SIRIAMLAB
DUOSacrumSacralEstablished

SX DUO

Sacral application concept designed for the lower posterior pelvic surface.

A sacral-zone formulation, mapped to the S1–S4 surface projection field.

QR code printed on the SX DUO label

Label QR

Opens the public information page in the reader's language.

https://www.siriamlab.com/qr/sx-duo

Open patient page
← Essential overview

Complete scientific monograph: anatomy, formulation architecture, references and revision record.

Chapter 01

Product identity

Identification, classification, family, intended use, anatomical region and the documents this record is governed by.

Identification of the record: product identifier, classification, family, intended use, anatomical region and the controlled documents it is governed by.

Documentation metadata+

Chapter 01 — related anatomy

sacrum

Related documents

PF-SX-1.2SX DUO — product formula cardIn preparation

Future references

  • GTIN / label identifierReservedCommercial identifier reserved for the published label.

Record identification

DocumentedVersion1.2
Product ID
SIR-SX-01
Family
SX DUO
Region
Sacral — posterior pelvic base
Last update
2025-12

Handbook source

HB-SXApproved

Parasympathetic and neurodermal modulation of the extended sacral field S2–S5 including the coccygeal projection.

  • Phase 1: discharge of the pelvic floor and coccyx
  • Phase 2: stabilisation and integration of the sacrococcygeal field
Developer
MT DO, DCP
Pharmacist
AVA
Chapter version
1.0
Product ID
SIR-SX-01

The handbook is the scientific master. Every statement rendered on this record originates from this chapter; the platform never creates independent scientific content.

Chapter 02

Executive summary

The record in short: professional summary, patient summary and the sequential treatment model behind it.

The record read in short: professional summary, patient summary and the sequential treatment model behind the formulation.

Documentation metadata+

Chapter 02 — related anatomy

Declared; content in preparation.

Related documents

SDR-001SIRIAM digital record standard

Future references

  • TranslationsReservedExecutive summary in Dutch, French and German.

Executive summary

SDR-001

The reading entry of the record: what the composition is for, in professional and in patient language.

Purpose

A two-step concept for the sacral plate, one of the most clearly delimited surface fields of the posterior body.

Clinical goal

Regional comfort routineStructured daily applicationLong-format protocol

Primary anatomical region

sacrum

Primary therapeutic objective

Documented cutaneous topical composition for the sacral surface field, S1–S5.

Professional summary

SX DUO is documented as a cutaneous topical composition for the sacrum application field. This summary is maintained by the documentation team and updated with each revision of the record.

Patient summary

Sacral application concept designed for the lower posterior pelvic surface.

Keywords

SX DUODUOsacrumS1S2S3S4sacral

Chapter 03

Anatomy snapshot

The anatomical region of the record and every structure of its application field, resolving into the Neuro Atlas.

The anatomical identity of the record: the region, the segmental levels and the surface territory the formulation is documented for.

Documentation metadata+

Chapter 03 — related anatomy

sacrumS1S2S3S4

Future references

  • 3D Atlas referenceReservedVolumetric reference of the field, prepared for the atlas engine.
  • EMG referenceReservedFunctional EMG dataset linked to the segmental levels of this record.
  • SRST referenceReservedSegmental reflex surface topography mapping.

Snapshot

Anatomy snapshot

Six metameric expressions per segment — dermatome, myotome, sclerotome, viscerotome, micro-angiotome and neurotome. Individual structures inside an expression open their own illustration plate.

Anatomical regionSacrum · Sacral field
DermatomesS1S2S3S4
MetamersS1S2S3S4
Application zonesSacral basePosterior superior iliac spine lineGluteal fold
Clinical objectiveRegional comfort routine · Structured daily application · Long-format protocol
Application systemTwo-phase DUO system — phase 1 (release), phase 2 (integration)
Atlas layersBody regionsDermatomesPeripheral nervesPlexusesMetamersNeurocutaneous

Anatomy

Anatomical overview

The application field of SX DUO is described through its dermatomes, peripheral nerves, plexus relations and metameric levels. Each object below resolves to the corresponding structure in the Neuro Atlas.

  • SacrumSacral surface projection across the posterior pelvic base and perineal field.Body regionAtlas →
  • 4 dermatomes · 4 metamersSegmental objects linked to this record.Segmental scope
  • 2 peripheral nervesSurface territories referenced by the application field.Peripheral scope

Segmental

Dermatomes

  • S1Lateral foot border and posterior calf.DermatomeAtlas →
  • S2Posterior thigh strip and posterior calf.DermatomeAtlas →
  • S3Medial gluteal fold and ischial field.DermatomeAtlas →
  • S4Perianal and lower sacral surface.DermatomeAtlas →

Segmental

Peripheral nerves

  • Superior gluteal nerveGluteal field above the piriformis line.Peripheral nerveAtlas →
  • Pudendal nervePerineal and lower sacral surface.Peripheral nerveAtlas →

Segmental

Plexus relations

  • Sacral plexusLocated on the posterior pelvic wall, giving rise to the largest nerve of the body.Roots L4–S4Atlas →

Segmental

Metamers

Professional mode

Segmental links are protected.

Metameric cross-references are reserved for practitioners trained in segmental reasoning. Enter your professional code to continue.

Segmental

Neurocutaneous regions

  • Sacral neurocutaneous zonePosterior pelvic base, mapped to the S1–S4 surface projection field.S1 · S2 · S3 · S4Atlas →
  • Lumbosacral neurocutaneous zoneTransition between lumbar and sacral surface projections across the pelvic rim.L5 · S1Atlas →

Anatomical identity

Chapter 01

Primary region

sacrum

Dermatomes

S1S2S3S4

Peripheral nerves

superior-glutealpudendal

Plexus

sacral

Metamers

S1S2S3S4

Neurocutaneous territories

sacrallumbosacral

Body regions

sacrum

Surface anatomy

Sacral basePosterior superior iliac spine lineGluteal fold
  • 3D Atlas referenceReservedVolumetric field reference.
  • EMG referenceReservedFunctional EMG dataset.
  • SRST referenceReservedSegmental reflex surface topography.

