What are the precautions for using Xialing Suppositories?
Generally, Xiamiluan (Xiao Mi Shuan) is a topical gynecological medication primarily used to treat conditions such as cervical erosion and vaginitis. To ensure safe and effective use, it is essential to strictly follow guidelines. Key precautions include clearly identifying applicable conditions, mastering the correct method of administration, avoiding special physiological periods, monitoring local reactions, and maintaining proper care during treatment. The details are as follows:

1. **Identify Applicable Conditions**: This medication is suitable for leukorrhea caused by downward infiltration of damp-heat, manifesting as excessive vaginal discharge that is yellow, thick, foul-smelling, along with symptoms such as external genital itching and cervical erosion. It should not be used indiscriminately for gynecological issues caused by other syndromes (e.g., non-damp-heat patterns); an accurate diagnosis should be made first.
2. **Use the Correct Administration Method**: Before application, wash the external genitalia and hands thoroughly. Wear the provided finger cot and insert the suppository deep into the vagina. Some suppositories come with a cotton thread; if so, remove them after the specified time to avoid prolonged irritation. Follow the instructions in the package insert or as directed by a physician regarding frequency—do not increase the dose or frequency on your own.
3. **Avoid Special Physiological Periods**: The medication is contraindicated during menstruation and pregnancy. Use during menstruation may lead to infection, while use during pregnancy could potentially affect fetal health. Lactating women should only use the medication under medical supervision to prevent active ingredients from passing into breast milk and affecting the infant.
4. **Monitor Local Reactions**: If discomfort such as burning, redness, swelling, or worsening itching occurs in the external genital area after use, it may indicate drug irritation or an allergic reaction. Discontinue use immediately and rinse off any residual medication with clean water. Seek medical attention promptly if symptoms persist—do not attempt to endure them.
5. **Maintain Proper Care During Treatment**: Keep the external genital area clean and dry during treatment. Change cotton underwear frequently, and abstain from sexual intercourse to prevent cross-infection and compromised treatment efficacy. Avoid spicy, raw, cold, and greasy foods to reduce bodily irritation.
Xiamiluan must be used strictly according to medical advice or the product instructions. After completing the prescribed course, a follow-up examination should be conducted to evaluate treatment effectiveness. Store the medication in a cool, dry place away from direct sunlight and out of reach of children to prevent accidental ingestion.