TCM Tests Daily Questions: Foundations Board Exam Prep

What is the pinyin name for a Thready, Fine, or Thin pulse? A. ru mai B. xi mai C. huan mai D. shu mai

the xi mai (thin pulse) is thinner than a normal pulse; this pusle indicates deficient blood or dampness with severe deficient qi; CAM writes that the xi mai (thready pulse) feels like a fine thread that is distinct and clear; it indicates a deficiency of qi and blood; it often manifests in patients with weak body constitutions in a prolonged disease arising from deficiency of blood and yin; there is insufficient yin and blood to fill the blood vessels and activate blood circulation -

A patient has poor appetite, loose stools, weak voice, shortness of breath, sweats easily after exertion, and a pale complexion. What tongue is expected? A. Pale, swollen and wet tongue B. Pale tongue C. Thick, greasy and white coating D. Greasy and yellow coating'

Pale Tongue: Spleen and Lung Qi Deficiency

What is the pinyin name for a Hollow, Scallion Stalk, or Green Onion refers pulse? A. ru mai B. huan mai C. kou mai D. shu mai

the kou mai (hollow pulse) is felt at the superficial level but when one presses to find the middle level the pulse is not there but with more pressure it is felt at the deep level; the kou mai is empty in the middle position; kou mai (hollow pulse) indicates hemorrhage or a forthcoming hemorrahge (hollow-rapid)

Using Lachman's Test for grading knee instability you find a 5-10 mm movement. What is this grade? A. 1+ B. 2+ C. 3+ D. 4+

grading for knee instability is as follows: 1+ (mild): 5 mm or less; 2+ (moderate): 5-10 mm; 3+ (serious): more than 10 mm.

A 54 year-old male has hypertension. His family physician treated him with acupuncture using the points GB-20 (feng chi), LI-11 (qu chi), and ST-36 (zu san li). Though his hypertension was improving, he was referred to you for further treatment. On interrogation he reports that he has dizziness. You notice that his eyes are blood shot. Which point would you add to the original prescription? A. LR-2 (xing jian) B. LR-3 (tai chong) C. KI-3 (tai xi) D. KI-2 (ran gu)

A. LR-2 (xing jian)

According to the Yuan-Luo/Host-Guest points which of the following treats Liver disorders? A. LR-3 (tai chong) GB-37 (guang ming) B. LR-5 (li gou) GB-40 (qiu xu) C. LR-3 (tai chong) GB-40 (qiu xu) D. LR-5 (li gou) GB-37 (guang ming)

A. LR-3 (tai chong) GB-37 (guang ming)

The three depths for the needle techniques of "Setting the Mountain on Fire" and "Penetrating Heaven-Coolness" are A. 0.5, 1.0, and 1.5 cun B. 0.3, 0.6, and 0.9 cun C. 1.0, 1.5, and 2.0 cun D. 0.1, 0.5, and 1.0 cun

A. 0.5, 1.0, and 1.5 cun

In an acupuncture practice, hands should be scrubbed and washed with soap and water for at least A. 10-20 seconds B. 30-40 seconds C. one minute D. 5-10 seconds

A. 10-20 seconds Source: use liquid soap; after the hands are washed, turn off the faucet using a paper towel - Clean Needle Technique, 7th Edition, page 71

Select what applies to TB-8 (san yang luo). A. 3 Arm Yang Group Luo Point B. Yin Wei Mai (Yin Linking Vessel) Point C. Yang Qiao Mai (Yang Heel Vessel) Point D. Xi-Cleft Point

A. 3 Arm Yang Group Luo Point

What is the location of the xi-cleft point of the hand yang-ming meridian? A. 5 cun above Large Intestine 5 B. 5 cun above Large Intestine 4 C. On the radial side of the index finger in the depression proximal to the head of the 2nd metacarpal bone D. 4 cun above Large Intestine 5

A. 5 cun above Large Intestine 5 Source: LI-7 - A Manual of Acupuncture, Deadman, 2nd Edition, page 109

All of the following CPT codes can be used to bill for auriculotherapy except A. 6415 B. 64550 C. 97032 D. 97781

A. 6415 Source: code 36415 is for blood draw; code 64550 can be used as auriculotherapy as TENS; code 97032 can be used for electrical stimulation with the therapist being present; code 97781 for acupuncture with electrical stimulation can also be used - Auriculotherapy Manual: Chinese and Western Systems of Acupuncture, 3rd Edition, Terry Oleson, page 153

Eczema rashes are best treated with which ear point? A. Adrenal B. Endocrine C. Skin D. Kidney

A. Adrenal

Deficiency and Excess are the two principles which are used to generalize the relative strength of A. Antipathogenic Qi and pathogenic Qi B. Qi and Blood C. Yin and Yang D. Pre-heaven and post-heaven Qi

A. Antipathogenic Qi and pathogenic Qi

A 37 year-old male has poor appetite, abdominal distension after eating, desire to lie down, and loose stools. Following the Five Element theory, which of the following taste recommendations would you give? A. Avoid sour foods and increase bitter foods B. Avoid pungent foods and increase salty foods C. Avoid salty foods and increase sour foods D. Avoid bitter foods and increase sweet foods

A. Avoid sour foods and increase bitter foods Source: the patient has Spleen Qi Deficiency; in using tastes to treat organ disharmonies, you want to avoid the taste of the controlling element and emphasize the taste of the generating element; for the Spleen-Earth element you avoid sour (Wood controls Earth) and emphasize bitter (Fire nourishes Earth); for the Lung-Metal element avoid bitter (Fire controls Metal) and emphasize sweet (Earth nourishes Metal); it is the same for the other elements; for the Liver-Wood element you avoid pungent (Metal controls Wood) and emphasize salty (Water nourishes Wood); for the Heart-Fire element you avoid salty (Water controls Fire) and emphasize sour (Wood nourishes Fire); for the Kidneys-Water element you avoid sweet (Earth controls Water) and emphasize pungent (Metal nourishes Water) - The Foundations of Chinese Medicine, Maciocia, 2015, page 40