Chapter 04

Clinical purpose

Objective, strategy, workflow and the boundaries within which this record is documented.

The clinical objective of the record, its rationale, and the boundaries within which it is documented.

Documentation metadata+

Chapter 04 — related anatomy

sacrallumbosacral

Future references

  • Evidence levelReservedGraded evidence classification per documented statement.
  • Clinical casesReservedStructured practitioner observations linked to this record.

Purpose

Why this formulation exists

SX DUO is documented as a cutaneous topical composition for the sacrum application field. This summary is maintained by the documentation team and updated with each revision of the record.

Why this record exists

A two-step concept for the sacral plate, one of the most clearly delimited surface fields of the posterior body.

Neurocutaneous region it was designed for

Sacral neurocutaneous zone · Lumbosacral neurocutaneous zone

Anatomical interface it addresses

Sacral surface projection across the posterior pelvic base and perineal field.

Clinical philosophy

The sacral surface projection is bounded by the posterior superior iliac spines above and the gluteal folds below, corresponding to the S1–S4 segmental territories.

  • Cutaneous topical composition; the application field is defined by the treating professional.
  • Application is documented per session so routines remain comparable over time.

Chapter 05

Application protocol

Timeline, application sites, professional and patient instructions, safety and storage.

Phases, cadence, duration, zone order and the documented application sequence, with practitioner and patient notes.

Documentation metadata+

Chapter 05 — related anatomy

Sacral basePosterior superior iliac spine lineGluteal fold

Future references

  • Printable protocolReservedPrint-ready protocol sheet generated from this record.

Surface

Application zones

The zones listed are possible application locations. The practitioner identifies the exact spot within these possibilities using the SRST (Segmental Reflex Sensitisation Test). Future evaluation will use EMG before and after application.

  • Sacral base

    Detailed application guidance is in preparation.

    Application field
  • Posterior superior iliac spine line

    Detailed application guidance is in preparation.

    Application field
  • Gluteal fold

    Detailed application guidance is in preparation.

    Application field
Regional comfort routineStructured daily applicationLong-format protocol

Protocol

Application protocol

  1. Phase 1

    Release

    Week 1–2 · 1–2 applications per day

    Until phase 2 is introduced

    The first texture is applied thinly on the target zone within the possible application zones, following the documented zone order.

    Sacral basePosterior superior iliac spine lineGluteal fold
  2. Phase 2

    Integration

    Week 3 evening · from week 4 morning and evening

    Until the product is finished

    From week 3 phase 2 is added in the evening: phase 1 in the morning on the target zone, phase 2 in the evening on that same target zone. From week 4 — or once phase 1 is finished and phase 2 is recommended by the therapist — phase 2 is applied morning and evening on the target zone until the product is finished.

    Sacral basePosterior superior iliac spine lineGluteal fold
  3. Maintenance

    Continued routine

    1–3 sessions per week

    Ongoing, reviewed periodically

    The routine is continued at a reduced cadence and reviewed with the practitioner at agreed intervals. Observations stay in the professional log so successive periods remain comparable.

    Sacral basePosterior superior iliac spine lineGluteal fold

Zone sequence

  1. 01Sacral base
  2. 02Posterior superior iliac spine line
  3. 03Gluteal fold
  1. 01Apply step one across the sacral plate.
  2. 02Allow the layer to settle.
  3. 03Apply step two over the same field.

Application field on the atlas figure. Levels resolve into the Neuro Atlas.

01

Field

Between the posterior superior iliac spines and the coccyx.

02

Pressure

Light, even contact without mechanical pressure.

03

Cycle

Structured in defined cycles agreed in advance.

SX DUO (SacCox) protocol (definitive)

HB-SX/PROTOCOLApproved

Zones

  • Sacrum, complete field (S2–S5)
  • Coccyx (primary target)
  • Gluteal base and upper intergluteal region
  • Ischial tuberosities
  1. Week 1–2

    SX-1 (1–2× per day)

  2. Week 3

    Morning: SX-2 · Evening: SX-1

  3. Week 4

    SX-2 (1–2× per day)

On relapse: reintroduce SX-1 for 3 days.

Chapter 06

Formulation science

The scientific philosophy of the composition: sequential formulation, phase relationship and ingredient rationale.

The composition read as an architecture, with the current formula held read-only and any proposed successor documented alongside it.

Documentation metadata+

Chapter 06 — related anatomy

Declared; content in preparation.

Related documents

PFSX DUO — product formula cardIn preparationRM-001Ingredient libraryReservedRM-008Change controlReserved

Future references

  • Ingredient linksReservedEvery constituent resolving to its RM-001 entry.
  • Version comparisonReservedSide-by-side comparison of current and proposed composition.

Composition

Formulation architecture

The composition is documented as a map rather than a list. Every constituent is recorded with the function it carries, the reason it is present in this field, how it relates to the rest of the composition and the cutaneous topical formulation category it belongs to.

