CHINESE JOURNAL OF MEDICINAL GUIDE >
Status and Challenges of China’s Traditional Chinese Medicine Pharmacovigilance
Received date: 2025-09-04
Revised date: 2025-12-03
Accepted date: 2026-02-06
Online published: 2026-02-11
Objective: Enhance the safety of clinical use of Traditional Chinese Medicine (TCM) and promote the establishment of a pharmacovigilance monitoring system which match the characteristics of TCM.Methods: Using literature review and comparative research approach, this study summarized and analyzed the progress in establishing China's pharmacovigilance system for TCM. It also conducted a comparative analysis by drawing on the practical experiences of India, Japan, Europe, the United States, and ASEAN countries.Results: China has made initial progress in establishing a legal framework for pharmacovigilance of TCM, expanding monitoring networks, and conducting risk assessments and communication. However, the current system still faces issues such as incomplete monitoring coverage, limited technical methods, inadequate implementation of responsible entities, and low participation rates among medical institutions. Europe, the United States, India, Japan, and ASEAN countries possess distinctive features in database development, signal detection methodologies, and risk communication mechanisms, offering valuable insights for reference.Conclusion: The development of pharmacovigilance system for TCM is urgently needed. Future efforts should focus on advancing risk monitoring for TCM decoction pieces and granules, developing new tools and methods tailored to the characteristics of TCM, strengthening the primary responsibility of enterprises and medical institutions, and gradually forming a TCM pharmacovigilance model with Chinese characteristics. This will ensure the safe, effective, and rational use of TCM.
Jie YANG
,
Quanhui HOU
,
Guoping LEI
,
Erlong SI
,
Xiao HU
.
Status and Challenges of China’s Traditional Chinese Medicine Pharmacovigilance
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