The Pericardium, Heart, and Lung Divergent Channels separate from their primary channel at the A. Axilla B. Hand C. Foot D. Head

A. Axilla Source: the Pericardium Divergent separates below the axilla; the Heart Divergent and Lung Divergent separate at the axilla; - A Manual of Acupuncture, Deadman, 2nd Edition, page 210, 368, 418

The Small Intestine primary channel connects with all of the following organs EXCEPT A. Bladder B. Heart C. Stomach D. Small Intestine

A. Bladder

Which of the following points treats hernia? A. LR-1 (da dun) B. SP-1 (yin bai) C. BL-67 (zhi yin) D. SP-21 (da bao)

A. LR-1 (da dun)

A patient has sudden abdominal pain, diarrhea, and cold feelings. What is the diagnosis? A. Cold Invading Large Intestine B. Large Intestine Collapse C. Cold Large Intestine D. Dry Large Intestine

A. Cold Invading Large Intestine Source: this is an external, cold, full pattern; it is an acute pattern resulting from an exterior Cold pathogenic factor invading the Large Intestine; here the Cold pathogenic factor by-passes the skin and wei-qi layer and directly attacks the Large Intestine; other organs that can be directly attacked by exterior Cold are the Uterus, Stomach, and Large Intestine; as Cold contracts and slows the movement of qi, it can cause a sudden qi stagnation in the lower burner resulting in sudden abdominal cramps and pain; the Cold can interfere with the absorption of Fluids in the Large Intestine resulting in loose stools or diarrhea; in this pattern you can see a thick tongue coating and a deep-tight pulse - The Foundations of Chinese Medicine, Maciocia, 2015, page 694; 2005 Edition, page 653; 1989 Edition, page 280

A patient has fullness and distention just above the bladder area with pain referring to the genital area, and pain is improved with application of heat. What pulse is expected? A. Deep-Wiry-Slow pulse B. Slow pulse C. Tight-Weak pulse D. Deep pulse

A. Deep-Wiry-Slow pulse Source: the diagnosis is Stagnation of Cold in the Liver Channel; this pattern is due to exterior Cold invading the Liver channel; it is an Excess and Cold pattern; the expected pulse is a Deep-Wiry-Slow pulse; the Deep-Slow pulse reflects interior Cold and the Wiry pulse confirms that the Liver is involved; the expected tongue is a pale-wet tongue with a white coating; the Cold is reflected in the pale tongue and the white coating; the wet tongue is a reflection of there being not enough internal heat (due to the excess internal cold) to transform Body Fluids which show up as a wet tongue; the key symptoms are hypogastric pain that goes to the scrotum, cold hands-feet, and a wiry and deep pulse; the treatment principle is Clear the Liver and Expel Cold - The Foundations of Chinese Medicine, Maciocia, 2015, page 546; 2005 Edition, page 517; 1989 Edition, page 224

If a choking person is coughing forcefully, what should you do? A. Encourage patient to continue coughing B. Give abdominal thrusts C. Pat the person on the back forcefully D. Needle REN-22 (tian tu)

A. Encourage patient to continue coughing Source: DO NOT interfere if the person is coughing forcefully, able to speak, or is able to breathe in and out adequately; a strong cough can dislodge the object

A patient has abnormal uterine bleeding with a sudden onset of profuse and continuous blood flow which is deep red, insomnia and restlessness, red eyes, and chest distention. The tongue is red with yellow coating. The pulse is fast. What is the pattern? A. Excess Heat B. Phlegm-Heat C. Spleen Not Containing Blood D. Empty Heat Residing in Blood

A. Excess Heat

What are the entry and exit points for the gall bladder meridian? A. GB-1 (tong zi liao) GB-41 (zu lin qi) B. GB-1 (tong zi liao) GB-44 (zu qiao yin) C. GB-1 (tong zi liao) GB-43 (xia xi) D. GB-1 (tong zi liao) GB-42 (di wu hui)

A. GB-1 (tong zi liao) GB-41 (zu lin qi)

What are the indications for the point located about 1.5 cun proximal to the transverse crease of the wrist and superior to the styloid process? A. Headache, asthma, toothache B. Asthma, infantile convulsions, mastitis C. Pain in the chest, asthma, spasmodic pain of the elbow and arm D. Mastitis, toothache

A. Headache, asthma, toothache Source: LU-7 (lie que) - Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 139; 2nd Edition, 1999, page 137

All of the following pulses does have a forceful quality EXCEPT A. Intermittent pulse (dai mai) B. Tight pulse (jin mai) C. Wiry pulse (xian mai) D. Slippery pulse (hua mai)

A. Intermittent pulse (dai mai) Source: an intermittent pulse (dai mai) primarily refers to the rhythm of the pulse and not necessarily its strength; an intermittent pulse (dai mai) skips beats at a regular interval and indicates a serious Heart problem or that the zang fu are exhausted; a wiry pulse (xian mai) has taut feeling like a guitar string; a wiry pulse (xian mai) is strong and rebounds against pressure on all levels; a wiry pulse (xian mai) hits the fingers evenly without a wavelike quality; it indicates stagnation of qi and Liver disharmony; a tight pulse (jin mai) is a strong pulse that feels like it bounces from side to side like a tight rope; a tight pulse (jin mai) is fuller and more elastic than a wiry pulse (xuan mai); it indicates Excess, Cold, or Stagnation; a slippery pulse (hua mai) feels very smooth and wavy like a "slithering snake"; it indicates Excess, Dampness, Phlegm, or pregnancy - The Web That Has No Weaver, Kaptchuk, 2000, page 201