Carrier systemHumectantEmollientConditioning agentAntioxidant stabiliser
  1. 01Aqua base

    Aqua

    Carrier system

    Functional role
    Carrier phase
    Formulation purpose
    Sets the water phase that determines spreadability across a defined surface field.
    Interaction within the composition
    Holds the humectant fraction in solution and carries the emulsified lipid phase evenly over the zone.
  2. 02Glycerin

    Glycerin

    Humectant

    Functional role
    Moisture binding
    Formulation purpose
    Keeps the applied layer supple so the same field can be worked repeatedly without dryness on the skin surface.
    Interaction within the composition
    Balances the emollient fraction: the humectant governs the water phase, the emollient the lipid phase.
  3. 03Shea butter

    Butyrospermum parkii butter

    Emollient

    Functional role
    Skin-feel and occlusive body
    Formulation purpose
    Gives the texture enough body to stay on the applied zone rather than running along the hairline.
    Interaction within the composition
    Carries the lipid-soluble antioxidant fraction and slows the evaporation of the water phase.
  4. 04Panthenol

    Panthenol

    Conditioning agent

    Functional role
    Surface conditioning
    Formulation purpose
    Documented as a conditioning constituent of the cutaneous topical base; contributes to a smooth, non-tacky finish.
    Interaction within the composition
    Water-soluble; works alongside glycerin in the same phase without altering the emulsion.
  5. 05Tocopherol

    Tocopherol

    Antioxidant stabiliser

    Functional role
    Formulation stability
    Formulation purpose
    Protects the lipid fraction over the shelf life of the record so successive batches stay comparable.
    Interaction within the composition
    Dissolved in the shea fraction; stabilises the constituents it is dispersed in rather than acting on the skin.

Reading the map

Constituents are grouped by formulation category: a carrier system that governs spread, a water phase that governs feel, a lipid phase that governs stay-time, and stabilising constituents that keep successive batches comparable. Interactions describe the composition only; no physiological effect is asserted.

Cutaneous topical formulation rationale

The formulation is built for reproducible application on the documented zones: a texture that spreads thinly, a controlled sensory profile and a composition suitable for repeated professional use.

Representative composition overview. The full INCI listing is published in the composition index.

Philosophy

Formulation philosophy

Formulation philosophy: composition is selected for a defined surface field and a reproducible application sequence. The record documents composition and application only; no physiological or therapeutic mechanism is claimed.

The sacral surface projection is bounded by the posterior superior iliac spines above and the gluteal folds below, corresponding to the S1–S4 segmental territories.

Chapter 07

Product formula

Linked document PF-001. The formulation master: phase formulas, ingredient records, suppliers and the current → proposed comparison.

Linked document PF — the formulation master. Ingredient data exists once, in the product formula record, and is referenced from here.

Documentation metadata+

Chapter 07 — related anatomy

Declared; content in preparation.

Related documents

PF-SX-1.2SX DUO — product formula cardIn preparationRM-001Ingredient libraryReservedRM-003Approved raw materialsReserved

Future references

  • Ingredient linksReservedEvery constituent resolving to its RM-001 entry.
  • Version comparisonReservedSide-by-side comparison of current and proposed composition.

SX DUO (SacCox) — Product Formula record

PF-009Approved
Document
PF-009
Version
1.0
Revision date
2026-08
Basis
Lanette protocol, two sequential phases of 100 g. Extended sacral field S2–S5 including coccygeal projection.

Phase 1 — Release

SX-1100 g
Intent
Discharge of the pelvic floor and coccygeal field, parasympathetic de-escalation S2–S5.
Batch size
100 g
Filling

Ingredient table — as approved in the handbook

IngredientLanette cream FNA
Source
Quantity65 g
Remark
IngredientAqua purificata
Source
Quantity18 g
Remark
IngredientMagnesium chloride
Source
Quantity4 g
Remark
IngredientMSM
Source
Quantity2.5 g
Remark
IngredientSqualane
Source
Quantity4 g
Remark
IngredientJojoba oil
Source
Quantity2 g
Remark
IngredientD-Panthenol
Source
Quantity0.8 g
Remark
IngredientVitamin E
Source
Quantity0.5 g
Remark
IngredientHypericum D6
Source
Quantity0.5 g
Remark
IngredientSepia D12
Source
Quantity0.5 g
Remark
IngredientStaphysagria D8
Source
Quantity0.5 g
RemarkGranules pre-dissolved in ±1 g hydroalcoholic solution (±30% ethanol), 10–15 min.
IngredientRuta graveolens
Source
Quantity0.4 g
Remark
IngredientCopaiba
Source
Quantity0.3 g
Remark
IngredientSilicea Gel
Source
Quantity0.5 g
Remark
IngredientCOSGARD 221
Source
Quantity0.7 g
Remark

Phase 2 — Integration

SX-2100 g
Intent
Stabilisation and integration of the sacrococcygeal field. Colour: 2 drops sea buckthorn fruit oil (not extract).
Batch size
100 g
Filling

Ingredient table — as approved in the handbook

IngredientLanette cream FNA
Source
Quantity67 g
Remark
IngredientAqua purificata
Source
Quantity16 g
Remark
IngredientMagnesium chloride
Source
Quantity2.5 g
Remark
IngredientMSM
Source
Quantity1.5 g
Remark
IngredientSqualane
Source
Quantity3 g
Remark
IngredientJojoba oil
Source
Quantity2 g
Remark
IngredientD-Panthenol
Source
Quantity1 g
Remark
IngredientVitamin E
Source
Quantity0.5 g
Remark
IngredientHypericum D6
Source
Quantity0.3 g
Remark
IngredientSepia D12
Source
Quantity0.3 g
Remark
IngredientCopaiba
Source
Quantity0.4 g
Remark
IngredientBacopa monnieri
Source
Quantity0.5 g
Remark
IngredientSilicea Gel
Source
Quantity1 g
Remark
IngredientAesculus hippocastanum (HEEL)
Source
Quantity0.8 g
Remark
IngredientTriButyrate (Energetica Natura)
Source
Quantity0.5 g
RemarkOptional constituent.
IngredientBetaine TMG
Source
Quantity0.3 g
Remark
IngredientCOSGARD 221
Source
Quantity0.7 g
Remark
IngredientSea buckthorn fruit oil
Source
Quantity0.05 g
Remark2 drops, colour only — fruit oil, not extract.

