邓薄鸿
执业兽医师
您好,根据您讲到的宝贝的情况,还不能做出进一步的判断。我还有几个问题需要向你核实一下:1.猫咪的年龄,品种,体重。2.目前是已经确诊了吗,具体有什么症状,打喷嚏流鼻涕流泪之类的症状,精神状态怎么样,能否正常吃喝。3.目前有没有开始用药,有的话具体用过什么药物。以上这些情况您仔细回忆后详细的描述给我,对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助,感谢您的配合。另外,把您家爱宠的信息补充完整,特别是『年龄、体重』,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。(若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
流浪猫 几个月大 体重不知道 已确诊 有的眼睛保不住了 有的有患病倾向 去过宠物医院 价格太高 承受不了 小猫太可怜 想着什么办法减少痛苦或别影响其他猫 想自己用药 把能治的治好
邓薄鸿
执业兽医师
这种如果说在家保守治疗的话就是对症吃药了。口服多西环素,免疫因子,博莱得利滴眼液,这三个药物。如果说想要效果更好一些除了这三个药物你需要去单独购买宠物干扰素进行皮下注射,或者泛昔洛韦进行口服,这两个抗病毒的作用更强。根据宝贝的情况,我给它开个处方。处方里面的1********,每天2次,一片适合10公斤体重。2.****,提高免疫力辅助抗病毒,每天两次,每公斤体重喝0.4毫升。3.********,抗病毒,用来滴眼睛和滴鼻子,每天4次。您可以根据需求自行选择购买
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
{"489064":{"id":489064,"case_id":54938,"user_id":1401608,"to_user_id":2336006,"type":3,"content":"这种如果说在家保守治疗的话就是对症吃药了。口服多西环素,免疫因子,博莱得利滴眼液,这三个药物。如果说想要效果更好一些除了这三个药物你需要去单独购买宠物干扰素进行皮下注射,或者泛昔洛韦进行口服,这两个抗病毒的作用更强。根据宝贝的情况,我给它开个处方。处方里面的1********,每天2次,一片适合10公斤体重。2.****,提高免疫力辅助抗病毒,每天两次,每公斤体重喝0.4毫升。3.********,抗病毒,用来滴眼睛和滴鼻子,每天4次。您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":145253}},"is_doctor":1,"status":1,"created_at":"2023-06-11 20:25:00","show_rx":true,"rx_info":{"id":145253,"rx_no":2.02306112024565e+24,"user_id":2336006,"doctor_user_id":1401608,"is_independent":0,"case_id":3101036,"pet_info":{"pet_id":0,"pet_name":"猫","pet_nickname":"猫","pet_gender":1,"pet_birth":"0-6","pet_weight":2.5,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"6个月"},"diagnose":"疱疹病毒","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-06-11 20:24:56","updated_at":"2023-06-11 20:25:00","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":98393,"prescription_id":145253,"doctor_user_id":1401608,"product_id":699,"product_sku_id":742,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-06-11 20:24:56","updated_at":"2023-06-11 20:24:56","product_info":{"id":699,"hash_id":"kAW7LMp6ok4BVDnv","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":39,"sell_point":"巧乐林 盐酸多西环素片","title":"远征巧乐林 盐酸多西环素片 50mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫病毒性疾病的继发感染","1":"用于各类菌等引起的呼吸系统感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"支气管炎,疱疹病毒,猫杯状病毒,眼结膜潮红,间歇性咳嗽,脓性鼻汁,支原体,衣原体,链球菌,葡萄球菌,呼吸道问题,呼吸道感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/858b435a4f1ccd8d05963148bb210722.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":309,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:23:18","updated_at":"2025-07-04 12:24:44","ins":{"id":39,"hash_id":"","class_ids":"[1,2]","title":"远征巧乐林 盐酸多西环素片 50mg×8片×2板\/盒","common_name":"盐酸多西环素片","trade_name":"巧乐林","en_name":"……","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/2ae2bcaa3021ea3ef573ce955f954605.JPG","specification":"50mg×8片×2板\/盒","reference_price":160,"component":"盐酸多西环素","indication":"1.应用于病毒性疾病(如犬副流感、犬传染性支气管炎、猫疱疹病毒、猫杯状病毒等)的继发感染。\n2.支原体、衣原体、链球菌、葡萄球菌、巴氏杄菌和支气管败血性博德特菌等引起的呼吸系统感染,钩端螺旋体、立克次氏体、弓形体、埃利希氏体和血巴尔通体等疾病的治疗。","usage_dosage":"犬猫口服。5~10mg\/kg体重,1~2次\/日,连用3~5天。","contraindication":"对多西环素过敏的动物禁用。","adverse_reaction":"","attention":"孕宠慎用。","interaction":"","approval_no":"兽药字030461354","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:28:35","updated_at":"2025-07-10 17:20:56"}},"product_sku_info":{"id":742,"product_id":699,"title":"远征巧乐林 盐酸多西环素片 50mg×8片×2板\/盒","advword":null,"price":98,"market_price":160,"cost_price":41.67,"stock":40,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":335,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:23:18","updated_at":"2025-07-03 