冰黄肤乐软膏临床应用专家共识OA

SkinPro Ointment is an emulsion-based preparation derived from a traditional Tibetan medical empirical formula and developed using modern pharmaceutical technology.It is an exclusive patented product of Tibet Hairong Tangguo Pharmaceutical Co.Ltd.and has been listed as a National Protected Traditional Chinese Medicine Variety,the Pharmacopoeia of the People's Republic of China,and classified as a Category B product in the National Basic Medical Insurance Catalog.The ointment possesses the functions of clearing heat and drying dampness,activating blood circulation and dispelling wind,relieving itching and reducing inflammation.Clinically,it is used for skin pruritus caused by dampness-heat accumulation or blood-heat with wind-dryness,as well as pruritic skin diseases such as neurodermatitis,eczema,tinea pedis,and psoriasis.To clarify the standards for its clinical application and promote rational drug use,a consensus working group comprising 34 national experts in dermatology,evidence-based medicine,and pharmacy was established.Through expert interviews,the nominal group technique,and questionnaire surveys,15 clinical issues were identified.The Grading of Recommendations Assessment,Development and Evaluation(GRADE)evidence grading system was employed to assess the quality of evidence,leading to the formulation of the Expert Consensus on the Clinical Application of SkinPro Ointment.This consensus specifies that the intended users are physicians and pharmacists in medical institutions at all levels.It standardizes the clinical application of the ointment,including syndrome characteristics,dosage and course of treatment,combination therapy,precautions,and contraindications.Recommendations and consensus suggestions were formed addressing the 15 clinical issues,covering the following key areas:①Indications and TCM syndromes:In TCM,the ointment mainly treats conditions such as"damp sores"(Shichuang),"white scaling"(Baibi),"collar sores"(Shelingchuang),and"damp foot Qi"(Jiaoshiqi),corresponding to eczema,psoriasis,neurodermatitis,and tinea pedis in Western medicine.The relevant TCM syndromes are identified as dampness-heat accumulation or blood-heat with wind-dryness.②Usage and dosage:For external use,apply to the affected area 3 times daily.The dosage should follow the fingertip unit(FTU)principle.A treatment course of 1-2 weeks is recommended for mild to moderate cases;for serious cases,the course should be followed as prescribed by a physician.③Combined therapy:The ointment can be used as monotherapy for mild cases.For moderate to severe cases,combination therapy is recommended,with reference to relevant clinical guidelines.④Safety:Common adverse reactions include skin rashes,pruritus,and erythema.The ointment is contraindicated in patients with broken skin or obvious exudation at the affected area,as well as in patients with known hypersensitivity to any of its components.Contact with sensitive areas such as the eyes and oral mucosa should be avoided.Modern research shows that the ointment also has potential efficacy in other dermatological conditions,such as adult atopic dermatitis,tinea cruris,exfoliative keratolysis,acne vulgaris,and Malassezia folliculitis.This consensus provides a scientific basis for promoting the rational clinical use of SkinPro Ointment,improving its therapeutic efficacy,and reducing medication risks.Future updates will be dynamically revised according to emerging clinical issues and new evidence.