Our capacity for hard work and skilled, delicate activities are influenced by the A. Kidneys B. Heart C. Lungs D. Spleen

A. Kidneys

The Stomach primary channel begins at' A. LI-20 (ying xiang) B. ST-1 (cheng qi) C. BL-1 (jing ming) D. REN-24 (cheng jiang)

A. LI-20 (ying xiang) Source: he first point of the Stomach primary channel is ST-1 (cheng qi); however, the channel starts at LI-20 (ying xiang) from which it ascends to BL-1 (jing ming) and then traces the infra-orbital ridge to ST-1 (cheng qi) - A Manual of Acupuncture, Deadman, 2nd Edition, page 125

In 5-Element acupuncture, the exit point for the Lung meridian is A. LU-7 (lie que) B. LU-11 (shao shang) C. 'LU-8 (jing qu) D. LI-1 (shang yang)

A. LU-7 (lie que) Source: the entry and exit points are not necessarily the first and the last points on a meridian; the exceptions are LU-7, LI-4, ST-42, KI-22, PC-8, TB-22 and GB-41; entry/exit points are not often used in 8 principle school of acupuncture; Five Element (Worsley) style of acupuncture uses them extensively; they are used to allow a relative excess or deficiency in one meridian to be offset by its yin-yang paired meridian; if you want to drain an excess from the Lung meridian and have it flow into a deficient Large Intestine meridian, then LU-7 and LI-4 are needled - http://www.yinyanghouse.com/acupuncturepoints/theory_entryexit#chart

The Liver primary channel connects with which zang fu? A. Liver, Gall Bladder, Lung, Stomach B. Liver, Gall Bladder, Spleen, Stomach C. Liver, Gall Bladder, Spleen D. Liver, Gall Bladder, Spleen, Lung, Stomach

A. Liver, Gall Bladder, Lung, Stomach

The Liver channel connects with the Liver and Gall Bladder zangfu as well as the A. Lung and Stomach B. Lung and Spleen C. Kidneys and Heart D. Spleen and Kidneys

A. Lung and Stomach Source: the Liver channel circles the genitals, enters the lower abdomen to connect with REN-2, REN-3, and REN-4, continues up and curves around the Stomach before entering the Liver and connecting with the Gall Bladder from where it crosses the diaphragm, spread in the hypochondriac region to ascend to the eye and then to the vertex; another internal branch starts at the Liver, crosses the diaphragm and spreads in the Lung to meet with PC-1 - A Manual of Acupuncture, Deadman, 2nd Edition, page 470

What is the method of needling the second Bladder line above L1? A. Obliquely 0.3 to 0.5 cun B. Obliquely 0.5 to 1 cun C. Perpendicularly 0.5 to 0.7 cun D. Perpendicularly 0.3 to 0.5 cun

A. Obliquely 0.3 to 0.5 cun Source: this is BL-41 to BL-50; deep perpendicular or deep oblique in a medial direction BL-41 to BL-50 can cause pneumothorax; deep perpendicular needling can injure the kidneys - Deadman, 2nd Edition, page 301-309

According to CAM, what is the correct method to needle KI-23 (shen feng)? A. Obliquely 0.3-0.5 cun B. Perpendicular 0.5-0.8 cun C. Transverse 1.0-1.5 cun D. Perpendicular 0.3-0.5 cun

A. Obliquely 0.3-0.5 cun Source: 1 cun along the intercostal space; deep perpendicular or oblique needling may puncture the lung - CAM, 3rd Edition, page 191; Deadman, 2nd Edition, page 360 says transverse-oblique 0.5 cun

Which of the following ear points prevents motion sickness, treats headache, dizziness, treats eye diseases, neuropsychiatric disorders, and locked jaw? A. Occiput B. Shen men C. Eye D. Stomach

A. Occiput it is located on the posterior, superior part of the antitragus

All of the following xi-cleft points treat menstrual disorders EXCEPT A. PC-4 (ximen) B. KI-8 (jiaoxin) C. SP-8 (diji) D. KI-5 (shuiquan)

A. PC-4 (ximen) Source: PC-4 treats bleeding in the upper burner (vomiting blood, coughing blood, epistaxis) and alleviates chest pain arising from blood stasis; KI-8, xi-cleft of Yin Motility Vessel, treats irregular menstruation, dysmenorrhea, uterine bleeding, and amenorrhea; SP-8 resolves blood stasis in the uterus and treats dysmenorrhea and irregular menstruation; KI-5 treats amenorrhea, dysmenorrhea, and delayed menstruation; further, LR-6 treats blood stasis in the uterus - A Manual of Acupuncture, Deadman, 2nd Edition, page 39

Which Pericardium point separates from the channel to connect with TB-1 (guan chong)? A. PC-8 (lao gong) B. PC-9 (zhong chong) C. PC-7 (da ling) D. PC-6 (nei guan)

A. PC-8 (lao gong) at PC-8 (lao gong) the Pericardium primary channel has the main branch go to PC-9 (zhong chong) and another branch separates to connect with the Triple Burner primary channel at TB-1 (guan chong)

What are the indications of the point located in the depression between the 4th and 5th metacarpal bones, where the tip of the little finger rests when a fist is made? A. Palpitation, dysuria, pruritus of the external genitalia B. Cardiac pain, mental disorder, vomiting, nausea C. Cardiac pain, palpitation, aphasia with stiffness and swelling of the tongue D. Palpitation, mania, febrile diseases

