sex": "男", "age": 42, "cc": "尿频尿急半年", "hpi": "尿频尿急仍存在 大便正常 纳可 眠安 腰痛乏力 夜尿1-2次 工作久坐", "wm_dx": ["前列腺增生", "慢性前列腺炎", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["麸炒芡实", "川牛膝", "猪苓", "山慈菇"], "flags": ["rx_len_outlier"], "prev_rx": ["麸炒芡实", "太子参", "猪苓", "山慈菇"], "prev_gap": 88, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 56929, "pid": "P97ad41c946a0", "date": "2026-02-05", "sex": "男", "age": 72, "cc": "前列腺增生复诊", "hpi": "尿急，尿频，排尿不畅，尿线细，夜尿可，有小腹及会阴不适，纳差，小便黄，大便干。超声：4.2*3.7*3.5cm。服药后尿急改善，排尿不畅改善，腰痛。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["细辛", "丁香", "肉桂"], "flags": ["rx_len_outlier"], "prev_rx": ["细辛", "丁香", "肉桂"], "prev_gap": 119, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56931, "pid": "Peac67b3927d7", "date": "2026-02-05", "sex": "男", "age": 59, "cc": "尿频1年", "hpi": "尿频，晨勃少，硬度不坚，性欲一般，排尿正常，夜尿1次，大便不成型，睡眠正常，纳可，口和，无怕冷，腰痛", "wm_dx": ["腰痛", "高脂血症"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["腰痛", "肾气不充证", "补肾扶元"]], "rx": ["制巴戟天", "枸杞子", "太子参", "覆盆子", "川牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56932, "pid": "Pe5012a219570", "date": "2026-02-05", "sex": "男", "age": 61, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，乏力，工作久坐，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "骨质疏松"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 56933, "pid": "P3a8c83296916", "date": "2026-02-05", "sex": "男", "age": 44, "cc": "尿急复诊", "hpi": "尿急改善 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "陈皮", "制巴戟天", "茯苓", "薏苡仁"], "flags": [], "prev_rx": ["猪苓", "羌活", "山慈菇", "陈皮", "制巴戟天"], "prev_gap": 14, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 6} {"rid": 56936, "pid": "P3699a4fd2f71", "date": "2026-02-05", "sex": "男", "age": 32, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，头汗多，勃起中途疲软，射精快，偶有口干口苦，耳鸣，盗汗。工作劳累。", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "沙苑子", "太子参"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "盐车前子", "韭菜子"], "prev_gap": 45, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56940, "pid": "P7114aeaff2e8", "date": "2026-02-05", "sex": "男", "age": 61, "cc": "腰痛半年抄方", "hpi": "腰痛半年 伴有勃起不坚 大小便正常 纳可 乏力消瘦 性欲低下 失眠", "wm_dx": ["腰痛", "失眠", "高脂血症"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["覆盆子", "川牛膝", "制巴戟天", "酒黄精", "菟丝子"], "flags": [], "prev_rx": ["菟丝子", "茯苓", "鹿角霜", "天麻", "炒决明子", "菊花", "钩藤"], "prev_gap": 58, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 56942, "pid": "P3aef33821710", "date": "2026-02-05", "sex": "男", "age": 33, "cc": "腰痛乏力抄方", "hpi": "腰痛乏力，近期想生育，夜寐差，长期熬夜久坐", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["鹿角霜", "菟丝子", "醋五味子", "紫石英", "牡丹皮", "酒萸肉", "醋龟甲", "熟地黄", "人参", "肉桂", "泽泻"], "flags": [], "prev_rx": ["鹿角霜", "菟丝子", "醋五味子", "紫石英", "牡丹皮", "酒萸肉", "醋龟甲", "熟地黄", "人参", "肉桂", "泽泻"], "prev_gap": 9, "visit_ix": 6, "n_visits": 14, "visit_ix_rx": 5, "n_rx": 12} {"rid": 56944, "pid": "P9a9165941f55", "date": "2026-02-05", "sex": "男", "age": 37, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口干盗汗，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。包皮刺痒。工作熬夜。", "wm_dx": ["包皮龟头炎", "腰痛", "维生素B缺乏"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "沙苑子", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 3} {"rid": 56945, "pid": "P624d68adaf4a", "date": "2026-02-05", "sex": "男", "age": 57, "cc": "前列腺增生复诊取药", "hpi": "左侧睾丸疼痛腰酸疼改善 腿软改善 大便正常 纳可 眠安 尿频尿急明显改善", "wm_dx": ["慢性前列腺炎", "附睾囊肿", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "山慈菇", "太子参", "制巴戟天", "茯苓", "陈皮"], "flags": [], "prev_rx": ["猪苓", "山慈菇", "太子参", "制巴戟天", "茯苓"], "prev_gap": 14, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 56955, "pid": "P3e62845d8482", "date": "2026-02-05", "sex": "男", "age": 26, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 龟头敏感 尿频 尿急 尿不尽大便正常 纳可 眠差，阴囊皮肤瘙痒抓挠", "wm_dx": ["慢性前列腺炎", "皮炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "prev_gap": 131, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56974, "pid": "P22ba7153c010", "date": "2026-02-06", "sex": "男", "age": 59, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，晨勃少", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "锁阳", "鸡血藤", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "prev_gap": 15, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 56981, "pid": "P3a89d7ff0fdd", "date": "2026-02-06", "sex": "男", "age": 58, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频尿急，无尿后余沥，夜尿1次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["熟地黄", "菟丝子", "醋莪术", "川牛膝", "炒王不留行", "盐关黄柏", "黄芪", "山药", "浙贝母", "泽泻", "桔梗", "酒萸肉", "麸炒薏苡仁", "乌药", "白果仁", "酒黄精", "制水蛭", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56984, "pid": "P76494e94a2e9", "date": "2026-02-06", "sex": "男", "age": 47, "cc": "尿频3月", "hpi": "尿频3月，有晨勃，同房硬度一般，中途疲软，时间短，性欲正常，腰疼，纳可，睡眠一般，口干，大便正常", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["葛根", "桂枝", "白芍", "地黄", "酒萸肉", "山药", "牡丹皮", "天花粉", "蜈蚣", "石菖蒲", "北柴胡", "麸炒枳实", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56986, "pid": "P1ae6ef47604a", "date": "2026-02-06", "sex": "男", "age": 54, "cc": "腰痛乏力2月", "hpi": "2月前出现腰痛乏力，夜尿频，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾气不充证", "补肾扶元"]], "rx": ["猪苓", "太子参", "制巴戟天"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 56990, "pid": "Pc1a7ab9e1c26", "date": "2026-02-06", "sex": "男", "age": 48, "cc": "尿频半年", "hpi": "尿频，有晨勃可，硬度一般，时间短，夜尿偶有一次，中途醒一次，纳可，阴囊潮湿，大便不成型1-2次，口苦，无怕冷，怕热", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "熟地黄", "地黄", "牡丹皮", "石菖蒲", "麦冬", "党参片", "蜈蚣", "路路通", "煅牡蛎", "白芍", "盐蒺藜"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "熟地黄", "地黄", "牡丹皮", "燀桃仁", "麦冬", "枸杞子", "蜈蚣", "煅龙骨", "煅牡蛎"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 56994, "pid": "P0d740fb20cef", "date": "2026-02-07", "sex": "男", "age": 47, "cc": "夜尿3-4次一年", "hpi": "夜尿3-4次，喝水即尿，色黄，无腹痛，无腰疼，大便不成型，睡眠可，纳可，吃生冷易腹泻，口和，无怕冷，肩膀痛", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "麸炒白术", "党参片", "茯苓", "泽泻", "猪苓", "法半夏", "桂枝", "干姜", "阿胶珠", "滑石", "石菖蒲", "锁阳", "乌药", "炙甘草"], "flags": [], "prev_rx": ["桂枝", "麸炒白术", "茯苓", "猪苓", "滑石", "牡丹皮", "山药", "乌药", "盐益智仁", "砂仁", "黑顺片", "炙甘草", "干姜", "阿胶珠", "金樱子肉"], "prev_gap": 7, "visit_ix": 6, "n_visits": 10, "visit_ix_rx": 6, "n_rx": 10} {"rid": 56995, "pid": "Pd681eb81f824", "date": "2026-02-07", "sex": "男", "age": 47, "cc": "阴囊潮湿2年", "hpi": "阴囊潮湿2年，阴茎根部潮湿，肛周潮湿瘙痒，尿频，无夜尿，排尿不畅改善。眠差，纳可，大便粘。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["麸炒苍术", "麸炒薏苡仁", "黄柏", "川牛膝", "北柴胡", "龙胆", "炒栀子", "茯苓", "党参", "麸炒白术", "炒酸枣仁", "柏子仁", "石菖蒲", "炙淫羊藿", "姜厚朴", "砂仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["麸炒苍术", "麸炒薏苡仁", "黄柏", "川牛膝", "北柴胡", "龙胆", "炒栀子", "茯苓", "猪苓", "蒲公英", "党参", "麸炒白术", "炒酸枣仁", "柏子仁", "蛇床子", "地肤子"], "prev_gap": 14, "visit_ix": 3, "n_visits": 24, "visit_ix_rx": 3, "n_rx": 6} {"rid": 56997, "pid": "P4db9ceac8e50", "date": "2026-02-07", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，盗汗，焦虑", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "茯苓", "制远志", "锁阳", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "茯苓", "制远志"], "prev_gap": 63, "visit_ix": 1, "n_visits": 15, "visit_ix_rx": 1, "n_rx": 15} {"rid": 57010, "pid": "P825709aa698d", "date": "2026-02-07", "sex": "男", "age": 57, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊，尿频，夜尿2-3次，尿等待，阴囊潮湿，龟头部湿凉，无腹痛，无腰疼，睡眠一般多梦早醒，口干，无口苦，怕冷", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "茯苓", "泽泻", "炒栀子", "牡丹皮", "猪苓", "炒酸枣仁", "赤小豆", "制巴戟天", "石菖蒲", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 57012, "pid": "Pc2e50c875d74", "date": "2026-02-07", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，怕冷，手脚冷，工作可，大便质干，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "制远志", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "制远志"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57014, "pid": "P7ae97aea97b9", "date": "2026-02-07", "sex": "男", "age": 29, "cc": "尿频3月", "hpi": "尿频，硬度一般，中途疲软，时间短，晨勃少，睡眠差，总醒，入睡困难，排尿正常，色黄，大便正常，少腹隐痛，喜欢吃生冷，口干口苦，口气重，无怕冷，阴囊潮湿", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "枸杞子", "莲子心", "郁金", "柏子仁", "石菖蒲", "制远志", "地黄", "蜈蚣", "焦麦芽", "炒栀子", "淡豆豉", "赤小豆"], "flags": [], "prev_rx": ["炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "地黄", "北柴胡", "麸炒枳实", "白芍", "酒女贞子", "牡丹皮", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "郁金"], "prev_gap": 17, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57016, "pid": "P47f1538d0d1a", "date": "2026-02-07", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，急躁，晨勃少", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57018, "pid": "P667c57b53f09", "date": "2026-02-07", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "左侧少腹隐痛，左侧睾丸隐痛，耳鸣，排尿可， 大便偏干 发黏 纳一般， 眠中途醒口和。复诊：睾丸隐痛左侧，少腹偶有隐痛", "wm_dx": ["慢性前列腺炎", "静脉曲张", "下肢静脉曲张", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["筋瘤", "气滞血瘀证", "活血止痛"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "白芷", "石菖蒲", "郁金", "北柴胡", "川楝子", "荔枝核", "盐橘核", "大黄", "桃仁", "红花", "牡丹皮", "茯苓", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "桂枝", "干姜", "白芍", "当归", "川芎", "茯苓", "泽泻", "麸炒白术", "炙甘草", "川楝子", "荔枝核", "盐橘核", "白芷", "附片", "牛膝"], "prev_gap": 14, "visit_ix": 12, "n_visits": 17, "visit_ix_rx": 7, "n_rx": 12} {"rid": 57023, "pid": "P154d34eeea4c", "date": "2026-02-07", "sex": "男", "age": 34, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，工作久坐", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], 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["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "盐车前子", "烫水蛭"], "prev_gap": 14, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 57032, "pid": "Pfc46b9d172f1", "date": "2026-02-07", "sex": "男", "age": 26, "cc": "腰痛半年", "hpi": "腰痛半年 早泄 龟头敏感 勃起可，龟头红疹", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙", "五加皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙", "五加皮"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57040, "pid": "Pf42772310e92", "date": "2026-02-07", "sex": "男", "age": 39, "cc": "左侧睾丸疼痛不适1月", "hpi": "1月前出现左侧睾丸不适，尿不尽尿无力，手淫频繁，左侧睾丸肿大，阴茎根部瘙痒，耳鸣，夜寐差，腰痛乏力，盗汗，阴茎根部红疹瘙痒", "wm_dx": ["静脉曲张", "精索静脉曲张", "腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["盗汗", "肾虚证", "滋补肾阴"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["盐车前子", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "炙淫羊藿", "绵萆薢", "天花粉", "墨旱莲", "乌药", "盐益智仁", "制巴戟天", "锁阳", "麸炒山药", "金樱子", "醋五味子", "路路通", "炒王不留行", "夏枯草", "荔枝核", "黄芪", "炙甘草"], "flags": [], "prev_rx": ["白花蛇舌草", "马齿苋", "蒲公英", "盐黄柏", "蛇床子", "金银花", "地肤子", "苦参", "地榆", "盐车前子", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "炙淫羊藿", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "制巴戟天", "锁阳", "麸炒山药", "金樱子", "醋五味子", "路路通", "炒王不留行", "夏枯草", "荔枝核", "黄芪", "炙甘草"], "prev_gap": 12, "visit_ix": 6, "n_visits": 16, "visit_ix_rx": 3, "n_rx": 9} {"rid": 57044, "pid": "P57f9f35373e9", "date": "2026-02-07", "sex": "男", "age": 40, "cc": "尿频一年", "hpi": "尿频，有性欲，硬度差，时间短，晨勃少，大便正常，睡眠可，纳可，口唇干", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "蜈蚣", "党参片", "牛膝", "茯苓", "桂枝", "黑顺片", "制巴戟天", "盐胡芦巴", "川芎"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "枸杞子", "蜈蚣", "党参片", "牛膝", "茯苓", "北柴胡", "麸炒枳实", "白芍"], "prev_gap": 17, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 57048, "pid": "P8fcd590a99c6", "date": "2026-02-07", "sex": "男", "age": 46, "cc": "血精4天", "hpi": "血精4天，无明显射精疼痛，无明显排尿不适，工作可，睡眠一般，易醒，外院检查CT，口服左氧氟沙星一月，现精液仍成暗红色", "wm_dx": ["血精"], "tcm_dx": [["热淋", "湿热下注证", "清热利湿"]], "rx": ["麸炒白术", "茯苓", "泽泻", "干姜", "牡丹皮", "血余炭", "蒲黄炭", "小蓟炭", "赤小豆", "白花蛇舌草", "当归", "川芎", "党参片", "炙黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["山慈菇", "炒酸枣仁", "薏苡仁"], "prev_gap": 79, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57053, "pid": "P7191a8ca8e9f", "date": "2026-02-07", "sex": "男", "age": 32, "cc": "腰痛1年", "hpi": "腰痛1年，近期想生育，排尿正常，大便不成型，纳可，矢气多，睡眠正常，口中和，怕冷，汗出，手脚凉，出汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "当归", "细辛", "通草", "生姜", "白芍", "北柴胡", "麸炒枳实", "炙甘草", "茯苓", "猪苓", "人参", "菟丝子", "覆盆子", "姜厚朴"], "flags": ["hpi_has_cc_prefix"], 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["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["党参片", "炙黄芪", "山药", "猪苓", "泽泻", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "覆盆子", "麸炒枳壳", "川牛膝", "绵萆薢", "车前草", "炙甘草", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "知母", "丹参", "酒黄精"], "flags": [], "prev_rx": ["党参片", "炙黄芪", "山药", "猪苓", "泽泻", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "覆盆子", "麸炒枳壳", "牛膝", "绵萆薢", "车前草", "炙甘草", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "知母", "丹参"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57098, "pid": "Pdc4c2b1c69f3", "date": "2026-02-08", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗 口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "沙苑子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", 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"烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57120, "pid": "Pe6e5eb734315", "date": "2026-02-08", "sex": "男", "age": 81, "cc": "腰痛抄方", "hpi": "腰痛抄方，乏力，口干，纳可，眠一般，汗多，小便频，大便可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "连翘", "赤小豆", "炙黄芪", "桔梗"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "川芎", "熟地黄", "炒芥子", "麻黄", "茯苓", "泽泻", "肉桂", "党参片", "酒苁蓉", "麸炒白术", "大枣", "炙黄芪"], "prev_gap": 16, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 57132, "pid": "Pdd259f7a00ca", "date": "2026-02-09", "sex": "男", "age": 49, "cc": "尿频阴囊潮湿异味6月", "hpi": "6月前出现尿频阴囊潮湿异味，尿分叉，尿灼热，无小腹胀痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["麸炒苍术", "黄柏", "麸炒薏苡仁", "牛膝", "炙淫羊藿", "茯苓", "猪苓", "泽泻"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57152, "pid": "Pe4283b958d0e", "date": "2026-02-09", "sex": "男", "age": 42, "cc": "腰痛2月", "hpi": "腰痛2月，二便调，眠差改善，无排尿不畅、尿后余沥，盗汗口干。乏力头晕，颈部不适。症状改善明显，可停药。", "wm_dx": ["高脂血症", "腰痛", "失眠", "高血压"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["失眠", "气血亏虚证", "补益气血"]], "rx": ["制巴戟天", "莲子", "枸杞子"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["川牛膝", "石菖蒲", "制巴戟天", "红景天"], "prev_gap": 42, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57154, "pid": "P19d70d6b04db", "date": "2026-02-09", "sex": "男", "age": 52, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，性欲减退，足心汗出，盗汗，口唇干，夜寐差，易醒", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "锁阳", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57159, "pid": "Pb7b66200fb37", "date": "2026-02-09", "sex": "男", "age": 70, "cc": "排尿不畅夜尿频1周", "hpi": "1周前出现排尿不畅夜尿频，夜尿6-7次，口干口苦，阴囊潮湿冷，腰痛乏力，：复诊：腹部不适，夜尿好转4-5次，口苦", "wm_dx": ["前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"], ["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "炒酸枣仁", "麸炒苍术", "麸炒薏苡仁", "牛膝"], "flags": [], "prev_rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "昆布", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "小通草", "麸炒冬瓜子", "苦参", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲"], "prev_gap": 16, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 3} {"rid": 57161, "pid": "P12f9077d7ad3", "date": "2026-02-09", "sex": "男", "age": 59, "cc": "腹股沟潮湿瘙痒3月", "hpi": "3月前出现腹股沟潮湿瘙痒，排尿可，腰痛乏力伴勃起欠佳，性欲减退", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "白花蛇舌草", "金银花", "地榆", "马齿苋", "地肤子", "蒲公英", "黄柏"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57168, "pid": "P1407db622766", "date": "2026-02-10", "sex": "男", "age": 37, "cc": "发现PSA升高复查", "hpi": "发现PSA升高1周，5.62 ng/ml，工作久坐，无明显尿频、尿急、排尿不畅，夜尿0次。无尿后余沥，无小腹及会阴不适。乏力消瘦半年,睡眠好转", "wm_dx": ["前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "小蓟", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "炒王不留行"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "小蓟", "白花蛇舌草", "半枝莲", "连翘", "醋三棱", "醋莪术", "红花"], "prev_gap": 28, "visit_ix": 4, "n_visits": 16, "visit_ix_rx": 2, "n_rx": 10} {"rid": 57171, "pid": "Pcdcd86d39e7f", "date": "2026-02-10", "sex": "男", "age": 70, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 排尿困难 夜尿4-5次 大便正常 纳可 眠差", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57172, "pid": "Pac7b1bc54b48", "date": "2026-02-10", "sex": "男", "age": 61, "cc": "射精无力半年", "hpi": "射精无力半年 勃起不坚 性功能下降 大小便正常 纳可 眠安 腰痛", "wm_dx": ["慢性前列腺炎", "前列腺增生", "泌尿系感染"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "黄芪", "醋五味子", "山药", "白术", "麸炒枳壳", "炙甘草", "砂仁", "木香", "佛手", "肉苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "锁阳", "北柴胡", "升麻", "白芷", "麦冬", "玄参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 6} {"rid": 57177, "pid": "P33605c3b5985", "date": "2026-02-10", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 乏力 易疲劳 口苦口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["党参", "黄芪", "山药", "麸炒枳壳", "麸炒白术", "茯苓", "炙甘草", "肉苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "盐车前子", "覆盆子", "砂仁", "木香", "醋五味子", "石菖蒲", "枸杞子", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57179, "pid": "P52984593d65c", "date": "2026-02-10", "sex": "男", "age": 32, "cc": "会阴部胀痛一周", "hpi": "会阴部胀痛一周 大小便正常 纳可 眠安 腰酸痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57182, "pid": "P7b03cab6dab5", "date": "2026-02-10", "sex": "男", "age": 30, "cc": "复诊抄方", "hpi": "近一月疲劳，突觉勃起困难，有夜间自发勃起 大便正常 纳可 眠差", "wm_dx": ["乏力"], "tcm_dx": [["精浊", "肝郁气滞证", "疏肝理气"]], "rx": ["北柴胡", "麸炒枳实", "九香虫", "蜈蚣", "石菖蒲", "炙甘草", "瓜蒌", "白芍"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "九香虫", "炙甘草", "白芍", "瓜蒌", "蜈蚣", "石菖蒲"], "prev_gap": 8, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 57184, "pid": "P7ecfae3b2461", "date": "2026-02-10", "sex": "男", "age": 58, "cc": "尿频尿急抄方", "hpi": "2年前出现尿频尿急，近3月出现尿频急尿加重，夜尿1-2次，口干口苦，夜寐可。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "醋五味子"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "醋五味子"], "prev_gap": 59, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57186, "pid": "P863e5b26805f", "date": "2026-02-10", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，同房1-2次/月，长期熬夜，一周2次飞机出行。排尿正常，大便正常，纳可，口和，无怕冷。口服草药苦，反胃。性欲低下。", "wm_dx": ["腰痛", "真菌感染"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["生地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "醋龟甲", "麦冬", "覆盆子", "醋五味子", "牛膝", "酒女贞子", "炙甘草"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "韭菜子"], "prev_gap": 15, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 57188, "pid": "P64d1bf0f8bb8", "date": "2026-02-10", "sex": "男", "age": 42, "cc": "阴囊不适3天", "hpi": "阴囊不适3天，外院查睾丸和精索静脉超声报：轻度精索静脉曲张。服用小金丸后症状缓解。易反复，排尿正常，大便不成型，纳可，口和，睡眠正常，无怕冷，怕热，复诊：症状好转，口干。复诊：大便不成型，口干，有痰，腰疼", "wm_dx": ["精索静脉曲张", "慢性肾炎", "糖尿病"], "tcm_dx": [["腰痛", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["法半夏", "陈皮", "化橘红", "炒苦杏仁", "茯苓", "乌梅", "醋五味子", "地黄", "赤小豆", "枸杞子", "醋龟甲", "菟丝子", "红景天", "牡蛎", "北柴胡", "黄芩片", "桔梗", "炒芥子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["法半夏", "陈皮", "化橘红", "炒苦杏仁", "茯苓", "乌梅", "醋五味子", "生石膏", "地黄", "赤小豆", "枸杞子", "醋龟甲", "菟丝子", "红景天", "牡蛎", "北柴胡", "黄芩片"], "prev_gap": 20, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 6, "n_rx": 9} {"rid": 57192, "pid": "P7ddb2255422e", "date": "2026-02-10", "sex": "男", "age": 44, "cc": "尿不尽 排尿无力一月余", "hpi": "尿不尽 排尿无力一月余 大便正常 纳可 眠安 勃起困难 中途疲软 乏力 耳鸣", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["瞿麦", "虎杖", "绵萆薢", "茵陈", "丹参", "防风", "白芷", "天麻", "炒蔓荆子", "菊花", "醋香附", "石菖蒲", "制远志", "麸炒枳壳", "炙甘草", "制巴戟天", "盐胡芦巴", "炙淫羊藿", "韭菜子", "菟丝子", "沙苑子", "荆芥", "白芍", "川芎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["瞿麦", "虎杖", "绵萆薢", "茵陈", "丹参", "防风", "白芷", "天麻", "炒蔓荆子", "菊花", "姜黄", "石菖蒲", "制远志", "麸炒枳壳", "炙甘草"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 57194, "pid": "P5f5645c40ce2", "date": "2026-02-10", "sex": "男", "age": 66, "cc": "尿频尿痛尿中断4天", "hpi": "4天前出现尿频尿痛尿中断，尿不尽，夜尿4-5次，排尿不畅，自服左氧氟沙星片2天未见好转", "wm_dx": ["泌尿系感染"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "金樱子", "醋五味子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57202, "pid": "P5e80805fd514", "date": "2026-02-10", "sex": "男", "age": 71, "cc": "前列腺增生复诊", "hpi": "病史同前，口服盐酸坦索罗辛缓释胶囊服药后头蒙感，淋漓不尽，尿无力，夜尿2-3次。眠差多梦，手脚凉，易汗，夜间口干不苦，反酸呃逆，阴囊潮湿，会阴发胀，腰疼，便调，无勃起，怕冷，有汗，盗汗，吃凉易腹泻", "wm_dx": ["前列腺增生"], "tcm_dx": [["痨病", "肾虚证", "补肾固精"], ["癃闭", "肾虚证", "补肾固精"]], "rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "陈皮", "丹参", "鸡血藤", "赤小豆", "滑石", "蜈蚣", "制巴戟天", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "泽泻", "茯苓", "白术", "覆盆子", "生姜", "大枣", "生石膏", "炙甘草"], "prev_gap": 8, "visit_ix": 3, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 11} {"rid": 57205, "pid": "P19b7ebf602e3", "date": "2026-02-10", "sex": "男", "age": 46, "cc": "尿频复诊", "hpi": "病史同前， 夜尿1次，尿不尽，无力感， 大便正常 纳可 眠易醒 口服可多华，爱普力特治疗半年，无肢冷，阴囊潮湿。下午尿频，工作环境偏凉", "wm_dx": ["前列腺增生", "反流性食管炎"], "tcm_dx": [["失眠", "心肾不交证", "清心安神"], ["腰痛", "气滞血瘀证", "活血止痛"], ["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "茯苓", "泽泻", "猪苓", "酒萸肉", "山药", "牡丹皮", "石菖蒲", "煅龙骨", "煅牡蛎", "赤小豆", "滑石", "燀桃仁", "炙甘草"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "泽泻", "覆盆子", "首乌藤", "炙甘草", "生姜", "大枣", "独活", "牛膝"], "prev_gap": 29, "visit_ix": 10, "n_visits": 11, "visit_ix_rx": 5, "n_rx": 6} {"rid": 57208, "pid": "P42bcefeab4a5", "date": "2026-02-10", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "腰痛半年 大便正常 纳可 眠安中途醒，阴囊潮湿，口苦口干 多汗 耳鸣 胁痛 夜尿1-2次 射精疼痛 勃起不坚", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["腰痛", "肾虚证", "补肾扶元"], ["耳鸣", "肝郁气滞证", "疏肝理气"]], "rx": ["北柴胡", "黄芩", "人参", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜", "牛膝", "生地黄", "茯苓", "泽泻", "猪苓", "赤小豆", "白花蛇舌草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩", "人参", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜", "牛膝", "生地黄", "茯苓", "泽泻", "猪苓", "赤小豆", "白花蛇舌草"], "prev_gap": 10, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57213, "pid": "P86d35877a0fe", "date": "2026-02-10", "sex": "男", "age": 38, "cc": "龟头微痛一月余", "hpi": "龟头微痛一月余 大小便正常 纳可 眠安 湿疹取药", "wm_dx": ["湿疹", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["羌活", "猪苓", "茯苓", "薏苡仁", "制巴戟天", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57217, "pid": "P34128846ea89", "date": "2026-02-10", "sex": "男", "age": 39, "cc": "会阴不适复诊", "hpi": "会阴不适改善明显，无尿频尿急，无尿后余沥，夜尿0-1次，盗汗 腰痛 乏力 口干", "wm_dx": ["前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["覆盆子", "菟丝子", "知母", "制巴戟天", "枸杞子", "太子参"], "flags": [], "prev_rx": ["丹参", "烫水蛭", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐黄柏", "麸炒白术", "盐车前子", "菟丝子", "橘络"], "prev_gap": 45, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57221, "pid": "P20417c341ca7", "date": "2026-02-10", "sex": "男", "age": 26, "cc": "尿频半年", "hpi": "尿频，夜尿正常，大便易腹泻，喜欢冰水，口和，无怕冷晨勃少，硬度一般，无乏力感", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "山药", "酒萸肉", "北沙参", "人参", "炙黄芪", "石菖蒲", "制远志", "制巴戟天", "仙茅", "葛根"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "山药", "酒萸肉", "北沙参", "人参", "炙黄芪", "石菖蒲", "制远志", "制巴戟天", "仙茅"], "prev_gap": 8, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 57223, "pid": "Pac517f1a9518", "date": "2026-02-11", "sex": "男", "age": 38, "cc": "包皮龟头炎复诊", "hpi": "包皮龟头炎改善不明显 刺痒 大小便正常 纳可 眠安 湿疹取药", "wm_dx": ["包皮龟头炎", "湿疹"], "tcm_dx": [["湿疮", "热毒壅结证", "清热解毒"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "黄连", "当归", "白芷", "大黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57233, "pid": "P3b8c0ebc80ad", "date": "2026-02-11", "sex": "男", "age": 44, "cc": "尿频半年", "hpi": "尿频，晨勃没有，硬度下降，时间短，中途醒，大便正常，纳可，时有腹胀，口和，体重增加明显，复诊：睡眠好转，有晨勃，腹胀消失", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "牡丹皮", "石菖蒲", "炒栀子", "酒萸肉", "山药", "丹参", "鸡血藤", "蜈蚣", "酒黄精", "炙淫羊藿", "盐胡芦巴"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "牡丹皮", "石菖蒲", "炒栀子", "酒萸肉", "山药", "丹参", "鸡血藤", "蜈蚣", "酒黄精", "炙淫羊藿", "盐胡芦巴"], "prev_gap": 7, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 57239, "pid": "Pa1a3c7447453", "date": "2026-02-11", "sex": "男", "age": 63, "cc": "尿频尿急6月", "hpi": "6月前出现尿频尿急，排尿不畅，尿等待，夜尿3-4次，小腹胀痛，大便粘，腰痛乏力", "wm_dx": ["腰痛", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["麸炒苍术", "牛膝", "乌药", "盐益智仁", "山药", "金樱子", "醋五味子", "麸炒芡实"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 5} {"rid": 57242, "pid": "P0fec0d403f18", "date": "2026-02-11", "sex": "男", "age": 43, "cc": "尿频2年", "hpi": "尿频，尿不尽，夜尿1-2次，大便不成型粘，纳一般，晨起口苦，睡眠可，怕冷，腰疼，汗少，近2年出现勃起不行，晨勃少，近一年未同房，时间短，性欲一般，阴囊潮湿，左侧睾丸不适感", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "炒决明子", "菊花", "桑叶", "枸杞子", "黄芩片", "知母", "盐关黄柏", "地黄", "酒萸肉", "火麻仁", "茯苓", "当归", "蜈蚣", "金樱子肉", "燀桃仁"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "丹参", "鸡血藤", "石菖蒲", "郁金", "盐蒺藜", "煅龙骨", "煅牡蛎", "麸炒枳实", "白芍", "地黄", "制巴戟天", "茯苓"], "prev_gap": 14, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 57248, "pid": "Pf2147c64fd48", "date": "2026-02-11", "sex": "男", "age": 45, "cc": "尿灼热排尿不畅复诊", "hpi": "尿灼热排尿不畅改善，周身乏力，腰痛，无小腹胀痛，夜寐差 失眠", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["失眠", "心血虚证", "补血养心"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["覆盆子", "醋五味子", "太子参", "石斛", "炒酸枣仁", "知母", "菟丝子"], "flags": [], "prev_rx": ["制巴戟天", "覆盆子", "醋五味子", "太子参", "石斛"], "prev_gap": 11, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 3, "n_rx": 6} {"rid": 57258, "pid": "P19129a6df09b", "date": "2026-02-11", "sex": "男", "age": 56, "cc": "尿混浊2月", "hpi": "2月前出现尿混浊，腰痛乏力，射精快，口中和，长期夜班,勃起可，焦虑状态", "wm_dx": ["焦虑状态", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "全蝎", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "金樱子", "制巴戟天", "黄芪", "人参", "锁阳", "酒黄精", "熟地黄", "山药"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "全蝎", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "金樱子", "制巴戟天", "黄芪", "锁阳", "熟地黄", "山药", "人参", "酒黄精"], "prev_gap": 9, "visit_ix": 6, "n_visits": 18, "visit_ix_rx": 6, "n_rx": 7} {"rid": 57259, "pid": "Pe39549cc84fd", "date": "2026-02-11", "sex": "男", "age": 48, "cc": "腰痛乏力伴勃起不坚3年", "hpi": "3年前出现腰痛乏力伴勃起不坚，口服他达拉非可同房，性欲可，晨勃消失，口干口苦，夜寐差，失眠，无小腹胀痛，射精快，盗汗，胁肋疼痛，易生气，复诊：夜尿3次，尿频", "wm_dx": ["腰痛", "慢性肾功能不全"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["肾衰病", "肺肾两虚证", "滋补肺肾"]], "rx": ["炙甘草", "麸炒枳壳", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "三七粉", "当归", "炙淫羊藿", "醋香附", "北柴胡", "韭菜子", "制巴戟天", "炒酸枣仁", "酒黄精"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "制巴戟天", "锁阳", "酒黄精", "人参", "炒酸枣仁", "盐补骨脂", "柏子仁", "三七粉", "枸杞子", "太子参"], "prev_gap": 14, "visit_ix": 2, "n_visits": 12, "visit_ix_rx": 2, "n_rx": 10} {"rid": 57265, "pid": "P52b9708fc48a", "date": "2026-02-11", "sex": "男", "age": 58, "cc": "尿频3年", "hpi": "尿频，性欲一般，晨勃有，硬度不够，自服伟哥有效，排尿正常，大便正常，睡眠正常，纳可，口和", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "石菖蒲", "金樱子肉", "制巴戟天", "仙茅", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "北柴胡", "桂枝", "锁阳"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "石菖蒲", "制远志", "制巴戟天", "仙茅", "柏子仁", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "北柴胡"], "prev_gap": 15, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 57267, "pid": "P6bbb6fb8c646", "date": "2026-02-11", "sex": "男", "age": 82, "cc": "膀胱肿瘤抄方", "hpi": "膀胱肿瘤抄方 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["包皮溃疡", "湿热", "清热利湿养阴生肌"], ["血淋", "气滞血瘀证", "活血化瘀"], ["积聚类病", "湿毒下注证", "清热解毒"]], "rx": ["龙葵", "白花蛇舌草", "半枝莲", "蛇莓", "黄芪", "醋莪术", "蒲公英", "麸炒苍术", "姜厚朴", "陈皮", "甘草片", "覆盆子", "盐益智仁", "乌药", "山药", "炒酸枣仁", "茯神", "麸炒薏苡仁", "茯苓", "首乌藤"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 57268, "pid": "Pb345557bb617", "date": "2026-02-11", "sex": "男", "age": 48, "cc": "尿频 夜尿3次复诊", "hpi": "尿频 夜尿3次改善 少腹隐痛改善 无睾丸疼痛 大便正常 纳可 眠差 腰痛 乏力 疲劳 扭伤行动不便", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "麸炒芡实", "太子参", "制巴戟天", "覆盆子", "菟丝子"], "flags": [], "prev_rx": ["猪苓", "麸炒芡实", "太子参", "制巴戟天", "覆盆子", "菟丝子"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 57269, "pid": "P1c8af6e40922", "date": "2026-02-11", "sex": "男", "age": 70, "cc": "尿频2年", "hpi": "2年前出现尿频，夜尿3-6次，天冷加重，尿后余沥消失，排尿通畅，尿急改善", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精癃", "肝肾两虚证", "滋补肝肾"]], "rx": ["肉桂", "太子参", "山药", "盐车前子", "麸炒白术", "乌药", "盐益智仁", "麸炒芡实", "醋五味子", "金樱子", "炒酸枣仁", "炙淫羊藿", "制巴戟天", "韭菜子", "仙茅", "酒苁蓉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57274, "pid": "Pbcd4761c4bab", "date": "2026-02-11", "sex": "男", "age": 39, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57277, "pid": "Pedc6a66dab0c", "date": "2026-02-11", "sex": "男", "age": 41, "cc": "腰痛乏力伴勃起欠佳1年", "hpi": "1年前出现腰痛乏力伴勃起欠佳，晨勃可，勃起硬度欠佳，易生气，大小便正常 ，睡眠可，纳可，口干", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "石菖蒲", "制远志", "盐蒺藜", "柏子仁", "牛膝", "丹参", "鸡血藤", "地黄", "枸杞子", "蜈蚣", "郁金", "制巴戟天"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "石菖蒲", "制远志", "盐蒺藜", "柏子仁", "牛膝", "丹参", "鸡血藤", "地黄", "枸杞子", "蜈蚣", "郁金", "制巴戟天"], "prev_gap": 15, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 57278, "pid": "P9e6a07a4b69c", "date": "2026-02-11", "sex": "男", "age": 30, "cc": "早泄半年", "hpi": "早泄3分钟，硬度一般，晨勃无，一周同房一次，熬夜，睡眠正常，纳可，排尿正常，大便正常，口干，乏力感，无阴囊潮湿，无腰疼", "wm_dx": ["早泄"], "tcm_dx": [["房事早泄", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "知母", "盐关黄柏", "酒萸肉", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "牡丹皮", "煅龙骨", "煅牡蛎", "北柴胡", "黄芩片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57281, "pid": "P749eab251701", "date": "2026-02-11", "sex": "男", "age": 35, "cc": "腰痛乏力伴勃起中途疲软6年", "hpi": "6年前出现腰痛乏力伴勃起欠佳，2次后同房硬度欠佳，口中和，性欲减退，晨勃减少，长期熬夜，夜寐差早醒，纳可，大便粘，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "生地黄", "酒萸肉", "山药", "牡丹皮", "石菖蒲", "炒蒺藜", "丹参", "鸡血藤", "酒女贞子", "郁金", "牛膝", "制巴戟天", "麸炒枳实", "白芍"], "flags": [], "prev_rx": ["艾叶", "川芎", "燀桃仁", "红花", "醋乳香", "醋没药", "肉桂", "铁线透骨草", "甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "锁阳", "黄芪", "人参", "酒黄精"], "prev_gap": 16, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 57283, "pid": "Pcf4e6d4d424e", "date": "2026-02-12", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 腹胀 乏力", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["菟丝子", "醋五味子", "制巴戟天", "仙茅", "炙淫羊藿", "熟地黄", "酒萸肉", "泽泻", "麸炒枳壳", "茯苓", "山药", "麸炒白术", "麸炒薏苡仁", "防风", "合欢皮", "川楝子", "醋香附", "酒女贞子", "覆盆子", "盐车前子", "炙甘草", "炒酸枣仁", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57289, "pid": "Pec12b961f5d8", "date": "2026-02-12", "sex": "男", "age": 60, "cc": "尿频2月", "hpi": "尿频2月，尿黄，尿有泡沫，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生", "尿频", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "知母", "太子参", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57291, "pid": "P72cfa312cd4c", "date": "2026-02-12", "sex": "男", "age": 24, "cc": "腰痛半年", "hpi": "腰痛半年 勃起不坚 中途疲软 大小便正常 纳可 眠安 胁痛一月", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳实", "炙甘草", "黄连", "姜厚朴", "全蝎", "地龙", "麸炒枳壳", "防风", "郁金", "醋青皮", "炒蒺藜", "炙淫羊藿", "蛇床子", "韭菜子", "石菖蒲", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57294, "pid": "P7eec9706aa99", "date": "2026-02-12", "sex": "男", "age": 40, "cc": "腰酸痛3-4年", "hpi": "腰酸痛，多汗盗汗，动则汗出，手脚出汗，咳嗽有痰白痰，怕冷，排尿尿不尽，色黄，大便正常，纳可，口和，硬度改善。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["桂枝", "白芍", "炒苦杏仁", "生姜", "大枣", "桑白皮", "浙贝母", "竹茹", "葛根", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "党参片", "滑石", "甘草片", "知母"], "flags": [], "prev_rx": ["桂枝", "白芍", "炒苦杏仁", "生姜", "大枣", "桑白皮", "浙贝母", "竹茹", "葛根", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "党参片", "滑石", "甘草片"], "prev_gap": 26, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 7} {"rid": 57296, "pid": "P4925a72513f3", "date": "2026-02-12", "sex": "男", "age": 65, "cc": "阴囊潮湿1年", "hpi": "阴囊潮湿1年，尿频，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["熟地黄", "菟丝子", "醋莪术", "川牛膝", "制水蛭", "盐关黄柏", "黄芪", "山药", "浙贝母", "泽泻", "桔梗", "酒萸肉", "麸炒薏苡仁", "乌药", "白果仁", "猪苓", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57301, "pid": "P15dc3ec30e27", "date": "2026-02-12", "sex": "男", "age": 37, "cc": "腰痛乏力伴弱精1周", "hpi": "1周前出现腰痛乏力伴弱精，口干口苦，夜寐差，二便调", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "韭菜子", "当归", "熟地黄", "菟丝子", "炙淫羊藿", "川牛膝"], "flags": [], "prev_rx": ["制何首乌", "韭菜子", "当归", "熟地黄", "菟丝子", "炙淫羊藿", "川牛膝"], "prev_gap": 15, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 5, "n_rx": 8} {"rid": 57307, "pid": "P4cfca596116d", "date": "2026-02-12", "sex": "男", "age": 71, "cc": "腹股沟淋巴结炎复查", "hpi": "腹股沟淋巴结炎，右侧少腹腹股沟处疼痛感3月，劳累后加重，排尿可，大便没规律，少腹隐痛，盗汗", "wm_dx": ["腹股沟淋巴结炎", "脂肪肝", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["猪苓", "陈皮", "瓜蒌", "竹茹", "炒酸枣仁", "知母", "三七粉", "黄芪"], "flags": [], "prev_rx": ["猪苓", "陈皮", "瓜蒌", "竹茹", "炒酸枣仁", "知母", "三七粉"], "prev_gap": 30, "visit_ix": 11, "n_visits": 12, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57314, "pid": "P87642a6fd9e4", "date": "2026-02-12", "sex": "男", "age": 61, "cc": "男性更年期综合征取药", "hpi": "患者外院诊断为男性更年期综合征，伴有尿频，尿急，夜尿1-2次，无尿等待，阴囊潮湿，无腹痛，大便干，腰痛，盗汗，失眠，痔疮", "wm_dx": ["男性更年期综合征"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["痔疮", "湿热下注证", "清热解毒"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["盐关黄柏", "菊花", "黄芪", "知母", "净山楂", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 14, "n_visits": 22, "visit_ix_rx": 0, "n_rx": 2} {"rid": 57315, "pid": "P914f0d2e482c", "date": "2026-02-12", "sex": "男", "age": 53, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳可 眠差 湿疹取药", "wm_dx": ["湿疹", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "黄连", "大黄", "当归", "荆芥", "土茯苓", "麸炒苍术", "防风", "白芷", "全蝎", "地龙"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "黄连", "大黄", "当归", "荆芥", "土茯苓", "麸炒苍术", "防风", "白芷", "全蝎", "地龙"], "prev_gap": 11, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 57317, "pid": "P567aefbb482b", "date": "2026-02-12", "sex": "男", "age": 37, "cc": "尿频 腰酸疼 失眠 尿不尽复诊", "hpi": "尿频 尿不尽改善 腰酸疼 失眠仍然明显 大便正常 纳可 失眠 体检前列腺钙化灶 盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "知母", "太子参", "陈皮", "麸炒芡实", "丹参", "牡丹皮"], "flags": [], "prev_rx": ["炒酸枣仁", "知母", "太子参", "陈皮", "石斛", "丹参"], "prev_gap": 21, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 57320, "pid": "P7f2e3ccb7c71", "date": "2026-02-12", "sex": "男", "age": 41, "cc": "尿无力伴勃起不坚1周", "hpi": "尿无力伴勃起不坚 无尿痛 大便正常 纳可 眠安 排尿不畅 腰痛乏力。B超声：膀胱后壁低回声1.2*0.5cm，边界清形态尚可，未见动脉样血流信号。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "地龙", "石菖蒲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57330, "pid": "P56297432ef31", "date": "2026-02-13", "sex": "男", "age": 71, "cc": "排尿不畅半年", "hpi": "导尿后出现排尿不畅 尿痛 服用头孢和左氧氟沙星缓解不明显，输液一周，仍尿痛 无腹痛，无腰疼大便正常 纳可 口和，怕冷，近期消瘦乏力", "wm_dx": ["泌尿系感染", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["淋证", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "茯苓", "泽泻", "猪苓", "滑石", "阿胶珠", "麸炒白术", "赤小豆", "白花蛇舌草", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57334, "pid": "P8f1accab3087", "date": "2026-02-13", "sex": "男", "age": 43, "cc": "尿频一月", "hpi": "尿频，尿不尽，试管2次未成功，既往检查精液2.49%，排尿正常，大便不成型，肠镜-，睡眠正常，纳可，口干，腰痛，近期乏力，体重下降，怕冷\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n5", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "猪苓", "枸杞子", "菟丝子", "酒黄精", "盐车前子", "红景天", "牡蛎", "赤小豆", "生姜", "醋龟甲", "桑寄生", "丹参"], "flags": [], "prev_rx": ["桂枝", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "猪苓", "枸杞子", "菟丝子", "酒黄精", "盐车前子", "红景天", "牡蛎", "赤小豆", "生姜", "醋龟甲"], "prev_gap": 14, "visit_ix": 3, "n_visits": 10, "visit_ix_rx": 3, "n_rx": 10} {"rid": 57338, "pid": "P08f42afeb226", "date": "2026-02-13", "sex": "男", "age": 38, "cc": "尿频半年", "hpi": "尿频，夜尿2-3次，无尿痛，色黄，无腹痛，无腰疼，着凉易腹泻，胃镜：浅表性胃炎，睡眠多梦，口干，怕冷", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "茯苓", "泽泻", "猪苓", "生地黄", "赤小豆", "白花蛇舌草", "牛膝", "甘草", "麸炒白术"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57341, "pid": "P9e958b78810b", "date": "2026-02-13", "sex": "男", "age": 53, "cc": "少腹隐痛3天", "hpi": "少腹隐痛3天，夜尿1-2次，大便正常，纳可，口苦，乏力，微怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["腹痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "党参片", "法半夏", "麸炒枳实", "白芍", "蜈蚣"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 57349, "pid": "Pb81b45170277", "date": "2026-02-13", "sex": "男", "age": 33, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间和硬度下降，工作劳累，压力大，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "知母", "盐关黄柏", "酒黄精", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "熟地黄", "知母", "麸炒白术", "金樱子肉", "麸炒芡实", "锁阳"], "prev_gap": 15, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 57358, "pid": "Pb70fa151043f", "date": "2026-02-13", "sex": "男", "age": 30, "cc": "尿频1年", "hpi": "尿频1年，腰痛，乏力，时间改善，停药后反复。硬度可，性欲可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "石菖蒲", "绵萆薢", "炒酸枣仁", "知母", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "石菖蒲", "绵萆薢", "炒酸枣仁", "制远志"], "prev_gap": 70, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 57365, "pid": "Pa9f2ef976413", "date": "2026-02-13", "sex": "男", "age": 52, "cc": "尿频1年", "hpi": "尿频1年，尿费劲，右侧阴囊潮湿异味，夜尿一次 无小腹会阴不适，时有腰疼，大便正常，纳可，无怕冷，乏力，睡眠一般，纳可，口干口苦", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["淋证", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩", "党参", "生地黄", "茯苓", "猪苓", "牡丹皮", "赤小豆", "白花蛇舌草", "牛膝", "甘草", "淡竹叶"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "全蝎", "杜仲"], "prev_gap": 53, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 4} {"rid": 57376, "pid": "P0d740fb20cef", "date": "2026-02-14", "sex": "男", "age": 47, "cc": "夜尿3-4次一年", "hpi": "夜尿3-4次，喝水即尿，色黄，无腹痛，无腰疼，大便不成型，睡眠可，纳可，吃生冷易腹泻，口和，无怕冷，肩膀痛", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["麸炒白术", "党参片", "茯苓", "泽泻", "猪苓", "法半夏", "桂枝", "干姜", "阿胶珠", "滑石", "炙甘草", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "麸炒白术", "党参片", "茯苓", "泽泻", "猪苓", "法半夏", "桂枝", "干姜", "阿胶珠", "滑石", "石菖蒲", "锁阳", "乌药", "炙甘草"], "prev_gap": 7, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 7, "n_rx": 10} {"rid": 57377, "pid": "Pa33fb6ef1666", "date": "2026-02-14", "sex": "男", "age": 29, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 乏力 疲劳 漂亮", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["当归", "黄芪", "酒黄精", "麸炒苍术", "菟丝子", "醋五味子", "炙淫羊藿", "制巴戟天", "诃子肉", "党参片", "北败酱草", "蒲公英", "鹿角霜", "熟地黄", "绵萆薢", "醋鳖甲", "炒栀子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57389, "pid": "P46e7cb1e4b30", "date": "2026-02-14", "sex": "男", "age": 39, "cc": "腰痛乏力小腹胀痛1年", "hpi": "1年前出现腰痛乏力小腹胀痛，自觉龟头充血状态，射精快，尿痛，尿分叉，口干口苦。夜寐差，失眠，长期熬夜，盗汗", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾益精"], ["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["茯苓", "太子参", "猪苓", "桑椹", "炒酸枣仁", "丹参", "陈皮"], "flags": [], "prev_rx": ["茯苓", "太子参", "猪苓", "桑椹", "炒酸枣仁", "丹参"], "prev_gap": 31, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 5} {"rid": 57394, "pid": "P8d80c4cfe69a", "date": "2026-02-14", "sex": "男", "age": 55, "cc": "阴茎疼痛3月", "hpi": "3月前出现阴茎疼痛，排尿可，勃起疼痛加重，复诊：疼痛明显缓解", "wm_dx": ["阴茎海绵体硬结症"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["子痰", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "白芍", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "荔枝核", "黄芪", "路路通", "炒王不留行"], 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"补肾扶元"], ["消渴类病", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾扶元"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "韭菜子", "黄芪", "锁阳"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地龙", "瓜蒌", "炙甘草", "桑椹", "桑寄生", "当归", "川芎", "炙淫羊藿", "制巴戟天", "韭菜子", "黄芪", "仙茅", "锁阳"], "prev_gap": 59, "visit_ix": 8, "n_visits": 10, "visit_ix_rx": 5, "n_rx": 7} {"rid": 57404, "pid": "Pb559e373887b", "date": "2026-02-14", "sex": "男", "age": 33, "cc": "尿频复诊", "hpi": "尿频改善，性功能正常，久坐，大便略干，睡眠正常，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "太子参", "山药", "麸炒白术", "茯苓", "麸炒枳壳", "炙甘草", "菟丝子", "醋五味子", "酒女贞子", "覆盆子", "韭菜子", "麦冬", "玄参", "石斛", "防风", "石菖蒲", "制远志"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "菟丝子", "酒女贞子", "枸杞子", "覆盆子", "盐车前子", "茯苓", "红景天", "牡蛎", "醋龟甲", "熟地黄", "酒萸肉", "山药", "酒黄精", "麸炒白术", "佩兰", "知母"], "prev_gap": 14, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 6, "n_rx": 7} {"rid": 57406, "pid": "P4a9097824228", 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"visit_ix": 4, "n_visits": 9, "visit_ix_rx": 2, "n_rx": 3} {"rid": 57415, "pid": "P5367e305804f", "date": "2026-02-14", "sex": "男", "age": 42, "cc": "腰痛乏力伴勃起欠佳2年", "hpi": "2年前出现腰痛乏力伴勃起欠佳，性欲减退，口干，久坐，排尿可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57416, "pid": "P5dee66eedf30", "date": "2026-02-14", "sex": "男", "age": 26, "cc": "早泄1年", "hpi": "早泄，硬度正常，晨勃可，早泄1-3分钟，两地分居，排尿正常，大便不成型，纳可，睡眠正常，口干，腰酸痛，阴囊潮湿，乏力感", "wm_dx": ["早泄"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "石菖蒲", "盐蒺藜", "牡丹皮", "煅龙骨", "煅牡蛎", "赤小豆", "白花蛇舌草", "甘草片"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "石菖蒲", "盐蒺藜", "牡丹皮", "煅龙骨", "煅牡蛎", "赤小豆", "白花蛇舌草", "甘草片"], "prev_gap": 11, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 57423, "pid": "Pae01bc0f2a5e", "date": "2026-02-15", "sex": "男", "age": 43, "cc": "腰痛乏力多年", "hpi": "多年前出现腰痛乏力，尿频尿急，多汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "覆盆子", "韭菜子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "盐车前子", "金樱子", "酒苁蓉", "炒酸枣仁", "制远志"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "覆盆子", "韭菜子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "盐车前子", "金樱子", "酒苁蓉"], "prev_gap": 43, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 57433, "pid": "P09fda9852e39", "date": "2026-02-15", "sex": "男", "age": 31, "cc": "腰痛乏力伴勃起中体疲软2年加重1月", "hpi": "2年前出现腰痛乏力伴勃起中体疲软，近1月症状加重，性欲可，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "韭菜子", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, 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"Pea53a62fc779", "date": "2026-02-20", "sex": "男", "age": 70, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，性欲减退，口中和，排尿不畅，夜尿3次，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "人参", "川芎", "制巴戟天", "韭菜子", "锁阳", "黄芪", "太子参"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "人参", "川芎", "制巴戟天", "韭菜子", "锁阳"], "prev_gap": 18, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 57510, "pid": "P76913560aae0", "date": "2026-02-21", "sex": "男", "age": 84, "cc": "腰痛乏力一月余", "hpi": "腰痛乏力一月余 大小便正常 纳可 眠安 行动不便 既往前列腺增生服用非那雄胺和盐酸坦索罗辛缓释胶囊治疗", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "猪苓", "覆盆子"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57512, "pid": "P7c18661b24ef", "date": "2026-02-21", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "伴有勃起不坚 早泄 腰酸痛 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "知母", "覆盆子", "菟丝子", "枸杞子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57526, "pid": "P605b83e6caf1", "date": "2026-02-21", "sex": "男", "age": 55, "cc": "前列腺增生复诊取药", "hpi": "腰痛勃起不坚，口干口苦，乏力，膝软，工作劳累可，睡眠可，排尿无力，纳可。症状改善明显，硬度亦改善，性欲可，晨勃增加。耳鸣，盗汗。现尿急，夜尿2-3次。", "wm_dx": ["腰痛", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["芦根", "猪苓", "制巴戟天", "菟丝子", "覆盆子"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓"], "prev_gap": 212, "visit_ix": 17, "n_visits": 19, "visit_ix_rx": 1, "n_rx": 3} {"rid": 57540, "pid": "Pf994d25e2526", "date": "2026-02-22", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "伴有勃起不持久 手淫多 晨勃少 大小便正常 纳可 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "知母", "太子参", "丹参", "酒萸肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57548, "pid": "P104ff9ebbb59", "date": "2026-02-22", "sex": "男", "age": 42, "cc": "包皮龟头炎3天", "hpi": "包皮龟头炎3天 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "金银花", "蒲公英", "白花蛇舌草", "白芷", "黄连", "大黄", "当归"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57551, "pid": "P8647a5a7a31e", "date": "2026-02-22", "sex": "男", "age": 45, "cc": "腰痛乏力 盗汗复诊", "hpi": "尿频尿急 大便正常 纳可 眠安 腰痛 乏力 少腹隐痛 盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "人参", "山药", "白术", "盐补骨脂", "酒黄精", "熟地黄", "酒萸肉", "知母", "醋龟甲", "盐黄柏", "覆盆子", "酒女贞子", "菟丝子", "制巴戟天", "仙茅", "炙淫羊藿", "麸炒枳壳", "炙黄芪", "醋五味子", "麦冬", "砂仁", "石菖蒲", "炙甘草"], "flags": [], "prev_rx": ["制巴戟天", "覆盆子", "太子参", "菟丝子", "猪苓"], "prev_gap": 22, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 57556, "pid": "P914f0d2e482c", "date": "2026-02-23", "sex": "男", "age": 53, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳可 眠差 湿疹取药", "wm_dx": ["包皮龟头炎", "湿疹"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "黄连", "大黄", "当归", "荆芥", "土茯苓", "麸炒苍术", "防风", "白芷", "全蝎", "地龙"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "黄连", "大黄", "当归", "荆芥", "土茯苓", "麸炒苍术", "防风", "白芷", "全蝎", "地龙"], "prev_gap": 11, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 57562, "pid": "P3712671a7e68", "date": "2026-02-23", "sex": "男", "age": 69, "cc": "排尿不畅尿频尿急5年", "hpi": 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"2月前出现尿频尿急尿失禁，遗尿，胁肋疼痛，腰痛乏力。复诊：遗尿好转，近2周遗尿5次，第三次复诊：遗尿消失，尿失禁消失，无其他不适。", "wm_dx": ["泌尿系感染"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["知母", "黄柏", "熟地黄", "生地黄", "酒萸肉", "茯苓", "泽泻", "山药", "麦冬", "锁阳", "牡丹皮", "醋五味子", "乌药", "盐益智仁", "人参", "酒黄精", "炙淫羊藿"], "flags": [], "prev_rx": ["知母", "黄柏", "熟地黄", "生地黄", "酒萸肉", "茯苓", "泽泻", "山药", "麦冬", "锁阳", "牡丹皮", "醋五味子", "乌药", "盐益智仁", "人参", "炙淫羊藿", "酒黄精"], "prev_gap": 19, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 57569, "pid": "P6eba0ffe2f2c", "date": "2026-02-23", "sex": "男", "age": 32, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，久坐，熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "覆盆子", "酒黄精", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "泽兰", "盐车前子", "制水蛭", "枸杞子"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "盐车前子", "覆盆子", "制水蛭", "枸杞子"], "prev_gap": 16, "visit_ix": 2, 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"醋五味子", "炒决明子", "茯苓", "猪苓", "龙眼肉", "桑椹", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 6} {"rid": 57583, "pid": "Pb6037c4aafe0", "date": "2026-02-23", "sex": "男", "age": 35, "cc": "腰痛乏力伴射精快3月", "hpi": "3月前出现腰痛乏力伴射精快，勃起欠佳，下肢乏力，龟头红疹", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["知母", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "盐杜仲", "续断", "酒黄精", "金樱子"], "flags": [], "prev_rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "五加皮", "知母", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "制远志", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "龙胆", "盐杜仲", "续断", "酒黄精"], "prev_gap": 77, "visit_ix": 1, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 8} {"rid": 57592, "pid": "P64def759c4d1", "date": "2026-02-24", "sex": "男", "age": 60, "cc": "手脚凉复诊", "hpi": "手脚凉改善 尿频尿急改善，尿混浊尿异味，夜尿4-5次，夜寐差，口中和，大便正常 腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": 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盗汗半年 乏力 口苦", "wm_dx": ["血尿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒萸肉", "制巴戟天", "菟丝子", "覆盆子", "猪苓", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57609, "pid": "Peb98c2627c93", "date": "2026-02-24", "sex": "男", "age": 62, "cc": "包皮龟头炎3月余", "hpi": "包皮龟头炎3月余 大便正常 纳可 眠安 夜尿多 湿疹取药", "wm_dx": ["包皮龟头炎", "湿疹"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连", "当归", "白芷", "荆芥", "防风", "大黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57615, "pid": "P11f2581af2cc", "date": "2026-02-24", "sex": "男", "age": 40, "cc": "乏力抄方", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多，复诊多梦盗汗，口气重", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草片", "黄连片", "黄芩片", "干姜", "党参片", "煅龙骨", "煅牡蛎", "炒栀子", "淡豆豉", "浮小麦", "蜈蚣", "熟地黄", "炙淫羊藿", "酒苁蓉"], "flags": [], "prev_rx": ["甘草片", "黄连片", "黄芩片", "干姜", "党参片", "煅龙骨", "煅牡蛎", "炒栀子", "淡豆豉", "浮小麦", "蜈蚣", "熟地黄"], "prev_gap": 21, "visit_ix": 12, "n_visits": 24, "visit_ix_rx": 12, "n_rx": 24} {"rid": 57616, "pid": "P5def3d396a68", "date": "2026-02-24", "sex": "男", "age": 53, "cc": "排尿不畅漏尿1月", "hpi": "1月前出现排尿不畅漏尿，尿不尽，尿频尿急", "wm_dx": ["泌尿系感染", "糖尿病"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["消渴类病", "气阴两虚证", "补益气阴"]], "rx": ["太子参", "玄参", "醋五味子", "酒黄精"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57617, "pid": "Pf2e65090d9b7", "date": "2026-02-24", "sex": "男", "age": 27, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 乏力 疲劳", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "覆盆子", "制巴戟天", "菟丝子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57619, "pid": "Pc15ce7d87876", "date": "2026-02-24", "sex": "男", "age": 40, "cc": "性功能减退2年", "hpi": "性功能减退，硬度可，时间短，乏力，口干舌燥喝水，不喜欢喝凉，尿有泡沫，大便2次，睡眠可，怕冷，腰酸，有汗,复诊：尿黄有异味，有泡沫，大便色黑，腰酸，乏力感,颈椎不适感，无汗出", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["葛根", "桂枝", "白芍", "生姜", "大枣", "桑寄生", "煅龙骨", "煅牡蛎", "鸡血藤", "丹参", "盐蒺藜", "石菖蒲", "炙黄芪", "党参片", "茯苓", "蜈蚣", "地黄", "滑石"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "党参片", "干姜", "大枣", "蜈蚣", "地黄", "制巴戟天", "煅龙骨", "煅牡蛎", "滑石"], "prev_gap": 21, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 7} {"rid": 57626, "pid": "Pbd7ec0b3d67d", "date": "2026-02-24", "sex": "男", "age": 43, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余 刺痒 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "百部", "白花蛇舌草", "土茯苓", "黄连", "茵陈", "白芷", "荆芥", "麸炒苍术", "当归", "白鲜皮", "蛇床子", "地肤子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57627, "pid": "Pc39d54b5413a", "date": "2026-02-24", "sex": "男", "age": 30, "cc": "尿频尿急复诊", "hpi": "尿频尿急改善，大便正常，纳可，腰酸疼，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "当归", "白芍", "熟地黄", "川芎", "炒酸枣仁", "柏子仁", "丹参", "知母", "酒萸肉", "泽泻", "牛膝", "盐杜仲", "桑寄生", "千年健", "烫狗脊", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "酒女贞子", "覆盆子", "党参", "炙甘草"], "flags": [], "prev_rx": ["知母", "炒酸枣仁", "猪苓", "太子参", "醋五味子"], "prev_gap": 117, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 6} {"rid": 57634, "pid": "Pe252e44a2609", "date": "2026-02-24", "sex": "男", "age": 31, "cc": "左侧少腹隐痛5-6年", "hpi": "左侧少腹隐痛，串睾丸疼痛，憋尿时腰疼，尿频，尿急，怕冷，大便正常，睡眠一般，纳可，口苦，复诊：症状解表消失", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["筋瘤", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "猪苓", "泽泻", "麸炒白术", "川芎", "当归", "白芍", "北柴胡", "黄芩片", "荔枝核", "盐橘核", "川楝子", "制巴戟天", "桂枝", "燀桃仁", "红花", "大黄", "炙甘草", "黄芪", "盐胡芦巴", "枸杞子"], "flags": [], "prev_rx": ["茯苓", "猪苓", "泽泻", "麸炒白术", "川芎", "当归", "白芍", "北柴胡", "黄芩片", "荔枝核", "盐橘核", "川楝子", "制巴戟天", "桂枝", "燀桃仁", "红花"], "prev_gap": 20, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57638, "pid": "P797996b42f0a", "date": "2026-02-24", "sex": "男", "age": 24, "cc": "尿不尽2-3月", "hpi": "尿不尽，尿频，无阴囊潮湿，遗精2次，大便正常，纳可，时有口干，时有乏力，睡眠一般。无明显怕冷，晨勃少，硬度一般，时间一般", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["麸炒薏苡仁", "赤小豆", "炒苦杏仁", "法半夏", "牛膝", "淡竹叶", "猪苓", "茯苓", "泽泻", "生地黄", "当归", "连翘", "丹参", "石菖蒲", "鸡血藤", "甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57643, "pid": "P5e80805fd514", "date": "2026-02-24", "sex": "男", "age": 71, "cc": "前列腺增生复诊", "hpi": "病史同前，口服盐酸坦索罗辛缓释胶囊服药后头蒙感，淋漓不尽，尿无力，夜尿2-3次。眠差多梦，手脚凉，易汗，夜间口干不苦，反酸呃逆，阴囊潮湿，会阴发胀，腰疼，便调，无勃起，怕冷，有汗，盗汗，吃凉易腹泻", "wm_dx": ["前列腺增生"], "tcm_dx": [["痨病", "肾虚证", "补肾固精"], ["癃闭", "肾虚证", "补肾固精"]], "rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "陈皮", "丹参", "鸡血藤", "赤小豆", "滑石", "蜈蚣", "制巴戟天", "煅龙骨", "煅牡蛎", "白芍", "党参片"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "陈皮", "丹参", "鸡血藤", "赤小豆", "滑石", "蜈蚣", "制巴戟天", "煅龙骨", "煅牡蛎"], "prev_gap": 14, "visit_ix": 4, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 11} {"rid": 57646, "pid": "P41d9d41eb2d1", "date": "2026-02-24", "sex": "男", "age": 77, "cc": "尿急一月余", "hpi": "尿急一月余 大便正常 纳可 眠差 口苦口干 无少腹疼痛 无睾丸疼痛", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "羌活", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57655, "pid": "P03c5430623f6", "date": "2026-02-24", "sex": "男", "age": 61, "cc": "血精3年", "hpi": "血精3年 大便正常 纳可 眠安 腰酸痛 尿频 尿不尽", "wm_dx": ["精囊炎", "慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["血精", "气滞血瘀证", "活血化瘀"]], "rx": ["三七粉", "猪苓", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57664, "pid": "P0d740fb20cef", "date": "2026-02-25", "sex": "男", "age": 47, "cc": "夜尿3-4次一年", "hpi": "夜尿3-4次，喝水即尿，色黄，无腹痛，无腰疼，大便不成型，睡眠可，纳可，吃生冷易腹泻，口和，无怕冷，肩膀痛", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["麸炒白术", "党参片", "茯苓", "泽泻", "猪苓", "法半夏", "桂枝", "干姜", "制巴戟天", "滑石", "炙甘草", "煅龙骨", "煅牡蛎", "荆芥", "防风", "葛根"], "flags": [], "prev_rx": ["麸炒白术", "党参片", "茯苓", "泽泻", "猪苓", "法半夏", "桂枝", "干姜", "阿胶珠", "滑石", "炙甘草", "煅龙骨", "煅牡蛎"], "prev_gap": 11, "visit_ix": 8, "n_visits": 10, "visit_ix_rx": 8, "n_rx": 10} {"rid": 57665, "pid": "P9a6314d0c56d", "date": "2026-02-25", "sex": "男", "age": 57, "cc": "排尿不畅尿等待8月", "hpi": "8月前出现排尿不畅尿等待，3周前就诊我院脑病科病房，我科会诊予口服盐酸坦索罗辛缓释胶囊、非那雄胺片、前列舒通胶囊症状改善，现出院规律门诊。现夜尿1-2次，口中和，夜寐差,失眠，易醒，勃起不坚，腰痛乏力,心脏支架术后有血栓可能，外院就诊口服华法令片，要求用药一周后复查血常规+凝血五项", "wm_dx": ["前列腺增生", "冠状动脉粥样硬化性心脏病"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["精癃", "肝肾两虚证", "滋补肝肾"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天", "党参", "茯苓", "麸炒白术", "锁阳"], "flags": [], "prev_rx": ["炒酸枣仁", "桑椹", "酒黄精", "太子参", "猪苓"], "prev_gap": 93, "visit_ix": 10, "n_visits": 20, "visit_ix_rx": 3, "n_rx": 9} {"rid": 57670, "pid": "P19f44ca381dd", "date": "2026-02-25", "sex": "男", "age": 24, "cc": "阴囊潮湿半年", "hpi": "阴囊潮湿，手脚发凉，口唇有痘，大便时干时稀粘，睡眠多梦，晨勃时有时无，排尿可，纳一般，口干，怕冷", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "连翘", "当归", "赤小豆", "麸炒薏苡仁", "炒苦杏仁", "豆蔻", "法半夏", "滑石", "淡竹叶", "煅龙骨", "煅牡蛎", "牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 57674, "pid": "P2f3fb17cc39e", "date": "2026-02-25", "sex": "男", "age": 71, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊取药 尿频 尿急 尿等待明显改善 大便正常 纳可 眠安 腰痛 病情稳定 延长用药", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "覆盆子", "菟丝子", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57675, "pid": "P0cf786e70347", "date": "2026-02-25", "sex": "男", "age": 37, "cc": "会阴不适复诊", "hpi": "会阴不适改善，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力盗汗", "wm_dx": ["附睾囊肿", "精索静脉曲张", "前列腺炎", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "黄芩片", "当归", "秦艽", "乌药", "盐小茴香", "桂枝", "燀桃仁", "红花", "牡丹皮", "白芍", "川楝子", "川牛膝", "赤小豆", "炙黄芪", "甘草片", "夏枯草", "路路通", "炒王不留行", "荔枝核", "醋延胡索", "醋五灵脂", "川芎", "姜黄"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "当归", "秦艽", "乌药", "盐小茴香", "桂枝", "燀桃仁", "红花", "牡丹皮", "白芍", "川楝子", "川牛膝", "赤小豆", "大黄", "甘草片", "夏枯草", "路路通", "炒王不留行", "荔枝核", "醋延胡索", "醋五灵脂", "川芎", "姜黄"], "prev_gap": 17, "visit_ix": 9, "n_visits": 25, "visit_ix_rx": 4, "n_rx": 18} {"rid": 57684, "pid": "Pd4a51f2fa1aa", "date": "2026-02-25", "sex": "男", "age": 39, "cc": "尿频2月", "hpi": "尿频2月，时间短2-3分钟，硬度和性欲可，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口和，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "泽泻", "猪苓", "当归", "川芎", "麸炒白术", "石菖蒲", "炒蒺藜", "丹参", "鸡血藤", "金樱子", "山药", "乌药", "盐益智仁", "炙淫羊藿", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "制远志", "知母"], "prev_gap": 17, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57687, "pid": "Pe2730ec47848", "date": "2026-02-25", "sex": "男", "age": 54, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，晨勃消失，性欲减退，口中和，长期熬夜", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "锁阳", "人参", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 20, "visit_ix_rx": 0, "n_rx": 12} {"rid": 57691, "pid": "P863e5b26805f", "date": "2026-02-25", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": 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"2026-02-26", "sex": "男", "age": 57, "cc": "前列腺增生复诊取药", "hpi": "左侧睾丸疼痛腰酸疼改善 腿软改善 大便正常 纳可 眠安 尿频尿急明显改善 病情稳定 延长开药", "wm_dx": ["前列腺增生", "附睾囊肿", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "山慈菇", "茯苓", "陈皮"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "山慈菇", "太子参", "制巴戟天", "茯苓", "陈皮"], "prev_gap": 21, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 57752, "pid": "P8e0cf1069a83", "date": "2026-02-26", "sex": "男", "age": 38, "cc": "失眠一月", "hpi": "伴有遗精 早泄 性欲低下 龟头敏感 健忘 盗汗 阴囊潮湿 口气重 乏力 腰膝酸软", "wm_dx": ["腰痛"], "tcm_dx": [["健忘", "肺肾两虚证", "滋补肺肾"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "肾虚证", "补肾扶元"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 2} {"rid": 57759, "pid": "P004b4d3ff268", "date": "2026-02-26", "sex": "男", "age": 22, "cc": "腰痛2月", "hpi": 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"pid": "P896bafe41fc5", "date": "2026-02-27", "sex": "男", "age": 35, "cc": "尿频半年", "hpi": "尿频，夜尿1次， 尿分叉，大便不成型2次，睡眠正常，纳可，口和，既往流产一次", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "泽泻", "麸炒白术", "牛膝", "干姜", "菟丝子", "覆盆子", "盐车前子", "醋龟甲", "熟地黄", "酒萸肉", "山药", "红景天", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57791, "pid": "P7605ba992b36", "date": "2026-02-27", "sex": "男", "age": 28, "cc": "尿频一周", "hpi": "尿频，夜尿正常，便秘，一天2次，睡眠正常，熬夜，纳可，口干口苦，硬度正常，时间1-2分钟，近期准备生育", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "党参片", "石菖蒲", "地黄", "盐蒺藜", "煅龙骨", "煅牡蛎", "麸炒枳实", "白芍", "酒女贞子", "酒萸肉", "山药", "赤小豆", "桑螵蛸"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 6} {"rid": 57793, "pid": "Pa5f04e7b0abe", "date": "2026-02-27", "sex": "男", "age": 46, "cc": "腰痛伴勃起硬度欠佳复诊", "hpi": "腰痛伴勃起硬度欠佳改善明显，性欲可，口中和，夜寐可，胁肋疼痛，大小便正常，晨勃可", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "川牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 9} {"rid": 57795, "pid": "Pbe592961479a", "date": "2026-02-27", "sex": "男", "age": 26, "cc": "尿痛3天", "hpi": "尿痛3天，尿道灼热，无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和", "wm_dx": ["泌尿系感染", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "猪苓", "太子参", "川牛膝", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57799, "pid": "P825709aa698d", "date": "2026-02-28", "sex": "男", "age": 57, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊，尿频，夜尿2-3次，尿等待，阴囊潮湿，龟头部湿凉，无腹痛，无腰疼，睡眠一般多梦早醒，口干，无口苦，怕冷，复诊：症状好转，夜尿1次，阴囊潮湿龟头发凉基本消失，不能吃生冷", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "茯苓", "泽泻", "炒栀子", "牡丹皮", "猪苓", "炒酸枣仁", "赤小豆", "制巴戟天", "石菖蒲", "炙甘草", "麸炒白术", "干姜"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "炒栀子", "牡丹皮", "猪苓", "炒酸枣仁", "赤小豆", "制巴戟天", "石菖蒲", "炙甘草"], "prev_gap": 21, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57800, "pid": "P1dcd6ed9f44e", "date": "2026-02-28", "sex": "男", "age": 62, "cc": "手脚冰凉6年", "hpi": "手脚发凉，腰部肌肉酸痛，腿抽筋，左侧小腿肌肉胀痛，大便干一天一次，口服麻仁润肠丸，排尿正常，纳可，不能吃生冷，睡眠正常，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["便秘", "湿热蕴结证", "润燥通便"]], "rx": ["桂枝", "当归", "细辛", "白芍", "小通草", "北柴胡", "麸炒枳实", "石菖蒲", "麸炒白术", "茯苓", "干姜", "砂仁", "知母", "炙甘草", "制巴戟天", "酒苁蓉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 9} {"rid": 57803, "pid": "Pc40a36b05203", "date": "2026-02-28", "sex": "男", "age": 46, "cc": "腰痛复诊", "hpi": "腰痛改善 伴有勃起不坚 晨勃少 大小便正常 纳可 眠少 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "知母", "盐黄柏", "覆盆子", "酒女贞子", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "麸炒枳壳", "茯苓", "石菖蒲", "制远志", "人参", "山药", "盐补骨脂", "酒黄精", "炙甘草", "牛膝", "炒酸枣仁"], "flags": [], "prev_rx": ["太子参", "酒黄精", "山药", "制巴戟天", "炒酸枣仁"], "prev_gap": 69, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 7} {"rid": 57808, "pid": "Pff12c66fbc1d", "date": "2026-02-28", "sex": "男", "age": 72, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频尿急，夜尿3-4次，尿等待，尿后余沥，无明显小腹不适和会阴不适，眠一般。稍有尿失禁，阴囊潮湿，现包皮龟头炎。", "wm_dx": ["前列腺增生", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57812, "pid": "P79c43c1f12c0", "date": "2026-02-28", "sex": "男", "age": 62, "cc": "阴囊不适2月", "hpi": "阴囊不适2月，夜间勃起后症状明显，夜尿0-1次，腰痛乏力，眠差梦多，遗精", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾阴虚证", "滋补肝肾"]], "rx": ["熟地黄", "菟丝子", "醋莪术", "川牛膝", "烫水蛭", "盐黄柏", "黄芩", "山药", "浙贝母", "泽泻", "桔梗", "酒萸肉", "黄芪", "乌药", "白果仁", "知母", "炒酸枣仁", "制远志", "石菖蒲", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57814, "pid": "Pd69f18f5e02a", "date": "2026-02-28", "sex": "男", "age": 39, "cc": "腰疼一年", "hpi": "腰疼，尿有泡沫，色黄，大便1-2次，时有口苦口气重，精液味道重，汗多，手脚出汗，睡眠中途醒，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "燀桃仁", "红花", "牡丹皮", "茯苓", "猪苓", "滑石", "北柴胡", "黄芩片", "焦麦芽", "炒栀子", "淡豆豉", "生姜", "地黄", "淡竹叶"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "葛根", "白芍", "大枣", "赤小豆", "白花蛇舌草", "地黄", "燀桃仁", "红花", "牡丹皮", "滑石"], "prev_gap": 42, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57815, "pid": "P0fec0d403f18", "date": "2026-02-28", "sex": "男", "age": 43, "cc": "尿频2年", "hpi": "尿频，尿不尽，夜尿1-2次，大便不成型粘，纳一般，晨起口苦，睡眠可，怕冷，腰疼，汗少，近2年出现勃起不行，晨勃少，近一年未同房，时间短，性欲一般，阴囊潮湿，左侧睾丸不适感，复诊：有同房，可，阴囊潮湿睾丸不适消失，有腰疼，大便粘，口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "炒决明子", "菊花", "桑叶", "枸杞子", "黄芩片", "知母", "盐关黄柏", "地黄", "酒萸肉", "火麻仁", "茯苓", "当归", "蜈蚣", "金樱子肉", "燀桃仁", "葛根"], "flags": [], "prev_rx": ["北柴胡", "炒决明子", "菊花", "桑叶", "枸杞子", "黄芩片", "知母", "盐关黄柏", "地黄", "酒萸肉", "火麻仁", "茯苓", "当归", "蜈蚣", "金樱子肉", "燀桃仁"], "prev_gap": 17, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 57817, "pid": "P4485cf173cfd", "date": "2026-02-28", "sex": "男", "age": 35, "cc": "尿频一月", "hpi": "尿频,有过一次硬度不够,尿不尽,基本无晨勃,睡眠一般5点醒,大便2次,纳可,口和", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "滑石", "党参片", "莲子心", "石菖蒲", "知母", "柏子仁", "蜈蚣", "地黄", "川芎", "盐关黄柏", "酒萸肉", "山药", "牡丹皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 57826, "pid": "P57f9f35373e9", "date": "2026-02-28", "sex": "男", "age": 40, "cc": "尿频一年", "hpi": "尿频，有性欲，硬度差，时间短，晨勃少，大便正常，睡眠可，纳可，口唇干", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "蜈蚣", "党参片", "牛膝", "茯苓", "桂枝", "黑顺片", "制巴戟天", "盐胡芦巴", "金樱子肉"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "蜈蚣", "党参片", "牛膝", "茯苓", "桂枝", "黑顺片", "制巴戟天", "盐胡芦巴", "川芎"], "prev_gap": 21, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 57833, "pid": "P682dab1d620e", "date": "2026-02-28", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常，复诊：大便2次，少腹跳", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["熟地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "桑螵蛸", "菟丝子", "盐车前子", "枸杞子", "醋五味子", "醋龟甲", "牡蛎", "红景天", "鹿角霜", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["茯苓", "泽泻", "当归", "川芎", "麸炒白术", "陈皮", "姜厚朴", "菟丝子", "枸杞子", "北柴胡", "黄芩片", "人参", "赤小豆", "制巴戟天", "牛膝"], "prev_gap": 28, "visit_ix": 22, "n_visits": 24, "visit_ix_rx": 21, "n_rx": 23} {"rid": 57834, "pid": "P9a9165941f55", "date": "2026-02-28", "sex": "男", "age": 37, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口干盗汗，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。工作熬夜。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "沙苑子", "制水蛭"], "prev_gap": 23, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 3} {"rid": 57835, "pid": "Pd9e48f1c6369", "date": "2026-02-28", "sex": "男", "age": 45, "cc": "包皮刺痒1周", "hpi": "包皮刺痒疼痛1周，有裂口，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57840, "pid": "Pb6e1045870a1", "date": "2026-02-28", "sex": "男", "age": 28, "cc": "会阴不适10天", "hpi": "会阴不适10天，无尿频尿急，夜尿0次。自服左氧氟沙星10天。症状反复。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "烫水蛭", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐黄柏", "麸炒白术", "盐车前子", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57844, "pid": "P70bf0cfc2cfc", "date": "2026-03-01", "sex": "男", "age": 36, "cc": "尿频一年", "hpi": "尿频，时间下降，大便可，睡眠可，纳可，口渴口干，怕冷，胁痛，盗汗，腰痛。熬夜多，压力大。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲", "茯苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57847, "pid": "Pa9f902a6e7b0", "date": "2026-03-01", "sex": "男", "age": 43, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作熬夜，大便稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 57852, "pid": "P131a7d7695b9", "date": "2026-03-01", "sex": "男", "age": 31, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，工作劳累，压力大，同居，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57860, "pid": "P604a8acebaf7", "date": "2026-03-01", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗汗多", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 57864, "pid": "Pc4a961b66e54", "date": "2026-03-01", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中。急躁易怒。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "炒酸枣仁", "石菖蒲", "茯苓", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57879, "pid": "Pf5ca34c0360d", "date": "2026-03-01", "sex": "男", "age": 25, "cc": "尿频一月", "hpi": "尿频，同房3次时间短，排尿正常，睡眠一般，浅，口和，大便正常，纳可，盗汗，腰痛", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "黄芩片", "牡丹皮", "炒栀子", "淡豆豉", "合欢皮", "制远志", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "赤小豆", "炙甘草", "金樱子肉", "菟丝子", "枸杞子", "制水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57887, "pid": "P2770752897ad", "date": "2026-03-01", "sex": "男", "age": 34, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "石菖蒲", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57891, "pid": "Pb81b45170277", "date": "2026-03-01", "sex": "男", "age": 33, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间和硬度下降，工作劳累，压力大，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干改善明显，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "蜈蚣", "制巴戟天", "熟地黄", "酒萸肉", "炙黄芪", "麸炒芡实", "金樱子肉", "醋五味子", "麸炒白术", "茯苓", "佩兰", "白芷", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "知母", "盐关黄柏", "酒黄精", "炒酸枣仁"], "prev_gap": 16, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 57892, "pid": "P0da9fa7f60ee", "date": "2026-03-01", "sex": "男", "age": 33, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力复诊，口干口苦，夜寐可，大小便正常，纳可，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "烫水蛭", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57894, "pid": "Pe116f8b7d58f", "date": "2026-03-01", "sex": "男", "age": 30, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，稍有水肿，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。盗汗，腰痛。", "wm_dx": ["包皮龟头炎", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57895, "pid": "P68ede2c33a92", "date": "2026-03-01", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，中途疲软，性欲一般，乏力，工作劳累，压力大，情绪焦虑，同居感情可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57896, "pid": "P52ba1fb756a7", "date": "2026-03-01", "sex": "男", "age": 34, "cc": "失眠一月", "hpi": "失眠浅，头晕，不吃凉，尿不尽，大便不成形，口干，喝水正常，怕冷，阴囊潮湿，腰痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "气血亏虚证", "补血养心"], ["失眠", "上热下寒证", "养血清热"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 57913, "pid": "P7389b5d3b693", "date": "2026-03-01", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 57929, "pid": "P03da28dc6f21", "date": "2026-03-02", "sex": "男", "age": 56, "cc": "复诊", "hpi": "症状改善，稳定,,尿频,尿畅.腰疼.口干轻微.纳可.", "wm_dx": ["代谢综合征", "男性勃起障碍"], "tcm_dx": [["消渴类病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "瓜蒌", "九香虫", "地龙", "炙甘草", "熟地黄", "酒萸肉", "牛膝"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "瓜蒌", "独活", "桑寄生", "石菖蒲", "九香虫", "地龙", "炙甘草"], "prev_gap": 23, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 57930, "pid": "Pa7035c21ee38", "date": "2026-03-02", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度下降改善，性欲可，乏力，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗汗多。晨勃有。病情稳定 延长开药", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["酒萸肉", "猪苓", "羌活", "炒酸枣仁", "丹参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 6} {"rid": 57931, "pid": "Pb01516dfacd1", "date": "2026-03-02", "sex": "男", "age": 47, "cc": "复诊", "hpi": "病史同前，夜尿5，量不多，尿通畅，脚凉，会阴部微疼，睡眠一般，大便溏，口干，易汗。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["精浊", "湿热", "清热利湿"], ["腰痛", "肾气不充证", "补肾扶元"], ["痹证类病", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热", "清热散寒"]], "rx": ["桂枝", "白芍", "龙骨", "牡蛎", "白薇", "黑顺片", "桑螵蛸", "生石膏", "盐益智仁", "盐补骨脂", "黄芩片", "石菖蒲", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57934, "pid": "P02ee387cb071", "date": "2026-03-02", "sex": "男", "age": 29, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "太子参", "覆盆子", "菟丝子"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57938, "pid": "Pb7b66200fb37", "date": "2026-03-02", "sex": "男", "age": 70, "cc": "排尿不畅夜尿频复诊", "hpi": "排尿不畅夜尿频，夜尿6-7次，口干口苦，阴囊潮湿冷改善，腰痛乏力，腹部不适改善，夜尿好转4-5次，口苦", "wm_dx": ["前列腺增生"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "炒酸枣仁", "麸炒苍术", "麸炒薏苡仁", "牛膝"], "prev_gap": 21, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 3} {"rid": 57939, "pid": "Pdd91359e9d81", "date": "2026-03-02", "sex": "男", "age": 40, "cc": "排尿不畅 睾丸疼痛复诊", "hpi": "排尿不畅 睾丸疼痛复诊 大便正常 纳可 眠安 少腹隐痛 腰痛乏力", "wm_dx": ["慢性前列腺炎", "附睾炎"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "炒酸枣仁", "丹参", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57944, "pid": "Pf2147c64fd48", "date": "2026-03-02", "sex": "男", "age": 45, "cc": "尿灼热排尿不畅复诊", "hpi": "尿灼热排尿不畅改善，周身乏力，腰痛，无小腹胀痛，夜寐差 失眠", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["失眠", "心血虚证", "补血养心"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["醋五味子", "太子参", "炒酸枣仁", "知母", "菟丝子", "麸炒山药", "麸炒芡实", "丹参", "玉竹"], "flags": [], "prev_rx": ["覆盆子", "醋五味子", "太子参", "石斛", "炒酸枣仁", "知母", "菟丝子"], "prev_gap": 19, "visit_ix": 8, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 6} {"rid": 57946, "pid": "P3ebec2734db5", "date": "2026-03-02", "sex": "男", "age": 36, "cc": "失眠一月余", "hpi": "失眠一月余 入睡困难 乏力 气短 勃起不坚 尿频 腰痛 乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["失眠", "肾虚证", "补肾扶元"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "黄芩", "山药", "白芍", "北柴胡", "茯苓", "麸炒枳壳", "炒酸枣仁", "丹参", "石菖蒲", "柏子仁", "合欢皮", "合欢花", "制巴戟天", "仙茅", "炙淫羊藿", "盐车前子", "菟丝子", "蛇床子", "韭菜子", "炙甘草", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57947, "pid": "Pfbcb98fffc83", "date": "2026-03-02", "sex": "男", "age": 28, "cc": "勃起持续时间短1年", "hpi": "结婚一载，房事可勃起，硬度够，持续短，射精感。无尿频，有不尽，腰酸感，无肢冷，易出汗。", "wm_dx": ["代谢综合征"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "北柴胡", "麸炒枳实", "五倍子", "金樱子肉", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57948, "pid": "P4cab03295cbf", "date": "2026-03-02", "sex": "男", "age": 24, "cc": "少腹不适感3天", "hpi": "少腹不适感，睾丸不适感，排尿正常，大便正常 手淫多 腰痛 乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "桂枝", "龙骨", "牡蛎", "白芍", "地黄", "酒女贞子", "醋五味子", "穿山龙", "首乌藤", "干姜", "大枣", "麸炒芡实", "桑枝", "鬼箭羽"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 3} {"rid": 57949, "pid": "P148b6f8b6fca", "date": "2026-03-02", "sex": "男", "age": 66, "cc": "包皮龟头红疹瘙痒复诊", "hpi": "包皮龟头红疹瘙痒改善明显 未痊愈 大小便正常 纳可 眠安 湿疹取药", "wm_dx": ["湿疹", "包皮龟头炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "茵陈", "白芷", "荆芥", "酒大黄", "当归", "赤芍", "黄连"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57953, "pid": "P744263cd058e", "date": "2026-03-02", "sex": "男", "age": 62, "cc": "少腹隐痛2天", "hpi": "少腹隐痛2天 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "麸炒芡实", "羌活", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57954, "pid": "P05cbe983e481", "date": "2026-03-02", "sex": "男", "age": 33, "cc": "尿不尽一月", "hpi": "尿不尽一月 尿黄 泡沫多 大便正常 纳可 失眠 盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "丹参", "知母", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57958, "pid": "Pec734ab07e95", "date": "2026-03-02", "sex": "男", "age": 38, "cc": "排尿不畅1月", "hpi": "排尿不畅1月，尿后余沥，工作熬夜，久坐。眠差，口和，盗汗。腰痛。", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57969, "pid": "P1cb17a8dfe06", "date": "2026-03-03", "sex": "男", "age": 51, "cc": "血精一月", "hpi": "血精一月3次 射精无疼痛 大小便正常 纳可 眠安", "wm_dx": ["精囊炎", "前列腺增生"], "tcm_dx": [["血精", "气滞血瘀证", "活血化瘀"]], "rx": ["三七粉", "丹参", "猪苓", "羌活", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57973, "pid": "P658d26cf4376", "date": "2026-03-03", "sex": "男", "age": 50, "cc": "腰痛半年", "hpi": "伴有早泄多年 时间2分钟 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 57975, "pid": "Pe7426ebf81e4", "date": "2026-03-03", "sex": "男", "age": 41, "cc": "会阴部坠痛3天", "hpi": "会阴部坠痛3天 大小便正常 纳可 失眠 少腹隐痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "丹参", "太子参", "知母", "桑椹"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 57977, "pid": "P97a57361f3a3", "date": "2026-03-03", "sex": "男", "age": 39, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，硬度下降，性欲可，工作压力大，失眠，阴囊潮湿，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，盗汗，晨勃少 高脂血症复查", "wm_dx": ["高脂血症", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "酒当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "知母", "盐关黄柏", "黄芪", "蜈蚣", "地龙", "仙茅", "炒酸枣仁"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "知母", "盐关黄柏", "黄芪"], "prev_gap": 60, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 57983, "pid": "P7fc96b1472c4", "date": "2026-03-03", "sex": "男", "age": 38, "cc": "少腹隐痛复诊", "hpi": "少腹隐痛改善 后腰部疼痛 尿频 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "醋鸡内金"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "茯苓", "醋鸡内金"], "prev_gap": 178, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 57987, "pid": "P2ae0d1f1585d", "date": "2026-03-03", "sex": "男", "age": 50, "cc": "腰痛乏力伴勃起不坚复诊", "hpi": "腰痛乏力伴勃起不坚改善，多梦，射精快，排尿可，口干 大便正常 乏力", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "枸杞子", "太子参"], "flags": [], "prev_rx": ["肉苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "炒蒺藜", "丁香", "木香", "麸炒枳壳", "全蝎", "锁阳", "党参", "山药", "合欢皮", "川楝子", "炙甘草", "防风", "白芷", "醋五味子", "麦冬", "玄参"], "prev_gap": 34, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 57996, "pid": "P3b8c0ebc80ad", "date": "2026-03-03", "sex": "男", "age": 44, "cc": "尿频半年", "hpi": "尿频，晨勃没有，硬度下降，时间短，中途醒，大便正常，纳可，时有腹胀，口和，体重增加明显，复诊：睡眠好转，有晨勃，腹胀消失", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "牡丹皮", "石菖蒲", "炒栀子", "酒萸肉", "山药", "丹参", "鸡血藤", "蜈蚣", "酒黄精", "炙淫羊藿", "盐胡芦巴", "陈皮"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "牡丹皮", "石菖蒲", "炒栀子", "酒萸肉", "山药", "丹参", "鸡血藤", "蜈蚣", "酒黄精", "炙淫羊藿", "盐胡芦巴"], "prev_gap": 20, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 57998, "pid": "P30b0ac1e231e", "date": "2026-03-03", "sex": "男", "age": 43, "cc": "尿道不适3天", "hpi": "阵发性尿道不适感，点刺痛，尿色正常，睡眠一般，口和，无腰疼，无腹痛，吃凉易腹泻", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["通草", "生地黄", "淡竹叶", "牛膝", "石菖蒲", "北柴胡", "黄芩", "党参", "甘草", "赤小豆", "白花蛇舌草", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58001, "pid": "P5e80805fd514", "date": "2026-03-03", "sex": "男", "age": 71, "cc": "前列腺增生复诊", "hpi": "病史同前，口服盐酸坦索罗辛缓释胶囊服药后头蒙感，淋漓不尽，尿无力，夜尿2-3次。眠差多梦，手脚凉，易汗，夜间口干不苦，反酸呃逆，阴囊潮湿，会阴发胀，腰疼，便调，无勃起，怕冷，有汗，盗汗，吃凉易腹泻，复诊：夜尿1次，睡眠好转，仍尿尿不尽，盗汗，阴囊潮湿，睾丸不适感", "wm_dx": ["前列腺增生"], "tcm_dx": [["痨病", "肾虚证", "补肾固精"], ["癃闭", "肾虚证", "补肾固精"]], "rx": ["桂枝", "茯苓", "泽泻", "滑石", "猪苓", "麸炒白术", "煅龙骨", "煅牡蛎", "白薇", "丹参", "鸡血藤", "法半夏", "姜厚朴", "炒紫苏子", "蜈蚣", "赤小豆"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "陈皮", "丹参", "鸡血藤", "赤小豆", "滑石", "蜈蚣", "制巴戟天", "煅龙骨", "煅牡蛎", "白芍", "党参片"], "prev_gap": 7, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 5, "n_rx": 11} {"rid": 58002, "pid": "P104b0909efb8", "date": "2026-03-03", "sex": "男", "age": 33, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳可 眠安，口干口苦，下肢冷，出汗，手脚出汗", "wm_dx": ["包皮龟头炎", "股癣"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "生地黄", "知母", "盐黄柏", "石菖蒲", "炒蒺藜", "丹参", "鸡血藤", "黄芩", "菟丝子", "牛膝", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58004, "pid": "Pedc6a66dab0c", "date": "2026-03-03", "sex": "男", "age": 41, "cc": "腰痛乏力伴勃起欠佳1年", "hpi": "1年前出现腰痛乏力伴勃起欠佳，晨勃可，勃起硬度欠佳，易生气，大小便正常 ，睡眠入睡困难，纳可，口干", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "石菖蒲", "党参片", "盐蒺藜", "柏子仁", "牛膝", "丹参", "鸡血藤", "地黄", "枸杞子", "蜈蚣", "炒栀子", "制巴戟天"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "石菖蒲", "制远志", "盐蒺藜", "柏子仁", "牛膝", "丹参", "鸡血藤", "地黄", "枸杞子", "蜈蚣", "郁金", "制巴戟天"], "prev_gap": 20, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 58020, "pid": "P1d7a01d0e05d", "date": "2026-03-04", "sex": "男", "age": 54, "cc": "尿频一年", "hpi": "尿频，夜尿1-2次，性功能正常，同房可射精，近期准备备育，腹股沟刺痒，睡眠一般，大便正常，口渴", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["淡竹叶", "地黄", "炒栀子", "淡豆豉", "枸杞子", "覆盆子", "盐车前子", "醋五味子", "醋龟甲", "桑螵蛸", "天花粉", "牡蛎", "酒萸肉", "山药", "红景天", "鹿角霜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58025, "pid": "P15dc3ec30e27", "date": "2026-03-04", "sex": "男", "age": 37, "cc": "腰痛乏力伴弱精1周", "hpi": "1周前出现腰痛乏力伴弱精，口干口苦，夜寐差，二便调", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "韭菜子", "当归", "熟地黄", "菟丝子", "炙淫羊藿", "川牛膝"], "flags": [], "prev_rx": ["制何首乌", "韭菜子", "当归", "熟地黄", "菟丝子", "炙淫羊藿", "川牛膝"], "prev_gap": 20, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 6, "n_rx": 8} {"rid": 58030, "pid": "Pa31f8772b32c", "date": "2026-03-04", "sex": "男", "age": 35, "cc": "尿频2月", "hpi": "尿频，尿不尽，阴囊潮湿，腰疼，硬度正常，无腹痛，大便正常，纳可，喜欢吃生冷，吃生冷易腹泻，睡眠正常，口干", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "猪苓", "茯苓", "泽泻", "滑石", "阿胶珠", "麸炒白术", "炙甘草", "盐补骨脂", "炙淫羊藿", "黑顺片", "干姜"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "猪苓", "茯苓", "泽泻", "滑石", "阿胶珠", "麸炒白术", "炙甘草", "赤小豆", "白花蛇舌草"], "prev_gap": 42, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58040, "pid": "P11f2581af2cc", "date": "2026-03-04", "sex": "男", "age": 40, "cc": "乏力复诊", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多，复诊多梦盗汗，口气重", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白薇", "炒栀子", "淡豆豉", "茯苓", "桂枝", "煅龙骨", "煅牡蛎", "黑顺片", "熟地黄", "牡丹皮", "牛膝", "陈皮", "制巴戟天", "姜厚朴", "蜈蚣"], "flags": [], "prev_rx": ["甘草片", "黄连片", "黄芩片", "干姜", "党参片", "煅龙骨", "煅牡蛎", "炒栀子", "淡豆豉", "浮小麦", "蜈蚣", "熟地黄", "炙淫羊藿", "酒苁蓉"], "prev_gap": 8, "visit_ix": 13, "n_visits": 24, "visit_ix_rx": 13, "n_rx": 24} {"rid": 58042, "pid": "P710908ec06cd", "date": "2026-03-04", "sex": "男", "age": 49, "cc": "尿频3月", "hpi": "尿频3月，腰痛，乏力，时间下降，性欲可，工作可，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58044, "pid": "Pb68bcb0827ae", "date": "2026-03-04", "sex": "男", "age": 47, "cc": "性功能减退感一年", "hpi": "勃起持续时间短，勃起硬度减或不能持续，性欲减少，自用他达拉非，有改善，但持续服。平素怕冷、尿频。复诊：夜尿一次，大便正常粘，睡眠可，早醒，口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "黄芩片", "麸炒枳实", "白芍", "地黄", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "党参片", "蜈蚣", "煅阳起石", "制巴戟天", "仙茅", "酒萸肉"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "盐补骨脂", "地龙", "九香虫", "炙甘草", "生姜", "大枣"], "prev_gap": 44, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58046, "pid": "Pbcde72c6fcf8", "date": "2026-03-04", "sex": "男", "age": 60, "cc": "尿频半年", "hpi": "尿频，偶有晨勃，不能勃起，排尿正常，夜尿1次，大便正常，睡眠可，饭后腹胀 ，打嗝，口干口苦，无怕冷，腰疼，复诊：打嗝腰疼，勃起好转，腹胀，口干口苦。复诊：睡前尿意强", "wm_dx": ["高血压"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "法半夏", "石菖蒲", "盐蒺藜", "炒栀子", "淡豆豉", "蜈蚣", "地黄", "制巴戟天", "姜厚朴", "党参片", "赤小豆", "滑石"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "法半夏", "石菖蒲", "火麻仁", "炒栀子", "淡豆豉", "蜈蚣", "酒苁蓉", "制巴戟天", "葛根", "姜厚朴", "党参片"], "prev_gap": 35, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 58060, "pid": "Pb75956d0a811", "date": "2026-03-05", "sex": "男", "age": 76, "cc": "尿痛一周余", "hpi": "尿痛一周余 排尿困难 大便正常 纳可 眠差 症状改善", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "薏苡仁", "茯苓", "麸炒芡实"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "薏苡仁", "茯苓", "麸炒芡实"], "prev_gap": 28, "visit_ix": 1, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 8} {"rid": 58062, "pid": "P7ed8d01067c1", "date": "2026-03-05", "sex": "男", "age": 43, "cc": "尿频6月", "hpi": "尿频6月，稍有尿痛，尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，熬夜", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "猪苓", "川牛膝", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58063, "pid": "P3a8c83296916", "date": "2026-03-05", "sex": "男", "age": 44, "cc": "尿急复诊", "hpi": "尿急改善 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "山慈菇"], "flags": [], "prev_rx": ["猪苓", "羌活", "陈皮", "制巴戟天", "茯苓", "薏苡仁"], "prev_gap": 28, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 6} {"rid": 58070, "pid": "Pb394ca49ee62", "date": "2026-03-05", "sex": "男", "age": 32, "cc": "腰痛2月", "hpi": "腰痛2月，硬度改善，性欲一般，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "枸杞子", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "金樱子肉", "莲子", "锁阳", "醋五味子", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "prev_gap": 47, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58072, "pid": "Pb75ff39a8243", "date": "2026-03-05", "sex": "男", "age": 27, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，性欲强，乏力，工作熬夜，二便调，眠一般，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58081, "pid": "P451149f14acc", "date": "2026-03-05", "sex": "男", "age": 49, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，晨勃少", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58082, "pid": "P11c0b65fb018", "date": "2026-03-05", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作可，二便调，眠一般，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58085, "pid": "Pbeac5ce45df7", "date": "2026-03-05", "sex": "男", "age": 66, "cc": "包皮龟头炎 前列腺增生 关节炎复诊", "hpi": "尿等待，排尿不畅，夜尿2-3次，白天可，无小腹及会阴不适，无尿痛。纳眠可。 反流性食管炎 高血压 糖尿病取药 腰酸痛，关节炎，包皮龟头炎半月", "wm_dx": ["高血压", "前列腺增生", "糖尿病", "关节痛", "冠状动脉性心脏病", "关节炎"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "黄连", "大黄", "当归", "金银花", "蒲公英", "全蝎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 27, "n_visits": 33, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58089, "pid": "P518d24f6fa71", "date": "2026-03-06", "sex": "男", "age": 60, "cc": "少腹胀痛1年", "hpi": "伴有龟头部不适感，睾丸时有隐痛，排尿困难，夜尿3-4次，外院诊断为腺性膀胱炎，手术后症状未缓解。大便正常，不能吃生冷，睡眠4-5小时，口干口苦，怕冷，腰疼。出汗,复诊：少腹胀痛好转。", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "麻黄", "茯苓", "白芍", "党参片", "滑石", "赤小豆", "燀桃仁", "红花", "牡丹皮", "大黄", "地黄", "甘草片", "姜厚朴", "炒栀子"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "荆芥", "茯苓", "猪苓", "党参片", "滑石", "赤小豆", "燀桃仁", "红花", "牡丹皮", "大黄", "地黄", "甘草片"], "prev_gap": 7, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 5} {"rid": 58099, "pid": "Pc12c426b051f", "date": "2026-03-06", "sex": "男", "age": 57, "cc": "尿频半月", "hpi": "尿频，硬度下降，晨勃有，纳可，凉的少吃，大小便正常，睡眠可，口渴，无怕冷，阴囊潮湿", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "白芍", "茯苓", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "北柴胡", "麸炒枳实", "牛膝", "黑顺片", "桂枝", "蜈蚣", "酒黄精", "赤小豆"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "白芍", "茯苓", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "北柴胡", "麸炒枳实", "牛膝", "黑顺片", "蜈蚣", "酒黄精", "桂枝"], "prev_gap": 7, "visit_ix": 3, "n_visits": 13, "visit_ix_rx": 3, "n_rx": 10} {"rid": 58106, "pid": "P1dcd6ed9f44e", "date": "2026-03-06", "sex": "男", "age": 62, "cc": "手脚冰凉6年", "hpi": "手脚发凉，腰部肌肉酸痛，腿抽筋，左侧小腿肌肉胀痛，大便干一天一次，口服麻仁润肠丸，排尿正常，纳可，不能吃生冷，睡眠正常，口和，复诊：胃口好转，大便色黑，腿抽筋消失。尿频", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["便秘", "湿热蕴结证", "润燥通便"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "当归", "细辛", "白芍", "小通草", "北柴胡", "麸炒枳实", "川芎", "麸炒白术", "茯苓", "干姜", "砂仁", "黑顺片", "制巴戟天", "酒苁蓉", "大黄"], "flags": [], "prev_rx": ["桂枝", "当归", "细辛", "白芍", "小通草", "北柴胡", "麸炒枳实", "石菖蒲", "麸炒白术", "茯苓", "干姜", "砂仁", "知母", "炙甘草", "制巴戟天", "酒苁蓉"], "prev_gap": 6, "visit_ix": 1, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 9} {"rid": 58108, "pid": "Paa2aa28354fe", "date": "2026-03-06", "sex": "男", "age": 49, "cc": "腰痛阴囊潮湿5天", "hpi": "5天前出现阴囊潮湿，勃起欠佳，中途软，性欲减退，口干，夜寐差。情绪焦虑可。大便偏干，睡眠一般，中途醒，纳可", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "生石膏", "丹参", "鸡血藤", "石菖蒲", "合欢皮", "蜈蚣", "金樱子肉", "焦山楂", "炒栀子", "淡豆豉", "制巴戟天", "地黄"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "生石膏", "丹参", "鸡血藤", "石菖蒲", "郁金", "蜈蚣", "焦麦芽", "焦山楂", "炒栀子", "淡豆豉", "制巴戟天", "地黄"], "prev_gap": 56, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58124, "pid": "Pf578ef89335d", "date": "2026-03-07", "sex": "男", "age": 36, "cc": "腰痛乏力伴勃起中途疲软3月", "hpi": "3月前出现腰痛乏力伴勃起中途疲软，晨勃减少，性欲可，长期熬夜，夜尿2次多年，长期开车憋尿，小腹胀痛，胁肋疼痛，复诊：夜寐好转，尿无力好转，晨勃增加,复诊：近1月3-4次同房，硬度可，近期熬夜频繁，口干", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "白芍", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "人参", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "锁阳", "黄芪", "全蝎"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "白芍", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "锁阳", "黄芪", "全蝎", "人参"], "prev_gap": 33, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 58125, "pid": "P0d740fb20cef", "date": "2026-03-07", "sex": "男", "age": 47, "cc": "夜尿3-4次一年", "hpi": "夜尿3-4次，喝水即尿，色黄，无腹痛，无腰疼，大便不成型，睡眠可，纳可，吃生冷易腹泻，口和，无怕冷，肩膀痛", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "脾肾阳虚证", "补肾扶元"]], "rx": ["麸炒山药", "乌药", "盐益智仁", "淡竹叶", "茯苓", "泽泻", "猪苓", "麸炒白术", "桂枝", "黑顺片", "炙淫羊藿", "金樱子肉", "炙甘草", "砂仁"], "flags": [], "prev_rx": ["麸炒白术", "党参片", "茯苓", "泽泻", "猪苓", "法半夏", "桂枝", "干姜", "制巴戟天", "滑石", "炙甘草", "煅龙骨", "煅牡蛎", "荆芥", "防风", "葛根"], "prev_gap": 10, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 9, "n_rx": 10} {"rid": 58126, "pid": "P9a6314d0c56d", "date": "2026-03-07", "sex": "男", "age": 57, "cc": "排尿不畅尿等待8月", "hpi": "8月前出现排尿不畅尿等待，3周前就诊我院脑病科病房，我科会诊予口服盐酸坦索罗辛缓释胶囊、非那雄胺片、前列舒通胶囊症状改善，现出院规律门诊。现夜尿1-2次，口中和，夜寐差,失眠，易醒，勃起不坚，腰痛乏力,心脏支架术后有血栓可能，外院就诊口服华法令片，要求用药一周后复查血常规+凝血五项，3.7号复诊：夜寐差，勃起欠佳，偶有晨勃", "wm_dx": ["冠状动脉粥样硬化性心脏病", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["精癃", "肝肾两虚证", "滋补肝肾"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "韭菜子", "制巴戟天", "锁阳", "覆盆子", "全蝎"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天", "党参", "茯苓", "麸炒白术", "锁阳"], "prev_gap": 10, "visit_ix": 11, "n_visits": 20, "visit_ix_rx": 4, "n_rx": 9} {"rid": 58127, "pid": "P7c438a1d3841", "date": "2026-03-07", "sex": "男", "age": 44, "cc": "乏力一周", "hpi": "乏力，既往肿瘤标志物高，癌标高，尿频，尿急，手发凉，无腹痛，腰酸疼，纳可，吃生冷胃疼易腹泻，大便不成型，睡眠一般，口和，怕冷", "wm_dx": ["高脂血症", "慢性前列腺炎"], "tcm_dx": [["虚劳类病", "脾肾阳虚证", "补肾扶元"]], "rx": ["桂枝", "党参", "干姜", "制吴茱萸", "当归", "细辛", "通草", "川芎", "桃仁", "红花", "炙淫羊藿", "附片", "焦麦芽", "熟地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 6} {"rid": 58128, "pid": "P0574ef7ad1f4", "date": "2026-03-07", "sex": "男", "age": 31, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，口干，腹痛，手足热，手心汗出", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "炙甘草", "龙骨", "牡蛎", "生地黄炭", "黑顺片", "麸炒苍术", "茯苓", "生姜", "大枣", "桔梗"], "flags": [], "prev_rx": ["桂枝", "白芍", "炙甘草", "龙骨", "牡蛎", "生地黄炭", "黑顺片", "麸炒苍术", "茯苓", "生姜", "大枣", "桔梗"], "prev_gap": 44, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 58129, "pid": "P1407db622766", "date": "2026-03-07", "sex": "男", "age": 37, "cc": "发现PSA升高复查", "hpi": "发现PSA升高1周，5.62 ng/ml，工作久坐，无明显尿频、尿急、排尿不畅，夜尿0次。无尿后余沥，无小腹及会阴不适。乏力消瘦半年,睡眠好转", "wm_dx": ["泌尿系感染", "前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "小蓟", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "炒王不留行", "砂仁", "荔枝核"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "小蓟", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "炒王不留行"], "prev_gap": 25, "visit_ix": 5, "n_visits": 16, "visit_ix_rx": 3, "n_rx": 10} {"rid": 58135, "pid": "P4db9ceac8e50", "date": "2026-03-07", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力睡眠正常，纳可，二便调，口苦，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "党参片", "法半夏", "生姜", "大枣", "红景天", "醋龟甲", "桑螵蛸", "牡蛎", "枸杞子", "菟丝子", "覆盆子", "盐车前子", "茯苓", "麸炒苍术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "茯苓", "制远志", "锁阳", "石菖蒲"], "prev_gap": 12, "visit_ix": 3, "n_visits": 15, "visit_ix_rx": 3, "n_rx": 15} {"rid": 58136, "pid": "P21da0e77ac08", "date": "2026-03-07", "sex": "男", "age": 36, "cc": "腰痛乏力多年", "hpi": "多年前出现腰痛乏力，射精快多年，＜100下，口干口苦，夜寐差，长期熬夜，小腹胀痛，下肢冷，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "脾肾亏虚证", "理气健脾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["莲子", "醋五味子", "菟丝子", "盐蒺藜", "麸炒芡实", "莲须", "煅龙骨", "煅牡蛎", "盐补骨脂", "酒萸肉", "炙淫羊藿", "黄连片", "肉桂", "关黄柏", "知母", "酒苁蓉", "金樱子肉", "盐杜仲", "续断片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58142, "pid": "P19f44ca381dd", "date": "2026-03-07", "sex": "男", "age": 24, "cc": "阴囊潮湿半年", "hpi": "阴囊潮湿，手脚发凉，口唇有痘，大便时干时稀粘，睡眠多梦，晨勃时有时无，排尿可，纳一般，口干，怕冷，复诊：症状好转，口干", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "连翘", "当归", "赤小豆", "麸炒薏苡仁", "炒苦杏仁", "姜厚朴", "法半夏", "滑石", "生姜", "煅龙骨", "煅牡蛎", "地黄", "炒紫苏子", "茯苓", "天花粉"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "连翘", "当归", "赤小豆", "麸炒薏苡仁", "炒苦杏仁", "豆蔻", "法半夏", "滑石", "淡竹叶", "煅龙骨", "煅牡蛎", "牛膝"], "prev_gap": 10, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58147, "pid": "Pd681eb81f824", "date": "2026-03-07", "sex": "男", "age": 47, "cc": "阴囊潮湿2年", "hpi": "阴囊潮湿2年，阴茎根部潮湿，肛周潮湿瘙痒，尿频，无夜尿，排尿不畅改善。眠差，纳可，大便粘。胁肋疼痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"], ["胁痛", "肝气郁结证", "疏肝散结"], ["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["蛇床子", "地肤子", "土茯苓", "地榆", "白花蛇舌草", "金银花", "盐黄柏", "马齿苋"], "flags": 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"木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "地骨皮", "五加皮"], "prev_gap": 34, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 7} {"rid": 58156, "pid": "Pdb2eb477c044", "date": "2026-03-07", "sex": "男", "age": 38, "cc": "腰痛2年", "hpi": "腰痛2年，要二胎，中间留2次，脚心出汗，睡眠正常，排尿正常，大便正常，纳可，口和，无怕冷,股癣，复诊：尿等待，尿不尽，无腹痛", "wm_dx": ["股癣"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "北沙参", "麦冬", "赤小豆", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "酒黄精", "牡蛎", "醋龟甲", "党参片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "炒栀子", "淡豆豉", "赤小豆", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "酒黄精", "牡蛎", "醋龟甲"], "prev_gap": 42, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58158, "pid": "P0664687c760a", "date": "2026-03-07", "sex": "男", "age": 38, "cc": "乏力2周", "hpi": "乏力2周，压力可，二便调，眠可，盗汗，射精快，龟头敏感度高，久坐，熬夜，口干口苦", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝气郁结证", "疏肝散结"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58161, "pid": "P9582a9097a83", "date": "2026-03-07", "sex": "男", "age": 69, "cc": "排尿不畅2年", "hpi": "2年前出现排尿不畅，夜间加重，尿细尿无力，无小腹胀痛，口中和，夜寐差，夜尿2-3次，腰痛乏力，近期消瘦", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["太子参", "猪苓", "桑椹", "枸杞子", "酒黄精", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58163, "pid": "P7057c4258df6", "date": "2026-03-07", "sex": "男", "age": 27, "cc": "腰痛复诊", "hpi": "腰痛改善 伴有早泄 时间1分钟以内 大小便正常 纳可 眠安 勃起可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "五加皮", "地骨皮", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "prev_gap": 56, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 58165, "pid": "P81bedb1f2df1", "date": "2026-03-07", "sex": "男", "age": 34, "cc": "小腹胀痛不适1年", "hpi": "1年前出现小腹胀痛不适，腰痛，排尿可，口中和，长期熬夜。3.7号复诊：小腹胀痛不适稍好转，", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "夏枯草", "路路通", "炒王不留行", "荔枝核", "醋香附"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58167, "pid": "Paa20a1a5c390", "date": "2026-03-07", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，性欲减退，神疲乏力，射精快，口干，长期熬夜", "wm_dx": ["精索静脉曲张", "男性性腺功能低下"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, 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["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "炙甘草", "北柴胡", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "马齿苋", "酒大黄", "金樱子", "醋五味子", "地龙", "菟丝子", "炒决明子", "茯苓", "猪苓", "龙眼肉", "桑椹", "太子参", "大枣"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "马齿苋", "酒大黄", "金樱子", "醋五味子", "炒决明子", "茯苓", "猪苓", "龙眼肉", "桑椹", "太子参"], "prev_gap": 13, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 6} {"rid": 58236, "pid": "P0cf786e70347", "date": "2026-03-08", "sex": "男", "age": 37, "cc": "会阴不适复诊", "hpi": "会阴不适改善，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力盗汗.3.8复诊：睾丸下坠感明显减轻，会阴不适，小腹不适", "wm_dx": ["静脉曲张", "前列腺炎", "精索静脉曲张", "附睾囊肿"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "黄芩片", "当归", "姜厚朴", "乌药", "盐小茴香", "桂枝", "燀桃仁", "红花", "牡丹皮", "白芍", "川楝子", "川牛膝", "赤小豆", "炙黄芪", "甘草片", "夏枯草", "路路通", "炒王不留行", "荔枝核", "醋延胡索", "醋五灵脂", "川芎", "姜黄"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "当归", "秦艽", "乌药", "盐小茴香", "桂枝", "燀桃仁", "红花", "牡丹皮", "白芍", "川楝子", "川牛膝", "赤小豆", "炙黄芪", "甘草片", "夏枯草", "路路通", "炒王不留行", "荔枝核", "醋延胡索", "醋五灵脂", "川芎", "姜黄"], "prev_gap": 11, "visit_ix": 10, "n_visits": 25, "visit_ix_rx": 5, "n_rx": 18} {"rid": 58239, "pid": "P8aefc04692bf", "date": "2026-03-08", "sex": "男", "age": 38, "cc": "腰痛乏力伴勃起欠佳5年", "hpi": "腰痛乏力，性功能减退，勃起不坚，中途疲软，性欲下降，口干口苦，排尿正常，大便正常，睡眠易醒，纳可，长期熬夜，工作久坐", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天", "黄芪", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58240, "pid": "P5121c80cb126", "date": "2026-03-08", "sex": "男", "age": 35, "cc": "腰痛乏力伴勃起欠佳5年", "hpi": "5年前出现腰痛乏力伴勃起欠佳，射精快，自觉龟头敏感度高，饮酒多，吸烟7支/日，口干口苦，夜寐差失眠多梦，长期熬夜，性欲可，晨勃偶有，尿频，手淫频繁，胁肋疼痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "黄芪", "韭菜子", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58241, "pid": "P71c919585dda", "date": "2026-03-08", "sex": "男", "age": 35, "cc": "少腹隐痛一月", "hpi": "尿频，睡眠可，吃凉易腹泻，时有口苦，无怕冷 大便正常 眠安，盗汗，口干", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["猪苓", "茯苓", "太子参", "陈皮", "黄芪", "桑椹", "酒黄精"], "flags": [], "prev_rx": ["猪苓", "茯苓", "太子参", "陈皮"], "prev_gap": 56, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58243, "pid": "P06f0599e2a08", "date": "2026-03-08", "sex": "男", "age": 33, "cc": "腰痛一年", "hpi": "腰痛 ， 大小便正常 纳可 睡眠正常，口和，睾丸及小腹不适", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["枸杞子", "菟丝子", "鹿角霜", "醋鳖甲", "茯苓", "麸炒白术", "桑寄生", "炒麦芽", "牡蛎", "桂枝", "大枣", "党参片", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 58244, "pid": "P46e7cb1e4b30", "date": "2026-03-08", "sex": "男", "age": 39, "cc": "腰痛乏力小腹胀痛1年", "hpi": "1年前出现腰痛乏力小腹胀痛，自觉龟头充血状态，射精快，尿痛，尿分叉，口干口苦。夜寐差，失眠，长期熬夜，盗汗", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾益精"], ["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "金银花", "炒酸枣仁"], "flags": [], "prev_rx": ["茯苓", "太子参", "猪苓", "桑椹", "炒酸枣仁", "丹参", "陈皮"], "prev_gap": 22, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 5} {"rid": 58245, "pid": "P70b8927070b3", "date": "2026-03-08", "sex": "男", "age": 36, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，性欲低下，精液量少，夜寐差，失眠，口中和，易生气", "wm_dx": ["腰痛", "泌尿系感染", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "韭菜子", "黄芪", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58246, "pid": "P9f09468d6d10", "date": "2026-03-08", "sex": "男", "age": 38, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 少腹隐痛 胁痛 行动不便", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "心肾不交证", "交通心肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["知母", "关黄柏", "桂枝", "熟地黄", "酒萸肉", "牡丹皮", "泽泻", "茯苓", "覆盆子", "菟丝子", "盐车前子", "醋延胡索"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["知母", "关黄柏", "桂枝", "熟地黄", "酒萸肉", "牡丹皮", "泽泻", "茯苓", "覆盆子", "菟丝子", "盐车前子", "醋延胡索"], "prev_gap": 49, "visit_ix": 5, "n_visits": 9, "visit_ix_rx": 5, "n_rx": 9} {"rid": 58252, "pid": "Pf6904d8318dd", "date": "2026-03-08", "sex": "男", "age": 37, "cc": "腰痛乏力伴勃起不坚1月", "hpi": "1月前出现腰痛乏力伴勃起不坚，性欲下降，口干无口苦，长期熬夜，久坐，易生气，晨勃消失，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "黄芪", "韭菜子", "锁阳", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58253, "pid": "P069511741d84", "date": "2026-03-08", "sex": "男", "age": 26, "cc": "腰痛乏力伴遗精5年", "hpi": "5年前戒除手淫后出现频繁遗精，现遗精1次/周，遗精后2-3天出现身体抽搐，胸闷，自身对既往手淫消耗身体压力大，口干苦，频繁眨眼，夜寐差多梦，大小便正常，头屑多，脱发，记忆力减退严重，专注力下降，言语中断", "wm_dx": ["腰痛"], "tcm_dx": [["遗精", "肝郁肾虚证", "疏肝化瘀"], ["遗精", "肾虚证", "滋补肾阴"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "酒萸肉", "党参", "黄连", "黄柏", "知母", "酒苁蓉", "金樱子", "续断", "桂枝", "北柴胡", "炒栀子", "法半夏", "桑枝", "桑寄生"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58257, "pid": "P738b72a330a0", "date": "2026-03-08", "sex": "男", "age": 54, "cc": "少腹隐痛复诊", "hpi": "少腹隐痛复诊 大小便正常 纳可 眠安 睾丸发凉 腰酸痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "醋五味子", "百合", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "路路通", "炒王不留行", "夏枯草", "醋香附", "荔枝核", "黄芪", "金樱子", "醋莪术", "醋三棱", "石榴皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "路路通", "炒王不留行", "夏枯草", "醋香附", "荔枝核", "黄芪"], "prev_gap": 13, "visit_ix": 5, "n_visits": 14, "visit_ix_rx": 3, "n_rx": 7} {"rid": 58260, "pid": "Pdd8943655bd7", "date": "2026-03-08", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年，纳可，大便正常，尿频，夜尿正常，会阴睾丸不适感，无怕冷，无腹痛，大便可，纳可，口和，无怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肝郁血虚证", "疏肝养血"], ["腰痛", "肾虚证", "滋补肾阴"]], "rx": ["北柴胡", "黄芩", "法半夏", "赤小豆", "连翘", "制远志", "牛膝", "牡丹皮", "菟丝子", "醋五味子", "盐车前子", "白花蛇舌草", "菊花", "覆盆子", "炒酸枣仁", "柏子仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩", "法半夏", "赤小豆", "连翘", "制远志", "牛膝", "牡丹皮", "菟丝子", "枸杞子", "醋五味子", "盐车前子", "白花蛇舌草", "菊花"], "prev_gap": 106, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 58264, "pid": "Pebfa91a71812", "date": "2026-03-09", "sex": "男", "age": 66, "cc": "排尿不畅 偶见酸涩感一周余", "hpi": "排尿不畅 偶见酸涩感一周余 大便正常 纳可 眠安", "wm_dx": ["前列腺增生", "慢性膀胱炎", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["羌活", "猪苓", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58265, "pid": "Pb1afa0f1bb9b", "date": "2026-03-09", "sex": "男", "age": 45, "cc": "勃起困难感2年", "hpi": "勃起困难，硬度不够，或持续时间短，射精可。自用他达拉非5mg口服。口苦或有口干，阴囊潮湿，脚凉。性急。汗不多。眠差。父亲高血压。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["房事阳痿", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "牡蛎", "龙骨", "石菖蒲", "九香虫", "地龙", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 58270, "pid": "P778b25eefdd1", "date": "2026-03-09", "sex": "男", "age": 69, "cc": "排尿不畅复诊取药", "hpi": "排尿不畅改善，尿频尿急，尿线细，尿等待，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "羌活"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58272, "pid": "Pfb584b04c94e", "date": "2026-03-09", "sex": "男", "age": 61, "cc": "腰痛乏力伴勃起欠佳复诊", "hpi": "腰痛乏力伴勃起欠佳，偶有晨勃，性欲减退，射精快，排尿可，口中和，夜寐可，症状改善不明显", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "炙淫羊藿", "蛇床子", "韭菜子", "石菖蒲", "制远志", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "麸炒枳壳", "麸炒苍术", "炙甘草", "烫水蛭", "菟丝子", "酒萸肉", "知母", "盐黄柏", "防风", "白芷"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58273, "pid": "Pe1b2f31c44ad", "date": "2026-03-09", "sex": "男", "age": 64, "cc": "右下腹隐痛一周余", "hpi": "右下腹隐痛改善 大便正常 尿频 纳可 眠安", "wm_dx": ["慢性前列腺炎", "腹痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["醋鸡内金", "猪苓", "羌活", "茯苓", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58274, "pid": "P5bb984c45075", "date": "2026-03-09", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 大便正常 纳可 失眠 阴囊潮湿 尿频", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "知母", "丹参", "太子参", "麸炒芡实", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58278, "pid": "Pa0bf7b37005e", "date": "2026-03-09", "sex": "男", "age": 71, "cc": "龟头红点一周余", "hpi": "龟头红点一周余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连", "茵陈", "大黄", "当归", "麸炒苍术", "土茯苓", "败酱草", "蝉蜕"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连", "茵陈", "大黄", "当归", "麸炒苍术", "土茯苓", "败酱草", "蝉蜕"], "prev_gap": 111, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58281, "pid": "P40a2faa79a8e", "date": "2026-03-09", "sex": "男", "age": 71, "cc": "复诊", "hpi": "10余年前出现排尿不畅，淋漓不畅，尿频尿急，夜尿2次，小腹胀痛。脚凉易汗，服用佐匹克隆。口干口苦，性急。", "wm_dx": ["阿尔茨海默病", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "桑螵蛸", "盐益智仁", "盐补骨脂", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["太子参", "黄芪", "大枣", "酒黄精", "枸杞子", "菟丝子", "猪苓"], "prev_gap": 68, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 58282, "pid": "P545c3589f427", "date": "2026-03-09", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "伴有口苦眼睛干涩，夜间易醒，大便正常，纳可，失眠，怕冷，出汗，尿黄，早醒，乏力感，食管反酸 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["熟地黄", "酒萸肉", "桑寄生", "牛膝", "千年健", "盐杜仲", "烫狗脊", "制巴戟天", "盐胡芦巴", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "麸炒白术", "党参片", "茯苓", "麸炒枳壳", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "黄芪"], "prev_gap": 88, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 58284, "pid": "Pef1f20f832d3", "date": "2026-03-09", "sex": "男", "age": 90, "cc": "睾丸肿痛半年余", "hpi": "睾丸肿痛半年余 大小便正常 纳可 眠安 冠心病 高血压取药", "wm_dx": ["阴囊水肿", "冠状动脉性心脏病"], "tcm_dx": [["子痈", "气滞血瘀证", "活血化瘀"], ["心痹", "气滞血瘀证", "活血化瘀"]], "rx": ["当归", "赤芍", "燀桃仁", "红花", "牛膝", "荆芥", "防风", "白芷", "大黄", "金银花", "蒲公英", "炒僵蚕", "北柴胡"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58288, "pid": "Pc388ddd59547", "date": "2026-03-09", "sex": "男", "age": 66, "cc": "排尿困难一月余", "hpi": "排尿困难一月余 偶见尿痛 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58290, "pid": "P5c89135952ed", "date": "2026-03-09", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 大小便正常 纳可 眠安 勃起正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "覆盆子", "菟丝子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58292, "pid": "Pf8328ec0e537", "date": "2026-03-09", "sex": "男", "age": 40, "cc": "尿频2月", "hpi": "自觉勃起困难感2月，硬度不够，射精，持续时间短。易汗无肢冷，无疲劳。纳可眠安 胁痛", "wm_dx": ["高尿酸血症"], "tcm_dx": [["精浊", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "麸炒枳壳", "石菖蒲", "川楝子", "醋香附", "蛇床子", "韭菜子", "菟丝子", "麸炒苍术", "制巴戟天", "仙茅", "炙淫羊藿", "地龙", "防风", "白芷", "白术", "黄芪", "茯苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58298, "pid": "P3be2fada3c36", "date": "2026-03-09", "sex": "男", "age": 85, "cc": "尿痛一周", "hpi": "尿痛一周 大便正常 纳可 眠安 排尿不畅 夜尿5-6次", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58299, "pid": "P17866f017208", "date": "2026-03-09", "sex": "男", "age": 34, "cc": "腰痛乏力怕冷1年", "hpi": "1年前出现腰痛乏力怕冷，长期熬夜，夜寐差，易醒，射精快，勃起欠佳，口中和，尿不尽，无头晕头痛， 盗汗一月", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "丹参", "太子参", "陈皮", "知母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58300, "pid": "P30cc141e77be", "date": "2026-03-09", "sex": "男", "age": 30, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "大黄", "当归", "赤芍", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58302, "pid": "P133e09aca689", "date": "2026-03-09", "sex": "男", "age": 48, "cc": "腰痛半年", "hpi": "伴有早泄 时间1-2分钟 勃起正常 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58304, "pid": "P7178fcd84801", "date": "2026-03-10", "sex": "男", "age": 63, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊取药 排尿通畅 大便正常 纳可 眠安 夜尿3-4次", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58305, "pid": "P8dc6c6b20df4", "date": "2026-03-10", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重", "wm_dx": ["甲状腺囊肿", "慢性前列腺炎"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["法半夏", "黄连片", "黄芩片", "干姜", "大枣", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "牡蛎", "煅龙骨", "桑螵蛸", "醋龟甲", "炒栀子", "淡豆豉", "党参片"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "桂枝", "干姜", "茯苓", "麸炒白术", "砂仁", "当归", "川芎", "泽泻", "醋龟甲", "牡蛎", "煅龙骨", "炙淫羊藿", "桑螵蛸"], "prev_gap": 14, "visit_ix": 7, "n_visits": 24, "visit_ix_rx": 6, "n_rx": 23} {"rid": 58306, "pid": "Pb82fed774380", "date": "2026-03-10", "sex": "男", "age": 53, "cc": "体检发现前列腺增生", "hpi": "体检发现前列腺增生 大小便正常 纳可 眠安 早泄 腰痛 乏力", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "制巴戟天", "防风", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58307, "pid": "P58e8d6aa5c3d", "date": "2026-03-10", "sex": "男", "age": 49, "cc": "尿分叉尿不尽半年余", "hpi": "尿分叉尿不尽改善 大便正常 纳可 眠安 乏力 气短 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["太子参", "制巴戟天", "菟丝子", "覆盆子", "炒酸枣仁", "醋五味子"], "flags": [], "prev_rx": ["太子参", "制巴戟天", "菟丝子", "覆盆子"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58313, "pid": "Pf5003a23c29b", "date": "2026-03-10", "sex": "男", "age": 36, "cc": "阴囊潮湿半年", "hpi": "阴囊潮湿改善 大便正常 尿不尽 纳差 失眠 腰痛改善", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "丹参", "知母", "菟丝子", "太子参", "覆盆子", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58315, "pid": "P6893ff8e3503", "date": "2026-03-10", "sex": "男", "age": 69, "cc": "包皮龟头溃疡半月余", "hpi": "包皮龟头溃疡半月余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "白花蛇舌草", "黄连", "当归", "大黄", "全蝎", "地肤子", "蛇床子", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58317, "pid": "P854e985fbd73", "date": "2026-03-10", "sex": "男", "age": 43, "cc": "尿频一月", "hpi": "尿频 排尿不畅 少腹隐痛 大便正常 纳可 眠安 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58324, "pid": "Pf3b6f42f06b0", "date": "2026-03-10", "sex": "男", "age": 39, "cc": "腰痛复诊", "hpi": "伴有勃起困难 晨勃少 大小便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "滋补肾精"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "猪苓", "羌活"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58325, "pid": "P7eec9706aa99", "date": "2026-03-10", "sex": "男", "age": 40, "cc": "腰酸痛复诊抄方", "hpi": "腰酸痛改善，多汗盗汗改善，动则汗出，手脚出汗，咳嗽有痰白痰，怕冷，排尿尿不尽，色黄，大便正常，纳可，口和，硬度改善。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "炒苦杏仁", "生姜", "大枣", "桑白皮", "浙贝母", "竹茹", "葛根", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "党参片", "滑石", "甘草片", "知母"], "flags": [], "prev_rx": ["桂枝", "白芍", "炒苦杏仁", "生姜", "大枣", "桑白皮", "浙贝母", "竹茹", "葛根", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "党参片", "滑石", "甘草片", "知母"], "prev_gap": 26, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 5, "n_rx": 7} {"rid": 58326, "pid": "P7134f54352ae", "date": "2026-03-10", "sex": "男", "age": 51, "cc": "尿频3-5年", "hpi": "尿频，盗汗，怕冷，晨勃可，硬度一般，时间短，夜尿2-3次，无尿等待，无阴囊潮湿，腰疼，睡眠可，大便易腹泻，口渴", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾阳虚证", "温补肾阳"], ["胁痛", "肝郁气滞证", "疏肝养血"]], "rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "煅龙骨", "蜈蚣", "鹿角霜", "炙淫羊藿", "仙茅", "丹参", "鸡血藤", "党参片", "煅牡蛎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 58333, "pid": "Pdadd74577e00", "date": "2026-03-10", "sex": "男", "age": 36, "cc": "睾丸疼痛2天", "hpi": "右侧睾丸疼痛，外院输液治疗1天 建议急诊继续输液治疗， 大小便正常 纳可 眠安 乏力疲劳", "wm_dx": ["附睾炎", "睾丸炎"], "tcm_dx": [["子痈", "血瘀证", "活血化瘀"]], "rx": ["甜叶菊叶", "党参", "黄芪", "北柴胡", "黄芩", "山药", "麸炒白术", "砂仁", "川楝子", "牛膝", "川牛膝", "麸炒薏苡仁", "盐小茴香", "肉桂", "制巴戟天", "仙茅", "炙淫羊藿", "麸炒枳壳", "醋香附", "醋延胡索", "当归", "赤芍", "桃仁", "炙甘草"], "flags": [], "prev_rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪"], "prev_gap": 168, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58334, "pid": "Pa27d8ee27e3c", "date": "2026-03-10", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 胁痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["菟丝子", "酒女贞子", "覆盆子", "盐车前子", "川楝子", "醋香附", "醋五味子", "党参", "茯苓", "麸炒枳壳", "山药", "沙苑子", "韭菜子", "炙甘草", "甜叶菊叶"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58336, "pid": "Pcaf67dbcb06a", "date": "2026-03-10", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "茯苓", "麸炒枳壳", "砂仁", "木香", "石菖蒲", "制远志", "菟丝子", "盐车前子", "醋五味子", "酒女贞子", "覆盆子", "炙甘草", "麦冬", "石斛", "防风", "制巴戟天", "枸杞子", "太子参", "陈皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58339, "pid": "P23269cbf2c21", "date": "2026-03-10", "sex": "男", "age": 39, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "茯苓", "麸炒山药", "醋龟甲", "知母", "盐黄柏", "牡丹皮", "地骨皮", "酒女贞子", "覆盆子", "制何首乌", "桑椹", "菟丝子", "韭菜子", "醋五味子", "麸炒枳壳", "炙甘草", "炒酸枣仁", "石菖蒲", "制远志", "砂仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58345, "pid": "P518d24f6fa71", "date": "2026-03-10", "sex": "男", "age": 60, "cc": "少腹胀痛1年", "hpi": "伴有龟头部不适感，睾丸时有隐痛，排尿困难，夜尿3-4次，外院诊断为腺性膀胱炎，手术后症状未缓解。大便正常，不能吃生冷，睡眠4-5小时，口干口苦，怕冷，腰疼。出汗,复诊：少腹胀痛好转。复诊：药后腹泻，水样。尿色正常，无乏力，口苦口渴", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "党参片", "煅瓦楞子", "焦麦芽", "干姜", "大枣", "醋鸡内金", "赤小豆", "桂枝", "滑石", "地黄", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "麻黄", "茯苓", "白芍", "党参片", "滑石", "赤小豆", "燀桃仁", "红花", "牡丹皮", "大黄", "地黄", "甘草片", "姜厚朴", "炒栀子"], "prev_gap": 4, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 5} {"rid": 58348, "pid": "P5e80805fd514", "date": "2026-03-10", "sex": "男", "age": 71, "cc": "前列腺增生复诊", "hpi": "病史同前，口服盐酸坦索罗辛缓释胶囊服药后头蒙感，淋漓不尽，尿无力，夜尿2-3次。眠差多梦，手脚凉，易汗，夜间口干不苦，反酸呃逆，阴囊潮湿，会阴发胀，腰疼，便调，无勃起，怕冷，有汗，盗汗，吃凉易腹泻，复诊：夜尿1次，睡眠好转，仍尿尿不尽，盗汗，阴囊潮湿，睾丸不适感", "wm_dx": ["前列腺增生"], "tcm_dx": [["痨病", "肾虚证", "补肾固精"], ["癃闭", "肾虚证", "补肾固精"]], "rx": ["桂枝", "茯苓", "泽泻", "滑石", "猪苓", "麸炒白术", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "法半夏", "姜厚朴", "炒紫苏子", "蜈蚣", "赤小豆", "党参片"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "滑石", "猪苓", "麸炒白术", "煅龙骨", "煅牡蛎", "白薇", "丹参", "鸡血藤", "法半夏", "姜厚朴", "炒紫苏子", "蜈蚣", "赤小豆"], "prev_gap": 7, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 6, "n_rx": 11} {"rid": 58349, "pid": "Pa33f7eaedc49", "date": "2026-03-10", "sex": "男", "age": 42, "cc": "包皮龟头红疹1月", "hpi": "包皮龟头红疹瘙痒，排尿可 大便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白花蛇舌草", "地肤子", "蛇床子", "金银花", "土茯苓", "麸炒苍术", "败酱草", "黄连", "当归", "赤芍", "白芷", "白鲜皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58350, "pid": "P608d6a4fc053", "date": "2026-03-10", "sex": "男", "age": 30, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "地肤子", "蛇床子", "白花蛇舌草", "蒲公英", "金银花", "黄连", "白芷", "荆芥", "麸炒苍术", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58353, "pid": "Pc39d54b5413a", "date": "2026-03-10", "sex": "男", "age": 30, "cc": "尿频尿急复诊", "hpi": "尿频尿急改善，大便正常，纳可，腰酸疼，盗汗 乏力", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "党参", "山药", "白术", "茯苓", "砂仁", "木香", "桑寄生", "牛膝", "烫狗脊", "盐杜仲", "酒萸肉", "醋龟甲", "制何首乌", "桑椹", "石菖蒲", "制远志", "炒酸枣仁", "丹参", "合欢花", "合欢皮", "麸炒枳壳", "炙甘草", "石斛"], "flags": [], "prev_rx": ["甜叶菊叶", "当归", "白芍", "熟地黄", "川芎", "炒酸枣仁", "柏子仁", "丹参", "知母", "酒萸肉", "泽泻", "牛膝", "盐杜仲", "桑寄生", "千年健", "烫狗脊", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "酒女贞子", "覆盆子", "党参", "炙甘草"], "prev_gap": 14, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 6} {"rid": 58357, "pid": "P9f5380d96e73", "date": "2026-03-11", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛改善 伴有阳痿早泄 时间2-3分钟 晨勃少，排尿正常，夜尿正常，大便正常 胃部不适感， 眠安 口干", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "地黄", "党参片", "干姜", "大枣", "石菖蒲", "盐蒺藜", "蜈蚣", "炙淫羊藿", "焦麦芽", "金樱子肉"], "flags": [], "prev_rx": ["地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "炒僵蚕", "蒲公英", "金银花", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "锁阳"], "prev_gap": 76, "visit_ix": 4, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 11} {"rid": 58360, "pid": "Pd1ef4f534c88", "date": "2026-03-11", "sex": "男", "age": 75, "cc": "包皮龟头炎2月余", "hpi": "包皮龟头炎2月余 大便正常 小便隐痛 纳可 眠差 湿疹 泌尿系感染取药", "wm_dx": ["湿疹", "包皮龟头炎", "泌尿系感染"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["淋证", "湿热下注证", "清热利湿"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "土茯苓", "败酱草", "金银花", "蒲公英", "黄连", "当归", "荆芥", "麸炒苍术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58363, "pid": "P6df503c6f750", "date": "2026-03-11", "sex": "男", "age": 71, "cc": "尿痛10余天", "hpi": "尿频，尿痛，有血尿，无腹痛，腰疼，外院检查，口服头孢，可多华等后尿痛好转，仍有尿灼热感，大便干一天一次，纳可，睡眠一般，口干口苦", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "党参片", "牡丹皮", "滑石", "阿胶珠", "猪苓", "茯苓", "泽泻", "赤小豆", "白花蛇舌草", "大黄", "甘草片", "桂枝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58364, "pid": "Pf86b3c51cc19", "date": "2026-03-11", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作劳累，压力大，熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58366, "pid": "P4c5504602644", "date": "2026-03-11", "sex": "男", "age": 40, "cc": "尿频3周", "hpi": "尿频3周，小腹及会阴刺痛，尿后余沥，压力大，性欲可，稍有焦虑。夜尿0-1次。无明显尿等待，无明显排尿不畅。眠一般。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["失眠", "湿热证", "清热利湿"]], "rx": ["熟地黄", "山药", "牡丹皮", "酒萸肉", "茯苓", "泽泻", "肉桂", "细辛", "当归", "通草", "茵陈", "炒栀子", "炙甘草", "葛根", "鸡血藤", "橘络", "炒酸枣仁", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 5} {"rid": 58367, "pid": "P9c5b9cd774fc", "date": "2026-03-11", "sex": "男", "age": 29, "cc": "尿频3月", "hpi": "尿频，晨勃少，硬度一般，启动慢，时间短，排尿正常，夜尿正常，睡眠正常，纳可，口干喝水少，大便正常，无腰疼", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "黄芩片", "地黄", "酒萸肉", "石菖蒲", "丹参", "鸡血藤", "盐蒺藜", "牛膝", "蜈蚣", "炙淫羊藿", "仙茅", "锁阳", "鹿角霜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 58370, "pid": "P926b7a848c54", "date": "2026-03-11", "sex": "男", "age": 68, "cc": "尿频尿急尿等待复诊", "hpi": "尿频尿急尿等待改善 大便正常 纳可 眠差 口苦口干 乏力消瘦疲劳", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "制巴戟天", "覆盆子", "菟丝子"], "flags": [], "prev_rx": ["猪苓", "羌活", "太子参", "制巴戟天", "薏苡仁"], "prev_gap": 36, "visit_ix": 4, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 6} {"rid": 58376, "pid": "P619e827e0559", "date": "2026-03-11", "sex": "男", "age": 41, "cc": "少腹隐痛20天", "hpi": "少腹隐痛，站运动没事，久坐压明显，勃起后跟部疼痛感，排尿正常，射精正常，大便正常，睡眠正常 ，纳可，口干口苦", "wm_dx": ["腹痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "川楝子", "燀桃仁", "红花", "茯苓", "牡丹皮", "干姜", "麸炒枳实", "炙甘草", "赤小豆", "石菖蒲", "牡蛎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58378, "pid": "Pac3945556f0f", "date": "2026-03-11", "sex": "男", "age": 63, "cc": "尿频 尿等待一月余", "hpi": "尿频 尿等待一月余 大便正常 纳可 失眠 乏力 疲劳 无睾丸疼痛 无少腹疼痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["失眠", "血虚证", "补血养心"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "丹参", "知母", "桑椹", "太子参", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58381, "pid": "P6eae7f0b5ba5", "date": "2026-03-11", "sex": "男", "age": 25, "cc": "尿频3周", "hpi": "尿频3周，小腹及会阴刺痛，尿后余沥，压力大，性欲可，稍有焦虑。夜尿0-1次。无明显尿等待，无明显排尿不畅。腰痛，时间下降。", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "五加皮", "白花蛇舌草", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "五加皮", "白花蛇舌草"], "prev_gap": 98, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58387, "pid": "P1aa922eda6ec", "date": "2026-03-11", "sex": "男", "age": 53, "cc": "尿频6-7年", "hpi": "尿频，夜尿2-3次，大便正常，头晕，纳可，口干渴，无晨勃，无勃起，无怕冷，乏力，不愿吃西药，腿酸胀，复诊，夜尿1-2次，复诊：口苦复诊：口苦，腹胀，复诊：口干，腹胀，睡眠一般", "wm_dx": ["反流性食管炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["人参", "姜厚朴", "北柴胡", "黄芩片", "法半夏", "炒苦杏仁", "赤小豆", "黄连片", "干姜", "地黄", "焦麦芽", "石菖蒲", "郁金", "白芍", "陈皮"], "flags": [], "prev_rx": ["法半夏", "干姜", "姜厚朴", "黄连片", "黄芩片", "大枣", "丹参", "鸡血藤", "麸炒薏苡仁", "党参片", "旋覆花", "蜈蚣", "石菖蒲", "郁金"], "prev_gap": 14, "visit_ix": 11, "n_visits": 22, "visit_ix_rx": 11, "n_rx": 17} {"rid": 58393, "pid": "P7f077ff255db", "date": "2026-03-11", "sex": "男", "age": 36, "cc": "尿频复诊", "hpi": "尿频，腰痛，乏力，时间短，硬度可，性欲可，性生活不规律，工作可，同居感情可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["升麻", "黄芪", "北柴胡", "菟丝子", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "莲须"], "flags": [], "prev_rx": ["升麻", "北柴胡", "菟丝子", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "黄芪", "莲须"], "prev_gap": 52, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 58400, "pid": "P51e56e9f6aea", "date": "2026-03-11", "sex": "男", "age": 42, "cc": "少腹隐痛1月", "hpi": "少腹坠痛感，排尿尿频，时有腰酸痛，纳可，睡眠多梦，思虑多，口干口苦，乏力感，怕冷怕热，阴囊潮湿", "wm_dx": ["腹痛", "慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "天花粉", "牡蛎", "煅龙骨", "赤小豆", "黄芩片", "燀桃仁", "红花", "牡丹皮", "茯苓", "党参片", "炙黄芪", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 58409, "pid": "P10c817a7bdfe", "date": "2026-03-12", "sex": "男", "age": 63, "cc": "尿急 尿不尽2年", "hpi": "尿急 尿不尽2年 夜尿1-2次 大便正常 纳可 眠安 腰痛乏力半年 消瘦", "wm_dx": ["前列腺增生", "腰痛", "乏力"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58410, "pid": "Pe39549cc84fd", "date": "2026-03-12", "sex": "男", "age": 48, "cc": "腰痛乏力伴勃起不坚3年", "hpi": "3年前出现腰痛乏力伴勃起不坚，口服他达拉非可同房，性欲可，晨勃消失，口干口苦，夜寐差，失眠，无小腹胀痛，射精快，盗汗，胁肋疼痛，易生气，复诊：夜尿3次，尿频。", "wm_dx": ["腰痛", "慢性肾功能不全"], "tcm_dx": [["肾衰病", "肺肾两虚证", "滋补肺肾"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓", "佩兰", "麸炒白术"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "知母", "盐关黄柏"], "prev_gap": 14, "visit_ix": 4, "n_visits": 12, "visit_ix_rx": 4, "n_rx": 10} {"rid": 58417, "pid": "P421095be5b99", "date": "2026-03-12", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠梦多，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜久坐，阴囊不适，盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "石菖蒲", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58424, "pid": "P24f9840839e3", "date": "2026-03-12", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 伴有勃起不坚 晨勃消失 大小便正常 纳可 眠差 早泄 盗汗 乏力", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "prev_gap": 82, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58428, "pid": "Paae80d0f8498", "date": "2026-03-12", "sex": "男", "age": 79, "cc": "尿频 尿痛 排尿不畅半年", "hpi": "尿频 尿痛 排尿不畅半年 大便正常 纳可 失眠", "wm_dx": ["前列腺增生", "肾结石"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "丹参", "知母", "太子参", "桑椹"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58430, "pid": "Pc606cca23a25", "date": "2026-03-12", "sex": "男", "age": 34, "cc": "腰痛3月", "hpi": "腰痛3月，拟育3月，口干舌燥口气重，大便不成型粘，硬度下降，性欲强，工作压力可，熬夜，小便可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "湿热下注证", "清热利湿"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["麸炒薏苡仁", "炒苦杏仁", "豆蔻", "滑石", "法半夏", "姜厚朴", "淡竹叶", "赤小豆", "虎杖", "醋鸡内金", "连翘", "石菖蒲", "丹参", "鸡血藤", "菟丝子"], "prev_gap": 218, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 58436, "pid": "P7d7e3464903b", "date": "2026-03-12", "sex": "男", "age": 45, "cc": "腰痛怕冷复诊", "hpi": "腰痛怕冷改善 大小便正常 纳可 眠差 乏力 腹胀 腰痛 关节炎取药", "wm_dx": ["关节炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹胀", "脾虚气滞证", "理气行滞"], ["痹证类病", "气滞血瘀证", "活血化瘀"]], "rx": ["盐补骨脂", "菟丝子", "盐杜仲", "制巴戟天", "肉桂", "麸煨肉豆蔻", "黄连", "牛膝", "知母", "桂枝", "细辛", "麸炒山药", "麸炒芡实", "党参", "炙黄芪", "麦冬", "醋五味子", "炒酸枣仁", "石菖蒲", "丹参", "桑椹", "柏子仁", "合欢皮"], "flags": [], "prev_rx": ["盐补骨脂", "菟丝子", "盐杜仲", "制巴戟天", "肉桂", "麸煨肉豆蔻", "黄连", "麸炒芡实", "牛膝", "知母", "桂枝", "细辛", "麸炒山药"], "prev_gap": 14, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 10} {"rid": 58447, "pid": "P00ccaabb928c", "date": "2026-03-12", "sex": "男", "age": 27, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗。PR 26.1%。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58449, "pid": "P4ade17829449", "date": "2026-03-12", "sex": "男", "age": 37, "cc": "腰痛抄方", "hpi": "腰痛抄方", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["醋青皮", "陈皮", "赤芍", "白芍", "麸炒白术", "茯苓", "醋鸡内金", "豆蔻", "酒黄芩", "黄连片", "生石膏", "泽泻", "盐杜仲", "牛膝", "烫狗脊", "仙茅", "炙淫羊藿", "锁阳", "肉桂", "干姜", "盐小茴香", "荔枝核", "丁香", "煅阳起石"], "flags": ["cc_eq_hpi"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 58454, "pid": "Pc82377afa33a", "date": "2026-03-13", "sex": "男", "age": 39, "cc": "夜尿2次半年", "hpi": "夜尿2次 尿频 排尿通畅 尿等待 大便正常 纳可 失眠 气短 乏力 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炒酸枣仁", "丹参", "知母", "太子参", "炙黄芪", "桑椹", "玉竹"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58456, "pid": "P1dcd6ed9f44e", "date": "2026-03-13", "sex": "男", "age": 62, "cc": "手脚冰凉6年", "hpi": "手脚发凉，腰部肌肉酸痛，腿抽筋，左侧小腿肌肉胀痛，大便干一天一次，口服麻仁润肠丸，排尿正常，纳可，不能吃生冷，睡眠正常，口和，复诊：胃口好转，大便色黑，腿抽筋消失。尿频，复诊：大便正常", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["便秘", "湿热蕴结证", "润燥通便"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "当归", "细辛", "白芍", "小通草", "北柴胡", "麸炒枳实", "川芎", "麸炒白术", "茯苓", "干姜", "砂仁", "黑顺片", "制巴戟天", "地黄", "酒苁蓉"], "flags": [], "prev_rx": ["桂枝", "当归", "细辛", "白芍", "小通草", "北柴胡", "麸炒枳实", "川芎", "麸炒白术", "茯苓", "干姜", "砂仁", "黑顺片", "制巴戟天", "酒苁蓉", "大黄"], "prev_gap": 7, "visit_ix": 2, "n_visits": 10, "visit_ix_rx": 2, "n_rx": 9} {"rid": 58463, "pid": "Pca3337919ff5", "date": "2026-03-13", "sex": "男", "age": 25, "cc": "左下腹隐痛半月余", "hpi": "左下腹隐痛半月余 按压明显 喝饮料喝茶尿频，喝白水正常，夜尿正常，晨起尿黄，大便正常，纳可，吃生冷不适感，睡眠可。口干，乏力感，怕冷", "wm_dx": ["腹痛", "慢性前列腺炎"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "脾肾阳虚水停证", "温补肾阳"]], "rx": ["桂枝", "猪苓", "茯苓", "泽泻", "麸炒白术", "白芍", "滑石", "阿胶珠", "当归", "生姜", "大枣", "赤小豆", "干姜", "炙淫羊藿", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58466, "pid": "P7389b5d3b693", "date": "2026-03-13", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，手脱皮", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "北柴胡", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "熟地黄", "黑顺片", "炒栀子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭"], "prev_gap": 12, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 58467, "pid": "P91461655a757", "date": "2026-03-13", "sex": "男", "age": 69, "cc": "尿不尽 排尿不畅半年余", "hpi": "尿不尽 排尿不畅半年余 口服前列舒通胶囊效果不理想 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58480, "pid": "P7134f54352ae", "date": "2026-03-14", "sex": "男", "age": 51, "cc": "尿频3-5年", "hpi": "尿频，盗汗，怕冷，晨勃可，硬度一般，时间短，夜尿2-3次，无尿等待，无阴囊潮湿，腰疼，睡眠可，大便易腹泻，口渴，复诊：勃起好转，夜尿减，盗汗少", "wm_dx": ["尿频"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝养血"], ["精浊", "肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "煅龙骨", "煅牡蛎", "蜈蚣", "鹿角霜", "炙淫羊藿", "仙茅", "丹参", "鸡血藤", "党参片"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "煅龙骨", "蜈蚣", "鹿角霜", "炙淫羊藿", "仙茅", "丹参", "鸡血藤", "党参片", "煅牡蛎"], "prev_gap": 4, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 58481, "pid": "P55d1a84be098", "date": "2026-03-14", "sex": "男", "age": 45, "cc": "咳嗽咳痰1月", "hpi": "1月前出现病毒感冒后出现咳嗽咳痰，咽痛，咳白痰，咽干，夜寐可，二便调", "wm_dx": ["咳嗽"], "tcm_dx": [["咳嗽病", "痰热阻肺证", "清热化痰"]], "rx": ["桔梗", "麸炒枳壳", "胖大海", "金莲花", "玄参", "金银花", "连翘", "浙贝母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58483, "pid": "Pb1afa0f1bb9b", "date": "2026-03-14", "sex": "男", "age": 45, "cc": "腰痛抄方", "hpi": "伴有勃起困难，硬度不够，或持续时间短，射精可。自用他达拉非5mg口服。口苦或有口干，阴囊潮湿，脚凉。性急。汗不多。眠差。父亲高血压。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "龙骨", "石菖蒲", "九香虫", "地龙", "炙甘草", "牡蛎"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "牡蛎", "龙骨", "石菖蒲", "九香虫", "地龙", "炙甘草"], "prev_gap": 5, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 58486, "pid": "P4db9ceac8e50", "date": "2026-03-14", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力睡眠正常，纳可，二便调，口苦，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["法半夏", "黄连片", "黄芩片", "干姜", "大枣", "党参片", "化橘红", "陈皮", "茯苓", "枸杞子", "菟丝子", "盐车前子", "醋龟甲", "桑螵蛸", "牡蛎", "北柴胡", "山药"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "党参片", "法半夏", "生姜", "大枣", "红景天", "醋龟甲", "桑螵蛸", "牡蛎", "枸杞子", "菟丝子", "覆盆子", "盐车前子", "茯苓", "麸炒苍术"], "prev_gap": 7, "visit_ix": 4, "n_visits": 15, "visit_ix_rx": 4, "n_rx": 15} {"rid": 58504, "pid": "Pa9f902a6e7b0", "date": "2026-03-14", "sex": "男", "age": 43, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度下降，性欲可，乏力，工作熬夜，大便稀，纳眠可、尿后余沥，口干，盗汗 睾丸疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲"], "prev_gap": 13, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58506, "pid": "P667c57b53f09", "date": "2026-03-14", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "左侧少腹隐痛，左侧睾丸隐痛，耳鸣，排尿可， 大便偏干 发黏 纳一般， 眠中途醒口和。复诊：睾丸隐痛左侧，少腹偶有隐痛", "wm_dx": ["前列腺增生", "下肢静脉曲张", "静脉曲张", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["筋瘤", "气滞血瘀证", "活血止痛"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "当归", "北柴胡", "川芎", "荔枝核", "桃仁", "红花", "茯苓", "炙甘草", "泽泻", "麸炒白术", "干姜", "附片", "炙黄芪"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "白芷", "石菖蒲", "郁金", "北柴胡", "川楝子", "荔枝核", "盐橘核", "大黄", "桃仁", "红花", "牡丹皮", "茯苓", "炙甘草"], "prev_gap": 35, "visit_ix": 13, "n_visits": 17, "visit_ix_rx": 8, "n_rx": 12} {"rid": 58512, "pid": "P8a280e79f28a", "date": "2026-03-14", "sex": "男", "age": 42, "cc": "尿频乏力腰痛半年", "hpi": "尿频乏力腰痛半年 大便正常 纳可 眠安 感冒3天 流鼻涕 咽干", "wm_dx": ["慢性前列腺炎", "感冒"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 58513, "pid": "P06fc2152ca53", "date": "2026-03-14", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 乏力气短 失眠", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "醋五味子", "山药", "白术", "茯苓", "麸炒枳壳", "砂仁", "木香", "麦冬", "制远志", "炒酸枣仁", "玉竹", "丹参", "知母", "合欢皮", "合欢花", "炙甘草", "石斛", "桑椹", "制何首乌", "太子参", "麸炒山药", "炙黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58518, "pid": "P30b0ac1e231e", "date": "2026-03-14", "sex": "男", "age": 43, "cc": "尿道不适3天", "hpi": "阵发性尿道不适感，点刺痛，尿色正常，睡眠一般，口和，无腰疼，无腹痛，吃凉易腹泻", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["通草", "生地黄", "干姜", "牛膝", "石菖蒲", "北柴胡", "黄芩", "党参", "甘草", "炒栀子", "白花蛇舌草", "大枣", "郁金", "川芎", "柏子仁"], "flags": [], "prev_rx": ["通草", "生地黄", "淡竹叶", "牛膝", "石菖蒲", "北柴胡", "黄芩", "党参", "甘草", "赤小豆", "白花蛇舌草", "大枣"], "prev_gap": 11, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58519, "pid": "P38ec74bd3a85", "date": "2026-03-14", "sex": "男", "age": 28, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，失眠，纳可，二便调，口和，尿频、尿急，无小腹及会阴不适，工作久坐 尿不尽 病情稳定延长开药", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["山慈菇", "茯苓", "薏苡仁", "炒酸枣仁"], "prev_gap": 98, "visit_ix": 1, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 7} {"rid": 58521, "pid": "P53e5e45b949b", "date": "2026-03-14", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 时间1-2分 持续2年 大便正常 纳可 眠安", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "猪苓", "茯苓", "薏苡仁", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58523, "pid": "Pee783f2cdc9f", "date": "2026-03-14", "sex": "男", "age": 43, "cc": "尿频，尿急半月余", "hpi": "尿频，尿急，尿痛 尿分叉 ，无腹痛，烧灼感，时有腰疼,睡眠一般多梦,纳可,口干,精液流出来,阴囊潮湿", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["滑石", "阿胶珠", "茯苓", "泽泻", "猪苓", "赤小豆", "白花蛇舌草", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 58524, "pid": "P19aeb51aa886", "date": "2026-03-14", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年，大便不成型，纳可，吃凉易腹泻，时间可，硬度一般，晨勃有，排尿黄，睡眠一般，白天困，乏力 感，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "脾虚湿热证", "清热利湿"]], "rx": ["甜叶菊叶", "麸炒苍术", "茯苓", "砂仁", "木香", "石菖蒲", "羌活", "黄连", "姜厚朴", "党参", "桑寄生", "盐杜仲", "牛膝", "麸炒薏苡仁", "白芷", "蛇床子", "韭菜子", "盐车前子", "麸炒枳壳", "烫水蛭", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58525, "pid": "P6ef5f8eefa11", "date": "2026-03-14", "sex": "男", "age": 34, "cc": "腰痛乏力2月", "hpi": "2月前出现腰痛乏力，勃起欠佳，性欲减退，射精无力，焦虑, 纳差，吃生冷易腹泻,射精快，虚劳，失眠一般，口和", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["黑顺片", "砂仁", "炙甘草", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "地黄", "酒萸肉", "山药", "炙淫羊藿", "仙茅", "北柴胡", "牡丹皮", "人参", "蜈蚣"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "川芎", "仙茅", "炙淫羊藿", "醋香附", "韭菜子", "制巴戟天", "沙苑子", "煅阳起石", "酒黄精", "炙黄芪", "熟地黄"], "prev_gap": 77, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 7} {"rid": 58527, "pid": "P604a8acebaf7", "date": "2026-03-14", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗汗多", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲", "茯苓", "牡丹皮", "地骨皮", "麸炒苍术", "麸炒薏苡仁", "知母", "盐黄柏"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲", "茯苓"], "prev_gap": 13, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 58529, "pid": 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"制巴戟天"], "prev_gap": 23, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58543, "pid": "P542149c8fdb3", "date": "2026-03-14", "sex": "男", "age": 31, "cc": "尿频5年", "hpi": "尿频,硬度正常,时间短3-5分钟,生气时时间延长,尿频,夜尿正常,无阴囊潮湿,大便正常,纳可,睡眠正常,口干", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["地黄", "知母", "盐关黄柏", "赤小豆", "金樱子肉", "石菖蒲", "盐蒺藜", "北柴胡", "黄芩片", "煅龙骨", "煅牡蛎", "桑螵蛸", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 8} {"rid": 58544, "pid": "P66d9ee53a36e", "date": "2026-03-14", "sex": "男", "age": 30, "cc": "腰痛乏力2月", "hpi": "2月前出现腰痛乏力，盗汗。倒班工作，无其他不适", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "枸杞子", "醋五味子", "盐车前子", "菟丝子", "醋龟甲", "醋鳖甲", "醋鸡内金", "酒黄精", "麸炒冬瓜子", "地肤子", "金樱子肉", "覆盆子", "沙苑子"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "金樱子", "盐车前子"], "prev_gap": 7, 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"清热利湿"]], "rx": ["猪苓", "茯苓", "薏苡仁", "制巴戟天", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58589, "pid": "Pf2d4849b1e44", "date": "2026-03-15", "sex": "男", "age": 66, "cc": "前列腺增生复诊", "hpi": "前列腺增生 无尿痛 尿频症状明显 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58591, "pid": "Pc40a36b05203", "date": "2026-03-15", "sex": "男", "age": 46, "cc": "腰痛复诊", "hpi": "腰痛改善 伴有勃起不坚 晨勃少 大小便正常 纳可 眠少 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["制巴戟天", "菟丝子", "酒女贞子", "炒酸枣仁", "丹参", "知母", "太子参"], "flags": [], "prev_rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "知母", "盐黄柏", "覆盆子", "酒女贞子", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "麸炒枳壳", "茯苓", "石菖蒲", "制远志", "人参", "山药", "盐补骨脂", "酒黄精", "炙甘草", "牛膝", "炒酸枣仁"], "prev_gap": 15, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 7} {"rid": 58608, "pid": "P09476fb19f79", "date": "2026-03-15", "sex": "男", "age": 29, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力复诊，长期熬夜，夜寐差，口干工作劳累 加班多 腹胀 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝气郁结证", "疏肝散结"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "陈皮", "炒酸枣仁", "麸炒山药", "酒萸肉", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "山药", "陈皮", "炒酸枣仁"], "prev_gap": 204, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58610, "pid": "Pc3d2b5577bd7", "date": "2026-03-15", "sex": "男", "age": 45, "cc": "腰痛复诊", "hpi": "腰痛复诊，乏力，工作久坐，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，胁痛", "wm_dx": ["男性勃起障碍", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁血瘀证", "疏肝化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "太子参", "麸炒芡实", "陈皮", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58612, "pid": "Pdf7dec66e03f", "date": "2026-03-15", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 乏力疲劳", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "人参", "黄芪", "麦冬", "山药", "盐补骨脂", "酒黄精", "菟丝子", "枸杞子", "覆盆子", "酒女贞子", "醋五味子", "韭菜子", "制巴戟天", "仙茅", "炙淫羊藿", "北柴胡", "升麻", "麸炒枳壳", "炙甘草", "石斛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58619, "pid": "P0711f6129c99", "date": "2026-03-16", "sex": "男", "age": 77, "cc": "前列腺增生 前列腺炎 盗汗复诊取药", "hpi": "前列腺增生 前列腺炎 失眠复诊取药，2025年1月查前列腺超声:5.7*5.2*4.8cm，尿常规-，PSA-，口干口苦，腰痛乏力，夜尿2-3次，失眠，尿急，尿频，膝关节疼痛，腰痛。近期小腹及会阴不适。盗汗半年", "wm_dx": ["前列腺炎", "关节痛", "前列腺增生", "失眠"], "tcm_dx": [["腰痛", "气滞血瘀证", "活血止痛"], ["精癃", "下焦湿热证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血化瘀"], ["盗汗", "阴虚证", "滋阴"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "薏苡仁", "炒白扁豆"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 18, "n_visits": 24, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58620, "pid": "Pab7d03820bea", "date": "2026-03-16", "sex": "男", "age": 65, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58622, "pid": "P24c4d1fb53db", "date": "2026-03-16", "sex": "男", "age": 67, "cc": "排尿不畅6月", "hpi": "排尿不畅6月，尿频，尿线细，尿等待，夜尿1-3次，小腹不适，大便质干，纳可，眠一般", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["炒酸枣仁", "川牛膝", "猪苓", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58623, "pid": "Pa40e78d37249", "date": "2026-03-16", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "伴有性功能下降一年 阳痿早泄 大小便正常 纳可 眠安 高血压口服硝苯地平和替米沙坦控制 长期夜班 盗汗 乏力疲劳", "wm_dx": ["高血压"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 58624, "pid": "P971acadcdd69", "date": "2026-03-16", "sex": "男", "age": 45, "cc": "尿频10年", "hpi": "尿频，尿不尽，时有尿急。夜尿0次，无腹痛、腰酸。阴囊潮湿、发凉感，口干不苦。眠差。矢气多。纳可便调。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "生石膏", "石菖蒲", "泽泻", "茯苓", "白术", "炙甘草", "大枣", "生姜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 12, "visit_ix_rx": 0, "n_rx": 10} {"rid": 58641, "pid": "P79e1c863ccb6", "date": "2026-03-16", "sex": "男", "age": 29, "cc": "尿痛1月", "hpi": "尿痛1月，尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，口干，盗汗，时间下降。