18:38:40"}},"1":{"id":98394,"prescription_id":145253,"doctor_user_id":1401608,"product_id":822,"product_sku_id":864,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-06-11 20:24:56","updated_at":"2023-06-11 20:24:56","product_info":{"id":822,"hash_id":"QKNDzP4DKzpewlnv","class_ids":{"0":2},"category_ids":{"0":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":113,"sell_point":"博莱宠猫免疫因子口服液","title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","recommend_reason":{"0":"本产品在猫咪发生以下情况时使","1":"用:1.免疫力下降;2.疫苗免疫前后。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"免疫因子,转移因子,猫瘟热,猫疱疹,猫杯状病毒,抗感染,免疫抑制","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"40ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/12\/ac1625b666d56fd3072022fe3938f6fe.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":109,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:49:15","updated_at":"2025-05-22 15:41:52","ins":{"id":113,"hash_id":"","class_ids":"[2]","title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","common_name":"猫免疫因子口服液","trade_name":"博利壮","en_name":"Feline Transfer Factor Oral Solution","brand_name":"博莱宠","is_prescription":0,"cover":"\/drug\/2024\/12\/91cf9f30fbf59ff202d13d6c0312827f.jpg","specification":"40ml\/瓶\/盒","reference_price":198,"component":"动物脾脏水解物、动物胸腺水解物、黄芪粗提物、维生素Bn2","indication":"本产品在猫咪发生以下情况时使\n用:1.免疫力下降;2.疫苗免疫前后。","usage_dosage":"使用前请将本品摇匀,直接口服;也可拌在食物或饮水中食用。一次量0.5ml\/kg体重,1-2次\/天。如果拌在食物或饮水中食用,须在4小时内食用完。","contraindication":"对转移因子有过敏史的猫禁用。","adverse_reaction":"","attention":"","interaction":"","approval_no":"苏饲预(2023)12015","storage_method":"阴凉干燥处保存,开启后2-8°冷藏保存。30日内用完。","validity":"2年","manufacturer":"泰州博莱得利生物科技有限公司","status":1,"created_at":"2020-11-23 16:15:51","updated_at":"2024-12-18 13:58:02"}},"product_sku_info":{"id":864,"product_id":822,"title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","advword":null,"price":118,"market_price":160,"cost_price":82.4,"stock":969,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"40ml"}},"cover":null,"thumb":"","sale_count":111,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:49:15","updated_at":"2025-05-22 15:36:36"}},"2":{"id":98395,"prescription_id":145253,"doctor_user_id":1401608,"product_id":821,"product_sku_id":863,"dose":2,"dose_unit":"滴","use_method":"滴眼滴鼻子","frequency":"每天4次","days":14,"number":1,"remark":"","created_at":"2023-06-11 20:24:56","updated_at":"2023-06-11 20:24:56","product_info":{"id":821,"hash_id":"X3LOlVpl5B4a20WY","class_ids":{"0":2},"category_ids":{"0":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":7,"sell_point":"博莱得利猫鼻支特效滴眼液","title":"博莱得利猫鼻支特效滴眼液 8ml\/支\/盒","recommend_reason":{"0":"适用于犬、猫结膜炎、角膜炎、眼膜充血、泪腺炎、眼睑炎、外伤性眼炎,亦可用于下眼睑睫毛清洁。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫鼻支,疱疹病毒,杯状病毒,呼吸道感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"8ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/12\/87c87a60c0ef53e9cb684e00a80c8fa3.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":171,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-21 17:45:17","updated_at":"2025-07-04 12:24:44","ins":{"id":7,"hash_id":"","class_ids":"[2]","title":"博莱得利猫鼻支特效滴眼液 8ml\/支\/盒","common_name":"猫鼻支特效滴眼液","trade_name":"猫鼻支滴眼液","en_name":"Feline Rhinotracheitis Eye Drops","brand_name":"博莱得利","is_prescription":0,"cover":"\/drug\/2024\/12\/1db7257773efe56df5eca61b47c327e6.jpg","specification":"8ml\/支\/盒","reference_price":118,"component":"抗病毒细胞因子、白蛋白等。","indication":"适用于犬、猫结膜炎、角膜炎、眼膜充血、泪腺炎、眼睑炎、外伤性眼炎,亦可用于下眼睑睫毛清洁。","usage_dosage":"滴眼:每日3次,每次3滴,连用7日。