A. Palpitation, dysuria, pruritus of the external genitalia Source: HT-8 (shaofu) - Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 164; 2nd Edition, 1999, page 166

Which hand jue yin channels connect with the upper, middle, and lower jiaos? A. Pericardium primary and Pericardium divergent channels B. Pericardium primary and Pericardium luo-connecting channels C. Pericardium divergent and Pericardium muscle channels D. Pericardium muscle and Pericardium luo-connecting channels

A. Pericardium primary and Pericardium divergent channels

The Occiput ear point is located on the A. Posterior, superior part of antitragus B. Anterior, inferior part of tragus C. Posterior, superior part of helix D. Anterior, inferior part of antihelix

A. Posterior, superior part of antitragus Source: the occiput point is used for sedation and analgesia; easing the mind, removing wind; it is indicated for dizziness, insomnia, headache, etc; CAM, 2010 Edition, pages 516

The side effect of anti-epileptic drugs (Dilantin, Neurontin, Klonopin)) can indicate that they can induce which of the following TCM patterns? A. Qi and Blood Vacuity and Vacuity Heat B. Spleen Qi Vacuity with Dampness Accumulation C. Kidney Water Insulting the Heart D. 'Kidney Vacuity, Water Spilling Over

A. Qi and Blood Vacuity and Vacuity Heat Source: this class of drugs treat epileptic seizures; these western drugs are posited to have the TCM classification of draining and attacking medicinals that extinguish Wind, and stop tremors; the side effects from these drugs include headache, dizziness, confusion, ataxia, hallucinations, fatigue, blurry vision, alopecia, tremors, agitation, urticaria, nausea and vomiting, and somnolence; from the side effects it can be posited that these drugs suggest qi vacuity (fatigue, somnolence, confusion, ataxia, dizziness) and Blood vacuity (blurry vision, tremors, alopecia); urticaria suggests that the qi and Blood vacuity is mixed with external Wind; the agitation suggests heat arising from yin-Blood vacuity; the patterns belonging to the side effect of headache are too numerous to definitely pinpoint - Integrated Pharmacology, Sperber and Flaws, 2007, page 357-358

Which point location is correct? A. REN-15 (jiu wei) is located 1 cun below the sternocostal angle B. ST-1 (cheng qi) is located above the eyeball C. SP-11 (ji men) is located above the aorta D. ST-16 (ying chuang) is located below the liver

A. REN-15 (jiu wei) is located 1 cun below the sternocostal angle Source: ST-1 is located below the pupil; SP-11 is located near the femoral artery; ST-16 is located in the 3rd intercostal space

Which point Regulates the intestines and transforms stagnation; Clears damp heat and alleviates diarrhea and dysenteric disorder; Regulates the Spleen and Stomach; and Activates the channel and alleviates pain? A. ST-37 (shangjuxu)' B. ST-39 (xiajuxu) C. ST-38 (tiaokou) D. LI-11 (quchi)

A. ST-37 (shangjuxu)' Source: lower he-sea point and sea of blood point; ST-37 (shangjuxu) is a main point for treating intestinal problems (especially diarrhea and dysentery) whether due to deficiency or excess conditions; ST-37 (shangjuxu) also clears intestinal obstructions and stagnations (distension, constipation); being so close to ST-36 (zusanli), ST-37 (shangjuxu) has a beneficial effect in tonifying and regulating the Stomach and Spleen; ST-37 (shangjuxu) moves the qi and blood in the lower leg and can be used to treat leg atrophy, hemiplegia, leg pain, etc. whether due to excess or deficiency - A Manual of Acupuncture, Deadman, 2nd Edition, page 162

Select what applies to both DU-14 (da zhui) and DU-15 (ya men). A. Sea of Qi Points B. Sea of Yang Points C. Window of Sky Points D. Ghost Points

A. Sea of Qi Points

Which pulse only indicates Deficient Qi? A. Short pulse (duan mai) B. Thin pulse (xi mai) C. Soggy pulse (ru mai) D. Thin pulse (xi mai)

A. Short pulse (duan mai) Source: a short pulse (duan mai) is categorized according to length; this pulse does not fill all the horizontal positions under the fingers and is felt, usually, only in one position under the fingers; a short pulse (duan mai) indicates Deficient Qi; a minute pulse (wei mai) is a very fine and soft pulse; it is just perceptible and feels like it is about to disappear; this pulse indicates an extreme deficiency; a thin pulse (xi mai) is categorized according to width; a thin pulse (xi mai) is like a fine thread but still very distinct and clear in contour; this pulse indicates a Deficiency of Blood or Qi unable to fully fill the pulse; a soggy pulse (ru mai) is a combination of a thin pulse (xi mai), an empty pulse (xu mai), and a floating pulse (fu mai); a soggy pulse (ru mai) indicates Deficient Blood, Deficient Jing or Dampness - The Web That Has No Weaver, Kaptchuk, 2000, page 201

Select what applies to BL-65 (shu gu). A. Shu-Stream Point, Wood Point, Sedation Point B. Shu-Stream Point, Wood Point, Yang Qiao Mai (Yang Heel Vessel) Point C. Wood Point, Sedation Point D. hu-Stream Point, Wood Point, Yang Wei Mai (Yang Linking Vessel) Point

A. Shu-Stream Point, Wood Point, Sedation Point

If upon palpation, the lower abdomen feels very soft and flaccid this can indicate A. Spleen and Kidney Deficiency B. Spleen and Stomach Deficiency C. Dampness D. Qi stagnation