腰痛。", "wm_dx": ["前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "烫水蛭", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁", "制远志", "石菖蒲", "茯苓"], "prev_gap": 50, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 58647, "pid": "P63904edb1abd", "date": "2026-03-16", "sex": "男", "age": 40, "cc": "左侧睾丸肿大一月余", "hpi": "左侧睾丸肿大一月余 大小便正常 纳可 眠安 盗汗 阴囊潮湿", "wm_dx": ["精索静脉曲张", "附睾囊肿", "静脉曲张"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"]], "rx": ["酒萸肉", "知母", "牡丹皮", "太子参", "丹参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58648, "pid": "P7c7fecdefd5e", "date": "2026-03-16", "sex": "男", "age": 68, "cc": "尿急一周余", "hpi": "尿急一周余 夜尿2次 大便正常 纳可 眠安 腰痛乏力 气短", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "菟丝子", "麸炒山药", "醋五味子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58654, "pid": "P64def759c4d1", "date": "2026-03-17", "sex": "男", "age": 60, "cc": "手脚凉复诊", "hpi": "手脚凉改善 尿频尿急改善，尿混浊尿异味，夜尿3-4次，夜寐差，口中和，大便正常 腰痛 胁痛 口苦", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["山慈菇", "猪苓", "羌活", "制巴戟天", "茯苓", "麸炒芡实", "菟丝子", "覆盆子"], "flags": [], "prev_rx": ["山慈菇", "猪苓", "羌活", "制巴戟天", "茯苓", "麸炒芡实", "菟丝子", "覆盆子"], "prev_gap": 21, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 5} {"rid": 58655, "pid": "Pd06176fcc4b4", "date": "2026-03-17", "sex": "男", "age": 27, "cc": "性功能减退5-6年", "hpi": "性欲强，硬度不坚，时有不能同房，时有尿急，时有泡沫尿，夜尿一次，睡眠不规律，大便正常，时有先干后稀，纳可，时有口气重，怕冷，乏力，腰疼", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["房事阳痿", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "炒栀子", "淡豆豉", "麸炒白术", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "炙淫羊藿", "茯苓", "制巴戟天", "熟地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 58656, "pid": "P658d26cf4376", "date": "2026-03-17", "sex": "男", "age": 50, "cc": "腰痛半年", "hpi": "伴有早泄多年 时间3分钟 勃起不坚 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "炒蒺藜"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "prev_gap": 14, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 58666, "pid": "Pd19f0c801172", "date": "2026-03-17", "sex": "男", "age": 34, "cc": "腰疼2月。", "hpi": "腰酸痛，眼干涩 ，身上起痘，勃起正常，时间短，大便日1行，口中和口气略重,眠有梦早醒，纳可，尿不利，夜尿不多，耳痒，无鼻塞。无怕冷。怕热一直未育。复诊：睡眠正常，口气有，大便略干，", "wm_dx": ["失眠"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["天花粉", "牡蛎", "地黄", "酒萸肉", "白芍", "菊花", "麦冬", "牡丹皮", "炒栀子", "淡豆豉", "北柴胡", "荆芥", "酒黄精", "酒女贞子", "菟丝子", "枸杞子", "醋龟甲", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 58670, "pid": "P51e56e9f6aea", "date": "2026-03-17", "sex": "男", "age": 42, "cc": "少腹隐痛1月", "hpi": "少腹坠痛感，排尿尿频，时有腰酸痛，纳可，睡眠多梦，思虑多，口干口苦，乏力感，怕冷怕热，阴囊潮湿。复诊：症状好转，腹痛消失，乏力，口苦阴囊潮湿好转，仍多梦", "wm_dx": ["慢性前列腺炎", "腹痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "天花粉", "牡蛎", "煅龙骨", "赤小豆", "黄芩片", "燀桃仁", "红花", "牡丹皮", "茯苓", "党参片", "炙黄芪", "大枣", "猪苓", "炒栀子"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "天花粉", "牡蛎", "煅龙骨", "赤小豆", "黄芩片", "燀桃仁", "红花", "牡丹皮", "茯苓", "党参片", "炙黄芪", "大枣"], "prev_gap": 6, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 58671, "pid": "Ped9e8bbf5cac", "date": "2026-03-17", "sex": "男", "age": 46, "cc": "尿频1年", "hpi": "性功能减退，启动慢，硬度不坚、时间短，时有滴白，排尿正常，大便正常，睡眠正常，纳可，偶有腰疼，口苦，阴囊潮湿", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["房事阳痿", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "蜈蚣", "赤小豆", "地黄", "酒萸肉", "山药", "炙淫羊藿", "仙茅", "郁金", "白芍", "地龙"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58674, "pid": "P11f2581af2cc", "date": "2026-03-17", "sex": "男", "age": 40, "cc": "乏力复诊", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多，复诊多梦盗汗，口气重", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "熟地黄", "牡丹皮", "白芍", "茯苓", "猪苓", "地龙", "蜈蚣", "丹参", "鸡血藤", "炒栀子", "淡豆豉", "炙淫羊藿", "姜厚朴", "干姜"], "flags": [], "prev_rx": ["白薇", "炒栀子", "淡豆豉", "茯苓", "桂枝", "煅龙骨", "煅牡蛎", "黑顺片", "熟地黄", "牡丹皮", "牛膝", "陈皮", "制巴戟天", "姜厚朴", "蜈蚣"], "prev_gap": 13, "visit_ix": 14, "n_visits": 24, "visit_ix_rx": 14, "n_rx": 24} {"rid": 58679, "pid": "P6893ff8e3503", "date": "2026-03-17", "sex": "男", "age": 69, "cc": "包皮龟头溃疡半月余", "hpi": "包皮龟头溃疡半月余 大小便正常 纳可 眠安 盗汗 腰痛", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "白花蛇舌草", "黄连", "当归", "大黄", "全蝎", "地肤子", "蛇床子", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "白花蛇舌草", "黄连", "当归", "大黄", "全蝎", "地肤子", "蛇床子", "白芷"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58680, "pid": "Pc15ce7d87876", "date": "2026-03-17", "sex": "男", "age": 40, "cc": "性功能减退2年", "hpi": "性功能减退，硬度可，时间短，乏力，口干舌燥喝水，不喜欢喝凉，尿有泡沫，大便2次，睡眠可，怕冷，腰酸，有汗,复诊：尿黄有异味，有泡沫，大便色黑，腰酸，乏力感,颈椎不适感，无汗出,复诊：硬度可以，颈椎仍不行，尿黄", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["葛根", "桂枝", "白芍", "生姜", "独活", "桑寄生", "煅龙骨", "煅牡蛎", "鸡血藤", "丹参", "盐蒺藜", "石菖蒲", "炙黄芪", "党参片", "茯苓", "蜈蚣", "地黄", "滑石"], "flags": [], "prev_rx": ["葛根", "桂枝", "白芍", "生姜", "大枣", "桑寄生", "煅龙骨", "煅牡蛎", "鸡血藤", "丹参", "盐蒺藜", "石菖蒲", "炙黄芪", "党参片", "茯苓", "蜈蚣", "地黄", "滑石"], "prev_gap": 21, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 7} {"rid": 58681, "pid": "P6acaae58644e", "date": "2026-03-17", "sex": "男", "age": 41, "cc": "尿急一月余", "hpi": "尿急一月余 大便正常 纳可 眠安 腰痛 乏力", "wm_dx": ["尿急"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58688, "pid": "P5e80805fd514", "date": "2026-03-17", "sex": "男", "age": 71, "cc": "前列腺增生复诊", "hpi": "病史同前，口服盐酸坦索罗辛缓释胶囊服药后头蒙感，淋漓不尽，尿无力，夜尿2-3次。眠差多梦，手脚凉，易汗，夜间口干不苦，反酸呃逆，阴囊潮湿，会阴发胀，腰疼，便调，无勃起，怕冷，有汗，盗汗，吃凉易腹泻，复诊：夜尿1次，睡眠好转，仍尿尿不尽，盗汗，阴囊潮湿，睾丸不适感，复诊：仍尿不尽，余-。勃起略有", "wm_dx": ["前列腺增生"], "tcm_dx": [["痨病", "肾虚证", "补肾固精"], ["癃闭", "肾虚证", "补肾固精"]], "rx": ["桂枝", "茯苓", "泽泻", "滑石", "猪苓", "麸炒白术", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "法半夏", "姜厚朴", "炒紫苏子", "蜈蚣", "地龙", "党参片", "炙淫羊藿"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "滑石", "猪苓", "麸炒白术", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "法半夏", "姜厚朴", "炒紫苏子", "蜈蚣", "赤小豆", "党参片"], "prev_gap": 7, "visit_ix": 7, "n_visits": 11, "visit_ix_rx": 7, "n_rx": 11} {"rid": 58690, "pid": "Pf7048f53b700", "date": "2026-03-17", "sex": "男", "age": 32, "cc": "尿频2月", "hpi": "排尿色黄，既往尿糖++，夜尿正常，大便不成型，饭后易大便，纳可，睡眠一般早醒，口干口苦，无怕冷", "wm_dx": ["下肢静脉曲张"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "干姜", "桂枝", "茯苓", "猪苓", "当归", "川芎", "麸炒白术", "炙淫羊藿", "丹参", "鸡血藤", "石菖蒲", "炒蒺藜", "地龙"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58692, "pid": "P0fec0d403f18", "date": "2026-03-17", "sex": "男", "age": 43, "cc": "尿频2年", "hpi": "尿频，尿不尽，夜尿1-2次，大便不成型粘，纳一般，晨起口苦，睡眠可，怕冷，腰疼，汗少，近2年出现勃起不行，晨勃少，近一年未同房，时间短，性欲一般，阴囊潮湿，左侧睾丸不适感，复诊：有同房，可，阴囊潮湿睾丸不适消失，有腰疼，大便粘，口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "茯苓", "猪苓", "当归", "川芎", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "党参片", "炙淫羊藿", "黑顺片"], "flags": [], "prev_rx": ["北柴胡", "炒决明子", "菊花", "桑叶", "枸杞子", "黄芩片", "知母", "盐关黄柏", "地黄", "酒萸肉", "火麻仁", "茯苓", "当归", "蜈蚣", "金樱子肉", "燀桃仁", "葛根"], "prev_gap": 17, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 58698, "pid": "P75b13288994f", "date": "2026-03-17", "sex": "男", "age": 29, "cc": "阴毛部红疹3天", "hpi": "阴毛部红疹3天 大小便正常 纳可 眠安", "wm_dx": ["毛囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "百部", "金银花", "连翘", "白花蛇舌草", "黄连", "当归", "赤芍", "栀子", "地龙", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58699, "pid": "P518d24f6fa71", "date": "2026-03-17", "sex": "男", "age": 60, "cc": "少腹胀痛1年", "hpi": "伴有龟头部不适感，睾丸时有隐痛，排尿困难，夜尿3-4次，外院诊断为腺性膀胱炎，手术后症状未缓解。大便正常，不能吃生冷，睡眠4-5小时，口干口苦，怕冷，腰疼。出汗,复诊：少腹胀痛好转。复诊：药后腹泻，水样。尿色正常，无乏力，口苦口渴", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "党参片", "牡蛎", "焦麦芽", "干姜", "大枣", "猪苓", "赤小豆", "桂枝", "滑石", "当归", "炙甘草", "白芍", "细辛", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "煅瓦楞子", "焦麦芽", "干姜", "大枣", "醋鸡内金", "赤小豆", "桂枝", "滑石", "地黄", "炙甘草"], "prev_gap": 7, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 5} {"rid": 58708, "pid": "P46782fa182f6", "date": "2026-03-18", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "丹参", "太子参", "知母", "北沙参", "制巴戟天", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炒酸枣仁", "知母", "合欢皮", "制巴戟天"], "prev_gap": 168, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58719, "pid": "Pdce06d2c49d9", "date": "2026-03-18", "sex": "男", "age": 27, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，性欲强，乏力，工作劳熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "制远志", "知母", "盐黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58721, "pid": "P89ec3c997709", "date": "2026-03-18", "sex": "男", "age": 36, "cc": "右侧阴囊不适疼痛1周", "hpi": "右侧阴囊不适疼痛1周，无尿道灼热、尿急、尿痛，无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，小腹及会阴不适，纳眠可，大便质粘，口和。", "wm_dx": ["精索静脉曲张", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["甜叶菊叶", "炒王不留行", "蒲黄", "醋五灵脂", "川芎", "沉香", "肉桂", "夏枯草", "浙贝母", "麸炒枳壳", "炙甘草", "烫水蛭", "当归", "赤芍", "茯苓", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "炒王不留行", "蒲黄", "醋五灵脂", "川芎", "沉香", "肉桂", "夏枯草", "浙贝母", "麸炒枳壳", "炙甘草", "烫水蛭", "当归", "赤芍"], "prev_gap": 235, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58724, "pid": "P64934ae59685", "date": "2026-03-18", "sex": "男", "age": 25, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，晨勃少，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "锁阳", "莲须", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58726, "pid": "P1bf9cb327b60", "date": "2026-03-18", "sex": "男", "age": 77, "cc": "腰痛伴勃起欠佳1年", "hpi": "腰痛伴勃起欠佳1年，长期熬夜12点睡觉，夜尿1次/日 大便正常", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "痰湿血瘀", "化痰活血"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58729, "pid": "Pdd5f8a03dc61", "date": "2026-03-18", "sex": "男", "age": 24, "cc": "尿频1天", "hpi": "尿频1天，伴小腹不适，无尿道灼热，无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，纳眠可，大便质粘，口和。久坐。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58730, "pid": "Pa5087cf2a020", "date": "2026-03-18", "sex": "男", "age": 39, "cc": "腰痛乏力伴勃起硬度欠佳1年", "hpi": "1年前出现腰痛乏力伴勃起硬度欠佳，近1月出现阴囊瘙痒，尿混浊，口干口苦，夜寐差，长期熬夜，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲", "茯苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58731, "pid": "P92621bafce1e", "date": "2026-03-18", "sex": "男", "age": 46, "cc": "尿频1天", "hpi": "尿频1天，无尿痛，伴小腹不适，无尿液颜色改变。工作久坐。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58739, "pid": "P7605ba992b36", "date": "2026-03-18", "sex": "男", "age": 28, "cc": "尿频一周", "hpi": "尿频，夜尿正常，便秘，一天2次，睡眠正常，熬夜，纳可，口渴口苦口气重，硬度正常，时间1-2分钟，近期准备生育", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "党参片", "石菖蒲", "地黄", "盐蒺藜", "煅龙骨", "煅牡蛎", "麸炒枳实", "白芍", "生石膏", "酒萸肉", "山药", "赤小豆", "白花蛇舌草", "茯苓"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "石菖蒲", "地黄", "盐蒺藜", "煅龙骨", "煅牡蛎", "麸炒枳实", "白芍", "酒女贞子", "酒萸肉", "山药", "赤小豆", "桑螵蛸"], "prev_gap": 19, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 6} {"rid": 58743, "pid": "P838261eafce5", "date": "2026-03-19", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠差 乏力", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒苍术", "茯苓", "麸炒枳壳", "菟丝子", "盐车前子", "韭菜子", "醋五味子", "酒女贞子", "沙苑子", "蛇床子", "制巴戟天", "酒苁蓉", "仙茅", "炙淫羊藿", "当归", "熟地黄", "川芎", "白芍", "炙甘草", "桑寄生", "太子参", "覆盆子", "炒酸枣仁", "丹参", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58747, "pid": "P43ad6fe9209c", "date": "2026-03-19", "sex": "男", "age": 69, "cc": "排尿不畅复诊", "hpi": "排尿不畅改善，尿频、尿急，尿线细，尿等待，尿后余沥改善，夜尿0-1次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58748, "pid": "Pa8a6892e5c49", "date": "2026-03-19", "sex": "男", "age": 63, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制巴戟天", "川牛膝", "太子参", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58752, "pid": "Pd7c663919eef", "date": "2026-03-19", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作劳累，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗，久坐", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "炙黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58758, "pid": "P24086139617e", "date": "2026-03-19", "sex": "男", "age": 62, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，包皮及龟头皮肤色红，稍有水肿，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。伴阴囊瘙痒。", "wm_dx": ["前列腺炎", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58771, "pid": "Pe5012a219570", "date": "2026-03-19", "sex": "男", "age": 61, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降改善，乏力，工作久坐，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，晨勃有", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "麸炒白术", "酒黄精", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓", "石菖蒲", "麸炒白术", "酒黄精"], "prev_gap": 20, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 58793, "pid": "P85eed86698b8", "date": "2026-03-19", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲", "败酱草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58797, "pid": "P198c582102e6", "date": "2026-03-20", "sex": "男", "age": 65, "cc": "尿频。尿急2月", "hpi": "尿频，尿急，排尿不畅，尿线细，无尿痛，少腹发胀，一天20余次，腰疼，大便正常，睡眠正常，纳可，口干口苦，喝水，无怕冷", "wm_dx": ["泌尿系感染"], "tcm_dx": [["淋证", "湿热下注证", "清热利湿"]], "rx": ["滑石", "赤小豆", "阿胶珠", "猪苓", "茯苓", "泽泻", "地黄", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58799, "pid": "Pf4c73a0c68cd", "date": "2026-03-20", "sex": "男", "age": 63, "cc": "尿频，尿痛2周", "hpi": "尿频，尿痛，尿道疼痛感，无腹痛，无腰疼，外院检查B超前列腺增生，残余尿-。在我院，外院口服2周抗生素未效。热敷好转，大便正常，无发热，CT：前列腺低密度结节，进一步检查", "wm_dx": ["尿痛", "过敏性鼻炎[变应性鼻炎]"], "tcm_dx": [["淋证", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "淡竹叶", "赤小豆", "石菖蒲", "党参", "细辛", "炙甘草", "猪苓", "茯苓", "泽泻", "山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58800, "pid": "P3a994614bcf1", "date": "2026-03-20", "sex": "男", "age": 43, "cc": "尿频复诊", "hpi": "尿频，睡眠一般，便秘，近一年勃起不坚，硬度不够，有晨勃，调整口服小剂量他达拉非用法，排尿正常，纳可，口和略干苦，无怕冷，腰疼", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "酒苁蓉", "煅龙骨", "煅牡蛎", "地黄", "酒萸肉", "山药", "炙淫羊藿", "仙茅", "黑顺片", "蜈蚣", "丹参", "鸡血藤"], "flags": [], "prev_rx": ["北柴胡", "地龙", "白芍", "九香虫", "麸炒枳实", "桑椹", "桑寄生", "蜜桑白皮", "炙淫羊藿", "制巴戟天", "煅阳起石", "盐胡芦巴", "仙茅", "蛇床子", "韭菜子", "紫石英", "赤石脂", "熟地黄", "酒萸肉", "泽泻", "麸炒枳壳"], "prev_gap": 90, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 58801, "pid": "P8f1accab3087", "date": "2026-03-20", "sex": "男", "age": 43, "cc": "尿频一月", "hpi": "尿频，尿不尽，试管2次未成功，既往检查精液2.49%，排尿正常，大便不成型，肠镜-，睡眠正常，纳可，口干，腰痛，近期乏力，体重下降，怕冷，复诊：左侧后脚跟疼痛\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n5", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "猪苓", "枸杞子", "菟丝子", "酒黄精", "盐车前子", "牡蛎", "赤小豆", "生姜", "醋龟甲", "羌活", "丹参", "黑顺片"], "flags": [], "prev_rx": ["桂枝", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "猪苓", "枸杞子", "菟丝子", "酒黄精", "盐车前子", "红景天", "牡蛎", "赤小豆", "生姜", "醋龟甲", "桑寄生", "丹参"], "prev_gap": 21, "visit_ix": 5, "n_visits": 10, "visit_ix_rx": 5, "n_rx": 10} {"rid": 58804, "pid": "P11c0b65fb018", "date": "2026-03-20", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，工作可，二便调，无排尿不畅、尿后余沥，口干，盗汗。睡眠改善，乏力改善。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "石菖蒲", "黄芪", "麸炒白术", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁", "茯苓"], "prev_gap": 15, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58809, "pid": "Pc12c426b051f", "date": "2026-03-20", "sex": "男", "age": 57, "cc": "尿频半月", "hpi": "尿频，硬度下降，中途疲软，晨勃有，纳可，凉的少吃，大小便正常，睡眠可，口渴，无怕冷，阴囊潮湿", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "牛膝", "蜈蚣", "酒黄精", "赤小豆", "麦冬", "醋龟甲", "知母", "党参片"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "白芍", "茯苓", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "北柴胡", "麸炒枳实", "牛膝", "黑顺片", "桂枝", "蜈蚣", "酒黄精", "赤小豆"], "prev_gap": 14, "visit_ix": 4, "n_visits": 13, "visit_ix_rx": 4, "n_rx": 10} {"rid": 58819, "pid": "Pcc62d7ad4c8a", "date": "2026-03-20", "sex": "男", "age": 37, "cc": "腰痛乏力中途疲软2周", "hpi": "2周前出现腰痛乏力中途疲软，尿频，夜尿1次，长期熬夜，口干，盗汗，手足心潮热，耳鸣，眠一般，情绪焦虑", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "黄芪", "麸炒薏苡仁", "麸炒白术"], "flags": [], "prev_rx": ["太子参", "桑椹", "酒黄精", "山慈菇", "龙眼肉"], "prev_gap": 139, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58821, "pid": "Pf5128bd76e89", "date": "2026-03-20", "sex": "男", "age": 55, "cc": "阴囊潮湿半年", "hpi": "阴囊潮湿，无晨勃，外生殖器发凉，勃起不坚，早醒，排尿正常，夜尿正常，大便正常，睡眠差，纳渴，不能吃生冷，无怕冷，口和", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白薇", "炒栀子", "桂枝", "茯苓", "泽泻", "麸炒白术", "干姜", "黑顺片", "炙甘草", "川芎", "丹参", "鸡血藤", "当归", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58830, "pid": "P9e958b78810b", "date": "2026-03-20", "sex": "男", "age": 53, "cc": "少腹隐痛3天", "hpi": "少腹隐痛3天，夜尿1-2次，大便正常，纳可，口苦，乏力，微怕冷。症状改善。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["腹痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "党参片", "法半夏", "麸炒枳实", "白芍", "蜈蚣", "麸炒白术", "麸炒山药", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "党参片", "法半夏", "麸炒枳实", "白芍", "蜈蚣"], "prev_gap": 35, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58831, "pid": "P7c438a1d3841", "date": "2026-03-21", "sex": "男", "age": 44, "cc": "乏力一周", "hpi": "乏力，既往肿瘤标志物高，癌标高，尿频，尿急，手发凉，无腹痛，腰酸疼，纳可，吃生冷胃疼易腹泻，大便不成型，睡眠一般，口和，怕冷，鼻塞流涕", "wm_dx": ["慢性前列腺炎", "过敏性鼻炎[变应性鼻炎]"], "tcm_dx": [["虚劳类病", "脾肾阳虚证", "补肾扶元"]], "rx": ["桂枝", "党参", "干姜", "制吴茱萸", "当归", "细辛", "通草", "川芎", "桃仁", "红花", "炙淫羊藿", "附片", "茯苓", "熟地黄", "北柴胡", "麸炒白术"], "flags": [], "prev_rx": ["桂枝", "党参", "干姜", "制吴茱萸", "当归", "细辛", "通草", "川芎", "桃仁", "红花", "炙淫羊藿", "附片", "焦麦芽", "熟地黄"], "prev_gap": 14, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 6} {"rid": 58836, "pid": "P5e78e99d69b8", "date": "2026-03-21", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，盗汗。近期运动量较大。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "酒苁蓉", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 58837, "pid": "P33ee3b9717fa", "date": "2026-03-21", "sex": "男", "age": 28, "cc": "尿频1年", "hpi": "尿频，硬度下降，中途疲软，时间2-3分钟，晨勃少，排尿尿频，夜尿1-2次，睡眠正常，大便1-2次不成型，纳可，口气重，小腿怕冷，腰疼", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "茯苓", "泽泻", "当归", "川芎", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "地龙", "炙淫羊藿", "仙茅", "黑顺片", "黑芝麻"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "炙淫羊藿", "仙茅", "黑顺片", "牛膝", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "赤小豆", "石菖蒲", "盐蒺藜", "蜈蚣"], "prev_gap": 7, "visit_ix": 2, "n_visits": 4, 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"当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "莲须", "诃子肉", "人参", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 58855, "pid": "Pe2730ec47848", "date": "2026-03-21", "sex": "男", "age": 54, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，晨勃消失，性欲减退，口中和，长期熬夜。3.8复诊：偶有晨勃，无同房，3.21复诊：服药后晨勃每日有，排气多，无同房，性欲稍有恢复", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "锁阳", "人参", "黄芪", "酒黄精"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "锁阳", "人参", "黄芪", "酒黄精"], "prev_gap": 13, "visit_ix": 5, "n_visits": 20, "visit_ix_rx": 2, "n_rx": 12} {"rid": 58861, "pid": "P7ba8265cbf33", "date": "2026-03-21", "sex": "男", "age": 64, "cc": "复诊", "hpi": "勃起改善，加重一月，咽部不适感。", "wm_dx": ["高血压"], "tcm_dx": [["房事阳痿", "肝郁肾虚证", "滋补肾精"], ["房事阳痿", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "石菖蒲", "生石膏", "桔梗", "姜厚朴"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "石菖蒲", "生石膏", "桔梗", "姜厚朴"], "prev_gap": 101, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 5} {"rid": 58862, "pid": "P693fe8289601", "date": "2026-03-21", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不，精索静脉曲张，盗汗，工作劳累。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒黄精", "酒女贞子", "墨旱莲", "防风", "麸炒白术", "茯苓", "枸杞子", "白芍", "醋五味子", "金樱子肉", "韭菜子", "制巴戟天", "沙苑子", "桑椹", "菟丝子", "麸炒芡实", "黄芪", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 7} {"rid": 58864, "pid": "Pdd8943655bd7", "date": "2026-03-21", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年，纳可，大便正常，尿频，夜尿正常，会阴睾丸不适感，小腹不适，失眠多梦，无怕冷，无腹痛，大便可，纳可，口和，无怕冷。3.21复诊：多梦好转，小腹胀痛好转。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "滋补肾阴"], ["精浊", "肝郁血虚证", "疏肝养血"]], "rx": ["北柴胡", "黄芩", "法半夏", "赤小豆", "连翘", "制远志", "牛膝", "牡丹皮", "菟丝子", "醋五味子", "盐车前子", "覆盆子", "炒酸枣仁", "柏子仁", "白花蛇舌草", "菊花", "枸杞子", "甜叶菊叶"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩", "法半夏", "赤小豆", "连翘", "制远志", "牛膝", "牡丹皮", "菟丝子", "醋五味子", "盐车前子", "白花蛇舌草", "菊花", "覆盆子", "炒酸枣仁", "柏子仁"], "prev_gap": 13, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 58866, "pid": "Pda4f4694798e", "date": "2026-03-21", "sex": "男", "age": 46, "cc": "腰痛乏力2周", "hpi": "2周前出现腰痛乏力，腹胀，夜寐差，易醒，手足冷。怕冷。3.21复诊：腹胀好转，失眠好转，自觉身体轻快。手足冷。胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "制巴戟天", "盐补骨脂", "锁阳", "人参"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58868, "pid": "P4485cf173cfd", "date": "2026-03-21", "sex": "男", "age": 35, "cc": "尿频一月", "hpi": "尿频,有过一次硬度不够,尿不尽,基本无晨勃,睡眠一般5点醒,大便2次,纳可,口和", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牛膝", "柏子仁", "郁金", "石菖蒲", "盐蒺藜", "赤小豆", "牡丹皮", "酒萸肉", "丹参", "鸡血藤", "地黄", "蜈蚣", "制巴戟天"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "滑石", "党参片", "莲子心", "石菖蒲", "知母", "盐关黄柏", "酒萸肉", "山药", "牡丹皮", "炒栀子", "蜈蚣", "地黄", "川芎"], "prev_gap": 14, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 58878, "pid": "Paa20a1a5c390", "date": "2026-03-21", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，性欲减退，神疲乏力，射精快，口干，长期熬夜。3.21复诊：近2周2-3次同房，2-6分钟，11点多睡，", "wm_dx": ["精索静脉曲张", "男性性腺功能低下"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "金樱子", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "醋五味子", "锁阳"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "锁阳"], "prev_gap": 14, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 5} {"rid": 58885, "pid": "Pb6037c4aafe0", "date": "2026-03-21", "sex": "男", "age": 35, "cc": "腰痛乏力伴射精快3月", "hpi": "3月前出现腰痛乏力伴射精快，勃起欠佳，下肢乏力，龟头红疹.3.21复诊：腰痛下肢乏力好转，勃起可，中途疲软，敏感度好转，易生气，胁肋疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["知母", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "盐杜仲", "续断", "酒黄精", "金樱子", "制巴戟天", "韭菜子"], "flags": [], "prev_rx": ["知母", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "盐杜仲", "续断", "酒黄精", "金樱子", "制巴戟天", "韭菜子"], "prev_gap": 13, "visit_ix": 4, "n_visits": 10, 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["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["赤小豆", "白花蛇舌草", "当归", "连翘", "牛膝", "麸炒薏苡仁", "炒苦杏仁", "淡竹叶", "法半夏", "生地黄", "蒲公英", "路路通", "党参", "麸炒白术", "甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "炒酸枣仁", "知母", "玫瑰花", "猪苓"], "prev_gap": 91, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58897, "pid": "P21da0e77ac08", "date": "2026-03-21", "sex": "男", "age": 36, "cc": "腰痛乏力多年", "hpi": "多年前出现腰痛乏力，射精快多年，＜100下，口干口苦，夜寐差，长期熬夜，小腹胀痛，下肢冷，盗汗。3.21复诊：精神状态好转，下制冷，小腹胀痛好转，11点睡。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "脾肾亏虚证", "理气健脾"]], "rx": ["莲子", "醋五味子", "菟丝子", "盐蒺藜", "麸炒芡实", "莲须", "煅龙骨", "煅牡蛎", "盐补骨脂", "酒萸肉", "炙淫羊藿", "黄连片", "肉桂", "关黄柏", "知母", "酒苁蓉", "金樱子肉", "盐杜仲", "续断片"], "flags": [], "prev_rx": ["莲子", "醋五味子", "菟丝子", "盐蒺藜", "麸炒芡实", "莲须", "煅龙骨", "煅牡蛎", "盐补骨脂", "酒萸肉", "炙淫羊藿", "黄连片", "肉桂", "关黄柏", "知母", "酒苁蓉", "金樱子肉", "盐杜仲", "续断片"], "prev_gap": 14, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 58898, "pid": "P682dab1d620e", "date": "2026-03-21", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "腰痛乏力1年，大小便正常 纳可 眠安，尿急，烧灼感消失，大便不成型，口和，拟育。多囊.排尿正常，复诊：大便2次，少腹跳。复诊：尿频，夜尿1次", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["桂枝", "猪苓", "茯苓", "泽泻", "牡丹皮", "滑石", "阿胶珠", "枸杞子", "菟丝子", "盐车前子", "赤小豆", "桑螵蛸"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["熟地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "桑螵蛸", "菟丝子", "盐车前子", "枸杞子", "醋五味子", "醋龟甲", "牡蛎", "红景天", "鹿角霜", "炙甘草"], "prev_gap": 21, "visit_ix": 23, "n_visits": 24, "visit_ix_rx": 22, "n_rx": 23} {"rid": 58899, "pid": "Pbb1159482ab6", "date": "2026-03-21", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作压力大，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，熬夜", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 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"visit_ix_rx": 2, "n_rx": 3} {"rid": 58926, "pid": "P5b982987ecc4", "date": "2026-03-21", "sex": "男", "age": 23, "cc": "腰痛2月", "hpi": "腰痛2月，晨勃少，性欲强，乏力，工作劳累，二便调，眠一般，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["川牛膝", "茯苓", "制巴戟天", "酒萸肉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58937, "pid": "P358a653d9917", "date": "2026-03-22", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，性欲一般，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58940, "pid": "P363eacdf1ec4", "date": "2026-03-22", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适。PR 21.4%。盗汗，熬夜可。", "wm_dx": ["乏力", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58941, "pid": "Pa24d219d552b", "date": "2026-03-22", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，时间下降，性欲可，乏力，工作劳累，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗。感冒。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["感冒", "风热证", "疏风清热"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "制远志", "知母", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58942, "pid": "Pa6f2e70faf70", "date": "2026-03-22", "sex": "男", "age": 42, "cc": 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"sex": "男", "age": 37, "cc": "会阴不适复诊", "hpi": "会阴不适改善，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力盗汗。3.8复诊：睾丸下坠感明显减轻，会阴不适，小腹不适。", "wm_dx": ["附睾囊肿", "精索静脉曲张", "前列腺炎", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "黄芩片", "当归", "姜厚朴", "乌药", "盐小茴香", "桂枝", "燀桃仁", "红花", "牡丹皮", "白芍", "川楝子", "川牛膝", "赤小豆", "炙黄芪", "甘草片", "夏枯草", "路路通", "炒王不留行", "荔枝核", "醋延胡索", "醋五灵脂", "川芎", "麸炒白术"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "当归", "姜厚朴", "乌药", "盐小茴香", "桂枝", "燀桃仁", "红花", "牡丹皮", "白芍", "川楝子", "川牛膝", "赤小豆", "炙黄芪", "甘草片", "夏枯草", "路路通", "炒王不留行", "荔枝核", "醋延胡索", "醋五灵脂", "川芎", "姜黄"], "prev_gap": 14, "visit_ix": 11, "n_visits": 25, "visit_ix_rx": 6, "n_rx": 18} {"rid": 58951, "pid": "P49c846c00f9e", "date": "2026-03-22", "sex": "男", "age": 37, "cc": "尿频1周", "hpi": "尿频1周，夜尿1次，无明显排尿不畅和尿急，工作久坐", "wm_dx": ["前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "牛膝", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": 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"prev_gap": null, "visit_ix": 0, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 9} {"rid": 58979, "pid": "Pf56293274911", "date": "2026-03-23", "sex": "男", "age": 39, "cc": "复诊", "hpi": "病史同前，无尿频，口干，精液量少，汗不多，无肢冷，便调", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "姜厚朴", "桑叶", "炙甘草", "瓜蒌", "醋五味子"], "flags": [], "prev_rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "牛膝", "桑叶", "炙甘草", "酒萸肉", "蜂房"], "prev_gap": 99, "visit_ix": 9, "n_visits": 18, "visit_ix_rx": 9, "n_rx": 18} {"rid": 58980, "pid": "P0a45ef5e27a6", "date": "2026-03-23", "sex": "男", "age": 38, "cc": "复诊", "hpi": "复诊 龟头部红疹，排尿正常，口苦，异味，腹胀，食欲不佳，", "wm_dx": ["股癣", "龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["淋证", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "黄连片", "陈皮", "生石膏", "焦神曲", "炙甘草", "干姜"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58981, "pid": "P3a8c83296916", "date": "2026-03-23", "sex": "男", "age": 44, "cc": "尿急复诊", "hpi": "尿急改善 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "山慈菇"], "flags": [], "prev_rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "山慈菇"], "prev_gap": 18, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 6} {"rid": 58983, "pid": "P7b03cab6dab5", "date": "2026-03-23", "sex": "男", "age": 30, "cc": "复诊", "hpi": "病史同前，时觉觉勃起困难，有夜间自发勃起 大便正常 纳可 眠差", "wm_dx": ["乏力"], "tcm_dx": [["精浊", "肝郁气滞证", "疏肝理气"]], "rx": ["北柴胡", "麸炒枳实", "九香虫", "蜈蚣", "炙甘草", "白芍", "牡蛎", "郁金"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "九香虫", "蜈蚣", "石菖蒲", "炙甘草", "瓜蒌", "白芍"], "prev_gap": 41, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 58984, "pid": "P971acadcdd69", "date": "2026-03-23", "sex": "男", "age": 45, "cc": "复诊", "hpi": "夜班，白天觉时尿频感，尿不尽，时有尿急，无腹痛、腰酸。阴囊潮湿、发凉感，口干不苦。矢气多。无肢冷汗出。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["白芍", "牡蛎", "龙骨", "生石膏", "首乌藤", "炙甘草", "北柴胡", "麸炒枳实", "姜半夏", "姜厚朴"], "flags": 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"age": 48, "cc": "尿频2周", "hpi": "尿频2周 少腹胀痛 大便正常 纳可 眠安 盗汗 腰痛", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "知母", "菟丝子", "覆盆子", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 58996, "pid": "P15dc3ec30e27", "date": "2026-03-23", "sex": "男", "age": 37, "cc": "腰痛乏力伴弱精复诊取药", "hpi": "1周前出现腰痛乏力伴弱精，口干口苦，夜寐差，二便调", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "韭菜子", "当归", "熟地黄", "菟丝子", "炙淫羊藿", "川牛膝"], "flags": [], "prev_rx": ["制何首乌", "韭菜子", "当归", "熟地黄", "菟丝子", "炙淫羊藿", "川牛膝"], "prev_gap": 19, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 7, "n_rx": 8} {"rid": 58998, "pid": "Pf2147c64fd48", "date": "2026-03-23", "sex": "男", "age": 45, "cc": "尿灼热排尿不畅复诊", "hpi": "尿灼热排尿不畅改善，周身乏力，腰痛，无小腹胀痛，夜寐差 失眠", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["失眠", "心血虚证", "补血养心"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["醋五味子", "太子参", "炒酸枣仁", "知母", "菟丝子", "麸炒山药", "麸炒芡实", "丹参", "玉竹", "制巴戟天", "覆盆子"], "flags": [], "prev_rx": ["醋五味子", "太子参", "炒酸枣仁", "知母", "菟丝子", "麸炒山药", "麸炒芡实", "丹参", "玉竹"], "prev_gap": 21, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 5, "n_rx": 6} {"rid": 59004, "pid": "Pf5db9c22578e", "date": "2026-03-23", "sex": "男", "age": 68, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["黑顺片", "茯苓", "干姜", "甘草片", "人参", "三七粉", "天竺黄", "牡蛎", "龙骨", "肉桂", "淡竹叶", "醋五味子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 14, "visit_ix_rx": 0, "n_rx": 14} {"rid": 59005, "pid": "P575f6dfbfef1", "date": "2026-03-23", "sex": "男", "age": 35, "cc": "腰痛复诊", "hpi": "腰痛伴勃起欠佳3月，射精快，2-3分钟，晨勃有，尿可，时有阴囊潮湿，大便正常，晨起口干口苦，偶有腰酸痛 睾丸坠痛 盗汗", "wm_dx": ["附睾囊肿", "睾丸结石"], "tcm_dx": [["腰痛", "肾虚", "补肾"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 59013, "pid": "Peb87b0d50a47", "date": "2026-03-23", "sex": "男", "age": 54, "cc": "尿痛排尿困难2天", "hpi": "尿痛排尿困难2天 大便正常 纳可 眠安 无发热", "wm_dx": ["泌尿系感染", "慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59022, "pid": "Pf3b6f42f06b0", "date": "2026-03-23", "sex": "男", "age": 39, "cc": "腰痛复诊", "hpi": "伴有勃起困难 晨勃少 大小便正常 纳可 失眠", "wm_dx": ["慢性前列腺炎", "男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "滋补肾精"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "猪苓", "陈皮"], "flags": [], "prev_rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "猪苓", "羌活"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59027, "pid": "P8dc6c6b20df4", "date": "2026-03-24", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重", "wm_dx": ["慢性前列腺炎", "甲状腺囊肿"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["北柴胡", "黄芩片", "干姜", "党参片", "炙黄芪", "桂枝", "茯苓", "泽泻", "焦麦芽", "净山楂", "熟地黄", "桑螵蛸", "醋龟甲", "菟丝子", "枸杞子", "川芎"], "flags": [], "prev_rx": ["法半夏", "黄连片", "黄芩片", "干姜", "大枣", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "牡蛎", "煅龙骨", "桑螵蛸", "醋龟甲", "炒栀子", "淡豆豉", "党参片"], "prev_gap": 14, "visit_ix": 8, "n_visits": 24, "visit_ix_rx": 7, "n_rx": 23} {"rid": 59029, "pid": "Pd06176fcc4b4", "date": "2026-03-24", "sex": "男", "age": 27, "cc": "性功能减退5-6年", "hpi": "性欲强，硬度不坚，时有不能同房，时有尿急，时有泡沫尿，夜尿一次，睡眠不规律，大便正常，时有先干后稀，纳可，时有口气重，怕冷，乏力，腰疼,复诊：勃起可，时间短10分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["房事阳痿", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "炒栀子", "淡豆豉", "麸炒白术", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "炙淫羊藿", "茯苓", "制巴戟天", "熟地黄", "绵萆薢"], "flags": [], 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"尿频，两地分居，2-3月回家一次，无吸烟饮酒，在陕西检查少弱精子，口服药物治疗，排尿正常，偶有阴囊潮湿，大便正常，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "泽泻", "熟地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "桑螵蛸", "醋龟甲", "炙淫羊藿", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 7} {"rid": 59037, "pid": "P11f2581af2cc", "date": "2026-03-24", "sex": "男", "age": 40, "cc": "乏力复诊", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多，复诊多梦盗汗，口气重", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "熟地黄", "牡丹皮", "白芍", "茯苓", "猪苓", "地龙", "蜈蚣", "丹参", "鸡血藤", "法半夏", "淡豆豉", "炙淫羊藿", "姜厚朴", "干姜", "瓜蒌"], "flags": [], "prev_rx": ["当归", "川芎", "熟地黄", "牡丹皮", "白芍", "茯苓", "猪苓", "地龙", "蜈蚣", "丹参", "鸡血藤", "炒栀子", "淡豆豉", "炙淫羊藿", "姜厚朴", "干姜"], "prev_gap": 7, "visit_ix": 15, "n_visits": 24, "visit_ix_rx": 15, "n_rx": 24} {"rid": 59038, "pid": "Pa367d5b631b8", "date": "2026-03-24", "sex": "男", "age": 69, "cc": "尿道分泌物3天", "hpi": "尿道分泌物3天 大便正常 纳可 眠安 腰膝酸软 潮热盗汗", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["猪苓", "羌活", "茯苓", "知母", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59039, "pid": "Pdb54f8bf9fab", "date": "2026-03-24", "sex": "男", "age": 79, "cc": "少腹隐痛 尿频2天", "hpi": "少腹隐痛 尿频2天 偶见尿痛 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "羌活", "茯苓", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59043, "pid": "P0d19909940f9", "date": "2026-03-24", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 乏力 腰膝酸软", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "盐杜仲", "酒女贞子", "覆盆子", "枸杞子", "菟丝子", "醋五味子", "韭菜子", "沙苑子", "麸炒枳壳", "炙甘草", "党参", "山药", "盐补骨脂", "酒黄精", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "丹参", "制何首乌", "砂仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59046, "pid": "Ped9e8bbf5cac", "date": "2026-03-24", "sex": "男", "age": 46, "cc": "尿频1年", "hpi": "性功能减退，启动慢，硬度不坚、时间短，时有滴白，排尿正常，大便正常，睡眠正常，纳可，偶有腰疼，口苦，阴囊潮湿，复诊：口服他达拉非眼睛发红，肌肉疼痛感", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["房事阳痿", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "蜈蚣", "赤小豆", "地黄", "地龙", "炙淫羊藿", "仙茅", "牡丹皮", "白芍", "当归", "川芎"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "蜈蚣", "赤小豆", "地黄", "酒萸肉", "山药", "炙淫羊藿", "仙茅", "郁金", "白芍", "地龙"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59048, "pid": "P60bcd4bd3060", "date": "2026-03-24", "sex": "男", "age": 59, "cc": "腰痛半年", "hpi": "伴有中途疲软 晨勃少 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "覆盆子", "菟丝子", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59052, "pid": "Pa01a9b0d06e4", "date": "2026-03-24", "sex": "男", "age": 66, "cc": "尿急复诊", "hpi": "尿急 偶见尿失禁 夜尿6-7次 大便正常 纳可 眠差 盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["猪苓", "羌活", "茯苓", "山慈菇"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59054, "pid": "Pdfbfc7636bfc", "date": "2026-03-24", "sex": "男", "age": 39, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "麸炒白术", "茯苓", "麸炒薏苡仁", "麸炒枳壳", "陈皮", "砂仁", "制巴戟天", "仙茅", "炙淫羊藿", "酒苁蓉", "菟丝子", "覆盆子", "枸杞子", "酒女贞子", "醋五味子", "沙苑子", "韭菜子", "炙甘草", "泽泻", "熟地黄", "酒萸肉", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59055, "pid": "Pa9f2ef976413", "date": "2026-03-24", "sex": "男", "age": 52, "cc": "尿频1年", "hpi": "尿频1年，尿费劲，色深，无夜尿，右侧阴囊潮湿异味，无小腹会阴不适，时有腰疼，大便正常，纳可，无怕冷，乏力，睡眠一般，纳可，口干口苦，咽痛有痰", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["淋证", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "法半夏", "桔梗", "化橘红", "夏枯草", "滑石", "赤小豆", "白花蛇舌草", "牛膝", "煅龙骨", "煅牡蛎", "党参片", "甘草片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩", "党参", "生地黄", "茯苓", "猪苓", "牡丹皮", "赤小豆", "白花蛇舌草", "牛膝", "甘草", "淡竹叶"], "prev_gap": 39, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 4} {"rid": 59060, "pid": "P518d24f6fa71", "date": "2026-03-24", "sex": "男", "age": 60, "cc": "少腹胀痛1年", "hpi": "伴有龟头部不适感，睾丸时有隐痛，排尿困难，夜尿3-4次，外院诊断为腺性膀胱炎，手术后症状未缓解。大便正常，不能吃生冷，睡眠4-5小时，口干口苦，怕冷，腰疼。出汗,复诊：少腹胀痛好转。复诊：药后腹泻，水样。尿色正常，无乏力，口苦口渴，复诊：右侧少腹隐痛，夜尿2次", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "党参片", "牡蛎", "焦麦芽", "干姜", "川楝子", "猪苓", "赤小豆", "桂枝", "滑石", "当归", "白芍", "细辛", "炙淫羊藿", "炙甘草", "荔枝核", "盐橘核"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "牡蛎", "焦麦芽", "干姜", "大枣", "猪苓", "赤小豆", "桂枝", "滑石", "当归", "炙甘草", "白芍", "细辛", "炙淫羊藿"], "prev_gap": 7, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 5} {"rid": 59061, "pid": "Pc39d54b5413a", "date": "2026-03-24", "sex": "男", "age": 30, "cc": "尿频尿急复诊", "hpi": "尿频尿急改善，大便正常，纳可，腰酸疼，盗汗 乏力改善不明显", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "酒黄精", "盐补骨脂", "麦冬", "炙黄芪", "石斛", "炒酸枣仁", "丹参", "石菖蒲", "制远志", "知母", "合欢皮", "柏子仁", "桑椹", "砂仁", "木香", "麸炒枳壳", "烫狗脊", "桑寄生", "盐杜仲", "熟地黄"], "flags": [], "prev_rx": ["甜叶菊叶", "党参", "山药", "白术", "茯苓", "砂仁", "木香", "桑寄生", "牛膝", "烫狗脊", "盐杜仲", "酒萸肉", "醋龟甲", "制何首乌", "桑椹", "石菖蒲", "制远志", "炒酸枣仁", "丹参", "合欢花", "合欢皮", "麸炒枳壳", "炙甘草", "石斛"], "prev_gap": 14, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 6} {"rid": 59062, "pid": "Pcb1e5e221a9f", "date": "2026-03-24", "sex": "男", "age": 83, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿等待，尿后余沥，夜尿4-5次，无小腹及会阴不适，大便质干，纳可，眠一般，乏力。现口服多沙唑嗪和非那雄胺。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["熟地黄", "菟丝子", "醋莪术", "川牛膝", "炒王不留行", "盐关黄柏", "黄芪", "山药", "浙贝母", "泽泻", "桔梗", "酒萸肉", "麸炒薏苡仁", "乌药", "白果仁", "知母", "炒酸枣仁", "酒黄精", "猪苓", "丹参", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59063, "pid": "P9c5b9cd774fc", "date": "2026-03-24", "sex": "男", "age": 29, "cc": "尿频3月", "hpi": "尿频，晨勃少，硬度一般，启动慢，时间短，排尿正常，夜尿正常，睡眠正常，纳可，口干喝水少，大便正常，无腰疼", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "白芍", "茯苓", "泽泻", "猪苓", "桂枝", "地黄", "牡丹皮", "北柴胡", "黄芩片", "丹参", "鸡血藤", "盐蒺藜", "石菖蒲", "蜈蚣"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "黄芩片", "地黄", "酒萸肉", "石菖蒲", "丹参", "鸡血藤", "盐蒺藜", "牛膝", "蜈蚣", "炙淫羊藿", "仙茅", "锁阳", "鹿角霜"], "prev_gap": 13, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 59066, "pid": "P09e6472f568b", "date": "2026-03-24", "sex": "男", "age": 50, "cc": "尿频10余天", "hpi": "尿频，春节期间可同房，最后出现勃起不行，现晨勃少，勃起不坚，尿不尽，夜尿一次，大便不成型，时有排不净，睡眠一般，口气重，口苦，自备他达拉非", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "制远志", "郁金", "麸炒白术", "焦麦芽", "党参片", "蜈蚣", "炙淫羊藿", "仙茅", "熟地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 59067, "pid": "Pdec1f3d0ff03", "date": "2026-03-24", "sex": "男", "age": 39, "cc": "泌尿系结石复查", "hpi": "1周前发现尿红，下午尿频，右侧腰部疼痛不适 大便正常 纳可 眠安", "wm_dx": ["泌尿系结石"], "tcm_dx": [["石淋", "下焦湿热证", "清热利湿"], ["腹痛", "血瘀证", "活血化瘀"], ["石淋", "湿热下注证", "清热利湿"]], "rx": ["甜叶菊叶", "海金沙", "广金钱草", "醋鸡内金", "丹参", "虎杖", "牛膝", "制巴戟天", "仙茅", "炙淫羊藿", "酒苁蓉", "熟地黄", "酒萸肉", "泽泻", "麸炒枳壳", "党参", "炙黄芪", "炙甘草", "瞿麦", "绵萆薢"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59068, "pid": "P5e80805fd514", "date": "2026-03-24", "sex": "男", "age": 71, "cc": "前列腺增生复诊", "hpi": "病史同前，口服盐酸坦索罗辛缓释胶囊服药后头蒙感，淋漓不尽，尿无力，夜尿2-3次。眠差多梦，手脚凉，易汗，夜间口干不苦，反酸呃逆，阴囊潮湿，会阴发胀，腰疼，便调，无勃起，怕冷，有汗，盗汗，吃凉易腹泻，复诊：夜尿1次，睡眠好转，仍尿尿不尽，盗汗，阴囊潮湿，睾丸不适感，复诊：仍尿不尽，余-。勃起略有", "wm_dx": ["前列腺增生"], "tcm_dx": [["痨病", "肾虚证", "补肾固精"], ["癃闭", "肾虚证", "补肾固精"]], "rx": ["桂枝", "茯苓", "泽泻", "滑石", "猪苓", "麸炒白术", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "蜈蚣", "地龙", "炙淫羊藿", "党参片", "石见穿", "黑顺片"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "滑石", "猪苓", "麸炒白术", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "法半夏", "姜厚朴", "炒紫苏子", "蜈蚣", "地龙", "党参片", "炙淫羊藿"], "prev_gap": 7, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 8, "n_rx": 11} {"rid": 59069, "pid": "P3aef33821710", "date": "2026-03-24", "sex": "男", "age": 33, "cc": "腰痛乏力抄方", "hpi": "腰痛乏力，夜寐差，长期熬夜久坐 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["鹿角霜", "菟丝子", "醋五味子", "紫石英", "牡丹皮", "酒萸肉", "醋龟甲", "熟地黄", "人参", "肉桂", "泽泻"], "flags": [], "prev_rx": ["鹿角霜", "菟丝子", "醋五味子", "紫石英", "牡丹皮", "酒萸肉", "醋龟甲", "熟地黄", "人参", "肉桂", "泽泻"], "prev_gap": 47, "visit_ix": 8, "n_visits": 14, "visit_ix_rx": 6, "n_rx": 12} {"rid": 59070, "pid": "P5f2633148151", "date": "2026-03-24", "sex": "男", "age": 27, "cc": "尿频半年", "hpi": "尿频，硬度可，时间逐渐短2-3分钟，性欲一般，睡眠多梦，排尿正常，大便粘，纳可，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["法半夏", "黄芩片", "黄连片", "干姜", "党参片", "炒苦杏仁", "石菖蒲", "盐蒺藜", "金樱子肉", "桑螵蛸", "赤小豆", "白花蛇舌草", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59071, "pid": "P15f3bb7790cb", "date": "2026-03-24", "sex": "男", "age": 42, "cc": "腰疼半月", "hpi": "腰疼，耳鸣，睡眠一般多梦易醒，硬度一般，晨勃少，怕冷，排尿正常，夜尿正常，大便正常，纳可，怕招风，口和", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["葛根", "桂枝", "白芍", "生姜", "大枣", "炒栀子", "淡豆豉", "地黄", "酒萸肉", "煅龙骨", "煅牡蛎", "炙黄芪", "炒酸枣仁", "丹参", "鸡血藤", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59082, "pid": "Pb4c60008f5f7", "date": "2026-03-25", "sex": "男", "age": 68, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿不尽 大便正常 纳可 眠安 尿急 目前服用非那雄胺片 盐酸坦索罗辛缓释胶囊 前列泰治疗前列腺增生 症状改善不明显 今日调整用药", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "陈皮", "薏苡仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59085, "pid": "Pe5a0487cc297", "date": "2026-03-25", "sex": "男", "age": 27, "cc": "阴囊不适2月", "hpi": "阴囊不适2月，腰痛，乏力，盗汗，工作劳累，熬夜，大便可，无明显尿频", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制远志", "川牛膝", "玫瑰花", "盐杜仲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59090, "pid": "P40c60817bc99", "date": "2026-03-25", "sex": "男", "age": 32, "cc": "易汗一月", "hpi": "易汗，排尿正常，大便粘，阴囊潮湿，睡眠一般浅，口干，乏力，注意力不集中，凉的少吃。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["当归", "川芎", "牡丹皮", "白芍", "茯苓", "北柴胡", "黄芩片", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "赤小豆", "白花蛇舌草", "炒苦杏仁", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 59098, "pid": "Pe93c4c75bbe2", "date": "2026-03-25", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，时间下降，硬度可，性欲一般，乏力，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "制水蛭", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59099, "pid": "P46a674184a61", "date": "2026-03-25", "sex": "男", "age": 53, "cc": "失眠半年", "hpi": "睡眠差，失眠，口服左比克隆等未效，手脚发凉，眼花，排尿正常，夜尿1次，大便正常，纳可，口和，性功能减退，乏力，消瘦", "wm_dx": ["失眠"], "tcm_dx": [["失眠", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炒栀子", "淡豆豉", "茯苓", "牛膝", "川芎", "石菖蒲", "郁金", 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"人参", "炒酸枣仁"], "flags": [], "prev_rx": ["黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "黄芪", "知母", "丹参", "盐杜仲", "牛膝", "锁阳", "醋五味子", "菟丝子", "覆盆子", "甘草", "盐车前子", "酒黄精", "北柴胡", "白芍", "麸炒枳实", "人参"], "prev_gap": 80, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59139, "pid": "Pe39549cc84fd", "date": "2026-03-26", "sex": "男", "age": 48, "cc": "腰痛乏力伴勃起不坚3年", "hpi": "3年前出现腰痛乏力伴勃起不坚，口服他达拉非可同房，性欲可，晨勃消失，口干口苦，夜寐差，失眠，无小腹胀痛，射精快，盗汗，胁肋疼痛，易生气，复诊：夜尿3次，尿频。", "wm_dx": ["慢性肾功能不全", "腰痛"], "tcm_dx": [["肾衰病", "肺肾两虚证", "滋补肺肾"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓", "蜈蚣"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓", "佩兰", "麸炒白术"], "prev_gap": 14, "visit_ix": 5, "n_visits": 12, "visit_ix_rx": 5, "n_rx": 10} {"rid": 59143, "pid": "P68810f7631a1", "date": "2026-03-26", "sex": "男", "age": 49, "cc": "腹胀抄方", "hpi": "腹胀抄方 大小便正常 纳可 眠安 冠心病 高血压 失眠取药 病情稳定延长开药", "wm_dx": ["高血压", "失眠", "冠状动脉性心脏病"], "tcm_dx": [["腹胀", "脾胃虚证", "健脾和胃"], ["心痹", "气滞血瘀证", "活血化瘀"]], "rx": ["太子参", "白术", "北沙参", "茯苓", "酒女贞子", "百合", "醋龟甲", "醋鳖甲", "炒酸枣仁", "制远志", "合欢皮", "首乌藤", "葛根", "川芎", "砂仁", "竹茹", "黄连片", "丹参", "郁金", "赤芍", "清半夏", "夏枯草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 5} {"rid": 59144, "pid": "P0a18d3ea42e5", "date": "2026-03-26", "sex": "男", "age": 34, "cc": "汗多3月", "hpi": "汗多3月，盗汗明显，工作熬夜，急躁，口干，二便可，小腹无不适，夜尿0次，眠一般，乏力，腰痛", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59146, "pid": "P3835c51f8718", "date": "2026-03-26", "sex": "男", "age": 42, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿后余沥，尿频，夜尿1次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，工作久坐劳累。", "wm_dx": ["前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "制远志", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59151, "pid": "P1a74f627850f", "date": "2026-03-26", "sex": "男", "age": 47, "cc": "复诊", "hpi": "病史同前。勃起持续时间短，勃起困难，硬度不够，尚能射精。眠改善，盗汗。便调。", "wm_dx": ["失眠"], "tcm_dx": [["精浊", "肝郁肾虚证", "补肾益精"]], "rx": ["首乌藤", "牡蛎", "龙骨", "盐蒺藜", "九香虫", "桂枝", "白芍", "白薇", "黑顺片", "炙甘草", "地龙", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59152, "pid": "P577d82c02f5f", "date": "2026-03-26", "sex": "男", "age": 46, "cc": "盗汗2月", "hpi": "盗汗2月，硬度下降，性欲可，工作熬夜，口干。大便可，眠可，无排尿不畅。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "锁阳", "莲子", "金樱子", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59153, "pid": "P08c859768460", "date": "2026-03-26", "sex": "男", "age": 38, "cc": "腰痛3天", "hpi": "腰痛3天，意外扭伤，活动受限，口干，眠一般，纳可，无排尿不适", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "气血瘀滞证", "活血化瘀"]], "rx": ["熟地黄", "酒萸肉", "山药", "茯苓", "泽泻", "牡丹皮", "桂枝", "盐车前子", "覆盆子", "金樱子肉", "韭菜子", "枸杞子", "酒苁蓉", "鹿角霜", "炙淫羊藿", "甘草片", "盐关黄柏", "牛膝", "砂仁", "三七粉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59158, "pid": "P4f88b6321646", "date": "2026-03-26", "sex": "男", "age": 64, "cc": "尿痛 会阴胀复诊", "hpi": "尿痛 会阴胀改善明显 大便正常 纳可 眠安", "wm_dx": ["前列腺增生", "泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "薏苡仁", "陈皮"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59182, "pid": "Pdf51ad6c073f", "date": "2026-03-27", "sex": "男", "age": 69, "cc": "尿频复诊", "hpi": "尿频 尿急改善 大便正常 纳可 眠差 腰痛乏力 失眠，夜尿2-3次,盗汗 脚心汗多 口苦口干", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "知母", "炒酸枣仁", "丹参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59188, "pid": "Pf8b4b42d01dc", "date": "2026-03-27", "sex": "男", "age": 40, "cc": "尿频一月", "hpi": "尿频，性欲一般，晨勃少，时刻短，近期准备备育 腰痛乏力", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "枸杞子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59196, "pid": "P5dee66eedf30", "date": "2026-03-27", "sex": "男", "age": 26, "cc": "早泄1年", "hpi": "早泄，硬度正常，晨勃可，早泄1-3分钟，两地分居，排尿正常，大便不成型，纳可，睡眠正常，口干，腰酸痛，阴囊潮湿，乏力感", "wm_dx": ["早泄"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "石菖蒲", "盐蒺藜", "牡丹皮", "煅龙骨", "煅牡蛎", "赤小豆", "白花蛇舌草", "甘草片"], "prev_gap": 41, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 59198, "pid": "Pa5f04e7b0abe", "date": "2026-03-27", "sex": "男", "age": 46, "cc": "腰痛伴勃起硬度欠佳复诊", "hpi": "腰痛伴勃起硬度欠佳改善明显，性欲可，口中和，夜寐可，胁肋疼痛，大小便正常，晨勃可 高尿酸血症 痛风取药", "wm_dx": ["高血压", "痛风", "高尿酸血症"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "川牛膝"], "flags": [], "prev_rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "川牛膝"], "prev_gap": 28, "visit_ix": 1, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 9} {"rid": 59199, "pid": "P2d4806c52760", "date": "2026-03-27", "sex": "男", "age": 63, "cc": "尿痛一周余", "hpi": "尿痛一周余 大便正常 纳可 眠差 排尿不畅", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["羌活", "猪苓", "薏苡仁", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59202, "pid": "Pf72b3cd0946f", "date": "2026-03-27", "sex": "男", "age": 73, "cc": "泌尿系感染 前列腺增生复诊", "hpi": "泌尿系感染 前列腺增生复诊取药，伴小腹不适，尿道灼热。大便正常 纳可 眠差", "wm_dx": ["慢性前列腺炎", "前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["淋证", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "羌活", "薏苡仁", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "绵萆薢", "车前草", "白花蛇舌草", "小蓟", "马齿苋"], "prev_gap": 128, "visit_ix": 18, "n_visits": 22, "visit_ix_rx": 1, "n_rx": 5} {"rid": 59209, "pid": "P9a6314d0c56d", "date": "2026-03-28", "sex": "男", "age": 57, "cc": "排尿不畅尿等待8月", "hpi": "8月前出现排尿不畅尿等待，3周前就诊我院脑病科病房，我科会诊予口服盐酸坦索罗辛缓释胶囊、非那雄胺片、前列舒通胶囊症状改善，现出院规律门诊。现夜尿1-2次，口中和，夜寐差,失眠，易醒，勃起不坚，腰痛乏力,心脏支架术后有血栓可能，外院就诊口服华法令片，要求用药一周后复查血常规+凝血五项，3.7号复诊：夜寐差，勃起欠佳，偶有晨勃.3.28复诊：夜寐改善，晨勃少，近期无同房。", "wm_dx": ["前列腺增生", "冠状动脉粥样硬化性心脏病"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["精癃", "肝肾两虚证", "滋补肝肾"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "覆盆子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "韭菜子", "制巴戟天", "锁阳", "全蝎"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "韭菜子", "制巴戟天", "锁阳", "覆盆子", "全蝎"], "prev_gap": 21, "visit_ix": 12, "n_visits": 20, "visit_ix_rx": 5, "n_rx": 9} {"rid": 59210, "pid": "P4db9ceac8e50", "date": "2026-03-28", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力睡眠正常，纳可，二便调，口苦，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["法半夏", "麸炒苍术", "黄芩片", "干姜", "大枣", "党参片", "化橘红", "陈皮", "茯苓", "枸杞子", "菟丝子", "盐车前子", "醋龟甲", "桑螵蛸", "牡蛎", "北柴胡", "山药"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["法半夏", "黄连片", "黄芩片", "干姜", "大枣", "党参片", "化橘红", "陈皮", "茯苓", "枸杞子", "菟丝子", "盐车前子", "醋龟甲", "桑螵蛸", "牡蛎", "北柴胡", "山药"], "prev_gap": 14, "visit_ix": 5, "n_visits": 15, "visit_ix_rx": 5, "n_rx": 15} {"rid": 59217, "pid": "Pd56e7935a0cf", "date": "2026-03-28", "sex": "男", "age": 32, "cc": "睾丸及精索不适2月", "hpi": "2月前出现睾丸及精索不适，尿灼热感", "wm_dx": ["精索静脉曲张", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 59219, "pid": "P742579482370", "date": "2026-03-28", "sex": "男", "age": 29, "cc": "腰痛乏力伴手足冷4年", "hpi": "4年前出现腰痛乏力伴手足冷，勃起可，晨勃可，排尿可，长期熬夜，口干。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "黑顺片", "肉桂", "熟地黄", "酒萸肉", "山药", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59221, "pid": "P7d7e3464903b", "date": "2026-03-28", "sex": "男", "age": 45, "cc": "腰痛怕冷复诊", "hpi": "腰痛怕冷改善 大小便正常 纳可 眠差 乏力 腹胀 腰痛 过敏性鼻炎取药", "wm_dx": ["过敏性鼻炎[变应性鼻炎]"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹胀", "脾虚气滞证", "理气行滞"], ["痹证类病", "气滞血瘀证", "活血化瘀"]], "rx": ["盐补骨脂", "菟丝子", "盐杜仲", "制巴戟天", "肉桂", "麸煨肉豆蔻", "黄连", "牛膝", "知母", "桂枝", "细辛", "山药", "麸炒芡实", "党参", "炙黄芪", "麦冬", "醋五味子", "炒酸枣仁", "石菖蒲", "丹参", "桑椹", "柏子仁", "合欢皮", "川芎"], "flags": [], "prev_rx": ["盐补骨脂", "菟丝子", "盐杜仲", "制巴戟天", "肉桂", "麸煨肉豆蔻", "黄连", "牛膝", "知母", "桂枝", "细辛", "麸炒山药", "麸炒芡实", "党参", "炙黄芪", "麦冬", "醋五味子", "炒酸枣仁", "石菖蒲", "丹参", "桑椹", "柏子仁", "合欢皮"], "prev_gap": 16, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 5, "n_rx": 10} {"rid": 59224, "pid": "P667c57b53f09", "date": "2026-03-28", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "左侧少腹隐痛，左侧睾丸隐痛，耳鸣，排尿可， 大便偏干 发黏 纳一般， 眠中途醒口和。复诊：睾丸隐痛左侧，少腹偶有隐痛", "wm_dx": ["慢性前列腺炎", "静脉曲张", "下肢静脉曲张", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["筋瘤", "气滞血瘀证", "活血止痛"]], "rx": ["桂枝", "白芍", "生姜", "泽泻", "麸炒白术", "干姜", "附片", "制吴茱萸", "当归", "白芷", "川芎", "荔枝核", "地龙", "茯苓", "炙甘草", "炙黄芪"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "当归", "北柴胡", "川芎", "荔枝核", "桃仁", "红花", "茯苓", "炙甘草", "泽泻", "麸炒白术", "干姜", "附片", "炙黄芪"], "prev_gap": 14, "visit_ix": 14, "n_visits": 17, "visit_ix_rx": 9, "n_rx": 12} {"rid": 59225, "pid": "P33ee3b9717fa", "date": "2026-03-28", "sex": "男", "age": 28, "cc": "尿频1年", "hpi": "尿频，硬度下降，中途疲软，时间2-3分钟，晨勃少，排尿尿频，夜尿1-2次，睡眠正常，大便1-2次不成型，纳可，口气重，小腿怕冷，腰疼", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "茯苓", "泽泻", "当归", "川芎", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "地龙", "炙淫羊藿", "仙茅", "黑顺片", "黑芝麻", "炒栀子"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "当归", "川芎", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "地龙", "炙淫羊藿", "仙茅", "黑顺片", "黑芝麻"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 59242, "pid": "P4a1e1e4bff6f", "date": "2026-03-28", "sex": "男", "age": 32, "cc": "尿不尽1月", "hpi": "尿不尽,少腹不适感,胀痛感,腰疼,精液有颗粒,大便正常,纳可,睡眠正常,口苦，怕冷，乏力，腰痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "干姜", "桂枝", "煅龙骨", "煅牡蛎", "生姜", "大枣", "荆芥", "防风", "桑叶", "当归", "川芎", "白芍", "茯苓", "炙淫羊藿"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "滑石", "赤小豆", "白花蛇舌草", "北柴胡", "黄芩片", "燀桃仁", "红花", "石菖蒲", "牛膝", "酒黄精", "炒酸枣仁"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59243, "pid": "P1879eada44aa", "date": "2026-03-28", "sex": "男", "age": 38, "cc": "尿等待3年", "hpi": "3年前出现尿等待，排尿无力，无尿后余沥，尿颜色黄，射精后尿道不适，勃起硬度下降，性欲可，腰痛乏力。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "盐杜仲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59246, "pid": "Pb48adc651d32", "date": "2026-03-28", "sex": "男", "age": 40, "cc": "尿频2月", "hpi": "尿频，肾结石病史，性欲下降，硬度下降，晨勃少，无腹痛，腰酸感，睡眠晚，纳可，大便正常，口和", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "生地黄", "牡丹皮", "山药", "酒萸肉", "石菖蒲", "丹参", "鸡血藤", "牛膝", "广金钱草", "石见穿", "茯苓", "淡竹叶", "醋鸡内金"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59252, "pid": "P4a9097824228", "date": "2026-03-28", "sex": "男", "age": 37, "cc": "尿频一月", "hpi": "体检发现前列腺稍大,尿频正常,睡前尿频,无阴囊潮湿，无腹痛，无腰疼，口干，易早醒", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["滑石", "茯苓", "泽泻", "阿胶珠", "猪苓", "石菖蒲", "赤小豆", "桂枝", "燀桃仁", "红花", "北柴胡", "黄芩片", "地黄", "柏子仁", "秦皮", "黑顺片", "焦山楂"], "flags": [], "prev_rx": ["滑石", "茯苓", "泽泻", "阿胶珠", "猪苓", "石菖蒲", "赤小豆", "桂枝", "燀桃仁", "红花", "北柴胡", "黄芩片", "地黄", "柏子仁", "秦皮", "黑顺片", "焦山楂"], "prev_gap": 7, "visit_ix": 6, "n_visits": 10, "visit_ix_rx": 6, "n_rx": 10} {"rid": 59256, "pid": "P57f9f35373e9", "date": "2026-03-28", "sex": "男", "age": 40, "cc": "尿频一年", "hpi": "尿频，有性欲，硬度差，时间短，晨勃少，大便正常，睡眠可，纳可，口唇干，脚麻，发凉", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "细辛", "当归", "川芎", "茯苓", "泽泻", "牛膝", "蜈蚣", "炙淫羊藿", "丹参", "鸡血藤", "黑顺片", "葛根", "煅龙骨"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "蜈蚣", "党参片", "牛膝", "茯苓", "桂枝", "黑顺片", "制巴戟天", "盐胡芦巴", "金樱子肉"], "prev_gap": 28, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 59258, "pid": "P4485cf173cfd", "date": "2026-03-28", "sex": "男", "age": 35, "cc": "尿频一月", "hpi": "尿频,有过一次硬度不够,尿不尽,基本无晨勃,睡眠一般5点醒,大便2次,纳可,口和", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牛膝", "当归", "川芎", "石菖蒲", "盐蒺藜", "赤小豆", "牡丹皮", "酒萸肉", "丹参", "鸡血藤", "地黄", "蜈蚣", "制巴戟天"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牛膝", "柏子仁", "郁金", "石菖蒲", "盐蒺藜", "赤小豆", "牡丹皮", "酒萸肉", "丹参", "鸡血藤", "地黄", "蜈蚣", "制巴戟天"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 59263, "pid": "Pa19e5068b8a3", "date": "2026-03-28", "sex": "男", "age": 30, "cc": "腰痛2周", "hpi": "2周前出现腰痛，乏力，失眠，纳可，睡前尿频，足汗出伴异味，工作熬夜，12点多睡觉，多梦，记忆力减退，口干，眼干，耳屎多，", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳壳", "枸杞子", "菟丝子", "姜厚朴", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "盐杜仲", "醋香附", "北柴胡", "木香", "酒黄精"], "flags": [], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "石菖蒲"], "prev_gap": 112, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59267, "pid": "Pd4c6a2213876", "date": "2026-03-28", "sex": "男", "age": 36, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，硬度和性欲可，性生活不规律，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["酒苁蓉", "炙淫羊藿", "制巴戟天", "覆盆子", "锁阳", "黄芪", "枸杞子", "黄连片", "诃子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒苁蓉", "炙淫羊藿", "制巴戟天", "覆盆子", "锁阳", "黄芪", "枸杞子", "黄连片", "诃子肉", "制水蛭"], "prev_gap": 132, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59278, "pid": "Pa1a3c7447453", "date": "2026-03-28", "sex": "男", "age": 63, "cc": "尿频尿急6月", "hpi": "6月前出现尿频尿急，排尿不畅，尿等待，夜尿3-4次，小腹胀痛，大便粘，腰痛乏力，勃起欠佳。3.28复诊：阴囊潮湿好转，夜尿多3-4次，近2周无同房，性欲差，11点多睡，大便粘", "wm_dx": ["前列腺增生", "腰痛"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝", "盐补骨脂", "黑顺片", "锁阳"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝"], "prev_gap": 14, "visit_ix": 5, "n_visits": 10, "visit_ix_rx": 2, "n_rx": 5} {"rid": 59289, "pid": "P7eec9706aa99", "date": "2026-03-29", "sex": "男", "age": 40, "cc": "腰酸痛复诊抄方", "hpi": "腰酸痛改善，多汗盗汗改善，动则汗出，手脚出汗，咳嗽有痰白痰，怕冷，排尿尿不尽，色黄，大便正常，纳可，口和，硬度改善。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "炒苦杏仁", "生姜", "大枣", "桑白皮", "浙贝母", "竹茹", "葛根", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "党参片", "滑石", "甘草片", "知母", "防己", "防风", "炙黄芪"], "flags": [], "prev_rx": ["桂枝", "白芍", "炒苦杏仁", "生姜", "大枣", "桑白皮", "浙贝母", "竹茹", "葛根", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "党参片", "滑石", "甘草片", "知母"], "prev_gap": 19, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 6, "n_rx": 7} {"rid": 59290, "pid": "Pc7fe939b6486", "date": "2026-03-29", "sex": "男", "age": 32, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，口干，精液检查：液化不良60分钟液化，畸形精子1%", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["盐杜仲", "肉桂", "麸炒白术", "制远志", "肉苁蓉", "制巴戟天", "太子参", "石菖蒲", "酒萸肉", "盐车前子", "覆盆子", "菟丝子", "熟地黄", "酒大黄", "醋五味子", "韭菜子", "锁阳", "金樱子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59295, "pid": "Pbbecda13150f", "date": "2026-03-29", "sex": "男", "age": 32, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，情绪焦虑，二便调，纳可，眠差易醒，失眠长期熬夜，2点睡，白天无精力，无排尿不畅、尿后余沥，口干，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "黑顺片", "肉桂", "熟地黄", "酒萸肉", "山药", "覆盆子", "枸杞子", "太子参", "桑椹", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "酒白芍", "炙甘草", "麸炒枳实", "盐蒺藜", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "制巴戟天", "红景天", "韭菜子", "白芷", "炒酸枣仁"], "prev_gap": 133, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 59296, "pid": "Pac215dfa9818", "date": "2026-03-29", "sex": "男", "age": 43, "cc": "腰痛乏力4月", "hpi": "4月前出现腰痛乏力，工作压力大，夜寐差，11点入睡，易醒，口干，记忆力减退，下肢乏力，射精快，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["知母", "黄柏", "熟地黄", "生地黄", "酒萸肉", "茯苓", "泽泻", "山药", "麦冬", "锁阳", "牡丹皮", "醋五味子", "金樱子", "黄芪", "人参", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59298, "pid": "P1e4182b4b516", "date": "2026-03-29", "sex": "男", "age": 25, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，睾丸不适，长期熬夜，夜寐差，多梦，口中和，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "金樱子", "盐车前子", "醋五味子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "炙淫羊藿", "炒酸枣仁"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "金樱子", "盐车前子", "醋五味子", "炒酸枣仁"], "prev_gap": 21, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 59301, "pid": "P397ac96e6db7", "date": "2026-03-29", "sex": "男", "age": 52, "cc": "腰痛抄方", "hpi": "腰痛抄方，外院开方", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["菟丝子", "龟甲胶", "酒当归", "北柴胡", "盐杜仲", "沙苑子", "炙黄芪", "丹参", "泽泻", "覆盆子", "麸炒山药", "酒苁蓉", "川牛膝", "制水蛭", "石菖蒲", "茯苓", "炒酸枣仁", "酒白芍", "炙淫羊藿", "韭菜子", "锁阳", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["菟丝子", "龟甲胶", "酒当归", "北柴胡", "盐杜仲", "沙苑子", "炙黄芪", "丹参", "泽泻", "覆盆子", "麸炒山药", "酒苁蓉", "川牛膝", "制水蛭", "石菖蒲", "茯苓", "炒酸枣仁"], "prev_gap": 7, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 5} {"rid": 59310, "pid": "P1e65dc6a2025", "date": "2026-03-29", "sex": "男", "age": 37, "cc": "腰痛乏力3年", "hpi": "腰痛，排尿不畅，尿不尽，阴囊潮湿，伴有早泄 勃起可 晨勃减少 ，大便不成形，睡眠一般，纳可，口和，乏力。射精无力，身冷", "wm_dx": ["腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甘草", "北柴胡", "白芍", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "仙茅", "川芎", "金樱子", "黑顺片", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59314, "pid": "P955c05558172", "date": "2026-03-29", "sex": "男", "age": 27, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期想生育，盗汗，口干，长期熬夜，工作久站，周身燥热", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花", "党参", "麸炒白术"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59319, "pid": "P9582a9097a83", "date": "2026-03-29", "sex": "男", "age": 69, "cc": "排尿不畅2年", "hpi": "2年前出现排尿不畅，夜间加重，尿细尿无力，无小腹胀痛，口中和，夜寐差，夜尿2-3次，腰痛乏力，近期消瘦", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "盐车前子", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "夏枯草", "荔枝核", "黄芪", "人参", "菟丝子", "覆盆子", "党参片", "太子参"], "flags": [], "prev_rx": ["太子参", "猪苓", "桑椹", "枸杞子", "酒黄精", "黄芪"], "prev_gap": 22, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59321, "pid": "P2318d35f49b4", "date": "2026-03-29", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，失眠，盗汗，高尿酸血症取药，大小便正常，纳可", "wm_dx": ["失眠", "腰痛", "高尿酸血症"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["失眠", "肾精亏虚证", "补肾益精"], ["腰痛", "气滞血瘀证", "活血通络"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炒酸枣仁", "菟丝子", "猪苓", "太子参", "川牛膝", "覆盆子", "党参片", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炒酸枣仁", "陈皮", "茯苓", "太子参", "川牛膝"], "prev_gap": 91, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59325, "pid": "Pda89238947d2", "date": "2026-03-29", "sex": "男", "age": 72, "cc": "排尿不畅尿痛2月", "hpi": "2月前出现排尿不畅尿痛，尿道灼热，闻水声尿急、尿分叉、尿滴沥，色黄，夜尿1次，无小腹及会阴不适，纳眠可，大便质粘，口和。腰痛。", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精癃", "膀胱湿热血瘀证", "清热利湿"]], "rx": ["炙淫羊藿", "盐车前子", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "黄芪", "人参", "醋五味子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 59326, "pid": "Pde03445295a3", "date": "2026-03-29", "sex": "男", "age": 33, "cc": "尿频 尿急 排尿不畅一月余", "hpi": "尿频 尿急 排尿不畅一月余 失眠 腰痛 盗汗 急躁 夜尿2-3次，口渴，射精快，眼干涩，夜寐差，易醒", "wm_dx": ["慢性前列腺炎", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肾虚证", "补肾扶元"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子", "醋五味子", "金樱子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59328, "pid": "Pf56293274911", "date": "2026-03-29", "sex": "男", "age": 39, "cc": "复诊", "hpi": "病史同前，无尿频，口干，精液量少，汗不多，无肢冷，便调", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "姜厚朴", "瓜蒌", "醋五味子", "桑叶", "炙甘草"], "flags": [], "prev_rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "姜厚朴", "桑叶", "炙甘草", "瓜蒌", "醋五味子"], "prev_gap": 6, "visit_ix": 10, "n_visits": 18, "visit_ix_rx": 10, "n_rx": 18} {"rid": 59334, "pid": "Pf5db9c22578e", "date": "2026-03-30", "sex": "男", "age": 68, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 感冒4天 咽痛流鼻涕", "wm_dx": ["腰痛", "感冒"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["黑顺片", "茯苓", "干姜", "甘草片", "人参", "三七粉", "天竺黄", "牡蛎", "龙骨", "肉桂", "淡竹叶", "醋五味子", "焦山楂", "焦麦芽", "焦神曲", "枸杞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黑顺片", "茯苓", "干姜", "甘草片", "人参", "三七粉", "天竺黄", "牡蛎", "龙骨", "肉桂", "淡竹叶", "醋五味子"], "prev_gap": 7, "visit_ix": 1, "n_visits": 14, "visit_ix_rx": 1, "n_rx": 14} {"rid": 59335, "pid": "P68b914fe4c55", "date": "2026-03-30", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降稍有改善，性欲可，乏力仍存在，情绪急躁，大便稀，梦多眠差，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "麸炒白术", "黄芪", "石菖蒲", "茯苓", "党参", "制远志", "枸杞子", "盐杜仲", "猪苓", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "麸炒白术", "黄芪", "炒酸枣仁", "石菖蒲", "茯苓", "猪苓", "太子参", "玫瑰花"], "prev_gap": 8, "visit_ix": 1, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 9} {"rid": 59340, "pid": "P971acadcdd69", "date": "2026-03-30", "sex": "男", "age": 45, "cc": "复诊", "hpi": "病史同前，时尿频感，尿不尽，偶有尿急，阴囊潮湿减、仍发凉感，口干，性急。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["白芍", "北柴胡", "麸炒枳实", "盐补骨脂", "盐益智仁", "生石膏", "首乌藤", "炙甘草", "桑螵蛸", "黑顺片"], "flags": [], "prev_rx": ["白芍", "牡蛎", "龙骨", "生石膏", "首乌藤", "炙甘草", "北柴胡", "麸炒枳实", "姜半夏", "姜厚朴"], "prev_gap": 7, "visit_ix": 2, "n_visits": 12, "visit_ix_rx": 2, "n_rx": 10} {"rid": 59343, "pid": "Pcbfd6b1c0f73", "date": "2026-03-30", "sex": "男", "age": 81, "cc": "阴囊潮湿泛红半年", "hpi": "阴囊潮湿泛红半年 无脱皮 大小便正常 纳可 眠差 前列腺增生复诊取药 湿疹取药 排尿不畅 尿不尽", "wm_dx": ["阴囊炎", "前列腺增生", "湿疹"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "茵陈", "白芷", "羌活", "防风", "麸炒薏苡仁", "牛膝", "土茯苓"], "prev_gap": 58, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 59344, "pid": "Pb1afa0f1bb9b", "date": "2026-03-30", "sex": "男", "age": 45, "cc": "复诊", "hpi": "药物治疗3周，有勃起改善，硬度不够。口苦口干，阴囊潮湿减，脚凉，性急，汗不多。眠可，便溏。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "白术", "九香虫", "地龙", "炙甘草", "生石膏", "茯苓"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "龙骨", "石菖蒲", "九香虫", "地龙", "炙甘草", "牡蛎"], "prev_gap": 16, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 59345, "pid": "Pa40e78d37249", "date": "2026-03-30", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "伴有性功能下降一年 阳痿早泄 大小便正常 纳可 眠安 高血压口服硝苯地平和替米沙坦控制 长期夜班 盗汗 乏力疲劳", "wm_dx": ["高血压"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 59346, "pid": "Pa9e2c57d5ff3", "date": "2026-03-30", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "腰痛、小腹发热、尿频，症起半年，无腰痛。未曾就诊。无尿痛。脚凉，汗不多。纳可寐安。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"], ["积滞", "肾虚证", "补肾固精"]], "rx": ["黑顺片", "桑螵蛸", "盐益智仁", "盐补骨脂", "桑寄生", "独活", "肉桂", "白芍", "炙甘草", "乌药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 59350, "pid": "P871e3da0ce2e", "date": "2026-03-30", "sex": "男", "age": 40, "cc": "复诊", "hpi": "病史见前。查精液。腹胀、怕冷、反酸，便干，牙龈肿，汗不多", "wm_dx": ["尿道炎"], "tcm_dx": [["淋证", "湿热下注证", "清热利湿"], ["淋证", "下焦湿热证", "清热利湿"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "黄连片", "干姜", "大黄", "陈皮", "炙甘草", "焦神曲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59352, "pid": "P354dae9156be", "date": "2026-03-30", "sex": "男", "age": 53, "cc": "勃起功能差5年", "hpi": "勃起困难5年余，夜间勃起极少，偶有 勃起硬度不够。口干不著、汗不多、手脚热、便调、眠可。", "wm_dx": ["糖尿病", "男性勃起障碍"], "tcm_dx": [["消渴类病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "地龙", "生石膏", "桑椹", "桑寄生", "蜜桑白皮", "桑叶", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59354, "pid": "P35470141e1e5", "date": "2026-03-30", "sex": "男", "age": 45, "cc": "腰痛半年", "hpi": "伴有勃起不坚一年 性欲下降，时间短，晨勃无，大便不成型，纳可，眠差入睡困难，尿频，尿急，口渴，喝水不多，无怕冷，既往口服他达拉非效果不明显", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["太子参", "陈皮", "麸炒山药", "酒黄精", "猪苓"], "flags": [], "prev_rx": ["猪苓", "山慈菇"], "prev_gap": 194, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59358, "pid": "P887e2b1d7e0e", "date": "2026-03-30", "sex": "男", "age": 37, "cc": "腰酸一年", "hpi": "勃起困难、硬度不够，性生活一次每周。腰酸，尿频不甚，尿不尽。口干、汗不多。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"], ["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "酒萸肉", "牛膝", "九香虫", "地龙", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59362, "pid": "P9caeb70dee6f", "date": "2026-03-30", "sex": "男", "age": 29, "cc": "阴囊红斑一月余", "hpi": "阴囊红斑一月余 伴有刺痒 大小便正常 纳可 眠安", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "百部", "白花蛇舌草", "金银花", "蒲公英", "白芷", "蛇床子", "地肤子", "黄连", "栀子", "防风", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59363, "pid": "P7134f54352ae", "date": "2026-03-30", "sex": "男", "age": 51, "cc": "复诊", "hpi": "病史同前，盗汗，怕冷，晨勃可，硬度一般，时间短，夜尿2-3次，无尿等待，无阴囊潮湿，腰疼，睡眠可，便溏，口干。", "wm_dx": ["尿频"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝养血"], ["精浊", "肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "生石膏", "烫狗脊", "独活", "九香虫", "地龙", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "煅龙骨", "煅牡蛎", "蜈蚣", "鹿角霜", "炙淫羊藿", "仙茅", "丹参", "鸡血藤", "党参片"], "prev_gap": 16, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 59366, "pid": "P827847949ae1", "date": "2026-03-30", "sex": "男", "age": 51, "cc": "腰酸一年", "hpi": "勃起持续时间短，勃起可，硬度一般，腰酸、脚热易汗，无口干，口中异味，夜尿一次。眠可", "wm_dx": ["代谢综合征"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "姜半夏", "陈皮", "焦神曲", "地龙", "九香虫", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 8} {"rid": 59369, "pid": "P9957380bd8cd", "date": "2026-03-30", "sex": "男", "age": 80, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊取药 尿急 尿频 大便正常 纳可 眠安 口干口苦 包皮龟头炎一月余", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59370, "pid": "Paa98c5bca27d", "date": "2026-03-30", "sex": "男", "age": 33, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余 大小便正常 纳可 眠安 腰痛 乏力", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", 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"visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59401, "pid": "P54929786119d", "date": "2026-03-31", "sex": "男", "age": 32, "cc": "早泄2年", "hpi": "早泄2年 勃起可 大小便正常 纳可 失眠 乏力疲劳腰痛", "wm_dx": ["早泄"], "tcm_dx": [["房事早泄", "肾虚证", "补肾扶元"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "炒僵蚕"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 59404, "pid": "Pb75ff39a8243", "date": "2026-03-31", "sex": "男", "age": 27, "cc": "腰痛复诊", "hpi": "腰痛改善，中途疲软，性欲强，乏力，工作熬夜，二便调，眠一般，无排尿不畅、尿后余沥，口干，盗汗 乏力", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁", "丹参", "桑椹", "制何首乌", "麸炒白术", "麸炒薏苡仁", "泽泻", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁"], "prev_gap": 26, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59405, "pid": "P7cf31553c491", "date": "2026-03-31", "sex": "男", "age": 27, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力复诊，长期熬夜，口中和，胁肋疼痛，眠差，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "黄芪"], "prev_gap": 75, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59406, "pid": "Pd7df7faae039", "date": "2026-03-31", "sex": "男", "age": 23, "cc": "左侧小腹不适疼痛1月", "hpi": "左侧小腹不适疼痛1月，压痛，工作久站，熬夜，口干，盗汗，尿频，腰痛，眠差。", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "山药", "绵萆薢", "石菖蒲", "盐黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "橘络", "烫水蛭", "炒酸枣仁", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59408, "pid": "Pd06176fcc4b4", "date": "2026-03-31", "sex": "男", "age": 27, "cc": "性功能减退5-6年", "hpi": "性欲强，硬度不坚，时有不能同房，时有尿急，时有泡沫尿，夜尿一次，睡眠不规律，大便正常，时有先干后稀，纳可，时有口气重，怕冷，乏力，腰疼,复诊：勃起可，时间短10分钟，复诊：第二次硬度不够", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["房事阳痿", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "麸炒白术", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "炙淫羊藿", "茯苓", "制巴戟天", "川芎", "牡丹皮", "乌药", "细辛"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "炒栀子", "淡豆豉", "麸炒白术", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "炙淫羊藿", "茯苓", "制巴戟天", "熟地黄", "绵萆薢"], "prev_gap": 7, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 59409, "pid": "P5e80805fd514", "date": "2026-03-31", "sex": "男", "age": 71, "cc": "前列腺增生复诊", "hpi": "病史同前，口服盐酸坦索罗辛缓释胶囊服药后头蒙感，淋漓不尽，尿无力，夜尿2-3次。眠差多梦，手脚凉，易汗，夜间口干不苦，反酸呃逆，阴囊潮湿，会阴发胀，腰疼，便调，无勃起，怕冷，有汗，盗汗，吃凉易腹泻，复诊：夜尿1次，睡眠好转，仍尿尿不尽，盗汗，阴囊潮湿，睾丸不适感，复诊：仍尿不尽，余-。勃起略有", "wm_dx": ["前列腺增生"], "tcm_dx": [["痨病", "肾虚证", "补肾固精"], ["癃闭", "肾虚证", "补肾固精"]], "rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "蜈蚣", "炙黄芪", "炙淫羊藿", "仙茅", "炒酸枣仁"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "滑石", "猪苓", "麸炒白术", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "蜈蚣", "地龙", "炙淫羊藿", "党参片", "石见穿", "黑顺片"], "prev_gap": 7, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 9, "n_rx": 11} {"rid": 59424, "pid": "Pb75956d0a811", "date": "2026-04-01", "sex": "男", "age": 76, "cc": "尿痛一周余", "hpi": "尿痛一周余，排尿困难改善，大便正常，纳可，眠改善，夜尿3次。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川牛膝", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "薏苡仁", "茯苓", "麸炒芡实"], "prev_gap": 27, "visit_ix": 2, "n_visits": 10, "visit_ix_rx": 2, "n_rx": 8} {"rid": 59426, "pid": "Pcd358be0fc7e", "date": "2026-04-01", "sex": "男", "age": 34, "cc": "尿频一年", "hpi": "尿频，硬度一般，时有中途疲软，近期准备生育，排尿尿不尽，阴囊潮湿，无腹痛，无腰疼，大便不成型粘，纳可，睡眠正常，口和，无怕冷，怕热，口服金戈有效果，现效果不明显", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾阳虚水泛证", "温阳利水"]], "rx": ["桂枝", "茯苓", "泽泻", "当归", "川芎", "牡丹皮", "麸炒白术", "干姜", "黑顺片", "炙淫羊藿", "乌药", "细辛", "熟地黄", "丹参", "鸡血藤", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59427, "pid": "Pe43f1726aeaa", "date": "2026-04-01", "sex": "男", "age": 40, "cc": "尿频2周", "hpi": "尿频2周，工作劳累可，口和，乏力，大便可，抽烟饮酒，眠可打鼾，盗汗，腰痛", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "石菖蒲", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59430, "pid": "Pa11c087ec69b", "date": "2026-04-01", "sex": "男", "age": 42, "cc": "尿频2月", "hpi": "尿频，近2月出现勃起不能，既往口服他达拉非，有效不明显，无晨勃，尿不尽，无阴囊潮湿，腰酸痛，无腹痛，睡眠正常，纳可，大便2-4次，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "北柴胡", "白芍", "牡丹皮", "麸炒枳实", "北沙参", "当归尾", "川芎", "石菖蒲", "茵陈", "丹参", "鸡血藤", "蜈蚣", "赤小豆", "白花蛇舌草", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 7} {"rid": 59432, "pid": "P4b742a86f018", "date": "2026-04-01", "sex": "男", "age": 44, "cc": "血尿3天", "hpi": "血尿3天，伴左侧小腹疼痛，无明显尿痛、尿道灼热，尿频，口和，盗汗，工作久坐", "wm_dx": ["前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["石淋", "湿热下注证", "清热利湿"]], "rx": ["广金钱草", "麸炒薏苡仁", "麸炒白术", "猪苓", "太子参", "牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59433, "pid": "P9d181c45e245", "date": "2026-04-01", "sex": "男", "age": 38, "cc": "尿频5-6年", "hpi": "尿频，婚后一直未成功性生活，刚开始能硬，同房即疲软，但晨勃明显，排尿正常，夜尿正常，大便正常，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "炙淫羊藿", "郁金", "牛膝", "丝瓜络"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 59434, "pid": "P6e014784b3cf", "date": "2026-04-01", "sex": "男", "age": 43, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。用药期间症状消失，停药后症状反复。脚气病。", "wm_dx": ["前列腺炎", "包皮龟头炎", "真菌感染"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59436, "pid": "Pdfa1c78fa89f", "date": "2026-04-01", "sex": "男", "age": 45, "cc": "乏力腰痛半年", "hpi": "伴有早泄 中途疲软 晨勃少 性欲正常 纳可 排尿正常 大便正常 失眠 口和 无怕冷", "wm_dx": ["腰痛", "高血压", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 59438, "pid": "P309da786482d", "date": "2026-04-01", "sex": "男", "age": 66, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "黄芪", "鸡血藤"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59439, "pid": "P992316b5d7ca", "date": "2026-04-01", "sex": "男", "age": 36, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，稍有水肿，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。脚气病。", "wm_dx": ["包皮龟头炎", "真菌感染"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "猪苓", "太子参", "玫瑰花"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59444, "pid": "P07a63e4530eb", "date": "2026-04-01", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，盗汗，硬度、性欲下降", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59448, "pid": "P46a674184a61", "date": "2026-04-01", "sex": "男", "age": 53, "cc": "失眠半年", "hpi": "睡眠差，失眠，口服左比克隆等未效，手脚发凉，眼花，排尿正常，夜尿1次，大便正常，纳可，口和，性功能减退，乏力，消瘦，怕冷，头晕，头痛", "wm_dx": ["失眠", "焦虑状态"], "tcm_dx": [["失眠", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炒栀子", "淡豆豉", "茯苓", "牛膝", "川芎", "石菖蒲", "郁金", "煅龙骨", "煅牡蛎", "地黄", "北柴胡", "麸炒枳实", "白芍", "黑顺片", "砂仁", "干姜"], "flags": [], "prev_rx": ["炒栀子", "淡豆豉", "茯苓", "牛膝", "川芎", "石菖蒲", "郁金", "煅龙骨", "煅牡蛎", "地黄", "北柴胡", "麸炒枳实", "白芍"], "prev_gap": 7, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 59451, "pid": "P3146fb7bbb65", "date": "2026-04-01", "sex": "男", "age": 59, "cc": "排尿困难一周余", "hpi": "排尿困难一周余 便秘 纳可 失眠 无发热 口苦口干 急诊导尿", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59454, "pid": "P51e56e9f6aea", "date": "2026-04-01", "sex": "男", "age": 42, "cc": "少腹隐痛1月", "hpi": "少腹坠痛感，排尿尿频，时有腰酸痛，纳可，睡眠多梦，思虑多，口干口苦，乏力感，怕冷怕热，阴囊潮湿。复诊：症状好转，腹痛消失，乏力，口苦阴囊潮湿好转，仍多梦", "wm_dx": ["慢性前列腺炎", "腹痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "炒栀子", "牡蛎", "煅龙骨", "赤小豆", "黄芩片", "白芍", "牡丹皮", "茯苓", "猪苓", "党参片", "炙黄芪", "大枣", "姜厚朴", "焦山楂"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "炒栀子", "牡蛎", "煅龙骨", "赤小豆", "黄芩片", "燀桃仁", "白芍", "牡丹皮", "茯苓", "猪苓", "党参片", "炙黄芪", "大枣"], "prev_gap": 7, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 59458, "pid": "Pfb96a5775b38", "date": "2026-04-01", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干口苦，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "牡丹皮", "北沙参", "牛膝", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "酒黄精", "麦冬", "党参片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "prev_gap": 11, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 59459, "pid": "P1695c62a2e08", "date": "2026-04-01", "sex": "男", "age": 28, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，性欲可，工作压力大，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["金樱子肉", "锁阳", "莲子", "醋五味子", "猪苓", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59465, "pid": "P4c5504602644", "date": "2026-04-02", "sex": "男", "age": 40, "cc": "尿频3周", "hpi": "尿频3周，小腹及会阴刺痛，压力大，性欲可，稍有焦虑，夜尿0-1次。无明显尿等待，无明显排尿不畅。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["失眠", "湿热证", "清热利湿"]], "rx": ["熟地黄", "山药", "牡丹皮", "酒萸肉", "泽泻", "肉桂", "细辛", "当归", "通草", "茵陈", "炒栀子", "炙甘草", "葛根", "鸡血藤", "橘络", "炒酸枣仁", "石菖蒲", "麸炒白术", "醋延胡索", "佩兰", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["熟地黄", "山药", "牡丹皮", "酒萸肉", "茯苓", "泽泻", "肉桂", "细辛", "当归", "通草", "茵陈", "炒栀子", "炙甘草", "葛根", "鸡血藤", "橘络", "炒酸枣仁", "石菖蒲"], "prev_gap": 22, "visit_ix": 7, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 5} {"rid": 59468, "pid": "Pf0564af9d36c", "date": "2026-04-02", "sex": "男", "age": 37, "cc": "尿急1年", "hpi": "尿急1年，怕冷，尿频，无小腹及会阴不适，夜尿0-1次，睡眠可，大便稀，口干，盗汗，工作不久坐，腰痛", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "制水蛭", "莲须", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59481, "pid": "P8647a5a7a31e", "date": "2026-04-02", "sex": "男", "age": 45, "cc": "腰痛乏力 盗汗复诊", "hpi": "尿频尿急改善 大便正常 纳可 眠安 腰痛 乏力改善 少腹隐痛 盗汗 病情稳定延长开药", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "人参", "山药", "白术", "盐补骨脂", "酒黄精", "韭菜子", "酒萸肉", "知母", "醋龟甲", "盐黄柏", "覆盆子", "酒女贞子", "菟丝子", "制巴戟天", "仙茅", "炙淫羊藿", "麸炒枳壳", "炙黄芪", "醋五味子", "麦冬", "陈皮", "石菖蒲", "炙甘草"], "flags": [], "prev_rx": ["甜叶菊叶", "人参", "山药", "白术", "盐补骨脂", "酒黄精", "韭菜子", "酒萸肉", "知母", "醋龟甲", "盐黄柏", "覆盆子", "酒女贞子", "菟丝子", "制巴戟天", "仙茅", "炙淫羊藿", "麸炒枳壳", "炙黄芪", "醋五味子", "麦冬", "陈皮", "石菖蒲", "炙甘草"], "prev_gap": 19, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 59498, "pid": "Pbad7c0dac91c", "date": "2026-04-02", "sex": "男", "age": 41, "cc": "右侧下腹疼痛1周", "hpi": "右侧下腹疼痛1周，无明显尿频、尿急、排尿不畅，睡眠一般，口干，盗汗", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "橘络", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59504, "pid": "P6c9604371974", "date": "2026-04-02", "sex": "男", "age": 31, "cc": "血精数次", "hpi": "血精数次，无明显射精疼痛，暗红色。无明显尿频、尿痛、排尿不畅。盗汗，腹痛。", "wm_dx": ["血精", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["猪苓", "炒酸枣仁", "太子参", "石菖蒲"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59509, "pid": "P8f1accab3087", "date": "2026-04-03", "sex": "男", "age": 43, "cc": "尿频一月", "hpi": "尿频，尿不尽，试管2次未成功，既往检查精液2.49%，排尿正常，大便不成型，肠镜-，睡眠正常，纳可，口干，腰痛，近期乏力，体重下降，怕冷，复诊：左侧后脚跟疼痛，复诊：足部疼痛消失，现大便粘\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n5", "wm_dx": ["乏力", "腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "猪苓", "枸杞子", "菟丝子", "酒黄精", "盐车前子", "牡蛎", "赤小豆", "生姜", "醋龟甲", "姜厚朴", "黑顺片", "丹参"], "flags": [], "prev_rx": ["桂枝", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "猪苓", "枸杞子", "菟丝子", "酒黄精", "盐车前子", "牡蛎", "赤小豆", "生姜", "醋龟甲", "羌活", "丹参", "黑顺片"], "prev_gap": 14, "visit_ix": 6, "n_visits": 10, "visit_ix_rx": 6, "n_rx": 10} {"rid": 59517, "pid": "P040d3446d5a0", "date": "2026-04-03", "sex": "男", "age": 28, "cc": "尿频2周", "hpi": "尿频2周，体检发现前列腺囊肿可能0.9*1cm，夜尿1次，工作久坐，压力大。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川牛膝", "炒酸枣仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59520, "pid": "P971acadcdd69", "date": "2026-04-03", "sex": "男", "age": 45, "cc": "复诊", "hpi": "病史同前，时尿频感，尿不尽，偶有尿急，阴囊潮湿减、仍发凉感，口干，性急。近期消瘦明显", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["白芍", "北柴胡", "麸炒枳实", "盐补骨脂", "盐益智仁", "桑螵蛸", "生石膏", "黑顺片", "首乌藤", "炙甘草"], "flags": [], "prev_rx": ["白芍", "北柴胡", "麸炒枳实", "盐补骨脂", "盐益智仁", "生石膏", "首乌藤", "炙甘草", "桑螵蛸", "黑顺片"], "prev_gap": 4, "visit_ix": 3, "n_visits": 12, "visit_ix_rx": 3, "n_rx": 10} {"rid": 59522, "pid": "Pd0cb592ce35f", "date": "2026-04-03", "sex": "男", "age": 26, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠改善，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作劳累，盗汗。昨天腰扭伤，药后症状改善，停药后反复。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "莲子", "锁阳", "金樱子肉", "诃子肉", "煅龙骨", "煅牡蛎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "莲子", "锁阳"], "prev_gap": 134, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 4} {"rid": 59523, "pid": "P4ade17829449", "date": "2026-04-03", "sex": "男", "age": 37, "cc": "腰痛抄方", "hpi": "腰痛，有效，抄原方", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["醋青皮", "陈皮", "赤芍", "白芍", "麸炒白术", "茯苓", "醋鸡内金", "豆蔻", "黄芩片", "黄连片", "生石膏", "泽泻", "天麻", "钩藤", "川楝子", "北柴胡", "郁金", "醋香附", "盐杜仲", "牛膝", "莲子心", "淡竹叶", "荷叶", "荆芥穗"], "flags": [], "prev_rx": ["醋青皮", "陈皮", "赤芍", "白芍", "麸炒白术", "茯苓", "醋鸡内金", "豆蔻", "酒黄芩", "黄连片", "生石膏", "泽泻", "盐杜仲", "牛膝", "烫狗脊", "仙茅", "炙淫羊藿", "锁阳", "肉桂", "干姜", "盐小茴香", "荔枝核", "丁香", "煅阳起石"], "prev_gap": 22, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 59527, "pid": "P7c438a1d3841", "date": "2026-04-03", "sex": "男", "age": 44, "cc": "乏力一周", "hpi": "乏力，既往肿瘤标志物高，癌标高，尿频，尿急，手发凉，无腹痛，腰酸疼，纳可，吃生冷胃疼易腹泻，大便不成型，睡眠一般，口和，怕冷，鼻塞流涕", "wm_dx": ["过敏性鼻炎[变应性鼻炎]", "慢性前列腺炎"], "tcm_dx": [["虚劳类病", "脾肾阳虚证", "补肾扶元"]], "rx": ["桂枝", "党参", "干姜", "制吴茱萸", "当归", "细辛", "通草", "川芎", "桃仁", "红花", "炙淫羊藿", "附片", "北柴胡", "熟地黄", "麸炒白术", "泽泻", "荆芥"], "flags": [], "prev_rx": ["桂枝", "党参", "干姜", "制吴茱萸", "当归", "细辛", "通草", "川芎", "桃仁", "红花", "炙淫羊藿", "附片", "茯苓", "熟地黄", "北柴胡", "麸炒白术"], "prev_gap": 13, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 6} {"rid": 59530, "pid": "P3aef33821710", "date": "2026-04-03", "sex": "男", "age": 33, "cc": "腰痛乏力抄方", "hpi": "腰痛乏力，夜寐差，长期熬夜久坐 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["鹿角霜", "菟丝子", "醋五味子", "紫石英", "牡丹皮", "酒萸肉", "醋龟甲", "熟地黄", "人参", "肉桂", "泽泻"], "flags": [], "prev_rx": ["鹿角霜", "菟丝子", "醋五味子", "紫石英", "牡丹皮", "酒萸肉", "醋龟甲", "熟地黄", "人参", "肉桂", "泽泻"], "prev_gap": 10, "visit_ix": 9, "n_visits": 14, "visit_ix_rx": 7, "n_rx": 12} {"rid": 59531, "pid": "P1dcd6ed9f44e", "date": "2026-04-03", "sex": "男", "age": 62, "cc": "手脚冰凉6年", "hpi": "手脚发凉，腰部肌肉酸痛，腿抽筋，左侧小腿肌肉胀痛，大便干一天一次，口服麻仁润肠丸，排尿正常，纳可，不能吃生冷，睡眠正常，口和，复诊：胃口好转，大便色黑，腿抽筋消失。尿频，复诊：大便正常。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["便秘", "湿热蕴结证", "润燥通便"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓", "酒黄精"], "flags": [], "prev_rx": ["桂枝", "当归", "细辛", "白芍", "小通草", "北柴胡", "麸炒枳实", "川芎", "麸炒白术", "茯苓", "干姜", "砂仁", "黑顺片", "制巴戟天", "地黄", "酒苁蓉"], "prev_gap": 13, "visit_ix": 4, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 9} {"rid": 59535, "pid": "Pc6f6874e7652", "date": "2026-04-03", "sex": "男", "age": 45, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作劳累，二便调，眠差，无排尿不畅、尿后余沥，口干，怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "川牛膝", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59539, "pid": "Pc3717224857b", "date": "2026-04-03", "sex": "男", "age": 62, "cc": "阴囊潮湿1月", "hpi": "阴囊潮湿1月，无明显排尿不畅，夜尿1次，眠一般，易醒，梦不多，大便可，乏力，口干", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["熟地黄", "菟丝子", "醋莪术", "川牛膝", "制水蛭", "盐关黄柏", "黄芪", "山药", "浙贝母", "泽泻", "桔梗", "酒萸肉", "麸炒薏苡仁", "乌药", "白果仁", "炒酸枣仁", "酒黄精", "麸炒白术", "制远志", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59548, "pid": "Pa24285de21cf", "date": "2026-04-04", "sex": "男", "age": 26, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，工作劳累，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒萸肉", "制巴戟天", "太子参", "知母", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "莲须", "诃子肉", "人参", "知母"], "prev_gap": 14, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 59549, "pid": "Pe2730ec47848", "date": "2026-04-04", "sex": "男", "age": 54, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，晨勃消失，性欲减退，口中和，长期熬夜。3.8复诊：偶有晨勃，无同房，3.21复诊：服药后晨勃每日有，排气多，无同房，性欲稍有恢复。4.4复诊：晨勃可，勃起硬度欠佳，可同房，近2周同房2次。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "人参", "黄芪", "酒黄精", "炒栀子"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "锁阳", "人参", "黄芪", "酒黄精"], "prev_gap": 14, "visit_ix": 7, "n_visits": 20, "visit_ix_rx": 3, "n_rx": 12} {"rid": 59554, "pid": "P693fe8289601", "date": "2026-04-04", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不，精索静脉曲张，盗汗，工作劳累。药后症状改善。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒黄精", "酒女贞子", "墨旱莲", "防风", "麸炒白术", "茯苓", "枸杞子", "白芍", "醋五味子", "金樱子肉", "韭菜子", "制巴戟天", "沙苑子", "桑椹", "菟丝子", "麸炒芡实", "黄芪", "熟地黄", "炒酸枣仁", "盐益智仁", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒黄精", "酒女贞子", "墨旱莲", "防风", "麸炒白术", "茯苓", "枸杞子", "白芍", "醋五味子", "金樱子肉", "韭菜子", "制巴戟天", "沙苑子", "桑椹", "菟丝子", "麸炒芡实", "黄芪", "熟地黄"], "prev_gap": 14, "visit_ix": 1, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 7} {"rid": 59557, "pid": "Pa8a6892e5c49", "date": "2026-04-04", "sex": "男", "age": 63, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制巴戟天", "川牛膝", "太子参", "猪苓", "炒酸枣仁", "丹参", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "川牛膝", "太子参", "猪苓"], "prev_gap": 16, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59564, "pid": "Pb6037c4aafe0", "date": "2026-04-04", "sex": "男", "age": 35, "cc": "腰痛乏力伴射精快3月", "hpi": "3月前出现腰痛乏力伴射精快，勃起欠佳，下肢乏力，龟头红疹.3.21复诊：腰痛下肢乏力好转，勃起可，中途疲软，敏感度好转，易生气，胁肋疼痛。4.4复诊：勃起明显好转，中途疲软好转，射精快好转，下肢乏力好转，偶有左侧大腿外侧酸痛不适。", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["知母", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "盐杜仲", "续断", "酒黄精", "金樱子", "制巴戟天", "韭菜子"], "flags": [], "prev_rx": ["知母", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "盐杜仲", "续断", "酒黄精", "金樱子", "制巴戟天", "韭菜子"], "prev_gap": 14, "visit_ix": 6, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 8} {"rid": 59567, "pid": "Pa1ad3a772060", "date": "2026-04-04", "sex": "男", "age": 28, "cc": "尿频复诊", "hpi": "腰痛3月，乏力，失眠，尿频，大便正常 纳可 眠安", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "羌活", "薏苡仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59571, "pid": "P4ebc6dd671a5", "date": "2026-04-04", "sex": "男", "age": 26, "cc": "腰痛半年", "hpi": "腰痛半年 伴有勃起不坚 早泄 大小便正常 纳可 眠安 中途疲软 性欲下降 脾气暴躁", "wm_dx": 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"炒蒺藜", "当归", "盐补骨脂", "韭菜子", "醋五味子", "炙淫羊藿"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "金樱子", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "醋五味子", "锁阳"], "prev_gap": 14, "visit_ix": 7, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 5} {"rid": 59577, "pid": "P33c170d3bebe", "date": "2026-04-04", "sex": "男", "age": 30, "cc": "右侧睾丸疼痛一月余", "hpi": "右侧睾丸疼痛一月余 大小便正常 纳可 眠安 盗汗 腰酸痛 少腹隐痛", "wm_dx": ["附睾囊肿"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["知母", "酒萸肉", "制巴戟天", "太子参", "覆盆子", "菟丝子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59579, "pid": "P7c8e8fa47f8f", "date": "2026-04-04", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗,阴囊潮湿", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "炒酸枣仁", "丹参", "知母", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "炒酸枣仁", "烫水蛭"], "prev_gap": 13, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 59581, "pid": "P66d9ee53a36e", "date": "2026-04-04", "sex": "男", "age": 30, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力，盗汗。倒班工作，无其他不适 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "覆盆子", "菟丝子", "党参", "酒黄精", "盐补骨脂", "麸炒枳壳", "盐车前子", "枸杞子", "炙甘草", "醋五味子", "石斛"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "枸杞子", "醋五味子", "盐车前子", "菟丝子", "醋龟甲", "醋鳖甲", "醋鸡内金", "酒黄精", "麸炒冬瓜子", "地肤子", "金樱子肉", "覆盆子", "沙苑子"], "prev_gap": 21, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 6} {"rid": 59588, "pid": "P8a280e79f28a", "date": "2026-04-04", "sex": "男", "age": 42, "cc": "尿频乏力腰痛半年", "hpi": "尿频乏力腰痛半年 大便正常 纳可 眠安 感冒3天 流鼻涕 咽干", "wm_dx": ["感冒", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "薏苡仁", "猪苓", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "陈皮"], "prev_gap": 21, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 59589, "pid": "Peb03667cce7c", "date": "2026-04-04", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛 大小便正常 纳可 眠安 乏力 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "覆盆子", "菟丝子", "熟地黄", "酒萸肉", "酒女贞子", "麸炒枳壳", "党参", "炙黄芪", "炒酸枣仁", "知母", "合欢花", "合欢皮", "炙甘草", "石菖蒲", "制远志"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59601, "pid": "P4cab03295cbf", "date": "2026-04-04", "sex": "男", "age": 24, "cc": "腰痛乏力多汗复诊", "hpi": "多汗改善，排尿正常，大便正常 手淫多 腰痛 乏力改善", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["菟丝子", "覆盆子", "制巴戟天", "太子参", "枸杞子"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "龙骨", "牡蛎", "白芍", "地黄", "酒女贞子", "醋五味子", "穿山龙", "首乌藤", "干姜", "大枣", "麸炒芡实", "桑枝", "鬼箭羽"], "prev_gap": 33, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 3} {"rid": 59603, "pid": "P52987894f15a", "date": "2026-04-04", "sex": "男", "age": 50, "cc": "腰痛乏力伴勃起不坚复诊", "hpi": "1年前出现腰痛乏力伴勃起不坚，中途疲软，晨勃可，性欲可，口干口苦，夜寐可，外院：诊断：男性性腺功能低下，予十一酸睾酮+他达拉非，现症状缓解，胁肋疼痛，易生气", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "太子参", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59609, "pid": "P7d7e3464903b", "date": "2026-04-05", "sex": "男", "age": 45, "cc": "腰痛怕冷复诊", "hpi": "腰痛怕冷改善 大小便正常 纳可 眠差 乏力 腹胀 腰痛 过敏性鼻炎取药", "wm_dx": ["过敏性鼻炎[变应性鼻炎]"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹胀", "脾虚气滞证", "理气行滞"], ["痹证类病", "气滞血瘀证", "活血化瘀"]], "rx": ["盐补骨脂", "菟丝子", "酒苁蓉", "制巴戟天", "肉桂", "制何首乌", "黄连", "牛膝", "知母", "当归", "山药", "麸炒芡实", "党参", "炙黄芪", "麦冬", "醋五味子", "炒酸枣仁", "石菖蒲", "丹参", "川芎", "桑椹", "柏子仁", "石斛", "麸炒苍术"], "flags": [], "prev_rx": ["盐补骨脂", "菟丝子", "盐杜仲", "制巴戟天", "肉桂", "麸煨肉豆蔻", "黄连", "牛膝", "知母", "桂枝", "细辛", "山药", "麸炒芡实", "党参", "炙黄芪", "麦冬", "醋五味子", "炒酸枣仁", "石菖蒲", "丹参", "桑椹", "柏子仁", "合欢皮", "川芎"], "prev_gap": 8, "visit_ix": 7, "n_visits": 11, "visit_ix_rx": 6, "n_rx": 10} {"rid": 59610, "pid": "Pf8328ec0e537", "date": "2026-04-05", "sex": "男", "age": 40, "cc": "尿频2月", "hpi": "自觉勃起困难感2月，硬度不够，射精，持续时间短。易汗无肢冷，无疲劳。纳可眠安 胁痛", "wm_dx": ["高尿酸血症"], "tcm_dx": [["精浊", "肾虚证", "补肾扶元"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "菟丝子", "麸炒山药", "炒酸枣仁"], "flags": [], "prev_rx": ["甜叶菊叶", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "麸炒枳壳", "石菖蒲", "川楝子", "醋香附", "蛇床子", "韭菜子", "菟丝子", "麸炒苍术", "制巴戟天", "仙茅", "炙淫羊藿", "地龙", "防风", "白芷", "白术", "黄芪", "茯苓"], "prev_gap": 27, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59619, "pid": "Pfa2ed6f82501", "date": "2026-04-05", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有性功能下降 大小便正常 纳可 眠安 中途疲软 腰痛 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "当归", "白芍", "熟地黄", "酒萸肉", "牡丹皮", "地骨皮", "合欢花", "合欢皮", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "制何首乌", "桑椹", "知母", "制巴戟天", "山药", "党参", "盐补骨脂", "酒黄精", "仙茅", "炙淫羊藿", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炒酸枣仁"], "prev_gap": 14, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 59621, "pid": "Pd0e4d347aecc", "date": "2026-04-05", "sex": "男", "age": 27, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "炒酸枣仁", "丹参", "炙黄芪", "枸杞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59623, "pid": "Pef92a052b749", "date": "2026-04-05", "sex": "男", "age": 52, "cc": "尿频复诊", "hpi": "尿频，尿不尽，服药后尿频症状好转，硬度一般，睡眠正常，纳可，大便正常1-2天一次，无乏力，口和，微怕冷，腰疼。症状改善，耳鸣盗汗存在。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳实", "炙甘草", "炒蒺藜", "川楝子", "郁金", "木香", "山药", "石菖蒲", "制远志", "合欢花", "合欢皮", "麸炒枳壳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59627, "pid": "P354dae9156be", "date": "2026-04-06", "sex": "男", "age": 53, "cc": "勃起功能差5年", "hpi": "勃起困难5年余，夜间勃起极少，偶有 勃起硬度不够。口干不著、汗不多、手脚热、便调、眠可。", "wm_dx": ["男性勃起障碍", "糖尿病"], "tcm_dx": [["消渴类病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "地龙", "生石膏", "桑椹", "桑寄生", "蜜桑白皮", "桑叶", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "地龙", "生石膏", "桑椹", "桑寄生", "蜜桑白皮", "桑叶", "炙甘草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59629, "pid": "P869c3e3c7ebc", "date": "2026-04-06", "sex": "男", "age": 62, "cc": "尿道瘙痒阴囊瘙痒复诊", "hpi": "尿道瘙痒阴囊瘙痒复诊，腰痛，硬度下降，工作劳累 外院检查泌尿系感染取药", "wm_dx": ["泌尿系感染", "腰痛", "男性勃起障碍"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"], ["淋证", "湿热下注证", "清热利湿"]], "rx": ["瞿麦", "绵萆薢", "虎杖", "茵陈", "金银花", "蒲公英", "土茯苓", "败酱草", "麸炒枳壳", "烫水蛭", "甘草", "甜叶菊叶"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59633, "pid": "P397ac96e6db7", "date": "2026-04-06", "sex": "男", "age": 52, "cc": "腰痛抄方", "hpi": "腰痛抄方，外院开方 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["菟丝子", "龟甲胶", "酒当归", "北柴胡", "酒白芍", "盐杜仲", "沙苑子", "炙黄芪", "丹参", "泽泻", "覆盆子", "麸炒山药", "酒苁蓉", "川牛膝", "制水蛭", "石菖蒲", "茯苓", "炒酸枣仁", "炙淫羊藿", "韭菜子", "锁阳", "制巴戟天", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["菟丝子", "龟甲胶", "酒当归", "北柴胡", "盐杜仲", "沙苑子", "炙黄芪", "丹参", "泽泻", "覆盆子", "麸炒山药", "酒苁蓉", "川牛膝", "制水蛭", "石菖蒲", "茯苓", "炒酸枣仁", "酒白芍", "炙淫羊藿", "韭菜子", "锁阳", "制巴戟天"], "prev_gap": 8, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 5} {"rid": 59635, "pid": "Pa2f7902ba104", "date": "2026-04-06", "sex": "男", "age": 41, "cc": "腰痛半年", "hpi": "腰痛半年 伴有阳痿早泄 晨勃少 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["知母", "酒萸肉", "太子参", "猪苓", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59642, "pid": "P827847949ae1", "date": "2026-04-06", "sex": "男", "age": 51, "cc": "腰酸一年", "hpi": "勃起持续时间短，勃起可，硬度一般，腰酸、脚热易汗，无口干，口中异味，夜尿一次。眠可", "wm_dx": ["代谢综合征"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "姜半夏", "陈皮", "焦神曲", "地龙", "九香虫", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "姜半夏", "陈皮", "焦神曲", "地龙", "九香虫", "炙甘草", "生姜", "大枣"], "prev_gap": 7, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 8} {"rid": 59644, "pid": "Pa9e2c57d5ff3", "date": "2026-04-06", "sex": "男", "age": 37, "cc": "腰痛半年抄方", "hpi": "腰痛、小腹发热、尿频，症起半年，无腰痛。未曾就诊。无尿痛。脚凉，汗不多。纳可寐安。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾扶元"]], "rx": ["黑顺片", "桑螵蛸", "盐益智仁", "盐补骨脂", "桑寄生", "独活", "肉桂", "白芍", "炙甘草", "乌药"], "flags": [], "prev_rx": ["黑顺片", "桑螵蛸", "盐益智仁", "盐补骨脂", "桑寄生", "独活", "肉桂", "白芍", "炙甘草", "乌药"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 59655, "pid": "Pbb1295a870e7", "date": "2026-04-06", "sex": "男", "age": 52, "cc": "乏力气短半年", "hpi": "乏力气短改善 自汗 腰痛改善 大小便正常 纳可 失眠 少腹隐痛消失", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精癃", "湿热下注证", "清热利湿"], ["自汗", "肺气虚证", "温补肺阳"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "丹参", "太子参", "醋五味子", "玉竹", "知母"], "flags": [], "prev_rx": ["制巴戟天", "太子参", "牡丹皮", "醋五味子", "炒酸枣仁"], "prev_gap": 128, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 59659, "pid": "Pf36bd8719943", "date": "2026-04-06", "sex": "男", "age": 74, "cc": "龟头瘙痒复诊", "hpi": "龟头瘙痒复诊，包皮过长，尿道口不适 大便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "防风", "白芷", "荆芥穗", "土茯苓", "黄连", "当归", "大黄", "茵陈", "栀子", "金银花", "蒲公英", "白花蛇舌草", "白鲜皮", "蛇床子", "地肤子", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59661, "pid": "P25a7397cf6af", "date": "2026-04-06", "sex": "男", "age": 27, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肾精"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "薏苡仁", "陈皮", "太子参", "麸炒芡实"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59665, "pid": "P738b72a330a0", "date": "2026-04-06", "sex": "男", "age": 54, "cc": "少腹隐痛复诊", "hpi": "少腹隐痛复诊 大小便正常 纳可 眠安 睾丸发凉 腰酸痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["甜叶菊叶", "猪苓", "泽泻", "泽兰", "肉桂", "土茯苓", "败酱草", "干姜", "砂仁", "瞿麦", "虎杖", "天麻", "防风", "石菖蒲", "川楝子", "盐小茴香", "醋香附", "郁金", "酒苁蓉", "制巴戟天", "炙淫羊藿", "盐车前子", "麸炒枳壳", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "醋五味子", "百合", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "路路通", "炒王不留行", "夏枯草", "醋香附", "荔枝核", "黄芪", "金樱子", "醋莪术", "醋三棱", "石榴皮"], "prev_gap": 29, "visit_ix": 6, "n_visits": 14, "visit_ix_rx": 4, "n_rx": 7} {"rid": 59666, "pid": "P604a8acebaf7", "date": "2026-04-06", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗汗多", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲", "茯苓", "牡丹皮", "地骨皮", "麸炒苍术", "麸炒薏苡仁", "知母", "盐黄柏"], "prev_gap": 23, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 59667, "pid": "Pf5db9c22578e", "date": "2026-04-06", "sex": "男", "age": 68, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["黑顺片", "茯苓", "生姜", "白芍", "人参", "三七粉", "天竺黄", "牡蛎", "龙骨", "麸炒苍术", "醋五味子", "盐益智仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黑顺片", "茯苓", "干姜", "甘草片", "人参", "三七粉", "天竺黄", "牡蛎", "龙骨", "肉桂", "淡竹叶", "醋五味子", "焦山楂", "焦麦芽", "焦神曲", "枸杞子"], "prev_gap": 7, "visit_ix": 2, "n_visits": 14, "visit_ix_rx": 2, "n_rx": 14} {"rid": 59676, "pid": "P8dc6c6b20df4", "date": "2026-04-07", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重", "wm_dx": ["甲状腺囊肿", "慢性前列腺炎"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["北柴胡", "炒栀子", "淡豆豉", "合欢皮", "牛膝", "地黄", "酒萸肉", "白芍", "麸炒白术", "醋鸡内金", "党参片", "醋龟甲", "桑螵蛸", "菟丝子", "枸杞子", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "干姜", "党参片", "炙黄芪", "桂枝", "茯苓", "泽泻", "焦麦芽", "净山楂", "熟地黄", "桑螵蛸", "醋龟甲", "菟丝子", "枸杞子", "川芎"], "prev_gap": 14, "visit_ix": 9, "n_visits": 24, "visit_ix_rx": 8, "n_rx": 23} {"rid": 59677, "pid": "Pf673a118472d", "date": "2026-04-07", "sex": "男", "age": 37, "cc": "腹股沟发热潮湿一月", "hpi": "尿频，性功能减退，勃起硬度好转，左侧大腿根部发热好转，口干好转，口苦，大便不成型，睡眠入睡困难，无怕冷，喝冷易腹泻", "wm_dx": ["慢性前列腺炎", "前列腺增生", "腹股沟淋巴结炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "醋龟甲", "砂仁", "酒女贞子", "覆盆子", "盐杜仲", "桑寄生", "牛膝", "麸炒白术", "石菖蒲", "炒酸枣仁", "柏子仁", "黄连", "川楝子", "烫水蛭", "北柴胡", "炒蒺藜", "麸炒枳壳", "炙甘草"], "flags": [], "prev_rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "醋龟甲", "砂仁", "酒女贞子", "覆盆子", "盐杜仲", "桑寄生", "牛膝", "茵陈", "盐益智仁", "炒酸枣仁", "柏子仁", "黄连", "川楝子", "烫水蛭", "北柴胡", "炒蒺藜", "麸炒枳壳", "炙甘草"], "prev_gap": 140, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 59678, "pid": "P68b914fe4c55", "date": "2026-04-07", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降稍有改善，性欲可，乏力仍存在，情绪急躁，大便稀，梦多眠差，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "鸡血藤", "枸杞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "麸炒白术", "黄芪", "石菖蒲", "茯苓", "党参", "制远志", "枸杞子", "盐杜仲", "猪苓", "太子参"], "prev_gap": 8, "visit_ix": 2, "n_visits": 9, "visit_ix_rx": 2, "n_rx": 9} {"rid": 59680, "pid": "P8322099d587a", "date": "2026-04-07", "sex": "男", "age": 46, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳可 失眠 盗汗 腰痛", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白芷", "荆芥", "百部", "白花蛇舌草", "黄连", "当归", "大黄", "土茯苓", "败酱草", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 59681, "pid": "P038aaee0a242", "date": "2026-04-07", "sex": "男", "age": 30, "cc": "尿频一年", "hpi": "尿频，两地分居，2-3月回家一次，无吸烟饮酒，在陕西检查少弱精子，口服药物治疗，排尿正常，偶有阴囊潮湿，大便正常，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "泽泻", "熟地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "桑螵蛸", "炙淫羊藿", "仙茅", "醋龟甲", "当归", "川芎"], "flags": [], "prev_rx": ["茯苓", "泽泻", "熟地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "桑螵蛸", "醋龟甲", "炙淫羊藿", "仙茅"], "prev_gap": 14, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 7} {"rid": 59682, "pid": "P0048e27e614f", "date": "2026-04-07", "sex": "男", "age": 32, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "山药", "韭菜子", "沙苑子", "覆盆子", "酒女贞子", "枸杞子", "党参", "干姜", "砂仁", "木香", "麸炒枳壳", "炙淫羊藿", "仙茅", "菟丝子", "蛇床子", "炙甘草", "石斛"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 59685, "pid": "Pc12c426b051f", "date": "2026-04-07", "sex": "男", "age": 57, "cc": "尿频半月", "hpi": "尿频，硬度下降，中途疲软，晨勃有，纳可，凉的少吃，大小便正常，睡眠可，口渴，无怕冷，阴囊潮湿", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "牛膝", "蜈蚣", "酒黄精", "当归", "麦冬", "醋龟甲", "知母", "党参片", "炙淫羊藿"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "牛膝", "蜈蚣", "酒黄精", "赤小豆", "麦冬", "醋龟甲", "知母", "党参片"], "prev_gap": 18, "visit_ix": 6, "n_visits": 13, "visit_ix_rx": 5, "n_rx": 10} {"rid": 59693, "pid": "P11f2581af2cc", "date": "2026-04-07", "sex": "男", "age": 40, "cc": "乏力复诊", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多，复诊多梦盗汗，口气重", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "茯苓", "当归", "川芎", "牛膝", "制水蛭", "地龙", "石见穿", "鸡血藤", "炙淫羊藿"], "flags": [], "prev_rx": ["当归", "川芎", "熟地黄", "牡丹皮", "白芍", "茯苓", "乌药", "蜈蚣", "丹参", "鸡血藤", "法半夏", "桂枝", "沉香粉", "炙淫羊藿", "姜厚朴", "干姜"], "prev_gap": 7, "visit_ix": 17, "n_visits": 24, "visit_ix_rx": 17, "n_rx": 24} {"rid": 59695, "pid": "P4cbc71305be8", "date": "2026-04-07", "sex": "男", "age": 52, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿等待，尿后余沥，夜尿1次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。口服前列舒通胶囊，疗效一般。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["炒酸枣仁", "猪苓", "酒黄精", "麸炒薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59702, "pid": "Pc89379123f88", "date": "2026-04-07", "sex": "男", "age": 69, "cc": "尿滴沥半年", "hpi": "夜尿等待，夜尿次数多，走路时出现遗尿现象，无尿痛，无腹痛，无腰疼，大便正常，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "猪苓", "泽泻", "炒酸枣仁", "淡竹叶", "茵陈", "赤小豆", "白花蛇舌草", "甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59704, "pid": "P575f6dfbfef1", "date": "2026-04-07", "sex": "男", "age": 35, "cc": "腰痛复诊", "hpi": "腰痛伴勃起欠佳3月，射精快，2-3分钟，晨勃有，尿可，时有阴囊潮湿，大便正常，晨起口干口苦，偶有腰酸痛 睾丸坠痛 盗汗", "wm_dx": ["睾丸结石", "附睾囊肿"], "tcm_dx": [["腰痛", "肾虚", "补肾"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "猪苓", "羌活", "陈皮", "麸炒芡实", "太子参"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "prev_gap": 15, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 59705, "pid": "P9c5b9cd774fc", "date": "2026-04-07", "sex": "男", "age": 29, "cc": "尿频3月", "hpi": "尿频，晨勃少，硬度一般，启动慢，时间短，排尿正常，夜尿正常，睡眠正常，纳可，口干喝水少，大便正常，无腰疼", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "白芍", "茯苓", "炙淫羊藿", "猪苓", "桂枝", "地黄", "牡丹皮", "北柴胡", "黄芩片", "丹参", "鸡血藤", "盐蒺藜", "石菖蒲", "蜈蚣"], "flags": [], "prev_rx": ["当归", "川芎", "白芍", "茯苓", "泽泻", "猪苓", "桂枝", "地黄", "牡丹皮", "北柴胡", "黄芩片", "丹参", "鸡血藤", "盐蒺藜", "石菖蒲", "蜈蚣"], "prev_gap": 14, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 59710, "pid": "Pee783f2cdc9f", "date": "2026-04-07", "sex": "男", "age": 43, "cc": "尿频，尿急半月余", "hpi": "尿频，尿急，尿痛 尿分叉 ，无腹痛，烧灼感，时有腰疼,睡眠一般多梦,纳可,口干,精液流出来,阴囊潮湿，复诊：尿滴沥，尿痛、烧灼感消失，阴囊潮湿消失，睡眠多梦，口干", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["滑石", "阿胶珠", "茯苓", "黄芩片", "猪苓", "赤小豆", "白花蛇舌草", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "甘草片", "麸炒薏苡仁", "法半夏"], "flags": [], "prev_rx": ["滑石", "阿胶珠", "茯苓", "泽泻", "猪苓", "赤小豆", "白花蛇舌草", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "甘草片"], "prev_gap": 24, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 59711, "pid": "P7605ba992b36", "date": "2026-04-07", "sex": "男", "age": 28, "cc": "尿频一周", "hpi": "尿频，夜尿正常，便秘，一天2次，睡眠正常，熬夜，纳可，口渴口苦口气重，硬度正常，时间1-2分钟 盗汗", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "石菖蒲", "地黄", "盐蒺藜", "煅龙骨", "煅牡蛎", "麸炒枳实", "白芍", "生石膏", "酒萸肉", "山药", "赤小豆", "白花蛇舌草", "茯苓"], "prev_gap": 20, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 6} {"rid": 59713, "pid": "P542149c8fdb3", "date": "2026-04-07", "sex": "男", "age": 31, "cc": "尿频5年", "hpi": "尿频,硬度正常,时间短3-5分钟,生气时时间延长,尿频,夜尿正常,无阴囊潮湿,大便正常,纳可,睡眠正常,口干,盗汗", "wm_dx": ["尿频"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["地黄", "知母", "盐关黄柏", "赤小豆", "金樱子肉", "石菖蒲", "盐蒺藜", "北柴胡", "黄芩片", "煅龙骨", "煅牡蛎", "桑螵蛸", "炙甘草", "莲须", "锁阳", "甘草片"], "flags": [], "prev_rx": ["地黄", "知母", "盐关黄柏", "赤小豆", "金樱子肉", "石菖蒲", "盐蒺藜", "北柴胡", "黄芩片", "煅龙骨", "煅牡蛎", "桑螵蛸", "炙甘草", "锁阳", "莲须"], "prev_gap": 16, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 8} {"rid": 59714, "pid": "P5e80805fd514", "date": "2026-04-07", "sex": "男", "age": 71, "cc": "前列腺增生复诊", "hpi": "病史同前，口服盐酸坦索罗辛缓释胶囊服药后头蒙感，淋漓不尽，尿无力，夜尿2-3次。眠差多梦，手脚凉，易汗，夜间口干不苦，反酸呃逆，阴囊潮湿，会阴发胀，腰疼，便调，无勃起，怕冷，有汗，盗汗，吃凉易腹泻，复诊：夜尿1次，睡眠好转，仍尿尿不尽，盗汗，阴囊潮湿，睾丸不适感，复诊：仍尿不尽，余-。勃起略有", "wm_dx": ["前列腺增生"], "tcm_dx": [["痨病", "肾虚证", "补肾固精"], ["癃闭", "肾虚证", "补肾固精"]], "rx": ["炙甘草", "麦冬", "阿胶珠", "党参片", "桂枝", "地黄", "火麻仁", "干姜", "当归", "白芍", "川芎", "炒栀子", "炒酸枣仁", "炙淫羊藿"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "蜈蚣", "炙黄芪", "炙淫羊藿", "仙茅", "炒酸枣仁"], "prev_gap": 7, "visit_ix": 10, "n_visits": 11, "visit_ix_rx": 10, "n_rx": 11} {"rid": 59715, "pid": "Pa4a99bd42877", "date": "2026-04-07", "sex": "男", "age": 26, "cc": "失眠2月", "hpi": "23年诊断焦虑，5月份调整药物后出现性唤起障碍，无晨勃。失眠，口服药物后盐酸曲唑酮，地达西尼，盐酸托鲁地文拉法辛缓释片。尿不尽，大便正常，纳可，口干，无怕冷，复诊：口服药物盐酸托鲁地文拉法辛缓释片，碳酸锂，现睡眠可，无晨勃，硬度不行", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["失眠", "心肾不交证", "交通心肾"]], "rx": ["炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "地黄", "牡丹皮", "石菖蒲", "党参片", "酒萸肉", "山药", "蜈蚣", "北柴胡", "当归", "川芎", "北沙参", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59718, "pid": "Pd06176fcc4b4", "date": "2026-04-07", "sex": "男", "age": 27, "cc": "性功能减退5-6年", "hpi": "性欲强，硬度不坚，时有不能同房，时有尿急，时有泡沫尿，夜尿一次，睡眠不规律，大便正常，时有先干后稀，纳可，时有口气重，怕冷，乏力，腰疼,复诊：勃起可，时间短10分钟，复诊：第二次硬度不够", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["房事阳痿", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "麸炒白术", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "炙淫羊藿", "茯苓", "黄芩片", "川芎", "牡丹皮", "猪苓", "细辛"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "麸炒白术", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "炙淫羊藿", "茯苓", "制巴戟天", "川芎", "牡丹皮", "乌药", "细辛"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 59720, "pid": "Pecbe9aa1fa65", "date": "2026-04-07", "sex": "男", "age": 55, "cc": "尿频半年", "hpi": "尿频，性欲下降，有晨勃，时有不勃起，排尿正常，夜尿1次，睡眠一般，纳可，口和，大便正常粘", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾阳虚证", "温补肾阳"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "郁金", "丹参", "鸡血藤", "当归", "炒栀子", "淡豆豉", "蜈蚣", "炙淫羊藿", "仙茅", "茯苓", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 59721, "pid": "P2da6c3db8d52", "date": "2026-04-07", "sex": "男", "age": 29, "cc": "尿频一年", "hpi": "尿频，晨勃可，时有同房时勃起不坚，排尿正常，大便不成型，睡眠易醒，纳可，吃凉易腹泻，怕冷，时有腰疼，口和，偶有晨起口苦，白发", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "寒热错杂证", "调理阴阳"]], "rx": ["北柴胡", "黄芩", "桂枝", "牡丹皮", "石菖蒲", "干姜", "炒栀子", "丹参", "鸡血藤", "生地黄", "菟丝子", "盐车前子", "覆盆子", "炙淫羊藿", "白芍"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 6} {"rid": 59722, "pid": "P0f709d5c7a59", "date": "2026-04-07", "sex": "男", "age": 45, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，性欲强，伴小腹不适，夜尿0-1次，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["炒酸枣仁", "酒黄精", "百合", "太子参", "玫瑰花", "龙眼肉", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59732, "pid": "P5f69f1dbc597", "date": "2026-04-08", "sex": "男", "age": 48, "cc": "尿痛复诊", "hpi": "尿后余沥，尿道灼热，尿急，无尿液颜色改变，无排尿不畅、尿等待，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和。外院查尿常规3+，前列腺液WBC满视野，予磷霉素和中成药。4月8日复诊：现尿稍有刺痛，有泡沫。", "wm_dx": ["前列腺炎", "泌尿系感染"], "tcm_dx": [["热淋", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "炙黄芪", "太子参", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59734, "pid": "P40c60817bc99", "date": "2026-04-08", "sex": "男", "age": 32, "cc": "易汗一月", "hpi": "易汗，排尿正常，大便粘，阴囊潮湿，睡眠一般浅，口干，乏力，注意力不集中，凉的少吃。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "党参片", "当归", "川芎", "茯苓", "泽泻", "石菖蒲", "盐蒺藜", "炙淫羊藿", "炒酸枣仁"], "flags": [], "prev_rx": ["当归", "川芎", "牡丹皮", "白芍", "茯苓", "北柴胡", "黄芩片", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "赤小豆", "白花蛇舌草", "炒苦杏仁", "甘草片"], "prev_gap": 14, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 59738, "pid": "P5db52a4b6c86", "date": "2026-04-08", "sex": "男", "age": 45, "cc": "尿频半年", "hpi": "尿频，启动慢，硬度一般，中途疲软，基本无晨勃，排尿正常，大便正常，睡眠正常，纳可，口苦，微怕冷，腰疼复诊：无口苦，无腰疼，性功能一般，复诊：口苦，胁痛，大便4次", "wm_dx": ["高血压"], "tcm_dx": [["腰痛", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁血虚证", "疏肝养血"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "麸炒枳实", "白芍", "赤小豆", "地黄", "石菖蒲", "丹参", "鸡血藤", "炙淫羊藿", "仙茅", "桑寄生", "醋三棱", "醋莪术"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59739, "pid": "Pe24d7cb17326", "date": "2026-04-08", "sex": "男", "age": 59, "cc": "尿频夜尿增多3年", "hpi": "尿频夜尿增多3年，勃起欠佳，腰痛，口干，盗汗", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["酒苁蓉", "炙淫羊藿", "炙黄芪", "枸杞子", "酒黄精", "锁阳", "制远志", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒苁蓉", "炙淫羊藿", "炙黄芪", "枸杞子", "酒黄精", "锁阳"], "prev_gap": 166, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 59749, "pid": "P4e0d1b64880c", "date": "2026-04-08", "sex": "男", "age": 54, "cc": "尿痛3天", "hpi": "尿痛3天，尿道灼热，血尿，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口干，盗汗。", "wm_dx": ["泌尿系感染", "肾结石"], "tcm_dx": [["石淋", "湿热下注证", "清热利湿"]], "rx": ["广金钱草", "茯苓", "菊花", "猪苓", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59755, "pid": "P926b7a848c54", "date": "2026-04-08", "sex": "男", "age": 68, "cc": "尿频尿急尿等待复诊", "hpi": "尿频尿急尿等待改善 大便正常 纳可 眠差 口苦口干 乏力消瘦疲劳", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "制巴戟天", "太子参", "姜厚朴", "陈皮"], "flags": [], "prev_rx": ["猪苓", "羌活", "太子参", "制巴戟天", "覆盆子", "菟丝子"], "prev_gap": 28, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 6} {"rid": 59756, "pid": "P9442bd8ab589", "date": "2026-04-08", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力大，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59758, "pid": "P0185dea2e5af", "date": "2026-04-08", "sex": "男", "age": 34, "cc": "性功能减退3-4年", "hpi": "时间短1-2分钟，硬度一般，晨勃无，半月同房一次，腰酸痛，排尿可，夜尿正常，大便正常偶有腹泻，纳可，睡眠正常多梦，口干，怕冷，乏力", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["房事阳痿", "肾阳虚水泛证", "温补肾阳"], ["腰痛", "脾肾两虚证", "补肾扶元"]], "rx": ["桂枝", "黑顺片", "熟地黄", "茯苓", "泽泻", "猪苓", "麸炒白术", "牡丹皮", "酒萸肉", "丹参", "鸡血藤", "砂仁", "乌药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 6} {"rid": 59764, "pid": "P96d08f62f7f3", "date": "2026-04-08", "sex": "男", "age": 44, "cc": "尿频半年", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，纳可，口和，无腰疼，硬度一般，中途疲软，晨勃少，时间2-3分钟，性欲正常，乏力", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳壳", "白芍", "丹参", "鸡血藤", "党参片", "炙黄芪", "炙淫羊藿", "仙茅", "石菖蒲", "盐蒺藜", "蜈蚣", "当归", "川芎", "郁金", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59766, "pid": "P1aa922eda6ec", "date": "2026-04-08", "sex": "男", "age": 53, "cc": "尿频6-7年", "hpi": "尿频，夜尿2-3次，大便正常，头晕，纳可，口干渴，无晨勃，无勃起，无怕冷，乏力，不愿吃西药，腿酸胀，复诊，夜尿1-2次，复诊：口苦复诊：口苦，腹胀，复诊：口干，腹胀，睡眠一般，小腿无力", "wm_dx": ["反流性食管炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "干姜", "丹参", "党参片", "炙黄芪", "鸡血藤", "炒栀子", "淡豆豉", "姜厚朴", "蜈蚣", "炙淫羊藿", "仙茅", "郁金", "白芍", "黑顺片"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "干姜", "丹参", "党参片", "炙黄芪", "鸡血藤", "炒栀子", "淡豆豉", "姜厚朴", "蜈蚣", "炙淫羊藿", "仙茅", "郁金"], "prev_gap": 14, "visit_ix": 13, "n_visits": 22, "visit_ix_rx": 13, "n_rx": 17} {"rid": 59770, "pid": "P3c2b591cf616", "date": "2026-04-08", "sex": "男", "age": 30, "cc": "尿频2年", "hpi": "尿频2年，一直未育，同房正常，大便正常，纳可，睡眠正常，口干盗汗，腰痛，无怕冷。", "wm_dx": ["尿频", "腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 59774, "pid": "P7b6888a08f4a", "date": "2026-04-08", "sex": "男", "age": 23, "cc": "梦遗2年", "hpi": "梦遗2年，2-4天一次，稍有乏力，情绪焦虑，工作久站，排尿不畅。性欲强，眠一般，口干，盗汗，腰痛。", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "锁阳", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "制远志", "知母", "盐关黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59775, "pid": "P09e6472f568b", "date": "2026-04-08", "sex": "男", "age": 50, "cc": "尿频10余天", "hpi": "尿频，春节期间可同房，最后出现勃起不行，现晨勃少，勃起不坚，尿不尽，夜尿一次，大便不成型，时有排不净，睡眠一般，口气重，口苦，自备他达拉非", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "石菖蒲", "郁金", "炙淫羊藿", "仙茅", "蜈蚣", "茯苓", "川芎"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "制远志", "郁金", "麸炒白术", "焦麦芽", "党参片", "蜈蚣", "炙淫羊藿", "仙茅", "熟地黄"], "prev_gap": 15, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 59781, "pid": "P0b9000fe8dc7", "date": "2026-04-08", "sex": "男", "age": 40, "cc": "尿频2年", "hpi": "尿频，无晨勃，硬度一般，吸烟饮酒，熬夜，排尿可 ，喝水尿频，大便不成型，睡眠正常，纳可，口干，时有腰疼，无怕冷，怕热", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "山药", "茯苓", "丹参", "鸡血藤", "蜈蚣", "醋三棱", "醋莪术", "石菖蒲", "郁金", "炙淫羊藿", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 11} {"rid": 59782, "pid": "P363f839abced", "date": "2026-04-08", "sex": "男", "age": 71, "cc": "失眠 头晕半年", "hpi": "失眠 头晕半年 大小便正常 纳可 失眠 盗汗", "wm_dx": ["失眠", "盗汗"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炒酸枣仁", "丹参", "知母", "桑椹", "酒萸肉", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59786, "pid": "Pcdf46a661f09", "date": "2026-04-08", "sex": "男", "age": 30, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，有裂口，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "川牛膝", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59788, "pid": "P171c50c595cd", "date": "2026-04-08", "sex": "男", "age": 35, "cc": "阴囊不适疼痛1月", "hpi": "阴囊不适疼痛1月，无排尿不适，无射精不适，工作久行", "wm_dx": ["附睾炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["太子参", "猪苓", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59789, "pid": "P1cfc8490700a", "date": "2026-04-08", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，工作劳累可，情绪焦虑，口干，眠差梦多，盗汗，心悸，大便可，乏力可，尿频，纳可，胁痛", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝郁血瘀证", "疏肝化瘀"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "川牛膝", "玫瑰花"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59790, "pid": "Pc39d54b5413a", "date": "2026-04-08", "sex": "男", "age": 30, "cc": "尿频尿急复诊", "hpi": "尿频尿急改善，大便正常，纳可，腰酸疼，盗汗 乏力改善不明显", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "酒黄精", "盐补骨脂", "麦冬", "炙黄芪", "炒酸枣仁", "丹参", "石菖蒲", "制远志", "知母", "合欢皮", "柏子仁", "桑椹", "木香", "麸炒枳壳", "酒苁蓉", "制巴戟天", "炙淫羊藿", "仙茅"], "flags": [], "prev_rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "酒黄精", "盐补骨脂", "麦冬", "炙黄芪", "石斛", "炒酸枣仁", "丹参", "石菖蒲", "制远志", "知母", "合欢皮", "柏子仁", "桑椹", "砂仁", "木香", "麸炒枳壳", "烫狗脊", "桑寄生", "盐杜仲", "熟地黄"], "prev_gap": 15, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 5, "n_rx": 6} {"rid": 59791, "pid": "Pe15c6e1346da", "date": "2026-04-08", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，尿频，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作久坐，盗汗，阴囊不适", "wm_dx": ["腰痛", "精索静脉曲张", "前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肾精"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59792, "pid": "P51e56e9f6aea", "date": "2026-04-08", "sex": "男", "age": 42, "cc": "少腹隐痛1月", "hpi": "少腹坠痛感，排尿尿频，时有腰酸痛，纳可，睡眠多梦，思虑多，口干口苦，乏力感，怕冷怕热，阴囊潮湿。复诊：症状好转，腹痛消失，乏力，口苦阴囊潮湿好转，仍多梦", "wm_dx": ["腹痛", "慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "炒栀子", "牡蛎", "煅龙骨", "赤小豆", "黄芩片", "合欢皮", "焦山楂", "白芍", "牡丹皮", "茯苓", "川芎", "党参片", "炙黄芪", "大枣"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "炒栀子", "牡蛎", "煅龙骨", "赤小豆", "黄芩片", "白芍", "牡丹皮", "茯苓", "猪苓", "党参片", "炙黄芪", "大枣", "姜厚朴", "焦山楂"], "prev_gap": 7, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 59807, "pid": "Pd02e11a81b35", "date": "2026-04-09", "sex": "男", "age": 25, "cc": "睾丸不适疼痛下坠感1年", "hpi": "1年前出现睾丸不适疼痛下坠感，尿频，射精快，盗汗。3.21复诊：睾丸不适坠胀感好转，尿频，射精快，近2周同房一次，同房时间2-3分钟。4.9复诊：近1月睾丸坠胀感消失，夜尿1次，日间排尿1-2小时1次，近2周同房2次，同房时间3分钟。", "wm_dx": ["精索静脉曲张", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["盗汗", "肾虚证", "滋补肾阴"], ["筋瘤", "血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "金樱子", "醋五味子", "路路通", "炒王不留行", "乌药", "盐益智仁", "麸炒山药", "人参"], "flags": [], "prev_rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "金樱子", "醋五味子", "路路通", "炒王不留行", "乌药", "盐益智仁", "麸炒山药"], "prev_gap": 19, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 59808, "pid": "Pcbfd6b1c0f73", "date": "2026-04-09", "sex": "男", "age": 81, "cc": "阴囊潮湿泛红半年", "hpi": "阴囊潮湿泛红半年 大小便正常 纳可 眠差 前列腺增生复诊取药 湿疹取药 排尿不畅 尿不尽 盗汗", "wm_dx": ["湿疹", "前列腺增生", "阴囊炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["黄柏", "金银花", "连翘", "蒲公英", "马齿苋", "白及", "紫花地丁", "牡丹皮", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "太子参"], "prev_gap": 10, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 59812, "pid": "Paf5e68897544", "date": "2026-04-09", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "枸杞子", "石菖蒲", "麸炒薏苡仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59813, "pid": "Pd7e6d60a5dc7", "date": "2026-04-09", "sex": "男", "age": 61, "cc": "腰痛伴勃起不坚1月", "hpi": "腰痛伴勃起不坚1月，胁痛，大小便正常，睡眠一般，脚发凉 性欲低下", "wm_dx": ["高血压"], "tcm_dx": [["胁肋痛", "肝气郁结证", "疏肝理气"], ["腰痛", "肾阳虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "炙淫羊藿", "车前草", "土茯苓", "败酱草", "北柴胡", "白芍", "麸炒枳实", "地龙", "瓜蒌", "法半夏", "姜厚朴", "川楝子", "醋香附", "醋青皮", "郁金", "木香", "石菖蒲", "制远志", "炙甘草", "烫水蛭", "制巴戟天", "太子参", "猪苓", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59821, "pid": "Pe39549cc84fd", "date": "2026-04-09", "sex": "男", "age": 48, "cc": "腰痛乏力伴勃起不坚3年", "hpi": "3年前出现腰痛乏力伴勃起不坚，口服他达拉非可同房，性欲可，晨勃消失，口干口苦，夜寐差，失眠，无小腹胀痛，射精快，盗汗，胁肋疼痛，易生气，复诊：夜尿3次，尿频。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓", "蜈蚣", "麸炒苍术", "土茯苓", "北败酱草", "茵陈"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓", "蜈蚣"], "prev_gap": 14, "visit_ix": 6, "n_visits": 12, "visit_ix_rx": 6, "n_rx": 10} {"rid": 59823, "pid": "P416b9d0435ec", "date": "2026-04-09", "sex": "男", "age": 78, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿线细，尿等待，尿后余沥，夜尿2次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗。腰痛。", "wm_dx": ["前列腺增生", "贫血"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["失眠", "气血亏虚证", "补益气血"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 59825, "pid": "Pf5128bd76e89", "date": "2026-04-09", "sex": "男", "age": 55, "cc": "阴囊潮湿半年", "hpi": "阴囊潮湿，无晨勃，外生殖器发凉，勃起不坚，早醒，排尿正常，夜尿正常，大便正常，睡眠差，纳渴，不能吃生冷，无怕冷，口和", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白薇", "炒栀子", "桂枝", "茯苓", "泽泻", "麸炒白术", "干姜", "黑顺片", "炙甘草", "川芎", "丹参", "鸡血藤", "当归", "炙淫羊藿", "炒酸枣仁"], "flags": [], "prev_rx": ["白薇", "炒栀子", "桂枝", "茯苓", "泽泻", "麸炒白术", "干姜", "黑顺片", "炙甘草", "川芎", "丹参", "鸡血藤", "当归", "炙淫羊藿"], "prev_gap": 20, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59849, "pid": "P276bae338227", "date": "2026-04-10", "sex": "男", "age": 63, "cc": "前列腺增生伴钙化复诊", "hpi": "前列腺增生伴钙化，尿不尽，阴囊潮湿，夜尿4-5次，大便粘，睡眠一般，多梦，口干口苦口渴，纳可，性功能减退", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "丹参", "鸡血藤", "黑顺片", "赤小豆", "燀桃仁", "红花", "猪苓", "阿胶珠", "滑石", "炒苦杏仁", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 59854, "pid": "P9d4e9b5a355d", "date": "2026-04-10", "sex": "男", "age": 37, "cc": "尿频1月", "hpi": "尿频，近期想生育，同房射精正常，纳一般，睡眠多梦，排尿喝水即尿，大便正常，口和，乏力", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "干姜", "茯苓", "泽泻", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "醋龟甲", "鹿角霜", "炙淫羊藿", "桑螵蛸", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59862, "pid": "P1dcd6ed9f44e", "date": "2026-04-10", "sex": "男", "age": 62, "cc": "手脚冰凉6年", "hpi": "手脚发凉，腰部肌肉酸痛，腿抽筋，左侧小腿肌肉胀痛，大便干一天一次，口服麻仁润肠丸，排尿正常，纳可，不能吃生冷，睡眠正常，口和，复诊：胃口好转，大便色黑，腿抽筋消失。尿频，复诊：大便正常。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["便秘", "湿热蕴结证", "润燥通便"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黑顺片", "干姜", "细辛", "麻黄", "炙甘草", "小通草", "酒苁蓉", "白芍", "鹿角霜", "阿胶珠", "茯苓"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓", "酒黄精"], "prev_gap": 7, "visit_ix": 5, "n_visits": 10, "visit_ix_rx": 5, "n_rx": 9} {"rid": 59868, "pid": "Pf44530e3e3c8", "date": "2026-04-11", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "伴有早泄 勃起困难 大小便正常 纳可 眠安 晨勃少 既往饮酒 腰痛 乏力", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "枸杞子", "太子参", "当归", "菟丝子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59871, "pid": "Pee641b201381", "date": "2026-04-11", "sex": "男", "age": 74, "cc": "发现左侧腹股沟肿物凸出2月", "hpi": "2月前发现左侧腹股沟肿物凸出伴胀痛，可回纳，下肢乏力抽筋，腰痛乏力，长期咳嗽喘憋，尿频尿急。药后腹股沟胀痛好转。", "wm_dx": ["泌尿系感染", "单侧腹股沟疝"], "tcm_dx": [["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["太子参", "茯苓", "猪苓", "牛膝", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 59872, "pid": "Pffd8817d0f54", "date": "2026-04-11", "sex": "男", "age": 65, "cc": "尿频半年", "hpi": "尿频，半年前出现勃起不行，无晨勃，排尿不畅，夜尿正常，尿黄，大便正常，睡眠差早醒，纳可，口和，无怕冷，无腰疼，在杏园金方口服3月汤药未效", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "牡丹皮", "桂枝", "白芍", "生姜", "大枣", "盐补骨脂", "桑寄生", "蜈蚣", "牛膝", "炙淫羊藿", "黑顺片", "地黄"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "石菖蒲", "炒栀子", "淡豆豉", "北柴胡", "麸炒枳实", "白芍", "煅龙骨", "煅牡蛎", "制巴戟天", "蜈蚣", "合欢皮"], "prev_gap": 74, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 6} {"rid": 59874, "pid": "Pf18e7a85b4fd", "date": "2026-04-11", "sex": "男", "age": 61, "cc": "尿频复诊", "hpi": "病史同前，中途疲软，夜尿一次，大便正常。睡眠正常，纳可，偶有口苦。血压正常。血糖稳定。4.11复诊：停药一月余，现勃起不坚。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["消渴类病", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地龙", "瓜蒌", "炙甘草", "蜜桑白皮", "桑椹", "桑寄生", "全蝎", "炙淫羊藿", "人参", "麦冬", "酒黄精", "制巴戟天", "韭菜子"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "韭菜子", "黄芪", "锁阳"], "prev_gap": 56, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 6, "n_rx": 7} {"rid": 59877, "pid": "P5e78e99d69b8", "date": "2026-04-11", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适。近期运动量较大。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "北沙参", "菟丝子", "枸杞子", "覆盆子", "醋龟甲", "桑螵蛸", "牛膝", "赤小豆"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "酒苁蓉", "酒萸肉"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59878, "pid": "P4db9ceac8e50", "date": "2026-04-11", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力睡眠正常，纳可，二便调，口苦，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "茯苓", "泽泻", "麸炒白术", "丹参", "法半夏", "菟丝子", "枸杞子", "覆盆子", "桑螵蛸", "醋龟甲", "郁金", "牛膝", "大枣"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["法半夏", "麸炒苍术", "黄芩片", "干姜", "大枣", "党参片", "化橘红", "陈皮", "茯苓", "枸杞子", "菟丝子", "盐车前子", "醋龟甲", "桑螵蛸", "牡蛎", "北柴胡", "山药"], "prev_gap": 14, "visit_ix": 6, "n_visits": 15, "visit_ix_rx": 6, "n_rx": 15} {"rid": 59886, "pid": "Pd56e7935a0cf", "date": "2026-04-11", "sex": "男", "age": 32, "cc": "睾丸及精索不适2月", "hpi": "2月前出现睾丸及精索不适，尿灼热感。4.11复诊：睾丸及精索稍有好转，尿灼热消失。乏力虚劳，失眠", "wm_dx": ["静脉曲张", "精索静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "酒黄精", "人参", "黄芪"], "flags": [], "prev_rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核"], "prev_gap": 14, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 59888, "pid": "P3d2461491597", "date": "2026-04-11", "sex": "男", "age": 38, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，性生活不规律，工作劳累可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "蒲公英", "金银花", "地肤子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 5} {"rid": 59892, "pid": "P600f9b8533ae", "date": "2026-04-11", "sex": "男", "age": 31, "cc": "尿频2年", "hpi": "尿频，有泡沫，大便不成型，纳可，睡眠浅，口干喝生冷，无怕冷，手脚易发凉，硬度一般，中途疲软，晨勃有", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "桂枝", "干姜", "天花粉", "牛膝", "牡丹皮", "人参", "炙淫羊藿", "菟丝子", "赤小豆", "白花蛇舌草", "制巴戟天", "石菖蒲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59895, "pid": "P667c57b53f09", "date": "2026-04-11", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "左侧少腹隐痛，左侧睾丸隐痛，耳鸣，排尿可， 大便偏干 发黏 纳一般， 眠中途醒口和。复诊：睾丸隐痛左侧，少腹偶有隐痛", "wm_dx": ["前列腺增生", "下肢静脉曲张", "静脉曲张", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["筋瘤", "气滞血瘀证", "活血止痛"]], "rx": ["桂枝", "白芍", "生姜", "泽泻", "麸炒白术", "干姜", "附片", "制吴茱萸", "当归", "白芷", "川芎", "荔枝核", "地龙", "炙甘草", "炙黄芪", "乌药", "细辛"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "泽泻", "麸炒白术", "干姜", "附片", "制吴茱萸", "当归", "白芷", "川芎", "荔枝核", "地龙", "茯苓", "炙甘草", "炙黄芪"], "prev_gap": 14, "visit_ix": 15, "n_visits": 17, "visit_ix_rx": 10, "n_rx": 12} {"rid": 59896, "pid": "P854ae24d0ed8", "date": "2026-04-11", "sex": "男", "age": 35, "cc": "尿频1周", "hpi": "尿频1周 腰痛 盗汗 工作劳累 熬夜 大便可 睡眠差", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "熟地黄", "石菖蒲", "北败酱草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "熟地黄", "炒酸枣仁", "制远志", "沙苑子"], "prev_gap": 20, "visit_ix": 8, "n_visits": 13, "visit_ix_rx": 1, "n_rx": 5} {"rid": 59901, "pid": "Pfba0b10dd724", "date": "2026-04-11", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作可，二便调，眠一般，无排尿不畅、尿后余沥，口干，盗汗，近期健身多", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59908, "pid": "P46a674184a61", "date": "2026-04-11", "sex": "男", "age": 53, "cc": "失眠半年", "hpi": "睡眠差，失眠，口服左比克隆等未效，手脚发凉，眼花，排尿正常，夜尿1次，大便正常，纳可，口和，性功能减退，乏力，消瘦，怕冷，头晕，头痛", "wm_dx": ["焦虑状态", "失眠"], "tcm_dx": [["失眠", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炒栀子", "淡豆豉", "茯苓", "牛膝", "川芎", "石菖蒲", "炒酸枣仁", "煅龙骨", "煅牡蛎", "党参片", "北柴胡", "麸炒枳实", "白芍", "黑顺片", "砂仁", "干姜"], "flags": [], "prev_rx": ["炒栀子", "淡豆豉", "茯苓", "牛膝", "川芎", "石菖蒲", "郁金", "煅龙骨", "煅牡蛎", "地黄", "北柴胡", "麸炒枳实", "白芍", "黑顺片", "砂仁", "干姜"], "prev_gap": 10, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 59910, "pid": "P46ba2a698504", "date": "2026-04-11", "sex": "男", "age": 33, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作盗汗熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "枸杞子", "炒酸枣仁", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59911, "pid": "Pa9f1e80abfb2", "date": "2026-04-11", "sex": "男", "age": 34, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作盗汗熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "石菖蒲", "盐益智仁", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59912, "pid": "P1879eada44aa", "date": "2026-04-11", "sex": "男", "age": 38, "cc": "尿等待3年", "hpi": "3年前出现尿等待，排尿无力，无尿后余沥，尿颜色黄，射精后尿道不适，勃起硬度下降，性欲可，腰痛乏力。4.11复诊：尿等待好转，晨勃恢复，近期无同房。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "盐杜仲", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "焦山楂", "焦神曲", "焦麦芽", "酒黄精", "北柴胡"], "flags": [], "prev_rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "盐杜仲"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59913, "pid": "Pda89238947d2", "date": "2026-04-11", "sex": "男", "age": 72, "cc": "排尿不畅尿痛2月", "hpi": "2月前出现排尿不畅尿痛，尿道灼热，闻水声尿急、尿分叉、尿滴沥，色黄，夜尿1次，无小腹及会阴不适，纳眠可，大便质粘，口和。腰痛。", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精癃", "膀胱湿热血瘀证", "清热利湿"]], "rx": ["炙淫羊藿", "炒王不留行", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "黄芪", "人参", "醋五味子", "醋延胡索"], "flags": [], "prev_rx": ["炙淫羊藿", "盐车前子", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "黄芪", "人参", "醋五味子"], "prev_gap": 13, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 59919, "pid": "P66d9ee53a36e", "date": "2026-04-11", "sex": "男", "age": 30, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力 盗汗 倒班工作 无其他不适 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "覆盆子", "菟丝子", "党参", "酒黄精", "盐补骨脂", "麸炒枳壳", "盐车前子", "枸杞子", "炙甘草", "醋五味子", "石斛", "炙黄芪", "熟地黄", "沙苑子"], "flags": [], "prev_rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "覆盆子", "菟丝子", "党参", "酒黄精", "盐补骨脂", "麸炒枳壳", "盐车前子", "枸杞子", "炙甘草", "醋五味子", "石斛"], "prev_gap": 7, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 6} {"rid": 59920, "pid": "Pdf8603b632b5", "date": "2026-04-11", "sex": "男", "age": 75, "cc": "尿失禁3月", "hpi": "3月前前列腺手术后出现尿失禁，腰痛乏力，夜尿4-6次，口中和，夜寐差，小腹不适。4.11复诊：夜尿4次，尿失禁好转，漏尿次数减少。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["失眠", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["热淋", "下焦湿热证", "清热利湿"]], "rx": ["肉桂", "太子参", "山药", "盐车前子", "麸炒白术", "乌药", "盐益智仁", "麸炒芡实", "醋五味子", "金樱子", "人参", "黄芪"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "绵萆薢", "白花蛇舌草", "小蓟", "大蓟", "马齿苋"], "prev_gap": 256, "visit_ix": 20, "n_visits": 23, "visit_ix_rx": 1, "n_rx": 3} {"rid": 59922, "pid": "P4bb4c1d2326d", "date": "2026-04-11", "sex": "男", "age": 34, "cc": "尿频半年", "hpi": "尿频，近半年出现硬度下降，时有不射精，手艺时正常，排尿时有灼热感，夜尿正常，无腹痛，阴囊潮湿，大便不成型，睡眠正常多梦，纳可易腹胀，口干口苦，怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "桂枝", "干姜", "石菖蒲", "郁金", "赤小豆", "炒王不留行", "牛膝", "丹参", "鸡血藤", "炙淫羊藿", "仙茅", "附片", "路路通", "甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 59924, "pid": "Paa20a1a5c390", "date": "2026-04-11", "sex": "男", "age": 31, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，性欲减退，神疲乏力，射精快，口干，长期熬夜。3.21复诊：近2周2-3次同房，2-6分钟，11点多睡。4.4复诊：近2周同房2次，勃起好转，同房时间10分钟。4.11复诊：近1周同房2次，勃起好转，", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "金樱子", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "醋五味子", "炙淫羊藿", "炒栀子", "制远志"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "金樱子", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "醋五味子", "炙淫羊藿"], "prev_gap": 7, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 5} {"rid": 59928, "pid": "Pac215dfa9818", "date": "2026-04-11", "sex": "男", "age": 43, "cc": "腰痛乏力4月", "hpi": "4月前出现腰痛乏力，工作压力大，夜寐差，11点入睡，易醒，口干，记忆力减退，下肢乏力，射精快，盗汗。4.11复诊：夜尿减少，1次，口干好转，晨起乏力，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["知母", "黄柏", "熟地黄", "生地黄", "酒萸肉", "茯苓", "泽泻", "山药", "麦冬", "牡丹皮", "醋五味子", "金樱子", "黄芪", "人参", "酒黄精"], "flags": [], "prev_rx": ["知母", "黄柏", "熟地黄", "生地黄", "酒萸肉", "茯苓", "泽泻", "山药", "麦冬", "锁阳", "牡丹皮", "醋五味子", "金樱子", "黄芪", "人参", "酒黄精"], "prev_gap": 13, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59929, "pid": "P0c17abf739f5", "date": "2026-04-11", "sex": "男", "age": 32, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "炒酸枣仁"], "prev_gap": 99, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 59933, "pid": "P1e65dc6a2025", "date": "2026-04-11", "sex": "男", "age": 37, "cc": "腰痛乏力3年", "hpi": "腰痛，排尿不畅，尿不尽，阴囊潮湿，伴有早泄，勃起可，晨勃减少，大便不成形，睡眠一般，纳可，口和，乏力。射精无力，身冷。盗汗。4.11复诊:夜寐差，射精无力，身凉，眼结膜过敏。", "wm_dx": ["腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["甘草", "北柴胡", "白芍", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "仙茅", "川芎", "金樱子", "黑顺片", "炒酸枣仁", "柏子仁"], "flags": [], "prev_rx": ["甘草", "北柴胡", "白芍", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "仙茅", "川芎", "金樱子", "黑顺片", "炒酸枣仁"], "prev_gap": 13, "visit_ix": 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"prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59941, "pid": "Pc7c1785c8b86", "date": "2026-04-11", "sex": "男", "age": 40, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "酒黄精", "枸杞子", "炒酸枣仁", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59947, "pid": "Pc590bc875b96", "date": "2026-04-11", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，尿频尿急，近期消瘦，会阴不适，大便可，盗汗，口干。既往支原体阳性，口服阿奇霉素。包皮龟头炎。", "wm_dx": ["包皮龟头炎", "前列腺炎", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["山慈菇", "猪苓", "茯苓", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59948, "pid": "P0ac7ff231dcd", "date": "2026-04-11", "sex": "男", "age": 30, "cc": "失眠一年余", "hpi": "失眠一年余 腰酸痛腿软，多汗，排尿尿频，大便不成型，尿黄，怕冷怕热，口干口气重，易怒，口腔溃疡，盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["胁痛", "肝郁血虚证", "疏肝养血"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "金樱子肉", "莲子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "山药", "炙黄芪", "醋五味子"], "prev_gap": 123, "visit_ix": 7, "n_visits": 14, "visit_ix_rx": 1, "n_rx": 7} {"rid": 59949, "pid": "Pb61c05148d43", "date": "2026-04-11", "sex": "男", "age": 32, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，工作劳累，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "牡蛎", "龙骨", "白芍", "麸炒芡实", "胆南星", "干益母草", "虎杖", "川牛膝", "金樱子肉", "菟丝子", "焦山楂", "山药", "茯苓", "锁阳", "莲子", "酒黄精", "制远志", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, 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35, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，性欲可，乏力，二便调，眠差梦多，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 59960, "pid": "Pf9268389dea9", "date": "2026-04-12", "sex": "男", "age": 41, "cc": "尿频2天", "hpi": "尿频2天，尿道灼热，尿痛，无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无小腹及会阴不适，纳眠可，大便质粘，口和，盗汗，腰痛", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "白芷", "山药", "绵萆薢", "石菖蒲", "盐黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "炒酸枣仁", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59961, "pid": "P397ac96e6db7", "date": "2026-04-12", 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"山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 59982, "pid": "Pf803a9070840", "date": "2026-04-12", "sex": "男", "age": 33, "cc": "遗精频繁2月", "hpi": "遗精频繁2月，性生活少，乏力，盗汗，眠可，夜尿0次，腰痛", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 59986, "pid": "P6d4d01519db1", "date": "2026-04-12", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，硬膝盖酸软，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "锁阳", "金樱子肉"], "flags": 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"醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60000, "pid": "Pf42772310e92", "date": "2026-04-12", "sex": "男", "age": 39, "cc": "左侧睾丸疼痛不适1月", "hpi": "1月前出现左侧睾丸不适，尿不尽尿无力，手淫频繁，左侧睾丸肿大，阴茎根部瘙痒，耳鸣，夜寐差，腰痛乏力，盗汗，阴茎根部红疹瘙痒", "wm_dx": ["静脉曲张", "精索静脉曲张", "腰痛", "慢性前列腺炎", "皮炎"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["精浊", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": ["盐车前子", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "炙淫羊藿", "绵萆薢", "天花粉", "墨旱莲", "乌药", "盐益智仁", "制巴戟天", "锁阳", "麸炒山药", "金樱子", "醋五味子", "路路通", "炒王不留行", "夏枯草", "荔枝核", "黄芪", "炙甘草"], "prev_gap": 64, "visit_ix": 8, "n_visits": 16, "visit_ix_rx": 4, "n_rx": 9} {"rid": 60001, "pid": "P48fc537949d8", "date": "2026-04-12", "sex": "男", "age": 27, "cc": "尿急1月", "hpi": "尿急1月，夜尿0次，稍有尿频，伴小腹坠胀，无明显尿后余沥、排尿不畅，久坐", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "酒黄精", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60002, "pid": "Pfee103887d13", "date": "2026-04-12", "sex": "男", "age": 27, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，乏力，情绪焦虑，眠差，无排尿不畅、尿后余沥，口干，盗汗，耳鸣，阴囊潮湿", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓", "酒黄精", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60009, "pid": "P6dd1d1552f17", "date": "2026-04-13", "sex": "男", "age": 45, "cc": "高脂血症 高尿酸血症复查", "hpi": "高脂血症 高尿酸血症复查 大小便正常 纳可 失眠 头晕一月 心悸半年 乏力 疲劳 腰痛 盗汗", "wm_dx": ["高脂血症", "高尿酸血症", "头晕", "心悸"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "丹参", "知母", "太子参", "麸炒山药", "桑椹", "麸炒芡实"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60017, "pid": "Pcead64a62349", "date": "2026-04-13", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善 早泄改善 大小便正常 纳可 失眠 盗汗 病情稳定 延长开药", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["甜叶菊叶", "党参", "山药", "麸炒白术", "盐补骨脂", "酒黄精", "炒酸枣仁", "干姜", "砂仁", "木香", "北柴胡", "白芍", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "制何首乌", "桑椹", "丹参", "知母", "合欢花", "合欢皮", "麸炒枳壳", "炙甘草"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "地骨皮", "五加皮", "炒僵蚕"], "prev_gap": 37, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 7} {"rid": 60019, "pid": "P827847949ae1", "date": "2026-04-13", "sex": "男", "age": 51, "cc": "复诊", "hpi": "病史同前，口干减，口中异味消，汗出，勃起，持续时间短，硬度一般，腰酸、脚热易汗，无口干，夜尿一次。