Ingredient cards — SX-1

RM-001 relationship

Lanette cream FNA

65 g

Source

Not declared in the handbook

Aqua purificata

18 g

Source

Not declared in the handbook

Magnesium chloride

4 g

Source

Not declared in the handbook

MSM

2.5 g

Source

Not declared in the handbook

Squalane

4 g

Source

Not declared in the handbook

Jojoba oil

2 g

Source

Not declared in the handbook

D-Panthenol

0.8 g

Source

Not declared in the handbook

Vitamin E

0.5 g

Source

Not declared in the handbook

Hypericum D6

0.5 g

Source

Not declared in the handbook

Sepia D12

0.5 g

Source

Not declared in the handbook

Staphysagria D8

0.5 g

Source

Not declared in the handbook

Granules pre-dissolved in ±1 g hydroalcoholic solution (±30% ethanol), 10–15 min.

Ruta graveolens

0.4 g

Source

Not declared in the handbook

Copaiba

0.3 g

Source

Not declared in the handbook

Silicea Gel

0.5 g

Source

Not declared in the handbook

COSGARD 221

0.7 g

Source

Not declared in the handbook

Ingredient cards — SX-2

RM-001 relationship

Lanette cream FNA

67 g

Source

Not declared in the handbook

Aqua purificata

16 g

Source

Not declared in the handbook

Magnesium chloride

2.5 g

Source

Not declared in the handbook

MSM

1.5 g

Source

Not declared in the handbook

Squalane

3 g

Source

Not declared in the handbook

Jojoba oil

2 g

Source

Not declared in the handbook

D-Panthenol

1 g

Source

Not declared in the handbook

Vitamin E

0.5 g

Source

Not declared in the handbook

Hypericum D6

0.3 g

Source

Not declared in the handbook

Sepia D12

0.3 g

Source

Not declared in the handbook

Copaiba

0.4 g

Source

Not declared in the handbook

Bacopa monnieri

0.5 g

Source

Not declared in the handbook

Silicea Gel

1 g

Source

Not declared in the handbook

Aesculus hippocastanum (HEEL)

0.8 g

Source

Not declared in the handbook

TriButyrate (Energetica Natura)

0.5 g

Source

Not declared in the handbook

Optional constituent.

Betaine TMG

0.3 g

Source

Not declared in the handbook

COSGARD 221

0.7 g

Source

Not declared in the handbook

Sea buckthorn fruit oil

0.05 g

Source

Not declared in the handbook

2 drops, colour only — fruit oil, not extract.

Supplier links

RM-003 relationship

Sources named in the handbook. Qualification and specifications are held in the approved raw-material manual; this record shows the relationship only.

    Current → proposed

    Never merged
    FieldFormula version
    CurrentPF-009 v1.0 — approved
    ProposedReserved — no successor issued
    FieldIngredient table
    CurrentPhase 1 and phase 2 as approved in HB-SX
    ProposedReserved — change request required (RM-008)

    Chapter 08

    Standard operating procedure

    Linked document SOP-001. The manufacturing master: workflow, equipment, quality control, packaging, traceability and release criteria.

    Linked document SOP — the manufacturing master. Process, equipment, quality control, packaging and traceability.

    Documentation metadata+

    Chapter 08 — related anatomy

    Declared; content in preparation.

    Related documents

    SOP-01Application documentationSOP-02Record revision and approvalIn preparationRM-005Manufacturing recordsReservedRM-007EquipmentReserved

    Future references

    • Batch recordsReservedExecuted batch documentation linked to each manufactured lot.
    • Deviation managementReservedRegistered deviations and corrective actions.

    SX DUO (SacCox) — manufacturing record (Lanette protocol)

    SOP-009Approved
    Document
    SOP-009
    Version
    1.0
    Revision date
    2026-08

    Manufacturing timeline

    RM-005 relationship
    1. 01Weigh Lanette cream FNA and aqua purificata separately and heat both to ±60 °C.
    2. 02Phase 1: dissolve magnesium chloride, MSM and panthenol completely in the water phase under gentle homogeneous stirring. Phase 2: dissolve magnesium chloride, MSM, TriButyrate and betaine TMG.
    3. 03Separately blend squalane, jojoba oil, vitamin E and copaiba into a smooth lipid mixture. Phase 2: add 2 drops of sea buckthorn fruit oil to this lipid phase.
    4. 04Phase 1 only: pre-dissolve the Staphysagria D8 granules in ±1 g hydroalcoholic solution (±30% ethanol) for 10–15 minutes.
    5. 05Add the warm water phase slowly to the Lanette base under continuous homogeneous stirring.
    6. 06Add the squalane / jojoba active mixture to the emulsion at ±40 °C and mix until fully distributed.
    7. 07Phase 2 only: add Bacopa monnieri gradually and homogenise without lumps or phase formation.
    8. 08Add Silicea gel gradually and disperse without lumps.
    9. 09Let the emulsion cool below 35 °C before adding sensitive components.
    10. 10Phase 1: add Hypericum D6, Sepia D12, dissolved Staphysagria D8, Ruta tincture and COSGARD 221. Phase 2: add Hypericum, Sepia, Aesculus hippocastanum HEEL and COSGARD 221. Homogenise gently for 1–2 minutes.
    11. 11Check pH (5.2 – 5.5), fill into airless dispensers and stabilise 24 hours before use.

    Quality control

    RM-006 relationship
    pH range
    5.2 – 5.5
    Process temperature
    ±60 °C base and water phase
    Lipid active mix addition
    ±40 °C
    Sensitive additions
    Below 35 °C
    Stabilisation
    24 hours before use

    Critical checklist

    • Magnesium chloride and MSM completely dissolved in the water phase.
    • Staphysagria D8 granules fully dissolved before addition (phase 1).
    • Lipid phase smooth before incorporation.
    • Silicea gel dispersed without lumps.
    • Sensitive components and homeopathic dilutions added below 35 °C only.
    • No phase separation and no air bubbles.