\n清洁:每日1~2次,每次1~2滴。","contraindication":"","adverse_reaction":"偶有眼部刺激症状和过敏反应。","attention":"1.仅用于猫,不供人类使用。\n2.请放置在儿童接触不到的地方。\n3.防止污染,使用时请不要将瓶口接触眼部和皮肤。\n4.使用药物期间,请勿用水或牛奶清洗宠物眼睛,也不要用手指或者带纱布的手触碰宠物眼睛。","interaction":"","approval_no":"兽药字101847577","storage_method":"未开启常温密封避光保存","validity":"2年","manufacturer":"泰州博菜得利生物科技有限公司","status":1,"created_at":"2020-10-26 15:05:03","updated_at":"2024-12-04 11:56:53"}},"product_sku_info":{"id":863,"product_id":821,"title":"博莱得利猫鼻支特效滴眼液 8ml\/支\/盒","advword":null,"price":88,"market_price":98,"cost_price":24.99,"stock":764,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"8ml"}},"cover":null,"thumb":"","sale_count":179,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:45:17","updated_at":"2025-07-04 12:23:03"}}},"drug_data_bak":{"0":{"id":98393,"prescription_id":145253,"doctor_user_id":1401608,"product_id":699,"product_sku_id":742,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-06-11 20:24:56","updated_at":"2023-06-11 20:24:56","product_info":{"id":699,"hash_id":"kAW7LMp6ok4BVDnv","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":39,"sell_point":"巧乐林 盐酸多西环素片","title":"远征巧乐林 盐酸多西环素片 50mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫病毒性疾病的继发感染","1":"用于各类菌等引起的呼吸系统感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"支气管炎,疱疹病毒,猫杯状病毒,眼结膜潮红,间歇性咳嗽,脓性鼻汁,支原体,衣原体,链球菌,葡萄球菌,呼吸道问题,呼吸道感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/858b435a4f1ccd8d05963148bb210722.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":309,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:23:18","updated_at":"2025-07-04 12:24:44","ins":{"id":39,"hash_id":"","class_ids":"[1,2]","title":"远征巧乐林 盐酸多西环素片 50mg×8片×2板\/盒","common_name":"盐酸多西环素片","trade_name":"巧乐林","en_name":"……","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/2ae2bcaa3021ea3ef573ce955f954605.JPG","specification":"50mg×8片×2板\/盒","reference_price":160,"component":"盐酸多西环素","indication":"1.应用于病毒性疾病(如犬副流感、犬传染性支气管炎、猫疱疹病毒、猫杯状病毒等)的继发感染。\n2.支原体、衣原体、链球菌、葡萄球菌、巴氏杄菌和支气管败血性博德特菌等引起的呼吸系统感染,钩端螺旋体、立克次氏体、弓形体、埃利希氏体和血巴尔通体等疾病的治疗。","usage_dosage":"犬猫口服。5~10mg\/kg体重,1~2次\/日,连用3~5天。","contraindication":"对多西环素过敏的动物禁用。","adverse_reaction":"","attention":"孕宠慎用。","interaction":"","approval_no":"兽药字030461354","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:28:35","updated_at":"2025-07-10 17:20:56"}},"product_sku_info":{"id":742,"product_id":699,"title":"远征巧乐林 盐酸多西环素片 50mg×8片×2板\/盒","advword":null,"price":98,"market_price":160,"cost_price":41.67,"stock":40,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":335,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:23:18","updated_at":"2025-07-03 18:38:40"}},"1":{"id":98394,"prescription_id":145253,"doctor_user_id":1401608,"product_id":822,"product_sku_id":864,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-06-11 20:24:56","updated_at":"2023-06-11 20:24:56","product_info":{"id":822,"hash_id":"QKNDzP4DKzpewlnv","class_ids":{"0":2},"category_ids":{"0":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":113,"sell_point":"博莱宠猫免疫因子口服液","title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","recommend_reason":{"0":"本产品在猫咪发生以下情况时使","1":"用:1.免疫力下降;2.疫苗免疫前后。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"免疫因子,转移因子,猫瘟热,猫疱疹,猫杯状病毒,抗感染,免疫抑制","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"40ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/12\/ac1625b666d56fd3072022fe3938f6fe.