眠可", "wm_dx": ["代谢综合征"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "生姜", "大枣", "盐补骨脂"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "姜半夏", "陈皮", "焦神曲", "地龙", "九香虫", "炙甘草", "生姜", "大枣"], "prev_gap": 7, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 8} {"rid": 60021, "pid": "Pbcdce5a2cb5b", "date": "2026-04-13", "sex": "男", "age": 67, "cc": "阴囊潮湿半年余", "hpi": "阴囊潮湿半年余 包皮龟头炎一月余 大便正常 尿频 尿等待 纳可 眠安 腰痛 湿疹取药", "wm_dx": ["包皮龟头炎", "前列腺增生", "湿疹"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "猪苓", "羌活", "制巴戟天", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60023, "pid": "P7fcbc9900e66", "date": "2026-04-13", "sex": "男", "age": 39, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 乏力 疲劳感明显 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["麦冬", "酒黄精", "太子参", "制巴戟天", "酒萸肉", "知母", "菟丝子", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60029, "pid": "P11c5cb5844da", "date": "2026-04-13", "sex": "男", "age": 34, "cc": "勃起功能差2月", "hpi": "自觉勃起硬度不够，或持续时间短，症起2月，手汗，无肢冷。眠可。偶有口干", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "九香虫", "地龙", "郁金", "麸炒苍术", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 60033, "pid": "P0e7145422c85", "date": "2026-04-13", "sex": "男", "age": 47, "cc": "勃起困难2月", "hpi": "勃起困难、硬度不够射精可。口干口苦，性急，抽烟喝酒，便调，眠可。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["女性生殖病", "肝郁肾虚证", "补肾益精"], ["男性生殖病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "生石膏", "姜厚朴", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "石菖蒲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60046, "pid": "Pe8d3248439f3", "date": "2026-04-13", "sex": "男", "age": 43, "cc": "腰痛半年", "hpi": "腰痛半年 大便正常 纳可 眠差 多梦 夜尿多 性功能下降 晨勃少", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "太子参", "覆盆子", "菟丝子", "枸杞子", "炒酸枣仁", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60049, "pid": "P0048e27e614f", "date": "2026-04-14", "sex": "男", "age": 32, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["党参片", "炙黄芪", "山药", "盐补骨脂", "酒黄精", "制巴戟天", "仙茅", "炙淫羊藿", "盐胡芦巴", "锁阳", "麸炒枳壳", "菟丝子", "韭菜子", "覆盆子", "枸杞子", "酒女贞子", "醋五味子", "石菖蒲", "制远志", "炙甘草"], "flags": [], "prev_rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "山药", "韭菜子", "沙苑子", "覆盆子", "酒女贞子", "枸杞子", "党参", "干姜", "砂仁", "木香", "麸炒枳壳", "炙淫羊藿", "仙茅", "菟丝子", "蛇床子", "炙甘草", "石斛"], "prev_gap": 7, 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"age": 32, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，性生活不规律，工作劳累，尿频，腰膝酸软，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "制远志", "酒黄精", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60094, "pid": "Pcd358be0fc7e", "date": "2026-04-15", "sex": "男", "age": 34, "cc": "尿频一年", "hpi": "尿频，硬度一般，时有中途疲软，近期准备生育，排尿尿不尽，阴囊潮湿，无腹痛，无腰疼，大便不成型粘，纳可，睡眠正常，口和，无怕冷，怕热，口服金戈有效果，现效果不明显", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾阳虚水泛证", "温阳利水"]], "rx": ["桂枝", "茯苓", "泽泻", "当归", "川芎", "牡丹皮", "麸炒白术", "干姜", "黑顺片", "炙淫羊藿", "乌药", "细辛", "熟地黄", "丹参", "鸡血藤", "蜈蚣", "鹿角霜"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "当归", "川芎", "牡丹皮", "麸炒白术", "干姜", "黑顺片", "炙淫羊藿", "乌药", "细辛", "熟地黄", "丹参", "鸡血藤", "蜈蚣"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60095, "pid": "P9d181c45e245", "date": "2026-04-15", "sex": "男", "age": 38, "cc": "尿频5-6年", "hpi": "尿频，婚后一直未成功性生活，刚开始能硬，同房即疲软，但晨勃明显，排尿正常，夜尿正常，大便正常，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "炙淫羊藿", "郁金", "牛膝", "黑顺片", "干姜"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "炙淫羊藿", "郁金", "牛膝", "丝瓜络"], "prev_gap": 14, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 60100, "pid": "P1c46fa1d96a4", "date": "2026-04-15", "sex": "男", "age": 30, "cc": "尿意频繁复诊", "hpi": "尿意频繁改善 尿等待 排尿不畅改善 大便正常 纳可 眠差 腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["麦冬", "酒黄精", "太子参", "制巴戟天", "菟丝子", "覆盆子", "石斛"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60102, "pid": "P24bb5116aef8", "date": "2026-04-15", "sex": "男", "age": 35, "cc": "尿频6年", "hpi": "尿频6年，持续不久，近4月勃起不坚，中途疲软，昨日未常规。晨勃有，熬夜，排尿正常，喝水即尿多，大便不成型，纳可，口和，无怕冷，腰痛。药后症状改善，停药后反复。", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["精浊", "脾肾阳虚证", "补肾扶元"]], "rx": ["茯苓", "泽泻", "当归", "川芎", "熟地黄", "牡丹皮", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "干姜", "炙淫羊藿", "蜈蚣", "黑顺片", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 60103, "pid": "Pbbf5ebcdf6c6", "date": "2026-04-15", "sex": "男", "age": 45, "cc": "阴囊潮湿半年", "hpi": "阴囊潮湿半年 睾丸酸胀 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["秦艽", "酒黄精", "猪苓", "羌活", "太子参", "薏苡仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60111, "pid": "P54929786119d", "date": "2026-04-15", "sex": "男", "age": 32, "cc": "早泄2年", "hpi": "早泄轻微改善 勃起可 大小便正常 纳可 失眠 乏力疲劳腰痛改善", "wm_dx": ["早泄"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["房事早泄", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "炒僵蚕", "花椒", "炙黄芪", "太子参", "猪苓", "制巴戟天"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "炒僵蚕"], "prev_gap": 15, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 60112, "pid": "P3cb5a9856349", "date": "2026-04-15", "sex": "男", "age": 61, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，夜尿1次，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓", "酒黄精", "石菖蒲", "鸡血藤"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 60113, "pid": "Pecbe9aa1fa65", "date": "2026-04-15", "sex": "男", "age": 55, "cc": "尿频半年", "hpi": "尿频，性欲下降，有晨勃，时有不勃起，排尿正常，夜尿1次，睡眠一般，纳可，口和，大便正常粘", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾阳虚证", "温补肾阳"]], "rx": ["北柴胡", "黄芩片", "党参片", "茯苓", "细辛", "麻黄", "干姜", "黑顺片", "炙甘草", "煅龙骨", "煅牡蛎", "蜈蚣", "炙淫羊藿", "炒栀子"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "郁金", "丹参", "鸡血藤", "当归", "炒栀子", "淡豆豉", "蜈蚣", "炙淫羊藿", "仙茅", "茯苓", "党参片"], "prev_gap": 8, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 60114, "pid": "Pdfa1c78fa89f", "date": "2026-04-15", "sex": "男", "age": 45, "cc": "乏力腰痛半年", "hpi": "伴有早泄 中途疲软 晨勃少 性欲正常 纳可 排尿正常 大便正常 失眠 口和 无怕冷", "wm_dx": ["静脉曲张", "精索静脉曲张", "高血压", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "鸡血藤", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "石菖蒲", "北败酱草", "莲子"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "黄芪"], "prev_gap": 14, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 60116, "pid": "Pb9def7825c69", "date": "2026-04-15", "sex": "男", "age": 62, "cc": "尿频1年", "hpi": "尿频，夜尿偶有1次，大便正常，睡眠正常，纳可，口和，硬度一般，晨勃少，性欲有，时间短", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "地黄", "牛膝", "蜈蚣", "金樱子肉", "黑顺片", "干姜", "炙甘草", "炙淫羊藿", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60121, "pid": "Pbe603a0eb2aa", "date": "2026-04-15", "sex": "男", "age": 45, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力 ，排尿正常，大便粘，睡眠多梦，吃生冷易腹泻", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "寒热错杂证", "调理阴阳"]], "rx": ["法半夏", "黄连片", "黄芩片", "干姜", "大枣", "丹参", "鸡血藤", "党参片", "蜈蚣", "石菖蒲", "盐蒺藜", "赤小豆", "炙淫羊藿", "仙茅", "煅阳起石", "炒栀子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60123, "pid": "P0e8789bf7639", "date": "2026-04-16", "sex": "男", "age": 36, "cc": "尿道不适感复诊", "hpi": "尿道灼热，微痒 无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和。3.29复诊：症状改善，但仍存在。", "wm_dx": ["前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["甜叶菊叶", "瞿麦", "绵萆薢", "虎杖", "茵陈", "车前草", "盐车前子", "金银花", "蒲公英", "石菖蒲", "制远志", "白芷", "麸炒枳壳", "炙甘草", "制巴戟天", "仙茅", "炙淫羊藿", "山药", "党参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60124, "pid": "P3c568184c56d", "date": "2026-04-16", "sex": "男", "age": 47, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 大便正常 尿不尽 排尿无力 纳可 眠安 腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "菟丝子", "太子参", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 60131, "pid": "P82395e22131e", "date": "2026-04-16", "sex": "男", "age": 60, "cc": "尿频6月", "hpi": "尿频6月，夜尿4-5次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。2026年2外院诊断膀胱过度活动症。", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "石菖蒲", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60132, "pid": "P7ba8265cbf33", "date": "2026-04-16", "sex": "男", "age": 64, "cc": "腰痛乏力复诊", "hpi": "勃起改善，加重一月，咽部不适感。腰痛乏力", "wm_dx": ["高血压"], "tcm_dx": [["腰痛", "肝郁肾虚证", "通阳理气"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "石菖蒲", "生石膏", "桔梗", "姜厚朴"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "石菖蒲", "生石膏", "桔梗", "姜厚朴"], "prev_gap": 26, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 5} {"rid": 60134, "pid": "P8ad71f12b36a", "date": "2026-04-16", "sex": "男", "age": 24, "cc": "尿频一月", "hpi": "尿频，腰痛，乏力，排尿正常，大便不规律，眠一般，纳可，口干口苦，无怕冷，盗汗", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "炒栀子", "地黄", "酒萸肉", "山药", "牡丹皮", "石菖蒲", "盐蒺藜", "制远志", "丹参", "鸡血藤", "制巴戟天", "蜈蚣", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60141, "pid": "P43249e76d2da", "date": "2026-04-16", "sex": "男", "age": 34, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。尿频，腰痛，口干，盗汗，晨勃有。", "wm_dx": ["包皮龟头炎", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60145, "pid": "Pcb4035af8e9c", "date": "2026-04-16", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "伴有早泄一月余 勃起硬度差 晨勃消失 压力不大 大小便正常 纳可 眠差 胁痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "花椒"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 60149, "pid": "P9c62e66dba06", "date": "2026-04-16", "sex": "男", "age": 47, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作劳累熬夜，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "金樱子", "石菖蒲", "麸炒薏苡仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60152, "pid": "P9cb9130f517f", "date": "2026-04-17", "sex": "男", "age": 53, "cc": "腰疼3-5年", "hpi": "腰疼，弯腰活动正常，右侧腿抽筋，怕冷，吃生冷加重，大便粘，尿不尽，夜尿正常，睡眠多梦，无晨勃，硬度一般，乏力，口干口苦,复诊：勃起一般，盗汗，口干口苦好转，睡眠一般", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "厥阴证类", "温下清上"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "党参片", "黑顺片", "煅龙骨", "煅牡蛎", "炒栀子", "淡豆豉", "炒苦杏仁", "干姜", "炙甘草", "北柴胡", "麸炒枳实", "蜈蚣", "丹参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 5} {"rid": 60153, "pid": "P3ba1088a9719", "date": "2026-04-17", "sex": "男", "age": 72, "cc": "少腹坠胀3天", "hpi": "少腹坠胀，睾丸发胀，排尿正常，夜尿1次，大便便秘1-2天一次困难，纳可，睡眠一般，口和，无腰酸痛，易生气，近期消瘦", "wm_dx": ["腹痛"], "tcm_dx": [["腹痛", "脾肾两虚证", "补肾扶元"]], "rx": ["姜厚朴", "干姜", "法半夏", "党参片", "陈皮", "北柴胡", "酒苁蓉", "白术", "川楝子", "桂枝", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60157, "pid": "P8f1accab3087", "date": "2026-04-17", "sex": "男", "age": 43, "cc": "尿频一月", "hpi": "尿频，尿不尽，试管2次未成功，既往检查精液2.49%，排尿正常，大便不成型，肠镜-，睡眠正常，纳可，口干，腰痛，近期乏力，体重下降，怕冷，复诊：左侧后脚跟疼痛，复诊：足部疼痛消失，现大便粘\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n5", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "猪苓", "枸杞子", "菟丝子", "酒黄精", "盐车前子", "牡蛎", "赤小豆", "生姜", "醋龟甲", "炒苦杏仁", "黑顺片", "丹参"], "flags": [], "prev_rx": ["桂枝", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "猪苓", "枸杞子", "菟丝子", "酒黄精", "盐车前子", "牡蛎", "赤小豆", "生姜", "醋龟甲", "姜厚朴", "黑顺片", "丹参"], "prev_gap": 14, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 7, "n_rx": 10} {"rid": 60160, "pid": "P1f655e1bd3d4", "date": "2026-04-17", "sex": "男", "age": 57, "cc": "尿频尿急1年余", "hpi": "尿频尿急1年余 大便正常 纳可 眠安 夜尿2-3次 排尿通畅 阴囊潮湿", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["绵萆薢", "酒黄精", "秦艽", "猪苓", "羌活", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60162, "pid": "P276bae338227", "date": "2026-04-17", "sex": "男", "age": 63, "cc": "前列腺增生伴钙化复诊", "hpi": "前列腺增生伴钙化，尿不尽，阴囊潮湿，夜尿4-5次，大便粘，睡眠一般，多梦，口干口苦口渴，纳可，性功能减退", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牡丹皮", "北沙参", "麦冬", "黑顺片", "蜈蚣", "赤小豆", "煅龙骨", "煅牡蛎", "炒栀子", "丹参", "党参片"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "丹参", "鸡血藤", "黑顺片", "赤小豆", "燀桃仁", "红花", "猪苓", "阿胶珠", "滑石", "炒苦杏仁", "党参片"], "prev_gap": 7, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 60171, "pid": "P7c5002ec7354", "date": "2026-04-17", "sex": "男", "age": 36, "cc": "尿频一月", "hpi": "尿频，夜尿正常，准备备育，同房正常 纳可 眠安", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "菟丝子", "盐车前子", "覆盆子", "酒女贞子", "沙苑子", "枸杞子", "醋五味子", "麸炒枳壳", "党参", "山药", "盐补骨脂", "酒黄精", "防风", "白芷", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60178, "pid": "Pfcf90adbb750", "date": "2026-04-17", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作盗汗熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "干姜", "熟地黄", "炙淫羊藿"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄"], "prev_gap": 5, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 60186, "pid": "Pe2730ec47848", "date": "2026-04-18", "sex": "男", "age": 54, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，晨勃消失，性欲减退，口中和，长期熬夜。3.8复诊：偶有晨勃，无同房，3.21复诊：服药后晨勃每日有，排气多，无同房，性欲稍有恢复。4.4复诊：晨勃可，勃起硬度欠佳，可同房，近2周同房2次。4.18复诊：服药无不适，近2周1次同房，硬度欠佳，中途疲软，夜勃增加。", "wm_dx": ["男性性腺功能低下", "糖尿病"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "炒栀子", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "人参", "黄芪", "酒黄精", "全蝎"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "人参", "黄芪", "酒黄精", "炒栀子"], "prev_gap": 14, "visit_ix": 9, "n_visits": 20, "visit_ix_rx": 4, "n_rx": 12} {"rid": 60187, "pid": "P7c438a1d3841", "date": "2026-04-18", "sex": "男", "age": 44, "cc": "乏力一周", "hpi": "乏力，既往肿瘤标志物高，癌标高，尿频，尿急，手发凉，无腹痛，腰酸疼，纳可，吃生冷胃疼易腹泻，大便不成型，睡眠一般，口和，怕冷，鼻塞流涕", "wm_dx": ["慢性前列腺炎", "过敏性鼻炎[变应性鼻炎]"], "tcm_dx": [["虚劳类病", "脾肾阳虚证", "补肾扶元"]], "rx": ["桂枝", "党参", "干姜", "制吴茱萸", "当归", "细辛", "川芎", "桃仁", "红花", "砂仁", "附片", "北柴胡", "盐黄柏", "麸炒白术", "泽泻", "荆芥", "防风"], "flags": [], "prev_rx": ["桂枝", "党参", "干姜", "制吴茱萸", "当归", "细辛", "通草", "川芎", "桃仁", "红花", "炙淫羊藿", "附片", "北柴胡", "熟地黄", "麸炒白术", "泽泻", "荆芥"], "prev_gap": 15, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 6} {"rid": 60188, "pid": "P269292c0766d", "date": "2026-04-18", "sex": "男", "age": 29, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["失眠", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["酒黄精", "麦冬", "炒酸枣仁", "丹参", "知母", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 60189, "pid": "Pffd8817d0f54", "date": "2026-04-18", "sex": "男", "age": 65, "cc": "尿频半年", "hpi": "尿频，半年前出现勃起不行，无晨勃，排尿不畅，夜尿正常，尿黄，大便正常，睡眠差早醒，纳可，口和，无怕冷，无腰疼，在杏园金方口服3月汤药未效", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["麻黄", "炒苦杏仁", "生石膏", "甘草片", "丹参", "鸡血藤", "牛膝", "炒栀子", "地黄", "蜈蚣", "石菖蒲", "酒黄精", "黑顺片"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "牡丹皮", "桂枝", "白芍", "生姜", "大枣", "盐补骨脂", "桑寄生", "蜈蚣", "牛膝", "炙淫羊藿", "黑顺片", "地黄"], "prev_gap": 7, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 6} {"rid": 60195, "pid": "P9a6314d0c56d", "date": "2026-04-18", "sex": "男", "age": 57, "cc": "排尿不畅尿等待8月", "hpi": "8月前出现排尿不畅尿等待，3周前就诊我院脑病科病房，我科会诊予口服盐酸坦索罗辛缓释胶囊、非那雄胺片、前列舒通胶囊症状改善，现出院规律门诊。现夜尿1-2次，口中和，夜寐差,失眠，易醒，勃起不坚，腰痛乏力,心脏支架术后有血栓可能，外院就诊口服华法令片，要求用药一周后复查血常规+凝血五项，3.7号复诊：夜寐差，勃起欠佳，偶有晨勃.3.28复诊：夜寐改善，晨勃少，近期无同房。4.18复诊：排尿不畅好转，近2周同房一次，勃起硬度欠佳，时间短，近期压痛睡眠差。", "wm_dx": ["冠状动脉粥样硬化性心脏病", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["精癃", "肝肾两虚证", "滋补肝肾"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "覆盆子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "韭菜子", "制巴戟天", "全蝎", "黄芪", "人参"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "覆盆子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "韭菜子", "制巴戟天", "锁阳", "全蝎"], "prev_gap": 21, "visit_ix": 13, "n_visits": 20, "visit_ix_rx": 6, "n_rx": 9} {"rid": 60197, "pid": "P89d79f2cd8ac", "date": "2026-04-18", "sex": "男", "age": 29, "cc": "尿频半年", "hpi": "尿频，晨勃有，硬度一般，时间短，排尿正常，大便正常，睡眠正常，纳可，阴囊潮湿，口和，多汗", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", 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45, "cc": "复诊", "hpi": "病史同前，时尿频感，尿不尽，偶有尿急，阴囊潮湿减、仍发凉感，口干，性急。近期消瘦明显", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["白芍", "北柴胡", "麸炒枳实", "盐补骨脂", "盐益智仁", "桑螵蛸", "生石膏", "黑顺片", "首乌藤", "炙甘草", "乌药", "麸炒山药"], "flags": [], "prev_rx": ["白芍", "北柴胡", "麸炒枳实", "盐补骨脂", "盐益智仁", "桑螵蛸", "生石膏", "黑顺片", "首乌藤", "炙甘草"], "prev_gap": 15, "visit_ix": 4, "n_visits": 12, "visit_ix_rx": 4, "n_rx": 10} {"rid": 60204, "pid": "P7d7e3464903b", "date": "2026-04-18", "sex": "男", "age": 45, "cc": "腰痛怕冷复诊", "hpi": "腰痛怕冷改善 大小便正常 纳可 眠差 乏力 腹胀 腰痛 关节炎取药", "wm_dx": ["关节炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹胀", "脾虚气滞证", "理气行滞"], ["痹证类病", "气滞血瘀证", "活血化瘀"]], "rx": ["盐补骨脂", "菟丝子", "酒苁蓉", "制巴戟天", "肉桂", "制何首乌", "黄连", "牛膝", "知母", "砂仁", "山药", "麸炒芡实", "党参", "炙黄芪", "木香", "制远志", "炒酸枣仁", "盐杜仲", "丹参", "川芎", "桑椹", "大血藤", "盐黄柏", "麸炒苍术"], "flags": [], "prev_rx": ["盐补骨脂", "菟丝子", "酒苁蓉", "制巴戟天", "肉桂", "制何首乌", "黄连", "牛膝", "知母", "当归", "山药", "麸炒芡实", "党参", "炙黄芪", "麦冬", "醋五味子", "炒酸枣仁", "石菖蒲", "丹参", "川芎", "桑椹", "柏子仁", "石斛", "麸炒苍术"], "prev_gap": 13, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 7, "n_rx": 10} {"rid": 60205, "pid": "Pd49f47cfe93a", "date": "2026-04-18", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，久坐", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["菟丝子", "枸杞子", "盐车前子", "干姜", "牡蛎", "砂仁", "炙淫羊藿", "仙茅", "牛膝", "红景天", "醋龟甲", "酒黄精", "熟地黄", "酒萸肉", "丹参", "鸡血藤"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60214, "pid": "P21fdd24759c6", "date": "2026-04-18", "sex": "男", "age": 30, "cc": "精液色黄1月", "hpi": "1月前发现精液液化不好色黄，久坐，尿分叉，自觉龟头敏感，射精快。3.21复诊：射精色黄好转，长期熬夜，失眠", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "炙甘草", "北柴胡", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "马齿苋", "酒大黄", "金樱子", "醋五味子", "菟丝子", "地龙", "炒酸枣仁", "柏子仁", "大枣", "太子参", "枸杞子", "龙眼肉"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "炙甘草", "北柴胡", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "马齿苋", "酒大黄", "金樱子", "醋五味子", "菟丝子", "地龙", "炒酸枣仁", "柏子仁", "炒决明子", "茯苓", "猪苓", "龙眼肉", "桑椹", "太子参", "大枣"], "prev_gap": 28, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 6} {"rid": 60215, "pid": "Pe3fcbe4e3239", "date": "2026-04-18", "sex": "男", "age": 34, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，盗汗，夜寐差，易醒，排尿可，无其他不适。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "脾肾两虚证", "健脾渗湿"]], "rx": ["麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "炒苍耳子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60222, "pid": "P4cb730614ae1", "date": "2026-04-18", "sex": "男", "age": 40, "cc": "尿频伴小腹胀痛2年", "hpi": "2年前出现尿频伴小腹胀痛，射精痛，勃起欠佳。4.4复诊：小腹胀痛明显好转，近2周同房2次，射精痛消失，勃起好转，精液色由黄转白。", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["白花蛇舌草", "地榆", "小蓟", "金银花", "蒲公英", "地肤子", "马齿苋", "地龙", "连翘"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60224, "pid": "P5fd41fd7a998", "date": "2026-04-18", "sex": "男", "age": 36, "cc": "阴囊刺痒1周", "hpi": "阴囊刺痒,皮肤潮红,有脱屑,排尿正常,大便正常,睡眠一般浅,口和", "wm_dx": ["股癣"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["煅龙骨", "赤小豆", "煅牡蛎", "炒栀子", "干姜", "砂仁", "桂枝", "盐关黄柏", "白芍", "大枣", "石菖蒲", "盐蒺藜", "党参片", "黑顺片", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60230, "pid": "Pd6b788cb709c", "date": "2026-04-18", "sex": "男", "age": 29, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期想生育，2026.3.28精液常规：不完全液化，总活率12%，前向运动：10.8%，正常形态：2.5%。手汗出，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子", "醋五味子", "韭菜子", "路路通", "炒王不留行"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60231, "pid": "P67d2a154389d", "date": "2026-04-18", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，工作久坐，情绪焦虑，同居感情可，时间短,大便粘，睡眠可,易困，无排尿不畅、尿后余沥，生冷不能吃。口干.", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["盐关黄柏", "砂仁", "炙甘草", "煅龙骨", "煅牡蛎", "麸炒薏苡仁", "炒栀子", "石菖蒲", "熟地黄", "炙淫羊藿", "仙茅", "黑顺片", "柏子仁", "桂枝", "白芍", "桔梗"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "麸炒白术"], "prev_gap": 259, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60232, "pid": "P07a0e7f10711", "date": "2026-04-18", "sex": "男", "age": 44, "cc": "尿频2月", "hpi": "尿频，晨勃可，关键时勃起不效，硬度不行，睡眠正常，纳可，排尿尿等待，夜尿1次，大便正常，口干，时有腰疼，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["石菖蒲", "炒栀子", "郁金", "丹参", "鸡血藤", "牛膝", "蜈蚣", "茯苓", "白芍", "当归", "煅龙骨", "煅牡蛎", "炙淫羊藿", "北柴胡", "麸炒枳实"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60236, "pid": "P0b9000fe8dc7", "date": "2026-04-18", "sex": "男", "age": 40, "cc": "尿频2年", "hpi": "尿频，无晨勃，硬度一般，吸烟饮酒，熬夜，排尿可 ，喝水尿频，大便不成型，睡眠正常，纳可，口干，时有腰疼，无怕冷，怕热", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "山药", "茯苓", "丹参", "鸡血藤", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "乌药", "干姜"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "山药", "茯苓", "丹参", "鸡血藤", "蜈蚣", "醋三棱", "醋莪术", "石菖蒲", "郁金", "炙淫羊藿", "仙茅"], "prev_gap": 10, "visit_ix": 1, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 11} {"rid": 60237, "pid": "P50aeed993b61", "date": "2026-04-18", "sex": "男", "age": 34, "cc": "腰痛乏力伴不射精1年", "hpi": "1年前出现腰痛乏力伴不射精，盗汗，长期熬夜，12点睡，久坐", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "黄芪", "酒黄精", "麻黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60241, "pid": "P397ac96e6db7", "date": "2026-04-18", "sex": "男", "age": 52, "cc": "腰痛抄方", "hpi": "腰痛抄方，外院开方 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["菟丝子", "龟甲胶", "酒当归", "北柴胡", "酒白芍", "盐杜仲", "沙苑子", "炙黄芪", "丹参", "泽泻", "覆盆子", "麸炒山药", "酒苁蓉", "川牛膝", "制水蛭", "石菖蒲", "茯苓", "炒酸枣仁", "炙淫羊藿", "韭菜子", "锁阳", "制巴戟天", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["菟丝子", "龟甲胶", "酒当归", "北柴胡", "酒白芍", "盐杜仲", "沙苑子", "炙黄芪", "丹参", "泽泻", "覆盆子", "麸炒山药", "酒苁蓉", "川牛膝", "制水蛭", "石菖蒲", "茯苓", "炒酸枣仁", "炙淫羊藿", "韭菜子", "锁阳", "制巴戟天", "酒黄精"], "prev_gap": 6, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 5} {"rid": 60242, "pid": "Pde03445295a3", "date": "2026-04-18", "sex": "男", "age": 33, "cc": "尿频 尿急 排尿不畅一月余", "hpi": "尿频 尿急 排尿不畅一月余 失眠 腰痛 盗汗 急躁 夜尿2-3次，口渴，射精快，眼干涩，夜寐差，易醒。4.18复诊：尿频尿急减轻，眼干涩，夜尿1-2次，阴囊潮湿，射精快，夜寐差易醒侧面发白。", "wm_dx": ["泌尿系感染", "精索静脉曲张", "慢性前列腺炎"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肾虚证", "补肾扶元"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "盐车前子", "醋五味子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "金樱子", "炙淫羊藿", "麸炒苍术", "黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子", "醋五味子", "金樱子"], "prev_gap": 20, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60246, "pid": "P3c644e221c2f", "date": "2026-04-18", "sex": "男", "age": 64, "cc": "尿频尿急尿不尽5年", "hpi": "5年前出现尿频尿急尿不尽，日间排尿半小时1次，夜尿1-2次，口干，夜寐差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "金樱子", "乌药", "盐益智仁", "麸炒山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60251, "pid": "Paa20a1a5c390", "date": "2026-04-18", "sex": "男", "age": 31, "cc": "腰痛乏力1周", "hpi": "1周前出现腰痛乏力，神疲易倦，口干，长期熬夜。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["虚劳类病", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "金樱子", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "醋五味子", "炙淫羊藿", "炒栀子", "制远志", "黄芪"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "金樱子", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "醋五味子", "炙淫羊藿", "炒栀子", "制远志"], "prev_gap": 7, "visit_ix": 10, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 5} {"rid": 60254, "pid": "Pbaf7a6bc76b1", "date": "2026-04-19", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安,盗汗乏力", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60260, "pid": "P45f4eaccdc6c", "date": "2026-04-19", "sex": "男", "age": 31, "cc": "腰痛乏力5月", "hpi": "5月前出现腰痛乏力，近期备孕,盗汗乏力", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "地龙"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60261, "pid": "P1e4182b4b516", "date": "2026-04-19", "sex": "男", "age": 25, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，睾丸不适，长期熬夜，夜寐差，多梦，口中和，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "金樱子", "盐车前子", "醋五味子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "炙淫羊藿", "炒酸枣仁"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "金樱子", "盐车前子", "醋五味子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "炙淫羊藿", "炒酸枣仁"], "prev_gap": 21, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 60262, "pid": "Pb3fe029870ec", "date": "2026-04-19", "sex": "男", "age": 32, "cc": "腰痛乏力伴勃起中途软1月", "hpi": "1月前出现腰痛乏力伴勃起中途疲软，晨勃可，性欲可，手淫勃起可，口干口苦，盗汗。4.19复诊：近2周同房1次，勃起好转，晨勃可，口干口苦。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "温补肾阳"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "黄芩", "炒栀子", "韭菜子", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60263, "pid": "Pb6037c4aafe0", "date": "2026-04-19", "sex": "男", "age": 35, "cc": "腰痛乏力伴射精快3月", "hpi": "3月前出现腰痛乏力伴射精快，勃起欠佳，下肢乏力，龟头红疹.3.21复诊：腰痛下肢乏力好转，勃起可，中途疲软，敏感度好转，易生气，胁肋疼痛。4.4复诊：勃起明显好转，中途疲软好转，射精快好转，下肢乏力好转，偶有左侧大腿外侧酸痛不适。4.18复诊：勃起中途疲软，尿不尽。", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "白茅根", "白花蛇舌草", "小蓟"], "flags": [], "prev_rx": ["知母", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "盐杜仲", "续断", "酒黄精", "金樱子", "制巴戟天", "韭菜子"], "prev_gap": 15, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 5, "n_rx": 8} {"rid": 60267, "pid": "P693fe8289601", "date": "2026-04-19", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不，精索静脉曲张，盗汗，工作劳累。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒黄精", "酒女贞子", "墨旱莲", "防风", "麸炒白术", "茯苓", "枸杞子", "白芍", "醋五味子", "金樱子肉", "韭菜子", "制巴戟天", "沙苑子", "桑椹", "菟丝子", "麸炒芡实", "黄芪", "熟地黄", "炒酸枣仁", "盐益智仁", "制远志", "橘络", "盐杜仲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒黄精", "酒女贞子", "墨旱莲", "防风", "麸炒白术", "茯苓", "枸杞子", "白芍", "醋五味子", "金樱子肉", "韭菜子", "制巴戟天", "沙苑子", "桑椹", "菟丝子", "麸炒芡实", "黄芪", "熟地黄", "炒酸枣仁", "盐益智仁", "制远志"], "prev_gap": 15, "visit_ix": 3, "n_visits": 9, "visit_ix_rx": 2, "n_rx": 7} {"rid": 60270, "pid": "Pd9465ab56996", "date": "2026-04-19", "sex": "男", "age": 27, "cc": "腰痛乏力伴勃起不坚3年", "hpi": "3年前出现腰痛乏力伴勃起不坚,晨勃消失,不能插入,手淫勃起欠佳,紧张焦虑,夜寐差入睡困难,性欲可,", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "炒酸枣仁", "韭菜子", "黄芩", "炒栀子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60273, "pid": "P29b80cda840c", "date": "2026-04-19", "sex": "男", "age": 42, "cc": "腰痛乏力伴勃起硬度欠佳6月", "hpi": "6月前出现腰痛乏力伴勃起硬度欠佳,射精快,性欲减退,＜100下,口粘,夜寐差,失眠,", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制远志", "川芎", "韭菜子", "制巴戟天", "红景天", "黄芪", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60277, "pid": "P3182603ae3cc", "date": "2026-04-19", "sex": "男", "age": 49, "cc": "排尿不畅5年", "hpi": "5年前出现排尿不畅,体检提示前列腺钙化灶,偶有小腹胀痛,近期消瘦,腰痛乏力,龟头红疹", "wm_dx": ["慢性前列腺炎", "包皮龟头炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["关黄柏", "蛇床子", "金银花", "连翘", "花椒", "苦参", "地肤子", "白花蛇舌草", "北败酱草", "黄连片", "马齿苋"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60278, "pid": "P2a7278189cbc", "date": "2026-04-19", "sex": "男", "age": 31, "cc": "尿分叉伴射精快1年", "hpi": "1年前出现尿分叉,腰痛乏力,勃起中途软,射精快,怕冷,口干口苦,易生气", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60281, "pid": "Pbf157831ed1d", "date": "2026-04-19", "sex": "男", "age": 63, "cc": "排尿不畅1年", "hpi": "1年前排尿不畅,尿频尿急,血尿", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["尿血", "血瘀证", "活血化瘀"]], "rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "昆布", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "小通草", "麸炒冬瓜子", "苦参", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "赤小豆"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60284, "pid": "P815132315471", "date": "2026-04-19", "sex": "男", "age": 28, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，盗汗，口中和，夜寐一般", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子", "韭菜子", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60286, "pid": "P6e02d5a8abf4", "date": "2026-04-19", "sex": "男", "age": 26, "cc": "腰痛乏力伴勃起欠佳1年", "hpi": "1年前出现腰痛乏力,勃起硬度逐渐降低,射精快,夜寐差,易醒,没精神,口干口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "韭菜子", "红景天", "炒酸枣仁", "川牛膝", "盐杜仲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60288, "pid": "P66d9ee53a36e", "date": "2026-04-19", "sex": "男", "age": 30, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力 盗汗 倒班工作 无其他不适 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "覆盆子", "菟丝子", "党参", "酒黄精", "盐补骨脂", "麸炒枳壳", "盐车前子", "枸杞子", "炙甘草", "醋五味子", "石斛", "炙黄芪", "熟地黄", "沙苑子"], "flags": [], "prev_rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "覆盆子", "菟丝子", "党参", "酒黄精", "盐补骨脂", "麸炒枳壳", "盐车前子", "枸杞子", "炙甘草", "醋五味子", "石斛", "炙黄芪", "熟地黄", "沙苑子"], "prev_gap": 8, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 6} {"rid": 60290, "pid": "Ped4394b5d38f", "date": "2026-04-19", "sex": "男", "age": 37, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力,盗汗,12点睡,长期熬夜,口中和,", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "金樱子", "盐车前子", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 60294, "pid": "P8dc567817762", "date": "2026-04-19", "sex": "男", "age": 38, "cc": "腰痛乏力汗出2月", "hpi": "2月前出现腰痛乏力汗出，现勃起不坚，性欲可，晨勃消失，口干口苦，长期熬夜，二便调，盗汗，手足心汗出", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙黄芪", "酒黄精", "防己", "防风", "麻黄根", "地骨皮", "当归", "川芎", "炒栀子", "龙胆", "酒黄芩", "红曲"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "仙茅", "制巴戟天", "锁阳"], "prev_gap": 168, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 60295, "pid": "P5f8230768e9e", "date": "2026-04-19", "sex": "男", "age": 51, "cc": "腰痛乏力伴勃起硬度不坚5年", "hpi": "5年前出现腰痛乏力伴勃起硬度不坚，性欲差，夜寐差，易醒，夜尿2次，口中和，大便2-3天一次。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "全蝎", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60301, "pid": "P4ade17829449", "date": "2026-04-19", "sex": "男", "age": 37, "cc": "腰痛抄方", "hpi": "腰痛，有效，抄原方", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["醋青皮", "陈皮", "赤芍", "白芍", "麸炒白术", "茯苓", "醋鸡内金", "豆蔻", "黄芩片", "黄连片", "生石膏", "泽泻", "天麻", "钩藤", "川楝子", "北柴胡", "郁金", "醋香附", "盐杜仲", "牛膝", "莲子心", "淡竹叶", "荷叶", "荆芥穗", "制远志"], "flags": [], "prev_rx": ["醋青皮", "陈皮", "赤芍", "白芍", "麸炒白术", "茯苓", "醋鸡内金", "豆蔻", "黄芩片", "黄连片", "生石膏", "泽泻", "天麻", "钩藤", "川楝子", "北柴胡", "郁金", "醋香附", "盐杜仲", "牛膝", "莲子心", "淡竹叶", "荷叶", "荆芥穗"], "prev_gap": 16, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 60305, "pid": "P93800f8a3013", "date": "2026-04-20", "sex": "男", "age": 42, "cc": "尿频2周", "hpi": "尿频、尿急感，无尿痛，排尿畅。肢冷、有汗，阴囊潮湿，失眠，无明显口干口苦", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "桑螵蛸", "盐补骨脂", "盐益智仁", "酒萸肉", "牛膝", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60306, "pid": "Pdfc37551b6ec", "date": "2026-04-20", "sex": "男", "age": 37, "cc": "勃起困难2周", "hpi": "2周勃起困难无明显诱因，否认慢性病是史。父亲糖尿病.肢冷汗出不甚，口干不苦，心急，", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["男性生殖病", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "黑顺片", "九香虫", "地龙", "盐蒺藜", "石菖蒲", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 5} {"rid": 60309, "pid": "P02beaef1b1f8", "date": "2026-04-20", "sex": "男", "age": 41, "cc": "慢性前列腺炎复查", "hpi": "慢性前列腺炎复查 少腹隐痛 大便正常 无尿 纳可 眠安 睾丸隐痛 胃酸过多 反酸取药", "wm_dx": ["慢性前列腺炎", "睾丸结石", "反酸", "胃酸分泌过多"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "制巴戟天", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 13, "visit_ix_rx": 0, "n_rx": 4} {"rid": 60310, "pid": "P827847949ae1", "date": "2026-04-20", "sex": "男", "age": 51, "cc": "复诊", "hpi": "病史同前，口中粘，勃起差，持续时间短，硬度一般。眠可.", "wm_dx": ["代谢综合征", "男性勃起障碍"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "生姜", "大枣", "盐补骨脂"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "生姜", "大枣", "盐补骨脂"], "prev_gap": 7, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 8} {"rid": 60313, "pid": "P9a9694fe1af2", "date": "2026-04-20", "sex": "男", "age": 65, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，无尿后余沥，夜尿3-4次，伴会阴不适灼热，大便质干，纳可，眠一般，梦多，口干，盗汗。查超声前列腺大小3.1*3.9*2.5cm，尿常规未见明显异常。近期饮酒。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 60317, "pid": "Pfb96a5775b38", "date": "2026-04-20", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力改善，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干口苦，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "熟地黄", "烫狗脊", "桑寄生", "知母", "盐黄柏", "牡丹皮", "炒酸枣仁", "制远志"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "牡丹皮", "北沙参", "牛膝", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "酒黄精", "麦冬", "党参片"], "prev_gap": 19, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 60323, "pid": "Pb98bbf10a3df", "date": "2026-04-20", "sex": "男", "age": 37, "cc": "排尿不畅一月余", "hpi": "排尿不畅一月余 体检发现前列腺钙化灶 无尿频 尿急尿等待症状 尿不尽偶见 大便正常 纳可 眠安\r\n无少腹隐痛 无睾丸疼痛 腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "菟丝子", "覆盆子", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60329, "pid": "P02413c6892f6", "date": "2026-04-20", "sex": "男", "age": 64, "cc": "腰痛复诊", "hpi": "伴有阳痿早泄 大小便正常 纳可 眠安 前列腺增生复查 尿分叉", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["瞿麦", "绵萆薢", "北柴胡", "炒蒺藜", "丁香", "大血藤", "石菖蒲", "制远志", "地龙", "烫水蛭", "秦艽", "党参", "黄柏", "牛膝", "麸炒苍术", "茵陈", "炙淫羊藿", "仙茅", "醋青皮", "醋香附", "白芷", "炙甘草", "炒僵蚕", "天麻"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60330, "pid": "P8d04b719e348", "date": "2026-04-20", "sex": "男", "age": 61, "cc": "高脂血症 腰痛 前列腺增生复诊取药", "hpi": "小腹胀痛伴血精，尿频尿急，久坐后胀痛明显，夜尿2-3次，口干苦，夜寐差，心悸，膝盖酸软疼痛，腰痛", "wm_dx": ["高脂血症", "慢性前列腺炎", "前列腺增生", "高血压", "类风湿性关节炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["眩晕", "痰瘀阻络证", "理气化痰"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "猪苓", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60332, "pid": "P24068c3904ef", "date": "2026-04-21", "sex": "男", "age": 71, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 既往排尿不畅，未规律治疗和复查前列腺及相关PSA等检查。眠一般，口干，无明显乏力和小腹疼痛。", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参", "玉竹", "石斛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60335, "pid": "P0d28eb951f2e", "date": "2026-04-21", "sex": "男", "age": 79, "cc": "血尿3天", "hpi": "血尿3天 无尿痛 大便正常 纳可 眠安 尿等待 口服非那雄胺片 腰痛", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "气滞血瘀证", "活血化瘀"]], "rx": ["三七粉", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60337, "pid": "P25a29f6c8b7d", "date": "2026-04-21", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "伴有晨勃消失 感情淡漠 脾气暴躁 大小便正常 纳可 眠安", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "人参", "山药", "盐补骨脂", "酒黄精", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "炒蒺藜", "木香", "麸炒枳壳", "合欢花", "合欢皮", "醋五味子", "石斛", "郁金", "炙甘草", "醋青皮", "太子参", "菟丝子", "炙黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60339, "pid": "P038aaee0a242", "date": "2026-04-21", "sex": "男", "age": 30, "cc": "尿频一年", "hpi": "尿频，两地分居，2-3月回家一次，无吸烟饮酒，在陕西检查少弱精子，口服药物治疗，排尿正常，偶有阴囊潮湿，大便正常，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "猪苓", "熟地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "桑螵蛸", "炙淫羊藿", "当归", "川芎", "仙茅", "醋龟甲"], "flags": [], "prev_rx": ["茯苓", "泽泻", "熟地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "桑螵蛸", "炙淫羊藿", "仙茅", "醋龟甲", "当归", "川芎"], "prev_gap": 14, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 7} {"rid": 60342, "pid": "Pd19f0c801172", "date": "2026-04-21", "sex": "男", "age": 34, "cc": "腰疼2月。", "hpi": "腰酸痛，眼干涩 ，身上起痘，勃起正常，时间短，大便日1行，口中和口气略重,眠有梦早醒，纳可，尿不利，夜尿不多，耳痒，无鼻塞。无怕冷。怕热一直未育。复诊：睡眠正常，口气有，大便略干，", "wm_dx": ["失眠"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["天花粉", "牡蛎", "地黄", "酒萸肉", "白芍", "菊花", "炒酸枣仁", "牡丹皮", "炒栀子", "淡豆豉", "北柴胡", "炙黄芪", "黄芩片", "酒女贞子", "菟丝子", "枸杞子", "醋龟甲", "党参片"], "flags": [], "prev_rx": ["天花粉", "牡蛎", "地黄", "酒萸肉", "白芍", "菊花", "麦冬", "牡丹皮", "炒栀子", "淡豆豉", "北柴胡", "荆芥", "酒黄精", "酒女贞子", "菟丝子", "枸杞子", "醋龟甲", "党参片"], "prev_gap": 35, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 60348, "pid": "Pef92a052b749", "date": "2026-04-21", "sex": "男", "age": 52, "cc": "尿频复诊", "hpi": "尿频，尿不尽，服药后尿频症状好转，硬度一般，睡眠正常，纳可，大便正常1-2天一次，无乏力，口和，微怕冷，腰疼。症状改善，耳鸣盗汗存在。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "炙甘草", "炒蒺藜", "川楝子", "郁金", "木香", "山药", "石菖蒲", "制远志", "合欢花", "合欢皮", "麸炒枳壳", "天麻", "醋香附", "醋青皮", "丹参", "党参", "知母"], "flags": [], "prev_rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳实", "炙甘草", "炒蒺藜", "川楝子", "郁金", "木香", "山药", "石菖蒲", "制远志", "合欢花", "合欢皮", "麸炒枳壳"], "prev_gap": 16, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60350, "pid": "Pcef6518d11a2", "date": "2026-04-21", "sex": "男", "age": 43, "cc": "尿频一年", "hpi": "尿频，备育一年未育，少喝酒 大便正常 纳可 眠差 易醒 腰痛乏力 冬天怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "菟丝子", "盐车前子", "枸杞子", "密蒙花", "焦麦芽", "炒僵蚕", "炒蒺藜", "酒女贞子", "覆盆子", "醋五味子", "党参", "麸炒枳壳", "制巴戟天", "仙茅", "炙淫羊藿", "炙甘草", "石斛", "沙苑子", "炒酸枣仁", "丹参", "知母", "合欢花", "合欢皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 60358, "pid": "Pf5db9c22578e", "date": "2026-04-21", "sex": "男", "age": 68, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 关节炎取药 感冒4天 咽痛 流涕", "wm_dx": ["腰痛", "感冒", "关节炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["痹证类病", "气滞血瘀证", "活血化瘀"]], "rx": ["黑顺片", "茯苓", "生姜", "白芍", "人参", "三七粉", "天竺黄", "牡蛎", "龙骨", "麸炒苍术", "醋五味子", "酒大黄", "麦冬"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黑顺片", "茯苓", "生姜", "白芍", "人参", "三七粉", "天竺黄", "牡蛎", "龙骨", "麸炒苍术", "醋五味子", "盐益智仁"], "prev_gap": 15, "visit_ix": 3, "n_visits": 14, "visit_ix_rx": 3, "n_rx": 14} {"rid": 60361, "pid": "Pb7ea2150d5b1", "date": "2026-04-21", "sex": "男", "age": 64, "cc": "尿频一周", "hpi": "尿频，尿黄，无腹痛，精液色红，近期体重减轻明显，伴有乏力，困难感", "wm_dx": ["精囊炎", "前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["血精", "气滞血瘀证", "活血止血"], ["精癃", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "泽泻", "猪苓", "麸炒白术", "干姜", "附片", "淡竹叶", "赤小豆", "白花蛇舌草", "小蓟", "炙甘草", "石见穿", "牡丹皮"], "flags": [], "prev_rx": ["桂枝", "泽泻", "猪苓", "麸炒白术", "干姜", "附片", "淡竹叶", "赤小豆", "白花蛇舌草", "小蓟", "炙甘草"], "prev_gap": 7, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 3} {"rid": 60362, "pid": "P8d2f76ee5d81", "date": "2026-04-21", "sex": "男", "age": 40, "cc": "腹胀2年", "hpi": "腹胀，纳差，早泄，硬度也下降，乏力感，睡眠差，耳鸣，大便4-5次，口和，无腰疼，无怕冷", "wm_dx": ["焦虑状态"], "tcm_dx": [["腹胀", "寒热错杂证", "调理阴阳"]], "rx": ["煅龙骨", "煅牡蛎", "北柴胡", "黄芩片", "姜厚朴", "桂枝", "干姜", "党参片", "丹参", "赤小豆", "白花蛇舌草", "鸡血藤", "石菖蒲", "盐蒺藜", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60364, "pid": "P002abb8ab93a", "date": "2026-04-21", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "腰痛半年 伴有性功能下降 盗汗 早泄 大小便正常 纳可 眠安 中途疲软", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "沙苑子", "北柴胡", "炒蒺藜", "丁香", "木香", "大血藤", "桂枝", "砂仁", "陈皮", "醋青皮", "川楝子", "合欢花", "合欢皮", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "制巴戟天", "菟丝子", "覆盆子", "麸炒山药"], "prev_gap": 105, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60371, "pid": "Pb5d4672979a3", "date": "2026-04-22", "sex": "男", "age": 49, "cc": "精液有血2次", "hpi": "精液有血，暗红色，第一次有射精痛感，排尿色黄，时有小腹下肢，无腰疼，大便不成型，纳可，睡眠正常。口和，偶有口干口苦，近期消瘦明显。", "wm_dx": ["精囊炎", "血精"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["血精", "气滞血瘀证", "活血止血"]], "rx": ["太子参", "茯苓", "猪苓", "川牛膝"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60372, "pid": "P527caf21900c", "date": "2026-04-22", "sex": "男", "age": 64, "cc": "睾丸疼痛连及腰痛一月余", "hpi": "睾丸疼痛连及腰痛 大小便正常 纳可 眠安", "wm_dx": ["附睾囊肿", "睾丸炎", "鞘膜积液"], "tcm_dx": [["子痈", "气滞血瘀证", "活血化瘀"]], "rx": ["当归", "桃仁", "红花", "盐小茴香", "牛膝", "川牛膝", "蒲黄", "醋五灵脂", "川芎", "夏枯草", "蒲公英", "桑寄生", "烫狗脊", "盐杜仲", "秦艽", "烫水蛭", "麸炒枳壳", "炙甘草", "金银花", "虎杖"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60374, "pid": "Pe005ab0f1ab5", "date": "2026-04-22", "sex": "男", "age": 66, "cc": "尿频4年", "hpi": "尿频，近4年一直不起，尿道口，肛门口骤热感，夜尿喝水多尿多，睡眠正常，纳可。纳差，吃生冷易腹泻，口和，晨起腰疼", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["滑石", "猪苓", "茯苓", "阿胶珠", "泽泻", "桂枝", "北柴胡", "黄芩片", "赤小豆", "地黄", "白芍", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "当归", "大枣", "蜈蚣", "赤小豆", "白花蛇舌草", "滑石", "干姜", "黑顺片", "酒苁蓉", "金银花"], "prev_gap": 8, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 60378, "pid": "Pd5809ce13e6f", "date": "2026-04-22", "sex": "男", "age": 42, "cc": "尿频尿不尽复诊", "hpi": "尿频尿不尽改善 大便正常 纳可 无明显小腹不适 腰痛 乏力 口干 盗汗 失眠", "wm_dx": ["慢性前列腺炎", "失眠"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "盐杜仲", "石菖蒲"], "flags": [], "prev_rx": ["猪苓", "山慈菇", "太子参", "陈皮"], "prev_gap": 155, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 60394, "pid": "Pd95faf045aaa", "date": "2026-04-22", "sex": "男", "age": 32, "cc": "阴茎勃起疼痛6月", "hpi": "阴茎勃起疼痛6月，勃起后无弯曲，工作久坐。外院查阴茎彩超，未见明显异常。眠一般，腰痛。", "wm_dx": ["泌尿系感染"], "tcm_dx": [["子痈", "气滞血瘀证", "活血化瘀"], ["热淋", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "醋延胡索", "炒王不留行", "橘络", "炒酸枣仁", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60406, "pid": "Pb91b3d03a52b", "date": "2026-04-22", "sex": "男", "age": 34, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，汗多盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 60411, "pid": "Pe8c37ce7ecea", "date": "2026-04-22", "sex": "男", "age": 63, "cc": "小腹不适疼痛1月", "hpi": "小腹不适疼痛1月，阴茎发凉，无明显尿频、排尿不畅，夜尿1-2次，无明显怕冷，大便可，腰痛。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "盐杜仲", "盐益智仁", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60412, "pid": "Pa4a99bd42877", "date": "2026-04-22", "sex": "男", "age": 26, "cc": "失眠2月", "hpi": "23年诊断焦虑，5月份调整药物后出现性唤起障碍，无晨勃。失眠，口服药物后盐酸曲唑酮，地达西尼，盐酸托鲁地文拉法辛缓释片。尿不尽，大便正常，纳可，口干，无怕冷，复诊：口服药物盐酸托鲁地文拉法辛缓释片，碳酸锂，现睡眠可，无晨勃，硬度不行", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["失眠", "心肾不交证", "交通心肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "干姜", "黑顺片", "炙甘草", "蜈蚣", "茯苓", "牛膝", "炙淫羊藿", "仙茅", "丹参", "党参片", "石菖蒲"], "flags": [], "prev_rx": ["炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "地黄", "牡丹皮", "石菖蒲", "党参片", "酒萸肉", "山药", "蜈蚣", "北柴胡", "当归", "川芎", "北沙参", "炙淫羊藿"], "prev_gap": 15, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60413, "pid": "P1aa922eda6ec", "date": "2026-04-22", "sex": "男", "age": 53, "cc": "尿频6-7年", "hpi": "尿频，夜尿2-3次，大便正常，头晕，纳可，口干渴，无晨勃，无勃起，无怕冷，乏力，不愿吃西药，腿酸胀，复诊，夜尿1-2次，复诊：口苦复诊：口苦，腹胀，复诊：口干，腹胀，睡眠一般，小腿无力", "wm_dx": ["反流性食管炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["法半夏", "黄连片", "黄芩片", "干姜", "炒苦杏仁", "豆蔻", "麸炒薏苡仁", "淡竹叶", "姜厚朴", "党参片", "石菖蒲", "滑石", "陈皮", "丹参", "鸡血藤"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "干姜", "丹参", "党参片", "炙黄芪", "鸡血藤", "炒栀子", "淡豆豉", "姜厚朴", "蜈蚣", "炙淫羊藿", "仙茅", "郁金", "白芍", "黑顺片"], "prev_gap": 14, "visit_ix": 14, "n_visits": 22, "visit_ix_rx": 14, "n_rx": 17} {"rid": 60419, "pid": "P0c2b309838af", "date": "2026-04-22", "sex": "男", "age": 27, "cc": "尿频半月", "hpi": "尿频，无晨勃，刚恢复同房，时间短，排尿正常，夜尿正常，大便不成型，纳可，生冷辛辣等易腹泻，睡眠正常，口和，无怕冷，复诊：有晨勃，未同房", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["煅龙骨", "煅牡蛎", "法半夏", "黄芩片", "黄连片", "干姜", "党参片", "大枣", "茯苓", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "赤小豆", "蜈蚣", "牡丹皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60426, "pid": "P2da6c3db8d52", "date": "2026-04-22", "sex": "男", "age": 29, "cc": "尿频一年", "hpi": "尿频，晨勃可，时有同房时勃起不坚，排尿正常，大便不成型，睡眠易醒，纳可，吃凉易腹泻，怕冷，时有腰疼，口和，偶有晨起口苦，白发", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "寒热错杂证", "调理阴阳"]], "rx": ["北柴胡", "黄芩", "桂枝", "牡丹皮", "石菖蒲", "干姜", "炒栀子", "丹参", "鸡血藤", "生地黄", "菟丝子", "盐车前子", "覆盆子", "炙淫羊藿", "白芍", "附片"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "桂枝", "牡丹皮", "石菖蒲", "干姜", "炒栀子", "丹参", "鸡血藤", "生地黄", "菟丝子", "盐车前子", "覆盆子", "炙淫羊藿", "白芍"], "prev_gap": 15, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 6} {"rid": 60427, "pid": "Pee783f2cdc9f", "date": "2026-04-22", "sex": "男", "age": 43, "cc": "尿频，尿急半月余", "hpi": "尿频，尿急，尿痛 尿分叉 ，无腹痛，烧灼感，时有腰疼,睡眠一般多梦,纳可,口干,精液流出来,阴囊潮湿，复诊：尿滴沥，尿痛、烧灼感消失，阴囊潮湿消失，睡眠多梦，口干，复诊：精液流 出来，中途疲软，时间短，腹胀", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["北柴胡", "黄芩片", "牡丹皮", "茯苓", "法半夏", "干姜", "姜厚朴", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "赤小豆", "生石膏", "金樱子肉", "蜈蚣", "党参片"], "flags": [], "prev_rx": ["滑石", "阿胶珠", "茯苓", "黄芩片", "猪苓", "赤小豆", "白花蛇舌草", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "甘草片", "麸炒薏苡仁", "法半夏"], "prev_gap": 15, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 60430, "pid": "P09e6472f568b", "date": "2026-04-22", "sex": "男", "age": 50, "cc": "尿频10余天", "hpi": "尿频，春节期间可同房，最后出现勃起不行，现晨勃少，勃起不坚，尿不尽，夜尿一次，大便不成型，时有排不净，睡眠一般，口气重，口苦，自备他达拉非，复诊：有晨勃", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "石菖蒲", "黑顺片", "炙淫羊藿", "仙茅", "蜈蚣", "茯苓", "川芎"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "石菖蒲", "郁金", "炙淫羊藿", "仙茅", "蜈蚣", "茯苓", "川芎"], "prev_gap": 14, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 60438, "pid": "P07865148697b", "date": "2026-04-23", "sex": "男", "age": 40, "cc": "尿频尿不尽1天", "hpi": "尿频尿不尽1天 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "薏苡仁", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60440, "pid": "P17ccb6cbb997", "date": "2026-04-23", "sex": "男", "age": 63, "cc": "排尿不畅2月", "hpi": "排尿不畅2月 尿频 尿急 大便正常 纳可 眠安 盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒萸肉", "知母", "牡丹皮", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60441, "pid": "P520fac4718c4", "date": "2026-04-23", "sex": "男", "age": 45, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，性生活不规律，工作劳累可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，平日饮酒", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60444, "pid": "P68b914fe4c55", "date": "2026-04-23", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降稍有改善，性欲可，乏力仍存在，情绪急躁，大便稀，梦多眠差，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "酒萸肉", "烫水蛭", "石菖蒲", "盐益智仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "麸炒白术", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "鸡血藤", "枸杞子", "金樱子"], "prev_gap": 9, "visit_ix": 4, "n_visits": 9, "visit_ix_rx": 4, "n_rx": 9} {"rid": 60446, "pid": "P1dc1f9c7efcf", "date": "2026-04-23", "sex": "男", "age": 61, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肾精"]], "rx": ["熟地黄", "山药", "酒萸肉", "茯苓", "泽泻", "黄芪", "党参片", "肉桂", "磁石", "菟丝子", "覆盆子", "石菖蒲", "制远志", "陈皮", "干姜", "盐杜仲", "牛膝", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 60450, "pid": "P2a7b1357f149", "date": "2026-04-23", "sex": "男", "age": 67, "cc": "关节炎抄方", "hpi": "关节炎抄方 大小便正常 纳可 眠差", "wm_dx": ["关节炎"], "tcm_dx": [["痹证类病", "气滞血瘀证", "活血化瘀"]], "rx": ["泽兰", "羌活", "铁线透骨草", "伸筋草", "海桐皮", "北刘寄奴", "苏木", "马齿苋", "桂枝", "醋乳香", "牛膝", "续断片", "桑寄生", "红花", "威灵仙", "烫骨碎补", "当归"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60452, "pid": "P3c2b591cf616", "date": "2026-04-23", "sex": "男", "age": 30, "cc": "尿频2年", "hpi": "尿频2年，一直未育，同房正常，大便正常，纳可，睡眠正常，口干盗汗，腰痛，无怕冷。", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄"], "prev_gap": 15, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 60455, "pid": "P4470231dd3d5", "date": "2026-04-23", "sex": "男", "age": 47, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作熬夜，二便调，眠一般，无排尿不畅、尿后余沥，口干，盗汗，便秘", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60457, "pid": "P6bbb6fb8c646", "date": "2026-04-23", "sex": "男", "age": 82, "cc": "膀胱肿瘤抄方", "hpi": "膀胱肿瘤抄方 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["包皮溃疡", "湿热", "清热利湿养阴生肌"], ["血淋", "气滞血瘀证", "活血化瘀"], ["积聚类病", "湿毒下注证", "清热解毒"]], "rx": ["龙葵", "醋莪术", "白花蛇舌草", "土茯苓", "仙鹤草", "酒黄精", "玉竹", "炙黄芪", "升麻", "北柴胡", "醋三棱", "陈皮", "白英", "小蓟"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["龙葵", "白花蛇舌草", "半枝莲", "蛇莓", "黄芪", "醋莪术", "蒲公英", "麸炒苍术", "姜厚朴", "陈皮", "甘草片", "覆盆子", "盐益智仁", "乌药", "山药", "炒酸枣仁", "茯神", "麸炒薏苡仁", "茯苓", "首乌藤"], "prev_gap": 71, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60458, "pid": "Pd0c0847885a4", "date": "2026-04-23", "sex": "男", "age": 33, "cc": "腰痛复诊", "hpi": "腰痛，乏力改善，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中 中途疲软 勃起不坚 晨勃少 腰痛 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "党参", "炙黄芪", "醋五味子", "知母", "盐黄柏", "炒酸枣仁", "麦冬", "制远志", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "醋青皮", "郁金", "麸炒枳壳", "醋龟甲", "砂仁", "炙甘草"], "flags": [], "prev_rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "党参", "知母", "盐黄柏", "炒酸枣仁", "麦冬", "制远志", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "醋青皮", "郁金", "麸炒枳壳", "醋龟甲", "砂仁", "炙甘草", "炙黄芪", "醋五味子"], "prev_gap": 23, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 5} {"rid": 60462, "pid": "P48675561d96a", "date": "2026-04-23", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，盗汗，口和，稍有排尿不畅，夜尿1-2次", "wm_dx": ["前列腺增生", "腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["太子参", "牡丹皮", "知母", "酒萸肉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60481, "pid": "Pc85757e965df", "date": "2026-04-24", "sex": "男", "age": 55, "cc": "尿频复诊", "hpi": "左侧腰痛困乏，无小腹及会阴不适，睡眠中途醒，大便质粘。口干口苦，怕冷，盗汗，不能吃生冷", "wm_dx": ["附睾炎", "腰痛", "前列腺增生"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "寒热错杂证", "调理阴阳"]], "rx": ["北柴胡", "黄芩", "桂枝", "生姜", "大枣", "白芍", "炒酸枣仁", "干姜", "附片", "炙甘草", "泽泻", "竹茹"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60485, "pid": "P48b86746ecd3", "date": "2026-04-24", "sex": "男", "age": 57, "cc": "尿频，尿急3年", "hpi": "尿频，尿急，夜尿3-4次，乏力困倦，口服非那雄胺片，盐酸坦索罗辛缓释胶囊，手脚发凉，大便不干，纳一般，口和，腰疼，夜里易汗，近期乏力消瘦", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "生姜", "大枣", "茯苓", "泽泻", "牡丹皮", "赤小豆", "煅龙骨", "煅牡蛎", "金樱子肉", "党参片", "黑顺片", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 3} {"rid": 60490, "pid": "P4705faad328c", "date": "2026-04-24", "sex": "男", "age": 66, "cc": "排尿不畅2周", "hpi": "排尿不畅2周，偶有尿痛，无尿频，夜尿0-1次，体检前列腺增生伴钙化，偶有尿痛，眠一般，腰痛，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60494, "pid": "Pa9e2c57d5ff3", "date": "2026-04-24", "sex": "男", "age": 37, "cc": "腰痛半年抄方", "hpi": "腰痛、小腹发热、尿频，症起半年，无腰痛。未曾就诊。无尿痛。脚凉，汗不多。纳可寐安。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"], ["精浊", "肾虚证", "补肾扶元"]], "rx": ["附片", "盐益智仁", "盐补骨脂", "桑寄生", "独活", "肉桂", "白芍", "炙甘草", "乌药", "姜厚朴"], "flags": [], "prev_rx": ["黑顺片", "桑螵蛸", "盐益智仁", "盐补骨脂", "桑寄生", "独活", "肉桂", "白芍", "炙甘草", "乌药"], "prev_gap": 18, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 60509, "pid": "P3aef33821710", "date": "2026-04-24", "sex": "男", "age": 33, "cc": "腰痛乏力抄方", "hpi": "腰痛乏力，夜寐差，长期熬夜久坐 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "覆盆子", "枸杞子", "盐车前子", "制水蛭", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "炙甘草", "韭菜子"], "flags": [], "prev_rx": ["鹿角霜", "菟丝子", "醋五味子", "紫石英", "牡丹皮", "酒萸肉", "醋龟甲", "熟地黄", "人参", "肉桂", "泽泻"], "prev_gap": 21, "visit_ix": 10, "n_visits": 14, "visit_ix_rx": 8, "n_rx": 12} {"rid": 60510, "pid": "P233823e6a0ff", "date": "2026-04-24", "sex": "男", "age": 45, "cc": "尿频，尿急1年", "hpi": "尿频，尿急，尿不尽，夜尿4-5次，无尿痛，无腹痛，腰酸，乏力困倦，大便不成型粘，睡眠正常，纳可，吃凉易腹泻。硬度一般，晨勃少，口干口苦", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "黑顺片", "茯苓", "猪苓", "地黄", "丹参", "鸡血藤", "炙淫羊藿", "鹿角霜", "炒栀子", "蜈蚣", "炙黄芪", "滑石"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "黑顺片", "茯苓", "猪苓", "泽泻", "赤小豆", "丹参", "鸡血藤", "石见穿", "鹿角霜", "炒栀子", "蜈蚣", "炙黄芪"], "prev_gap": 10, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60513, "pid": "Pe39549cc84fd", "date": "2026-04-24", "sex": "男", "age": 48, "cc": "腰痛乏力伴勃起不坚3年", "hpi": "3年前出现腰痛乏力伴勃起不坚，口服他达拉非可同房，性欲可，晨勃消失，口干口苦，夜寐差，失眠，无小腹胀痛，射精快，盗汗，胁肋疼痛，易生气，复诊：夜尿3次，尿频。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓", "蜈蚣", "鸡血藤", "赤小豆", "锁阳"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓", "蜈蚣", "麸炒苍术", "土茯苓", "北败酱草", "茵陈"], "prev_gap": 15, "visit_ix": 8, "n_visits": 12, "visit_ix_rx": 7, "n_rx": 10} {"rid": 60516, "pid": "Pf4f91c9dd286", "date": "2026-04-24", "sex": "男", "age": 60, "cc": "尿频2周", "hpi": "尿频、排尿不畅，夜尿0-1次，偶有左侧睾丸不适。硬度下降，性欲可。", "wm_dx": ["前列腺增生", "男性性腺功能低下"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精浊", "肾气不充证", "补肾扶元"]], "rx": ["沙苑子", "酒黄精", "玫瑰花", "黄芪"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60522, "pid": "P2a34cd3bf0a5", "date": "2026-04-24", "sex": "男", "age": 58, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲低，乏力，工作压力大，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，晨勃少", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "盐杜仲", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60526, "pid": "P1dcd6ed9f44e", "date": "2026-04-24", "sex": "男", "age": 62, "cc": "手脚冰凉6年", "hpi": "手脚发凉，腰部肌肉酸痛，腿抽筋，左侧小腿肌肉胀痛，大便干一天一次，口服麻仁润肠丸，排尿正常，纳可，不能吃生冷，睡眠正常，口和，复诊：胃口好转，大便色黑，腿抽筋消失。尿频，复诊：大便正常。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["便秘", "湿热蕴结证", "润燥通便"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制巴戟天", "酒苁蓉", "仙茅", "炙淫羊藿", "盐杜仲", "续断片", "烫狗脊"], "flags": [], "prev_rx": ["黑顺片", "干姜", "细辛", "麻黄", "炙甘草", "小通草", "酒苁蓉", "白芍", "鹿角霜", "阿胶珠", "茯苓"], "prev_gap": 14, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 6, "n_rx": 9} {"rid": 60528, "pid": "Pffd8817d0f54", "date": "2026-04-25", "sex": "男", "age": 65, "cc": "尿频半年", "hpi": "尿频，半年前出现勃起不行，无晨勃，排尿不畅，夜尿正常，尿黄，大便正常，睡眠差早醒，纳可，口和，无怕冷，无腰疼，在杏园金方口服3月汤药未效", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "仙茅", "生石膏", "北柴胡", "黄芩片", "地黄", "石菖蒲", "黑顺片", "蜈蚣", "麸炒枳实", "白芍", "党参片", "丹参", "鸡血藤"], "flags": [], "prev_rx": ["麻黄", "炒苦杏仁", "生石膏", "甘草片", "丹参", "鸡血藤", "牛膝", "炒栀子", "地黄", "蜈蚣", "石菖蒲", "酒黄精", "黑顺片"], "prev_gap": 7, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 6} {"rid": 60530, "pid": "P9d464929e8a1", "date": "2026-04-25", "sex": "男", "age": 57, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 尿急 尿等待 大便正常 纳可 眠安 少腹隐痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60534, "pid": "Pdaad1eb13698", "date": "2026-04-25", "sex": "男", "age": 29, "cc": "尿频2年", "hpi": "2年前出现尿频尿急，射精快，口干，夜寐差。2026.4.25复诊：近2周同房1次，3-4分钟", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["房事早泄", "肾虚证", "补肾扶元"], ["房事早泄", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60535, "pid": "P4db9ceac8e50", "date": "2026-04-25", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力睡眠正常，纳可，二便调，口苦，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "茯苓", "泽泻", "麸炒白术", "丹参", "法半夏", "菟丝子", "枸杞子", "覆盆子", "桑螵蛸", "醋龟甲", "郁金", "牛膝", "大枣", "竹茹", "炙淫羊藿"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "茯苓", "泽泻", "麸炒白术", "丹参", "法半夏", "菟丝子", "枸杞子", "覆盆子", "桑螵蛸", "醋龟甲", "郁金", "牛膝", "大枣"], "prev_gap": 14, "visit_ix": 7, "n_visits": 15, "visit_ix_rx": 7, "n_rx": 15} {"rid": 60546, "pid": "P89d79f2cd8ac", "date": "2026-04-25", "sex": "男", "age": 29, "cc": "尿频半年", "hpi": "尿频，晨勃有，硬度一般，时间短，排尿正常，大便正常，睡眠正常，纳可，阴囊潮湿，口和，多汗，复诊：中途疲软", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "茯苓", "生石膏", "干姜", "盐关黄柏", "砂仁", "炙甘草", "蜈蚣", "炙淫羊藿", "仙茅", "石菖蒲", "盐蒺藜", "党参片", "地黄"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "茯苓", "牡丹皮", "干姜", "盐关黄柏", "砂仁", "炙甘草", "蜈蚣", "炙淫羊藿", "仙茅", "石菖蒲", "盐蒺藜"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60547, "pid": "Pc0c4b70f42c3", "date": "2026-04-25", "sex": "男", "age": 40, "cc": "腰痛乏力复诊", "hpi": "伴有 腰痛乏力，虚劳，失眠多梦 龟头偶见分泌物，胁肋疼痛 病情稳定延长开药", "wm_dx": ["腰痛"], "tcm_dx": [["虚劳类病", "气血两虚证", "补益气血"], ["失眠", "心血虚证", "补血养心"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "制巴戟天", "覆盆子", "菟丝子", "炒酸枣仁", "丹参", "知母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60548, "pid": "P40f15a161ed5", "date": "2026-04-25", "sex": "男", "age": 45, "cc": "少腹隐痛半年", "hpi": "慢性前列腺炎病史多年 大小便正常 纳可 眠安 阳痿早泄 腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["三七粉", "制巴戟天", "菟丝子", "覆盆子", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60549, "pid": "P5239be36cbf6", "date": "2026-04-25", "sex": "男", "age": 28, "cc": "阴囊潮湿1年", "hpi": "阴囊潮湿，会阴部不适，喝水即尿意感，尿不尽，大便正常，纳可，睡眠差，口苦，乏力感，上周有一次遗精，硬度可，时间短，怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "赤小豆", "细辛", "麻黄", "黑顺片", "石菖蒲", "盐蒺藜", "柏子仁", "郁金", "炙淫羊藿", "桂枝", "党参片", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60551, "pid": "P8dc567817762", "date": "2026-04-25", "sex": "男", "age": 38, "cc": "腰痛乏力汗出2月", "hpi": "2月前出现腰痛乏力汗出，现勃起不坚，性欲可，晨勃消失，口干口苦，长期熬夜，二便调，盗汗，手足心汗出", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙黄芪", "酒黄精", "防己", "防风", "麻黄根", "地骨皮", "当归", "川芎", "炒栀子", "龙胆", "酒黄芩", "红曲", "炙淫羊藿", "麦冬", "醋五味子"], "flags": [], "prev_rx": ["炙黄芪", "酒黄精", "防己", "防风", "麻黄根", "地骨皮", "当归", "川芎", "炒栀子", "龙胆", "酒黄芩", "红曲"], "prev_gap": 6, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 60554, "pid": "P4596b8512757", "date": "2026-04-25", "sex": "男", "age": 44, "cc": "少腹坠胀1月", "hpi": "少腹坠胀，尿不尽，夜尿1次，口干，大便正常", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "茯苓", "猪苓", "干姜", "煅龙骨", "煅牡蛎", "赤小豆", "白花蛇舌草", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 10} {"rid": 60555, "pid": "Pd56e7935a0cf", "date": "2026-04-25", "sex": "男", "age": 32, "cc": "睾丸及精索不适2月", "hpi": "2月前出现睾丸及精索不适，尿灼热感。4.11复诊：睾丸及精索稍有好转，尿灼热消失。乏力虚劳，失眠。4.25复诊：睾丸精索隐痛稍增加，夜寐可。", "wm_dx": ["精索静脉曲张", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪"], "flags": [], "prev_rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "酒黄精", "人参", "黄芪"], "prev_gap": 14, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 60556, "pid": "P1407db622766", "date": "2026-04-25", "sex": "男", "age": 37, "cc": "发现PSA升高复查", "hpi": "发现PSA升高1周，5.62 ng/ml，工作久坐，无明显尿频、尿急、排尿不畅，夜尿0次。无尿后余沥，无小腹及会阴不适。乏力消瘦半年,睡眠好转", "wm_dx": ["泌尿系感染", "前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "小蓟", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "荔枝核", "炒王不留行", "砂仁"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "小蓟", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "炒王不留行", "砂仁", "荔枝核"], "prev_gap": 49, "visit_ix": 7, "n_visits": 16, "visit_ix_rx": 4, "n_rx": 10} {"rid": 60566, "pid": "Pa97f078160d3", "date": "2026-04-25", "sex": "男", "age": 27, "cc": "腰疼5年", "hpi": "腰疼，乏力感，硬度一般，晨勃少，性欲低，时间短1-2分钟，睡眠正常，纳可，喜欢吃生冷，排尿略频，大便不成型粘，口和，怕冷怕热", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "制巴戟天", "知母", "菟丝子", "覆盆子", "陈皮", "白术", "茯苓", "炙黄芪", "龙眼肉", "炒酸枣仁"], "flags": [], "prev_rx": ["茯苓", "泽泻", "当归", "川芎", "白芍", "牛膝", "麸炒白术", "制巴戟天", "仙茅", "丹参", "鸡血藤", "桂枝", "葛根", "炙黄芪", "煅龙骨", "煅牡蛎"], "prev_gap": 147, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 4} {"rid": 60569, "pid": "P667c57b53f09", "date": "2026-04-25", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "左侧少腹隐痛，左侧睾丸隐痛，耳鸣，排尿可， 大便偏干 发黏 纳一般， 眠中途醒口和。复诊：睾丸隐痛左侧，少腹偶有隐痛", "wm_dx": ["慢性前列腺炎", "静脉曲张", "下肢静脉曲张", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["筋瘤", "气滞血瘀证", "活血止痛"]], "rx": ["桂枝", "白芍", "生姜", "泽泻", "麸炒白术", "干姜", "附片", "制吴茱萸", "当归", "白芷", "川芎", "荔枝核", "地龙", "炙甘草", "炙黄芪", "乌药", "细辛"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "泽泻", "麸炒白术", "干姜", "附片", "制吴茱萸", "当归", "白芷", "川芎", "荔枝核", "地龙", "炙甘草", "炙黄芪", "乌药", "细辛"], "prev_gap": 14, "visit_ix": 16, "n_visits": 17, "visit_ix_rx": 11, "n_rx": 12} {"rid": 60571, "pid": "P488a94d3c267", "date": "2026-04-25", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期备孕2胎，盗汗，尿频尿急", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "熟地黄", "金银花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 5} {"rid": 60574, "pid": "P40c60817bc99", "date": "2026-04-25", "sex": "男", "age": 32, "cc": "易汗一月", "hpi": "易汗，排尿正常，大便粘，阴囊潮湿，睡眠一般浅，口干，乏力，注意力不集中，凉的少吃。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "黄芩", "牡丹皮", "石菖蒲", "炒蒺藜", "党参", "丹参", "鸡血藤", "醋龟甲", "柏子仁", "附片", "桂枝", "连翘", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "党参片", "当归", "川芎", "茯苓", "泽泻", "石菖蒲", "盐蒺藜", "炙淫羊藿", "炒酸枣仁"], "prev_gap": 17, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 60577, "pid": "Pd49f47cfe93a", "date": "2026-04-25", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，久坐", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["菟丝子", "枸杞子", "盐车前子", "干姜", "牡蛎", "砂仁", "炙淫羊藿", "仙茅", "牛膝", "红景天", "醋龟甲", "酒黄精", "熟地黄", "酒萸肉", "丹参", "鸡血藤", "连翘"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["菟丝子", "枸杞子", "盐车前子", "干姜", "牡蛎", "砂仁", "炙淫羊藿", "仙茅", "牛膝", "红景天", "醋龟甲", "酒黄精", "熟地黄", "酒萸肉", "丹参", "鸡血藤"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60579, "pid": "Peb03667cce7c", "date": "2026-04-25", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛 大小便正常 纳可 眠安 乏力 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "覆盆子", "菟丝子", "熟地黄", "酒萸肉", "酒女贞子", "麸炒枳壳", "党参", "炙黄芪", "炒酸枣仁", "知母", "合欢花", "合欢皮", "炙甘草", "石菖蒲", "制远志", "醋龟甲", "砂仁"], "flags": [], "prev_rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "覆盆子", "菟丝子", "熟地黄", "酒萸肉", "酒女贞子", "麸炒枳壳", "党参", "炙黄芪", "炒酸枣仁", "知母", "合欢花", "合欢皮", "炙甘草", "石菖蒲", "制远志"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60582, "pid": "P7c8e8fa47f8f", "date": "2026-04-25", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗,阴囊潮湿", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "覆盆子", "菟丝子", "太子参", "炒酸枣仁", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "炒酸枣仁", "丹参", "知母", "猪苓"], "prev_gap": 21, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 60583, "pid": "Pdf8603b632b5", "date": "2026-04-25", "sex": "男", "age": 75, "cc": "尿失禁3月", "hpi": "3月前前列腺手术后出现尿失禁，腰痛乏力，夜尿4-6次，口中和，夜寐差，小腹不适。4.11复诊：夜尿4次，尿失禁好转，漏尿次数减少。4.25复诊：夜尿4次，日间尿少，漏尿，夜寐可。", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["失眠", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["热淋", "下焦湿热证", "清热利湿"]], "rx": ["肉桂", "太子参", "山药", "盐车前子", "麸炒白术", "乌药", "盐益智仁", "麸炒芡实", "醋五味子", "金樱子", "人参", "黄芪", "醋鳖甲"], "flags": [], "prev_rx": ["肉桂", "太子参", "山药", "盐车前子", "麸炒白术", "乌药", "盐益智仁", "麸炒芡实", "醋五味子", "金樱子", "人参", "黄芪"], "prev_gap": 14, "visit_ix": 21, "n_visits": 23, "visit_ix_rx": 2, "n_rx": 3} {"rid": 60587, "pid": "P4bb4c1d2326d", "date": "2026-04-25", "sex": "男", "age": 34, "cc": "尿频半年", "hpi": "尿频，近半年出现硬度下降，时有不射精，手艺时正常，排尿时有灼热感，夜尿正常，无腹痛，阴囊潮湿，大便不成型，睡眠正常多梦，纳可易腹胀，口干口苦，怕冷，复诊:中途疲软，一次射一次未射，阴囊潮湿减轻，无腹胀，排尿好转，口干口苦", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "当归", "连翘", "赤小豆", "麸炒薏苡仁", "牛膝", "地龙", "牡丹皮", "淡竹叶", "炒栀子", "生地黄", "丹参", "鸡血藤", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "桂枝", "干姜", "石菖蒲", "郁金", "赤小豆", "炒王不留行", "牛膝", "丹参", "鸡血藤", "炙淫羊藿", "仙茅", "附片", "路路通", "甘草"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 60588, "pid": "P8066b3a26365", "date": "2026-04-25", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "菟丝子", "太子参", "覆盆子", "炒酸枣仁", "丹参", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60592, "pid": "P1b2e5f29259a", "date": "2026-04-25", "sex": "男", "age": 44, "cc": "尿频2年", "hpi": "尿频，性欲强，关键时勃起不佳，口干，咽干，喝水即尿，无怕冷，大便便秘干，尿黄，睡眠一般,多梦，复诊：大便正常，睡眠一般，白头发，咽干，协痛。腰疼", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["失眠", "肝郁血热证", "疏肝清热"], ["腰痛", "肝肾阴虚证", "滋补肾阴"]], "rx": ["菊花", "牡丹皮", "牛膝", "百合", "酒黄精", "枸杞子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60596, "pid": "P0e8789bf7639", "date": "2026-04-25", "sex": "男", "age": 36, "cc": "尿道不适感复诊", "hpi": "尿道灼热，微痒 无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和。3.29复诊：症状改善，但仍存在。", "wm_dx": ["泌尿系感染", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["甜叶菊叶", "瞿麦", "绵萆薢", "虎杖", "茵陈", "车前草", "盐车前子", "金银花", "蒲公英", "石菖蒲", "制远志", "白芷", "麸炒枳壳", "炙甘草", "制巴戟天", "仙茅", "炙淫羊藿", "山药", "党参", "酒苁蓉", "牛膝"], "flags": [], "prev_rx": ["甜叶菊叶", "瞿麦", "绵萆薢", "虎杖", "茵陈", "车前草", "盐车前子", "金银花", "蒲公英", "石菖蒲", "制远志", "白芷", "麸炒枳壳", "炙甘草", "制巴戟天", "仙茅", "炙淫羊藿", "山药", "党参"], "prev_gap": 9, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60597, "pid": "P33c170d3bebe", "date": "2026-04-25", "sex": "男", "age": 30, "cc": "右侧睾丸疼痛一月余", "hpi": "右侧睾丸疼痛一月余 大小便正常 纳可 眠安 盗汗 腰酸痛 少腹隐痛", "wm_dx": ["附睾囊肿"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["知母", "酒萸肉", "太子参", "菟丝子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["知母", "酒萸肉", "制巴戟天", "太子参", "覆盆子", "菟丝子", "炒酸枣仁"], "prev_gap": 21, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60605, "pid": "P38ec74bd3a85", "date": "2026-04-25", "sex": "男", "age": 28, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，二便调，口和，尿频、睡前尿意感，夜尿正常，无小腹及会阴不适，工作久坐 大便可，纳可，睡眠正常", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "赤小豆", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "牛膝", "牡丹皮", "莲须", "生石膏", "柏子仁", "郁金", "党参片", "炙甘草"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮"], "prev_gap": 42, "visit_ix": 2, "n_visits": 9, "visit_ix_rx": 2, "n_rx": 7} {"rid": 60607, "pid": "Pd91789e116d4", "date": "2026-04-25", "sex": "男", "age": 41, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，久站后腰痛加重，勃起硬度欠佳，射精快，同房频率可，口干口苦，夜寐可，饮酒多。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝", "川芎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60608, "pid": "P0b9000fe8dc7", "date": "2026-04-25", "sex": "男", "age": 40, "cc": "尿频2年", "hpi": "尿频，无晨勃，硬度一般，吸烟饮酒，熬夜，排尿可 ，喝水尿频，大便不成型，睡眠正常，纳可，口干，时有腰疼，无怕冷，怕热，复诊：硬度好转，时间短5--6分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "山药", "茯苓", "丹参", "鸡血藤", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "乌药", "干姜", "盐蒺藜", "生石膏"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "山药", "茯苓", "丹参", "鸡血藤", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "乌药", "干姜"], "prev_gap": 7, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 11} {"rid": 60610, "pid": "P4a9097824228", "date": "2026-04-25", "sex": "男", "age": 37, "cc": "尿频一月", "hpi": "体检发现前列腺稍大,尿频正常,睡前尿频,无阴囊潮湿，无腹痛，无腰疼，口干，易早醒", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["滑石", "茯苓", "泽泻", "阿胶珠", "猪苓", "石菖蒲", "生石膏", "桂枝", "燀桃仁", "红花", "北柴胡", "黄芩片", "地黄", "柏子仁", "秦皮", "黑顺片", "焦山楂"], "flags": [], "prev_rx": ["滑石", "茯苓", "泽泻", "阿胶珠", "猪苓", "石菖蒲", "赤小豆", "桂枝", "燀桃仁", "红花", "北柴胡", "黄芩片", "地黄", "柏子仁", "秦皮", "黑顺片", "焦山楂"], "prev_gap": 14, "visit_ix": 8, "n_visits": 10, "visit_ix_rx": 8, "n_rx": 10} {"rid": 60612, "pid": "P8e5b8502eb6d", "date": "2026-04-25", "sex": "男", "age": 27, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "泽泻", "猪苓", "麸炒苍术", "菟丝子", "韭菜子", "盐车前子", "枸杞子", "醋五味子", "蛇床子", "酒女贞子", "合欢花", "合欢皮", "炒酸枣仁", "丹参", "知母", "麸炒枳壳", "炙甘草", "白芷", "石斛", "石菖蒲", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 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["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 5} {"rid": 60616, "pid": "P43a18a40d1e0", "date": "2026-04-25", "sex": "男", "age": 51, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊取药 尿频 大便正常 会阴部隐痛 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60628, "pid": "P0ac7ff231dcd", "date": "2026-04-25", "sex": "男", "age": 30, "cc": "失眠一年余", "hpi": "失眠一年余 腰酸痛腿软，多汗，排尿尿频，大便不成型，尿黄，怕冷怕热，口干口气重，易怒，口腔溃疡，盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["胁痛", "肝郁血虚证", "疏肝养血"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "金樱子肉", "莲子", "炒酸枣仁", "盐补骨脂"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", 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"干姜", "炙甘草", "北柴胡", "麸炒枳实", "蜈蚣", "丹参"], "prev_gap": 10, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 5} {"rid": 60697, "pid": "Pdfc37551b6ec", "date": "2026-04-27", "sex": "男", "age": 37, "cc": "复诊", "hpi": "2周勃起困难无明显诱因，否认慢性病是史。父亲糖尿病.肢冷不甚，口干不苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["男性生殖病", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "郁金", "黑顺片", "九香虫", "地龙", "盐蒺藜", "石菖蒲", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "黑顺片", "九香虫", "地龙", "盐蒺藜", "石菖蒲", "炙甘草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 5} {"rid": 60707, "pid": "P863f090bd06f", "date": "2026-04-27", "sex": "男", "age": 40, "cc": "复诊", "hpi": "性激素报告正常,腰酸、疲劳，勃起不能持续。疲劳,眠差,脚凉,口干,便调,性急.", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "桂枝", "瓜蒌", "牡蛎", "黄芩片", "干姜", "烫狗脊", "酒萸肉", "牛膝", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60708, "pid": "P94d62c241235", "date": "2026-04-27", "sex": "男", "age": 57, "cc": "腰痛半年", "hpi": "腰痛 乏力 勃起不坚 晨勃消失 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "猪苓", "羌活", "茯苓", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60709, "pid": "Pbb46a792adb7", "date": "2026-04-27", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "乌药", "盐益智仁", "醋五味子", "枸杞子", "覆盆子", "菟丝子", "麸炒苍术", "酒女贞子", "盐车前子", "韭菜子", "蛇床子", "炒酸枣仁", "石菖蒲", "制远志", "麸炒枳壳", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60726, "pid": "Pcb4035af8e9c", "date": "2026-04-27", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "伴有早泄一月余 勃起硬度差 晨勃消失 压力不大 大小便正常 纳可 眠差 胁痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "花椒"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "花椒"], "prev_gap": 11, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 60729, "pid": "Pb21ffc73752c", "date": "2026-04-27", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "党参", "山药", "麸炒芡实", "盐补骨脂", "酒黄精", "制巴戟天", "仙茅", "酒苁蓉", "炒酸枣仁", "麸炒白术", "合欢皮", "熟地黄", "酒萸肉", "泽泻", "知母", "酒女贞子", "盐黄柏", "覆盆子", "菟丝子", "盐车前子", "麸炒枳壳", "制远志", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60730, "pid": "Pfb96a5775b38", "date": "2026-04-27", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力改善，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干口苦，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽兰", "猪苓", "泽泻", "盐黄柏", "知母", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "制何首乌", "桑椹", "大血藤", "麸炒枳壳", "麸炒苍术", "砂仁", "木香", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "熟地黄", "烫狗脊", "桑寄生", "知母", "盐黄柏", "牡丹皮", "炒酸枣仁", "制远志"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 60734, "pid": "Pc9291e0a3846", "date": "2026-04-28", "sex": "男", "age": 90, "cc": "睾丸肿痛一周余", "hpi": "睾丸肿痛一周余 排尿不畅 夜尿2次 大便正常 纳可 眠安", "wm_dx": ["前列腺增生", "鞘膜积液"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60737, "pid": "Pa0651473264e", "date": "2026-04-28", "sex": "男", "age": 56, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，无尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。查超声：前列腺增生钙化。腰痛。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炒酸枣仁", "太子参", "茯苓", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60738, "pid": "P6663b8bc80c3", "date": "2026-04-28", "sex": "男", "age": 46, "cc": "盗汗1-2年", "hpi": "盗汗，乏力，硬度一般，晨勃少，排尿正常，大便正常，睡眠一般易醒，纳可，口和，无怕冷,脚踝疼痛,复诊：盗汗，乏力睡眠好转，硬度时间无缓解", "wm_dx": ["高血压"], "tcm_dx": [["痹证类病", "气滞血瘀证", "活血止痛"], ["盗汗", "肝肾亏虚证", "滋补肝肾"]], "rx": ["煅龙骨", "煅牡蛎", "炒栀子", "桂枝", "干姜", "鸡血藤", "细辛", "白芍", "茯苓", "桑螵蛸", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "黑顺片", "丹参", "制巴戟天", "生石膏", "石菖蒲", "盐蒺藜"], "flags": [], "prev_rx": ["桔梗", "煅龙骨", "煅牡蛎", "炒栀子", "桂枝", "干姜", "鸡血藤", "细辛", "白芍", "茯苓", "桑螵蛸", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "黑顺片", "丹参", "制巴戟天"], "prev_gap": 14, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 60741, "pid": "Pe0e88d833bc1", "date": "2026-04-28", "sex": "男", "age": 34, "cc": "尿分叉一月余", "hpi": "尿分叉一月余 精液果冻状 勃起不坚 性欲下降 晨勃消失 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["酒黄精", "麦冬", "天麻", "太子参", "制巴戟天", "猪苓", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60742, "pid": "P11c5cb5844da", "date": "2026-04-28", "sex": "男", "age": 34, "cc": "勃起功能差2月", "hpi": "自觉勃起硬度不够，或持续时间短，症起2月，手汗，无肢冷。眠可。偶有口干", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "九香虫", "地龙", "郁金", "麸炒苍术", "炙甘草", "生姜", "大枣", "制巴戟天", "菟丝子", "太子参", "猪苓", "羌活", "茯苓"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "九香虫", "地龙", "郁金", "麸炒苍术", "炙甘草", "生姜", "大枣"], "prev_gap": 15, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 60746, "pid": "P276bae338227", "date": "2026-04-28", "sex": "男", "age": 63, "cc": "前列腺增生伴钙化复诊", "hpi": "前列腺增生伴钙化，尿不尽，阴囊潮湿，夜尿2-3次，大便干，前干后稀，睡眠一般，多梦，口干口苦口渴，纳可，性功能减退", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "生石膏", "北沙参", "丹参", "黄芩片", "党参片", "鸡血藤", "蜈蚣", "牡丹皮", "天花粉", "牡蛎", "知母", "麦冬", "酒苁蓉"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牡丹皮", "北沙参", "麦冬", "黑顺片", "蜈蚣", "赤小豆", "煅龙骨", "煅牡蛎", "炒栀子", "丹参", "党参片"], "prev_gap": 11, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 60756, "pid": "P575f6dfbfef1", "date": "2026-04-28", "sex": "男", "age": 35, "cc": "腰痛复诊", "hpi": "腰痛伴勃起欠佳3月，射精快，2-3分钟，晨勃有，尿可，时有阴囊潮湿，大便正常，晨起口干口苦，偶有腰酸痛 睾丸坠痛 盗汗", "wm_dx": ["附睾囊肿", "睾丸结石"], "tcm_dx": [["腰痛", "肾虚", "补肾"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "猪苓", "羌活", "陈皮", "麸炒芡实", "太子参"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "猪苓", "羌活", "陈皮", "麸炒芡实", "太子参"], "prev_gap": 21, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 60757, "pid": "P0361b2a7a0a6", "date": "2026-04-28", "sex": "男", "age": 31, "cc": "尿频2月", "hpi": "尿频，性欲一般，勃起一般，中途疲软，晨勃少，口和，大便正常，排尿正常，睡眠正常,准备备孕", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "牡丹皮", "山药", "牛膝", "菟丝子", "枸杞子", "酒女贞子", "桑螵蛸", "醋龟甲", "北沙参", "牡蛎", "红景天", "酒黄精"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "炒酸枣仁", "制远志", "石菖蒲", "盐蒺藜", "当归", "百合", "熟地黄", "制巴戟天", "人参"], "prev_gap": 213, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60760, "pid": "P542149c8fdb3", "date": "2026-04-28", "sex": "男", "age": 31, "cc": "尿频5年", "hpi": "尿频,硬度正常,时间短3-5分钟,生气时时间延长,尿频,夜尿正常,无阴囊潮湿,大便正常,纳可,睡眠正常,口干", "wm_dx": ["焦虑状态"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "生石膏", "石菖蒲", "盐蒺藜", "地黄", "酒萸肉", "金樱子肉", "莲须", "赤小豆", "麸炒枳实", "白芍", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["地黄", "知母", "盐关黄柏", "赤小豆", "金樱子肉", "石菖蒲", "盐蒺藜", "北柴胡", "黄芩片", "煅龙骨", "煅牡蛎", "黄连片", "炙甘草", "莲须", "郁金", "甜叶菊叶", "柏子仁"], "prev_gap": 10, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 8} {"rid": 60761, "pid": "P0185dea2e5af", "date": "2026-04-28", "sex": "男", "age": 34, "cc": "性功能减退3-4年", "hpi": "时间短1-2分钟，硬度一般，晨勃无，半月同房一次，腰酸痛，排尿可，夜尿正常，大便正常偶有腹泻，纳可，睡眠正常多梦，口干，怕冷，乏力，复诊：晨勃有，时间硬度不行，乏力腰疼好转", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "脾肾两虚证", "补肾扶元"], ["房事阳痿", "肾阳虚水泛证", "温补肾阳"]], "rx": ["桂枝", "黑顺片", "熟地黄", "茯苓", "炙淫羊藿", "麸炒白术", "牡丹皮", "制巴戟天", "丹参", "鸡血藤", "砂仁", "乌药", "北柴胡", "黄芩片"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "茯苓", "泽泻", "猪苓", "麸炒白术", "牡丹皮", "酒萸肉", "丹参", "鸡血藤", "砂仁", "乌药"], "prev_gap": 20, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 6} {"rid": 60762, "pid": "Pd3a2f58c861c", "date": "2026-04-28", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "太子参", "猪苓", "羌活", "菟丝子", "覆盆子"], 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"柏子仁", "合欢皮"], "flags": [], "prev_rx": ["炒栀子", "淡豆豉", "茯苓", "牛膝", "川芎", "石菖蒲", "炒酸枣仁", "煅龙骨", "煅牡蛎", "党参片", "北柴胡", "麸炒枳实", "白芍", "黑顺片", "砂仁", "干姜"], "prev_gap": 17, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 60776, "pid": "Pecbe9aa1fa65", "date": "2026-04-28", "sex": "男", "age": 55, "cc": "尿频半年", "hpi": "尿频，性欲下降，有晨勃，时有不勃起，排尿正常，夜尿1次，睡眠一般，纳可，口和，大便正常粘", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾阳虚证", "温补肾阳"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "郁金", "丹参", "鸡血藤", "当归", "炒栀子", "淡豆豉", "蜈蚣", "炙淫羊藿", "仙茅", "茯苓", "党参片", "生石膏", "地黄"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "茯苓", "细辛", "麻黄", "干姜", "黑顺片", "炙甘草", "煅龙骨", "煅牡蛎", "蜈蚣", "炙淫羊藿", "炒栀子"], "prev_gap": 13, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 60777, "pid": "Pa5f04e7b0abe", "date": "2026-04-28", "sex": "男", "age": 46, "cc": "腰痛伴勃起硬度欠佳复诊", "hpi": "腰痛伴勃起硬度欠佳改善明显，性欲可，口中和，夜寐可，胁肋疼痛，大小便正常，晨勃可 高尿酸血症 痛风取药", "wm_dx": ["高尿酸血症", "痛风", "高血压"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "太子参", "制巴戟天", "川牛膝"], "flags": [], "prev_rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "川牛膝"], "prev_gap": 32, "visit_ix": 2, "n_visits": 9, "visit_ix_rx": 2, "n_rx": 9} {"rid": 60779, "pid": "Pb7ea2150d5b1", "date": "2026-04-28", "sex": "男", "age": 64, "cc": "尿频一周", "hpi": "尿频，尿黄，无腹痛，精液色红，近期体重减轻明显，伴有乏力，排尿困难感", "wm_dx": ["前列腺增生", "精囊炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["血精", "气滞血瘀证", "活血止血"], ["精癃", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "泽泻", "猪苓", "麸炒白术", "干姜", "附片", "淡竹叶", "赤小豆", "白花蛇舌草", "小蓟", "黄芩", "北柴胡", "牡丹皮", "石菖蒲", "盐黄柏"], "flags": [], "prev_rx": ["桂枝", "泽泻", "猪苓", "麸炒白术", "干姜", "附片", "淡竹叶", "赤小豆", "白花蛇舌草", "小蓟", "炙甘草", "石见穿", "牡丹皮"], "prev_gap": 7, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 3} {"rid": 60783, "pid": "Pa32dc8956126", "date": "2026-04-29", "sex": "男", "age": 61, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频尿急，无尿后余沥，夜尿2次，会阴不适，大便质干，纳可，眠一般，口干，盗汗。规律口服坦索罗辛。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["红花", "醋延胡索", "花椒", "艾叶", "川牛膝", "茯苓", "猪苓", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60790, "pid": "Pe005ab0f1ab5", "date": "2026-04-29", "sex": "男", "age": 66, "cc": "尿频4年", "hpi": "尿频，近4年一直不起，尿道口，肛门口骤热感，夜尿喝水多尿多，睡眠正常，纳可。纳差，吃生冷易腹泻，口和，晨起腰疼", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["滑石", "猪苓", "茯苓", "阿胶珠", "泽泻", "桂枝", "北柴胡", "黄芩片", "赤小豆", "地黄", "白芍", "炙甘草", "淡竹叶", "党参片"], "flags": [], "prev_rx": ["滑石", "猪苓", "茯苓", "阿胶珠", "泽泻", "桂枝", "北柴胡", "黄芩片", "赤小豆", "地黄", "白芍", "炙甘草"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 60791, "pid": "P2b19894b3223", "date": "2026-04-29", "sex": "男", "age": 60, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲强，乏力，二便调，梦多，无排尿不畅、尿后余沥，口干，盗汗。口服西地那非后勃起改善。", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60792, "pid": "P1708e442e771", "date": "2026-04-29", "sex": "男", "age": 66, "cc": "异常勃起一月", "hpi": "夜里1点阴茎异常勃起，疼痛，影响睡眠，少腹隐痛，无腰疼，头痛，怕冷，大便正常，纳可，口和", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝郁血热证", "疏肝养血"]], "rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "红花", "党参片", "法半夏", "地黄", "茯苓", "地龙", "石菖蒲", "煅龙骨", "煅牡蛎", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60794, "pid": "Pf5db9c22578e", "date": "2026-04-29", "sex": "男", "age": 68, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 关节炎取药 感冒4天 咽痛 流涕", "wm_dx": ["关节炎", "感冒", "腰痛"], "tcm_dx": [["痹证类病", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["黑顺片", "茯苓", "生姜", "白芍", "人参", "三七粉", "天竺黄", "牡蛎", "龙骨", "麸炒苍术", "醋五味子", "酒大黄", "党参片"], 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"sex": "男", "age": 61, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，稍有水肿，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎", "前列腺炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "猪苓", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60838, "pid": "P8ee58ef17f1b", "date": "2026-04-29", "sex": "男", "age": 26, "cc": "血尿1天", "hpi": "血尿1天，色红，尿后尿道疼痛，饮水少，工作久坐", "wm_dx": ["血尿"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "猪苓", "太子参", "牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60840, "pid": "P3c568184c56d", "date": "2026-04-29", "sex": "男", "age": 47, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 大便正常 尿不尽 排尿无力 纳可 眠安 腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "菟丝子", "太子参", "覆盆子", "金银花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒黄精", "麦冬", "制巴戟天", "菟丝子", "太子参", "覆盆子"], "prev_gap": 13, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 60843, "pid": "P786337278a3f", "date": "2026-04-29", "sex": "男", "age": 51, "cc": "痛风复诊取药", "hpi": "痛风复诊取药，腰痛，咳嗽，眠一般，口干，盗汗", "wm_dx": ["腰痛", "痛风", "关节炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["川牛膝", "猪苓", "茯苓", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60848, "pid": "Pc38e3abff3db", "date": "2026-04-30", "sex": "男", "age": 74, "cc": "尿频尿急复诊", "hpi": "尿频尿急改善 尿失禁基本消失 大便正常 纳差 眠安", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓", "薏苡仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60853, "pid": "P2168e0508955", "date": "2026-04-30", "sex": "男", "age": 34, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "石菖蒲", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60857, "pid": "P48b86746ecd3", "date": "2026-04-30", "sex": "男", "age": 57, "cc": "尿频，尿急3年", "hpi": "尿频，尿急，夜尿3-4次，乏力困倦，口服非那雄胺片，盐酸坦索罗辛缓释胶囊，手脚发凉，大便不干，纳一般，口和，腰疼，夜里易汗，近期乏力消瘦", "wm_dx": ["前列腺增生", "慢性前列腺炎", "脑血栓后遗症"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "生姜", "大枣", "茯苓", "泽泻", "牡丹皮", "赤小豆", "煅龙骨", "煅牡蛎", "金樱子肉", "党参片", "黑顺片", "炙甘草"], "flags": [], "prev_rx": ["桂枝", "生姜", "大枣", "茯苓", "泽泻", "牡丹皮", "赤小豆", "煅龙骨", "煅牡蛎", "金樱子肉", "党参片", "黑顺片", "炙甘草"], "prev_gap": 6, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 3} {"rid": 60863, "pid": "Pfe84b7530211", "date": "2026-04-30", "sex": "男", "age": 40, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作可，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "赤小豆", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60865, "pid": "P7af8c99a496e", "date": "2026-04-30", "sex": "男", "age": 71, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，裂口，溃疡，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。既往每日饮酒。", "wm_dx": ["包皮龟头炎", "泌尿系感染"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["太子参", "猪苓", "茯苓", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60871, "pid": "P8730f05a64a8", "date": "2026-04-30", "sex": "男", "age": 27, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，精子活力偏低", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "炒酸枣仁", "石菖蒲", "麸炒薏苡仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60873, "pid": "P739099b403b8", "date": "2026-04-30", "sex": "男", "age": 83, "cc": "前列腺增生复诊", "hpi": "尿急，排尿不畅，夜尿3-4次改善 大便正常 纳可 眠差 胃食管反流，腰痛乏力", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "太子参", "制巴戟天"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "太子参", "制巴戟天"], "prev_gap": 31, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 2, "n_rx": 5} {"rid": 60875, "pid": "P68810f7631a1", "date": "2026-04-30", "sex": "男", "age": 49, "cc": "腹胀抄方", "hpi": "腹胀抄方 大小便正常 纳可 眠安 冠心病 高血压 失眠取药 病情稳定延长开药", "wm_dx": ["冠状动脉性心脏病", "失眠", "高血压"], "tcm_dx": [["心痹", "气滞血瘀证", "活血化瘀"], ["腹胀", "脾胃虚证", "健脾和胃"]], "rx": ["北沙参", "太子参", "白术", "茯苓", "葛根", "天麻", "丹参", "川芎", "炒酸枣仁", "制远志", "合欢皮", "赤芍", "砂仁", "清半夏", "黄连片", "石菖蒲", "首乌藤", "白芍", "地黄", "地龙"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "白术", "北沙参", "茯苓", "酒女贞子", "百合", "醋龟甲", "醋鳖甲", "炒酸枣仁", "制远志", "合欢皮", "首乌藤", "葛根", "川芎", "砂仁", "竹茹", "黄连片", "丹参", "郁金", "赤芍", "清半夏", "夏枯草"], "prev_gap": 35, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 5} {"rid": 60878, "pid": "P39728203dd2f", "date": "2026-04-30", "sex": "男", "age": 47, "cc": "尿频感复诊", "hpi": "夜尿3次，尿畅，有不畅感，无尿痛。平素脚凉，眠差，失眠，盗汗。乏力。", "wm_dx": ["乏力", "前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桑螵蛸", "黑顺片", "盐补骨脂", "盐益智仁", "乌药", "酒萸肉", "川牛膝", "金樱子肉", "炙甘草", "知母", "桑寄生", "盐关黄柏", "麸炒枳壳", "制远志", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60905, "pid": "Pf42772310e92", "date": "2026-05-01", "sex": "男", "age": 39, "cc": "腰痛盗汗复诊", "hpi": "伴有尿不尽尿无力，手淫频繁，左侧睾丸精索静脉曲张，阴茎根部瘙痒，耳鸣，夜寐差，腰痛乏力，盗汗，阴茎根部红疹瘙痒", "wm_dx": ["皮炎", "慢性前列腺炎", "腰痛", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"], ["精浊", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒萸肉", "炒酸枣仁", "知母", "太子参", "牡丹皮"], "flags": [], "prev_rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "prev_gap": 19, "visit_ix": 9, "n_visits": 16, "visit_ix_rx": 5, "n_rx": 9} {"rid": 60912, "pid": "P80d3f39353e2", "date": "2026-05-01", "sex": "男", "age": 41, "cc": "少腹隐痛一周余", "hpi": "少腹隐痛一周余 久坐加重 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "三七粉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 60917, "pid": "P052e616519b4", "date": "2026-05-01", "sex": "男", "age": 71, "cc": "睾丸肿大一周", "hpi": "睾丸肿大一周 尿急 大便正常 纳可 眠安 腰痛乏力", "wm_dx": ["附睾炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "酒女贞子", "覆盆子", "太子参", "酒萸肉", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60920, "pid": "P64d1bf0f8bb8", "date": "2026-05-01", "sex": "男", "age": 42, "cc": "阴囊不适3天", "hpi": "阴囊不适3天，外院查睾丸和精索静脉超声报：轻度精索静脉曲张。服用小金丸后症状缓解。易反复，排尿正常，大便不成型，纳可，口和，睡眠正常，无怕冷，怕热，复诊：症状好转，口干。复诊：大便不成型，口干，有痰，腰疼", "wm_dx": ["精索静脉曲张", "慢性肾炎", "糖尿病"], "tcm_dx": [["腰痛", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["法半夏", "陈皮", "化橘红", "炒苦杏仁", "茯苓", "乌梅", "醋五味子", "地黄", "赤小豆", "枸杞子", "醋龟甲", "菟丝子", "麸炒白术", "牡蛎", "北柴胡", "黄芩片", "炒芥子", "干姜"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["法半夏", "陈皮", "化橘红", "炒苦杏仁", "茯苓", "乌梅", "醋五味子", "地黄", "赤小豆", "枸杞子", "醋龟甲", "菟丝子", "麸炒白术", "牡蛎", "北柴胡", "黄芩片", "炒芥子", "干姜"], "prev_gap": 48, "visit_ix": 10, "n_visits": 11, "visit_ix_rx": 8, "n_rx": 9} {"rid": 60921, "pid": "P8adb62fd16f5", "date": "2026-05-01", "sex": "男", "age": 28, "cc": "腰痛乏力1月", "hpi": "腰痛乏力，大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "枸杞子", "覆盆子", "酒女贞子", "太子参", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60922, "pid": "P94d3645f9b5e", "date": "2026-05-01", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 乏力嗜睡 疲劳 夜尿多 发黄", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "炒酸枣仁", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60930, "pid": "P2685393206de", "date": "2026-05-01", "sex": "男", "age": 55, "cc": "少腹隐痛 尿频一月余", "hpi": "少腹隐痛 尿频一月余 尿痛 无血尿 尿急 大便正常 纳可 眠安", "wm_dx": ["前列腺增生", "泌尿系结石", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60931, "pid": "Pf4e4e7cde7c7", "date": "2026-05-01", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参片", "山药", "白术", "茯苓", "麸炒薏苡仁", "石菖蒲", "盐车前子", "白芷", "防风", "北柴胡", "酒黄精", "麸炒枳壳", "炒酸枣仁", "砂仁", "木香", "酒女贞子", "覆盆子", "枸杞子", "醋五味子", "炙甘草", "天麻", "太子参", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60932, "pid": "P2adb79ab2fc9", "date": "2026-05-01", "sex": "男", "age": 89, "cc": "尿痛 睾丸疼痛6天", "hpi": "尿痛 睾丸疼痛6天 大便正常 纳可 眠差 排尿不畅 尿不尽", "wm_dx": ["前列腺增生", "精索炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60934, "pid": "Pcde9edc75b89", "date": "2026-05-01", "sex": "男", "age": 43, "cc": "尿频 排尿不畅半年", "hpi": "尿频 排尿不畅半年 尿等待 大便正常 纳可 眠安 包皮龟头炎一月余 湿疹取药", "wm_dx": ["前列腺增生", "湿疹"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["猪苓", "羌活", "太子参", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60936, "pid": "P4ed52861a385", "date": "2026-05-01", "sex": "男", "age": 20, "cc": "右侧睾丸疼痛1天", "hpi": "右侧睾丸疼痛1天 大小便正常 纳可 眠安", "wm_dx": ["附睾囊肿"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["三七粉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60954, "pid": "P9cb9130f517f", "date": "2026-05-02", "sex": "男", "age": 53, "cc": "复诊", "hpi": "腰疼正常，右侧腿抽筋，腰冷，吃生冷加重，大便粘，尿不尽，夜尿正常，睡眠多梦，乏力，口干口苦,勃起差，盗汗，睡眠一般", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "厥阴证类", "温下清上"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "茯苓", "白术", "干姜", "泽泻", "炙甘草", "生石膏"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "生石膏", "茯苓", "白术", "干姜", "泽泻", "炙甘草"], "prev_gap": 5, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 5} {"rid": 60956, "pid": "P5e7f185fd1ce", "date": "2026-05-02", "sex": "男", "age": 40, "cc": "龟头红疹瘙痒2周", "hpi": "包皮龟头红疹瘙痒 无尿痛 早泄 龟头敏感 腰痛 乏力盗汗", "wm_dx": ["真菌感染", "包皮龟头炎", "慢性前列腺炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["猪苓", "北柴胡", "太子参", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 4} {"rid": 60962, "pid": "P309da786482d", "date": "2026-05-02", "sex": "男", "age": 66, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。症状改善，晨勃有。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "黄芪", "鸡血藤", "石菖蒲", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "黄芪", "鸡血藤"], "prev_gap": 31, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 60964, "pid": "P5ce023518327", "date": "2026-05-02", "sex": "男", "age": 40, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60966, "pid": "Pdfa1c78fa89f", "date": "2026-05-02", "sex": "男", "age": 45, "cc": "乏力腰痛半年", "hpi": "伴有早泄 中途疲软 晨勃少 性欲正常 纳可 排尿正常 大便正常 失眠 口和 无怕冷", "wm_dx": ["静脉曲张", "精索静脉曲张", "高血压", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "鸡血藤", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "石菖蒲", "北败酱草", "莲子", "制水蛭", "酒黄精"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "鸡血藤", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "石菖蒲", "北败酱草", "莲子"], "prev_gap": 17, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 60969, "pid": "Pde7c2d4a97f1", "date": "2026-05-02", "sex": "男", "age": 81, "cc": "前列腺增生复诊", "hpi": "夜尿频多，白天尿频可，受冷后尿频，无明显尿后余沥和排尿不畅，尿分叉，影响睡眠，腰痛盗汗", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "茯苓", "太子参", "川牛膝"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60972, "pid": "Pa33d75830d7e", "date": "2026-05-03", "sex": "男", "age": 56, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作熬夜，压力大，二便调，眠一般，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "男性性腺功能低下", "高脂血症", "高血压"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60973, "pid": "P3d8b44e80b93", "date": "2026-05-03", "sex": "男", "age": 25, "cc": "腰痛乏力3天", "hpi": "3天前腰痛乏力，近期出现勃起硬度欠佳，晨勃可。5.3复诊：近10余天同房2次，勃起硬度可，射精快，自觉龟头敏感度高，汗出多。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "生地黄", "黄芪", "酒黄精", "人参", "甜叶菊叶"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60974, "pid": "Ped4394b5d38f", "date": "2026-05-03", "sex": "男", "age": 37, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力,盗汗,12点睡,长期熬夜,口中和。5.3复诊：腰痛乏力好转，口角上火起痘，11点多睡。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "金樱子", "盐车前子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "黄芪"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "金樱子", "盐车前子", "黄芪"], "prev_gap": 14, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 60975, "pid": "Pc40a65aaf209", "date": "2026-05-03", "sex": "男", "age": 60, "cc": "尿频尿不尽2月", "hpi": "2月前出现尿频尿不尽，近期出现尿失禁，天冷加重，腰痛乏力", "wm_dx": ["前列腺增生"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["太子参", "川牛膝", "猪苓", "薏苡仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 60978, "pid": "P6f113ef0eaf7", "date": "2026-05-03", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，时间下降，性欲可，乏力，工作压力大，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 60983, "pid": "P0cf786e70347", "date": "2026-05-03", "sex": "男", "age": 37, "cc": "会阴不适复诊", "hpi": "会阴不适改善，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力盗汗。3.8复诊：睾丸下坠感明显减轻，会阴不适，小腹不适。胁痛。", "wm_dx": ["静脉曲张", "前列腺炎", "精索静脉曲张", "附睾囊肿"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["北柴胡", "黄芩片", "当归", "姜厚朴", "乌药", "盐小茴香", "桂枝", "燀桃仁", "红花", "酒黄精", "白芍", "川牛膝", "赤小豆", "炙黄芪", "金樱子肉", "路路通", "炒王不留行", "荔枝核", "醋延胡索", "醋五灵脂", "锁阳", "橘络", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["北柴胡", 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["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 5} {"rid": 60997, "pid": "P7248d9e5ca38", "date": "2026-05-04", "sex": "男", "age": 68, "cc": "尿道胀痛 尿不尽一周余", "hpi": "尿道胀痛 尿不尽一周余 大便正常 纳可 眠安 腰痛", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "太子参", "薏苡仁", "麸炒芡实", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 60998, "pid": "Pb75956d0a811", "date": "2026-05-04", "sex": "男", "age": 76, "cc": "前列腺增生复诊取药", "hpi": "排尿困难改善，大便正常，纳可，眠改善，夜尿3次。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "党参片", "太子参", "炒酸枣仁", "川牛膝"], "flags": [], "prev_rx": ["猪苓", "川牛膝", "茯苓", "太子参"], "prev_gap": 33, "visit_ix": 3, "n_visits": 10, "visit_ix_rx": 3, "n_rx": 8} {"rid": 61002, "pid": "Pa269ed61bacb", "date": "2026-05-04", "sex": "男", "age": 30, "cc": "腰痛半年", 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"郁金"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "郁金", "黑顺片", "九香虫", "地龙", "盐蒺藜", "石菖蒲", "炙甘草"], "prev_gap": 8, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 5} {"rid": 61045, "pid": "P269292c0766d", "date": "2026-05-05", "sex": "男", "age": 29, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"], ["失眠", "肾虚证", "补肾扶元"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "炒酸枣仁", "丹参", "知母", "太子参", "麸炒芡实"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒黄精", "麦冬", "炒酸枣仁", "丹参", "知母", "太子参"], "prev_gap": 17, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 61047, "pid": "P9372ad915dd4", "date": "2026-05-05", "sex": "男", "age": 61, "cc": "夜尿多3年", "hpi": "夜尿多3年 白天排尿10次 排尿不畅 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "炙黄芪", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61052, "pid": "Pa9f73cabf815", "date": "2026-05-05", "sex": "男", "age": 88, "cc": "包皮红肿一周余", "hpi": "包皮红肿一周余 大小便正常 纳可 眠差 患者家属自述外院诊断附睾炎 目前患者睾丸肿大疼痛", "wm_dx": ["包皮龟头炎", "前列腺增生", "附睾炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "土茯苓", "败酱草", "黄连", "栀子", "白花蛇舌草", "烫水蛭", "蛇床子", "地肤子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61053, "pid": "Pd5187a08e47e", "date": "2026-05-05", "sex": "男", "age": 36, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "土茯苓", "败酱草", "白芷", "荆芥", "黄连", "白花蛇舌草", "蒲公英", "金银花", "蛇床子", "地肤子", "百部", "烫水蛭", "当归", "玄参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61060, "pid": "P687e41647d1f", "date": "2026-05-05", "sex": "男", "age": 39, "cc": "尿道口溃疡2天", "hpi": "尿道口溃疡2天 大便正常 纳可 眠安", "wm_dx": ["尿道炎"], "tcm_dx": [["淋证", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61061, "pid": "Pbc5ba8daef68", "date": "2026-05-05", "sex": "男", "age": 54, "cc": "尿分叉 尿黄半年", "hpi": "尿分叉 尿黄半年 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "知母", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61063, "pid": "P65ea0a24dab1", "date": "2026-05-05", "sex": "男", "age": 63, "cc": "阴囊刺痒复诊", "hpi": "阴囊潮湿刺痒，外院诊疗，外涂药物治疗，症状有好转，大便一天一次粘，睡眠一般，口干，无怕冷", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "山慈菇", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61066, "pid": "Pf5e2954a0d29", "date": "2026-05-05", "sex": "男", "age": 52, "cc": "腰痛乏力抄方", "hpi": "腰痛，胸胁胀痛，乏力，口中和，夜寐可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["烫骨碎补", "枸杞子"], "flags": ["rx_len_outlier"], "prev_rx": ["炙黄芪", "麦冬", "丹参", "川芎", "葛根", "桂枝", "醋五味子", "酒黄精", "酒女贞子", "覆盆子", "茯苓", "麸炒芡实", "陈皮", "净山楂", "醋鸡内金", "白术", "甘草片", "制巴戟天", "炒酸枣仁", "知母"], "prev_gap": 161, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 61068, "pid": "Pda89238947d2", "date": "2026-05-05", "sex": "男", "age": 72, "cc": "排尿不畅尿痛2月", "hpi": "2月前出现排尿不畅尿痛，尿道灼热，闻水声尿急、尿分叉、尿滴沥，色黄，夜尿1次，无小腹及会阴不适，纳眠可，大便质粘，口和。腰痛。", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精癃", "膀胱湿热血瘀证", "清热利湿"]], "rx": ["炙淫羊藿", "炒王不留行", "醋莪术", "土茯苓", "败酱草", "浙贝母", "酒苁蓉", "蒲公英", "绵萆薢", "玄参", "甜叶菊叶", "天花粉", "麸炒苍术", "乌药", "盐益智仁", "烫水蛭", "黄芪", "醋延胡索", "白芷", "黄柏", "牛膝", "薏苡仁", "麸炒枳壳", "党参"], "flags": [], "prev_rx": ["炙淫羊藿", "炒王不留行", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "黄芪", "人参", "醋五味子", "醋延胡索"], "prev_gap": 24, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 61073, "pid": "P1e4182b4b516", "date": "2026-05-05", "sex": "男", "age": 25, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，睾丸不适，长期熬夜，夜寐差，多梦，口中和，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "金樱子", "盐车前子", "醋五味子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "炙淫羊藿", "炒酸枣仁", "麸炒苍术", "黄芪"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "金樱子", "盐车前子", "醋五味子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "炙淫羊藿", "炒酸枣仁"], "prev_gap": 16, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 61076, "pid": "P4dc2630bebaa", "date": "2026-05-05", "sex": "男", "age": 30, "cc": "阴囊刺痒潮湿多汗一月余", "hpi": "阴囊刺痒潮湿多汗一月余 大小便正常 纳可 眠安 腰痛乏力", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "太子参", "茯苓", "薏苡仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61077, "pid": "P738b72a330a0", "date": "2026-05-05", "sex": "男", "age": 54, "cc": "少腹隐痛复诊", "hpi": "少腹隐痛复诊 大小便正常 纳可 眠安 睾丸发凉 腰酸痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["甜叶菊叶", "猪苓", "泽泻", "醋延胡索", "肉桂", "土茯苓", "败酱草", "干姜", "砂仁", "川芎", "夏枯草", "沉香", "党参", "金银花", "川楝子", "盐小茴香", "醋香附", "郁金", "酒苁蓉", "制巴戟天", "炙淫羊藿", "盐车前子", "麸炒枳壳", "炙甘草", "羌活", "太子参", "炒酸枣仁", "丹参", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "猪苓", "泽泻", "泽兰", "肉桂", "土茯苓", "败酱草", "干姜", "砂仁", "瞿麦", "虎杖", "天麻", "防风", "石菖蒲", "川楝子", "盐小茴香", "醋香附", "郁金", "酒苁蓉", "制巴戟天", "炙淫羊藿", "盐车前子", "麸炒枳壳", "炙甘草"], "prev_gap": 29, "visit_ix": 8, "n_visits": 14, "visit_ix_rx": 5, "n_rx": 7} {"rid": 61078, "pid": "P3360f93ac697", "date": "2026-05-05", "sex": "男", "age": 40, "cc": "腰痛伴勃起困难复诊", "hpi": "硬度差。梦多眠差，无口干苦，有汗，长期夜班 久坐 晨勃少", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "猪苓", "羌活", "菟丝子", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61079, "pid": "Pb9887e36096e", "date": "2026-05-06", "sex": "男", "age": 26, "cc": "尿道分泌物1月", "hpi": "尿道分泌物1月，色黄，无明显尿痛尿急，尿道灼热。工作久坐。腰痛，盗汗，乏力。", "wm_dx": ["泌尿系感染", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["猪苓", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61087, "pid": "P48b86746ecd3", "date": "2026-05-06", "sex": "男", "age": 57, "cc": "尿频，尿急3年", "hpi": "尿频，尿急，夜尿3-4次，乏力困倦，口服非那雄胺片，盐酸坦索罗辛缓释胶囊，手脚发凉，大便不干，纳一般，口和，腰疼，夜里易汗，近期乏力消瘦", "wm_dx": ["前列腺增生", "慢性前列腺炎", "脑血栓后遗症"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "气滞血瘀证", "活血止痛"]], "rx": ["桂枝", "生姜", "大枣", "茯苓", "泽泻", "牡丹皮", "赤小豆", "煅龙骨", "煅牡蛎", "金樱子肉", "党参片", "黑顺片", "炙甘草", "白芍", "浮小麦", "当归"], "flags": [], "prev_rx": ["桂枝", "生姜", "大枣", "茯苓", "泽泻", "牡丹皮", "赤小豆", "煅龙骨", "煅牡蛎", "金樱子肉", "党参片", "黑顺片", "炙甘草"], "prev_gap": 6, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 3} {"rid": 61092, "pid": "P3c2b591cf616", "date": "2026-05-06", "sex": "男", "age": 30, "cc": "尿频2年", "hpi": "尿频2年，一直未育，同房正常，大便正常，纳可，睡眠正常，口干盗汗，腰痛，无怕冷。", "wm_dx": ["尿频", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭", "制远志", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭", "制远志"], "prev_gap": 13, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 61100, "pid": "P8f884b345ba8", "date": "2026-05-06", "sex": "男", "age": 27, "cc": "尿后有烧灼感10余天", "hpi": "尿后有烧灼感，刺痒，硬度一般，晨勃少，大便正常，失眠，纳可，晨起口苦", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "滑石", "盐关黄柏", "牛膝", "茯苓", "泽泻", "猪苓", "赤小豆", "金银花", "炙甘草", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 61102, "pid": "Pfd79abc7d871", "date": "2026-05-06", "sex": "男", "age": 36, "cc": "尿频半年", "hpi": "尿频，性欲一般，中途疲软，也有晨勃，吸烟饮酒，熬夜，排尿正常，大便正常，纳可，口苦干，无腰疼，复诊：大便稀，复诊：硬度好转，大便稀", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐黄柏", "生地黄", "牡丹皮", "丹参", "酒萸肉", "山药", "北沙参", "鸡血藤", "石菖蒲", "麸炒白术", "党参", "炙淫羊藿", "仙茅", "北柴胡", "桔梗"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61103, "pid": "Paad1ef9aa9a6", "date": "2026-05-06", "sex": "男", "age": 30, "cc": "尿频1年", "hpi": "尿频，生化一次，同房射精正常，排尿正常，大便干1-2天，熬夜，睡眠正常，纳可，吃的少，口和，无腰疼", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "赤小豆", "白花蛇舌草", "炒苦杏仁", "火麻仁", "地黄", "北柴胡", "黄芩片", "煅龙骨", "煅牡蛎", "桑螵蛸", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61104, "pid": "Pee783f2cdc9f", "date": "2026-05-06", "sex": "男", "age": 43, "cc": "尿频，尿急半月余", "hpi": "尿频，尿急，尿痛 尿分叉 ，无腹痛，烧灼感，时有腰疼,睡眠一般多梦,纳可,口干,精液流出来,阴囊潮湿，复诊：尿滴沥，尿痛、烧灼感消失，阴囊潮湿消失，睡眠多梦，口干。复诊：精液流出来，中途疲软，时间短，腹胀。复诊：近期乏力，兴趣下降，睡眠多梦反复。心肌酶既往升高，今日复查。", "wm_dx": ["慢性前列腺炎", "乏力", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["北柴胡", "黄芩片", "牡丹皮", "茯苓", "法半夏", "干姜", "姜厚朴", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "赤小豆", "生石膏", "蜈蚣", "党参片", "炙淫羊藿", "酒苁蓉", "酒萸肉", "醋五味子", "盐益智仁", "炒酸枣仁"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "牡丹皮", "茯苓", "法半夏", "干姜", "姜厚朴", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "赤小豆", "生石膏", "金樱子肉", "蜈蚣", "党参片"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 61113, "pid": "P2da6c3db8d52", "date": "2026-05-06", "sex": "男", "age": 29, "cc": "尿频一年", "hpi": "尿频，晨勃可，时有同房时勃起不坚，排尿正常，大便不成型，睡眠易醒，纳可，吃凉易腹泻，怕冷，时有腰疼，口和，偶有晨起口苦，白发", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "寒热错杂证", "调理阴阳"]], "rx": ["北柴胡", "黄芩", "桂枝", "牡丹皮", "石菖蒲", "干姜", "炒栀子", "丹参", "鸡血藤", "生地黄", "菟丝子", "盐车前子", "覆盆子", "炙淫羊藿", "白芍", "附片", "郁金"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "桂枝", "牡丹皮", "石菖蒲", "干姜", "炒栀子", "丹参", "鸡血藤", "生地黄", "菟丝子", "盐车前子", "覆盆子", "炙淫羊藿", "白芍", "附片"], "prev_gap": 14, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 6} {"rid": 61123, "pid": "P159b1f51af92", "date": "2026-05-06", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，口可，乏力困倦", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "知母", "盐黄柏", "牡丹皮", "生地黄", "酒萸肉", "石菖蒲", "炒蒺藜", "白花蛇舌草", "丹参", "鸡血藤", "郁金", "黄芩", "麦冬"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "知母", "盐黄柏", "牡丹皮", "生地黄", "酒萸肉", "石菖蒲", "炒蒺藜", "白花蛇舌草", "丹参", "鸡血藤", "郁金", "黄芩"], "prev_gap": 7, 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"燀桃仁", "红花", "蜈蚣", "牛膝", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61176, "pid": "P276bae338227", "date": "2026-05-08", "sex": "男", "age": 63, "cc": "前列腺增生伴钙化复诊", "hpi": "前列腺增生伴钙化，尿不尽，阴囊潮湿，夜尿2-3次，大便干，前干后稀，睡眠一般，多梦，口干口苦口渴，纳可，性功能减退", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精癃", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "生石膏", "北沙参", "丹参", "黄芩片", "党参片", "鸡血藤", "蜈蚣", "牡丹皮", "黑顺片", "牡蛎", "知母", "麦冬", "酒苁蓉"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "生石膏", "北沙参", "丹参", "黄芩片", "党参片", "鸡血藤", "蜈蚣", "牡丹皮", "天花粉", "牡蛎", "知母", "麦冬", "酒苁蓉"], "prev_gap": 10, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 61178, "pid": "Pdbfc6edae6b1", "date": "2026-05-08", "sex": "男", "age": 40, "cc": "尿不尽半年", "hpi": "尿不尽半年 伴有 勃起困难 晨勃差 大便不成型 纳可 眠安 腰痛，无怕冷，口和", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "燀桃仁", "红花", "白芍", "生姜", "赤小豆", "白花蛇舌草", "麸炒白术", "石菖蒲", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "炙淫羊藿", "仙茅"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61184, "pid": "Pb661eabb014d", "date": "2026-05-08", "sex": "男", "age": 24, "cc": "尿频2月", "hpi": "尿频，有晨勃，中途疲软，睡眠正常，排尿尿频，大便正常，纳可，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["当归", "川芎", "茯苓", "白芍", "泽泻", "麸炒白术", "石菖蒲", "丹参", "鸡血藤", "北柴胡", "郁金", "柏子仁", "熟地黄", "酒萸肉", "炙淫羊藿", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61187, "pid": "Pa369e31203e6", "date": "2026-05-08", "sex": "男", "age": 31, "cc": "遗精乏力2月", "hpi": "遗精后乏力感明显，工作焦虑，熬夜，口干，盗汗，眠可，梦多，大便可，胁痛", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝瘀血虚证", "疏肝化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["川牛膝", "制巴戟天", "北柴胡", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61191, "pid": "Pbf157831ed1d", "date": "2026-05-08", "sex": "男", "age": 63, "cc": "排尿不畅1年", "hpi": "1年前排尿不畅,尿频尿急,大便干，口干", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["尿血", "血瘀证", "活血化瘀"], ["精癃", "下焦湿热证", "清热利湿"]], "rx": ["桂枝", "泽兰", "制水蛭", "燀桃仁", "红花", "赤小豆", "白花蛇舌草", "滑石", "茯苓", "泽泻", "麸炒白术", "黑顺片"], "flags": [], "prev_rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "昆布", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "小通草", "麸炒冬瓜子", "苦参", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "赤小豆"], "prev_gap": 19, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61194, "pid": "P8f1accab3087", "date": "2026-05-08", "sex": "男", "age": 43, "cc": "尿频一月", "hpi": "尿频，尿不尽，试管2次未成功，既往检查精液2.49%，排尿正常，大便不成型，肠镜-，睡眠正常，纳可，口干，腰痛，近期乏力，体重下降，怕冷，复诊：左侧后脚跟疼痛，复诊：足部疼痛消失，现大便粘\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n5", "wm_dx": ["乏力", "腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "猪苓", "枸杞子", "菟丝子", "酒黄精", "盐车前子", "牡蛎", "赤小豆", "生姜", "醋龟甲", "薤白", "黑顺片", "丹参"], "flags": [], "prev_rx": ["桂枝", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "猪苓", "枸杞子", "菟丝子", "酒黄精", "盐车前子", "牡蛎", "赤小豆", "生姜", "醋龟甲", "炒苦杏仁", "黑顺片", "丹参"], "prev_gap": 21, "visit_ix": 8, "n_visits": 10, "visit_ix_rx": 8, "n_rx": 10} {"rid": 61195, "pid": "P6123bed40e50", "date": "2026-05-08", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，在北医三院检查弱精，畸形高", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "茯苓", "泽泻", "麸炒白术", "醋五味子", "盐车前子", "菟丝子", "覆盆子", "枸杞子", "醋龟甲", "煅牡蛎", "红景天", "桑螵蛸", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭"], "prev_gap": 169, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61200, "pid": "Pc0cf64a4ee1f", "date": "2026-05-08", "sex": "男", "age": 36, "cc": "尿黄半年", "hpi": "尿黄，烧灼感，夜尿正常，无腹痛，时有左侧腰疼，晨勃少，硬度下降，第二次会出现中途疲软，时间短，睡眠正常，纳可，大便日2次，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["赤小豆", "连翘", "当归", "川芎", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "金樱子肉", "滑石", "茯苓", "阿胶珠", "蜈蚣", "煅龙骨", "煅牡蛎", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61201, "pid": "P5bf68d303479", "date": "2026-05-08", "sex": "男", "age": 33, "cc": "阴囊瘙痒潮湿1月", "hpi": "阴囊瘙痒潮湿1月，饮酒，反复抓挠，工作熬夜，口干，盗汗，无明显排尿不畅", "wm_dx": ["皮炎", "阴囊湿疹"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆", "盐关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连片", "麸炒苍术", "百部", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61207, "pid": "P40c1213e0a43", "date": "2026-05-09", "sex": "男", "age": 37, "cc": "腰痛乏力复诊取药", "hpi": "腰痛乏力伴勃起中途疲软改善，晨勃可，性欲可，已婚育，同房频率1次/周，口干，夜寐可，思虑多。", "wm_dx": ["男性性腺功能低下", "高血压", "高脂血症"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制巴戟天", "酒萸肉", "太子参", "知母"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61208, "pid": "Pe2730ec47848", "date": "2026-05-09", "sex": "男", "age": 54, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，晨勃消失，性欲减退，口中和，长期熬夜。3.8复诊：偶有晨勃，无同房，3.21复诊：服药后晨勃每日有，排气多，无同房，性欲稍有恢复。4.4复诊：晨勃可，勃起硬度欠佳，可同房，近2周同房2次。4.18复诊：服药无不适，近2周1次同房，硬度欠佳，中途疲软，夜勃增加。5.9复诊：近2周同房1次，硬度欠佳，晨勃恢复。", "wm_dx": ["糖尿病", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "炒栀子", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "人参", "黄芪", "酒黄精", "全蝎"], "flags": [], "prev_rx": ["甘草", "北柴胡", "炒栀子", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "人参", "黄芪", "酒黄精", "全蝎"], "prev_gap": 21, "visit_ix": 10, "n_visits": 20, "visit_ix_rx": 5, "n_rx": 12} {"rid": 61212, "pid": "P9a6314d0c56d", "date": "2026-05-09", "sex": "男", "age": 57, "cc": "排尿不畅尿等待8月", "hpi": "8月前出现排尿不畅尿等待，3周前就诊我院脑病科病房，我科会诊予口服盐酸坦索罗辛缓释胶囊、非那雄胺片、前列舒通胶囊症状改善，现出院规律门诊。现夜尿1-2次，口中和，夜寐差,失眠，易醒，勃起不坚，腰痛乏力,心脏支架术后有血栓可能，外院就诊口服华法令片，要求用药一周后复查血常规+凝血五项，3.7号复诊：夜寐差，勃起欠佳，偶有晨勃.3.28复诊：夜寐改善，晨勃少，近期无同房。4.18复诊：排尿不畅好转，近2周同房一次，勃起硬度欠佳，时间短。5.9复诊：近期血压低停盐酸坦索罗辛缓释胶囊后出现夜尿增加，3-4次，易醒，夜寐差。", "wm_dx": ["前列腺增生", "冠状动脉粥样硬化性心脏病"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["精癃", "肝肾两虚证", "滋补肝肾"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "覆盆子", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "韭菜子", "制巴戟天", "全蝎", "黄芪", "乌药", "盐益智仁", "山药"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "覆盆子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "韭菜子", "制巴戟天", "全蝎", "黄芪", "人参"], "prev_gap": 21, "visit_ix": 14, "n_visits": 20, "visit_ix_rx": 7, "n_rx": 9} {"rid": 61215, "pid": "P4db9ceac8e50", "date": "2026-05-09", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力睡眠正常，纳可，二便调，口苦，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "茯苓", "泽泻", "麸炒白术", "丹参", "法半夏", "竹茹", "炙淫羊藿", "菟丝子", "枸杞子", "覆盆子", "桑螵蛸", "醋龟甲", "郁金", "牛膝", "大枣", "桔梗"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "茯苓", "泽泻", "麸炒白术", "丹参", "法半夏", "菟丝子", "枸杞子", "覆盆子", "桑螵蛸", "醋龟甲", "郁金", "牛膝", "大枣", "竹茹", "炙淫羊藿"], "prev_gap": 14, "visit_ix": 8, "n_visits": 15, "visit_ix_rx": 8, "n_rx": 15} {"rid": 61217, "pid": "P7646160e29ec", "date": "2026-05-09", "sex": "男", "age": 40, "cc": "尿频1周", "hpi": "尿频1周，尿后余沥，夜尿0次，色黄，会阴不适，大便可，纳可，眠一般，早醒，工作开车久坐，口服三金片和前列康，症状反复。咽部不适", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "燀桃仁", "红花", "桔梗", "茵陈", "党参片", "茯苓", "泽泻", "桂枝", "白芍", "赤小豆", "白花蛇舌草", "炙甘草", "滑石", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61218, "pid": "P1407db622766", "date": "2026-05-09", "sex": "男", "age": 37, "cc": "发现PSA升高复查", "hpi": "发现PSA升高1周，5.62 ng/ml，工作久坐，无明显尿频、尿急、排尿不畅，夜尿0次。无尿后余沥，无小腹及会阴不适。乏力消瘦半年,睡眠好转", "wm_dx": ["前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "小蓟", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "荔枝核", "炒王不留行", "砂仁"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "小蓟", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "荔枝核", "炒王不留行", "砂仁"], "prev_gap": 14, "visit_ix": 8, "n_visits": 16, "visit_ix_rx": 5, "n_rx": 10} {"rid": 61221, "pid": "P971acadcdd69", "date": "2026-05-09", "sex": "男", "age": 45, "cc": "复诊", "hpi": "病史同前，时尿频感，尿不尽，偶有尿急，阴囊潮湿减、仍发凉感，口干，性急。近期消瘦明显", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["白芍", "北柴胡", "麸炒枳实", "盐补骨脂", "盐益智仁", "桑螵蛸", "黑顺片", "首乌藤", "炙甘草", "乌药", "麸炒山药", "麸炒苍术", "麸炒白术", "关黄柏", "麸炒薏苡仁", "茯苓"], "flags": [], "prev_rx": ["白芍", "北柴胡", "麸炒枳实", "盐补骨脂", "盐益智仁", "桑螵蛸", "生石膏", "黑顺片", "首乌藤", "炙甘草", "乌药", "麸炒山药"], "prev_gap": 21, "visit_ix": 5, "n_visits": 12, "visit_ix_rx": 5, "n_rx": 10} {"rid": 61222, "pid": "P4596b8512757", "date": "2026-05-09", "sex": "男", "age": 44, "cc": "少腹坠胀1月", "hpi": "少腹坠胀，尿不尽，夜尿1次，口干，大便正常，复诊：少腹正常，仍有尿意感。", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "茯苓", "猪苓", "干姜", "煅龙骨", "煅牡蛎", "赤小豆", "白花蛇舌草", "炙甘草", "牡丹皮", "北柴胡", "黄芩片"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "茯苓", "猪苓", "干姜", "煅龙骨", "煅牡蛎", "赤小豆", "白花蛇舌草", "炙甘草"], "prev_gap": 14, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 10} {"rid": 61223, "pid": "Pab111d2c7624", "date": "2026-05-09", "sex": "男", "age": 31, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力射精快，手足潮热，盗汗，偶有阴囊潮湿，尿不尽 尿频，偶有尿痛", "wm_dx": ["腰痛", "乏力", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "麸炒苍术", "茯苓", "麸炒白术", "小蓟", "猪苓", "山慈菇", "大枣", "太子参", "龙眼肉"], "flags": [], "prev_rx": ["太子参", "制巴戟天", "山药", "炒酸枣仁", "陈皮", "知母"], "prev_gap": 161, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 61225, "pid": "P7076d32d2219", "date": "2026-05-09", "sex": "男", "age": 41, "cc": "腰痛乏力伴勃起不坚2年", "hpi": "2年前出现腰痛乏力勃起不坚，外院予他达拉非5mg qd现口服药物效果欠佳，口干口苦，夜寐可，性欲差，偶有晨勃，胁肋疼痛。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "韭菜子", "麸炒山药", "黄芪", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 12, "visit_ix_rx": 0, "n_rx": 7} {"rid": 61226, "pid": "Pffd8817d0f54", "date": "2026-05-09", "sex": "男", "age": 65, "cc": "尿频半年", "hpi": "尿频，半年前出现勃起不行，无晨勃，排尿不畅，夜尿正常，尿黄，大便正常，睡眠差早醒，纳可，口和，无怕冷，无腰疼，在杏园金方口服3月汤药未效", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "焦麦芽", "焦山楂", "石菖蒲", "盐蒺藜", "郁金", "蜈蚣", "牛膝", "法半夏", "醋三棱", "醋莪术", "炙黄芪", "党参片"], "flags": [], "prev_rx": ["炙淫羊藿", "仙茅", "生石膏", "北柴胡", "黄芩片", "地黄", "石菖蒲", "黑顺片", "蜈蚣", "麸炒枳实", "白芍", "党参片", "丹参", "鸡血藤"], "prev_gap": 14, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 5, "n_rx": 6} {"rid": 61231, "pid": "P0b9000fe8dc7", "date": "2026-05-09", "sex": "男", "age": 40, "cc": "尿频2年", "hpi": "尿频，无晨勃，硬度一般，吸烟饮酒，熬夜，排尿可 ，喝水尿频，大便不成型，睡眠正常，纳可，口干，时有腰疼，无怕冷，怕热，复诊：硬度好转，时间短5--6分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "山药", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "生石膏", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "乌药", "干姜", "麸炒白术"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "山药", "茯苓", "丹参", "鸡血藤", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "乌药", "干姜", "盐蒺藜", "生石膏"], "prev_gap": 14, "visit_ix": 3, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 11} {"rid": 61232, "pid": "P9d181c45e245", "date": "2026-05-09", "sex": "男", "age": 38, "cc": "尿频5-6年", "hpi": "尿频，婚后一直未成功性生活，刚开始能硬，同房即疲软，但晨勃明显，排尿正常，夜尿正常，大便正常，睡眠正常，纳可，口和，无怕冷，复诊：1粒他达拉非硬度正常，但未成功同房", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "炙淫羊藿", "郁金", "牛膝", "黑顺片", "干姜"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "炙淫羊藿", "郁金", "牛膝", "黑顺片", "干姜"], "prev_gap": 24, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 61233, "pid": "P1bcbebbf402a", "date": "2026-05-09", "sex": "男", "age": 46, "cc": "尿频半年", "hpi": "尿频，晨勃少，硬度一般，易怒，排尿可，大便正常，睡眠一般，纳可，口苦，无怕冷，时有腹胀", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "党参", "炒芥子", "砂仁", "木香", "炒僵蚕", "北柴胡", "炒蒺藜", "丁香", "醋青皮", "川楝子", "陈皮", "姜厚朴", "醋香附", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "桂枝", "细辛", "麻黄", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩", "姜厚朴", "法半夏", "人参", "丹参", "鸡血藤", "石菖蒲", "醋香附", "制巴戟天", "干姜", "菟丝子", "盐车前子", "熟地黄"], "prev_gap": 129, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61234, "pid": "P55a5f2d10b22", "date": "2026-05-09", "sex": "男", "age": 66, "cc": "尿频尿急5年", "hpi": "5年前出现尿频尿急，夜尿多3-4次，口干口苦，大便可，夜寐差。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61237, "pid": "P7ed4bf6a9ebb", "date": "2026-05-09", "sex": "男", "age": 42, "cc": "反酸胀痛5年", "hpi": "5年前出现反酸胀痛，失眠，口干口苦，怕冷，着凉后易感冒。反酸好转，耳鸣，腰痛乏力", "wm_dx": ["腰痛"], "tcm_dx": [["腹胀", "脾胃不和证", "健脾和胃"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["炙甘草", "麸炒枳壳", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "肉桂", "黄芪", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61242, "pid": "Pa595d4981a98", "date": "2026-05-09", "sex": "男", "age": 49, "cc": "腰痛乏力伴勃起欠佳6月", "hpi": "6月前出现腰痛乏力伴勃起欠佳，中途疲软，手心汗出，夜寐差，长期熬夜，多梦，性欲可，", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "韭菜子", "川芎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61243, "pid": "Pc508cf81b87c", "date": "2026-05-09", "sex": "男", "age": 32, "cc": "尿频半年", "hpi": "尿频，尿不尽，大便正常，睡眠正常 ，纳差，晨勃好，同房时硬度不佳，口气重", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["川芎", "当归", "白芍", "石菖蒲", "制远志", "郁金", "柏子仁", "丹参", "鸡血藤", "焦麦芽", "蜈蚣", "炙淫羊藿", "仙茅", "盐胡芦巴"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61244, "pid": "Pe5012a219570", "date": "2026-05-09", "sex": "男", "age": 61, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度下降改善，乏力，工作久坐，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，晨勃有", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["丹参", "猪苓", "太子参", "制巴戟天", "山慈菇", "菟丝子"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "麸炒白术", "酒黄精", "丹参"], "prev_gap": 51, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 61245, "pid": "P8d2f76ee5d81", "date": "2026-05-09", "sex": "男", "age": 40, "cc": "腹胀2年", "hpi": "腹胀，纳可，早泄，硬度也下降，乏力感，睡眠差，耳鸣，大便4-5次，口和，无腰疼，无怕冷", "wm_dx": ["焦虑状态"], "tcm_dx": [["腹胀", "寒热错杂证", "调理阴阳"]], "rx": ["煅龙骨", "煅牡蛎", "北柴胡", "黄芩片", "麸炒枳实", "桂枝", "干姜", "党参片", "丹参", "赤小豆", "柏子仁", "鸡血藤", "石菖蒲", "盐蒺藜", "炙甘草", "麸炒白术", "制远志"], "flags": [], "prev_rx": ["煅龙骨", "煅牡蛎", "北柴胡", "黄芩片", "姜厚朴", "桂枝", "干姜", "党参片", "丹参", "赤小豆", "白花蛇舌草", "鸡血藤", "石菖蒲", "盐蒺藜", "炙甘草"], "prev_gap": 18, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61249, "pid": "Pb3fe029870ec", "date": "2026-05-09", "sex": "男", "age": 32, "cc": "腰痛乏力伴勃起中途软1月", "hpi": "1月前出现腰痛乏力伴勃起中途疲软，晨勃可，性欲可，手淫勃起可，口干口苦，盗汗。4.19复诊：近2周同房1次，勃起好转，晨勃可，口干口苦。5.9日复诊：近2周同房2次勃起可，中途软好转，口干口苦消失，晨勃可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "温补肾阳"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "黄芩", "炒栀子", "韭菜子", "制巴戟天", "盐补骨脂"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "黄芩", "炒栀子", "韭菜子", "制巴戟天"], "prev_gap": 20, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61250, "pid": "Pe8c6b4aaf788", "date": "2026-05-09", "sex": "男", "age": 51, "cc": "尿频1年", "hpi": "尿频，硬度下降，时间短，近3月晨勃有，关键时不能勃起，盗汗，睡眠一般，纳差消瘦，大便稀，口干口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "煅龙骨", "煅牡蛎", "生姜", "大枣", "丹参", "鸡血藤", "蜈蚣", "地黄", "炙淫羊藿", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61251, "pid": "P7625ec59c375", "date": "2026-05-09", "sex": "男", "age": 23, "cc": "腰痛乏力伴射精快1年", "hpi": "1年前出现腰痛乏力伴射精快，包皮过长，龟头红疹，盗汗。", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61258, "pid": "P445c67a44e12", "date": "2026-05-09", "sex": "男", "age": 39, "cc": "排尿不畅3年", "hpi": "3年前出现排尿不畅，尿频尿急，夜尿1-2次，尿无力尿不尽，腰痛乏力，盗汗，射精快", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "人参", "韭菜子", "黄芪", "醋五味子"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "人参"], "prev_gap": 103, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61262, "pid": "Pbbf5ebcdf6c6", "date": "2026-05-09", "sex": "男", "age": 45, "cc": "阴囊潮湿半年", "hpi": "阴囊潮湿半年 睾丸酸胀 大小便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["秦艽", "酒黄精", "猪苓", "羌活", "太子参", "薏苡仁"], "prev_gap": 24, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61268, "pid": "Pcc9ddbb89950", "date": "2026-05-09", "sex": "男", "age": 24, "cc": "阴囊潮湿瘙痒脱屑2年", "hpi": "2年前出现阴囊潮湿瘙痒脱屑，夜寐差，易醒", "wm_dx": ["阴囊湿疹"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["麸炒苍术", "黄柏", "麸炒薏苡仁", "牛膝", "地肤子", "蛇床子", "金银花", "连翘", "蒲公英", "白花蛇舌草", "黄连", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61270, "pid": "P488a94d3c267", "date": "2026-05-09", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期备孕2胎，盗汗，尿频尿急", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "熟地黄", "金银花"], "flags": [], "prev_rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "熟地黄", "金银花"], "prev_gap": 14, "visit_ix": 2, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 5} {"rid": 61273, "pid": "Pb6037c4aafe0", "date": "2026-05-09", "sex": "男", "age": 35, "cc": "腰痛乏力伴射精快3月", "hpi": "3月前出现腰痛乏力伴射精快，勃起欠佳，下肢乏力，龟头红疹.3.21复诊：腰痛下肢乏力好转，勃起可，中途疲软，敏感度好转，易生气，胁肋疼痛。4.4复诊：勃起明显好转，中途疲软好转，射精快好转，下肢乏力好转，偶有左侧大腿外侧酸痛不适。4.18复诊：勃起中途疲软，尿不尽。", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "韭菜子", "制巴戟天", "麸炒山药", "盐补骨脂", "黄芪", "人参", "全蝎"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "白茅根", "白花蛇舌草", "小蓟"], "prev_gap": 20, "visit_ix": 8, "n_visits": 10, "visit_ix_rx": 6, "n_rx": 8} {"rid": 61274, "pid": "Pea697df576c9", "date": "2026-05-10", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作熬夜，焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤", "赤小豆", "盐杜仲", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 61277, "pid": "P6e5bf87bb272", "date": "2026-05-10", "sex": "男", "age": 58, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频、尿急，尿等待，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。体温无明显升高。", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["热淋", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "石菖蒲", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61281, "pid": "P4c3cbda1f73f", "date": "2026-05-10", "sex": "男", "age": 44, "cc": "尿频尿急3月", "hpi": "尿频尿急3月，尿分叉，尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗，前列腺钙化灶，腰痛，乏力，压力大焦虑", "wm_dx": ["前列腺炎", "腰痛", "前列腺增生"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "炒酸枣仁", "蜈蚣"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓", "炒酸枣仁", "锁阳", "金樱子肉"], "prev_gap": 28, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61284, "pid": "P47ab70f76fc6", "date": "2026-05-10", "sex": "男", "age": 50, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。乏力失眠改善明显。胁痛。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["胁痛", "肝郁血瘀证", "疏肝化瘀"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤", "炒酸枣仁", "石菖蒲", "酒黄精", "炙黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 4} {"rid": 61291, "pid": "P3fee3963edbe", "date": "2026-05-10", "sex": "男", "age": 38, "cc": "尿频3月", "hpi": "尿频，启动快，中途疲软，时间短，同房规律，大便不成型，2-3天一次，纳可，睡眠正常，口和，无怕冷，腰痛，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["当归", "川芎", "牡丹皮", "白芍", "茯苓", "猪苓", "石菖蒲", "盐蒺藜", "莲须", "煅龙骨", "煅牡蛎", "赤小豆", "炒苦杏仁", "黄芩片", "炙甘草", "金樱子肉", "盐益智仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61293, "pid": "P11c5cb5844da", "date": "2026-05-10", "sex": "男", "age": 34, "cc": "勃起功能差2月", "hpi": "自觉勃起硬度不够，或持续时间短，症起2月，手汗，无肢冷。眠可。偶有口干", "wm_dx": ["糖尿病"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "石菖蒲", "鸡血藤"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "九香虫", "地龙", "郁金", "麸炒苍术", "炙甘草", "生姜", "大枣", "制巴戟天", "菟丝子", "太子参", "猪苓", "羌活", "茯苓"], "prev_gap": 12, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 61294, "pid": "P4e0a1222c316", "date": "2026-05-10", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61295, "pid": "Pd5809ce13e6f", "date": "2026-05-10", "sex": "男", "age": 42, "cc": "尿频尿不尽复诊", "hpi": "尿频尿不尽改善 大便正常 纳可 无明显小腹不适 腰痛 乏力 口干 盗汗 失眠 勃起改善。", "wm_dx": ["失眠", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "盐杜仲", "石菖蒲", "鸡血藤", "赤小豆"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "盐杜仲", "石菖蒲"], "prev_gap": 18, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 61306, "pid": "P66d9ee53a36e", "date": "2026-05-10", "sex": "男", "age": 30, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力 盗汗 倒班工作 无其他不适 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "覆盆子", "菟丝子", "党参", "酒黄精", "盐补骨脂", "麸炒枳壳", "盐车前子", "枸杞子", "炙甘草", "醋五味子", "石斛", "炙黄芪", "熟地黄", "沙苑子", "石菖蒲"], "flags": [], "prev_rx": ["甜叶菊叶", "酒苁蓉", "制巴戟天", "仙茅", "覆盆子", "菟丝子", "党参", "酒黄精", "盐补骨脂", "麸炒枳壳", "盐车前子", "枸杞子", "炙甘草", "醋五味子", "石斛", "炙黄芪", "熟地黄", "沙苑子"], "prev_gap": 21, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 5, "n_rx": 6} {"rid": 61307, "pid": "P5d016f19e9fd", "date": "2026-05-10", "sex": "男", "age": 33, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作可，焦虑，二便调，纳可，无排尿不畅、尿后余沥，口干，盗汗多汗，眠差易醒。药后症状改善，停药后症状反复。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "盐关黄柏", "知母", "金樱子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "石菖蒲", "炙黄芪"], "prev_gap": 50, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 61308, "pid": "Pf5db9c22578e", "date": "2026-05-10", "sex": "男", "age": 68, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 关节炎取药 感冒4天 咽痛 流涕", "wm_dx": ["关节炎", "感冒", "腰痛"], "tcm_dx": [["痹证类病", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["黑顺片", "茯苓", "生姜", "白芍", "人参", "天竺黄", "牡蛎", "龙骨", "麸炒苍术", "醋五味子", "黄芪", "桂枝", "三七粉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黑顺片", "茯苓", "生姜", "白芍", "人参", "三七粉", "天竺黄", "牡蛎", "龙骨", "麸炒苍术", "醋五味子", "酒大黄", "肉桂", "杜仲", "制巴戟天", "黄芪"], "prev_gap": 6, "visit_ix": 6, "n_visits": 14, "visit_ix_rx": 6, "n_rx": 14} {"rid": 61310, "pid": "Pdb1635f6e775", "date": "2026-05-10", "sex": "男", "age": 36, "cc": "腰痛乏力3年", "hpi": "3年前出现腰痛乏力，脱发，下肢无力，虚劳，口干，大便干，夜寐差，失眠多梦，包皮龟头炎", "wm_dx": ["腰痛", "包皮龟头炎"], "tcm_dx": [["虚劳类病", "气血两虚证", "补益气血"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["百合", "莲子", "麸炒山药"], "flags": ["rx_len_outlier"], "prev_rx": ["桑椹", "枸杞子", "太子参", "龙眼肉", "黄芪", "当归", "山慈菇"], "prev_gap": 147, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61312, "pid": "P4aa9dffb4c02", "date": "2026-05-10", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作可，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61313, "pid": "P7fcd1bc3eb04", "date": "2026-05-10", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61315, "pid": "P5b7ac2d2417c", "date": "2026-05-10", "sex": "男", "age": 41, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，无尿频、尿急、尿线细，尿等待，尿后余沥，夜尿0次，伴小腹及会阴不适，大便质干，纳可，眠可，口干，熬夜，工作久坐。", "wm_dx": ["叶酸缺乏", "高血压", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61317, "pid": "P067dc7defb91", "date": "2026-05-10", "sex": "男", "age": 43, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，硬度和性欲可，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61318, "pid": "P693fe8289601", "date": "2026-05-10", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": 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"pid": "P66165a973837", "date": "2026-05-11", "sex": "男", "age": 72, "cc": "排尿不畅复诊", "hpi": "排尿不畅复诊，尿频尿急，尿线细，尿等待改善，尿后余沥，夜尿3次，无小腹及会阴不适，大便质干，纳可，眠一般 PSA较上次检查降低", "wm_dx": ["前列腺增生", "前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川贝母", "茯苓", "党参片"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61345, "pid": "P545e3a50efe4", "date": "2026-05-11", "sex": "男", "age": 32, "cc": "腹股沟及阴囊潮湿异味2年", "hpi": "2年前出现腹股沟及阴囊潮湿异味，天热加重，口干口苦，无小腹不适，偶有腹泻，怕冷，腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "茯苓", "山药", "麸炒白术", "干姜", "砂仁", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "覆盆子", "酒女贞子", "枸杞子", "醋五味子", "盐车前子", "菟丝子", "麸炒枳壳", "炙甘草"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "炒白扁豆", "金银花", "砂仁", "麸炒苍术", "麸炒薏苡仁", "牛膝", "制巴戟天"], "prev_gap": 119, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 61346, "pid": "P2e2af6f1feee", "date": "2026-05-11", "sex": "男", "age": 42, "cc": "腰痛半年", "hpi": "伴有乏力 疲劳 大小便正常 多汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "花椒", "五加皮", "地骨皮", "菟丝子", "制巴戟天", "猪苓", "太子参", "陈皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61349, "pid": "P8f65e3a53dd2", "date": "2026-05-11", "sex": "男", "age": 51, "cc": "复诊", "hpi": "小腹不适感， 无尿频，无尿痛。化验见不固定。 腰酸，尿蛋白+ 。背凉", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "补肾固精"]], "rx": ["熟地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "黑顺片", "肉桂", "姜厚朴", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61350, "pid": "P3d2461491597", "date": "2026-05-11", "sex": "男", "age": 38, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，近3月勃起硬度欠佳，性欲可，性生活不规律，工作劳累可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮", "菟丝子", "太子参", "猪苓", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "蒲公英", "金银花", "地肤子"], "prev_gap": 30, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 5} {"rid": 61351, "pid": "Pd583abb59215", "date": "2026-05-11", "sex": "男", "age": 44, "cc": "阴囊潮湿半年", "hpi": "阴囊潮湿半年 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["薏苡仁", "茯苓", "猪苓", "太子参", "防风"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61352, "pid": "P5db52a4b6c86", "date": "2026-05-11", "sex": "男", "age": 45, "cc": "复诊", "hpi": "硬度一般，排尿正常，便调，寐安纳可，口苦不现", "wm_dx": ["高血压"], "tcm_dx": [["腰痛", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁血虚证", "疏肝养血"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "姜半夏", "牡蛎", "龙骨", "郁金", "九香虫", "地龙", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "麸炒枳实", "白芍", "赤小豆", "地黄", "石菖蒲", "丹参", "鸡血藤", "炙淫羊藿", "仙茅", "桑寄生", "醋三棱", "醋莪术"], "prev_gap": 33, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61355, "pid": "Pdfc37551b6ec", "date": "2026-05-11", "sex": "男", "age": 37, "cc": "复诊", "hpi": "未有性生活，否认慢性病是史。父亲糖尿病.肢冷不甚，口干不苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["男性生殖病", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "郁金", "九香虫", "地龙", "盐蒺藜", "石菖蒲", "炙甘草", "烫狗脊"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黑顺片", "九香虫", "地龙", "盐蒺藜", "石菖蒲", "炙甘草", "郁金"], "prev_gap": 6, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 5} {"rid": 61356, "pid": "P75b23466351a", "date": "2026-05-11", "sex": "男", "age": 37, "cc": "睾丸部疼痛感一月", "hpi": "一月前，无明显诱因，始睾丸部天天不适感，左右两侧交替，并精液色红。否认外伤和特殊药物史。", "wm_dx": ["附睾炎"], "tcm_dx": [["男性生殖病", "湿热下注证", "清热利湿"], ["男性前阴类病", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "泽泻", "牡丹皮", "滑石", "马鞭草", "白茅根", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 61357, "pid": "P31fac35a8cc4", "date": "2026-05-11", "sex": "男", "age": 70, "cc": "前列腺增生取药", "hpi": "前列腺增生取药 尿频尿急尿不尽症状明显好转 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "薏苡仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 11, "n_visits": 12, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61361, "pid": "P9b58099f1e18", "date": "2026-05-11", "sex": "男", "age": 59, "cc": "腰痛半年", "hpi": "腰痛、乏力感，无精液。发现血糖高半年。 否认家中糖尿病史。耳鸣。 口干，阴囊潮湿、多汗。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精液类病", "肾虚血瘀证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "地黄", "醋五味子", "烫狗脊", "杜仲", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 7} {"rid": 61362, "pid": "Pe39549cc84fd", "date": "2026-05-11", "sex": "男", "age": 48, "cc": "腰痛乏力伴勃起不坚复诊", "hpi": "3年前出现腰痛乏力伴勃起不坚，口服他达拉非可同房，性欲可，晨勃消失，口干口苦，夜寐差，失眠，无小腹胀痛，射精快，盗汗，胁肋疼痛，易生气，复诊：夜尿3次，尿频。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["党参片", "土茯苓", "北败酱草", "茯苓", "北柴胡", "川楝子", "盐蒺藜", "茵陈", "薏苡仁", "防风", "白芷", "蜈蚣", "地龙", "制水蛭", "炒酸枣仁", "白术", "柏子仁", "石菖蒲", "制远志", "丹参", "麸炒枳壳", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓", "蜈蚣", "鸡血藤", "赤小豆", "锁阳"], "prev_gap": 17, "visit_ix": 9, "n_visits": 12, "visit_ix_rx": 8, "n_rx": 10} {"rid": 61364, "pid": "P48209b4bd01d", "date": "2026-05-11", "sex": "男", "age": 49, "cc": "腰痛半年", "hpi": "伴有排尿不畅 大便正常 纳可 眠安 腹胀一月", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "制巴戟天", "茯苓", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61366, "pid": "Pff6730e56fd6", "date": "2026-05-11", "sex": "男", "age": 36, "cc": "尿频半年", "hpi": "尿频，夜尿4-5次年 勃起减，性欲减。父、母高血压。口中异味，口苦。心急，便干", "wm_dx": ["代谢综合征"], "tcm_dx": [["男性前阴类病", "肝郁肾虚证", "补肾固精"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "麸炒枳实", "白芍", "龙骨", "牡蛎", "石菖蒲", "九香虫", "地龙", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61369, "pid": "Pf72b3cd0946f", "date": "2026-05-11", "sex": "男", "age": 73, "cc": "慢性肾衰竭 前列腺增生复诊", "hpi": "慢性肾衰竭 前列腺增生复诊复诊取药，伴小腹不适，尿道灼热。大便正常 纳可 眠差", "wm_dx": ["慢性前列腺炎", "前列腺增生", "泌尿系感染", "慢性肾衰竭"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["淋证", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["薏苡仁", "陈皮", "太子参", "山慈菇"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["薏苡仁", "陈皮", "太子参", "山慈菇"], "prev_gap": 7, "visit_ix": 20, "n_visits": 22, "visit_ix_rx": 3, "n_rx": 5} {"rid": 61370, "pid": "P9cb9130f517f", "date": "2026-05-11", "sex": "男", "age": 53, "cc": "复诊", "hpi": "协疼，右，腰冷，吃生冷加重，，夜尿正常，睡眠多梦，乏力，口干口苦,勃起差，盗汗", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "厥阴证类", "温下清上"]], "rx": ["北柴胡", "酒黄芩", "党参片", "桂枝", "干姜", "炙甘草", "生石膏", "牡蛎", "瓜蒌", "大枣", "生姜", "首乌藤"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "茯苓", "白术", "干姜", "泽泻", "炙甘草", "生石膏"], "prev_gap": 9, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 5} {"rid": 61371, "pid": "P827847949ae1", "date": "2026-05-11", "sex": "男", "age": 51, "cc": "复诊", "hpi": "病史同前，口中粘，勃起可，持续时间短，硬度一般。眠可.", "wm_dx": ["男性勃起障碍", "代谢综合征"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "生姜", "五倍子", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "生姜", "大枣", "盐补骨脂"], "prev_gap": 21, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 8} {"rid": 61382, "pid": "P1dcd6ed9f44e", "date": "2026-05-11", "sex": "男", "age": 62, "cc": "手脚冰凉抄方", "hpi": "手脚发凉，腰部肌肉酸痛，腿抽筋，左侧小腿肌肉胀痛，大便干一天一次，口服麻仁润肠丸，排尿正常，纳可，不能吃生冷，睡眠正常，口和，复诊：胃口好转，大便色黑，腿抽筋消失。尿频，复诊：大便正常。