    Equipment

    RM-007 relationship
    • Balance for separate weighing of base and water phase
    • Heating bath / plate to ±60 °C
    • Stirring equipment for continuous homogeneous mixing without air inclusion
    • Homogeniser
    • pH measurement
    • Airless dispensers for filling

    Batch structure

    Batch
    Phase 1 batch
    100 g
    Phase 2 batch
    100 g
    Filling
    Airless dispensers

    Release criteria

    Release
    • pH within 5.2 – 5.5.
    • Homogeneous emulsion without phase separation.
    • No grit or lumps from Silicea gel.
    • No air bubbles in the filled dispenser.
    • Stabilised 24 hours before release.

    Traceability

    Record
    Developer
    MT DO, DCP
    Pharmacist
    AVA
    Manufacturing records
    RM-005 — relationship only
    Quality assurance
    RM-006 — relationship only

    Chapter 09

    Reference manuals

    RM-001 → RM-010. The quality management library this record is connected to, referenced by relationship only.

    The reference manual library RM-001 → RM-010, connected to this record by relationship only.

    Documentation metadata+

    Chapter 09 — related anatomy

    Declared; content in preparation.

    Future references

    • Manual publicationReservedReference manuals published as controlled documents.

    Documentation hub — reference manuals

    Relationships only

    RM-001

    Ingredient library

    Single source for every constituent used in a formulation.

    RM-002

    Formula matrix

    Composition matrix across families and versions.

    RM-003

    Approved materials

    Qualified raw materials and their specifications.

    RM-004

    Inventory

    Material positions, lots and expiry tracking.

    RM-005

    Manufacturing

    Process documentation and manufacturing instructions.

    RM-006

    Quality assurance

    Release checks, deviations and corrective actions.

    RM-007

    Equipment

    Equipment identity, qualification and maintenance.

    RM-008

    Change control

    Governance of proposed versions and their approval.

    Reference manual integration

    Architecture only
    • RM-001Ingredient librarySingle source for every constituent used in a formulation.
    • RM-002Formula matrixComposition matrix across families and versions.
    • RM-003Approved materialsQualified raw materials and their specifications.
    • RM-004InventoryMaterial positions, lots and expiry tracking.
    • RM-005ManufacturingProcess documentation and manufacturing instructions.
    • RM-006Quality assuranceRelease checks, deviations and corrective actions.
    • RM-007EquipmentEquipment identity, qualification and maintenance.
    • RM-008Change controlGovernance of proposed versions and their approval.
    • RM-009StabilityStability programme and observation intervals.
    • RM-010Clinical outcomesStructured observation framework for practitioners.

    Chapter 10

    QR patient information

    The label surface, generated from the digital record: what the formulation is, its timeline, application areas, safety and quality assurance.

    The label surface of the record, generated from the digital record so patient information can never drift from the documentation.

    Documentation metadata+

    Chapter 10 — related anatomy

    Sacral basePosterior superior iliac spine lineGluteal fold

    Related documents

    Appendix DQR standardReserved

    Future references

    • Printed QRReservedProduction-ready QR code bound to the published version.

    Documentation

    Downloads

    • DUO application protocolsPDF · 1.8 MB · ProfessionalRequest →
    • Composition and ingredient indexPDF · 0.9 MB · OpenRequest →
    • QR label packZIP · 6.1 MB · ProfessionalRequest →

    Label

    QR resources

    Each package carries a QR code that resolves to this documentation record in the reader's language, together with the composition index and the current application protocol. Codes are versioned, so updated documentation reaches practitioners without relabelling.

    Resolves to /products/sx-duo

    QR information

    Label resource
    Current QR resolves to
    /products/sx-duo
    Current version
    1.2
    Last update
    2025-12
    Batch number
    SX-2512

    Storage information

    Store closed, upright and away from direct sunlight. Storage conditions are documented on the label and repeated here without alteration.

    Professional information

    Professional reading opens the complete monograph: anatomy, composition architecture, protocol and revision record.

    Patient information

    Essential reading describes what the composition is, where it is applied and in which order, without clinical interpretation.

    • Multilingual QR contentReservedReserved: Dutch, English, French and German resolution of the same record.

    Chapter 11

    Professional documentation

    The controlled document set of this record: references, questions, governance and search metadata.

    The document hub of the record. Each document exists once in the controlled set and is referenced from here.

    Documentation metadata+

    Chapter 11 — related anatomy

    Declared; content in preparation.

    Future references

    • Digital signatureReservedSigned approval attached to the published version.

    Education

    Educational references

    • Surface field mapping — method noteLandmark-based definition of application fields.SIRIAM LAB, internal documentation
    • Segmental innervation referenceDermatome, nerve and metamer objects used by this record.SIRIAM LAB Neuro Atlas dataset

    FAQ

    Frequently asked questions

    Is this a medicinal product?

    No. SIRIAM formulations are cutaneous topical compositions. They are described by application region and composition, not directed at a therapeutic indication but rather at regulation of the nervous system. EMG validation will need to support this further in the future.

    Who determines the application region?

    The region is identified by a healthcare professional using anatomical landmarks and surface maps. Our documentation supports that conversation.

    Can the formulation be combined with other routines?

    Combination and sequencing are decided together with the treating professional. We document composition, application and response.

    Document hub

    One source per document

    Handbook placement

    Chapter
    SX DUO record
    Subchapter
    Anatomy, purpose, protocol, composition, documentation

    Citations

    • CitationsReservedFormal citation of this record inside handbook chapters.

