American Society of Hirudotherapy

Taiwan Food and Drug Administration

TFDA · Taiwan · asia pacific

Regulatory jurisdiction profileJurisdictional reference
Traditional medicinenational regulator

Taiwan's food and drug administration — leech preparations regulated under the Pharmaceutical Affairs Act with traditional Chinese medicine practice formally licensed under the Ministry of Health and Welfare.

Regulatory Profile

Agency type
national regulator
Region
asia pacific
Country
Taiwan
Leech status
traditional medicine
Last ASH review
2026-05-25

Relevant Regulation Codes

  • Pharmaceutical Affairs Act (藥事法)
  • Medical Devices Act (醫療器材管理法), 2020
  • Regulations on Pharmaceutical Affairs of Chinese Herbs (中藥業務管理辦法)

Prescriber Requirements

  • Western-medicine physician (MD) or Chinese-medicine physician (中醫師) — parallel licensure
  • Chinese-medicine physicians trained in leech application as part of formal TCM curriculum
  • Nurses apply under physician's order

Supply Chain & GMP

Medical Devices Act 2020 introduced formal device registration; dried leech preparations regulated as Chinese herbal pharmaceuticals.

Import/Export Rules

TFDA import licence + Bureau of Animal and Plant Health Inspection and Quarantine (BAPHIQ) clearance for live invertebrates. CITES paperwork as elsewhere.

Reimbursement Context

National Health Insurance (健保 / Jianbao) covers traditional Chinese medicine including selected leech-based formulations; live-leech procedural reimbursement variable.

ASH Editorial Notes

The Medical Devices Act 2020 created a separate regulatory pathway distinct from the Pharmaceutical Affairs Act, modernising Taiwan's framework. Leech preparations span both depending on intended use.

Related Jurisdictions

This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.