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["便秘", "湿热蕴结证", "润燥通便"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制巴戟天", "酒苁蓉", "仙茅", "炙淫羊藿", "盐杜仲", "续断片", "烫狗脊"], "flags": [], "prev_rx": ["制巴戟天", "酒苁蓉", "仙茅", "炙淫羊藿", "盐杜仲", "续断片", "烫狗脊"], "prev_gap": 17, "visit_ix": 8, "n_visits": 10, "visit_ix_rx": 7, "n_rx": 9} {"rid": 61385, "pid": "Pf8a4980008b7", "date": "2026-05-12", "sex": "男", "age": 73, "cc": "前列腺增生复诊", "hpi": "尿分叉 尿等待 尿不尽 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "制巴戟天", "茯苓", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61387, "pid": "P8dc6c6b20df4", "date": "2026-05-12", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重，复诊：大便粘，牙龈肿，口气重", "wm_dx": ["甲状腺囊肿", "慢性前列腺炎"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["黄芩片", "黄连片", "干姜", "法半夏", "大枣", "党参片", "焦麦芽", "焦山楂", "醋鸡内金", "醋龟甲", "桑螵蛸", "赤小豆", "白花蛇舌草", "菟丝子", "枸杞子", "盐车前子", "红景天"], "flags": [], "prev_rx": ["盐关黄柏", "砂仁", "炙甘草", "炒酸枣仁", "麸炒白术", "菟丝子", "枸杞子", "韭菜子", "党参片", "黑顺片", "炙淫羊藿", "赤小豆", "桑寄生", "盐车前子", "醋龟甲", "牡蛎"], "prev_gap": 24, "visit_ix": 11, "n_visits": 24, "visit_ix_rx": 10, "n_rx": 23} {"rid": 61390, "pid": "Pb8912db8558d", "date": "2026-05-12", "sex": "男", "age": 39, "cc": "包皮龟头炎2天", "hpi": "包皮龟头炎2天 大小便正常 纳可 眠安 腰痛乏力", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白花蛇舌草", "金银花", "蒲公英", "土茯苓", "败酱草", "蝉蜕", "白芷", "黄连", "当归", "蛇床子", "地肤子", "百部"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61392, "pid": "P1dc1f9c7efcf", "date": "2026-05-12", "sex": "男", "age": 61, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，尿频，夜尿2-3次，无小腹及会阴不适，熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肾精"]], "rx": ["熟地黄", "山药", "酒萸肉", "茯苓", "泽泻", "黄芪", "党参片", "肉桂", "菟丝子", "覆盆子", "石菖蒲", "盐益智仁", "陈皮", "干姜", "盐杜仲", "牛膝", "麸炒白术", "金樱子肉", "锁阳", "醋五味子", "诃子肉", "莲子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["熟地黄", "山药", "酒萸肉", "茯苓", "泽泻", "黄芪", "党参片", "肉桂", "磁石", "菟丝子", "覆盆子", "石菖蒲", "盐益智仁", "陈皮", "干姜", "盐杜仲", "川牛膝", "麸炒白术", "金樱子肉", "锁阳", "醋五味子"], "prev_gap": 13, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 61394, "pid": "P7c954e0fa27c", "date": "2026-05-12", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "伴有勃起不坚挺 中途疲软 大小便正常 龟头敏感 纳可 眠安", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "菟丝子", "太子参", "猪苓", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61395, "pid": "P0b95e435baee", "date": "2026-05-12", "sex": "男", "age": 54, "cc": "尿频尿急一周", "hpi": "尿频尿急一周 大便正常 纳可 眠安 无下腹疼痛 无睾丸疼痛 无尿道分泌物", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川贝母", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 61401, "pid": "P6915c6d8f90e", "date": "2026-05-12", "sex": "男", "age": 59, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，性欲一般，性生活不规律，工作可，大便质稀，纳眠可，夜尿3-4次，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "酒黄精", "菟丝子", "金樱子肉", "锁阳", "醋五味子", "莲子", "诃子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61402, "pid": "P038aaee0a242", "date": "2026-05-12", "sex": "男", "age": 30, "cc": "尿频一年", "hpi": "尿频，两地分居，2-3月回家一次，无吸烟饮酒，在陕西检查少弱精子，口服药物治疗，排尿正常，偶有阴囊潮湿，大便正常，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "猪苓", "地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "桑螵蛸", "炙淫羊藿", "当归", "川芎", "仙茅", "醋龟甲", "炒苦杏仁"], "flags": [], "prev_rx": ["茯苓", "猪苓", "熟地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "桑螵蛸", "炙淫羊藿", "当归", "川芎", "仙茅", "醋龟甲"], "prev_gap": 21, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 7} {"rid": 61403, "pid": "P3305a8c5e2ed", "date": "2026-05-12", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 乏力疲劳 勃起可 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮", "菟丝子", "盐车前子", "猪苓", "太子参", "三七粉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61407, "pid": "P5e7f185fd1ce", "date": "2026-05-12", "sex": "男", "age": 40, "cc": "龟头红疹瘙痒复诊", "hpi": "包皮龟头红疹瘙痒改善不明显 偶见尿痛 早泄 龟头敏感 腰痛 乏力盗汗 尿频 尿急 尿不尽", "wm_dx": ["慢性前列腺炎", "包皮龟头炎", "真菌感染"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "黄连", "蝉蜕", "荆芥", "白芷", "防风", "当归", "大黄"], "flags": [], "prev_rx": ["猪苓", "北柴胡", "太子参", "茯苓"], "prev_gap": 10, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 4} {"rid": 61408, "pid": "P159b1f51af92", "date": "2026-05-12", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，口可，乏力困倦", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "知母", "盐黄柏", "牡丹皮", "生地黄", "酒萸肉", "石菖蒲", "炒蒺藜", "玄参", "丹参", "鸡血藤", "制远志", "黄芩", "麦冬", "荆芥", "防风"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "知母", "盐黄柏", "牡丹皮", "生地黄", "酒萸肉", "石菖蒲", "炒蒺藜", "白花蛇舌草", "丹参", "鸡血藤", "郁金", "黄芩", "麦冬"], "prev_gap": 6, "visit_ix": 2, "n_visits": 15, "visit_ix_rx": 2, "n_rx": 14} {"rid": 61409, "pid": "P90b081a26d0a", "date": "2026-05-12", "sex": "男", "age": 43, "cc": "尿频夜尿3-4次一月余", "hpi": "尿频夜尿3-4次一月余 大便正常 纳可 眠差", "wm_dx": ["前列腺增生", "精囊炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "炒酸枣仁", "制巴戟天", "炙黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61411, "pid": "Pcef6518d11a2", "date": "2026-05-12", "sex": "男", "age": 43, "cc": "尿频一年", "hpi": "尿频，备育一年未育，少喝酒 大便正常 纳可 眠差 易醒 腰痛乏力 冬天怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "菟丝子", "盐车前子", "枸杞子", "荆芥", "防风", "炒僵蚕", "炒蒺藜", "酒女贞子", "覆盆子", "醋五味子", "党参", "麸炒枳壳", "制巴戟天", "仙茅", "炙淫羊藿", "炙甘草", "蝉蜕", "沙苑子", "炒酸枣仁", "砂仁", "升麻", "麻黄", "白术"], "flags": [], "prev_rx": ["甜叶菊叶", "菟丝子", "盐车前子", "枸杞子", "密蒙花", "焦麦芽", "炒僵蚕", "炒蒺藜", "酒女贞子", "覆盆子", "醋五味子", "党参", "麸炒枳壳", "制巴戟天", "仙茅", "炙淫羊藿", "炙甘草", "石斛", "沙苑子", "炒酸枣仁", "丹参", "知母", "合欢花", "合欢皮"], "prev_gap": 21, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 61412, "pid": "P0185dea2e5af", "date": "2026-05-12", "sex": "男", "age": 34, "cc": "性功能减退3-4年", "hpi": "时间短1-2分钟，硬度一般，晨勃无，半月同房一次，腰酸痛，排尿可，夜尿正常，大便正常偶有腹泻，纳可，睡眠正常多梦，口干，怕冷，乏力，复诊：晨勃有，时间硬度不行，乏力腰疼好转", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "脾肾两虚证", "补肾扶元"], ["房事阳痿", "肾阳虚水泛证", "温补肾阳"]], "rx": ["北柴胡", "黄芩片", "法半夏", "丹参", "茯苓", "泽泻", "麸炒白术", "干姜", "砂仁", "牡丹皮", "炙淫羊藿", "仙茅", "鸡血藤", "金樱子肉"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "茯苓", "炙淫羊藿", "麸炒白术", "牡丹皮", "制巴戟天", "丹参", "鸡血藤", "砂仁", "乌药", "北柴胡", "黄芩片"], "prev_gap": 14, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 6} {"rid": 61414, "pid": "Pc37991a8c182", "date": "2026-05-12", "sex": "男", "age": 44, "cc": "阴囊潮湿1月", "hpi": "阴囊潮湿1月，时有刺痒，性欲下降，精液量少，硬度一般，时间逐渐短，尿不尽，大便正常，睡眠正常，纳可，口和，口气重", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "黄芩片", "茯苓", "丹参", "鸡血藤", "石菖蒲", "菟丝子", "枸杞子", "牛膝", "桑螵蛸", "醋龟甲", "牡蛎", "赤小豆", "滑石"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61417, "pid": "P8f884b345ba8", "date": "2026-05-12", "sex": "男", "age": 27, "cc": "尿后有烧灼感10余天", "hpi": "尿后有烧灼感，刺痒，硬度一般，晨勃少，大便正常，失眠，纳可，晨起口苦", "wm_dx": ["慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "滑石", "盐关黄柏", "牛膝", "茯苓", "泽泻", "猪苓", "赤小豆", "金银花", "炙甘草", "党参片", "石菖蒲", "制远志", "炒栀子", "淡豆豉"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "滑石", "盐关黄柏", "牛膝", "茯苓", "泽泻", "猪苓", "赤小豆", "金银花", "炙甘草", "党参片"], "prev_gap": 6, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 61422, "pid": "P3c568184c56d", "date": "2026-05-12", "sex": "男", "age": 47, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 大便正常 尿不尽 排尿无力 纳可 眠安 腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "菟丝子", "太子参", "覆盆子", "金银花", "石斛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒黄精", "麦冬", "制巴戟天", "菟丝子", "太子参", "覆盆子", "金银花"], "prev_gap": 13, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 61425, "pid": "P53d056a18e2c", "date": "2026-05-12", "sex": "男", "age": 26, "cc": "疲劳乏力一月", "hpi": "疲劳乏力一月 晨勃小时 工作劳累 腰痛 阳痿早泄 小便正常 纳可 眠差 大便稀 易腹泻 手心多汗 胁痛", "wm_dx": ["乏力"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61428, "pid": "Pa0d6e7a883f9", "date": "2026-05-13", "sex": "男", "age": 43, "cc": "尿频半年", "hpi": "尿频 无少腹隐痛 无睾丸疼痛 夜尿0-1次 大便正常 纳可 眠安 腰痛乏力", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "覆盆子", "菟丝子", "黄芪", "石斛"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 61435, "pid": "Pa11c087ec69b", "date": "2026-05-13", "sex": "男", "age": 42, "cc": "尿频2月", "hpi": "尿频，近2月出现勃起不能，既往口服他达拉非，有效不明显，无晨勃，尿不尽，无阴囊潮湿，腰酸痛，无腹痛，睡眠正常，纳可，大便2-4次，口和.建议5mg他达拉非口服", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "地龙", "赤小豆", "牡丹皮", "郁金", "地黄", "炙淫羊藿", "仙茅"], "flags": [], "prev_rx": ["炙淫羊藿", "制巴戟天", "仙茅", "煅龙骨", "煅牡蛎", "石菖蒲", "郁金", "柏子仁", "丹参", "鸡血藤", "盐蒺藜", "九香虫", "地龙", "北柴胡"], "prev_gap": 14, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 7} {"rid": 61437, "pid": "P46a674184a61", "date": "2026-05-13", "sex": "男", "age": 53, "cc": "失眠半年", "hpi": "睡眠差，失眠，口服左比克隆等未效，手脚发凉，眼花，排尿正常，夜尿1次，大便正常，纳可，口和，性功能减退，乏力，消瘦，怕冷，头晕", "wm_dx": ["焦虑状态", "失眠"], "tcm_dx": [["失眠", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炒栀子", "淡豆豉", "茯苓", "生石膏", "牛膝", "川芎", "石菖蒲", "煅龙骨", "煅牡蛎", "党参片", "北柴胡", "麸炒枳实", "白芍", "黑顺片", "砂仁", "干姜", "柏子仁", "炙黄芪", "制远志", "防风"], "flags": [], "prev_rx": ["炒栀子", "淡豆豉", "茯苓", "牛膝", "川芎", "石菖蒲", "煅龙骨", "煅牡蛎", "党参片", "北柴胡", "麸炒枳实", "白芍", "黑顺片", "砂仁", "干姜", "生石膏", "柏子仁", "合欢皮"], "prev_gap": 15, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 61443, "pid": "Pb64af311a73b", "date": "2026-05-13", "sex": "男", "age": 32, "cc": "尿意感强一周", "hpi": "尿意感强，尿频，无尿糖，少腹发涨，无腰痛，口服抗生素后症状无缓解，纳可，睡眠正常，大便2-3次，口苦，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "生姜", "大枣", "茯苓", "泽泻", "滑石", "赤小豆", "白花蛇舌草", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61445, "pid": "P7f15fa4262ea", "date": "2026-05-13", "sex": "男", "age": 32, "cc": "尿频1年", "hpi": "尿频，尿有泡沫夜尿正常，硬度不佳，中途疲软，时有不能插入，晨勃少，大便正常，怕冷，睡眠熬夜，纳一般，口干口苦", "wm_dx": ["男性性腺功能低下", "包皮龟头炎", "股癣"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "石菖蒲", "柏子仁", "制远志", "郁金", "茯苓", "当归", "川芎", "桂枝", "生姜", "大枣", "炙淫羊藿", "干姜", "蜈蚣", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 6} {"rid": 61447, "pid": "P54929786119d", "date": "2026-05-13", "sex": "男", "age": 32, "cc": "早泄2年", "hpi": "早泄轻微改善 勃起可 大小便正常 纳可 失眠 乏力疲劳腰痛改善", "wm_dx": ["早泄"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["房事早泄", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "花椒", "五加皮", "地骨皮", "炒僵蚕", "黄芪", "太子参", "猪苓", "制巴戟天", "菟丝子"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "花椒", "五加皮", "地骨皮", "炒僵蚕", "黄芪", "太子参", "猪苓", "制巴戟天", "羌活"], "prev_gap": 14, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 61448, "pid": "P133558f68872", "date": "2026-05-13", "sex": "男", "age": 55, "cc": "排尿尿频4-5年", "hpi": "尿频，夜尿多，口服非那雄胺，盐酸坦索罗辛缓释治疗，硬度一般，时间短，口干口渴，纳一般，睡眠一般，大便可，腰疼腿疼，怕冷，无明显汗出，乏力感，复诊：夜尿较少，乏力，仍腰酸痛，复诊：时间7-10分钟，复诊：口干舌燥，腰疼，抽筋", "wm_dx": ["男性性腺功能低下", "失眠"], "tcm_dx": [["腰痛", "气滞血瘀证", "活血止痛"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "干姜", "煅龙骨", "煅牡蛎", "石菖蒲", "麸炒枳实", "麸炒白术", "当归", "丹参", "鸡血藤", "盐蒺藜", "茯苓", "桑寄生", "黑顺片", "炙淫羊藿", "党参片", "韭菜子"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "石菖蒲", "麸炒枳实", "麸炒白术", "当归", "丹参", "鸡血藤", "盐蒺藜", "茯苓", "猪苓", "黑顺片", "炙淫羊藿", "白芍", "黑芝麻"], "prev_gap": 14, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 61451, "pid": "Pad1d351abd45", "date": "2026-05-13", "sex": "男", "age": 28, "cc": "尿频一年", "hpi": "尿频，晨勃可，性欲正常，勃起可，中途疲软，刚有性生活，无成功，大便后有尿意感，无阴囊潮湿，大便正常，纳可，口略干，熬夜，睡眠正常，冬天怕冷。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "肾气不充证", "补肾扶元"]], "rx": ["石菖蒲", "郁金", "丹参", "鸡血藤", "柏子仁", "韭菜子", "蜈蚣", "燀桃仁", "红花", "赤小豆", "白花蛇舌草", "牛膝", "地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61453, "pid": "Pc358c3c3211b", "date": "2026-05-13", "sex": "男", "age": 30, "cc": "尿频半年", "hpi": "尿频，无晨勃，同房不成功，熬夜黑眼圈，纳可，大便粘，口干，多汗，胖", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牛膝", "石菖蒲", "制远志", "丹参", "鸡血藤", "蜈蚣", "韭菜子", "地黄", "牡丹皮", "炙淫羊藿", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61456, "pid": "Peab9e54038ef", "date": "2026-05-13", "sex": "男", "age": 28, "cc": "腰痛汗出多年", "hpi": "腰痛汗出多年，运动汗出明显，风疹，刺痒，硬度正常，时间短，口干喝水，纳可，大便正常，尿黄，入睡困难", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "寒热错杂证", "调理阴阳"]], "rx": ["葛根", "桂枝", "白芍", "生姜", "大枣", "荆芥", "防风", "滑石", "茯苓", "当归", "川芎", "猪苓", "赤小豆", "煅龙骨", "煅牡蛎", "生石膏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61457, "pid": "P1b7abe89c1d3", "date": "2026-05-13", "sex": "男", "age": 51, "cc": "腰痛乏力盗汗复诊取药", "hpi": "尿频尿不尽，尿分叉，夜尿0次 腰痛 乏力，盗汗改善 大便正常 纳差 眠差 胃溃疡慢性胃炎 腹胀取药病情稳定延长开药", "wm_dx": ["胃溃疡", "慢性胃炎", "腹胀", "前列腺增生", "腰痛", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "菟丝子", "太子参", "陈皮", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 16, "n_visits": 21, "visit_ix_rx": 0, "n_rx": 4} {"rid": 61458, "pid": "P9f5380d96e73", "date": "2026-05-13", 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"酒黄精", "赤小豆", "鸡血藤", "知母", "麸炒薏苡仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部"], "prev_gap": 34, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 61462, "pid": "Pd0c0847885a4", "date": "2026-05-13", "sex": "男", "age": 33, "cc": "腰痛复诊", "hpi": "腰痛，乏力改善，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中 中途疲软 勃起不坚 晨勃少 腰痛 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["人参", "山药", "白术", "麸炒枳壳", "茯苓", "醋五味子", "麦冬", "玄参", "石斛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "盐补骨脂", "酒黄精", "炙甘草"], "flags": [], "prev_rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "党参", "炙黄芪", "醋五味子", "知母", "盐黄柏", "炒酸枣仁", "麦冬", "制远志", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "北柴胡", "醋青皮", "郁金", "麸炒枳壳", "醋龟甲", "砂仁", "炙甘草"], "prev_gap": 20, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 5} {"rid": 61473, "pid": "P3792363012c9", "date": "2026-05-14", "sex": "男", "age": 80, "cc": "前列腺增生复诊", "hpi": 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"腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["菟丝子", "覆盆子", "枸杞子", "猪苓", "太子参", "盐车前子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61539, "pid": "Pdce0c68aa11b", "date": "2026-05-15", "sex": "男", "age": 63, "cc": "双下肢坠胀3月", "hpi": "双下肢坠胀，发凉，时有疼痛，踝关节疼痛，排尿尿频，夜尿多，腰痛，大便正常，睡眠浅，纳可，口和，咽干", "wm_dx": ["糖尿病"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "茯苓", "泽泻", "猪苓", "牡丹皮", "燀桃仁", "红花", "麸炒白术", "黑顺片", "生姜", "大枣", "党参片", "炙甘草", "干姜", "滑石", "桔梗"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61540, "pid": "Pac7b1bc54b48", "date": "2026-05-15", "sex": "男", "age": 61, "cc": "尿无力半年", "hpi": "尿无力半年 勃起不坚 中途疲软 大小便正常 纳可不能吃生冷， 睡眠差多梦易醒 口和", "wm_dx": ["泌尿系感染", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "桂枝", "生姜", "干姜", "北柴胡", "黄芩片", "党参片", "炙淫羊藿", "仙茅", "丹参", "鸡血藤"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "黄芪", "醋五味子", "山药", "白术", "麸炒枳壳", "炙甘草", "砂仁", "木香", "佛手", "肉苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "锁阳", "北柴胡", "升麻", "白芷", "麦冬", "玄参"], "prev_gap": 94, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 6} {"rid": 61543, "pid": "P9022c1a08b5d", "date": "2026-05-16", "sex": "男", "age": 27, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗怕热。", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "诃子肉"], "prev_gap": 182, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61546, "pid": "Pd89f1963907e", "date": "2026-05-16", "sex": "男", "age": 64, "cc": "排尿不畅1年", "hpi": "1年前出现排尿不畅，尿分叉，尿黄，夜尿4-5次，腰痛乏力，近期消瘦，PSA高复查", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓", "薏苡仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61547, "pid": "P4db9ceac8e50", "date": "2026-05-16", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力睡眠正常，纳可，二便调，口苦，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "茯苓", "泽泻", "麸炒白术", "丹参", "法半夏", "竹茹", "桔梗", "炙淫羊藿", "菟丝子", "枸杞子", "覆盆子", "桑螵蛸", "醋龟甲", "麸炒薏苡仁", "牛膝", "大枣"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "茯苓", "泽泻", "麸炒白术", "丹参", "法半夏", "竹茹", "炙淫羊藿", "菟丝子", "枸杞子", "覆盆子", "桑螵蛸", "醋龟甲", "郁金", "牛膝", "大枣", "桔梗"], "prev_gap": 7, "visit_ix": 9, "n_visits": 15, "visit_ix_rx": 9, "n_rx": 15} {"rid": 61549, "pid": "P77a5254a2ad3", "date": "2026-05-16", "sex": "男", "age": 32, "cc": "尿频 排尿不畅 少腹隐痛2月", "hpi": "尿频 排尿不畅 少腹隐痛2月 大便正常 纳可 眠安 腰痛 盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒萸肉", "知母", "炒酸枣仁", "太子参", "三七粉", "丹参", "莲子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒萸肉", "知母", "炒酸枣仁", "太子参", "三七粉"], "prev_gap": 12, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 61550, "pid": "P9c5b9cd774fc", "date": "2026-05-16", "sex": "男", "age": 29, "cc": "尿频3月", "hpi": "尿频，晨勃少，硬度一般，启动慢，时间短1-2分钟，排尿正常，夜尿正常，睡眠正常，纳可，口干喝水少，大便正常，无腰疼", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "黄芩片", "地黄", "酒萸肉", "石菖蒲", "丹参", "鸡血藤", "盐蒺藜", "牛膝", "蜈蚣", "炙淫羊藿", "仙茅", "滑石", "赤小豆", "韭菜子", "白芍", "淡竹叶"], "flags": [], "prev_rx": ["当归", "川芎", "白芍", "茯苓", "炙淫羊藿", "猪苓", "桂枝", "地黄", "牡丹皮", "北柴胡", "黄芩片", "丹参", "鸡血藤", "盐蒺藜", "石菖蒲", "蜈蚣"], "prev_gap": 39, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 61554, "pid": "P00a809eb1f5c", "date": "2026-05-16", "sex": "男", "age": 45, "cc": "腰痛 盗汗复诊", "hpi": "汗出，饮酒多，工作乏力，盗汗，既往骨质疏松，盗汗。近期感冒鼻塞。咽痛咳嗽痰多", "wm_dx": ["过敏性鼻炎[变应性鼻炎]", "胃溃疡"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["胃痛", "气滞血瘀证", "活血化瘀"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "炒酸枣仁", "知母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 17, "n_visits": 18, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61556, "pid": "P9d464929e8a1", "date": "2026-05-16", "sex": "男", "age": 57, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 尿急 尿等待 大便正常 纳可 眠安 少腹隐痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "太子参"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61559, "pid": "P208a867e68a5", "date": "2026-05-16", "sex": "男", "age": 41, "cc": "腰痛半年", "hpi": "伴有勃起不佳 性欲下降 感情淡漠 大小便正常 纳可 眠安 乏力疲劳", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "干姜", "砂仁", "醋龟甲", "白芷", "北柴胡", "炒蒺藜", "丁香", "木香", "大血藤", "石菖蒲", "制远志", "地龙", "麻黄", "锁阳", "党参", "茯苓", "烫水蛭", "醋青皮", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61560, "pid": "P971acadcdd69", "date": "2026-05-16", "sex": "男", "age": 45, "cc": "复诊", "hpi": "病史同前，时尿频感，尿不尽，偶有尿急，阴囊潮湿减、仍发凉感，口干，性急。近期消瘦明显", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"], ["精浊", "血瘀证", "活血化瘀"]], "rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "麸炒苍术", "酒黄精", "麸炒薏苡仁", "川牛膝"], "flags": [], "prev_rx": ["白芍", "北柴胡", "麸炒枳实", "盐补骨脂", "盐益智仁", "桑螵蛸", "黑顺片", "首乌藤", "炙甘草", "乌药", "麸炒山药", "麸炒苍术", "麸炒白术", "关黄柏", "麸炒薏苡仁", "茯苓"], "prev_gap": 7, "visit_ix": 6, "n_visits": 12, "visit_ix_rx": 6, "n_rx": 10} {"rid": 61562, "pid": "P46adaa61b3dc", "date": "2026-05-16", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "茯苓", "盐补骨脂", "酒黄精", "酒苁蓉", "制巴戟天", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "盐车前子", "酒女贞子", "醋五味子", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "麸炒枳壳", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61563, "pid": "P5239be36cbf6", "date": "2026-05-16", "sex": "男", "age": 28, "cc": "阴囊潮湿1年", "hpi": "阴囊潮湿，会阴部不适，喝水即尿意感，尿不尽，大便正常，纳可，睡眠差，口苦，乏力感，上周有一次遗精，硬度可，时间短，怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "黄芩片", "法半夏", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "党参片", "韭菜子", "赤小豆", "牡丹皮", "炙淫羊藿", "炙黄芪", "茯苓", "麸炒薏苡仁", "煅龙骨", "制远志", "炒栀子"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "赤小豆", "细辛", "麻黄", "黑顺片", "石菖蒲", "盐蒺藜", "柏子仁", "郁金", "炙淫羊藿", "桂枝", "党参片", "煅龙骨", "煅牡蛎"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61564, "pid": "Pa97f078160d3", "date": "2026-05-16", "sex": "男", "age": 27, "cc": "腰疼盗汗复诊", "hpi": "腰疼，乏力感改善，硬度改善，晨勃少，性欲低，时间短1-2分钟，睡眠正常，纳可，喜欢吃生冷，排尿略频，大便不成型粘，口和，怕冷怕热 盗汗", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["乌梅", "净山楂", "陈皮", "甘草片", "桑椹"], "flags": [], "prev_rx": ["太子参", "制巴戟天", "知母", "菟丝子", "覆盆子", "陈皮", "白术", "茯苓", "炙黄芪", "龙眼肉", "炒酸枣仁"], "prev_gap": 21, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 4} {"rid": 61565, "pid": "P269292c0766d", "date": "2026-05-16", "sex": "男", "age": 29, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 失眠 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "炒酸枣仁", "丹参", "知母", "太子参", "麸炒芡实", "陈皮", "莲子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒黄精", "麦冬", "炒酸枣仁", "丹参", "知母", "太子参", "麸炒芡实"], "prev_gap": 11, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 61566, "pid": "Ped4394b5d38f", "date": "2026-05-16", "sex": "男", "age": 37, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力,盗汗,12点睡,长期熬夜,口中和。5.3复诊：腰痛乏力好转，口角上火起痘，11点多睡。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "金樱子", "盐车前子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "黄芪"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "金樱子", "盐车前子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "黄芪"], "prev_gap": 13, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 61567, "pid": "Peebfe24531c2", "date": "2026-05-16", "sex": "男", "age": 72, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 小腹隐痛 大便正常 纳可 眠差", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "陈皮", "木香", "太子参", "炙黄芪", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61570, "pid": "Paa3a265c8c00", "date": "2026-05-16", "sex": "男", "age": 33, "cc": "阴囊潮湿半年余", "hpi": "阴囊潮湿半年余 大便正常 尿不尽 纳可 眠安 盗汗 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "酒萸肉", "知母", "菟丝子", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "酒萸肉", "知母", "菟丝子", "太子参"], "prev_gap": 21, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 5} {"rid": 61573, "pid": "Pe890f2b1e427", "date": "2026-05-16", "sex": "男", "age": 45, "cc": "久坐后尿痛半年", "hpi": "久坐后尿痛半年 大便正常 纳可 眠安 早泄 勃起可 腰痛", "wm_dx": ["慢性前列腺炎", "前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "花椒", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61577, "pid": "Paf4b79525739", "date": "2026-05-16", "sex": "男", "age": 32, "cc": "腰痛半年", "hpi": "排尿正常，大便不成型，睡眠一般早醒，纳可，晨勃少，伴有早泄3月 勃起不坚 勃起不持久", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "当归", "川芎", "牡丹皮", "黄芩片", "茯苓", "泽泻", "蜈蚣", "韭菜子", "盐蒺藜", "石菖蒲", "鸡血藤", "制远志", "柏子仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 6} {"rid": 61578, "pid": "Pc0cf64a4ee1f", "date": "2026-05-16", "sex": "男", "age": 36, "cc": "尿黄半年", "hpi": "尿黄，烧灼感，夜尿正常，无腹痛，时有左侧腰疼，晨勃少，硬度下降，第二次会出现中途疲软，时间短，睡眠正常，纳可，大便日2次，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["赤小豆", "连翘", "当归", "川芎", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "金樱子肉", "滑石", "茯苓", "阿胶珠", "蜈蚣", "煅龙骨", "煅牡蛎", "党参片"], "flags": [], "prev_rx": ["赤小豆", "连翘", "当归", "川芎", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "金樱子肉", "滑石", "茯苓", "阿胶珠", "蜈蚣", "煅龙骨", "煅牡蛎", "党参片"], "prev_gap": 8, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61579, "pid": "P0a856974c64b", "date": "2026-05-16", "sex": "男", "age": 75, "cc": "右侧腹股沟疼痛一周", "hpi": "右侧腹股沟疼痛一周 尿频 大便正常 纳可 眠安", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓", "山慈菇"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61585, "pid": "Pa1a3c7447453", "date": "2026-05-16", "sex": "男", "age": 63, "cc": "尿频尿急6月", "hpi": "6月前出现尿频尿急，排尿不畅，尿等待，夜尿3-4次，小腹胀痛，大便粘，腰痛乏力，勃起欠佳。5.16复诊：夜尿4次，大便粘，", "wm_dx": ["前列腺增生", "腰痛"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝", "黑顺片", "盐补骨脂", "党参", "茯苓"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝", "盐补骨脂", "黑顺片", "锁阳"], "prev_gap": 49, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 3, "n_rx": 5} {"rid": 61586, "pid": "P58a7d41fed75", "date": "2026-05-16", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，性欲可，乏力，二便调，眠差梦多，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制巴戟天", "太子参", "酒萸肉", "炒酸枣仁", "丹参", "知母", "牛膝", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "太子参", "酒萸肉", "炒酸枣仁", "丹参", "知母"], "prev_gap": 20, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 61590, "pid": "P7c438a1d3841", "date": "2026-05-16", "sex": "男", "age": 44, "cc": "乏力一周", "hpi": "乏力，既往肿瘤标志物高，癌标高，尿频，尿急，手发凉，无腹痛，腰酸疼，纳可，吃生冷胃疼易腹泻，大便不成型，睡眠一般，口和，怕冷，眼睑干涩，腹胀", "wm_dx": ["干眼症", "慢性前列腺炎"], "tcm_dx": [["虚劳类病", "脾肾阳虚证", "补肾扶元"], ["腹胀", "脾虚证", "健脾和胃"]], "rx": ["净山楂", "焦麦芽", "焦神曲", "桂枝", "党参", "干姜", "制吴茱萸", "当归", "细辛", "川芎", "桃仁", "红花", "砂仁", "附片", "北柴胡", "黄芩", "麸炒白术", "浮萍", "荆芥", "防风", "石菖蒲"], "flags": [], "prev_rx": ["桂枝", "党参", "干姜", "制吴茱萸", "当归", "细辛", "川芎", "桃仁", "红花", "砂仁", "附片", "北柴胡", "盐黄柏", "麸炒白术", "泽泻", "荆芥", "防风"], "prev_gap": 28, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 6} {"rid": 61591, "pid": "P75ec1758533e", "date": "2026-05-16", "sex": "男", "age": 30, "cc": "包皮龟头炎半月余", "hpi": "包皮龟头炎半月余 无刺痒 无疼痛 无分泌物 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "黄连", "茵陈", "白芷", "当归", "大黄", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61594, "pid": "P7c8e8fa47f8f", "date": "2026-05-16", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频2月，尿分叉硬度和性欲可，工作可，大便质粘，纳眠可，时间2-3分钟，阴囊潮湿，口干口苦消失", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["赤小豆", "白花蛇舌草", "连翘", "石菖蒲", "制远志", "柏子仁", "盐蒺藜", "丹参", "鸡血藤", "北柴胡", "黄芩片", "煅龙骨", "煅牡蛎", "白芍", "金樱子肉", "炙甘草", "盐关黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒黄精", "麦冬", "制巴戟天", "覆盆子", "菟丝子", "太子参", "炒酸枣仁", "猪苓"], "prev_gap": 21, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 61596, "pid": "P21fdd24759c6", "date": "2026-05-16", "sex": "男", "age": 30, "cc": "精液色黄1月", "hpi": "1月前发现精液液化不好色黄，久坐，尿分叉，自觉龟头敏感，射精快。3.21复诊：射精色黄好转，长期熬夜，失眠", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "炙甘草", "北柴胡", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "马齿苋", "酒大黄", "金樱子", "醋五味子", "菟丝子", "地龙", "炒酸枣仁", "柏子仁"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "炙甘草", "北柴胡", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "马齿苋", "酒大黄", "金樱子", "醋五味子", "菟丝子", "地龙", "炒酸枣仁", "柏子仁", "大枣", "太子参", "枸杞子", "龙眼肉"], "prev_gap": 28, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 6} {"rid": 61597, "pid": "P68b914fe4c55", "date": "2026-05-16", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，无晨勃，硬度下降 ，性欲可，乏力仍存在，情绪急躁，喝酒大便稀，梦多眠差，无排尿不畅、尿后余沥，口干口苦", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "赤小豆", "白花蛇舌草", "牡丹皮", "白芍", "石菖蒲", "制远志", "柏子仁", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "蜈蚣", "石菖蒲", "鸡血藤", "赤小豆", "炙黄芪", "炒酸枣仁"], "prev_gap": 10, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 6, "n_rx": 9} {"rid": 61598, "pid": "P8dc567817762", "date": "2026-05-16", "sex": "男", "age": 38, "cc": "腰痛乏力汗出2月", "hpi": "2月前出现腰痛乏力汗出，现勃起不坚，性欲可，晨勃消失，口干口苦，长期熬夜，二便调，盗汗，手足心汗出", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳壳", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "麻黄根", "地骨皮", "炙黄芪", "麸炒苍术", "关黄柏", "麸炒薏苡仁", "防己", "茯苓", "醋五味子"], "flags": [], "prev_rx": ["炙黄芪", "酒黄精", "防己", "防风", "麻黄根", "地骨皮", "当归", "川芎", "炒栀子", "龙胆", "酒黄芩", "红曲", "炙淫羊藿", "麦冬", "醋五味子"], "prev_gap": 21, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 61600, "pid": "P794367206b14", "date": "2026-05-16", "sex": "男", "age": 40, "cc": "男性性腺功能减退复诊", "hpi": "男性性腺功能减退复诊取药 勃起不坚，外院就诊，给于口服十一酸睾酮，他达拉非，现自觉乳房增大，发涨，胃发酸，大便正常，口干口苦，大便粘", "wm_dx": ["男性勃起障碍", "男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "龙胆", "泽泻", "小通草", "炒栀子", "路路通", "丹参", "鸡血藤", "赤小豆", "白花蛇舌草", "炒苦杏仁", "薏苡仁", "豆蔻", "滑石", "淡竹叶", "煅龙骨", "煅牡蛎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61601, "pid": "P0b9000fe8dc7", "date": "2026-05-16", "sex": "男", "age": 40, "cc": "尿频2年", "hpi": "尿频，无晨勃，硬度一般，吸烟饮酒，熬夜，排尿可 ，喝水尿频，大便不成型，睡眠正常，纳可，口干，时有腰疼，无怕冷，怕热，复诊：硬度好转，时间短5--6分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "党参片", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "生石膏", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "姜厚朴", "干姜", "麸炒白术"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "山药", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "生石膏", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "乌药", "干姜", "麸炒白术"], "prev_gap": 7, "visit_ix": 4, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 11} {"rid": 61605, "pid": "P4a9097824228", "date": "2026-05-16", "sex": "男", "age": 37, "cc": "尿频一月", "hpi": "体检发现前列腺稍大,尿频正常,睡前尿频,无阴囊潮湿，无腹痛，无腰疼，口干，易早醒", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["滑石", "茯苓", "泽泻", "阿胶珠", "猪苓", "石菖蒲", "生石膏", "桂枝", "燀桃仁", "红花", "北柴胡", "黄芩片", "地黄", "柏子仁", "茵陈", "焦山楂", "青蒿", "垂盆草"], "flags": [], "prev_rx": ["滑石", "茯苓", "泽泻", "阿胶珠", "猪苓", "石菖蒲", "生石膏", "桂枝", "燀桃仁", "红花", "北柴胡", "黄芩片", "地黄", "柏子仁", "秦皮", "黑顺片", "焦山楂"], "prev_gap": 21, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 9, "n_rx": 10} {"rid": 61613, "pid": "P3aef33821710", "date": "2026-05-16", "sex": "男", "age": 33, "cc": "腰痛乏力抄方", "hpi": "腰痛乏力，夜寐差，长期熬夜久坐 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "覆盆子", "枸杞子", "盐车前子", "制水蛭", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "炙甘草", "韭菜子"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "覆盆子", "枸杞子", "盐车前子", "制水蛭", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "炙甘草", "韭菜子"], "prev_gap": 22, "visit_ix": 11, "n_visits": 14, "visit_ix_rx": 9, "n_rx": 12} {"rid": 61618, "pid": "Pd3f698cd9de2", "date": "2026-05-16", "sex": "男", "age": 65, "cc": "乏力一月", "hpi": "乏力，勃起不坚，精液量少，偶有晨勃，排尿正常，大便正常，睡眠差，纳可，口和，咽干，腰疼 盗汗 腹胀", "wm_dx": ["男性性腺功能低下", "动脉硬化"], "tcm_dx": [["虚劳类病", "少阳证类", "疏肝养血"], ["腹胀", "脾胃虚证", "健脾和胃"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["黄芪", "麦冬", "当归", "醋鸡内金"], "flags": ["rx_len_outlier"], "prev_rx": ["当归", "白芍", "茯苓", "人参", "柏子仁", "炒酸枣仁", "制远志", "肉桂", "制巴戟天", "白术", "北柴胡", "炙淫羊藿", "熟地黄", "黄芪", "麦冬"], "prev_gap": 291, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 61619, "pid": "Pa99dbf7ea20a", "date": "2026-05-16", "sex": "男", "age": 20, "cc": "腰痛乏力半年", "hpi": "伴有早泄3月 时间1-2分钟 龟头敏感 勃起可 大小便正常 纳可 眠安 胁痛", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "花椒", "五加皮", "地骨皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61622, "pid": "Pa322ab0bb0e6", "date": "2026-05-16", "sex": "男", "age": 29, "cc": "腰痛半年", "hpi": "腰痛半年 大便正常 纳可 眠安 排尿不畅 尿分叉 久坐加重 盗汗 自觉双侧胸部变大", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["麸炒芡实", "知母", "炒酸枣仁", "太子参", "山慈菇", "猪苓", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["麸炒芡实", "酒萸肉", "知母", "炒酸枣仁", "太子参", "山慈菇"], "prev_gap": 12, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61624, "pid": "P22a3427a786e", "date": "2026-05-17", "sex": "男", "age": 38, "cc": "尿痛复诊", "hpi": "尿痛改善 偶见瘙痒 无分泌物 无血尿 大便正常 纳可 眠安", "wm_dx": ["精囊炎", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "薏苡仁", "太子参", "陈皮"], "flags": [], "prev_rx": ["猪苓", "羌活", "薏苡仁", "太子参", "陈皮"], "prev_gap": 21, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 61626, "pid": "P69c92f7003ca", "date": "2026-05-17", "sex": "男", "age": 56, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连", "大黄", "茵陈", "当归", "蒲公英", "金银花", "地龙"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61627, "pid": "Pfd8e03dfe6b5", "date": "2026-05-17", "sex": "男", "age": 33, "cc": "尿黄微痛一周余", "hpi": "尿黄微痛一周余 大便正常 纳可 眠安", "wm_dx": ["尿道炎", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "麸炒芡实"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61628, "pid": "P6cc2f9f6e8e4", "date": "2026-05-17", "sex": "男", "age": 31, "cc": "腰痛1月", "hpi": "腰痛1月 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "黄芪", "山药", "茯苓", "麸炒枳壳", "盐补骨脂", "酒黄精", "蛇床子", "韭菜子", "菟丝子", "覆盆子", "盐车前子", "石菖蒲", "制远志", "酒女贞子", "沙苑子", "枸杞子", "醋五味子", "炒酸枣仁", "丹参", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61629, "pid": "P80d3f39353e2", "date": "2026-05-17", "sex": "男", "age": 41, "cc": "少腹隐痛一周余", "hpi": "少腹隐痛一周余 久坐加重 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "陈皮", "莲子", "麸炒芡实"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "太子参", "三七粉"], "prev_gap": 16, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 61631, "pid": "P357619668f45", "date": "2026-05-17", "sex": "男", "age": 64, "cc": "尿急 尿失禁一月余", "hpi": "尿急 尿失禁一月余 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "麸炒芡实", "太子参", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61636, "pid": "Pcead64a62349", "date": "2026-05-17", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善 早泄改善 大小便正常 纳可 失眠 盗汗 病情稳定 延长开药", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["制巴戟天", "太子参", "炒酸枣仁", "知母", "陈皮", "麸炒芡实", "莲子"], "flags": [], "prev_rx": ["酒萸肉", "太子参", "炒酸枣仁", "知母", "牡丹皮"], "prev_gap": 21, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 5, "n_rx": 7} {"rid": 61637, "pid": "Pe85bc34f70df", "date": "2026-05-17", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "腰痛半年 早泄 时间1-2分钟 龟头敏感 尿频 尿急 大便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮", "太子参", "菟丝子", "酒女贞子", "覆盆子", "麸炒芡实", "莲子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "prev_gap": 21, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 61638, "pid": "P6f00a2c5922a", "date": "2026-05-17", 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"下焦湿热证", "清热利湿"]], "rx": ["甜叶菊叶", "猪苓", "泽泻", "醋延胡索", "肉桂", "土茯苓", "败酱草", "干姜", "砂仁", "川芎", "夏枯草", "沉香", "党参", "金银花", "川楝子", "盐小茴香", "醋香附", "郁金", "酒苁蓉", "制巴戟天", "炙淫羊藿", "盐车前子", "麸炒枳壳", "炙甘草", "羌活", "太子参", "山慈菇", "丹参", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "猪苓", "泽泻", "醋延胡索", "肉桂", "土茯苓", "败酱草", "干姜", "砂仁", "川芎", "夏枯草", "沉香", "党参", "金银花", "川楝子", "盐小茴香", "醋香附", "郁金", "酒苁蓉", "制巴戟天", "炙淫羊藿", "盐车前子", "麸炒枳壳", "炙甘草", "羌活", "太子参", "炒酸枣仁", "丹参", "知母"], "prev_gap": 12, "visit_ix": 9, "n_visits": 14, "visit_ix_rx": 6, "n_rx": 7} {"rid": 61644, "pid": "P8a280e79f28a", "date": "2026-05-17", "sex": "男", "age": 42, "cc": "尿频乏力腰痛半年", "hpi": "尿频乏力腰痛半年 大便正常 纳可 眠安 感冒3天 流鼻涕 咽干 盗汗", "wm_dx": ["感冒", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "prev_gap": 21, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 61646, "pid": "Pd5187a08e47e", "date": "2026-05-17", "sex": "男", "age": 36, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余 大小便正常 纳可 失眠 盗汗", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "丹参", "知母", "太子参", "酒萸肉", "龙眼肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "土茯苓", "败酱草", "白芷", "荆芥", "黄连", "白花蛇舌草", "蒲公英", "金银花", "蛇床子", "地肤子", "百部", "烫水蛭", "当归", "玄参"], "prev_gap": 12, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61650, "pid": "P20785c174e68", "date": "2026-05-17", "sex": "男", "age": 35, "cc": "慢性前列腺炎复诊", "hpi": "尿频 尿不尽 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "莲子", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61655, "pid": "P0cf786e70347", "date": "2026-05-17", "sex": "男", "age": 37, "cc": "会阴不适复诊", "hpi": "会阴不适改善，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力盗汗。3.8复诊：睾丸下坠感明显减轻，会阴不适，小腹不适。胁痛。", "wm_dx": ["附睾囊肿", "精索静脉曲张", "前列腺炎", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "橘络", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "当归", "姜厚朴", "乌药", "盐小茴香", "桂枝", "燀桃仁", "红花", "酒黄精", "白芍", "川牛膝", "赤小豆", "炙黄芪", "金樱子肉", "路路通", "炒王不留行", "荔枝核", "醋延胡索", "醋五灵脂", "锁阳", "橘络", "煅龙骨", "煅牡蛎"], "prev_gap": 14, "visit_ix": 15, "n_visits": 25, "visit_ix_rx": 9, "n_rx": 18} {"rid": 61656, "pid": "P72a3e83065ca", "date": "2026-05-17", "sex": "男", "age": 42, "cc": "尿痛一周余", "hpi": "腰痛 大便正常 纳可 眠安 乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "陈皮", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61666, "pid": "P5dc0f9dd45b0", "date": "2026-05-17", "sex": "男", "age": 54, "cc": "尿频 尿急复诊", "hpi": "尿频 尿急复诊 便秘 纳可 眠安 夜尿1次", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "薏苡仁", "山慈菇"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61670, "pid": "Pf0efc866c879", "date": "2026-05-18", "sex": "男", "age": 67, "cc": "腰痛复诊", "hpi": "腰痛改善，尿黄，腰痛乏力，气短，大便多，纳差，体重下降 盗汗", "wm_dx": ["泌尿系感染"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["猪苓", "太子参", "陈皮", "炒酸枣仁", "丹参", "知母"], "flags": [], "prev_rx": ["猪苓", "茯苓", "太子参", "陈皮"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61673, "pid": "P5da8673ae38f", "date": "2026-05-18", "sex": "男", "age": 78, "cc": "尿频半年", "hpi": "尿频半年 大便正常 纳可 眠差 夜尿7-8次 排尿不畅", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "浙贝母", "薏苡仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61675, "pid": "Pf56293274911", "date": "2026-05-18", "sex": "男", "age": 39, "cc": "复诊", "hpi": "病史同前，口中和，未有性生活，汗不多，无肢冷，便调", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "姜厚朴", "瓜蒌", "醋五味子", "桑叶", "炙甘草", "地黄", "酒黄精"], "flags": [], "prev_rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "姜厚朴", "瓜蒌", "醋五味子", "桑叶", "炙甘草"], "prev_gap": 50, "visit_ix": 11, "n_visits": 18, "visit_ix_rx": 11, "n_rx": 18} {"rid": 61681, "pid": "P9cb9130f517f", "date": "2026-05-18", "sex": "男", "age": 53, "cc": "复诊", "hpi": "协疼凉，腰冷，吃生冷加重，，夜尿正常，睡眠多梦，烦躁，口干口苦,勃起差，盗汗", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "厥阴证类", "温下清上"]], "rx": ["北柴胡", "酒黄芩", "党参片", "干姜", "炙甘草", "桂枝", "大枣", "生姜", "合欢皮", "茯苓", "白术"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "党参片", "桂枝", "干姜", "炙甘草", "生石膏", "牡蛎", "瓜蒌", "大枣", "生姜", "首乌藤"], "prev_gap": 7, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 5} {"rid": 61683, "pid": "Pce757d1648b0", "date": "2026-05-18", "sex": "男", "age": 62, "cc": "血尿一周余", "hpi": "血尿一周余 尿道灼热 尿不尽 大便正常 纳可 眠安", "wm_dx": ["前列腺增生", "慢性前列腺炎", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "薏苡仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61684, "pid": "P424d15045e5c", "date": "2026-05-18", "sex": "男", "age": 37, "cc": "复诊", "hpi": "尿后尿道不适，无尿液颜色改变，无尿急，无小腹及会阴不适，纳可，便调，口中和。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "泽泻", "滑石", "牡丹皮", "赤芍", "马鞭草", "炙甘草", "阿胶珠"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61686, "pid": "Pdb2475cf5e0c", "date": "2026-05-18", "sex": "男", "age": 59, "cc": "排尿不畅复诊取药", "hpi": "排尿不畅改善，尿急，无明显尿频，尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["猪苓", "陈皮", "太子参", "莲子", "炙黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 4} {"rid": 61688, "pid": "P75b23466351a", "date": "2026-05-18", "sex": "男", "age": 37, "cc": "复诊", "hpi": "无明显疼痛感，并精液色稍红。否认外伤和特殊药物史。", "wm_dx": ["附睾炎"], "tcm_dx": [["男性生殖病", "湿热下注证", "清热利湿"], ["男性前阴类病", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "泽泻", "牡丹皮", "瓜蒌", "地黄", "炙甘草"], "flags": [], "prev_rx": ["猪苓", "茯苓", "泽泻", "牡丹皮", "滑石", "马鞭草", "白茅根", "炙甘草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 61689, "pid": "Ped3e477ab0c9", "date": "2026-05-18", "sex": "男", "age": 30, "cc": "小腹坠胀不适3月", "hpi": "小腹坠胀不适3月，口服前列舒坦和坦索罗辛，症状缓解，停药后症状反复。工作久坐。尿频，尿急，夜尿0次。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "薏苡仁", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61690, "pid": "P9b58099f1e18", "date": "2026-05-18", "sex": "男", "age": 59, "cc": "腰痛半年", "hpi": "腰痛、乏力感，无精液。发现血糖高半年。耳鸣。 口干不明显，阴囊潮湿、多汗。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精液类病", "肾虚血瘀证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "烫狗脊", "酒黄精", "炙甘草", "生姜", "大枣", "醋五味子"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "地黄", "醋五味子", "烫狗脊", "杜仲", "炙甘草", "生姜", "大枣"], "prev_gap": 7, "visit_ix": 1, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 7} {"rid": 61694, "pid": "P221265604dc1", "date": "2026-05-18", "sex": "男", "age": 43, "cc": "勃起功能差", "hpi": "勃起持续时间短，硬度不够，性生活欲望低，数月一次。夫妻关系可，失眠，怕冷，汗不多、口中和。 曾服抗抑郁药。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["男性生殖病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "牡蛎", "龙骨", "盐蒺藜", "九香虫", "地龙", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 9} {"rid": 61697, "pid": "P89e74bb57d5b", "date": "2026-05-18", "sex": "男", "age": 79, "cc": "感冒后排尿困难1天", "hpi": "感冒后排尿困难1天 大便正常 纳可 眠差", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["金银花", "猪苓", "羌活", "薏苡仁", "山慈菇"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61702, "pid": "P557bf89bb845", "date": "2026-05-18", "sex": "男", "age": 39, "cc": "腰酸1年", "hpi": "易汗，性功能差。下肢凉，口干，口苦。心急。纳可便调", "wm_dx": ["代谢综合征", "男性性腺功能低下"], "tcm_dx": [["男性生殖病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "酒黄芩", "白芍", "牡蛎", "龙骨", "桂枝", "白薇", "黑顺片", "地龙", "炙甘草", "醋龟甲", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61707, "pid": "P81b722dea0f7", "date": "2026-05-18", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 61709, "pid": "P67ef64be08ac", "date": "2026-05-18", "sex": "男", "age": 27, "cc": "尿频1月", "hpi": "尿频1月，伴腰痛，夜尿0-1次，无小腹及会阴不适，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炙黄芪", "鸡血藤", "盐杜仲", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61715, "pid": "Pf72b3cd0946f", "date": "2026-05-18", "sex": "男", "age": 73, "cc": "慢性肾衰竭 前列腺增生复诊", "hpi": "慢性肾衰竭 前列腺增生复诊复诊取药，伴小腹不适，尿道灼热。大便正常 纳可 眠差", "wm_dx": ["慢性肾衰竭", "泌尿系感染", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["淋证", "湿热下注证", "清热利湿"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["薏苡仁", "陈皮", "太子参", "山慈菇", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["薏苡仁", "陈皮", "太子参", "山慈菇"], "prev_gap": 7, "visit_ix": 21, "n_visits": 22, "visit_ix_rx": 4, "n_rx": 5} {"rid": 61718, "pid": "Peb56ec47cd80", "date": "2026-05-18", "sex": "男", "age": 43, "cc": "腰痛半年", "hpi": "腰痛半年 勃起不佳 大小便正常 纳可 眠安 晨勃 早泄 胁痛", "wm_dx": ["腰痛", "男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61719, "pid": "P5b3f72a6ca31", "date": "2026-05-18", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "失眠 烦躁 乏力疲劳 同房后腰酸痛加重 大小便正常 纳可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "猪苓", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61720, "pid": "P1cac17c8ac25", "date": "2026-05-18", "sex": "男", "age": 41, "cc": "慢性前列腺炎复诊", "hpi": "病史同前，自觉可。希继服巩固。腰痛一月", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝郁血瘀证", "理气行滞"], ["精浊", "肝郁血瘀证", "理气通络"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "炙甘草", "首乌藤", "盐补骨脂", "炒酸枣仁", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 61723, "pid": "Pf2c87a9d3854", "date": "2026-05-18", "sex": "男", "age": 31, "cc": "慢性前列腺炎复诊取药", "hpi": "尿频 尿急 尿等待 硬度时有一般，时间短，乏力感，腰部发凉，纳可，大便不成型，睡眠入睡困难，易烦", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "薏苡仁", "太子参", "川贝母"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61724, "pid": "P797a50950e9d", "date": "2026-05-18", "sex": "男", "age": 59, "cc": "龟头红疹瘙痒复诊", "hpi": "龟头红疹瘙痒复诊 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "黄连", "当归", "大黄", "地龙", "荆芥", "白芷", "百部"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61726, "pid": "Pd8d6597ac9b1", "date": "2026-05-18", "sex": "男", "age": 36, "cc": "尿分叉一月余", "hpi": "尿分叉 龟头敏感 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61730, "pid": "P8dc6c6b20df4", "date": "2026-05-19", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重，复诊：大便粘，牙龈肿，口气重", "wm_dx": ["慢性前列腺炎", "甲状腺囊肿"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["黄芩片", "黄连片", "干姜", "法半夏", "大枣", "党参片", "北柴胡", "焦山楂", "醋鸡内金", "醋龟甲", "桑螵蛸", "赤小豆", "白花蛇舌草", "菟丝子", "枸杞子", "盐车前子", "红景天"], "flags": [], "prev_rx": ["黄芩片", "黄连片", "干姜", "法半夏", "大枣", "党参片", "焦麦芽", "焦山楂", "醋鸡内金", "醋龟甲", "桑螵蛸", "赤小豆", "白花蛇舌草", "菟丝子", "枸杞子", "盐车前子", "红景天"], "prev_gap": 7, "visit_ix": 12, "n_visits": 24, "visit_ix_rx": 11, "n_rx": 23} {"rid": 61732, "pid": "P730144d446ca", "date": "2026-05-19", "sex": "男", "age": 70, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 夜尿5-6次 大便正常 纳可 眠差 会阴部疼痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "薏苡仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61736, "pid": "P0a50ef28e9c5", "date": "2026-05-19", "sex": "男", "age": 52, "cc": "尿道分泌物3年", "hpi": "尿道分泌物3年 无疼痛 大便正常 纳可 眠安 腰痛", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "陈皮", "薏苡仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61737, "pid": "P3b9edb90b7e5", "date": "2026-05-19", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "太子参", "猪苓", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61738, "pid": "Pc85757e965df", "date": "2026-05-19", "sex": "男", "age": 55, "cc": "尿频复诊", "hpi": "左侧腰痛困乏，无小腹及会阴不适，睡眠中途醒，大便质粘。口干口苦，怕冷，盗汗，不能吃生冷", "wm_dx": ["前列腺增生", "腰痛", "附睾炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "寒热错杂证", "调理阴阳"]], "rx": ["制巴戟天", "菟丝子", "羌活", "太子参", "猪苓"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "桂枝", "生姜", "大枣", "白芍", "炒酸枣仁", "干姜", "附片", "炙甘草", "泽泻", "竹茹"], "prev_gap": 25, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61739, "pid": "P9bf73fa3adcd", "date": "2026-05-19", "sex": "男", "age": 41, "cc": "尿频尿急阴囊潮湿半月", "hpi": "尿频尿急阴囊潮湿半月 大便正常 纳可 眠安 腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["麦冬", "酒黄精", "猪苓", "薏苡仁", "茯苓", "太子参", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61741, "pid": "P65ea0a24dab1", "date": "2026-05-19", "sex": "男", "age": 63, "cc": "阴囊刺痒复诊", "hpi": "阴囊潮湿刺痒，外院诊疗，外涂药物治疗，症状有好转，大便一天一次粘，睡眠一般，口干，盗汗", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "山慈菇", "太子参", "姜厚朴", "黄芪", "酒萸肉", "知母"], "flags": [], "prev_rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "山慈菇", "太子参"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61742, "pid": "P2ce762e142ab", "date": "2026-05-19", "sex": "男", "age": 71, "cc": "前列腺增生复诊", "hpi": "排尿不畅1年，尿频、尿急，尿后余沥改善，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多。口服非那雄胺、坦索罗辛。规律口服降脂药 。盗汗，腰痛。", "wm_dx": ["湿疹", "前列腺增生", "包皮龟头炎", "糖尿病"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓", "薏苡仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 8, "n_visits": 13, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61750, "pid": "P11f2581af2cc", "date": "2026-05-19", "sex": "男", "age": 40, "cc": "乏力复诊", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多，复诊多梦盗汗，口气重", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "茯苓", "泽泻", "泽兰", "猪苓", "滑石", "阿胶珠", "黑顺片", "麸炒白术", "干姜", "炙淫羊藿", "仙茅", "北柴胡", "黄芩片"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "茯苓", "当归", "川芎", "牛膝", "制水蛭", "地龙", "石见穿", "鸡血藤", "炙淫羊藿"], "prev_gap": 42, "visit_ix": 18, "n_visits": 24, "visit_ix_rx": 18, "n_rx": 24} {"rid": 61756, "pid": "P6632a57175c8", "date": "2026-05-19", "sex": "男", "age": 58, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿等待，尿后余沥，夜尿4-5次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "当归", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61758, "pid": "Pb84aadbcb899", "date": "2026-05-19", "sex": "男", "age": 31, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳可 眠安 中途疲软 晨勃少 胁痛 乏力 口苦", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["猪苓", "茯苓", "太子参", "菟丝子", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61760, "pid": "P26f8186f1d6c", "date": "2026-05-19", "sex": "男", "age": 39, "cc": "腰痛半年", "hpi": "腰痛 大小便正常 纳可 眠安 腹胀 乏力", "wm_dx": ["脂肪肝"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "太子参", "陈皮", "炙黄芪", "猪苓", "川贝母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61761, "pid": "P15fccd5c1d43", "date": "2026-05-19", "sex": "男", "age": 58, "cc": "夜尿频繁1月", "hpi": "夜尿频繁1月，2-3次，尿后余沥，小腹及会阴无明显不适，尿道灼热感，超声报前列腺增生伴钙化，胃脘不适", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["太子参", "炒酸枣仁", "猪苓", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61762, "pid": "P542149c8fdb3", "date": "2026-05-19", "sex": "男", "age": 31, "cc": "尿频5年", "hpi": "尿频,硬度正常,时间短3-5分钟,生气时时间延长,尿频,夜尿正常,无阴囊潮湿,大便正常,纳可,睡眠正常,口干", "wm_dx": ["焦虑状态"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["柏子仁", "制远志", "煅龙骨", "煅牡蛎", "莲子心", "牡丹皮", "滑石", "淡竹叶", "北柴胡", "黄芩片", "石菖蒲", "赤小豆", "白花蛇舌草", "地黄", "酒萸肉", "炙甘草", "金樱子肉"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "生石膏", "地黄", "酒萸肉", "金樱子肉", "莲须", "赤小豆", "麸炒枳实", "白芍", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "柏子仁"], "prev_gap": 13, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 6, "n_rx": 8} {"rid": 61764, "pid": "P159b1f51af92", "date": "2026-05-19", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，口可，早醒，大便稀2-3次", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "麸炒苍术", "盐黄柏", "牡丹皮", "生地黄", "酒萸肉", "石菖蒲", "炒蒺藜", "麸炒薏苡仁", "丹参", "鸡血藤", "制远志", "黄芩", "麦冬"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "知母", "盐黄柏", "牡丹皮", "生地黄", "酒萸肉", "石菖蒲", "炒蒺藜", "玄参", "丹参", "鸡血藤", "制远志", "黄芩", "麦冬", "荆芥", "防风"], "prev_gap": 7, "visit_ix": 3, "n_visits": 15, "visit_ix_rx": 3, "n_rx": 14} {"rid": 61765, "pid": "P46c80f13d5a8", "date": "2026-05-19", "sex": "男", "age": 70, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿线细，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["太子参", "川牛膝", "猪苓", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61766, "pid": "P0e0a6292540c", "date": "2026-05-19", "sex": "男", "age": 27, "cc": "尿频1月", "hpi": "尿频，晨勃时有，性欲一般，启动慢，不刺激中途疲软，排尿正常，大便正常，睡眠正常，纳可，口和，复诊：症状好转，大便2次，时间太久", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "石菖蒲", "制远志", "丹参", "鸡血藤", "醋龟甲", "酒黄精", "柏子仁", "郁金", "牛膝", "炙淫羊藿", "桂枝", "路路通"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "醋龟甲", "酒黄精", "柏子仁", "郁金", "牛膝", "炙淫羊藿", "桂枝"], "prev_gap": 20, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61767, "pid": "Pd3a2f58c861c", "date": "2026-05-19", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛改善 大小便正常 纳可 眠安 盗汗改善", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒黄精", "麦冬", "菊花", "制巴戟天", "太子参", "猪苓", "陈皮", "菟丝子", "覆盆子", "枸杞子"], "flags": [], "prev_rx": ["酒黄精", "麦冬", "制巴戟天", "太子参", "猪苓", "羌活", "菟丝子", "覆盆子"], "prev_gap": 21, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 61769, "pid": "P7605ba992b36", "date": "2026-05-19", "sex": "男", "age": 28, "cc": "尿频复诊", "hpi": "尿频改善，夜尿正常，便秘，一天2次，睡眠正常，熬夜，纳可，口渴口苦口气重，硬度正常，时间1-2分钟 盗汗 腰痛", "wm_dx": ["尿频"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "花椒", "天麻", "炒僵蚕"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "花椒", "天麻", "炒僵蚕"], "prev_gap": 21, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 6} {"rid": 61771, "pid": "P7646160e29ec", "date": "2026-05-19", "sex": "男", "age": 40, "cc": "尿频1周", "hpi": "尿频1周，尿后余沥，夜尿0次，色黄，会阴不适，大便可，纳可，眠一般，早醒，工作开车久坐，口服三金片和前列康，症状反复。咽部不适，复诊：排尿症状好转，大便略干，睡眠好转，咽部正常，会阴发涨", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "燀桃仁", "红花", "桔梗", "茵陈", "党参片", "茯苓", "大黄", "桂枝", "白芍", "赤小豆", "白花蛇舌草", "炙甘草", "滑石", "猪苓", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "燀桃仁", "红花", "桔梗", "茵陈", "党参片", "茯苓", "泽泻", "桂枝", "白芍", "赤小豆", "白花蛇舌草", "炙甘草", "滑石", "猪苓"], "prev_gap": 10, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61772, "pid": "P786337278a3f", "date": "2026-05-19", "sex": "男", "age": 51, "cc": "痛风复诊取药", "hpi": "痛风复诊取药，腰痛，咳嗽半月余，眠一般，口干，盗汗 纳可", "wm_dx": ["关节炎", "痛风", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["咳嗽", "痰湿证", "宣肺化痰"]], "rx": ["川贝母", "浙贝母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["川牛膝", "猪苓", "茯苓", "太子参", "炒酸枣仁"], "prev_gap": 20, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61779, "pid": "Pd045de91d266", "date": "2026-05-19", "sex": "男", "age": 75, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白花蛇舌草", "土茯苓", "败酱草", "当归", "赤芍", "蒲公英", "金银花", "黄连", "大黄", "白芷", "蛇床子", "地肤子", "荆芥"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61782, "pid": "P693fe8289601", "date": "2026-05-20", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不，精索静脉曲张，盗汗，工作劳累。PR改善。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒黄精", "酒女贞子", "墨旱莲", "防风", "麸炒白术", "茯苓", "枸杞子", "白芍", "醋五味子", "韭菜子", "制巴戟天", "沙苑子", "桑椹", "菟丝子", "麸炒芡实", "黄芪", "熟地黄", "炒酸枣仁", "鸡血藤", "酒苁蓉", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒黄精", "酒女贞子", "墨旱莲", "防风", "麸炒白术", "茯苓", "枸杞子", "白芍", "醋五味子", "韭菜子", "制巴戟天", "沙苑子", "桑椹", "菟丝子", "麸炒芡实", "黄芪", "熟地黄", "制水蛭", "鸡血藤", "酒苁蓉", "北柴胡"], "prev_gap": 10, "visit_ix": 5, "n_visits": 9, "visit_ix_rx": 4, "n_rx": 7} {"rid": 61788, "pid": "Pbc5ba8daef68", "date": "2026-05-20", "sex": "男", "age": 54, "cc": "尿分叉 尿黄半年", "hpi": "尿分叉 尿黄半年 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "知母", "酒萸肉", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "太子参", "知母", "酒萸肉"], "prev_gap": 15, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61791, "pid": "Pc0b7f8d174c6", "date": "2026-05-20", "sex": "男", "age": 71, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频尿急，尿后余沥，夜尿4-5次，小腹不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生", "前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "猪苓", "太子参", "党参片", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61792, "pid": "Pbcd5a4ddcc6d", "date": "2026-05-20", "sex": "男", "age": 27, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61794, "pid": "Pdb95ba06f650", "date": "2026-05-20", "sex": "男", "age": 53, "cc": "腰痛半年", "hpi": "腰痛半年 性功能下降 晨勃消失 大小便正常 纳可 眠安", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["麦冬", "酒黄精", "制巴戟天", "菟丝子", "太子参", "覆盆子", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61796, "pid": "Pc12c426b051f", "date": "2026-05-20", "sex": "男", "age": 57, "cc": "尿频半月", "hpi": "尿频，硬度下降，中途疲软，晨勃有，纳可，凉的少吃，大小便正常，睡眠可，口渴，无怕冷，阴囊潮湿", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "牛膝", "蜈蚣", "酒黄精", "当归", "麦冬", "醋龟甲", "制远志", "党参片", "炙淫羊藿", "赤小豆"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "牛膝", "蜈蚣", "酒黄精", "当归", "麦冬", "醋龟甲", "知母", "党参片", "炙淫羊藿"], "prev_gap": 12, "visit_ix": 9, "n_visits": 13, "visit_ix_rx": 7, "n_rx": 10} {"rid": 61797, "pid": "P2011def9c6dc", "date": "2026-05-20", "sex": "男", "age": 35, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["前列腺炎", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "猪苓", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61807, "pid": "P581645a1ee01", "date": "2026-05-20", "sex": "男", "age": 65, "cc": "排尿困难 泡沫多2年", "hpi": "排尿困难 泡沫多2年 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["羌活", "猪苓", "薏苡仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61808, "pid": "P6a9507ddcbe6", "date": "2026-05-20", "sex": "男", "age": 43, "cc": "尿频1年", "hpi": "尿频，1年前突发勃起不佳，近一年未成功同房，尿无力，夜尿正常，大便正常，睡眠正常，纳可，口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "制远志", "柏子仁", "郁金", "韭菜子", "蜈蚣", "路路通", "炙淫羊藿", "牡丹皮", "地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 61811, "pid": "Paa98c5bca27d", "date": "2026-05-20", "sex": "男", "age": 33, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余 大小便正常 纳可 眠安 腰痛 乏力", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "地肤子", "蛇床子", "白芷", "百部", "金银花", "黄连", "蒲公英", "全蝎", "大黄", "地龙", "当归"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "地肤子", "蛇床子", "白芷", "百部", "金银花", "黄连", "蒲公英", "全蝎", "防风"], "prev_gap": 51, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61812, "pid": "Pa97bb6673a6f", "date": "2026-05-20", "sex": "男", "age": 39, "cc": "腰痛复诊", "hpi": "腰痛 ，乏力，无口干口苦，睡眠正常，纳可，大便正常 阳痿早泄 尿频 尿急", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾阴虚证", "滋阴生津"]], "rx": ["北柴胡", "黄芩片", "麸炒枳实", "麸炒薏苡仁", "党参片", "白芍", "泽兰", "石菖蒲", "茯苓", "制远志", "炙甘草", "炒栀子", "茵陈", "牡丹皮", "川楝子", "蜈蚣", "郁金"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "生石膏", "天花粉", "党参片", "阿胶珠", "泽兰", "猪苓", "茯苓", "血余炭", "炙甘草", "炒栀子", "茵陈", "牡丹皮", "川楝子", "醋香附"], "prev_gap": 225, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61814, "pid": "P4c5504602644", "date": "2026-05-20", "sex": "男", "age": 40, "cc": "尿频3周", "hpi": "尿频3周，小腹及会阴刺痛，压力大，性欲可，稍有焦虑，夜尿0-1次。无明显尿等待，无明显排尿不畅。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["失眠", "湿热证", "清热利湿"]], "rx": ["熟地黄", "山药", "牡丹皮", "酒萸肉", "泽泻", "肉桂", "细辛", "当归", "通草", "茵陈", "炒栀子", "炙甘草", "葛根", "鸡血藤", "橘络", "炒酸枣仁", "石菖蒲", "制远志", "醋延胡索", "佩兰", "茯苓", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["熟地黄", "山药", "牡丹皮", "酒萸肉", "泽泻", "肉桂", "细辛", "当归", "通草", "茵陈", "炒栀子", "炙甘草", "葛根", "鸡血藤", "橘络", "炒酸枣仁", "石菖蒲", "麸炒白术", "醋延胡索", "佩兰", "知母"], "prev_gap": 48, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 5} {"rid": 61815, "pid": "P020af552b573", "date": "2026-05-20", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁血瘀证", "疏肝化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "猪苓", "太子参", "知母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61816, "pid": "Pe8c6b4aaf788", "date": "2026-05-20", "sex": "男", "age": 51, "cc": "尿频1年", "hpi": "尿频，硬度下降，时间短，近3月晨勃有，关键时不能勃起，盗汗，睡眠一般，纳差消瘦，大便稀，口干口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "党参片", "干姜", "大枣", "炙黄芪", "煅龙骨", "煅牡蛎", "桂枝", "白芍", "炙甘草", "石菖蒲", "制远志", "柏子仁", "黑顺片"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "煅龙骨", "煅牡蛎", "生姜", "大枣", "丹参", "鸡血藤", "蜈蚣", "地黄", "炙淫羊藿", "仙茅"], "prev_gap": 11, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61817, "pid": "P62266f4e3a35", "date": "2026-05-20", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，汗多", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "炙淫羊藿"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 61830, "pid": "P567a1cc3d906", "date": "2026-05-20", "sex": "男", "age": 48, "cc": "尿频一年", "hpi": "尿频，勃起困难，晨勃少，近2月明显加重，中途疲软。排尿正常，大便正常，纳可，睡眠正常，口和，无怕冷", "wm_dx": ["高脂血症"], "tcm_dx": [["精浊", "心肾不交证", "交通心肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "郁金", "柏子仁", "牡丹皮", "地黄", "路路通", "韭菜子", "醋香附", "牛膝", "制水蛭"], "flags": [], "prev_rx": ["柏子仁", "炒酸枣仁", "人参", "丹参", "鸡血藤", "制远志", "制巴戟天", "桂枝", "燀桃仁", "红花", "石菖蒲", "牡丹皮"], "prev_gap": 274, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61835, "pid": "P5330a9d952a3", "date": "2026-05-21", "sex": "男", "age": 57, "cc": "血精复诊抄方", "hpi": "尿频、通畅，口干口苦，下半身凉，眠差，大便便意频，日2-3次。血精反复。反酸。服药后，症状好转，但同房后出现少腹隐痛，血精黑色量少。尿频，尿费劲，大便3-4次，膝关节疼痛，喜热，口干口苦，睡眠差，身上刺痒", "wm_dx": ["前列腺增生", "精囊炎", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚血瘀证", "补肾益精"], ["血精", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "羌活", "茯苓", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 11} {"rid": 61838, "pid": "P11ad5bf158d8", "date": "2026-05-21", "sex": "男", "age": 54, "cc": "尿频 排尿不畅一月余", "hpi": "尿频 排尿不畅一月余 大便正常 纳可 眠差 腰痛乏力", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "山慈菇", "陈皮", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "山慈菇", "陈皮", "太子参"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61843, "pid": "P1c52dd625d96", "date": "2026-05-21", "sex": "男", "age": 23, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。脚气病。盗汗。", "wm_dx": ["脚气病", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["炒酸枣仁", "茯苓", "猪苓", "知母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61846, "pid": "P7b2d5b5816de", "date": "2026-05-21", "sex": "男", "age": 39, "cc": "腰痛半年", "hpi": "伴有乏力疲劳 同房后腰痛明显 大小便正常 纳可 眠安 便秘", "wm_dx": ["便秘"], "tcm_dx": [["腰痛", "肾精亏虚证", "补肾益精"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参片", "山药", "白术", "茯苓", "北柴胡", "盐蒺藜", "木香", "炙黄芪", "酒黄精", "蛇床子", "韭菜子", "菟丝子", "覆盆子", "炒酸枣仁", "天麻", "醋青皮", "制巴戟天", "酒苁蓉", "仙茅", "盐胡芦巴", "炙淫羊藿", "麸炒枳壳", "地龙"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 61847, "pid": "Pb06ba7b62cc9", "date": "2026-05-21", "sex": "男", "age": 34, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，性生活不规律，工作可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 6} {"rid": 61850, "pid": "Pcb4035af8e9c", "date": "2026-05-21", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "伴有早泄一月余 勃起硬度差 晨勃消失 压力不大 大小便正常 纳可 眠差 胁痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "花椒"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "花椒"], "prev_gap": 24, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 61856, "pid": "P3ad7a596eeb0", "date": "2026-05-21", "sex": "男", "age": 41, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干口气重，盗汗，久坐，梦不多", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤", "赤小豆", "石菖蒲", "茯苓", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61857, "pid": "Pcaca7bf1a0bb", "date": "2026-05-21", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "炒酸枣仁", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61859, "pid": "P3d2461491597", "date": "2026-05-21", "sex": "男", "age": 38, "cc": "尿频复诊", "hpi": "尿频改善，腰痛，乏力改善，时间短，近3月勃起硬度欠佳，性欲可，性生活不规律，工作劳累可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["尿频", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮", "菟丝子", "太子参", "猪苓", "丹参", "覆盆子", "砂仁"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮", "菟丝子", "太子参", "猪苓", "丹参"], "prev_gap": 10, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 5} {"rid": 61862, "pid": "Pd0cb592ce35f", "date": "2026-05-21", "sex": "男", "age": 26, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠改善，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作劳累，盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "莲子", "金樱子肉", "诃子肉", "覆盆子", "醋五味子", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "莲子", "锁阳", "金樱子肉", "诃子肉", "煅龙骨", "煅牡蛎"], "prev_gap": 48, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 4} {"rid": 61863, "pid": "P43fbb25fe280", "date": "2026-05-21", "sex": "男", "age": 44, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲有，乏力，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗，感情一般，晨勃有，焦虑", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "酒黄精", "鸡血藤", "麸炒薏苡仁", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 61870, "pid": "P37cbdbd3bde0", "date": "2026-05-21", "sex": "男", "age": 37, "cc": "尿频1周", "hpi": "尿频1周，尿道灼热，尿急，尿痛，无尿道分泌物，小腹不适，纳眠可，大便质粘，口干，盗汗", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["茯苓", "猪苓", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61872, "pid": "P5d51a32c2e1f", "date": "2026-05-22", "sex": "男", "age": 34, "cc": "腰痛2月", "hpi": "腰痛2月，熬夜，睡眠可，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中", "wm_dx": ["腰痛", "叶酸缺乏"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "肾气不充证", "补肾扶元"]], "rx": ["菟丝子", "覆盆子", "盐车前子", "醋五味子", "枸杞子", "茯苓", "泽泻", "牡丹皮", "熟地黄", "酒萸肉", "山药", "醋龟甲", "桑螵蛸", "鹿角霜", "炙淫羊藿"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 5} {"rid": 61880, "pid": "P827847949ae1", "date": "2026-05-22", "sex": "男", "age": 51, "cc": "复诊", "hpi": "病史同前，口中粘，勃起可，持续时间短，硬度一般。眠可.", "wm_dx": ["代谢综合征", "男性勃起障碍"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "生姜", "五倍子", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "生姜", "五倍子", "大枣"], "prev_gap": 11, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 5, "n_rx": 8} {"rid": 61881, "pid": "Pf42772310e92", "date": "2026-05-22", "sex": "男", "age": 39, "cc": "腰痛盗汗复诊", "hpi": "伴有尿不尽尿无力，手淫频繁，左侧睾丸精索静脉曲张，阴茎根部瘙痒，耳鸣，夜寐差，腰痛乏力，盗汗，阴茎根部红疹瘙痒。5月22日：阴囊潮湿改善明显，尿后余沥存在。", "wm_dx": ["皮炎", "慢性前列腺炎", "腰痛", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["川牛膝", "桂枝", "鸡血藤"], "flags": ["rx_len_outlier"], "prev_rx": ["酒萸肉", "炒酸枣仁", "知母", "太子参", "牡丹皮"], "prev_gap": 21, "visit_ix": 11, "n_visits": 16, "visit_ix_rx": 6, "n_rx": 9} {"rid": 61887, "pid": "P47dc9ea0cc0b", "date": "2026-05-22", "sex": "男", "age": 32, "cc": "尿不尽一周", "hpi": "尿不尽，无尿频，无尿糖，夜尿正常，无腹痛，无腰痛，睡眠一般，大便正常，纳可，口和", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "泽泻", "麸炒白术", "赤小豆", "白花蛇舌草", "当归", "连翘", "牛膝", "石菖蒲", "党参", "干姜", "盐车前子", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61893, "pid": "P6d7b691bcb2f", "date": "2026-05-22", "sex": "男", "age": 23, "cc": "尿频1周", "hpi": "尿频1周，夜尿3-4次，伴小腹不适，尿后余沥，工作久坐，尿常规未见明显异常", "wm_dx": ["前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "猪苓", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61895, "pid": "Pac7b1bc54b48", "date": "2026-05-22", "sex": "男", "age": 61, "cc": "尿无力半年", "hpi": "尿无力半年 勃起不坚 中途疲软 大小便正常 纳可不能吃生冷， 睡眠差多梦易醒 口和", "wm_dx": ["慢性前列腺炎", "前列腺增生", "泌尿系感染"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "桂枝", "生姜", "干姜", "北柴胡", "黄芩片", "党参片", "炙淫羊藿", "仙茅", "丹参", "鸡血藤", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "桂枝", "生姜", "干姜", "北柴胡", "黄芩片", "党参片", "炙淫羊藿", "仙茅", "丹参", "鸡血藤"], "prev_gap": 7, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 6} {"rid": 61909, "pid": "P854ae24d0ed8", "date": "2026-05-23", "sex": "男", "age": 35, "cc": "尿频1周", "hpi": "尿频1周 腰痛 盗汗 工作劳累 熬夜 大便可 睡眠差", "wm_dx": ["尿频", "腰痛"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "熟地黄", "石菖蒲", "北败酱草", "鸡血藤", "赤小豆", "龙骨", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "熟地黄", "石菖蒲", "北败酱草"], "prev_gap": 42, "visit_ix": 9, "n_visits": 13, "visit_ix_rx": 2, "n_rx": 5} {"rid": 61911, "pid": "P1407db622766", "date": "2026-05-23", "sex": "男", "age": 37, "cc": "发现PSA升高复查", "hpi": "发现PSA升高1周，5.62 ng/ml，工作久坐，无明显尿频、尿急、排尿不畅，夜尿0次。无尿后余沥，无小腹及会阴不适。乏力消瘦半年,睡眠好转", "wm_dx": ["泌尿系感染", "前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "炒酸枣仁", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "荔枝核", "炒王不留行", "砂仁"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "小蓟", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "荔枝核", "炒王不留行", "砂仁"], "prev_gap": 14, "visit_ix": 9, "n_visits": 16, "visit_ix_rx": 6, "n_rx": 10} {"rid": 61912, "pid": "P0d4880ac72a1", "date": "2026-05-23", "sex": "男", "age": 51, "cc": "尿频，尿少一周", "hpi": "尿少，尿费劲，少腹酸胀，夜尿1次，尿烧灼感，无腰疼，近期乏力消瘦，口苦", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "牡丹皮", "党参片", "赤小豆", "白花蛇舌草", "制远志", "柏子仁", "淡竹叶", "石菖蒲", "滑石", "当归", "连翘", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61916, "pid": "P971acadcdd69", "date": "2026-05-23", "sex": "男", "age": 45, "cc": "复诊", "hpi": "病史同前，时尿频感，尿不尽，偶有尿急，阴囊潮湿减、仍发凉感，口干，性急。近期消瘦明显", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "血瘀证", "活血化瘀"], ["精浊", "肾虚证", "补肾固精"]], "rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "盐益智仁", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "麸炒山药", "制何首乌", "天花粉", "墨旱莲", "制巴戟天", "醋五味子", "金樱子肉"], "flags": [], "prev_rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "麸炒苍术", "酒黄精", "麸炒薏苡仁", "川牛膝"], "prev_gap": 7, "visit_ix": 8, "n_visits": 12, "visit_ix_rx": 7, "n_rx": 10} {"rid": 61917, "pid": "P41b4723e7f09", "date": "2026-05-23", "sex": "男", "age": 41, "cc": "尿频一月", "hpi": "尿频，大便便秘，口和，睡眠正常，纳可，近期准备备孕，同房射精正常", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["生石膏", "炒栀子", "淡豆豉", "炒苦杏仁", "火麻仁", "北柴胡", "麸炒枳实", "白芍", "赤小豆", "白花蛇舌草", "醋鸡内金", "广藿香", "净山楂", "焦麦芽", "牡丹皮", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61919, "pid": "P4596b8512757", "date": "2026-05-23", "sex": "男", "age": 44, "cc": "少腹坠胀1月", "hpi": "少腹坠胀，尿不尽，夜尿1次，口干，大便正常，复诊：少腹正常，仍有尿意感。大便粘", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "牡丹皮", "北柴胡", "黄芩片", "大枣", "茯苓", "猪苓", "干姜", "煅龙骨", "煅牡蛎", "赤小豆", "炒栀子", "淡豆豉", "炒苦杏仁", "石菖蒲"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "茯苓", "猪苓", "干姜", "煅龙骨", "煅牡蛎", "赤小豆", "白花蛇舌草", "炙甘草", "牡丹皮", "北柴胡", "黄芩片"], "prev_gap": 14, "visit_ix": 3, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 10} {"rid": 61922, "pid": "P8f884b345ba8", "date": "2026-05-23", "sex": "男", "age": 27, "cc": "尿后有烧灼感10余天", "hpi": "尿后有烧灼感，刺痒，硬度一般，晨勃少，大便正常，失眠，纳可，晨起口苦，皮疹", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "滑石", "盐关黄柏", "牛膝", "茯苓", "柏子仁", "猪苓", "赤小豆", "金银花", "炙甘草", "党参片", "石菖蒲", "制远志", "炒栀子", "淡豆豉"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "滑石", "盐关黄柏", "牛膝", "茯苓", "泽泻", "猪苓", "赤小豆", "金银花", "炙甘草", "党参片", "石菖蒲", "制远志", "炒栀子", "淡豆豉"], "prev_gap": 11, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 61924, "pid": "P0213416edb5f", "date": "2026-05-23", "sex": "男", "age": 35, "cc": "尿频10余年", "hpi": "尿频，夜尿正常，1-2次，大便正常，中途醒，纳可，口和晨勃少，硬度下降，时间短，多汗，手脚易汗", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "牛膝", "柏子仁", "制远志", "郁金", "蜈蚣", "丹参", "鸡血藤", "黄芩片", "炙淫羊藿", "川芎", "煅龙骨"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 61928, "pid": "Pa7035c21ee38", "date": "2026-05-23", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度下降改善，性欲可，乏力，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗汗多。晨勃有。病情稳定 延长开药", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["甜叶菊叶", "党参片", "炙黄芪", "山药", "砂仁", "木香", "石菖蒲", "制远志", "酒苁蓉", "制巴戟天", "盐胡芦巴", "仙茅", "麸炒薏苡仁", "地龙", "白芷", "熟地黄", "酒萸肉", "知母", "盐关黄柏", "盐车前子", "炒酸枣仁", "天麻", "炙甘草", "蛇床子"], "flags": [], "prev_rx": ["甜叶菊叶", "党参片", "炙黄芪", "山药", "砂仁", "木香", "石菖蒲", "制远志", "酒苁蓉", "制巴戟天", "盐胡芦巴", "仙茅", "麸炒薏苡仁", "地龙", "白芷", "熟地黄", "酒萸肉", "知母", "盐关黄柏", "盐车前子", "炒酸枣仁", "天麻", "炙甘草", "蛇床子"], "prev_gap": 19, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 6} {"rid": 61930, "pid": "P40c60817bc99", "date": "2026-05-23", "sex": "男", "age": 32, "cc": "易汗一月", "hpi": "易汗，排尿正常，大便粘，阴囊潮湿，睡眠一般浅，口干，乏力，注意力不集中，凉的少吃。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["丹参", "党参片", "茯神", "龙眼肉", "干姜", "大枣", "制远志", "炒酸枣仁", "木香", "麸炒白术", "炙淫羊藿", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "牡丹皮", "石菖蒲", "炒蒺藜", "党参", "丹参", "鸡血藤", "醋龟甲", "柏子仁", "附片", "桂枝", "连翘", "炙甘草"], "prev_gap": 28, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 61943, "pid": "P6ef5f8eefa11", "date": "2026-05-23", "sex": "男", "age": 34, "cc": "腰痛乏力2月", "hpi": "2月前出现腰痛乏力，勃起欠佳，性欲减退，射精无力，焦虑, 纳差，吃生冷易腹泻,射精快，虚劳，失眠易醒，口和，胁肋疼痛", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "韭菜子", "制巴戟天", "川芎", "炒酸枣仁", "柏子仁", "茯神"], "flags": [], "prev_rx": ["黑顺片", "砂仁", "炙甘草", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "熟地黄", "麸炒白术", "茯苓", "炙淫羊藿", "仙茅", "北柴胡", "川芎", "人参", "蜈蚣"], "prev_gap": 63, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 5, "n_rx": 7} {"rid": 61945, "pid": "Pfa2ed6f82501", "date": "2026-05-23", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有性功能下降 晨勃少，大小便正常 纳可 眠安 中途疲软 腰痛，口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "郁金", "柏子仁", "牛膝", "菟丝子", "韭菜子", "路路通", "党参", "丹参", "鸡血藤"], "flags": [], "prev_rx": ["甜叶菊叶", "当归", "白芍", "熟地黄", "酒萸肉", "牡丹皮", "地骨皮", "合欢花", "合欢皮", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "制何首乌", "桑椹", "知母", "制巴戟天", "山药", "党参", "盐补骨脂", "酒黄精", "仙茅", "炙淫羊藿", "炙甘草"], "prev_gap": 28, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 61947, "pid": "P95b5bc84fcba", "date": "2026-05-23", "sex": "男", "age": 25, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，尿道灼热感", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤", "炙甘草", "炒酸枣仁", "柏子仁", "锁阳", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤"], "prev_gap": 13, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 6} {"rid": 61948, "pid": "P0b9000fe8dc7", "date": "2026-05-23", "sex": "男", "age": 40, "cc": "尿频2年", "hpi": "尿频，无晨勃，硬度一般，吸烟饮酒，熬夜，排尿可 ，喝水尿频，大便不成型，睡眠正常，纳可，口干，时有腰疼，无怕冷，怕热，复诊：硬度好转，时间短5--6分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "党参片", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "姜厚朴", "干姜", "麸炒白术", "柏子仁"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "党参片", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "生石膏", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "姜厚朴", "干姜", "麸炒白术"], "prev_gap": 7, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 5, "n_rx": 11} {"rid": 61949, "pid": "P68b914fe4c55", "date": "2026-05-23", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，无晨勃，硬度下降 ，性欲可，乏力仍存在，情绪急躁，喝酒大便稀，梦多眠差，无排尿不畅、尿后余沥，口干口苦，复诊：自觉硬度有好转，睡眠好转", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "赤小豆", "白花蛇舌草", "牡丹皮", "白芍", "石菖蒲", "制远志", "柏子仁", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "赤小豆", "白花蛇舌草", "牡丹皮", "白芍", "石菖蒲", "制远志", "柏子仁", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤"], "prev_gap": 7, 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"煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61965, "pid": "Pa016e8aa0618", "date": "2026-05-23", "sex": "男", "age": 27, "cc": "左侧精索静脉曲张术后3月复查", "hpi": "外院醒左侧精索静脉曲张手术后，现拆线后，仍有睾丸不适感，复查精索静脉", "wm_dx": ["腹股沟淋巴结炎", "附睾炎", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "醋鸡内金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "丹参", "路路通", "炒王不留行", "北柴胡", "酒白芍", "醋三棱", "醋莪术", "鸡血藤", "砂仁", "夏枯草", "醋延胡索"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "穿山龙", "醋鳖甲", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "蒲公英", "萹蓄", "绵萆薢", "路路通", "炒王不留行", "盐小茴香", "夏枯草", "荔枝核", "黄芪", "墨旱莲", "北柴胡", "白芍", "醋延胡索"], "prev_gap": 115, "visit_ix": 20, "n_visits": 28, "visit_ix_rx": 14, "n_rx": 21} {"rid": 61966, "pid": "P9cfdd7c84e9b", "date": "2026-05-23", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "麸炒白术", "沙苑子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "麸炒白术", "沙苑子"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61968, "pid": "Pefdd4fbf5915", "date": "2026-05-23", "sex": "男", "age": 40, "cc": "腰痛乏力脱发1月", "hpi": "1月前出现腰痛乏力脱发，长期熬夜，汗出多，口干口苦，二便调，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["虚劳类病", "肝肾两虚证", "滋补肝肾"]], "rx": ["人参", "锁阳", "酒苁蓉", "韭菜子", "太子参", "酒黄精", "麸炒芡实", "醋五味子", "酒萸肉", "桑椹", "枸杞子", "山慈菇", "炒酸枣仁", "龙眼肉", "麸炒山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 61970, "pid": "P7076d32d2219", "date": "2026-05-23", "sex": "男", "age": 41, "cc": "腰痛乏力伴勃起不坚2年", "hpi": "2年前出现腰痛乏力勃起不坚，外院予他达拉非5mg qd现口服药物效果欠佳，口干口苦，夜寐可，性欲差，偶有晨勃，胁肋疼痛。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "人参", "川芎", "制巴戟天", "锁阳", "韭菜子"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "韭菜子", "麸炒山药", "黄芪", "人参"], "prev_gap": 14, "visit_ix": 1, "n_visits": 12, "visit_ix_rx": 1, "n_rx": 7} {"rid": 61978, "pid": "P8c9f9e86c673", "date": "2026-05-24", "sex": "男", "age": 43, "cc": "尿频2年", "hpi": "尿频，晨勃少，硬度一般 ，时间短，尿不尽，夜尿正常，阴囊潮湿，无腹痛，无腰疼，大便时干时稀，睡眠正常，纳可，口干，手脚发凉，怕冷，乏力,复诊：阴囊潮湿，乏力好转，晨勃有，尿不尽，时间短", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "桂枝", "小通草", "赤小豆", "白花蛇舌草", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "燀桃仁", "红花", "黑顺片", "炙黄芪", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "桂枝", "小通草", "赤小豆", "白花蛇舌草", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "燀桃仁", "红花", "黑顺片", "炙黄芪", "炙淫羊藿"], "prev_gap": 16, "visit_ix": 1, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 8} {"rid": 61982, "pid": "P7ed4bf6a9ebb", "date": "2026-05-24", "sex": "男", "age": 42, "cc": "反酸胀痛5年", "hpi": "5年前出现反酸胀痛，失眠，口干口苦，怕冷，着凉后易感冒。反酸好转，耳鸣，腰痛乏力，咳嗽咳痰，咽痒。尿频尿急。", "wm_dx": ["腰痛", "泌尿系感染"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腹胀", "脾胃不和证", "健脾和胃"], ["咳嗽", "痰热阻肺证", "清热化痰宣肺"]], "rx": ["炙甘草", "麸炒枳壳", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "肉桂", "黄芪", "酒黄精", "炒栀子", "党参片"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳壳", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "肉桂", "黄芪", "酒黄精"], "prev_gap": 15, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 61985, "pid": "P76b05616c5d2", "date": "2026-05-24", "sex": "男", "age": 47, "cc": "乏力盗汗6月", "hpi": "6月前出现乏力盗汗脱发，大小便正常，纳可腰痛，乏力，焦虑，工作劳累，口中和。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "酒黄精", "黄芪", "人参"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "炙黄芪", "制远志"], "prev_gap": 157, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 61995, "pid": "P46e76b631c3e", "date": "2026-05-24", "sex": "男", "age": 42, "cc": "腰痛乏力伴射精快7年", "hpi": "7年前出现腰痛乏力，怕冷，勃起欠佳，腹胀满，口苦，夜寐查，精神差，记忆力减退，胁肋疼痛。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "炒栀子", "肉桂", "姜厚朴", "木香", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62009, "pid": "P5d8ab38ed934", "date": "2026-05-24", "sex": "男", "age": 31, "cc": "腰痛1月", "hpi": "腰痛1月，口干口苦，胁肋疼痛，长期熬夜。", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾纳气"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "炒栀子", "韭菜子", "制巴戟天", "川芎", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子"], "prev_gap": 126, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 5} {"rid": 62012, "pid": "P2ffcddd1632f", "date": "2026-05-24", "sex": "男", "age": 39, "cc": "尿频尿急复诊取药", "hpi": "尿频尿急，尿灼热，会阴不适，夜尿2-3次，口干 大便略干 纳可 眠一般，怕冷，乏力，腰痛，肩痛。", "wm_dx": ["慢性前列腺炎", "泌尿系感染", "维生素B缺乏"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["失眠", "肾气不充证", "补肾扶元"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痹", "血瘀证", "活血化瘀"]], "rx": ["桂枝", "川芎", "当归", "细辛", "艾叶", "花椒", "铁线透骨草", "伸筋草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62014, "pid": "Pc6e2ebb6e92c", "date": "2026-05-24", "sex": "男", "age": 30, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期备孕，女方生化1次，长期熬夜，咳嗽咳痰，吸烟1包/天，盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子", "韭菜子", "麸炒苍术", "黄柏", "牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62015, "pid": "Pfcf90adbb750", "date": "2026-05-24", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作盗汗熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "干姜", "炙淫羊藿", "熟地黄", "韭菜子", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "干姜", "熟地黄", "炙淫羊藿"], "prev_gap": 37, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 62019, "pid": "Pdaad1eb13698", "date": "2026-05-24", "sex": "男", "age": 29, "cc": "尿频2年", "hpi": "2年前出现尿频尿急，射精快，口干，夜寐差。2026.4.25复诊：近2周同房1次，3-4分钟。5.24复诊：夜尿1次，同房勃起可，射精时间有改善。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["房事早泄", "肾虚证", "补肾扶元"], ["房事早泄", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛"], "flags": ["rx_len_outlier"], "prev_rx": ["蛇床子", "五倍子", "醋五味子", "细辛"], "prev_gap": 29, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62027, "pid": "P8f6412c61c56", "date": "2026-05-24", "sex": "男", "age": 24, "cc": "腰痛乏力1周", "hpi": "近1周出现腰痛乏力，晨勃减少，夜寐差易醒，汗出多，身冷，长期熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "黄芪", "知母", "丹参", "盐杜仲", "牛膝", "醋五味子", "菟丝子", "覆盆子", "甘草", "酒黄精", "太子参", "防己"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62031, "pid": "P6ebb89730e9b", "date": "2026-05-25", "sex": "男", "age": 66, "cc": "前列腺增生复诊", "hpi": "小腹隐痛 尿频 夜尿4次 大便正常 偶见尿等待 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "陈皮", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62033, "pid": "P5a6024645771", "date": "2026-05-25", "sex": "男", "age": 71, "cc": "排尿不畅 夜间明显半年余", "hpi": "排尿不畅 夜间明显半年余 大便正常 纳可眠差 腰痛乏力", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62035, "pid": "P424d15045e5c", "date": "2026-05-25", "sex": "男", "age": 37, "cc": "复诊", "hpi": "尿道不适消失，无尿液颜色改变，无尿急，无小腹及会阴不适，纳可，便调，口中和。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "泽泻", "滑石", "牡丹皮", "炙甘草", "阿胶珠"], "flags": [], "prev_rx": ["猪苓", "茯苓", "泽泻", "滑石", "牡丹皮", "赤芍", "马鞭草", "炙甘草", "阿胶珠"], "prev_gap": 7, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62036, "pid": "Pcef6518d11a2", "date": "2026-05-25", "sex": "男", "age": 43, "cc": "尿频一年", "hpi": "尿频，备育一年未育，少喝酒 大便正常 纳可 眠差 易醒 腰痛乏力 冬天怕冷", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "菟丝子", "盐车前子", "枸杞子", "荆芥", "防风", "炒僵蚕", "炒蒺藜", "酒女贞子", "覆盆子", "醋五味子", "党参", "麸炒枳壳", "制巴戟天", "仙茅", "炙淫羊藿", "炙甘草", "蝉蜕", "沙苑子", "炒酸枣仁", "砂仁", "升麻", "炙黄芪", "白术"], "flags": [], "prev_rx": ["甜叶菊叶", "菟丝子", "盐车前子", "枸杞子", "荆芥", "防风", "炒僵蚕", "炒蒺藜", "酒女贞子", "覆盆子", "醋五味子", "党参", "麸炒枳壳", "制巴戟天", "仙茅", "炙淫羊藿", "炙甘草", "蝉蜕", "沙苑子", "炒酸枣仁", "砂仁", "升麻", "麻黄", "白术"], "prev_gap": 13, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 62037, "pid": "P69bca6819dd4", "date": "2026-05-25", "sex": "男", "age": 50, "cc": "复诊", "hpi": "病史同前、硬度不够。可射精。口苦不明显，无肢冷。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "牡蛎", "龙骨", "炙甘草", "石菖蒲", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 6} {"rid": 62039, "pid": "P545e3a50efe4", "date": "2026-05-25", "sex": "男", "age": 32, "cc": "腹股沟及阴囊潮湿异味2年", "hpi": "2年前出现腹股沟及阴囊潮湿异味，天热加重，口干口苦，无小腹不适，偶有腹泻，怕冷，腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["熟地黄", "党参", "炙黄芪", "茯苓", "山药", "麸炒白术", "干姜", "砂仁", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "覆盆子", "酒女贞子", "枸杞子", "酒萸肉", "盐车前子", "菟丝子", "麸炒枳壳", "炙甘草", "泽泻", "知母"], "flags": [], "prev_rx": ["甜叶菊叶", "党参", "炙黄芪", "茯苓", "山药", "麸炒白术", "干姜", "砂仁", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "覆盆子", "酒女贞子", "枸杞子", "醋五味子", "盐车前子", "菟丝子", "麸炒枳壳", "炙甘草"], "prev_gap": 14, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 62040, "pid": "P832b26da0150", "date": "2026-05-25", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 勃起不佳 中途疲软 晨勃少 早泄 盗汗 龟头敏感", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62049, "pid": "P52a54bf05e5c", "date": "2026-05-25", "sex": "男", "age": 64, "cc": "尿频尿不尽少腹隐痛一周余", "hpi": "尿频尿不尽少腹隐痛一周余 大便正常 纳可 眠安 腰痛 扭伤行动不便 盗汗 腰痛乏力", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒萸肉", "炒酸枣仁", "丹参", "太子参", "知母", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62050, "pid": "P75b23466351a", "date": "2026-05-25", "sex": "男", "age": 37, "cc": "复诊", "hpi": "病史同前,精液色减。否认外伤和特殊药物史。", "wm_dx": ["附睾炎"], "tcm_dx": [["男性生殖病", "湿热下注证", "清热利湿"], ["男性前阴类病", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "泽泻", "瓜蒌", "地黄", "炙甘草", "赤芍"], "flags": [], "prev_rx": ["猪苓", "茯苓", "泽泻", "牡丹皮", "瓜蒌", "地黄", "炙甘草"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 62051, "pid": "P9b58099f1e18", "date": "2026-05-25", "sex": "男", "age": 59, "cc": "复诊", "hpi": "腰痛、乏力均减，无精液。发现血糖高半年。耳鸣。 口干不明显，阴囊潮湿、多汗。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精液类病", "肾虚血瘀证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "烫狗脊", "醋五味子", "炙甘草", "生姜", "大枣", "瓜蒌", "地龙", "地黄"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "烫狗脊", "酒黄精", "炙甘草", "生姜", "大枣", "醋五味子"], "prev_gap": 7, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 7} {"rid": 62053, "pid": "P221265604dc1", "date": "2026-05-25", "sex": "男", "age": 43, "cc": "复诊", "hpi": "病史同前,勃起持续时间短，硬度不够，性生活欲望低，数月一次，失眠，汗不多、口中和。 曾服抗抑郁药。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["男性生殖病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "首乌藤", "姜半夏", "盐蒺藜", "九香虫", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "牡蛎", "龙骨", "盐蒺藜", "九香虫", "地龙", "炙甘草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 9} {"rid": 62054, "pid": "P89e74bb57d5b", "date": "2026-05-25", "sex": "男", "age": 79, "cc": "前列腺增生 泌尿系感染复诊", "hpi": "留置导尿管 大便正常 纳可 眠差", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["金银花", "猪苓", "羌活", "薏苡仁", "山慈菇"], "flags": [], "prev_rx": ["金银花", "猪苓", "羌活", "薏苡仁", "山慈菇"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62057, "pid": "Pd292881d97fd", "date": "2026-05-25", "sex": "男", "age": 88, "cc": "尿频1年", "hpi": "夜尿4--5次.尿显,不畅.有不尽感,尿急不甚.无尿痛. 眠差,肢偏冷,,易汗.无口干口苦.纳可.", "wm_dx": ["前列腺增生"], "tcm_dx": [["癃闭", "肾虚证", "补肾固精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "桑螵蛸", "盐益智仁", "黑顺片", "石菖蒲", "泽泻", "炙甘草", "桂枝", "首乌藤", "郁金"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62060, "pid": "P4f8d2bfe34dc", "date": "2026-05-25", "sex": "男", "age": 78, "cc": "前列腺增生复诊", "hpi": "排尿不畅，无小腹及会阴不适，尿频，夜尿2次。纳眠可。尿急症状明显 腰痛 行动不便", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62068, "pid": "Pf56293274911", "date": "2026-05-25", "sex": "男", "age": 39, "cc": "复诊抄方", "hpi": "病史同前，口中和，未有性生活，汗不多，无肢冷，便调", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "姜厚朴", "瓜蒌", "醋五味子", "桑叶", "地黄", "炙甘草", "酒黄精"], "flags": [], "prev_rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "姜厚朴", "瓜蒌", "醋五味子", "桑叶", "炙甘草", "地黄", "酒黄精"], "prev_gap": 7, "visit_ix": 12, "n_visits": 18, "visit_ix_rx": 12, "n_rx": 18} {"rid": 62069, "pid": "Pc30e55b10db3", "date": "2026-05-25", "sex": "男", "age": 73, "cc": "排尿不畅复诊取药", "hpi": "排尿不畅 ，尿频、尿急，尿线细，尿等待，尿后余沥改善 ，夜尿1-3次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多", "wm_dx": ["前列腺增生", "慢性膀胱炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 20, "n_visits": 25, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62071, "pid": "P4675d4c0b6d0", "date": "2026-05-25", "sex": "男", "age": 63, "cc": "前列腺增生 复诊", "hpi": "前列腺增生 夜尿3次 排尿不畅 大便正常 纳可 眠差", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参", "浙贝母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 3} {"rid": 62079, "pid": "P658d26cf4376", "date": "2026-05-26", "sex": "男", "age": 50, "cc": "腰痛半年", "hpi": "早泄改善 时间3分钟 勃起不坚改善 大小便正常 纳可 失眠", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "肾虚证", "补肾扶元"]], "rx": ["太子参", "猪苓", "羌活", "制巴戟天", "石斛", "玉竹"], "flags": [], "prev_rx": ["太子参", "猪苓", "羌活", "制巴戟天", "醋五味子", "石斛"], "prev_gap": 42, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 62080, "pid": "Paa969464f8f6", "date": "2026-05-26", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "伴有阳痿早泄一年 大小便正常 纳可 眠安 手脚发凉多汗 晨勃少 胁痛 压力大", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62082, "pid": "P8dc6c6b20df4", "date": "2026-05-26", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重，复诊：大便粘，牙龈肿，口气重", "wm_dx": ["甲状腺囊肿", "慢性前列腺炎"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["广藿香", "甘草片", "防风", "生石膏", "炒栀子", "地黄", "酒萸肉", "山药", "党参片", "桑螵蛸", "煅牡蛎", "红景天", "醋鸡内金", "炒苦杏仁", "菟丝子", "枸杞子", "覆盆子", "炙淫羊藿", "醋龟甲"], "flags": [], "prev_rx": ["黄芩片", "黄连片", "干姜", "法半夏", "大枣", "党参片", "北柴胡", "焦山楂", "醋鸡内金", "醋龟甲", "桑螵蛸", "赤小豆", "白花蛇舌草", "菟丝子", "枸杞子", "盐车前子", "红景天"], "prev_gap": 7, "visit_ix": 13, "n_visits": 24, "visit_ix_rx": 12, "n_rx": 23} {"rid": 62084, "pid": "P038aaee0a242", "date": "2026-05-26", "sex": "男", "age": 30, "cc": "尿频一年", "hpi": "尿频，两地分居，2-3月回家一次，无吸烟饮酒，在陕西检查少弱精子，口服药物治疗，排尿正常，偶有阴囊潮湿，大便正常，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "桑螵蛸", "炙淫羊藿", "当归", "川芎", "炒苦杏仁", "仙茅", "醋龟甲", "北柴胡", "黄芩片", "桂枝"], "flags": [], "prev_rx": ["茯苓", "猪苓", "地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "桑螵蛸", "炙淫羊藿", "当归", "川芎", "仙茅", "醋龟甲", "炒苦杏仁"], "prev_gap": 14, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 7} {"rid": 62085, "pid": "P422f1eb620b9", "date": "2026-05-26", "sex": "男", "age": 43, "cc": "阴囊表皮脱皮一月余", "hpi": "阴囊表皮脱皮一月余 大便正常 纳可 眠安 尿频", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓", "川贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62087, "pid": "P6663b8bc80c3", "date": "2026-05-26", "sex": "男", "age": 46, "cc": "盗汗1-2年", "hpi": "盗汗，乏力，硬度一般，晨勃少，排尿正常，大便正常，睡眠一般易醒，纳可，口和，无怕冷,脚踝疼痛,复诊：盗汗，乏力睡眠好转，硬度时间无缓解", "wm_dx": ["高血压"], "tcm_dx": [["痹证类病", "气滞血瘀证", "活血止痛"], ["盗汗", "肝肾亏虚证", "滋补肝肾"]], "rx": ["麸炒白术", "茯苓", "党参片", "炒白扁豆", "陈皮", "北柴胡", "黄芩片", "石菖蒲", "郁金", "醋香附", "鸡血藤", "熟地黄", "酒萸肉", "山药", "赤小豆", "白花蛇舌草", "桑螵蛸"], "flags": [], "prev_rx": ["煅龙骨", "煅牡蛎", "炒栀子", "桂枝", "干姜", "鸡血藤", "细辛", "白芍", "茯苓", "桑螵蛸", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "黑顺片", "丹参", "制巴戟天", "生石膏", "石菖蒲", "盐蒺藜"], "prev_gap": 28, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 62092, "pid": "P0b95e435baee", "date": "2026-05-26", "sex": "男", "age": 54, "cc": "尿频尿急一周", "hpi": "尿频尿急一周 大便正常 纳可 眠安 无下腹疼痛 无睾丸疼痛 无尿道分泌物", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川贝母", "茯苓", "太子参", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "川贝母", "茯苓", "太子参"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 62094, "pid": "Pd583abb59215", "date": "2026-05-26", "sex": "男", "age": 44, "cc": "阴囊潮湿复诊", "hpi": "阴囊潮湿改善 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["薏苡仁", "羌活", "猪苓", "太子参", "防风"], "flags": [], "prev_rx": ["薏苡仁", "茯苓", "猪苓", "太子参", "防风"], "prev_gap": 15, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62095, "pid": "Pce065f40c9c4", "date": "2026-05-26", "sex": "男", "age": 61, "cc": "小腹隐痛一月余", "hpi": "小腹隐痛一月余 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["羌活", "猪苓", "太子参", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62098, "pid": "P40967cf0d90f", "date": "2026-05-26", "sex": "男", "age": 40, "cc": "腰痛乏力伴排尿不畅复诊", "hpi": "腰痛乏力，小腹胀痛，排尿不畅，夜尿1-2次，夜间尿无力，尿不尽。25年超声：前列腺稍大钙化4.0*3.1*4.1cm；26年超声：前列腺大小4.3*3.3*3.9cm。", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "赤小豆", "炒酸枣仁", "酒黄精", "金樱子肉", "锁阳", "莲子", "盐杜仲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62103, "pid": "Pd19f0c801172", "date": "2026-05-26", "sex": "男", "age": 34, "cc": "腰疼2月。", "hpi": "腰酸痛，眼干涩 ，身上起痘，勃起正常，时间短，大便日1行，口中和口气略重,眠有梦早醒，纳可，尿不利，夜尿不多，耳痒，无鼻塞。无怕冷。怕热一直未育。复诊：睡眠正常，口气有，大便略干复诊：阴囊潮湿，多梦", "wm_dx": ["失眠"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["天花粉", "牡蛎", "地黄", "酒萸肉", "白芍", "菊花", "煅龙骨", "牡丹皮", "炒栀子", "淡豆豉", "北柴胡", "赤小豆", "黄芩片", "酒女贞子", "菟丝子", "枸杞子", "醋龟甲", "党参片", "薏苡仁", "炙淫羊藿"], "flags": [], "prev_rx": ["天花粉", "牡蛎", "地黄", "酒萸肉", "白芍", "菊花", "炒酸枣仁", "牡丹皮", "炒栀子", "淡豆豉", "北柴胡", "炙黄芪", "黄芩片", "酒女贞子", "菟丝子", "枸杞子", "醋龟甲", "党参片"], "prev_gap": 35, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 62106, "pid": "P11f2581af2cc", "date": "2026-05-26", "sex": "男", "age": 40, "cc": "乏力复诊", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多，复诊多梦盗汗，口气重", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["麻黄", "黑顺片", "细辛", "茯苓", "白芍", "白术", "生姜", "五倍子", "甘草片"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "泽兰", "猪苓", "滑石", "阿胶珠", "黑顺片", "麸炒白术", "干姜", "炙淫羊藿", "仙茅", "北柴胡", "黄芩片"], "prev_gap": 7, "visit_ix": 19, "n_visits": 24, "visit_ix_rx": 19, "n_rx": 24} {"rid": 62108, "pid": "Pa8a69d13b956", "date": "2026-05-26", "sex": "男", "age": 71, "cc": "阴囊瘙痒一月余", "hpi": "阴囊瘙痒一月余 大小便正常 纳可 眠安", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "茵陈", "黄连", "当归", "赤芍", "大黄", "白芷", "百部", "地龙"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62110, "pid": "P159b1f51af92", "date": "2026-05-26", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，口可，早醒，大便稀2-3次", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "麸炒苍术", "盐黄柏", "牡丹皮", "生地黄", "酒萸肉", "石菖蒲", "炒蒺藜", "麸炒薏苡仁", "丹参", "鸡血藤", "制远志", "黄芩", "牛膝", "淡竹叶"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "麸炒苍术", "盐黄柏", "牡丹皮", "生地黄", "酒萸肉", "石菖蒲", "炒蒺藜", "麸炒薏苡仁", "丹参", "鸡血藤", "制远志", "黄芩", "麦冬"], "prev_gap": 7, "visit_ix": 4, "n_visits": 15, "visit_ix_rx": 4, "n_rx": 14} {"rid": 62113, "pid": "P0185dea2e5af", "date": "2026-05-26", "sex": "男", "age": 34, "cc": "性功能减退3-4年", "hpi": "时间短1-2分钟，硬度一般，晨勃无，半月同房一次，腰酸痛，排尿可，夜尿正常，大便正常偶有腹泻，纳可，睡眠正常多梦，口干，怕冷，乏力，复诊：晨勃有，时间硬度不行，乏力腰疼好转", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "脾肾两虚证", "补肾扶元"], ["房事阳痿", "肾阳虚水泛证", "温补肾阳"]], "rx": ["茯苓", "泽泻", "路路通", "麸炒白术", "炒王不留行", "制水蛭", "滑石", "盐车前子", "牡丹皮", "黑顺片", "桂枝", "当归"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "丹参", "茯苓", "泽泻", "麸炒白术", "干姜", "砂仁", "牡丹皮", "炙淫羊藿", "仙茅", "鸡血藤", "金樱子肉"], "prev_gap": 14, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 6} {"rid": 62115, "pid": "P5284f6cd7d78", "date": "2026-05-26", "sex": "男", "age": 35, "cc": "会阴痛2次", "hpi": "会阴痛，阵发性，无腰痛，无腹痛，尿不尽，大便粘，睡眠入睡困难，口苦", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩", "白芍", "牡丹皮", "桃仁", "红花", "茯苓", "赤小豆", "白花蛇舌草", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62120, "pid": "Pa9f73cabf815", "date": "2026-05-26", "sex": "男", "age": 88, "cc": "包皮红肿复诊", "hpi": "包皮红肿明显改善 大小便正常 纳可 眠差 患者睾丸肿大疼痛改善", "wm_dx": ["附睾炎", "前列腺增生", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "土茯苓", "败酱草", "黄连", "栀子", "白花蛇舌草", "烫水蛭", "蛇床子", "地肤子"], "flags": [], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "土茯苓", "败酱草", "黄连", "栀子", "白花蛇舌草", "烫水蛭", "蛇床子", "地肤子"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62123, "pid": "P148d70aff47f", "date": "2026-05-26", "sex": "男", "age": 28, "cc": "尿频一月", "hpi": "有尝试性生活，有晨勃，手艺可，关键时不行，排尿正常，大便正常，纳可，口干", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["石菖蒲", "制远志", "郁金", "北柴胡", "麸炒枳实", "白芍", "牛膝", "黄芩片", "醋香附", "鸡血藤", "络石藤", "大血藤", "牡丹皮", "蜈蚣", "地龙", "地黄", "丹参"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "丹参", "鸡血藤", "柏子仁", "炒酸枣仁", "牡丹皮", "制巴戟天", "蜈蚣", "石菖蒲", "党参片", "黄芪", "盐胡芦巴", "炙淫羊藿", "仙茅", "麦冬", "玄参", "地黄"], "prev_gap": 20, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 5} {"rid": 62126, "pid": "P9f5380d96e73", "date": "2026-05-27", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛改善 伴有阳痿早泄 时间2-3分钟 晨勃少，排尿正常，夜尿正常，大便正常 胃部不适感， 眠安 口干", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["北柴胡", "制远志", "郁金", "醋香附", "地黄", "酒萸肉", "山药", "石菖蒲", "陈皮", "淡竹叶", "蜈蚣", "酒黄精", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "地黄", "党参片", "郁金", "大枣", "石菖蒲", "盐蒺藜", "蜈蚣", "炙淫羊藿", "韭菜子", "金樱子肉", "赤小豆"], "prev_gap": 14, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 6, "n_rx": 11} {"rid": 62129, "pid": "Pa11c087ec69b", "date": "2026-05-27", "sex": "男", "age": 42, "cc": "尿频2月", "hpi": "尿频，近2月出现勃起不能，既往口服他达拉非，有效不明显，无晨勃，尿不尽，无阴囊潮湿，腰酸痛，无腹痛，睡眠正常，纳可，大便2-4次，口和.建议5mg他达拉非口服", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "牡丹皮", "酒萸肉", "地黄", "丹参", "鸡血藤", "大血藤", "络石藤", "牛膝", "酒黄精", "金樱子肉", "锁阳", "赤小豆", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "地龙", "赤小豆", "牡丹皮", "郁金", "地黄", "炙淫羊藿", "仙茅"], "prev_gap": 14, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 7} {"rid": 62130, "pid": "P04d58e5f1faf", "date": "2026-05-27", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，久坐", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾阴虚证", "滋补肾精"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "炒酸枣仁", "石菖蒲", "赤小豆"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62132, "pid": "P6a9507ddcbe6", "date": "2026-05-27", "sex": "男", "age": 43, "cc": "尿频1年", "hpi": "尿频，1年前突发勃起不佳，近一年未成功同房，尿无力，夜尿正常，大便正常，睡眠正常，纳可，口苦.复诊：排尿无压力，眼屎多，头上起包，硬度可以，时间短", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["龙胆", "泽泻", "小通草", "路路通", "炒栀子", "地黄", "牛膝", "北柴胡", "牡丹皮", "石菖蒲", "盐蒺藜", "薏苡仁", "炒苦杏仁", "蜈蚣", "柏子仁", "煅龙骨"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "制远志", "柏子仁", "郁金", "韭菜子", "蜈蚣", "路路通", "炙淫羊藿", "牡丹皮", "地黄"], "prev_gap": 7, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 62136, "pid": "P10ec723011dd", "date": "2026-05-27", "sex": "男", "age": 66, "cc": "乏力困倦1月", "hpi": "乏力困倦1月，下肢酸胀，硬度下降，性欲一般，腰痛，盗汗", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肝肾"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "茯苓", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62138, "pid": "P7ffe1723096e", "date": "2026-05-27", "sex": "男", "age": 62, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿线细，尿等待，夜尿3次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62140, "pid": "P133558f68872", "date": "2026-05-27", "sex": "男", "age": 55, "cc": "排尿尿频4-5年", "hpi": "尿频，夜尿多，口服非那雄胺，盐酸坦索罗辛缓释治疗，硬度一般，时间短，口干口渴，纳一般，睡眠一般，大便可，腰疼腿疼，怕冷，无明显汗出，乏力感，复诊：夜尿较少，乏力，仍腰酸痛，复诊：时间7-10分钟，复诊：口干舌燥，腰疼，抽筋", "wm_dx": ["失眠", "男性性腺功能低下"], "tcm_dx": [["腰痛", "气滞血瘀证", "活血止痛"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "生姜", "大枣", "白芍", "北柴胡", "黄芩片", "丹参", "鸡血藤", "陈皮", "麸炒白术", "牡蛎", "石菖蒲", "地黄", "蜈蚣", "黑顺片", "茯苓", "制巴戟天", "煅龙骨", "川芎"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "干姜", "煅龙骨", "煅牡蛎", "石菖蒲", "麸炒枳实", "麸炒白术", "当归", "丹参", "鸡血藤", "盐蒺藜", "茯苓", "桑寄生", "黑顺片", "炙淫羊藿", "党参片", "韭菜子"], "prev_gap": 14, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 62141, "pid": "Pebfa91a71812", "date": "2026-05-27", "sex": "男", "age": 66, "cc": "排尿不畅 偶见酸涩感复诊取药", "hpi": "排尿不畅 偶见酸涩感明显改善 大便正常 纳可 眠安", "wm_dx": ["前列腺增生", "慢性膀胱炎", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["羌活", "猪苓", "茯苓", "太子参", "陈皮"], "flags": [], "prev_rx": ["羌活", "猪苓", "茯苓", "薏苡仁"], "prev_gap": 79, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62142, "pid": "P24086139617e", "date": "2026-05-27", "sex": "男", "age": 62, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，包皮及龟头皮肤色红，稍有水肿，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。伴阴囊瘙痒。", "wm_dx": ["包皮龟头炎", "前列腺炎", "皮炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭", "猪苓", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆炭", "盐黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连", "麸炒苍术", "百部", "烫水蛭"], "prev_gap": 69, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62143, "pid": "P7f15fa4262ea", "date": "2026-05-27", "sex": "男", "age": 32, "cc": "尿频1年", "hpi": "尿频，尿有泡沫夜尿正常，硬度不佳，中途疲软，时有不能插入，晨勃少，大便正常，怕冷，睡眠熬夜，纳一般，口干口苦", "wm_dx": ["股癣", "包皮龟头炎", "男性性腺功能低下"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "茯苓", "泽泻", "黑顺片", "猪苓", "白芍", "生姜", "大枣", "炙淫羊藿", "仙茅", "川芎", "当归", "丹参", "鸡血藤", "络石藤", "大血藤", "北柴胡", "炙黄芪", "蜈蚣"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "石菖蒲", "柏子仁", "制远志", "郁金", "茯苓", "当归", "川芎", "桂枝", "生姜", "大枣", "炙淫羊藿", "干姜", "蜈蚣", "党参片"], "prev_gap": 14, "visit_ix": 5, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 6} {"rid": 62144, "pid": "P482214de5c53", "date": "2026-05-27", "sex": "男", "age": 40, "cc": "尿频1周", "hpi": "尿频1周，尿道灼热，尿痛，无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和，腿酸痛，腰痛，乏力，怕冷", "wm_dx": ["腰痛", "前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "茯苓", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62146, "pid": "Pc1a4accbea46", "date": "2026-05-27", "sex": "男", "age": 79, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频、尿急，尿线细，尿等待，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。诊断前列腺增生。腰痛。", "wm_dx": ["腰痛", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炒酸枣仁", "猪苓", "茯苓", "太子参", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62147, "pid": "P30c311821b91", "date": "2026-05-27", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "鸡血藤", "酒苁蓉", "盐杜仲", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62149, "pid": "P04af95708b0c", "date": "2026-05-27", "sex": "男", "age": 33, "cc": "尿后余沥1月", "hpi": "尿后余沥1月，近一月尿床4次，工作乏力劳累，眠可，排尿不畅，腰痛", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["金樱子肉", "醋五味子", "石菖蒲", "黄芪", "太子参", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62150, "pid": "P1aa922eda6ec", "date": "2026-05-27", "sex": "男", "age": 53, "cc": "尿频6-7年", "hpi": "尿频，夜尿2-3次，大便正常，头晕，纳可，口干渴，无晨勃，无勃起，无怕冷，乏力，不愿吃西药，腿酸胀，复诊，夜尿1-2次，复诊：口苦复诊：口苦，腹胀，复诊：口干，腹胀，睡眠一般，小腿无力", "wm_dx": ["反流性食管炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["豆蔻", "薏苡仁", "炒苦杏仁", "法半夏", "滑石", "淡竹叶", "麸炒白术", "党参片", "姜厚朴", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "龙胆", "醋鸡内金", "煅阳起石"], "flags": [], "prev_rx": ["法半夏", "黄连片", "黄芩片", "干姜", "炒苦杏仁", "豆蔻", "麸炒薏苡仁", "淡竹叶", "姜厚朴", "党参片", "石菖蒲", "滑石", "陈皮", "丹参", "鸡血藤"], "prev_gap": 35, "visit_ix": 15, "n_visits": 22, "visit_ix_rx": 15, "n_rx": 17} {"rid": 62154, "pid": "P7d3937600b65", "date": "2026-05-27", "sex": "男", "age": 63, "cc": "前列腺增生复诊", "hpi": "尿痛消失 大便正常 纳可 眠安 排尿不畅 尿频 外院复查PSA10 比值0.35", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["三七粉", "太子参", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62157, "pid": "P58bede11d5a4", "date": "2026-05-27", "sex": "男", "age": 26, "cc": "尿频1月", "hpi": "尿频1月，工作久坐，包皮刺痒，包皮过长，腰痛，乏力，盗汗，夜尿0-1次", "wm_dx": 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"尿频尿急复诊", "hpi": "尿频尿急改善 尿失禁基本消失 大便正常 纳差 眠安", "wm_dx": ["前列腺增生", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "川贝母"], "flags": [], "prev_rx": ["猪苓", "羌活", "太子参", "茯苓", "薏苡仁"], "prev_gap": 28, "visit_ix": 4, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62166, "pid": "P492b60397fcd", "date": "2026-05-28", "sex": "男", "age": 24, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62174, "pid": "Pf0564af9d36c", "date": "2026-05-28", "sex": "男", "age": 37, "cc": "慢性前列腺炎抄方", "hpi": "尿急1年，怕冷，尿频，无小腹及会阴不适，夜尿0-1次，睡眠可，大便稀，口干，盗汗，工作不久坐，腰痛", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "天花粉", "龙骨", "牡蛎", "桂枝", "干姜", "当归", "白芍", "川芎", "白术", "茯苓", "泽泻", "炙甘草"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "制水蛭", "莲须", "石菖蒲"], "prev_gap": 56, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62175, "pid": "P24bb5116aef8", "date": "2026-05-28", "sex": "男", "age": 35, "cc": "尿频6年", "hpi": "尿频6年，持续不久，近4月勃起不坚，中途疲软，昨日未常规。晨勃有，熬夜，排尿正常，喝水即尿多，大便不成型，纳可，口和，无怕冷，腰痛。药后症状改善，停药后反复。", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["精浊", "脾肾阳虚证", "补肾扶元"]], "rx": ["茯苓", "泽泻", "当归", "川芎", "熟地黄", "牡丹皮", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "干姜", "炙淫羊藿", "蜈蚣", "黑顺片", "酒黄精", "北柴胡", "醋青皮", "酒苁蓉", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["茯苓", "泽泻", "当归", "川芎", "熟地黄", "牡丹皮", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "干姜", "炙淫羊藿", "蜈蚣", "黑顺片", "酒黄精"], "prev_gap": 43, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 62178, "pid": "P5e7f185fd1ce", "date": "2026-05-28", "sex": "男", "age": 40, "cc": "慢性前列腺炎腰痛乏力复诊", "hpi": "慢性前列腺炎腰痛乏力复诊 偶见尿痛 早泄 龟头敏感 腰痛 乏力盗汗 尿频 尿急 尿不尽", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "炙黄芪", "川贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "黄连", "蝉蜕", "荆芥", "白芷", "防风", "当归", "大黄"], "prev_gap": 16, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 4} {"rid": 62180, "pid": "Pa5f04e7b0abe", "date": "2026-05-28", "sex": "男", "age": 46, "cc": "腰痛复诊抄方", "hpi": "腰痛 勃起硬度欠佳改善明显，性欲可，口中和，夜寐可，胁肋疼痛，大小便正常，晨勃可 高尿酸血症 痛风", "wm_dx": ["高血压", "痛风", "高尿酸血症"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "川牛膝"], "flags": [], "prev_rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "太子参", "制巴戟天", "川牛膝"], "prev_gap": 30, "visit_ix": 3, "n_visits": 9, "visit_ix_rx": 3, "n_rx": 9} {"rid": 62197, "pid": "P2e46a7bd5aa2", "date": "2026-05-29", "sex": "男", "age": 69, "cc": "口渴一年", "hpi": "口渴，喝水，尿频，夜尿增多，2小时一次，大便稀，近期消瘦乏力，纳可", "wm_dx": ["前列腺增生"], "tcm_dx": [["腰痛", "肾阴虚证", "滋补肾阴"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["法半夏", "炒苦杏仁", "麸炒薏苡仁", "豆蔻", "滑石", "赤小豆", "白花蛇舌草", "桂枝", "茯苓", "泽泻", "石见穿", "制水蛭", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62198, "pid": "P827847949ae1", "date": "2026-05-29", "sex": "男", "age": 51, "cc": "复诊", "hpi": "病史同前，口中粘，勃起可，持续时间短，硬度一般。眠可.", "wm_dx": ["男性勃起障碍", "代谢综合征"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "生姜", "五倍子", "大枣", "金樱子肉"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "生姜", "五倍子", "大枣"], "prev_gap": 7, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 6, "n_rx": 8} {"rid": 62201, "pid": "P8f1accab3087", "date": "2026-05-29", "sex": "男", "age": 43, "cc": "尿频一月", "hpi": "尿频，尿不尽，试管2次未成功，既往检查精液2.49%，排尿正常，大便不成型，肠镜-，睡眠正常，纳可，口干，腰痛，近期乏力，体重下降，怕冷，复诊：左侧后脚跟疼痛，复诊：足部疼痛消失，现大便粘，脖子不适感\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n5", "wm_dx": ["腰痛", "乏力", "高血压"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "地黄", "酒萸肉", "山药", "白芍", "茯苓", "猪苓", "枸杞子", "菟丝子", "酒黄精", "盐车前子", "牡蛎", "赤小豆", "生姜", "醋龟甲", "葛根", "黑顺片", "丹参", "炒苦杏仁", "北柴胡"], "flags": [], "prev_rx": ["桂枝", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "猪苓", "枸杞子", "菟丝子", "酒黄精", "盐车前子", "牡蛎", "赤小豆", "生姜", "醋龟甲", "薤白", "黑顺片", "丹参"], "prev_gap": 21, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 9, "n_rx": 10} {"rid": 62203, "pid": "Pac7b1bc54b48", "date": "2026-05-29", "sex": "男", "age": 61, "cc": "尿无力半年", "hpi": "尿无力半年 勃起不坚 中途疲软 大小便正常 纳可不能吃生冷， 睡眠差多梦易醒 口和", "wm_dx": ["泌尿系感染", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "桂枝", "生姜", "干姜", "北柴胡", "黄芩片", "党参片", "炙淫羊藿", "桔梗", "丹参", "鸡血藤", "制远志", "生石膏", "炒苦杏仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "桂枝", "生姜", "干姜", "北柴胡", "黄芩片", "党参片", "炙淫羊藿", "仙茅", "丹参", "鸡血藤", "制远志"], "prev_gap": 7, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 6} {"rid": 62205, "pid": "Pb77ab49d947c", "date": "2026-05-29", "sex": "男", "age": 34, "cc": "中途疲软一年", "hpi": "晨勃有，同房中途疲软，精子活力差，排尿正常，大便正常，纳可，睡眠熬夜，口干口苦", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["菟丝子", "枸杞子", "覆盆子", "盐车前子", "醋五味子", "地黄", "酒萸肉", "山药", "牡丹皮", "醋鸡内金", "焦山楂", "北柴胡", "麸炒枳实", "白芍", "牛膝", "丹参", "鸡血藤"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 62206, "pid": "Pc26a428a4412", "date": "2026-05-29", "sex": "男", "age": 59, "cc": "前列腺增生复诊", "hpi": "排尿不畅 尿痛 尿道灼热一周余 大便正常 纳可 眠安 腰痛乏力", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "炙黄芪"], 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"酒苁蓉", "石菖蒲", "醋龟甲", "炙淫羊藿", "川芎", "黄芪", "人参", "韭菜子", "制巴戟天", "盐补骨脂", "甜叶菊叶"], "prev_gap": 25, "visit_ix": 12, "n_visits": 15, "visit_ix_rx": 3, "n_rx": 5} {"rid": 62219, "pid": "Pa99dbf7ea20a", "date": "2026-05-30", "sex": "男", "age": 20, "cc": "腰痛乏力复诊", "hpi": "早泄改善 时间2分钟 龟头敏感 勃起可 大小便正常 纳可 眠安 胁痛", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "花椒", "五加皮", "地骨皮", "炒僵蚕"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "花椒", "五加皮", "地骨皮"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62222, "pid": "Pf5ef359469bd", "date": "2026-05-30", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 乏力疲劳 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "酒女贞子", "枸杞子", "覆盆子", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} 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"太子参", "石菖蒲", "酒萸肉", "醋鸡内金", "炒麦芽", "盐车前子", "覆盆子", "菟丝子", "熟地黄", "醋五味子", "酒大黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62238, "pid": "P40f15a161ed5", "date": "2026-05-30", "sex": "男", "age": 45, "cc": "少腹隐痛半年", "hpi": "慢性前列腺炎病史多年 大小便正常 纳可 眠安 阳痿早泄 腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["三七粉", "制巴戟天", "菟丝子", "覆盆子", "太子参", "砂仁"], "flags": [], "prev_rx": ["三七粉", "制巴戟天", "菟丝子", "覆盆子", "太子参"], "prev_gap": 35, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62239, "pid": "Paf4b79525739", "date": "2026-05-30", "sex": "男", "age": 32, "cc": "腰痛半年", "hpi": "排尿正常，大便不成型，睡眠一般早醒，纳可，晨勃少，伴有早泄3月 勃起不坚 勃起不持久", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "当归", "川芎", "路路通", "黄芩片", "茯苓", "泽泻", "蜈蚣", "韭菜子", "盐蒺藜", "石菖蒲", "鸡血藤", "制远志", "柏子仁", "地龙"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "当归", "川芎", "牡丹皮", "黄芩片", "茯苓", "泽泻", "蜈蚣", "韭菜子", "盐蒺藜", "石菖蒲", "鸡血藤", "制远志", "柏子仁"], "prev_gap": 14, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 6} {"rid": 62245, "pid": "P78bcf47b4d3b", "date": "2026-05-30", "sex": "男", "age": 37, "cc": "腰痛半月", "hpi": "腰痛半月 大小便正常 纳可 眠安 盗汗", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "菟丝子", "砂仁", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62248, "pid": "P0a856974c64b", "date": "2026-05-30", "sex": "男", "age": 75, "cc": "泌尿系感染复诊", "hpi": "右侧腹股沟疼痛改善 尿频改善 大便正常 纳可 眠安", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "山慈菇"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "羌活", "太子参", "茯苓", "山慈菇"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62250, "pid": "Pf19e7babf8ed", "date": "2026-05-30", "sex": "男", "age": 52, "cc": "小腹隐痛 尿黄半年", "hpi": "小腹隐痛 尿黄半年 夜尿1次 大便正常 纳可 眠差 排尿无力 腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["覆盆子", "菟丝子", "制巴戟天", "太子参", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62251, "pid": "P4d614c658f29", "date": "2026-05-30", "sex": "男", "age": 39, "cc": "尿频3月", "hpi": "性欲一般，准备备育，时间短2-3分钟，口干口苦，尿黄，大便正常，纳可，不太吃凉，微怕冷，睡眠多梦，胃胀", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "黄芩", "党参", "石菖蒲", "炒蒺藜", "丹参", "鸡血藤", "莲子", "醋龟甲", "菟丝子", "盐黄柏", "淡竹叶", "绵萆薢", "赤小豆"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62255, "pid": "P4b868542739d", "date": "2026-05-30", "sex": "男", "age": 53, "cc": "尿频复诊", "hpi": "病史同前，夜尿2次,尿畅尿急,色黄,夜尿一次,大便正常,睡眠差,口和,阴囊潮湿.滴白, 性欲一般,硬度一般", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["北柴胡", "石菖蒲", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "制远志", "柏子仁", "郁金", "丹参", "鸡血藤", "黄芩片", "化橘红", "法半夏", "炙淫羊藿"], "flags": [], "prev_rx": ["黑顺片", "九香虫", "桂枝", "白芍", "牡蛎", "龙骨", "白薇", "紫苏叶", "炙甘草", "生姜", "大枣", "泽泻"], "prev_gap": 187, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 8} {"rid": 62261, "pid": "P0b9000fe8dc7", "date": "2026-05-30", "sex": "男", "age": 40, "cc": "尿频2年", "hpi": "尿频，无晨勃，硬度一般，吸烟饮酒，熬夜，排尿可 ，喝水尿频，大便不成型，睡眠正常，纳可，口干，时有腰疼，无怕冷，怕热，复诊：硬度好转，时间短5--6分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "党参片", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "姜厚朴", "干姜", "麸炒白术", "柏子仁"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "党参片", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "姜厚朴", "干姜", "麸炒白术", "柏子仁"], "prev_gap": 7, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 6, "n_rx": 11} {"rid": 62264, "pid": "Pb61d358cfcb5", "date": "2026-05-30", "sex": "男", "age": 59, "cc": "包皮龟头炎2月余", "hpi": "包皮龟头炎2月余 大便正常 纳可 眠安 尿分叉", 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"补益气血"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "韭菜子", "制巴戟天", "川芎", "炒酸枣仁", "柏子仁", "茯神", "炒栀子"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "韭菜子", "制巴戟天", "川芎", "炒酸枣仁", "柏子仁", "茯神"], "prev_gap": 7, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 6, "n_rx": 7} {"rid": 62271, "pid": "Pf6b52f48e651", "date": "2026-05-30", "sex": "男", "age": 23, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 时间3-5分钟 勃起可 大小便正常 纳可 眠安 龟头敏感 胁痛", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["莲子", "醋五味子", "菟丝子", "盐蒺藜", "麸炒芡实", "莲须", "煅龙骨", "煅牡蛎", "酒萸肉", "黄连片", "关黄柏", "知母", "酒苁蓉", "金樱子肉", "蛇床子", "细辛", "五倍子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62277, "pid": "P7c5adfbedad0", "date": "2026-05-30", "sex": "男", "age": 53, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，汗出，疲劳，夜寐差，盗汗，夜尿1次", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "黄芪", "酒黄精", "韭菜子", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 62280, "pid": "Pb6037c4aafe0", "date": "2026-05-30", "sex": "男", "age": 35, "cc": "腰痛乏力伴射精快3月", "hpi": "3月前出现腰痛乏力伴射精快，勃起欠佳，下肢乏力，龟头红疹.3.21复诊：腰痛下肢乏力好转，勃起可，中途疲软，敏感度好转，易生气，胁肋疼痛。4.4复诊：勃起明显好转，中途疲软好转，射精快好转，下肢乏力好转，偶有左侧大腿外侧酸痛不适。4.18复诊：勃起中途疲软，尿不尽。", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "仙茅", "韭菜子", "川芎", "黄芪", "人参"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "韭菜子", "制巴戟天", "麸炒山药", "盐补骨脂", "黄芪", "人参", "全蝎"], "prev_gap": 21, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 7, "n_rx": 8} {"rid": 62289, "pid": "Ped4394b5d38f", "date": "2026-05-30", "sex": "男", "age": 37, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力,盗汗,12点睡,长期熬夜,口中和。5.3复诊：腰痛乏力好转，口角上火起痘，11点多睡。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "金樱子", "盐车前子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "炙淫羊藿", "黄芪", "麦冬", "醋五味子"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "金樱子", "盐车前子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "黄芪"], "prev_gap": 14, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 62293, "pid": "P155602f2ebc9", "date": "2026-05-31", "sex": "男", "age": 36, "cc": "腰痛乏力伴射精快1年", "hpi": "1年前出现腰痛乏力伴射精快，性欲减退，手足心汗出，盗汗，勃起可，二便调，口中和，长期熬夜，睡眠少", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "黄柏", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "制远志", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "盐杜仲", "续断", "金樱子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62295, "pid": "P925054389b32", "date": "2026-05-31", "sex": "男", "age": 54, "cc": "腰痛乏力多年", "hpi": "腰痛乏力多年，勃起不坚，性欲可，口干口苦，夜寐差，排尿可", "wm_dx": ["男性性腺功能低下", "前列腺增生"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"], ["精癃", "血瘀证", "活血化瘀"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["北柴胡", "炙甘草", "麸炒枳实", "菟丝子", "烫水蛭", "制远志", "酒苁蓉", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "韭菜子", "甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "土茯苓", "石菖蒲", "夏枯草", "锁阳", "麸炒薏苡仁", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62306, "pid": "P1dcd6ed9f44e", "date": "2026-05-31", "sex": "男", "age": 62, "cc": "手脚冰凉抄方", "hpi": "手脚发凉，腰部肌肉酸痛，腿抽筋，左侧小腿肌肉胀痛，大便干一天一次，口服麻仁润肠丸，排尿正常，纳可，不能吃生冷，睡眠正常，口和，复诊：胃口好转，大便色黑，腿抽筋消失。尿频，复诊：大便正常。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["便秘", "湿热蕴结证", "润燥通便"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制巴戟天", "酒苁蓉", "仙茅", "炙淫羊藿", "盐杜仲", "续断片", "烫狗脊"], "flags": [], "prev_rx": ["制巴戟天", "酒苁蓉", "仙茅", "炙淫羊藿", "盐杜仲", "续断片", "烫狗脊"], "prev_gap": 20, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 8, "n_rx": 9} {"rid": 62312, "pid": "P9f09468d6d10", "date": "2026-05-31", "sex": "男", "age": 38, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 少腹隐痛 胁痛 行动不便", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "心肾不交证", "交通心肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "法半夏", "黄芩片", "党参片", "龙骨", "牡蛎", "知母", "关黄柏", "肉桂", "炒酸枣仁", "盐车前子", "菟丝子", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["知母", "关黄柏", "桂枝", "熟地黄", "酒萸肉", "牡丹皮", "泽泻", "茯苓", "覆盆子", "菟丝子", "盐车前子", "醋延胡索"], "prev_gap": 84, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 6, "n_rx": 9} {"rid": 62316, "pid": "P0cf786e70347", "date": "2026-05-31", "sex": "男", "age": 37, "cc": "会阴不适复诊", "hpi": "会阴不适改善，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力盗汗。3.8复诊：睾丸下坠感明显减轻，会阴不适，小腹不适。胁痛。", "wm_dx": ["附睾囊肿", "精索静脉曲张", "前列腺炎", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "炒王不留行", "盐橘核", "醋三棱", "醋莪术", "橘络", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "橘络", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "prev_gap": 14, "visit_ix": 17, "n_visits": 25, "visit_ix_rx": 10, "n_rx": 18} {"rid": 62317, "pid": "P887e2b1d7e0e", "date": "2026-05-31", "sex": "男", "age": 37, "cc": "腰酸一年", "hpi": "勃起困难、硬度不够，性生活一次每周。腰酸，尿频不甚，尿不尽。口干、汗不多。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"], ["精浊", "肾虚证", "补肾益精"]], "rx": ["知母", "关黄柏", "熟地黄", "酒萸肉", "茯苓", "泽泻", "牛膝", "炒王不留行", "赤芍", "白芍", "玄参", "醋五味子", "麸炒芡实", "金樱子肉", "酒女贞子", "墨旱莲", "地黄", "麦冬", "黄芪"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "酒萸肉", "牛膝", "九香虫", "地龙", "炙甘草"], "prev_gap": 62, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62328, "pid": "P69bca6819dd4", "date": "2026-06-01", "sex": "男", "age": 50, "cc": "复诊抄方", "hpi": "病史同前、硬度不够。可射精。口苦不明显，无肢冷。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "牡蛎", "龙骨", "炙甘草", "石菖蒲", "蜈蚣"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "牡蛎", "龙骨", "炙甘草", "石菖蒲", "蜈蚣"], "prev_gap": 7, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 6} {"rid": 62331, "pid": "P6fa58f355ee0", "date": "2026-06-01", "sex": "男", "age": 35, "cc": "腰痛一月", "hpi": "伴有性欲下降 勃起不佳 晨勃少 大小便正常 纳可 眠差 盗汗", "wm_dx": ["糖尿病"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "太子参", "菟丝子", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62334, "pid": "P83ed4b8faf8e", "date": "2026-06-01", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "复诊，眠差、口苦、便1-2次。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "生石膏", "茯苓", "白术", "木香", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 10} {"rid": 62336, "pid": "P557bf89bb845", "date": "2026-06-01", "sex": "男", "age": 39, "cc": "复诊", "hpi": "易汗减，性功能差。下肢凉减，口干，口苦消。心急。纳可便调", "wm_dx": ["男性性腺功能低下", "代谢综合征"], "tcm_dx": [["男性生殖病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "牡蛎", "龙骨", "桂枝", "白薇", "黑顺片", "九香虫", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "酒黄芩", "白芍", "牡蛎", "龙骨", "桂枝", "白薇", "黑顺片", "地龙", "炙甘草", "醋龟甲", "生姜", "大枣"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62339, "pid": "P9b58099f1e18", "date": "2026-06-01", "sex": "男", "age": 59, "cc": "复诊", "hpi": "口苦不干、乏力均减，无精液。发现血糖高半年，耳鸣，阴囊潮湿、多汗。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精液类病", "肾虚血瘀证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "醋五味子", "瓜蒌", "地龙", "地黄", "炙甘草", "生姜", "大枣", "酒黄芩"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "烫狗脊", "醋五味子", "炙甘草", "生姜", "大枣", "瓜蒌", "地龙", "地黄"], "prev_gap": 7, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 7} {"rid": 62341, "pid": "P60f479e184aa", "date": "2026-06-01", "sex": "男", "age": 37, "cc": "复诊", "hpi": "未有血精，腰痛无定处，尿色正常，否认外伤。", "wm_dx": ["精囊炎"], "tcm_dx": [["腰痛", "肾虚血瘀证", "补肾固精"]], "rx": ["猪苓", "茯苓", "泽泻", "滑石", "连翘", "赤芍", "炙甘草", "牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 3} {"rid": 62344, "pid": "Pce757d1648b0", "date": "2026-06-01", "sex": "男", "age": 62, "cc": "血尿一周余", "hpi": "血尿一周余 尿道灼热 尿不尽 大便正常 纳可 眠安", "wm_dx": ["泌尿系感染", "慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "薏苡仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "薏苡仁", "太子参"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62349, "pid": "Pf2c87a9d3854", "date": "2026-06-01", "sex": "男", "age": 31, "cc": "慢性前列腺炎复诊取药", "hpi": "尿频 尿急 尿等待 硬度时有一般，时间短，乏力感，腰部发凉，纳可，大便不成型，睡眠入睡困难，易烦", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "川贝母"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "薏苡仁", "太子参", "川贝母"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62357, "pid": "P221265604dc1", "date": "2026-06-01", "sex": "男", "age": 43, "cc": "复诊", "hpi": "病史同前，未有性生活，数月一次，失眠，汗不多、口中稍干。 曾服抗抑郁药。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["男性生殖病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "首乌藤", "姜半夏", "盐蒺藜", "九香虫", "炙甘草", "炒酸枣仁"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "首乌藤", "姜半夏", "盐蒺藜", "九香虫", "炙甘草"], "prev_gap": 7, "visit_ix": 2, "n_visits": 9, "visit_ix_rx": 2, "n_rx": 9} {"rid": 62360, "pid": "P739099b403b8", "date": "2026-06-01", "sex": "男", "age": 83, "cc": "前列腺增生复诊", "hpi": "尿急，排尿不畅，夜尿3-4次改善 大便正常 纳可 眠差 胃食管反流，腰痛乏力", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川贝母", "薏苡仁", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "太子参", "制巴戟天"], "prev_gap": 32, "visit_ix": 7, "n_visits": 9, "visit_ix_rx": 3, "n_rx": 5} {"rid": 62367, "pid": "P8dc6c6b20df4", "date": "2026-06-02", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重，复诊：大便粘，牙龈肿，口气重", "wm_dx": ["慢性前列腺炎", "甲状腺囊肿"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["熟地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "桑螵蛸", "牡蛎", "红景天", "醋鸡内金", "焦山楂", "麸炒白术", "醋龟甲", "路路通", "丝瓜络", "菟丝子", "枸杞子"], "flags": [], "prev_rx": ["广藿香", "甘草片", "防风", "生石膏", "炒栀子", "地黄", "酒萸肉", "山药", "党参片", "桑螵蛸", "煅牡蛎", "红景天", "醋鸡内金", "炒苦杏仁", "菟丝子", "枸杞子", "覆盆子", "炙淫羊藿", "醋龟甲"], "prev_gap": 7, "visit_ix": 14, "n_visits": 24, "visit_ix_rx": 13, "n_rx": 23} {"rid": 62374, "pid": "P64546deeaac2", "date": "2026-06-02", "sex": "男", "age": 73, "cc": "前列腺增生症复诊", "hpi": "前列腺增生，外院检查B超前列腺增生，血PSA0.919，尿常规-，外院药物治疗，出现失眠现象。现夜尿1次，无尿等待，无腹痛，无腰疼，大便正常，纳可。睡眠一般。口和", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 7, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62376, "pid": "P68b914fe4c55", "date": "2026-06-02", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，无晨勃，硬度下降 ，性欲可，乏力仍存在，情绪急躁，喝酒大便稀，梦多眠差，无排尿不畅、尿后余沥，口干口苦，复诊：自觉硬度有好转，睡眠好转", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "赤小豆", "白花蛇舌草", "牡丹皮", "白芍", "石菖蒲", "制远志", "川芎", "百合", "地黄", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "丝瓜络"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "赤小豆", "白花蛇舌草", "牡丹皮", "白芍", "石菖蒲", "制远志", "柏子仁", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "韭菜子"], "prev_gap": 10, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 8, "n_rx": 9} {"rid": 62378, "pid": "P450934dbd78a", "date": "2026-06-02", "sex": "男", "age": 28, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 大小便正常 纳可 眠安 感情淡漠 脾气暴躁 盗汗", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "菟丝子", "太子参", "覆盆子", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62388, "pid": "P9b3a04d36ba4", "date": "2026-06-02", "sex": "男", "age": 52, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "败酱草", "当归", "赤芍", "大黄", "白芷", "地龙"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62389, "pid": "P4c5504602644", "date": "2026-06-02", "sex": "男", "age": 40, "cc": "慢性前列腺炎复诊", "hpi": "小腹及会阴刺痛，压力大，性欲可，稍有焦虑，夜尿0-1次。无明显尿等待，无明显排尿不畅。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["熟地黄", "山药", "牡丹皮", "酒萸肉", "泽泻", "肉桂", "川芎", "当归", "通草", "茵陈", "炒栀子", "炙甘草", "葛根", "大血藤", "醋五灵脂", "炒酸枣仁", "石菖蒲", "制远志", "醋延胡索", "麸炒苍术", "茯苓", "薏苡仁", "黄柏", "牛膝"], "flags": [], "prev_rx": ["熟地黄", "山药", "牡丹皮", "酒萸肉", "泽泻", "肉桂", "细辛", "当归", "通草", "茵陈", "炒栀子", "炙甘草", "葛根", "鸡血藤", "橘络", "炒酸枣仁", "石菖蒲", "制远志", "醋延胡索", "佩兰", "茯苓", "知母"], "prev_gap": 13, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 5} {"rid": 62391, "pid": "Pa38b44862d87", "date": "2026-06-02", "sex": "男", "age": 38, "cc": "尿频5-6年", "hpi": "尿频，夜尿正常，大便不成形，睡眠正常，乏力，纳可，口干，晨勃少，硬度不佳，中途疲软", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝郁肾虚证", "补肾固精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "路路通", "鸡血藤", "制远志", "郁金", "柏子仁", "淡竹叶", "莲子心", "地黄", "蜈蚣", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62393, "pid": "Pb92c461a1472", "date": "2026-06-02", "sex": "男", "age": 83, "cc": "肚脐下疼痛一周", "hpi": "肚脐下疼痛，会阴部发胀，腰背疼痛，大便细。夜尿3-4次，发热感出汗，口苦", "wm_dx": ["前列腺增生", "失眠"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "麸炒枳实", "大黄", "法半夏", "白芍", "大枣", "生姜", "姜厚朴", "炙甘草", "赤小豆", "白花蛇舌草", "石菖蒲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 7, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62394, "pid": "P159b1f51af92", "date": "2026-06-02", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，口可，早醒，大便稀2-3次", "wm_dx": ["高脂血症"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["党参", "茯苓", "麸炒白术", "黑顺片", "大枣", "制远志", "炒酸枣仁", "干姜", "陈皮", "炙甘草", "石菖蒲", "牡丹皮", "北柴胡"], "flags": [], "prev_rx": ["北柴胡", "白芍", "麸炒苍术", "盐黄柏", "牡丹皮", "生地黄", "酒萸肉", "石菖蒲", "炒蒺藜", "麸炒薏苡仁", "丹参", "鸡血藤", "制远志", "黄芩", "牛膝", "淡竹叶"], "prev_gap": 7, "visit_ix": 5, "n_visits": 15, "visit_ix_rx": 5, "n_rx": 14} {"rid": 62403, "pid": "Pd5a71fd7ea59", "date": "2026-06-02", "sex": "男", "age": 31, "cc": "尿频一月", "hpi": "尿频，大便不成形，睡眠正常，纳可，睾丸不适感，准备生育，性功能正常", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "桑螵蛸", "牛膝", "菟丝子", "醋五味子", "枸杞子", "覆盆子", "盐车前子", "醋龟甲", "炙淫羊藿", "党参片", "北柴胡"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62410, "pid": "Pb75956d0a811", "date": "2026-06-03", "sex": "男", "age": 76, "cc": "前列腺增生复诊取药", "hpi": "排尿困难改善，大便正常，纳可，眠改善，夜尿3次。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "川贝母"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "党参片", "太子参", "炒酸枣仁", "川牛膝"], "prev_gap": 30, "visit_ix": 4, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 8} {"rid": 62411, "pid": "Pee4dded69c20", "date": "2026-06-03", "sex": "男", "age": 52, "cc": "小腹不适1月", "hpi": "小腹不适1月，夜尿坠胀不适，夜尿1次", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热祛邪"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62416, "pid": "P5d9049316368", "date": "2026-06-03", "sex": "男", "age": 48, "cc": "小腹隐痛 排尿不畅一月余", "hpi": "小腹隐痛 排尿不畅一月余 左侧腰痛 既往肾结石 大便正常 纳可 眠安", "wm_dx": ["前列腺增生", "肾结石"], "tcm_dx": [["石淋", "湿热下注证", "清热利湿"]], "rx": ["甜叶菊叶", "海金沙", "醋鸡内金", "虎杖", "丹参", "川楝子", "醋延胡索", "蒲黄", "醋五灵脂", "盐小茴香", "川牛膝", "麸炒枳壳", "地龙", "炙甘草", "党参", "黄芪", "山药", "麸炒白术", "瞿麦", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62419, "pid": "Pb644c474e622", "date": "2026-06-03", "sex": "男", "age": 72, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒黄精", "制巴戟天", "酒苁蓉", "炒酸枣仁", "太子参", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62420, "pid": "P35d884cb0f72", "date": "2026-06-03", "sex": "男", "age": 48, "cc": "左侧阴囊不适2月", "hpi": "左侧阴囊不适2月，无明显排尿和射精不适，尿频，尿后余沥，工作久坐，大便不成形，睡眠一般，纳可，口和", "wm_dx": ["静脉曲张", "前列腺增生", "前列腺炎", "精索静脉曲张"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "肝郁血瘀证", "疏肝养血"]], "rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "丹参", "燀桃仁", "红花", "茯苓", "牡丹皮", "桂枝", "白芍", "炙甘草", "路路通", "制水蛭", "生姜", "大枣", "夏枯草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62421, "pid": "P93091b4f2032", "date": "2026-06-03", "sex": "男", "age": 34, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿后余沥，夜尿2次，久坐后会阴不适，大便质干，纳可，眠一般，口干，盗汗，腰酸", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "茯苓", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62422, "pid": "P6a9507ddcbe6", "date": "2026-06-03", "sex": "男", "age": 43, "cc": "尿频1年", "hpi": "尿频，1年前突发勃起不佳，近一年未成功同房，尿无力，夜尿正常，大便正常，睡眠正常，纳可，口苦.复诊：排尿无压力，眼屎多，头上起包，硬度可以，时间短", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["龙胆", "泽泻", "小通草", "路路通", "炒栀子", "地黄", "牛膝", "北柴胡", "牡丹皮", "石菖蒲", "盐蒺藜", "薏苡仁", "炒苦杏仁", "蜈蚣", "煅龙骨", "淡竹叶", "桑叶", "菊花"], "flags": [], "prev_rx": ["龙胆", "泽泻", "小通草", "路路通", "炒栀子", "地黄", "牛膝", "北柴胡", "牡丹皮", "石菖蒲", "盐蒺藜", "薏苡仁", "炒苦杏仁", "蜈蚣", "柏子仁", "煅龙骨"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 62424, "pid": "P97953d9501bb", "date": "2026-06-03", "sex": "男", "age": 64, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，无尿频、尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，眠差，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "猪苓", "炒酸枣仁", "北柴胡", "当归"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62425, "pid": "P9d181c45e245", "date": "2026-06-03", "sex": "男", "age": 38, "cc": "尿频5-6年", "hpi": "尿频，婚后一直未成功性生活，刚开始能硬，同房即疲软，但晨勃明显，排尿正常，夜尿正常，大便正常，睡眠正常，纳可，口和，无怕冷，复诊：1粒他达拉非硬度正常，但未成功同房", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "柏子仁", "石菖蒲", "制远志", "郁金", "丹参", "鸡血藤", "蜈蚣", "桂枝", "白芍", "大枣", "炙淫羊藿", "黑顺片", "地黄"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "地黄", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "炙淫羊藿", "郁金", "牛膝", "黑顺片", "干姜"], "prev_gap": 25, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 62426, "pid": "P3a8c83296916", "date": "2026-06-03", "sex": "男", "age": 44, "cc": "尿急复诊", "hpi": "尿急改善 大便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "山慈菇"], "flags": [], "prev_rx": ["猪苓", "羌活", "茯苓", "薏苡仁", "山慈菇"], "prev_gap": 72, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 5, "n_rx": 6} {"rid": 62437, "pid": "P0728bc6e8a93", "date": "2026-06-03", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作劳累，压力大，二便调，眠一般，无排尿不畅、尿后余沥，口干，盗汗熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "赤小豆", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62449, "pid": "P7416e5cd65fa", "date": "2026-06-04", "sex": "男", "age": 62, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，有裂口，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["羌活", "猪苓", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62464, "pid": "P002994675f0f", "date": "2026-06-04", "sex": "男", "age": 43, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，中途疲软，性欲可，乏力，工作久坐，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "金樱子肉", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62467, "pid": "P0c21c474442f", "date": "2026-06-04", "sex": "男", "age": 23, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，性生活不规律，工作劳累，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62469, "pid": "P68810f7631a1", "date": "2026-06-04", "sex": "男", "age": 49, "cc": "腹胀眩晕抄方", "hpi": "腹胀眩晕抄方 大小便正常 纳可 失眠 冠心病 高血压 失眠取药 病情稳定延长开药", "wm_dx": ["高血压", "失眠", "冠状动脉性心脏病"], "tcm_dx": [["心痹", "气滞血瘀证", "活血化瘀"], ["腹胀", "脾胃虚证", "健脾和胃"], ["眩晕", "肝阳上亢证", "平肝潜阳"]], "rx": ["北沙参", "太子参", "白术", "白芍", "茯苓", "葛根", "天麻", "丹参", "川芎", "合欢皮", "赤芍", "黄连片", "酒女贞子", "菟丝子", "瓜蒌", "竹茹", "地龙", "地骨皮", "百合", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北沙参", "太子参", "白术", "茯苓", "葛根", "天麻", "丹参", "川芎", "炒酸枣仁", "制远志", "合欢皮", "赤芍", "砂仁", "清半夏", "黄连片", "石菖蒲", "首乌藤", "白芍", "地黄", "地龙"], "prev_gap": 35, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 5} {"rid": 62471, "pid": "Pe24d7cb17326", "date": "2026-06-04", "sex": "男", "age": 59, "cc": "尿频夜尿增多3年", "hpi": "尿频夜尿增多3年，勃起欠佳，腰痛，口干，盗汗", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["酒苁蓉", "炙淫羊藿", "炙黄芪", "枸杞子", "酒黄精", "锁阳", "制远志", "川牛膝", "知母", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒苁蓉", "炙淫羊藿", "炙黄芪", "枸杞子", "酒黄精", "锁阳", "制远志", "川牛膝"], "prev_gap": 57, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 62475, "pid": "P72e02cc75194", "date": "2026-06-04", "sex": "男", "age": 54, "cc": "尿频夜尿5-6次半年余", "hpi": "尿频夜尿5-6次半年余 排尿不畅 大便正常 尿急 尿不尽 纳可 眠差 盗汗腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["知母", "覆盆子", "菟丝子", "太子参", "酒女贞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62476, "pid": "P62266f4e3a35", "date": "2026-06-04", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，汗多稍有改善。乏力改善。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "炙淫羊藿", "麸炒山药"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "炙淫羊藿"], "prev_gap": 15, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 62480, "pid": "Pe5384eed3b88", "date": "2026-06-04", "sex": "男", "age": 40, "cc": "血尿2天", "hpi": "血尿2天，2天前腰部受碰撞，无体温升高，现腰痛不明显，稍有尿道灼热感", "wm_dx": ["血尿", "泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62481, "pid": "P3a7760637122", "date": "2026-06-04", "sex": "男", "age": 34, "cc": "右侧睾丸根治性术后", "hpi": "右侧睾丸根治性术后，3月一复查，化疗后，腰痛乏力", "wm_dx": ["贫血", "睾丸恶性肿瘤"], "tcm_dx": [["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["灵芝", "枸杞子", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["灵芝", "黄芪", "太子参", "酒黄精"], "prev_gap": 99, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62484, "pid": "P43fbb25fe280", "date": "2026-06-04", "sex": "男", "age": 44, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲有，乏力，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗，感情一般，晨勃有。6月4日复诊：晨勃改善，睡眠一般。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "锁阳", "茯苓", "金樱子", "鸡血藤", "麸炒芡实", "炒酸枣仁", "莲子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "酒黄精", "鸡血藤", "麸炒薏苡仁", "炒酸枣仁"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62490, "pid": "P8c9f9e86c673", "date": "2026-06-05", "sex": "男", "age": 43, "cc": "尿频2年", "hpi": "尿频，晨勃少，硬度一般 ，时间短，尿不尽，夜尿正常，阴囊潮湿，无腹痛，无腰疼，大便时干时稀，睡眠正常，纳可，口干，手脚发凉，怕冷，乏力,复诊：阴囊潮湿，乏力好转，晨勃有，尿不尽，时间短", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "桂枝", "小通草", "赤小豆", "百合", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "燀桃仁", "红花", "黑顺片", "炙黄芪", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "桂枝", "小通草", "赤小豆", "白花蛇舌草", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "燀桃仁", "红花", "黑顺片", "炙黄芪", "炙淫羊藿"], "prev_gap": 12, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 8} {"rid": 62494, "pid": "P61e6703c2b96", "date": "2026-06-05", "sex": "男", "age": 31, "cc": "性欲减退2周", "hpi": "性欲减退，熬夜，中途疲软，晨勃时有时无，排尿正常，大便不成形，纳可，睡眠入睡困难，无腰痛，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["当归", "川芎", "炒酸枣仁", "炒栀子", "牛膝", "茯神", "石菖蒲", "制远志", "郁金", "柏子仁", "蜈蚣", "九香虫", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62495, "pid": "P827847949ae1", "date": "2026-06-05", "sex": "男", "age": 51, "cc": "复诊", "hpi": "病史同前，口中粘，勃起可，持续时间短，硬度一般。眠可.复诊：硬度可，时间2分钟，早醒", "wm_dx": ["代谢综合征", "男性勃起障碍"], "tcm_dx": [["精浊", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "金樱子肉", "地龙", "九香虫", "炙甘草", "生姜", "五倍子", "大枣", "北柴胡", "黄芩片"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "九香虫", "炙甘草", "生姜", "五倍子", "大枣", "金樱子肉"], "prev_gap": 7, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 7, "n_rx": 8} {"rid": 62500, "pid": "Pe39549cc84fd", "date": "2026-06-05", "sex": "男", "age": 48, "cc": "腰痛乏力伴勃起不坚复诊", "hpi": "3年前出现腰痛乏力伴勃起不坚，口服他达拉非可同房，性欲可，晨勃消失，口干口苦，夜寐差，失眠，无小腹胀痛，射精快，盗汗，胁肋疼痛，易生气，复诊：夜尿3次，尿频。6月5日复诊：患者症状反复，硬度时好时坏。