PMID- 34596802 OWN - NLM STAT- MEDLINE DCOM- 20220127 LR - 20220127 IS - 1993-0402 (Electronic) IS - 1672-0415 (Linking) VI - 28 IP - 2 DP - 2022 Feb TI - Which Is Safer, Chinese Medicine or Western Medicine? Comparative Analysis Based on Chinese Spontaneous Reporting Database. PG - 138-144 LID - 10.1007/s11655-021-3340-7 [doi] AB - OBJECTIVE: To compare the safety differences between Chinese medicine (CM) and Western medicine (WM) based on Chinese Spontaneous Reporting Database (CSRD). METHODS: Reports of adverse events (AEs) caused by CM and WM in the CSRD between 2010 and 2011 were selected. The following assessment indicators were constructed: the proportion of serious AEs (PSE), the average number of AEs (ANA), and the coverage rate of AEs (CRA). Further comparisons were also conducted, including the drugs with the most reported serious AEs, the AEs with the biggest report number, and the 5 serious AEs of interest (including death, anaphylactic shock, coma, dyspnea and abnormal liver function). RESULTS: The PSE, ANA and CRA of WM were 1.09, 8.23 and 2.35 times higher than those of CM, respectively. The top 10 drugs with the most serious AEs were mainly injections for CM and antibiotics for WM. The AEs with the most reports were rash, pruritus, nausea, dizziness and vomiting for both CM and WM. The proportions of CM and WM in anaphylactic shock and coma were similar. For abnormal liver function and death, the proportions of WM were 5.47 and 3.00 times higher than those of CM, respectively. CONCLUSION: Based on CSRD, CM was safer than WM at the average level from the perspective of adverse drug reactions. CI - (c) 2021. The Chinese Journal of Integrated Traditional and Western Medicine Press and Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Wei, Jian-Xiang AU - Wei JX AD - School of Management, Nanjing University of Posts and Telecommunications, Nanjing, 210003, China. jxwei@njupt.edu.cn. FAU - Lu, Zhi-Qiang AU - Lu ZQ AD - School of Internet of Things, Nanjing University of Posts and Telecommunications, Nanjing, 210003, China. FAU - Feng, Guan-Zhong AU - Feng GZ AD - School of Internet of Things, Nanjing University of Posts and Telecommunications, Nanjing, 210003, China. FAU - Zhu, Yun-Xia AU - Zhu YX AD - School of Internet of Things, Nanjing University of Posts and Telecommunications, Nanjing, 210003, China. LA - eng PT - Journal Article DEP - 20211001 PL - China TA - Chin J Integr Med JT - Chinese journal of integrative medicine JID - 101181180 SB - IM MH - China MH - *Drug-Related Side Effects and Adverse Reactions/epidemiology MH - Humans MH - Injections MH - *Medicine, Chinese Traditional OTO - NOTNLM OT - Chinese medicine OT - Western medicine OT - adverse drug reaction OT - data analysis OT - drug safety EDAT- 2021/10/02 06:00 MHDA- 2022/01/28 06:00 CRDT- 2021/10/01 12:28 PHST- 2021/01/08 00:00 [accepted] PHST- 2021/10/02 06:00 [pubmed] PHST- 2022/01/28 06:00 [medline] PHST- 2021/10/01 12:28 [entrez] AID - 10.1007/s11655-021-3340-7 [pii] AID - 10.1007/s11655-021-3340-7 [doi] PST - ppublish SO - Chin J Integr Med. 2022 Feb;28(2):138-144. doi: 10.1007/s11655-021-3340-7. Epub 2021 Oct 1.