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":109,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:49:15","updated_at":"2025-05-22 15:41:52","ins":{"id":113,"hash_id":"","class_ids":"[2]","title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","common_name":"猫免疫因子口服液","trade_name":"博利壮","en_name":"Feline Transfer Factor Oral Solution","brand_name":"博莱宠","is_prescription":0,"cover":"\/drug\/2024\/12\/91cf9f30fbf59ff202d13d6c0312827f.jpg","specification":"40ml\/瓶\/盒","reference_price":198,"component":"动物脾脏水解物、动物胸腺水解物、黄芪粗提物、维生素Bn2","indication":"本产品在猫咪发生以下情况时使\n用:1.免疫力下降;2.疫苗免疫前后。","usage_dosage":"使用前请将本品摇匀,直接口服;也可拌在食物或饮水中食用。一次量0.5ml\/kg体重,1-2次\/天。如果拌在食物或饮水中食用,须在4小时内食用完。","contraindication":"对转移因子有过敏史的猫禁用。","adverse_reaction":"","attention":"","interaction":"","approval_no":"苏饲预(2023)12015","storage_method":"阴凉干燥处保存,开启后2-8°冷藏保存。30日内用完。","validity":"2年","manufacturer":"泰州博莱得利生物科技有限公司","status":1,"created_at":"2020-11-23 16:15:51","updated_at":"2024-12-18 13:58:02"}},"product_sku_info":{"id":864,"product_id":822,"title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","advword":null,"price":118,"market_price":160,"cost_price":82.4,"stock":969,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"40ml"}},"cover":null,"thumb":"","sale_count":111,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:49:15","updated_at":"2025-05-22 15:36:36"}},"2":{"id":98395,"prescription_id":145253,"doctor_user_id":1401608,"product_id":821,"product_sku_id":863,"dose":2,"dose_unit":"滴","use_method":"滴眼滴鼻子","frequency":"每天4次","days":14,"number":1,"remark":"","created_at":"2023-06-11 20:24:56","updated_at":"2023-06-11 20:24:56","product_info":{"id":821,"hash_id":"X3LOlVpl5B4a20WY","class_ids":{"0":2},"category_ids":{"0":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":7,"sell_point":"博莱得利猫鼻支特效滴眼液","title":"博莱得利猫鼻支特效滴眼液 8ml\/支\/盒","recommend_reason":{"0":"适用于犬、猫结膜炎、角膜炎、眼膜充血、泪腺炎、眼睑炎、外伤性眼炎,亦可用于下眼睑睫毛清洁。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫鼻支,疱疹病毒,杯状病毒,呼吸道感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"8ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/12\/87c87a60c0ef53e9cb684e00a80c8fa3.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":171,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-21 17:45:17","updated_at":"2025-07-04 12:24:44","ins":{"id":7,"hash_id":"","class_ids":"[2]","title":"博莱得利猫鼻支特效滴眼液 8ml\/支\/盒","common_name":"猫鼻支特效滴眼液","trade_name":"猫鼻支滴眼液","en_name":"Feline Rhinotracheitis Eye Drops","brand_name":"博莱得利","is_prescription":0,"cover":"\/drug\/2024\/12\/1db7257773efe56df5eca61b47c327e6.jpg","specification":"8ml\/支\/盒","reference_price":118,"component":"抗病毒细胞因子、白蛋白等。","indication":"适用于犬、猫结膜炎、角膜炎、眼膜充血、泪腺炎、眼睑炎、外伤性眼炎,亦可用于下眼睑睫毛清洁。","usage_dosage":"滴眼:每日3次,每次3滴,连用7日。\n清洁:每日1~2次,每次1~2滴。","contraindication":"","adverse_reaction":"偶有眼部刺激症状和过敏反应。","attention":"1.仅用于猫,不供人类使用。\n2.请放置在儿童接触不到的地方。\n3.防止污染,使用时请不要将瓶口接触眼部和皮肤。\n4.使用药物期间,请勿用水或牛奶清洗宠物眼睛,也不要用手指或者带纱布的手触碰宠物眼睛。","interaction":"","approval_no":"兽药字101847577","storage_method":"未开启常温密封避光保存","validity":"2年","manufacturer":"泰州博菜得利生物科技有限公司","status":1,"created_at":"2020-10-26 15:05:03","updated_at":"2024-12-04 11:56:53"}},"product_sku_info":{"id":863,"product_id":821,"title":"博莱得利猫鼻支特效滴眼液 8ml\/支\/盒","advword":null,"price":88,"market_price":98,"cost_price":24.99,"stock":764,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"8ml"}},"cover":null,"thumb":"","sale_count":179,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:45:17","updated_at":"2025-07-04 12:23:03"}}}}}}
微信扫一扫
立即问宠医