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "地龙", "北败酱草", "石菖蒲", "黄芪", "人参", "麸炒白术"], "flags": [], "prev_rx": ["党参片", "土茯苓", "北败酱草", "茯苓", "北柴胡", "川楝子", "盐蒺藜", "茵陈", "薏苡仁", "防风", "白芷", "蜈蚣", "地龙", "制水蛭", "炒酸枣仁", "白术", "柏子仁", "石菖蒲", "制远志", "丹参", "麸炒枳壳", "炙甘草"], "prev_gap": 25, "visit_ix": 11, "n_visits": 12, "visit_ix_rx": 9, "n_rx": 10} {"rid": 62502, "pid": "P97b182366d6c", "date": "2026-06-05", "sex": "男", "age": 50, "cc": "高血压复诊", "hpi": "高血压，复诊，睡眠差，中途醒，咽痛，无痰", "wm_dx": ["失眠", "原发性高血压"], "tcm_dx": [["慢乳蛾", "风热侵咽证", "疏风清热润燥"], ["腰痛", "肾气不充证", "补肾扶元"]], "rx": ["胖大海", "枸杞子", "金银花", "甘草片", "麦冬", "党参片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62505, "pid": "Pbd90fd825cf6", "date": "2026-06-05", "sex": "男", "age": 49, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["麸炒白术", "菊花", "枸杞子", "净山楂", "炒决明子", "丹参", "荷叶"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炒酸枣仁", "太子参", "知母", "制巴戟天"], "prev_gap": 22, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62508, "pid": "Pac7b1bc54b48", "date": "2026-06-05", "sex": "男", "age": 61, "cc": "尿无力半年", "hpi": "尿无力半年 勃起不坚 中途疲软 大小便正常 纳可不能吃生冷， 睡眠差多梦易醒 口和", "wm_dx": ["慢性前列腺炎", "前列腺增生", "泌尿系感染"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"], ["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "桂枝", "生姜", "干姜", "北柴胡", "黄芩片", "党参片", "炙淫羊藿", "桔梗", "地黄", "炒苦杏仁", "丹参", "鸡血藤", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "桂枝", "生姜", "干姜", "北柴胡", "黄芩片", "党参片", "炙淫羊藿", "桔梗", "丹参", "鸡血藤", "制远志", "生石膏", "炒苦杏仁"], "prev_gap": 7, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 6} {"rid": 62517, "pid": "Pa37af75cbb8b", "date": "2026-06-05", "sex": "男", "age": 28, "cc": "腰痛1年", "hpi": "腰痛1年 大小便正常 纳可 眠轻，乏力，力不从心，晨勃少，硬度不佳，口苦", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "黄芩片", "百合", "地黄", "酒萸肉", "白芍", "淡竹叶", "牡丹皮", "北沙参", "丹参", "鸡血藤", "党参片", "酒黄精", "枸杞子", "酒女贞子", "蜈蚣"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62528, "pid": "P4db9ceac8e50", "date": "2026-06-06", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力睡眠正常，纳可，二便调，口苦，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "茯苓", "泽泻", "麸炒白术", "丹参", "法半夏", "竹茹", "炙淫羊藿", "菟丝子", "枸杞子", "覆盆子", "桑螵蛸", "醋龟甲", "薏苡仁", "牛膝", "滑石", "金樱子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "茯苓", "泽泻", "麸炒白术", "丹参", "法半夏", "竹茹", "桔梗", "炙淫羊藿", "菟丝子", "枸杞子", "覆盆子", "桑螵蛸", "醋龟甲", "麸炒薏苡仁", "牛膝", "大枣"], "prev_gap": 21, "visit_ix": 10, "n_visits": 15, "visit_ix_rx": 10, "n_rx": 15} {"rid": 62535, "pid": "Pe2730ec47848", "date": "2026-06-06", "sex": "男", "age": 54, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，晨勃消失，性欲减退，口中和，长期熬夜。3.8复诊：偶有晨勃，无同房，3.21复诊：服药后晨勃每日有，排气多，无同房，性欲稍有恢复。4.4复诊：晨勃可，勃起硬度欠佳，可同房，近2周同房2次。4.18复诊：服药无不适，近2周1次同房，硬度欠佳，中途疲软，夜勃增加。5.9复诊：近2周同房1次，硬度欠佳，晨勃恢复。", "wm_dx": ["糖尿病", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "炒栀子", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "人参", "黄芪", "酒黄精", "全蝎"], "flags": [], "prev_rx": ["甘草", "北柴胡", "炒栀子", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "人参", "黄芪", "酒黄精", "全蝎"], "prev_gap": 28, "visit_ix": 13, "n_visits": 20, "visit_ix_rx": 6, "n_rx": 12} {"rid": 62539, "pid": "P77a5254a2ad3", "date": "2026-06-06", "sex": "男", "age": 32, "cc": "尿频 排尿不畅 少腹隐痛2月", "hpi": "尿频 排尿不畅 少腹隐痛2月 大便正常 纳可 眠安 腰痛 盗汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒萸肉", "知母", "炒酸枣仁", "太子参", "三七粉", "菟丝子", "酒黄精", "酒女贞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒萸肉", "知母", "炒酸枣仁", "太子参", "三七粉", "丹参", "莲子"], "prev_gap": 21, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 62543, "pid": "P3c65ad8b60c7", "date": "2026-06-06", "sex": "男", "age": 29, "cc": "尿不尽 少腹不适3周", "hpi": "尿不尽 少腹不适3周 腰痛 盗汗 乏力 大便正常 纳可 眠差", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["猪苓", "羌活", "川贝母", "菟丝子", "覆盆子", "酒女贞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62544, "pid": "P38ec74bd3a85", "date": "2026-06-06", "sex": "男", "age": 28, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，二便调，口和，尿频、睡前尿意感，夜尿正常，无小腹及会阴不适，工作久坐 大便可，纳可，睡眠正常，1分钟", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["知母", "盐关黄柏", "百合", "地黄", "酒萸肉", "山药", "牡丹皮", "牛膝", "煅龙骨", "煅牡蛎", "天花粉", "酒黄精", "炙甘草", "大枣", "麸炒芡实", "制远志", "石菖蒲"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "赤小豆", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "牛膝", "牡丹皮", "金樱子肉", "柏子仁", "郁金", "党参片", "炙甘草", "茯苓"], "prev_gap": 14, "visit_ix": 4, "n_visits": 9, "visit_ix_rx": 4, "n_rx": 7} {"rid": 62545, "pid": "P1407db622766", "date": "2026-06-06", "sex": "男", "age": 37, "cc": "发现PSA升高复查", "hpi": "发现PSA升高1周，5.62 ng/ml，工作久坐，无明显尿频、尿急、排尿不畅，夜尿0次。无尿后余沥，无小腹及会阴不适。乏力消瘦半年,睡眠好转", "wm_dx": ["泌尿系感染", "前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "炒酸枣仁", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "荔枝核", "炒王不留行", "砂仁"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "炒酸枣仁", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "荔枝核", "炒王不留行", "砂仁"], "prev_gap": 14, "visit_ix": 11, "n_visits": 16, "visit_ix_rx": 7, "n_rx": 10} {"rid": 62546, "pid": "P76b05616c5d2", "date": "2026-06-06", "sex": "男", "age": 47, "cc": "乏力盗汗6月", "hpi": "6月前出现乏力盗汗脱发，大小便正常，纳可腰痛，乏力，焦虑，工作劳累，口中和。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["党参片", "黄芪", "山药", "白术", "酒黄精", "菟丝子", "制巴戟天", "炙淫羊藿", "蛇床子", "韭菜子", "盐胡芦巴", "仙茅", "酒苁蓉", "熟地黄", "酒萸肉", "酒女贞子", "知母", "盐关黄柏", "麸炒枳壳", "砂仁", "炙甘草"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "酒黄精", "黄芪", "人参"], "prev_gap": 13, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 62548, "pid": "P7076d32d2219", "date": "2026-06-06", "sex": "男", "age": 41, "cc": "腰痛乏力伴勃起不坚2年", "hpi": "2年前出现腰痛乏力勃起不坚，外院予他达拉非5mg qd现口服药物效果欠佳，口干口苦，夜寐可，性欲差，偶有晨勃，胁肋疼痛。6.6复诊：近2周偶有晨勃，同房1次硬度可，中途疲软，性欲欠佳。", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "人参", "醋香附", "川芎", "制巴戟天", "锁阳", "韭菜子", "黄芪"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "人参", "川芎", "制巴戟天", "锁阳", "韭菜子"], "prev_gap": 14, "visit_ix": 3, "n_visits": 12, "visit_ix_rx": 2, "n_rx": 7} {"rid": 62549, "pid": "Pa7035c21ee38", "date": "2026-06-06", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度下降改善，性欲可，乏力，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗汗多。晨勃有。病情稳定 延长开药", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["甜叶菊叶", "党参片", "炙黄芪", "山药", "砂仁", "木香", "麸炒白术", "制远志", "酒苁蓉", "制巴戟天", "盐胡芦巴", "仙茅", "麸炒薏苡仁", "地龙", "白芷", "熟地黄", "酒萸肉", "知母", "盐关黄柏", "盐车前子", "炒酸枣仁", "天麻", "炙甘草", "蛇床子"], "flags": [], "prev_rx": ["甜叶菊叶", "党参片", "炙黄芪", "山药", "砂仁", "木香", "石菖蒲", "制远志", "酒苁蓉", "制巴戟天", "盐胡芦巴", "仙茅", "麸炒薏苡仁", "地龙", "白芷", "熟地黄", "酒萸肉", "知母", "盐关黄柏", "盐车前子", "炒酸枣仁", "天麻", "炙甘草", "蛇床子"], "prev_gap": 14, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 6} {"rid": 62551, "pid": "Pa97f078160d3", "date": "2026-06-06", "sex": "男", "age": 27, "cc": "腰疼盗汗复诊", "hpi": "腰疼，乏力感改善，硬度改善，晨勃少，性欲低，时间短1-2分钟，睡眠正常，纳可，喜欢吃生冷，排尿略频，大便不成型粘，口和，怕冷怕热 盗汗", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["净山楂", "桑椹", "陈皮", "甘草片"], "flags": ["rx_len_outlier"], "prev_rx": ["乌梅", "净山楂", "陈皮", "甘草片", "桑椹"], "prev_gap": 21, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 4} {"rid": 62552, "pid": "P971acadcdd69", "date": "2026-06-06", "sex": "男", "age": 45, "cc": "复诊", "hpi": "病史同前，时尿频感，尿不尽，偶有尿急，阴囊潮湿减、仍发凉感，口干，性急。近期消瘦明显", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "血瘀证", "活血化瘀"], ["精浊", "肾虚证", "补肾固精"]], "rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "盐益智仁", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "麸炒山药", "韭菜子", "天花粉", "墨旱莲", "制巴戟天", "醋五味子", "金樱子肉", "炙黄芪"], "flags": [], "prev_rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "盐益智仁", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "麸炒山药", "制何首乌", "天花粉", "墨旱莲", "制巴戟天", "醋五味子", "金樱子肉"], "prev_gap": 14, "visit_ix": 10, "n_visits": 12, "visit_ix_rx": 8, "n_rx": 10} {"rid": 62553, "pid": "Pea24b004e6da", "date": "2026-06-06", "sex": "男", "age": 44, "cc": "腰痛复诊取药", "hpi": "腰痛改善，乏力改善，尿频，少腹隐痛，大便正常。纳可，眠可。", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "太子参", "猪苓", "羌活"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 38, "n_visits": 44, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62557, "pid": "P22a3427a786e", "date": "2026-06-06", "sex": "男", "age": 38, "cc": "尿痛复诊", "hpi": "尿痛改善 偶见瘙痒 无分泌物 无血尿 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎", "精囊炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "薏苡仁", "太子参", "陈皮", "川贝母"], "flags": [], "prev_rx": ["猪苓", "羌活", "薏苡仁", "太子参", "陈皮"], "prev_gap": 20, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 62559, "pid": "P5e7173360731", "date": "2026-06-06", "sex": "男", "age": 30, "cc": "睡眠差1年", "hpi": "睡眠差，中途醒，白天乏力感，燥热感，尿黄，有泡沫，大便大部分偏干，口干，纳可", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "阳虚水泛证", "温阳利水"]], "rx": ["泽泻", "茯苓", "猪苓", "滑石", "阿胶珠", "川芎", "当归", "白芍", "煅龙骨", "煅牡蛎", "牡丹皮", "炒酸枣仁", "炒栀子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 7} {"rid": 62564, "pid": "Pd6b1ede4304a", "date": "2026-06-06", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "腰痛半年 早泄 龟头敏感 大小便正常 纳可 眠安 晨勃可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62565, "pid": "Pa1a3c7447453", "date": "2026-06-06", "sex": "男", "age": 63, "cc": "尿频尿急6月", "hpi": "6月前出现尿频尿急，排尿不畅，尿等待，夜尿3-4次，小腹胀痛，大便粘，腰痛乏力，勃起欠佳。5.16复诊：夜尿4次，大便粘。6.6复诊：夜尿2-3次，大便粘，勃起欠佳，排尿不畅，夜寐差。", "wm_dx": ["前列腺增生", "腰痛"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "党参", "茯苓", "黄柏", "牛膝", "黑顺片", "盐补骨脂", "锁阳"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "韭菜子", "制巴戟天", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝", "黑顺片", "盐补骨脂", "党参", "茯苓"], "prev_gap": 21, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 5} {"rid": 62567, "pid": "Pa016e8aa0618", "date": "2026-06-06", "sex": "男", "age": 27, "cc": "左侧精索静脉曲张术后3月复查", "hpi": "外院醒左侧精索静脉曲张手术后，现拆线后，仍有睾丸不适感，复查精索静脉。6.6复诊：睾丸不适感明显减轻，无其他不适。", "wm_dx": ["腹股沟淋巴结炎", "附睾炎", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "醋鸡内金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "丹参", "路路通", "炒王不留行", "北柴胡", "酒白芍", "醋三棱", "醋莪术", "鸡血藤", "砂仁", "夏枯草", "醋延胡索", "党参", "麸炒白术"], "flags": [], "prev_rx": ["盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "醋鸡内金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "丹参", "路路通", "炒王不留行", "北柴胡", "酒白芍", "醋三棱", "醋莪术", "鸡血藤", "砂仁", "夏枯草", "醋延胡索"], "prev_gap": 14, "visit_ix": 22, "n_visits": 28, "visit_ix_rx": 15, "n_rx": 21} {"rid": 62568, "pid": "P46adaa61b3dc", "date": "2026-06-06", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "茯苓", "盐补骨脂", "酒黄精", "酒苁蓉", "制巴戟天", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "盐车前子", "酒女贞子", "覆盆子", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "麸炒枳壳", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "茯苓", "盐补骨脂", "酒黄精", "酒苁蓉", "制巴戟天", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "盐车前子", "酒女贞子", "醋五味子", "熟地黄", "酒萸肉", "泽泻", "知母", "盐黄柏", "麸炒枳壳", "炙甘草"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62577, "pid": "P476254e94b3e", "date": "2026-06-06", "sex": "男", "age": 40, "cc": "阴囊潮湿一月余", "hpi": "阴囊潮湿一月余 大小便正常 纳可 眠安 勃起不佳 晨勃消失 睾丸隐痛 腰痛乏力", "wm_dx": ["鞘膜积液"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62583, "pid": "P0b9000fe8dc7", "date": "2026-06-06", "sex": "男", "age": 40, "cc": "尿频2年", "hpi": "尿频，无晨勃，硬度一般，吸烟饮酒，熬夜，排尿可 ，喝水尿频，大便不成型，睡眠正常，纳可，口干，时有腰疼，无怕冷，怕热，复诊：硬度好转，时间短5--6分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "酒萸肉", "泽泻", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "制远志", "干姜", "麸炒白术", "柏子仁"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "党参片", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "姜厚朴", "干姜", "麸炒白术", "柏子仁"], "prev_gap": 7, "visit_ix": 7, "n_visits": 11, "visit_ix_rx": 7, "n_rx": 11} {"rid": 62592, "pid": "Pee65740f6eaa", "date": "2026-06-06", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "伴有早泄 时间1-2分钟 勃起可 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62595, "pid": "P95b5bc84fcba", "date": "2026-06-06", "sex": "男", "age": 25, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，尿道灼热感", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炙甘草", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤", "炒酸枣仁", "柏子仁", "锁阳", "韭菜子", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤", "炙甘草", "炒酸枣仁", "柏子仁", "锁阳", "韭菜子"], "prev_gap": 14, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 6} {"rid": 62597, "pid": "P4596b8512757", "date": "2026-06-06", "sex": "男", "age": 44, "cc": "少腹坠胀1月", "hpi": "少腹坠胀，尿不尽，夜尿1次，口干，大便正常，复诊：少腹正常，仍有尿意感。大便粘", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "牡丹皮", "北柴胡", "黄芩片", "大枣", "茯苓", "猪苓", "干姜", "煅龙骨", "煅牡蛎", "赤小豆", "制远志", "柏子仁", "炒苦杏仁", "石菖蒲"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "牡丹皮", "北柴胡", "黄芩片", "大枣", "茯苓", "猪苓", "干姜", "煅龙骨", "煅牡蛎", "赤小豆", "炒栀子", "淡豆豉", "炒苦杏仁", "石菖蒲"], "prev_gap": 14, "visit_ix": 4, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 10} {"rid": 62602, "pid": "P4b868542739d", "date": "2026-06-06", "sex": "男", "age": 53, "cc": "尿频复诊", "hpi": "病史同前，夜尿2次,尿畅尿急,色黄,夜尿一次,大便正常,睡眠差,口和,阴囊潮湿.滴白, 性欲一般,硬度一般", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "茯苓", "泽泻", "滑石", "牛膝", "煅龙骨", "煅牡蛎", "地黄", "生石膏", "法半夏", "制水蛭"], "flags": [], "prev_rx": ["北柴胡", "石菖蒲", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "制远志", "柏子仁", "郁金", "丹参", "鸡血藤", "黄芩片", "化橘红", "法半夏", "炙淫羊藿"], "prev_gap": 7, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 8} {"rid": 62603, "pid": "Pfc49d1068058", "date": "2026-06-06", "sex": "男", "age": 42, "cc": "尿道口疼 尿道灼热3天", "hpi": "尿道口疼 尿道灼热3天 无分泌物 大便正常 纳可 眠差", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "薏苡仁", "太子参", "川贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62613, "pid": "P711af04ab0ac", "date": "2026-06-07", "sex": "男", "age": 37, "cc": "排尿泡沫多一月余", "hpi": "排尿泡沫多一月余 失眠 大便正常 纳可 脱发严重 盗汗 病情稳定延长开药", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒萸肉", "知母", "炒酸枣仁", "桑椹", "太子参", "龙眼肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62619, "pid": "P5d8ab38ed934", "date": "2026-06-07", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛复诊，口干口苦，胁肋疼痛，长期熬夜。", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾纳气"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "麸炒苍术", "黄柏", "牛膝", "麸炒薏苡仁", "茯苓", "北柴胡", "炒蒺藜", "丁香", "木香", "大血藤", "石菖蒲", "制远志", "川楝子", "醋青皮", "合欢花", "合欢皮", "制巴戟天", "酒苁蓉", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "炒栀子", "韭菜子", "制巴戟天", "川芎", "黄芪"], "prev_gap": 14, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 5} {"rid": 62620, "pid": "P80d3f39353e2", "date": "2026-06-07", "sex": "男", "age": 41, "cc": "少腹隐痛一周余", "hpi": "少腹隐痛一周余 久坐加重 大小便正常 纳可 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "陈皮", "三七粉", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "太子参", "陈皮", "莲子", "麸炒芡实"], "prev_gap": 21, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 62621, "pid": "P3d2461491597", "date": "2026-06-07", "sex": "男", "age": 38, "cc": "尿频复诊", "hpi": "尿频改善，腰痛，乏力改善，时间短，近3月勃起硬度欠佳，性欲可，性生活不规律，工作劳累可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮", "菟丝子", "太子参", "猪苓", "丹参", "覆盆子", "砂仁"], "prev_gap": 17, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 5} {"rid": 62623, "pid": "Pdcf8ffcf055a", "date": "2026-06-07", "sex": "男", "age": 48, "cc": "腰痛脚凉一月余", "hpi": "大便正常，纳可，眠差，尿频，尿急，尿等待。排尿改善明显，现小腹不适，阴囊潮湿。", "wm_dx": ["静脉曲张", "下肢静脉功能不全", "前列腺增生", "前列腺炎"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精癃", 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"sex": "男", "age": 27, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力好转，勃起欠佳好转，射精快好转，晨勃消失，大小便正常，纳可，眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "炒酸枣仁"], "flags": [], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "地肤子", "白花蛇舌草", "五加皮"], "prev_gap": 223, "visit_ix": 8, "n_visits": 12, "visit_ix_rx": 4, "n_rx": 6} {"rid": 62642, "pid": "Pa1715c22f54e", "date": "2026-06-07", "sex": "男", "age": 31, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["猪苓", "麸炒芡实", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62643, "pid": "Pa147c852a567", "date": "2026-06-07", "sex": "男", "age": 40, "cc": "右侧腰痛2天", "hpi": "右侧腰痛2天 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "覆盆子", "猪苓", "菟丝子", 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"酒苁蓉", "炙淫羊藿", "菟丝子", "覆盆子", "枸杞子", "酒女贞子", "锁阳", "炒酸枣仁", "麸炒枳壳", "制远志", "炙甘草"], "flags": [], "prev_rx": ["甜叶菊叶", "党参", "山药", "白术", "茯苓", "干姜", "砂仁", "木香", "制巴戟天", "仙茅", "酒苁蓉", "炙淫羊藿", "菟丝子", "覆盆子", "枸杞子", "酒女贞子", "锁阳", "炒酸枣仁", "麸炒枳壳", "制远志", "炙甘草"], "prev_gap": 21, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62654, "pid": "P28d418c9de85", "date": "2026-06-07", "sex": "男", "age": 30, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安 乏力 疲劳 腱鞘炎取药", "wm_dx": ["腱鞘炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "石菖蒲", "陈皮", "木香", "菟丝子", "韭菜子", "覆盆子", "枸杞子", "醋五味子", "酒女贞子", "制巴戟天", "仙茅", "炙淫羊藿", "酒苁蓉", "麸炒枳壳", "石斛", "麦冬", "玄参", "升麻", "炙甘草", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "炙黄芪", "山药", "麸炒白术", "石菖蒲", "陈皮", "木香", "菟丝子", "韭菜子", "覆盆子", "枸杞子", "醋五味子", "酒女贞子", "制巴戟天", "仙茅", "炙淫羊藿", "酒苁蓉", "麸炒枳壳", "石斛", "麦冬", "玄参", "升麻", "炙甘草", "太子参", "炒酸枣仁"], "prev_gap": 68, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 6} {"rid": 62658, "pid": "P896f4c76a82e", "date": "2026-06-07", "sex": "男", "age": 27, "cc": "腰酸复诊", "hpi": "腰酸，膝盖略痛，中途疲软，晨勃硬度下降，多梦，排尿正常，纳可，大便正常，口和，无怕冷 盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾气不充证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "地骨皮", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62663, "pid": "Pe40b6e7e6c3d", "date": "2026-06-08", "sex": "男", "age": 76, "cc": "夜尿多一月余", "hpi": "夜尿多一月余 夜尿5-6次 排尿通畅 大便正常 纳眠可", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川贝母", "太子参", "麸炒芡实"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62666, "pid": "Pf56293274911", "date": "2026-06-08", "sex": "男", "age": 39, "cc": "复诊", "hpi": "病史同前，口稍干，未有性生活，汗不多，无肢冷，便调", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "乌梅", "瓜蒌", "醋五味子", "桑叶", "麦冬", "炙甘草", "酒黄精", "姜厚朴"], "flags": [], "prev_rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "姜厚朴", "瓜蒌", "醋五味子", "桑叶", "地黄", "炙甘草", "酒黄精"], "prev_gap": 14, "visit_ix": 13, "n_visits": 18, "visit_ix_rx": 13, "n_rx": 18} {"rid": 62671, "pid": "Pfa2ed6f82501", "date": "2026-06-08", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "复诊，部分缓解，伴有性功能下降 晨勃少，便调纳可 眠安 中途疲软，口。干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白芍", "炙甘草", "桂枝", "牡蛎", "龙骨", "盐补骨脂", "九香虫", "牛膝"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "郁金", "柏子仁", "牛膝", "菟丝子", "韭菜子", "路路通", "党参", "丹参", "鸡血藤"], "prev_gap": 16, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 62672, "pid": "P9b58099f1e18", "date": "2026-06-08", "sex": "男", "age": 59, "cc": "复诊", "hpi": "口苦消，仍无精液。发现血糖高半年，耳鸣，阴囊潮湿、汗不甚。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": 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"盐橘核"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "炙甘草", "首乌藤", "盐补骨脂", "炒酸枣仁", "生姜", "大枣"], "prev_gap": 21, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 62682, "pid": "Pe659fd5de188", "date": "2026-06-08", "sex": "男", "age": 38, "cc": "尿频伴左侧小腹胀痛4天", "hpi": "尿频伴左侧小腹胀痛，坠胀感，尿道灼热，胁肋疼痛，包皮龟头红疹，尿黄，腰痛，乏力，近期体重下降", "wm_dx": ["乏力", "慢性前列腺炎"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["精浊", "下焦湿热证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["泽泻", "麸炒白术", "姜厚朴", "麸炒苍术", "清半夏", "广藿香", "北柴胡", "赤芍", "菟丝子", "酒女贞子", "川芎", "丹参", "盐关黄柏", "炒栀子", "牡丹皮"], "flags": [], "prev_rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "五加皮"], "prev_gap": 323, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62686, "pid": "Pf6b52f48e651", "date": "2026-06-08", "sex": "男", "age": 23, "cc": "复诊", "hpi": "性生活不规律，有早泄 时间3-5分钟 勃起可 大小便正常 纳可 眠安 龟头敏感。", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["醋五味子", "煅龙骨", "煅牡蛎", "关黄柏", "北柴胡", "白芍", "瓜蒌", "五倍子", "地龙", "薤白"], "flags": [], "prev_rx": ["莲子", "醋五味子", "菟丝子", "盐蒺藜", "麸炒芡实", "莲须", "煅龙骨", "煅牡蛎", "酒萸肉", "黄连片", "关黄柏", "知母", "酒苁蓉", "金樱子肉", "蛇床子", "细辛", "五倍子"], "prev_gap": 9, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62688, "pid": "Pb06ba7b62cc9", "date": "2026-06-08", "sex": "男", "age": 34, "cc": "复诊", "hpi": "复诊，时间短，硬度和性欲可，性生活不规律，工作可，纳眠可，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "瓜蒌", "炒栀子", "地龙", "五倍子", "醋五味子", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精"], "prev_gap": 18, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 6} {"rid": 62693, "pid": "P1b7abe89c1d3", "date": "2026-06-08", "sex": "男", "age": 51, "cc": "腰痛乏力盗汗复诊取药", "hpi": "尿频尿不尽，尿分叉，夜尿0次 腰痛 乏力，盗汗改善 大便正常 纳差 眠差 胃溃疡慢性胃炎 腹胀取药病情稳定延长开药", "wm_dx": ["慢性前列腺炎", "腰痛", "前列腺增生", "腹胀", "慢性胃炎", "胃溃疡"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "太子参", "陈皮", "川贝母"], "flags": [], "prev_rx": ["猪苓", "菟丝子", "太子参", "陈皮", "制巴戟天"], "prev_gap": 26, "visit_ix": 17, "n_visits": 21, "visit_ix_rx": 1, "n_rx": 4} {"rid": 62694, "pid": "P39cff8bd9a40", "date": "2026-06-08", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "伴有中途疲软 包皮水肿 大小便正常 纳可 眠安", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连片", "当归", "赤芍", "荆芥", "白芷", "防风", "防己", "木瓜", "地龙", "夏枯草", "蒲公英", "海藻"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62696, "pid": "Pf08ba3eebea7", "date": "2026-06-08", "sex": "男", "age": 32, "cc": "睾丸隐痛一周余", "hpi": "睾丸隐痛一周余 右侧腹股沟隐痛 大便正常 小便发热 纳眠可", "wm_dx": ["附睾囊肿", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参", "川贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62697, "pid": "P3323d8d97a54", "date": "2026-06-08", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有早泄 时间1-2分钟 勃起可 大便正常 纳眠可 尿频 既往检查前列腺钙化灶", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "地骨皮", "花椒", "细辛", "炒僵蚕", "牡蛎", "天麻", "蜈蚣", "制水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 62703, "pid": "Pa2ef0e7f00bf", "date": "2026-06-09", "sex": "男", "age": 44, "cc": "尿频5天", "hpi": "尿频5天 无尿痛 无分泌物 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["羌活", "猪苓", "制巴戟天", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62704, "pid": "P8dc6c6b20df4", "date": "2026-06-09", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重，复诊：大便粘，牙龈肿，口气重", "wm_dx": ["甲状腺囊肿", "慢性前列腺炎"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["茯苓", "麸炒白术", "干姜", "盐杜仲", "大枣", "桂枝", "赤小豆", "白芍", "桑寄生", "生姜", "熟地黄", "酒萸肉", "山药", "桑螵蛸", "红景天", "牡蛎", "党参片"], "flags": [], "prev_rx": ["熟地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "桑螵蛸", "牡蛎", "红景天", "醋鸡内金", "焦山楂", "麸炒白术", "醋龟甲", "路路通", "丝瓜络", "菟丝子", "枸杞子"], "prev_gap": 7, "visit_ix": 15, "n_visits": 24, "visit_ix_rx": 14, "n_rx": 23} {"rid": 62705, "pid": "P0a50ef28e9c5", "date": "2026-06-09", "sex": "男", "age": 52, "cc": "尿道分泌物3年", "hpi": "尿道分泌物3年 无疼痛 大便正常 纳可 眠安 腰痛", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "薏苡仁", "太子参", "陈皮", "制巴戟天", "知母", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "茯苓", "太子参", "陈皮", "薏苡仁"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62709, "pid": "Pf5db9c22578e", "date": "2026-06-09", "sex": "男", "age": 68, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["黑顺片", "茯苓", "生姜", "酒白芍", "人参", "麸炒苍术", "煅牡蛎", "防风", "醋五味子", "黄芪", "盐益智仁", "龙骨"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黑顺片", "茯苓", "生姜", "白芍", "人参", "天竺黄", "牡蛎", "龙骨", "麸炒苍术", "醋五味子", "黄芪", "桂枝", "三七粉"], "prev_gap": 30, "visit_ix": 7, "n_visits": 14, "visit_ix_rx": 7, "n_rx": 14} {"rid": 62711, "pid": "Pb92c461a1472", "date": "2026-06-09", "sex": "男", "age": 83, "cc": "肚脐下疼痛一周", "hpi": "肚脐下疼痛，会阴部发胀，腰背疼痛，大便细。夜尿3-4次，发热感出汗，口苦", "wm_dx": ["失眠", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "天花粉", "牡蛎", "当归", "川芎", "白芍", "茯苓", "泽泻", "炙甘草", "赤小豆", "白花蛇舌草", "葛根", "大黄", "法半夏"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "麸炒枳实", "大黄", "法半夏", "白芍", "大枣", "生姜", "姜厚朴", "炙甘草", "赤小豆", "白花蛇舌草", "石菖蒲"], "prev_gap": 7, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62712, "pid": "Pd6698e0776ef", "date": "2026-06-09", "sex": "男", "age": 58, "cc": "前列腺增生复诊", "hpi": "尿不尽 偶见尿道灼热 尿痛 夜尿2次 大便正常 纳可 眠安", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "川贝母"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62717, "pid": "Pc12c426b051f", "date": "2026-06-09", "sex": "男", "age": 57, "cc": "尿频半月", "hpi": "尿频，硬度下降，中途疲软，晨勃有，纳可，凉的少吃，大小便正常，睡眠可，口渴，无怕冷，阴囊潮湿", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "牛膝", "蜈蚣", "酒黄精", "当归", "麦冬", "醋龟甲", "制远志", "赤小豆", "党参片", "炙淫羊藿"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "牛膝", "蜈蚣", "酒黄精", "当归", "麦冬", "醋龟甲", "制远志", "党参片", "炙淫羊藿", "赤小豆"], "prev_gap": 20, "visit_ix": 11, "n_visits": 13, "visit_ix_rx": 8, "n_rx": 10} {"rid": 62718, "pid": "Pb0cfce5538e2", "date": "2026-06-09", "sex": "男", "age": 69, "cc": "留置导尿管1月", "hpi": "留置导尿管1月，反复低烧，外院予抗生素，爱普列特，阿夫唑嗪片。既往排尿不畅，夜尿5-6次，尿后余沥，尿频。包皮龟头炎。6月9日复诊：现体温正常，尿道口稍有疼痛不适，今日拔出导尿管，可正常排尿，盗汗。", "wm_dx": ["包皮龟头炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["炒酸枣仁", "知母", "猪苓", "茯苓", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62719, "pid": "Pc15ce7d87876", "date": "2026-06-09", "sex": "男", "age": 40, "cc": "性功能减退2年", "hpi": "性功能减退，硬度可，时间短，乏力，口干舌燥喝水，不喜欢喝凉，尿有泡沫，大便2次，睡眠可，怕冷，腰酸，有汗,复诊：尿黄有异味，有泡沫，大便色黑，腰酸，乏力感,颈椎不适感，无汗出,复诊：硬度可以，颈椎仍不行，尿黄,复诊：硬度不行", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "葛根", "白芍", "生姜", "大枣", "麸炒薏苡仁", "炒苦杏仁", "滑石", "北柴胡", "黄芩片", "牛膝", "蜈蚣", "煅阳起石", "炙淫羊藿"], "flags": [], "prev_rx": ["麻黄", "细辛", "黑顺片", "干姜", "炙甘草", "茯苓", "猪苓", "桂枝", "桔梗", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "乌药", "炙淫羊藿", "仙茅", "党参片"], "prev_gap": 56, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 6, "n_rx": 7} {"rid": 62723, "pid": "Pd8cc08e120f3", "date": "2026-06-09", "sex": "男", "age": 40, "cc": "小腹不适2月", "hpi": "小腹不适2月，尿后余沥，夜尿1次，大便质干，纳可，眠一般，口干，盗汗，前列腺大小4.1*3.1*3.3cm。", "wm_dx": ["前列腺炎", "前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "猪苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62724, "pid": "P2da6c3db8d52", "date": "2026-06-09", "sex": "男", "age": 29, "cc": "尿频一年", "hpi": "尿频，晨勃可，时有同房时勃起不坚，排尿正常，大便不成型，睡眠易醒，纳可，吃凉易腹泻，怕冷，时有腰疼，口和，偶有晨起口苦，白发", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "寒热错杂证", "调理阴阳"]], "rx": ["北柴胡", "黄芩", "桂枝", "牡丹皮", "石菖蒲", "干姜", "炒栀子", "丹参", "鸡血藤", "生地黄", "菟丝子", "盐车前子", "覆盆子", "炙淫羊藿", "白芍", "附片", "党参"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "桂枝", "牡丹皮", "石菖蒲", "干姜", "炒栀子", "丹参", "鸡血藤", "生地黄", "菟丝子", "盐车前子", "覆盆子", "炙淫羊藿", "白芍", "附片", "郁金"], "prev_gap": 34, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 6} {"rid": 62725, "pid": "P4b7b32f4a76b", "date": "2026-06-09", "sex": "男", "age": 36, "cc": "射精无力，快感减退，龟头敏感一年余", "hpi": "射精无力，快感减退，龟头敏感一年余 口中异味大 大便正常 小腹隐痛 中途疲软", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "炙甘草", "麸炒苍术", "黄柏", "牛膝", "麸炒薏苡仁", "石菖蒲", "制远志", "川楝子", "醋青皮", "郁金", "炒蒺藜", "木香", "炙淫羊藿", "白芷", "制巴戟天", "仙茅", "麸炒枳壳", "炒酸枣仁", "合欢花", "合欢皮", "酒苁蓉", "地龙", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62727, "pid": "P2a677ec6c177", "date": "2026-06-09", "sex": "男", "age": 56, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频、尿急，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62729, "pid": "P159b1f51af92", "date": "2026-06-09", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，口可，早醒，大便稀2-3次", "wm_dx": ["高脂血症"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["党参", "茯苓", "麸炒白术", "黑顺片", "大枣", "制远志", "炒酸枣仁", "干姜", "陈皮", "炙甘草", "石菖蒲", "牡丹皮", "北柴胡", "生地黄"], "flags": [], "prev_rx": ["党参", "茯苓", "麸炒白术", "黑顺片", "大枣", "制远志", "炒酸枣仁", "干姜", "陈皮", "炙甘草", "石菖蒲", "牡丹皮", "北柴胡"], "prev_gap": 7, "visit_ix": 6, "n_visits": 15, "visit_ix_rx": 6, "n_rx": 14} {"rid": 62730, "pid": "Pde99c4d8e579", "date": "2026-06-09", "sex": "男", "age": 24, "cc": "尿频半年", "hpi": "阵发性尿频，尿不尽，大便不成形，纳一般，吃凉易腹泻，熬夜 多梦，硬度下降，中途疲软，晨勃少，时有腰痛", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "脾肾阳虚证", "温补肾阳"]], "rx": ["丹参", "鸡血藤", "党参片", "麸炒白术", "炙黄芪", "茯神", "制远志", "炒酸枣仁", "龙眼肉", "干姜", "大枣", "牡丹皮", "北柴胡", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62731, "pid": "Pc606cca23a25", "date": "2026-06-09", "sex": "男", "age": 34, "cc": "腰痛3月", "hpi": "腰痛3月，拟育，口干舌燥口气重，大便不成型粘，矢气多，多梦轻，硬度下降，性欲强，工作压力可，熬夜，小便可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "薏苡仁", "赤小豆", "炒栀子", "淡豆豉", "地黄", "牛膝", "煅龙骨", "煅牡蛎", "炒苦杏仁", "菟丝子", "红景天", "蜈蚣", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭"], "prev_gap": 89, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 62733, "pid": "P967623df7663", "date": "2026-06-09", "sex": "男", "age": 47, "cc": "腰痛半年", "hpi": "腰痛 大小便正常 纳可 失眠 口干 口苦乏力", "wm_dx": ["腰痛", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "菟丝子", "陈皮", "炒酸枣仁", "太子参", "猪苓", "川贝母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62734, "pid": "P1d02e05274c4", "date": "2026-06-09", "sex": "男", "age": 31, "cc": "尿频5年", "hpi": "尿频，喝水多尿频，夜尿有，吃生冷易腹泻，晨勃有，时间短2-3分钟，同房一月1-2次，睡眠易醒，口干口苦", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "干姜", "党参片", "煅龙骨", "煅牡蛎", "麸炒白术", "丹参", "石菖蒲", "制远志", "柏子仁", "莲须", "炙甘草", "桂枝", "茯苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62735, "pid": "Pbb74fa83d5a9", "date": "2026-06-09", "sex": "男", "age": 27, "cc": "腰痛乏力一月余", "hpi": "腰痛乏力一月余 早泄 时间2-3分钟 大小便正常 纳可 失眠 晨勃可", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["失眠", "肝肾不足证", "滋补肝肾"]], "rx": ["酒萸肉", "知母", "炒酸枣仁", "猪苓", "羌活", "川贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62736, "pid": "P0213416edb5f", "date": "2026-06-09", "sex": "男", "age": 35, "cc": "尿频10余年", "hpi": "尿频，夜尿正常，1-2次，大便正常，中途醒，纳可，口和晨勃少，硬度下降，时间短，多汗，手脚易汗", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "牡丹皮", "制远志", "蜈蚣", "丹参", "鸡血藤", "黄芩片", "地黄", "煅龙骨", "赤石脂", "淡竹叶"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "牛膝", "柏子仁", "制远志", "郁金", "蜈蚣", "丹参", "鸡血藤", "黄芩片", "炙淫羊藿", "川芎", "煅龙骨"], "prev_gap": 17, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 62742, "pid": "Pb73ddff23be7", "date": "2026-06-10", "sex": "男", "age": 74, "cc": "左侧睾丸疼痛数年", "hpi": "左侧睾丸疼痛数年，尿等待，尿分叉，伴小腹及腰痛，盗汗，口干，乏力。4外院诊断精索静脉曲张，拒绝再次复查。硬度下降。", "wm_dx": ["精索静脉曲张", "前列腺增生", "静脉曲张", "男性性腺功能低下"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["川牛膝", "猪苓", "炒酸枣仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62743, "pid": "Pe0ae06e3e397", "date": "2026-06-10", "sex": "男", "age": 65, "cc": "血尿1周", "hpi": "血尿1周 色淡红 无小腹及会阴疼痛 无尿道灼热 无体温升高", "wm_dx": ["血尿", "泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62744, "pid": "P58ac5ab6a4fe", "date": "2026-06-10", "sex": "男", "age": 68, "cc": "排尿不畅复诊", "hpi": "排尿不畅改善 大便正常 夜尿0次 纳可 眠安 腰痛乏力一月余", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["知母", "太子参", "制巴戟天", "酒萸肉", "炒酸枣仁", "桑椹"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62750, "pid": "Pa11c087ec69b", "date": "2026-06-10", "sex": "男", "age": 42, "cc": "尿频2月", "hpi": "尿频，近2月出现勃起不能，既往口服他达拉非，有效不明显，无晨勃，尿不尽，无阴囊潮湿，腰酸痛，无腹痛，睡眠正常，纳可，大便2-4次，口和.建议5mg他达拉非口服,复诊：硬度可，时间短", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "湿邪证", "清热利湿"]], "rx": ["地黄", "黄芩片", "白芍", "甘草片", "党参片", "大枣", "生姜", "煅龙骨", "煅牡蛎", "麸炒芡实", "淡竹叶", "赤石脂", "桑螵蛸"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "牡丹皮", "酒萸肉", "地黄", "丹参", "鸡血藤", "大血藤", "络石藤", "牛膝", "酒黄精", "金樱子肉", "锁阳", "赤小豆", "煅龙骨", "煅牡蛎"], "prev_gap": 14, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 5, "n_rx": 7} {"rid": 62752, "pid": "P836e6824dc5d", "date": "2026-06-10", "sex": "男", "age": 38, "cc": "尿频一月", "hpi": "尿频，双侧睾丸坠痛，少腹隐痛，无腰痛，尿黄，无尿痛，大便不成形，硬度一般，时间短，无晨勃，睡眠晚，纳可，口干口苦", "wm_dx": ["慢性前列腺炎", "精索静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "理气止痛"]], "rx": ["北柴胡", "黄芩片", "大黄", "麸炒枳实", "白芍", "生姜", "大枣", "桂枝", "燀桃仁", "红花", "牡丹皮", "茯苓", "制水蛭", "丝瓜络", "白花蛇舌草", "夏枯草", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62753, "pid": "Pf939db2bc943", "date": "2026-06-10", "sex": "男", "age": 44, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作劳累久坐，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62756, "pid": "Pe8dfdbd0a714", "date": "2026-06-10", "sex": "男", "age": 29, "cc": "尿频复诊", "hpi": "尿频，硬度一般，时间短，腰痛，睡眠一般，纳可，口干口苦改善", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["失眠", "肾气不充证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "补肾益精"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "炒酸枣仁", "炙黄芪", "麸炒白术", "石菖蒲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62757, "pid": "Pad3ff8ce546c", "date": "2026-06-10", "sex": "男", "age": 36, "cc": "尿频一月余", "hpi": "尿频一月余 尿不尽 尿等待 大便正常 少腹隐痛 纳可 眠安 夜尿2-3次 右侧睾丸不适", "wm_dx": ["慢性前列腺炎", "附睾炎", "精索静脉曲张"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "橘络", "炒酸枣仁", "酒黄精", "荔枝核", "酒苁蓉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["茯苓", "麸炒芡实", "羌活", "薏苡仁", "三七粉"], "prev_gap": 234, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 62758, "pid": "Pdbc8b322c532", "date": "2026-06-10", "sex": "男", "age": 36, "cc": "血精一次", "hpi": "上周五出现血精一次，鲜血，现排尿不痛，尿道隐痛感，尿色黄，大便近日腹泻，纳可，睡眠半夜醒，口和，咽部有痰", "wm_dx": ["精囊炎"], "tcm_dx": [["血精", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "生姜", "大枣", "盐关黄柏", "淡竹叶", "滑石", "血余炭", "蒲黄炭", "麸炒冬瓜子", "制水蛭", "桔梗", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62760, "pid": "P7fafcb14bec6", "date": "2026-06-10", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，尿频尿急，无小腹及会阴不适，工作熬夜盗汗，夜尿多", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "石菖蒲", "炒酸枣仁", "制水蛭", "猪苓", "茯苓", "川牛膝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62761, "pid": "P133558f68872", "date": "2026-06-10", "sex": "男", "age": 55, "cc": "排尿尿频4-5年", "hpi": "尿频，夜尿多，口服非那雄胺，盐酸坦索罗辛缓释治疗，硬度一般，时间短，口干口渴，纳一般，睡眠一般，大便可，腰疼腿疼，怕冷，无明显汗出，乏力感，复诊：夜尿较少，乏力，仍腰酸痛，复诊：时间7-10分钟，复诊：口干舌燥，腰疼，抽筋", "wm_dx": ["男性性腺功能低下", "失眠"], "tcm_dx": [["腰痛", "气滞血瘀证", "活血止痛"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "生姜", "大枣", "白芍", "丹参", "鸡血藤", "炙黄芪", "麸炒白术", "葛根", "地黄", "蜈蚣", "黑顺片", "茯苓", "川芎", "制巴戟天", "红花", "牡丹皮", "桑寄生", "荆芥", "防风"], "flags": [], "prev_rx": ["桂枝", "生姜", "大枣", "白芍", "北柴胡", "黄芩片", "丹参", "鸡血藤", "陈皮", "麸炒白术", "牡蛎", "石菖蒲", "地黄", "蜈蚣", "黑顺片", "茯苓", "制巴戟天", "煅龙骨", "川芎"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 62763, "pid": "P9facfca12fca", "date": "2026-06-10", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["川牛膝", "猪苓", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62765, "pid": "P617bf222b2d0", "date": "2026-06-10", "sex": "男", "age": 70, "cc": "包皮处刺痒3月", "hpi": "包皮处刺痒，乳白色分泌物，排尿正常，有接触史", "wm_dx": ["龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "炒酸枣仁", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62773, "pid": "P25a451ce24b0", "date": "2026-06-10", "sex": "男", "age": 59, "cc": "右侧睾丸痛1年", "hpi": "右侧睾丸痛，外院精索静脉曲张曲张，手术后，自服5mg他达拉非片有效，口服治疗前列腺药物有效，排尿尿等待，大便正常，睡眠好，纳可，口和，无怕冷", "wm_dx": ["附睾炎"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血止痛"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "桂枝", "燀桃仁", "红花", "牡丹皮", "茯苓", "制水蛭", "丝瓜络", "生姜", "大枣", "白芍", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 62774, "pid": "Pc429ecd68be1", "date": "2026-06-10", "sex": "男", "age": 43, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和，脚气病", "wm_dx": ["包皮龟头炎", "前列腺炎", "真菌感染"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "猪苓", "太子参", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62775, "pid": "Pb32e7c3200d4", "date": "2026-06-10", "sex": "男", "age": 26, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 62777, "pid": "P1aa922eda6ec", "date": "2026-06-10", "sex": "男", "age": 53, "cc": "尿频6-7年", "hpi": "尿频，夜尿2-3次，大便正常，头晕，纳可，口干渴，无晨勃，无勃起，无怕冷，乏力，不愿吃西药，腿酸胀，复诊，夜尿1-2次，复诊：口苦复诊：口苦，腹胀，复诊：口干，腹胀，睡眠一般，小腿无力", "wm_dx": ["反流性食管炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "石菖蒲", "制远志", "郁金", "地黄", "姜厚朴", "丹参", "党参片", "牡丹皮", "煅龙骨", "煅牡蛎", "薏苡仁"], "flags": [], "prev_rx": ["豆蔻", "薏苡仁", "炒苦杏仁", "法半夏", "滑石", "淡竹叶", "麸炒白术", "党参片", "姜厚朴", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "龙胆", "醋鸡内金", "煅阳起石"], "prev_gap": 14, "visit_ix": 16, "n_visits": 22, "visit_ix_rx": 16, "n_rx": 17} {"rid": 62782, "pid": "P2a4ec619cb41", "date": "2026-06-10", "sex": "男", "age": 18, "cc": "阴囊皮肤刺痒1月", "hpi": "阴囊皮肤刺痒1月，尿道灼热刺痛，盗汗，腰痛", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62783, "pid": "P8fd3fc224d9a", "date": "2026-06-10", "sex": "男", "age": 27, "cc": "尿频一年", "hpi": "尿频，既往检查无精子，穿刺为曲细精管萎缩，未见精子，口服西药、肌注绒毛膜激素治疗。排尿正常，色黄，大便稀，一天一次，熬夜，多梦，口干，纳可，", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "生姜", "大枣", "白芍", "黑顺片", "熟地黄", "酒萸肉", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "荆芥", "防风", "桑螵蛸", "牡蛎", "红景天", "茯苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 62784, "pid": "P99d295e23317", "date": "2026-06-10", "sex": "男", "age": 77, "cc": "右侧阴囊坠胀不适2年", "hpi": "右侧阴囊坠胀不适2年，面积较大，无明显压痛，自述夜间平躺肿胀稍有缓解", "wm_dx": ["鞘膜积液", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "猪苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62785, "pid": "P0185dea2e5af", "date": "2026-06-10", "sex": "男", "age": 34, "cc": "性功能减退3-4年", "hpi": "时间短1-2分钟，硬度一般，晨勃无，半月同房一次，腰酸痛，排尿可，夜尿正常，大便正常偶有腹泻，纳可，睡眠正常多梦，口干，怕冷，乏力，复诊：晨勃有，时间硬度不行，乏力腰疼好转，复诊：硬度可，时2-3分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "脾肾两虚证", "补肾扶元"], ["房事阳痿", "肾阳虚水泛证", "温补肾阳"]], "rx": ["茯苓", "泽泻", "路路通", "麸炒白术", "炒王不留行", "制水蛭", "干姜", "盐车前子", "牡丹皮", "黑顺片", "桂枝", "当归", "炙甘草"], "flags": [], "prev_rx": ["茯苓", "泽泻", "路路通", "麸炒白术", "炒王不留行", "制水蛭", "滑石", "盐车前子", "牡丹皮", "黑顺片", "桂枝", "当归"], "prev_gap": 15, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 6} {"rid": 62786, "pid": "P3b22db291168", "date": "2026-06-10", "sex": "男", "age": 59, "cc": "阴囊疼痛不适1天", "hpi": "阴囊疼痛不适1天，无明显排尿灼热疼痛，既往抽烟饮酒", "wm_dx": ["泌尿系感染"], "tcm_dx": [["热淋", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热祛湿"]], "rx": ["茯苓", "猪苓", "川牛膝", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62787, "pid": "P7a0cc50742db", "date": "2026-06-10", "sex": "男", "age": 43, "cc": "尿频半年", "hpi": "尿频，夜尿正常，大便正常， 纳可，不喜欢吃生冷，无腰痛，口和，晨勃，中途疲软", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "脾肾阳虚证", "温补肾阳"]], "rx": ["干姜", "甘草片", "当归", "川芎", "党参片", "茯苓", "麸炒白术", "陈皮", "山药", "炙淫羊藿", "砂仁", "黑顺片", "蜈蚣", "制水蛭", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62788, "pid": "P6af2b3403fde", "date": "2026-06-10", "sex": "男", "age": 22, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "炒酸枣仁", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62789, "pid": "Pcb4035af8e9c", "date": "2026-06-10", "sex": "男", "age": 34, "cc": "腰痛复诊", "hpi": "早泄改善 勃起硬度差改善 晨勃消失改善 压力不大 大小便正常 纳可 眠差 胁痛 腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "花椒"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "五加皮", "地骨皮", "花椒"], "prev_gap": 20, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 62791, "pid": "P35d884cb0f72", "date": "2026-06-10", "sex": "男", "age": 48, "cc": "左侧阴囊不适2月", "hpi": "左侧阴囊不适2月，无明显排尿和射精不适，尿频，尿后余沥，工作久坐，大便不成形，睡眠一般，纳可，口和", "wm_dx": ["精索静脉曲张", "前列腺炎", "前列腺增生", "静脉曲张"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "肝郁血瘀证", "疏肝养血"]], "rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "丹参", "燀桃仁", "红花", "茯苓", "牡丹皮", "桂枝", "白芍", "炙甘草", "路路通", "制水蛭", "生姜", "大枣", "夏枯草", "川楝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "丹参", "燀桃仁", "红花", "茯苓", "牡丹皮", "桂枝", "白芍", "炙甘草", "路路通", "制水蛭", "生姜", "大枣", "夏枯草"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62797, "pid": "P3835c51f8718", "date": "2026-06-10", "sex": "男", "age": 42, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿后余沥，尿频，夜尿1次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，工作久坐劳累。", "wm_dx": ["前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "制远志", "烫水蛭", "茯苓", "锁阳", "川牛膝", "麸炒薏苡仁", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "制远志", "烫水蛭"], "prev_gap": 76, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62800, "pid": "P41f82545c22f", "date": "2026-06-11", "sex": "男", "age": 75, "cc": "左侧睾丸疼痛4天", "hpi": "左侧睾丸疼痛4天 大便正常 纳可 眠安 尿频 尿不尽 尿急", "wm_dx": ["睾丸囊肿", "前列腺增生", "尿急", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62801, "pid": "P878931183f7c", "date": "2026-06-11", "sex": "男", "age": 66, "cc": "尿急半年余", "hpi": "尿急 尿道酸涩 排尿无力 大便正常 纳可 失眠 盗汗 腰痛", "wm_dx": ["泌尿系感染", "前列腺增生", "腰痛", "尿频", "尿急"], "tcm_dx": [["淋证", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾阳虚证", "温补肾阳"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["猪苓", "羌活", "川贝母", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62802, "pid": "P9da4fa47b199", "date": "2026-06-11", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大便正常 纳可 眠差 尿频 下肢轻微水肿 可自行消退", "wm_dx": ["腰痛", "水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "酒女贞子", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 4} {"rid": 62804, "pid": "Pc1cc24c6feae", "date": "2026-06-11", "sex": "男", "age": 37, "cc": "腰痛乏力伴射精快6月", "hpi": "6月前出现腰酸痛，下肢乏力，射精快射精时间＜1min，阴囊潮湿，盗汗，排尿可，动则汗出，长期熬夜，口干口苦。", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["盗汗", "肝肾两虚证", "滋补肝肾"]], "rx": ["知母", "黄柏", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "制远志", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "盐杜仲", "续断", "金樱子", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62805, "pid": "P7b2d5b5816de", "date": "2026-06-11", "sex": "男", "age": 39, "cc": "腰痛半年", "hpi": "伴有乏力疲劳 同房后腰痛明显 大小便正常 纳可 眠安 便秘，尿频尿急，怕冷，下肢水肿", "wm_dx": ["便秘", "腰痛", "水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肾阳虚证", "温补肾阳"]], "rx": ["甜叶菊叶", "党参片", "山药", "白术", "茯苓", "北柴胡", "盐蒺藜", "木香", "炙黄芪", "酒黄精", "蛇床子", "韭菜子", "菟丝子", "覆盆子", "炒酸枣仁", "天麻", "醋青皮", "制巴戟天", "酒苁蓉", "仙茅", "盐胡芦巴", "炙淫羊藿", "麸炒枳壳", "地龙"], "flags": [], "prev_rx": ["甜叶菊叶", "党参片", "山药", "白术", "茯苓", "北柴胡", "盐蒺藜", "木香", "炙黄芪", "酒黄精", "蛇床子", "韭菜子", "菟丝子", "覆盆子", "炒酸枣仁", "天麻", "醋青皮", "制巴戟天", "酒苁蓉", "仙茅", "盐胡芦巴", "炙淫羊藿", "麸炒枳壳", "地龙"], "prev_gap": 21, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 62808, "pid": "Pb61d358cfcb5", "date": "2026-06-11", "sex": "男", "age": 59, "cc": "包皮龟头炎复诊取药", "hpi": "包皮龟头炎改善 大便正常 纳可 眠安 尿分叉", "wm_dx": ["前列腺增生", "包皮龟头炎", "失眠"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "白芷", "百部", "当归", "黄连"], "flags": [], "prev_rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "白芷", "百部", "当归", "黄连"], "prev_gap": 12, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62811, "pid": "Pac9b5d0c4d3a", "date": "2026-06-11", "sex": "男", "age": 40, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，勃起可，中途疲软，射精快，尿频，长期熬夜，12-1点睡。", "wm_dx": ["慢性前列腺炎", "尿频", "泌尿系感染", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "锁阳", "白芍", "韭菜子", "制巴戟天", "金樱子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62816, "pid": "Pb32e7c3200d4", "date": "2026-06-11", "sex": "男", "age": 26, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "prev_gap": 1, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 62817, "pid": "Pd0c0847885a4", "date": "2026-06-11", "sex": "男", "age": 33, "cc": "腰痛复诊", "hpi": "腰痛，乏力改善，失眠，纳可，大便调，口和，尿频，无小腹及会阴不适，工作压力适中 中途疲软 勃起不坚 晨勃少 腰痛 盗汗 下肢轻度水肿 可自行消退", "wm_dx": ["腰痛", "水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["麦冬", "酒黄精", "太子参", "菟丝子", "覆盆子", "百合", "炙黄芪"], "flags": [], "prev_rx": ["人参", "山药", "白术", "麸炒枳壳", "茯苓", "醋五味子", "麦冬", "玄参", "石斛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "盐补骨脂", "酒黄精", "炙甘草"], "prev_gap": 29, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 5} {"rid": 62820, "pid": "Pb32e7c3200d4", "date": "2026-06-11", "sex": "男", "age": 26, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["太子参", "川牛膝", "猪苓", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "prev_gap": 0, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 62827, "pid": "P7911a5d5be97", "date": "2026-06-11", "sex": "男", "age": 57, "cc": "腰痛伴小腹胀疼痛1周", "hpi": "1周前出现腰痛伴小腹胀疼痛，尿疼，无分泌物，下肢内侧疼痛不适，夜尿1-2次。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 5} {"rid": 62835, "pid": "Pf7806a146940", "date": "2026-06-12", "sex": "男", "age": 27, "cc": "体检发现前列腺钙化灶", "hpi": "夜尿多 尿道发热 大便正常 尿频 纳可 失眠 中途易醒 腰痛", "wm_dx": ["慢性前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "川贝母"], 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"桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "炙甘草", "韭菜子"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "覆盆子", "枸杞子", "盐车前子", "制水蛭", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "炙甘草", "韭菜子"], "prev_gap": 28, "visit_ix": 12, "n_visits": 14, "visit_ix_rx": 10, "n_rx": 12} {"rid": 62921, "pid": "P6f113ef0eaf7", "date": "2026-06-13", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，时间下降，性欲可，乏力，工作压力大，大便不成型，纳一般，少吃生冷，怕冷，眠可，无排尿不畅、尿后余沥，口干", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "干姜", "大枣", "炙甘草", "桂枝", "生姜", "煅龙骨", "煅牡蛎", "金樱子肉", "石菖蒲", "盐蒺藜", "茯苓", "泽泻", "麸炒芡实", "桑螵蛸"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精"], "prev_gap": 41, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 62924, "pid": "P0b9000fe8dc7", "date": "2026-06-13", "sex": "男", "age": 40, "cc": "尿频2年", "hpi": "尿频，无晨勃，硬度一般，吸烟饮酒，熬夜，排尿可 ，喝水尿频，大便不成型，睡眠正常，纳可，口干，时有腰疼，无怕冷，怕热，复诊：硬度好转，时间短5--6分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "酒萸肉", "泽泻", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "制远志", "干姜", "麸炒白术", "柏子仁", "炙甘草"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "酒萸肉", "泽泻", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "制远志", "干姜", "麸炒白术", "柏子仁"], "prev_gap": 7, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 8, "n_rx": 11} {"rid": 62927, "pid": "P414005b0d411", "date": "2026-06-13", "sex": "男", "age": 39, "cc": "腰痛乏力3月", "hpi": "3月前出现腰痛乏力，无其他不适", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炒栀子", "淡豆豉", "制巴戟天", "制远志", "北柴胡", "炒酸枣仁", "牡蛎", "龙骨", "党参片", "黄芪", "麸炒芡实", "锁阳", "白芍", "茯苓", "山药", "川芎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62928, "pid": "Pac7b1bc54b48", "date": "2026-06-13", "sex": "男", "age": 61, "cc": "尿无力 腰痛复诊", "hpi": "尿无力改善 勃起不坚 中途疲软 大便正常 纳可 不能吃生冷， 睡眠差多梦易醒 口和 感情淡漠 脾气暴躁 性欲下降 腰痛乏力", "wm_dx": ["男性更年期综合征", "前列腺增生", "男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "盐蒺藜", "当归", "白芍", "麸炒枳壳", "川牛膝", "丹参", "炒栀子", "淡豆豉", "姜半夏", "苦参", "蜈蚣", "制水蛭", "麸炒白术", "太子参", "盐益智仁", "甜叶菊叶", "制巴戟天"], "flags": [], "prev_rx": ["炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "桂枝", "生姜", "干姜", "北柴胡", "黄芩片", "党参片", "炙淫羊藿", "桔梗", "地黄", "炒苦杏仁", "丹参", "鸡血藤", "制远志"], "prev_gap": 8, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 5, "n_rx": 6} {"rid": 62930, "pid": "P406c72d3a1bd", "date": "2026-06-13", "sex": "男", "age": 57, "cc": "排尿不畅尿频夜尿多2年", "hpi": "2年前出现排尿不畅尿频夜尿多，无小腹胀痛，口中和，夜寐可", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝郁肾虚证", "疏肝理气"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "茯苓", "醋五味子", "制远志", "龙骨", "牡蛎", "醋鸡内金", "五倍子", "桑螵蛸", "红景天", "金樱子肉", "麸炒芡实", "绵萆薢", "莲须", "覆盆子", "莲子心", "关黄柏", "锁阳", "沙苑子", "知母", "柏子仁", "甘草片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 62958, "pid": "P3360f93ac697", "date": "2026-06-13", "sex": "男", "age": 40, "cc": "腰痛乏力1月", "hpi": "腰痛乏力，梦多眠差，无口干苦，有汗， 久坐，胁肋疼痛，头晕，下肢水肿", "wm_dx": ["腰痛", "水肿", "头晕"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝气郁结证", "疏肝散结"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "锁阳", "制巴戟天", "韭菜子", "黄芪", "金樱子", "麸炒芡实"], "flags": [], "prev_rx": ["制巴戟天", "太子参", "猪苓", "羌活", "菟丝子", "炒酸枣仁"], "prev_gap": 39, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 2} {"rid": 62972, "pid": "Pa18bec538f92", "date": "2026-06-14", "sex": "男", "age": 28, "cc": "左侧睾丸疼痛不适3月", "hpi": "3月前出现左侧睾丸疼痛不适，腰痛，中途疲软，有晨勃，性欲低，感情可，焦虑。纳眠可，口干。", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "野菊花", "北柴胡", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "醋三棱", "醋莪术", "夏枯草", "醋延胡索", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62979, "pid": "Pf42772310e92", "date": "2026-06-14", "sex": "男", "age": 39, "cc": "腰痛盗汗复诊", "hpi": "伴有尿不尽尿无力，手淫频繁，左侧睾丸精索静脉曲张，阴茎根部瘙痒，耳鸣，夜寐差，腰痛乏力，盗汗，阴茎根部红疹瘙痒。5月22日：阴囊潮湿改善明显，尿后余沥存在。6月14日复诊：尿后余沥改善。", "wm_dx": ["静脉曲张", "精索静脉曲张", "腰痛", "慢性前列腺炎", "皮炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["酒萸肉", "炒酸枣仁", "太子参", "牡丹皮", "川牛膝", "茯苓"], "flags": [], "prev_rx": ["川牛膝", "桂枝", "鸡血藤"], "prev_gap": 23, "visit_ix": 12, "n_visits": 16, "visit_ix_rx": 7, "n_rx": 9} {"rid": 62980, "pid": "P83ed4b8faf8e", "date": "2026-06-14", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "复诊，眠差、口苦、便1-2次。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "酒黄芩", "生石膏", "茯苓", "白术", "木香", "炙甘草", "党参片", "姜半夏", "酒白芍", "麸炒枳实", "炙淫羊藿", "酒苁蓉", "韭菜子"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "生石膏", "茯苓", "白术", "木香", "炙甘草"], "prev_gap": 13, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 10} {"rid": 62981, "pid": "P533feb45ea6e", "date": "2026-06-14", "sex": "男", "age": 43, "cc": "腰痛乏力伴勃起硬度欠佳1月", "hpi": "1月前出现腰痛乏力伴勃起硬度欠佳，中途疲软，近期勃起硬度明显减退，口干口苦，左侧睾丸酸胀感，", "wm_dx": ["水肿", "尿频", "腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "制巴戟天", "白芍", "韭菜子", "锁阳", "人参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62982, "pid": "Pb1bd6785662d", "date": "2026-06-14", "sex": "男", "age": 50, "cc": "左侧睾丸不适1月", "hpi": "左侧睾丸不适1月，工作久坐，无明显排尿和射精不适，下肢酸胀，腹痛", "wm_dx": ["静脉曲张", "精索静脉曲张", "腹痛"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "野菊花", "北柴胡", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "醋延胡索", "醋莪术", "醋三棱", "夏枯草", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 62986, "pid": "P0cf786e70347", "date": "2026-06-14", "sex": "男", "age": 37, "cc": "会阴不适复诊", "hpi": "会阴不适改善，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力盗汗。3.8复诊：睾丸下坠感明显减轻，会阴不适，小腹不适。胁痛。", "wm_dx": ["静脉曲张", "前列腺炎", "精索静脉曲张", "附睾囊肿"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "炒王不留行", "盐橘核", "醋三棱", "醋莪术", "橘络", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "炒王不留行", "盐橘核", "醋三棱", "醋莪术", "橘络", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "prev_gap": 14, "visit_ix": 18, "n_visits": 25, "visit_ix_rx": 11, "n_rx": 18} {"rid": 62992, "pid": "P27e9ef932b72", "date": "2026-06-14", "sex": "男", "age": 32, "cc": "尿频尿急6月", "hpi": "6月前出现尿频尿急，工作久坐，同房后女方阴道瘙痒，汗出频繁", "wm_dx": ["慢性前列腺炎", "尿频"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草", "防风", "防己", "炙黄芪", "人参", "石榴皮", "金樱子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 62995, "pid": "P8e646ca0591e", "date": "2026-06-14", "sex": "男", "age": 33, "cc": "腰痛乏力伴勃起欠佳6月", "hpi": "6月前出现腰痛乏力伴勃起欠佳，中途疲软，可同房，性欲可，晨勃少，口干，失眠多梦，入睡困难", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "锁阳", "酒黄精", "人参", "麦冬", "醋五味子", "韭菜子", "炒酸枣仁", "制远志"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 62997, "pid": "Ped4394b5d38f", "date": "2026-06-14", "sex": "男", "age": 37, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力,盗汗,12点睡,长期熬夜,口中和。5.3复诊：腰痛乏力好转，口角上火起痘，11点多睡。", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "金樱子", "盐车前子", "覆盆子", "麦冬", "醋五味子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "炙淫羊藿", "黄芪"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "金樱子", "盐车前子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "炙淫羊藿", "黄芪", "麦冬", "醋五味子"], "prev_gap": 15, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 63013, "pid": "P19ae0cceab0f", "date": "2026-06-14", "sex": "男", "age": 32, "cc": "腰痛乏力6月", "hpi": "6月前出现腰痛乏力，工作劳累，既往检查精液常规提示弱精。长期熬夜，盗汗，口干", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "麸炒薏苡仁", "枸杞子", "覆盆子", "盐车前子", "金樱子", "茯苓", "甜叶菊叶"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63014, "pid": "P7933d8f457fb", "date": "2026-06-14", "sex": "男", "age": 28, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，口中和，夜寐可，二便调，腹胀", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["关黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "知母", "牛膝", "锁阳", "煅阳起石", "醋五味子", "菟丝子", "盐车前子", "覆盆子", "枸杞子", "金樱子肉", "韭菜子", "制巴戟天", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63017, "pid": "P7ce77b5bffb7", "date": "2026-06-14", "sex": "男", "age": 39, "cc": "排尿不畅2月", "hpi": "2月前出现排尿不畅，饮酒后加重，勃起可，射精快，小于1min，口干，易生气，长期熬夜，腰痛乏力，腹股沟潮湿，包皮龟头红疹。", "wm_dx": ["包皮龟头炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清利下焦湿热"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "五加皮", "知母", "黄柏", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "制远志", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "龙胆", "盐杜仲", "续断", "金樱子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63022, "pid": "Pb8379df8d428", "date": "2026-06-15", "sex": "男", "age": 77, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿后余沥，夜尿2-3次，小腹疼痛不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["精癃", "湿热下注证", "清热祛湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["太子参", "猪苓", "茯苓", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63026, "pid": "Pdc6d6742006a", "date": "2026-06-15", "sex": "男", "age": 64, "cc": "复诊", "hpi": "阴囊潮湿，性功能差，体健前列腺钙化，夜尿1次，无力感，汗多，脚冷，偶有口干口苦，乏力", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["男性前阴类病", "肾虚证", "补肾益精"], ["男性生殖病", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "盐补骨脂", "地龙", "九香虫", "盐蒺藜", "首乌藤", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 6} {"rid": 63029, "pid": "P95084394dac0", "date": "2026-06-15", "sex": "男", "age": 27, "cc": "腰痛半年", "hpi": "腰痛半年 大便正常 纳可 失眠 下肢轻度水肿 可自行消退 尿频", "wm_dx": ["腰痛", "水肿", "慢性前列腺炎", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "炒酸枣仁", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63030, "pid": "P1cac17c8ac25", "date": "2026-06-15", "sex": "男", "age": 41, "cc": "慢性前列腺炎复诊", "hpi": "病史同前，症状稍有反复。下肢轻度水肿 可自行消退 尿频乏力腰痛", "wm_dx": ["慢性前列腺炎", "尿频", "水肿"], "tcm_dx": [["精浊", "肝郁血瘀证", "理气行滞"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝郁血瘀证", "理气通络"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "炙甘草", "首乌藤", "合欢皮", "盐橘核", "生姜", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "炙甘草", "首乌藤", "生姜", "大枣", "合欢皮", "盐橘核"], "prev_gap": 7, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 63033, "pid": "P55a5f2d10b22", "date": "2026-06-15", "sex": "男", "age": 66, "cc": "尿频尿急5年", "hpi": "5年前出现尿频尿急，夜尿多3-4次，口干口苦，大便可，夜寐差。6月15日复诊：排尿不畅改善，夜尿改善。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子", "炒酸枣仁", "锁阳"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "麸炒山药", "金樱子"], "prev_gap": 37, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63034, "pid": "Pb4e302d9290f", "date": "2026-06-15", "sex": "男", "age": 24, "cc": "尿痛半年余", "hpi": "尿痛半年余 大便正常 纳眠可 腰痛乏力 睾丸隐痛 早泄 勃起不佳", "wm_dx": ["尿痛", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "花椒", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63035, "pid": "P0b95e435baee", "date": "2026-06-15", "sex": "男", "age": 54, "cc": "尿频尿急一周", "hpi": "尿频尿急一周 大便正常 纳可 眠安 无下腹疼痛 无睾丸疼痛 无尿道分泌物", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川贝母", "茯苓", "太子参", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "川贝母", "茯苓", "太子参", "羌活"], "prev_gap": 20, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 63036, "pid": "P9b58099f1e18", "date": "2026-06-15", "sex": "男", "age": 59, "cc": "复诊", "hpi": "仍无精液。发现血糖高半年，耳鸣，阴囊潮湿、手麻。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精液类病", "肾虚血瘀证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "醋五味子", "瓜蒌", "地龙", "地黄", "炙甘草", "乌梅", "桑椹", "泽泻"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "醋五味子", "瓜蒌", "地龙", "地黄", "炙甘草", "乌梅", "桑椹"], "prev_gap": 7, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 5, "n_rx": 7} {"rid": 63040, "pid": "P60f479e184aa", "date": "2026-06-15", "sex": "男", "age": 37, "cc": "复诊抄方", "hpi": "未有血精，腰痛无定处，尿色正常，否认外伤。纳可 眠差 尿频 尿急 尿不尽", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "泽泻", "滑石", "连翘", "赤芍", "炙甘草", "牛膝"], "flags": [], "prev_rx": ["猪苓", "茯苓", "泽泻", "滑石", "连翘", "赤芍", "炙甘草", "牛膝"], "prev_gap": 14, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 3} {"rid": 63041, "pid": "P221265604dc1", "date": "2026-06-15", "sex": "男", "age": 43, "cc": "复诊", "hpi": "病史同前，未有性生活，失眠一般，汗不多、口中稍干。 曾服抗抑郁药。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["男性生殖病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "首乌藤", "姜半夏", "盐蒺藜", "九香虫", "炙甘草", "石菖蒲", "郁金"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "首乌藤", "姜半夏", "盐蒺藜", "九香虫", "炙甘草", "炒酸枣仁"], "prev_gap": 14, "visit_ix": 3, "n_visits": 9, "visit_ix_rx": 3, "n_rx": 9} {"rid": 63051, "pid": "P422f1eb620b9", "date": "2026-06-15", "sex": "男", "age": 43, "cc": "阴囊表皮脱皮一月余", "hpi": "阴囊表皮脱皮一月余 大便正常 纳可 眠安 尿频", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓", "川贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "太子参", "茯苓", "川贝母"], "prev_gap": 20, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63052, "pid": "P01708392d75a", "date": "2026-06-15", "sex": "男", "age": 36, "cc": "乏力腰痛半年", "hpi": "伴有会阴部坠胀 发热 阴茎灼热 射精无力 早泄 勃起不佳 大便正常 纳眠可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝郁湿热证", "疏肝清热"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "地骨皮", "花椒", "细辛", "炒僵蚕", "牡蛎", "北柴胡", "酒白芍", "麸炒枳实", "炙甘草", "川楝子", "醋青皮", "郁金", "防风", "白芷", "土茯苓", "败酱草", "茵陈", "麸炒枳壳", "茯苓", "牛膝", "川牛膝", "路路通", "炒酸枣仁", "石菖蒲", "合欢皮", "合欢花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63054, "pid": "Pb91b3d03a52b", "date": "2026-06-15", "sex": "男", "age": 34, "cc": "盗汗复诊", "hpi": "腰痛，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，汗多盗汗 失眠多梦", "wm_dx": ["腰痛", "水肿", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒萸肉", "知母", "炒酸枣仁", "太子参", "制巴戟天"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "制远志"], "prev_gap": 54, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 63062, "pid": "Pbbde28e9eb59", "date": "2026-06-15", "sex": "男", "age": 56, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿后余沥，夜尿4-5次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。5月11日复诊：排尿不畅和尿后余沥改善，夜尿1-2次。6月15日复诊：夜尿0-1次，无明显排尿不畅。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "炒酸枣仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63065, "pid": "P8dc6c6b20df4", "date": "2026-06-16", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重，复诊：大便粘，牙龈肿，口气重", "wm_dx": ["慢性前列腺炎", "甲状腺囊肿"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["炙甘草", "法半夏", "干姜", "黄芩片", "黄连片", "桂枝", "葛根", "北柴胡", "党参片", "大枣", "桑螵蛸", "红景天", "牡蛎", "赤小豆", "煅龙骨", "枸杞子"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "干姜", "盐杜仲", "大枣", "桂枝", "赤小豆", "白芍", "桑寄生", "生姜", "熟地黄", "酒萸肉", "山药", "桑螵蛸", "红景天", "牡蛎", "党参片"], "prev_gap": 7, "visit_ix": 16, "n_visits": 24, "visit_ix_rx": 15, "n_rx": 23} {"rid": 63067, "pid": "P693fe8289601", "date": "2026-06-16", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不，精索静脉曲张，盗汗，工作劳累。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒黄精", "酒女贞子", "墨旱莲", "防风", "麸炒白术", "茯苓", "枸杞子", "白芍", "醋五味子", "韭菜子", "制巴戟天", "沙苑子", "桑椹", "菟丝子", "麸炒芡实", "黄芪", "熟地黄", "炒酸枣仁", "鸡血藤", "酒苁蓉", "酒萸肉", "橘络", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒黄精", "酒女贞子", "墨旱莲", "防风", "麸炒白术", "茯苓", "枸杞子", "白芍", "醋五味子", "韭菜子", "制巴戟天", "沙苑子", "桑椹", "菟丝子", "麸炒芡实", "黄芪", "熟地黄", "炒酸枣仁", "鸡血藤", "酒苁蓉", "酒萸肉"], "prev_gap": 27, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 5, "n_rx": 7} {"rid": 63072, "pid": "P627d19d75245", "date": "2026-06-16", "sex": "男", "age": 74, "cc": "前列腺增生症复诊取药", "hpi": "排尿不适感，尿后不适感明显，夜尿2-3次，伴有尿等待，血PSA-。大便正常，口和，失眠 排尿不畅 尿线细", "wm_dx": ["前列腺增生", "尿频", "失眠"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["虎杖", "茵陈", "丹参", "牛膝", "路路通", "瓜蒌", "党参", "黄芪", "茯苓", "绵萆薢", "瞿麦", "夏枯草", "金银花", "土茯苓", "败酱草", "地龙", "烫水蛭", "桂枝", "炙甘草", "白芷", "炒栀子", "淡竹叶", "甜叶菊叶"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63073, "pid": "Pe01f99a51dac", "date": "2026-06-16", "sex": "男", "age": 76, "cc": "前列腺增生复诊", "hpi": "尿频 尿急 尿痛 大便正常 纳眠可 行动不便", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "炒酸枣仁"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63076, "pid": "P2b3ac39dfc46", "date": "2026-06-16", "sex": "男", "age": 48, "cc": "阳痿早泄一年", "hpi": "阳痿早泄一年 大便正常 纳可 ，眠安 尿急 尿频 胁痛", "wm_dx": ["男性勃起障碍", "尿频", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["房事早泄", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "地骨皮", "五加皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63078, "pid": "P72c4f8d3ad3a", "date": "2026-06-16", "sex": "男", "age": 52, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿等待，尿后余沥，夜尿1-2次，会阴不适，大便质干，纳可，眠一般，口干，盗汗。体检前列腺大小4.9*4.2*3.4cm。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63080, "pid": "P36ce35063940", "date": "2026-06-16", "sex": "男", "age": 42, "cc": "乏力腰痛半年", "hpi": "伴有脱发 早泄 勃起可 大便正常 纳眠可 尿频 下肢轻度水肿可自行消退", "wm_dx": ["乏力", "水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肾阳虚证", "温补肾阳"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 63085, "pid": "P462b61cae00b", "date": "2026-06-16", "sex": "男", "age": 24, "cc": "乏力腰痛半年", "hpi": "伴有勃起不佳 晨勃消失 尿频 尿分叉 尿无力 大便正常 纳可 眠安", "wm_dx": ["尿频", "腰痛"], "tcm_dx": [["腰痛", "肾阳虚证", "温补肾阳"]], "rx": ["制巴戟天", "太子参", "覆盆子", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63087, "pid": "P7c5adfbedad0", "date": "2026-06-16", "sex": "男", "age": 53, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，汗出，疲劳，夜寐差，盗汗，夜尿1次,耳鸣", "wm_dx": ["腰痛", "盗汗", "耳鸣"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "盐补骨脂", "黄芪", "酒黄精", "韭菜子", "人参", "炒决明子", "制远志"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "黄芪", "酒黄精", "韭菜子", "人参"], "prev_gap": 17, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 63092, "pid": "P524b3ddec43d", "date": "2026-06-16", "sex": "男", "age": 37, "cc": "尿频1.5月", "hpi": "尿频，夜尿正常，大便不成形2次，睡眠熬夜，早醒，纳可，突发无晨勃，硬度下降，时间短2-3分钟，口和，无腰痛，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["薏苡仁", "麸炒苍术", "盐关黄柏", "牛膝", "牡丹皮", "法半夏", "北柴胡", "黄芩片", "白芍", "石菖蒲", "制远志", "煅龙骨", "炙甘草", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 63098, "pid": "P7605ba992b36", "date": "2026-06-16", "sex": "男", "age": 28, "cc": "腰痛盗汗复诊", "hpi": "腰痛改善，夜尿正常，便秘，一天2次，睡眠正常，熬夜，纳可，口渴口苦口气重，硬度正常，时间1-2分钟 盗汗 腰痛 乏力疲劳一月余 感冒一周余", "wm_dx": ["尿频", "腰痛", "盗汗", "乏力", "感冒", "慢性前列腺炎"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "花椒", "天麻", "炒僵蚕", "金银花", "蒲公英"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "五加皮", "地骨皮", "花椒", "天麻", "炒僵蚕"], "prev_gap": 28, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 5, "n_rx": 6} {"rid": 63099, "pid": "P159b1f51af92", "date": "2026-06-16", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，口可，早醒，大便稀2-3次", "wm_dx": ["高脂血症"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["党参", "茯苓", "麸炒白术", "黑顺片", "大枣", "制远志", "炒酸枣仁", "干姜", "陈皮", "炙甘草", "石菖蒲", "牡丹皮", "北柴胡", "生地黄"], "flags": [], "prev_rx": ["党参", "茯苓", "麸炒白术", "黑顺片", "大枣", "制远志", "炒酸枣仁", "干姜", "陈皮", "炙甘草", "石菖蒲", "牡丹皮", "北柴胡", "生地黄"], "prev_gap": 7, "visit_ix": 7, "n_visits": 15, "visit_ix_rx": 7, "n_rx": 14} {"rid": 63100, "pid": "P9f5380d96e73", "date": "2026-06-16", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛改善 伴有阳痿早泄 时间2-3分钟 晨勃少，排尿正常，夜尿正常，大便正常 胃部不适感， 眠安 口干", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["北柴胡", "黄芩片", "郁金", "白芍", "地黄", "酒萸肉", "山药", "石菖蒲", "陈皮", "淡竹叶", "蜈蚣", "酒黄精", "煅龙骨", "煅牡蛎", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "制远志", "郁金", "醋香附", "地黄", "酒萸肉", "山药", "石菖蒲", "陈皮", "淡竹叶", "蜈蚣", "酒黄精", "煅龙骨", "煅牡蛎"], "prev_gap": 20, "visit_ix": 7, "n_visits": 11, "visit_ix_rx": 7, "n_rx": 11} {"rid": 63102, "pid": "Pb06ba7b62cc9", "date": "2026-06-16", "sex": "男", "age": 34, "cc": "尿频复诊", "hpi": "复诊，时间短1分钟，硬度和性欲可，工作可，排尿正常，大便正常，睡眠正常，纳可，口渴", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "煅龙骨", "煅牡蛎", "海螵蛸", "桑螵蛸", "金樱子肉", "石菖蒲", "盐蒺藜", "茯苓", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "瓜蒌", "炒栀子", "地龙", "五倍子", "醋五味子", "炙甘草"], "prev_gap": 8, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 6} {"rid": 63103, "pid": "P18f68ab26c7b", "date": "2026-06-16", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "腰痛半年 ，一周前生化一次，排尿正常，大便正常，时有不成形，睡眠可，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "牡丹皮", "山药", "酒女贞子", "枸杞子", "盐车前子", "覆盆子", "桑螵蛸", "牡蛎", "丝瓜络", "路路通", "制水蛭", "北沙参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "制巴戟天", "菟丝子", "覆盆子", "猪苓", "羌活"], "prev_gap": 82, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 63105, "pid": "P4596b8512757", "date": "2026-06-16", "sex": "男", "age": 44, "cc": "少腹坠胀1月", "hpi": "少腹坠胀，尿不尽，夜尿1次，口干，大便正常，复诊：少腹正常，仍有尿意感。大便粘", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "牡丹皮", "大枣", "茯苓", "猪苓", "干姜", "煅龙骨", "煅牡蛎", "麸炒白术", "制远志", "滑石", "浙贝母", "石菖蒲"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "牡丹皮", "北柴胡", "黄芩片", "大枣", "茯苓", "猪苓", "干姜", "煅龙骨", "煅牡蛎", "赤小豆", "制远志", "柏子仁", "炒苦杏仁", "石菖蒲"], "prev_gap": 10, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 10} {"rid": 63106, "pid": "P5d51a32c2e1f", "date": "2026-06-16", "sex": "男", "age": 34, "cc": "腰痛复诊", "hpi": "腰痛复诊，熬夜，睡眠可，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中", "wm_dx": ["叶酸缺乏", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "肾气不充证", "补肾扶元"]], "rx": ["菟丝子", "覆盆子", "盐车前子", "醋五味子", "枸杞子", "茯苓", "木香", "锁阳", "熟地黄", "酒萸肉", "山药", "醋龟甲", "桑螵蛸", "鹿角霜", "炙淫羊藿", "盐胡芦巴", "酒苁蓉", "陈皮", "砂仁", "酒黄精", "韭菜子", "麸炒枳壳", "炙甘草", "防风"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["菟丝子", "覆盆子", "盐车前子", "醋五味子", "枸杞子", "茯苓", "泽泻", "牡丹皮", "熟地黄", "酒萸肉", "山药", "醋龟甲", "桑螵蛸", "鹿角霜", "炙淫羊藿"], "prev_gap": 25, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 5} {"rid": 63109, "pid": "P2f9bf857a576", "date": "2026-06-16", "sex": "男", "age": 25, "cc": "乏力腰痛一月余", "hpi": "腰痛乏力，大小便正常纳可，睡眠差多梦，乏力感，口和，阵发性燥热，盗汗明显 失眠，近1周出现阴囊潮湿瘙痒", "wm_dx": ["盗汗"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "炒酸枣仁", "知母", "太子参", "丹参"], "flags": [], "prev_rx": ["制巴戟天", "炒酸枣仁", "知母", "合欢皮"], "prev_gap": 255, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63114, "pid": "P1fc42c47054d", "date": "2026-06-16", "sex": "男", "age": 66, "cc": "排尿无力半年", "hpi": "排尿无力半年 大便正常 纳眠可 性功能下降 尿频", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参", "川贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63115, "pid": "P439c62dec3cf", "date": "2026-06-16", "sex": "男", "age": 29, "cc": "小腹不适1周", "hpi": "小腹不适1周，憋尿后明显。尿频，尿后余沥，夜尿0次，大便稀，纳可，眠一般，口干，盗汗。", "wm_dx": ["前列腺炎", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63117, "pid": "P4489f79157b7", "date": "2026-06-17", "sex": "男", "age": 67, "cc": "左侧阴囊不适疼痛3天", "hpi": "左侧阴囊不适疼痛3天，尿频尿急，尿道灼热，无体温升高，口干，盗汗", "wm_dx": ["附睾炎", "泌尿系感染", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["子肿", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63119, "pid": "Pa0d6e7a883f9", "date": "2026-06-17", "sex": "男", "age": 43, "cc": "尿频半年", "hpi": "尿频 无少腹隐痛 无睾丸疼痛 夜尿0-1次 大便正常 纳可 眠安 腰痛乏力", "wm_dx": ["前列腺增生", "腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肾阳虚证", "温补肾阳"]], "rx": ["太子参", "炙黄芪", "陈皮", "炒酸枣仁", "丹参"], "flags": [], "prev_rx": ["太子参", "覆盆子", "菟丝子", "黄芪", "石斛"], "prev_gap": 35, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 63120, "pid": "Pbd604260d14d", "date": "2026-06-17", "sex": "男", "age": 40, "cc": "泌尿系感染复查", "hpi": "尿道瘙痒 无疼痛 分泌物减少 大便正常 纳可 眠安", "wm_dx": ["泌尿系感染"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "薏苡仁", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "茯苓", "薏苡仁", "太子参"], "prev_gap": 51, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63124, "pid": "P4675d4c0b6d0", "date": "2026-06-17", "sex": "男", "age": 63, "cc": "前列腺增生 复诊", "hpi": "前列腺增生 夜尿3次 排尿不畅 大便正常 纳可 眠差 包皮龟头炎一月余 局部泛红刺痒疼痛 带状疱疹取药", "wm_dx": ["前列腺增生", "包皮龟头炎", "带状疱疹", "关节炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"], ["痹证类病", "气滞血瘀证", "活血化瘀"]], "rx": ["陈皮", "麸炒芡实"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "羌活", "茯苓", "太子参", "浙贝母"], "prev_gap": 23, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 3} {"rid": 63125, "pid": "P132b318557ca", "date": "2026-06-17", "sex": "男", "age": 66, "cc": "急性尿潴留1天", "hpi": "急性尿潴留1天，留置导尿管，既往稍有排尿不畅，尿等待，夜尿0次。大便可，眠一般，盗汗。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63129, "pid": "P4fb367e71d46", "date": "2026-06-17", "sex": "男", "age": 77, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿急，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63133, "pid": "P89f3cfba6736", "date": "2026-06-17", "sex": "男", "age": 25, "cc": "尿频3月", "hpi": "尿频，尿等待，熬夜，睡眠一般，口服褪黑素治疗，大便正常，纳可，口和，晨勃少，性欲低", "wm_dx": ["尿频"], "tcm_dx": [["失眠", "肝肾亏虚证", "滋补肝肾"]], "rx": ["石菖蒲", "制远志", "柏子仁", "北柴胡", "麸炒枳实", "白芍", "牡丹皮", "牛膝", "川芎", "蜈蚣", "炒栀子", "九香虫", "地黄", "炙甘草", "大枣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 63136, "pid": "P25a451ce24b0", "date": "2026-06-17", "sex": "男", "age": 59, "cc": "右侧睾丸痛1年", "hpi": "右侧睾丸痛，外院精索静脉曲张曲张，手术后，自服5mg他达拉非片有效，口服治疗前列腺药物有效，排尿尿等待，大便正常，睡眠好，纳可，口和，无怕冷，复诊：疼痛减轻，现晨起疼痛，活动后缓解，睡眠多梦", "wm_dx": ["附睾炎"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血止痛"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "桂枝", "燀桃仁", "红花", "牡丹皮", "茯苓", "制水蛭", "丝瓜络", "生姜", "大枣", "白芍", "炙甘草", "地黄", "百合"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "桂枝", "燀桃仁", "红花", "牡丹皮", "茯苓", "制水蛭", "丝瓜络", "生姜", "大枣", "白芍", "炙甘草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 63139, "pid": "Pf5db9c22578e", "date": "2026-06-17", "sex": "男", "age": 68, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["黑顺片", "茯苓", "生姜", "酒白芍", "人参", "麸炒苍术", "煅牡蛎", "防风", "醋五味子", "黄芪", "盐益智仁", "龙骨"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黑顺片", "茯苓", "生姜", "酒白芍", "人参", "麸炒苍术", "煅牡蛎", "防风", "醋五味子", "黄芪", "盐益智仁", "龙骨"], "prev_gap": 8, "visit_ix": 8, "n_visits": 14, "visit_ix_rx": 8, "n_rx": 14} {"rid": 63140, "pid": "Pc27c9166967f", "date": "2026-06-17", "sex": "男", "age": 30, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，性生活不规律，工作劳累，压力大，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肾精"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "炒酸枣仁", "制远志", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63141, "pid": "P7f15fa4262ea", "date": "2026-06-17", "sex": "男", "age": 32, "cc": "尿频1年", "hpi": "尿频，尿有泡沫夜尿正常，硬度不佳，中途疲软，时有不能插入，晨勃少，大便正常，怕冷，睡眠熬夜，纳一般，口干口苦，复诊：夜间燥热", "wm_dx": ["男性性腺功能低下", "包皮龟头炎", "股癣"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "煅龙骨", "煅牡蛎", "生姜", "大枣", "当归", "川芎", "白芍", "茯苓", "泽泻", "猪苓", "麸炒白术", "黑顺片", "生石膏", "丹参"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "黑顺片", "猪苓", "白芍", "生姜", "大枣", "炙淫羊藿", "仙茅", "川芎", "当归", "丹参", "鸡血藤", "络石藤", "大血藤", "北柴胡", "炙黄芪", "蜈蚣"], "prev_gap": 21, "visit_ix": 6, "n_visits": 10, "visit_ix_rx": 2, "n_rx": 6} {"rid": 63142, "pid": "P945a3ee6f2a5", "date": "2026-06-17", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期想生育，盗汗，长期熬夜。工作久坐，无明显排尿不畅，稍有尿频。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "盐车前子", "韭菜子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "石菖蒲"], "flags": [], "prev_rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子", "韭菜子"], "prev_gap": 18, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63146, "pid": "P3a3c977343a4", "date": "2026-06-17", "sex": "男", "age": 26, "cc": "时间短3年", "hpi": "龟头敏感，时间短，硬度正常，排尿正常，大便正常，睡眠可，纳可，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["房事早泄", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙甘草", "大枣", "茯苓", "泽泻", "石菖蒲", "盐蒺藜", "麸炒白术", "制远志", "柏子仁", "煅龙骨", "煅牡蛎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63147, "pid": "P5e7f185fd1ce", "date": "2026-06-17", "sex": "男", "age": 40, "cc": "慢性前列腺炎腰痛乏力复诊", "hpi": "慢性前列腺炎腰痛乏力复诊 偶见尿痛 早泄 龟头敏感 腰痛 乏力盗汗 尿频 尿急 尿不尽", "wm_dx": ["慢性前列腺炎", "腰痛", "尿频"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "川贝母", "太子参", "制巴戟天", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "菟丝子", "覆盆子", "炙黄芪", "川贝母"], "prev_gap": 20, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 4} {"rid": 63151, "pid": "P61e6703c2b96", "date": "2026-06-17", "sex": "男", "age": 31, "cc": "性欲减退2周", "hpi": "性欲减退，熬夜，中途疲软，晨勃时有时无，排尿正常，大便不成形，纳可，睡眠入睡困难，无腰痛，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["百合", "地黄", "北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "牡丹皮", "牛膝", "蜈蚣", "丹参", "鸡血藤", "炒栀子", "九香虫"], "flags": [], "prev_rx": ["当归", "川芎", "炒酸枣仁", "炒栀子", "牛膝", "茯神", "石菖蒲", "制远志", "郁金", "柏子仁", "蜈蚣", "九香虫", "炙淫羊藿"], "prev_gap": 12, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63152, "pid": "Pe476bea6f444", "date": "2026-06-17", "sex": "男", "age": 34, "cc": "乏力1年", "hpi": "尿频，大便易腹泻，睡眠正常，性功能正常，流产2次，久坐，不吸烟无饮酒，晨起咽部不适有白痰", "wm_dx": ["尿频"], "tcm_dx": [["虚劳类病", "肝郁血虚证", "疏肝养血"]], "rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "茯苓", "桔梗", "麸炒白术", "生姜", "大枣", "干姜", "桑螵蛸", "牡蛎", "红景天", "鹿角霜", "枸杞子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 63159, "pid": "P6ef428c08e4c", "date": "2026-06-17", "sex": "男", "age": 31, "cc": "尿频4月", "hpi": "尿频，尿不尽，时有尿痛，色黄，少腹隐痛，大便便秘，睡眠正常，纳可，口和，无怕冷，在2外院减B超：前列腺钙化，尿常规-", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["滑石", "泽泻", "茯苓", "猪苓", "阿胶珠", "当归", "白术", "淡竹叶", "白芍", "地黄", "制水蛭", "血余炭", "蒲黄炭", "麸炒冬瓜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63168, "pid": "Pc26a428a4412", "date": "2026-06-18", "sex": "男", "age": 59, "cc": "前列腺增生复诊", "hpi": "排尿不畅 尿痛 尿道灼热一周余 大便正常 纳可 眠安 腰痛乏力 下肢轻度水肿 可自行消退", "wm_dx": ["前列腺增生", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["麦冬", "酒黄精", "制巴戟天", "覆盆子", "菟丝子", "太子参", "炙黄芪"], "flags": [], "prev_rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "炙黄芪"], "prev_gap": 20, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 63173, "pid": "Pc7c02db00f39", "date": "2026-06-18", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，精液偏黄，射精后偶有小腹不适，焦虑", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "赤小豆", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 63174, "pid": "P1efd25cdac81", "date": "2026-06-18", "sex": "男", "age": 38, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["前列腺炎", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "猪苓", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63176, "pid": "P3480540326e3", "date": "2026-06-18", "sex": "男", "age": 30, "cc": "尿痛3天", "hpi": "尿痛3天，尿道灼热刺痒，有透明尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和", "wm_dx": ["前列腺炎", "泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63177, "pid": "Pf40b2185f3a1", "date": "2026-06-18", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，PR 25.2%。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "炒酸枣仁", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63182, "pid": "Pf56293274911", "date": "2026-06-18", "sex": "男", "age": 39, "cc": "复诊", "hpi": "病史同前，口稍干，未有性生活，汗不多，无肢冷，便调", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "乌梅", "瓜蒌", "醋五味子", "桑叶", "麦冬", "姜厚朴", "炙甘草", "酒黄精"], "flags": [], "prev_rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "乌梅", "瓜蒌", "醋五味子", "桑叶", "麦冬", "炙甘草", "酒黄精", "姜厚朴"], "prev_gap": 10, "visit_ix": 14, "n_visits": 18, "visit_ix_rx": 14, "n_rx": 18} {"rid": 63183, "pid": "P04a6b0c40b5f", "date": "2026-06-18", "sex": "男", "age": 34, "cc": "尿频2天", "hpi": "尿频2天，尿道灼热，尿痛，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和", "wm_dx": ["泌尿系感染", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63187, "pid": "Pcae2aba0544c", "date": "2026-06-18", "sex": "男", "age": 52, "cc": "包皮龟头炎3天", "hpi": "包皮龟头炎3天 龟头泛红 微痛 无瘙痒 大小便正常 纳可 眠安 尿频小腹不适", "wm_dx": ["包皮龟头炎", "前列腺炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63188, "pid": "P245ef2ad51bf", "date": "2026-06-18", "sex": "男", "age": 32, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["覆盆子", "玫瑰花", "太子参", "炒酸枣仁", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63193, "pid": "P9cd6dd8ad1b4", "date": "2026-06-18", "sex": "男", "age": 62, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿线细，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。体检前列腺增生。", "wm_dx": ["前列腺增生", "前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63194, "pid": "Pc6f3f62816a5", "date": "2026-06-18", "sex": "男", "age": 40, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿线细，尿等待，尿后余沥，夜尿4-5次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63195, "pid": "P36305d61930c", "date": "2026-06-18", "sex": "男", "age": 32, "cc": "小腹隐痛 阴囊潮湿 排尿不畅一月余", "hpi": "小腹隐痛 阴囊潮湿 排尿不畅一月余 尿频 大便偏稀常 纳眠可 腰痛乏力 下肢轻度水肿 可自行消退", "wm_dx": ["腹痛", "慢性前列腺炎", "下肢水肿", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "陈皮", "太子参", "三七粉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63199, "pid": "P5d8ab38ed934", "date": "2026-06-19", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛复诊，口干口苦，胁肋疼痛，长期熬夜。", "wm_dx": ["腰痛"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾纳气"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳实", "炙甘草", "山药", "党参", "丹参", "茯苓", "土茯苓", "败酱草", "茵陈", "桃仁", "红花", "地龙", "烫水蛭", "盐车前子", "炒蒺藜", "木香", "丁香", "大血藤", "川楝子", "醋香附", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "麸炒苍术", "黄柏", "牛膝", "麸炒薏苡仁", "茯苓", "北柴胡", "炒蒺藜", "丁香", "木香", "大血藤", "石菖蒲", "制远志", "川楝子", "醋青皮", "合欢花", "合欢皮", "制巴戟天", "酒苁蓉", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "炙甘草"], "prev_gap": 12, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 5} {"rid": 63200, "pid": "Pb80ceefe6934", "date": "2026-06-19", "sex": "男", "age": 26, "cc": "腰痛乏力盗汗一月余", "hpi": "腰痛乏力盗汗一月余 伴有勃起不佳 晨勃消失 大小便正常 纳眠可 下肢水肿可自行消退", "wm_dx": ["盗汗", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "菟丝子", "太子参", "炒酸枣仁", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63201, "pid": "Pc15c086152c1", "date": "2026-06-19", "sex": "男", "age": 29, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 大小便正常 纳眠可 体检发现前列腺钙化灶 尿频", "wm_dx": ["慢性前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "川贝母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63204, "pid": "P3e6f4007296a", "date": "2026-06-19", "sex": "男", "age": 38, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 勃起可 早泄 时间1-2分钟 大小便正常 纳眠可", "wm_dx": ["乏力"], "tcm_dx": [["虚劳类病", "肾虚湿热证", "化湿"]], "rx": ["甜叶菊叶", "麸炒苍术", "黄柏", "茯苓", "牛膝", "薏苡仁", "土茯苓", "败酱草", "茵陈", "盐车前子", "合欢花", "合欢皮", "川楝子", "醋青皮", "郁金", "大血藤", "党参", "黄芪", "地龙", "烫水蛭", "麸炒枳壳", "炒酸枣仁", "炙甘草", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63209, "pid": "Pfa3c8a856552", "date": "2026-06-19", "sex": "男", "age": 31, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 大小便正常 纳可 盗汗 下肢轻度水肿 可自行消退 失眠", "wm_dx": ["乏力", "盗汗", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "丹参", "知母", "太子参", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63215, "pid": "Pcead64a62349", "date": "2026-06-19", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善 早泄改善 大小便正常 纳可 失眠 盗汗 病情稳定 延长开药 下肢水肿可自行消退", "wm_dx": ["腰痛", "失眠", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["麦冬", "酒黄精", "太子参", "炒酸枣仁", "知母", "陈皮", "麸炒芡实", "莲子"], "flags": [], "prev_rx": ["制巴戟天", "太子参", "炒酸枣仁", "知母", "陈皮", "麸炒芡实", "莲子"], "prev_gap": 33, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 6, "n_rx": 7} {"rid": 63219, "pid": "Pff9eec0f2df4", "date": "2026-06-19", "sex": "男", "age": 48, "cc": "尿频半年余", "hpi": "尿频半年余 尿黄 泡沫多 大便正常 纳眠可", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63221, "pid": "P6f00cc37df31", "date": "2026-06-19", "sex": "男", "age": 25, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 大小便正常 纳眠可 勃起不佳 中途疲软 晨勃少 下肢水肿 可自行消退", "wm_dx": ["尿频", "下肢水肿", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 63237, "pid": "Pe2730ec47848", "date": "2026-06-20", "sex": "男", "age": 54, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，晨勃消失，性欲减退，口中和，长期熬夜。3.8复诊：偶有晨勃，无同房，3.21复诊：服药后晨勃每日有，排气多，无同房，性欲稍有恢复。4.4复诊：晨勃可，勃起硬度欠佳，可同房，近2周同房2次。4.18复诊：服药无不适，近2周1次同房，硬度欠佳，中途疲软，夜勃增加。5.9复诊：近2周同房1次，硬度欠佳，晨勃恢复。6.20复诊：晨勃可，近2周未同房，睡眠可。", "wm_dx": ["男性性腺功能低下", "糖尿病", "水肿", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "肾虚证", "补肾扶元"]], "rx": ["甘草", "北柴胡", "炒栀子", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "人参", "黄芪", "酒黄精", "全蝎"], "flags": [], "prev_rx": ["甘草", "北柴胡", "炒栀子", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "人参", "黄芪", "酒黄精", "全蝎"], "prev_gap": 14, "visit_ix": 14, "n_visits": 20, "visit_ix_rx": 7, "n_rx": 12} {"rid": 63240, "pid": "P406c72d3a1bd", "date": "2026-06-20", "sex": "男", "age": 57, "cc": "排尿不畅尿频夜尿多2年", "hpi": "2年前出现排尿不畅尿频夜尿多，无小腹胀痛，口中和，夜寐可", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肝郁肾虚证", "疏肝理气"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "茯苓", "醋五味子", "制远志", "龙骨", "牡蛎", "醋鸡内金", "五倍子", "桑螵蛸", "红景天", "金樱子肉", "麸炒芡实", "绵萆薢", "莲须", "覆盆子", "莲子心", "关黄柏", "锁阳", "沙苑子", "知母", "柏子仁", "甘草片"], "flags": [], "prev_rx": ["北柴胡", "白芍", "麸炒枳实", "茯苓", "醋五味子", "制远志", "龙骨", "牡蛎", "醋鸡内金", "五倍子", "桑螵蛸", "红景天", "金樱子肉", "麸炒芡实", "绵萆薢", "莲须", "覆盆子", "莲子心", "关黄柏", "锁阳", "沙苑子", "知母", "柏子仁", "甘草片"], "prev_gap": 7, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 63241, "pid": "P3646c2d768d6", "date": "2026-06-20", "sex": "男", "age": 80, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿线细，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。外院确诊前列腺增生，口服坦索罗辛。腰痛。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["川牛膝", "猪苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63242, "pid": "P971acadcdd69", "date": "2026-06-20", "sex": "男", "age": 45, "cc": "复诊", "hpi": "病史同前，时尿频感，尿不尽，偶有尿急，阴囊潮湿减、仍发凉感，口干，性急。近期消瘦明显。6.20复诊：尿频尿不尽", "wm_dx": ["前列腺炎", "腰痛", "尿频"], "tcm_dx": [["精浊", "血瘀证", "活血化瘀"], ["精浊", "肾虚证", "补肾固精"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "金樱子肉", "当归", "炙淫羊藿", "醋香附", "北柴胡", "韭菜子", "石榴皮", "肉桂", "醋五味子"], "flags": [], "prev_rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "盐益智仁", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "麸炒山药", "韭菜子", "天花粉", "墨旱莲", "制巴戟天", "醋五味子", "金樱子肉", "炙黄芪"], "prev_gap": 14, "visit_ix": 11, "n_visits": 12, "visit_ix_rx": 9, "n_rx": 10} {"rid": 63248, "pid": "P1407db622766", "date": "2026-06-20", "sex": "男", "age": 37, "cc": "发现PSA升高复查", "hpi": "发现PSA升高1周，5.62 ng/ml，工作久坐，无明显尿频、尿急、排尿不畅，夜尿0次。无尿后余沥，无小腹及会阴不适。乏力消瘦半年,睡眠好转", "wm_dx": ["泌尿系感染", "前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "炒酸枣仁", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "荔枝核", "炒王不留行", "砂仁"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "炒酸枣仁", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "荔枝核", "炒王不留行", "砂仁"], "prev_gap": 14, "visit_ix": 13, "n_visits": 16, "visit_ix_rx": 8, "n_rx": 10} {"rid": 63251, "pid": "Ped59a86e7f04", "date": "2026-06-20", "sex": "男", "age": 49, "cc": "尿急1月", "hpi": "尿急1月，夜尿0次，无明显排尿不畅，无明显尿后余沥，硬度下降，乏力，眠可，性欲一般，盗汗，口干。", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "石菖蒲", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63263, "pid": "Pa016e8aa0618", "date": "2026-06-20", "sex": "男", "age": 27, "cc": "左侧精索静脉曲张术后3月复查", "hpi": "外院醒左侧精索静脉曲张手术后，现拆线后，仍有睾丸不适感，复查精索静脉。6.6复诊：睾丸不适感明显减轻，无其他不适。6.20复诊：阴囊不适减轻，眠一般。", "wm_dx": ["静脉曲张", "精索静脉曲张", "附睾炎", "腹股沟淋巴结炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "醋鸡内金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "丹参", "路路通", "炒王不留行", "北柴胡", "酒白芍", "醋三棱", "醋莪术", "鸡血藤", "砂仁", "炒酸枣仁", "麸炒白术", "夏枯草", "醋延胡索"], "flags": [], "prev_rx": ["盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "醋鸡内金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "丹参", "路路通", "炒王不留行", "北柴胡", "酒白芍", "醋三棱", "醋莪术", "鸡血藤", "砂仁", "夏枯草", "醋延胡索", "党参", "麸炒白术"], "prev_gap": 14, "visit_ix": 23, "n_visits": 28, "visit_ix_rx": 16, "n_rx": 21} {"rid": 63264, "pid": "P20ea4eef7cc1", "date": "2026-06-20", "sex": "男", "age": 52, "cc": "左侧阴囊不适1周", "hpi": "左侧阴囊不适1周，时轻时重，工作久坐，无明显排尿不畅，稍有尿频，下肢酸胀", "wm_dx": ["前列腺增生", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"], ["筋瘤", "气滞血瘀证", "活血化瘀"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63268, "pid": "Pf1b994524f46", "date": "2026-06-20", "sex": "男", "age": 31, "cc": "尿频1周", "hpi": "尿频1周，伴小腹不适，稍有尿痛，腰痛，盗汗，工作久坐，无明显尿后余沥，夜尿0次。", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63275, "pid": "P9a9165941f55", "date": "2026-06-20", "sex": "男", "age": 37, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口干盗汗，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜。6月20日复诊：尿道灼热刺痛，无尿频，无体温升高。", "wm_dx": ["腰痛", "泌尿系感染", "前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "知母"], "prev_gap": 112, "visit_ix": 2, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 3} {"rid": 63278, "pid": "Pabdb803e93ef", "date": "2026-06-20", "sex": "男", "age": 35, "cc": "尿痛1周", "hpi": "尿痛1周，尿道灼热，尿痛，尿道分泌物，无明显尿频尿急，无小腹及会阴不适，纳眠可，大便质粘，口和", "wm_dx": ["泌尿系感染"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["热淋", "湿热下注证", "清热祛湿"], ["热淋", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63280, "pid": "P281e2fb22c97", "date": "2026-06-20", "sex": "男", "age": 32, "cc": "尿频1年", "hpi": "尿频，无尿后余沥，夜尿1-2次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，工作久坐，腰痛", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63286, "pid": "P83ed4b8faf8e", "date": "2026-06-21", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "复诊，眠差、口苦、便1-2次。工作劳累，盗汗，性欲低，乏力。", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "酒黄芩", "生石膏", "茯苓", "白术", "木香", "炙甘草", "党参片", "姜半夏", "酒白芍", "麸炒枳实", "炙淫羊藿", "酒苁蓉", "韭菜子", "制水蛭"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "生石膏", "茯苓", "白术", "木香", "炙甘草", "党参片", "姜半夏", "酒白芍", "麸炒枳实", "炙淫羊藿", "酒苁蓉", "韭菜子"], "prev_gap": 7, "visit_ix": 3, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 10} {"rid": 63292, "pid": "P8c9f9e86c673", "date": "2026-06-21", "sex": "男", "age": 43, "cc": "尿频2年", "hpi": "尿频，晨勃少，硬度一般 ，时间短，尿不尽，夜尿正常，阴囊潮湿，无腹痛，无腰疼，大便时干时稀，睡眠正常，纳可，口干，手脚发凉，怕冷，乏力,复诊：阴囊潮湿，乏力好转，晨勃有，尿不尽，时间短", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "桂枝", "小通草", "赤小豆", "百合", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "燀桃仁", "红花", "黑顺片", "炙黄芪", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "桂枝", "小通草", "赤小豆", "百合", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "燀桃仁", "红花", "黑顺片", "炙黄芪", "炙淫羊藿"], "prev_gap": 16, "visit_ix": 3, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 8} {"rid": 63293, "pid": "Pffc1a877cf53", "date": "2026-06-21", "sex": "男", "age": 32, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，性欲一般，乏力，工作焦虑熬夜，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "路路通", "酒黄精", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63296, "pid": "P9d92c60db3d1", "date": "2026-06-21", "sex": "男", "age": 63, "cc": "腰痛乏力2月", "hpi": "腰痛乏力2月，腰痛，乏力，口干，夜尿0次，盗汗，眠可，尿频", "wm_dx": ["前列腺炎", "腰痛", "男性性腺功能低下"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制巴戟天", "太子参", "猪苓", "牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63298, "pid": "Pf94131d41a0b", "date": "2026-06-21", "sex": "男", "age": 46, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿后余沥，夜尿2次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，腰痛，乏力，硬度下降", "wm_dx": ["腰痛", "前列腺增生"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精癃", "湿热下注证", "清热祛湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "石菖蒲", "佩兰", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 63302, "pid": "P09fda9852e39", "date": "2026-06-21", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，久坐，精液色黄", "wm_dx": ["腰痛", "乏力", "前列腺炎"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "太子参", "牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "韭菜子", "锁阳"], "prev_gap": 126, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63309, "pid": "Pa5f04e7b0abe", "date": "2026-06-21", "sex": "男", "age": 46, "cc": "腰痛复诊抄方", "hpi": "腰痛 勃起硬度欠佳改善明显，性欲可，口中和，夜寐可，胁肋疼痛，大小便正常，晨勃可 高尿酸血症 痛风", "wm_dx": ["高尿酸血症", "痛风", "高血压"], "tcm_dx": [["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "川牛膝"], "flags": [], "prev_rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "川牛膝"], "prev_gap": 24, "visit_ix": 4, "n_visits": 9, "visit_ix_rx": 4, "n_rx": 9} {"rid": 63311, "pid": "P9a4e9522d228", "date": "2026-06-22", "sex": "男", "age": 42, "cc": "尿频一周 尿黄 阴囊潮湿下坠感", "hpi": "尿频一周 尿黄 阴囊潮湿下坠感 口服左氧氟沙星和热淋清好转 大便正常 纳眠可 口苦 盗汗", "wm_dx": ["尿频", "前列腺增生", "盗汗"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "党参片", "黄芪", "山药", "白术", "茯苓", "石菖蒲", "制远志", "熟地黄", "酒萸肉", "泽泻", "知母", "盐关黄柏", "桑寄生", "醋龟甲", "砂仁", "木香", "酒黄精", "麸炒枳壳", "炒酸枣仁", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 63314, "pid": "Pdc6d6742006a", "date": "2026-06-22", "sex": "男", "age": 64, "cc": "复诊", "hpi": "尿有不畅，性功能差，夜尿1次，无力感，汗多，脚冷，乏力", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["男性前阴类病", "肾虚证", "补肾益精"], ["男性生殖病", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "黑顺片", "泽泻", "茯苓", "白术", "盐益智仁", "九香虫", "地龙", "石菖蒲", "炙甘草"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "盐补骨脂", "地龙", "九香虫", "盐蒺藜", "首乌藤", "炙甘草", "生姜", "大枣"], "prev_gap": 7, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 6} {"rid": 63316, "pid": "P4fab74ad3651", "date": "2026-06-22", "sex": "男", "age": 47, "cc": "腰痛乏力3月", "hpi": "3月前出现腰痛乏力，尿频尿急 口苦 胁痛 大便正常 纳可 失眠 焦虑症", "wm_dx": ["腰痛", "尿频", "失眠", "焦虑状态"], "tcm_dx": [["腰痛", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "桂枝", "关黄柏", "薤白", "盐车前子", "牛膝", "白术", "牡蛎", "龙骨", "法半夏", "黄芩片", "党参片", "茯苓", "虎杖", "麸炒苍术", "炙淫羊藿", "制巴戟天", "仙茅", "石菖蒲", "制远志", "猪苓", "川楝子", "酒黄精", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 63317, "pid": "P545e3a50efe4", "date": "2026-06-22", "sex": "男", "age": 32, "cc": "腹股沟及阴囊潮湿异味复诊", "hpi": "腹股沟及阴囊潮湿异味改善，口干口苦，无小腹不适，偶有腹泻，怕冷，腰痛乏力 射精无力 早泄\r\n时间1分钟左右 尿频 下肢水肿 可自行消退", "wm_dx": ["慢性前列腺炎", "下肢水肿", "尿频", "腰痛"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["熟地黄", "党参", "炙黄芪", "茯苓", "山药", "麸炒白术", "干姜", "砂仁", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "覆盆子", "酒女贞子", "枸杞子", "酒萸肉", "盐车前子", "菟丝子", "麸炒枳壳", "炙甘草", "泽泻", "知母"], "prev_gap": 28, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 63320, "pid": "P58e3cbf1fece", "date": "2026-06-22", "sex": "男", "age": 55, "cc": "复诊", "hpi": "尿中絮状物3年 大便正常 纳可 眠安 勃起欠佳 腰痛乏力,肢冷口干,母亲高血压.", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["猪苓", "茯苓", "泽泻", "桂枝", "绵萆薢", "黑顺片", "石菖蒲", "炙甘草", "生石膏", "白术"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "茯苓", "石菖蒲"], "prev_gap": 116, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 63323, "pid": "P60f479e184aa", "date": "2026-06-22", "sex": "男", "age": 37, "cc": "复诊抄方", "hpi": "未有血精，腰痛无定处，尿色正常，否认外伤。纳可 眠差 尿频 尿急 尿不尽", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "泽泻", "滑石", "连翘", "赤芍", "炙甘草", "牛膝"], "flags": [], "prev_rx": ["猪苓", "茯苓", "泽泻", "滑石", "连翘", "赤芍", "炙甘草", "牛膝"], "prev_gap": 7, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 3} {"rid": 63324, "pid": "P9b58099f1e18", "date": "2026-06-22", "sex": "男", "age": 59, "cc": "复诊", "hpi": "仍无精液。发现血糖高半年，耳鸣，阴囊潮湿减、手麻减。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精液类病", "肾虚血瘀证", "补肾益精"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "醋五味子", "瓜蒌", "地龙", "地黄", "炙甘草", "乌梅", "桑椹", "麦冬"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "醋五味子", "瓜蒌", "地龙", "地黄", "炙甘草", "乌梅", "桑椹", "泽泻"], "prev_gap": 7, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 6, "n_rx": 7} {"rid": 63331, "pid": "P24bb5116aef8", "date": "2026-06-22", "sex": "男", "age": 35, "cc": "尿频6年", "hpi": "尿频6年，持续不久，近4月勃起不坚，中途疲软，昨日未常规。晨勃有，熬夜，排尿正常，喝水即尿多，大便不成型，纳可，口和，无怕冷，腰痛。药后症状改善，停药后反复。", "wm_dx": ["前列腺炎", "腰痛", "男性性腺功能低下"], "tcm_dx": [["精浊", "脾肾阳虚证", "补肾扶元"]], "rx": ["茯苓", "泽泻", "当归", "川芎", "熟地黄", "牡丹皮", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "干姜", "炙淫羊藿", "蜈蚣", "黑顺片", "炒酸枣仁", "北柴胡", "醋青皮", "酒苁蓉", "菟丝子", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["茯苓", "泽泻", "当归", "川芎", "熟地黄", "牡丹皮", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "干姜", "炙淫羊藿", "蜈蚣", "黑顺片", "酒黄精", "北柴胡", "醋青皮", "酒苁蓉", "菟丝子"], "prev_gap": 25, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 63352, "pid": "Pa7035c21ee38", "date": "2026-06-23", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度下降改善，性欲可，乏力，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗汗多。晨勃有。病情稳定 延长开药", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["甜叶菊叶", "党参片", "炙黄芪", "山药", "砂仁", "木香", "白术", "制远志", "酒苁蓉", "制巴戟天", "制何首乌", "仙茅", "麸炒薏苡仁", "地龙", "麸炒苍术", "熟地黄", "酒萸肉", "知母", "盐关黄柏", "盐车前子", "炒酸枣仁", "天麻", "炙甘草", "蛇床子"], "flags": [], "prev_rx": ["甜叶菊叶", "党参片", "炙黄芪", "山药", "砂仁", "木香", "麸炒白术", "制远志", "酒苁蓉", "制巴戟天", "盐胡芦巴", "仙茅", "麸炒薏苡仁", "地龙", "白芷", "熟地黄", "酒萸肉", "知母", "盐关黄柏", "盐车前子", "炒酸枣仁", "天麻", "炙甘草", "蛇床子"], "prev_gap": 17, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 6} {"rid": 63353, "pid": "P8dc6c6b20df4", "date": "2026-06-23", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重，复诊：大便粘，牙龈肿，口气重", "wm_dx": ["甲状腺囊肿", "慢性前列腺炎"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["炙甘草", "法半夏", "干姜", "黄芩片", "黄连片", "葛根", "北柴胡", "党参片", "大枣", "桑螵蛸", "红景天", "牡蛎", "赤小豆", "煅龙骨", "枸杞子", "生石膏", "茯苓"], "flags": [], "prev_rx": ["炙甘草", "法半夏", "干姜", "黄芩片", "黄连片", "桂枝", "葛根", "北柴胡", "党参片", "大枣", "桑螵蛸", "红景天", "牡蛎", "赤小豆", "煅龙骨", "枸杞子"], "prev_gap": 7, "visit_ix": 17, "n_visits": 24, "visit_ix_rx": 16, "n_rx": 23} {"rid": 63359, "pid": "P4675d4c0b6d0", "date": "2026-06-23", "sex": "男", "age": 63, "cc": "前列腺增生 复诊", "hpi": "前列腺增生 夜尿3次 排尿不畅 大便正常 纳可 眠差 包皮龟头炎一月余 局部泛红刺痒疼痛 带状疱疹取药 感冒一周余", "wm_dx": ["感冒", "带状疱疹", "尿频", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"], ["痹证类病", "气滞血瘀证", "活血化瘀"], ["感冒", "暑湿证", "芳香化湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参", "川贝母", "白芷"], "flags": [], "prev_rx": ["陈皮", "麸炒芡实"], "prev_gap": 6, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 3} {"rid": 63361, "pid": "Pea732968dada", "date": "2026-06-23", "sex": "男", "age": 50, "cc": "腰痛1年", "hpi": "腰痛，排尿可，夜尿正常，时有色黄，大便正常2-3次，纳可，睡眠一般，早醒，口和，晨勃有，勃起不佳，中途疲软，乏力，无怕冷", "wm_dx": ["腰痛", "甲状腺功能异常", "尿频", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "党参片", "生姜", "大枣", "葛根", "蜈蚣", "石菖蒲", "制远志", "牡丹皮", "当归", "川芎", "地黄", "炙黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63362, "pid": "P4b4c687f0f9d", "date": "2026-06-23", "sex": "男", "age": 69, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿无力，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，腰痛。外院查前列腺大小4.54*3.34*3.06cm，残余尿67ml，PSA未见明显异常。", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "太子参", "炒酸枣仁", "川牛膝", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63373, "pid": "P40b1d63a1b0d", "date": "2026-06-23", "sex": "男", "age": 32, "cc": "腰痛伴勃起硬度欠佳1年", "hpi": "腰痛伴勃起硬度欠佳1年，中途疲软，射精快1-2分钟，口中和，夜寐可，睡觉口水流出，长期夜班，易生气，欲望可，盗汗 尿频 下肢水肿 可自行消退", "wm_dx": ["腰痛", "尿频", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "赤芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "茵陈", "山药", "酒苁蓉", "泽泻", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "麸炒苍术", "土茯苓", "北败酱草", "党参片", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63377, "pid": "Pa919a4c106a2", "date": "2026-06-23", "sex": "男", "age": 46, "cc": "腰痛复诊", "hpi": "腰痛复诊，硬度下降，性欲可，乏力，工作劳累，二便调，眠差，无排尿不畅、尿后余沥，口干，盗汗，晨勃有。", "wm_dx": ["男性性腺功能低下", "腰痛", "尿频", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["党参片", "黄芪", "山药", "白术", "菟丝子", "制巴戟天", "覆盆子", "沙苑子", "韭菜子", "蛇床子", "酒苁蓉", "酒黄精", "茯苓", "北柴胡", "木香", "盐蒺藜", "麸炒薏苡仁", "麸炒枳壳", "醋青皮", "郁金", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁"], "prev_gap": 152, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63380, "pid": "P8d6f3552a6b4", "date": "2026-06-23", "sex": "男", "age": 63, "cc": "乏力腰痛半年", "hpi": "伴有性功能下降 勃起不佳 大小便正常 纳眠可 包皮龟头炎一月余 带状疱疹取药", "wm_dx": ["包皮龟头炎", "带状疱疹"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "羌活", "猪苓", "川贝母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63381, "pid": "P11f2581af2cc", "date": "2026-06-23", "sex": "男", "age": 40, "cc": "乏力复诊", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多，复诊多梦盗汗，口气重", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "黄芩片", "大黄", "白芍", "大枣", "桂枝", "燀桃仁", "红花", "牡丹皮", "茯苓", "猪苓", "滑石", "麸炒冬瓜子", "制水蛭"], "flags": [], "prev_rx": ["麻黄", "黑顺片", "细辛", "茯苓", "白芍", "白术", "生姜", "五倍子", "甘草片"], "prev_gap": 28, "visit_ix": 20, "n_visits": 24, "visit_ix_rx": 20, "n_rx": 24} {"rid": 63382, "pid": "Pb027b3408964", "date": "2026-06-23", "sex": "男", "age": 30, "cc": "会阴不适1月", "hpi": "会阴不适1月，工作久坐，尿频，尿后余沥，夜尿1-2次，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺炎", "尿频", "盗汗"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "麸炒白术", "黄芪", "炒酸枣仁", "酒黄精", "麸炒薏苡仁", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63386, "pid": "Pb06ba7b62cc9", "date": "2026-06-23", "sex": "男", "age": 34, "cc": "尿频复诊", "hpi": "复诊，时间短1分钟，硬度和性欲可，工作可，排尿正常，大便正常，睡眠正常，纳可，口渴", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "煅龙骨", "煅牡蛎", "桑螵蛸", "金樱子肉", "石菖蒲", "盐蒺藜", "茯苓", "炙甘草", "猪苓", "锁阳"], "flags": [], "prev_rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "煅龙骨", "煅牡蛎", "海螵蛸", "桑螵蛸", "金樱子肉", "石菖蒲", "盐蒺藜", "茯苓", "炙甘草"], "prev_gap": 7, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 6} {"rid": 63388, "pid": "P416b9d0435ec", "date": "2026-06-23", "sex": "男", "age": 78, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿线细，尿等待，尿后余沥，夜尿2次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干。腰痛，尿后余沥，阴囊潮湿，其他症状改善明显。下肢水肿 可自行消退 行动不便", "wm_dx": ["下肢水肿", "前列腺增生", "腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾阳虚证", "温补肾阳"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["失眠", "气血亏虚证", "补益气血"]], "rx": ["太子参", "炙黄芪", "石斛", "制巴戟天", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "麸炒山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "酒黄精", "赤小豆", "鸡血藤", "知母", "麸炒薏苡仁"], "prev_gap": 41, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 63391, "pid": "P159b1f51af92", "date": "2026-06-23", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，口可，早醒，大便稀2-3次", "wm_dx": ["高脂血症"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["党参", "茯苓", "麸炒白术", "知母", "大枣", "制远志", "炒酸枣仁", "干姜", "百合", "炙甘草", "石菖蒲", "牡丹皮", "北柴胡", "生地黄"], "flags": [], "prev_rx": ["党参", "茯苓", "麸炒白术", "黑顺片", "大枣", "制远志", "炒酸枣仁", "干姜", "陈皮", "炙甘草", "石菖蒲", "牡丹皮", "北柴胡", "生地黄"], "prev_gap": 7, "visit_ix": 8, "n_visits": 15, "visit_ix_rx": 8, "n_rx": 14} {"rid": 63392, "pid": "P4b868542739d", "date": "2026-06-23", "sex": "男", "age": 53, "cc": "尿频复诊", "hpi": "病史同前，夜尿2次,尿畅尿急,色黄,夜尿一次,大便正常,睡眠差,口和,阴囊潮湿.滴白, 性欲一般,硬度一般，复诊：潮湿滴白好转，睡眠早醒，硬度一般", "wm_dx": ["前列腺炎", "男性性腺功能低下"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "茯苓", "黄芩片", "滑石", "牛膝", "煅龙骨", "煅牡蛎", "地黄", "生石膏", "百合", "制水蛭", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "茯苓", "泽泻", "滑石", "牛膝", "煅龙骨", "煅牡蛎", "地黄", "生石膏", "法半夏", "制水蛭"], "prev_gap": 17, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 8} {"rid": 63393, "pid": "Pac21cb95e2e8", "date": "2026-06-23", "sex": "男", "age": 43, "cc": "尿急半年", "hpi": "尿急，色黄，夜尿正常，大便正常，睡眠正常，熬夜，纳可，口苦，吸烟，阴囊潮湿", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "丹参", "燀桃仁", "红花", "牡丹皮", "鸡血藤", "石菖蒲", "百合", "地黄", "牛膝", "蜈蚣", "北沙参", "党参片", "枸杞子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 63407, "pid": "P38ec74bd3a85", "date": "2026-06-24", "sex": "男", "age": 28, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，二便调，口和，尿频、睡前尿意感，夜尿正常，无小腹及会阴不适，工作久坐 大便可，纳可，睡眠正常，1分钟", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "赤小豆", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "牛膝", "牡丹皮", "甜叶菊叶", "百合", "郁金", "党参片", "炙甘草", "大枣", "酒萸肉", "锁阳"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "百合", "地黄", "酒萸肉", "山药", "牡丹皮", "牛膝", "煅龙骨", "煅牡蛎", "天花粉", "酒黄精", "炙甘草", "大枣", "麸炒芡实", "制远志", "石菖蒲"], "prev_gap": 18, "visit_ix": 5, "n_visits": 9, "visit_ix_rx": 5, "n_rx": 7} {"rid": 63411, "pid": "Pbb8463b2d4a4", "date": "2026-06-24", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰酸疼，下蹲加重，骨科拍片未见异常，尿后余沥，大便正常，睡眠入睡难，口干，乏力感，怕冷，晨勃少，工作劳累可，情绪焦虑", "wm_dx": ["腰痛", "前列腺炎", "乏力"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "湿热下注证", "清热祛湿"]], "rx": ["乌梅", "净山楂", "甘草片", "陈皮", "炒酸枣仁", "猪苓", "太子参", "川牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63412, "pid": "Pa11c087ec69b", "date": "2026-06-24", "sex": "男", "age": 42, "cc": "尿频2月", "hpi": "尿频，近2月出现勃起不能，既往口服他达拉非，有效不明显，无晨勃，尿不尽，无阴囊潮湿，腰酸痛，无腹痛，睡眠正常，纳可，大便2-4次，口和.建议5mg他达拉非口服,复诊：硬度可，时间短", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "湿邪证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["百合", "酒萸肉", "甜叶菊叶", "炙甘草", "石菖蒲", "盐蒺藜", "柏子仁", "北柴胡", "黄芩片", "丹参", "鸡血藤", "金樱子肉", "大枣", "蜈蚣"], "flags": [], "prev_rx": ["地黄", "黄芩片", "白芍", "甘草片", "党参片", "大枣", "生姜", "煅龙骨", "煅牡蛎", "麸炒芡实", "淡竹叶", "赤石脂", "桑螵蛸"], "prev_gap": 14, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 6, "n_rx": 7} {"rid": 63415, "pid": "P9538dbc2ee07", "date": "2026-06-24", "sex": "男", "age": 48, "cc": "乏力5年", "hpi": "乏力，性欲下降，晨勃无，硬度不佳，中途疲软，时间短2-4分钟，现同房不规律。三天熬夜一次，排尿正常，时有分叉，夜尿正常，大便2-3天一次，睡眠可，纳可，口和", "wm_dx": ["乏力", "男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "黄芩片", "法半夏", "大黄", "白芍", "大枣", "生姜", "茯苓", "当归", "丹参", "鸡血藤", "酒苁蓉", "蜈蚣", "桂枝", "燀桃仁", "红花", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63418, "pid": "Pc12c426b051f", "date": "2026-06-24", "sex": "男", "age": 57, "cc": "尿频半月", "hpi": "尿频，硬度下降，中途疲软，晨勃有，纳可，凉的少吃，大小便正常，睡眠可，口渴，无怕冷，阴囊潮湿", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "牛膝", "蜈蚣", "酒黄精", "当归", "炙黄芪", "醋龟甲", "制远志", "赤小豆", "党参片", "炙淫羊藿"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "白芍", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "牛膝", "蜈蚣", "酒黄精", "当归", "麦冬", "醋龟甲", "制远志", "赤小豆", "党参片", "炙淫羊藿"], "prev_gap": 15, "visit_ix": 12, "n_visits": 13, "visit_ix_rx": 9, "n_rx": 10} {"rid": 63419, "pid": "P3cb734231435", "date": "2026-06-24", "sex": "男", "age": 44, "cc": "乏力半年", "hpi": "乏力，性欲正常，晨勃无，硬度差，近期无同房，排尿急，夜尿1次，无尿痛，大便粘，纳可，睡眠入睡困难，口苦，腰痛", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝郁湿热证", "疏肝清热"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "麸炒薏苡仁", "炒苦杏仁", "豆蔻", "滑石", "生姜", "盐杜仲", "丹参", "鸡血藤", "蜈蚣", "制水蛭", "桂枝", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 10} {"rid": 63420, "pid": "P40b4357c824e", "date": "2026-06-24", "sex": "男", "age": 61, "cc": "发现右侧阴囊硬结1年", "hpi": "发现右侧阴囊硬结1年，质地韧，边缘光滑，无明显触痛，无明显射精不适，尿频，夜尿1次，腹痛", "wm_dx": ["精索静脉曲张", "附睾炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "羌活", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63422, "pid": "P221265604dc1", "date": "2026-06-24", "sex": "男", "age": 43, "cc": "复诊", "hpi": "病史同前，未有性生活，失眠一般，汗不多、口中稍干。曾服抗抑郁药。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["男性生殖病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "首乌藤", "姜半夏", "盐蒺藜", "九香虫", "炙甘草", "石菖蒲", "郁金", "制水蛭", "酒黄精", "炒酸枣仁", "麸炒白术", "山药"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "首乌藤", "姜半夏", "盐蒺藜", "九香虫", "炙甘草", "石菖蒲", "郁金"], "prev_gap": 9, "visit_ix": 4, "n_visits": 9, "visit_ix_rx": 4, "n_rx": 9} {"rid": 63429, "pid": "Pdd9602698a43", "date": "2026-06-24", "sex": "男", "age": 35, "cc": "尿频半年", "hpi": "尿频,硬度下降,中途疲软,晨勃少,纳可,睡眠正常,口和,大便粘 ，尿黄，复诊：症状好转，时间", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "百合", "石菖蒲", "鸡血藤", "丹参", "茯苓", "淡竹叶", "蜈蚣", "党参片", "牛膝", "桑寄生", "炙淫羊藿", "桑螵蛸"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63430, "pid": "Pe476bea6f444", "date": "2026-06-24", "sex": "男", "age": 34, "cc": "乏力1年", "hpi": "尿频，大便易腹泻，睡眠正常，性功能正常，流产2次，久坐，不吸烟无饮酒，晨起咽部不适有白痰", "wm_dx": ["尿频"], "tcm_dx": [["虚劳类病", "肝郁血虚证", "疏肝养血"]], "rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "茯苓", "桔梗", "麸炒白术", "生姜", "大枣", "干姜", "桑螵蛸", "牡蛎", "红景天", "鹿角霜", "枸杞子", "覆盆子", "醋五味子", "炙淫羊藿", "酒黄精", "菟丝子"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "茯苓", "桔梗", "麸炒白术", "生姜", "大枣", "干姜", "桑螵蛸", "牡蛎", "红景天", "鹿角霜", "枸杞子"], "prev_gap": 7, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 63431, "pid": "Pdff634b09b1a", "date": "2026-06-24", "sex": "男", "age": 38, "cc": "龟头部刺痒1月", "hpi": "龟头部刺痒,外院检查,外涂软膏治疗,尿滴白,大便正常,排尿正常,射精正常,阴囊潮湿,勃起时有少腹隐痛,纳一般,口苦", "wm_dx": ["皮肤感染", "皮炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "浙贝母", "血余炭", "蒲黄炭", "牛膝", "麸炒冬瓜子", "燀桃仁", "麸炒薏苡仁", "石菖蒲", "北柴胡", "黄芩片", "党参片", "大枣", "制水蛭", "白花蛇舌草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63433, "pid": "P0ac7ff231dcd", "date": "2026-06-24", "sex": "男", "age": 30, "cc": "失眠一年余", "hpi": "失眠一年余 腰酸痛腿软，多汗，排尿尿频，大便不成型，尿黄，怕冷怕热，口干口气重，易怒，口腔溃疡，盗汗。", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["胁痛", "肝郁血虚证", "疏肝养血"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "莲子", "炒酸枣仁", "知母", "盐关黄柏", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "金樱子肉", "莲子", "炒酸枣仁", "盐补骨脂"], "prev_gap": 60, "visit_ix": 9, "n_visits": 14, "visit_ix_rx": 3, "n_rx": 7} {"rid": 63434, "pid": "P2da6c3db8d52", "date": "2026-06-24", "sex": "男", "age": 29, "cc": "尿频一年", "hpi": "尿频，晨勃可，时有同房时勃起不坚，排尿正常，大便不成型，睡眠易醒，纳可，吃凉易腹泻，怕冷，时有腰疼，口和，偶有晨起口苦，白发", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "寒热错杂证", "调理阴阳"]], "rx": ["北柴胡", "黄芩", "党参", "生姜", "大枣", "石菖蒲", "制远志", "柏子仁", "牛膝", "郁金", "菟丝子", "枸杞子", "醋龟甲", "熟地黄"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "桂枝", "牡丹皮", "石菖蒲", "干姜", "炒栀子", "丹参", "鸡血藤", "生地黄", "菟丝子", "盐车前子", "覆盆子", "炙淫羊藿", "白芍", "附片", "党参"], "prev_gap": 15, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 6} {"rid": 63438, "pid": "P72e02cc75194", "date": "2026-06-24", "sex": "男", "age": 54, "cc": "尿频夜尿5-6次半年余", "hpi": "尿频夜尿5-6次半年余 排尿不畅 大便正常 尿急 尿不尽 纳可 眠差 盗汗腰痛 下肢水肿 可自行消退", "wm_dx": ["前列腺增生", "下肢水肿", "盗汗"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["知母", "覆盆子", "菟丝子", "太子参", "酒女贞子", "牛膝", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["知母", "覆盆子", "菟丝子", "太子参", "酒女贞子"], "prev_gap": 20, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63440, "pid": "P0185dea2e5af", "date": "2026-06-24", "sex": "男", "age": 34, "cc": "性功能减退3-4年", "hpi": "时间短1-2分钟，硬度一般，晨勃无，半月同房一次，腰酸痛，排尿可，夜尿正常，大便正常偶有腹泻，纳可，睡眠正常多梦，口干，怕冷，乏力，复诊：晨勃有，时间硬度不行，乏力腰疼好转，复诊：硬度可，时2-3分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "脾肾两虚证", "补肾扶元"], ["房事阳痿", "肾阳虚水泛证", "温补肾阳"]], "rx": ["茯苓", "泽泻", "路路通", "麸炒白术", "制水蛭", "干姜", "盐车前子", "牡丹皮", "黑顺片", "桂枝", "当归", "炙甘草", "酒萸肉"], "flags": [], "prev_rx": ["茯苓", "泽泻", "路路通", "麸炒白术", "炒王不留行", "制水蛭", "干姜", "盐车前子", "牡丹皮", "黑顺片", "桂枝", "当归", "炙甘草"], "prev_gap": 14, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 5, "n_rx": 6} {"rid": 63452, "pid": "P91f6f5451f80", "date": "2026-06-24", "sex": "男", "age": 33, "cc": "睡眠一般一年", "hpi": "睡眠差，近期准备备育，排尿正常，大便正常，睡眠可多梦，纳可，口和，北医检查弱精，盗汗", "wm_dx": ["盗汗"], "tcm_dx": [["失眠", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "黄芩", "桂枝", "生姜", "大枣", "熟地黄", "酒萸肉", "山药", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "醋龟甲", "红景天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63458, "pid": "Pa0d6e7a883f9", "date": "2026-06-25", "sex": "男", "age": 43, "cc": "尿频复诊", "hpi": "尿频改善 无少腹隐痛 无睾丸疼痛 夜尿0-1次 大便正常 纳可 眠安 腰痛乏力", "wm_dx": ["前列腺增生", "腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾阳虚证", "温补肾阳"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["太子参", "猪苓", "陈皮", "炒酸枣仁", "羌活"], "flags": [], "prev_rx": ["太子参", "炙黄芪", "陈皮", "炒酸枣仁", "丹参"], "prev_gap": 8, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 63459, "pid": "Paeaf429b3e2c", "date": "2026-06-25", "sex": "男", "age": 72, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿等待，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，阴囊潮湿。拒绝检查。", "wm_dx": ["前列腺增生", "尿频", "盗汗"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["熟地黄", "菟丝子", "醋莪术", "川牛膝", "炒王不留行", "盐黄柏", "黄芩", "山药", "浙贝母", "泽泻", "桔梗", "酒萸肉", "黄芪", "乌药", "白果仁", "麸炒薏苡仁", "烫水蛭", "炒酸枣仁", "石菖蒲", "醋延胡索", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 63461, "pid": "P75fb33381b2f", "date": "2026-06-25", "sex": "男", "age": 40, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作焦虑，尿频，纳眠可，无排尿不畅、尿后余沥，口干，怕冷", "wm_dx": ["前列腺炎", "腰痛", "乏力", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓", "金樱子肉", "麸炒芡实", "诃子肉", "锁阳", "酒黄精", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "盐杜仲"], "prev_gap": 196, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63466, "pid": "P06f0599e2a08", "date": "2026-06-25", "sex": "男", "age": 33, "cc": "腰痛一年", "hpi": "腰痛，大小便正常 纳可 睡眠正常，口和，睾丸及小腹不适，抄方，盗汗", "wm_dx": ["精索静脉曲张", "盗汗", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "茯苓", "枸杞子", "菟丝子", "醋五味子", "覆盆子", "盐车前子", "党参片", "韭菜子", "桑椹", "桑叶", "广藿香", "佩兰"], "flags": [], "prev_rx": ["枸杞子", "菟丝子", "鹿角霜", "醋鳖甲", "茯苓", "麸炒白术", "桑寄生", "炒麦芽", "牡蛎", "桂枝", "大枣", "党参片", "黄芪"], "prev_gap": 109, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 63467, "pid": "P6f867e5865da", "date": "2026-06-25", "sex": "男", "age": 45, "cc": "腰痛2月", "hpi": "腰痛2月，遗精，乏力，失眠，纳可，二便调，口和，无排尿不畅，小腹及会阴不适，工作熬夜盗汗，尿频", "wm_dx": ["尿频", "前列腺炎", "腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热祛湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "茯苓", "太子参", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63470, "pid": "P50f4333597e6", "date": "2026-06-25", "sex": "男", "age": 21, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间短，硬度和性欲可，工作劳累，压力大，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，乏力", "wm_dx": ["腰痛", "乏力", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "酒萸肉", "制远志", "鸡血藤", "川牛膝", "烫水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63473, "pid": "P567e4fd2e2db", "date": "2026-06-25", "sex": "男", "age": 44, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，排尿不畅，尿频，无小腹及会阴不适，工作熬夜盗汗久坐。超声报前列腺增生。", "wm_dx": ["盗汗", "腰痛", "前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63477, "pid": "Pfbe47ae9bd03", "date": "2026-06-25", "sex": "男", "age": 40, "cc": "腹胀一月余", "hpi": "阴囊潮湿，失眠一年多，入睡困难多梦，中途醒，性欲一般，勃起不佳，排尿可，大便不成型，纳差，口干口苦，怕冷，腰酸疼。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"], ["失眠", "心血虚证", "补血养心"], ["腹胀", "肝郁血瘀证", "疏肝化瘀"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "炙甘草", "海螵蛸", "佛手", "麸炒枳壳", "地龙", "制水蛭", "熟地黄", "酒萸肉", "酒女贞子", "制何首乌", "石菖蒲", "制远志", "炒酸枣仁", "丹参", "防风", "龙骨", "桂枝", "山药", "党参片", "甜叶菊叶", "木香"], "flags": [], "prev_rx": ["太子参", "炒酸枣仁", "知母", "丹参", "三七粉"], "prev_gap": 177, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 7, "n_rx": 9} {"rid": 63479, "pid": "Pd3a2f58c861c", "date": "2026-06-25", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛改善 大小便正常 纳可 眠安 盗汗改善 下肢水肿 可自行消退", "wm_dx": ["腰痛", "盗汗", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒黄精", "麦冬", "菊花", "制巴戟天", "太子参", "猪苓", "陈皮", "菟丝子", "覆盆子", "枸杞子"], "flags": [], "prev_rx": ["酒黄精", "麦冬", "菊花", "制巴戟天", "太子参", "猪苓", "陈皮", "菟丝子", "覆盆子", "枸杞子"], "prev_gap": 37, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 63480, "pid": "P36c042686164", "date": "2026-06-25", "sex": "男", "age": 33, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和，久坐", "wm_dx": ["前列腺炎", "包皮龟头炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "羌活", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63482, "pid": "P7911a5d5be97", "date": "2026-06-25", "sex": "男", "age": 57, "cc": "腰痛伴小腹胀疼痛1周", "hpi": "1周前出现腰痛伴小腹胀疼痛，尿疼，无分泌物，下肢内侧疼痛不适，夜尿1-2次。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草"], "flags": [], "prev_rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草"], "prev_gap": 14, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 5} {"rid": 63490, "pid": "Pe3433b6e0244", "date": "2026-06-26", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "伴有阳痿早泄 晨勃消失 大小便正常 纳可 眠安 晨勃消失 同房后 腰酸痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "脾肾阳虚证", "补肾扶元"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "地骨皮", "花椒", "细辛", "炒僵蚕", "牡蛎", "酒苁蓉", "炙淫羊藿", "石榴皮", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63496, "pid": "Pf079c13c4f0d", "date": "2026-06-26", "sex": "男", "age": 56, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿线细，尿等待，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。工作久坐，超声前列腺大小6.4*5.2*5.4。", "wm_dx": ["前列腺增生", "尿频", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精癃", "湿热下注证", "清热利湿"], ["失眠", "心神不宁证", "养心安神"]], "rx": ["猪苓", "茯苓", "炒酸枣仁", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63498, "pid": "P81b722dea0f7", "date": "2026-06-26", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 勃起可 大小便正常 纳可 眠安，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "法半夏", "茯苓", "泽泻", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "乌梅", "金樱子肉", "炙甘草", "麸炒白术", "大枣", "酒萸肉", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "prev_gap": 39, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 63499, "pid": "Pb8cfb8a51953", "date": "2026-06-26", "sex": "男", "age": 35, "cc": "尿血2周", "hpi": "尿血2周，褐色，无明显尿道灼热，现有小腹不适疼痛，口干，盗汗，眠一般，工作久坐，乏力腰痛", "wm_dx": ["血尿", "肾结石", "盗汗"], "tcm_dx": [["血淋", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["广金钱草", "麦冬", "党参片", "猪苓", "茯苓", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63500, "pid": "Peec69479bb1d", "date": "2026-06-26", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善，疲劳感等减轻。 大小便正常，精液有颗粒，阴囊潮湿，睡眠正常，纳可，招风腹痛，汗多，咽部不适，有痰色白，复诊：阴囊潮湿，腰痛好转，怕热，咽部不适", "wm_dx": ["皮肤感染"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "生姜", "大枣", "炒苦杏仁", "桔梗", "姜厚朴", "炒紫苏子", "生石膏", "煅龙骨", "桑螵蛸", "赤小豆", "菟丝子", "枸杞子", "白花蛇舌草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63510, "pid": "P1020e91b318a", "date": "2026-06-26", "sex": "男", "age": 33, "cc": "准备备孕", "hpi": "准备备孕，性功能正常，纳可，熬夜，尿频，大便正常，睡眠正常，纳可，口和，腹部皮肤刺痒", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "牛膝", "桑螵蛸", "红景天", "赤小豆", "当归", "荆芥", "蛇床子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["熟地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "牛膝", "桑螵蛸", "牡蛎", "红景天", "赤小豆"], "prev_gap": 28, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 63515, "pid": "P89c6486bcc29", "date": "2026-06-27", "sex": "男", "age": 56, "cc": "腰痛半年", "hpi": "伴有勃起不坚 早泄 便秘 纳可 失眠 小便正常 盗汗 下肢水肿可自行消退", "wm_dx": ["下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["太子参", "酒女贞子", "覆盆子", "陈皮", "知母", "酒萸肉", "炒酸枣仁", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 63518, "pid": "P06b6bc194045", "date": "2026-06-27", "sex": "男", "age": 48, "cc": "前列腺根治手术后复查PSA", "hpi": "前列腺结节，血PSA高，右侧肾结石病史，在我院手术治疗，现时有腰部不适感，大便正常，纳可，睡眠可，怕冷，口和 腰痛乏力 尿频 下肢水肿 可自行消退", "wm_dx": ["前列腺术后", "下肢水肿", "尿频", "腰痛"], "tcm_dx": [["腰痛", "肾阳虚证", "温补肾阳"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "太子参", "石斛", "炒酸枣仁", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63525, "pid": "P4db9ceac8e50", "date": "2026-06-27", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力睡眠正常，纳可，二便调，口苦，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "茯苓", "泽泻", "麸炒白术", "丹参", "法半夏", "党参片", "炙淫羊藿", "菟丝子", "枸杞子", "覆盆子", "桑螵蛸", "醋龟甲", "薏苡仁", "牛膝", "滑石", "金樱子肉", "白芍"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "茯苓", "泽泻", "麸炒白术", "丹参", "法半夏", "竹茹", "炙淫羊藿", "菟丝子", "枸杞子", "覆盆子", "桑螵蛸", "醋龟甲", "薏苡仁", "牛膝", "滑石", "金樱子肉"], "prev_gap": 21, "visit_ix": 11, "n_visits": 15, "visit_ix_rx": 11, "n_rx": 15} {"rid": 63526, "pid": "P77a5254a2ad3", "date": "2026-06-27", "sex": "男", "age": 32, "cc": "尿频 排尿不畅 少腹隐痛2月", "hpi": "尿频 排尿不畅 少腹隐痛2月 大便正常 纳可 失眠 腰痛 盗汗", "wm_dx": ["慢性前列腺炎", "盗汗", "失眠"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["酒萸肉", "知母", "炒酸枣仁", "太子参", "菟丝子", "酒黄精", "酒女贞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒萸肉", "知母", "炒酸枣仁", "太子参", "三七粉", "菟丝子", "酒黄精", "酒女贞子"], "prev_gap": 21, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 63527, "pid": "Pbe603a0eb2aa", "date": "2026-06-27", "sex": "男", "age": 45, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力 ，排尿正常，大便粘，睡眠多梦，吃生冷易腹泻 盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "花椒", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["法半夏", "黄连片", "黄芩片", "干姜", "大枣", "丹参", "鸡血藤", "党参片", "蜈蚣", "石菖蒲", "盐蒺藜", "赤小豆", "炙淫羊藿", "仙茅", "煅阳起石", "炒栀子"], "prev_gap": 73, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63530, "pid": "P7076d32d2219", "date": "2026-06-27", "sex": "男", "age": 41, "cc": "腰痛乏力伴勃起不坚2年", "hpi": "2年前出现腰痛乏力勃起不坚，外院予他达拉非5mg qd现口服药物效果欠佳，口干口苦，夜寐可，性欲差，偶有晨勃，胁肋疼痛。6.6复诊：近2周偶有晨勃，同房1次硬度可，中途疲软，性欲欠佳。6.27复诊：未同房，偶有口干。", "wm_dx": ["腰痛", "男性性腺功能低下", "尿频", "水肿"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "人参", "醋香附", "川芎", "制巴戟天", "锁阳", "韭菜子", "黄芪", "三七粉"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "人参", "醋香附", "川芎", "制巴戟天", "锁阳", "韭菜子", "黄芪"], "prev_gap": 21, "visit_ix": 5, "n_visits": 12, "visit_ix_rx": 3, "n_rx": 7} {"rid": 63531, "pid": "P3e6f4007296a", "date": "2026-06-27", "sex": "男", "age": 38, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 勃起可 早泄 时间1-2分钟 大便正常 纳眠可 下肢水肿可自行消退 尿频", "wm_dx": ["乏力", "下肢水肿", "尿频"], "tcm_dx": [["虚劳类病", "肾虚湿热证", "化湿"], ["腰痛", "肾阳虚证", "温补肾阳"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "麸炒苍术", "黄柏", "茯苓", "牛膝", "薏苡仁", "土茯苓", "败酱草", "茵陈", "盐车前子", "合欢花", "合欢皮", "川楝子", "醋青皮", "郁金", "大血藤", "党参", "黄芪", "地龙", "烫水蛭", "麸炒枳壳", "炒酸枣仁", "炙甘草", "丹参"], "prev_gap": 8, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63535, "pid": "Pf8ee518d718d", "date": "2026-06-27", "sex": "男", "age": 45, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，勃起欠佳，中途疲软，性欲减退，晨起口苦，盗汗，长期熬夜，尿频，下肢轻度水肿。6.27复诊：近2周同房一次，同房10分钟换姿势会中途疲软，晨勃1次，多汗，", "wm_dx": ["水肿", "腰痛", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "制巴戟天", "锁阳", "人参", "醋五味子", "麸炒苍术", "盐黄柏", "麸炒薏苡仁", "牛膝"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "韭菜子", "白芍", "制巴戟天", "锁阳", "黄芪", "麸炒苍术", "黄柏", "麸炒薏苡仁", "牛膝"], "prev_gap": 14, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 63542, "pid": "Pa38b44862d87", "date": "2026-06-27", "sex": "男", "age": 38, "cc": "尿频5-6年", "hpi": "尿频，夜尿正常，大便不成形，睡眠正常，乏力，纳可，口干，晨勃少，硬度不佳，中途疲软", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝郁肾虚证", "补肾固精"]], "rx": ["地黄", "百合", "牛膝", "天花粉", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "蜈蚣", "桂枝", "燀桃仁", "牡丹皮", "红花", "九香虫", "煅阳起石", "北柴胡", "白芍"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "路路通", "鸡血藤", "制远志", "郁金", "柏子仁", "淡竹叶", "莲子心", "地黄", "蜈蚣", "炙淫羊藿"], "prev_gap": 25, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63543, "pid": "P57996e1ffc14", "date": "2026-06-27", "sex": "男", "age": 34, "cc": "乏力疲劳腰痛一月余", "hpi": "乏力疲劳腰痛一月余 大便正常 纳眠可 尿频 下肢水肿 可自行消退", "wm_dx": ["腰痛", "下肢水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "猪苓", "太子参", "菟丝子", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63544, "pid": "Pb1bd6785662d", "date": "2026-06-27", "sex": "男", "age": 50, "cc": "左侧睾丸不适1月", "hpi": "左侧睾丸不适1月，工作久坐，无明显排尿和射精不适，下肢酸胀，腹痛", "wm_dx": ["腹痛", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "野菊花", "北柴胡", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "醋延胡索", "醋莪术", "醋三棱", "夏枯草", "黄芪", "甜叶菊叶", "人参", "酒黄精", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["肉桂", "盐小茴香", "荔枝核", "野菊花", "北柴胡", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "醋延胡索", "醋莪术", "醋三棱", "夏枯草", "黄芪"], "prev_gap": 13, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 63550, "pid": "P95b5bc84fcba", "date": "2026-06-27", "sex": "男", "age": 25, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，尿道灼热感，尿频，下肢水肿。6.27复诊：近2周同房2-3次，硬度稍差，性欲一般，近3天睡眠差，不易入睡。", "wm_dx": ["前列腺炎", "腰痛", "水肿", "尿频"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "制巴戟天", "韭菜子", "锁阳", "人参", "炒酸枣仁", "柏子仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炙甘草", "麸炒枳实", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "制巴戟天", "韭菜子", "锁阳"], "prev_gap": 14, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 6} {"rid": 63553, "pid": "P8f172e409548", "date": "2026-06-27", "sex": "男", "age": 23, "cc": "腰痛半年", "hpi": "伴有性功能下降 大小便正常 纳可 眠差 胁痛 下肢轻度水肿 可自行消退 头晕一月余", "wm_dx": ["头晕", "腰痛", "水肿"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "泽泻", "制何首乌", "桑椹", "桑寄生", "盐杜仲", "知母", "醋龟甲", "砂仁", "麸炒苍术", "北柴胡", "炒蒺藜", "醋青皮", "郁金", "白芍", "麸炒枳实", "炙甘草", "合欢花", "合欢皮", "木香", "大血藤", "制远志"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63554, "pid": "P4596b8512757", "date": "2026-06-27", "sex": "男", "age": 44, "cc": "少腹坠胀1月", "hpi": "少腹坠胀，尿不尽，夜尿1次，口干，大便正常，复诊：少腹正常，仍有尿意感。大便粘", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "牡丹皮", "大枣", "茯苓", "猪苓", "法半夏", "煅龙骨", "煅牡蛎", "麸炒白术", "制远志", "滑石", "浙贝母", "石菖蒲", "生石膏"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "牡丹皮", "大枣", "茯苓", "猪苓", "干姜", "煅龙骨", "煅牡蛎", "麸炒白术", "制远志", "滑石", "浙贝母", "石菖蒲"], "prev_gap": 11, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 5, "n_rx": 10} {"rid": 63563, "pid": "P545c3589f427", "date": "2026-06-27", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "伴有口苦眼睛干涩，夜间易醒，大便正常，纳可，失眠，怕冷，出汗，尿黄，早醒，乏力感，食管反酸 盗汗", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["熟地黄", "酒萸肉", "桑寄生", "牛膝", "千年健", "盐杜仲", "烫狗脊", "制巴戟天", "盐胡芦巴", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "麸炒白术", "党参片", "茯苓", "麸炒枳壳", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "炙甘草"], "flags": [], "prev_rx": ["熟地黄", "酒萸肉", "桑寄生", "牛膝", "千年健", "盐杜仲", "烫狗脊", "制巴戟天", "盐胡芦巴", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "麸炒白术", "党参片", "茯苓", "麸炒枳壳", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "炙甘草"], "prev_gap": 110, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 63564, "pid": "P9da4fa47b199", "date": "2026-06-27", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大便正常 纳可 眠差 尿频 下肢轻微水肿 可自行消退", "wm_dx": ["尿频", "水肿", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "炒酸枣仁", "石斛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "菟丝子", "覆盆子", "酒女贞子", "太子参", "炒酸枣仁"], "prev_gap": 16, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 63565, "pid": "P0cf786e70347", "date": "2026-06-27", "sex": "男", "age": 37, "cc": "会阴不适复诊", "hpi": "会阴不适改善，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力盗汗。3.8复诊：睾丸下坠感明显减轻，会阴不适，小腹不适。胁痛。", "wm_dx": ["附睾囊肿", "精索静脉曲张", "前列腺炎", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "炒王不留行", "盐橘核", "醋三棱", "醋莪术", "橘络", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "炒王不留行", "盐橘核", "醋三棱", "醋莪术", "橘络", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "prev_gap": 13, "visit_ix": 19, "n_visits": 25, "visit_ix_rx": 12, "n_rx": 18} {"rid": 63566, "pid": "P0b9000fe8dc7", "date": "2026-06-27", "sex": "男", "age": 40, "cc": "尿频2年", "hpi": "尿频，无晨勃，硬度一般，吸烟饮酒，熬夜，排尿可 ，喝水尿频，大便不成型，睡眠正常，纳可，口干，时有腰疼，无怕冷，怕热，复诊：硬度好转，时间短5--6分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "酒萸肉", "泽泻", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "制远志", "干姜", "麸炒白术", "生石膏", "炙甘草"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "酒萸肉", "泽泻", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "制远志", "干姜", "麸炒白术", "柏子仁", "炙甘草"], "prev_gap": 14, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 9, "n_rx": 11} {"rid": 63568, "pid": "P7ee3bd13ec63", "date": "2026-06-27", "sex": "男", "age": 38, "cc": "腰痛半年", "hpi": "腰痛半年 大便正常 早泄2月 纳眠可 尿频盗汗 下肢水肿 可自行消退", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "花椒", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63572, "pid": "P76b05616c5d2", "date": "2026-06-27", "sex": "男", "age": 47, "cc": "乏力盗汗6月", "hpi": "6月前出现乏力盗汗脱发，大小便正常，纳可腰痛，乏力，焦虑，工作劳累，口中和。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["党参片", "黄芪", "山药", "白术", "酒黄精", "菟丝子", "制巴戟天", "炙淫羊藿", "蛇床子", "韭菜子", "盐胡芦巴", "仙茅", "酒苁蓉", "熟地黄", "酒萸肉", "酒女贞子", "知母", "盐关黄柏", "麸炒枳壳", "砂仁", "炙甘草", "制何首乌", "桑椹", "覆盆子"], "flags": [], "prev_rx": ["党参片", "黄芪", "山药", "白术", "酒黄精", "菟丝子", "制巴戟天", "炙淫羊藿", "蛇床子", "韭菜子", "盐胡芦巴", "仙茅", "酒苁蓉", "熟地黄", "酒萸肉", "酒女贞子", "知母", "盐关黄柏", "麸炒枳壳", "砂仁", "炙甘草"], "prev_gap": 21, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 63573, "pid": "P533feb45ea6e", "date": "2026-06-27", "sex": "男", "age": 43, "cc": "腰痛乏力伴勃起硬度欠佳1月", "hpi": "1月前出现腰痛乏力伴勃起硬度欠佳，中途疲软，近期勃起硬度明显减退，口干口苦，左侧睾丸酸胀感，", "wm_dx": ["水肿", "尿频", "腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "人参", "炙黄芪", "制巴戟天", "韭菜子", "锁阳"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "制巴戟天", "白芍", "韭菜子", "锁阳", "人参"], "prev_gap": 13, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63579, "pid": "P769798b27417", "date": "2026-06-27", "sex": "男", "age": 49, "cc": "乏力疲劳一月余", "hpi": "乏力疲劳一月余 腰痛 尿频 下肢水肿 可自行消退 烦躁胁痛 性欲低下 近期消瘦 失眠 下肢水肿 可自行消退", "wm_dx": ["男性性腺功能低下", "腰痛", "失眠", "下肢水肿"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "炒酸枣仁", "丹参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63589, "pid": "Paf4b79525739", "date": "2026-06-27", "sex": "男", "age": 32, "cc": "腰痛半年", "hpi": "排尿正常，大便不成型，睡眠一般早醒，纳可，晨勃少，伴有早泄3月 勃起不坚 勃起不持久", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["干姜", "炙甘草", "泽泻", "猪苓", "茯苓", "牡丹皮", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "桂枝", "防己", "煅龙骨", "煅牡蛎", "金樱子肉", "大枣", "党参片", "蜈蚣", "炙黄芪"], "flags": [], "prev_rx": ["干姜", "炙甘草", "泽泻", "猪苓", "茯苓", "牡丹皮", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "桂枝", "白芍", "煅龙骨", "煅牡蛎", "金樱子肉", "大枣", "党参片", "蜈蚣"], "prev_gap": 14, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 6} {"rid": 63590, "pid": "P9382c269f269", "date": "2026-06-27", "sex": "男", "age": 39, "cc": "阴囊潮湿瘙痒5年", "hpi": "5年前出现阴囊潮湿瘙痒，射精快，腰痛乏力，尿无力，口干，夜寐差，长期熬夜，肩背沉，易疲劳，口异味，怕热，咳少量白痰，左侧睾丸疼痛不适。精索彩超未见异常。6.27复诊：睾丸不适好转，阴囊潮湿仍有。", "wm_dx": ["泌尿系感染", "慢性前列腺炎", "精索静脉曲张"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草", "麸炒苍术", "金樱子", "锁阳", "韭菜子", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63591, "pid": "P3d2461491597", "date": "2026-06-27", "sex": "男", "age": 38, "cc": "尿频复诊", "hpi": "尿频改善，腰痛，乏力改善，时间短，近3月勃起硬度欠佳，性欲可，性生活不规律，工作劳累可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["尿频", "腰痛", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "prev_gap": 20, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 5} {"rid": 63592, "pid": "P137149381d7f", "date": "2026-06-27", "sex": "男", "age": 33, "cc": "乏力一周", "hpi": "乏力，排尿正常，大便正常粘，睡眠正常，纳可，口和，晨勃少，硬度一般，中途疲软，半月回家一次", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "石菖蒲", "制远志", "郁金", "牛膝", "蜈蚣", "地黄", "知母", "百合", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63599, "pid": "P0068f39291fd", "date": "2026-06-27", "sex": "男", "age": 26, "cc": "乏力3年", "hpi": "乏力3年，同房时硬度不够，时间短，性欲强，尿频，夜尿正常，大便2-3次，睡眠熬夜多梦，口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "党参片", "炒栀子", "淡豆豉", "地黄", "牡丹皮", "牛膝", "酒黄精", "煅龙骨", "煅牡蛎", "生石膏", "甘草片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63602, "pid": "P785e71da128a", "date": "2026-06-27", "sex": "男", "age": 53, "cc": "腰痛乏力伴勃起不坚3月", "hpi": "3月前出现腰痛乏力伴勃起不坚，射精快，虚汗出.6.27复诊：勃起可。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["关黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "知母", "牛膝", "锁阳", "煅阳起石", "醋五味子", "菟丝子", "盐车前子", "覆盆子", "枸杞子", "制巴戟天", "韭菜子", "石菖蒲", "制远志"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63604, "pid": "Pb493281afcc4", "date": "2026-06-27", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，汗多，白天明显，有盗汗。乏力，工作可，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥。梦多。 勃起不佳 晨勃可", "wm_dx": ["高血压", "腰痛", "盗汗", "下肢水肿"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["制巴戟天", "太子参", "知母", "炒酸枣仁", "猪苓", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["党参片", "升麻", "北柴胡", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "酒黄精", "诃子肉", "黄芪", "绵萆薢"], "prev_gap": 296, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 63605, "pid": "P9fb4f24574a7", "date": "2026-06-27", "sex": "男", "age": 31, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，工作久坐，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，晨起口苦，盗汗，晨勃可", "wm_dx": ["下肢水肿", "盗汗", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "韭菜子", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63606, "pid": "P8e646ca0591e", "date": "2026-06-27", "sex": "男", "age": 33, "cc": "腰痛乏力一月余", "hpi": "腰痛乏力伴勃起欠佳，中途疲软，可同房，性欲可，晨勃少，口干，失眠多梦，入睡困难 下肢水肿 可自行消退 尿频", "wm_dx": ["腰痛", "尿频", "下肢水肿"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "百合", "麸炒山药", "炒酸枣仁"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "锁阳", "酒黄精", "人参", "麦冬", "醋五味子", "韭菜子", "炒酸枣仁", "制远志"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63607, "pid": "P680e4e202fbd", "date": "2026-06-27", "sex": "男", "age": 59, "cc": "腰痛复诊", "hpi": "腰痛复诊，乏力，工作久坐，二便调，纳眠可，无排尿不畅、尿后余沥，口干，尿频", "wm_dx": ["腰痛", "尿频", "乏力"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["金樱子肉", "醋五味子", "川牛膝", "酒黄精", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63609, "pid": "P9ffbd8e6ac78", "date": "2026-06-27", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "伴有勃起不佳一年 晨勃少 大小便正常 纳可 眠安", "wm_dx": ["下肢水肿", "尿频", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "菟丝子", "覆盆子", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63610, "pid": "P854ae24d0ed8", "date": "2026-06-27", "sex": "男", "age": 35, "cc": "尿频1周", "hpi": "尿频1周 腰痛 盗汗 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"五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "地骨皮", "花椒", "细辛", "炒僵蚕", "牡蛎", "北柴胡", "酒白芍", "麸炒枳实", "炙甘草", "川楝子", "醋青皮", "郁金", "防风", "白芷", "土茯苓", "败酱草", "茵陈", "麸炒枳壳", "茯苓", "牛膝", "川牛膝", "路路通", "炒酸枣仁", "石菖蒲", "合欢皮", "合欢花"], "prev_gap": 12, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63618, "pid": "P927f628812a2", "date": "2026-06-27", "sex": "男", "age": 69, "cc": "尿频尿急5天", "hpi": "排尿不畅多年，尿频尿急5天，尿失禁，近期大便稀", "wm_dx": ["前列腺增生", "慢性前列腺炎", "泌尿系感染", "尿频"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "川贝母"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63621, "pid": "Pc8fc3c029c9b", "date": "2026-06-27", "sex": "男", "age": 28, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 精神不集中 大小便正常 纳眠可 头晕胁痛 下肢水肿 可自行消退", "wm_dx": ["下肢水肿", "头晕"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], 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"酒女贞子", "沙苑子", "麸炒枳壳", "石菖蒲", "炒酸枣仁", "制远志", "防风", "蜂房", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63631, "pid": "Paccfc68244bf", "date": "2026-06-28", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳眠可 盗汗 下肢水肿 可自行消退", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["菟丝子", "覆盆子", "盐车前子", "太子参", "猪苓", "枸杞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 63634, "pid": "P83ed4b8faf8e", "date": "2026-06-28", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "复诊，眠差、口苦、便1-2次。