    Document hierarchy

    Individually version-controlled
    1. HB-SXHandbook chapter — scientific master
    2. SDR-001Digital record — presentation source
    3. PF-009Product formula — formulation master
    4. INGIngredient cards — derived from the formula
    5. SUPSupplier links — RM-003 relationship
    6. SOP-009Manufacturing record
    7. RMReference manuals — relationships only
    8. ATLASNeuro Atlas — anatomical relationships
    9. RESEARCHResearch modules
    10. QRQR record — patient presentation

    Every document carries its own version. Revising the formula does not modify the digital record; revising the manufacturing record does not modify the formula.

    Governance of this record

    Responsible author
    SIRIAM LAB documentation team
    Scientific reviewer
    Scientific review board
    Approval status
    Approved
    Release date
    2026
    Revision date
    2025-12
    Digital signature
    Reserved

    Record metadata

    Prepared for search

    Region

    sacrum

    Dermatomes

    S1S2S3S4

    Peripheral nerves

    superior-glutealpudendal

    Plexus

    sacral

    Metamers

    S1S2S3S4

    Clinical goal

    Regional comfort routineStructured daily applicationLong-format protocol

    Ingredients

    Aqua baseGlycerinShea butterPanthenolTocopherol

    Therapeutic category

    Cutaneous topical composition

    Product family

    SX DUO

    Current version

    1.2

    Documentation

    SIR-SX-01

    Research

    method-overviewsurface-mapping

    SDR header — product identity

    SDR-001 · v1.0 · Frozen

    The identification block of the record. Every renderer reads these fields; none of them is restated elsewhere.

    Product name

    SX DUO

    Product code

    SX

    Product family

    DUO

    Product category

    Cutaneous topical composition

    Current formula version

    1.2

    Documentation version

    1.0

    QR version

    1.2

    Scientific status

    Established

    Documentation status

    Documented

    Clinical status

    Documented — cutaneous topical composition, no therapeutic claim

    Approval status

    Approved

    Last revision

    2025-12

    Responsible institute

    SIRIAM LAB — European institute for neurodermal science

    Responsible author

    SIRIAM LAB documentation team

    Scientific reviewer

    Scientific review board

    Current language

    English (EN)

    Additional languages

    ReservedDutch, French and German resolution of the same record.

    Product identifier

    SIR-SX-01

    Executive summary

    SDR-001

    The reading entry of the record: what the composition is for, in professional and in patient language.

    Purpose

    A two-step concept for the sacral plate, one of the most clearly delimited surface fields of the posterior body.

    Clinical goal

    Regional comfort routineStructured daily applicationLong-format protocol

    Primary anatomical region

    sacrum

    Primary therapeutic objective

    Documented cutaneous topical composition for the sacral surface field, S1–S5.

    Professional summary

    SX DUO is documented as a cutaneous topical composition for the sacrum application field. This summary is maintained by the documentation team and updated with each revision of the record.

    Patient summary

    Sacral application concept designed for the lower posterior pelvic surface.

    Keywords

    SX DUODUOsacrumS1S2S3S4sacral

    Anatomical record

    SDR-001

    Anatomy is held once in the Neuro Atlas. This section declares which atlas objects the record belongs to.

    Primary region

    sacrum

    Body region

    sacrum

    Dermatomes

    S1S2S3S4

    Peripheral nerves

    superior-glutealpudendal

    Plexus

    sacral

    Metameres

    S1S2S3S4

    Neurocutaneous territories

    sacrallumbosacral

    Embryological layer

    ReservedSegmental embryological derivation of the field.

    Related regions

    sacrum

    Future EMG mapping

    ReservedFunctional EMG dataset linked to the segmental levels of this record.

    Future SRST mapping

    ReservedSegmental reflex surface topography mapping.

    Future atlas reference

    ReservedVolumetric atlas reference of the application field.

    Clinical record

    SDR-001

    The documented boundaries of the record. Statements are descriptive; no therapeutic effect is claimed.

    Clinical objective

    A two-step concept for the sacral plate, one of the most clearly delimited surface fields of the posterior body.

    Primary indications

    Regional comfort routineStructured daily applicationLong-format protocol

    Secondary indications

    sacrallumbosacral

    Contraindications

    Not applied to broken, irritated or recently treated skin, nor to the eye region. Documented per session by the treating professional.

    Warnings

    Cutaneous topical composition. Information is provided for education and professional reference; it is not medical advice and implies no therapeutic effect.

    Expected response

    Sensory and cutaneous topical observations only, recorded in the professional log so successive periods remain comparable.

    Treatment phase

    Phase 1 — ReleasePhase 2 — IntegrationMaintenance — Continued routine

    Evidence status

    ReservedGraded evidence classification per documented statement.

    Professional notes

    Cutaneous topical composition; the application field is defined by the treating professional.Application is documented per session so routines remain comparable over time.

    Patient notes

    Apply step one across the sacral plate.Allow the layer to settle.Apply step two over the same field.

    Application record

    SDR-001

    The reproducible application of the record: field, sequence, cadence and handling.

    Application zone

    Sacral basePosterior superior iliac spine lineGluteal fold

    Application method

    01 — Field02 — Pressure03 — Cycle

    Treatment frequency

    Week 1–2 · 1–2 applications per day

    Treatment duration

    Until phase 2 is introduced

    Maintenance

    The routine is continued at a reduced cadence and reviewed with the practitioner at agreed intervals. Observations stay in the professional log so successive periods remain comparable.

    Patient instructions

    Apply step one across the sacral plate.Allow the layer to settle.Apply step two over the same field.

    Professional instructions

    Between the posterior superior iliac spines and the coccyx.Light, even contact without mechanical pressure.Structured in defined cycles agreed in advance.

    Storage

    Stored closed, upright and away from direct sunlight. Storage conditions are documented on the label and repeated here without alteration.