A. Spleen and Kidney Deficiency Source: the texture of a healthy abdomen feels relatively soft with light pressure and firm with deeper pressure; when the lower abdomen is soft and flaccid it indicates a deficiency in the Spleen and Kidneys; this lower abdomen flaccidity can be seen in women who have had many children; when the epigastrium feels soft and flaccid it indicates a deficiency in the Spleen and Stomach; Dampness, Food Retention, Qi or Blood stagnation, which are excess/full conditions, are associated with a hard abdomen on palpation; in the case of Qi stasis the patient would complain of abdominal distention; in the case of Dampness the patient would complain of abdominal pain; in the case of food retention the patient would complain of abdominal fullness - Diagnosis in Chinese Medicine, Maciocia, 2004, page 511

A patient has no appetite, hot sensations in the afternoon, dry stools, epigastric pain, desire to drink small sips, full feeling after eating, tongue without root, and floating-empty pulse on the right middle position. What is the Stomach zang-fu pattern? A. Stomach Yin Deficiency B. Blood Stasis in the Stomach C. Stomach Fire D. Stomach Phlegm-Fire

A. Stomach Yin Deficiency Source: this is Stomach Yin Xu (dry mouth/throat/stool, burning epigastric pain, fullness after eating) with Empty Heat (night sweating, afternoon fever); the floating-empty pulse and rootless coating can manifest in either (just Stomach Yin Xu or Stomach Yin Xu with Empty Heat); there are symptoms of dryness because the fluids (yin) originate in the Stomach; when the Stomach is deficient there can be symptoms of dryness; what is unique and typical about Stomach Yin Deficiency is the dry mouth with a desire to drink in small amounts; if the only sign is an absence of coating at the center of the tongue, is enough to make the diagnosis of Stomach Yin Deficiency; the treatment principle is Nourish Stomach Yin and Nourish Fluids - The Foundations of Chinese Medicine, Maciocia, 2015, page 658; 2005 Edition, page 622; 1989 Edition, page 268

Which primary channel meets with the Gall Bladder channel at GB-3 (shangguan), GB-4 (hanyan), GB-5 (xuanlu), and GB-6 (xuanli)? A. Stomach channel B. Bladder channel C. Liver channel D. Spleen channel

A. Stomach channel

Transformation of Cold into Heat results from A. Strengthening of the antipathogenic Qi and hyperactivity of Yang Qi B. Constitutional deficiency C. Exhaustion of Yang Qi D. Failure of the antipathogenic Qi in resisting the pathogenic factor

A. Strengthening of the antipathogenic Qi and hyperactivity of Yang Qi Source: the transformation of a cold syndrome to a hot syndrome starts as a cold syndrome first and then gradually changes to a hot syndrome; for example, a wind-cold pathogenic invasion (fever, aversion to cold, achy muscles, no sweating, superficial-tense pulse) can gradually transform to a hot syndrome when the cold pathogenic factor leaves the superficial layers and goes deeper in the body with the aversion to cold subsiding, the fever increasing, and with other symptoms of heat (irritability, thirst, constipation, yellow tongue coating, etc) manifesting; in this example, the antipathogenic qi strengthens to combat the pathogen which increases the yang qi (heat); initial heat syndromes can also transform into cold syndromes; a patient with an original presentation of high fever, sweating, thirst, and a rapid pulse can over time transform into a cold syndrome (cold limbs, pallor, and a weak-slow pulse, etc); when heat transforms to cold it is due to an exhaustion of yang qi in the course of illness with a failure of the antipathogenic qi in resisting the hot pathogenic factor - Chinese Acupuncture and Moxibustion, 3rd Edition, page 299; 2nd Edition, 1999, page 291

Which of the following hua tuo jia ji points treat the arms? A. T1-T3 B. T1-T8 C. T6-L5 D. L1-L5

A. T1-T3 Source: CAM, 3rd Edition, page 256; Deadman, page 575, says that the hua to points from T1-T4 treat disorders of the lungs and upper limb

What is the pinyin name for a Leathery, Drumskin, Tympanic, or Hard pulse? A. ge mai B. dai mai C. chi mai D. shu mai

A. ge mai Source: at the superficial level, the ge mai (leather pulse) feels hard and tight like the skin of a stretched drum but feels completely empty at the deep level; it is a large and not a thin pulse; this pulse indicates severe kidney essence deficiency or severe kidney yin deficiency - Foundations of Chinese Medicine, Maciocia, 2015, page 387

In 5-Element acupuncture,the exit point for the Triple Burner meridian is A. TB-22 (he liao) B. TB-23 (si zhu kong) C. TB-1 (guan chong) D. TB-5 (wai guan)

A. TB-22 (he liao) Source: the entry exit points are not necessarily the first and the last points on a meridian; the exceptions are LU-7, LI-4, ST-42, KI-22, PC-8, TB-22 and GB-41; entry/exit points are not often used in 8 principle school of acupuncture; Five Element (Worsley) style of acupuncture uses them extensively; they are used to allow a relative excess or deficiency in one meridian to be offset by its yin-yang paired meridian; if you want to drain an excess from the Lung meridian and have it flow into a deficient Large Intestine meridian, then LU-7 and LI-4 are needled - www.yinyanghouse.com/acupuncturepoints/theory_entryexit#chart

What is the primary reason the fire of the Heart descends A. To communicate with the water of the Kidneys B. To activate the Bladder C. To dry the mucus of the Intestines D. To cool its flame in the Large Intestine

A. To communicate with the water of the Kidneys

In the Cosmological sequence, which element is the beginning of the other elements? A. Water element B. Fire element C. Earth element D. Wood element

