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Table 1 The brief history of TCM injections

From: Traditional Chinese medicine injections: where we are after 80-year development

Year

Events

Description

1941

Chaihu injection was successfully developed

Chaihu injection marked the birth of TCM injections

1954

Wuhan Pharmaceutical Factory put the Chaihu injection into production

The first industrially produced TCM injection in China

1960s–1980s

TCM injections increased sharply

TCM injection products reached up to 1400 in the 1980s

1990

Shuanghuanglian powder injection was developed and produced by industrialization

The first TCM powder injection

2006

Yuxingcao injection was urgently stopped in the clinic

Yuxingcao injection caused 2282 ADRs from 2006 to 2008, and 22 people died [14]

2007

Released Basic technical requirements for traditional Chinese medicine and natural medicine injections

Requirements in terms of safety, effectiveness and necessity

2009

Released Notice on Carrying out the Safety Re-evaluation of Traditional Chinese Medicine Injections

The first time to propose the re-evaluation of TCM injections

2010

Proposed seven technical principles to standardize and guide the safety re-evaluation of TCM injections

These principles involve evaluation of non-clinical research, clinical research, production process, quality control, enterprise’s ability to risk control, benefits and risks, risk management

2017

Released Opinions on Deepening the Reform of the Review and Approval System and Encouraging the Innovation of Drugs and Medical Devices

Strict the review and approval of injections; Carry out the re-evaluation of injections

2020

Some TCM injections were recommended by Diagnosis and Treatment Protocol to treat pneumonia

TCM injections were mainly used to treat severe and critical illness

2022

Lianbizhi injection was delisted from the TCM market

The first TCM injection to be delisted due to re-evaluation failure

  1. Regulations and policies released are in italics