    Shelf-life

    ReservedStability programme of RM-009 determines the documented shelf-life.

    Packaging

    DUO presentation; batch SX-2512.

    Formulation record

    SDR-001

    The current formula is read-only. A proposed successor is held alongside it and never merged into it.

    Formulation philosophy

    Formulation philosophy: composition is selected for a defined surface field and a reproducible application sequence. The record documents composition and application only; no physiological or therapeutic mechanism is claimed.

    Scientific rationale

    The sacral surface projection is bounded by the posterior superior iliac spines above and the gluteal folds below, corresponding to the S1–S4 segmental territories.

    Current formula

    1.2 — Current approved composition.

    Mechanism

    Formulation philosophy: composition is selected for a defined surface field and a reproducible application sequence. The record documents composition and application only; no physiological or therapeutic mechanism is claimed.

    Manufacturing notes

    ReservedProcess documentation held in RM-005.

    Quality notes

    ReservedRelease checks and deviations held in RM-006.

    Current PF

    PF-SX-1.2

    Current formula version

    1.2

    Future formula

    ReservedNo proposed successor is currently held for this record.

    Future change request

    ReservedChange requests are governed by RM-008.

    Ingredient table

    Read-only — current formula
    ConstituentAqua base
    RoleCarrier phase
    PurposeSets the water phase that determines spreadability across a defined surface field.
    CategoryCarrier system
    ConstituentGlycerin
    RoleMoisture binding
    PurposeKeeps the applied layer supple so the same field can be worked repeatedly without dryness on the skin surface.
    CategoryHumectant
    ConstituentShea butter
    RoleSkin-feel and occlusive body
    PurposeGives the texture enough body to stay on the applied zone rather than running along the hairline.
    CategoryEmollient
    ConstituentPanthenol
    RoleSurface conditioning
    PurposeDocumented as a conditioning constituent of the cutaneous topical base; contributes to a smooth, non-tacky finish.
    CategoryConditioning agent
    ConstituentTocopherol
    RoleFormulation stability
    PurposeProtects the lipid fraction over the shelf life of the record so successive batches stay comparable.
    CategoryAntioxidant stabiliser

    Documentation record

    SDR-001

    Each document exists once in the controlled set and is referenced from here; nothing is duplicated.

    Product formula

    PF-SX-1.2

    Reference manuals

    RM-01 — Anatomical reference manualRM-02 — Formulation record manual

    Standard operating procedures

    SOP-01 — Application documentationSOP-02 — Record revision and approval

    Appendices

    Appendix A — TerminologyAppendix B — Identifiers and codes

    Handbook chapters

    Part IV — Formulation records · SX DUO record

    Downloads

    dl-protocol-duodl-ingredientsdl-qr

    Scientific references

    Surface field mapping — method note — SIRIAM LAB, internal documentationSegmental innervation reference — SIRIAM LAB Neuro Atlas dataset

    QR information

    /products/sx-duo

    Version history

    1.0 · 2026

    Connected knowledge

    SDR-001

    The record as a node of the knowledge network. Relationships are declared here and resolved by the graph.

    Related products

    inflammasacratlo-duoplexus-lumbalis

    Related anatomical structures

    region: sacrumplexus: sacralnerve: superior-glutealnerve: pudendalmetamer: S1metamer: S2metamer: S3metamer: S4

    Related dermatomes

    S1S2S3S4

    Related peripheral nerves

    superior-glutealpudendal

    Related plexuses

    sacral

    Related ingredients

    Aqua baseGlycerinShea butterPanthenolTocopherol

    Related publications

    Scientific publications

    Related research

    method-overviewsurface-mapping

    Related RM

    RM-01RM-02

    Related SOP

    SOP-01SOP-02

    Future clinical cases

    ReservedStructured practitioner observations connected to this record.

    Future AI suggestions

    ReservedAutomatically proposed relationships, reviewed before publication.

    QR record

    SDR-001

    The product page is the official destination of every QR code printed on the packaging.

    QR status

    Active

    QR version

    1.2

    QR URL

    /products/sx-duo

    QR created

    2026

    QR last updated

    2025-12

    Current batch

    SX-2512

    Current product version

    1.2

    Patient information

    Essential reading describes what the composition is, where it is applied and in which order, without clinical interpretation.

    Professional information

    Professional reading opens the complete monograph: anatomy, composition architecture, protocol and revision record.

    Version record

    SDR-001

    The current version is never overwritten. Every superseded version is archived and retained.

    Current version

    1.2

    Previous version

    None recorded

    Next planned version

    ReservedNo successor is currently planned.

    Revision date

    2025-12

    Change requests

    ReservedChange control is governed by RM-008.

    Approval workflow

    Current → proposed → scientific review → approval → publication → archive.

    Archive

    1 documented version retained.

    Archive

    Retained
    Version1.0
    Date2026
    ChangeInitial documentation record published in the Product Library.

    Search metadata

    SDR-001

    The flat index of the record, prepared for platform search and future APIs.