A. Water element Source: in the Cosmological sequence, the Water element is the foundation or the beginning of the other elements; this point of view corresponds to the importance of the Kidneys (Water) as the foundations and basis of yin and yang for all of the other body organs; as the Kidneys control Body Fluids, store Essence and Ming Men (Gate of Life), the Kidneys are the source of Fire and Water original yang and original yin) - The Foundations of Chinese Medicine, Maciocia, 2015, page 29

A 20 year-old male has an acute cough with white-watery sputum which is worse with the cold weather, has phlegm in the throat, dizziness, chest oppression, and a feeling of heavyness. Following the Five Element theory, which of the following point would you select? A. Water point on the Lung channel B. Earth point on the Lung channel C. Wood point on the Spleen channel D. Earth point on the Spleen channel

A. Water point on the Lung channel Source: this patient has Cold-Phlegm in the Lungs which is an excess condition; the Classic of Difficulties writes: "In case of Deficiency, tonify the Mother. In case of excess, sedate the Child." the Water point on the Lung channel is the point to select as Water is the Child of Metal - The Foundations of Chinese Medicine, Maciocia, 2015, page 39

Which element is preoccupied with work, is compelled to win, dreads confinement, seeks the perfect cause, dislikes conflicting purposes/choices/impulses, is obsessed with solutions/change/independence, and has an aversion to powerlessness/bondage/dependency?' A. Wood B. Fire C. Metal D. Water E. Earth

A. Wood

Select what applies to TB-15 (tian liao). A. Yang Wei Mai (Yang Linking Vessel) Point, Meeting Point with Gall Bladder Channel B. Yang Wei Mai (Yang Linking Vessel) Point, Meeting Point with Bladder Channel C. Yang Qiao Mai (Yang Heel Vessel) Point, Meeting Point with Gall Bladder Channel D. Yang Qiao Mai (Yang Heel Vessel) Point, Meeting Point with Bladder Channel

A. Yang Wei Mai (Yang Linking Vessel) Point, Meeting Point with Gall Bladder Channel

Which food treats edema, abdominal distention and fullness, weak back and knees, and deficient stomach and spleen? A. beef B. chicken C. lamb D. pork

A. beef Source: 'tonifies qi and blood, strengthens spleen and stomach, dispels dampness, relieves edema, strengthens bones and tendons - Tao of Nutrition, 2000, page 97

Which extra point is located on the palmar aspect of the forearm, at the midpoint between the transverse wrist crease and elbow crease, between the ulna and radius? A. bi zhong B. er bai C. wai lao gong D. zhong kui

A. bi zhong Source: bi zhong is translated as "middle of arm"; the midpoint of the cun division of the palmar part of the forearm is six cun; PC-4 (xi men) is just below at 5 cun from the wrist crease; bi zhong is situated directly above the median nerve; bi zhong opens the channel and luo; the point treats paralysis, spasms, upper arm contracture, forearm pain, and hysteria - Chinese Acupuncture and Moxibustion, 2010, page 261; Acupuncture: A Comprehensive Text, Benksy, 1981, page 247

Body hair is a part of the Cutaneous Regions. All of the following point to an accurate diagnosis EXCEPT A. body hair falling off indicates weak Kidney Qi B. brittle body hair indicates weak Lung Qi C. lustrous body hair indicates good Lung Qi D. strong and long body hair indicates good Qi and Blood

A. body hair falling off indicates weak Kidney Qi Source: body hair falling off indicates Lung Heat or Lung Qi Deficiency; head hair falling off indicates weak Kidney Qi; brittle body hair that easily breaks indicates weak Lung Qi; dull body hair also indicates weak Lung Qi; strong and long body hair indicates good Qi and Blood; short and weak body hair indicates a deficiency of Qi and Blood; with an invasion of Wind-Cold, the body hair can stand straight - The Channels of Acupuncture, Maciocia, 2006, page 358-359

Divergent channels are ____ than _____ channels. A. deeper/ primary B. more superficial / luo-connecting C. deeper / extraordinary D. more superficial / sinew

A. deeper/ primary Source: he sequence from most superficial to deepest channels: cutaneous regions > minute collaterals > sinew channels > luo-connecting channels > primary channels > divergent channels > extraordinary channels > deep pathways of primary and divergent channels - A Manual of Acupuncture, Deadman, 2nd Edition, page 12

Generally, when yin deep luo-connecting channels are injured there is a general tendency to bleed A. downward B. upward C. anteriorly D. posteriorly

A. downward Source: the deep luo are located below the primary channels; the deep connecting channels are associated with Blood and blood vessels; in many bleeding symptoms the deep connecting channels are involved; when the deep yang luo channels are injured there is generally, but not always, a tendency to bleed upward (nose, cough, vomit, under the skin); when the deep yin luo channels are injured there is generally, but not always, to bleed downward (stools, urine, uterus); luo connecting points can be selected for the treatment of bleeding; the yin luo points: LU-7 for blood in urine and coughing blood, SP-4 for blood in stools, HT-5 for uterine bleeding, KI-4 for uterine bleeding and coughing blood, LR-5 for uterine bleeding, and REN-15 for coughing blood; the yang luo points: LI-6 for nose bleeding, BL-58 for bleeding hemorrhoids, TB-5 for nose bleed, DU-1 for vomiting blood - Channels of Acupuncture, Maciocia, 2006, page 262

Diagonal folds in the skin of the ear lobe has been correlated with A. heart disease B. eye pathology C. dental disease' D. ear pathology

A. heart disease Source: the "New England Journal of Medicine" reported that having a crease running from the intertragic notch to the bottom of the ear lobe was more predictive of a heart problem than was blood pressure levels or blood cholesterol levels - Auriculotherapy Manual: Chinese and Western Systems of Acupuncture, 3rd Edition, Terry Oleson, page 135-136

