Characterization and Comparison Analysis of WHO Monographs on Selected Medicinal Plants and ISO Standards of Chinese Materia Medica

Chin J Integr Med. 2023 Jun;29(6):540-548. doi: 10.1007/s11655-022-3526-7. Epub 2022 May 4.

Abstract

Medicinal plants or Chinese materia medica (CMM) are now attracting worldwide attention as they have increasingly prominent advantages over chemical drugs in disease treatment and healthcare. Since the 1990s, World Health Organization (WHO) and International Organization for Standardization established the Technical Committee of Traditional Chinese Medicine (ISO/TC 249) have carried out the development of quality standards on medicinal plants or CMMs respectively, and a considerable number of monographs and international standards have been published. Since the two international organizations adhere to different principles, the standards they develop naturally have different emphasis. Driven by market demand and international trade, ISO mainly takes quality, efficacy and safety into consideration when developing standards, while WHO pays more attention to clinical practice, quality control and medication guidance. Up to now, there is a lack of comparative analysis on the records, background, principles, basic content, and main requirements of quality standards on medicinal plants or CMMs respectively published by WHO and ISO. Therefore, based on international standards of CMM developed by ISO/TC 249 platform and WHO Monographs on Selected Medicinal Plants, this paper systematically compares the purposes, selected principles, standard-developing process, basic content, and main quality requirements to summarize their similarities and differences, and find their merits, aiming to serve as a reference to the development of international standards for CMMs that helps them go global.

Keywords: Chinese materia medica; International Organization for Standardization; Technical Committee of Traditional Chinese Medicine; World Health Organization; international standards; medicinal plants.

MeSH terms

  • China
  • Commerce
  • Drugs, Chinese Herbal* / therapeutic use
  • Internationality
  • Materia Medica* / therapeutic use
  • Medicine, Chinese Traditional
  • Plants, Medicinal*
  • Reference Standards

Substances

  • Materia Medica
  • Drugs, Chinese Herbal