    Region

    sacrum

    Dermatomes

    S1S2S3S4

    Peripheral nerves

    superior-glutealpudendal

    Plexus

    sacral

    Metamers

    S1S2S3S4

    Clinical goal

    Regional comfort routineStructured daily applicationLong-format protocol

    Ingredients

    Aqua baseGlycerinShea butterPanthenolTocopherol

    Therapeutic category

    Cutaneous topical composition

    Product family

    SX DUO

    Current version

    1.2

    Documentation

    SIR-SX-01

    Research

    method-overviewsurface-mapping

    Digital relationships

    Architecture only
    • PFProduct formula card PF-SX-1.2In preparationOne formula card per version; referenced, never duplicated.
    • RM-001Ingredient libraryReservedSingle source for every constituent used in a formulation.
    • RM-002Formula matrixReservedComposition matrix across families and versions.
    • RM-003Approved materialsReservedQualified raw materials and their specifications.
    • RM-004InventoryReservedMaterial positions, lots and expiry tracking.
    • RM-005ManufacturingReservedProcess documentation and manufacturing instructions.
    • RM-006Quality assuranceReservedRelease checks, deviations and corrective actions.
    • RM-007EquipmentReservedEquipment identity, qualification and maintenance.
    • RM-008Change controlReservedGovernance of proposed versions and their approval.
    • RM-009StabilityReservedStability programme and observation intervals.
    • RM-010Clinical outcomesReservedStructured observation framework for practitioners.
    • SOP-01Application documentationPublishedProcedure referenced by this record.
    • SOP-02Record revision and approvalIn preparationProcedure referenced by this record.
    • Appendix ATerminologyPublishedControlled appendix of the documentation set.
    • Appendix BIdentifiers and codesPublishedControlled appendix of the documentation set.
    • ATLASNeuro AtlasPublishedAnatomical objects of this record.
    • HANDBOOKPart IV — Formulation recordsPublishedHandbook placement of this record.
    • QRQR resourcePublishedOfficial destination of the printed QR code.
    • PUBScientific publicationsReservedPublications citing this record.

    Chapter 12

    Knowledge graph

    This record as a node of the knowledge network: products, anatomy, atlas structures, ingredients and documents.

    This record as a node of the knowledge network: related products, anatomy, research, handbook parts and documents.

    Documentation metadata+

    Chapter 12 — related anatomy

    S1S2S3S4

    Future references

    • AI suggestionsReservedAutomatically generated relationship proposals reviewed before publication.
    • Clinical casesReservedCase records connected to this formulation.

    Research

    Related research modules

    Chapter 13

    Version history

    Current version, previous versions, change requests, scientific review, approval, publication and archive.

    Version control of the record: current version, previous versions, change requests, review, approval, publication and archive.

    Documentation metadata+

    Chapter 13 — related anatomy

    Declared; content in preparation.

    Related documents

    RM-008Change controlReserved

    Future references

    • ArchiveReservedImmutable archive of superseded versions.

    Record

    Version history

    1. v1.0 · 2026Initial documentation record published in the Product Library.

    Version record

    SDR-001

    The current version is never overwritten. Every superseded version is archived and retained.

    Current version

    1.2

    Previous version

    None recorded

    Next planned version

    ReservedNo successor is currently planned.

    Revision date

    2025-12

    Change requests

    ReservedChange control is governed by RM-008.

    Approval workflow

    Current → proposed → scientific review → approval → publication → archive.

    Archive

    1 documented version retained.

    Archive

    Retained
    Version1.0
    Date2026
    ChangeInitial documentation record published in the Product Library.

    Version lifecycle

    Traceability
    1. 01Current versionApproved and published; read-only.Published
    2. 02Proposed versionHeld alongside the current version, never merged into it.In preparation
    3. 03Scientific reviewReview of the proposal against the reference manuals.Reserved
    4. 04ApprovalFormal approval by the scientific reviewer.Reserved
    5. 05PublicationThe approved version becomes the current version.Reserved
    6. 06ArchiveThe superseded version is retained for traceability.Reserved

    The current version is never overwritten. A proposed version is held as a separate object; superseded versions are archived and retained.

    Chapter 14

    Appendices

    Supplier list, ingredient classification, document coding, QR standard and glossary.

    Supporting registers of the handbook: suppliers, ingredient classification, document coding, the QR standard and the glossary.

    Documentation metadata+

    Chapter 14 — related anatomy

    Declared; content in preparation.

    Future references

    • Supplier qualificationReservedQualification status per supplier, held in RM-003.

    Appendix A — Supplier list

    Derived from PF-009

    No supplier declared in the current formula record. Qualification status is held in RM-003.

    Appendix B — Ingredient classification

    Base
    Carrier phase determining spreadability and dermal contact time.
    Functional
    Constituent selected for the documented functional intent of the phase.
    Modulating
    Constituent adjusting tolerance, texture or release of the phase.
    Sensory
    Constituent determining the sensory signature of the application.

    Appendix C — Document coding

    HB-…
    Handbook chapter — the scientific master.
    SDR-…
    SIRIAM digital record — the digital product record.
    PF-…
    Product formula — the formulation master.
    SOP-…
    Standard operating procedure — the manufacturing master.
    RM-…
    Reference manual — the quality management master.

    Appendix D — QR standard

    Source
    Patient information is generated from the digital record; it is never written separately.
    Scope
    Product identity, treatment goal, timeline, application areas, safety and quality assurance.
    Binding
    Each published QR surface is bound to one approved record version.

    Appendix E — Glossary

    Neurodermal
    The relationship between segmental innervation and the cutaneous surface.
    DUO
    A sequential formulation applied in two documented phases.
    Metamere
    The segmental unit linking dermatome, myotome, sclerotome and viscerotome.
    SRST
    Segmental reflex surface topography.

    Quality system

    Version control

    The current composition and any proposed successor are documented side by side. Approval and change control are handled outside the platform.

    Current formula

    Approved
    Version
    1.2
    Revision date
    2025-12

    Current approved composition.

    Proposed formula

    Not issued

    No successor is currently proposed for this record.

    QR information

    Active
    QR target
    /products/sx-duo
    Batch reference
    SX-2512
    Record status
    Documented

    The QR code printed on the label resolves to this record. The product page is the single source of truth; printed material never carries content that is not documented here.

    Controlled documents →

    Continue

    Explore further

    Cutaneous topical formulation. Information is provided for education and professional reference; it is not medical advice and implies no therapeutic effect.

    Back to the ecosystem →

    Knowledge graph

    Related knowledge

    Everything connected to this formulation: anatomy, application zones, ingredients, protocols, research and documentation.