From LI-6 (pianli), the luo-connecting channel travels to the A. jaw, teeth, and ear B. palm and thenar eminence C. nape of neck, head, and throat D. shoulder

A. jaw, teeth, and ear

All of the following pulses have a floating quality EXCEPT A. knotted pulse (jie mai) B. hollow pulse (kou mai) C. leather pulse (ge mai) D. soggy pulse (ru mai)

A. knotted pulse (jie mai)

The Pericardium primary channel ______________ in the chest, the Pericardium divergent channel ______________ the chest, and the Pericardium muscle channel ______________ in the chest. A. originates / enters / disperses B. originates / disperses / enters C. disperses / enters / originates D. disperses / originates / originates

A. originates / enters / disperses

Which of the following pulses has a choppy quality? A. scattered pulse (san mai) B. soggy pulse (ru mai) C. hasty pulse (cu mai) D. hidden pulse (fu mai)

A. scattered pulse (san mai)

In an externally contracted disorder, a thick coating with root is more serious than a coating without root in A. the initial and middle stages of the disease B. the later stages of the disease C. only the initial stage of the disease D. only the middle stage of the disease'

A. the initial and middle stages of the disease Source: in the first and middle stage of a disorder, a tongue with a rooted thick coating is a more severe condition than a tongue that has an unrooted coating; the early stage of a disease the pathogenic factors are fighting with the true qi of the body; a thick coating reflects strong pathogenic factors; a thick coating that is rooted always indicates that there is both a pathogenic factor and a relatively healthy true qi; the treatment principle is to expel/reduce the pathogenic factor; in the later stages of an external disease, a thick rootless tongue coating reflects serious overall weakness in the body qi and is a more ominous sign; a rootless tongue coating always reflects a weakening of the qi of the body; the treatment principle is to strengthen body\'s qi - Tongue Diagnosis in Chinese Medicine, Maciocia, 1995, page 94

Which of the following has an INCORRECT correspondence between the part of the eye and associated organ? A. the pupil / Heart B. the iris / Liver C. the sclera / Lungs D. the eyelids / Spleen

A. the pupil / Heart Source: The pupil is associated with the Kidneys. Both canthi are associated with the Heart. The theory of the Five Wheels is used in the diagnosis of eye disorders. It divides the eyes into five areas called Wheels. The BLOOD WHEEL is associated with the Heart and corresponds to both canthi. The Heart goversn the Blood. In the inner canthi are small openings (called palace of tears) from which tears flow and disperse essential qi that moistens and nourish the eyeball. The WIND WHEEL is asociated with the Liver and corresponds to the iris (black of the eye) and defends the pupil-spirit. The Liver governs Wind. The QI WHEEL is associated with the Lungs and corresponds to the sclera (whites of the eye) which protects the inner system of the eyeball. The Lungs govern qi. The WATER WHEEL is associated with the Kidneys and corresponds to the pupil-spirit which should be clear and bright, reflecting the importance to vision. The Kidneys govern water. The FLESH WHEEL is associated with the Spleen and corrresponds to the eyelids (top and bottom). The upper eyelid and the eye lashes help to protect the eyeball. The Spleen governs the muscles.

Which extra point benefits the eyes? A. this point is located along the inferior border of the eye orbit, at the junction of the lateral 1/4 and medial 3/4 of the infra-orbital margin B. this point is located at the temple, in the tender depression about 1 cun posterior to the midpoint between the lateral extremity of the eyebrow and the outer eye canthus C. this point is located at the highest point of the naso-labial groove D. this point is located at the back of the neck, 2 cun superior to DU-14 (da zhui) and 1 cun lateral to the midline

A. this point is located along the inferior border of the eye orbit, at the junction of the lateral 1/4 and medial 3/4 of the infra-orbital margin Source: this point is qiu hou; this point is used for eye problems including short-sightedness, eye inflammation, glaucoma, optic nerve atrophy, and strabismus - A Manual of Acupuncture, Deadman, 2nd Edition, page 566

There are three orthodox forms of cupping. These forms differ according to the A. time the cups are left on the skin B. types of cups (bamboo, ceramic, glass) C. size of the cups (small, medium, large) D. amount of suction used

A. time the cups are left on the skin Source: the three orthodox forms are "retained cupping", "momentary cupping", and "moving cup"; the most frequently used method is the retained cupping method where the cup is left in place from one to ten minutes; in the momentary cupping method, the cupping suction is released almost immediately after application with the process repeated for therapeutic effect to draw local blood congestion in the area; this method is often used for an underlying organ disharmony; the moving cup is used with some type of lubrication (oil, petroleum jelly) to move the cup over a large area; this method is normally used on the back where the muscles are thick - Japanese Acupuncture, 1998, Birch and Ida, page 182

Most external pathogenic factors enter the body through the skin (cutaneous channels). Wind-Heat can also enter the body A. via the nose and throat B. via the throat and ears C. directly into internal organs D. at the back of the neck

A. via the nose and throat Source: external wind, damp, cold, and heat can penetrate the interior of the body through cutaneous channels (skin); wind-heat also can penetrate the body via the mouth and throat and not through the skin; this is like in Western medicine in which respiratory viruses can cause a viral infection; external cold can directly invade the internal organs, by passing the skin; external cold can directly affect the Stomach, Intestines, and the Uterus; wind usually can enter the body at the neck via GB-20 (feng chi); the Cutaneous regions protect the body from external pathogens; when the wei qi is weak, the skin pores can be too open and result in the Cutaneous regions becoming prone to external invasions The Channels of Acupuncture, Maciocia, 2006, page 355