工作劳累，盗汗，性欲低，乏力。", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "酒黄芩", "生石膏", "炙甘草", "党参片", "姜半夏", "酒白芍", "麸炒枳实", "炙淫羊藿", "酒苁蓉", "韭菜子", "制水蛭", "知母", "黑芝麻", "酒女贞子", "覆盆子", "炒酸枣仁", "酒黄精", "茯苓", "白术", "天麻", "木香", "熟地黄", "酒萸肉"], "flags": [], "prev_rx": ["北柴胡", 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"烫水蛭", "防风", "白芷", "炒蒺藜", "大血藤", "川楝子", "醋青皮", "醋香附", "制巴戟天", "酒苁蓉", "仙茅", "炙淫羊藿", "合欢花", "合欢皮", "炙甘草"], "prev_gap": 15, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63641, "pid": "P9cebd6572ee0", "date": "2026-06-28", "sex": "男", "age": 51, "cc": "排尿不畅尿不尽复诊", "hpi": "排尿不畅尿不尽复诊，夜尿1次，小腹胀痛，口干口苦，夜寐差， 怕冷 乏力 下肢水肿 可自行消退", "wm_dx": ["下肢水肿", "腰痛", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63652, "pid": "P3efed4b431d8", "date": "2026-06-28", "sex": "男", "age": 45, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 大便正常 尿频 尿不尽 纳眠可", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63654, "pid": 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"尿频"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "猪苓", "羌活", "菟丝子", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63663, "pid": "P2df28de02f5f", "date": "2026-06-28", "sex": "男", "age": 44, "cc": "尿无力 乏力 小腹隐痛一月余", "hpi": "尿无力 乏力 小腹隐痛一月余 大便正常 尿频 纳眠可", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["羌活", "猪苓", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63664, "pid": "P0276da3450cb", "date": "2026-06-28", "sex": "男", "age": 26, "cc": "乏力腰痛半年", "hpi": "伴有早泄半年 时间2分钟 勃起可 大便正常 纳眠可 龟头敏感 尿频", "wm_dx": ["下肢水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "花椒", "五加皮", "地骨皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63671, "pid": "Pd6da5ff6aa1b", "date": "2026-06-28", "sex": "男", "age": 40, "cc": "包皮龟头炎4天", "hpi": "包皮龟头炎4天 大便正常 纳眠可 排尿不畅5天 带状疱疹取药 感冒4天复查", "wm_dx": ["带状疱疹", "前列腺增生", "包皮龟头炎", "慢性前列腺炎", "感冒"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白花蛇舌草", "金银花", "蒲公英", "茵陈", "黄连", "大黄", "白芷", "地龙", "当归"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63673, "pid": "Pd9fec4640257", "date": "2026-06-28", "sex": "男", "age": 49, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 中途疲软 大小便正常 纳眠可 盗汗 下肢水肿 可自行消退", "wm_dx": ["盗汗", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "知母", "太子参", "猪苓", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63676, "pid": "P7c5adfbedad0", "date": "2026-06-28", "sex": "男", "age": 53, "cc": "腰痛乏力2年", "hpi": 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"cc": "乏力腰痛半年", "hpi": "伴有勃起不佳 晨勃可 大便正常 纳眠可 口服他达拉非效果不理想 下肢水肿 可自行消退 尿频", "wm_dx": ["尿频", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63689, "pid": "Pdc6d6742006a", "date": "2026-06-29", "sex": "男", "age": 64, "cc": "复诊", "hpi": "尿仍有不畅，性功能差，夜尿1次，无力感，汗多，脚冷减，口中和。", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["男性前阴类病", "肾虚证", "补肾益精"], ["男性生殖病", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "茯苓", "泽泻", "白术", "黑顺片", "九香虫", "地龙", "石菖蒲", "炙甘草", "首乌藤", "合欢皮"], "flags": [], "prev_rx": ["桂枝", "白芍", "黑顺片", "泽泻", "茯苓", "白术", "盐益智仁", "九香虫", "地龙", "石菖蒲", "炙甘草"], "prev_gap": 7, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 6} {"rid": 63690, "pid": "P58e3cbf1fece", "date": "2026-06-29", "sex": "男", "age": 55, "cc": "复诊", "hpi": "尿中絮状物3年 大便正常 纳可 眠安 勃起欠佳 腰痛乏力,肢冷口干,母亲高血压.", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["盐车前子", "茯苓", "泽泻", "桂枝", "绵萆薢", "黑顺片", "石菖蒲", "炙甘草", "生石膏", "白术", "九香虫", "地龙"], "flags": [], "prev_rx": ["猪苓", "茯苓", "泽泻", "桂枝", "绵萆薢", "黑顺片", "石菖蒲", "炙甘草", "生石膏", "白术"], "prev_gap": 7, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 63693, "pid": "Pf0a1a7336648", "date": "2026-06-29", "sex": "男", "age": 69, "cc": "排尿困难3天", "hpi": "排尿困难3天 大便正常 纳可 眠差 乏力腰痛 尿急 尿频", "wm_dx": ["泌尿系感染", "尿频", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["知母", "龙眼肉", "太子参", "制巴戟天", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63695, "pid": "P5330a9d952a3", "date": "2026-06-29", "sex": "男", "age": 57, "cc": "血精复诊", "hpi": "血精反复后，小腹不适，尿频、不尽，口干口苦，下半身凉，喜热，口干口苦，睡眠差", "wm_dx": ["慢性前列腺炎", "精囊炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚血瘀证", "补肾益精"], ["血精", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "滑石", "白芍", "泽泻", "马鞭草", "生石膏", "黄芩片", "党参片", "姜半夏", "北柴胡", "炙甘草"], "flags": [], "prev_rx": ["猪苓", "羌活", "茯苓", "太子参"], "prev_gap": 39, "visit_ix": 1, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 11} {"rid": 63697, "pid": "P560f26bab4b4", "date": "2026-06-29", "sex": "男", "age": 33, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 大便正常 纳可 失眠 尿频 下肢水肿 可自行消退", "wm_dx": ["尿频", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参片", "山药", "白术", "酒苁蓉", "菟丝子", "韭菜子", "覆盆子", "枸杞子", "醋五味子", "麦冬", "天麻", "麸炒枳壳", "炒酸枣仁", "茯苓", "酒女贞子", "沙苑子", "炙甘草", "百合", "制巴戟天", "玄参", "黄芪", "盐胡芦巴"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63698, "pid": "P741112754b20", "date": "2026-06-29", "sex": "男", "age": 27, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 大便正常 纳眠可 尿频 下肢水肿 可自行消退", "wm_dx": ["乏力", "尿频", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63701, "pid": "Pd9465ab56996", "date": "2026-06-29", "sex": "男", "age": 27, "cc": "腰痛乏力伴勃起不坚复诊", "hpi": "3年前出现腰痛乏力伴勃起不坚,晨勃消失,不能插入,手淫勃起欠佳,紧张焦虑,夜寐差入睡困难,性欲可,下肢水肿 可自行消退 胁痛", "wm_dx": ["腰痛", "男性性腺功能低下", "下肢水肿", "头晕"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "炒栀子", "桂枝", "盐补骨脂", "酒黄精", "党参", "炙黄芪", "醋五味子", "甜叶菊叶", "白芷", "木香", "丁香", "大血藤", "炒蒺藜", "合欢花", "合欢皮", "炒酸枣仁", "制巴戟天", "仙茅", "炙淫羊藿", "锁阳", "炙甘草"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "炒酸枣仁", "韭菜子", "黄芩", "炒栀子"], "prev_gap": 71, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63707, "pid": "P05bdc1719a03", "date": "2026-06-29", "sex": "男", "age": 55, "cc": "阴囊不适疼痛2周", "hpi": "阴囊不适疼痛2周，骑车久坐，稍有排尿不畅，无明显尿后余沥，口干，盗汗，乏力，腰痛", "wm_dx": ["精索静脉曲张", "前列腺炎", "前列腺增生", "尿频", "盗汗"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["猪苓", "茯苓", "太子参", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63713, "pid": "P312beeadb07e", "date": "2026-06-29", "sex": "男", "age": 52, "cc": "乏力腰痛疲劳半年", "hpi": "乏力腰痛疲劳半年 伴有性功能下降 勃起不佳 大小便正常 纳眠可 盗汗 下肢水肿 可自行消退", "wm_dx": ["腰痛", "乏力", "盗汗", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "太子参", "知母", "猪苓", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63716, "pid": "Pfa18b04966b0", "date": "2026-06-29", "sex": "男", "age": 60, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊取药 大便正常 尿不尽尿等待 尿频 夜尿0次 纳眠可", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "三七粉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63722, "pid": "P5b24a8ab10fd", "date": "2026-06-29", "sex": "男", "age": 39, "cc": "尿线细，腰痛复诊", "hpi": "尿频，尿线细改善，夜尿1-2次，腰酸，汗多，乏力，恶热，口干不欲饮，小腿酸，纳可，大便日1-2次，眠可，性生活1次/周，勃起不坚。腹胀，偶有尿急。腰痛乏力 下肢水肿 可自行消退", "wm_dx": ["前列腺增生", "慢性前列腺炎", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "枸杞子", "太子参"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "路路通", "炒王不留行", "野菊花", "姜厚朴", "夏枯草", "乌药", "盐益智仁", "麸炒山药", "盐橘核", "醋香附"], "prev_gap": 208, "visit_ix": 23, "n_visits": 26, "visit_ix_rx": 2, "n_rx": 4} {"rid": 63725, "pid": "P36ce35063940", "date": "2026-06-29", "sex": "男", "age": 42, "cc": "乏力腰痛半年", "hpi": "伴有脱发 早泄 勃起可 大便正常 纳眠可 尿频 下肢轻度水肿可自行消退", "wm_dx": ["尿频", "水肿", "乏力"], "tcm_dx": [["腰痛", "肾阳虚证", "温补肾阳"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮"], "prev_gap": 13, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 63732, "pid": "P1975d58b0952", "date": "2026-06-30", "sex": "男", "age": 38, "cc": "腰痛复诊", "hpi": "腰痛乏力失眠，流涎，盗汗，动则汗出，口干口苦，脱发，长期熬夜，排尿可 下肢水肿 可自行消退", "wm_dx": ["下肢水肿", "盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["失眠", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "陈皮", "太子参", "猪苓", "炒酸枣仁", "丹参", "知母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63733, "pid": "P89f3cfba6736", "date": "2026-06-30", "sex": "男", "age": 25, "cc": "尿频3月", "hpi": "尿频，尿等待，熬夜，睡眠一般，口服褪黑素治疗，大便正常，纳可，口和，晨勃少，性欲低", "wm_dx": ["尿频"], "tcm_dx": [["失眠", "肝肾亏虚证", "滋补肝肾"]], "rx": ["石菖蒲", "制远志", "柏子仁", "北柴胡", "麸炒枳实", "白芍", "牡丹皮", "牛膝", "川芎", "蜈蚣", "炒栀子", "九香虫", "地黄", "炙甘草", "大枣", "火麻仁"], "flags": [], "prev_rx": ["石菖蒲", "制远志", "柏子仁", "北柴胡", "麸炒枳实", "白芍", "牡丹皮", "牛膝", "川芎", "蜈蚣", "炒栀子", "九香虫", "地黄", "炙甘草", "大枣"], "prev_gap": 13, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 63734, "pid": "P8dc6c6b20df4", "date": "2026-06-30", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重，复诊：大便粘，牙龈肿，口气重.", "wm_dx": ["慢性前列腺炎", "甲状腺囊肿"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["生姜", "干姜", "黄连片", "黄芩片", "北柴胡", "党参片", "法半夏", "白芍", "桂枝", "燀桃仁", "红花", "茯苓", "桑螵蛸", "醋龟甲", "血余炭", "牡蛎", "炙甘草"], "flags": [], "prev_rx": ["炙甘草", "法半夏", "干姜", "黄芩片", "黄连片", "葛根", "北柴胡", "党参片", "大枣", "桑螵蛸", "红景天", "牡蛎", "赤小豆", "煅龙骨", "枸杞子", "生石膏", "茯苓"], "prev_gap": 7, "visit_ix": 18, "n_visits": 24, "visit_ix_rx": 17, "n_rx": 23} {"rid": 63739, "pid": "Pea732968dada", "date": "2026-06-30", "sex": "男", "age": 50, "cc": "腰痛1年", "hpi": "腰痛，排尿可，夜尿正常，时有色黄，大便正常2-3次，纳可，睡眠一般，早醒，口和，晨勃有，勃起不佳，中途疲软，乏力，无怕冷", "wm_dx": ["慢性前列腺炎", "尿频", "甲状腺功能异常", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "党参片", "生姜", "白芍", "葛根", "蜈蚣", "石菖蒲", "干姜", "牡丹皮", "当归", "川芎", "地黄", "炙黄芪", "麸炒枳实"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "党参片", "生姜", "大枣", "葛根", "蜈蚣", "石菖蒲", "制远志", "牡丹皮", "当归", "川芎", "地黄", "炙黄芪"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63741, "pid": "P2ce762e142ab", "date": "2026-06-30", "sex": "男", "age": 71, "cc": "前列腺增生复诊", "hpi": "排尿不畅1年，尿频、尿急，尿后余沥改善，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多。口服非那雄胺、坦索罗辛。规律口服降脂药 。盗汗，腰痛。", "wm_dx": ["湿疹", "前列腺增生", "包皮龟头炎", "糖尿病"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓", "三七粉"], "flags": [], "prev_rx": ["猪苓", "羌活", "太子参", "茯苓", "薏苡仁"], "prev_gap": 42, "visit_ix": 10, "n_visits": 13, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63742, "pid": "Pc2860d5149ad", "date": "2026-06-30", "sex": "男", "age": 43, "cc": "乏力腰痛一月余", "hpi": "尿黄 口苦 勃起不佳 大便正常 尿频 纳眠可 盗汗 下肢水肿 可自行消退", "wm_dx": ["下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "太子参", "菟丝子", "猪苓", "炙黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63744, "pid": "Pb06ba7b62cc9", "date": "2026-06-30", "sex": "男", "age": 34, "cc": "尿频复诊", "hpi": "复诊，时间短1分钟，硬度和性欲可，工作可，排尿正常，大便正常，睡眠正常，纳可，口渴", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "煅龙骨", "煅牡蛎", "桑螵蛸", "金樱子肉", "石菖蒲", "盐蒺藜", "茯苓", "猪苓", "锁阳", "炙甘草", "干姜", "麸炒白术"], "flags": [], "prev_rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "煅龙骨", "煅牡蛎", "桑螵蛸", "金樱子肉", "石菖蒲", "盐蒺藜", "茯苓", "炙甘草", "猪苓", "锁阳"], "prev_gap": 7, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 6} {"rid": 63745, "pid": "P27df834778c0", "date": "2026-06-30", "sex": "男", "age": 35, "cc": "腰痛半年", "hpi": "腰痛半年 大便正常 纳眠可 尿频", "wm_dx": ["慢性前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63746, "pid": "Pcc8fdd1ab294", "date": "2026-06-30", "sex": "男", "age": 40, "cc": "双侧睾丸隐痛半年", "hpi": "双侧睾丸隐痛半年 大小便正常 纳眠可 小腹隐痛", "wm_dx": ["前列腺增生", "腹痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "羌活", "太子参", "川贝母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63747, "pid": "P524b3ddec43d", "date": "2026-06-30", "sex": "男", "age": 37, "cc": "尿频1.5月", "hpi": "尿频，夜尿正常，大便不成形2次，睡眠熬夜，早醒，纳可，突发无晨勃，硬度下降，时间短2-3分钟，口和，无腰痛，无怕冷，复诊：硬度可，有同房，时间短，大便稀", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["麸炒薏苡仁", "麸炒苍术", "盐关黄柏", "牛膝", "牡丹皮", "法半夏", "北柴胡", "黄芩片", "白芍", "石菖蒲", "盐蒺藜", "煅龙骨", "炙甘草", "蜈蚣", "赤小豆"], "flags": [], "prev_rx": ["薏苡仁", "麸炒苍术", "盐关黄柏", "牛膝", "牡丹皮", "法半夏", "北柴胡", "黄芩片", "白芍", "石菖蒲", "制远志", "煅龙骨", "炙甘草", "蜈蚣"], "prev_gap": 14, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 63748, "pid": "Pd8f277c5d94a", "date": "2026-06-30", "sex": "男", "age": 49, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 性欲低下 晨勃少 大小便正常 纳可 失眠中途醒， 口和，无腰痛，乏力感", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "牛膝", "牡丹皮", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "黄芩片", "蜈蚣", "北沙参", "党参片", "炙淫羊藿", "黑顺片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 63749, "pid": "P57a80a3931dd", "date": "2026-06-30", "sex": "男", "age": 70, "cc": "血尿2小时", "hpi": "血尿2小时 无尿痛 夜尿正常，大便秘，纳一般，口干口苦 尿等待 尿分叉 尿不尽 尿频", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "川贝母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 63750, "pid": "P581645a1ee01", "date": "2026-06-30", "sex": "男", "age": 65, "cc": "排尿困难 泡沫多复诊", "hpi": "排尿困难 泡沫多改善 大便正常 纳可 眠差 尿频", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["羌活", "猪苓", "薏苡仁", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": ["羌活", "猪苓", "薏苡仁", "太子参"], "prev_gap": 41, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63751, "pid": "P1a313eb7a7f1", "date": "2026-06-30", "sex": "男", "age": 46, "cc": "性功能减退感1年", "hpi": "自20余勃起困难,硬度不够,能射精,近来加重,性欲减少.曾外院就诊,复用他达拉非片.排尿正常，大便正常，睡眠正常，纳可，口和", "wm_dx": ["代谢综合征"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["麸炒白术", "干姜", "丹参", "鸡血藤", "熟地黄", "牛膝", "石菖蒲", "制远志", "柏子仁", "蜈蚣", "茯苓", "泽泻", "炙淫羊藿", "黑顺片", "郁金"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63755, "pid": "P511beca507d9", "date": "2026-06-30", "sex": "男", "age": 61, "cc": "尿急 尿不尽6月", "hpi": "尿急 尿不尽6月 大便正常 纳可 失眠多梦 耳鸣 怕冷 阴囊潮湿。多汗，大便正常，纳可", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿浊证", "解表利水"]], "rx": ["桂枝", "茯苓", "泽泻", "猪苓", "麸炒白术", "牡丹皮", "炒酸枣仁", "川芎", "炒栀子", "细辛", "麻黄", "黑顺片", "麸炒苍术", "浮小麦"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "麸炒苍术", "麸炒薏苡仁", "黄柏", "牛膝", "黄芪", "龙胆", "炒栀子", "生地黄", "麦冬", "醋五味子", "人参"], "prev_gap": 146, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 6} {"rid": 63756, "pid": "P3cb734231435", "date": "2026-06-30", "sex": "男", "age": 44, "cc": "乏力半年", "hpi": "乏力，性欲正常，晨勃无，硬度差，近期无同房，排尿急，夜尿1次，无尿痛，大便粘，纳可，睡眠入睡困难，口苦，腰痛", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝郁湿热证", "疏肝清热"]], "rx": ["北柴胡", "黄芩片", "牡蛎", "煅龙骨", "天花粉", "桂枝", "干姜", "当归", "川芎", "炒酸枣仁", "茯苓", "猪苓", "燀桃仁", "红花", "麸炒薏苡仁"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "麸炒薏苡仁", "炒苦杏仁", "豆蔻", "滑石", "生姜", "盐杜仲", "丹参", "鸡血藤", "蜈蚣", "制水蛭", "桂枝", "炙淫羊藿"], "prev_gap": 6, "visit_ix": 1, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 10} {"rid": 63757, "pid": "Pac21cb95e2e8", "date": "2026-06-30", "sex": "男", "age": 43, "cc": "尿急半年", "hpi": "尿急，色黄，夜尿正常，大便正常，睡眠正常，熬夜，纳可，口苦，吸烟，阴囊潮湿", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "丹参", "燀桃仁", "红花", "牡丹皮", "鸡血藤", "石菖蒲", "百合", "地黄", "牛膝", "蜈蚣", "炒苦杏仁", "党参片", "麸炒薏苡仁"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "丹参", "燀桃仁", "红花", "牡丹皮", "鸡血藤", "石菖蒲", "百合", "地黄", "牛膝", "蜈蚣", "北沙参", "党参片", "枸杞子"], "prev_gap": 7, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 63762, "pid": "P5d51a32c2e1f", "date": "2026-06-30", "sex": "男", "age": 34, "cc": "腰痛复诊", "hpi": "腰痛复诊，熬夜，睡眠可，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中", "wm_dx": ["腰痛", "叶酸缺乏"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "肾气不充证", "补肾扶元"]], "rx": ["菟丝子", "覆盆子", "盐车前子", "醋五味子", "枸杞子", "茯苓", "木香", "锁阳", "熟地黄", "酒萸肉", "山药", "醋龟甲", "仙茅", "鹿角霜", "炙淫羊藿", "盐胡芦巴", "酒苁蓉", "党参片", "砂仁", "酒黄精", "韭菜子", "麸炒枳壳", "炙甘草", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["菟丝子", "覆盆子", "盐车前子", "醋五味子", "枸杞子", "茯苓", "木香", "锁阳", "熟地黄", "酒萸肉", "山药", "醋龟甲", "桑螵蛸", "鹿角霜", "炙淫羊藿", "盐胡芦巴", "酒苁蓉", "陈皮", "砂仁", "酒黄精", "韭菜子", "麸炒枳壳", "炙甘草", "防风"], "prev_gap": 14, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 5} {"rid": 63764, "pid": "Pe4bce6b868b8", "date": "2026-07-01", "sex": "男", "age": 61, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿等待，尿后余沥，夜尿5-6次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。现规律口服坦索罗辛，非那雄胺。", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "茯苓", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63766, "pid": "Pb75956d0a811", "date": "2026-07-01", "sex": "男", "age": 76, "cc": "前列腺增生复诊取药", "hpi": "排尿困难改善，大便正常，纳可，眠改善，夜尿3次。", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓", "三七粉"], "flags": [], "prev_rx": ["猪苓", "羌活", "太子参", "川贝母"], "prev_gap": 28, "visit_ix": 5, "n_visits": 10, "visit_ix_rx": 5, "n_rx": 8} {"rid": 63771, "pid": "P6582198d51b2", "date": "2026-07-01", "sex": "男", "age": 48, "cc": "乏力尿频5年", "hpi": "乏力尿频，夜尿2-4次，大便次数多，少，无腹痛，无腰痛，饭后腹胀，多梦，口和，眼干，咽干，易上火，晨勃少，硬度一般，时间短，纳可，无怕冷，口腔溃疡", "wm_dx": ["高脂血症", "乏力"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草片", "黄芩片", "黄连片", "干姜", "法半夏", "党参片", "大枣", "地黄", "百合", "炒酸枣仁", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "川芎", "茯苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 63774, "pid": "P5e044b1d6ba6", "date": "2026-07-01", "sex": "男", "age": 80, "cc": "尿频排尿不畅一月余", "hpi": "尿频排尿不畅改善 尿等待改善 尿痛 大便正常 纳眠可", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "川贝母"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63775, "pid": "Pef41db075090", "date": "2026-07-01", "sex": "男", "age": 36, "cc": "睾丸疼痛一周余", "hpi": "尿频，启动慢，夜间勃起硬度影响睡眠，大便正常1-2次/日，纳可，吃生冷胃疼，口干，无怕冷 少腹隐痛", "wm_dx": ["精索静脉曲张", "静脉曲张"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "白芍", "茯苓", "泽泻", "猪苓", "干姜", "石菖蒲", "炒蒺藜", "丹参", "鸡血藤", "麸炒苍术", "炙淫羊藿", "附片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63776, "pid": "P15f79cbde811", "date": "2026-07-01", "sex": "男", "age": 73, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿等待，尿后余沥，夜尿1-2次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。体检白细胞3+，潜血2+。", "wm_dx": ["泌尿系感染", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "炒酸枣仁", "太子参", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63777, "pid": "Pf939db2bc943", "date": "2026-07-01", "sex": "男", "age": 44, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作劳累久坐，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，胁痛", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["胁痛", "肝郁血瘀证", "疏肝化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "麸炒山药", "麸炒薏苡仁", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤"], "prev_gap": 21, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63778, "pid": "P9d676c689bde", "date": "2026-07-01", "sex": "男", "age": 36, "cc": "乏力尿频半年", "hpi": "乏力尿频，勃起不坚，晨勃少，排尿正常，睡眠早醒，白天乏力，口涩，腰痛，怕冷，易腹泻", "wm_dx": ["腹胀"], "tcm_dx": [["精浊", "肾气不足证", "温补肾阳"], ["腹胀", "脾阳虚证", "温补脾阳"]], "rx": ["肉桂", "黑顺片", "干姜", "炙甘草", "茯苓", "泽泻", "牡丹皮", "麸炒白术", "牛膝", "盐车前子", "熟地黄", "酒萸肉", "山药", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63781, "pid": "P78d423ad8aab", "date": "2026-07-01", "sex": "男", "age": 38, "cc": "乏力1年", "hpi": "乏力，排尿可，大便正常，睡眠可，纳可，口和", "wm_dx": ["乏力"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牛膝", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "菟丝子", "桑螵蛸", "煅龙骨", "牡蛎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63782, "pid": "P9bb1545a1b5b", "date": "2026-07-01", "sex": "男", "age": 47, "cc": "乏力3月", "hpi": "乏力，性欲减退，中途疲软，能射精，无精液，2-3年检查精液为无精， 夜尿2次，近期有便秘，睡眠早醒，纳可，口和，无怕冷。", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "地黄", "牡丹皮", "丹参", "燀桃仁", "红花", "桂枝", "蜈蚣", "制水蛭", "酒萸肉", "山药", "黑顺片", "炒苦杏仁"], "flags": [], "prev_rx": ["龙胆", "泽泻", "小通草", "炒栀子", "路路通", "地黄", "酒萸肉", "山药", "牡丹皮", "北柴胡", "炒苦杏仁", "燀桃仁", "红花", "蜈蚣", "丹参", "鸡血藤"], "prev_gap": 127, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 63783, "pid": "P25a451ce24b0", "date": "2026-07-01", "sex": "男", "age": 59, "cc": "右侧睾丸痛1年", "hpi": "右侧睾丸痛，外院精索静脉曲张曲张，手术后，自服5mg他达拉非片有效，口服治疗前列腺药物有效，排尿尿等待，大便正常，睡眠好，纳可，口和，无怕冷，复诊：疼痛减轻，现晨起疼痛，活动后缓解，睡眠多梦", "wm_dx": ["附睾炎", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血止痛"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "桂枝", "燀桃仁", "红花", "牡丹皮", "茯苓", "制水蛭", "丝瓜络", "生姜", "大枣", "白芍", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "桂枝", "燀桃仁", "红花", "牡丹皮", "茯苓", "制水蛭", "丝瓜络", "生姜", "大枣", "白芍", "炙甘草", "地黄", "百合"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 63786, "pid": "Pf42772310e92", "date": "2026-07-01", "sex": "男", "age": 39, "cc": "腰痛盗汗复诊", "hpi": "伴有尿不尽尿无力，手淫频繁，左侧睾丸精索静脉曲张，阴茎根部瘙痒，耳鸣，夜寐差，腰痛乏力，盗汗，阴茎根部红疹瘙痒。5月22日：阴囊潮湿改善明显，尿后余沥存在。6月14日复诊：尿后余沥改善。", "wm_dx": ["皮炎", "慢性前列腺炎", "腰痛", "精索静脉曲张", "静脉曲张"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["麦冬", "麸炒白术", "酒黄精", "太子参", "川牛膝", "猪苓", "羌活"], "flags": [], "prev_rx": ["酒萸肉", "炒酸枣仁", "太子参", "牡丹皮", "川牛膝", "茯苓"], "prev_gap": 17, "visit_ix": 13, "n_visits": 16, "visit_ix_rx": 8, "n_rx": 9} {"rid": 63787, "pid": "P18f68ab26c7b", "date": "2026-07-01", "sex": "男", "age": 37, "cc": "腰痛半年", "hpi": "腰痛半年 ，一周前生化一次，排尿正常，大便正常，时有不成形，睡眠可，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "牡丹皮", "山药", "酒女贞子", "枸杞子", "盐车前子", "覆盆子", "桑螵蛸", "牡蛎", "丝瓜络", "路路通", "制水蛭", "赤小豆"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "牡丹皮", "山药", "酒女贞子", "枸杞子", "盐车前子", "覆盆子", "桑螵蛸", "牡蛎", "丝瓜络", "路路通", "制水蛭", "北沙参"], "prev_gap": 15, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 63788, "pid": "P7248d9e5ca38", "date": "2026-07-01", "sex": "男", "age": 68, "cc": "尿道胀痛 尿不尽复诊", "hpi": "尿道胀痛 尿不尽改善 大便正常 纳可 眠安 腰痛改善 下肢水肿 可自行消退 行动不便 病情稳定延长开药", "wm_dx": ["慢性前列腺炎", "前列腺增生", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "太子参", "茯苓", "羌活", "炒酸枣仁"], "flags": [], "prev_rx": ["猪苓", "太子参", "薏苡仁", "麸炒芡实", "炒酸枣仁"], "prev_gap": 58, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63789, "pid": "P3a3c977343a4", "date": "2026-07-01", "sex": "男", "age": 26, "cc": "时间短3年", "hpi": "龟头敏感，时间短，硬度正常，排尿正常，大便正常，睡眠可，纳可，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["房事早泄", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙甘草", "大枣", "茯苓", "泽泻", "石菖蒲", "盐蒺藜", "麸炒白术", "制远志", "柏子仁", "煅龙骨", "煅牡蛎", "金樱子肉"], "flags": [], "prev_rx": ["炙甘草", "大枣", "茯苓", "泽泻", "石菖蒲", "盐蒺藜", "麸炒白术", "制远志", "柏子仁", "煅龙骨", "煅牡蛎"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63791, "pid": "Pad3ff8ce546c", "date": "2026-07-01", "sex": "男", "age": 36, "cc": "尿频一月余", "hpi": "尿频一月余 尿不尽 尿等待 大便正常 少腹隐痛 纳可 眠安 夜尿2-3次 右侧睾丸不适 盗汗", "wm_dx": ["精索静脉曲张", "附睾炎", "慢性前列腺炎", "盗汗"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "橘络", "荔枝核", "炒酸枣仁", "酒黄精", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "橘络", "炒酸枣仁", "酒黄精", "荔枝核", "酒苁蓉"], "prev_gap": 21, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 63794, "pid": "P9f5380d96e73", "date": "2026-07-01", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛改善 伴有阳痿早泄 时间2-3分钟 晨勃少，排尿正常，夜尿正常，大便正常 胃部不适感， 眠安 口干", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["北柴胡", "黄芩片", "郁金", "白芍", "地黄", "酒萸肉", "山药", "石菖蒲", "丹参", "蜈蚣", "鸡血藤", "煅龙骨", "煅牡蛎", "炙甘草", "盐蒺藜"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "郁金", "白芍", "地黄", "酒萸肉", "山药", "石菖蒲", "陈皮", "淡竹叶", "蜈蚣", "酒黄精", "煅龙骨", "煅牡蛎", "炙甘草"], "prev_gap": 15, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 8, "n_rx": 11} {"rid": 63802, "pid": "P739099b403b8", "date": "2026-07-01", "sex": "男", "age": 83, "cc": "前列腺增生复诊", "hpi": "尿急，排尿不畅，夜尿3-4次改善 大便正常 纳可 眠差 胃食管反流，腰痛乏力", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川贝母", "薏苡仁", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "川贝母", "薏苡仁", "茯苓"], "prev_gap": 30, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 4, "n_rx": 5} {"rid": 63804, "pid": "P51e634fc4de9", "date": "2026-07-02", "sex": "男", "age": 40, "cc": "体检发现前列腺增大前列腺囊肿", "hpi": "体检发现前列腺增大前列腺囊肿 小腹隐痛 大便正常 纳眠可 尿频 尿急 病情稳定延长开药", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "川贝母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63807, "pid": "Pac4abf067dfd", "date": "2026-07-02", "sex": "男", "age": 63, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿线细，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "薏苡仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63809, "pid": "P46e7cb1e4b30", "date": "2026-07-02", "sex": "男", "age": 39, "cc": "腰痛乏力小腹胀痛复诊", "hpi": "1年前出现腰痛乏力小腹胀痛，自觉龟头充血状态，射精快，尿痛，尿分叉，口干口苦。夜寐差，失眠，长期熬夜，盗汗 带状疱疹 湿疹取药", "wm_dx": ["带状疱疹", "湿疹", "慢性前列腺炎", "盗汗"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾益精"], ["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["三七粉", "炒酸枣仁", "菟丝子"], "flags": ["rx_len_outlier"], "prev_rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "金银花", "炒酸枣仁"], "prev_gap": 116, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 5} {"rid": 63813, "pid": "Pdb95ba06f650", "date": "2026-07-02", "sex": "男", "age": 53, "cc": "腰痛半年", "hpi": "腰痛半年 性功能下降 晨勃消失 大小便正常 纳可 眠安。口服他达拉非效果一般。", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "鸡血藤", "黄芪", "赤小豆", "酒黄精", "蛇床子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["麦冬", "酒黄精", "制巴戟天", "菟丝子", "太子参", "覆盆子", "川牛膝"], "prev_gap": 43, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63814, "pid": "P221265604dc1", "date": "2026-07-02", "sex": "男", "age": 43, "cc": "复诊", "hpi": "病史同前，未有性生活，失眠一般，汗不多、口中稍干。曾服抗抑郁药。盗汗，腰痛。", "wm_dx": ["男性性腺功能低下", "腰痛", "盗汗"], "tcm_dx": [["男性生殖病", "肝郁肾虚证", "补肾益精"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "首乌藤", "姜半夏", "盐蒺藜", "九香虫", "炙甘草", "石菖蒲", "郁金", "制水蛭", "酒黄精", "炒酸枣仁", "麸炒白术", "山药", "锁阳", "金樱子肉", "莲子", "诃子肉"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "首乌藤", "姜半夏", "盐蒺藜", "九香虫", "炙甘草", "石菖蒲", "郁金", "制水蛭", "酒黄精", "炒酸枣仁", "麸炒白术", "山药"], "prev_gap": 8, "visit_ix": 5, "n_visits": 9, "visit_ix_rx": 5, "n_rx": 9} {"rid": 63815, "pid": "P2351926ac7e8", "date": "2026-07-02", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，晨勃可", "wm_dx": ["腰痛", "前列腺炎", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤", "赤小豆", "佩兰"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 5} {"rid": 63819, "pid": "P037f973b467e", "date": "2026-07-02", "sex": "男", "age": 46, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿等待，尿后余沥，夜尿1-2次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生", "前列腺炎", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "陈皮", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63825, "pid": "P5213f75a37fb", "date": "2026-07-02", "sex": "男", "age": 32, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿等待，小腹不适，大便质干，纳可，眠一般，口干，盗汗，工作熬夜，焦虑，性欲下降", "wm_dx": ["盗汗", "前列腺炎", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "佩兰", "鸡血藤", "赤小豆"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63827, "pid": "P8ba0b1215bd2", "date": "2026-07-02", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "炒酸枣仁", "佩兰", "北柴胡"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63828, "pid": "P20fc435a63bd", "date": "2026-07-03", "sex": "男", "age": 75, "cc": "尿频5年", "hpi": "尿频，尿急，夜尿1小时一次，时有遗尿，无尿痛，大便正常，无腹痛，时有腰痛，纳可，睡眠多梦，口和，夜里怕冷，前列腺增生症，外院顺义院区治疗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "茯苓", "泽泻", "猪苓", "麸炒白术", "阿胶珠", "滑石", "赤小豆", "浙贝母", "血余炭", "蒲黄炭", "制水蛭", "白芍", "生姜", "大枣"], "flags": [], "prev_rx": ["桂枝", "葛根", "白芍", "大枣", "泽泻", "茯苓", "猪苓", "麸炒白术", "阿胶珠", "地黄", "黑顺片", "石见穿", "燀桃仁", "红花", "制水蛭"], "prev_gap": 21, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 63829, "pid": "P8c9f9e86c673", "date": "2026-07-03", "sex": "男", "age": 43, "cc": "尿频2年", "hpi": "尿频，晨勃少，硬度一般 ，时间短，尿不尽，夜尿正常，阴囊潮湿，无腹痛，无腰疼，大便时干时稀，睡眠正常，纳可，口干，手脚发凉，怕冷，乏力,复诊：阴囊潮湿，乏力好转，晨勃有，尿不尽，时间短", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "桂枝", "小通草", "赤小豆", "百合", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "燀桃仁", "红花", "炙淫羊藿", "酒萸肉", "丝瓜络", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "桂枝", "小通草", "赤小豆", "百合", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "燀桃仁", "红花", "黑顺片", "炙黄芪", "炙淫羊藿"], "prev_gap": 12, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 8} {"rid": 63834, "pid": "P7f077ff255db", "date": "2026-07-03", "sex": "男", "age": 36, "cc": "尿频复诊", "hpi": "尿频，腰痛，乏力，时间短，硬度可，性欲可，性生活不规律，工作可，同居感情可，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["升麻", "黄芪", "北柴胡", "菟丝子", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "莲须"], "flags": [], "prev_rx": ["升麻", "黄芪", "北柴胡", "菟丝子", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "莲须"], "prev_gap": 114, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 63843, "pid": "P7b2d5b5816de", "date": "2026-07-03", "sex": "男", "age": 39, "cc": "腰痛半年", "hpi": "伴有乏力疲劳 同房后腰痛明显 大小便正常 纳可 眠安 便秘，尿频尿急，怕冷，下肢水肿", "wm_dx": ["尿频", "水肿", "腰痛", "便秘"], "tcm_dx": [["腰痛", "肾阳虚证", "温补肾阳"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参片", "山药", "白术", "茯苓", "北柴胡", "盐蒺藜", "木香", "炙黄芪", "酒黄精", "蛇床子", "韭菜子", "菟丝子", "干姜", "炒酸枣仁", "天麻", "醋青皮", "制巴戟天", "酒苁蓉", "仙茅", "盐胡芦巴", "炙淫羊藿", "麸炒枳壳", "地龙"], "flags": [], "prev_rx": ["甜叶菊叶", "党参片", "山药", "白术", "茯苓", "北柴胡", "盐蒺藜", "木香", "炙黄芪", "酒黄精", "蛇床子", "韭菜子", "菟丝子", "覆盆子", "炒酸枣仁", "天麻", "醋青皮", "制巴戟天", "酒苁蓉", "仙茅", "盐胡芦巴", "炙淫羊藿", "麸炒枳壳", "地龙"], "prev_gap": 22, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 63845, "pid": "P3aef33821710", "date": "2026-07-03", "sex": "男", "age": 33, "cc": "腰痛乏力抄方", "hpi": "腰痛乏力，夜寐差，长期熬夜久坐 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "覆盆子", "枸杞子", "盐车前子", "制水蛭", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "炙甘草", "韭菜子"], "flags": [], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "覆盆子", "枸杞子", "盐车前子", "制水蛭", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "炙甘草", "韭菜子"], "prev_gap": 20, "visit_ix": 13, "n_visits": 14, "visit_ix_rx": 11, "n_rx": 12} {"rid": 63847, "pid": "P5f5b34567064", "date": "2026-07-03", "sex": "男", "age": 34, "cc": "乏力半年", "hpi": "乏力，4月一次中途疲软，近2月未同房。现晨勃时有时无，硬度不佳，性欲一般4月，睡眠一般，黑眼圈，排尿分叉，夜尿正常，大便不成形，纳一般，口干口苦，口气重，阴囊潮湿，腰痛", "wm_dx": ["乏力", "高脂血症"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "大黄", "麸炒枳实", "白芍", "生姜", "大枣", "丹参", "鸡血藤", "石菖蒲", "制远志", "柏子仁", "蜈蚣", "地黄", "赤小豆"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63851, "pid": "Pbde57f4a7445", "date": "2026-07-03", "sex": "男", "age": 54, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "佩兰", "鸡血藤", "赤小豆"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 63852, "pid": "P64c7df95f5d5", "date": "2026-07-03", "sex": "男", "age": 56, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "醋五味子", "金樱子肉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63853, "pid": "Ped8479691a50", "date": "2026-07-03", "sex": "男", "age": 29, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，包皮口紧缩，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63856, "pid": "Pb4e66b8c6fa4", "date": "2026-07-03", "sex": "男", "age": 47, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗。", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "沙苑子", "金樱子肉", "炙淫羊藿", "麦冬"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63860, "pid": "Pdbaf2293369f", "date": "2026-07-04", "sex": "男", "age": 38, "cc": "尿频一年", "hpi": "尿频,,喝水即尿,晨勃有.硬度一般,时间1-2分钟,同房不规律,睡眠可,纳可,口干口苦,大便正常", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩", "法半夏", "党参", "生姜", "大枣", "炙甘草", "炒栀子", "生地黄", "知母", "薏苡仁", "红花", "石菖蒲", "炒蒺藜", "金樱子", "盐黄柏"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63861, "pid": "Pe2730ec47848", "date": "2026-07-04", "sex": "男", "age": 54, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，晨勃消失，性欲减退，口中和，长期熬夜。3.8复诊：偶有晨勃，无同房，3.21复诊：服药后晨勃每日有，排气多，无同房，性欲稍有恢复。4.4复诊：晨勃可，勃起硬度欠佳，可同房，近2周同房2次。4.18复诊：服药无不适，近2周1次同房，硬度欠佳，中途疲软，夜勃增加。5.9复诊：近2周同房1次，硬度欠佳，晨勃恢复。6.20复诊：晨勃可，近2周未同房，睡眠可。7.4日复诊：近2周同房2次，可同房，中途有疲软。", "wm_dx": ["腰痛", "水肿", "糖尿病", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["精浊", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "人参", "锁阳", "酒萸肉", "熟地黄", "烫水蛭", "黄芪", "制巴戟天"], "flags": [], "prev_rx": ["甘草", "北柴胡", "炒栀子", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "制巴戟天", "人参", "黄芪", "酒黄精", "全蝎"], "prev_gap": 14, "visit_ix": 15, "n_visits": 20, "visit_ix_rx": 8, "n_rx": 12} {"rid": 63863, "pid": "P6fb45012d599", "date": "2026-07-04", "sex": "男", "age": 74, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，间断口服阿夫唑嗪片，7月3日超声前列腺大小4.1*5.8*3.3cm，残余尿82ml，小腹疼痛，尿频，尿后余沥。", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "茯苓", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63873, "pid": "P99e0e5949c65", "date": "2026-07-04", "sex": "男", "age": 46, "cc": "乏力2月", "hpi": "乏力，排尿正常，大便正常，睡眠可，纳可，时有口干口苦，无腰疼", "wm_dx": ["乏力"], "tcm_dx": [["虚劳类病", "肝郁肾虚证", "补肾固精"]], "rx": ["北柴胡", "黄芩片", "法半夏", "丹参", "鸡血藤", "党参片", "茯苓", "川芎", "醋鸡内金", "石菖蒲", "牛膝", "路路通", "蜈蚣", "炙淫羊藿", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63875, "pid": "P8cf2b5e07541", "date": "2026-07-04", "sex": "男", "age": 35, "cc": "腰痛复诊", "hpi": "性欲差，熬夜，晨勃可，硬度差，腰痛，大便正常，睡眠一般，口和，纳差，乏力，尿频，下肢稍有水肿", "wm_dx": ["腰痛", "尿频", "盗汗", "水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "太子参", "茯苓", "羌活"], "flags": ["rx_len_outlier"], "prev_rx": ["太子参", "制巴戟天", "覆盆子", "陈皮", "川牛膝", "炒酸枣仁", "知母", "白芍"], "prev_gap": 168, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 63882, "pid": "P79c5b5169348", "date": "2026-07-04", "sex": "男", "age": 57, "cc": "龟头部乳白色分泌物2周", "hpi": "龟头部乳白色分泌物，硬度不行，无晨勃，大便偏干，口干口苦，腰疼", "wm_dx": ["皮肤感染", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "麸炒枳实", "白芍", "大枣", "生姜", "大黄", "丹参", "鸡血藤", "制水蛭", "燀桃仁", "红花", "薏苡仁", "地黄", "石菖蒲", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63887, "pid": "P5e7173360731", "date": "2026-07-04", "sex": "男", "age": 30, "cc": "睡眠差1年", "hpi": "睡眠差，中途醒，白天乏力感，燥热感，尿黄，有泡沫，大便大部分偏干，口干，纳可，复诊鼻子热气", "wm_dx": ["尿频", "血尿"], "tcm_dx": [["精浊", "阳虚水泛证", "温阳利水"]], "rx": ["泽泻", "茯苓", "猪苓", "滑石", "阿胶珠", "川芎", "当归", "桂枝", "法半夏", "黄芩片", "煅龙骨", "煅牡蛎", "麸炒白术", "炒酸枣仁", "炒栀子", "生石膏"], "flags": [], "prev_rx": ["泽泻", "茯苓", "猪苓", "滑石", "阿胶珠", "川芎", "当归", "桂枝", "煅龙骨", "煅牡蛎", "牡丹皮", "炒酸枣仁", "炒栀子", "法半夏", "黄芩片"], "prev_gap": 21, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 7} {"rid": 63888, "pid": "Pe79649f7a8b2", "date": "2026-07-04", "sex": "男", "age": 61, "cc": "尿不尽半年", "hpi": "尿不尽，夜尿2次，大便偏干，睡眠正常，纳可，不喝生冷，口干，腰疼，晨勃有，硬度一般，中途疲软", "wm_dx": ["乏力", "尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "茯苓", "泽泻", "猪苓", "白术", "桔梗", "法半夏", "当归", "川芎", "制水蛭", "蜈蚣", "干姜", "炙淫羊藿", "丹参", "鸡血藤"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63890, "pid": "P75a714f914ef", "date": "2026-07-04", "sex": "男", "age": 43, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗。PR 60.5%。下肢稍微水肿。", "wm_dx": ["腰痛", "盗汗", "水肿"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "鸡血藤", "麸炒白术", "北柴胡", "沙苑子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭"], "prev_gap": 209, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63895, "pid": "Pcf2044beeeec", "date": "2026-07-04", "sex": "男", "age": 52, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和，盗汗", "wm_dx": ["前列腺炎", "尿频", "包皮龟头炎", "盗汗"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["猪苓", "炒酸枣仁", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63896, "pid": "Pd5809ce13e6f", "date": "2026-07-04", "sex": "男", "age": 42, "cc": "尿频尿不尽复诊", "hpi": "尿频尿不尽改善 大便正常 纳可 无明显小腹不适 腰痛 乏力 口干 盗汗 失眠 勃起改善。", "wm_dx": ["慢性前列腺炎", "失眠", "盗汗", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "盐杜仲", "石菖蒲", "鸡血藤", "金樱子肉", "锁阳"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "盐杜仲", "石菖蒲", "鸡血藤", "赤小豆"], "prev_gap": 55, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 63897, "pid": "Pff039a28a406", "date": "2026-07-04", "sex": "男", "age": 37, "cc": "排尿不畅2周", "hpi": "排尿不畅2周，尿频，尿急，尿后余沥，夜尿1-2次，小腹不适，大便质干，纳可，眠一般，口干，盗汗，超声前列腺4.5*3.5*3.4cm，工作久坐。平日饮酒。", "wm_dx": ["尿频", "前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63898, "pid": "P386360b58aae", "date": "2026-07-04", "sex": "男", "age": 36, "cc": "腰痛乏力伴勃起中途疲软2月", "hpi": "2月前出现腰痛乏力伴勃起中途疲软，长期倒班，夜班频繁，手心潮热汗出，盗汗。6.13复诊，近2周同房2次，可同房，中途稍软，手心汗出好转，腰痛乏力，下肢轻度水肿。7.4复诊：近2周同房2次，可同房，口中和，中途软明显好转。", "wm_dx": ["盗汗", "腰痛", "水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "锁阳", "沙苑子", "韭菜子", "黄芪", "人参", "党参", "茯苓", "麸炒薏苡仁", "麸炒白术", "制巴戟天", "甜叶菊叶"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "黄芪", "川芎", "人参", "酒黄精", "锁阳", "制巴戟天"], "prev_gap": 21, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 5} {"rid": 63901, "pid": "Pe0de91974523", "date": "2026-07-04", "sex": "男", "age": 40, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿后余沥，夜尿2次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，前列腺大小4.6*3.5*3.2cm。", "wm_dx": ["前列腺增生", "前列腺炎", "盗汗"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["炒酸枣仁", "太子参", "猪苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63902, "pid": "Pa016e8aa0618", "date": "2026-07-04", "sex": "男", "age": 27, "cc": "左侧精索静脉曲张术后3月复查", "hpi": "外院醒左侧精索静脉曲张手术后，现拆线后，仍有睾丸不适感，复查精索静脉。6.6复诊：睾丸不适感明显减轻，无其他不适。6.20复诊：阴囊不适减轻，眠一般。7.4复诊：左侧腹股沟疼痛", "wm_dx": ["腹股沟淋巴结炎", "附睾炎", "精索静脉曲张", "静脉曲张", "腹痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "醋鸡内金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "丹参", "路路通", "炒王不留行", "北柴胡", "酒白芍", "醋三棱", "醋莪术", "鸡血藤", "砂仁", "党参", "麸炒白术", "夏枯草", "醋延胡索"], "flags": [], "prev_rx": ["盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "醋鸡内金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "丹参", "路路通", "炒王不留行", "北柴胡", "酒白芍", "醋三棱", "醋莪术", "鸡血藤", "砂仁", "炒酸枣仁", "麸炒白术", "夏枯草", "醋延胡索"], "prev_gap": 14, "visit_ix": 24, "n_visits": 28, "visit_ix_rx": 17, "n_rx": 21} {"rid": 63904, "pid": "P43116341131a", "date": "2026-07-04", "sex": "男", "age": 36, "cc": "尿频2周", "hpi": "尿频2周，尿分叉，晨起乏力，大便不成型，纳可，喜吃生冷，睡眠熬夜多梦，口气", "wm_dx": ["前列腺炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["生姜", "干姜", "法半夏", "丹参", "鸡血藤", "石菖蒲", "制远志", "北柴胡", "黄芩片", "黄连片", "党参片", "续断片", "赤小豆", "蜈蚣", "煅龙骨"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 63905, "pid": "P2fe754183279", "date": "2026-07-04", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，硬度一般，工作熬夜，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63909, "pid": "P1407db622766", "date": "2026-07-04", "sex": "男", "age": 37, "cc": "发现PSA升高复查", "hpi": "发现PSA升高1周，5.62 ng/ml，工作久坐，无明显尿频、尿急、排尿不畅，夜尿0次。无尿后余沥，无小腹及会阴不适。乏力消瘦半年，睡眠好转。7.4复诊：复查血PSA。面部红疹。", "wm_dx": ["维生素D缺乏", "泌尿系感染", "前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草", "焦麦芽", "焦山楂", "焦神曲", "醋三棱", "醋莪术", "夏枯草", "路路通", "炒王不留行"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "连翘", "炒酸枣仁", "白花蛇舌草", "半枝莲", "醋三棱", "醋莪术", "红花", "夏枯草", "路路通", "荔枝核", "炒王不留行", "砂仁"], "prev_gap": 14, "visit_ix": 15, "n_visits": 16, "visit_ix_rx": 9, "n_rx": 10} {"rid": 63913, "pid": "P8fd3fc224d9a", "date": "2026-07-04", "sex": "男", "age": 27, "cc": "尿频一年", "hpi": "尿频，既往检查无精子，穿刺为曲细精管萎缩，未见精子，口服西药、肌注绒毛膜激素治疗。排尿正常，色黄，大便稀，一天一次，熬夜，多梦，口干，纳可，", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "生姜", "大枣", "白芍", "黑顺片", "熟地黄", "酒萸肉", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "荆芥", "防风", "桑螵蛸", "牡蛎", "红景天", "茯苓", "炙黄芪"], "flags": [], "prev_rx": ["桂枝", "生姜", "大枣", "白芍", "黑顺片", "熟地黄", "酒萸肉", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "荆芥", "防风", "桑螵蛸", "牡蛎", "红景天", "茯苓"], "prev_gap": 24, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 63915, "pid": "Pee3c72b59b1b", "date": "2026-07-04", "sex": "男", "age": 33, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "枸杞子", "石菖蒲", "党参", "知母", "盐黄柏", "麸炒薏苡仁", "制巴戟天", "红景天", "佩兰"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63917, "pid": "P634538fb770b", "date": "2026-07-04", "sex": "男", "age": 28, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口干，盗汗", "wm_dx": ["尿频", "包皮龟头炎", "盗汗"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["地榆", "盐关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连片", "麸炒苍术", "百部"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["覆盆子", "制巴戟天", "太子参", "菟丝子"], "prev_gap": 196, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63918, "pid": "P90c900c26a60", "date": "2026-07-04", "sex": "男", "age": 54, "cc": "左侧睾丸隐痛5天", "hpi": "左侧睾丸隐痛5天，阴囊潮湿，尿后余沥，尿频，下肢酸胀，腹痛", "wm_dx": ["腹痛", "静脉曲张", "精索静脉曲张", "慢性前列腺炎"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "太子参", "川牛膝", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63919, "pid": "P0d2f0aaa1f1a", "date": "2026-07-04", "sex": "男", "age": 40, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "党参片", "酒黄精", "北败酱草", "熟地黄", "石菖蒲", "佩兰", "酒苁蓉", "酒萸肉", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 63928, "pid": "P14b6697281b3", "date": "2026-07-04", "sex": "男", "age": 36, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 失眠 盗汗 乏力 下肢稍有水肿", "wm_dx": ["水肿", "盗汗", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["甜叶菊叶", "熟地黄", "酒萸肉", "覆盆子", "酒女贞子", "山药", "知母", "醋龟甲", "川牛膝", "木香", "党参", "菟丝子", "韭菜子", "沙苑子", "酒苁蓉", "制远志", "麸炒枳壳", "炙甘草", "烫水蛭", "炒酸枣仁", "锁阳", "制巴戟天", "盐黄柏", "炙淫羊藿"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63929, "pid": "P621a6af9e5dc", "date": "2026-07-04", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，硬度一般，性欲可，工作熬夜，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "盐杜仲", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "莲子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63930, "pid": "P406c72d3a1bd", "date": "2026-07-04", "sex": "男", "age": 57, "cc": "排尿不畅尿频夜尿多2年", "hpi": "2年前出现排尿不畅尿频夜尿多，无小腹胀痛，口中和，夜寐可，角膜炎，咽痛感冒，腰痛扭伤", "wm_dx": ["前列腺增生", "角膜炎", "咽痛", "腰痛"], "tcm_dx": [["精癃", "肝郁肾虚证", "疏肝理气"], ["感冒", "风热证", "疏风清热"], ["喉痹", "肺热证", "清热法"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "茯苓", "醋五味子", "制远志", "龙骨", "牡蛎", "醋鸡内金", "五倍子", "桑螵蛸", "金樱子肉", "麸炒芡实", "绵萆薢", "莲须", "覆盆子", "莲子心", "关黄柏", "锁阳", "沙苑子", "知母", "柏子仁", "甘草片", "酒黄精"], "flags": [], "prev_rx": ["北柴胡", "白芍", "麸炒枳实", "茯苓", "醋五味子", "制远志", "龙骨", "牡蛎", "醋鸡内金", "五倍子", "桑螵蛸", "红景天", "金樱子肉", "麸炒芡实", "绵萆薢", "莲须", "覆盆子", "莲子心", "关黄柏", "锁阳", "沙苑子", "知母", "柏子仁", "甘草片"], "prev_gap": 14, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 63935, "pid": "P62266f4e3a35", "date": "2026-07-05", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "盐杜仲", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "泽泻", "麸炒薏苡仁", "莲子", "制远志", "猪苓", "川牛膝", "佩兰", "牡丹皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "炙淫羊藿", "麸炒山药"], "prev_gap": 31, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 63936, "pid": "P210ba1aa54d4", "date": "2026-07-05", "sex": "男", "age": 40, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，下肢水肿酸胀", "wm_dx": ["水肿", "盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["精浊", "湿热下注证", "清热祛湿"]], "rx": ["麸炒苍术", "丁香", "白芷", "猪苓", "炒酸枣仁", "茯苓", "太子参", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63937, "pid": "P1bb7f2984706", "date": "2026-07-05", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "盐杜仲", "白芷", "菟丝子", "酒黄精", "炒酸枣仁", "佩兰", "石菖蒲", "鸡血藤", "赤小豆"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63939, "pid": "P2bb4759ecf77", "date": "2026-07-05", "sex": "男", "age": 27, "cc": "尿频1周", "hpi": "尿频1周，尿急，尿痛，无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和，腰痛，盗汗，口干", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["热淋", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "羌活", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63940, "pid": "Paa6de65610ca", "date": "2026-07-05", "sex": "男", "age": 40, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "枸杞子", "麦冬", "麸炒白术", "麸炒山药"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63943, "pid": "Pf5db9c22578e", "date": "2026-07-05", "sex": "男", "age": 68, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 乏力 兴趣低下 体重稍有下降", "wm_dx": ["腰痛", "乏力"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["黑顺片", "茯苓", "生姜", "酒白芍", "人参", "麸炒苍术", "防风", "天竺黄", "焦槟榔", "广藿香"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黑顺片", "茯苓", "生姜", "酒白芍", "人参", "麸炒苍术", "煅牡蛎", "防风", "醋五味子", "黄芪", "盐益智仁", "龙骨"], "prev_gap": 18, "visit_ix": 9, "n_visits": 14, "visit_ix_rx": 9, "n_rx": 14} {"rid": 63944, "pid": "P83ed4b8faf8e", "date": "2026-07-05", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "复诊，眠差、口苦、便1-2次。工作劳累，盗汗，性欲低，乏力。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "酒黄芩", "生石膏", "炙甘草", "木香", "熟地黄", "酒萸肉", "党参片", "姜半夏", "酒白芍", "麸炒枳实", "炙淫羊藿", "酒苁蓉", "韭菜子", "制水蛭", "知母", "黑芝麻", "酒女贞子", "覆盆子", "炒酸枣仁", "酒黄精", "茯苓", "佩兰", "鸡血藤"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "生石膏", "炙甘草", "党参片", "姜半夏", "酒白芍", "麸炒枳实", "炙淫羊藿", "酒苁蓉", "韭菜子", "制水蛭", "知母", "黑芝麻", "酒女贞子", "覆盆子", "炒酸枣仁", "酒黄精", "茯苓", "白术", "天麻", "木香", "熟地黄", "酒萸肉"], "prev_gap": 7, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 10} {"rid": 63946, "pid": "P4fab74ad3651", "date": "2026-07-05", "sex": "男", "age": 47, "cc": "腰痛乏力3月", "hpi": "3月前出现腰痛乏力，尿频尿急 口苦 胁痛 大便正常 纳可 失眠 焦虑症", "wm_dx": ["焦虑状态", "失眠", "尿频", "腰痛"], "tcm_dx": [["腰痛", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "关黄柏", "薤白", "盐车前子", "牛膝", "白术", "牡蛎", "龙骨", "法半夏", "黄芩片", "党参片", "茯苓", "虎杖", "麸炒苍术", "知母", "制巴戟天", "仙茅", "石菖蒲", "制远志", "猪苓", "川楝子", "酒黄精", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "关黄柏", "薤白", "盐车前子", "牛膝", "白术", "牡蛎", "龙骨", "法半夏", "黄芩片", "党参片", "茯苓", "虎杖", "麸炒苍术", "炙淫羊藿", "制巴戟天", "仙茅", "石菖蒲", "制远志", "猪苓", "川楝子", "酒黄精", "炙甘草"], "prev_gap": 13, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 63955, "pid": "P993a7f62e83b", "date": "2026-07-05", "sex": "男", "age": 24, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，晨勃少", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "盐杜仲", "白芷", "菟丝子", "佩兰", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 63957, "pid": "P4763a436eff6", "date": "2026-07-05", "sex": "男", "age": 37, "cc": "腰痛抄方", "hpi": "腰痛抄方，腰痛，乏力，盗汗，口干，眠一般，大便可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "麸炒白术", "茯苓", "麸炒苍术", "陈皮", "姜半夏", "泽泻", "麸炒薏苡仁", "北柴胡", "郁金", "醋香附", "当归", "川芎", "赤芍", "丹参", "干益母草", "菟丝子", "枸杞子", "覆盆子", "炙淫羊藿", "鸡血藤", "荷叶", "净山楂"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63958, "pid": "Pc95ba5bee4c3", "date": "2026-07-05", "sex": "男", "age": 50, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "石菖蒲", "麦冬", "炒酸枣仁", "猪苓", "太子参", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63964, "pid": "P9de49feefc54", "date": "2026-07-05", "sex": "男", "age": 25, "cc": "尿频1周", "hpi": "尿频1周，尿道灼热，尿急，尿痛，无尿液颜色改变，无排尿不畅、尿等待、尿后余沥，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和，工作久坐", "wm_dx": ["泌尿系感染", "前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63966, "pid": "Pb6c31adacf2a", "date": "2026-07-05", "sex": "男", "age": 60, "cc": "阴囊肿痛5天", "hpi": "阴囊肿痛5天，无明显尿痛，无体温升高，尿频，尿后余沥", "wm_dx": ["附睾炎", "鞘膜积液"], "tcm_dx": [["子肿", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63968, "pid": "P6b839262526e", "date": "2026-07-05", "sex": "男", "age": 37, "cc": "腰痛2月", "hpi": "腰痛2月，汗多，性欲可，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "盐杜仲", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "石菖蒲", "佩兰", "炒酸枣仁", "酒苁蓉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63969, "pid": "Ped59a86e7f04", "date": "2026-07-05", "sex": "男", "age": 49, "cc": "尿急1月", "hpi": "尿急1月，夜尿0次，无明显排尿不畅，无明显尿后余沥，硬度下降，乏力，眠可，性欲一般，盗汗，口干。", "wm_dx": ["腰痛", "男性性腺功能低下", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "石菖蒲", "茯苓", "麦冬", "制远志", "鸡血藤", "赤小豆"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "石菖蒲", "茯苓"], "prev_gap": 15, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 63973, "pid": "Pd57b39b78015", "date": "2026-07-05", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "赤小豆", "佩兰", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63974, "pid": "P9c0ff9cc88f2", "date": "2026-07-05", "sex": "男", "age": 40, "cc": "尿频1周", "hpi": "尿频1周，睡前明显，尿等待，尿后余沥，夜尿1次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，工作久坐。体检前列腺增生。", "wm_dx": ["尿频", "前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川牛膝", "茯苓", "太子参", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 63985, "pid": "Pdc6d6742006a", "date": "2026-07-06", "sex": "男", "age": 64, "cc": "复诊", "hpi": "尿1-2次，性功能差，无力感，汗多，脚冷消，口稍干。", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["男性前阴类病", "肾虚证", "补肾益精"], ["男性生殖病", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "茯苓", "泽泻", "白术", "黑顺片", "九香虫", "地龙", "石菖蒲", "炙甘草", "炒酸枣仁", "合欢皮"], "flags": [], "prev_rx": ["桂枝", "白芍", "茯苓", "泽泻", "白术", "黑顺片", "九香虫", "地龙", "石菖蒲", "炙甘草", "首乌藤", "合欢皮"], "prev_gap": 7, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 6} {"rid": 63989, "pid": "P69bca6819dd4", "date": "2026-07-06", "sex": "男", "age": 50, "cc": "复诊", "hpi": "性生活2次/周、硬度不够。可射精。无口苦，无肢冷。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "牡蛎", "龙骨", "炙甘草", "蜈蚣", "瓜蒌", "薤白"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "牡蛎", "龙骨", "炙甘草", "石菖蒲", "蜈蚣"], "prev_gap": 35, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 6} {"rid": 63993, "pid": "Pdb2475cf5e0c", "date": "2026-07-06", "sex": "男", "age": 59, "cc": "排尿不畅复诊取药", "hpi": "排尿不畅改善，尿急，无明显尿频，尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗 下肢水肿 可自行消退 腰痛", "wm_dx": ["尿频", "前列腺增生", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "太子参", "制巴戟天", "炒酸枣仁"], "flags": [], "prev_rx": ["猪苓", "陈皮", "太子参", "莲子", "炙黄芪"], "prev_gap": 49, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 4} {"rid": 63995, "pid": "P5330a9d952a3", "date": "2026-07-06", "sex": "男", "age": 57, "cc": "复诊", "hpi": "精液有暗黑，小腹不适，尿频减但不尽，腹胀，下半身凉，口干口苦，睡眠差", "wm_dx": ["前列腺增生", "精囊炎", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚血瘀证", "补肾益精"], ["血精", "湿热下注证", "清热利湿"]], "rx": ["姜厚朴", "茯苓", "生石膏", "黄芩片", "党参片", "姜半夏", "北柴胡", "炙甘草", "木香", "槟榔"], "flags": [], "prev_rx": ["猪苓", "茯苓", "滑石", "白芍", "泽泻", "马鞭草", "生石膏", "黄芩片", "党参片", "姜半夏", "北柴胡", "炙甘草"], "prev_gap": 7, "visit_ix": 2, "n_visits": 11, "visit_ix_rx": 2, "n_rx": 11} {"rid": 64005, "pid": "P7057c4258df6", "date": "2026-07-06", "sex": "男", "age": 27, "cc": "腰痛复诊", "hpi": "腰痛改善 伴有早泄 时间1分钟以内 大便正常 纳可 眠安 勃起可 下肢水肿 可自行消退 尿频", "wm_dx": ["腰痛", "下肢水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "五加皮", "地骨皮", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "flags": [], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "五加皮", "地骨皮", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子"], "prev_gap": 121, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 64008, "pid": "P2364961f5ad4", "date": "2026-07-06", "sex": "男", "age": 52, "cc": "腰痛半年", "hpi": "伴有 阳痿早泄一周余 大便正常 纳眠可 下肢水肿 可自行消退 尿频", "wm_dx": ["腰痛", "下肢水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "猪苓", "太子参", "盐车前子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64009, "pid": "Pfa32cb9fd7e4", "date": "2026-07-06", "sex": "男", "age": 62, "cc": "夜尿频多一月余", "hpi": "夜尿频多一月余 大便正常 纳可 眠差", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 10, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64010, "pid": "Pa0e12999c2e8", "date": "2026-07-06", "sex": "男", "age": 29, "cc": "复诊", "hpi": "病史同前 易汗 尿频0，勃起一般，晨勃，排尿正常，大便2-3 ，眠可，", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "地龙", "五倍子", "醋五味子", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "五倍子", "醋五味子", "石菖蒲", "地龙", "炙甘草", "生姜", "大枣"], "prev_gap": 204, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64011, "pid": "P38820e7a538e", "date": "2026-07-06", "sex": "男", "age": 33, "cc": "排尿不畅1周", "hpi": "排尿不畅1周，尿频，尿分叉，夜尿1次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗熬夜，眩晕", "wm_dx": ["前列腺炎", "尿频", "高血压", "眩晕"], "tcm_dx": [["眩晕", "肝阳上亢证", "平肝潜阳"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川牛膝", "太子参", "茯苓", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64013, "pid": "P67ef64be08ac", "date": "2026-07-06", "sex": "男", "age": 27, "cc": "尿频1月", "hpi": "尿频1月，伴腰痛，夜尿0-1次，无小腹及会阴不适，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炙黄芪", "鸡血藤", "蛇床子", "酒黄精", "石菖蒲", "熟地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "炙黄芪", "鸡血藤", "盐杜仲", "酒黄精"], "prev_gap": 49, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64014, "pid": "Pa2f0c890adfa", "date": "2026-07-06", "sex": "男", "age": 65, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿等待，尿后余沥，夜尿1-2次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。超声：5.7*3.7*4.2cm。", "wm_dx": ["前列腺增生", "前列腺炎", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64018, "pid": "Pd32ee23acb68", "date": "2026-07-06", "sex": "男", "age": 53, "cc": "包皮龟头炎多年", "hpi": "包皮龟头炎多年，龟头近尿道口处泛红 微痒 反复发作 大小便正常 纳眠可", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "黄柏", "苦参", "马齿苋", "白鲜皮", "白花蛇舌草", "土茯苓", "败酱草", "黄连", "白芷", "当归", "大黄", "地龙", "蛇床子", "地肤子", "百部"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64020, "pid": "P3cb5a9856349", "date": "2026-07-06", "sex": "男", "age": 61, "cc": "腰痛复诊", "hpi": "腰痛复诊，乏力，失眠，夜尿1次，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳实", "炙甘草", "炒蒺藜", "木香", "附片", "肉桂", "土茯苓", "败酱草", "麸炒苍术", "蛇床子", "韭菜子", "制远志", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "郁金", "醋青皮", "石菖蒲", "炒僵蚕", "地龙"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "茯苓", "酒黄精", "石菖蒲", "鸡血藤"], "prev_gap": 82, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 64025, "pid": "P7af019674941", "date": "2026-07-07", "sex": "男", "age": 73, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 排尿不畅 尿急改善 偶见尿失禁 大便正常 纳可 眠差", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川贝母", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "茯苓", "薏苡仁"], "prev_gap": 99, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64026, "pid": "P8ccc01aa3fa6", "date": "2026-07-07", "sex": "男", "age": 77, "cc": "排尿不畅 小腹隐痛一月余", "hpi": "排尿不畅 小腹隐痛一月余 大便正常 纳眠可 尿频", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64027, "pid": "Pd743b16dec38", "date": "2026-07-07", "sex": "男", "age": 31, "cc": "乏力1年", "hpi": "乏力1年， 同房射精，小便正常 ，大便正常，睡眠正常，纳可，口和，腰痛，在北医三院口服左卡尼汀，锌等治疗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桔梗", "党参片", "地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "覆盆子", "盐车前子", "醋五味子", "枸杞子", "牡蛎", "醋龟甲", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 3} {"rid": 64030, "pid": "P10068b6c8842", "date": "2026-07-07", "sex": "男", "age": 75, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。可完成，但硬度一般，性欲可。", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "赤小豆", "麸炒薏苡仁", "泽泻"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["肉桂", "川牛膝", "炙黄芪", "枸杞子"], "prev_gap": 65, "visit_ix": 2, "n_visits": 7, "visit_ix_rx": 1, "n_rx": 5} {"rid": 64034, "pid": "Pe0b4a4c0d0cd", "date": "2026-07-07", "sex": "男", "age": 25, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳眠可", "wm_dx": ["包皮龟头炎", "糖尿病"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "地龙", "大黄", "当归", "土茯苓", "北败酱草", "茵陈", "黄连片", "白芷", "制水蛭", "甘草片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64037, "pid": "P6d5573050d71", "date": "2026-07-07", "sex": "男", "age": 37, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 中途疲软 早泄 尿黄 大便正常 纳眠可 尿频 盗汗乏力 下肢水肿 可自行消退", "wm_dx": ["慢性前列腺炎", "腰痛", "盗汗", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮", "炒僵蚕"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64038, "pid": "Pb9687a079ba3", "date": "2026-07-07", "sex": "男", "age": 71, "cc": "排尿困难2天", "hpi": "排尿困难2天 留置导尿管 大便正常 尿频 尿不尽 尿等待 纳眠可", "wm_dx": ["前列腺增生", "尿频", "泌尿系感染"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热凉血"]], "rx": ["猪苓", "川贝母", "太子参", "酒萸肉", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 64040, "pid": "Pfbaf20822fd3", "date": "2026-07-07", "sex": "男", "age": 34, "cc": "血精4天", "hpi": "血精4天 腰痛 盗汗 失眠 气短，阴囊潮湿 盗汗 纳可 失眠 下肢水肿 可自行消退", "wm_dx": ["精囊炎", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "肝郁血瘀证", "疏肝化瘀"]], "rx": ["制巴戟天", "酒萸肉", "知母", "太子参", "炒酸枣仁", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64045, "pid": "P3b22655b1d42", "date": "2026-07-07", "sex": "男", "age": 35, "cc": "腰痛盗汗复诊", "hpi": "2年前出现腰痛盗汗，阴囊潮湿，口干口苦，尿不尽，勃起中途疲软好转 盗汗失眠 下肢水肿 可自行消退", "wm_dx": ["盗汗", "腰痛", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "菟丝子", "酒萸肉", "知母", "炒酸枣仁", "桑寄生", "盐杜仲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64046, "pid": "P07b3452b67fd", "date": "2026-07-07", "sex": "男", "age": 48, "cc": "尿频1年", "hpi": "尿频，大便正常，2-3次，睡眠正常，纳可，口和，检查UU阳性，前向23%，畸形高，碎片率19，", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "泽泻", "猪苓", "当归", "川芎", "熟地黄", "牡蛎", "红景天", "醋龟甲", "山药", "酒萸肉", "麸炒白术", "黑顺片", "覆盆子", "盐车前子", "枸杞子", "桑螵蛸"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64047, "pid": "Pfa1f932c879b", "date": "2026-07-07", "sex": "男", "age": 39, "cc": "尿频1周", "hpi": "尿频1周，尿道灼热，尿急，无尿道分泌物，会阴不适，纳眠可，大便质粘，口和，工作久坐，腰痛，乏力", "wm_dx": ["尿频", "前列腺炎", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾气虚证", "补益肾气"], ["腰痛", "肾气不足证", "补益肾气"]], "rx": ["猪苓", "炒酸枣仁", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64051, "pid": "P21d80f8735d8", "date": "2026-07-07", "sex": "男", "age": 33, "cc": "包皮龟头炎 包皮水肿2天", "hpi": "包皮龟头炎 包皮水肿2天 大小便正常 纳眠可", "wm_dx": ["包皮龟头炎", "过敏性皮炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "北败酱草", "茵陈", "黄连片", "地龙", "甘草片", "大黄", "当归", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64055, "pid": "P159b1f51af92", "date": "2026-07-07", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，口可，早醒，大便稀2-3次", "wm_dx": ["高脂血症", "2型糖尿病"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "党参", "干姜", "大枣", "甘草", "白芍", "酒萸肉", "金樱子", "生地黄", "炒蒺藜", "赤小豆"], "flags": [], "prev_rx": ["党参", "茯苓", "麸炒白术", "知母", "大枣", "制远志", "炒酸枣仁", "干姜", "百合", "炙甘草", "石菖蒲", "牡丹皮", "北柴胡", "生地黄"], "prev_gap": 14, "visit_ix": 9, "n_visits": 15, "visit_ix_rx": 9, "n_rx": 14} {"rid": 64057, "pid": "P50497a7794aa", "date": "2026-07-07", "sex": "男", "age": 34, "cc": "乏力半年", "hpi": 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34, "cc": "尿频复诊", "hpi": "复诊，时间短1分钟，硬度和性欲可，工作可，排尿正常，大便正常，睡眠正常，纳可，口渴", "wm_dx": ["焦虑状态"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["白薇", "桂枝", "白芍", "生石膏", "大枣", "煅龙骨", "煅牡蛎", "桑螵蛸", "金樱子肉", "石菖蒲", "盐蒺藜", "茯苓", "猪苓", "锁阳", "炙甘草", "干姜", "麸炒白术"], "flags": [], "prev_rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "煅龙骨", "煅牡蛎", "桑螵蛸", "金樱子肉", "石菖蒲", "盐蒺藜", "茯苓", "猪苓", "锁阳", "炙甘草", "干姜", "麸炒白术"], "prev_gap": 7, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 5, "n_rx": 6} {"rid": 64065, "pid": "P35b1f7d53e6c", "date": "2026-07-08", "sex": "男", "age": 27, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，尿频，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "前列腺炎", "盗汗"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "麸炒白术", "炒酸枣仁", "佩兰", "赤小豆", "沙苑子", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64066, "pid": "P89f3cfba6736", 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"麸炒白术", "丹参", "法半夏", "党参片", "炙淫羊藿", "菟丝子", "枸杞子", "覆盆子", "桑螵蛸", "醋龟甲", "薏苡仁", "牛膝", "滑石", "金樱子肉", "白芍"], "prev_gap": 14, "visit_ix": 12, "n_visits": 15, "visit_ix_rx": 12, "n_rx": 15} {"rid": 64196, "pid": "P5bd99054f33d", "date": "2026-07-11", "sex": "男", "age": 38, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊取药 尿频 大便正常 纳眠可 脂肪肝复查 腰痛乏力 下肢水肿 可自行消退 病情稳定延长开药", "wm_dx": ["前列腺增生", "脂肪肝", "尿频", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "知母", "覆盆子", "猪苓", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64197, "pid": "P38ec74bd3a85", "date": "2026-07-11", "sex": "男", "age": 28, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，二便调，口和，尿频、睡前尿意感，夜尿正常，无小腹及会阴不适，工作久坐 大便可，纳可，睡眠正常，1分钟", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "赤小豆", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "牛膝", "牡丹皮", "甜叶菊叶", "酒萸肉", "百合", "浙贝母", "党参片", "炙甘草", "大枣", "苦参"], 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"水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "锁阳", "黄芪", "人参", "韭菜子", "党参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 64208, "pid": "P62ca6a0670ee", "date": "2026-07-11", "sex": "男", "age": 34, "cc": "腰膝酸软半年", "hpi": "腰膝酸软，乏力，无怕冷，大便稀，吃凉易腹泻，睡眠浅，口和，夜里口干，排尿正常，易汗，阴囊潮湿 盗汗 下肢水肿 可自行消退", "wm_dx": ["下肢水肿", "盗汗", "腰痛"], "tcm_dx": [["腰痛", "肾气不足证", "补肾扶元"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "菟丝子", "太子参", "覆盆子", "川贝母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64209, "pid": "P386360b58aae", "date": "2026-07-11", "sex": "男", "age": 36, "cc": "腰痛乏力伴勃起中途疲软2月", "hpi": "2月前出现腰痛乏力伴勃起中途疲软，长期倒班，夜班频繁，手心潮热汗出，盗汗。6.13复诊，近2周同房2次，可同房，中途稍软，手心汗出好转，腰痛乏力，下肢轻度水肿。7.4复诊：近2周同房2次，可同房，口中和，中途软明显好转。", "wm_dx": ["水肿", "腰痛", "盗汗", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "炙甘草", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "锁阳", "沙苑子", "韭菜子", "黄芪", "人参", "党参", "茯苓", "麸炒薏苡仁", "麸炒白术", "制巴戟天", "甜叶菊叶"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "锁阳", "沙苑子", "韭菜子", "黄芪", "人参", "党参", "茯苓", "麸炒薏苡仁", "麸炒白术", "制巴戟天", "甜叶菊叶"], "prev_gap": 7, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 5} {"rid": 64213, "pid": "P8edf6c560adf", "date": "2026-07-11", "sex": "男", "age": 32, "cc": "腰痛乏力3月", "hpi": "3月前出现腰痛乏力，既往精液常规提示弱精子症", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["盐杜仲", "肉桂", "麸炒白术", "制远志", "肉苁蓉", "制巴戟天", "太子参", "石菖蒲", "酒萸肉", "盐车前子", "覆盆子", "菟丝子", "熟地黄", "酒大黄", "韭菜子", "金樱子", "地龙", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64214, "pid": "Pb1bd6785662d", "date": "2026-07-11", "sex": "男", "age": 50, "cc": "左侧睾丸不适1月", "hpi": "左侧睾丸不适1月，工作久坐，无明显排尿和射精不适，下肢酸胀，腹痛", "wm_dx": ["静脉曲张", "精索静脉曲张", "腹痛"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "盐小茴香", "荔枝核", "野菊花", "北柴胡", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "醋延胡索", "醋莪术", "醋三棱", "夏枯草", "黄芪", "甜叶菊叶", "人参", "酒黄精", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["肉桂", "盐小茴香", "荔枝核", "野菊花", "北柴胡", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "醋延胡索", "醋莪术", "醋三棱", "夏枯草", "黄芪", "甜叶菊叶", "人参", "酒黄精", "全蝎"], "prev_gap": 14, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 64219, "pid": "P0b9000fe8dc7", "date": "2026-07-11", "sex": "男", "age": 40, "cc": "尿频2年", "hpi": "尿频，无晨勃，硬度一般，吸烟饮酒，熬夜，排尿可 ，喝水尿频，大便不成型，睡眠正常，纳可，口干，时有腰疼，无怕冷，怕热，复诊：硬度好转，时间短5--6分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "酒萸肉", "泽泻", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "制远志", "干姜", "麸炒白术", "生石膏", "炙甘草", "浮小麦"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "酒萸肉", "泽泻", "茯苓", "丹参", "鸡血藤", "盐蒺藜", "蜈蚣", "石菖蒲", "川芎", "炙淫羊藿", "仙茅", "制远志", "干姜", "麸炒白术", "生石膏", "炙甘草"], "prev_gap": 14, "visit_ix": 10, "n_visits": 11, "visit_ix_rx": 10, "n_rx": 11} {"rid": 64220, "pid": "Pc4e7d0c9cc67", "date": "2026-07-11", "sex": "男", "age": 37, "cc": "排尿不畅1年", "hpi": "1年前出现排尿不畅，夜尿1次，口干口苦，夜寐可，性欲减退，勃起欠佳中途疲软，晨勃消失，腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "锁阳", "制巴戟天", "黄芪", "川芎", "鸡血藤", "酒黄精", "人参", "炒酸枣仁", "柏子仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64230, "pid": "P4596b8512757", "date": "2026-07-11", "sex": "男", "age": 44, "cc": "少腹坠胀1月", "hpi": "少腹坠胀，尿不尽，夜尿1次，口干，大便正常，复诊：少腹正常，仍有尿意感。大便粘，乏力", "wm_dx": ["乏力"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "牡丹皮", "大枣", "茯苓", "猪苓", "细辛", "生石膏", "煅龙骨", "煅牡蛎", "麸炒白术", "制远志", "麻黄", "黑顺片"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "牡丹皮", "大枣", "茯苓", "猪苓", "法半夏", "煅龙骨", "煅牡蛎", "麸炒白术", "制远志", "滑石", "浙贝母", "石菖蒲", "生石膏"], "prev_gap": 14, "visit_ix": 7, "n_visits": 11, "visit_ix_rx": 6, "n_rx": 10} {"rid": 64231, "pid": "P990b62c75488", "date": "2026-07-11", "sex": "男", "age": 41, "cc": "阴茎跟部坠胀不适3年", "hpi": "3年前出现阴茎跟部坠胀不适，排尿可，夜尿3-4次，阴囊潮湿，", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "夏枯草", "路路通", "炒王不留行", "黄芪", "盐橘核", "乌药", "盐益智仁", "山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 64232, "pid": "P6f00cc37df31", "date": "2026-07-11", "sex": "男", "age": 25, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 大小便正常 纳眠可 勃起不佳 中途疲软 晨勃少 下肢水肿 可自行消退 盗汗", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "覆盆子", "知母", "太子参", "炒酸枣仁", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "炒酸枣仁"], "prev_gap": 22, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 64238, "pid": "Pf6cea57d5a84", "date": "2026-07-11", "sex": "男", "age": 37, "cc": "体检发现前列腺特异抗原异常", "hpi": "体检发现前列腺特异抗原异常 前列腺钙化灶 大便正常 尿频 尿不尽 纳可 眠安 乏力 腰痛 下肢水肿 可自行消退", "wm_dx": ["下肢水肿", "尿频", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["麦冬", "酒黄精", "制巴戟天", "覆盆子", "太子参", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64242, "pid": "P0213416edb5f", "date": "2026-07-11", "sex": "男", "age": 35, "cc": "尿频10余年", "hpi": "尿频，夜尿正常，1-2次，大便正常，中途醒，纳可，口和晨勃少，硬度下降，时间短，多汗，手脚易汗", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "牡丹皮", "牛膝", "蜈蚣", "丹参", "鸡血藤", "黄芩片", "地黄", "百合", "薏苡仁", "煅龙骨"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "牡丹皮", "制远志", "蜈蚣", "丹参", "鸡血藤", "黄芩片", "地黄", "煅龙骨", "赤石脂", "淡竹叶"], "prev_gap": 32, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 64246, "pid": "P9ffbd8e6ac78", "date": "2026-07-11", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "伴有勃起不佳一年 晨勃少 大小便正常 纳可 眠安 盗汗", "wm_dx": ["腰痛", "尿频", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "太子参", "薏苡仁", "羌活", "猪苓", "丹参"], "flags": [], "prev_rx": ["制巴戟天", "太子参", "菟丝子", "覆盆子", "猪苓"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64247, "pid": "P8cc67e58db6b", "date": "2026-07-11", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 遇冷加重 大小便正常 纳可 眠安，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "百合", "地黄", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "牛膝", "桑螵蛸", "牡蛎", "红景天", "炙淫羊藿", "仙茅", "鹿角霜"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64253, "pid": "P7076d32d2219", "date": "2026-07-11", "sex": "男", "age": 41, "cc": "腰痛乏力伴勃起不坚2年", "hpi": "2年前出现腰痛乏力勃起不坚，外院予他达拉非5mg qd现口服药物效果欠佳，口干口苦，夜寐可，性欲差，偶有晨勃，胁肋疼痛。6.6复诊：近2周偶有晨勃，同房1次硬度可，中途疲软，性欲欠佳。6.27复诊：未同房，偶有口干。7.11复诊：夜勃出现，未同房。", "wm_dx": ["水肿", "尿频", "男性性腺功能低下", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "酒白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "人参", "醋香附", "川芎", "制巴戟天", "锁阳", "韭菜子", "黄芪", "三七粉"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "人参", "醋香附", "川芎", "制巴戟天", "锁阳", "韭菜子", "黄芪", "三七粉"], "prev_gap": 14, "visit_ix": 6, "n_visits": 12, "visit_ix_rx": 4, "n_rx": 7} {"rid": 64254, "pid": "P0cf786e70347", "date": "2026-07-11", "sex": "男", "age": 37, "cc": "会阴不适复诊", "hpi": "会阴不适改善，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力盗汗。3.8复诊：睾丸下坠感明显减轻，会阴不适，小腹不适。胁痛。7.11复诊：阴茎跟部肿物凸出，休息平躺后消失。", "wm_dx": ["静脉曲张", "前列腺炎", "精索静脉曲张", "单侧腹股沟疝"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "炒王不留行", "盐橘核", "醋三棱", "醋莪术", "鸡血藤", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "炒王不留行", "盐橘核", "醋三棱", "醋莪术", "橘络", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "prev_gap": 14, "visit_ix": 20, "n_visits": 25, "visit_ix_rx": 13, "n_rx": 18} {"rid": 64263, "pid": "P0ac7ff231dcd", "date": "2026-07-11", "sex": "男", "age": 30, "cc": "失眠一年余", "hpi": "失眠一年余 腰酸痛腿软，多汗，排尿尿频，大便不成型，尿黄，怕冷怕热，口干口气重，易怒，口腔溃疡，盗汗，下肢轻度水肿", "wm_dx": ["盗汗", "腰痛", "水肿"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["胁痛", "肝郁血虚证", "疏肝养血"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "锁阳", "菟丝子", "酒黄精", "莲子", "炒酸枣仁", "知母", "盐关黄柏", "黄芪", "韭菜子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "莲子", "炒酸枣仁", "知母", "盐关黄柏", "黄芪"], "prev_gap": 17, "visit_ix": 10, "n_visits": 14, "visit_ix_rx": 4, "n_rx": 7} {"rid": 64264, "pid": "P453ee43ddd3e", "date": "2026-07-11", "sex": "男", "age": 35, "cc": "腰痛乏力伴勃起硬度欠佳1月", "hpi": "1月前出现腰痛乏力，勃起硬度欠佳，可同房，性欲减退，晨勃消失，夜寐可，口异味。尿频尿急下肢轻度水肿，射精疼痛。", "wm_dx": ["水肿", "尿频", "腰痛", "前列腺炎", "泌尿系感染"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "锁阳", "制巴戟天", "川芎", "黄芪", "人参", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64274, "pid": "Pea697df576c9", "date": "2026-07-12", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作熬夜，焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，龟头红疹", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "醋五味子", "红景天", "麸炒芡实", "菟丝子", "鸡血藤", "金樱子肉", "盐益智仁", "酒黄精", "锁阳", "炒酸枣仁", "蛇床子", "五倍子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "制远志", "地龙"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤", "赤小豆", "盐益智仁", "酒黄精", "锁阳"], "prev_gap": 45, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 64276, "pid": "Paa3a265c8c00", "date": "2026-07-12", "sex": "男", "age": 33, "cc": "阴囊潮湿半年余", "hpi": "阴囊潮湿半年余 大便正常 尿不尽 纳可 眠安 盗汗 腰痛，工作久坐，长期熬夜，眩晕，下肢轻度水肿", "wm_dx": ["慢性前列腺炎", "水肿", "眩晕"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["湿疮", "下焦湿热证", "清热利湿"], ["眩晕", "肝气郁结证", "疏肝散结"]], "rx": ["蛇床子", "地榆", "醋五味子", "白花蛇舌草", "连翘", "金银花", "蒲公英", "地肤子", "黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "酒萸肉", "知母", "菟丝子", "太子参", "炒酸枣仁"], "prev_gap": 57, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 5} {"rid": 64278, "pid": "P0943f9cc6ece", "date": "2026-07-12", "sex": "男", "age": 29, "cc": "发现阴茎肿物1天", "hpi": "1天前发现阴茎肿物，无触痛，小腹胀痛，排尿可", "wm_dx": ["腹痛", "淋巴管炎"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["荔枝核", "灵芝", "车前草", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "丹参", "路路通", "炒王不留行", "夏枯草", "肉桂", "盐小茴香", "野菊花", "北柴胡", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 64279, "pid": "P95b5bc84fcba", "date": "2026-07-12", "sex": "男", "age": 25, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，尿道灼热感，尿频，下肢水肿。6.27复诊：近2周同房2-3次，硬度稍差，性欲一般，近3天睡眠差，不易入睡。7.11复诊：近2周同房2次，勃起硬度稍好转，性欲恢复，夜寐安。", "wm_dx": ["尿频", "水肿", "腰痛", "前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "酒白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "制巴戟天", "韭菜子", "锁阳", "酒黄精", "川芎", "盐车前子", "酒萸肉", "金樱子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "制巴戟天", "韭菜子", "锁阳", "人参", "炒酸枣仁", "柏子仁"], "prev_gap": 15, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 5, "n_rx": 6} {"rid": 64280, "pid": "Pbb29044659ad", "date": "2026-07-12", "sex": "男", "age": 36, "cc": "腰痛乏力6月", "hpi": "6月前发现腰痛乏力，既往手淫频繁，近1月勃起欠佳，偶有晨勃，口中和，夜寐可，易紧张，尿频尿急。", "wm_dx": ["尿频", "腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "川芎", "白芍", "锁阳", "黄芪", "人参", "制巴戟天", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64283, "pid": "P83ed4b8faf8e", "date": "2026-07-12", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "复诊，眠差、口苦、便1-2次。工作劳累，盗汗，性欲低，乏力。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "酒黄芩", "生石膏", "炙甘草", "木香", "熟地黄", "酒萸肉", "党参片", "姜半夏", "酒白芍", "麸炒枳实", "炙淫羊藿", "酒苁蓉", "韭菜子", "制水蛭", "知母", "黑芝麻", "酒女贞子", "覆盆子", "炒酸枣仁", "酒黄精", "茯苓", "炒决明子", "鸡血藤"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "生石膏", "炙甘草", "木香", "熟地黄", "酒萸肉", "党参片", "姜半夏", "酒白芍", "麸炒枳实", "炙淫羊藿", "酒苁蓉", "韭菜子", "制水蛭", "知母", "黑芝麻", "酒女贞子", "覆盆子", "炒酸枣仁", "酒黄精", "茯苓", "佩兰", "鸡血藤"], "prev_gap": 7, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 5, "n_rx": 10} {"rid": 64285, "pid": "Pa7035c21ee38", "date": "2026-07-12", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度下降改善，性欲可，乏力，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗汗多。晨勃有。下肢轻度水肿，病情稳定 延长开药", "wm_dx": ["盗汗", "腰痛", "水肿"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["甜叶菊叶", "党参片", "炙黄芪", "山药", "砂仁", "木香", "白术", "制远志", "酒苁蓉", "制巴戟天", "制何首乌", "仙茅", "麸炒薏苡仁", "地龙", "麸炒苍术", "熟地黄", "酒萸肉", "知母", "盐关黄柏", "盐车前子", "炒酸枣仁", "天麻", "炙甘草", "蛇床子"], "flags": [], "prev_rx": ["甜叶菊叶", "党参片", "炙黄芪", "山药", "砂仁", "木香", "白术", "制远志", "酒苁蓉", "制巴戟天", "制何首乌", "仙茅", "麸炒薏苡仁", "地龙", "麸炒苍术", "熟地黄", "酒萸肉", "知母", "盐关黄柏", "盐车前子", "炒酸枣仁", "天麻", "炙甘草", "蛇床子"], "prev_gap": 19, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 5, "n_rx": 6} {"rid": 64286, "pid": "Pa1c8b6f4b15e", "date": "2026-07-12", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安，长期久坐，熬夜，盗汗。", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["盐杜仲", "肉桂", "麸炒白术", "制远志", "肉苁蓉", "制巴戟天", "太子参", "石菖蒲", "酒萸肉", "盐车前子", "覆盆子", "菟丝子", "熟地黄", "酒大黄", "焦麦芽", "土茯苓", "黄芪", "金银花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 64287, "pid": "P2285f88c1850", "date": "2026-07-12", "sex": "男", "age": 66, "cc": "腰痛乏力伴射精快2年", "hpi": "2年前出现腰痛乏力伴射精快，排尿可，晨勃可，龟头红疹，性欲减退", "wm_dx": ["男性性腺功能低下", "腰痛"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "连翘", "白花蛇舌草", "地榆", "黄柏"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64290, "pid": "P2350ee3316b0", "date": "2026-07-12", "sex": "男", "age": 27, "cc": "腰痛乏力伴小腹不适3年", "hpi": "3年前出现腰痛乏力伴小腹不适，尿频尿急，近期备孕", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "麸炒苍术", "酒女贞子", "酒黄精", "土茯苓", "当归", "覆盆子", "菟丝子", "地龙", "黄柏"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 64291, "pid": "Pb0c8466bc6ac", "date": "2026-07-12", "sex": "男", "age": 30, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期备孕，尿频尿急", "wm_dx": ["腰痛", "泌尿系感染", "尿频", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "麸炒苍术", "酒女贞子", "酒黄精", "土茯苓", "当归", "覆盆子", "菟丝子", "地龙", "麦冬", "姜厚朴", "木香"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64292, "pid": "Pfcf90adbb750", "date": "2026-07-12", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作盗汗熬夜", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "干姜", "炙淫羊藿", "熟地黄", "韭菜子", "太子参", "金樱子肉", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "干姜", "炙淫羊藿", "熟地黄", "韭菜子", "太子参"], "prev_gap": 49, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 64293, "pid": "Pd6a0312f6557", "date": "2026-07-12", "sex": "男", "age": 40, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "茯苓", "醋龟甲", "菟丝子", "麸炒薏苡仁", "地肤子", "覆盆子", "炒蒺藜", "酒黄精", "酒萸肉", "生地黄", "熟地黄", "山药", "仙茅", "炙淫羊藿", "盐车前子", "韭菜子", "醋五味子", "炒酸枣仁", "柏子仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64296, "pid": "Pbb22b630bee6", "date": "2026-07-12", "sex": "男", "age": 27, "cc": "腰痛乏力伴性欲减退1年", "hpi": "1年前出现腰痛乏力伴性欲减退，勃起可，偶有晨勃精力体力差，记忆力减退，夜寐差，易醒，尿频，下肢轻度水肿，否认头晕头痛", "wm_dx": ["男性性腺功能低下", "水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "韭菜子", "白芍", "锁阳", "黄芪", "酒黄精", "制远志", "炒酸枣仁", "柏子仁", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 64303, "pid": "Pa016e8aa0618", "date": "2026-07-12", "sex": "男", "age": 27, "cc": "左侧精索静脉曲张术后5月复查", "hpi": "外院醒左侧精索静脉曲张手术后（2026.2.14），现拆线后，仍有睾丸不适感，复查精索静脉。7.11复诊：左侧腹股沟疼痛", "wm_dx": ["腹痛", "静脉曲张", "精索静脉曲张", "附睾炎", "腹股沟淋巴结炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "白芷", "地龙", "路路通", "炒王不留行", "盐橘核", "黄芪"], "flags": [], "prev_rx": ["盐小茴香", "荔枝核", "醋香附", "野菊花", "黄芪", "醋鸡内金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "丹参", "路路通", "炒王不留行", "北柴胡", "酒白芍", "醋三棱", "醋莪术", "鸡血藤", "砂仁", "党参", "麸炒白术", "夏枯草", "醋延胡索"], "prev_gap": 8, "visit_ix": 25, "n_visits": 28, "visit_ix_rx": 18, "n_rx": 21} {"rid": 64305, "pid": "Pfafe57b24f4b", "date": "2026-07-12", "sex": "男", "age": 29, "cc": "腰痛乏力伴盗汗2年", "hpi": "2年前出现腰痛乏力伴盗汗，汗出明显，口干，长期熬夜，工作久坐", "wm_dx": ["盗汗"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["盗汗", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "关黄柏", "熟地黄", "酒萸肉", "茯苓", "泽泻", "牛膝", "炒王不留行", "赤芍", "白芍", "玄参", "醋五味子", "麸炒芡实", "金樱子肉", "酒女贞子", "墨旱莲", "黄芪", "防己", "酒黄精", "麦冬", "甜叶菊叶"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64307, "pid": "P24fc4a4c7d5b", "date": "2026-07-12", "sex": "男", "age": 34, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，勃起中途疲软，晨勃可，性欲可，头晕，尿频，夜寐差，入睡困难，近2年长期熬夜，怕热出汗多，下肢轻度水肿", "wm_dx": ["水肿", "尿频", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "制巴戟天", "锁阳", "韭菜子", "黄芪", "人参", "炒酸枣仁", "柏子仁", "白芍"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64312, "pid": "P1d424e3619a6", "date": "2026-07-12", "sex": "男", "age": 24, "cc": "腰痛乏力伴射精快2月", "hpi": "2月前出现腰痛乏力伴射精快，汗出多，盗汗，长期熬夜，偶有头晕，耳鸣", "wm_dx": ["盗汗", "耳鸣"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "知母", "黄柏", "金樱子", "覆盆子", "醋五味子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64321, "pid": "Pdc6d6742006a", "date": "2026-07-13", "sex": "男", "age": 64, "cc": "复诊", "hpi": "尿1次，性功能差，无力感，汗不多，，口稍干苦。性急。", "wm_dx": ["精索静脉曲张"], "tcm_dx": [["男性前阴类病", "肾虚证", "补肾益精"], ["男性生殖病", "肾虚证", "补肾益精"]], "rx": ["桂枝", "白芍", "茯苓", "泽泻", "白术", "黑顺片", "九香虫", "地龙", "烫狗脊", "北柴胡", "黄芩片", "党参片"], "flags": [], "prev_rx": ["桂枝", "白芍", "茯苓", "泽泻", "白术", "黑顺片", "九香虫", "地龙", "石菖蒲", "炙甘草", "炒酸枣仁", "合欢皮"], "prev_gap": 7, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 6} {"rid": 64322, "pid": "P0748ad4b67d8", "date": "2026-07-13", "sex": "男", "age": 56, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大便正常 纳眠可 尿频 尿急", "wm_dx": ["包皮龟头炎", "慢性前列腺炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "地龙", "制水蛭", "大黄", "酒当归", "百部", "白芷", "土茯苓", "北败酱草", "黄连片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64327, "pid": "P7603a4647378", "date": "2026-07-13", "sex": "男", "age": 42, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余 偶见刺痒 大小便正常 纳眠可 带状疱疹取药", "wm_dx": ["带状疱疹", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆炭", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "金银花", "大黄", "当归", "百部", "白芷", "茵陈", "生地黄", "玄参", "地龙", "荆芥"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 64330, "pid": "P6ef428c08e4c", "date": "2026-07-13", "sex": "男", "age": 31, "cc": "复诊", "hpi": "尿频感，尿不尽感，时有尿痛，色黄，大便便秘，睡眠正常，纳可，口中和，无怕冷。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["滑石", "泽泻", "茯苓", "猪苓", "阿胶珠", "白芍", "马鞭草", "大黄"], "flags": [], "prev_rx": ["滑石", "泽泻", "茯苓", "猪苓", "阿胶珠", "当归", "白术", "淡竹叶", "白芍", "地黄", "制水蛭", "血余炭", "蒲黄炭", "麸炒冬瓜子"], "prev_gap": 26, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64337, "pid": "Pd33d70568955", "date": "2026-07-13", "sex": "男", "age": 24, "cc": "腰痛乏力一月余", "hpi": "伴有勃起不佳 晨勃少 大小便正常 纳可 失眠 下肢水肿 可自行消退", "wm_dx": ["失眠", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "肝肾不足证", "滋补肝肾"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64342, "pid": "P143c6843706a", "date": "2026-07-13", "sex": "男", "age": 46, "cc": "腰痛半年", "hpi": "伴有性功能下降 勃起不坚 大便正常 纳眠可 晨勃少 下肢水肿 可自行消退 尿频", "wm_dx": ["腰痛", "尿频", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒苁蓉", "制巴戟天", "炙淫羊藿", "盐胡芦巴", "蛇床子", "韭菜子", "北柴胡", "盐蒺藜", "木香", "山药", "白术", "茯苓", "锁阳", "合欢花", "郁金", "醋青皮", "川楝子", "防风", "太子参", "黄芪", "白芷", "制远志", "地龙", "制水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 64343, "pid": "Pce4101fd353c", "date": "2026-07-13", "sex": "男", "age": 29, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 伴有性欲低下 晨勃可 大小便正常 纳眠可 感情淡漠 脾气暴躁 失眠 下肢水肿可自行消退", "wm_dx": ["男性性腺功能低下", "失眠", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "肝肾不足证", "滋补肝肾"]], "rx": ["制巴戟天", "太子参", "覆盆子", "炒酸枣仁", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64352, "pid": "Ped828c81ff8c", "date": "2026-07-14", "sex": "男", "age": 75, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 尿急 尿不尽 大便正常 纳眠可 排尿不畅", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64354, "pid": "P8dc6c6b20df4", "date": "2026-07-14", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重，复诊：大便粘，牙龈肿，口气重.", "wm_dx": ["甲状腺囊肿", "慢性前列腺炎"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["淡竹叶", "生石膏", "党参片", "法半夏", "甘草片", "浮小麦", "赤小豆", "浙贝母", "当归", "醋鸡内金", "血余炭", "菟丝子", "覆盆子", "盐车前子", "桑螵蛸", "牡蛎", "红景天", "连翘"], "flags": [], "prev_rx": ["生姜", "干姜", "黄连片", "黄芩片", "北柴胡", "党参片", "法半夏", "白芍", "桂枝", "燀桃仁", "红花", "茯苓", "桑螵蛸", "醋龟甲", "血余炭", "牡蛎", "炙甘草"], "prev_gap": 14, "visit_ix": 19, "n_visits": 24, "visit_ix_rx": 18, "n_rx": 23} {"rid": 64359, "pid": "P693fe8289601", "date": "2026-07-14", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不，精索静脉曲张，盗汗，工作劳累。", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒黄精", "酒女贞子", "墨旱莲", "红景天", "麸炒白术", "茯苓", "枸杞子", "白芍", "醋五味子", "韭菜子", "制巴戟天", "沙苑子", "桑椹", "菟丝子", "麸炒芡实", "黄芪", "熟地黄", "盐益智仁", "鸡血藤", "酒苁蓉", "酒萸肉", "炙淫羊藿", "覆盆子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒黄精", "酒女贞子", "墨旱莲", "防风", "麸炒白术", "茯苓", "枸杞子", "白芍", "醋五味子", "韭菜子", "制巴戟天", "沙苑子", "桑椹", "菟丝子", "麸炒芡实", "黄芪", "熟地黄", "炒酸枣仁", "鸡血藤", "酒苁蓉", "酒萸肉", "橘络", "覆盆子"], "prev_gap": 28, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 6, "n_rx": 7} {"rid": 64363, "pid": "Peccc8755c7c7", "date": "2026-07-14", "sex": "男", "age": 36, "cc": "小腹不适1月", "hpi": "小腹不适1月，尿频，尿等待，尿后余沥，夜尿1次，大便质干，纳可，眠一般，口干，盗汗，体检前列腺增生，工作久坐", "wm_dx": ["尿频", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "炒酸枣仁", "酒黄精", "知母", "麦冬"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 64369, "pid": "P347e226f32f1", "date": "2026-07-14", "sex": "男", "age": 37, "cc": "尿痛一周余", "hpi": "尿痛一周余 轻微分泌物 大便正常 纳眠可", "wm_dx": ["泌尿系感染"], "tcm_dx": [["淋证", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "陈皮", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64370, "pid": "P11f2581af2cc", "date": "2026-07-14", "sex": "男", "age": 40, "cc": "乏力复诊", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多，复诊多梦盗汗，口气重，近一周出现干呕", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "大枣", "茯苓", "泽泻", "桂枝", "姜厚朴", "紫苏叶", "炙淫羊藿", "仙茅", "盐胡芦巴"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "黄芩片", "大黄", "白芍", "大枣", "桂枝", "燀桃仁", "红花", "牡丹皮", "茯苓", "猪苓", "滑石", "麸炒冬瓜子", "制水蛭"], "prev_gap": 21, "visit_ix": 21, "n_visits": 24, "visit_ix_rx": 21, "n_rx": 24} {"rid": 64378, "pid": "P9a0612fa0240", "date": "2026-07-14", "sex": "男", "age": 49, "cc": "乏力腰痛半年", "hpi": "乏力腰痛 多汗 夜尿2次，尿后余沥，无小腹不适。体检前列腺增生。下肢水肿可自行消退 尿频", "wm_dx": ["前列腺炎", "前列腺增生", "下肢水肿", "尿频", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "炙黄芪", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64379, "pid": "P24c86921b8c7", "date": "2026-07-14", "sex": "男", "age": 33, "cc": "腰痛复诊", "hpi": "腰痛复诊，阴囊潮湿 乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，盗汗，熬夜 失眠易醒", "wm_dx": ["腰痛", "盗汗", "失眠"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["失眠", "肝肾不足证", "滋补肝肾"]], "rx": ["知母", "酒萸肉", "太子参", "炒酸枣仁", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "炒酸枣仁"], "prev_gap": 236, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64384, "pid": "P1b7abe89c1d3", "date": "2026-07-14", "sex": "男", "age": 51, "cc": "腰痛乏力盗汗复诊取药", "hpi": "尿频尿不尽，尿分叉，夜尿0次 腰痛 乏力，盗汗改善 大便正常 纳差 眠差 胃溃疡慢性胃炎 腹胀取药病情稳定延长开药 下肢水肿 可自行消退", "wm_dx": ["慢性前列腺炎", "腰痛", "前列腺增生", "腹胀", "尿频", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "太子参", "陈皮", "川贝母"], "flags": [], "prev_rx": ["猪苓", "茯苓", "太子参", "陈皮", "川贝母"], "prev_gap": 36, "visit_ix": 19, "n_visits": 21, "visit_ix_rx": 2, "n_rx": 4} {"rid": 64388, "pid": "P164b7f41f6b4", "date": "2026-07-14", "sex": "男", "age": 33, "cc": "龟头敏感复诊", "hpi": "偶见尿灼热感，尿泡沫，大便1-2日一次，睡眠可，纳可，口干。既往龟头敏感度高。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["房事早泄", "肾气不充证", "补肾固精"]], "rx": ["蛇床子", "五倍子", "石榴皮", "地龙", "金樱子肉", "制远志", "木香", "丁香", "桂枝", "醋五味子", "地骨皮", "花椒", "细辛", "炒僵蚕", "牡蛎"], "flags": [], "prev_rx": ["蛇床子", "地肤子", "五倍子", "石榴皮", "铁线透骨草", "薄荷", "地龙", "锁阳", "炙甘草", "金樱子肉"], "prev_gap": 4, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64391, "pid": "P9c11c6d6a708", "date": "2026-07-14", "sex": "男", "age": 25, "cc": "乏力2年", "hpi": "乏力，同房次数少，时间1分钟，晨勃少，排尿正常，大便粘，阴囊潮湿，睡眠一般，口和", "wm_dx": ["乏力"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "连翘", "赤小豆", "白花蛇舌草", "浙贝母", "血余炭", "苦参", "麸炒冬瓜子", "地黄", "百合", "制水蛭", "龙骨", "牡蛎", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 64392, "pid": "P159b1f51af92", "date": "2026-07-14", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，口可，早醒，大便稀2-3次", "wm_dx": ["2型糖尿病", "高脂血症"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "党参", "牡丹皮", "大枣", "甘草", "白芍", "酒萸肉", "金樱子", "生地黄", "炒蒺藜", "赤小豆", "麸炒薏苡仁"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "党参", "干姜", "大枣", "甘草", "白芍", "酒萸肉", "金樱子", "生地黄", "炒蒺藜", "赤小豆"], "prev_gap": 7, "visit_ix": 10, "n_visits": 15, "visit_ix_rx": 10, "n_rx": 14} {"rid": 64396, "pid": "Pd36532aa1ee1", "date": "2026-07-14", "sex": "男", "age": 51, "cc": "尿等待半年", "hpi": "尿等待，尿无力，时有尿痛，无腹痛，无腰痛，硬度一般，时间短，晨勃少，阴囊潮湿，矢气多，肛周潮湿，纳可，大便正常，睡眠可，夜班", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "茯苓", "泽泻", "麸炒白术", "干姜", "牛膝", "盐车前子", "当归", "血余炭", "麸炒冬瓜子", "赤小豆", "蜈蚣", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 64397, "pid": "Pa764883705ba", "date": "2026-07-14", "sex": "男", "age": 26, "cc": "乏力2年", "hpi": "乏力，中途疲软，时间短，阴囊潮湿，尿频，无射精痛，憋尿时少腹隐痛，外院口服达泊西汀等治疗，大便正常，睡眠正常，纳可，吃凉易腹泻，口和，怕冷", "wm_dx": ["腹痛", "尿频"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "蜈蚣", "炙淫羊藿", "仙茅", "盐胡芦巴", "盐补骨脂", "丹参", "鸡血藤", "龙骨", "牡蛎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 6} {"rid": 64399, "pid": "P038aaee0a242", "date": "2026-07-14", "sex": "男", "age": 30, "cc": "尿频一年", "hpi": "尿频，两地分居，2-3月回家一次，无吸烟饮酒，在陕西检查少弱精子，口服药物治疗，排尿正常，偶有阴囊潮湿，大便正常，睡眠正常，纳可，口和，无怕冷", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "韭菜子", "黄芩片", "覆盆子", "盐车前子", "桑螵蛸", "桂枝", "炙淫羊藿", "当归", "川芎", "仙茅", "醋龟甲"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "韭菜子", "黄芩片", "覆盆子", "盐车前子", "桑螵蛸", "桂枝", "炙淫羊藿", "当归", "川芎", "炒苦杏仁", "仙茅", "醋龟甲"], "prev_gap": 31, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 6, "n_rx": 7} {"rid": 64400, "pid": "P9f5380d96e73", "date": "2026-07-14", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛改善 伴有阳痿早泄 时间2-3分钟 晨勃少，排尿正常，夜尿正常，大便正常 胃部不适感， 眠安 口干，夜尿多", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["北柴胡", "黄芩片", "郁金", "白芍", "地黄", "赤小豆", "白花蛇舌草", "石菖蒲", "盐蒺藜", "丹参", "蜈蚣", "鸡血藤", "煅龙骨", "煅牡蛎", "炙甘草", "连翘"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "郁金", "白芍", "地黄", "酒萸肉", "山药", "石菖蒲", "丹参", "蜈蚣", "鸡血藤", "煅龙骨", "煅牡蛎", "炙甘草", "盐蒺藜"], "prev_gap": 13, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 9, "n_rx": 11} {"rid": 64401, "pid": "P511beca507d9", "date": "2026-07-14", "sex": "男", "age": 61, "cc": "尿急 尿不尽6月", "hpi": "尿急 尿不尽6月 大便正常 纳可 失眠多梦 耳鸣 怕冷 阴囊潮湿。多汗，大便正常，纳可，症状好转，现就喜合眼", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿浊证", "解表利水"]], "rx": ["桂枝", "茯苓", "泽泻", "猪苓", "生石膏", "麸炒白术", "牡丹皮", "炒酸枣仁", "川芎", "炒栀子", "细辛", "麻黄", "黑顺片", "麸炒苍术", "浮小麦", "炒决明子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "茯苓", "泽泻", "猪苓", "麸炒白术", "牡丹皮", "炒酸枣仁", "川芎", "炒栀子", "细辛", "麻黄", "黑顺片", "麸炒苍术", "浮小麦", "生石膏", "姜厚朴"], "prev_gap": 7, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 5, "n_rx": 6} {"rid": 64402, "pid": "Pc7c02db00f39", "date": "2026-07-14", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，精液偏黄，射精后偶有小腹不适，焦虑", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "赤小豆", "石菖蒲", "太子参", "黄芪", "土茯苓", "北败酱草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "赤小豆", "石菖蒲"], "prev_gap": 26, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 64404, "pid": "P7911a5d5be97", "date": "2026-07-14", "sex": "男", "age": 57, "cc": "腰痛伴小腹胀疼痛1周", "hpi": "1周前出现腰痛伴小腹胀疼痛，尿疼，无分泌物，下肢内侧疼痛不适，夜尿1-2次。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草", "肉桂", "川牛膝", "牛膝", "盐小茴香", "桂枝"], "flags": [], "prev_rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草"], "prev_gap": 19, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 5} {"rid": 64408, "pid": "P7ba3f50e73d6", "date": "2026-07-15", "sex": "男", "age": 54, "cc": "夜尿频繁1月", "hpi": "夜尿频繁1月，4-5次，尿频，尿线细，尿后余沥，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。口服前列舒通胶囊效果一般，尿常规未见明显异常。", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "炒酸枣仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64415, "pid": "P9538dbc2ee07", "date": "2026-07-15", "sex": "男", "age": 48, "cc": "乏力5年", "hpi": "乏力，性欲下降，晨勃无，硬度不佳，中途疲软，时间短2-4分钟，现同房不规律。三天熬夜一次，排尿正常，时有分叉，夜尿正常，大便2-3天一次，睡眠可，纳可，口和", "wm_dx": ["男性性腺功能低下", "乏力"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "茯苓", "泽泻", "牡丹皮", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "煅龙骨", "煅牡蛎", "盐胡芦巴", "炙淫羊藿", "仙茅", "锁阳"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "黄芩片", "法半夏", "大黄", "白芍", "大枣", "生姜", "茯苓", "当归", "丹参", "鸡血藤", "酒苁蓉", "蜈蚣", "桂枝", "燀桃仁", "红花", "炙甘草"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64416, "pid": "P9bb1545a1b5b", "date": "2026-07-15", "sex": "男", "age": 47, "cc": "乏力3月", "hpi": "乏力，性欲减退，中途疲软，能射精，无精液，2-3年检查精液为无精， 夜尿2次，近期有便秘，睡眠早醒，纳可，口和，无怕冷。复诊：硬度有恢复，少量精液，仍有便秘", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "地黄", "牡丹皮", "丹参", "燀桃仁", "红花", "桂枝", "蜈蚣", "制水蛭", "酒萸肉", "山药", "黑顺片", "炒苦杏仁", "大黄"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "地黄", "牡丹皮", "丹参", "燀桃仁", "红花", "桂枝", "蜈蚣", "制水蛭", "酒萸肉", "山药", "黑顺片", "炒苦杏仁"], "prev_gap": 14, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 64418, "pid": "P6c6a41f3fab9", "date": "2026-07-15", "sex": "男", "age": 53, "cc": "乏力伴勃起不坚4年", "hpi": "乏力伴勃起不坚4年，偶有晨勃，排尿可，大便干，睡眠一般，纳可，口和", "wm_dx": ["男性性腺功能低下", "高脂血症"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "白芍", "茯苓", "泽泻", "丹参", "鸡血藤", "牡丹皮", "石菖蒲", "郁金", "炙淫羊藿", "酒苁蓉", "北柴胡"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 64419, "pid": "P03a5da52691d", "date": "2026-07-15", "sex": "男", "age": 43, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，硬度和性欲可，工作熬夜久坐，大便质稀，纳眠可，尿频，口干", "wm_dx": ["尿频", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["太子参", "制巴戟天", "川牛膝", "麸炒白术"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64422, "pid": "P3cb734231435", "date": "2026-07-15", "sex": "男", "age": 44, "cc": "乏力半年", "hpi": "乏力，性欲正常，晨勃无，硬度差，近期无同房，排尿急，夜尿1次，无尿痛，大便粘，纳可，睡眠入睡困难，口苦，腰痛", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝郁湿热证", "疏肝清热"]], "rx": ["龙胆", "泽泻", "小通草", "炒栀子", "地黄", "百合", "北柴胡", "薏苡仁", "路路通", "丝瓜络", "火麻仁", "制水蛭", "蜈蚣", "赤芍", "丹参"], "flags": [], "prev_rx": ["北柴胡", "大黄", "麸炒枳实", "黄芩片", "白芍", "生姜", "大枣", "地黄", "牡丹皮", "酒萸肉", "山药", "薏苡仁", "炒苦杏仁", "燀桃仁", "蜈蚣", "丹参", "鸡血藤", "九香虫"], "prev_gap": 7, "visit_ix": 3, "n_visits": 10, "visit_ix_rx": 3, "n_rx": 10} {"rid": 64423, "pid": "P69bca6819dd4", "date": "2026-07-15", "sex": "男", "age": 50, "cc": "复诊", "hpi": "性生活2次/周、硬度不够。可射精。无口苦，无肢冷。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "牡蛎", "龙骨", "炙甘草", "蜈蚣", "瓜蒌", "薤白"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "牡蛎", "龙骨", "炙甘草", "蜈蚣", "瓜蒌", "薤白"], "prev_gap": 9, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 6} {"rid": 64426, "pid": "Pf9cfe8492014", "date": "2026-07-15", "sex": "男", "age": 36, "cc": "腰痛乏力多年", "hpi": "多年前出现腰痛乏力伴射精快，勃起欠佳1年，性欲减退，晨勃可，尿急，大便正常，睡眠正常，夜寐可，长期熬夜，乏力感，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "茯苓", "泽泻", "麸炒白术", "牡丹皮", "地黄", "丹参", "鸡血藤", "牛膝", "盐胡芦巴", "炙淫羊藿", "蜈蚣"], "flags": [], "prev_rx": ["枸杞子", "太子参", "龙眼肉", "猪苓"], "prev_gap": 202, "visit_ix": 2, "n_visits": 9, "visit_ix_rx": 1, "n_rx": 8} {"rid": 64429, "pid": "Pcfa72e2bd9f1", "date": "2026-07-15", "sex": "男", "age": 60, "cc": "腰酸痛2年", "hpi": "腰酸痛,后半夜醒,白天困倦,性功能减退,勃起不行,胸痛,阴囊潮湿,夜尿一次,尿频,大便可,时有便秘,纳可,口干,皮肤刺痒", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "牡蛎", "龙骨", "炒栀子", "淡豆豉", "葛根", "丹参", "鸡血藤", "炒酸枣仁", "荆芥", "防风", "生石膏", "黑顺片", "麸炒苍术", "当归", "川芎", "茯苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64430, "pid": "Pa0b68cab1f38", "date": "2026-07-15", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "麦冬", "炙淫羊藿", "制水蛭", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64432, "pid": "Pac21cb95e2e8", "date": "2026-07-15", "sex": "男", "age": 43, "cc": "尿急半年", "hpi": "尿急，色黄，夜尿正常，大便正常，睡眠正常，熬夜，纳可，口苦，吸烟，阴囊潮湿，硬度恢复，时间短", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "丹参", "燀桃仁", "红花", "牡丹皮", "鸡血藤", "石菖蒲", "法半夏", "麸炒白术", "牛膝", "蜈蚣", "党参片", "麸炒薏苡仁", "盐蒺藜", "炙甘草", "地黄"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "丹参", "燀桃仁", "红花", "牡丹皮", "鸡血藤", "石菖蒲", "法半夏", "麸炒白术", "牛膝", "蜈蚣", "炒苦杏仁", "党参片", "麸炒薏苡仁", "盐蒺藜", "炙甘草"], "prev_gap": 7, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 64433, "pid": "P28ad367c89fe", "date": "2026-07-15", "sex": "男", "age": 41, "cc": "腰痛半年", "hpi": "伴有性功能下降半年余 勃起不佳 晨勃少 小便正常 纳可 眠差 怕冷,大便不成形", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "脾肾阳虚证", "温补肾精"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "知母", "太子参", "炙黄芪", "茯苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64434, "pid": "Pd8f277c5d94a", "date": "2026-07-15", "sex": "男", "age": 49, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 性欲低下 晨勃少 大小便正常 纳可 失眠中途醒， 口和，无腰痛，乏力感", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "牛膝", "牡丹皮", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "黄芩片", "蜈蚣", "焦山楂", "党参片", "炙淫羊藿", "黑顺片", "百合", "路路通"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "牛膝", "牡丹皮", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "黄芩片", "蜈蚣", "焦山楂", "党参片", "炙淫羊藿", "黑顺片", "郁金"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 64436, "pid": "P524b3ddec43d", "date": "2026-07-15", "sex": "男", "age": 37, "cc": "尿频1.5月", "hpi": "尿频，夜尿正常，大便不成形2次，睡眠熬夜，早醒，纳可，突发无晨勃，硬度下降，时间短2-3分钟，口和，无腰痛，无怕冷，复诊：硬度可，有同房，时间短，大便稀", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["薏苡仁", "麸炒苍术", "盐关黄柏", "牛膝", "牡丹皮", "地黄", "北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "煅龙骨", "炙甘草", "蜈蚣", "丹参", "鸡血藤"], "flags": [], "prev_rx": ["麸炒薏苡仁", "麸炒苍术", "盐关黄柏", "牛膝", "牡丹皮", "法半夏", "北柴胡", "黄芩片", "白芍", "石菖蒲", "盐蒺藜", "煅龙骨", "炙甘草", "蜈蚣", "赤小豆"], "prev_gap": 15, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 64437, "pid": "Pf94131d41a0b", "date": "2026-07-15", "sex": "男", "age": 46, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿后余沥，夜尿2次，无小腹及会阴不适，大便质干，纳可，眠一般，口干乏力，硬度下降,阴囊潮湿", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "连翘", "赤小豆", "浙贝母", "苦参", "血余炭", "麸炒冬瓜子", "蒲黄炭", "滑石", "白花蛇舌草", "制水蛭", "泽泻", "猪苓", "路路通", "麸炒薏苡仁", "炒苦杏仁", "防己"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "石菖蒲", "佩兰", "酒黄精"], "prev_gap": 24, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 64441, "pid": "Pd2e6f994df9d", "date": "2026-07-15", "sex": "男", "age": 40, "cc": "尿频1月", "hpi": "尿频1月，尿线细，尿等待，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，腰痛，工作久坐。体检前列腺钙化。", "wm_dx": ["前列腺炎", "盗汗", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["猪苓", "炒酸枣仁", "茯苓", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 64448, "pid": "Pb73ddff23be7", "date": "2026-07-16", "sex": "男", "age": 74, "cc": "左侧睾丸疼痛数年", "hpi": "左侧睾丸疼痛数年，尿等待，尿分叉，尿频，伴小腹及腰痛，口干，乏力，怕冷，下肢水肿。4外院诊断精索静脉曲张。", "wm_dx": ["前列腺增生", "尿频", "腰痛", "水肿"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["川牛膝", "炒酸枣仁", "太子参", "制巴戟天"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["川牛膝", "猪苓", "炒酸枣仁", "太子参"], "prev_gap": 36, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64449, "pid": "P9a4e9522d228", "date": "2026-07-16", "sex": "男", "age": 42, "cc": "尿频一周 尿黄 阴囊潮湿下坠感", "hpi": "尿频一周 尿黄 阴囊潮湿下坠感 腰痛乏力 大便正常 纳眠可 口苦 盗汗 下肢水肿 可自行消退", "wm_dx": ["尿频", "前列腺增生", "盗汗", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参片", "黄芪", "山药", "白术", "茯苓", "石菖蒲", "制远志", "熟地黄", "酒萸肉", "泽泻", "知母", "盐关黄柏", "桑寄生", "醋龟甲", "砂仁", "木香", "酒黄精", "麸炒枳壳", "炒酸枣仁", "炙甘草", "制何首乌", "桑椹", "烫狗脊"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参片", "黄芪", "山药", "白术", "茯苓", "石菖蒲", "制远志", "熟地黄", "酒萸肉", "泽泻", "知母", "盐关黄柏", "桑寄生", "醋龟甲", "砂仁", "木香", "酒黄精", "麸炒枳壳", "炒酸枣仁", "炙甘草"], "prev_gap": 24, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 64450, "pid": "Pea258e23eaaa", "date": "2026-07-16", "sex": "男", "age": 63, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频、尿急，尿线细，尿等待，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "太子参", "炒酸枣仁", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 64461, "pid": "Pe938081df31a", "date": "2026-07-16", "sex": "男", "age": 31, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "北柴胡", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 64464, "pid": "P6abc30a82b63", "date": "2026-07-16", "sex": "男", "age": 38, "cc": "尿频1周", "hpi": "尿频1周，尿道灼热，尿痛，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口和，盗汗，腰痛，包皮刺痒包皮垢", "wm_dx": ["前列腺炎", "包皮龟头炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "太子参", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64469, "pid": "P15ef3024c1e1", "date": "2026-07-16", "sex": "男", "age": 57, "cc": "乏力腰痛半年", "hpi": "伴有勃起不佳 大小便正常 纳眠可 下肢水肿 可自行消退 盗汗 高血压规律服药治疗 控制平稳", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "知母", "酒萸肉", "炒酸枣仁", "太子参", "覆盆子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 4} {"rid": 64473, "pid": "Pf5db9c22578e", "date": "2026-07-16", "sex": "男", "age": 68, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 乏力 兴趣低下 体重稍有下降", "wm_dx": ["乏力", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["天麻", "浙贝母", "人参", "石斛", "三七粉", "红花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黑顺片", "茯苓", "生姜", "酒白芍", "人参", "麸炒苍术", "防风", "天竺黄", "焦槟榔", "广藿香"], "prev_gap": 11, "visit_ix": 10, "n_visits": 14, "visit_ix_rx": 10, "n_rx": 14} {"rid": 64475, "pid": "Pf40b2185f3a1", "date": "2026-07-16", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，PR 25.2%。7月16日：PR 43.4%。", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "炒酸枣仁", "麸炒白术", "柏子仁", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "炒酸枣仁", "麸炒白术"], "prev_gap": 28, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64476, "pid": "Pff13f17a14b6", "date": "2026-07-16", "sex": "男", "age": 43, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，二便调，眠一般，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "茯苓", "酒黄精", "盐杜仲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64478, "pid": "P926b7a848c54", "date": "2026-07-16", "sex": "男", "age": 68, "cc": "尿频尿急尿等待复诊", "hpi": "尿频尿急尿等待改善 大便正常 纳可 眠差 口苦口干 乏力消瘦疲劳", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["虚劳类病", "肾虚证", "补肾扶元"]], "rx": ["砂仁", "石菖蒲", "太子参", "陈皮", "茯苓", "炒酸枣仁", "丹参", "知母", "合欢花"], "flags": [], "prev_rx": ["砂仁", "制巴戟天", "太子参", "陈皮", "炙黄芪", "炒酸枣仁", "丹参", "知母", "酒萸肉"], "prev_gap": 63, "visit_ix": 10, "n_visits": 11, "visit_ix_rx": 5, "n_rx": 6} {"rid": 64479, "pid": "Peffe20488d32", "date": "2026-07-16", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "前列腺炎", "盗汗"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "茯苓", "太子参", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64486, "pid": "Pb7cb60e84de6", "date": "2026-07-16", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，性欲可，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64508, "pid": "P81b722dea0f7", "date": "2026-07-17", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄 勃起可 大小便正常 纳可 眠安，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "法半夏", "茯苓", "泽泻", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "乌梅", "金樱子肉", "炙甘草", "麸炒白术", "大枣", "酒萸肉", "锁阳", "浙贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "茯苓", "泽泻", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "乌梅", "金樱子肉", "炙甘草", "麸炒白术", "大枣", "酒萸肉", "锁阳"], "prev_gap": 21, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 64510, "pid": "Peec69479bb1d", "date": "2026-07-17", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰痛改善，疲劳感等减轻。 大小便正常，精液有颗粒，阴囊潮湿，睡眠正常，纳可，招风腹痛，汗多，咽部不适，有痰色白，复诊：阴囊潮湿，腰痛好转，怕热，咽部不适，复诊：精液有颗粒，咽部有痰", "wm_dx": ["皮肤感染"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "生姜", "大枣", "炒苦杏仁", "桔梗", "竹茹", "紫苏叶", "生石膏", "煅龙骨", "桑螵蛸", "赤小豆", "菟丝子", "枸杞子", "白花蛇舌草", "陈皮"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "生姜", "大枣", "炒苦杏仁", "桔梗", "姜厚朴", "炒紫苏子", "生石膏", "煅龙骨", "桑螵蛸", "赤小豆", "菟丝子", "枸杞子", "白花蛇舌草"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64512, "pid": "P06eafd34e83b", "date": "2026-07-17", "sex": "男", "age": 45, "cc": "乏力2年", "hpi": "乏力，晨勃有，硬度下降，时间短1-2分钟，熬夜睡眠可，排尿正常，大便正常，纳可，口苦", "wm_dx": ["高脂血症", "乏力"], "tcm_dx": [["虚劳类病", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "黄芩片", "大黄", "白芍", "薏苡仁", "煅龙骨", "煅牡蛎", "制水蛭", "焦山楂", "醋鸡内金", "牛膝", "炙甘草", "黄芩", "焦神曲", "石菖蒲", "郁金", "丹参", "鸡血藤", "桃仁", "红花", "金樱子"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "大黄", "麸炒枳实", "白芍", "焦山楂", "焦神曲", "石菖蒲", "牛膝", "薏苡仁", "丹参", "鸡血藤", "制远志", "路路通"], "prev_gap": 9, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64517, "pid": "P83ef4e320b62", "date": "2026-07-17", "sex": "男", "age": 44, "cc": "乏力2-3月", "hpi": "乏力感，性欲一般，晨勃正常，纳可，睡眠一般，尿频，喝水即夜尿多， 大便正常，口苦口干", "wm_dx": ["尿频", "乏力"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "党参片", "生姜", "大枣", "牡丹皮", "当归", "知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "龙骨", "牡蛎", "炒栀子", "百合"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64523, "pid": "Pdbaf2293369f", "date": "2026-07-18", "sex": "男", "age": 38, "cc": "尿频一年", "hpi": "尿频,,喝水即尿,晨勃有.硬度一般,时间1-2分钟,同房不规律,睡眠可,纳可,口干口苦,大便正常", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩", "党参", "生姜", "酒萸肉", "炙甘草", "生地黄", "浙贝母", "苦参", "薏苡仁", "赤小豆", "石菖蒲", "炒蒺藜", "金樱子"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "法半夏", "党参", "生姜", "大枣", "炙甘草", "炒栀子", "生地黄", "知母", "薏苡仁", "红花", "石菖蒲", "炒蒺藜", "金樱子", "盐黄柏"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64524, "pid": "P89c6486bcc29", "date": "2026-07-18", "sex": "男", "age": 56, "cc": "腰痛半年", "hpi": "伴有勃起不坚 早泄 便秘 纳可 失眠 小便正常 盗汗 下肢水肿可自行消退", "wm_dx": ["盗汗", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["太子参", "酒女贞子", "覆盆子", "陈皮", "知母", "酒萸肉", "炒酸枣仁", "猪苓", "制巴戟天"], "flags": [], "prev_rx": ["太子参", "酒女贞子", "覆盆子", "陈皮", "知母", "酒萸肉", "炒酸枣仁", "猪苓"], "prev_gap": 21, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 64527, "pid": "P8ab7416e1591", "date": "2026-07-18", "sex": "男", "age": 55, "cc": "小腹胀痛尿频3年", "hpi": "3年前出现小腹胀痛尿频，右足低疼痛，失眠，口干。3.7复诊：小腹胀痛明显好转，足底疼痛，口干好转。3.21复诊：小腹胀痛好转，足底痛仍有，口不干，夜寐差，腰痛乏力 下肢水肿 可自行消退", "wm_dx": ["腰痛", "慢性前列腺炎", "前列腺增生", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "炒酸枣仁", "太子参", "丹参", "知母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64529, "pid": "Pe2730ec47848", "date": "2026-07-18", "sex": "男", "age": 54, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，晨勃消失，性欲减退，口中和，长期熬夜。3.8复诊：偶有晨勃，无同房，3.21复诊：服药后晨勃每日有，排气多，无同房，性欲稍有恢复。4.4复诊：晨勃可，勃起硬度欠佳，可同房，近2周同房2次。4.18复诊：服药无不适，近2周1次同房，硬度欠佳，中途疲软，夜勃增加。5.9复诊：近2周同房1次，硬度欠佳，晨勃恢复。6.20复诊：晨勃可，近2周未同房，睡眠可。7.4日复诊：近2周同房2次，可同房，中途有疲软。7.18复诊：勃起次数提高，坚持时间差，硬度稍差。", "wm_dx": ["男性性腺功能低下", "糖尿病", "水肿", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["精浊", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "炙甘草", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "人参", "锁阳", "酒萸肉", "熟地黄", "烫水蛭", "黄芪", "制巴戟天", "韭菜子", "甜叶菊叶"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "人参", "锁阳", "酒萸肉", "熟地黄", "烫水蛭", "黄芪", "制巴戟天"], "prev_gap": 14, "visit_ix": 16, "n_visits": 20, "visit_ix_rx": 9, "n_rx": 12} {"rid": 64533, "pid": "Paccfc68244bf", "date": "2026-07-18", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳眠可 盗汗 下肢水肿 可自行消退", "wm_dx": ["盗汗", "下肢水肿", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["菟丝子", "覆盆子", "太子参", "猪苓", "枸杞子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["菟丝子", "覆盆子", "盐车前子", "太子参", "猪苓", "枸杞子"], "prev_gap": 20, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 64535, "pid": "P488a94d3c267", "date": "2026-07-18", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期备孕2胎，盗汗，尿频尿急，睾丸不适，精索胀痛", "wm_dx": ["盗汗", "前列腺炎", "腰痛", "精索静脉曲张"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "炒麦芽", "醋鸡内金", "酒黄精", "土茯苓", "麸炒冬瓜子", "金樱子肉", "覆盆子", "制水蛭", "甜叶菊叶", "炒酸枣仁", "柏子仁", "茯神"], "flags": [], "prev_rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "熟地黄", "金银花"], "prev_gap": 70, "visit_ix": 5, "n_visits": 10, "visit_ix_rx": 2, "n_rx": 5} {"rid": 64542, "pid": "P6582198d51b2", "date": "2026-07-18", "sex": "男", "age": 48, "cc": "乏力尿频5年", "hpi": "乏力尿频，夜尿2-4次，大便次数多，少，无腹痛，无腰痛，饭后腹胀，多梦，口和，眼干，咽干，易上火，晨勃少，硬度一般，时间短，纳可，无怕冷，口腔溃疡", "wm_dx": ["乏力", "高脂血症", "男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草片", "黄芩片", "黄连片", "干姜", "党参片", "大枣", "地黄", "酒苁蓉", "炒酸枣仁", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "川芎", "茯苓", "盐胡芦巴"], "flags": [], "prev_rx": ["甘草片", "黄芩片", "黄连片", "干姜", "法半夏", "党参片", "大枣", "地黄", "百合", "炒酸枣仁", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "川芎", "茯苓"], "prev_gap": 17, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 64543, "pid": "Paf956a355897", "date": "2026-07-18", "sex": "男", "age": 44, "cc": "小腹隐痛一月余", "hpi": "小腹隐痛一月余 尿等待 大便正常 尿频 纳眠可", "wm_dx": ["慢性前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "三七粉"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64552, "pid": "P5e7173360731", "date": "2026-07-18", "sex": "男", "age": 30, "cc": "睡眠差1年", "hpi": "睡眠差，中途醒，白天乏力感，燥热感，尿黄，有泡沫，大便大部分偏干，口干，纳可，复诊鼻子热气", "wm_dx": ["血尿", "尿频"], "tcm_dx": [["精浊", "阳虚水泛证", "温阳利水"]], "rx": ["泽泻", "茯苓", "猪苓", "滑石", "阿胶珠", "川芎", "当归", "桂枝", "法半夏", "黄芩片", "煅龙骨", "煅牡蛎", "麸炒白术", "炒酸枣仁", "炒栀子", "生石膏"], "flags": [], "prev_rx": ["泽泻", "茯苓", "猪苓", "滑石", "阿胶珠", "川芎", "当归", "桂枝", "法半夏", "黄芩片", "煅龙骨", "煅牡蛎", "麸炒白术", "炒酸枣仁", "炒栀子", "生石膏"], "prev_gap": 14, "visit_ix": 3, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 7} {"rid": 64557, "pid": "P4bb8af2b4056", "date": "2026-07-18", "sex": "男", "age": 56, "cc": "体检发现前列腺增大", "hpi": "体检发现前列腺增大 大便正常 纳眠可 尿等待 尿频", "wm_dx": ["尿频", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "陈皮", "川贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64558, "pid": "P84cdb17a4bdf", "date": "2026-07-18", "sex": "男", "age": 33, "cc": "乏力4-5月", "hpi": "乏力，同房射精正常，排尿正常，大便正常，睡眠一般，纳可，口气有，无腰疼", "wm_dx": ["乏力"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "鹿角霜", "醋龟甲", "桑螵蛸", "枸杞子", "菟丝子", "赤小豆", "盐车前子", "牡蛎", "红景天", "麸炒苍术"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 64560, "pid": "P0068f39291fd", "date": "2026-07-18", "sex": "男", "age": 26, "cc": "乏力3年", "hpi": "乏力3年，同房时硬度不够，时间短，性欲强，尿频，夜尿正常，大便2-3次，睡眠熬夜多梦，口苦，复诊：大便4-5次不成型粘，多梦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "滑石", "赤小豆", "白花蛇舌草", "龙骨", "牡蛎", "百合", "炒苦杏仁", "金樱子肉", 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"白术", "黑顺片", "九香虫", "地龙", "烫狗脊", "北柴胡", "黄芩片", "党参片", "石菖蒲", "郁金"], "flags": [], "prev_rx": ["桂枝", "白芍", "茯苓", "泽泻", "白术", "黑顺片", "九香虫", "地龙", "烫狗脊", "北柴胡", "黄芩片", "党参片"], "prev_gap": 7, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 5, "n_rx": 6} {"rid": 64674, "pid": "P9c5b9cd774fc", "date": "2026-07-20", "sex": "男", "age": 29, "cc": "尿频3月", "hpi": "尿频，晨勃少，硬度一般，启动慢，时间短1-2分钟，排尿正常，夜尿正常，睡眠失眠，纳可，口干喝水少，大便正常，无腰疼，多汗", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "党参片", "生石膏", "地黄", "白芍", "石菖蒲", "制远志", "金樱子肉", "煅龙骨", "煅牡蛎", "黑顺片"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "黄芩片", "地黄", "酒萸肉", "石菖蒲", "丹参", "鸡血藤", "盐蒺藜", "牛膝", "蜈蚣", "炙淫羊藿", "仙茅", "滑石", "赤小豆", "韭菜子", "白芍", "淡竹叶"], "prev_gap": 65, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 64685, "pid": "P2351926ac7e8", "date": "2026-07-20", "sex": "男", "age": 36, "cc": "复诊", "hpi": "腰痛，硬度下降，乏力，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，脚凉。", "wm_dx": ["盗汗", "前列腺炎", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "九香虫", "地龙", "白薇", "黑顺片", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤", "赤小豆", "佩兰"], "prev_gap": 18, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 5} {"rid": 64687, "pid": "Pe94047150270", "date": "2026-07-20", "sex": "男", "age": 24, "cc": "乏力腰痛半年", "hpi": "尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["乏力", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒苁蓉", "制巴戟天", "仙茅", "山药", "太子参", "茯苓", "酒黄精", "砂仁", "木香", "石菖蒲", "制远志", "盐胡芦巴", "炒酸枣仁", "丹参", "桑椹", "制何首乌", "麸炒枳壳", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64699, "pid": "P8dc6c6b20df4", "date": "2026-07-21", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重，复诊：大便粘，牙龈肿，口气重.", "wm_dx": ["慢性前列腺炎", "甲状腺囊肿"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["白芍", "炙甘草", "川楝子", "当归", "川芎", "大黄", "赤小豆", "熟地黄", "茯苓", "泽泻", "牛膝", "醋鸡内金", "醋香附", "法半夏", "生石膏", "枸杞子", "菟丝子", "麸炒苍术", "北柴胡"], "flags": [], "prev_rx": ["淡竹叶", "生石膏", "党参片", "法半夏", "甘草片", "浮小麦", "赤小豆", "浙贝母", "当归", "醋鸡内金", "血余炭", "菟丝子", "覆盆子", "盐车前子", "桑螵蛸", "牡蛎", "红景天", "连翘"], "prev_gap": 7, "visit_ix": 20, "n_visits": 24, "visit_ix_rx": 19, "n_rx": 23} {"rid": 64700, "pid": "Pe4bce6b868b8", "date": "2026-07-21", "sex": "男", "age": 61, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿等待，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。现规律口服坦索罗辛，非那雄胺。", "wm_dx": ["尿频", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "川牛膝", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "太子参", "茯苓", "薏苡仁"], "prev_gap": 20, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64702, "pid": "Pb783a2e00700", "date": "2026-07-21", "sex": "男", "age": 56, "cc": "尿无力 尿频3年", "hpi": "尿无力 尿频3年 勃起不佳 晨勃消失 大便正常 纳眠可 腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64704, "pid": "Pf9cfe8492014", "date": "2026-07-21", "sex": "男", "age": 36, "cc": "腰痛乏力多年", "hpi": "多年前乏力伴射精快，勃起欠佳1年，性欲减退，晨勃可，尿急，大便正常，睡眠正常，夜寐可，长期熬夜，乏力感，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "茯苓", "泽泻", "麸炒白术", "牡丹皮", "地黄", "丹参", "鸡血藤", "牛膝", "盐胡芦巴", "炙淫羊藿", "蜈蚣", "槟榔"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "茯苓", "泽泻", "麸炒白术", "牡丹皮", "地黄", "丹参", "鸡血藤", "牛膝", "盐胡芦巴", "炙淫羊藿", "蜈蚣"], "prev_gap": 6, "visit_ix": 3, "n_visits": 9, "visit_ix_rx": 2, "n_rx": 8} {"rid": 64708, "pid": "Pbb81e6bef07e", "date": "2026-07-21", "sex": "男", "age": 28, "cc": "腰痛乏力3年", "hpi": "腰痛乏力，近期想生育 大便正常 尿频 下肢水肿可自行消退 盗汗", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "三七粉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64710, "pid": "Pf54f4a9dffbb", "date": "2026-07-21", "sex": "男", "age": 42, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 尿痛 大便正常 内裤可见黄色分泌物 纳可 失眠 腰痛 下肢水肿可自行消退", "wm_dx": ["前列腺增生", "慢性前列腺炎", "尿频", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "太子参", "炒酸枣仁", "丹参", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64712, "pid": "Pcf2044beeeec", "date": "2026-07-21", "sex": "男", "age": 52, "cc": "包皮刺痒复诊", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和，盗汗", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "白芷", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "黄连片", "大黄", "当归", "地龙", "制水蛭", "蜈蚣"], "flags": [], "prev_rx": ["猪苓", "炒酸枣仁", "茯苓"], "prev_gap": 17, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64713, "pid": "P2573457cfbca", "date": "2026-07-21", "sex": "男", "age": 20, "cc": "尿不尽一月余", "hpi": "尿不尽一月余 尿频 大便正常 纳眠可 乏力腰痛 疲劳", "wm_dx": ["慢性前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "太子参", "猪苓", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64714, "pid": "Pb38134fa7630", "date": "2026-07-21", "sex": "男", "age": 35, "cc": "阴囊瘙痒疼痛一月余", "hpi": "阴囊瘙痒疼痛一月余 大小便正常 纳可 眠安 带状疱疹取药", "wm_dx": ["阴囊炎", "带状疱疹"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "蜈蚣", "地龙", "制水蛭", "金银花", "蒲公英", "白花蛇舌草", "大黄", "当归", "白芷"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64716, "pid": "P99dfdd87bdf3", "date": "2026-07-21", "sex": "男", "age": 37, "cc": "龟头部红疹复诊", "hpi": "龟头部刺痒,排尿尿频 尿急 大便正常 纳眠可 带状疱疹取药", "wm_dx": ["慢性前列腺炎", "龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "白芷", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "地龙", "制水蛭", "蜈蚣", "大黄", "当归"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 10, "n_visits": 12, "visit_ix_rx": 0, "n_rx": 2} {"rid": 64719, "pid": "P1b93b597ce51", "date": "2026-07-21", "sex": "男", "age": 34, "cc": "乏力半年", "hpi": "乏力,性欲不强,硬度一般,熬夜,排尿正常,便秘,口服药物正常,浅睡眠,纳可,吃生冷不适感,无腰痛,口和，复诊：症状无缓解", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "白芍", "茯苓", "泽泻", "熟地黄", "山药", "酒萸肉", "炙淫羊藿", "仙茅", "石菖蒲", "郁金", "制远志", "蜈蚣", "盐胡芦巴"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 5} {"rid": 64722, "pid": "P3cb5a9856349", "date": "2026-07-21", "sex": "男", "age": 61, "cc": "腰痛复诊", "hpi": "腰痛复诊，乏力，失眠，夜尿1次，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["盐补骨脂", "醋五味子", "赤石脂", "煨肉豆蔻", "制吴茱萸", "茯苓", "甘草片", "甜叶菊叶", "北柴胡", "白芍", "麸炒枳实", "炙甘草", "炒蒺藜", "木香", "附片", "肉桂", "土茯苓", "败酱草", "麸炒苍术", "蛇床子", "韭菜子", "制远志", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "郁金", "醋青皮", "石菖蒲", "炒僵蚕", "地龙"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "北柴胡", "白芍", "麸炒枳实", "炙甘草", "炒蒺藜", "木香", "附片", "肉桂", "土茯苓", "败酱草", "麸炒苍术", "蛇床子", "韭菜子", "制远志", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "郁金", "醋青皮", "石菖蒲", "炒僵蚕", "地龙"], "prev_gap": 15, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 64723, "pid": "P159b1f51af92", "date": "2026-07-21", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，口可，早醒，大便稀2-3次。3-4分钟", "wm_dx": ["高脂血症", "2型糖尿病"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩", "党参", "牡丹皮", "大枣", "甘草", "白芍", "酒萸肉", "金樱子", "生地黄", "炒蒺藜", "赤小豆", "麸炒薏苡仁", "连翘", "知母"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "党参", "牡丹皮", "大枣", "甘草", "白芍", "酒萸肉", "金樱子", "生地黄", "炒蒺藜", "赤小豆", "麸炒薏苡仁"], "prev_gap": 7, "visit_ix": 11, "n_visits": 15, "visit_ix_rx": 11, "n_rx": 14} {"rid": 64724, "pid": "P393bb8f7f88c", "date": "2026-07-21", "sex": "男", "age": 36, "cc": "乏力2周", "hpi": "乏力，晨勃少，同房史出现勃起不佳，早泄，排尿正常，大便正常，睡眠正常，纳可，口和", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牛膝", "蜈蚣", "石菖蒲", "盐蒺藜", "地黄", "酒萸肉", "丹参", "鸡血藤", "茯苓", "川芎", "黑顺片", "炙淫羊藿", "金樱子肉"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64730, "pid": "P34e27dde876a", "date": "2026-07-21", "sex": "男", "age": 40, "cc": "腰酸疼乏力疲劳失眠一年余", "hpi": "腰酸疼乏力疲劳失眠一年余，浅 伴有勃起不坚 晨勃可 大小便正常 纳可 晨起口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["失眠", "心血虚证", "补血养心"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "百合", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "黄芩片", "蜈蚣", "制远志", "地黄", "生石膏", "党参片", "炙淫羊藿", "天花粉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 64732, "pid": "P7365deffa993", "date": "2026-07-21", "sex": "男", "age": 42, "cc": "乏力半年", "hpi": "乏力，饮酒，喝水即尿，尿不尽，纳可，睡眠可，大便正常粘，口干口苦，阴囊潮湿", "wm_dx": ["泌尿系感染", "慢性前列腺炎"], "tcm_dx": [["虚劳类病", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "法半夏", "茯苓", "泽泻", "猪苓", "当归", "浙贝母", "苦参", "白花蛇舌草", "夏枯草", "赤小豆", "滑石", "牡蛎", "龙骨"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64740, "pid": "P3d02b9415d4a", "date": "2026-07-22", "sex": "男", "age": 43, "cc": "尿频一年", "hpi": "尿频，夜尿正常，色黄，大便先干后稀，睡眠可，熬夜，纳可,晨起口苦，无晨勃，硬度一般，中途疲软，无怕冷", "wm_dx": ["尿频", "男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "韭菜子", "黄芪", "制巴戟天", "锁阳", "沙苑子", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64742, "pid": "Pa764883705ba", "date": "2026-07-22", "sex": "男", "age": 26, "cc": "乏力2年", "hpi": "乏力，中途疲软，时间短，阴囊潮湿，尿频，无射精痛，憋尿时少腹隐痛，外院口服达泊西汀等治疗，大便正常，睡眠正常，纳可，吃凉易腹泻，口和，怕冷，复诊：症状无明显缓解，冬天怕冷", "wm_dx": ["尿频", "腹痛"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "赤小豆", "白芍", "淡竹叶", "地黄", "酒萸肉", "桑寄生", "蜈蚣", "牡蛎", "龙骨", "炙淫羊藿"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "蜈蚣", "炙淫羊藿", "仙茅", "盐胡芦巴", "盐补骨脂", "丹参", "鸡血藤", "龙骨", "牡蛎"], "prev_gap": 8, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 6} {"rid": 64745, "pid": "P689a0fa86155", "date": "2026-07-22", "sex": "男", "age": 34, "cc": "排尿不畅伴尿频尿不尽1年", "hpi": "1年前患者无明显诱因出现排尿不畅，尿频，尿急，尿等待，尿不尽，时有腰骶酸痛，晨起口干口苦，无尿痛，无尿道滴白，无小腹胀痛，无发热，无头晕头痛，患病期间未予系统治疗，平日久坐，熬夜，饮水偏少，喜食辛辣。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "肝胆湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草", "制巴戟天", "麸炒山药", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64748, "pid": "P6c6a41f3fab9", "date": "2026-07-22", "sex": "男", "age": 53, "cc": "乏力伴勃起不坚4年", "hpi": "乏力伴勃起不坚4年，偶有晨勃，排尿可，大便干，睡眠一般，纳可，口和", "wm_dx": ["高脂血症", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "白芍", "茯苓", "泽泻", "丹参", "鸡血藤", "牡丹皮", "石菖蒲", "桂枝", "炙淫羊藿", "盐胡芦巴", "炙黄芪", "天花粉", "细辛"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "川芎", "白芍", "茯苓", "泽泻", "丹参", "鸡血藤", "牡丹皮", "石菖蒲", "郁金", "炙淫羊藿", "酒苁蓉", "北柴胡"], "prev_gap": 7, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 64751, "pid": "P10068b6c8842", "date": "2026-07-22", "sex": "男", "age": 75, "cc": "腰痛复诊", "hpi": "腰痛复诊，硬度下降，性欲可，乏力，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "麸炒苍术", "制巴戟天", "土茯苓", "北败酱草", "菟丝子", "酒黄精", "鸡血藤", "赤小豆", "麸炒薏苡仁", "泽泻"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "赤小豆", "麸炒薏苡仁", "泽泻"], "prev_gap": 15, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 5} {"rid": 64761, "pid": "Pd350cd959d88", "date": "2026-07-22", "sex": "男", "age": 37, "cc": "腰痛乏力伴射精快2年", "hpi": "2年前出现腰痛乏力伴射精快，自觉敏感度高，尿无力，夜尿1次，手脚心出汗，失眠，盗汗，龟头红疹。", "wm_dx": ["前列腺炎", "盗汗"], "tcm_dx": [["盗汗", "肝肾亏虚证", "滋补肝肾"], ["精浊", "湿热下注证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 6, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64764, "pid": "Pd81c323e2d82", "date": "2026-07-22", "sex": "男", "age": 43, "cc": "小腹隐痛半年余", "hpi": "小腹隐痛半年余 尿频 大便正常 纳眠可", "wm_dx": ["慢性前列腺炎", "腹痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "茯苓", "太子参", "川贝母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64766, "pid": "P3cb734231435", "date": "2026-07-22", "sex": "男", "age": 44, "cc": "乏力半年", "hpi": "乏力，性欲正常，晨勃无，硬度差，近期无同房，排尿急，夜尿1次，无尿痛，大便粘，纳可，睡眠入睡困难，口苦，腰痛", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝郁湿热证", "疏肝清热"]], "rx": ["北柴胡", "大黄", "麸炒枳实", "黄芩片", "白芍", "地黄", "牡丹皮", "酒萸肉", "山药", "薏苡仁", "炒苦杏仁", "燀桃仁", "蜈蚣", "丹参", "鸡血藤", "九香虫"], "flags": [], "prev_rx": ["龙胆", "泽泻", "小通草", "炒栀子", "地黄", "百合", "北柴胡", "薏苡仁", "路路通", "丝瓜络", "火麻仁", "制水蛭", "蜈蚣", "赤芍", "丹参"], "prev_gap": 7, "visit_ix": 4, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 10} {"rid": 64770, "pid": "P15955d6d8a14", "date": "2026-07-22", "sex": "男", "age": 41, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，勃起硬度稍差，可同房，中途疲软，口苦，夜寐可，出租工作，久坐，熬夜，尿频尿急，双下肢轻度水肿。", "wm_dx": ["水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "锁阳", "黄芪", "酒黄精", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64774, "pid": "Pdd9602698a43", "date": "2026-07-22", "sex": "男", "age": 35, "cc": "尿频半年", "hpi": "尿频,硬度下降,中途疲软,晨勃少,纳可,睡眠正常,口和,大便粘 ，尿黄，复诊：症状好转，时间4-5分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "酒萸肉", "石菖蒲", "鸡血藤", "丹参", "茯苓", "淡竹叶", "蜈蚣", "党参片", "牛膝", "生石膏", "炙淫羊藿", "锁阳"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "百合", "石菖蒲", "鸡血藤", "丹参", "茯苓", "淡竹叶", "蜈蚣", "党参片", "牛膝", "桑寄生", "炙淫羊藿", "桑螵蛸"], "prev_gap": 28, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64776, "pid": "P8fd3fc224d9a", "date": "2026-07-22", "sex": "男", "age": 27, "cc": "尿频一年", "hpi": "尿频，既往检查无精子，穿刺为曲细精管萎缩，未见精子，口服西药、肌注绒毛膜激素治疗。排尿正常，色黄，大便稀，一天一次，熬夜，多梦，口干，纳可，", "wm_dx": ["腰痛"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "生姜", "大枣", "白芍", "黑顺片", "熟地黄", "酒萸肉", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "荆芥", "防风", "桑螵蛸", "牡蛎", "红景天", "茯苓", "炙黄芪", "生石膏"], "flags": [], "prev_rx": ["桂枝", "生姜", "大枣", "白芍", "黑顺片", "熟地黄", "酒萸肉", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "荆芥", "防风", "桑螵蛸", "牡蛎", "红景天", "茯苓", "炙黄芪"], "prev_gap": 18, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 64787, "pid": "P33df1385eb5c", "date": "2026-07-22", "sex": "男", "age": 81, "cc": "排尿困难多年加重1天", "hpi": "排尿不畅多年1天前出现排尿不畅加重，今日上午排尿点滴不出就诊我院急诊予导尿 大便正常 纳眠可", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "川贝母"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64791, "pid": "P7603a4647378", "date": "2026-07-22", "sex": "男", "age": 42, "cc": "包皮龟头炎复诊", "hpi": "包皮龟头炎改善 刺痒消失 大小便正常 纳眠可", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆炭", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "金银花", "大黄", "当归", "百部", "白芷", "茵陈", "生地黄", "玄参", "地龙", "荆芥", "猪苓", "茯苓", "羌活", "川贝母"], "flags": [], "prev_rx": ["地榆炭", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "金银花", "大黄", "当归", "百部", "白芷", "茵陈", "生地黄", "玄参", "地龙", "荆芥"], "prev_gap": 9, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64800, "pid": "P87642a6fd9e4", "date": "2026-07-23", "sex": "男", "age": 61, "cc": "男性更年期综合征取药", "hpi": "患者外院诊断为男性更年期综合征，伴有尿频，尿急，夜尿1-2次，无尿等待，阴囊潮湿，大便干，腰痛，盗汗，失眠，皮肤瘙痒。小腹坠胀腹痛，痔疮坠胀，服用龙血竭后症状缓解，规律治疗。", "wm_dx": ["银屑病", "男性更年期综合征"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"], ["白驳风", "血热证", "清热凉血"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炙淫羊藿", "麦冬", "酒黄精", "制巴戟天", "川牛膝"], "flags": [], "prev_rx": ["盐关黄柏", "菊花", "黄芪", "知母", "净山楂", "猪苓"], "prev_gap": 161, "visit_ix": 21, "n_visits": 22, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64801, "pid": "P653d8478da39", "date": "2026-07-23", "sex": "男", "age": 23, "cc": "睡眠差1月", "hpi": "白天困，晚上入睡困难，排尿正常，大便粘，口和，腰痛，乏力，汗多", "wm_dx": ["乏力", "腰痛"], "tcm_dx": [["失眠", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "酒黄精", "制远志", "菟丝子", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64802, "pid": "Pd56ba767b3f1", "date": "2026-07-23", "sex": "男", "age": 64, "cc": "前列腺增生抄方", "hpi": "前列腺增生抄方 排尿不畅 尿频 尿不尽 大便正常 纳眠可", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["黄柏", "车前草", "薏苡仁", "泽泻", "通草", "知母", "白茅根", "淡竹叶", "土茯苓", "生地黄", "炒栀子", "甘草", "蒲公英", "萹蓄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64803, "pid": "P9bf73fa3adcd", "date": "2026-07-23", "sex": "男", "age": 41, "cc": "尿频尿急阴囊潮湿半月", "hpi": "尿频尿急阴囊潮湿半月 大便正常 纳可 眠安 腰痛乏力", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "气滞血瘀证", "活血化瘀"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "石菖蒲", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["麦冬", "酒黄精", "猪苓", "薏苡仁", "茯苓", "太子参", "制巴戟天"], "prev_gap": 65, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64804, "pid": "P7fc872d0cd3f", "date": "2026-07-23", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 64813, "pid": "P4c5504602644", "date": "2026-07-23", "sex": "男", "age": 40, "cc": "慢性前列腺炎复诊", "hpi": "小腹及会阴刺痛，压力大，性欲可，稍有焦虑，夜尿0-1次。无明显尿等待，无明显排尿不畅。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["熟地黄", "山药", "牡丹皮", "酒萸肉", "泽泻", "肉桂", "川芎", "当归", "通草", "茵陈", "炒栀子", "橘络", "大血藤", "醋五灵脂", "炒酸枣仁", "石菖蒲", "制远志", "醋延胡索", "麸炒苍术", "黄柏", "茯苓", "麸炒白术"], "flags": [], "prev_rx": ["熟地黄", "山药", "牡丹皮", "酒萸肉", "泽泻", "肉桂", "川芎", "当归", "通草", "茵陈", "炒栀子", "炙甘草", "葛根", "大血藤", "醋五灵脂", "炒酸枣仁", "石菖蒲", "制远志", "醋延胡索", "麸炒苍术", "茯苓", "薏苡仁", "黄柏", "牛膝"], "prev_gap": 51, "visit_ix": 10, "n_visits": 11, "visit_ix_rx": 4, "n_rx": 5} {"rid": 64819, "pid": "Pe79649f7a8b2", "date": "2026-07-23", "sex": "男", "age": 61, "cc": "尿不尽半年", "hpi": "尿不尽，夜尿2次，大便偏干，睡眠正常，纳可，不喝生冷，口干，腰疼，晨勃有，硬度一般，中途疲软", "wm_dx": ["尿频", "乏力"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "茯苓", "泽泻", "猪苓", "白术", "桔梗", "法半夏", "当归", "川芎", "制水蛭", "蜈蚣", "干姜", "炙淫羊藿", "丹参", "鸡血藤"], "flags": [], "prev_rx": ["桂枝", "茯苓", "泽泻", "猪苓", "白术", "桔梗", "法半夏", "当归", "川芎", "制水蛭", "蜈蚣", "干姜", "炙淫羊藿", "丹参", "鸡血藤"], "prev_gap": 19, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64822, "pid": "P48209b4bd01d", "date": "2026-07-23", "sex": "男", "age": 49, "cc": "腰痛半年", "hpi": "伴有排尿不畅 大便正常 纳可 眠安 下肢水肿可自行消退 尿频", "wm_dx": ["前列腺增生", "尿频", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "陈皮", "猪苓"], "flags": [], "prev_rx": ["猪苓", "制巴戟天", "茯苓", "太子参"], "prev_gap": 73, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64837, "pid": "P1020e91b318a", "date": "2026-07-24", "sex": "男", "age": 33, "cc": "准备备孕", "hpi": "准备备孕，性功能正常，纳可，熬夜，尿频，大便正常，睡眠正常，纳可，口和，腹部皮肤刺痒", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "牛膝", "桑螵蛸", "红景天", "赤小豆", "当归", "荆芥", "蛇床子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["熟地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "牛膝", "桑螵蛸", "红景天", "赤小豆", "当归", "荆芥", "蛇床子"], "prev_gap": 28, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 64839, "pid": "Pde4018da16f5", "date": "2026-07-24", "sex": "男", "age": 40, "cc": "腰痛复诊", "hpi": "腰痛复诊，尿不尽，阴囊潮湿，大便正常，硬度改善，感情可，工作可，压力大，腰酸，盗汗胁痛 晨勃消失 工作劳累压力大", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "炒苦杏仁", "薏苡仁", "豆蔻", "法半夏", "滑石", "淡竹叶", "蜈蚣", "麸炒枳实", "白芍", "牛膝", "炙淫羊藿", "路路通", "赤小豆", "九香虫"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "韭菜子", "制巴戟天"], "prev_gap": 243, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64842, "pid": "P4b868542739d", "date": "2026-07-24", "sex": "男", "age": 53, "cc": "尿频复诊", "hpi": "病史同前，夜尿2次,尿畅尿急,色黄,夜尿一次,大便正常,睡眠差,口和,阴囊潮湿.滴白, 性欲一般,硬度一般，复诊：潮湿滴白好转，睡眠早醒，硬度一般", "wm_dx": ["前列腺炎", "男性性腺功能低下"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "茯苓", "黄芩片", "滑石", "牛膝", "煅龙骨", "煅牡蛎", "地黄", "麸炒白术", "百合", "制水蛭", "炙淫羊藿", "川芎"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "茯苓", "黄芩片", "滑石", "牛膝", "煅龙骨", "煅牡蛎", "地黄", "生石膏", "百合", "制水蛭", "炙淫羊藿"], "prev_gap": 16, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 6, "n_rx": 8} {"rid": 64846, "pid": "P46d779d69dc2", "date": "2026-07-24", "sex": "男", "age": 36, "cc": "尿频1年", "hpi": "熬夜，运动少，性欲正常，硬度可，中途疲软，时间短2-3分钟，排尿可，睡眠可，大便正常2-3次，纳可，喜凉，口渴", "wm_dx": ["尿频"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒苁蓉", "锁阳", "菟丝子", "熟地黄", "牡丹皮", "酒萸肉", "炒酸枣仁", "制远志", "金樱子肉", "莲须", "盐蒺藜", "醋五味子", "党参片", "山药", "茯苓", "炙甘草", "煅龙骨", "盐益智仁", "九香虫", "炒栀子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64851, "pid": "Pa003ae06bfd5", "date": "2026-07-24", "sex": "男", "age": 33, "cc": "尿频一月", "hpi": "尿频，准备结婚，晨勃少，阴囊潮湿，皮肤刺痒，尿道不适感，乏力", "wm_dx": ["尿频"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["干姜", "茯苓", "当归", "川芎", "牛膝", "石菖蒲", "制远志", "芦根", "蜈蚣", "炙淫羊藿", "仙茅", "盐胡芦巴", "熟地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 64854, "pid": "P5f5b34567064", "date": "2026-07-24", "sex": "男", "age": 34, "cc": "勃起硬度下降6月余", "hpi": "勃起硬度下降6月余。现晨勃时有时无，硬度不佳，性欲一般4月，睡眠一般，黑眼圈，排尿分叉，夜尿正常，大便不成形，纳一般，口干口苦，口气重，阴囊潮湿，腰痛，情绪焦虑。，复诊：勃起时好时坏，有同房，睡眠多梦，口气重，无腰痛，大便可", "wm_dx": ["腰痛", "男性勃起障碍", "乏力", "高脂血症"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "大黄", "麸炒枳实", "白芍", "生姜", "大枣", "丹参", "鸡血藤", "石菖蒲", "制远志", "柏子仁", "蜈蚣", "地黄", "赤小豆", "百合", "炒栀子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "大黄", "麸炒枳实", "白芍", "生姜", "大枣", "丹参", "鸡血藤", "石菖蒲", "制远志", "柏子仁", "蜈蚣", "地黄", "赤小豆"], "prev_gap": 21, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64863, "pid": "Pbda579327885", "date": "2026-07-25", "sex": "男", "age": 48, "cc": "尿不畅4-5年", "hpi": "尿不畅，夜尿正常，大便正常，纳一般，睡眠入睡困难，乏力，口干口苦，腰疼，有晨勃，硬度不佳，中途疲软，时间短2-3分钟，久站后会阴痛，怕冷,复诊:口和,硬度不行,晨勃无,尿有泡沫", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肾阴虚证", "滋补肾阴"], ["精浊", "肾阳虚证", "温补肾阳"]], "rx": ["干姜", "炙甘草", "盐补骨脂", "桂枝", "白芍", "蜈蚣", "制水蛭", "炙淫羊藿", "盐胡芦巴", "仙茅", "茯苓", "当归", "川芎", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 64865, "pid": "P3f235a3fd6c4", "date": "2026-07-25", "sex": "男", "age": 35, "cc": "尿频2-3年", "hpi": "尿频，晨勃少，硬度一般，中途疲软，尿不尽，尿无力，夜尿正常，大便正常粘，纳可，睡眠可，口和，无怕冷", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "泽泻", "茯苓", "牛膝", "盐车前子", "炙淫羊藿", "制巴戟天", "蜈蚣", "石菖蒲", "郁金", "九香虫", "煅阳起石"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "泽泻", "茯苓", "牛膝", "盐车前子", "炙淫羊藿", "制巴戟天", "蜈蚣", "石菖蒲", "郁金", "九香虫", "煅阳起石"], "prev_gap": 14, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 64870, "pid": "P4db9ceac8e50", "date": "2026-07-25", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力睡眠正常，纳可，二便调，口苦，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜", "wm_dx": 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"2026-07-25", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "麦冬", "制水蛭", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64879, "pid": "Pcc906c3df8c5", "date": "2026-07-25", "sex": "男", "age": 46, "cc": "乏力半年。", "hpi": "乏力半年,排尿可,大便正常,睡眠正常,纳可,口和,无腰疼,不能吹凉风", "wm_dx": ["乏力"], "tcm_dx": [["虚劳类病", "表证", "辛凉解表"]], "rx": ["桂枝", "生姜", "大枣", "白芍", "葛根", "地黄", "牡丹皮", "酒萸肉", "山药", "蜈蚣", "石菖蒲", "制远志", "龙骨", "牡蛎", "九香虫"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 64880, "pid": "P0c8779beab0f", "date": "2026-07-25", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "制水蛭", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64881, "pid": "P488a94d3c267", "date": "2026-07-25", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期备孕2胎，盗汗，尿频尿急，睾丸不适，精索胀痛", "wm_dx": ["盗汗", "前列腺炎", "腰痛", "精索静脉曲张"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "炒麦芽", "醋鸡内金", "酒黄精", "土茯苓", "麸炒冬瓜子", "金樱子肉", "覆盆子", "制水蛭", "甜叶菊叶", "炒酸枣仁", "柏子仁", "茯神"], "flags": [], "prev_rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "炒麦芽", "醋鸡内金", "酒黄精", "土茯苓", "麸炒冬瓜子", "金樱子肉", "覆盆子", "制水蛭", "甜叶菊叶", "炒酸枣仁", "柏子仁", "茯神"], "prev_gap": 7, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 3, "n_rx": 5} {"rid": 64882, "pid": "P84cdb17a4bdf", "date": "2026-07-25", "sex": "男", "age": 33, "cc": "乏力4-5月", "hpi": "乏力，同房射精正常，排尿正常，大便正常，睡眠一般，纳可，口气有，无腰疼，复诊：口腔溃疡", "wm_dx": ["乏力"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "鹿角霜", "醋龟甲", "桑螵蛸", "枸杞子", "菟丝子", "赤小豆", "盐车前子", "牡蛎", "红景天", "麸炒苍术", "炒栀子", "淡豆豉"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "鹿角霜", "醋龟甲", "桑螵蛸", "枸杞子", "菟丝子", "赤小豆", "盐车前子", "牡蛎", "红景天", "麸炒苍术"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64883, "pid": "Paf4b79525739", "date": "2026-07-25", "sex": "男", "age": 32, "cc": "腰痛半年", "hpi": "排尿正常，大便不成型，睡眠一般早醒，纳可，晨勃少，伴有早泄3月 勃起不坚 勃起不持久", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["桂枝", "生姜", "大枣", "白芍", "麸炒白术", "干姜", "石菖蒲", "盐蒺藜", "炙淫羊藿", "郁金", "葛根", "蜈蚣", "制巴戟天", "生石膏", "盐胡芦巴", "细辛"], "flags": 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"炒王不留行", "醋延胡索", "醋莪术", "醋三棱", "夏枯草", "黄芪", "甜叶菊叶", "人参", "酒黄精", "全蝎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["肉桂", "盐小茴香", "荔枝核", "野菊花", "北柴胡", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍", "丹参", "路路通", "炒王不留行", "醋延胡索", "醋莪术", "醋三棱", "夏枯草", "黄芪", "甜叶菊叶", "人参", "酒黄精", "全蝎"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 64904, "pid": "P44fbf4261d6a", "date": "2026-07-25", "sex": "男", "age": 31, "cc": "尿后余沥2周", "hpi": "尿后余沥2周，无力，尿意强，夜尿0次，淡黄，喝水即尿，无小腹及会阴不适，下午胃胀，大便不成型，纳可 ，阴囊潮湿", "wm_dx": ["盗汗", "腰痛", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "寒热错杂证", "清上温中"]], "rx": ["法半夏", "黄连", "黄芩", "干姜", "大枣", "人参", "赤小豆", "白花蛇舌草", "广金钱草", "石菖蒲", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["干姜", "炙甘草", "姜厚朴", "法半夏", "茯苓", "猪苓", "淡竹叶", "赤小豆", "麸炒白术", "当归", "牛膝", "附片", "炙淫羊藿"], "prev_gap": 7, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 5} {"rid": 64905, "pid": "P2350ee3316b0", "date": "2026-07-25", "sex": "男", "age": 27, "cc": "腰痛乏力伴小腹不适3年", "hpi": "3年前出现腰痛乏力伴小腹不适，尿频尿急，近期备孕。7.25复诊：小腹胀痛好转，尿频尿急好转。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "麸炒苍术", "酒女贞子", "酒黄精", "土茯苓", "当归", "覆盆子", "菟丝子", "地龙", "黄柏", "北柴胡", "白芍", "炒栀子"], "flags": [], "prev_rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "麸炒苍术", "酒女贞子", "酒黄精", "土茯苓", "当归", "覆盆子", "菟丝子", "地龙", "黄柏"], "prev_gap": 13, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 64906, "pid": "P4381ebdc09ad", "date": "2026-07-25", "sex": "男", "age": 39, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "烫水蛭", "盐杜仲", "炙淫羊藿", "酒苁蓉", "金樱子", "茯苓", "制巴戟天", "酒黄精", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["熟地黄", "枸杞子", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "醋五味子", "沙苑子", "茯苓", "烫水蛭", "制远志", "炙淫羊藿", "太子参", "麦冬", "制巴戟天", "炒酸枣仁"], "prev_gap": 352, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 4} {"rid": 64908, "pid": "P83ca1e43480e", "date": "2026-07-25", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，性欲可", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "制水蛭", "诃子肉", "麦冬", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64915, "pid": "P0cf786e70347", "date": "2026-07-25", "sex": "男", "age": 37, "cc": "会阴不适复诊", "hpi": "会阴不适改善，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力盗汗。3.8复诊：睾丸下坠感明显减轻，会阴不适，小腹不适。胁痛。7.11复诊：阴茎跟部肿物凸出，休息平躺后消失。", "wm_dx": ["单侧腹股沟疝", "精索静脉曲张", "前列腺炎", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "炒王不留行", "盐橘核", "醋三棱", "醋莪术", "鸡血藤", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "炒王不留行", "盐橘核", "醋三棱", "醋莪术", "鸡血藤", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "prev_gap": 14, "visit_ix": 21, "n_visits": 25, "visit_ix_rx": 14, "n_rx": 18} {"rid": 64916, "pid": "P4596b8512757", "date": "2026-07-25", "sex": "男", "age": 44, "cc": "少腹坠胀1月", "hpi": "少腹坠胀，尿不尽，夜尿1次，口干，大便正常，复诊：少腹正常，仍有尿意感。大便粘，乏力", "wm_dx": ["乏力"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "牡丹皮", "大枣", "茯苓", "猪苓", "细辛", "生石膏", "煅龙骨", "煅牡蛎", "麸炒白术", "制远志", "麻黄", "黑顺片", "火麻仁", "酒苁蓉"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "牡丹皮", "大枣", "茯苓", "猪苓", "细辛", "生石膏", "煅龙骨", "煅牡蛎", "麸炒白术", "制远志", "麻黄", "黑顺片"], "prev_gap": 14, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 7, "n_rx": 10} {"rid": 64922, "pid": "P07777863d58f", "date": "2026-07-25", "sex": "男", "age": 35, "cc": "遗精1周", "hpi": "遗精1周，压力大，失眠梦多，脱发，乏力，尿黄，尿频，大便可，排气多，性欲强，腰痛，复诊：遗精好转，硬度不佳，晨勃可，时间短1分钟，尿黄，睡眠好转，纳可，大便正常，口干，无阴囊潮湿", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "黑顺片", "龙骨", "牡蛎", "麸炒白术", "干姜", "茯苓", "泽泻", "当归", "川芎", "炙淫羊藿", "熟地黄", "酒萸肉", "山药", "锁阳", "牡丹皮", "丹参", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "金樱子肉", "制远志", "盐益智仁", "锁阳"], "prev_gap": 104, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 64923, "pid": "Pa1c8b6f4b15e", "date": "2026-07-25", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 眠安，长期久坐，熬夜，盗汗。", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["盐杜仲", "肉桂", "麸炒白术", "制远志", "肉苁蓉", "制巴戟天", "太子参", "石菖蒲", "酒萸肉", "盐车前子", "覆盆子", "菟丝子", "熟地黄", "酒大黄", "焦麦芽", "土茯苓", "黄芪", "金银花", "金樱子", "醋五味子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["盐杜仲", "肉桂", "麸炒白术", "制远志", "肉苁蓉", "制巴戟天", "太子参", "石菖蒲", "酒萸肉", "盐车前子", "覆盆子", "菟丝子", "熟地黄", "酒大黄", "焦麦芽", "土茯苓", "黄芪", "金银花"], "prev_gap": 13, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64924, "pid": "P3cab660e8314", "date": "2026-07-25", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "麦冬", "党参片", "酒黄精", "北败酱草", "熟地黄", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64925, "pid": "Pfe56deb5b734", "date": "2026-07-25", "sex": "男", "age": 27, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64926, "pid": "P990b62c75488", "date": "2026-07-25", "sex": "男", "age": 41, "cc": "阴茎跟部坠胀不适3年", "hpi": "3年前出现阴茎跟部坠胀不适，排尿可，夜尿3-4次，阴囊潮湿。7.25复诊：阴茎根部坠胀消失，阴囊潮湿好转，现夜尿3-4次，无其他不适。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "赤小豆", "夏枯草", "路路通", "炒王不留行", "黄芪", "盐橘核", "乌药", "盐益智仁", "山药", "麸炒薏苡仁", "麸炒苍术", "金樱子"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "夏枯草", "路路通", "炒王不留行", "黄芪", "盐橘核", "乌药", "盐益智仁", "山药"], "prev_gap": 14, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 64927, "pid": "Pd743b16dec38", "date": 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"陈皮", "木香", "菟丝子", "韭菜子", "覆盆子", "枸杞子", "醋五味子", "酒女贞子", "制巴戟天", "仙茅", "炙淫羊藿", "酒苁蓉", "麸炒枳壳", "石斛", "麦冬", "玄参", "升麻", "炙甘草", "太子参"], "prev_gap": 48, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 5, "n_rx": 6} {"rid": 64936, "pid": "P57a80a3931dd", "date": "2026-07-25", "sex": "男", "age": 70, "cc": "排尿不畅1月", "hpi": "排尿不畅1月 大便秘 纳一般 口干口苦 尿等待 尿分叉 尿不尽 尿频", "wm_dx": ["尿频", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "川贝母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "茯苓", "太子参", "川贝母"], "prev_gap": 25, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 3} {"rid": 64941, "pid": "P59170a79ab5e", "date": "2026-07-25", "sex": "男", "age": 36, "cc": "排尿不畅2月", "hpi": "排尿不畅2月，尿频，尿线细，尿等待，夜尿1次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "川贝母", "茯苓", "陈皮", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, 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"桔梗", "北沙参", "川牛膝", "白芍", "炙甘草", "制水蛭", "炒酸枣仁", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 4} {"rid": 64977, "pid": "P0ac7ff231dcd", "date": "2026-07-26", "sex": "男", "age": 30, "cc": "失眠一年余", "hpi": "失眠一年余 腰酸痛腿软，多汗，排尿尿频，大便不成型，尿黄，怕冷怕热，口干口气重，易怒，口腔溃疡，盗汗，下肢轻度水肿", "wm_dx": ["水肿", "腰痛", "盗汗"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["胁痛", "肝郁血虚证", "疏肝养血"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "锁阳", "韭菜子", "菟丝子", "酒黄精", "莲子", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "锁阳", "菟丝子", "酒黄精", "莲子", "炒酸枣仁", "知母", "盐关黄柏", "黄芪", "韭菜子"], "prev_gap": 15, "visit_ix": 11, "n_visits": 14, "visit_ix_rx": 5, "n_rx": 7} {"rid": 64979, "pid": "Pbb22b630bee6", "date": "2026-07-26", "sex": "男", "age": 27, "cc": "腰痛乏力伴性欲减退1年", "hpi": "1年前出现腰痛乏力伴性欲减退，勃起可，偶有晨勃精力体力差，记忆力减退，夜寐差，易醒，尿频，下肢轻度水肿，否认头晕头痛", "wm_dx": ["尿频", "水肿", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "韭菜子", "锁阳", "黄芪", "酒黄精", "制远志", "炒酸枣仁", "柏子仁", "制巴戟天", "醋青皮"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "韭菜子", "白芍", "锁阳", "黄芪", "酒黄精", "制远志", "炒酸枣仁", "柏子仁", "制巴戟天"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64982, "pid": "Pe8f71fc9fee6", "date": "2026-07-26", "sex": "男", "age": 51, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "前列腺炎", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热祛湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "太子参", "川牛膝", "川贝母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64984, "pid": "Pfade8168444f", "date": "2026-07-26", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 64985, "pid": "P97aac3202055", "date": "2026-07-26", "sex": "男", "age": 33, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，下肢水肿可自行消退。", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 64987, "pid": "P2fe754183279", "date": "2026-07-26", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，硬度一般，工作熬夜，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "制水蛭", "莲子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "炒酸枣仁"], "prev_gap": 22, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 64998, "pid": "P5330a9d952a3", "date": "2026-07-26", "sex": "男", "age": 57, "cc": "复诊", "hpi": "射精后少腹坠胀，精液有暗黑，尿频尿等待，大便不尽，口干口苦，睡眠差 腰痛 腹胀取药", "wm_dx": ["慢性前列腺炎", "腰痛", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹胀", "中气不足证", "补气升提"], ["腰痛", "肾虚血瘀证", "补肾益精"], ["血精", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热祛湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["姜厚朴", "茯苓", "生石膏", "木香", "槟榔", "黄芩片", "党参片", "姜半夏", "北柴胡", "炙甘草"], "flags": [], "prev_rx": ["姜厚朴", "茯苓", "生石膏", "木香", "槟榔", "黄芩片", "党参片", "姜半夏", "北柴胡", "炙甘草"], "prev_gap": 8, "visit_ix": 5, "n_visits": 11, "visit_ix_rx": 5, "n_rx": 11} {"rid": 65001, "pid": "Pf56293274911", "date": "2026-07-27", "sex": "男", "age": 39, "cc": "复诊", "hpi": "病史同前，口稍干，有性生活，夜尿3-4，汗不多，无肢冷，便调", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["烫狗脊", "地龙", "九香虫", "乌梅", "瓜蒌", "醋五味子", "生石膏", "麦冬", "姜厚朴", "炙甘草"], "flags": [], "prev_rx": ["桑寄生", "蜜桑白皮", "桑椹", "地龙", "九香虫", "乌梅", "瓜蒌", "醋五味子", "桑叶", "麦冬", "姜厚朴", "炙甘草", "酒黄精"], "prev_gap": 39, "visit_ix": 15, "n_visits": 18, "visit_ix_rx": 15, "n_rx": 18} {"rid": 65010, "pid": "P27bc8bb10567", "date": "2026-07-27", "sex": "男", "age": 40, "cc": "尿等待1年", "hpi": "尿等待1年，排尿不畅，无尿频、尿后余沥，夜尿1次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，腰痛，焦虑", "wm_dx": ["腰痛", "前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "炒酸枣仁", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65013, "pid": "Pdb2475cf5e0c", "date": "2026-07-27", "sex": "男", "age": 59, "cc": "排尿不畅复诊取药", "hpi": "排尿不畅改善，尿急，无明显尿频，尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗 下肢水肿 可自行消退 腰痛", "wm_dx": ["下肢水肿", "前列腺增生", "尿频", "盗汗"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "知母", "太子参", "川贝母", "炒酸枣仁", "酒萸肉"], "flags": [], "prev_rx": ["猪苓", "羌活", "太子参", "制巴戟天", "炒酸枣仁"], "prev_gap": 21, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65014, "pid": "P221265604dc1", "date": "2026-07-27", "sex": "男", "age": 43, "cc": "复诊", "hpi": "病史同前，有一次性生活，失眠易醒，汗不多、口中稍干。曾服抗抑郁药。盗汗，腰痛。", "wm_dx": ["盗汗", "腰痛", "男性性腺功能低下"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["男性生殖病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "姜半夏", "盐蒺藜", "九香虫", "炙甘草", "合欢皮"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "首乌藤", "姜半夏", "盐蒺藜", "九香虫", "炙甘草", "石菖蒲", "郁金", "制水蛭", "酒黄精", "炒酸枣仁", "麸炒白术", "山药", "锁阳", "金樱子肉", "莲子", "诃子肉"], "prev_gap": 25, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 6, "n_rx": 9} {"rid": 65015, "pid": "P99dfdd87bdf3", "date": "2026-07-27", "sex": "男", "age": 37, "cc": "龟头部红疹复诊", "hpi": "龟头部刺痒,排尿尿频 尿急 大便正常 纳眠可 带状疱疹取药", "wm_dx": ["龟头炎", "慢性前列腺炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "白芷", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "地龙", "制水蛭", "蜈蚣", "大黄", "当归", "丹参", "赤芍"], "flags": [], "prev_rx": ["地榆", "关黄柏", "白芷", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "地龙", "制水蛭", "蜈蚣", "大黄", "当归"], "prev_gap": 6, "visit_ix": 11, "n_visits": 12, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65017, "pid": "P2351926ac7e8", "date": "2026-07-27", "sex": "男", "age": 36, "cc": "复诊", "hpi": "有一次性生活，硬度下降，乏力，纳眠可，无排尿不畅、尿后余沥减，口干，盗汗。", "wm_dx": ["腰痛", "前列腺炎", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "九香虫", "蜈蚣", "白薇", "黑顺片", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "九香虫", "地龙", "白薇", "黑顺片", "炙甘草", "生姜", "大枣"], "prev_gap": 7, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 5} {"rid": 65022, "pid": "P143c6843706a", "date": "2026-07-27", "sex": "男", "age": 46, "cc": "腰痛半年", "hpi": "伴有性功能下降 勃起不坚 大便正常 纳眠可 晨勃少 下肢水肿 可自行消退 尿频", "wm_dx": ["下肢水肿", "尿频", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒苁蓉", "制巴戟天", "炙淫羊藿", "盐胡芦巴", "蛇床子", "韭菜子", "北柴胡", "盐蒺藜", "木香", "山药", "白术", "茯苓", "锁阳", "合欢花", "郁金", "醋青皮", "川楝子", "土茯苓", "太子参", "黄芪", "北败酱草", "制远志", "地龙", "制水蛭"], "flags": [], "prev_rx": ["酒苁蓉", "制巴戟天", "炙淫羊藿", "盐胡芦巴", "蛇床子", "韭菜子", "北柴胡", "盐蒺藜", "木香", "山药", "白术", "茯苓", "锁阳", "合欢花", "郁金", "醋青皮", "川楝子", "防风", "太子参", "黄芪", "白芷", "制远志", "地龙", "制水蛭"], "prev_gap": 14, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 65026, "pid": "P7a7bf4bd1d39", "date": "2026-07-27", "sex": "男", "age": 43, "cc": "腰痛半年", "hpi": "腰痛半年 大便正常 纳眠可 盗汗乏力 疲劳 下肢水肿可自行消退", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["熟地黄", "酒萸肉", "金樱子肉", "酒女贞子", "覆盆子", "枸杞子", "酒黄精", "桑椹", "甜叶菊叶", "盐杜仲", "知母", "制巴戟天", "仙茅", "炙淫羊藿", "蛇床子", "韭菜子", "菟丝子", "醋五味子", "太子参", "茯苓", "砂仁", "木香"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65033, "pid": "P54576027f9cc", "date": "2026-07-28", "sex": "男", "age": 61, "cc": "血精3月", "hpi": "血精3月 大小便正常 纳眠可 小腹隐痛 腰痛乏力 下肢水肿可自行消退", "wm_dx": ["精囊炎", "腹痛", "前列腺增生", "下肢水肿"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "知母", "太子参", "三七粉", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 65037, "pid": "P9167fbcb4bac", "date": "2026-07-28", "sex": "男", "age": 64, "cc": "排尿不畅复诊", "hpi": "排尿不畅改善，尿频、尿急，无尿线细、尿等待，尿后余沥，夜尿2-3次，稍会阴不适，大便质干，纳可，眠可。外院诊断前列腺增生。盗汗半年，晕，颈椎不适。带状疱疹性神经根炎 维生素B缺乏取药", "wm_dx": ["维生素B缺乏", "前列腺增生", "头晕", "颈椎病", "尿频", "带状疱疹性神经根炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["猪苓", "茯苓", "川贝母", "太子参", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 10, "n_visits": 12, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65039, "pid": "P8dc6c6b20df4", "date": "2026-07-28", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重，复诊：大便粘，牙龈肿，口气重.", "wm_dx": ["甲状腺囊肿", "慢性前列腺炎"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["白芍", "炙甘草", "川楝子", "当归", "川芎", "大黄", "赤小豆", "地黄", "茯苓", "泽泻", "牛膝", "醋鸡内金", "醋香附", "陈皮", "生石膏", "枸杞子", "菟丝子", "炙黄芪", "北柴胡", "麻黄"], "flags": [], "prev_rx": ["白芍", "炙甘草", "川楝子", "当归", "川芎", "大黄", "赤小豆", "熟地黄", "茯苓", "泽泻", "牛膝", "醋鸡内金", "醋香附", "法半夏", "生石膏", "枸杞子", "菟丝子", "麸炒苍术", "北柴胡"], "prev_gap": 7, "visit_ix": 21, "n_visits": 24, "visit_ix_rx": 20, "n_rx": 23} {"rid": 65047, "pid": "P7416e5cd65fa", "date": "2026-07-28", "sex": "男", "age": 62, "cc": "包皮刺痒复诊", "hpi": "包皮刺痒复诊，有包皮垢，有裂口，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和 腰痛乏力 下肢水肿可自行消退 带状疱疹取药", "wm_dx": ["前列腺炎", "包皮龟头炎", "带状疱疹", "下肢水肿", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["川贝母", "猪苓", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["羌活", "猪苓", "茯苓", "太子参"], "prev_gap": 54, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65050, "pid": "Pee0a0bbdc894", "date": "2026-07-28", "sex": "男", "age": 55, "cc": "肝脏肿物伴腹水抄方", "hpi": "肝脏肿物伴腹水抄方，胁肋疼痛，口干口苦，腹痛", "wm_dx": ["肝硬化"], "tcm_dx": [["腹痛", "肝气郁结证", "疏肝散结"]], "rx": ["黑顺片", "肉桂", "熟地黄", "山药", "酒萸肉", "茯苓", "泽泻", "牡丹皮", "川牛膝", "丹参", "燀桃仁", "干益母草", "白术", "党参片", "黄芪", "防己", "麦冬", "醋五味子", "细辛", "麻黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65052, "pid": "P83358dd8342f", "date": "2026-07-28", "sex": "男", "age": 44, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余 大小便正常 纳眠可 腰痛乏力盗汗 下肢水肿可自行消退", "wm_dx": ["包皮龟头炎", "盗汗", "下肢水肿"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "蛇床子", "地肤子", "白矾", "白花蛇舌草", "蒲公英", "北败酱草", "土茯苓", "茵陈", "黄连片", "地龙", "蜈蚣", "制水蛭", "百部", "金银花", "白鲜皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65053, "pid": "P3cb734231435", "date": "2026-07-28", "sex": "男", "age": 44, "cc": "乏力半年", "hpi": "乏力，性欲正常，晨勃无，硬度差，近期无同房，排尿急，夜尿1次，无尿痛，大便粘，纳可，睡眠入睡困难，口苦，腰痛", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝郁湿热证", "疏肝清热"]], "rx": ["北柴胡", "桂枝", "干姜", "天花粉", "生石膏", "牡蛎", "龙骨", "酒苁蓉", "火麻仁", "炒苦杏仁", "燀桃仁", "蜈蚣", "当归", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "大黄", "麸炒枳实", "黄芩片", "白芍", "地黄", "牡丹皮", "酒萸肉", "山药", "薏苡仁", "炒苦杏仁", "燀桃仁", "蜈蚣", "丹参", "鸡血藤", "九香虫"], "prev_gap": 6, "visit_ix": 5, "n_visits": 10, "visit_ix_rx": 5, "n_rx": 10} {"rid": 65055, "pid": "Pf9cfe8492014", "date": "2026-07-28", "sex": "男", "age": 36, "cc": "腰痛乏力多年", "hpi": "多年前乏力伴射精快，勃起欠佳1年，性欲减退，晨勃可，尿急，大便正常，睡眠正常，夜寐可，长期熬夜，乏力感，口和，复诊尿有泡沫,色黄，晨勃好，同房史中途疲软", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["虚劳类病", "湿热下注证", "清热利湿"]], "rx": ["麸炒苍术", "麸炒薏苡仁", "盐关黄柏", "牛膝", "法半夏", "茯苓", "炙黄芪", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "当归", "川芎", "蜈蚣", "路路通", "滑石", "麻黄"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "茯苓", "泽泻", "麸炒白术", "牡丹皮", "地黄", "丹参", "鸡血藤", "牛膝", "盐胡芦巴", "炙淫羊藿", "蜈蚣", "槟榔"], "prev_gap": 7, "visit_ix": 4, "n_visits": 9, "visit_ix_rx": 3, "n_rx": 8} {"rid": 65057, "pid": "Pd659334e6402", "date": "2026-07-28", "sex": "男", "age": 26, "cc": "左下腹隐痛一月余", "hpi": "左下腹隐痛一月余 伴有射精困难 大便正常 尿黄 纳眠可 胁痛眩晕 下肢水肿可自行消退 腰痛乏力", "wm_dx": ["前列腺炎", "下肢水肿", "眩晕"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["制巴戟天", "太子参", "猪苓", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65059, "pid": "P7b2d5b5816de", "date": "2026-07-28", "sex": "男", "age": 39, "cc": "腰痛半年", "hpi": "伴有乏力疲劳 同房后腰痛明显 大小便正常 纳可 眠安 便秘，尿频尿急，怕冷，下肢水肿可自行消退 患者体重偏大", "wm_dx": ["腰痛", "下肢水肿", "尿频"], "tcm_dx": [["腰痛", "肾阳虚证", "温补肾阳"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参片", "山药", "白术", "茯苓", "北柴胡", "土茯苓", "木香", "黄芪", "酒黄精", "蛇床子", "韭菜子", "菟丝子", "北败酱草", "炒酸枣仁", "天麻", "醋青皮", "制巴戟天", "酒苁蓉", "仙茅", "盐胡芦巴", "炙淫羊藿", "麸炒枳壳", "地龙"], "flags": [], "prev_rx": ["甜叶菊叶", "党参片", "山药", "白术", "茯苓", "北柴胡", "盐蒺藜", "木香", "炙黄芪", "酒黄精", "蛇床子", "韭菜子", "菟丝子", "干姜", "炒酸枣仁", "天麻", "醋青皮", "制巴戟天", "酒苁蓉", "仙茅", "盐胡芦巴", "炙淫羊藿", "麸炒枳壳", "地龙"], "prev_gap": 25, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65061, "pid": "Pb410465d72e4", "date": "2026-07-28", "sex": "男", "age": 68, "cc": "尿频2年", "hpi": "尿频2年，体检前列腺增生，夜尿1次，晨起排尿不畅。超声：前列腺4.7*3.1*3.5cm。腰痛。", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "陈皮", "太子参", "川贝母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65062, "pid": "Pa764883705ba", "date": "2026-07-28", "sex": "男", "age": 26, "cc": "乏力2年", "hpi": "乏力，中途疲软，时间短，阴囊潮湿，尿频，无射精痛，憋尿时少腹隐痛，外院口服达泊西汀等治疗，大便正常，睡眠正常，纳可，吃凉易腹泻，口和，怕冷，复诊：症状无明显缓解，冬天怕冷", "wm_dx": ["腹痛", "尿频"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "龙骨", "牡蛎", "干姜", "炙淫羊藿", "仙茅", "制巴戟天", "盐胡芦巴", "茯苓", "泽泻", "麸炒白术", "蜈蚣", "九香虫"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "赤小豆", "白芍", "淡竹叶", "地黄", "酒萸肉", "桑寄生", "蜈蚣", "牡蛎", "龙骨", "炙淫羊藿"], "prev_gap": 6, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 6} {"rid": 65063, "pid": "P8f6c77c62042", "date": "2026-07-28", "sex": "男", "age": 42, "cc": "龟头泛红半月余", "hpi": "龟头泛红半月余 大小便正常 纳眠可 带状疱疹取药", "wm_dx": ["包皮龟头炎", "带状疱疹"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "白芷", "蛇床子", "地肤子", "白花蛇舌草", "荆芥", "防风", "金银花", "蒲公英", "大黄", "蝉蜕", "当归", "赤芍", "地龙", "蜈蚣", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65064, "pid": "P55f0391c64a8", "date": "2026-07-28", "sex": "男", "age": 27, "cc": "乏力一周", "hpi": "乏力，同房硬度射精正常，无饮酒吸烟，排尿正常，大便不成形，纳可，睡眠正常，近期准备备孕", "wm_dx": ["乏力"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["赤小豆", "当归", "连翘", "菟丝子", "覆盆子", "盐车前子", "白花蛇舌草", "地黄", "酒萸肉", "山药", "牛膝", "牡蛎", "红景天", "桑螵蛸", "枸杞子", "醋龟甲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65065, "pid": "P48b0af232e79", "date": "2026-07-28", "sex": "男", "age": 59, "cc": "腰痛伴射精快7年", "hpi": "腰痛伴射精快7年，硬度不佳，无晨勃，同房前自服西药治疗有效，排尿正常，睡眠可，大便正常，腰痛，纳可，口和", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾精"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["茯苓", "泽泻", "麸炒白术", "干姜", "当归", "川芎", "牛膝", "法半夏", "炙淫羊藿", "仙茅", "蜈蚣", "盐胡芦巴", "丹参", "鸡血藤", "九香虫"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65068, "pid": "P0213416edb5f", "date": "2026-07-28", "sex": "男", "age": 35, "cc": "尿频10余年", "hpi": "尿频，夜尿正常，1-2次，大便正常，中途醒，纳可，口和晨勃少，硬度下降，时间短，多汗，手脚易汗", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "龙骨", "牡蛎", "蜈蚣", "丹参", "鸡血藤", "石菖蒲", "郁金", "制远志", "党参片"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "盐蒺藜", "牡丹皮", "牛膝", "蜈蚣", "丹参", "鸡血藤", "黄芩片", "地黄", "百合", "薏苡仁", "煅龙骨"], "prev_gap": 17, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65071, "pid": "Peccc8755c7c7", "date": "2026-07-28", "sex": "男", "age": 36, "cc": "小腹不适1月", "hpi": "小腹不适1月，尿频，尿等待，尿后余沥，夜尿1次，大便质干，纳可，眠一般，口干，盗汗，体检前列腺增生，工作久坐", "wm_dx": ["前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "知母", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "炒酸枣仁", "酒黄精", "麦冬", "太子参", "北败酱草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "炒酸枣仁", "酒黄精", "知母", "麦冬"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65072, "pid": "Pa5b5a17032ef", "date": "2026-07-28", "sex": "男", "age": 38, "cc": "小腹不适复诊", "hpi": "小腹不适复诊，既往肾结石，无明显尿液颜色改变 尿频 尿不尽 大便正常 纳可 眠安", "wm_dx": ["尿频", "前列腺炎", "高尿酸血症"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川贝母", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65073, "pid": "Pac21cb95e2e8", "date": "2026-07-28", "sex": "男", "age": 43, "cc": "尿急半年", "hpi": "尿急，色黄，夜尿正常，大便正常，睡眠正常，熬夜，纳可，口苦，吸烟，阴囊潮湿，硬度恢复，时间短，复诊：硬度可超声消失，时间短", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "丹参", "燀桃仁", "地黄", "红花", "牡丹皮", "鸡血藤", "石菖蒲", "盐关黄柏", "麸炒白术", "牛膝", "蜈蚣", "党参片", "盐蒺藜", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "丹参", "燀桃仁", "红花", "牡丹皮", "鸡血藤", "石菖蒲", "法半夏", "麸炒白术", "牛膝", "蜈蚣", "党参片", "麸炒薏苡仁", "盐蒺藜", "炙甘草", "地黄"], "prev_gap": 13, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 65077, "pid": "P5d51a32c2e1f", "date": "2026-07-28", "sex": "男", "age": 34, "cc": "腰痛复诊", "hpi": "腰痛复诊，熬夜，睡眠可，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中 下肢水肿可自行消退 盗汗", "wm_dx": ["盗汗", "腰痛", "下肢水肿"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["菟丝子", "覆盆子", "盐车前子", "醋五味子", "枸杞子", "茯苓", "木香", "锁阳", "熟地黄", "酒萸肉", "山药", "醋龟甲", "仙茅", "炙淫羊藿", "盐胡芦巴", "酒苁蓉", "党参片", "砂仁", "酒黄精", "韭菜子", "麸炒枳壳", "炙甘草", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["菟丝子", "覆盆子", "盐车前子", "醋五味子", "枸杞子", "茯苓", "木香", "锁阳", "熟地黄", "酒萸肉", "山药", "醋龟甲", "仙茅", "鹿角霜", "炙淫羊藿", "盐胡芦巴", "酒苁蓉", "党参片", "砂仁", "酒黄精", "韭菜子", "麸炒枳壳", "炙甘草", "炒酸枣仁"], "prev_gap": 28, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65086, "pid": "P5ec5e9d6a943", "date": "2026-07-29", "sex": "男", "age": 41, "cc": "体检发现前列腺增大", "hpi": "体检发现前列腺增大 尿等待 尿频 大便正常 纳眠可 腰痛乏力 下肢水肿 可自行消退", "wm_dx": ["尿频", "下肢水肿", "慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾阳虚证", "温补肾阳"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "羌活", "覆盆子", "太子参", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "猪苓"], "prev_gap": 19, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65087, "pid": "P9f5380d96e73", "date": "2026-07-29", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛改善 伴有阳痿早泄 时间2-3分钟 晨勃少，排尿正常，夜尿正常，大便正常 胃部不适感， 眠安 口干，夜尿多", "wm_dx": ["慢性前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["北柴胡", "法半夏", "姜厚朴", "紫苏叶", "百合", "地黄", "茯苓", "葛根", "射干", "黄芩片", "丹参", "酒萸肉", "鸡血藤", "石菖蒲", "盐蒺藜", "蜈蚣", "龙骨"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "郁金", "白芍", "地黄", "赤小豆", "白花蛇舌草", "石菖蒲", "盐蒺藜", "丹参", "蜈蚣", "鸡血藤", "煅龙骨", "煅牡蛎", "炙甘草", "连翘"], "prev_gap": 15, "visit_ix": 10, "n_visits": 11, "visit_ix_rx": 10, "n_rx": 11} {"rid": 65091, "pid": "Pd829a2dd68cc", "date": "2026-07-29", "sex": "男", "age": 30, "cc": "尿频一年", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，纳可，口和，无怕冷，北大检查DFI32，前行23，畸形高，口服维生锌，生精片4月", "wm_dx": ["尿频", "前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "知母", "盐关黄柏", "牡丹皮", "酒女贞子", "枸杞子", "菟丝子", "桑螵蛸", "醋龟甲", "牡蛎", "赤小豆", "红景天", "丹参", "酒萸肉", "山药", "白花蛇舌草", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65092, "pid": "P10068b6c8842", "date": "2026-07-29", "sex": "男", "age": 75, "cc": "腰痛复诊", "hpi": "腰痛复诊，硬度下降，性欲可，乏力，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "茯苓", "酒苁蓉", "麸炒苍术", "制巴戟天", "土茯苓", "北败酱草", "盐车前子", "酒黄精", "大血藤", "赤小豆", "麸炒薏苡仁", "泽泻", "黄连片", "天麻"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "麸炒苍术", "制巴戟天", "土茯苓", "北败酱草", "菟丝子", "酒黄精", "鸡血藤", "赤小豆", "麸炒薏苡仁", "泽泻"], "prev_gap": 7, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65094, "pid": "P7c02a4214e96", "date": "2026-07-29", "sex": "男", "age": 29, "cc": "乏力1-2年", "hpi": "乏力，晨勃正常，硬度可，不规律同房，时间短不足1分钟，排尿正常，大便正常，睡眠4-5点起夜一次，纳可，口和，无腰痛", "wm_dx": ["乏力", "焦虑状态"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "葛根", "龙骨", "牡蛎", "生石膏", "炙甘草", "紫石英", "赤石脂", "石菖蒲", "盐蒺藜", "锁阳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65095, "pid": "P3eb0486b5212", "date": "2026-07-29", "sex": "男", "age": 27, "cc": "腰痛抄方", "hpi": "腰痛抄方 伴有多汗 阴囊潮湿 纳可 失眠 盗汗", "wm_dx": ["失眠"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["黄芪", "太子参", "茯苓", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "升麻", "川芎", "醋香附", "煅阳起石", "制巴戟天", "麸炒枳壳", "盐蒺藜", "白芍", "炙淫羊藿", "茯苓", "煅牡蛎", "鹿角霜"], "prev_gap": 218, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 65101, "pid": "P7f15fa4262ea", "date": "2026-07-29", "sex": "男", "age": 32, "cc": "尿频1年", "hpi": "尿频，尿有泡沫夜尿正常，硬度不佳，中途疲软，时有不能插入，晨勃少，大便正常，怕冷，睡眠熬夜，纳一般，口干口苦，复诊：夜间燥热", "wm_dx": ["男性性腺功能低下", "包皮龟头炎", "股癣", "周围神经病性震颤"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "醋五灵脂", "茯苓", "泽泻", "猪苓", "干姜", "炙淫羊藿", "盐胡芦巴", "鹿角霜", "蜈蚣", "黑顺片", "龙骨", "麸炒白术"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "黄芩片", "煅龙骨", "煅牡蛎", "生姜", "大枣", "当归", "川芎", "白芍", "茯苓", "泽泻", "炙黄芪", "麸炒白术", "黑顺片", "生石膏", "丹参"], "prev_gap": 21, "visit_ix": 8, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 6} {"rid": 65103, "pid": "Pa5f04e7b0abe", "date": "2026-07-29", "sex": "男", "age": 46, "cc": "腰痛复诊抄方", "hpi": "腰痛 勃起硬度欠佳改善明显，性欲可，口中和，夜寐可，胁肋疼痛，大小便正常，晨勃可 高尿酸血症 痛风 高血压取药", "wm_dx": ["高尿酸血症", "痛风", "原发性高血压"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "川牛膝"], "flags": [], "prev_rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "川牛膝"], "prev_gap": 21, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 6, "n_rx": 9} {"rid": 65104, "pid": "P1b93b597ce51", "date": "2026-07-29", "sex": "男", "age": 34, "cc": "乏力半年", "hpi": "乏力,性欲不强,硬度一般,熬夜,排尿正常,便秘,口服药物正常,浅睡眠,纳可,吃生冷不适感,无腰痛,口和，复诊：症状无缓解", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "郁金", "牛膝", "蜈蚣", "百合", "地黄", "炒栀子", "淡豆豉", "菟丝子", "柏子仁", "枸杞子"], "flags": [], "prev_rx": ["当归", "川芎", "白芍", "茯苓", "泽泻", "熟地黄", "山药", "酒萸肉", "炙淫羊藿", "仙茅", "石菖蒲", "郁金", "制远志", "蜈蚣", "盐胡芦巴"], "prev_gap": 8, "visit_ix": 1, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 5} {"rid": 65109, "pid": "P07100e3a5d46", "date": "2026-07-29", "sex": "男", "age": 36, "cc": "腰痛4月", "hpi": "腰痛4月 小便正常，大便不成形3次， 纳可， 眠略安，偶有口苦 腰痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "党参片", "法半夏", "生姜", "大枣", "浙贝母", "桑螵蛸", "醋龟甲", "牡蛎", "红景天", "菟丝子", "枸杞子", "醋五味子", "赤小豆"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "菟丝子", "韭菜子", "沙苑子", "覆盆子", "枸杞子", "石菖蒲", "制远志", "党参", "炙黄芪", "茯苓", "山药", "盐补骨脂", "酒黄精", "醋五味子", "石斛", "炙甘草", "制巴戟天", "仙茅", "炙淫羊藿"], "prev_gap": 137, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65117, "pid": "P7911a5d5be97", "date": "2026-07-29", "sex": "男", "age": 57, "cc": "腰痛伴小腹胀疼痛1周", "hpi": "1周前出现腰痛伴小腹胀疼痛，尿疼，无分泌物，下肢内侧疼痛不适，夜尿1-2次。症状反复。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草"], "flags": [], "prev_rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草", "肉桂", "川牛膝", "牛膝", "盐小茴香", "桂枝"], "prev_gap": 15, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65121, "pid": "P9ae882b7d42d", "date": "2026-07-30", "sex": "男", "age": 67, "cc": "前列腺增生复诊取药", "hpi": "排尿不畅 尿不尽 尿等待 大便2-3天一次 纳可 眠安。口和。现夜尿急，时有遗尿，无尿痛，无腹痛，腰疼，现夜尿3-4次，无尿痛，无腹痛，腰痛，便秘 尿频", "wm_dx": ["慢性前列腺炎", "前列腺增生", "腰痛", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65126, "pid": "Peb8de3ec4b30", "date": "2026-07-30", "sex": "男", "age": 56, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿线细，尿等待，夜尿1-3次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，性欲可，硬度下降，腰痛，阴囊不适疼痛", "wm_dx": ["腰痛", "前列腺增生", "附睾炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "橘络", "鸡血藤", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65127, "pid": "Pfe2242ca2961", "date": "2026-07-30", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲强，乏力，工作焦虑，二便调，失眠，无排尿不畅、尿后余沥，口干，盗汗，久坐，胁痛", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["胁痛", "肝郁血瘀证", "疏肝化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["失眠", "心肾不交证", "交通心肾"]], "rx": ["猪苓", "太子参", "炒酸枣仁", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65131, "pid": "Pf89372e44cd2", "date": "2026-07-30", "sex": "男", "age": 69, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], 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"盐益智仁", "诃子肉", "酒黄精", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65150, "pid": "P68c320cb00bf", "date": "2026-07-30", "sex": "男", "age": 58, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳可 眠安 尿频", "wm_dx": ["包皮龟头炎", "尿频", "前列腺炎"], "tcm_dx": [["龟头炎", "湿热", "清热利湿"], ["湿疮", "湿热毒证", "清热解毒"], ["湿疮", "下焦湿热证", "清热利湿"], ["精浊", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "陈皮", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65152, "pid": "P8c9f9e86c673", "date": "2026-07-31", "sex": "男", "age": 43, "cc": "尿频2年", "hpi": "尿频，晨勃少，硬度一般 ，时间短，尿不尽，夜尿正常，阴囊潮湿，无腹痛，无腰疼，大便时干时稀，睡眠正常，纳可，口干，手脚发凉，怕冷，乏力,复诊：阴囊潮湿，乏力好转，晨勃有，尿不尽，时间短", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "桂枝", "小通草", "赤小豆", "百合", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "燀桃仁", "红花", "炙淫羊藿", "酒萸肉", "丝瓜络", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "桂枝", "小通草", "赤小豆", "百合", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "燀桃仁", "红花", "炙淫羊藿", "酒萸肉", "丝瓜络", "炙甘草"], "prev_gap": 12, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 6, "n_rx": 8} {"rid": 65156, "pid": "P4e2fddcb8e4b", "date": "2026-07-31", "sex": "男", "age": 28, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 盗汗 下肢水肿可自行消退 尿频 大便正常 纳可 失眠", "wm_dx": ["盗汗", "失眠", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["太子参", "炒酸枣仁", "丹参", "猪苓", "知母", "黄芪", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65157, "pid": "P4dde430136ff", "date": "2026-07-31", "sex": "男", "age": 35, "cc": "尿频一年", "hpi": "尿频，女方宫外孕4次，同房射精正常，不吸烟饮酒，工作正常，大便不成形，睡眠可，纳可，口和，腰痛", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "酒萸肉", "麸炒山药", "茯苓", "泽泻", "牡丹皮", "生石膏", "麸炒白术", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "桑螵蛸", "牡蛎", "红景天", "赤小豆"], "flags": [], "prev_rx": 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"prev_rx": ["酒萸肉", "制巴戟天", "太子参", "知母", "炒酸枣仁"], "prev_gap": 119, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 65205, "pid": "P386360b58aae", "date": "2026-08-01", "sex": "男", "age": 36, "cc": "腰痛乏力伴勃起中途疲软2月", "hpi": "2月前出现腰痛乏力伴勃起中途疲软，长期倒班，夜班频繁，手心潮热汗出，盗汗。6.13复诊，近2周同房2次，可同房，中途稍软，手心汗出好转，腰痛乏力，下肢轻度水肿。7.4复诊：近2周同房2次，可同房，口中和，中途软明显好转。", "wm_dx": ["尿频", "盗汗", "腰痛", "水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "黄芪", "川芎", "人参", "酒黄精", "锁阳", "制巴戟天"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "炙甘草", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "锁阳", "沙苑子", "韭菜子", "黄芪", "人参", "党参", "茯苓", "麸炒薏苡仁", "麸炒白术", "制巴戟天", "甜叶菊叶"], "prev_gap": 21, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65208, "pid": "P63110b849195", "date": "2026-08-01", "sex": "男", "age": 49, "cc": "尿骤热感3天", "hpi": "尿痛，尿骤热感，动则汗出，大便不成型，睡眠多梦，纳可，口苦", "wm_dx": ["尿痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["广金钱草", "醋鸡内金", "滑石", "北柴胡", "黄芩片", "海金沙", "猪苓", "茯苓", "牛膝", "党参片", "路路通", "大黄", "淡竹叶", "赤小豆"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65210, "pid": "P5e7173360731", "date": "2026-08-01", "sex": "男", "age": 30, "cc": "睡眠差1年", "hpi": "睡眠差，中途醒，白天乏力感，燥热感，尿黄，有泡沫，大便大部分偏干，口干，纳可，复诊鼻子热气", "wm_dx": ["尿频", "血尿"], "tcm_dx": [["精浊", "阳虚水泛证", "温阳利水"]], "rx": ["泽泻", "茯苓", "猪苓", "滑石", "阿胶珠", "川芎", "当归", "桂枝", "法半夏", "黄芩片", "煅龙骨", "煅牡蛎", "麸炒白术", "炒酸枣仁", "炒栀子", "生石膏"], "flags": [], "prev_rx": ["泽泻", "茯苓", "猪苓", "滑石", "阿胶珠", "川芎", "当归", "桂枝", "法半夏", "黄芩片", "煅龙骨", "煅牡蛎", "麸炒白术", "炒酸枣仁", "炒栀子", "生石膏"], "prev_gap": 14, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 7} {"rid": 65216, "pid": "Pacb9a530e2b7", "date": "2026-08-01", "sex": "男", "age": 35, "cc": "发现弱精1月", "hpi": "1月前发现弱精，近期备孕，盗汗", "wm_dx": ["男方弱精症"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "覆盆子", "枸杞子", "盐车前子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 65219, "pid": "Pf3e482ee8ead", "date": "2026-08-01", "sex": "男", "age": 30, "cc": "右侧附睾炎半月", "hpi": "右侧附睾炎，外院住院一周，现任睾丸不适感，大便干，昨日手艺时出现血精，大便后仍有血丝流出，无腹痛，无腰疼，尿道刺痛感。口干。", "wm_dx": ["泌尿系感染", "血精"], "tcm_dx": [["血精", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "大黄", "麸炒枳实", "黄芩片", "法半夏", "白芍", "大枣", "伸筋草", "生姜", "血余炭", "蒲黄炭", "小蓟炭", "赤小豆", "燀桃仁", "红花", "火麻仁", "滑石"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65221, "pid": "P0943f9cc6ece", "date": "2026-08-01", "sex": "男", "age": 29, "cc": "阴茎淋巴管炎复诊", "hpi": "1天前发现阴茎肿物，无触痛，小腹胀痛，排尿可。8.1复诊：淋巴管肿大明显好转，触诊管径偏硬", "wm_dx": ["淋巴管炎", "腹痛"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["荔枝核", "灵芝", "车前草", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "丹参", "路路通", "炒王不留行", "夏枯草", "肉桂", "盐小茴香", "野菊花", "北柴胡", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍"], "flags": [], "prev_rx": ["荔枝核", "灵芝", "车前草", "醋三棱", "醋莪术", "鸡血藤", "泽兰", "丹参", "路路通", "炒王不留行", "夏枯草", "肉桂", "盐小茴香", "野菊花", "北柴胡", "郁金", "醋青皮", "红花", "当归", "赤芍", "法半夏", "白芍"], "prev_gap": 20, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65224, "pid": "Pf8ee518d718d", "date": "2026-08-01", "sex": "男", "age": 45, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，勃起欠佳，中途疲软，性欲减退，晨起口苦，盗汗，长期熬夜，尿频，下肢轻度水肿。6.27复诊：近2周同房一次，同房10分钟换姿势会中途疲软，晨勃1次，多汗，阴囊潮湿，盗汗，大便2次，不成型，", "wm_dx": ["尿频", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["法半夏", "黄连", "黄芩", "干姜", "大枣", "人参", "麸炒薏苡仁", "赤小豆", "茵陈", "炒苦杏仁", "淡竹叶", "牛膝", "石菖蒲", "北柴胡", "麸炒枳实", "白芍"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "制巴戟天", "锁阳", "人参", "醋五味子", "麸炒苍术", "盐黄柏", "麸炒薏苡仁", "牛膝"], "prev_gap": 35, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65226, "pid": "P01916a979925", "date": "2026-08-01", "sex": "男", "age": 36, "cc": "阴囊不适疼痛复诊", "hpi": "阴囊不适疼改善 无明显排尿不畅，无体温升高，工作久坐，口干，盗汗腰痛乏力", "wm_dx": ["盗汗", "腹痛", "精索静脉曲张", "慢性前列腺炎", "精囊炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["盗汗", "肾虚证", "滋补肾阴"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["熟地黄", "酒萸肉", "泽泻", "茯苓", "覆盆子", "枸杞子", "盐车前子", "菟丝子", "醋五味子", "酒黄精", "制巴戟天", "盐胡芦巴", "仙茅", "蛇床子", "韭菜子", "杜仲", "麸炒枳壳", "天麻", "太子参", "黄芪", "麸炒苍术", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65228, "pid": "P2350ee3316b0", "date": "2026-08-01", "sex": "男", "age": 27, "cc": "腰痛乏力伴小腹不适3年", "hpi": "3年前出现腰痛乏力伴小腹不适，尿频尿急，近期备孕。7.25复诊：小腹胀痛好转，尿频尿急好转。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["丹参", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "麸炒苍术", "酒女贞子", "酒黄精", "土茯苓", "当归", "覆盆子", "菟丝子", "地龙", "黄柏", "北柴胡", "白芍", "炒栀子"], "flags": [], "prev_rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "麸炒苍术", "酒女贞子", "酒黄精", "土茯苓", "当归", "覆盆子", "菟丝子", "地龙", "黄柏", "北柴胡", "白芍", "炒栀子"], "prev_gap": 7, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 65230, "pid": "P32eccbb48e94", "date": "2026-08-01", "sex": "男", "age": 35, "cc": "腰痛乏力6月", "hpi": "6月前出现腰痛乏力，近期备孕，尿频，下肢水肿", "wm_dx": ["腰痛", "水肿", "尿频"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "制巴戟天", "锁阳", "黄芪", "川芎", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65232, "pid": "P7e488dbdb4ae", "date": "2026-08-01", "sex": "男", "age": 34, "cc": "乏力2月", "hpi": "乏力，晨勃正常，手艺正常，同房时不行（刚有2-3次性经历），排尿正常，大便正常，口和", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "牡丹皮", "茯苓", "泽泻", "牛膝", "石菖蒲", "制远志", "郁金", "蜈蚣", "柏子仁", "丹参", "鸡血藤", "炙淫羊藿", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65233, "pid": "Pcbd0385ce5e2", "date": "2026-08-01", "sex": "男", "age": 26, "cc": "久坐睾丸疼痛一月余", "hpi": "久坐睾丸疼痛一月余 尿频 大便正常 纳可 阴囊潮湿 盗汗 失眠", "wm_dx": ["静脉曲张", "慢性前列腺炎", "盗汗", "腹痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "丹参", "知母", "太子参", "三七粉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65245, "pid": "P15631c90dc58", "date": "2026-08-01", "sex": "男", "age": 36, "cc": "尿混浊尿痛3月", "hpi": "3月前出现尿混浊，尿痛，阴囊潮湿，", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "麸炒苍术", "麸炒薏苡仁", "牛膝", "黄芪", "红曲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 65248, "pid": "P524b3ddec43d", "date": "2026-08-01", "sex": "男", "age": 37, "cc": "尿频1.5月", "hpi": "尿频，夜尿正常，大便不成形2次，睡眠熬夜，早醒，纳可，突发无晨勃，硬度下降，时间短2-3分钟，口和，无腰痛，无怕冷，复诊：硬度可，有同房，时间短，大便稀，复诊：大便2-3次，5分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["黄芩片", "白芍", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "党参片", "干姜", "大枣", "盐关黄柏", "秦皮", "桂枝", "瓜蒌", "蜈蚣", "龙骨", "薏苡仁", "牡蛎", "地黄"], "flags": [], "prev_rx": ["薏苡仁", "麸炒苍术", "盐关黄柏", "牛膝", "牡丹皮", "地黄", "北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "煅龙骨", "炙甘草", "蜈蚣", "丹参", "鸡血藤"], "prev_gap": 17, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65249, "pid": "P406c72d3a1bd", "date": "2026-08-01", "sex": "男", "age": 57, "cc": "排尿不畅尿频夜尿多2年", "hpi": "2年前出现排尿不畅尿频夜尿多，无小腹胀痛，口中和，夜寐可", "wm_dx": ["前列腺增生", "角膜炎", "咽痛", "腰痛"], "tcm_dx": [["感冒", "风热证", "疏风清热"], ["喉痹", "肺热证", "清热法"], ["精癃", "肝郁肾虚证", "疏肝理气"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "茯苓", "醋五味子", "制远志", "龙骨", "牡蛎", "醋鸡内金", "五倍子", "桑螵蛸", "金樱子肉", "麸炒芡实", "绵萆薢", "莲须", "覆盆子", "党参片", "关黄柏", "锁阳", "沙苑子", "知母", "柏子仁", "甘草片", "酒黄精"], "flags": [], "prev_rx": ["北柴胡", "白芍", "麸炒枳实", "茯苓", "醋五味子", "制远志", "龙骨", "牡蛎", "醋鸡内金", "五倍子", "桑螵蛸", "金樱子肉", "麸炒芡实", "绵萆薢", "莲须", "覆盆子", "党参片", "关黄柏", "锁阳", "沙苑子", "知母", "柏子仁", "甘草片", "酒黄精"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 65250, "pid": "P505783d3c8dd", "date": "2026-08-01", "sex": "男", "age": 37, "cc": "腰痛乏力阴囊潮湿3月", "hpi": "3月前出现腰痛乏力，阴囊潮湿，易困倦，周身无力，大小便正常 纳可 眠安，长期饮酒，饮冰冷水，长期熬夜，", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["失眠", "肾虚证", "补肾扶元"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "麸炒苍术", "麸炒薏苡仁", "牛膝", "党参", "麸炒白术", "黄芪"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65254, "pid": "P39ba9883ddf3", "date": "2026-08-01", "sex": "男", "age": 30, "cc": "腰痛乏力盗汗一月余", "hpi": "腰痛乏力盗汗一月余 勃起不佳 勃起不持久 大小便正常 纳眠可 下肢水肿可自行消退", "wm_dx": ["盗汗", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "太子参", "覆盆子", "猪苓", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65257, "pid": "P61f79b1b17fc", "date": "2026-08-01", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "石菖蒲", "郁金", "百合", "地黄", "枸杞子", "菟丝子", "覆盆子", "盐车前子", "葛根", "桑螵蛸", "醋龟甲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "党参片", "盐车前子", "红景天", "醋五味子", "牡蛎", "鹿角镑", "沙苑子", "石菖蒲", "白术", "独活", "桔梗", "北沙参", "川牛膝", "白芍", "炙甘草", "制水蛭", "炒酸枣仁", "酒黄精"], "prev_gap": 6, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 4} {"rid": 65258, "pid": "P21fdd24759c6", "date": "2026-08-01", "sex": "男", "age": 30, "cc": "精液色黄1月", "hpi": "1月前发现精液液化不好色黄，久坐，尿分叉，自觉龟头敏感，射精快。3.21复诊：射精色黄好转，长期熬夜，失眠，腰痛乏力", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["大枣", "茯苓", "猪苓", "龙眼肉", "桑椹", "酒黄精", "黄芪", "枸杞子", "山慈菇"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "炙甘草", "北柴胡", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "马齿苋", "酒大黄", "金樱子", "醋五味子", "菟丝子", "地龙", "炒酸枣仁", "柏子仁"], "prev_gap": 77, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 5, "n_rx": 6} {"rid": 65259, "pid": "P43116341131a", "date": "2026-08-01", "sex": "男", "age": 36, "cc": "尿频2周", "hpi": "尿频2周，尿分叉，晨起乏力，大便不成型，纳可，喜吃生冷，睡眠熬夜多梦，口气", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "茯苓", "牡丹皮", "石菖蒲", "郁金", "制远志", "丹参", "鸡血藤", "盐蒺藜", "生姜", "大枣", "龙骨", "牡蛎", "蜈蚣", "党参片", "滑石"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "茯苓", "牡丹皮", "石菖蒲", "郁金", "制远志", "丹参", "鸡血藤", "盐蒺藜", "生姜", "大枣", "龙骨", "牡蛎", "蜈蚣"], "prev_gap": 14, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65260, "pid": "Pee0a0bbdc894", "date": "2026-08-01", "sex": "男", "age": 55, "cc": "肝脏肿物伴腹水抄方", "hpi": "肝脏肿物伴腹水抄方，胁肋疼痛，口干口苦，腹痛", "wm_dx": ["肝硬化"], "tcm_dx": [["腹痛", "肝气郁结证", "疏肝散结"]], "rx": ["川楝子", "麦冬", "当归", "地黄", "北沙参", "醋五味子", "党参片", "姜厚朴", "法半夏", "麸炒白术", "麸炒苍术", "茯苓", "泽泻", "桂枝", "白芍", "龙骨", "牡蛎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黑顺片", "肉桂", "熟地黄", "山药", "酒萸肉", "茯苓", "泽泻", "牡丹皮", "川牛膝", "丹参", "燀桃仁", "干益母草", "白术", "党参片", "黄芪", "防己", "麦冬", "醋五味子", "细辛", "麻黄"], "prev_gap": 4, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65261, "pid": "P9c11c6d6a708", "date": "2026-08-01", "sex": "男", "age": 25, "cc": "乏力2年", "hpi": "乏力，同房次数少，时间1分钟，晨勃少，排尿正常，大便粘，阴囊潮湿，睡眠一般，口和", "wm_dx": ["乏力"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["酒苁蓉", "锁阳", "菟丝子", "熟地黄", "牡丹皮", "酒萸肉", "炒酸枣仁", "制远志", "金樱子肉", "莲须", "盐蒺藜", "醋五味子", "党参片", "山药", "茯苓", "炙甘草", "煅龙骨", "盐益智仁", "炒栀子", "酒黄精", "煅牡蛎"], "flags": [], "prev_rx": ["当归", "连翘", "赤小豆", "白花蛇舌草", "浙贝母", "血余炭", "苦参", "麸炒冬瓜子", "地黄", "百合", "制水蛭", "龙骨", "牡蛎", "酒黄精"], "prev_gap": 18, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65265, "pid": "Paa3a265c8c00", "date": "2026-08-01", "sex": "男", "age": 33, "cc": "阴囊潮湿半年余", "hpi": "阴囊潮湿半年余 大便正常 尿不尽 纳可 眠安 盗汗 腰痛，工作久坐，长期熬夜，眩晕，下肢轻度水肿", "wm_dx": ["眩晕", "水肿", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["眩晕", "肝气郁结证", "疏肝散结"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "地榆", "醋五味子", "白花蛇舌草", "连翘", "金银花", "蒲公英", "地肤子", "黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["蛇床子", "地榆", "醋五味子", "白花蛇舌草", "连翘", "金银花", "蒲公英", "地肤子", "黄柏"], "prev_gap": 20, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65266, "pid": "P8f32af38fb6c", "date": "2026-08-01", "sex": "男", "age": 34, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，周身乏力，疲乏无力，上身发沉，活动后好转，夜寐差，易醒，射精快，晨起起夜，舌头口疮，腹胀，勃起硬度欠佳，中途疲软，久坐，盗汗。", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["莲子", "醋五味子", "菟丝子", "盐蒺藜", "麸炒芡实", "莲须", "煅龙骨", "煅牡蛎", "盐补骨脂", "酒萸肉", "黄连片", "肉桂", "关黄柏", "知母", "酒苁蓉", "金樱子肉", "盐杜仲", "续断片", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65268, "pid": "P5b24a8ab10fd", "date": "2026-08-01", "sex": "男", "age": 39, "cc": "尿线细，腰痛复诊", "hpi": "尿频，尿线细改善，夜尿1-2次，腰酸，汗多，乏力，恶热，口干不欲饮，小腿酸，纳可，大便日1-2次，眠可，性生活1次/周，勃起不坚。腹胀，偶有尿急。腰痛乏力 下肢水肿 可自行消退", "wm_dx": ["下肢水肿", "慢性前列腺炎", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "野菊花", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草", "路路通", "炒王不留行", "夏枯草", "盐橘核"], "flags": [], "prev_rx": ["制巴戟天", "菟丝子", "覆盆子", "枸杞子", "太子参"], "prev_gap": 33, "visit_ix": 24, "n_visits": 26, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65270, "pid": "P7076d32d2219", "date": "2026-08-01", "sex": "男", "age": 41, "cc": "腰痛乏力伴勃起不坚2年", "hpi": "2年前出现腰痛乏力勃起不坚，外院予他达拉非5mg qd现口服药物效果欠佳，口干口苦，夜寐可，性欲差，偶有晨勃，胁肋疼痛。6.6复诊：近2周偶有晨勃，同房1次硬度可，中途疲软，性欲欠佳。6.27复诊：未同房，偶有口干。7.11复诊：夜勃出现，未同房。", "wm_dx": ["腰痛", "男性性腺功能低下", "尿频", "水肿"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "酒白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "川芎", "制巴戟天", "锁阳", "韭菜子", "黄芪", "全蝎"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "酒白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "人参", "醋香附", "川芎", "制巴戟天", "锁阳", "韭菜子", "黄芪", "三七粉"], "prev_gap": 21, "visit_ix": 9, "n_visits": 12, "visit_ix_rx": 5, "n_rx": 7} {"rid": 65272, "pid": "Peb6af865a180", "date": "2026-08-01", "sex": "男", "age": 35, "cc": "包皮龟头红疹1周", "hpi": "右侧睾丸疼痛 大小便正常 纳可 眠安 盗汗 少腹隐痛，龟头红疹，自觉龟头敏感度高", "wm_dx": ["慢性前列腺炎", "包皮龟头炎"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "五加皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65276, "pid": "Pe2730ec47848", "date": "2026-08-02", "sex": "男", "age": 54, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，晨勃消失，性欲减退，口中和，长期熬夜。3.8复诊：偶有晨勃，无同房，3.21复诊：服药后晨勃每日有，排气多，无同房，性欲稍有恢复。4.4复诊：晨勃可，勃起硬度欠佳，可同房，近2周同房2次。4.18复诊：服药无不适，近2周1次同房，硬度欠佳，中途疲软，夜勃增加。5.9复诊：近2周同房1次，硬度欠佳，晨勃恢复。6.20复诊：晨勃可，近2周未同房，睡眠可。7.4日复诊：近2周同房2次，可同房，中途有疲软。7.18复诊：勃起次数提高，坚持时间差，硬度稍差。8.2复诊：近2周晨勃可，未同房，排气好转。", "wm_dx": ["男性性腺功能低下", "糖尿病", "水肿", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["精浊", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "炙甘草", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "人参", "锁阳", "酒萸肉", "熟地黄", "烫水蛭", "黄芪", "制巴戟天", "韭菜子", "甜叶菊叶"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "菟丝子", "炙甘草", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "人参", "锁阳", "酒萸肉", "熟地黄", "烫水蛭", "黄芪", "制巴戟天", "韭菜子", "甜叶菊叶"], "prev_gap": 15, "visit_ix": 18, "n_visits": 20, "visit_ix_rx": 10, "n_rx": 12} {"rid": 65281, "pid": "P7d4eae8aa829", "date": "2026-08-02", "sex": "男", "age": 30, "cc": "腰痛乏力6月", "hpi": "6月前出现腰痛乏力，背痛，口中和，二便调，盗汗。", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "枸杞子", "盐车前子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65282, "pid": "P543420ad3298", "date": "2026-08-02", "sex": "男", "age": 37, "cc": "腰痛 盗汗取药", "hpi": "腰痛2月，尿频，咳嗽，乏力，熬夜 盗汗 失眠 熬夜多，近期备孕，女方流产1次", "wm_dx": ["腰痛", "盗汗", "失眠"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "泽兰", "黄连片", "覆盆子", "枸杞子", "盐车前子"], "flags": [], "prev_rx": ["制巴戟天", "炒酸枣仁", "知母", "桑椹", "枸杞子", "麸炒山药"], "prev_gap": 309, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 3} {"rid": 65283, "pid": "P83ed4b8faf8e", "date": "2026-08-02", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "复诊，眠差、口苦、便1-2次。工作劳累，盗汗，性欲低，乏力。下肢水肿可自行消退。硬度改善。", "wm_dx": ["腰痛", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾益精"]], "rx": ["北柴胡", "酒黄芩", "生石膏", "炙甘草", "木香", "熟地黄", "酒萸肉", "党参片", "姜半夏", "酒白芍", "麸炒枳实", "炙淫羊藿", "酒苁蓉", "韭菜子", "制水蛭", "知母", "黑芝麻", "酒女贞子", "覆盆子", "炒酸枣仁", "酒黄精"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "生石膏", "炙甘草", "木香", "熟地黄", "酒萸肉", "党参片", "姜半夏", "酒白芍", "麸炒枳实", "炙淫羊藿", "酒苁蓉", "韭菜子", "制水蛭", "知母", "黑芝麻", "酒女贞子", "覆盆子", "炒酸枣仁", "酒黄精"], "prev_gap": 7, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 8, "n_rx": 10} {"rid": 65284, "pid": "P0b89c9f39f25", "date": "2026-08-02", "sex": "男", "age": 38, "cc": "腰痛乏力1周", "hpi": "1周前出现腰痛乏力，长期熬夜，久坐，偶有憋尿，口中和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花", "蒲公英", "甜叶菊叶"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65288, "pid": "Paf0c036ab1cd", "date": "2026-08-02", "sex": "男", "age": 58, "cc": "体检发现前列腺增生3年", "hpi": "3年前体检发现前列腺增生，尿细，尿频，无小腹胀痛，口苦口干，无头晕头痛，", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "昆布", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "小通草", "麸炒冬瓜子", "苦参", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "麸炒芡实"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65292, "pid": "Pa016e8aa0618", "date": "2026-08-02", "sex": "男", "age": 27, "cc": "左侧精索静脉曲张术后复诊", "hpi": "外院醒左侧精索静脉曲张手术后（2026.2.14），现拆线后，仍有睾丸不适感，复查精索静脉。8.2复诊:疼痛明显好转，偶有睾丸不适", "wm_dx": ["腹股沟淋巴结炎", "精索静脉曲张", "静脉曲张", "腹痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "白芷", "地龙", "路路通", "炒王不留行", "盐橘核", "黄芪"], "flags": [], "prev_rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "白芷", "地龙", "路路通", "炒王不留行", "盐橘核", "黄芪"], "prev_gap": 21, "visit_ix": 26, "n_visits": 28, "visit_ix_rx": 19, "n_rx": 21} {"rid": 65299, "pid": "Pa5eda303e6af", "date": "2026-08-02", "sex": "男", "age": 38, "cc": "乏力气短腰痛一月", "hpi": "大便稀 气短 乏力 疲劳 纳差 小便正常 失眠，夜尿多，3-4次/日，口苦", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参片", "炙黄芪", "山药", "白术", "茯苓", "麸炒薏苡仁", "麸炒枳壳", "盐补骨脂", "酒黄精", "砂仁", "干姜", "陈皮", "木香", "炒酸枣仁", "酒苁蓉", "制巴戟天", "仙茅", "锁阳", "菟丝子", "天麻", "地龙", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65308, "pid": "P21e785a8a5f6", "date": "2026-08-02", "sex": "男", "age": 24, "cc": "汗出多2周", "hpi": "2周前出现汗多，腰背痛，间断腹泻，口干口苦，夜尿1-2次，夜寐差，头晕，长期熬夜，", "wm_dx": ["多汗症"], "tcm_dx": [["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "黄芪", "防风", "荆芥", "金银花", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65310, "pid": "P68834639139f", "date": "2026-08-02", "sex": "男", "age": 37, "cc": "尿急一月", "hpi": "尿急一月 尿无力，口苦口干，大便粘，喝冷水，阴囊潮湿，多梦，怕热 腰痛 晨勃少 乏力，饮酒，长期熬夜。", "wm_dx": ["腰痛", "盗汗", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "金樱子", "韭菜子", "制巴戟天", "白芍"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["太子参", "制巴戟天", "猪苓", "山慈菇"], "prev_gap": 274, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65322, "pid": "Pe938081df31a", "date": "2026-08-03", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰改善 乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗 下肢水肿可自行消退", "wm_dx": ["盗汗", "腰痛", "下肢水肿"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "麸炒白术", "炙淫羊藿", "北柴胡", "酒黄精", "炒酸枣仁"], "flags": [], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "北柴胡", "炒酸枣仁"], "prev_gap": 18, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65323, "pid": "Pb9687a079ba3", "date": "2026-08-03", "sex": "男", "age": 71, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 大便正常 尿频 尿不尽 尿等待改善明显 纳眠可", "wm_dx": ["泌尿系感染", "尿频", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热凉血"]], "rx": ["猪苓", "川贝母", "太子参", "丹参", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "川贝母", "太子参", "酒萸肉", "知母"], "prev_gap": 27, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65324, "pid": "Pe807a6b6619b", "date": "2026-08-03", "sex": "男", "age": 53, "cc": "腰痛乏力复诊", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，无裂口，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和。腰痛乏力。盗汗。 下肢水肿可自行消退", "wm_dx": ["腰痛", "下肢水肿"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "炙淫羊藿", "盐胡芦巴", "仙茅", "蛇床子", "韭菜子", "盐车前子", "土茯苓", "北败酱草", "制水蛭", "地龙", "酒黄精", "石菖蒲", "制远志", "防风", "白芷", "白术", "茯苓", "太子参", "北柴胡", "盐蒺藜", "郁金", "醋青皮", "炙甘草"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "韭菜子", "制巴戟天", "锁阳", "黄芪", "酒黄精", "全蝎", "仙茅"], "prev_gap": 170, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65329, "pid": "Pf42d0cbfcce3", "date": "2026-08-03", "sex": "男", "age": 45, "cc": "腰痛乏力半年", "hpi": "伴有性功能下降 勃起不佳 硬度差 晨勃消失 大小便正常 纳眠可 盗汗 下肢水肿可自行消退 多汗", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "炙淫羊藿", "仙茅", "盐胡芦巴", "太子参", "黄芪", "白术", "防风", "酒黄精", "土茯苓", "北败酱草", "石菖蒲", "制远志", "大血藤", "熟地黄", "酒萸肉", "杜仲", "茯苓", "郁金", "醋青皮", "炙甘草", "麸炒枳壳", "地龙", "制水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 65332, "pid": "P5b1862a8d6ea", "date": "2026-08-03", "sex": "男", "age": 68, "cc": "排尿不畅尿频复诊", "hpi": "排尿不畅尿频复诊，夜尿5-6次，夜寐可 大便正常 纳眠可", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65333, "pid": "Pc0eafbd99989", "date": "2026-08-03", "sex": "男", "age": 60, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频尿急，尿后余沥，夜尿4-5次，伴小腹不适，大便质干，纳可，眠一般，口干，盗汗 腰痛乏力失眠", "wm_dx": ["尿频", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒萸肉", "盐杜仲", "知母", "炒酸枣仁", "太子参", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65337, "pid": "Pd65fdab773a2", "date": "2026-08-03", "sex": "男", "age": 54, "cc": "龟头泛红半月余", "hpi": "龟头泛红半月余 无瘙痒疼痛 大小便正常 纳眠可", "wm_dx": ["龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "百部", "白芷", "防风", "白矾", "白花蛇舌草", "蒲公英", "金银花", "土茯苓", "北败酱草", "地龙", "蜈蚣", "制水蛭", "大黄", "当归", "蛇床子", "地肤子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 3} {"rid": 65338, "pid": "P9bb1545a1b5b", "date": "2026-08-03", "sex": "男", "age": 47, "cc": "复诊", "hpi": "乏力，性欲减退，中途疲软，能射精，无精液，2-3年检查精液为无精， 夜尿2次，近期有便秘，睡眠早醒，纳可，口和，无怕冷。复诊：硬度有恢复，少量精液，仍有便秘", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "地黄", "牡丹皮", "丹参", "燀桃仁", "大黄", "红花", "桂枝", "蜈蚣", "酒萸肉", "山药", "黑顺片", "炒苦杏仁", "牛膝"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "地黄", "牡丹皮", "丹参", "燀桃仁", "红花", "桂枝", "蜈蚣", "制水蛭", "酒萸肉", "山药", "黑顺片", "炒苦杏仁", "大黄"], "prev_gap": 19, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65339, "pid": "Pcf16864a014b", "date": "2026-08-03", "sex": "男", "age": 59, "cc": "腰痛乏力半年", "hpi": "伴有性功能下降2年 阳痿早泄 大小便正常 纳眠可 盗汗 下肢水肿可自行消退", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "酒萸肉", "盐杜仲", "炒酸枣仁", "太子参", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65344, "pid": "P66afc9998856", "date": "2026-08-03", "sex": "男", "age": 24, "cc": "腰痛乏力一月余", "hpi": "腰痛乏力一月余 伴有勃起不佳 中途疲软 大小便正常 纳眠可 晨勃少", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "知母", "酒萸肉", "盐杜仲", "太子参", "猪苓", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65347, "pid": "P221265604dc1", "date": "2026-08-03", "sex": "男", "age": 43, "cc": "复诊", "hpi": "病史同前，服药无不适。没有性生活，口干，失眠易醒，情绪低，汗不多。曾服抗抑郁药，腰痛。", "wm_dx": ["男性性腺功能低下", "腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["男性生殖病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "姜半夏", "盐蒺藜", "九香虫", "炙甘草", "柏子仁", "郁金", "炒栀子"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "姜半夏", "盐蒺藜", "九香虫", "炙甘草", "合欢皮"], "prev_gap": 7, "visit_ix": 7, "n_visits": 9, "visit_ix_rx": 7, "n_rx": 9} {"rid": 65350, "pid": "Pd02e11a81b35", "date": "2026-08-03", "sex": "男", "age": 25, "cc": "复诊", "hpi": "仍有不适感，勃起后明显，尿频，射精快，盗汗。尿频，射精快。腹泻", "wm_dx": ["静脉曲张", "精索静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["盗汗", "肾虚证", "滋补肾阴"], ["筋瘤", "血瘀证", "活血化瘀"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "地龙", "五倍子", "石菖蒲", "烫狗脊", "炙甘草", "醋五味子", "瓜蒌"], "flags": [], "prev_rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "金樱子", "醋五味子", "路路通", "炒王不留行", "乌药", "盐益智仁", "麸炒山药", "人参"], "prev_gap": 116, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65363, "pid": "P5330a9d952a3", "date": "2026-08-03", "sex": "男", "age": 57, "cc": "前列腺增生 腰痛复诊", "hpi": "射精后少腹坠胀，精液有暗黑，尿频尿等待，大便不尽，口干口苦，睡眠差 腰痛 下肢水肿可自行消退取药", "wm_dx": ["前列腺增生", "腰痛", "慢性前列腺炎", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹胀", "中气不足证", "补气升提"], ["精癃", "湿热下注证", "清热祛湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["姜厚朴", "茯苓", "生石膏", "木香", "槟榔", "黄芩片", "党参片", "姜半夏", "北柴胡", "炙甘草"], "flags": [], "prev_rx": ["姜厚朴", "茯苓", "生石膏", "木香", "槟榔", "黄芩片", "党参片", "姜半夏", "北柴胡", "炙甘草"], "prev_gap": 8, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 6, "n_rx": 11} {"rid": 65364, "pid": "P5196bf89518c", "date": "2026-08-03", "sex": "男", "age": 47, "cc": "前列腺增生复诊", "hpi": "乏力，熬夜，失眠，腰痛 尿急 偶见尿痛 大便正常 纳可", "wm_dx": ["腰痛", "前列腺增生", "尿频", "失眠", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["制巴戟天", "太子参", "猪苓", "炒酸枣仁", "丹参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 8, "n_visits": 10, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65366, "pid": "P0604f08af5a2", "date": "2026-08-04", "sex": "男", "age": 68, "cc": "包皮龟头炎复诊", "hpi": "包皮龟头炎改善 大小便正常 纳可 眠安 带状疱疹取药", "wm_dx": ["带状疱疹", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "蛇床子", "地肤子", "白花蛇舌草", "金银花", "蒲公英", "土茯苓", "北败酱草", "地龙", "制水蛭", "大黄", "当归", "蜈蚣", "白芷", "防风", "荆芥"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 3} {"rid": 65368, "pid": "P47ab70f76fc6", "date": "2026-08-04", "sex": "男", "age": 50, "cc": "腰痛复诊", "hpi": "腰痛改善 ，工作可，二便调，纳可，无排尿不畅、尿后余沥，口干，盗汗，乏力失眠，", "wm_dx": ["胃食管反流", "失眠", "盗汗", "感冒", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["失眠", "心血虚证", "补血养心"]], "rx": ["酒萸肉", "知母", "炒酸枣仁", "太子参", "猪苓"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤", "炒酸枣仁", "石菖蒲", "酒黄精", "炙黄芪"], "prev_gap": 86, "visit_ix": 6, "n_visits": 11, "visit_ix_rx": 1, "n_rx": 4} {"rid": 65370, "pid": "Pf56293274911", "date": "2026-08-04", "sex": "男", "age": 39, "cc": "复诊", "hpi": "病史同前，口稍干，有性生活，夜尿3-4，汗不多，无肢冷，便调", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["烫狗脊", "地龙", "九香虫", "瓜蒌", "醋五味子", "生石膏", "麦冬", "姜厚朴", "炙甘草", "乌梅"], "flags": [], "prev_rx": ["烫狗脊", "地龙", "九香虫", "乌梅", "瓜蒌", "醋五味子", "生石膏", "麦冬", "姜厚朴", "炙甘草"], "prev_gap": 8, "visit_ix": 16, "n_visits": 18, "visit_ix_rx": 16, "n_rx": 18} {"rid": 65378, "pid": "Pf9cfe8492014", "date": "2026-08-04", "sex": "男", "age": 36, "cc": "腰痛乏力多年", "hpi": "多年前乏力伴射精快，勃起欠佳1年，性欲减退，晨勃可，尿急，大便正常，睡眠正常，夜寐可，长期熬夜，乏力感，口和，复诊尿有泡沫,色黄，晨勃好，同房时中途疲软", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["虚劳类病", "湿热下注证", "清热利湿"]], "rx": ["麸炒苍术", "麸炒薏苡仁", "盐关黄柏", "牛膝", "法半夏", "茯苓", "炙黄芪", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "当归", "川芎", "蜈蚣", "黄连片", "滑石", "麻黄", "金樱子肉"], "flags": [], "prev_rx": ["麸炒苍术", "麸炒薏苡仁", "盐关黄柏", "牛膝", "法半夏", "茯苓", "炙黄芪", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "当归", "川芎", "蜈蚣", "路路通", "滑石", "麻黄"], "prev_gap": 7, "visit_ix": 5, "n_visits": 9, "visit_ix_rx": 4, "n_rx": 8} {"rid": 65379, "pid": "Pf94131d41a0b", "date": "2026-08-04", "sex": "男", "age": 46, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿后余沥，夜尿2次，无小腹及会阴不适，大便质干，纳可，眠一般，口干乏力，硬度下降,阴囊潮湿", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "连翘", "赤小豆", "浙贝母", "苦参", "血余炭", "麸炒冬瓜子", "蒲黄炭", "滑石", "白花蛇舌草", "制水蛭", "泽泻", "猪苓", "燀桃仁", "麸炒薏苡仁", "炒苦杏仁", "盐关黄柏", "芦根"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "连翘", "赤小豆", "浙贝母", "苦参", "血余炭", "麸炒冬瓜子", "蒲黄炭", "滑石", "白花蛇舌草", "制水蛭", "泽泻", "猪苓", "路路通", "麸炒薏苡仁", "炒苦杏仁", "防己"], "prev_gap": 20, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65381, "pid": "Pd2e6f994df9d", "date": "2026-08-04", "sex": "男", "age": 40, "cc": "尿频1月", "hpi": "尿频1月，尿线细，尿等待，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，腰痛，工作久坐。体检前列腺钙化。服药症状改善，停药后症状反复。", "wm_dx": ["前列腺炎", "盗汗", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "炙甘草", "川牛膝", "土茯苓", "山药", "茯苓", "丹参", "炒王不留行", "白芍", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "酒黄精", "炒酸枣仁", "韭菜子", "黑顺片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "炒酸枣仁", "茯苓", "川牛膝"], "prev_gap": 20, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65384, "pid": "P9ea1eecc48ce", "date": "2026-08-04", "sex": "男", "age": 27, "cc": "失眠半年余", "hpi": "失眠半年余 口干口苦 多汗 大便正常 纳可 尿频 下肢水肿可自行消退 腰痛 腹胀一月余", "wm_dx": ["尿频", "下肢水肿", "腰痛", "腹胀"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["当归", "白芍", "熟地黄", "酒萸肉", "泽泻", "知母", "盐关黄柏", "炒酸枣仁", "丹参", "合欢花", "合欢皮", "桂枝", "龙骨", "北柴胡", "制巴戟天", "仙茅", "炙淫羊藿", "锁阳", "盐胡芦巴", "太子参", "酒黄精", "制远志", "炙甘草", "麸炒枳壳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65388, "pid": "P55d288f53432", "date": "2026-08-04", "sex": "男", "age": 39, "cc": "乏力4年", "hpi": "乏力，近4年未育，2次试管未成功。女方多囊，糖尿病。射精正常，排尿尿不尽，大便可，睡眠差，入睡困难，纳可，口干，无腰痛。", "wm_dx": ["男性不育症"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "赤小豆", "麸炒白术", "猪苓", "泽泻", "醋龟甲", "菟丝子", "覆盆子", "盐车前子", "牛膝", "枸杞子", "牡蛎", "红景天", "鹿角胶"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65391, "pid": "Pf1210dd509a7", "date": "2026-08-04", "sex": "男", "age": 40, "cc": "阴囊潮湿半年", "hpi": "阴囊潮湿半年 乏力腰痛 盗汗 大小便正常 纳可 失眠 下肢水肿可自行消退", "wm_dx": ["下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["熟地黄", "酒萸肉", "知母", "盐关黄柏", "覆盆子", "酒女贞子", "盐杜仲", "牛膝", "炒酸枣仁", "丹参", "合欢皮", "合欢花", "太子参", "山药", "酒黄精", "盐补骨脂", "麸炒枳壳", "麦冬", "猪苓", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 65393, "pid": "Pd555afe22fcb", "date": "2026-08-04", "sex": "男", "age": 40, "cc": "血尿3小时", "hpi": "血尿3小时 尿痛 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "车前草", "盐车前子", "土茯苓", "北败酱草", "丹参", "地龙", "蜈蚣", "太子参", "茯苓", "石菖蒲", "制远志", "炒酸枣仁", "知母", "醋青皮", "郁金", "麸炒枳壳", "合欢花", "合欢皮", "桂枝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65396, "pid": "P545c3589f427", "date": "2026-08-04", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "伴有口苦眼睛干涩，夜间易醒，大便正常，纳可，失眠，怕冷，出汗，尿黄，早醒，乏力感，食管反酸 盗汗 下肢水肿可自行消退", "wm_dx": ["盗汗", "下肢水肿", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["熟地黄", "酒萸肉", "桑寄生", "牛膝", "千年健", "杜仲", "烫狗脊", "制巴戟天", "盐胡芦巴", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "麸炒白术", "太子参", "茯苓", "麸炒枳壳", "柏子仁", "石菖蒲", "制远志", "炙甘草", "酒黄精", "猪苓", "泽泻"], "flags": [], "prev_rx": ["熟地黄", "酒萸肉", "桑寄生", "牛膝", "千年健", "盐杜仲", "烫狗脊", "制巴戟天", "盐胡芦巴", "仙茅", "炙淫羊藿", "菟丝子", "盐车前子", "麸炒白术", "党参片", "茯苓", "麸炒枳壳", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "炙甘草"], "prev_gap": 38, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65398, "pid": "P6582198d51b2", "date": "2026-08-04", "sex": "男", "age": 48, "cc": "乏力尿频5年", "hpi": "乏力尿频，夜尿2-4次，大便次数多，少，无腹痛，无腰痛，饭后腹胀，多梦，口和，眼干，咽干，易上火，晨勃少，硬度一般，时间短，纳可，无怕冷，口腔溃疡", "wm_dx": ["男性性腺功能低下", "高脂血症", "乏力"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草片", "黄芩片", "黄连片", "干姜", "党参片", "百合", "地黄", "知母", "生石膏", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "川芎", "牡丹皮", "北沙参", "金樱子肉"], "flags": [], "prev_rx": ["甘草片", "黄芩片", "黄连片", "干姜", "党参片", "大枣", "地黄", "酒苁蓉", "炒酸枣仁", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "川芎", "茯苓", "盐胡芦巴"], "prev_gap": 17, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65400, "pid": "Pf5d5154d5a88", "date": "2026-08-04", "sex": "男", "age": 33, "cc": "乏力半年", "hpi": "乏力，白发，脱发，排尿夜尿一次，色黄，大便不成型粘，睡眠入睡困，纳可，口和，腰疼", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["葛根", "地黄", "百合", "炒栀子", "牡丹皮", "牛膝", "丹参", "鸡血藤", "石菖蒲", "郁金", "桑螵蛸", "麸炒枳实", "北柴胡", "白芍", "牡蛎", "炙淫羊藿", "侧柏叶", "知母"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65401, "pid": "P07777863d58f", "date": "2026-08-04", "sex": "男", "age": 35, "cc": "遗精1周", "hpi": "遗精1周，压力大，失眠梦多，脱发，乏力，尿黄，尿频，大便可，排气多，性欲强，腰痛，复诊：遗精好转，硬度不佳，晨勃可，时间短1分钟，尿黄，睡眠好转，纳可，大便正常，口干，无阴囊潮湿", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "桂枝", "黑顺片", "鹿角胶", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "炙淫羊藿"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "黑顺片", "龙骨", "牡蛎", "麸炒白术", "干姜", "茯苓", "泽泻", "当归", "川芎", "炙淫羊藿", "熟地黄", "酒萸肉", "山药", "锁阳", "牡丹皮", "丹参", "石菖蒲"], "prev_gap": 10, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 65403, "pid": "P159b1f51af92", "date": "2026-08-04", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，口可，早醒，大便稀2-3次。3-4分钟", "wm_dx": ["2型糖尿病", "高脂血症"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芩片", "枸杞子", "百合", "金樱子肉", "北柴胡", "黄芩", "党参", "牡丹皮", "大枣", "甘草", "白芍", "酒萸肉", "金樱子", "生地黄", "炒蒺藜", "赤小豆", "麸炒薏苡仁", "黄连", "知母"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "党参", "牡丹皮", "大枣", "甘草", "白芍", "酒萸肉", "金樱子", "生地黄", "炒蒺藜", "赤小豆", "麸炒薏苡仁", "连翘", "知母"], "prev_gap": 14, "visit_ix": 12, "n_visits": 15, "visit_ix_rx": 12, "n_rx": 14} {"rid": 65406, "pid": "Pce8eb5dd2747", "date": "2026-08-04", "sex": "男", "age": 33, "cc": "尿频1年", "hpi": "尿频，无腰痛，无腹痛，睡眠可，大便正常球状，口和，尿黄，乏力", "wm_dx": ["尿频"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "知母", "牛膝", "北柴胡", "麸炒枳实", "白芍", "蜈蚣", "石菖蒲", "丹参", "鸡血藤", "郁金", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65410, "pid": "Pa105ab5f7907", "date": "2026-08-04", "sex": "男", "age": 42, "cc": "勃起不行1年", "hpi": "硬度不佳，中途疲软，时有晨勃，时间短，排尿正常，大便不成形1-3次，纳可，口苦，无腰痛，睡眠可", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["房事阳痿", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "白芍", "板蓝根", "煅牡蛎", "丹参", "鸡血藤", "石菖蒲", "郁金", "牛膝", "炙淫羊藿", "仙茅", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65411, "pid": "Pb77ab49d947c", "date": "2026-08-04", "sex": "男", "age": 34, "cc": "中途疲软一年", "hpi": "晨勃有，同房中途疲软，精子活力差，排尿正常，大便正常，纳可，睡眠熬夜，口气重，近期生化一次", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "知母", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "丝瓜络", "桑螵蛸", "牡蛎", "赤小豆", "丹参", "麸炒白术"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "黄芩片", "黄连片", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "丝瓜络", "桑螵蛸", "牡蛎", "赤小豆", "丹参"], "prev_gap": 25, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 65415, "pid": "P564ebbb9d4b9", "date": "2026-08-04", "sex": "男", "age": 28, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳眠可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "炙淫羊藿", "仙茅", "车前草", "盐车前子", "菟丝子", "土茯苓", "北败酱草", "石菖蒲", "制远志", "山药", "太子参", "茯苓", "酒黄精", "麸炒枳壳", "炙甘草", "地龙", "防风", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65418, "pid": "P90d55d446406", "date": "2026-08-04", "sex": "男", "age": 38, "cc": "乏力3年", "hpi": "乏力，晨勃有，硬度一般，同房费劲，尿无力，大便便秘5-6天，时有晨起口苦，睡眠一般，不吃生冷，汗多", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "牡蛎", "龙骨", "当归", "川芎", "火麻仁", "酒苁蓉", "柏子仁", "丹参", "鸡血藤", "蜈蚣"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65419, "pid": "Pe861b6ef07d4", "date": "2026-08-04", "sex": "男", "age": 32, "cc": "乏力2月", "hpi": "乏力，近2月健身，控制饮食，出现晨勃没有，硬度一般，性欲一般，排尿正常，大便一般，熬夜，睡眠可，口渴", "wm_dx": ["乏力"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["干姜", "茯苓", "泽泻", "泽兰", "猪苓", "当归", "川芎", "白芍", "阿胶珠", "炒酸枣仁", "知母", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65424, "pid": "P34e27dde876a", "date": "2026-08-05", "sex": "男", "age": 40, "cc": "腰酸疼乏力疲劳失眠一年余", "hpi": "腰酸疼乏力疲劳失眠一年余，浅 伴有勃起不坚 晨勃可 大小便正常 纳可 晨起口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["失眠", "心血虚证", "补血养心"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "生石膏", "地黄", "知母", "百合", "牛膝", "淡豆豉", "炒栀子", "酒萸肉", "麸炒山药", "蜈蚣", "川芎", "醋龟甲", "党参片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "百合", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "黄芩片", "蜈蚣", "制远志", "地黄", "生石膏", "党参片", "炙淫羊藿", "天花粉"], "prev_gap": 15, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65426, "pid": "Pd36532aa1ee1", "date": "2026-08-05", "sex": "男", "age": 51, "cc": "尿等待半年", "hpi": "尿等待，尿无力，时有尿痛，无腹痛，无腰痛，硬度一般，时间短，晨勃少，阴囊潮湿，矢气多，肛周潮湿，纳可，大便正常，睡眠可，夜班。复诊：尿潜血复查", "wm_dx": ["尿频", "蛋白尿"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["滑石", "猪苓", "茯苓", "泽泻", "阿胶珠", "生石膏", "血余炭", "蒲黄炭", "盐关黄柏", "广金钱草", "海金沙"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "茯苓", "泽泻", "麸炒白术", "干姜", "牛膝", "盐车前子", "当归", "血余炭", "麸炒冬瓜子", "赤小豆", "蜈蚣", "炙淫羊藿"], "prev_gap": 22, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65427, "pid": "P9a9694fe1af2", "date": "2026-08-05", "sex": "男", "age": 65, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，无尿后余沥，夜尿3-4次，伴会阴不适灼热，大便质干，纳可，眠一般，梦多，口干，盗汗。查超声前列腺大小3.1*3.9*2.5cm，尿常规未见明显异常。近期饮酒。", "wm_dx": ["前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "炒酸枣仁", "川牛膝", "丹参", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "太子参", "制巴戟天"], "prev_gap": 107, "visit_ix": 2, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 4} {"rid": 65428, "pid": "P2351926ac7e8", "date": "2026-08-05", "sex": "男", "age": 36, "cc": "复诊", "hpi": "有一次性生活，硬度下降，乏力，纳眠可，无排尿不畅、尿后余沥减，口干，盗汗。", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "九香虫", "蜈蚣", "白薇", "黑顺片", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "九香虫", "蜈蚣", "白薇", "黑顺片", "炙甘草", "生姜", "大枣"], "prev_gap": 9, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65435, "pid": "P15ef3024c1e1", "date": "2026-08-05", "sex": "男", "age": 57, "cc": "乏力腰痛半年", "hpi": "伴有勃起不佳 大小便正常 纳眠可，咳嗽有痰", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "法半夏", "生姜", "大枣", "桂枝", "醋五味子", "细辛", "牛膝", "麸炒白术", "石菖蒲", "丹参", "鸡血藤", "蜈蚣", "茯苓"], "flags": [], "prev_rx": ["制巴戟天", "知母", "酒萸肉", "炒酸枣仁", "太子参", "覆盆子"], "prev_gap": 20, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 4} {"rid": 65437, "pid": "P02beaef1b1f8", "date": "2026-08-05", "sex": "男", "age": 41, "cc": "慢性前列腺炎复诊", "hpi": "慢性前列腺炎复诊 少腹隐痛 大便正常 纳可 眠安 睾丸隐痛 胃酸过多 反酸 腰痛乏力", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "燀桃仁", "红花", "牡丹皮", "泽泻", "赤小豆", "白花蛇舌草", "浙贝母", "苦参", "当归", "连翘", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "茯苓", "制巴戟天", "太子参"], "prev_gap": 107, "visit_ix": 9, "n_visits": 13, "visit_ix_rx": 1, "n_rx": 4} {"rid": 65440, "pid": "P3cb734231435", "date": "2026-08-05", "sex": "男", "age": 44, "cc": "乏力半年", "hpi": "乏力，性欲正常，晨勃无，硬度差，近期无同房，排尿急，夜尿1次，无尿痛，大便粘，纳可，睡眠入睡困难，口苦，腰痛", "wm_dx": ["男性性腺功能低下", "2型糖尿病"], "tcm_dx": [["虚劳类病", "肝郁湿热证", "疏肝清热"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "姜厚朴", "大黄", "薏苡仁", "牡丹皮", "柏子仁", "蜈蚣", "桑叶", "百合", "地黄", "黑顺片", "生石膏"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "干姜", "天花粉", "生石膏", "牡蛎", "龙骨", "酒苁蓉", "火麻仁", "炒苦杏仁", "燀桃仁", "蜈蚣", "当归", "炙淫羊藿"], "prev_gap": 8, "visit_ix": 6, "n_visits": 10, "visit_ix_rx": 6, "n_rx": 10} {"rid": 65445, "pid": "Pa003ae06bfd5", "date": "2026-08-05", "sex": "男", "age": 33, "cc": "尿频一月", "hpi": "尿频，准备结婚，晨勃少，阴囊潮湿，皮肤刺痒，尿道不适感，乏力", "wm_dx": ["尿频"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["干姜", "茯苓", "当归", "川芎", "牛膝", "石菖蒲", "制远志", "麸炒白术", "蜈蚣", "炙淫羊藿", "仙茅", "盐胡芦巴", "桂枝", "生石膏", "炒苍耳子", "荆芥"], "flags": [], "prev_rx": ["干姜", "茯苓", "当归", "川芎", "牛膝", "石菖蒲", "制远志", "芦根", "蜈蚣", "炙淫羊藿", "仙茅", "盐胡芦巴", "熟地黄"], "prev_gap": 12, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65448, "pid": "P9d8251641d47", "date": "2026-08-05", "sex": "男", "age": 40, "cc": "外伤后出现勃起勃起不佳3月", "hpi": "自述外伤后出现勃起不佳，硬度80%，晨勃少，可同房，可射精，无射精痛，排尿正常，大便正常，睡眠中途醒，纳可，口和，无腰痛", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["房事阳痿", "肝郁肾虚证", "滋补肝肾"]], "rx": ["干姜", "茯苓", "麸炒白术", "桂枝", "当归", "川芎", "牛膝", "炙淫羊藿", "仙茅", "蜈蚣", "北柴胡", "郁金", "石菖蒲", "丹参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65452, "pid": "P5143a075e5a0", "date": "2026-08-05", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳可 失眠 少腹隐痛 盗汗 下肢水肿可自行消退", "wm_dx": ["下肢水肿", "盗汗", "腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["党参片", "山药", "白术", "茯苓", "酒黄精", "盐补骨脂", "蛇床子", "韭菜子", "菟丝子", "覆盆子", "酒女贞子", "沙苑子", "麸炒枳壳", "石菖蒲", "炒酸枣仁", "制远志", "防风", "川楝子", "炙甘草", "醋青皮", "郁金", "砂仁", "木香", "天麻"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["党参片", "山药", "白术", "茯苓", "酒黄精", "盐补骨脂", "蛇床子", "韭菜子", "菟丝子", "覆盆子", "酒女贞子", "沙苑子", "麸炒枳壳", "石菖蒲", "炒酸枣仁", "制远志", "防风", "蜂房", "炙甘草"], "prev_gap": 39, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65453, "pid": "Pc88ad769fb39", "date": "2026-08-05", "sex": "男", "age": 44, "cc": "乏力6年", "hpi": "乏力，无晨勃，硬度下降，中途疲软，排尿可，夜尿可，大便干，睡眠早醒，纳可，口干口气重，精液有颗粒。复诊：颗粒减少", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["丹参", "鸡血藤", "当归", "川芎", "白芍", "猪苓", "法半夏", "牛膝", "蜈蚣", "熟地黄", "菟丝子", "枸杞子", "生石膏", "麸炒薏苡仁", "黄连片", "黄芩片", "干姜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65458, "pid": "P3c568184c56d", "date": "2026-08-05", "sex": "男", "age": 47, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 大便正常 尿不尽 排尿无力 纳可 眠安 腰痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["盐杜仲", "制巴戟天", "覆盆子", "太子参", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒黄精", "麦冬", "制巴戟天", "菟丝子", "太子参", "覆盆子", "金银花", "石斛"], "prev_gap": 85, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65468, "pid": "P69bca6819dd4", "date": "2026-08-06", "sex": "男", "age": 50, "cc": "复诊", "hpi": "性生活2次/周、硬度不够。可射精。无口苦，无肢冷。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "牡蛎", "龙骨", "炙甘草", "蜈蚣", "瓜蒌", "薤白"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "牡蛎", "龙骨", "炙甘草", "蜈蚣", "瓜蒌", "薤白"], "prev_gap": 22, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 6} {"rid": 65470, "pid": "P3609768a0319", "date": "2026-08-06", "sex": "男", "age": 64, "cc": "夜尿频多半年余", "hpi": "夜尿频多半年余 夜尿5-6次 尿频 排尿通畅 大便正常 纳眠可", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "制巴戟天", "三七粉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65478, "pid": "P29f26fdfb321", "date": "2026-08-06", "sex": "男", "age": 47, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，", "wm_dx": ["前列腺炎", "腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热祛湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "茯苓", "炒酸枣仁"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65487, "pid": "P219431d2058d", "date": "2026-08-06", "sex": "男", "age": 39, "cc": "腰痛取药", "hpi": "腰痛取药 大小便正常 纳可 眠安 盗汗 乏力 记忆力减退 下肢水肿可自行消退", "wm_dx": ["腰痛", "下肢水肿"], "tcm_dx": [["痹证类病", "气滞血瘀证", "活血化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "盐杜仲", "炒酸枣仁", "菟丝子", "酒黄精", "石菖蒲", "柏子仁", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "盐杜仲", "炒酸枣仁", "菟丝子", "酒黄精", "石菖蒲"], "prev_gap": 12, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65490, "pid": "P5b915d2a3c87", "date": "2026-08-06", "sex": "男", "age": 29, "cc": "腰痛一周", "hpi": "腰痛一周 腿软，怕冷，出汗，无咽痛，口苦，睡眠正常，纳可，大便正常，排尿正常", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "生姜", "大枣", "葛根", "盐补骨脂", "制远志", "煅龙骨", "煅牡蛎", "丹参", "燀桃仁", "红景天", "炙甘草", "石菖蒲", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "白芍", "生姜", "大枣", "葛根", "制远志", "煅龙骨", "煅牡蛎", "丹参", "盐补骨脂", "炙甘草", "燀桃仁", "红花"], "prev_gap": 288, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 65491, "pid": "Pf91c018911b5", "date": "2026-08-06", "sex": "男", "age": 43, "cc": "包皮龟头炎2天", "hpi": "包皮龟头炎2天 局部刺痒泛红 大小便正常 纳眠可", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连片", "茵陈", "蝉蜕", "荆芥", "防风", "白芷", "地龙", "制水蛭", "大黄", "当归"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65497, "pid": "P10274c0f6d8d", "date": "2026-08-06", "sex": "男", "age": 34, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，房事后明显，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65501, "pid": "Pe045acd6e9b2", "date": "2026-08-06", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["盗汗", "腰痛", "男性性腺功能低下"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "枸杞子", "炒酸枣仁", "制远志", "黄芪", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "prev_gap": 222, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65503, "pid": "P20fc435a63bd", "date": "2026-08-07", "sex": "男", "age": 75, "cc": "尿频5年", "hpi": "尿频，尿急，夜尿1小时一次，时有遗尿，无尿痛，大便正常，无腹痛，时有腰痛，纳可，睡眠多梦，口和，夜里怕冷，前列腺增生症，外院顺义院区治疗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "茯苓", "泽泻", "猪苓", "麸炒白术", "赤小豆", "黑顺片", "白芍", "生姜", "大枣", "山药", "乌药", "盐益智仁", "金樱子肉", "炙甘草"], "flags": [], "prev_rx": ["绵萆薢", "白鲜皮", "萹蓄", "车前草", "土茯苓", "北败酱草", "茵陈", "太子参", "黄芪", "醋五味子", "麦冬", "百合", "炒酸枣仁", "石菖蒲", "制远志", "天麻", "桑螵蛸", "乌药", "盐益智仁", "防风", "白芷", "麸炒枳壳", "酒黄精", "炙甘草"], "prev_gap": 18, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65509, "pid": "P4dde430136ff", "date": "2026-08-07", "sex": "男", "age": 35, "cc": "尿频一年", "hpi": "尿频，女方宫外孕4次，同房射精正常，不吸烟饮酒，工作正常，大便不成形，睡眠可，纳可，口和，腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "酒萸肉", "麸炒山药", "茯苓", "泽泻", "牡丹皮", "麸炒白术", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "桑螵蛸", "牡蛎", "红景天", "赤小豆"], "flags": [], "prev_rx": ["熟地黄", "酒萸肉", "麸炒山药", "茯苓", "泽泻", "牡丹皮", "生石膏", "麸炒白术", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "桑螵蛸", "牡蛎", "红景天", "赤小豆"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65516, "pid": "Pd0ab40efbaf9", "date": "2026-08-07", "sex": "男", "age": 33, "cc": "乏力2周", "hpi": "乏力感，睡眠中途醒，纳可，排尿正常，时有尿不尽色黄，大便正常，怕冷，遇风咳嗽，腰痛", "wm_dx": ["腰痛"], "tcm_dx": [["虚劳类病", "阴阳两虚证", "调理阴阳"], ["腰痛", "肾阳虚证", "温补肾阳"]], "rx": ["黄芪", "桂枝", "炒栀子", "茯苓", "牡丹皮", "菊花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65521, "pid": "P81b722dea0f7", "date": "2026-08-07", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄3-4分钟 勃起可 大小便正常 纳可 眠安，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["当归", "连翘", "赤小豆", "茯苓", "泽泻", "牡丹皮", "金樱子肉", "龙骨", "牡蛎", "盐关黄柏", "石菖蒲", "郁金", "制远志", "炙甘草", "酒萸肉", "白花蛇舌草", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "茯苓", "泽泻", "煅龙骨", "煅牡蛎", "石菖蒲", "盐蒺藜", "乌梅", "金樱子肉", "炙甘草", "麸炒白术", "大枣", "酒萸肉", "锁阳", "浙贝母"], "prev_gap": 21, 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"尿不畅，夜尿正常，大便正常，纳一般，睡眠入睡困难，乏力，口干口苦，腰疼，有晨勃，硬度不佳，中途疲软，时间短2-3分钟，久站后会阴痛，怕冷,复诊:口和,硬度不行,晨勃无,尿有泡沫", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肾阴虚证", "滋补肾阴"], ["精浊", "肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "黑顺片", "牡丹皮", "茯苓", "细辛", "干姜", "生石膏", "蜈蚣", "炙淫羊藿", "盐胡芦巴", "仙茅", "丹参", "鸡血藤"], "flags": [], "prev_rx": ["干姜", "炙甘草", "盐补骨脂", "桂枝", "白芍", "蜈蚣", "制水蛭", "炙淫羊藿", "盐胡芦巴", "仙茅", "茯苓", "当归", "川芎", "制巴戟天"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65552, "pid": "P47ab70f76fc6", "date": "2026-08-08", "sex": "男", "age": 50, "cc": "腰痛复诊", "hpi": "腰痛改善，工作可，二便调，纳可，无排尿不畅、尿后余沥，口干，盗汗，乏力失眠", "wm_dx": ["腰痛", "盗汗", "失眠", "胃食管反流"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["失眠", "心血虚证", "补血养心"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "知母", "制远志", "石菖蒲", "盐关黄柏", "盐益智仁", "陈皮", "太子参"], "flags": [], "prev_rx": ["酒萸肉", "知母", "炒酸枣仁", "太子参", "猪苓"], "prev_gap": 4, "visit_ix": 7, "n_visits": 11, 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"肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "制巴戟天", "锁阳", "黄芪", "人参", "韭菜子", "党参", "炒栀子"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "川芎", "制巴戟天", "锁阳", "黄芪", "人参", "韭菜子", "党参"], "prev_gap": 28, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65566, "pid": "P93af243fe8a0", "date": "2026-08-08", "sex": "男", "age": 25, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 勃起不佳 晨勃少 大便正常 纳眠可 腹胀", "wm_dx": ["乏力"], "tcm_dx": [["腹胀", "脾虚气滞证", "理气健脾"]], "rx": ["太子参", "麸炒山药", "茯苓", "麸炒芡实", "猪苓", "砂仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65568, "pid": "P3806960b88a0", "date": "2026-08-08", "sex": "男", "age": 69, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿分叉 排尿不畅 夜尿4-5次 尿频 尿不尽 大便正常 纳眠可 焦虑状态取药", "wm_dx": ["焦虑状态", "前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓", "川贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "太子参", "茯苓"], "prev_gap": 21, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65571, "pid": "P5dbb5c37b172", "date": "2026-08-08", "sex": "男", "age": 39, "cc": "慢性前列腺炎复诊", "hpi": "大便正常 纳可 眠安 夜尿2次 尿不尽 。少量阴囊潮湿，睡眠一般，纳可，口苦", "wm_dx": ["股癣", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "党参片", "生姜", "大枣", "赤小豆", "白花蛇舌草", "牡丹皮", "制水蛭", "牛膝", "当归", "浙贝母", "苦参", "麸炒冬瓜子", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65573, "pid": "P1bf76baa53e4", "date": "2026-08-08", "sex": "男", "age": 50, "cc": "排尿不畅尿急尿不尽复诊", "hpi": "尿急尿灼热，尿不尽，排尿不畅改善 大便正常 纳眠可", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65574, "pid": "P990b62c75488", "date": "2026-08-08", "sex": "男", "age": 41, "cc": "阴茎跟部坠胀不适3年", "hpi": "3年前出现阴茎跟部坠胀不适，排尿可，夜尿3-4次，阴囊潮湿。7.25复诊：阴茎根部坠胀消失，阴囊潮湿好转，现夜尿3-4次，无其他不适。8.8复诊：前症明显好转，现夜尿小于3次/夜，阴囊潮湿好转。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "赤小豆", "夏枯草", "路路通", "炒王不留行", "黄芪", "盐橘核", "乌药", "盐益智仁", "山药", "麸炒薏苡仁", "麸炒苍术", "金樱子", "牛膝"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "赤小豆", "夏枯草", "路路通", "炒王不留行", "黄芪", "盐橘核", "乌药", "盐益智仁", "山药", "麸炒薏苡仁", "麸炒苍术", "金樱子"], "prev_gap": 14, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65577, "pid": "P5039aa958cc1", "date": "2026-08-08", "sex": "男", "age": 29, "cc": "尿频复诊", "hpi": "尿频，乏力 大便正常 纳可 眠安 腰痛乏力 盗汗 下肢水肿 可自行消退", "wm_dx": ["盗汗", "尿频", "下肢水肿"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "太子参", "覆盆子", "枸杞子", "知母", "猪苓"], "flags": [], "prev_rx": ["制巴戟天", "菟丝子", "太子参", "覆盆子", "枸杞子", "知母"], "prev_gap": 21, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65586, "pid": "Pf5afd6a6f562", "date": "2026-08-08", "sex": "男", "age": 39, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，失眠，纳可，二便调，口和，排尿不畅，尿频、尿急，小腹及会阴不适，工作压力适中。盗汗。", "wm_dx": ["腰痛", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["太子参", "山药", "酒黄精", "盐补骨脂", "菟丝子", "枸杞子", "覆盆子", "沙苑子", "韭菜子", "醋五味子", "制巴戟天", "酒苁蓉", "仙茅", "盐胡芦巴", "麦冬", "百合", "玉竹", "制远志", "麸炒枳壳", "炙甘草", "木香", "砂仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65587, "pid": "P4596b8512757", "date": "2026-08-08", "sex": "男", "age": 44, "cc": "少腹坠胀1月", "hpi": "少腹坠胀，尿不尽，夜尿1次，口干，大便正常，复诊：少腹正常，仍有尿意感。大便粘，乏力", "wm_dx": ["乏力"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "牡丹皮", "大枣", "茯苓", "猪苓", "细辛", "生石膏", "煅龙骨", "煅牡蛎", "麸炒白术", "炙黄芪", "麻黄", "黑顺片", "火麻仁", "酒苁蓉"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "牡丹皮", "大枣", "茯苓", "猪苓", "细辛", "生石膏", "煅龙骨", "煅牡蛎", "麸炒白术", "制远志", "麻黄", "黑顺片", "火麻仁", "酒苁蓉"], "prev_gap": 14, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 8, "n_rx": 10} {"rid": 65591, "pid": "P33293f4a7529", "date": "2026-08-08", "sex": "男", "age": 20, "cc": "尿频1月", "hpi": "尿频，硬度正常，性欲强，时间短，尿频，色正常，大便正常，时有便秘，睡眠正常，纳可", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "牡丹皮", "煅龙骨", "煅牡蛎", "茯苓", "制远志", "郁金", "柏子仁", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65594, "pid": "P372ca3419979", "date": "2026-08-08", "sex": "男", "age": 53, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 大小便正常 纳眠可 勃起不佳 下肢水肿 可自行消退 盗汗", "wm_dx": ["下肢水肿", "腰痛", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "覆盆子", "菟丝子", "猪苓", "太子参", "炒酸枣仁", "砂仁", "枸杞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "覆盆子", "菟丝子", "猪苓", "太子参", "炒酸枣仁"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65598, "pid": "P730599acd106", "date": "2026-08-08", "sex": "男", "age": 34, "cc": "排尿不适一周", "hpi": "排尿不适，龟头部不适感，大便不成型1次，纳可，睡眠正常，口干", "wm_dx": ["皮肤感染", "龟头炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["湿疮", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "生石膏", "牡丹皮", "虎杖", "夏枯草", "蒲公英", "蛇莓", "白花蛇舌草", "赤小豆", "党参片", "炙甘草", "蝉蜕"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65599, "pid": "P3ebab92c149f", "date": "2026-08-08", "sex": "男", "age": 55, "cc": "贲门癌抄方", "hpi": "贲门癌抄方 大小便正常 纳差 眠安 腹胀", "wm_dx": ["消化道恶性肿瘤"], "tcm_dx": [["腹胀", "脾虚气滞证", "理气健脾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "炙甘草", "炒苦杏仁", "姜厚朴", "豆蔻", "淡竹叶", "薏苡仁", "滑石", "冬瓜皮", "陈皮", "生姜", "桑白皮", "白术", "茯苓", "猪苓", "泽泻", "桂枝", "赤芍", "燀桃仁", "牡丹皮", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65602, "pid": "P4681b4f4dc77", "date": "2026-08-08", "sex": "男", "age": 43, "cc": "乏力2月", "hpi": "乏力，近2月突发勃起费劲，启动慢，中途疲软，尿分叉，夜尿正常，睡眠正常，大便平素干，纳可，口干口苦。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "石菖蒲", "郁金", "蜈蚣", "牛膝", "丹参", "鸡血藤", "地黄", "燀桃仁", "红花", "生石膏", "炙淫羊藿", "仙茅"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "石菖蒲", "郁金", "蜈蚣", "牛膝", "丹参", "鸡血藤", "地黄", "百合", "燀桃仁", "红花", "菟丝子"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65606, "pid": "P437e756a7d82", "date": "2026-08-08", "sex": "男", "age": 37, "cc": "尿频尿不尽一月余", "hpi": "尿频尿不尽一月余 大便正常 纳眠可 腰痛乏力 下肢水肿可自行消退", "wm_dx": ["慢性前列腺炎", "尿频", "下肢水肿", "乏力", "腰痛"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "太子参", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65607, "pid": "P0e09b730db9b", "date": "2026-08-08", "sex": "男", "age": 27, "cc": "尿道不适感1周", "hpi": "尿道不适感，无尿痛，无分泌物，硬度可，时间缩短", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "赤小豆", "葛根", "连翘", "桂枝", "白芍", "生姜", "大枣", "滑石", "白花蛇舌草", "地肤子", "荆芥", "防风", "龙骨", "牡蛎"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65608, "pid": "P0cf786e70347", "date": "2026-08-08", "sex": "男", "age": 37, "cc": "会阴不适复诊", "hpi": "会阴不适改善，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力盗汗。3.8复诊：睾丸下坠感明显减轻，会阴不适，小腹不适。胁痛。7.11复诊：阴茎跟部肿物凸出，休息平躺后消失。", "wm_dx": ["静脉曲张", "前列腺炎", "精索静脉曲张", "单侧腹股沟疝"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "醋三棱", "醋莪术", "鸡血藤", "醋延胡索", "路路通", "荔枝核", "燀桃仁", "炒王不留行", "盐橘核"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "炒王不留行", "盐橘核", "醋三棱", "醋莪术", "鸡血藤", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "prev_gap": 14, "visit_ix": 22, "n_visits": 25, "visit_ix_rx": 15, "n_rx": 18} {"rid": 65610, "pid": "P5afafd4bae51", "date": "2026-08-08", "sex": "男", "age": 30, "cc": "腰痛乏力半年余", "hpi": "腰痛乏力半年余 大小便正常 纳眠可 下肢水肿可自行消退 盗汗", "wm_dx": ["下肢水肿", "盗汗", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["牛膝", "盐杜仲", "桑寄生", "制巴戟天", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65629, "pid": "Pa4000e4e5eaf", "date": "2026-08-08", "sex": "男", "age": 34, "cc": "乏力腰痛半年", "hpi": "伴有中途疲软一月余 晨勃少 大小便正常 纳可 下肢水肿可自行消退 盗汗 失眠", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "太子参", "酒萸肉", "知母", "炒酸枣仁", "丹参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65630, "pid": "Pa43a7fea51a6", "date": "2026-08-08", "sex": "男", "age": 39, "cc": "乏力腰痛复诊", "hpi": "乏力腰痛改善 勃起不佳改善 大小便正常 晨勃出现 纳眠可 中途疲软 盗汗 下肢水肿可自行消退", "wm_dx": ["下肢水肿", "盗汗", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "菟丝子", "覆盆子", "砂仁", "太子参", "川贝母"], "flags": [], "prev_rx": ["制巴戟天", "菟丝子", "覆盆子", "砂仁", "太子参", "知母"], "prev_gap": 20, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65631, "pid": "P1a6e577deec6", "date": "2026-08-08", "sex": "男", "age": 41, "cc": "会阴部疼痛复诊", "hpi": "会阴部疼痛改善明显 大便正常 尿频 纳眠可 腰痛乏力 下肢水肿 可自行消退 盗汗", "wm_dx": ["下肢水肿", "盗汗", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "覆盆子", "菟丝子", "太子参", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65635, "pid": "P27b7b6f7c497", "date": "2026-08-09", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中 早泄 时间1-2分钟 勃起可 盗汗 下肢水肿可自行消退", "wm_dx": ["下肢水肿", "盗汗", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "太子参", "炒酸枣仁", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "太子参", "炒酸枣仁", "菟丝子", "枸杞子"], "prev_gap": 21, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 65637, "pid": "P5a99aabee71f", "date": "2026-08-09", "sex": "男", "age": 27, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗 下肢水肿可自行消退", "wm_dx": ["盗汗", "腰痛", "下肢水肿"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肾精"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "太子参", "北败酱草", "熟地黄", "酒黄精", "麦冬", "制水蛭", "酒苁蓉", "仙茅", "盐胡芦巴", "锁阳"], "flags": [], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "北败酱草", "熟地黄", "酒黄精", "麦冬", "制水蛭"], "prev_gap": 15, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65638, "pid": "P83ed4b8faf8e", "date": "2026-08-09", "sex": "男", "age": 40, "cc": "腰痛半年", "hpi": "复诊，眠差、口苦、便1-2次。工作劳累，盗汗，性欲低，乏力。下肢水肿可自行消退。硬度改善。", "wm_dx": ["下肢水肿", "腰痛", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾益精"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒黄精", "麦冬", "知母", "酒萸肉", "炒酸枣仁", "太子参", "制巴戟天"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "生石膏", "炙甘草", "木香", "熟地黄", "酒萸肉", "党参片", "姜半夏", "酒白芍", "麸炒枳实", "炙淫羊藿", "酒苁蓉", "韭菜子", "制水蛭", "知母", "黑芝麻", "酒女贞子", "覆盆子", "炒酸枣仁", "酒黄精"], "prev_gap": 7, "visit_ix": 10, "n_visits": 11, "visit_ix_rx": 9, "n_rx": 10} {"rid": 65646, "pid": "Pc40a36b05203", "date": "2026-08-09", "sex": "男", "age": 46, "cc": "腰痛复诊", "hpi": "腰痛改善 伴有勃起不坚 晨勃少 大小便正常 纳可 眠少 盗汗改善 下肢水肿可自行消退", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["酒黄精", "麦冬", "黄芪", "制巴戟天", "知母", "炒酸枣仁", "太子参", "覆盆子"], "flags": [], "prev_rx": ["制巴戟天", "菟丝子", "酒女贞子", "炒酸枣仁", "丹参", "知母", "太子参"], "prev_gap": 147, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 5, "n_rx": 7} {"rid": 65649, "pid": "Paccfc68244bf", "date": "2026-08-09", "sex": "男", "age": 34, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳眠可 盗汗 下肢水肿 可自行消退", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒黄精", "麦冬", "覆盆子", "太子参", "猪苓", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["菟丝子", "覆盆子", "太子参", "猪苓", "枸杞子", "炒酸枣仁"], "prev_gap": 22, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65659, "pid": "P6f00cc37df31", "date": "2026-08-09", "sex": "男", "age": 25, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 大小便正常 纳可 失眠 勃起不佳 中途疲软 晨勃少 下肢水肿 可自行消退 盗汗", "wm_dx": ["盗汗", "下肢水肿", "腰痛", "失眠"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "丹参", "太子参", "炒酸枣仁", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "覆盆子", "知母", "太子参", "炒酸枣仁", "猪苓"], "prev_gap": 29, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 65662, "pid": "P8acb6dc00345", "date": "2026-08-09", "sex": "男", "age": 32, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 大小便正常 纳眠可 下肢水肿可自行消退 盗汗", "wm_dx": ["盗汗", "下肢水肿"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "枸杞子", "覆盆子", "菟丝子", "知母", "炒酸枣仁", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65663, "pid": "P97aac3202055", "date": "2026-08-09", "sex": "男", "age": 33, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度下降，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，下肢水肿可自行消退。", "wm_dx": ["腰痛", "盗汗", "下肢水肿"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "蛇床子", "韭菜子", "菟丝子", "酒黄精", "黄芪", "麸炒枳壳", "佛手"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "黄芪"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65664, "pid": "P1a7a5621e3ea", "date": "2026-08-09", "sex": "男", "age": 33, "cc": "血精复诊", "hpi": "血精改善，深黄色，无明显射精疼痛，无明显尿道灼热感。尿频，尿后余沥，近期运动量加大，工作久坐，盗汗。", "wm_dx": ["血精", "前列腺炎", "尿频", "腹痛"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "太子参", "川贝母", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65665, "pid": "Pb3d2c01bd424", "date": "2026-08-09", "sex": "男", "age": 31, "cc": "血精复诊", "hpi": "血精改善，小腹不适改善，尿频，尿急，夜尿0次，盗汗，乏力，口干，腹痛 失眠", "wm_dx": ["前列腺炎", "盗汗", "腹痛", "失眠"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["失眠", "肝肾不足证", "滋补肝肾"]], "rx": ["酒黄精", "麦冬", "酒萸肉", "知母", "炒酸枣仁", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65667, "pid": "P9cebd6572ee0", "date": "2026-08-09", "sex": "男", "age": 51, "cc": "排尿不畅尿不尽复诊", "hpi": "排尿不畅尿不尽复诊，夜尿1次，小腹胀痛，口干口苦，夜寐差， 怕冷 乏力 下肢水肿 可自行消退", "wm_dx": ["尿频", "腰痛", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "菟丝子", "太子参", "猪苓", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "猪苓"], "prev_gap": 42, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65672, "pid": "Pa5acdaa649c3", "date": "2026-08-09", "sex": "男", "age": 61, "cc": "尿频尿急复诊", "hpi": "尿频尿急改善不明显 排尿不畅 尿等待 大便正常 纳可 失眠多梦 夜尿2-3次 腰痛乏力 下肢水肿 可自行消退 脚踝扭伤 行动不便 病情稳定延长开药", "wm_dx": ["尿频", "下肢水肿", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "知母", "太子参", "猪苓", "川贝母"], "flags": [], "prev_rx": ["炒酸枣仁", "丹参", "知母", "太子参"], "prev_gap": 31, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65673, "pid": "P0cdafe15c382", "date": "2026-08-09", "sex": "男", "age": 30, "cc": "慢性前列腺炎抄方", "hpi": "慢性前列腺炎抄方 尿频 尿不尽 大便正常 纳眠可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["鬼箭羽", "赤芍", "麸炒苍术", "土鳖虫", "北柴胡", "甘草片", "薏苡仁", "红花", "赤小豆", "丹参", "当归", "党参片", "麸炒白术", "陈皮", "煨肉豆蔻", "煅龙骨", "杜仲", "酒苁蓉", "制巴戟天", "仙茅", "盐胡芦巴", "炙淫羊藿"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65676, "pid": "Pf0091617a70f", "date": "2026-08-09", "sex": "男", "age": 33, "cc": "乏力腰痛半年", "hpi": "大小便正常 纳可 口苦 口干 多汗 失眠 盗汗", "wm_dx": ["盗汗", "失眠"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["酒黄精", "麦冬", "炒酸枣仁", "太子参", "知母", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65678, "pid": "P7ada2d546aae", "date": "2026-08-09", "sex": "男", "age": 22, "cc": "早泄一年", "hpi": "早泄一年 时间一分钟 性生活无规律 勃起可 大便正常 纳眠可 尿等待", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["房事早泄", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "地骨皮", "细辛", "花椒", "炒僵蚕", "牡蛎", "天麻"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65681, "pid": "Pbde57f4a7445", "date": "2026-08-10", "sex": "男", "age": 54, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "诃子肉", "地龙", "九香虫", "白芷", "赤小豆", "酒黄精", "麦冬"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "制水蛭", "石菖蒲", "佩兰", "鸡血藤", "丹参"], "prev_gap": 22, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65687, "pid": "Pb20a939767eb", "date": "2026-08-10", "sex": "男", "age": 56, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 伴有性功能下降一月余 晨勃消失 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒苁蓉", "锁阳", "菟丝子", "熟地黄", "牡丹皮", "酒萸肉", "炒酸枣仁", "制远志", "金樱子肉", "莲须", "盐蒺藜", "醋五味子", "党参片", "山药", "茯苓", "炙甘草", "煅龙骨", "盐益智仁", "九香虫", "炒栀子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 65688, "pid": "Pccbb25df72f2", "date": "2026-08-10", "sex": "男", "age": 41, "cc": "尿痛3天", "hpi": "尿痛3天，既往：泌尿系彩超 右肾结石0.5*0.4cm，前列腺增大伴钙化4.5*3.8*4.0cm。腰痛，乏力，盗汗。", "wm_dx": ["肾结石", "泌尿系感染"], "tcm_dx": [["热淋", "下焦湿热证", "清热利湿"]], "rx": ["广金钱草", "麦冬", "太子参", "猪苓", "炒酸枣仁", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["广金钱草", "陈皮", "炒决明子", "丹参", "甘草", "泽泻", "郁金", "桔梗", "醋香附", "麸炒枳实", "紫苏梗", "北柴胡", "小蓟", "乌药", "盐益智仁", "山药"], "prev_gap": 271, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65695, "pid": "Pd65fdab773a2", "date": "2026-08-10", "sex": "男", "age": 54, "cc": "龟头泛红复诊", "hpi": "龟头泛红明显改善 无瘙痒疼痛 大小便正常 纳眠可", "wm_dx": ["龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "百部", "蛇床子", "地肤子", "白芷", "荆芥", "白矾", "白花蛇舌草", "蒲公英", "金银花", "土茯苓", "北败酱草", "地龙", "蜈蚣", "制水蛭", "大黄", "当归"], "flags": [], "prev_rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "百部", "白芷", "防风", "白矾", "白花蛇舌草", "蒲公英", "金银花", "土茯苓", "北败酱草", "地龙", "蜈蚣", "制水蛭", "大黄", "当归", "蛇床子", "地肤子"], "prev_gap": 7, "visit_ix": 1, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65702, "pid": "P221265604dc1", "date": "2026-08-10", "sex": "男", "age": 43, "cc": "复诊", "hpi": "病史同前，服药无不适。口干，失眠易醒，焦虑抑郁，汗出乏力。曾服抗抑郁药。", "wm_dx": ["盗汗", "腰痛", "男性性腺功能低下"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["男性生殖病", "肝郁肾虚证", "补肾益精"]], "rx": ["北柴胡", "白芍", "麸炒枳实", "桂枝", "首乌藤", "炙甘草", "姜半夏", "柏子仁", "牡蛎", "石菖蒲", "龙骨", "炒栀子"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡蛎", "龙骨", "姜半夏", "盐蒺藜", "九香虫", "炙甘草", "柏子仁", "郁金", "炒栀子"], "prev_gap": 7, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 8, "n_rx": 9} {"rid": 65706, "pid": "P53378a3ad515", "date": "2026-08-10", "sex": "男", "age": 25, "cc": "乏力腰痛半年", "hpi": "伴有早泄 中途疲软 大小便正常 纳眠可 盗汗 下肢水肿可自行消退", "wm_dx": ["乏力", "盗汗", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "地骨皮", "花椒", "细辛", "炒僵蚕", "盐胡芦巴", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65715, "pid": "P79e1c863ccb6", "date": "2026-08-10", "sex": "男", "age": 29, "cc": "慢性前列腺炎复诊", "hpi": "尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，口干，盗汗，时间下降。腰痛乏力疲劳", "wm_dx": ["前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "茯苓", "酒苁蓉", "酒萸肉", "烫水蛭", "制远志", "土茯苓", "败酱草", "炙淫羊藿", "盐车前子", "麦冬", "地龙"], "flags": [], "prev_rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "莲子", "酒苁蓉", "锁阳", "酒萸肉", "烫水蛭", "制远志"], "prev_gap": 147, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65718, "pid": "Pf3509d937578", "date": "2026-08-10", "sex": "男", "age": 43, "cc": "腰疼抄方", "hpi": "腰疼抄方 健忘半年 乏力 失眠多梦 纳可 勃起不佳 头晕胁痛", "wm_dx": ["高脂血症", "失眠", "眩晕"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["健忘", "肺肾两虚证", "滋补肺肾"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["失眠", "心血虚证", "补血养心"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "地骨皮", "花椒", "细辛", "炒僵蚕", "牡蛎", "炙淫羊藿", "制巴戟天", "仙茅", "酒苁蓉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65724, "pid": "P0604f08af5a2", "date": "2026-08-11", "sex": "男", "age": 68, "cc": "包皮龟头炎复诊", "hpi": "包皮龟头炎改善 大小便正常 纳可 眠安 带状疱疹取药", "wm_dx": ["包皮龟头炎", "带状疱疹"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "蛇床子", "地肤子", "白花蛇舌草", "金银花", "蒲公英", "土茯苓", "北败酱草", "地龙", "制水蛭", "大黄", "当归", "蜈蚣", "白芷", "防风", "荆芥", "白矾", "炒僵蚕", "赤芍"], "flags": [], "prev_rx": ["地榆", "关黄柏", "苦参", "马齿苋", "蛇床子", "地肤子", "白花蛇舌草", "金银花", "蒲公英", "土茯苓", "北败酱草", "地龙", "制水蛭", "大黄", "当归", "蜈蚣", "白芷", "防风", "荆芥"], "prev_gap": 7, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65726, "pid": "P8dc6c6b20df4", "date": "2026-08-11", "sex": "男", "age": 30, "cc": "慢性前列腺炎复诊", "hpi": "右侧睾丸肿痛，2天前体温37.5°，伴有少腹隐痛，无腰疼，排尿尿不尽，夜尿偶有一次，睡眠一般，多梦早醒，口气重，吃凉易腹泻，易乏力，怕冷怕热,复诊：睾丸肿痛消失，仍多梦，口气重，复诊：会阴酸胀，多梦，口气有.复诊：怕冷，易腹泻，脚心热，手抖，乏力.复诊：时有会阴发胀，无腹痛，无腰疼，阴囊潮湿，排尿分叉，大便正常，睡眠一般，口气重，复诊：大便粘，牙龈肿，口气重.", "wm_dx": ["慢性前列腺炎", "甲状腺囊肿"], "tcm_dx": [["精浊", "寒热错杂证", "温下清上"]], "rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "山药", "茯苓", "泽泻", "姜厚朴", "紫苏叶", "陈皮", "生姜", "炙黄芪", "麸炒白术", "桑螵蛸", "牡蛎", "枸杞子"], "flags": [], "prev_rx": ["白芍", "炙甘草", "川楝子", "当归", "川芎", "大黄", "赤小豆", "地黄", "茯苓", "泽泻", "牛膝", "醋鸡内金", "醋香附", "陈皮", "生石膏", "枸杞子", "菟丝子", "炙黄芪", "北柴胡", "麻黄"], "prev_gap": 14, "visit_ix": 22, "n_visits": 24, "visit_ix_rx": 21, "n_rx": 23} {"rid": 65727, "pid": "P4381ebdc09ad", "date": "2026-08-11", "sex": "男", "age": 39, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 大小便正常 纳可 眠安 无明显尿频尿急 口气重", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "烫水蛭", "盐杜仲", "炙淫羊藿", "酒苁蓉", "金樱子", "茯苓", "制巴戟天", "酒黄精", "酒萸肉", "石菖蒲", "佩兰"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["熟地黄", "菟丝子", "当归", "覆盆子", "黄芪", "山药", "盐车前子", "炙甘草", "麸炒白术", "败酱草", "醋五味子", "沙苑子", "烫水蛭", "盐杜仲", "炙淫羊藿", "酒苁蓉", "金樱子", "茯苓", "制巴戟天", "酒黄精", "酒萸肉"], "prev_gap": 17, "visit_ix": 5, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65733, "pid": "P82c00c2e8d18", "date": "2026-08-11", "sex": "男", "age": 60, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿线细，尿等待，尿后余沥，夜尿5-6次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "炒酸枣仁", "制巴戟天", "川牛膝", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65734, "pid": "P188a9e3fb3de", "date": "2026-08-11", "sex": "男", "age": 69, "cc": "尿痛伴尿混浊排尿不畅尿频复诊", "hpi": "尿痛伴尿混浊排尿不畅尿频复诊 小腹隐痛 大便正常 纳眠可", "wm_dx": ["肾功能不全", "前列腺增生", "慢性前列腺炎", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "川贝母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65735, "pid": "Pc26a428a4412", "date": "2026-08-11", "sex": "男", "age": 59, "cc": "前列腺增生复诊", "hpi": "排尿不畅 尿痛 尿道灼热一周余 大便正常 纳可 眠安 腰痛乏力 下肢轻度水肿 可自行消退", "wm_dx": ["下肢水肿", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["麦冬", "酒黄精", "炙黄芪", "制巴戟天", "覆盆子", "菟丝子", "太子参", "猪苓"], "flags": [], "prev_rx": ["麦冬", "酒黄精", "制巴戟天", "覆盆子", "菟丝子", "太子参", "炙黄芪"], "prev_gap": 54, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65736, "pid": "Peccc8755c7c7", "date": "2026-08-11", "sex": "男", "age": 36, "cc": "小腹不适1月", "hpi": "小腹不适1月，尿频，尿等待，尿后余沥，夜尿1次，大便质干，纳可，眠一般，口干，盗汗，体检前列腺增生，工作久坐。小腹不适缓解明显。", "wm_dx": ["尿频", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "知母", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "炒酸枣仁", "酒黄精", "麦冬", "北败酱草", "党参片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "知母", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "炒酸枣仁", "酒黄精", "麦冬", "太子参", "北败酱草"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 65738, "pid": "Pf9cfe8492014", "date": "2026-08-11", "sex": "男", "age": 36, "cc": "腰痛乏力多年", "hpi": "多年前乏力伴射精快，勃起欠佳1年，性欲减退，晨勃可，尿急，大便正常，睡眠正常，夜寐可，长期熬夜，乏力感，口和，复诊尿有泡沫,色黄，晨勃好，同房时中途疲软，复诊：硬度正常，时间短，尿泡沫", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["虚劳类病", "湿热下注证", "清热利湿"]], "rx": ["牡丹皮", "麸炒薏苡仁", "盐关黄柏", "牛膝", "法半夏", "茯苓", "炙黄芪", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "当归", "川芎", "蜈蚣", "黄连片", "滑石", "金樱子肉", "麸炒白术"], "flags": [], "prev_rx": ["麸炒苍术", "麸炒薏苡仁", "盐关黄柏", "牛膝", "法半夏", "茯苓", "炙黄芪", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "当归", "川芎", "蜈蚣", "黄连片", "滑石", "麻黄", "金樱子肉"], "prev_gap": 7, "visit_ix": 6, "n_visits": 9, "visit_ix_rx": 5, "n_rx": 8} {"rid": 65740, "pid": "Pdb8fe648bc3a", "date": "2026-08-11", "sex": "男", "age": 56, "cc": "前列腺增大伴钙化", "hpi": "前列腺增大伴钙化 大便正常 尿频 夜尿3次 排尿通畅 纳眠可", "wm_dx": ["前列腺增生", "高血压", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "陈皮"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65741, "pid": "P0fcbe7a39db0", "date": "2026-08-11", "sex": "男", "age": 54, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿量少，尿后余沥，夜尿2次，小腹不适，大便质干，纳可，眠一般，口干，盗汗，工作久坐，乏力", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "川牛膝", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65743, "pid": "P11f2581af2cc", "date": "2026-08-11", "sex": "男", "age": 40, "cc": "乏力复诊", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多，复诊多梦盗汗，口气重，近一周出现干呕", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["生姜", "干姜", "法半夏", "黄芩片", "黄连片", "党参片", "牛膝", "丹参", "制水蛭", "乌药", "滑石", "燀桃仁", "麸炒冬瓜子"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "党参片", "大枣", "茯苓", "泽泻", "桂枝", "姜厚朴", "紫苏叶", "炙淫羊藿", "仙茅", "盐胡芦巴"], "prev_gap": 28, "visit_ix": 22, "n_visits": 24, "visit_ix_rx": 22, "n_rx": 24} {"rid": 65747, "pid": "Pc26a428a4412", "date": "2026-08-11", "sex": "男", "age": 59, "cc": "前列腺增生复诊", "hpi": "排尿不畅 尿痛 尿道灼热改善大便正常 纳可 眠安 腰痛乏力 下肢轻度水肿 可自行消退", "wm_dx": ["下肢水肿", "前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "猪苓", "羌活", "太子参", "炙黄芪", "茯苓"], "flags": [], "prev_rx": ["麦冬", "酒黄精", "炙黄芪", "制巴戟天", "覆盆子", "菟丝子", "太子参", "猪苓"], "prev_gap": 0, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65748, "pid": "P82c00c2e8d18", "date": "2026-08-11", "sex": "男", "age": 60, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿线细，尿等待，尿后余沥，夜尿5-6次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗 下肢水肿可自行消退", "wm_dx": ["尿频", "前列腺增生", "失眠", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热祛湿"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "猪苓", "陈皮", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "炒酸枣仁", "制巴戟天", "川牛膝", "太子参"], "prev_gap": 0, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65749, "pid": "P30eeea83be8f", "date": "2026-08-11", "sex": "男", "age": 29, "cc": "包皮溃疡2天", "hpi": "包皮溃疡2天 大便正常 纳眠可 尿频 尿急", "wm_dx": ["包皮溃疡", "慢性前列腺炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "白矾", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "黄连片", "地龙", "甘草片", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65752, "pid": "P1b7abe89c1d3", "date": "2026-08-11", "sex": "男", "age": 51, "cc": "腰痛乏力盗汗复诊取药", "hpi": "尿频尿不尽，尿分叉，夜尿0次 腰痛 乏力，盗汗改善 大便正常 纳差 眠差 胃溃疡慢性胃炎 腹胀取药病情稳定延长开药 下肢水肿 可自行消退", "wm_dx": ["下肢水肿", "尿频", "腹胀", "前列腺增生", "高血压", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "太子参", "陈皮", "川贝母"], "flags": [], "prev_rx": ["猪苓", "羌活", "太子参", "陈皮", "川贝母"], "prev_gap": 28, "visit_ix": 20, "n_visits": 21, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65753, "pid": "Pa764883705ba", "date": "2026-08-11", "sex": "男", "age": 26, "cc": "乏力2年", "hpi": "乏力，时间短，阴囊潮湿，尿频，无射精痛，憋尿时少腹隐痛，外院口服达泊西汀等治疗，大便正常，睡眠正常，纳可，吃凉易腹泻，口和，怕冷，复诊：症状无明显缓解，冬天怕冷", "wm_dx": ["尿频", "腹痛"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒苁蓉", "锁阳", "菟丝子", "熟地黄", "牡丹皮", "酒萸肉", "炒酸枣仁", "制远志", "金樱子肉", "莲须", "盐蒺藜", "醋五味子", "党参片", "山药", "茯苓", "炙甘草", "煅龙骨", "盐益智仁", "九香虫", "炒栀子", "酒黄精"], "flags": [], "prev_rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "龙骨", "牡蛎", "干姜", "炙淫羊藿", "仙茅", "制巴戟天", "盐胡芦巴", "茯苓", "泽泻", "麸炒白术", "蜈蚣", "九香虫"], "prev_gap": 14, "visit_ix": 3, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 6} {"rid": 65754, "pid": "P037acedcbb92", "date": "2026-08-11", "sex": "男", "age": 39, "cc": "包皮龟头炎一周余", "hpi": "包皮龟头炎一周余 大小便正常 纳眠可", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白花蛇舌草", "蒲公英", "金银花", "黄连片", "土茯苓", "北败酱草", "茵陈", "当归", "酒黄精", "大黄", "白芷", "防风", "白矾", "地龙"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65758, "pid": "P0ac7ff231dcd", "date": "2026-08-11", "sex": "男", "age": 30, "cc": "失眠一年余", "hpi": "失眠一年余 腰酸痛腿软，多汗，排尿尿频，大便不成型，尿黄，怕冷怕热，口干口气重，易怒，口腔溃疡，盗汗，下肢轻度水肿", "wm_dx": ["盗汗", "腰痛", "水肿"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["胁痛", "肝郁血虚证", "疏肝养血"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "地龙", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "锁阳", "菟丝子", "酒黄精", "麦冬", "盐关黄柏", "知母", "黄芪", "鸡血藤"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "锁阳", "韭菜子", "菟丝子", "酒黄精", "莲子", "炒酸枣仁"], "prev_gap": 16, "visit_ix": 12, "n_visits": 14, "visit_ix_rx": 6, "n_rx": 7} {"rid": 65759, "pid": "P1f0ada2f8f36", "date": "2026-08-11", "sex": "男", "age": 42, "cc": "乏力2年", "hpi": "乏力，有晨勃，硬度一般，中途疲软，时间8-9分钟。排尿烧灼感，大便正常，耳鸣、头晕口服甲钴胺等药物治疗，口干苦", "wm_dx": ["尿频"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "法半夏", "丹参", "鸡血藤", "茯苓", "炒苦杏仁", "石菖蒲", "地黄", "蜈蚣", "黄芩片", "牛膝", "炙淫羊藿", "竹茹", "陈皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65760, "pid": "Peb8de3ec4b30", "date": "2026-08-11", "sex": "男", "age": 56, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿线细，尿等待，夜尿1-3次，无小腹及会阴不适，大便质可，纳可，不吃生冷，眠一般，性欲可，硬度下降，腰痛，阴囊不适疼痛", "wm_dx": ["附睾炎", "前列腺增生", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["丹参", "鸡血藤", "牛膝", "石菖蒲", "制远志", "郁金", "蜈蚣", "煅阳起石", "九香虫", "当归", "川芎", "牡丹皮", "地黄", "北柴胡", "炙淫羊藿", "太子参", "制巴戟天", "覆盆子", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "橘络", "鸡血藤", "炒酸枣仁"], "prev_gap": 12, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65764, "pid": "P1b93b597ce51", "date": "2026-08-11", "sex": "男", "age": 34, "cc": "乏力半年", "hpi": "乏力,性欲不强,硬度一般,熬夜,排尿正常,便秘,口服药物正常,浅睡眠,纳可,吃生冷不适感,无腰痛,口和，复诊：症状无缓解", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "郁金", "牛膝", "蜈蚣", "百合", "地黄", "北沙参", "淡豆豉", "菟丝子", "知母", "枸杞子", "玄参", "醋龟甲", "盐关黄柏"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "郁金", "牛膝", "蜈蚣", "百合", "地黄", "炒栀子", "淡豆豉", "菟丝子", "柏子仁", "枸杞子"], "prev_gap": 13, "visit_ix": 2, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 5} {"rid": 65767, "pid": "P96f8c4edce08", "date": "2026-08-11", "sex": "男", "age": 44, "cc": "会阴部不适感半月", "hpi": "会阴部不适感，口服迈之灵效果不佳，排尿正常，无腹胀，无腰痛，大便正常，纳可，睡眠可，口和", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["赤小豆", "当归", "连翘", "川楝子", "燀桃仁", "红花", "北柴胡", "黄芩片", "牡丹皮", "桂枝", "牛膝", "白芍", "大黄", "甘草片", "制水蛭"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65770, "pid": "P5330a9d952a3", "date": "2026-08-11", "sex": "男", "age": 57, "cc": "前列腺增生 腰痛 尿频复诊", "hpi": "射精后少腹坠胀，精液有暗黑，尿频尿等待，大便不尽，口干口苦，睡眠差 腰痛 下肢水肿可自行消退", "wm_dx": ["下肢水肿", "慢性前列腺炎", "腰痛", "前列腺增生", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热祛湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["姜厚朴", "茯苓", "生石膏", "木香", "槟榔", "黄芩片", "党参片", "姜半夏", "北柴胡", "炙甘草"], "flags": [], "prev_rx": ["姜厚朴", "茯苓", "生石膏", "木香", "槟榔", "黄芩片", "党参片", "姜半夏", "北柴胡", "炙甘草"], "prev_gap": 8, "visit_ix": 7, "n_visits": 11, "visit_ix_rx": 7, "n_rx": 11} {"rid": 65778, "pid": "P5284f6cd7d78", "date": "2026-08-12", "sex": "男", "age": 35, "cc": "会阴痛2次", "hpi": "会阴痛，阵发性，无腰痛，无腹痛，尿不尽，大便粘，睡眠入睡困难，口苦", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝郁湿热证", "疏肝清热"]], "rx": ["北柴胡", "黄芩", "白芍", "牡丹皮", "石菖蒲", "制远志", "茯苓", "赤小豆", "白花蛇舌草", "炙甘草", "麸炒白术", "干姜", "党参"], "flags": [], "prev_rx": ["北柴胡", "黄芩", "白芍", "牡丹皮", "桃仁", "红花", "茯苓", "赤小豆", "白花蛇舌草", "炙甘草"], "prev_gap": 78, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65783, "pid": "P10068b6c8842", "date": "2026-08-12", "sex": "男", "age": 75, "cc": "腰痛复诊", "hpi": "腰痛复诊，硬度下降，性欲可，乏力，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "男性勃起障碍"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芷", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "茯苓", "酒苁蓉", "麸炒苍术", "制巴戟天", "土茯苓", "北败酱草", "盐车前子", "酒黄精", "大血藤", "赤小豆", "麸炒薏苡仁", "泽泻", "黄连片", "天麻"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "茯苓", "酒苁蓉", "麸炒苍术", "制巴戟天", "土茯苓", "北败酱草", "盐车前子", "酒黄精", "大血藤", "赤小豆", "麸炒薏苡仁", "泽泻", "黄连片", "天麻"], "prev_gap": 14, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 5} {"rid": 65784, "pid": "P9bb1545a1b5b", "date": "2026-08-12", "sex": "男", "age": 47, "cc": "复诊", "hpi": "乏力，性欲减退，中途疲软，能射精，无精液，2-3年检查精液为无精， 夜尿2次，近期有便秘，睡眠早醒，纳可，口和，无怕冷。复诊：硬度有恢复，少量精液，仍有便秘", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "地黄", "牡丹皮", "丹参", "燀桃仁", "大黄", "红花", "桂枝", "蜈蚣", "酒萸肉", "山药", "黑顺片", "生石膏", "牛膝", "醋龟甲"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "地黄", "牡丹皮", "丹参", "燀桃仁", "大黄", "红花", "桂枝", "蜈蚣", "酒萸肉", "山药", "黑顺片", "炒苦杏仁", "牛膝"], "prev_gap": 9, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 65785, "pid": "P15ef3024c1e1", "date": "2026-08-12", "sex": "男", "age": 57, "cc": "乏力腰痛半年", "hpi": "伴有勃起不佳 大小便正常 纳眠可，咳嗽有痰，复诊：晨薄好转", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "法半夏", "生姜", "大枣", "地黄", "陈皮", "炒苦杏仁", "牛膝", "牡丹皮", "石菖蒲", "丹参", "鸡血藤", "蜈蚣", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "生姜", "大枣", "桂枝", "醋五味子", "细辛", "牛膝", "麸炒白术", "石菖蒲", "丹参", "鸡血藤", "蜈蚣", "茯苓"], "prev_gap": 7, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65787, "pid": "P02beaef1b1f8", "date": "2026-08-12", "sex": "男", "age": 41, "cc": "慢性前列腺炎复诊", "hpi": "慢性前列腺炎复诊 少腹隐痛 大便正常 纳可 眠安 睾丸隐痛 胃酸过多 反酸 腰痛乏力，复诊：少腹隐痛，睾丸疼痛感消失，睡眠一般，大便粘，胃涨", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "燀桃仁", "红花", "牡丹皮", "赤小豆", "白花蛇舌草", "浙贝母", "苦参", "当归", "连翘", "炙甘草", "党参片", "地黄", "姜厚朴"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "燀桃仁", "红花", "牡丹皮", "泽泻", "赤小豆", "白花蛇舌草", "浙贝母", "苦参", "当归", "连翘", "炙甘草"], "prev_gap": 7, "visit_ix": 10, "n_visits": 13, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65792, "pid": "P07777863d58f", "date": "2026-08-12", "sex": "男", "age": 35, "cc": "遗精1周", "hpi": "遗精1周，压力大，失眠梦多，脱发，乏力，尿黄，尿频，大便可，排气多，性欲强，腰痛，复诊：遗精好转，硬度不佳，晨勃可，时间短1分钟，尿黄，睡眠好转，纳可，大便正常，口干，无阴囊潮湿", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "泽泻", "阿胶珠", "当归", "川芎", "淡竹叶", "牡丹皮", "麸炒白术", "干姜", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "炙淫羊藿", "仙茅"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["熟地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "桂枝", "黑顺片", "鹿角胶", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "炙淫羊藿"], "prev_gap": 8, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65796, "pid": "P47ea4fee1039", "date": "2026-08-12", "sex": "男", "age": 68, "cc": "尿急 尿频 尿不尽半年余", "hpi": "尿急 尿频 尿不尽半年余 大便正常 纳眠可", "wm_dx": ["尿频", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65806, "pid": "P9e4f1d4ebabd", "date": "2026-08-13", "sex": "男", "age": 61, "cc": "前列腺增生复诊", "hpi": "排尿不畅，夜尿1-3次，尿频尿急可。6月20日复诊：前列腺MRI：被膜完整，前列腺腺体信号不均，见多发大小不等结节状影，T1WI呈等及稍低信号，T2WI呈高及稍高信号，DWI未见异常高信号。超声：前列腺体积5.4*4.7*5.6cm。", "wm_dx": ["尿频", "前列腺增生", "2型糖尿病"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65809, "pid": "P9da4fa47b199", "date": "2026-08-13", "sex": "男", "age": 33, "cc": "腰痛半年", "hpi": "腰痛半年 大便正常 纳可 眠差 尿频 下肢轻微水肿 可自行消退 盗汗", "wm_dx": ["腰痛", "水肿", "尿频", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒黄精", "麦冬", "黄芪", "制巴戟天", "覆盆子", "菟丝子", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "炒酸枣仁", "石斛"], "prev_gap": 26, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65811, "pid": "Pd9c64d173888", "date": "2026-08-13", "sex": "男", "age": 38, "cc": "包皮溃疡一周余", "hpi": "包皮溃疡一周余 大小便正常 纳眠可", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "北败酱草", "黄连片", "地龙", "酒黄精", "白芷", "白矾", "荆芥", "大黄", "当归"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65812, "pid": "Pc2391ccf7f82", "date": "2026-08-13", "sex": "男", "age": 43, "cc": "包皮溃疡复诊", "hpi": "包皮溃疡 尿频 纳可 眠安 慢性前列腺炎取药", "wm_dx": ["包皮龟头炎", "慢性前列腺炎"], "tcm_dx": [["包皮龟头炎", "热毒", "清热解毒"], ["湿疮", "湿热毒证", "清热解毒"], ["精浊", "湿热下注证", "清热利湿"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "马齿苋", "地榆", "盐黄柏", "金银花", "蒲公英", "地肤子", "白花蛇舌草", "小蓟", "黄芩", "黄连", "烫水蛭"], "flags": [], "prev_rx": ["蛇床子", "马齿苋", "地榆", "盐黄柏", "金银花", "蒲公英", "地肤子", "白花蛇舌草", "小蓟", "黄芩", "黄连"], "prev_gap": 285, "visit_ix": 15, "n_visits": 17, "visit_ix_rx": 2, "n_rx": 3} {"rid": 65813, "pid": "P8c92643bb3ba", "date": "2026-08-13", "sex": "男", "age": 35, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，硬度和性欲可，工作劳累，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65816, "pid": "P66a101d54a20", "date": "2026-08-13", "sex": "男", "age": 37, "cc": "腰疼半月", "hpi": "腰疼，活动正常，同房后加重，双下肢酸软感，出汗，排尿正常，大便不成型，纳可，口苦口干，硬度下降，睡眠正常，耳鸣，盗汗。", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "生地黄", "酒萸肉", "山药", "北柴胡", "人参", "麸炒枳实", "川芎", "丹参", "鸡血藤", "石菖蒲", "牡丹皮", "桑寄生", "制巴戟天", "白芍", "醋鸡内金", "盐杜仲", "川牛膝", "麦冬", "知母", "麸炒白术", "盐黄柏", "醋鳖甲"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 65819, "pid": "Pee54fe559ee5", "date": "2026-08-13", "sex": "男", "age": 31, "cc": "血精2月", "hpi": "血精2月，色鲜红，无明显排尿不畅，无明显小腹不适，尿频，口服头孢1月，现血精消失，盗汗。", "wm_dx": ["盗汗", "前列腺炎", "尿频"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "炒酸枣仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65820, "pid": "Pb19fc445d7cb", "date": "2026-08-13", "sex": "男", "age": 41, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲强，乏力，工作劳累，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "麸炒白术", "鸡血藤", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65833, "pid": "Pf91c018911b5", "date": "2026-08-13", "sex": "男", "age": 43, "cc": "包皮龟头炎1周", "hpi": "包皮龟头炎1周 局部刺痒泛红 大小便正常 纳眠可 脚气病 症状反复", "wm_dx": ["包皮龟头炎", "脚气病", "足癣"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连片", "茵陈", "蝉蜕", "荆芥", "防风", "白芷", "地龙", "制水蛭", "大黄", "当归"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "黄连片", "茵陈", "蝉蜕", "荆芥", "防风", "白芷", "地龙", "制水蛭", "大黄", "当归"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65835, "pid": "Pb75956d0a811", "date": "2026-08-14", "sex": "男", "age": 76, "cc": "前列腺增生复诊取药", "hpi": "排尿困难改善，大便正常，纳可，眠改善，夜尿3次。", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "三七粉"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "羌活", "太子参", "茯苓", "三七粉"], "prev_gap": 44, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 6, "n_rx": 8} {"rid": 65842, "pid": "P9a5b399c05f7", "date": "2026-08-14", "sex": "男", "age": 64, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 夜尿4次 排尿不畅 大便正常 纳可 眠差 下肢水肿可自行消退 乏力腰痛 盗汗", "wm_dx": ["前列腺增生", "泌尿系感染", "盗汗", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "覆盆子", "太子参", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65843, "pid": "P2dfc21303801", "date": "2026-08-14", "sex": "男", "age": 44, "cc": "体检发现前列腺增生", "hpi": "体检发现前列腺增生 早泄 勃起可 大便正常 偶见尿分叉 排尿无力 失眠", "wm_dx": ["失眠"], "tcm_dx": [["房事早泄", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "蛇床子", "醋五味子", "五倍子", "花椒", "细辛", "丹参", "知母", "鸡血藤"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65846, "pid": "P505783d3c8dd", "date": "2026-08-14", "sex": "男", "age": 37, "cc": "腰痛乏力阴囊潮湿3月", "hpi": "3月前出现腰痛乏力，阴囊潮湿，易困倦，周身无力，大小便正常 纳可 眠安，长期饮酒，饮冰冷水，长期熬夜，", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["失眠", "肾虚证", "补肾扶元"], ["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "麸炒苍术", "麸炒薏苡仁", "牛膝", "党参", "麸炒白术", "黄芪", "茯苓"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "麸炒苍术", "麸炒薏苡仁", "牛膝", "党参", "麸炒白术", "黄芪"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65853, "pid": "P1f2f1939c5a7", "date": "2026-08-14", "sex": "男", "age": 58, "cc": "腰膝酸软3天", "hpi": "腰膝酸软，少腹隐痛，会阴部不适感，喜按喜热，有尿意感，大便正常，怕冷，口干，心烦乏力，有汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血止痛"], ["腰痛", "脾肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "山药", "干姜", "麸炒白术", "茯苓", "黑顺片", "炙甘草", "赤小豆", "当归"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65855, "pid": "P7fc872d0cd3f", "date": "2026-08-14", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，晨起口苦", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "党参片", "当归", "川芎", "地黄", "炙黄芪", "炙淫羊藿", "仙茅", "蜈蚣", "酒萸肉", "桂枝", "牡丹皮", "九香虫"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精"], "prev_gap": 22, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65857, "pid": "P65f95788919a", "date": "2026-08-14", "sex": "男", "age": 35, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 尿频 下肢水肿可自行消退 大便稀 纳可 眠安", "wm_dx": ["腰痛", "下肢水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "枸杞子", "太子参", "猪苓", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65861, "pid": "P3a994614bcf1", "date": "2026-08-14", "sex": "男", "age": 43, "cc": "尿频复诊", "hpi": "尿频，睡眠一般，便秘，近一年勃起不坚，硬度不够，有晨勃，调整口服小剂量他达拉非用法，排尿正常，纳可，口和略干苦，无怕冷，腰疼，复诊：排尿正常，大便正常，近期咽痛，纳可", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["百合", "地黄", "麸炒枳实", "北柴胡", "白芍", "丹参", "鸡血藤", "石菖蒲", "制远志", "当归", "川芎", "蜈蚣", "炙黄芪", "桂枝", "黄芩片", "制水蛭"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "酒苁蓉", "煅龙骨", "煅牡蛎", "地黄", "酒萸肉", "山药", "炙淫羊藿", "仙茅", "黑顺片", "蜈蚣", "丹参", "鸡血藤"], "prev_gap": 147, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65862, "pid": "Pfe2242ca2961", "date": "2026-08-14", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲强，乏力，工作焦虑，二便调，失眠，无排尿不畅、尿后余沥，口干，盗汗，久坐，胁痛", "wm_dx": ["尿频", "腰痛", "头晕"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["失眠", "心肾不交证", "交通心肾"], ["眩晕", "肝瘀血虚证", "疏肝养血"]], "rx": ["猪苓", "太子参", "炒酸枣仁", "陈皮", "玫瑰花"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "太子参", "炒酸枣仁", "陈皮"], "prev_gap": 15, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65864, "pid": "Pf9c4498eca2b", "date": "2026-08-14", "sex": "男", "age": 68, "cc": "尿急一月余", "hpi": "尿急一月余 尿急尿频 小腹隐痛 大便正常 纳眠可", "wm_dx": ["尿频", "前列腺增生", "室性心动过速"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65868, "pid": "Pe4a46dd7433e", "date": "2026-08-14", "sex": "男", "age": 41, "cc": "腰酸痛乏力复诊", "hpi": "乏力腰痛伴有早泄，晨起腰痛明显，失眠多梦，轻度口干口苦，纳可，无腹痛，大便正常，尿频，腰酸痛，乏力，", "wm_dx": ["尿频", "腰痛", "失眠"], "tcm_dx": [["腰痛", "肾虚", "补肾"], ["失眠", "肝肾不足证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "当归", "白芍", "川芎", "熟地黄", "制何首乌", "桑椹", "砂仁", "木香", "龙眼肉", "石菖蒲", "制远志", "防风", "丹参", "大血藤", "醋龟甲", "合欢花", "合欢皮", "麸炒枳壳", "炒酸枣仁", "柏子仁", "炙甘草"], "flags": [], "prev_rx": ["甜叶菊叶", "当归", "白芍", "川芎", "熟地黄", "制何首乌", "桑椹", "砂仁", "木香", "龙眼肉", "石菖蒲", "制远志", "防风", "丹参", "大血藤", "醋龟甲", "合欢花", "合欢皮", "麸炒枳壳", "炒酸枣仁", "柏子仁", "炙甘草"], "prev_gap": 77, "visit_ix": 14, "n_visits": 15, "visit_ix_rx": 4, "n_rx": 5} {"rid": 65873, "pid": "P2351926ac7e8", "date": "2026-08-14", "sex": "男", "age": 36, "cc": "复诊", "hpi": "有一次性生活，硬度下降，乏力，纳眠可，无排尿不畅、尿后余沥减，口干 。", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "九香虫", "蜈蚣", "白薇", "黑顺片", "炙甘草", "生姜", "大枣", "当归", "川芎", "赤小豆", "茯苓"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "生石膏", "九香虫", "蜈蚣", "白薇", "黑顺片", "炙甘草", "生姜", "大枣"], "prev_gap": 9, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 5} {"rid": 65875, "pid": "Pe2730ec47848", "date": "2026-08-15", "sex": "男", "age": 54, "cc": "腰痛乏力伴勃起不坚6月", "hpi": "6月前出现腰痛乏力伴勃起不坚，晨勃消失，性欲减退，口中和，长期熬夜。3.8复诊：偶有晨勃，无同房，3.21复诊：服药后晨勃每日有，排气多，无同房，性欲稍有恢复。4.4复诊：晨勃可，勃起硬度欠佳，可同房，近2周同房2次。4.18复诊：服药无不适，近2周1次同房，硬度欠佳，中途疲软，夜勃增加。5.9复诊：近2周同房1次，硬度欠佳，晨勃恢复。6.20复诊：晨勃可，近2周未同房，睡眠可。7.4日复诊：近2周同房2次，可同房，中途有疲软。7.18复诊：勃起次数提高，坚持时间差，硬度稍差。8.2复诊：近2周晨勃可，未同房，排气好转。", "wm_dx": ["腰痛", "尿频", "糖尿病", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["精浊", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "炙甘草", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "人参", "锁阳", "酒萸肉", "熟地黄", "烫水蛭", "黄芪", "制巴戟天", "韭菜子", "甜叶菊叶", "太子参", "枸杞子", "桑椹", "猪苓", "酒黄精"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "菟丝子", "炙甘草", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "人参", "锁阳", "酒萸肉", "熟地黄", "烫水蛭", "黄芪", "制巴戟天", "韭菜子", "甜叶菊叶"], "prev_gap": 13, "visit_ix": 19, "n_visits": 20, "visit_ix_rx": 11, "n_rx": 12} {"rid": 65877, "pid": "Pa24285de21cf", "date": "2026-08-15", "sex": "男", "age": 26, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，2-3分钟，工作劳累，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干,复诊,症状缓解,口和，排尿正常，腰痛好转，时间有延迟", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "龙骨", "牡蛎", "葛根", "石菖蒲", "盐蒺藜", "丹参", "郁金", "制远志", "酒萸肉", "锁阳", "金樱子肉", "炙甘草", "百合", "地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "龙骨", "牡蛎", "葛根", "石菖蒲", "盐蒺藜", "丹参", "郁金", "制远志", "酒萸肉", "锁阳", "金樱子肉", "炙甘草", "百合"], "prev_gap": 14, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65884, "pid": "P377f1e554603", "date": "2026-08-15", "sex": "男", "age": 43, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "知母", "鸡血藤", "制远志", "党参片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65888, "pid": "P488a94d3c267", "date": "2026-08-15", "sex": "男", "age": 33, "cc": "腰痛乏力1月", "hpi": "1月前出现腰痛乏力，近期备孕2胎，盗汗，尿频尿急，睾丸不适，精索胀痛", "wm_dx": ["盗汗", "前列腺炎", "腰痛", "精索静脉曲张"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["精浊", "下焦湿热证", "清热利湿"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "炒麦芽", "醋鸡内金", "酒黄精", "土茯苓", "麸炒冬瓜子", "金樱子肉", "覆盆子", "制水蛭", "甜叶菊叶", "炒酸枣仁", "柏子仁", "茯神", "北柴胡"], "flags": [], "prev_rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "炒麦芽", "醋鸡内金", "酒黄精", "土茯苓", "麸炒冬瓜子", "金樱子肉", "覆盆子", "制水蛭", "甜叶菊叶", "炒酸枣仁", "柏子仁", "茯神"], "prev_gap": 21, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 4, "n_rx": 5} {"rid": 65890, "pid": "Pf8ee518d718d", "date": "2026-08-15", "sex": "男", "age": 45, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，勃起欠佳，中途疲软，性欲减退，晨起口苦，盗汗，长期熬夜，尿频，下肢轻度水肿。6.27复诊：近2周同房一次，同房10分钟换姿势会中途疲软，晨勃1次，多汗，阴囊潮湿，盗汗，大便2次，不成型，", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "湿热下注证", "清热利湿"]], "rx": ["炒苦杏仁", "麸炒薏苡仁", "盐黄柏", "牛膝", "广藿香", "佩兰", "赤小豆", "白花蛇舌草", "金银花", "陈皮", "党参", "丹参", "鸡血藤", "淡竹叶", "北柴胡"], "flags": [], "prev_rx": ["法半夏", "黄连", "黄芩", "干姜", "大枣", "人参", "麸炒薏苡仁", "赤小豆", "茵陈", "炒苦杏仁", "淡竹叶", "牛膝", "石菖蒲", "北柴胡", "麸炒枳实", "白芍"], "prev_gap": 14, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65891, "pid": "P0b89c9f39f25", "date": "2026-08-15", "sex": "男", "age": 38, "cc": "腰痛乏力1周", "hpi": "1周前出现腰痛乏力，长期熬夜，久坐，偶有憋尿，口中和。8.15复诊：腰痛乏力好转，精神头增加，近期熬夜多。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花", "蒲公英", "甜叶菊叶"], "flags": [], "prev_rx": ["丹参", "酒大黄", "制何首乌", "龙胆", "虎杖", "连翘", "盐车前子", "醋鸡内金", "酒黄精", "土茯苓", "金樱子", "覆盆子", "烫水蛭", "金银花", "蒲公英", "甜叶菊叶"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65894, "pid": "Pd681eb81f824", "date": "2026-08-15", "sex": "男", "age": 47, "cc": "阴囊潮湿2年", "hpi": "阴囊潮湿2年，阴茎根部潮湿，肛周潮湿瘙痒，尿频，无夜尿，排尿不畅改善。眠差，纳可，大便粘。胁肋疼痛，反酸烧心。4.18复诊：阴囊潮湿，肛周潮湿无瘙痒，夜寐差。", "wm_dx": ["腰痛", "尿频", "慢性前列腺炎", "股癣", "失眠"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["湿疮", "湿热下注证", "清热利湿"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["麸炒苍术", "盐黄柏", "麸炒薏苡仁", "牛膝", "龙胆", "炒栀子", "茯苓", "蛇床子", "地肤子", "石菖蒲", "制远志", "炒酸枣仁", "柏子仁", "甜叶菊叶"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["蛇床子", "地肤子", "土茯苓", "地榆", "白花蛇舌草", "金银花", "盐黄柏", "马齿苋"], "prev_gap": 161, "visit_ix": 23, "n_visits": 24, "visit_ix_rx": 5, "n_rx": 6} {"rid": 65895, "pid": "P5e7173360731", "date": "2026-08-15", "sex": "男", "age": 30, "cc": "睡眠差1年", "hpi": "睡眠差，中途醒，白天乏力感，燥热感，尿黄，有泡沫，大便大部分偏干，口干，纳可，复诊鼻子热气", "wm_dx": ["血尿", "尿频"], "tcm_dx": [["精浊", "阳虚水泛证", "温阳利水"]], "rx": ["泽泻", "茯苓", "猪苓", "滑石", "阿胶珠", "川芎", "当归", "法半夏", "黄芩片", "煅龙骨", "煅牡蛎", "麸炒白术", "炒酸枣仁", "知母", "生石膏"], "flags": [], "prev_rx": ["泽泻", "茯苓", "猪苓", "滑石", "阿胶珠", "川芎", "当归", "桂枝", "法半夏", "黄芩片", "煅龙骨", "煅牡蛎", "麸炒白术", "炒酸枣仁", "炒栀子", "生石膏"], "prev_gap": 14, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 5, "n_rx": 7} {"rid": 65898, "pid": "P43116341131a", "date": "2026-08-15", "sex": "男", "age": 36, "cc": "尿频2周", "hpi": "尿频2周，尿分叉，晨起乏力，大便不成型，纳可，喜吃生冷，睡眠熬夜多梦，口气", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "党参片", "滑石", "茯苓", "牡丹皮", "石菖蒲", "郁金", "制远志", "丹参", "鸡血藤", "盐蒺藜", "知母", "炙黄芪", "龙骨", "牡蛎", "蜈蚣"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "茯苓", "牡丹皮", "石菖蒲", "郁金", "制远志", "丹参", "鸡血藤", "盐蒺藜", "生姜", "大枣", "龙骨", "牡蛎", "蜈蚣", "党参片", "滑石"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65899, "pid": "P386360b58aae", "date": "2026-08-15", "sex": "男", "age": 36, "cc": "腰痛乏力伴勃起中途疲软2月", "hpi": "2月前出现腰痛乏力伴勃起中途疲软，长期倒班，夜班频繁，手心潮热汗出，盗汗。6.13复诊，近2周同房2次，可同房，中途稍软，手心汗出好转，腰痛乏力，下肢轻度水肿。7.4复诊：近2周同房2次，可同房，口中和，中途软明显好转。", "wm_dx": ["尿频", "盗汗", "腰痛", "水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "黄芪", "川芎", "人参", "酒黄精", "制巴戟天", "金樱子", "覆盆子", "盐车前子"], "flags": [], "prev_rx": ["甘草", "北柴胡", "麸炒枳实", "白芍", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "韭菜子", "黄芪", "川芎", "人参", "酒黄精", "锁阳", "制巴戟天"], "prev_gap": 14, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 5} {"rid": 65908, "pid": "P9b6e256b9485", "date": "2026-08-15", "sex": "男", "age": 28, "cc": "肾结石复诊", "hpi": "既往肾结石，现无腰痛，无腹痛，尿频，色正常，泡沫多，大便2次，不成型，睡眠 可，纳可，口和", "wm_dx": ["肾结石", "尿频", "男性性腺功能低下"], "tcm_dx": [["石淋", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "地黄", "百合", "牛膝", "醋龟甲", "石菖蒲", "制远志", "柏子仁", "蜈蚣", "路路通", "牡丹皮", "山药", "九香虫"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65909, "pid": "P4681b4f4dc77", "date": "2026-08-15", "sex": "男", "age": 43, "cc": "乏力2月", "hpi": "乏力，近2月突发勃起费劲，启动慢，中途疲软，尿分叉，夜尿正常，睡眠正常，大便平素干，纳可，口干口苦。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "石菖蒲", "郁金", "蜈蚣", "生石膏", "牛膝", "丹参", "鸡血藤", "地黄", "燀桃仁", "红花", "炙淫羊藿", "仙茅", "知母"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "石菖蒲", "郁金", "蜈蚣", "牛膝", "丹参", "鸡血藤", "地黄", "燀桃仁", "红花", "生石膏", "炙淫羊藿", "仙茅"], "prev_gap": 7, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 65915, "pid": "P5b3e9513fd90", "date": "2026-08-15", "sex": "男", "age": 36, "cc": "尿频一年", "hpi": "尿频，弱精，排尿正常，大便正常，睡眠正常，纳可，口和，无腰疼，尿黄", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["泽泻", "茯苓", "猪苓", "当归", "川芎", "制吴茱萸", "干姜", "砂仁", "麸炒白术", "桂枝", "桑螵蛸", "黑顺片", "枸杞子", "制水蛭", "炙淫羊藿", "熟地黄", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65916, "pid": "P5d47167e9066", "date": "2026-08-15", "sex": "男", "age": 27, "cc": "尿频1年", "hpi": "尿频，白天频，色白，夜尿正常，怕冷，动则汗出，时有盗汗，手脚发凉，大便正常，略稀，睡眠可，纳可，晨起口干", "wm_dx": ["高尿酸血症"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "党参片", "生姜", "大枣", "桂枝", "白芍", "龙骨", "牡蛎", "浮小麦", "石菖蒲", "制远志", "生石膏", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65919, "pid": "P44fbf4261d6a", "date": "2026-08-15", "sex": "男", "age": 31, "cc": "尿后余沥2周", "hpi": "尿后余沥2周，无力，尿意强，夜尿0次，淡黄，喝水即尿，无小腹及会阴不适，下午胃胀，大便不成型，纳可 ，阴囊潮湿,复诊:症状好转,尿黄,无力", "wm_dx": ["前列腺炎", "腰痛", "盗汗"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精浊", "寒热错杂证", "清上温中"]], "rx": ["法半夏", "黄连", "黄芩", "干姜", "大枣", "人参", "赤小豆", "白花蛇舌草", "广金钱草", "石菖蒲", "炙甘草", "生地黄"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["法半夏", "黄连", "黄芩", "干姜", "大枣", "人参", "赤小豆", "白花蛇舌草", "广金钱草", "石菖蒲", "炙甘草"], "prev_gap": 21, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 5} {"rid": 65920, "pid": "P61f79b1b17fc", "date": "2026-08-15", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜,复诊:拉肚子", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "党参片", "桑螵蛸", "牡蛎", "红景天", "牛膝", "枸杞子", "酒女贞子", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "石菖蒲", "郁金", "百合", "地黄", "枸杞子", "菟丝子", "覆盆子", "盐车前子", "葛根", "桑螵蛸", "醋龟甲"], "prev_gap": 14, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 65922, "pid": "Pe861b6ef07d4", "date": "2026-08-15", "sex": "男", "age": 32, "cc": "乏力2月", "hpi": "乏力，近2月健身，控制饮食，出现晨勃没有，硬度一般，性欲一般，排尿正常，大便一般，熬夜，睡眠可，口渴,复诊:症状恢复,巩固治疗", "wm_dx": ["乏力"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["干姜", "茯苓", "泽泻", "泽兰", "猪苓", "当归", "川芎", "白芍", "阿胶珠", "炒酸枣仁", "知母", "炙淫羊藿"], "flags": [], "prev_rx": ["干姜", "茯苓", "泽泻", "泽兰", "猪苓", "当归", "川芎", "白芍", "阿胶珠", "炒酸枣仁", "知母", "炙淫羊藿"], "prev_gap": 11, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65924, "pid": "P524b3ddec43d", "date": "2026-08-15", "sex": "男", "age": 37, "cc": "尿频1.5月", "hpi": "尿频，夜尿正常，大便不成形2次，睡眠熬夜，早醒，纳可，突发无晨勃，硬度下降，时间短2-3分钟，口和，无腰痛，无怕冷，复诊：硬度可，有同房，时间短，大便稀，复诊：大便2-3次，5分钟", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["蒲公英", "盐关黄柏", "秦皮", "黄连片", "麸炒薏苡仁", "赤小豆", "龙骨", "牡蛎", "知母", "地黄", "金樱子肉", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "滑石", "生石膏", "甘草片"], "flags": [], "prev_rx": ["黄芩片", "白芍", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "党参片", "干姜", "大枣", "盐关黄柏", "秦皮", "桂枝", "瓜蒌", "蜈蚣", "龙骨", "薏苡仁", "牡蛎", "地黄"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 65926, "pid": "Pcdc840a16809", "date": "2026-08-15", "sex": "男", "age": 26, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎", "足癣"], "tcm_dx": [["湿疮", "湿热下注证", "清热祛湿"]], "rx": ["地榆", "盐关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连片", "麸炒苍术", "百部", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65928, "pid": "P15631c90dc58", "date": "2026-08-15", "sex": "男", "age": 36, "cc": "尿混浊尿痛3月", "hpi": "3月前出现尿混浊，尿痛，阴囊潮湿", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "麸炒苍术", "麸炒薏苡仁", "牛膝", "黄芪", "红曲"], "flags": [], "prev_rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "麸炒苍术", "麸炒薏苡仁", "牛膝", "黄芪", "红曲"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65929, "pid": "Pd0cb592ce35f", "date": "2026-08-15", "sex": "男", "age": 26, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠改善，纳可，二便调，口干，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作劳累，盗汗。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "盐益智仁", "诃子肉", "酒黄精", "川芎", "知母", "盐关黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "莲子", "金樱子肉", "诃子肉", "覆盆子", "醋五味子", "麸炒白术"], "prev_gap": 86, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65932, "pid": "P3444a35391a1", "date": "2026-08-15", "sex": "男", "age": 38, "cc": "小腹不适1周", "hpi": "小腹不适1周，久坐后明显，稍有尿频，夜尿0次。工作久坐，骑行。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "酒黄精", "炒酸枣仁", "党参片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65941, "pid": "Pcc906c3df8c5", "date": "2026-08-16", "sex": "男", "age": 46, "cc": "乏力半年。", "hpi": "乏力半年，排尿可，大便正常，睡眠正常，纳可，口和，无腰疼，不能吹凉风，包皮龟头炎", "wm_dx": ["乏力", "包皮龟头炎"], "tcm_dx": [["虚劳类病", "表证", "辛凉解表"]], "rx": ["桂枝", "生姜", "大枣", "白芍", "葛根", "地黄", "牡丹皮", "酒萸肉", "山药", "蜈蚣", "石菖蒲", "制远志", "龙骨", "牡蛎", "九香虫", "制巴戟天", "红景天", "麸炒白术"], "flags": [], "prev_rx": ["桂枝", "生姜", "大枣", "白芍", "葛根", "地黄", "牡丹皮", "酒萸肉", "山药", "蜈蚣", "石菖蒲", "制远志", "龙骨", "牡蛎", "九香虫"], "prev_gap": 22, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65942, "pid": "Pe32e8d05180d", "date": "2026-08-16", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，兴趣低下", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65945, "pid": "P856d6768a6ec", "date": "2026-08-16", "sex": "男", "age": 49, "cc": "包皮龟头炎 泌尿系感染 慢性前列腺炎复诊取药", "hpi": "包皮龟头炎 泌尿系感染 慢性前列腺炎复诊取药 大便正常 纳可 眠安 尿频 尿急 尿等待 前列腺增生 带状疱疹取药", "wm_dx": ["尿频", "前列腺增生", "带状疱疹", "慢性前列腺炎", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精浊", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热祛湿"]], "rx": ["太子参", "猪苓", "茯苓", "川牛膝", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65949, "pid": "P8c9f9e86c673", "date": "2026-08-16", "sex": "男", "age": 43, "cc": "尿频2年", "hpi": "尿频，晨勃少，硬度一般 ，时间短，尿不尽，夜尿正常，阴囊潮湿，无腹痛，无腰疼，大便时干时稀，睡眠正常，纳可，口干，手脚发凉，怕冷，乏力,复诊：阴囊潮湿，乏力好转，晨勃有，尿不尽，时间短", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "桂枝", "小通草", "赤小豆", "百合", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "燀桃仁", "红花", "炙淫羊藿", "酒萸肉", "丝瓜络", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "地黄", "桂枝", "小通草", "赤小豆", "百合", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "燀桃仁", "红花", "炙淫羊藿", "酒萸肉", "丝瓜络", "炙甘草"], "prev_gap": 16, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 7, "n_rx": 8} {"rid": 65950, "pid": "Pb20a939767eb", "date": "2026-08-16", "sex": "男", "age": 56, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 伴有性功能下降一月余 晨勃消失 大小便正常 纳可 眠安", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒苁蓉", "锁阳", "菟丝子", "熟地黄", "牡丹皮", "酒萸肉", "炒酸枣仁", "制远志", "金樱子肉", "莲须", "盐蒺藜", "醋五味子", "党参片", "山药", "茯苓", "炙甘草", "煅龙骨", "盐益智仁", "九香虫", "炒栀子", "酒黄精", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒苁蓉", "锁阳", "菟丝子", "熟地黄", "牡丹皮", "酒萸肉", "炒酸枣仁", "制远志", "金樱子肉", "莲须", "盐蒺藜", "醋五味子", "党参片", "山药", "茯苓", "炙甘草", "煅龙骨", "盐益智仁", "九香虫", "炒栀子", "酒黄精"], "prev_gap": 6, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 65956, "pid": "P697f04cfc969", "date": "2026-08-16", "sex": "男", "age": 55, "cc": "阴囊肿胀2天", "hpi": "阴囊肿胀2天，坠痛，偶有尿血，色粉红，无明显排尿不畅、尿痛", "wm_dx": ["前列腺增生", "附睾炎", "精索静脉曲张"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "太子参", "炒酸枣仁", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65957, "pid": "Pf5db9c22578e", "date": "2026-08-16", "sex": "男", "age": 68, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 乏力 兴趣低下 体重稍有下降", "wm_dx": ["乏力", "腰痛", "糖尿病"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["黑顺片", "茯苓", "生姜", "酒白芍", "人参", "麸炒苍术", "天竺黄", "焦槟榔", "龙骨", "牡蛎", "肉桂", "三七粉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黑顺片", "茯苓", "生姜", "酒白芍", "人参", "麸炒苍术", "天竺黄", "焦槟榔", "龙骨", "牡蛎", "肉桂", "三七粉"], "prev_gap": 21, "visit_ix": 12, "n_visits": 14, "visit_ix_rx": 12, "n_rx": 14} {"rid": 65960, "pid": "Pd1df0ffb2b7b", "date": "2026-08-16", "sex": "男", "age": 36, "cc": "腰痛抄方", "hpi": "腰痛抄方，外院许金晶", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["韭菜子", "锁阳", "制巴戟天", "仙茅", "盐关黄柏", "炙淫羊藿", "麸炒薏苡仁", "丹参", "麸炒白术", "合欢皮", "沙苑子", "续断片", "制远志", "北柴胡", "月季花", "菟丝子", "枸杞子", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65961, "pid": "P47ab70f76fc6", "date": "2026-08-16", "sex": "男", "age": 50, "cc": "腰痛复诊", "hpi": "腰痛改善，工作可，二便调，纳可，无排尿不畅、尿后余沥，口干，盗汗，乏力失眠", "wm_dx": ["腰痛", "盗汗", "失眠", "胃食管反流"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["失眠", "心血虚证", "补血养心"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "知母", "制远志", "石菖蒲", "盐关黄柏", "麦冬", "陈皮", "太子参", "炒酸枣仁"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "知母", "制远志", "石菖蒲", "盐关黄柏", "盐益智仁", "陈皮", "太子参"], "prev_gap": 8, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65963, "pid": "P2f2cd5f170e9", "date": "2026-08-16", "sex": "男", "age": 30, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，性欲可，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，晨勃少", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65964, "pid": "P993a7f62e83b", "date": "2026-08-16", "sex": "男", "age": 24, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "党参片", "酒苁蓉", "酒萸肉", "制巴戟天", "菟丝子", "鸡血藤", "石菖蒲", "北败酱草", "茯苓", "锁阳", "金樱子肉", "酒黄精"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "盐杜仲", "白芷", "菟丝子", "酒黄精", "黄芪", "鸡血藤", "丹参", "煅龙骨", "煅牡蛎"], "prev_gap": 28, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 65965, "pid": "P4684f8614e04", "date": "2026-08-16", "sex": "男", "age": 28, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "炒酸枣仁", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65976, "pid": "P565515b9b23b", "date": "2026-08-17", "sex": "男", "age": 36, "cc": "尿频1月", "hpi": "1月前无明显诱因出现尿频，夜尿2-3次，口中和，夜寐差，腰痛，工作不久坐", "wm_dx": ["尿频", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "麸炒枳实", "北柴胡", "玉竹", "百合", "白芍", "丹参", "肉苁蓉", "炙淫羊藿", "赤小豆", "盐益智仁", "山药", "炒酸枣仁", "制远志", "醋延胡索", "金樱子", "炒王不留行", "黄芪"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "麸炒枳实", "北柴胡", "玉竹", "百合", "白芍", "丹参", "肉苁蓉", "炙淫羊藿", "赤小豆", "炒白扁豆", "乌药", "盐益智仁", "山药", "炒酸枣仁", "柏子仁", "制远志"], "prev_gap": 390, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 65978, "pid": "P69bca6819dd4", "date": "2026-08-17", "sex": "男", "age": 50, "cc": "复诊", "hpi": "有性生活1、硬度不够。可射精。口中和，无肢冷。", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "牡蛎", "龙骨", "炙甘草", "蜈蚣", "五倍子"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "九香虫", "牡蛎", "龙骨", "炙甘草", "蜈蚣", "瓜蒌", "薤白"], "prev_gap": 11, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 5, "n_rx": 6} {"rid": 65981, "pid": "Pbdf97c2ce62e", "date": "2026-08-17", "sex": "男", "age": 29, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 怕凉 性功能下降 晨勃少 大小便正常 纳可 失眠 房事多汗 硬度差早泄 下肢水肿可自行消退 盗汗", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒黄精", "麦冬", "黄芪", "制巴戟天", "覆盆子", "太子参", "炒酸枣仁", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65982, "pid": "Pf89372e44cd2", "date": "2026-08-17", "sex": "男", "age": 69, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，大便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗 尿频 下肢水肿可自行消退", "wm_dx": ["腰痛", "下肢水肿", "尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "猪苓", "太子参", "川贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "石菖蒲"], "prev_gap": 18, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 65984, "pid": "P7134f54352ae", "date": "2026-08-17", "sex": "男", "age": 51, "cc": "复诊", "hpi": "病史同前，盗汗减，怕冷，时有协痛不适，夜尿0-1次，无尿等待，无阴囊潮湿，眠易醒，便调，口干。", "wm_dx": ["尿频"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝养血"], ["精浊", "肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "生石膏", "九香虫", "地龙", "炙甘草", "生姜", "大枣"], "flags": [], "prev_rx": ["桂枝", "白芍", "牡蛎", "龙骨", "白薇", "黑顺片", "生石膏", "烫狗脊", "独活", "九香虫", "地龙", "炙甘草", "生姜", "大枣"], "prev_gap": 140, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65986, "pid": "Pc14c66e9f14a", "date": "2026-08-17", "sex": "男", "age": 31, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 伴有早泄8年余 大便正常 纳可 勃起可 规律同房 尿急 尿频 失眠 头晕胁痛", "wm_dx": ["腰痛", "眩晕", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "湿热下注证", "清热利湿"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "地骨皮", "花椒", "细辛", "炒僵蚕", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65987, "pid": "Pdb2475cf5e0c", "date": "2026-08-17", "sex": "男", "age": 59, "cc": "排尿不畅复诊取药", "hpi": "排尿不畅改善，尿急，无明显尿频，尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干，盗汗 下肢水肿 可自行消退 腰痛", "wm_dx": ["盗汗", "尿频", "前列腺增生", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "陈皮", "麸炒芡实", "太子参", "川贝母", "炒酸枣仁"], "flags": [], "prev_rx": ["猪苓", "知母", "太子参", "川贝母", "炒酸枣仁", "酒萸肉"], "prev_gap": 21, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 3, "n_rx": 4} {"rid": 65989, "pid": "P196f5685d2e2", "date": "2026-08-17", "sex": "男", "age": 27, "cc": "慢性前列腺炎腹胀", "hpi": "右下腹不适消失 大便正常 纳眠可 尿频 阴囊潮湿明显", "wm_dx": ["慢性前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腹痛", "气滞血瘀证", "活血化瘀"]], "rx": ["猪苓", "羌活", "茯苓", "川贝母", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65991, "pid": "P2826bf26e902", "date": "2026-08-17", "sex": "男", "age": 25, "cc": "包皮龟头炎半月余", "hpi": "包皮龟头炎半月余 大小便正常 纳眠可", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "地龙", "制水蛭", "白花蛇舌草", "白矾", "荆芥", "羌活", "金银花", "蒲公英", "土茯苓", "北败酱草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65992, "pid": "Pd65fdab773a2", "date": "2026-08-17", "sex": "男", "age": 54, "cc": "龟头泛红复诊", "hpi": "龟头泛红明显改善 无瘙痒疼痛 大小便正常 纳眠可 尿频 尿急 前列腺增生取药", "wm_dx": ["龟头炎", "尿频", "前列腺增生"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "百部", "蛇床子", "地肤子", "白芷", "荆芥", "白矾", "白花蛇舌草", "蒲公英", "金银花", "土茯苓", "北败酱草", "地龙", "蜈蚣", "制水蛭", "大黄", "当归"], "flags": [], "prev_rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "百部", "蛇床子", "地肤子", "白芷", "荆芥", "白矾", "白花蛇舌草", "蒲公英", "金银花", "土茯苓", "北败酱草", "地龙", "蜈蚣", "制水蛭", "大黄", "当归"], "prev_gap": 7, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 65993, "pid": "P9069679bb9c9", "date": "2026-08-17", "sex": "男", "age": 75, "cc": "躯干及双上肢红斑瘙痒3天", "hpi": "患者3天前躯干及双上肢出现密集分布红斑丘疹，部分红斑沿皮纹分布，时有瘙痒。纳眠可，二便调", "wm_dx": ["皮炎"], "tcm_dx": [["风热疮", "湿毒蕴肤证", "祛湿解毒"]], "rx": ["荆芥", "防风", "牡丹皮", "黄芩", "栀子", "苦参", "白鲜皮", "车前草", "泽泻", "生地黄", "白茅根", "麸炒苍术"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 65995, "pid": "P5c64bef9c538", "date": "2026-08-17", "sex": "男", "age": 32, "cc": "尿道不适2周", "hpi": "尿道不适，瘙痒刺痛，有分泌物，外院就诊，未用药。", "wm_dx": ["尿道炎"], "tcm_dx": [["淋证", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "泽泻", "滑石", "马鞭草", "土茯苓", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 65998, "pid": "P24bb5116aef8", "date": "2026-08-17", "sex": "男", "age": 35, "cc": "尿频6年", "hpi": "尿频6年，持续不久，近4月勃起不坚，中途疲软，昨日未常规。晨勃有，熬夜，排尿正常，喝水即尿多，大便不成型，纳可，口和，无怕冷，腰痛。药后症状改善，停药后反复。", "wm_dx": ["男性性腺功能低下", "腰痛", "前列腺炎"], "tcm_dx": [["精浊", "脾肾阳虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "鸡血藤", "盐益智仁", "熟地黄", "石菖蒲", "地龙", "合欢皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["茯苓", "泽泻", "当归", "川芎", "熟地黄", "牡丹皮", "石菖蒲", "盐蒺藜", "丹参", "鸡血藤", "煅龙骨", "煅牡蛎", "干姜", "炙淫羊藿", "蜈蚣", "黑顺片", "炒酸枣仁", "北柴胡", "醋青皮", "酒苁蓉", "菟丝子", "黄芪"], "prev_gap": 56, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66004, "pid": "P79be7af66a97", "date": "2026-08-17", "sex": "男", "age": 38, "cc": "尿意频繁复诊", "hpi": "尿意频繁基本消失 大便正常 纳可 失眠多梦 腰痛乏力 尿频 下肢水肿 可自行消退", "wm_dx": ["下肢水肿", "尿频", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "知母", "覆盆子", "太子参", "炒酸枣仁", "猪苓"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66011, "pid": "Pa9b376056db7", "date": "2026-08-17", "sex": "男", "age": 25, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 疲劳 勃起可 早泄 大小便正常 纳眠可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "太子参", "猪苓", "炒酸枣仁", "陈皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66013, "pid": "P143c6843706a", "date": "2026-08-17", "sex": "男", "age": 46, "cc": "腰痛复诊", "hpi": "腰痛改善 性功能下降 勃起不坚改善 大便正常 纳眠可 晨勃增加 下肢水肿 可自行消退 尿频", "wm_dx": ["腰痛", "尿频", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒苁蓉", "制巴戟天", "炙淫羊藿", "盐胡芦巴", "蛇床子", "韭菜子", "北柴胡", "盐蒺藜", "木香", "山药", "麸炒白术", "茯苓", "锁阳", "干姜", "郁金", "醋青皮", "砂仁", "土茯苓", "太子参", "黄芪", "北败酱草", "制远志", "地龙", "制水蛭"], "flags": [], "prev_rx": ["酒苁蓉", "制巴戟天", "炙淫羊藿", "盐胡芦巴", "蛇床子", "韭菜子", "北柴胡", "盐蒺藜", "木香", "山药", "白术", "茯苓", "锁阳", "合欢花", "郁金", "醋青皮", "川楝子", "土茯苓", "太子参", "黄芪", "北败酱草", "制远志", "地龙", "制水蛭"], "prev_gap": 21, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 4} {"rid": 66017, "pid": "P7cf60cdf0a7a", "date": "2026-08-17", "sex": "男", "age": 36, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力复诊 勃起不佳 晨勃少 性欲可 大小便正常 纳眠可 下肢水肿可自行消退 胁痛头晕", "wm_dx": ["腰痛", "眩晕", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "麸炒芡实", "太子参", "炒酸枣仁", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66018, "pid": "P579c6163d49d", "date": "2026-08-17", "sex": "男", "age": 37, "cc": "包皮龟头炎2天", "hpi": "包皮龟头炎2天 大便正常 纳眠可 阴囊潮湿 阳痿早泄 晨勃少 腰痛乏力 下肢水肿可自行消退 尿频", "wm_dx": ["包皮龟头炎", "下肢水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆炭", "黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "土茯苓", "地龙", "大黄", "当归", "制巴戟天", "覆盆子", "太子参", "枸杞子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66024, "pid": "Pd6b84460b205", "date": "2026-08-17", "sex": "男", "age": 47, "cc": "排尿不畅6月", "hpi": "排尿不畅6月，尿频，尿线细，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "麸炒山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "泽泻", "制远志", "合欢皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 66029, "pid": "P54576027f9cc", "date": "2026-08-18", "sex": "男", "age": 61, "cc": "腰痛乏力血精复诊", "hpi": "血精明显减轻 大便正常 纳眠可 小腹隐痛消失 腰痛乏力缓解 下肢水肿可自行消退 尿频 尿不尽一周余", "wm_dx": ["下肢水肿", "前列腺增生", "尿频", "精囊炎", "腰痛"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "太子参", "猪苓", "覆盆子", "炒酸枣仁"], "flags": [], "prev_rx": ["制巴戟天", "知母", "太子参", "三七粉", "猪苓"], "prev_gap": 21, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 66030, "pid": "P0604f08af5a2", "date": "2026-08-18", "sex": "男", "age": 68, "cc": "包皮龟头炎复诊", "hpi": "包皮龟头炎改善 大便正常 纳可 眠安 尿频 尿急 尿等待", "wm_dx": ["带状疱疹", "包皮龟头炎", "慢性前列腺炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "蛇床子", "地肤子", "白花蛇舌草", "金银花", "蒲公英", "土茯苓", "北败酱草", "地龙", "制水蛭", "大黄", "当归", "蜈蚣", "白芷", "防风", "荆芥", "白矾", "炒僵蚕", "赤芍"], "flags": [], "prev_rx": ["地榆", "关黄柏", "苦参", "马齿苋", "蛇床子", "地肤子", "白花蛇舌草", "金银花", "蒲公英", "土茯苓", "北败酱草", "地龙", "制水蛭", "大黄", "当归", "蜈蚣", "白芷", "防风", "荆芥", "白矾", "炒僵蚕", "赤芍"], "prev_gap": 7, "visit_ix": 6, "n_visits": 8, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66032, "pid": "Pf9cfe8492014", "date": "2026-08-18", "sex": "男", "age": 36, "cc": "腰痛乏力多年", "hpi": "多年前乏力伴射精快，勃起欠佳1年，性欲减退，晨勃可，尿急，大便正常，睡眠正常，夜寐可，长期熬夜，乏力感，口和，复诊尿有泡沫,色黄，晨勃好，同房时中途疲软，复诊：硬度正常，时间短，尿泡沫", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["虚劳类病", "湿热下注证", "清热利湿"]], "rx": ["牡丹皮", "麸炒薏苡仁", "盐关黄柏", "牛膝", "茯苓", "北柴胡", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "麸炒白术", "蜈蚣", "滑石", "金樱子肉", "麸炒枳实", "白芍", "炙淫羊藿"], "flags": [], "prev_rx": ["牡丹皮", "麸炒薏苡仁", "盐关黄柏", "牛膝", "法半夏", "茯苓", "炙黄芪", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "当归", "川芎", "蜈蚣", "黄连片", "滑石", "金樱子肉", "麸炒白术"], "prev_gap": 7, "visit_ix": 7, "n_visits": 9, "visit_ix_rx": 6, "n_rx": 8} {"rid": 66036, "pid": "Pfd32dd6c04b3", "date": "2026-08-18", "sex": "男", "age": 50, "cc": "慢性前列腺炎复诊", "hpi": "慢性前列腺炎复诊 腰痛乏力 大小便正常 纳可 失眠 胁痛头晕", "wm_dx": ["腰痛", "眩晕", "失眠"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["胁痛", "肝郁气滞证", "疏肝理气"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "地骨皮", "花椒", "细辛", "炒僵蚕", "炙淫羊藿", "制巴戟天", "酒苁蓉", "仙茅", "盐胡芦巴", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66039, "pid": "Pd743b16dec38", "date": "2026-08-18", "sex": "男", "age": 31, "cc": "乏力1年", "hpi": "乏力1年， 同房射精，小便正常 ，大便正常，睡眠正常，纳可，口和，腰痛，在北医三院口服左卡尼汀，锌等治疗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["知母", "地黄", "酒萸肉", "山药", "牡丹皮", "酒女贞子", "菟丝子", "覆盆子", "盐车前子", "醋五味子", "枸杞子", "牡蛎", "醋龟甲", "制水蛭", "黑芝麻", "炙黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "射干", "党参片", "地黄", "酒萸肉", "山药", "牡丹皮", "菟丝子", "覆盆子", "盐车前子", "醋五味子", "枸杞子", "牡蛎", "醋龟甲", "制水蛭", "酒女贞子"], "prev_gap": 24, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66042, "pid": "P3cb734231435", "date": "2026-08-18", "sex": "男", "age": 44, "cc": "乏力半年", "hpi": "乏力，性欲正常，晨勃无，硬度差，近期无同房，排尿急，夜尿1次，无尿痛，大便粘，纳可，睡眠入睡困难，口苦，腰痛", "wm_dx": ["2型糖尿病", "男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝郁湿热证", "疏肝清热"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "姜厚朴", "大黄", "薏苡仁", "牡丹皮", "燀桃仁", "蜈蚣", "桑叶", "百合", "地黄", "黑顺片", "生石膏", "桂枝", "炒苦杏仁"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "姜厚朴", "大黄", "薏苡仁", "牡丹皮", "柏子仁", "蜈蚣", "桑叶", "百合", "地黄", "黑顺片", "生石膏"], "prev_gap": 13, "visit_ix": 7, "n_visits": 10, "visit_ix_rx": 7, "n_rx": 10} {"rid": 66043, "pid": "Pbe316699d5d2", "date": "2026-08-18", "sex": "男", "age": 69, "cc": "包皮龟头炎半月余", "hpi": "包皮龟头炎半月余 局部可见轻微破溃 无瘙痒疼痛感觉 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["制巴戟天", "炙淫羊藿", "仙茅", "盐胡芦巴", "太子参", "黄芪", "白术", "麸炒苍术", "酒黄精", "土茯苓", "北败酱草", "石菖蒲", "制远志", "大血藤", "熟地黄", "酒萸肉", "杜仲", "茯苓", "郁金", "醋青皮", "炙甘草", "麸炒枳壳", "地龙", "制水蛭"], "flags": [], "prev_rx": ["制巴戟天", "炙淫羊藿", "仙茅", "盐胡芦巴", "太子参", "黄芪", "白术", "防风", "酒黄精", "土茯苓", "北败酱草", "石菖蒲", "制远志", "大血藤", "熟地黄", "酒萸肉", "杜仲", "茯苓", "郁金", "醋青皮", "炙甘草", "麸炒枳壳", "地龙", "制水蛭"], "prev_gap": 15, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 66047, "pid": "Pe938081df31a", "date": "2026-08-18", "sex": "男", "age": 31, "cc": "腰痛复诊", "hpi": "腰改善 乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗 下肢水肿可自行消退", "wm_dx": ["下肢水肿", "腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "煅牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "北败酱草", "熟地黄", "北柴胡", "酒黄精", "炒酸枣仁", "制水蛭", "佩兰", "鸡血藤"], "flags": [], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "麸炒白术", "炙淫羊藿", "北柴胡", "酒黄精", "炒酸枣仁"], "prev_gap": 15, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66048, "pid": "Pf1210dd509a7", "date": "2026-08-18", "sex": "男", "age": 40, "cc": "阴囊潮湿复诊", "hpi": "阴囊潮湿改善 乏力腰痛改善 盗汗 大小便正常 纳可 失眠 下肢水肿可自行消退", "wm_dx": ["盗汗", "下肢水肿"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["熟地黄", "酒萸肉", "知母", "盐关黄柏", "覆盆子", "酒女贞子", "杜仲", "牛膝", "炒酸枣仁", "丹参", "合欢皮", "合欢花", "太子参", "山药", "酒黄精", "盐补骨脂", "麸炒枳壳", "麦冬", "猪苓", "炙甘草", "白术", "砂仁", "黄芪"], "flags": [], "prev_rx": ["熟地黄", "酒萸肉", "知母", "盐关黄柏", "覆盆子", "酒女贞子", "盐杜仲", "牛膝", "炒酸枣仁", "丹参", "合欢皮", "合欢花", "太子参", "山药", "酒黄精", "盐补骨脂", "麸炒枳壳", "麦冬", "猪苓", "炙甘草"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 66051, "pid": "P88948af403d8", "date": "2026-08-18", "sex": "男", "age": 43, "cc": "包皮龟头炎2月", "hpi": "包皮龟头炎2月 包皮泛红 大小便正常 纳眠可", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "白芷", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "百部", "荆芥", "大黄", "当归", "赤芍", "白花蛇舌草", "金银花", "蒲公英", "土茯苓", "北败酱草", "制水蛭", "地龙", "蜈蚣"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66057, "pid": "Pa5f04e7b0abe", "date": "2026-08-18", "sex": "男", "age": 46, "cc": "腰痛复诊抄方", "hpi": "腰痛 勃起硬度欠佳改善明显，性欲可，口中和，夜寐可，胁肋疼痛，大小便正常，晨勃可 高尿酸血症 痛风 高血压取药", "wm_dx": ["原发性高血压", "痛风", "高尿酸血症"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "川牛膝"], "flags": [], "prev_rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "川牛膝"], "prev_gap": 20, "visit_ix": 7, "n_visits": 9, "visit_ix_rx": 7, "n_rx": 9} {"rid": 66060, "pid": "P40b1d63a1b0d", "date": "2026-08-18", "sex": "男", "age": 32, "cc": "腰痛伴勃起硬度欠佳1年", "hpi": "腰痛伴勃起硬度欠佳1年，中途疲软，射精快1-2分钟，口中和，夜寐可，睡觉口水流出，长期夜班，易生气，欲望可，盗汗 尿频 下肢水肿 可自行消退", "wm_dx": ["下肢水肿", "尿频", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["当归", "白芍", "熟地黄", "沉香", "川芎", "制何首乌", "桑椹", "首乌藤", "石菖蒲", "制远志", "土茯苓", "麸炒苍术", "麸炒枳壳", "酒萸肉", "泽泻", "知母", "牡丹皮", "丹参", "盐杜仲", "牛膝", "桑寄生", "烫狗脊", "茯苓", "炙甘草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "赤芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "茵陈", "山药", "酒苁蓉", "泽泻", "制巴戟天", "红景天", "白芷", "菟丝子", "炒酸枣仁", "麸炒苍术", "土茯苓", "北败酱草", "党参片", "黄芪"], "prev_gap": 56, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66066, "pid": "P159b1f51af92", "date": "2026-08-18", "sex": "男", "age": 37, "cc": "尿频2月", "hpi": "尿频，夜尿正常，大便正常，睡眠正常，口可，早醒，大便稀2-3次。3-4分钟，复诊：5-6", "wm_dx": ["高脂血症", "2型糖尿病"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芩片", "枸杞子", "百合", "金樱子肉", "北柴胡", "黄芩", "党参", "牡丹皮", "大枣", "甘草", "白芍", "酒萸肉", "金樱子", "生地黄", "炒蒺藜", "赤小豆", "麸炒薏苡仁", "黄连", "知母", "淡竹叶"], "flags": [], "prev_rx": ["黄芩片", "枸杞子", "百合", "金樱子肉", "北柴胡", "黄芩", "党参", "牡丹皮", "大枣", "甘草", "白芍", "酒萸肉", "金樱子", "生地黄", "炒蒺藜", "赤小豆", "麸炒薏苡仁", "黄连", "知母"], "prev_gap": 14, "visit_ix": 13, "n_visits": 15, "visit_ix_rx": 13, "n_rx": 14} {"rid": 66067, "pid": "P700bd00f0aa1", "date": "2026-08-18", "sex": "男", "age": 23, "cc": "腰痛乏力半年", "hpi": "伴有早泄 时间1-2分钟 勃起不持久 大小便正常 纳眠可 尿频 下肢水肿可自行消退", "wm_dx": ["腰痛", "下肢水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制远志", "地龙", "木香", "蛇床子", "醋五味子", "防风", "花椒", "细辛", "黄芪", "白术", "炙淫羊藿", "肉苁蓉", "制巴戟天", "仙茅", "醋青皮", "郁金"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66068, "pid": "Pa105ab5f7907", "date": "2026-08-18", "sex": "男", "age": 42, "cc": "勃起不行1年", "hpi": "硬度不佳，中途疲软，时有晨勃，时间短，排尿正常，大便不成形1-3次，纳可，口苦，无腰痛，睡眠可", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["房事阳痿", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "白芍", "板蓝根", "煅牡蛎", "丹参", "鸡血藤", "石菖蒲", "郁金", "牛膝", "炙淫羊藿", "仙茅", "蜈蚣", "麸炒白术", "茯苓"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "白芍", "板蓝根", "煅牡蛎", "丹参", "鸡血藤", "石菖蒲", "郁金", "牛膝", "炙淫羊藿", "仙茅", "蜈蚣"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66069, "pid": "P4b868542739d", "date": "2026-08-18", "sex": "男", "age": 53, "cc": "尿频复诊", "hpi": "病史同前，夜尿2次,尿畅尿急,色黄,夜尿一次,大便正常,睡眠差,口和,阴囊潮湿.滴白, 性欲一般,硬度一般，复诊：潮湿滴白好转，睡眠早醒，硬度一般", "wm_dx": ["男性性腺功能低下", "前列腺炎"], "tcm_dx": [["精浊", "肾虚证", "补肾固精"]], "rx": ["茯苓", "法半夏", "麸炒枳实", "干姜", "桂枝", "瓜蒌", "薤白", "柏子仁", "丹参", "鸡血藤", "党参片", "熟地黄", "酒萸肉", "山药", "蜈蚣", "旋覆花", "茜草", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "牡丹皮", "茯苓", "黄芩片", "滑石", "牛膝", "煅龙骨", "煅牡蛎", "地黄", "麸炒白术", "百合", "制水蛭", "炙淫羊藿", "川芎"], "prev_gap": 25, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 7, "n_rx": 8} {"rid": 66070, "pid": "Pa764883705ba", "date": "2026-08-18", "sex": "男", "age": 26, "cc": "乏力2年", "hpi": "乏力，时间短，阴囊潮湿，尿频，无射精痛，憋尿时少腹隐痛，外院口服达泊西汀等治疗，大便正常，睡眠正常，纳可，吃凉易腹泻，口和，怕冷，复诊：症状无明显缓解，冬天怕冷", "wm_dx": ["腹痛", "尿频"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "浙贝母", "苦参", "丹参", "百合", "柏子仁", "鸡血藤", "牛膝", "石菖蒲", "盐蒺藜", "旋覆花", "茜草", "蜈蚣", "金樱子肉", "龙骨", "牡蛎", "甘草片"], "flags": [], "prev_rx": ["酒苁蓉", "锁阳", "菟丝子", "熟地黄", "牡丹皮", "酒萸肉", "炒酸枣仁", "制远志", "金樱子肉", "莲须", "盐蒺藜", "醋五味子", "党参片", "山药", "茯苓", "炙甘草", "煅龙骨", "盐益智仁", "九香虫", "炒栀子", "酒黄精"], "prev_gap": 7, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 6} {"rid": 66072, "pid": "P00dd5a1ce74d", "date": "2026-08-18", "sex": "男", "age": 30, "cc": "乏力半年", "hpi": "乏力，晨勃少，硬度下降，时间正常，睡眠正常，纳可，口干咽干，大便正常，排尿正常", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝郁肾虚证", "疏肝养血"]], "rx": ["地黄", "当归", "川芎", "白芍", "党参片", "茯苓", "白术", "炙黄芪", "牛膝", "知母", "百合", "旋覆花", "茜草", "丹参", "蜈蚣", "鸡血藤", "黄芩片"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66073, "pid": "P90d55d446406", "date": "2026-08-18", "sex": "男", "age": 38, "cc": "乏力3年", "hpi": "乏力，晨勃有，硬度一般，同房费劲，尿无力，大便便秘5-6天，时有晨起口苦，睡眠一般，不吃生冷，汗多", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "大黄", "黄芩片", "白芍", "丹参", "茜草", "旋覆花", "燀桃仁", "红花", "牡丹皮", "桂枝", "茯苓", "蜈蚣", "酒苁蓉", "石菖蒲"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "牡蛎", "龙骨", "当归", "川芎", "火麻仁", "酒苁蓉", "柏子仁", "丹参", "鸡血藤", "蜈蚣"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66075, "pid": "Pc01a58ea7598", "date": "2026-08-18", "sex": "男", "age": 34, "cc": "尿频7-8月", "hpi": "尿频，熬夜，出差，备孕7-8月，射精有困难，排尿可，大便正常，睡眠正常，纳可，口和", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牡丹皮", "百合", "牛膝", "北沙参", "枸杞子", "菟丝子", "制水蛭", "牡蛎", "醋龟甲", "石菖蒲", "郁金", "生石膏"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66078, "pid": "Pf4c4e2a0bb27", "date": "2026-08-18", "sex": "男", "age": 34, "cc": "乏力4-5年", "hpi": "乏力，时间短，1-2分钟，既往盐酸达泊西汀等药，现有晨勃，硬度下降，排尿正常，睡前3-4次，大便粘，睡眠一般，纳可，两地分居一月回家1-2次，多汗，口和，时有口腔溃疡", "wm_dx": ["尿频"], "tcm_dx": [["虚劳类病", "阴阳失调证", "调理阴阳"]], "rx": ["甘草片", "黄芩片", "黄连片", "法半夏", "干姜", "大枣", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "郁金", "蜈蚣", "龙骨", "牡蛎", "百合", "地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66080, "pid": "P0213416edb5f", "date": "2026-08-18", "sex": "男", "age": 35, "cc": "尿频10余年", "hpi": "尿频，夜尿正常，1-2次，大便正常，中途醒，纳可，口和晨勃少，硬度下降，时间短，多汗，手脚易汗", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "生石膏", "党参片", "牛膝", "旋覆花", "茜草", "牡丹皮", "金樱子肉", "龙骨", "牡蛎", "百合", "地黄", "石菖蒲", "知母"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "龙骨", "牡蛎", "蜈蚣", "丹参", "鸡血藤", "石菖蒲", "郁金", "制远志", "党参片"], "prev_gap": 21, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 66090, "pid": "Pd36532aa1ee1", "date": "2026-08-19", "sex": "男", "age": 51, "cc": "尿等待半年", "hpi": "尿等待，尿无力，时有尿痛，无腹痛，无腰痛，硬度一般，时间短，晨勃少，阴囊潮湿，矢气多，肛周潮湿，纳可，大便正常，睡眠可，夜班。复诊：尿潜血复查，复诊：尿等待，血尿减少", "wm_dx": ["蛋白尿", "尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["滑石", "猪苓", "茯苓", "泽泻", "阿胶珠", "生石膏", "血余炭", "蒲黄炭", "盐关黄柏", "广金钱草", "海金沙", "川芎", "桂枝", "牡丹皮", "苦参"], "flags": [], "prev_rx": ["滑石", "猪苓", "茯苓", "泽泻", "阿胶珠", "生石膏", "血余炭", "蒲黄炭", "盐关黄柏", "广金钱草", "海金沙"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66092, "pid": "Pb1801f9809bc", "date": "2026-08-19", "sex": "男", "age": 39, "cc": "尿不尽一月", "hpi": "尿不尽，偶有尿分叉，阴囊潮湿，睡眠可，纳可，口和，无怕冷，大便不成形粘，犯困", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["麸炒薏苡仁", "当归", "连翘", "赤小豆", "苦参", "浙贝母", "蒲黄炭", "血余炭", "麸炒冬瓜子", "麸炒苍术", "盐关黄柏", "牛膝", "制水蛭", "丹参", "鸡血藤", "旋覆花", "茜草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66098, "pid": "Pc606cca23a25", "date": "2026-08-19", "sex": "男", "age": 34, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，口干口气", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "麦冬", "菟丝子", "石菖蒲", "炒酸枣仁", "制远志", "知母", "盐关黄柏", "佩兰"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "薏苡仁", "赤小豆", "炒栀子", "淡豆豉", "地黄", "牛膝", "煅龙骨", "煅牡蛎", "炒苦杏仁", "菟丝子", "红景天", "蜈蚣", "石菖蒲"], "prev_gap": 71, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66099, "pid": "P57a80a3931dd", "date": "2026-08-19", "sex": "男", "age": 70, "cc": "排尿不畅1月", "hpi": "排尿不畅1月 大便可 纳一般 口干口苦 尿等待 尿分叉 尿不尽 尿频，复诊：症状无明显缓解，仍尿频，尿等待，尿线细，分叉，无血尿，怕冷。复诊：夜尿1-2次，排尿不畅和尿频改善。", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "茯苓", "太子参", "川贝母", "麸炒白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "茯苓", "太子参", "川贝母"], "prev_gap": 25, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66100, "pid": "P1b93b597ce51", "date": "2026-08-19", "sex": "男", "age": 34, "cc": "乏力半年", "hpi": "乏力,性欲不强,硬度一般,熬夜,排尿正常,便秘,口服药物正常,浅睡眠,纳可,吃生冷不适感,无腰痛,口和，复诊：症状无缓解.复诊：硬度正常，时间短。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["旋覆花", "茜草", "燀桃仁", "姜厚朴", "麸炒枳实", "火麻仁", "大黄", "北柴胡", "红花", "北沙参", "地黄", "酒萸肉", "百合", "金樱子肉", "炙甘草", "柏子仁"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "郁金", "牛膝", "蜈蚣", "百合", "地黄", "北沙参", "淡豆豉", "菟丝子", "知母", "枸杞子", "玄参", "醋龟甲", "盐关黄柏"], "prev_gap": 8, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 66101, "pid": "Pe40347979fed", "date": "2026-08-19", "sex": "男", "age": 47, "cc": "排尿不畅6月", "hpi": "排尿不畅6月，尿频，尿等待，尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗。前列腺钙化，稍大。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "泽泻", "北败酱草"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66105, "pid": "P24efffba9e45", "date": "2026-08-19", "sex": "男", "age": 83, "cc": "包皮龟头溃疡一月余", "hpi": "包皮龟头溃疡一月余 未治疗 局部疼痛明显 大小便正常 纳眠可", "wm_dx": ["包皮龟头炎", "皮肤溃疡"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "白芷", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "当归", "大黄", "赤芍", "荆芥", "地龙", "蜈蚣"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66109, "pid": "P02beaef1b1f8", "date": "2026-08-19", "sex": "男", "age": 41, "cc": "慢性前列腺炎复诊", "hpi": "慢性前列腺炎复诊 少腹隐痛 大便正常 纳可 眠安 睾丸隐痛 胃酸过多 反酸 腰痛乏力，复诊：少腹隐痛，睾丸疼痛感消失，睡眠一般，大便粘，胃涨", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "燀桃仁", "红花", "牡丹皮", "赤小豆", "党参片", "地黄", "姜厚朴", "白花蛇舌草", "牡蛎", "煅瓦楞子", "当归", "连翘", "炙甘草", "海螵蛸"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "燀桃仁", "红花", "牡丹皮", "赤小豆", "白花蛇舌草", "浙贝母", "苦参", "当归", "连翘", "炙甘草", "党参片", "地黄", "姜厚朴"], "prev_gap": 7, "visit_ix": 11, "n_visits": 13, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66110, "pid": "P4f94c34919e1", "date": "2026-08-19", "sex": "男", "age": 39, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作劳累，尿频，二便调，纳眠可，无排尿不畅、尿后余沥，口干，焦虑，贫血", "wm_dx": ["腰痛", "缺铁性贫血"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "锁阳", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "知母", "菟丝子", "酒黄精", "鸡血藤", "石菖蒲", "佩兰"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66112, "pid": "Pf5e126034fb6", "date": "2026-08-19", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，口干", "wm_dx": ["腰痛", "高脂血症"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "知母", "麦冬", "麸炒白术", "九香虫", "金樱子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66118, "pid": "Pc88ad769fb39", "date": "2026-08-19", "sex": "男", "age": 44, "cc": "乏力6年", "hpi": "乏力，无晨勃，硬度下降，中途疲软，排尿可，夜尿可，大便干，睡眠早醒，纳可，口干口气重，精液有颗粒。复诊：颗粒减少", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["丹参", "鸡血藤", "当归", "川芎", "白芍", "猪苓", "旋覆花", "茜草", "黄芩片", "炒决明子", "牛膝", "蜈蚣", "地黄", "桂枝", "枸杞子", "生石膏", "麸炒薏苡仁", "桑叶", "燀桃仁"], "flags": [], "prev_rx": ["丹参", "鸡血藤", "当归", "川芎", "白芍", "猪苓", "法半夏", "牛膝", "蜈蚣", "熟地黄", "菟丝子", "枸杞子", "生石膏", "麸炒薏苡仁", "黄连片", "黄芩片", "干姜"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66121, "pid": "P7c5febca2475", "date": "2026-08-19", "sex": "男", "age": 42, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66125, "pid": "P5330a9d952a3", "date": "2026-08-19", "sex": "男", "age": 57, "cc": "前列腺增生 腰痛 尿频复诊", "hpi": "射精后少腹坠胀，精液有暗黑，尿频尿等待，大便不尽，口干口苦，睡眠差 腰痛 下肢水肿可自行消退", "wm_dx": ["前列腺增生", "慢性前列腺炎", "精囊炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热祛湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "生石膏", "桂枝", "干姜", "白芍", "茜草", "旋覆花", "当归", "山药", "赤小豆", "制水蛭", "麸炒冬瓜子", "苦参", "浙贝母", "夏枯草", "醋鸡内金", "广金钱草", "海金沙"], "flags": [], "prev_rx": ["姜厚朴", "茯苓", "生石膏", "木香", "槟榔", "黄芩片", "党参片", "姜半夏", "北柴胡", "炙甘草"], "prev_gap": 8, "visit_ix": 8, "n_visits": 11, "visit_ix_rx": 8, "n_rx": 11} {"rid": 66128, "pid": "P963fded16a7f", "date": "2026-08-20", "sex": "男", "age": 38, "cc": "乏力一年", "hpi": "乏力，晨勃有，硬度下降，时间短，中途疲软，睡眠差入睡困难，多梦，排尿色黄异味，大便干3-4天，口干，无腰痛", "wm_dx": ["男性性腺功能低下", "糖尿病"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "炒栀子", "淡豆豉", "大黄", "地黄", "百合", "牛膝", "蜈蚣", "石菖蒲", "郁金", "薏苡仁", "生石膏", "丹参", "鸡血藤", "酒黄精"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "炒栀子", "淡豆豉", "大黄", "地黄", "百合", "牛膝", "蜈蚣", "石菖蒲", "郁金", "薏苡仁", "生石膏", "丹参", "鸡血藤"], "prev_gap": 13, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 66134, "pid": "Pf94131d41a0b", "date": "2026-08-20", "sex": "男", "age": 46, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿后余沥，夜尿2次，无小腹及会阴不适，大便质干，纳可，眠一般，口干乏力，硬度下降,阴囊潮湿，复诊：排尿好，阴囊潮湿好转，勃起一般，睡眠一般", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["当归", "连翘", "赤小豆", "浙贝母", "苦参", "麸炒冬瓜子", "生蒲黄", "滑石", "白花蛇舌草", "制水蛭", "泽泻", "猪苓", "燀桃仁", "炙淫羊藿", "麸炒薏苡仁", "炒苦杏仁", "盐关黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "连翘", "赤小豆", "浙贝母", "苦参", "血余炭", "麸炒冬瓜子", "蒲黄炭", "滑石", "白花蛇舌草", "制水蛭", "泽泻", "猪苓", "燀桃仁", "麸炒薏苡仁", "炒苦杏仁", "盐关黄柏", "芦根"], "prev_gap": 16, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66142, "pid": "Pa016e8aa0618", "date": "2026-08-20", "sex": "男", "age": 27, "cc": "左侧精索静脉曲张术后复诊", "hpi": "外院醒左侧精索静脉曲张手术后（2026.2.14），现拆线后，仍有睾丸不适感，复查精索静脉。8.2复诊:疼痛明显好转，偶有睾丸不适", "wm_dx": ["腹痛", "静脉曲张", "精索静脉曲张", "腹股沟淋巴结炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["筋瘤", "气滞血瘀证", "活血化瘀"]], "rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "白芷", "地龙", "路路通", "炒王不留行", "盐橘核", "黄芪"], "flags": [], "prev_rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "白芷", "地龙", "路路通", "炒王不留行", "盐橘核", "黄芪"], "prev_gap": 18, "visit_ix": 27, "n_visits": 28, "visit_ix_rx": 20, "n_rx": 21} {"rid": 66143, "pid": "P3ff2efd886a8", "date": "2026-08-20", "sex": "男", "age": 59, "cc": "腰痛乏力10余年", "hpi": "10年前出现腰痛乏力，勃起硬度欠佳，性欲减退，晨勃消失，尿频，下肢轻度水肿", "wm_dx": ["男性性腺功能低下", "水肿", "尿频", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "韭菜子", "制巴戟天", "锁阳", "沙苑子", "酒黄精"], "flags": [], "prev_rx": ["制巴戟天", "猪苓", "三七粉", "太子参", "炒酸枣仁"], "prev_gap": 305, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66151, "pid": "P2c8a1ce9cb38", "date": "2026-08-20", "sex": "男", "age": 57, "cc": "腹股沟及阴囊潮湿瘙痒20余天", "hpi": "20余天前出现腹股沟及阴囊潮湿瘙痒，夜间加重，偶有头晕头痛，勃起欠佳，尿频腰痛。", "wm_dx": ["腰痛", "尿频", "股癣"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "温补肾阳"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "锁阳", "沙苑子", "韭菜子", "黄芪", "麸炒苍术", "盐黄柏", "麸炒薏苡仁", "牛膝"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66155, "pid": "P62266f4e3a35", "date": "2026-08-20", "sex": "男", "age": 39, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，盗汗 腰痛乏力 下肢水肿可自行消退", "wm_dx": ["盗汗", "腰痛", "下肢水肿"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "盐杜仲", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "盐益智仁", "诃子肉", "酒黄精", "泽泻", "麸炒薏苡仁", "莲子", "制远志", "牛膝", "烫狗脊", "覆盆子", "太子参", "猪苓"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "盐杜仲", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "泽泻", "麸炒薏苡仁", "莲子", "制远志", "猪苓", "川牛膝", "佩兰", "牡丹皮"], "prev_gap": 46, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66156, "pid": "P8005c6dddbc7", "date": "2026-08-20", "sex": "男", "age": 53, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力复诊 排尿无力 性功能下降 阴囊潮湿 失眠 大便正常 纳可 腰痛 乏力 气短 尿频", "wm_dx": ["尿频", "腰痛", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "太子参", "猪苓", "川贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66157, "pid": "Pa75e014c5bb1", "date": "2026-08-20", "sex": "男", "age": 75, "cc": "阴囊瘙痒一月余", "hpi": "阴囊瘙痒一月余 大便正常 纳眠可 口干口苦 尿频 尿急 尿不尽", "wm_dx": ["阴囊炎", "毛囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "百部", "白芷", "地龙", "蜈蚣", "制水蛭", "大黄", "荆芥", "防风", "蝉蜕", "当归", "羌活", "猪苓", "太子参", "川贝母"], "flags": 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"酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "知母", "菟丝子", "枸杞子", "覆盆子", "盐车前子", "丝瓜络", "桑螵蛸", "牡蛎", "赤小豆", "丹参", "麸炒白术"], "prev_gap": 17, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 66166, "pid": "P7588d8ec8382", "date": "2026-08-21", "sex": "男", "age": 35, "cc": "小腹隐痛 排尿无力 尿频一周余", "hpi": "小腹隐痛 排尿无力 尿频一周余 久坐加重 大便正常 纳眠可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "川贝母"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66168, "pid": "P97a57361f3a3", "date": "2026-08-21", "sex": "男", "age": 39, "cc": "腰痛复诊", "hpi": "腰痛改善，乏力，硬度下降，性欲可，工作压力大，阴囊潮湿，纳可，二便调，口黏腻，无排尿不畅，无尿频、尿急，无小腹及会阴不适，阴囊潮湿，晨勃少 高脂血症，饮食药物控制不理想", "wm_dx": ["高胆固醇血症", "腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "赤小豆", "连翘", "牡丹皮", "醋鸡内金", "焦山楂", "牛膝", "桂枝", "燀桃仁", "红花", "薏苡仁", "丹参", "鸡血藤", "蜈蚣", "北柴胡", "麸炒枳实"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "法半夏", "生姜", "大枣", "麸炒薏苡仁", "赤小豆", "焦山楂", "牛膝", "蜈蚣", "丹参", "鸡血藤", "地黄", "茵陈", "酒黄精", "燀桃仁", "红花", "麸炒白术"], "prev_gap": 70, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66181, "pid": "P9c11c6d6a708", "date": "2026-08-21", "sex": "男", "age": 25, "cc": "乏力2年", "hpi": "乏力，同房次数少，时间1分钟，晨勃少，排尿正常，大便粘，阴囊潮湿，睡眠一般，口和", "wm_dx": ["乏力"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["酒苁蓉", "锁阳", "菟丝子", "熟地黄", "牡丹皮", "酒萸肉", "炒酸枣仁", "制远志", "金樱子肉", "莲须", "盐蒺藜", "醋五味子", "党参片", "山药", "茯苓", "炙甘草", "煅龙骨", "煅牡蛎", "盐益智仁", "炒栀子", "酒黄精"], "flags": [], "prev_rx": ["酒苁蓉", "锁阳", "菟丝子", "熟地黄", "牡丹皮", "酒萸肉", "炒酸枣仁", "制远志", "金樱子肉", "莲须", "盐蒺藜", "醋五味子", "党参片", "山药", "茯苓", "炙甘草", "煅龙骨", "盐益智仁", "炒栀子", "酒黄精", "煅牡蛎"], "prev_gap": 20, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66188, "pid": "P467d6aea3435", "date": "2026-08-22", "sex": "男", "age": 51, "cc": "乏力腰痛复诊", "hpi": "勃起不佳改善不明显 大小便正常 纳可 失眠 晨勃消失 下肢水肿可自行消退 盗汗 口干口苦", "wm_dx": ["下肢水肿", "腰痛", "失眠"], "tcm_dx": 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"清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "仙茅", "炙淫羊藿", "干姜", "砂仁", "木香", "麸炒枳壳", "炒酸枣仁", "制何首乌", "桑椹", "牡丹皮", "党参", "山药", "茯苓", "知母", "丹参", "防风", "黄芪", "白术", "炙甘草"], "flags": [], "prev_rx": ["熟地黄", "酒萸肉", "泽泻", "茯苓", "覆盆子", "枸杞子", "盐车前子", "菟丝子", "醋五味子", "酒黄精", "制巴戟天", "盐胡芦巴", "仙茅", "蛇床子", "韭菜子", "杜仲", "麸炒枳壳", "天麻", "太子参", "黄芪", "麸炒苍术", "炙甘草"], "prev_gap": 21, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66204, "pid": "Pacb9a530e2b7", "date": "2026-08-22", "sex": "男", "age": 35, "cc": "弱精症复诊", "hpi": "弱精症复诊 大小便正常 纳眠可", "wm_dx": ["男方弱精症"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "覆盆子", "枸杞子", "盐车前子", "党参片", "山药", "盐补骨脂", "干姜", "木香"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["茯苓", "麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子肉", "麸炒苍术", "酒黄精", "覆盆子", "枸杞子", "盐车前子", "党参片", "山药"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66206, "pid": "P1ce3e8bcf995", "date": "2026-08-22", "sex": "男", "age": 28, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 勃起可 早泄 时间1分钟 规律同房 大小便正常 纳眠可 盗汗 下肢水肿可自行消退", "wm_dx": ["下肢水肿", "盗汗", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "覆盆子", "太子参", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66208, "pid": "P5f974930fbfb", "date": "2026-08-22", "sex": "男", "age": 37, "cc": "腰痛乏力10余年", "hpi": "10年前出现腰痛乏力，射精快，同房时间1-3分钟，自觉龟头敏感度高，口中和，长期熬夜，阴囊潮湿，大便粘，", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "川芎", "金樱子", "韭菜子", "黄芪", "白芍"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66209, "pid": "P3bb1713eb69a", "date": "2026-08-22", "sex": "男", "age": 44, "cc": "腰酸痛半年", "hpi": "腰酸痛，活动不受限，晨勃没有，排尿异味，色黄，大便正常，睡眠入睡困难，纳可，凉的吃得少，口干口苦，无怕冷，口服他达拉非5mg2年", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "大黄", "麸炒枳实", "黄芩片", "白芍", "生姜", "葛根", "地黄", "百合", "生石膏", "麸炒白术", "蜈蚣", "丹参", "鸡血藤", "知母", "桂枝", "龙骨"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66212, "pid": "Pf5d5154d5a88", "date": "2026-08-22", "sex": "男", "age": 33, "cc": "乏力半年", "hpi": "乏力，白发，脱发，排尿夜尿一次，色黄，大便不成型粘，睡眠入睡困，纳可，口和，腰疼", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["葛根", "地黄", "百合", "炒栀子", "牡丹皮", "牛膝", "丹参", "鸡血藤", "石菖蒲", "郁金", "桑螵蛸", "麸炒枳实", "北柴胡", "白芍", "牡蛎", "炙淫羊藿", "侧柏叶", "知母", "桂枝"], "flags": [], "prev_rx": ["葛根", "地黄", "百合", "炒栀子", "牡丹皮", "牛膝", "丹参", "鸡血藤", "石菖蒲", "郁金", "桑螵蛸", "麸炒枳实", "北柴胡", "白芍", "牡蛎", "炙淫羊藿", "侧柏叶", "知母"], "prev_gap": 18, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66215, "pid": "P0cf786e70347", "date": "2026-08-22", "sex": "男", "age": 37, "cc": "会阴不适复诊", "hpi": "会阴不适改善，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力盗汗。3.8复诊：睾丸下坠感明显减轻，会阴不适，小腹不适。胁痛。7.11复诊：阴茎跟部肿物凸出，休息平躺后消失。", "wm_dx": ["单侧腹股沟疝", "精索静脉曲张", "前列腺炎", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "土茯苓", "金樱子肉", "麸炒芡实", "锁阳", "麸炒苍术", "炒王不留行", "盐橘核", "醋三棱", "醋莪术", "鸡血藤", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "醋三棱", "醋莪术", "鸡血藤", "醋延胡索", "路路通", "荔枝核", "燀桃仁", "炒王不留行", "盐橘核"], "prev_gap": 14, "visit_ix": 23, "n_visits": 25, "visit_ix_rx": 16, "n_rx": 18} {"rid": 66216, "pid": "P4fab74ad3651", "date": "2026-08-22", "sex": "男", "age": 47, "cc": "腰痛乏力3月", "hpi": "3月前出现腰痛乏力，尿频尿急 口苦 胁痛 大便正常 纳可 失眠 焦虑症", "wm_dx": ["腰痛", "尿频", "失眠", "焦虑状态", "盗汗"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "湿热下注证", "清热利湿"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["北柴胡", "桂枝", "关黄柏", "薤白", "盐车前子", "牛膝", "白术", "牡蛎", "龙骨", "法半夏", "黄芩片", "党参片", "茯苓", "醋五味子", "麸炒苍术", "知母", "制巴戟天", "仙茅", "石菖蒲", "制远志", "金樱子肉", "川楝子", "酒黄精", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "桂枝", "关黄柏", "薤白", "盐车前子", "牛膝", "白术", "牡蛎", "龙骨", "法半夏", "黄芩片", "党参片", "茯苓", "虎杖", "麸炒苍术", "知母", "制巴戟天", "仙茅", "石菖蒲", "制远志", "猪苓", "川楝子", "酒黄精", "炙甘草"], "prev_gap": 48, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66218, "pid": "P7911a5d5be97", "date": "2026-08-22", "sex": "男", "age": 57, "cc": "腰痛伴小腹胀疼痛1周", "hpi": "1周前出现腰痛伴小腹胀疼痛，尿疼，无分泌物，下肢内侧疼痛不适，夜尿1-2次。症状反复。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草", "金银花", "绵萆薢", "夏枯草", "盐小茴香"], "flags": [], "prev_rx": ["石菖蒲", "乌药", "黄柏", "甘草", "醋龟甲", "盐益智仁", "白花蛇舌草", "炙淫羊藿", "酒苁蓉", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草"], "prev_gap": 24, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 5} {"rid": 66226, "pid": "P219431d2058d", "date": "2026-08-22", "sex": "男", "age": 39, "cc": "腰痛复诊", "hpi": "腰痛 , 小便正常 大便正常,睡眠一般入睡困难,纳可 中途疲软,多汗,晨起口干口苦", "wm_dx": ["腰痛"], "tcm_dx": [["痹证类病", "气滞血瘀证", "活血化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "茜草", "石菖蒲", "桂枝", "柏子仁", "桔梗", "郁金", "制远志", "牡丹皮", "丹参", "百合", "地黄", "知母", "牛膝", "蜈蚣"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "盐杜仲", "炒酸枣仁", "菟丝子", "酒黄精", "石菖蒲", "柏子仁", "麸炒白术"], "prev_gap": 16, "visit_ix": 7, "n_visits": 8, "visit_ix_rx": 4, "n_rx": 5} {"rid": 66228, "pid": "P1011a17efe56", "date": "2026-08-22", "sex": "男", "age": 34, "cc": "阴囊潮湿3年", "hpi": "阴囊潮湿,口干色燥,喝凉水,经常便秘,睡眠正常,排尿尿不尽,色黄,无腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "寒热错杂证", "调理阴阳"]], "rx": ["甘草片", "黄连片", "黄芩片", "党参片", "干姜", "法半夏", "大枣", "牛膝", "煅龙骨", "煅牡蛎", "赤小豆", "炒苦杏仁", "金樱子肉", "蜂房"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 3} {"rid": 66229, "pid": "P4596b8512757", "date": "2026-08-22", "sex": "男", "age": 44, "cc": "少腹坠胀1月", "hpi": "少腹坠胀，尿不尽，夜尿1次，口干，大便正常，复诊：少腹正常，仍有尿意感。大便粘，乏力,会阴酸痛", "wm_dx": ["乏力"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["桂枝", "白芍", "生姜", "牡丹皮", "大枣", "茯苓", "猪苓", "细辛", "当归", "石菖蒲", "制远志", "麸炒白术", "炙黄芪", "麻黄", "黑顺片", "火麻仁", "酒苁蓉", "川芎"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "牡丹皮", "大枣", "茯苓", "猪苓", "细辛", "生石膏", "煅龙骨", "煅牡蛎", "麸炒白术", "炙黄芪", "麻黄", "黑顺片", "火麻仁", "酒苁蓉"], "prev_gap": 14, "visit_ix": 10, "n_visits": 11, "visit_ix_rx": 9, "n_rx": 10} {"rid": 66230, "pid": "Pce8eb5dd2747", "date": "2026-08-22", "sex": "男", "age": 33, "cc": "尿频1年", "hpi": "尿频，无腰痛，无腹痛，睡眠可，大便正常球状，口和，尿黄，乏力,复诊:有滴白,大便球,硬度有", "wm_dx": ["尿频"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "知母", "牛膝", "北柴胡", "麸炒枳实", "白芍", "蜈蚣", "石菖蒲", "丹参", "鸡血藤", "生石膏", "火麻仁"], "flags": [], "prev_rx": ["地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "知母", "牛膝", "北柴胡", "麸炒枳实", "白芍", "蜈蚣", "石菖蒲", "丹参", "鸡血藤", "郁金", "仙茅"], "prev_gap": 18, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66235, "pid": "P07100e3a5d46", "date": "2026-08-22", "sex": "男", "age": 36, "cc": "腰痛4月", "hpi": "腰痛4月 小便正常，大便不成形3次， 纳可， 眠略安，偶有口苦", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "党参片", "法半夏", "地黄", "百合", "浙贝母", "桑螵蛸", "醋龟甲", "牡蛎", "红景天", "菟丝子", "枸杞子", "醋五味子", "赤小豆"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "党参片", "法半夏", "生姜", "大枣", "浙贝母", "桑螵蛸", "醋龟甲", "牡蛎", "红景天", "菟丝子", "枸杞子", "醋五味子", "赤小豆"], "prev_gap": 24, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66239, "pid": "P52ba1fb756a7", "date": "2026-08-22", "sex": "男", "age": 34, "cc": "失眠一月", "hpi": "失眠浅，头晕，不吃凉，尿不尽，大便不成形，口干，喝水正常，怕冷，阴囊潮湿，腰痛，易醒。", "wm_dx": ["腰痛", "失眠", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "气血亏虚证", "补血养心"], ["失眠", "上热下寒证", "养血清热"]], "rx": ["炒酸枣仁", "太子参", "茯苓", "猪苓", "桑椹"], "flags": [], "prev_rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷"], "prev_gap": 174, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66243, "pid": "Pb0afabb485ae", "date": "2026-08-22", "sex": "男", "age": 29, "cc": "尿频 尿黄 泡沫多大半年", "hpi": "尿频 尿黄 泡沫多 夜尿1-2次，大便2天一次， 纳可，吃凉的少， 口气重，口干口苦，乏力，服用药物后复诊，口气重，乏力感。复诊，大便费劲 腰痛。复诊：易早醒,复诊:夜尿4-5点起夜一次", "wm_dx": ["前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["旋覆花", "茜草", "赤小豆", "白花蛇舌草", "当归", "牛膝", "石菖蒲", "郁金", "柏子仁", "人参", "浙贝母", "苦参", "生蒲黄", "血余炭"], "flags": [], "prev_rx": ["生姜", "干姜", "黄连片", "黄芩片", "法半夏", "人参", "醋鸡内金", "北柴胡", "麸炒枳实", "白芍", "石菖蒲", "制远志", "盐蒺藜", "煅龙骨", "煅牡蛎", "柏子仁"], "prev_gap": 266, "visit_ix": 14, "n_visits": 16, "visit_ix_rx": 9, "n_rx": 11} {"rid": 66248, "pid": "P3efed4b431d8", "date": "2026-08-22", "sex": "男", "age": 45, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 大便正常 尿频 尿不尽 纳眠可,腰痛乏力，下肢轻度水肿", "wm_dx": ["尿频", "前列腺增生", "男性性腺功能低下", "水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "黄芪", "酒黄精", "韭菜子", "制巴戟天", "锁阳", "沙苑子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "太子参", "茯苓"], "prev_gap": 55, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66255, "pid": "P597229aa65a7", "date": "2026-08-22", "sex": "男", "age": 33, "cc": "腰痛乏力伴耳鸣6月", "hpi": "6月前出现腰痛乏力，耳鸣，盗汗，食欲差，食辣后上火，勃起欠佳，怕冷，晨勃减少，性欲减退，尿频，夜尿3次，夜寐差，长期熬夜，工作压力大", "wm_dx": ["盗汗", "腰痛", "失眠"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "肉苁蓉", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "路路通", "炒王不留行", "夏枯草", "韭菜子", "酒黄精", "生地黄", "白芍", "山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66263, "pid": "Pb00810fa51d8", "date": "2026-08-22", "sex": "男", "age": 26, "cc": "腰痛乏力3年", "hpi": "3年前出现腰痛乏力，晨起口干，长期熬夜，工作劳累，晨勃消失，勃起欠佳，射精快，盗汗，手淫频繁，下肢轻度水肿。", "wm_dx": ["腰痛", "盗汗", "水肿"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "韭菜子", "锁阳", "沙苑子", "酒黄精", "炙黄芪", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66269, "pid": "P2350ee3316b0", "date": "2026-08-22", "sex": "男", "age": 27, "cc": "腰痛乏力伴小腹不适3年", "hpi": "3年前出现腰痛乏力伴小腹不适，尿频尿急，近期备孕。7.25复诊：小腹胀痛好转，尿频尿急好转。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["丹参", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "麸炒苍术", "酒女贞子", "酒黄精", "土茯苓", "当归", "覆盆子", "菟丝子", "地龙", "黄柏", "北柴胡", "白芍", "炒栀子", "蒲公英"], "flags": [], "prev_rx": ["丹参", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "麸炒苍术", "酒女贞子", "酒黄精", "土茯苓", "当归", "覆盆子", "菟丝子", "地龙", "黄柏", "北柴胡", "白芍", "炒栀子"], "prev_gap": 21, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 5} {"rid": 66280, "pid": "Pbfb4389eaf67", "date": "2026-08-23", "sex": "男", "age": 31, "cc": "腰痛乏力伴射精快多年", "hpi": "多年前出现腰痛乏力伴射精快，背痛不适，排尿可，口干口苦，长期熬夜，睡眠时间短，盗汗，龟头红疹", "wm_dx": ["泌尿系结石", "盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "五倍子", "醋五味子", "细辛", "丁香", "金银花", "蒲公英", "地肤子", "知母", "黄柏", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "制远志", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "龙胆", "盐杜仲", "续断", "金樱子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66286, "pid": "P990b62c75488", "date": "2026-08-23", "sex": "男", "age": 41, "cc": "阴茎跟部坠胀不适3年", "hpi": "3年前出现阴茎跟部坠胀不适，排尿可，夜尿3-4次，阴囊潮湿。7.25复诊：阴茎根部坠胀消失，阴囊潮湿好转，现夜尿3-4次，无其他不适。8.8复诊：前症明显好转，现夜尿小于3次/夜，阴囊潮湿好转。8.23复诊：头汗出", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "赤小豆", "夏枯草", "路路通", "炒王不留行", "黄芪", "盐橘核", "乌药", "盐益智仁", "山药", "麸炒薏苡仁", "麸炒苍术", "金樱子", "防风", "防己"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "赤小豆", "夏枯草", "路路通", "炒王不留行", "黄芪", "盐橘核", "乌药", "盐益智仁", "山药", "麸炒薏苡仁", "麸炒苍术", "金樱子", "牛膝"], "prev_gap": 15, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66287, "pid": "P8a01c13dc0b1", "date": "2026-08-23", "sex": "男", "age": 26, "cc": "腰痛乏力伴射精快2年", "hpi": "2年前出现腰痛乏力，射精快，排尿可，长期熬夜12点睡，口中和，勃起硬度欠佳，盗汗，耳鸣", "wm_dx": ["盗汗", "失眠", "腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["知母", "黄柏", "熟地黄", "生地黄", "麸炒山药", "酒萸肉", "丹参", "盐补骨脂", "炙淫羊藿", "制远志", "栀子", "黄连", "肉桂", "肉苁蓉", "百合", "覆盆子", "蛇床子", "龙胆", "盐杜仲", "续断", "金樱子", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66290, "pid": "P8f6872d22709", "date": "2026-08-23", "sex": "男", "age": 30, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，近期备孕，右侧睾丸偶有疼痛，左侧睾丸肿物突出，盗汗。", "wm_dx": ["腰痛", "精索静脉曲张", "盗汗"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["制何首乌", "醋五味子", "盐车前子", "菟丝子", "醋龟甲", "醋鸡内金", "酒黄精", "地肤子", "金樱子", "覆盆子", "桑椹", "枸杞子", "韭菜子", "黄芪", "熟地黄", "生地黄", "酒萸肉", "山药"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66291, "pid": "P0eb732fb7e87", "date": "2026-08-23", "sex": "男", "age": 43, "cc": "腰痛乏力6月", "hpi": "6月前出现腰痛乏力，射精快，同房时间＜1min，勃起硬度欠佳，口中和，盗汗，自觉龟头敏感度高，龟头红疹。", "wm_dx": ["失眠", "盗汗", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["醋五味子", "菟丝子", "炒蒺藜", "麸炒芡实", "盐补骨脂", "酒萸肉", "炙淫羊藿", "党参", "黄连", "肉桂", "黄柏", "知母", "酒苁蓉", "金樱子", "盐杜仲", "续断", "韭菜子", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66292, "pid": "P06f0599e2a08", "date": "2026-08-23", "sex": "男", "age": 33, "cc": "腰痛一年", "hpi": "腰痛，大小便正常 纳可 睡眠正常，口和，睾丸及小腹不适，抄方，盗汗", "wm_dx": ["腰痛", "盗汗", "精索静脉曲张"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "茯苓", "枸杞子", "菟丝子", "醋五味子", "覆盆子", "盐车前子", "党参片", "韭菜子", "桑椹", "桑叶", "广藿香", "佩兰"], "flags": [], "prev_rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "茯苓", "枸杞子", "菟丝子", "醋五味子", "覆盆子", "盐车前子", "党参片", "韭菜子", "桑椹", "桑叶", "广藿香", "佩兰"], "prev_gap": 59, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66299, "pid": "P03edbae98279", "date": "2026-08-23", "sex": "男", "age": 33, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，工作熬夜劳累，大便质稀，失眠多梦，无排尿不畅、尿后余沥，口干，盗汗，尿频尿后余沥，射精快", "wm_dx": ["盗汗", "腰痛", "尿频", "失眠"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肝肾"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["失眠", "气血两虚证", "补益气血"]], "rx": ["莲子", "醋五味子", "菟丝子", "盐蒺藜", "麸炒芡实", "莲须", "煅龙骨", "煅牡蛎", "盐补骨脂", "酒萸肉", "炙淫羊藿", "黄连片", "肉桂", "关黄柏", "知母", "酒苁蓉", "金樱子肉", "盐杜仲", "续断片", "盐益智仁", "麸炒山药"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["炒酸枣仁", "猪苓", "制巴戟天", "川牛膝"], "prev_gap": 46, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 66301, "pid": "P79e1c863ccb6", "date": "2026-08-23", "sex": "男", "age": 29, "cc": "慢性前列腺炎复诊", "hpi": "尿后余沥，夜尿0次，无小腹及会阴不适，大便质干，纳可，口干，盗汗，时间下降。腰痛乏力疲劳", "wm_dx": ["前列腺炎"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "茯苓", "酒苁蓉", "酒萸肉", "烫水蛭", "制远志", "土茯苓", "败酱草", "炙淫羊藿", "盐车前子", "麦冬", "地龙"], "flags": [], "prev_rx": ["黄芪", "党参", "升麻", "北柴胡", "当归", "菟丝子", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子", "麸炒芡实", "醋五味子", "茯苓", "酒苁蓉", "酒萸肉", "烫水蛭", "制远志", "土茯苓", "败酱草", "炙淫羊藿", "盐车前子", "麦冬", "地龙"], "prev_gap": 13, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66303, "pid": "P7076d32d2219", "date": "2026-08-23", "sex": "男", "age": 41, "cc": "腰痛乏力伴勃起不坚2年", "hpi": "2年前出现腰痛乏力勃起不坚，外院予他达拉非5mg qd现口服药物效果欠佳，口干口苦，夜寐可，性欲差，偶有晨勃，胁肋疼痛。6.6复诊：近2周偶有晨勃，同房1次硬度可，中途疲软，性欲欠佳。6.27复诊：未同房，偶有口干。7.11复诊：夜勃出现，未同房。", "wm_dx": ["腰痛", "男性性腺功能低下", "尿频", "水肿"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["胁痛", "肝气郁结证", "疏肝散结"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "麻黄", "酒白芍", "升麻", "酒苁蓉", "川牛膝", "盐蒺藜", "当归", "炙淫羊藿", "川芎", "制巴戟天", "锁阳", "韭菜子", "黄芪", "全蝎"], "flags": [], "prev_rx": ["炙甘草", "麸炒枳实", "北柴胡", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "酒白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "川芎", "制巴戟天", "锁阳", "韭菜子", "黄芪", "全蝎"], "prev_gap": 22, "visit_ix": 11, "n_visits": 12, "visit_ix_rx": 6, "n_rx": 7} {"rid": 66304, "pid": "Pe5cb08c06306", "date": "2026-08-23", "sex": "男", "age": 39, "cc": "尿无力尿不尽6月", "hpi": "6月前出现尿无力尿不尽，勃起可，夜寐可，口中和，怕热，汗出多，盗汗。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "盐益智仁", "乌药", "麸炒山药", "韭菜子", "黄芪", "制巴戟天"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66306, "pid": "P2e2d2bbbf1d7", "date": "2026-08-23", "sex": "男", "age": 39, "cc": "腰痛1年", "hpi": "1年前出现腰痛 大小便正常 纳可 失眠易醒，盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "醋鸡内金", "覆盆子", "盐车前子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66311, "pid": "P88b53a762a8c", "date": "2026-08-23", "sex": "男", "age": 48, "cc": "腰痛乏力嗜睡2年", "hpi": "2年前出现腰痛乏力嗜睡，白天没精神，大便不成形，食后腹胀，记忆力减退，勃起欠佳，盗汗，四肢冷", "wm_dx": ["尿频", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炙甘草", "麸炒枳壳", "枸杞子", "菟丝子", "醋龟甲", "蜈蚣", "白芍", "制远志", "酒苁蓉", "石菖蒲", "盐蒺藜", "当归", "炙淫羊藿", "醋香附", "北柴胡", "酒黄精", "炙黄芪", "太子参", "醋鸡内金", "姜厚朴"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66318, "pid": "P62f1542dbd6f", "date": "2026-08-24", "sex": "男", "age": 40, "cc": "腰痛乏力半年", "hpi": "伴有阳痿早泄一年 晨勃少 小便正常 纳可 大便稀 眠安 下肢水肿可自行消退 盗汗", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴生津"]], "rx": ["制巴戟天", "酒萸肉", "炒酸枣仁", "覆盆子", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66319, "pid": "P5cbd52732b0d", "date": "2026-08-24", "sex": "男", "age": 45, "cc": "小腹不适3月", "hpi": "小腹不适3月，排尿不畅，尿后余沥，夜尿0-1次，伴会阴不适，大便质干，纳可，眠一般，口干，盗汗。体检前列腺稍大，钙化。工作久坐。", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "陈皮", "酒黄精", "泽泻", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66320, "pid": "Pbfebe1b8bee3", "date": "2026-08-24", "sex": "男", "age": 27, "cc": "尿频一周", "hpi": "尿频，5月1日出现中途疲软，现自觉晨勃少，睡眠正常，纳可，大便偶有便秘，口干。晨勃改善。腰痛乏力 下肢水肿可自行消退", "wm_dx": ["下肢水肿", "尿频", "慢性前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制巴戟天", "覆盆子", "枸杞子", "太子参", "猪苓", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66321, "pid": "Pe4b136b42655", "date": "2026-08-24", "sex": "男", "age": 53, "cc": "小腹隐痛 排尿不畅半年余", "hpi": "小腹隐痛 排尿不畅半年余 大便正常 纳眠可 肝脓肿 肾囊肿复查 下肢水肿可自行消退 乏力腰痛半年", "wm_dx": ["前列腺增生", "肝脓肿", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "茯苓", "川贝母", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66323, "pid": "P965b8a647d74", "date": "2026-08-24", "sex": "男", "age": 35, "cc": "复诊", "hpi": "腰酸、勃起中途疲软，尿道偶有灼热感，食后呃逆、胃胀，口苦，大便正常，睡眠正常。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾阳虚证", "补肾扶元"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "陈皮", "木香", "猪苓", "炙甘草", "地龙", "生石膏"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "黄芩片", "桂枝", "石菖蒲", "制远志", "干姜", "牡蛎", "当归", "川芎", "茯苓", "泽泻", "制巴戟天", "仙茅", "人参"], "prev_gap": 285, "visit_ix": 4, "n_visits": 7, "visit_ix_rx": 2, "n_rx": 5} {"rid": 66324, "pid": "P5deb9711082c", "date": "2026-08-24", "sex": "男", "age": 33, "cc": "勃起持续时间短10年", "hpi": "勃起持续时间短，硬度尚可，烦躁、口苦口干，眠差。抽烟、喝酒。夜尿3-4次 父亲高血压。", "wm_dx": ["高血压"], "tcm_dx": [["房事早泄", "肾虚证", "补肾固精"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "龙骨", "牡蛎", "生石膏", "地龙", "炙甘草", "首乌藤"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66326, "pid": "P5c64bef9c538", "date": "2026-08-24", "sex": "男", "age": 32, "cc": "复诊", "hpi": "尿道不适，仍有分泌物。", "wm_dx": ["尿道炎"], "tcm_dx": [["淋证", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "炙甘草", "广金钱草", "萹蓄", "绵萆薢", "大黄"], "flags": [], "prev_rx": ["猪苓", "泽泻", "滑石", "马鞭草", "土茯苓", "炙甘草"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66327, "pid": "P5260753b30fc", "date": "2026-08-24", "sex": "男", "age": 40, "cc": "小腹隐痛 尿分叉一月余", "hpi": "小腹隐痛 尿分叉一月余 大便正常 尿频 纳可 眠安", "wm_dx": ["慢性前列腺炎", "前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66329, "pid": "P6fd9acbd3b54", "date": "2026-08-24", "sex": "男", "age": 36, "cc": "尿道口黏液一月余", "hpi": "尿道口黏液一月余 大便正常 尿频 纳可 眠安 早泄 乏力腰痛", "wm_dx": ["慢性前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["菟丝子", "覆盆子", "韭菜子", "沙苑子", "枸杞子", "醋五味子", "太子参", "山药", "盐补骨脂", "酒黄精", "茯苓", "麸炒枳壳", "石菖蒲", "制远志", "炒酸枣仁", "知母", "丹参", "合欢皮", "合欢花", "炙甘草", "首乌藤", "桂枝"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66333, "pid": "P66afc9998856", "date": "2026-08-24", "sex": "男", "age": 24, "cc": "腰痛乏力一月余", "hpi": "腰痛乏力一月余 伴有勃起不佳 中途疲软 大小便正常 纳眠可 晨勃少", "wm_dx": ["盗汗", "下肢水肿", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "知母", "酒萸肉", "太子参", "猪苓", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "知母", "酒萸肉", "盐杜仲", "太子参", "猪苓", "炒酸枣仁"], "prev_gap": 21, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66337, "pid": "Pc7c02db00f39", "date": "2026-08-24", "sex": "男", "age": 29, "cc": "腰痛复诊取药", "hpi": "腰痛改善，乏力改善，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜 盗汗，精液偏黄，射精后偶有小腹不适，焦虑 下肢水肿可自行消退", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "鸡血藤", "菟丝子", "酒黄精", "麸炒苍术", "石菖蒲", "太子参", 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"麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "制远志", "合欢皮", "泽泻", "路路通", "橘络"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "麸炒山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "泽泻", "制远志", "合欢皮"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 66351, "pid": "P55d288f53432", "date": "2026-08-24", "sex": "男", "age": 39, "cc": "乏力4年", "hpi": "乏力，近4年未育，2次试管未成功。女方多囊，糖尿病。射精正常，排尿尿不尽，大便可，睡眠差，入睡困难，纳可，口干，无腰痛。8.24复诊：腰痛，乏力", "wm_dx": ["男性不育症"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯神", "盐杜仲", "肉桂", "枸杞子", "制远志", "酒苁蓉", "制巴戟天", "酒萸肉", "醋鸡内金", "炒麦芽", "盐车前子", "覆盆子", "菟丝子", "熟地黄", "醋五味子", "酒大黄", "炙淫羊藿", "炙黄芪", "酒黄精", "炒酸枣仁", "柏子仁", "麸炒苍术", "麸炒薏苡仁", "牛膝"], "flags": [], "prev_rx": ["茯苓", "赤小豆", "麸炒白术", "猪苓", "泽泻", "醋龟甲", "菟丝子", "覆盆子", "盐车前子", "牛膝", "枸杞子", "牡蛎", "红景天", "鹿角胶"], "prev_gap": 20, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66352, "pid": "Pf7fe262c355c", "date": "2026-08-24", "sex": "男", "age": 40, "cc": "腰痛乏力8月", "hpi": "8月前出现腰痛乏力，近期想生育，2026.2.28妇幼保健院查精液常规：总活率：36%，前向运动33.47%，正常形态3%，长期熬夜，口干，偶有头痛，盗汗。", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"], ["盗汗", "肾虚证", "滋补肾阴"]], "rx": ["盐杜仲", "肉桂", "白术", "制远志", "酒苁蓉", "制巴戟天", "太子参", "石菖蒲", "酒萸肉", "醋鸡内金", "盐车前子", "覆盆子", "菟丝子", "熟地黄", "醋五味子", "酒大黄", "枸杞子", "炒酸枣仁"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66361, "pid": "P5723625138a8", "date": "2026-08-25", "sex": "男", "age": 37, "cc": "乏力腰痛复诊", "hpi": "手出汗，脚凉，早起口干苦，纳可，大便日1次，夜尿不多，眠可，乏力。盗汗 下肢水肿可自行消退", "wm_dx": ["下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "猪苓", "黄芪", "白术", "防风", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66366, "pid": "P666a29169ae5", "date": "2026-08-25", "sex": "男", "age": 78, "cc": "腰痛2年", "hpi": 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"男", "age": 62, "cc": "排尿无力2年", "hpi": "排尿无力，夜尿1-2次，无阴囊潮湿，勃起无，既往口服非那雄胺片、他达拉非片等药物治疗，早醒，大便正常，少腹时有坠胀，口和，怕冷，现消瘦明显", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["茜草", "旋覆花", "焦槟榔", "牛膝", "当归", "赤小豆", "石菖蒲", "郁金", "丹参", "鸡血藤", "茯苓", "生姜", "大枣", "生地黄", "炙淫羊藿", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66374, "pid": "P82d9cc377c57", "date": "2026-08-25", "sex": "男", "age": 80, "cc": "尿频5-6年", "hpi": "尿频，尿急，尿不尽，夜尿4-5次。无腹痛，无腰痛，大便正常，纳可，无怕冷", "wm_dx": ["前列腺增生", "泌尿系结石"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["茯苓", "猪苓", "赤小豆", "阿胶珠", "滑石", "桂枝", "牛膝", "广金钱草", "醋鸡内金", "海金沙"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66377, "pid": "Pbda579327885", "date": "2026-08-25", "sex": "男", "age": 48, "cc": "尿不畅4-5年", "hpi": "尿不畅，夜尿正常，大便正常，纳一般，睡眠入睡困难，乏力，口干口苦，腰疼，有晨勃，硬度不佳，中途疲软，时间短2-3分钟，久站后会阴痛，怕冷,复诊:口和,硬度不行,晨勃无,尿有泡沫", "wm_dx": ["尿频"], "tcm_dx": [["腰痛", "肾阴虚证", "滋补肾阴"], ["精浊", "肾阳虚证", "温补肾阳"]], "rx": ["旋覆花", "茜草", "石菖蒲", "制远志", "郁金", "当归", "槟榔", "盐蒺藜", "丹参", "鸡血藤", "茯苓", "黑顺片", "蜈蚣", "桂枝", "薤白", "炙淫羊藿"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "黑顺片", "牡丹皮", "茯苓", "细辛", "干姜", "生石膏", "蜈蚣", "炙淫羊藿", "盐胡芦巴", "仙茅", "丹参", "鸡血藤"], "prev_gap": 17, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66378, "pid": "P7cb352888c7b", "date": "2026-08-25", "sex": "男", "age": 30, "cc": "少腹坠胀一月", "hpi": "少腹坠胀，隐痛，会阴部不适感，口服前列通片，现尿频，夜尿1-2次，色正常，无尿痛，无腰痛，大便不成形，纳可，口苦，（胃胀，上呕感2年）", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝郁肾虚证", "疏肝理气"]], "rx": ["北柴胡", "黄芩片", "法半夏", "生姜", "牛膝", "党参片", "石菖蒲", "郁金", "薏苡仁", "赤小豆", "麸炒冬瓜子", "浙贝母", "制水蛭", "当归", "白芍", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66383, "pid": "P97820607695e", "date": "2026-08-25", "sex": "男", "age": 35, "cc": "腰痛乏力半年", "hpi": "伴有勃起不佳一周余 晨勃消失 耳鸣 失眠 纳差 大小便正常 盗汗下肢水肿可自行消退", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["炒酸枣仁", "丹参", "猪苓", "知母", "太子参"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66385, "pid": "Pa764883705ba", "date": "2026-08-25", "sex": "男", "age": 26, "cc": "乏力2年", "hpi": "乏力，时间短，阴囊潮湿，尿频，无射精痛，憋尿时少腹隐痛，外院口服达泊西汀等治疗，大便正常，睡眠正常，纳可，吃凉易腹泻，口和，怕冷，复诊：症状无明显缓解，冬天怕冷", "wm_dx": ["尿频", "腹痛"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "浙贝母", "苦参", "丹参", "盐关黄柏", "柏子仁", "鸡血藤", "牛膝", "石菖蒲", "盐蒺藜", "旋覆花", "茜草", "蜈蚣", "金樱子肉", "龙骨", "牡蛎", "甘草片"], "flags": [], "prev_rx": ["当归", "浙贝母", "苦参", "丹参", "百合", "柏子仁", "鸡血藤", "牛膝", "石菖蒲", "盐蒺藜", "旋覆花", "茜草", "蜈蚣", "金樱子肉", "龙骨", "牡蛎", "甘草片"], "prev_gap": 7, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 5, "n_rx": 6} {"rid": 66386, "pid": "P07777863d58f", "date": "2026-08-25", "sex": "男", "age": 35, "cc": "遗精1周", "hpi": "遗精1周，压力大，失眠梦多，脱发，乏力，尿黄，尿频，大便可，排气多，性欲强，腰痛，复诊：遗精好转，硬度不佳，晨勃可，时间短1分钟，尿黄，睡眠好转，纳可，大便正常，口干，无阴囊潮湿", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["茯苓", "泽泻", "阿胶珠", "当归", "川芎", "滑石", "牡丹皮", "麸炒白术", "干姜", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "炙淫羊藿", "九香虫", "槟榔"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["茯苓", "泽泻", "阿胶珠", "当归", "川芎", "淡竹叶", "牡丹皮", "麸炒白术", "干姜", "丹参", "鸡血藤", "石菖蒲", "盐蒺藜", "炙淫羊藿", "仙茅"], "prev_gap": 13, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 66388, "pid": "Pda89238947d2", "date": "2026-08-25", "sex": "男", "age": 72, "cc": "排尿不畅尿痛复诊", "hpi": "排尿不畅尿痛，尿道灼热，闻水声尿急、尿分叉、尿滴沥，色黄，夜尿1次，无小腹及会阴不适，纳眠可，大便质粘，口和。", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "金银花", "川贝母", "蒲公英"], "flags": ["rx_len_outlier"], "prev_rx": ["炙淫羊藿", "炒王不留行", "醋莪术", "土茯苓", "败酱草", "浙贝母", "酒苁蓉", "蒲公英", "绵萆薢", "玄参", "甜叶菊叶", "天花粉", "麸炒苍术", "乌药", "盐益智仁", "烫水蛭", "黄芪", "醋延胡索", "白芷", "黄柏", "牛膝", "薏苡仁", "麸炒枳壳", "党参"], "prev_gap": 112, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66389, "pid": "P6117ddbe0a93", "date": "2026-08-25", "sex": "男", "age": 55, "cc": "腰痛7-8月", "hpi": "腰痛7-8月，性欲一般，晨勃没有，同房硬度一般，排尿可，夜尿正常，睡眠正常，纳可，大便不畅粘，口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["腰痛", "肝胆湿热证", "清热利湿"]], "rx": ["北柴胡", "麸炒枳实", "白芍", "牛膝", "黄芩片", "石菖蒲", "郁金", "蜈蚣", "茜草", "旋覆花", "薏苡仁", "路路通", "蜂房", "地黄", "牡丹皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66392, "pid": "Pcb7311a62e23", "date": "2026-08-25", "sex": "男", "age": 54, "cc": "尿频 半年", "hpi": "尿频，夜尿1次，色黄，大便不畅粘，睡眠一般，多梦早醒，纳可，腹胀，矢气味重，口干口苦，微怕冷，乏力感，晨勃有，关键时不行。性欲正常，复诊：口服他达拉非片未效，睡眠一般多梦早醒，纳可，口苦", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["旋覆花", "茜草", "北柴胡", "石菖蒲", "瓜蒌", "薤白", "桂枝", "麸炒枳实", "白芍", "牛膝", "郁金", "蜈蚣", "燀桃仁", "红花", "法半夏", "炙淫羊藿"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "人参", "煅龙骨", "煅牡蛎", "炒栀子", "淡豆豉", "法半夏", "黄芩片", "黄连片", "干姜", "炙淫羊藿", "石菖蒲", "制远志"], "prev_gap": 293, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66393, "pid": "P7e0ccb447e0b", "date": "2026-08-25", "sex": "男", "age": 39, "cc": "乏力半年", "hpi": "乏力，多梦，纳可，大便可，排尿可，腿发凉，口干，外院治疗", "wm_dx": ["失眠"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"], ["失眠", "肾气不充证", "补肾扶元"]], "rx": ["旋覆花", "茜草", "槟榔", "石菖蒲", "盐蒺藜", "煅龙骨", "煅牡蛎", "郁金", "制远志", "牡丹皮", "赤小豆", "桂枝", "白芍", "金樱子肉", "酒萸肉", "炙甘草"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66399, "pid": "Pbde57f4a7445", "date": "2026-08-26", "sex": "男", "age": 54, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "石菖蒲", "地龙", "九香虫", "白芷", "赤小豆", "酒黄精", "麦冬", "鸡血藤"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "诃子肉", "地龙", "九香虫", "白芷", "赤小豆", "酒黄精", "麦冬"], "prev_gap": 16, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66401, "pid": "P89f3cfba6736", "date": "2026-08-26", "sex": "男", "age": 25, "cc": "尿频3月", "hpi": "尿频，尿等待，熬夜，睡眠一般，口服褪黑素治疗，大便正常，纳可，口和，晨勃少，性欲低，复诊：大便2天一次粘，纳可，睡眠可，性欲可，有晨勃", "wm_dx": ["尿频"], "tcm_dx": [["失眠", "肝肾亏虚证", "滋补肝肾"]], "rx": ["石菖蒲", "制远志", "柏子仁", "北柴胡", "麸炒枳实", "白芍", "牡丹皮", "牛膝", "川芎", "蜈蚣", "炒栀子", "九香虫", "地黄", "炙甘草", "大枣", "黄芩片", "茜草"], "flags": [], "prev_rx": ["石菖蒲", "制远志", "柏子仁", "北柴胡", "麸炒枳实", "白芍", "牡丹皮", "牛膝", "川芎", "蜈蚣", "炒栀子", "九香虫", "地黄", "炙甘草", "大枣", "黄芩片"], "prev_gap": 49, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66404, "pid": "Pa75dd7eec023", "date": "2026-08-26", "sex": "男", "age": 60, "cc": "尿频10余年", "hpi": "尿频，性欲一般，硬度一般，夜尿2-3次，大便正常，睡眠可，纳可，口苦，无吸烟饮酒，无腰痛，怕冷怕热，汗多", "wm_dx": ["尿频", "男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["旋覆花", "茜草", "槟榔", "石菖蒲", "盐蒺藜", "制远志", "郁金", "牛膝", "北柴胡", "酒白芍", "麸炒枳实", "蜈蚣", "地黄", "炙淫羊藿", "仙茅"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66406, "pid": "Pb493281afcc4", "date": "2026-08-26", "sex": "男", "age": 39, "cc": "腰痛复诊", "hpi": "腰痛改善，汗多，白天明显，有盗汗。乏力，工作可，情绪焦虑，二便调，失眠梦多，无排尿不畅、尿后余沥。梦多。 勃起不佳，晨勃可，下肢水肿可自行消退。", "wm_dx": ["高血压", "腰痛", "盗汗", "男性性腺功能低下", "失眠"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["失眠", "肾精亏虚证", "补肾益精"]], "rx": ["太子参", "知母", "炒酸枣仁", "猪苓", "羌活"], "flags": [], "prev_rx": ["制巴戟天", "太子参", "知母", "炒酸枣仁", "猪苓", "羌活"], "prev_gap": 60, "visit_ix": 3, "n_visits": 5, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66409, "pid": "Pf2e985a183a5", "date": "2026-08-26", "sex": "男", "age": 45, "cc": "尿频1年", "hpi": "尿频，入睡困难，纳可，大便时干时稀，口涩，喝水少，乏力感，腰疼，易汗，盗汗，胁痛，腰痛", "wm_dx": ["盗汗", "失眠"], "tcm_dx": [["失眠", "肾气不充证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["胁痛", "肝郁血瘀证", "疏肝化瘀"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["炒酸枣仁", "制巴戟天", "猪苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66410, "pid": "Pe46872bd5574", "date": "2026-08-26", "sex": "男", "age": 37, "cc": "尿频一月", "hpi": "尿频，手艺时，硬度正常，射精正常，大便正常，睡眠熬夜，入睡困难，纳可，口和，无腰痛", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "石菖蒲", "制远志", "郁金", "柏子仁", "牛膝", "茜草", "槟榔", "茯苓", "麸炒白术", "炒王不留行", "蜂房"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66411, "pid": "P1d4c697303c5", "date": "2026-08-26", "sex": "男", "age": 52, "cc": "尿频 尿不尽一月余", "hpi": "尿频 尿不尽一月余 大便正常 纳眠可 腰痛乏力 下肢水肿可自行消退", "wm_dx": ["下肢水肿", "腰痛", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "太子参", "猪苓", "酒萸肉", "知母", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制巴戟天", "太子参", "猪苓", "覆盆子"], "prev_gap": 26, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66412, "pid": "P15ef3024c1e1", "date": "2026-08-26", "sex": "男", "age": 57, "cc": "乏力腰痛半年", "hpi": "伴有勃起不佳 大小便正常 纳眠可，咳嗽有痰，复诊：晨薄好转，复诊：中途醒，硬度时间一般，出汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "法半夏", "炒栀子", "淡豆豉", "地黄", "陈皮", "炒苦杏仁", "牛膝", "牡丹皮", "茜草", "丹参", "鸡血藤", "蜈蚣", "炙淫羊藿", "槟榔"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "法半夏", "生姜", "大枣", "地黄", "陈皮", "炒苦杏仁", "牛膝", "牡丹皮", "石菖蒲", "丹参", "鸡血藤", "蜈蚣", "炙淫羊藿"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66413, "pid": "Pff419f0c2102", "date": "2026-08-26", "sex": "男", "age": 29, "cc": "血精2次", "hpi": "血精2次，工作久坐，无明显射精疼痛，无小腹及会阴不适，口干，眠可，腰痛，稍有乏力，尿频", "wm_dx": ["血精", "腹痛", "尿频", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "炒酸枣仁", "太子参", "党参片"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66416, "pid": "P7f15fa4262ea", "date": "2026-08-26", "sex": "男", "age": 32, "cc": "尿频1年", "hpi": "尿频，尿有泡沫夜尿正常，硬度不佳，中途疲软，时有不能插入，晨勃少，大便正常，怕冷，睡眠熬夜，纳一般，口干口苦，复诊：夜间燥热，复诊：排尿散，分叉，硬度一般", "wm_dx": ["周围神经病性震颤", "股癣", "包皮龟头炎", "男性性腺功能低下"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["白薇", "桂枝", "白芍", "牡丹皮", "茯苓", "泽泻", "槟榔", "干姜", "炙淫羊藿", "盐胡芦巴", "北柴胡", "蜈蚣", "黑顺片", "龙骨", "麸炒白术", "黄芩片", "滑石"], "flags": [], "prev_rx": ["白薇", "桂枝", "白芍", "生姜", "大枣", "醋五灵脂", "茯苓", "泽泻", "猪苓", "干姜", "炙淫羊藿", "盐胡芦巴", "鹿角霜", "蜈蚣", "黑顺片", "龙骨", "麸炒白术"], "prev_gap": 28, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 5, "n_rx": 6} {"rid": 66418, "pid": "P24efffba9e45", "date": "2026-08-26", "sex": "男", "age": 83, "cc": "包皮龟头溃疡一月余", "hpi": "包皮龟头溃疡一月余 未治疗 局部疼痛明显 大小便正常 纳眠可", "wm_dx": ["皮肤溃疡", "包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "白芷", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "当归", "大黄", "赤芍", "荆芥", "地龙", "蜈蚣"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "关黄柏", "白芷", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "当归", "大黄", "赤芍", "荆芥", "地龙", "蜈蚣"], "prev_gap": 7, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66419, "pid": "Pa71d79b7ed14", "date": "2026-08-26", "sex": "男", "age": 34, "cc": "腰痛复诊", "hpi": "腰痛复诊，乏力，工作劳累，压力大，情绪焦虑，同居感情可，晨勃少，硬度一般，时间3分钟，纳可，眠差，无排尿不畅、尿后余沥，口干", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["旋覆花", "茜草", "牡丹皮", "龙骨", "牡蛎", "盐关黄柏", "知母", "金樱子肉", "牛膝", "地黄", "石菖蒲", "盐蒺藜", "制远志", "柏子仁", "炙甘草", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "烫水蛭", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "五加皮", "地骨皮", "细辛"], "prev_gap": 359, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66424, "pid": "P1b93b597ce51", "date": "2026-08-26", "sex": "男", "age": 34, "cc": "乏力半年", "hpi": "乏力,性欲不强,硬度一般,熬夜,排尿正常,便秘,口服药物正常,浅睡眠,纳可,吃生冷不适感,无腰痛,口和，复诊：症状无缓解.复诊：硬度正常，时间短。", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["旋覆花", "茜草", "燀桃仁", "姜厚朴", "麸炒枳实", "火麻仁", "大黄", "北柴胡", "红花", "北沙参", "地黄", "酒萸肉", "盐关黄柏", "金樱子肉", "知母", "黄芩片", "醋鸡内金"], "flags": [], "prev_rx": ["旋覆花", "茜草", "燀桃仁", "姜厚朴", "麸炒枳实", "火麻仁", "大黄", "北柴胡", "红花", "北沙参", "地黄", "酒萸肉", "百合", "金樱子肉", "炙甘草", "柏子仁"], "prev_gap": 7, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 66428, "pid": "P6582198d51b2", "date": "2026-08-26", "sex": "男", "age": 48, "cc": "乏力尿频5年", "hpi": "乏力尿频，夜尿2-4次，大便次数多，少，无腹痛，无腰痛，饭后腹胀，多梦，口和，眼干，咽干，易上火，晨勃少，硬度一般，时间短，纳可，无怕冷，口腔溃疡", "wm_dx": ["乏力", "高脂血症", "男性性腺功能低下"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "地黄", "酒萸肉", "山药", "牡丹皮", "炒酸枣仁", "川芎", "槟榔", "炒栀子", "茜草", "赤小豆", "煅龙骨", "甘草片", "白花蛇舌草", "牡蛎"], "flags": [], "prev_rx": ["甘草片", "黄芩片", "黄连片", "干姜", "党参片", "百合", "地黄", "知母", "生石膏", "炒栀子", "淡豆豉", "煅龙骨", "煅牡蛎", "川芎", "牡丹皮", "北沙参", "金樱子肉"], "prev_gap": 22, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66449, "pid": "Pc903b865a495", "date": "2026-08-27", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，久坐", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭", "麦冬", "川牛膝", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66451, "pid": "Pea258e23eaaa", "date": "2026-08-27", "sex": "男", "age": 63, "cc": "排尿不畅1年", "hpi": "排尿不畅改善，尿频改善，尿后余沥改善，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，下肢水肿可消退", "wm_dx": ["尿频", "前列腺增生", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["猪苓", "太子参", "炒酸枣仁", "川芎", "川牛膝"], "flags": [], "prev_rx": ["猪苓", "太子参", "炒酸枣仁", "茯苓"], "prev_gap": 42, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66466, "pid": "P68810f7631a1", "date": "2026-08-27", "sex": "男", "age": 49, "cc": "腰痛抄方", "hpi": "腰痛抄方 大便正常 纳可 失眠 冠心病 高血压 失眠取药 病情稳定延长开药 尿频尿急 尿不尽 感冒一周 下肢水肿可自行消退", "wm_dx": ["失眠", "高血压病2级(低危)", "慢性前列腺炎", "下肢水肿", "感冒", "冠状动脉性心脏病"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["感冒", "暑湿证", "行气化湿"]], "rx": ["麦冬", "酒苁蓉", "党参片", "黄芪", "防风", "制巴戟天"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北沙参", "太子参", "白术", "白芍", "天麻", "葛根", "丹参", "茯苓", "酒女贞子", "地黄", "合欢皮", "砂仁", "郁金", "瓜蒌皮", "赤芍", "黄连片", "地龙", "百合", "竹茹", "玉竹"], "prev_gap": 49, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 5} {"rid": 66467, "pid": "Pe6965396ab5a", "date": "2026-08-27", "sex": "男", "age": 37, "cc": "腰痛抄方", "hpi": "腰痛抄方，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["川芎", "北柴胡", "炒王不留行", "牛膝", "当归", "红花", "赤芍", "甘草", "焦麦芽", "路路通"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66469, "pid": "P28fcde527618", "date": "2026-08-27", "sex": "男", "age": 71, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，尿线细，尿后余沥，夜尿3-4次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "炒酸枣仁", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66470, "pid": "P6815eb6fcdb9", "date": "2026-08-27", "sex": "男", "age": 57, "cc": "尿频尿急间断发作2年", "hpi": "尿频尿急间断发作2年，无腰痛，偶有血尿。夜尿0-1次，尿后余沥，睡眠可。", "wm_dx": ["尿频", "前列腺增生"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "炒酸枣仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66472, "pid": "P0371b83a0e42", "date": "2026-08-27", "sex": "男", "age": 23, "cc": "遗精3次", "hpi": "遗精3次，尿频，排尿不畅，睡眠一般，情绪焦虑可，勃起硬度可，腰痛", "wm_dx": ["前列腺炎", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["丹参", "诃子肉", "白芍", "炙甘草", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "麦冬", "知母", "锁阳", "盐益智仁", "炒酸枣仁", "煅龙骨", "煅牡蛎"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66473, "pid": "P6c8f87a8034b", "date": "2026-08-27", "sex": "男", "age": 32, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "尿频", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["精浊", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "炒酸枣仁", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66477, "pid": "P4fd404a3a58c", "date": "2026-08-27", "sex": "男", "age": 29, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，盗汗", "wm_dx": ["腰痛", "尿频", "盗汗"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["盗汗", "肾阴虚证", "滋补肾阴"]], "rx": ["猪苓", "炒酸枣仁", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66478, "pid": "P66a101d54a20", "date": "2026-08-27", "sex": "男", "age": 37, "cc": "腰疼半月", "hpi": "腰疼，活动正常，同房后加重，双下肢酸软感，出汗，排尿正常，大便不成型，纳可，口苦口干，硬度下降，睡眠正常，耳鸣，盗汗。", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "生地黄", "酒萸肉", "山药", "北柴胡", "人参", "麸炒枳实", "川芎", "丹参", "鸡血藤", "石菖蒲", "牡丹皮", "桑寄生", "制巴戟天", "白芍", "醋鸡内金", "盐杜仲", "川牛膝", "麦冬", "知母", "麸炒白术", "盐黄柏", "醋鳖甲", "金樱子"], "flags": [], "prev_rx": ["熟地黄", "生地黄", "酒萸肉", "山药", "北柴胡", "人参", "麸炒枳实", "川芎", "丹参", "鸡血藤", "石菖蒲", "牡丹皮", "桑寄生", "制巴戟天", "白芍", "醋鸡内金", "盐杜仲", "川牛膝", "麦冬", "知母", "麸炒白术", "盐黄柏", "醋鳖甲"], "prev_gap": 14, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 66479, "pid": "P5330a9d952a3", "date": "2026-08-27", "sex": "男", "age": 57, "cc": "前列腺增生 腰痛 尿频复诊", "hpi": "射精后少腹坠胀，精液有暗黑，尿频尿等待，大便不尽，口干口苦，睡眠差 腰痛 下肢水肿可自行消退", "wm_dx": ["精囊炎", "慢性前列腺炎", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热祛湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "生石膏", "桂枝", "干姜", "白芍", "茜草", "旋覆花", "当归", "山药", "赤小豆", "制水蛭", "麸炒冬瓜子", "苦参", "浙贝母", "夏枯草", "醋鸡内金", "广金钱草", "海金沙"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "生石膏", "桂枝", "干姜", "白芍", "茜草", "旋覆花", "当归", "山药", "赤小豆", "制水蛭", "麸炒冬瓜子", "苦参", "浙贝母", "夏枯草", "醋鸡内金", "广金钱草", "海金沙"], "prev_gap": 8, "visit_ix": 9, "n_visits": 11, "visit_ix_rx": 9, "n_rx": 11} {"rid": 66487, "pid": "P087e2154d349", "date": "2026-08-28", "sex": "男", "age": 44, "cc": "腰痛半年", "hpi": "腰痛，活动正常，无腿麻，同房后明显，硬度可，时间短，排尿正常，夜尿正常，睡眠正常，纳可，大便可，口干汗多", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["知母", "盐关黄柏", "地黄", "金樱子肉", "酒萸肉", "白芍", "山药", "牡丹皮", "枸杞子", "龙骨", "牡蛎", "牛膝", "石菖蒲", "盐蒺藜", "炙甘草", "桑寄生"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66488, "pid": "Pb20a939767eb", "date": "2026-08-28", "sex": "男", "age": 56, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 伴有性功能下降一月余 晨勃消失 小便正常 纳可 眠一般，早醒，大便2天一次", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒苁蓉", "锁阳", "菟丝子", "熟地黄", "牡丹皮", "酒萸肉", "炒酸枣仁", "制远志", "金樱子肉", "莲须", "盐蒺藜", "醋五味子", "党参片", "山药", "茯苓", "炙甘草", "煅龙骨", "盐益智仁", "九香虫", "炒栀子", "酒黄精", "白术"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒苁蓉", "锁阳", "菟丝子", "熟地黄", "牡丹皮", "酒萸肉", "炒酸枣仁", "制远志", "金樱子肉", "莲须", "盐蒺藜", "醋五味子", "党参片", "山药", "茯苓", "炙甘草", "煅龙骨", "盐益智仁", "九香虫", "炒栀子", "酒黄精", "麸炒白术"], "prev_gap": 12, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66496, "pid": "P0cdafe15c382", "date": "2026-08-28", "sex": "男", "age": 30, "cc": "慢性前列腺炎抄方", "hpi": "慢性前列腺炎抄方 尿频 尿不尽 大便正常 纳眠可", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"]], "rx": ["鬼箭羽", "赤芍", "麸炒苍术", "土鳖虫", "北柴胡", "甘草片", "薏苡仁", "红花", "赤小豆", "丹参", "当归", "党参片", "麸炒白术", "陈皮", "煨肉豆蔻", "煅龙骨", "杜仲", "酒苁蓉", "制巴戟天", "仙茅", "盐胡芦巴", "炙淫羊藿"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["鬼箭羽", "赤芍", "麸炒苍术", "土鳖虫", "北柴胡", "甘草片", "薏苡仁", "红花", "赤小豆", "丹参", "当归", "党参片", "麸炒白术", "陈皮", "煨肉豆蔻", "煅龙骨", "杜仲", "酒苁蓉", "制巴戟天", "仙茅", "盐胡芦巴", "炙淫羊藿"], "prev_gap": 19, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66497, "pid": "P1f2f1939c5a7", "date": "2026-08-28", "sex": "男", "age": 58, "cc": "腰膝酸软3天", "hpi": "腰膝酸软，少腹隐痛，会阴部不适感，喜按喜热，有尿意感，大便正常，怕冷，口干，心烦乏力，有汗", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["痹证类病", "气滞血瘀证", "活血止痛"], ["腰痛", "脾肾阳虚证", "温补肾阳"]], "rx": ["桂枝", "白芍", "生姜", "大枣", "山药", "干姜", "麸炒白术", "茯苓", "黑顺片", "炙甘草", "赤小豆", "当归", "炒栀子", "淡豆豉", "炙黄芪"], "flags": [], "prev_rx": ["桂枝", "白芍", "生姜", "大枣", "山药", "干姜", "麸炒白术", "茯苓", "黑顺片", "炙甘草", "赤小豆", "当归"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66498, "pid": "P81b722dea0f7", "date": "2026-08-28", "sex": "男", "age": 31, "cc": "腰痛半年", "hpi": "腰痛半年 伴有早泄3-4分钟 勃起可 大小便正常 纳可 眠安，口和", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["北柴胡", "生石膏", "黄芩片", "党参片", "茯苓", "桔梗", "煅龙骨", "煅牡蛎", "金樱子肉", "盐关黄柏", "炙甘草", "石菖蒲", "盐蒺藜", "锁阳", "麸炒芡实"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["当归", "连翘", "赤小豆", "茯苓", "泽泻", "牡丹皮", "金樱子肉", "龙骨", "牡蛎", "盐关黄柏", "石菖蒲", "郁金", "制远志", "炙甘草", "酒萸肉", "白花蛇舌草", "锁阳"], "prev_gap": 21, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 66500, "pid": "P17866f017208", "date": "2026-08-28", "sex": "男", "age": 34, "cc": "腰痛乏力怕冷1年", "hpi": "1年前出现腰痛乏力怕冷，长期熬夜，夜寐差，易醒，射精快，勃起欠佳，口中和，尿不尽，无头晕头痛，盗汗一月，阴囊坠胀不适", "wm_dx": ["腰痛", "精索静脉曲张"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾两虚证", "滋补肝肾"], ["失眠", "心血虚证", "补血养心"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "橘络", "炒酸枣仁", "锁阳", "党参片", "制巴戟天"], "flags": [], "prev_rx": ["炒酸枣仁", "丹参", "太子参", "陈皮", "知母"], "prev_gap": 172, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66501, "pid": "P27865ba3e997", "date": "2026-08-28", "sex": "男", "age": 24, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "制远志", "炒酸枣仁", "麸炒白术", "赤小豆", "鸡血藤"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66507, "pid": "P15631c90dc58", "date": "2026-08-28", "sex": "男", "age": 36, "cc": "尿混浊尿痛3月", "hpi": "3月前出现尿混浊，尿痛，阴囊潮湿", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "麸炒苍术", "麸炒薏苡仁", "牛膝", "黄芪", "红曲"], "flags": [], "prev_rx": ["石菖蒲", "乌药", "关黄柏", "砂仁", "醋鳖甲", "盐益智仁", "白花蛇舌草", "瞿麦", "炙淫羊藿", "酒苁蓉", "蒲公英", "绵萆薢", "土茯苓", "白茅根", "赤小豆", "盐车前子", "麸炒苍术", "麸炒薏苡仁", "牛膝", "黄芪", "红曲"], "prev_gap": 13, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66509, "pid": "P89c6486bcc29", "date": "2026-08-29", "sex": "男", "age": 56, "cc": "腰痛半年", "hpi": "伴有勃起不坚 早泄 便秘 纳可 失眠 小便频多 盗汗 下肢水肿可自行消退", "wm_dx": ["盗汗", "下肢水肿", "失眠", "尿频"], "tcm_dx": [["腰痛", "肾虚证", 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"Pf6560bd553d1", "date": "2026-08-29", "sex": "男", "age": 31, "cc": "会阴部疼痛 尿不尽4年", "hpi": "会阴部疼痛 尿不尽4年 腰痛乏力 尿不尽 排尿无力 纳可 眠差 勃起不佳 中途疲软", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["猪苓", "羌活", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66529, "pid": "Pe32e8d05180d", "date": "2026-08-29", "sex": "男", "age": 35, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无小腹及会阴不适，工作熬夜盗汗，尿后余沥改善明显。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭", "石菖蒲", "炒酸枣仁", "知母", "北柴胡"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭", "石菖蒲"], "prev_gap": 13, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 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"枸杞子", "覆盆子", "牡丹皮", "牛膝", "陈皮", "牡蛎", "桑螵蛸", "生石膏", "甘草片"], "flags": [], "prev_rx": ["桂枝", "黑顺片", "熟地黄", "酒萸肉", "山药", "茯苓", "泽泻", "姜厚朴", "紫苏叶", "陈皮", "生姜", "炙黄芪", "麸炒白术", "桑螵蛸", "牡蛎", "枸杞子"], "prev_gap": 18, "visit_ix": 23, "n_visits": 24, "visit_ix_rx": 22, "n_rx": 23} {"rid": 66535, "pid": "Pc187cf042a3d", "date": "2026-08-29", "sex": "男", "age": 32, "cc": "腰痛半年", "hpi": "腰痛半年 大小便正常 纳眠可 下肢水肿可自行消退 乏力盗汗", "wm_dx": ["腰痛", "盗汗", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "太子参", "枸杞子", "猪苓", "川贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66536, "pid": "Pb5ef9c20cae8", "date": "2026-08-29", "sex": "男", "age": 35, "cc": "尿频2年", "hpi": "尿频，夜尿正常，大便正常，纳可，睡眠正常，口苦口干，微怕冷，生化一次，近期一直未育，无疲乏，复诊：口干口苦，大便2-3次粘，口苦消失，复诊：阴囊潮湿，晨起口苦", "wm_dx": ["尿频", "前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["北柴胡", "黄芩片", "党参片", "茯苓", "泽泻", "牛膝", "麸炒白术", "熟地黄", "牡丹皮", "山药", "枸杞子", "菟丝子", "牡蛎", "桑螵蛸", "赤小豆", "炒麦芽"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66537, "pid": "Pe2adb283a5b8", "date": "2026-08-29", "sex": "男", "age": 57, "cc": "阴囊潮湿3年", "hpi": "阴囊潮湿3年 大便正常 尿急 夜尿多 纳可 失眠 腰痛乏力 下肢水肿可自行消退", "wm_dx": ["前列腺增生", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "川贝母", "太子参", "羌活"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66538, "pid": "Pd9fae23cb242", "date": "2026-08-29", "sex": "男", "age": 74, "cc": "排尿不畅半年余", "hpi": "排尿不畅半年余 大便正常 纳可 失眠 无小腹隐痛 无睾丸疼痛 无发热", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66539, "pid": "P4db9ceac8e50", "date": "2026-08-29", 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"炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "石菖蒲", "炒酸枣仁", "锁阳"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "石菖蒲"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66558, "pid": "P3bb1713eb69a", "date": "2026-08-29", "sex": "男", "age": 44, "cc": "腰酸痛半年", "hpi": "腰酸痛，活动不受限，晨勃没有，排尿异味，色黄，大便正常，睡眠入睡困难，纳可，凉的吃得少，口干口苦，无怕冷，口服他达拉非5mg2年，血尿复查", "wm_dx": ["血尿", "腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "大黄", "麸炒枳实", "黄芩片", "白芍", "生姜", "葛根", "地黄", "姜厚朴", "生石膏", "火麻仁", "蜈蚣", "丹参", "鸡血藤", "知母", "桂枝", "龙骨"], "flags": [], "prev_rx": ["北柴胡", "大黄", "麸炒枳实", "黄芩片", "白芍", "生姜", "葛根", "地黄", "百合", "生石膏", "麸炒白术", "蜈蚣", "丹参", "鸡血藤", "知母", "桂枝", "龙骨"], "prev_gap": 7, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66560, "pid": "P97aac3202055", "date": "2026-08-29", "sex": "男", 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["前列腺炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["旋覆花", "茜草", "赤小豆", "白花蛇舌草", "当归", "牛膝", "石菖蒲", "郁金", "柏子仁", "人参", "浙贝母", "苦参", "生蒲黄", "焦槟榔"], "flags": [], "prev_rx": ["旋覆花", "茜草", "赤小豆", "白花蛇舌草", "当归", "牛膝", "石菖蒲", "郁金", "柏子仁", "人参", "浙贝母", "苦参", "生蒲黄", "血余炭"], "prev_gap": 7, "visit_ix": 15, "n_visits": 16, "visit_ix_rx": 10, "n_rx": 11} {"rid": 66568, "pid": "P6f113ef0eaf7", "date": "2026-08-29", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，时间下降，性欲可，乏力，工作压力大，大便不成型，纳一般，少吃生冷，怕冷，眠可，无排尿不畅、尿后余沥，口干，复诊：药后腹泻，未服药。现 口苦", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "法半夏", "丹参", "鸡血藤", "牛膝", "石菖蒲", "生姜", "大枣", "麸炒白术", "盐蒺藜", "炙甘草", "桔梗", "炙淫羊藿"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["桂枝", "黑顺片", "地黄", "酒萸肉", "山药", "牡丹皮", "茯苓", "泽泻", "丹参", "鸡血藤", "石菖蒲", "生石膏", "麸炒苍术", "龙骨", "牛膝", "牡蛎", "蜈蚣"], "prev_gap": 42, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66573, "pid": "Pa67d2beb5c04", "date": "2026-08-29", "sex": "男", "age": 36, "cc": "尿频半年", "hpi": "尿频，勃起不坚，晨勃少，精液量少，排尿正常，大便易腹泻，睡眠正常，口干口苦 盗汗 下肢水肿可自行消退 乏力腰痛疲劳明显", "wm_dx": ["下肢水肿", "腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制巴戟天", "枸杞子", "菟丝子", "太子参", "陈皮"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66575, "pid": "P77d74d1e8fb3", "date": "2026-08-29", "sex": "男", "age": 27, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力好转，勃起欠佳好转，射精快好转，晨勃消失，大小便正常，纳可，眠安 盗汗 下肢水肿 可自行消退", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "炙淫羊藿", "地骨皮", "炒僵蚕"], "flags": [], "prev_rx": ["制巴戟天", "菟丝子", "覆盆子", "太子参", "炒酸枣仁"], "prev_gap": 83, "visit_ix": 11, "n_visits": 12, "visit_ix_rx": 5, "n_rx": 6} {"rid": 66585, "pid": "Paa3a265c8c00", "date": "2026-08-29", "sex": "男", "age": 33, "cc": "阴囊潮湿复诊", "hpi": "阴囊潮湿改善 大便正常 尿不尽 纳可 眠安 盗汗 腰痛，工作久坐，长期熬夜，眩晕，下肢轻度水肿可自行消退 包皮龟头炎一月余", "wm_dx": ["慢性前列腺炎", "水肿", "腰痛", "包皮龟头炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"], ["眩晕", "肝气郁结证", "疏肝散结"], ["湿疮", "下焦湿热证", "清热利湿"]], "rx": ["蛇床子", "地榆", "醋五味子", "白花蛇舌草", "连翘", "金银花", "蒲公英", "地肤子", "黄柏", "苦参", "马齿苋", "白鲜皮"], "flags": [], "prev_rx": ["蛇床子", "地榆", "醋五味子", "白花蛇舌草", "连翘", "金银花", "蒲公英", "地肤子", "黄柏"], "prev_gap": 28, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 5} {"rid": 66590, "pid": "P42372b70b270", "date": "2026-08-30", "sex": "男", "age": 67, "cc": "尿频 尿急 尿等待复诊取药", "hpi": "尿频 尿急 尿等待改善 大便正常 纳可 眠安 病情稳定延长开药", "wm_dx": ["前列腺增生", "慢性前列腺炎", "尿频"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["茯苓", "羌活", "太子参", "陈皮"], "flags": ["rx_len_outlier"], "prev_rx": ["猪苓", "山慈菇", "三七粉"], "prev_gap": 327, "visit_ix": 24, "n_visits": 25, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66591, "pid": "Pb934ff2ccfc4", "date": "2026-08-30", "sex": "男", "age": 53, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 大小便正常 纳可 失眠 阳痿早泄 勃起不佳 晨勃少 下肢水肿可自行消退 盗汗", "wm_dx": ["腰痛", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["制巴戟天", "菟丝子", "太子参", "炒酸枣仁", "丹参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66598, "pid": "P3a994614bcf1", "date": "2026-08-30", "sex": "男", "age": 43, "cc": "尿频复诊", "hpi": "尿频，睡眠一般，便秘，近一年勃起不坚，硬度不够，有晨勃，调整口服小剂量他达拉非用法，排尿正常，纳可，口和略干苦，无怕冷，腰疼，复诊：排尿正常，大便正常，近期咽痛，纳可", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["酒苁蓉", "制巴戟天", "仙茅", "盐胡芦巴", "煅阳起石", "炙淫羊藿", "酒黄精", "党参片", "山药", "麸炒白术", "茯苓", "菟丝子", "盐车前子", "覆盆子", "熟地黄", "泽泻", "知母", "炒酸枣仁", "盐杜仲", "牛膝", "麸炒枳壳", "炙甘草"], "flags": [], "prev_rx": ["百合", "地黄", "麸炒枳实", "北柴胡", "白芍", "丹参", "鸡血藤", "石菖蒲", "制远志", "当归", "川芎", "蜈蚣", "炙黄芪", "桂枝", "黄芩片", "制水蛭"], "prev_gap": 16, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66599, "pid": "Pd56e7935a0cf", "date": "2026-08-30", "sex": "男", "age": 32, "cc": "睾丸及精索不适复诊", "hpi": "睾丸及精索不适，尿灼热感。4.11复诊：睾丸及精索稍有好转，尿灼热消失。乏力虚劳，失眠", "wm_dx": ["精索静脉曲张", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["虚劳类病", "气血两虚证", "补益气血"]], "rx": ["肉桂", "板蓝根", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪"], "flags": [], "prev_rx": ["肉桂", "板蓝根", "莲子", "野菊花", "北柴胡", "郁金", "醋莪术", "醋香附", "桃仁", "红花", "当归", "赤芍", "法半夏", "醋延胡索", "甘草", "夏枯草", "路路通", "炒王不留行", "荔枝核", "黄芪"], "prev_gap": 127, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66602, "pid": "P3806960b88a0", "date": "2026-08-30", "sex": "男", "age": 69, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿分叉 排尿不畅 夜尿4-5次 尿频 尿不尽 大便正常 纳眠可 焦虑状态取药", "wm_dx": ["尿频", "前列腺增生", "焦虑状态"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["陈皮", "姜厚朴", "茯苓", "川贝母", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "太子参", "茯苓", "川贝母"], "prev_gap": 22, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66612, "pid": "P5a3e0a57887b", "date": "2026-08-30", "sex": "男", "age": 35, "cc": "左侧睾丸肿痛一周余", "hpi": "左侧睾丸肿痛一周余 大便正常 纳可 眠安 偶见尿痛 尿频", "wm_dx": ["附睾炎", "慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["川贝母", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66614, "pid": "P1011a17efe56", "date": "2026-08-30", "sex": "男", "age": 34, "cc": "阴囊潮湿3年", "hpi": "阴囊潮湿,口干色燥,喝凉水,经常便秘,睡眠正常,排尿尿不尽,色黄,无腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "寒热错杂证", "调理阴阳"]], "rx": ["甘草片", "黄连片", "黄芩片", "党参片", "干姜", "法半夏", "大枣", "牛膝", "煅龙骨", "煅牡蛎", "赤小豆", "炒苦杏仁", "金樱子肉", "砂仁", "木香"], "flags": [], "prev_rx": ["甘草片", "黄连片", "黄芩片", "党参片", "干姜", "法半夏", "大枣", "牛膝", "煅龙骨", "煅牡蛎", "赤小豆", "炒苦杏仁", "金樱子肉", "蜂房"], "prev_gap": 8, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 66617, "pid": "P9f09468d6d10", "date": "2026-08-30", "sex": "男", "age": 38, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 少腹隐痛 胁痛 行动不便", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["胁痛", "肝郁气滞证", "疏肝理气"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["精浊", "心肾不交证", "交通心肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["桂枝", "白芍", "炙甘草", "龙骨", "牡蛎", "郁金", "炒酸枣仁", "制远志", "石菖蒲", "关黄柏"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "法半夏", "黄芩片", "党参片", "龙骨", "牡蛎", "知母", "关黄柏", "肉桂", "炒酸枣仁", "盐车前子", "菟丝子", "覆盆子"], "prev_gap": 84, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 8, "n_rx": 9} {"rid": 66622, "pid": "Pb3d2c01bd424", "date": "2026-08-30", "sex": "男", "age": 31, "cc": "乏力腰痛复诊", "hpi": "乏力腰痛 小腹不适改善，尿频，尿急，夜尿0次，盗汗，乏力，口干，腹痛 失眠", "wm_dx": ["失眠", "腹痛", "盗汗", "前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["腹痛", "气滞血瘀证", "活血化瘀"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["失眠", "肝肾不足证", "滋补肝肾"]], "rx": ["酒黄精", "麦冬", "制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "炙淫羊藿", "酒萸肉", "知母", "炒酸枣仁", "太子参", "盐杜仲"], "flags": [], "prev_rx": ["酒黄精", "麦冬", "酒萸肉", "知母", "炒酸枣仁", "太子参"], "prev_gap": 21, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66628, "pid": "P388e9e5f88d9", "date": "2026-08-30", "sex": "男", "age": 26, "cc": "乏力腰痛一月余", "hpi": "伴有中途疲软3天 夫妻感情可 未受到惊吓 心情可 大小便正常 纳眠可", "wm_dx": ["乏力"], "tcm_dx": [["腰痛", "肾虚水泛证", "补气化湿"]], "rx": ["猪苓", "川贝母", "太子参", "茯苓"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66630, "pid": "Pbb71bfcc528b", "date": "2026-08-30", "sex": "男", "age": 34, "cc": "腰痛乏力半年", "hpi": "伴有阳痿早泄4年 晨勃少 大小便正常 纳眠可 头晕胁痛 下肢水肿可自行消退", "wm_dx": ["眩晕", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "炙淫羊藿"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66642, "pid": "Pbe316699d5d2", "date": "2026-08-31", "sex": "男", "age": 69, "cc": "包皮龟头炎半月余", "hpi": "包皮龟头炎半月余 局部可见轻微破溃 无瘙痒疼痛感觉 大小便正常 纳眠可", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "白芷", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "地龙", "蜈蚣", "大黄", "当归", "赤芍", "荆芥", "蝉蜕", "炒僵蚕"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["地榆", "关黄柏", "白芷", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蒲公英", "金银花", "地龙", "蜈蚣", "制水蛭", "大黄", "当归", "赤芍"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66643, "pid": "P7fd2729cb4e1", "date": "2026-08-31", "sex": "男", "age": 64, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 尿频 尿急 尿不尽 大便正常 纳眠可 尿道灼热", "wm_dx": ["慢性前列腺炎", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "川贝母", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66646, "pid": "Paeaf429b3e2c", "date": "2026-08-31", "sex": "男", "age": 72, "cc": "失眠抄方", "hpi": "排尿不畅1年，尿频，尿等待，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，阴囊潮湿。拒绝检查。", "wm_dx": ["盗汗", "尿频", "前列腺增生", "失眠"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["当归", "白芍", "熟地黄", "川芎", "黄芪"], "flags": [], "prev_rx": ["熟地黄", "菟丝子", "醋莪术", "川牛膝", "炒王不留行", "盐黄柏", "黄芩", "山药", "浙贝母", "泽泻", "桔梗", "酒萸肉", "黄芪", "乌药", "白果仁", "麸炒薏苡仁", "烫水蛭", "炒酸枣仁", "石菖蒲", "醋延胡索", "茯苓"], "prev_gap": 67, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 3} {"rid": 66647, "pid": "Pdfc37551b6ec", "date": "2026-08-31", "sex": "男", "age": 37, "cc": "腰痛 尿频复诊", "hpi": "未有性生活，否认慢性病是史。父亲糖尿病.肢冷不甚，口干不苦 胁痛 腰痛 尿频 大便正常 纳眠可", "wm_dx": ["腰痛", "下肢水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "炙淫羊藿", "地骨皮", "炒僵蚕"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "郁金", "九香虫", "地龙", "盐蒺藜", "石菖蒲", "炙甘草", "烫狗脊"], "prev_gap": 112, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 5} {"rid": 66649, "pid": "Pf56293274911", "date": "2026-08-31", "sex": "男", "age": 39, "cc": "复诊", "hpi": "病史同前，口稍干，有性生活，夜尿2-3，汗不多，无肢冷，便调", "wm_dx": ["男性勃起障碍"], "tcm_dx": [["消渴类病", "肾虚证", "补肾益精"]], "rx": ["地龙", "九香虫", "瓜蒌", "乌梅", "醋五味子", "桑寄生", "炙甘草", "地黄", "桑椹", "蜜桑白皮"], "flags": [], "prev_rx": ["烫狗脊", "地龙", "九香虫", "瓜蒌", "醋五味子", "生石膏", "麦冬", "姜厚朴", "炙甘草", "乌梅"], "prev_gap": 27, "visit_ix": 17, "n_visits": 18, "visit_ix_rx": 17, "n_rx": 18} {"rid": 66666, "pid": "Pff140c416b36", "date": "2026-08-31", "sex": "男", "age": 27, "cc": "小腹不适1周", "hpi": "小腹不适1周，伴睾丸坠胀，精液色黄，工作久坐，无明显排尿不畅、尿频", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "知母", "橘络", "酒黄精", "党参片", "制远志", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66671, "pid": "P00dd5a1ce74d", "date": "2026-08-31", "sex": "男", "age": 30, "cc": "复诊", "hpi": "有性生活，硬度下降，时间正常，睡眠正常，纳可，口干咽干，大便正常，排尿正常", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝郁肾虚证", "疏肝养血"]], "rx": ["白芍", "醋五味子", "瓜蒌", "蜈蚣", "五倍子", "北柴胡", "麸炒枳实"], "flags": [], "prev_rx": ["地黄", "当归", "川芎", "白芍", "党参片", "茯苓", "白术", "炙黄芪", "牛膝", "知母", "百合", "旋覆花", "茜草", "丹参", "蜈蚣", "鸡血藤", "黄芩片"], "prev_gap": 13, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66673, "pid": "P387827ece9e1", "date": "2026-08-31", "sex": "男", "age": 41, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 疲劳乏力 失眠 纳可 大小便正常 盗汗", "wm_dx": ["失眠", "盗汗"], "tcm_dx": [["失眠", "心血虚证", "补血养心"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["炒酸枣仁", "丹参", "知母", "太子参", "酒萸肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66676, "pid": "P965b8a647d74", "date": "2026-08-31", "sex": "男", "age": 35, "cc": "复诊", "hpi": "仍食后呃逆、胃胀消，口苦减，口干大便正常，睡眠正常。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾阳虚证", "补肾扶元"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "陈皮", "木香", "炙甘草", "姜厚朴", "生石膏", "旋覆花"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "陈皮", "木香", "猪苓", "炙甘草", "地龙", "生石膏"], "prev_gap": 7, "visit_ix": 5, "n_visits": 7, "visit_ix_rx": 3, "n_rx": 5} {"rid": 66677, "pid": "P5deb9711082c", "date": "2026-08-31", "sex": "男", "age": 33, "cc": "复诊", "hpi": "勃起持续时间短，硬度尚可，烦躁、口苦口干，眠差。抽烟。夜尿3-4次 父亲高血压。", "wm_dx": ["高血压"], "tcm_dx": [["房事早泄", "肾虚证", "补肾固精"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "龙骨", "牡蛎", "生石膏", "地龙", "炙甘草", "石菖蒲"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "龙骨", "牡蛎", "生石膏", "地龙", "炙甘草", "首乌藤"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66678, "pid": "P07ef6366ea5a", "date": "2026-08-31", "sex": "男", "age": 61, "cc": "排尿不畅6月", "hpi": "6月前出现排尿不畅，尿频尿急，夜尿3-4次，无小腹胀痛，盗汗，腰痛乏力，司机久坐。体检前列腺增生5.5*4.2*3.2cm（2026.8.13）", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "盐车前子", "醋龟甲", "昆布", "海藻", "土茯苓", "醋三棱", "醋莪术", "浙贝母", "酒苁蓉", "乌药", "小通草", "麸炒冬瓜子", "麸炒山药", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "盐益智仁", "酒黄精"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66679, "pid": "P012e0ed9355f", "date": "2026-08-31", "sex": "男", "age": 53, "cc": "腰酸疲劳2年余", "hpi": "性欲减少，勃起困难，不能插入。口干口苦，易汗。腰酸。无尿频，脚凉", "wm_dx": ["代谢综合征"], "tcm_dx": [["腰痛", "脾肾两虚证", "补肾益精"]], "rx": ["北柴胡", "黄芩片", "党参片", "姜半夏", "生石膏", "桂枝", "白芍", "姜厚朴", "木香", "炙甘草", "大枣", "生姜"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 2} {"rid": 66680, "pid": "P324406bb48c9", "date": "2026-08-31", "sex": "男", "age": 63, "cc": "阴囊瘙痒疼痛半月", "hpi": "阴囊瘙痒疼痛半月 大小便正常 纳眠可", "wm_dx": ["阴囊炎"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "蜈蚣", "地龙", "黄连片", "蒲公英", "金银花", "大黄", "当归", "赤芍"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66683, "pid": "Paf708700dac7", "date": "2026-08-31", "sex": "男", "age": 62, "cc": "尿频一月余", "hpi": "尿频一月余 夜间明显 大便正常 纳眠可 无下腹疼痛 无睾丸疼痛 口干 口苦", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66690, "pid": "P82d9cc377c57", "date": "2026-08-31", "sex": "男", "age": 80, "cc": "尿频5-6年", "hpi": "尿频，尿急，尿不尽，夜尿4-5次。无腹痛，无腰痛，大便正常，纳可，无怕冷。药后夜尿稍有改善。", "wm_dx": ["泌尿系结石", "前列腺增生"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["茯苓", "猪苓", "赤小豆", "阿胶珠", "滑石", "桂枝", "牛膝", "广金钱草", "醋鸡内金", "海金沙"], "flags": [], "prev_rx": ["茯苓", "猪苓", "赤小豆", "阿胶珠", "滑石", "桂枝", "牛膝", "广金钱草", "醋鸡内金", "海金沙"], "prev_gap": 6, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66691, "pid": "P6fa7c3bf2004", "date": "2026-08-31", "sex": "男", "age": 48, "cc": "腰痛乏力半年", "hpi": "腰痛乏力半年 中途疲软3月 晨勃少 勃起差 大便正常 尿频 纳可 眠安 下肢水肿可自行消退", "wm_dx": ["腰痛", "尿频", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "菟丝子", "太子参", "猪苓", "川贝母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66698, "pid": "Pb8d0fd1ddfea", "date": "2026-08-31", "sex": "男", "age": 36, "cc": "腰痛抄方", "hpi": "腰痛抄方 小便正常 纳可 眠安 口臭 大便稀", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "猪苓", "太子参", "羌活"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参", "山药", "盐补骨脂", "麸煨肉豆蔻", "干姜", "砂仁", "熟地黄", "酒萸肉", "知母", "盐黄柏", "牡丹皮", "地骨皮", "炒酸枣仁", "柏子仁", "石菖蒲", "制远志", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "菟丝子", "麸炒枳壳", "炙甘草", "合欢皮"], "prev_gap": 333, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66704, "pid": "Pbb5e0d5f0cb2", "date": "2026-09-01", "sex": "男", "age": 65, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊取药，夜尿1-2次，口苦，夜寐可，稍有排尿不畅，无明显小腹及会阴不适，盗汗，腰痛", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["黄连片", "天麻", "钩藤", "盐杜仲", "熟地黄", "酒萸肉", "地黄", "大腹皮", "地骨皮", "冬瓜皮", "荷叶", "白术", "麸炒苍术", "泽泻", "甘草片", "猫爪草", "桔梗", "玄参", "当归", "盐车前子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66708, "pid": "Pfa18b04966b0", "date": "2026-09-01", "sex": "男", "age": 60, "cc": "前列腺增生复诊取药", "hpi": "前列腺增生复诊取药 大便正常 尿不尽尿等待 尿频 夜尿0次 纳眠可。8.2复诊：尿少，排尿不畅，尿等待。", "wm_dx": ["尿频", "前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "川贝母", "桔梗", "甘草片"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "太子参", "三七粉"], "prev_gap": 64, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66710, "pid": "P9a9694fe1af2", "date": "2026-09-01", "sex": "男", "age": 65, "cc": "排尿不畅1年", "hpi": "排尿不畅1年，尿频，无尿后余沥，夜尿3-4次，伴会阴不适灼热，大便质干，纳可，眠一般，梦多，口干，盗汗。查超声前列腺大小3.1*3.9*2.5cm，尿常规未见明显异常。", "wm_dx": ["尿频", "前列腺炎", "前列腺增生"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "知母", "酒黄精", "橘络", "野菊花", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["猪苓", "炒酸枣仁", "川牛膝", "丹参", "茯苓"], "prev_gap": 27, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 2, "n_rx": 4} {"rid": 66711, "pid": "P0db5300ba1f9", "date": "2026-09-01", "sex": "男", "age": 33, "cc": "尿道刺痒伴有分泌物2天", "hpi": "尿道刺痒伴有分泌物2天 大便正常 纳可 眠安", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66720, "pid": "Pb91b3d03a52b", "date": "2026-09-01", "sex": "男", "age": 34, "cc": "盗汗复诊", "hpi": "腰痛，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜，汗多盗汗 失眠多梦 下肢水肿可自行消退 病情稳定延长开药", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "山药", "防风", "白术", "茯苓", "酒黄精", "牡丹皮", "地骨皮", "金樱子肉", "酒萸肉", "牛膝", "盐杜仲", "桑寄生", "烫狗脊", "醋龟甲", "砂仁", "木香", "麦冬", "天冬", "麸炒枳壳", "百合", "炙甘草"], "flags": [], "prev_rx": ["酒萸肉", "知母", "炒酸枣仁", "太子参", "制巴戟天"], "prev_gap": 78, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66722, "pid": "P89dea8e4413d", "date": "2026-09-01", "sex": "男", "age": 81, "cc": "前列腺增生复诊", "hpi": "急性尿潴留6小时，已在急诊留置导尿管。既往排尿不畅，尿频。8月24日复诊：拔出导尿管，可正常排尿，尿频缓解。9月1日复诊：现排尿不畅，夜尿3-4次。", "wm_dx": ["前列腺增生", "前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"]], "rx": ["熟地黄", "山药", "酒萸肉", "茯苓", "泽泻", "牡丹皮", "白附片", "桂枝", "牛膝", "盐车前子", "乌药", "冬瓜皮", "陈皮", "桑白皮", "路路通", "赤芍", "瞿麦", "白茅根", "麸炒白术"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66729, "pid": "P667d0c77c2d3", "date": "2026-09-01", "sex": "男", "age": 58, "cc": "尿急尿频半年余", "hpi": "尿急尿频半年余 大便正常 纳可 眠差 无睾丸疼痛 无小腹隐痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66730, "pid": "P416b9d0435ec", "date": "2026-09-01", "sex": "男", "age": 78, "cc": "排尿不畅复诊", "hpi": "排尿不畅改善，尿频，尿线细，尿等待，尿后余沥，夜尿2次，无小腹及会阴不适，大便质干，纳可，眠一般，梦多，口干。腰痛，尿后余沥，阴囊潮湿，其他症状改善明显。下肢水肿 可自行消退 行动不便", "wm_dx": ["下肢水肿", "前列腺增生", "腰痛"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "气血亏虚证", "补益气血"]], "rx": ["麦冬", "酒黄精", "太子参", "炙黄芪", "制巴戟天", "菟丝子", "覆盆子", "猪苓"], "flags": [], "prev_rx": ["太子参", "炙黄芪", "石斛", "制巴戟天", "菟丝子"], "prev_gap": 70, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66732, "pid": "P7fc872d0cd3f", "date": "2026-09-01", "sex": "男", "age": 46, "cc": "腰痛复诊", "hpi": "腰痛改善，硬度下降改善不明显，性欲可，乏力，工作熬夜，二便调，纳眠可，无排尿不畅、尿后余沥，晨起口苦", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["党参片", "醋五味子", "麦冬", "山药", "盐补骨脂", "酒黄精", "百合", "玄参", "熟地黄", "仙鹤草", "酒萸肉", "牛膝", "桑寄生", "醋龟甲", "烫狗脊", "砂仁", "木香", "丁香", "绵萆薢", "醋香附", "麸炒枳壳", "炙甘草", "合欢皮", "桂枝"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "党参片", "当归", "川芎", "地黄", "炙黄芪", "炙淫羊藿", "仙茅", "蜈蚣", "酒萸肉", "桂枝", "牡丹皮", "九香虫"], "prev_gap": 18, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66733, "pid": "P7cf60cdf0a7a", "date": "2026-09-01", "sex": "男", "age": 36, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力复诊 勃起不佳 晨勃少 性欲可 大小便正常 纳眠可 下肢水肿可自行消退 胁痛头晕", "wm_dx": ["腰痛", "眩晕", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "麸炒芡实", "炒酸枣仁", "猪苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["酒黄精", "麦冬", "制巴戟天", "麸炒芡实", "太子参", "炒酸枣仁", "丹参"], "prev_gap": 15, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66735, "pid": "P3effdd816b7a", "date": "2026-09-01", "sex": "男", "age": 58, "cc": "乏力复诊", "hpi": "乏力。睡眠多梦早醒，无晨勃，勃起不佳，时间短。会阴时有疼痛感，尿等待，口服非那雄胺片治疗。大便正常，纳可，口和，颈部不适感。复诊：睡眠好转，会阴痛减轻", "wm_dx": ["前列腺增生"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "党参片", "桂枝", "茯苓", "当归", "川芎", "葛根", "龙骨", "牡蛎", "石菖蒲", "丹参", "鸡血藤", "郁金", "牛膝", "绵萆薢", "炒酸枣仁", "制远志", "大血藤", "合欢皮", "牡丹皮", "地骨皮", "仙鹤草", "麸炒枳壳"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66737, "pid": "Pb12e82bd0904", "date": "2026-09-01", "sex": "男", "age": 53, "cc": "尿频腰痛复诊", "hpi": "尿频腰痛勃起欠佳，夜尿1-2次（失眠后甚）。天冷加重，纳可，失眠，大便多稀。口和，乏力怕冷 下肢水肿可自行消退 尿频", "wm_dx": ["失眠", "前列腺增生", "慢性前列腺炎", "下肢水肿", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"], ["失眠", "心血虚证", "补血养心"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["炒酸枣仁", "丹参", "知母", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 13, "n_visits": 14, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66743, "pid": "P5260753b30fc", "date": "2026-09-01", "sex": "男", "age": 40, "cc": "小腹隐痛 尿分叉一月余", "hpi": "小腹隐痛 尿分叉一月余 大便正常 尿频 纳可 眠安", "wm_dx": ["慢性前列腺炎", "前列腺增生", "尿频"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["猪苓", "羌活", "太子参", "茯苓"], "prev_gap": 8, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66745, "pid": "P247cb1401879", "date": "2026-09-02", "sex": "男", "age": 58, "cc": "包皮及龟头红疹溃疡1周", "hpi": "1周前出现包皮及龟头红疹溃疡，脚气病", "wm_dx": ["包皮龟头炎", "泌尿系感染", "包皮溃疡", "真菌感染", "足癣"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["湿疮", "湿热下注证", "清热祛湿"]], "rx": ["猪苓", "茯苓", "羌活", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66746, "pid": "P65bcdddc694c", "date": "2026-09-02", "sex": "男", "age": 57, "cc": "腰痛2月", "hpi": "腰痛2月，时间下降，硬度一般，性欲可，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "赤小豆", "知母", "党参片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66747, "pid": "Pb1801f9809bc", "date": 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"山慈菇", "丹参", "知母", "艾叶", "川芎", "燀桃仁", "红花", "醋乳香", "醋没药", "肉桂", "铁线透骨草"], "prev_gap": 120, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66749, "pid": "P54576027f9cc", "date": "2026-09-02", "sex": "男", "age": 61, "cc": "腰痛乏力血精复诊", "hpi": "血精明显减轻 大便正常 纳眠可 小腹隐痛消失 腰痛乏力缓解 下肢水肿可自行消退 尿频 尿不尽一周余", "wm_dx": ["下肢水肿", "前列腺增生", "尿频", "精囊炎", "腰痛"], "tcm_dx": [["腹痛", "气滞血瘀证", "活血化瘀"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒黄精", "麦冬", "制巴戟天", "太子参", "猪苓", "覆盆子", "炒酸枣仁", "知母"], "flags": [], "prev_rx": ["酒黄精", "麦冬", "制巴戟天", "太子参", "猪苓", "覆盆子", "炒酸枣仁"], "prev_gap": 15, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66751, "pid": "Pc7a2a11364a1", "date": "2026-09-02", "sex": "男", "age": 54, "cc": "前列腺增生复诊", "hpi": "前列腺增生复诊 大便正常 尿频 夜尿2次 排尿通畅 纳可 失眠", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66754, "pid": "Pf1210dd509a7", "date": "2026-09-02", "sex": "男", "age": 40, "cc": "阴囊潮湿复诊", "hpi": "阴囊潮湿改善 乏力腰痛改善 盗汗 大小便正常 纳可 失眠 下肢水肿可自行消退", "wm_dx": ["盗汗", "下肢水肿"], "tcm_dx": [["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"]], "rx": ["熟地黄", "白芍", "川芎", "当归", "制何首乌", "桑椹", "大血藤", "龙眼肉", "丹参", "石菖蒲", "制远志", "盐杜仲", "牛膝", "炒酸枣仁", "醋龟甲", "烫狗脊", "砂仁", "制巴戟天", "酒苁蓉", "酒黄精", "盐胡芦巴", "麸炒枳壳", "炙甘草", "合欢皮"], "flags": [], "prev_rx": ["熟地黄", "酒萸肉", "知母", "盐关黄柏", "覆盆子", "酒女贞子", "杜仲", "牛膝", "炒酸枣仁", "丹参", "合欢皮", "合欢花", "太子参", "山药", "酒黄精", "盐补骨脂", "麸炒枳壳", "麦冬", "猪苓", "炙甘草", "白术", "砂仁", "黄芪"], "prev_gap": 15, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66755, "pid": "Pb0a62f59dd56", "date": "2026-09-02", "sex": "男", "age": 60, "cc": "排尿不畅分钟", "hpi": "排尿不畅改善，尿频，夜尿多，少腹坠胀，性功能减退，眼干涩，口苦口气重，大便干，失眠，腰痛乏力，怕冷，下肢水肿可消退", "wm_dx": ["前列腺增生", "糖尿病", "尿频", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["失眠", "心血虚证", "补血养心"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": 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"prev_gap": null, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66766, "pid": "Pe34f7ad6d7a5", "date": "2026-09-02", "sex": "男", "age": 38, "cc": "包皮刺痒1周", "hpi": "包皮刺痒1周，有包皮垢，包皮及龟头皮肤色红，尿频，无尿急、尿道灼热和排尿不畅，无小腹及会阴不适，无尿频分泌物，纳眠可，大便质干，口和", "wm_dx": ["包皮龟头炎"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"]], "rx": ["地榆", "盐关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "连翘", "炒栀子", "黄连片", "麸炒苍术", "百部", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66769, "pid": "P6ee1dfd0f2d6", "date": "2026-09-02", "sex": "男", "age": 75, "cc": "包皮龟头炎一月余", "hpi": "包皮龟头炎一月余 大便正常 纳眠可 尿频 尿急 尿不尽", "wm_dx": ["包皮龟头炎", "慢性前列腺炎", "前列腺增生"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"], ["精癃", "下焦湿热证", "清热利湿"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "北败酱草", "金银花", "大黄", "当归", "赤芍", "蜈蚣", "地龙", "荆芥", "防风"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66776, "pid": "P09e6472f568b", "date": "2026-09-02", "sex": "男", "age": 50, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"], ["胁痛", "肝郁血瘀证", "疏肝化瘀"], ["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "石菖蒲", "鸡血藤", "赤小豆", "酒黄精", "茯苓"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "黄芩片", "桂枝", "干姜", "煅龙骨", "煅牡蛎", "丹参", "鸡血藤", "石菖蒲", "黑顺片", "炙淫羊藿", "仙茅", "蜈蚣", "茯苓", "川芎"], "prev_gap": 133, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66778, "pid": "P143c6843706a", "date": "2026-09-02", "sex": "男", "age": 46, "cc": "腰痛复诊", "hpi": "腰痛改善 性功能下降 勃起不坚改善 大便正常 纳眠可 晨勃增加 下肢水肿 可自行消退 尿频", "wm_dx": ["腰痛", "尿频", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒苁蓉", "桂枝", "蛇床子", "韭菜子", "山药", "麸炒白术", "茯苓", "盐胡芦巴", "炙淫羊藿", "北柴胡", "盐蒺藜", "丁香", "木香", "醋青皮", "醋香附", "仙鹤草", "绵萆薢", "合欢皮", "煅阳起石", "赤石脂", "酒黄精", "麸炒枳壳", "炙甘草", "制远志"], "flags": [], "prev_rx": ["酒苁蓉", "制巴戟天", "炙淫羊藿", "盐胡芦巴", "蛇床子", "韭菜子", "北柴胡", "盐蒺藜", "木香", "山药", "麸炒白术", "茯苓", "锁阳", "干姜", "郁金", "醋青皮", "砂仁", "土茯苓", "太子参", "黄芪", "北败酱草", "制远志", "地龙", "制水蛭"], "prev_gap": 16, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66790, "pid": "Pf133f1034559", "date": "2026-09-02", "sex": "男", "age": 69, "cc": "尿频2周", "hpi": "尿频，夜尿3-4次，会阴不适坠胀灼热明显，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺增生", "前列腺炎"], "tcm_dx": [["精癃", "湿热下注证", "清热祛湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "北败酱草", "炒酸枣仁", "知母", "酒黄精", "党参片", "野菊花"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66794, "pid": "P5196bf89518c", "date": "2026-09-02", "sex": "男", "age": 47, "cc": "前列腺增生复诊", "hpi": "乏力，熬夜，失眠，腰痛 尿急 偶见尿痛 大便正常 纳可 下肢水肿可自行消退", "wm_dx": ["腰痛", "前列腺增生", "尿频", "失眠", "慢性前列腺炎", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["制巴戟天", "太子参", "猪苓", "炒酸枣仁", "丹参", "覆盆子"], "flags": [], "prev_rx": ["制巴戟天", "太子参", "猪苓", "炒酸枣仁", "丹参"], "prev_gap": 30, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66796, "pid": "Pb75956d0a811", "date": "2026-09-03", "sex": "男", "age": 76, "cc": "前列腺增生复诊取药", "hpi": "排尿困难改善，大便正常，纳可，眠改善，夜尿3次。", "wm_dx": ["前列腺增生", "尿频"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参", "茯苓", "三七粉"], "flags": [], "prev_rx": ["猪苓", "羌活", "茯苓", "三七粉"], "prev_gap": 20, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 7, "n_rx": 8} {"rid": 66799, "pid": "P75122b624041", "date": "2026-09-03", "sex": "男", "age": 60, "cc": "排尿不畅 尿频一月余", "hpi": "排尿不畅 尿频一月余 夜间明显 小腹隐痛 大便正常 纳差 眠安", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "川贝母", "茯苓", "太子参"], "flags": ["rx_len_outlier", 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"prev_rx": ["制巴戟天", "炙淫羊藿", "仙茅", "盐胡芦巴", "太子参", "黄芪", "白术", "麸炒苍术", "酒黄精", "土茯苓", "北败酱草", "石菖蒲", "制远志", "大血藤", "熟地黄", "酒萸肉", "杜仲", "茯苓", "郁金", "醋青皮", "炙甘草", "麸炒枳壳", "地龙", "制水蛭"], "prev_gap": 16, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66809, "pid": "P04aae21bb232", "date": "2026-09-03", "sex": "男", "age": 46, "cc": "腰痛2月", "hpi": "腰痛2月，中途疲软，性欲一般，乏力，工作劳累，二便调，梦多，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "炒酸枣仁", "石菖蒲", "鸡血藤"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66818, "pid": "P2c8a1ce9cb38", "date": "2026-09-03", "sex": "男", "age": 57, "cc": "腹股沟及阴囊潮湿瘙痒20余天", "hpi": "20余天前出现腹股沟及阴囊潮湿瘙痒，夜间加重，偶有头晕头痛，勃起欠佳，尿频腰痛。", "wm_dx": ["腰痛", "尿频", "股癣", "男性性腺功能低下"], "tcm_dx": [["湿疮", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "炒蒺藜", "川牛膝", "醋青皮", "烫水蛭", "郁金", "炙淫羊藿", "菟丝子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "枸杞子", "石菖蒲", "鸡血藤"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "锁阳", "沙苑子", "韭菜子", "黄芪", "麸炒苍术", "盐黄柏", "麸炒薏苡仁", "牛膝"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66819, "pid": "P5d51a32c2e1f", "date": "2026-09-03", "sex": "男", "age": 34, "cc": "腰痛复诊", "hpi": "腰痛复诊，熬夜，睡眠可，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作压力适中，下肢水肿可自行消退，盗汗", "wm_dx": ["盗汗", "腰痛", "下肢水肿"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["菟丝子", "覆盆子", "盐车前子", "醋五味子", "枸杞子", "茯苓", "木香", "锁阳", "熟地黄", "酒萸肉", "山药", "醋龟甲", "仙茅", "炙淫羊藿", "盐胡芦巴", "酒苁蓉", "党参片", "砂仁", "酒黄精", "韭菜子", "麸炒枳壳", "炙甘草", "炒酸枣仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["菟丝子", "覆盆子", "盐车前子", "醋五味子", "枸杞子", "茯苓", "木香", "锁阳", "熟地黄", "酒萸肉", "山药", "醋龟甲", "仙茅", "炙淫羊藿", "盐胡芦巴", "酒苁蓉", "党参片", "砂仁", "酒黄精", "韭菜子", "麸炒枳壳", "炙甘草", "炒酸枣仁"], "prev_gap": 37, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 4, "n_rx": 5} {"rid": 66825, "pid": "Pdd88cacc6b7e", "date": "2026-09-03", "sex": "男", "age": 32, "cc": "龟头刺痛感2月", "hpi": "龟头部刺痛感，性欲一般，硬度一般，正常晨勃，排尿正常，睡眠可，大便不成型，晨起口干口苦，阴囊潮湿，腰痛", "wm_dx": ["皮肤感染", "腰痛"], "tcm_dx": [["湿疮", "湿热下注证", "清热利湿"], ["精浊", "湿热下注证", "清热利湿"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "党参片", "金樱子肉"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "赤小豆", "白花蛇舌草", "浙贝母", "苦参", "丹参", "鸡血藤", "石菖蒲", "郁金", "桑螵蛸", "蜈蚣"], "prev_gap": 47, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66827, "pid": "P2da01316538f", "date": "2026-09-03", "sex": "男", "age": 62, "cc": "排尿无力2年", "hpi": "排尿无力，夜尿1-2次，无阴囊潮湿，勃起无，既往口服非那雄胺片、他达拉非片等药物治疗，早醒，大便正常，少腹时有坠胀，口和，怕冷，现消瘦明显", "wm_dx": ["前列腺增生", "慢性前列腺炎"], "tcm_dx": [["精浊", "肾气不充证", "补肾扶元"]], "rx": ["旋覆花", "焦槟榔", "牛膝", "当归", "赤小豆", "石菖蒲", "郁金", "丹参", "鸡血藤", "茯苓", "生姜", "大枣", "生地黄", "炙淫羊藿", "金樱子", "锁阳", "盐益智仁", "炒酸枣仁", "制巴戟天", "北柴胡"], "flags": [], "prev_rx": ["茜草", "旋覆花", "焦槟榔", "牛膝", "当归", "赤小豆", "石菖蒲", "郁金", "丹参", "鸡血藤", "茯苓", "生姜", "大枣", "生地黄", "炙淫羊藿", "仙茅"], "prev_gap": 9, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66830, "pid": "Pd3b356a148d0", "date": "2026-09-03", "sex": "男", "age": 51, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "党参片", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66831, "pid": "P053c7fe44353", "date": "2026-09-03", "sex": "男", "age": 36, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲一般，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，工作久坐", "wm_dx": ["腰痛", "男性性腺功能低下"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "炒酸枣仁", "鸡血藤"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66839, "pid": "Pb84abfd4ae3e", "date": "2026-09-04", "sex": "男", "age": 71, "cc": "尿急复诊", "hpi": "尿急改善明显 大便正常 纳可 眠安 无小腹隐痛 无睾丸疼痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "羌活", "茯苓", "太子参"], "flags": ["rx_len_outlier"], "prev_rx": null, "prev_gap": null, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66841, "pid": "Paeaf429b3e2c", "date": "2026-09-04", "sex": "男", "age": 72, "cc": "失眠抄方", "hpi": "排尿不畅1年，尿频，尿等待，尿后余沥，夜尿2-3次，无小腹及会阴不适，大便质干，纳可，眠一般，口干，盗汗，阴囊潮湿。拒绝检查。", "wm_dx": ["盗汗", "尿频", "前列腺增生", "失眠"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["失眠", "心血虚证", "补血养心"]], "rx": ["当归", "熟地黄", "白芍", "川芎", "制何首乌", "桑椹", "龙眼肉", "桂枝", "绵萆薢", "合欢皮", "制巴戟天", "炙淫羊藿", "酒苁蓉", "锁阳", "木香", "丁香", "醋青皮", "醋香附", "党参", "炙黄芪", "酒黄精", "醋五味子", "炙甘草"], "flags": [], "prev_rx": ["当归", "白芍", "熟地黄", "川芎", "黄芪"], "prev_gap": 4, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66843, "pid": "Pb77ab49d947c", "date": "2026-09-04", "sex": "男", "age": 34, "cc": "中途疲软一年", "hpi": "晨勃有，同房中途疲软，精子活力差，排尿正常，大便正常，纳可，睡眠熬夜，口气重，近期生化一次，复诊：晨勃不佳，口干口苦", "wm_dx": ["尿频"], "tcm_dx": [["精浊", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "党参片", "石菖蒲", "茜草", "枸杞子", "麸炒枳实", "白芍", "蜈蚣", "牡蛎", "菟丝子", "桂枝", "合欢皮", "熟地黄", "金樱子肉", "酒萸肉", "知母", "黑芝麻", "盐杜仲", "牛膝", "麸炒枳壳", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "丹参", "鸡血藤", "党参片", "石菖蒲", "茜草", "枸杞子", "麸炒枳实", "白芍", "蜈蚣", "牡蛎", "菟丝子", "桂枝"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 66844, "pid": "P4dde430136ff", "date": "2026-09-04", "sex": "男", "age": 35, "cc": "尿频腰痛复诊", "hpi": 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"丹参", "鸡血藤", "酒黄精"], "prev_gap": 15, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66850, "pid": "Pf5db9c22578e", "date": "2026-09-04", "sex": "男", "age": 68, "cc": "腰痛抄方", "hpi": "腰痛抄方 大小便正常 纳可 眠安 乏力 兴趣低下 体重稍有下降 既往检查血常规红细胞 血红蛋白偏高 定期复查 外院治疗中", "wm_dx": ["乏力", "腰痛", "糖尿病", "冠状动脉性心脏病"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["桑叶", "人参", "灵芝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": ["黑顺片", "茯苓", "生姜", "酒白芍", "人参", "麸炒苍术", "天竺黄", "焦槟榔", "龙骨", "牡蛎", "肉桂", "三七粉"], "prev_gap": 19, "visit_ix": 13, "n_visits": 14, "visit_ix_rx": 13, "n_rx": 14} {"rid": 66853, "pid": "P5330a9d952a3", "date": "2026-09-04", "sex": "男", "age": 57, "cc": "前列腺增生 腰痛 尿频复诊", "hpi": "射精后少腹坠胀，精液有暗黑，尿频尿等待，大便不尽，口干口苦，睡眠差 腰痛 下肢水肿可自行消退", "wm_dx": ["精囊炎", "慢性前列腺炎", "前列腺增生"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["精癃", "湿热下注证", "清热祛湿"], ["精癃", "湿热下注证", "清热利湿"]], "rx": ["北柴胡", "黄芩片", "生石膏", "桂枝", "干姜", "白芍", "茜草", "旋覆花", "当归", "山药", "赤小豆", "制水蛭", "麸炒冬瓜子", "苦参", 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"sex": "男", "age": 46, "cc": "腰酸痛半年", "hpi": "腰酸痛， 勃起差，时间短，排尿正常，便秘，睡眠差，纳可，口和，脂溢性皮炎 消化不良 腹胀取药，盗汗 下肢水肿可自行消退", "wm_dx": ["骨关节病", "关节痛", "脂溢性皮炎", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾气不充证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "知母", "酒萸肉", "炒酸枣仁", "太子参"], "flags": [], "prev_rx": ["太子参", "制巴戟天", "覆盆子", "猪苓"], "prev_gap": 261, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66877, "pid": "P6eb7720bf973", "date": "2026-09-04", "sex": "男", "age": 25, "cc": "会阴不适1月", "hpi": "会阴不适1月，房事后明显，尿道灼热感，夜尿0-1次，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "制远志", "知母", "酒苁蓉", "盐益智仁"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66888, "pid": "P3fcd55b38b51", "date": "2026-09-05", "sex": "男", "age": 38, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "制水蛭", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66896, "pid": "P40bb23b4b19e", "date": "2026-09-05", "sex": "男", "age": 26, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，阴囊潮湿", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "石菖蒲", "茯苓", "盐关黄柏", "知母"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66904, "pid": "P4f718cd4312d", "date": "2026-09-05", "sex": "男", "age": 32, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，时间下降，工作劳累，大便质稀，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "酒黄精", "制远志"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66905, "pid": "Pbfc9b06c479b", "date": "2026-09-05", "sex": "男", "age": 24, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作劳累，盗汗。药后改善，停药后症状改善。", "wm_dx": ["腰痛"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "麸炒山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "炒酸枣仁", "麸炒白术", "制水蛭"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "北败酱草", "熟地黄", "炒酸枣仁"], "prev_gap": 146, "visit_ix": 1, 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"黄柏", "北柴胡", "白芍", "炒栀子", "蒲公英", "麸炒白术"], "flags": [], "prev_rx": ["丹参", "制何首乌", "龙胆", "虎杖", "茯苓", "连翘", "金银花", "盐车前子", "麸炒苍术", "酒女贞子", "酒黄精", "土茯苓", "当归", "覆盆子", "菟丝子", "地龙", "黄柏", "北柴胡", "白芍", "炒栀子", "蒲公英"], "prev_gap": 14, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 4, "n_rx": 5} {"rid": 66915, "pid": "Pe85bc34f70df", "date": "2026-09-05", "sex": "男", "age": 36, "cc": "腰痛半年", "hpi": "腰痛半年 早泄 时间1-2分钟 龟头敏感 尿频 尿急 大便正常 纳可 眠安 盗汗 下肢水肿可消退 角膜炎", "wm_dx": ["腰痛", "慢性前列腺炎", "下肢水肿", "角膜炎"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "炙淫羊藿", "花椒", "五加皮", "地骨皮"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "仙茅", "炙淫羊藿", "韭菜子", "花椒", "五加皮", "地骨皮", "太子参", "菟丝子", "酒女贞子", "覆盆子", "麸炒芡实", "莲子"], "prev_gap": 111, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66916, "pid": "P58a7d41fed75", "date": "2026-09-05", "sex": "男", "age": 35, "cc": "腰痛复诊", "hpi": "腰痛改善，中途疲软改善，性欲可，乏力，二便调，眠差梦多，无排尿不畅、尿后余沥，口干，盗汗 下肢水肿可自行消退", "wm_dx": ["腰痛", "下肢水肿", "盗汗"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肾阴"], ["腰痛", "肾虚证", "补肾扶元"], ["失眠", "心血虚证", "补血养心"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["制远志", "地龙", "木香", "桂枝", "蛇床子", "醋五味子", "五倍子", "细辛", "酒苁蓉", "制巴戟天", "炙淫羊藿", "地骨皮", "花椒"], "flags": [], "prev_rx": ["制巴戟天", "太子参", "酒萸肉", "炒酸枣仁", "丹参", "知母", "牛膝", "猪苓"], "prev_gap": 112, "visit_ix": 4, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66919, "pid": "P1011a17efe56", "date": "2026-09-05", "sex": "男", "age": 34, "cc": "阴囊潮湿3年", "hpi": "阴囊潮湿,口干色燥,喝凉水,经常便秘,睡眠正常,排尿尿不尽,色黄,无腰痛", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "寒热错杂证", "调理阴阳"]], "rx": ["甘草片", "黄连片", "黄芩片", "党参片", "干姜", "法半夏", "大枣", "牛膝", "煅龙骨", "煅牡蛎", "赤小豆", "炒苦杏仁", "金樱子肉", "砂仁", "木香"], "flags": [], "prev_rx": ["甘草片", "黄连片", "黄芩片", "党参片", "干姜", "法半夏", "大枣", "牛膝", "煅龙骨", "煅牡蛎", "赤小豆", "炒苦杏仁", "金樱子肉", "砂仁", "木香"], "prev_gap": 6, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66922, "pid": "P456afa20729c", "date": "2026-09-05", "sex": "男", "age": 23, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲强，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，晨勃可", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肾精"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "锁阳", "金樱子肉"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66923, "pid": "Pf7bf530ac8ec", "date": "2026-09-05", "sex": "男", "age": 35, "cc": "腰痛乏力复诊", "hpi": "腰痛乏力，大小便正常 纳可 眠安 口干口苦 无小腹隐痛 无睾丸疼痛", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["酒苁蓉", "制巴戟天", "仙茅", "蛇床子", "韭菜子", "覆盆子", "枸杞子", "盐胡芦巴", "麸炒苍术", "土茯苓", "酒黄精", "锁阳", "桂枝", "绵萆薢", "合欢皮", "仙鹤草", "麸炒枳壳", "炙甘草", "蜈蚣", "地龙", "制水蛭"], "flags": [], "prev_rx": ["甜叶菊叶", "党参", "茯苓", "麸炒枳壳", "山药", "白术", "石菖蒲", "制远志", "烫水蛭", "枸杞子", "覆盆子", "沙苑子", "酒女贞子", "菟丝子", "韭菜子", "醋五味子", "炙甘草"], "prev_gap": 111, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66925, "pid": "P03edbae98279", "date": "2026-09-05", "sex": "男", "age": 33, "cc": "尿频2月", "hpi": "尿频2月，腰痛，乏力，工作熬夜劳累，大便质稀，失眠多梦，无排尿不畅、尿后余沥，口干，盗汗，尿频尿后余沥，射精快", "wm_dx": ["盗汗", "腰痛", "尿频", "失眠"], "tcm_dx": [["盗汗", "肾阴虚证", "滋补肝肾"], ["失眠", "气血两虚证", "补益气血"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["莲子", "醋五味子", "菟丝子", "盐蒺藜", "麸炒芡实", "莲须", "煅龙骨", "煅牡蛎", "盐补骨脂", "酒萸肉", "炙淫羊藿", "黄连片", "肉桂", "关黄柏", "知母", "酒苁蓉", "金樱子肉", "盐杜仲", "续断片", "盐益智仁", "麸炒山药", "麦冬"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["莲子", "醋五味子", "菟丝子", "盐蒺藜", "麸炒芡实", "莲须", "煅龙骨", "煅牡蛎", "盐补骨脂", "酒萸肉", "炙淫羊藿", "黄连片", "肉桂", "关黄柏", "知母", "酒苁蓉", "金樱子肉", "盐杜仲", "续断片", "盐益智仁", "麸炒山药"], "prev_gap": 13, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66929, "pid": "Pb19fc445d7cb", "date": "2026-09-05", "sex": "男", "age": 41, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲强，乏力，工作劳累，情绪焦虑，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗。勃起改善明显，射精敏感。", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "菟丝子", "酒黄精", "麸炒白术", "醋青皮", "制巴戟天", "红景天", "金樱子肉", "麸炒芡实", "锁阳", "醋五味子", "煅龙骨", "煅牡蛎", "盐益智仁", "诃子肉", "制水蛭", "莲子", "麦冬"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "麸炒白术", "鸡血藤", "锁阳"], "prev_gap": 23, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66931, "pid": "P7d4eae8aa829", "date": "2026-09-05", "sex": "男", "age": 30, "cc": "腰痛乏力6月", "hpi": "6月前出现腰痛乏力，背痛，口中和，二便调，盗汗。", "wm_dx": ["盗汗", "腰痛"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "枸杞子", "盐车前子"], "flags": [], "prev_rx": ["麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "覆盆子", "枸杞子", "盐车前子"], "prev_gap": 34, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66936, "pid": "P7c5adfbedad0", "date": "2026-09-05", "sex": "男", "age": 53, "cc": "腰痛乏力2年", "hpi": "2年前出现腰痛乏力，汗出，疲劳，夜寐差，盗汗，夜尿1次,耳鸣。6.28复诊：汗出好转，夜寐差好转，疲劳乏力好转。9月5日复诊：入睡困难，乏力，腰痛，口干。", "wm_dx": ["耳鸣", "盗汗", "腰痛", "贫血"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["虚劳类病", "气血两虚证", "补益气血"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["麦冬", "莲子", "茯苓", "陈皮", "百合", "丹参", "枸杞子", "红景天", "炒酸枣仁"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "菟丝子", "醋龟甲", "白芍", "制远志", "酒苁蓉", "石菖蒲", "炒蒺藜", "当归", "炙淫羊藿", "川芎", "炙甘草", "人参", "制巴戟天", "炙黄芪", "炒酸枣仁", "柏子仁"], "prev_gap": 69, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 3, "n_rx": 4} {"rid": 66937, "pid": "Pb07b829e64a6", "date": "2026-09-05", "sex": "男", "age": 48, "cc": "腰痛2月", "hpi": "腰痛2月，乏力，失眠，纳可，二便调，口和，无排尿不畅，无尿频、尿急，无小腹及会阴不适，工作熬夜盗汗，便秘", "wm_dx": ["腰痛", "乏力", "便秘"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["人参", "酒黄精", "花椒", "肉桂", "煨肉豆蔻", "白芷", "盐小茴香", "砂仁", "陈皮", "莲子", "茯苓", "百合", "党参片", "黄芪"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66947, "pid": "P2e2d2bbbf1d7", "date": "2026-09-06", "sex": "男", "age": 39, "cc": "腰痛1年", "hpi": "1年前出现腰痛 大小便正常 纳可 失眠易醒，盗汗", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "醋鸡内金", "覆盆子", "盐车前子", "酒苁蓉", "酒萸肉"], "flags": [], "prev_rx": ["麸炒白术", "当归", "赤芍", "红花", "醋五味子", "菟丝子", "桑椹", "红景天", "炙淫羊藿", "制巴戟天", "诃子", "党参", "黄芪", "麸炒苍术", "酒黄精", "泽兰", "黄连", "麸炒薏苡仁", "醋鸡内金", "覆盆子", "盐车前子"], "prev_gap": 14, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 1, "n_rx": 2} {"rid": 66959, "pid": "P0cf786e70347", "date": "2026-09-06", "sex": "男", "age": 37, "cc": "会阴不适复诊", "hpi": "会阴不适改善，早上明显，少腹隐痛，尿频，久站附睾坠痛感，右侧为主，大便不成型，纳可，口涩，睡眠一般，腰痛乏力盗汗", "wm_dx": ["单侧腹股沟疝", "精索静脉曲张", "前列腺炎", "静脉曲张"], "tcm_dx": [["筋瘤", "气滞血瘀证", "活血化瘀"], ["精浊", "湿热下注证", "清热利湿"], ["盗汗", "肾阴虚证", "滋补肾阴"], ["胁痛", "肝郁气滞证", "疏肝理气"]], "rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "土茯苓", "金樱子肉", "麸炒芡实", "锁阳", "麸炒苍术", "炒王不留行", "盐橘核", "醋三棱", "醋莪术", "鸡血藤", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "flags": [], "prev_rx": ["黄芪", "党参片", "升麻", "北柴胡", "当归", "夏枯草", "茯苓", "麸炒白术", "醋青皮", "制巴戟天", "土茯苓", "金樱子肉", "麸炒芡实", "锁阳", "麸炒苍术", "炒王不留行", "盐橘核", "醋三棱", "醋莪术", "鸡血藤", "醋延胡索", "路路通", "荔枝核", "燀桃仁"], "prev_gap": 15, "visit_ix": 24, "n_visits": 25, "visit_ix_rx": 17, "n_rx": 18} {"rid": 66962, "pid": "P854ae24d0ed8", "date": "2026-09-06", "sex": "男", "age": 35, "cc": "尿频1周", "hpi": "尿频1周 腰痛 盗汗 工作劳累 熬夜 大便可 睡眠差", "wm_dx": ["尿频", "腰痛", "盗汗"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "龙骨", "麸炒山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "熟地黄", "石菖蒲", "北败酱草", "知母", "盐关黄柏", "麸炒白术", "黄芩片", "白芷", "沙苑子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["枸杞子", "菟丝子", "覆盆子", "当归", "盐车前子", "黄芪", "牡蛎", "龙骨", "山药", "醋五味子", "制巴戟天", "红景天", "党参片", "酒黄精", "熟地黄", "石菖蒲", "北败酱草", "鸡血藤", "赤小豆", "炒酸枣仁", "佩兰", "知母", "盐关黄柏"], "prev_gap": 71, "visit_ix": 12, "n_visits": 13, "visit_ix_rx": 4, "n_rx": 5} {"rid": 66972, "pid": "P66a101d54a20", "date": "2026-09-06", "sex": "男", "age": 37, "cc": "腰疼半月", "hpi": "腰疼，活动正常，同房后加重，双下肢酸软感，出汗，排尿正常，大便不成型，纳可，口苦口干，硬度下降，睡眠正常，耳鸣，盗汗。", "wm_dx": ["腰痛", "盗汗"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["熟地黄", "酒萸肉", "山药", "北柴胡", "麸炒枳实", "川芎", "丹参", "鸡血藤", "石菖蒲", "牡丹皮", "桑寄生", "酒苁蓉", "白芍", "盐杜仲", "川牛膝", "麦冬", "知母", "盐黄柏", "醋鳖甲", "金樱子", "锁阳", "黄芪", "盐益智仁"], "flags": [], "prev_rx": ["熟地黄", "生地黄", "酒萸肉", "山药", "北柴胡", "人参", "麸炒枳实", "川芎", "丹参", "鸡血藤", "石菖蒲", "牡丹皮", "桑寄生", "制巴戟天", "白芍", "醋鸡内金", "盐杜仲", "川牛膝", "麦冬", "知母", "麸炒白术", "盐黄柏", "醋鳖甲", "金樱子"], "prev_gap": 10, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66974, "pid": "P4e0478788cad", "date": "2026-09-06", "sex": "男", "age": 49, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，性欲可，乏力，工作劳累，压力大，情绪焦虑，同居感情可，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "鸡血藤", "石菖蒲"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66977, "pid": "P978bb3ab99b0", "date": "2026-09-06", "sex": "男", "age": 42, "cc": "尿频1周", "hpi": "尿频1周，尿道灼热，尿痛，无尿液颜色改变，无尿道分泌物，无小腹及会阴不适，纳眠可，大便质粘，口干，盗汗，失眠", "wm_dx": ["尿频", "失眠", "前列腺炎"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["失眠", "气血亏虚证", "补益气血"]], "rx": ["猪苓", "茯苓", "太子参", "川牛膝"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66980, "pid": "Pc7c7178df1cc", "date": "2026-09-06", "sex": "男", "age": 29, "cc": "尿频1年", "hpi": "1年前出现尿频，夜尿1次，小腹鼓胀，口苦，夜寐可，多梦，长期熬夜", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "金樱子", "酒萸肉"], "flags": [], "prev_rx": ["炙淫羊藿", "车前草", "醋莪术", "醋龟甲", "土茯苓", "浙贝母", "肉苁蓉", "蒲公英", "绵萆薢", "制何首乌", "天花粉", "墨旱莲", "乌药", "盐益智仁", "山药", "金樱子"], "prev_gap": 253, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 66985, "pid": "P641910fc6be4", "date": "2026-09-06", "sex": "男", "age": 44, "cc": "腰痛2月", "hpi": "腰痛2月，硬度下降，乏力，工作劳累，二便调，纳眠可，无排尿不畅、尿后余沥，口干，盗汗，晨勃少", "wm_dx": ["腰痛"], "tcm_dx": [["腰痛", "肝肾亏虚证", "滋补肝肾"]], "rx": ["北柴胡", "当归", "白芍", "盐蒺藜", "川牛膝", "醋青皮", "制水蛭", "郁金", "炙淫羊藿", "枸杞子", "山药", "酒苁蓉", "酒萸肉", "制巴戟天", "红景天", "白芷", "菟丝子", "酒黄精", "麦冬", "党参片"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 66995, "pid": "P571536c17068", "date": "2026-09-07", "sex": "男", "age": 41, "cc": "阴囊潮湿1年", "hpi": "1年前出现阴囊潮湿，夜间加重，口干口苦，夜寐可，工作倒班有夜班，偶有饮酒，尿分叉", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "乌药", "麸炒薏苡仁", "甘草", "麸炒苍术", "盐黄柏", "白花蛇舌草", "炙淫羊藿", "牛膝", "丹参", "蒲公英", "萹蓄", "土茯苓", "白茅根", "赤小豆", "车前草", "龙胆", "炒栀子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 67001, "pid": "Pe5cb08c06306", "date": "2026-09-07", "sex": "男", "age": 39, "cc": "尿无力尿不尽6月", "hpi": "6月前出现尿无力尿不尽，勃起可，夜寐可，口中和，怕热，汗出多，盗汗，尿频。", "wm_dx": ["慢性前列腺炎", "尿频"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"]], "rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "炙淫羊藿", "赤小豆", "盐益智仁", "乌药", "麸炒山药", "韭菜子", "黄芪", "制巴戟天", "绵萆薢", "萹蓄", "熟地黄", "酒萸肉"], "flags": [], "prev_rx": ["石菖蒲", "黄柏", "甘草", "北柴胡", "玉竹", "百合", "丹参", "肉苁蓉", "炙淫羊藿", "蒲公英", "赤小豆", "金银花", "盐益智仁", "乌药", "麸炒山药", "韭菜子", "黄芪", "制巴戟天"], "prev_gap": 15, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 67002, "pid": "P965b8a647d74", "date": "2026-09-07", "sex": "男", "age": 35, "cc": "复诊", "hpi": "呃逆和胃胀消，口苦稍有，口干大便正常，睡眠正常，有一次性生活勃起差。", "wm_dx": ["慢性前列腺炎"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "温补肾阳"], ["腰痛", "肾阳虚证", "补肾扶元"]], "rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "炙甘草", "姜厚朴", "生石膏", "麸炒枳实", "九香虫", "地龙"], "flags": [], "prev_rx": ["北柴胡", "酒黄芩", "党参片", "姜半夏", "陈皮", "木香", "炙甘草", "姜厚朴", "生石膏", "旋覆花"], "prev_gap": 7, "visit_ix": 6, "n_visits": 7, "visit_ix_rx": 4, "n_rx": 5} {"rid": 67011, "pid": "P8f6872d22709", "date": "2026-09-07", "sex": "男", "age": 30, "cc": "腰痛乏力1年", "hpi": "1年前出现腰痛乏力，近期备孕，右侧睾丸偶有疼痛，左侧睾丸肿物突出，盗汗。", "wm_dx": ["腰痛", "精索静脉曲张", "盗汗"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["制何首乌", "醋五味子", "盐车前子", "菟丝子", "醋龟甲", "醋鸡内金", "酒黄精", "地肤子", "金樱子", "覆盆子", "桑椹", "枸杞子", "黄芪", "熟地黄", "生地黄", "酒萸肉", "山药"], "flags": [], "prev_rx": ["制何首乌", "醋五味子", "盐车前子", "菟丝子", "醋龟甲", "醋鸡内金", "酒黄精", "地肤子", "金樱子", "覆盆子", "桑椹", "枸杞子", "韭菜子", "黄芪", "熟地黄", "生地黄", "酒萸肉", "山药"], "prev_gap": 15, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 67013, "pid": "P012e0ed9355f", "date": "2026-09-07", "sex": "男", "age": 53, "cc": "复诊", "hpi": "未有性生活，性欲减少，勃起困难，不能插入。口干，易汗。腰酸。无尿频，脚凉减。未测血压和血糖", "wm_dx": ["代谢综合征", "男性勃起障碍"], "tcm_dx": [["腰痛", "脾肾两虚证", "补肾益精"]], "rx": ["北柴胡", "黄芩片", "党参片", "姜半夏", "生石膏", "姜厚朴", "牡蛎", "龙骨", "九香虫", "地龙", "炙甘草"], "flags": [], "prev_rx": ["北柴胡", "黄芩片", "党参片", "姜半夏", "生石膏", "桂枝", "白芍", "姜厚朴", "木香", "炙甘草", "大枣", "生姜"], "prev_gap": 7, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 67015, "pid": "P9a9694fe1af2", "date": "2026-09-07", "sex": "男", "age": 65, "cc": "复诊", "hpi": "夜尿3-4次，有尿道不适，尿频，无尿后余，伴会阴不适灼热，大便质干，口干，盗汗。查超声前列腺大小3.1*3.9*2.5cm，尿常规未见明显异常。", "wm_dx": ["前列腺增生", "前列腺炎", "尿频"], "tcm_dx": [["精浊", "湿热下注证", "清热利湿"], ["热淋", "湿热下注证", "清热利湿"]], "rx": ["桂枝", "猪苓", "茯苓", "泽泻", "白术", "马鞭草", "生石膏", "滑石", "甘草片"], "flags": [], "prev_rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "知母", "酒黄精", "橘络", "野菊花", "炒酸枣仁"], "prev_gap": 6, "visit_ix": 5, "n_visits": 6, "visit_ix_rx": 3, "n_rx": 4} {"rid": 67023, "pid": "Pc1f09155846f", "date": "2026-09-07", "sex": "男", "age": 27, "cc": "腰痛尿频伴小腹不适3月", "hpi": "3月前出现尿频伴小腹不适，腰痛乏力，口干，无口苦，夜寐可，手足心汗出发冷。", "wm_dx": ["腰痛", "尿频"], "tcm_dx": [["腰痛", "肾虚证", "温补肾阳"]], "rx": ["肉桂", "太子参", "山药", "盐车前子", "麸炒白术", "乌药", "盐益智仁", "麸炒芡实", "醋五味子", "桑螵蛸", "茯神", "金樱子肉", "炙淫羊藿", "制巴戟天", "韭菜子", "熟地黄"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 0, "n_rx": 1} {"rid": 67036, "pid": "Pd6b84460b205", "date": "2026-09-07", "sex": "男", "age": 47, "cc": "排尿不畅6月", "hpi": "排尿不畅6月，尿频，尿线细，夜尿0次，会阴疼痛，大便质干，纳可，眠一般，口干，盗汗", "wm_dx": ["前列腺炎", "前列腺增生", "尿频", "植物神经功能紊乱", "失眠"], "tcm_dx": [["精浊", "湿热下注证", "清热祛湿"], ["热淋", "湿热下注证", "清热祛湿"]], "rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "麸炒山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "川牛膝", "玫瑰花", "制远志", "合欢花", "泽泻", "路路通", "醋鳖甲", "九香虫"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["丹参", "炒王不留行", "白芍", "炙甘草", "醋延胡索", "醋青皮", "北柴胡", "黄芪", "茯苓", "麸炒山药", "绵萆薢", "石菖蒲", "盐关黄柏", "麸炒白术", "盐车前子", "菟丝子", "川牛膝", "土茯苓", "制远志", "合欢皮", "泽泻", "路路通", "橘络"], "prev_gap": 14, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 2, "n_rx": 3} {"rid": 67037, "pid": "P6b2cd27697ad", "date": "2026-09-07", "sex": "男", "age": 42, "cc": "腰痛伴勃起不坚2月", "hpi": "2月前出现勃起中途疲软，近期出现勃起不坚，口干口苦，盗汗，长期熬夜，下肢轻度水肿", "wm_dx": ["腰痛", "盗汗", "水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["关黄柏", "仙茅", "炙淫羊藿", "酒苁蓉", "当归", "知母", "牛膝", "锁阳", "煅阳起石", "醋五味子", "菟丝子", "盐车前子", "覆盆子", "枸杞子", "黄芪", "酒黄精", "韭菜子"], "flags": [], "prev_rx": ["炒酸枣仁", "桑椹", "龙眼肉", "枸杞子", "山慈菇"], "prev_gap": 334, "visit_ix": 4, "n_visits": 5, "visit_ix_rx": 1, "n_rx": 2} {"rid": 67038, "pid": "P6453e06b1f4f", "date": "2026-09-07", "sex": "男", "age": 51, "cc": "腰痛乏力伴勃起不坚1年", "hpi": "1年前出现腰痛乏力伴勃起不坚，盗汗，夜寐差，难入睡，白天犯困，下肢轻度水肿", "wm_dx": ["腰痛", "盗汗", "水肿", "男性性腺功能低下"], "tcm_dx": [["盗汗", "肾虚证", "滋补肾阴"], ["腰痛", "肾虚证", "温补肾阳"], ["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["甘草", "北柴胡", "麸炒枳实", "菟丝子", "酒女贞子", "醋龟甲", "炙淫羊藿", "石菖蒲", "炒蒺藜", "当归", "盐补骨脂", "白芍", "黄芪", "酒黄精", "人参", "醋五味子", "韭菜子"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 67043, "pid": "P6fd9acbd3b54", "date": "2026-09-08", "sex": "男", "age": 36, "cc": "尿道口黏液复诊", "hpi": "尿道口黏液消失 大便正常 尿频 纳可 眠安 早泄 乏力腰痛", "wm_dx": ["慢性前列腺炎", "尿频"], "tcm_dx": [["精浊", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["菟丝子", "覆盆子", "韭菜子", "沙苑子", "枸杞子", "醋五味子", "太子参", "山药", "盐补骨脂", "酒黄精", "茯苓", "麸炒枳壳", "石菖蒲", "制远志", "炒酸枣仁", "知母", "丹参", "合欢皮", "合欢花", "炙甘草", "首乌藤", "桂枝", "北柴胡", "盐蒺藜"], "flags": [], "prev_rx": ["菟丝子", "覆盆子", "韭菜子", "沙苑子", "枸杞子", "醋五味子", "太子参", "山药", "盐补骨脂", "酒黄精", "茯苓", "麸炒枳壳", "石菖蒲", "制远志", "炒酸枣仁", "知母", "丹参", "合欢皮", "合欢花", "炙甘草", "首乌藤", "桂枝"], "prev_gap": 15, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 1, "n_rx": 2} {"rid": 67044, "pid": "Pad4d490c52db", "date": "2026-09-08", "sex": "男", "age": 66, "cc": "排尿不畅4天", "hpi": "排尿不畅4天 大便正常 纳可 失眠 偶见尿痛", "wm_dx": ["前列腺增生"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"]], "rx": ["猪苓", "羌活", "太子参"], "flags": ["rx_len_outlier", "hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 67046, "pid": "P9a4e9522d228", "date": "2026-09-08", "sex": "男", "age": 42, "cc": "尿频一周 尿黄 阴囊潮湿下坠感", "hpi": "尿频一周 尿黄 阴囊潮湿下坠感 腰痛乏力 大便正常 纳眠可 口苦 盗汗 下肢水肿 可自行消退", "wm_dx": ["尿频", "前列腺增生", "盗汗", "下肢水肿"], "tcm_dx": [["精癃", "湿热下注证", "清热利湿"], ["盗汗", "阴虚证", "滋阴"], ["腰痛", "肾虚证", "补肾扶元"]], "rx": ["甜叶菊叶", "党参片", "黄芪", "山药", "白术", "茯苓", "石菖蒲", "制远志", "熟地黄", "酒萸肉", "泽泻", "知母", "盐关黄柏", "桑寄生", "醋龟甲", "砂仁", "木香", "酒黄精", "麸炒枳壳", "炒酸枣仁", "炙甘草", "制何首乌", "桑椹"], "flags": ["hpi_has_cc_prefix"], "prev_rx": ["甜叶菊叶", "党参片", "黄芪", "山药", "白术", "茯苓", "石菖蒲", "制远志", "熟地黄", "酒萸肉", "泽泻", "知母", "盐关黄柏", "桑寄生", "醋龟甲", "砂仁", "木香", "酒黄精", "麸炒枳壳", "炒酸枣仁", "炙甘草", "制何首乌", "桑椹", "烫狗脊"], "prev_gap": 54, "visit_ix": 3, "n_visits": 4, "visit_ix_rx": 2, "n_rx": 3} {"rid": 67050, "pid": "P4d6310c7fd74", "date": "2026-09-08", "sex": "男", "age": 71, "cc": "血尿3天", "hpi": "血尿3天 大便正常 纳可 眠安 乏力腰痛半年 下肢水肿可自行消退 盗汗 尿频", "wm_dx": ["血尿", "前列腺增生", "下肢水肿", "尿频"], "tcm_dx": [["精癃", "下焦湿热证", "清热利湿"], ["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["猪苓", "羌活", "茯苓", "川贝母", "太子参"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 67051, "pid": "Pd7dd76458d5b", "date": "2026-09-08", "sex": "男", "age": 32, "cc": "系带溃疡复诊", "hpi": "系带溃疡改善不明显 大小便正常 纳可 眠安 湿疹取药", "wm_dx": ["皮肤溃疡", "包皮龟头炎", "湿疹"], "tcm_dx": [["湿疮", "湿热毒证", "清热解毒"]], "rx": ["地榆", "关黄柏", "苦参", "马齿苋", "白鲜皮", "蛇床子", "地肤子", "白花蛇舌草", "土茯苓", "北败酱草", "黄连片", "茵陈", "大黄", "酒当归", "赤芍", "荆芥", "地龙", "蜈蚣", "蝉蜕"], "flags": [], "prev_rx": null, "prev_gap": null, "visit_ix": 2, "n_visits": 3, "visit_ix_rx": 0, "n_rx": 1} {"rid": 67060, "pid": "P11f2581af2cc", "date": "2026-09-08", "sex": "男", "age": 40, "cc": "乏力复诊", "hpi": "乏力，无勃，晨勃无，无精液，有少量尿，大便2-3天一次，纳可，睡眠正常，口干口苦口气重，怕冷，无腰疼，出汗，矢气多，服药后心率快，血压高，停药消失，矢气多，复诊多梦盗汗，口气重，近一周出现干呕", "wm_dx": ["男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝肾亏虚证", "滋补肝肾"]], "rx": ["当归", "川芎", "白芍", "熟地黄", "牛膝", "冬瓜皮", "滑石", "赤小豆", "制水蛭", "百合", "炙淫羊藿", "煅阳起石", "炒栀子", "炙黄芪", "淡豆豉", "牡丹皮"], "flags": [], "prev_rx": ["生姜", "干姜", "法半夏", "黄芩片", "黄连片", "党参片", "牛膝", "丹参", "制水蛭", "乌药", "滑石", "燀桃仁", "麸炒冬瓜子"], "prev_gap": 28, "visit_ix": 23, "n_visits": 24, "visit_ix_rx": 23, "n_rx": 24} {"rid": 67061, "pid": "P3cb734231435", "date": "2026-09-08", "sex": "男", "age": 44, "cc": "乏力半年", "hpi": "乏力，性欲正常，晨勃无，硬度差，近期无同房，排尿急，夜尿1次，无尿痛，大便粘，纳可，睡眠入睡困难，口苦，腰痛", "wm_dx": ["2型糖尿病", "男性性腺功能低下"], "tcm_dx": [["虚劳类病", "肝郁湿热证", "疏肝清热"]], "rx": ["大黄", "北柴胡", "麸炒枳实", "黄芩片", "炒栀子", "淡豆豉", "白芍", "百合", "地黄", "生石膏", "蜈蚣", "醋鸡内金", "焦山楂", "焦槟榔", "煅阳起石", "蜂房"], "flags": [], "prev_rx": ["北柴胡", "麸炒枳实", "白芍", "姜厚朴", "大黄", "薏苡仁", "牡丹皮", "燀桃仁", "桂枝", "茜草", "蜈蚣", "桑叶", "百合", "地黄", "苦参", "生石膏", "黄芩片"], "prev_gap": 14, "visit_ix": 9, "n_visits": 10, "visit_ix_rx": 9, "n_rx": 10} {"rid": 67065, "pid": "P5723625138a8", "date": "2026-09-08", "sex": "男", "age": 37, "cc": "乏力腰痛盗汗复诊", "hpi": "手出汗，脚凉，早起口干苦，纳可，大便日1次，夜尿不多，眠可，乏力,盗汗 下肢水肿可自行消退", "wm_dx": ["下肢水肿", "盗汗"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"], ["盗汗", "阴虚证", "滋阴"]], "rx": ["酒萸肉", "知母", "炒酸枣仁", "猪苓", "太子参", "桑椹"], "flags": [], "prev_rx": ["制巴戟天", "猪苓", "黄芪", "白术", "防风", "太子参"], "prev_gap": 14, "visit_ix": 1, "n_visits": 2, "visit_ix_rx": 1, "n_rx": 2} {"rid": 67066, "pid": "P5a61d2b8e29b", "date": "2026-09-08", "sex": "男", "age": 62, "cc": "乏力腰痛半年", "hpi": "乏力腰痛半年 性功能下降 勃起不佳 大便正常 纳可 眠安 下肢水肿可自行消退 尿频", "wm_dx": ["尿频", "下肢水肿"], "tcm_dx": [["腰痛", "肾虚证", "补肾扶元"]], "rx": ["制巴戟天", "覆盆子", "太子参", "猪苓", "菟丝子"], "flags": ["hpi_has_cc_prefix"], "prev_rx": null, "prev_gap": null, "visit_ix": 0, "n_visits": 1, "visit_ix_rx": 0, "n_rx": 1} {"rid": 67070, "pid": "Pa5f04e7b0abe", "date": "2026-09-08", "sex": "男", "age": 46, "cc": "腰痛复诊抄方", "hpi": "腰痛 勃起硬度欠佳改善明显，性欲可，口中和，夜寐可，胁肋疼痛，大小便正常，晨勃可 高尿酸血症 痛风 高血压取药", "wm_dx": ["原发性高血压", "痛风", "高尿酸血症"], "tcm_dx": [["腰痛", "肝肾两虚证", "滋补肝肾"]], "rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "川牛膝", "茯苓"], "flags": [], "prev_rx": ["菟丝子", "酒黄精", "沙苑子", "醋五味子", "川牛膝"], "prev_gap": 21, "visit_ix": 8, "n_visits": 9, "visit_ix_rx": 8, "n_rx": 9}