A person with wrinkly skin, large head, broad cheeks, narrow shoulders, large abdomen, and a long spine is a/an A. water type B. wood type C. fire type D. earth type E. metal type

A. water type

The Heart divergent channel connects A. with the Heart organ and the Small Intestine primary channel B. with only the Small Intestine primary channel C. with only the Heart organ D. with the Pericardium primary channel

A. with the Heart organ and the Small Intestine primary channel Source: all yang divergents connect with both zang and fu or internal/external channel pairs while only the Heart, Lungs and Kidneys of the yin divergent channels connect with both zang and primary yang channel - A Manual of Acupuncture, Deadman, 2nd Edition, page 16, 210

Which five shu-points have a greater action on disorders along the whole course of the channel? A. jing-well points B. ying-spring points and jing-well points C. ying-spring points D. he-sea points

All twelve ying-spring points act on their respective channel; like jing-well points, the ying-spring points have an action on the upper most areas of the channel; but, generally, unlike the jing-well points, the ying-spring points also have a greater action on disorders along the entire course of the channel; for example, both the jing-well point LI-1 and the ying-spring point LI-2 treat the upper end of the channel (head and face) but LI-2 can also treat shoulder stiffness and pain and the upper back; he-sea points are selected to treat fu organ patterns and skin disorders

A patient has excessive menstruation with with the two bar pulses that are surging, large, slippery, and rapid. This likely indicates A. Yin vacuity fire B. Blood heat in the penetrating and conception vessels C. Dampness D. Yang vacuity debilitation

B. Blood heat in the penetrating and conception vessels

Which pulse is described as slow, rough, and uneven like a knife scraping a bamboo? A. Knotted pulse (jie mai) B. Choppy pulse (se mai) C. Confined pulse (lao mai) D. Intermittent pulse (dai mai)

B. Choppy pulse (se mai)

Which Japanese needle gauge is the thickest? A. 00 B. 10 C. 1 D. 5

B. 10 Source: there are two gauge standardizations, Chinese and Japanese; the two are about the same EXCEPT that Japanese needles offer more thin needle sizes while Chinese needles offer more thicker needle sizes; while the Japanese gauge size number increases as the thickness increases, it is the other way for Chinese gauge size (the numbers decrease as the thickness increases); Japanese 8 gauge is equivalent to Chinese gauge 30; the Japanese gauges are: 00, 0, 1, 2, 3, 8, 10; the Chinese gauge are 40, 38, 36, 34, 32, 30, 28; there is no equivalent Chinese gauge for the Japanese 00; all of the preceding vary by manufacturer; these are just general trends

What is the location of the metal point of the foot shao-yin meridian? A. 2 cun above Kidney 3, 0.5 cun anterior to Kidney 7, and posterior to the medial border of the tibia B. 2 cun directly superior to Kidney 3 on the anterior border of tendo calcaneus C. 1 cun directly superior to Kidney 3 on the anterior border of tendo calcaneus D. 3 cun directly superior to Kidney 3 on the anterior border of tendo calcaneus

B. 2 cun directly superior to Kidney 3 on the anterior border of tendo calcaneus Source: KI-7 - A Manual of Acupuncture, Deadman, 2nd Edition, page 346

What is the location of lower he-sea point of the small intestine on the meridian of the foot yang-ming meridian? A. 8 cun inferior to Stomach 35, 2 cun inferior to Stomach 37, midway between Stomach 35 and Stomach 41 B. 9 cun inferior to Stomach 35, 3 cun inferior to Stomach 37 C. 9 cun inferior to Stomach 36, 3 cun inferior to Stomach 37 D. 3 cun inferior to Stomach 35, one finger-breadth from the anterior crest of the tibia

B. 9 cun inferior to Stomach 35, 3 cun inferior to Stomach 37 Source: ST-39 - A Manual of Acupuncture, Deadman, 2nd Edition, page 164

Eyes that glitter with a shine and vitality show A. Strong Lungs B. A Healthy Mind C. Healthy Kidney D. Strong Qi

B. A Healthy Mind Source: eyes that are dull can indicate a disturbed Mind - The Foundations of Chinese Medicine, Maciocia, 2015, page 50; 2005 Edition, page 48; 1989 Edition, page 41

Which of the following acupuncture points can be needled by pinching the skin with one hand and needling with the other hand? A. REN-4 (guan yuan) B. BL-2 (zan zhu) C. ST-25 (tian shu) D. REN-12 (zhong wan)

B. BL-2 (zan zhu) Source: this method is suitable for puncturing points on the head and face or where the muscle and skin are thin such as ST-4, extra point yin tang, GB-14, DU-20, etc. - CAM, 3rd Edition, pages 344-345

The pulse can be felt with gentle pressure, feels very small and instead of feeling like a wave under the fingers, the pulse feels as if it were broken in small dots. Which point prescription is most applicable? A. LR-3 (tai chong), GB-34 (yang ling quan) B. BL-23 (shen shu), KI-3 (tai xi) C. SP-8 (di ji), REN-4 (guan yuan) D. LU-5 (chi ze ), BL-13 (fei shu)

B. BL-23 (shen shu), KI-3 (tai xi) Source: this is the scattered pulse (san mai); it indicates a severe deficiency of qi and Blood, particularly Kidney qi; this pulse always indicates a serious disorder; the point combination of BL-23 (shen shu) and KI-3 (tai xi) tonify Kidney qi; BL-23 (shen shu) tonifies the Kidneys, nourishes Essence, consolidates Kidney qi, and grasps the qi from the Lungs; KI-3 (tai xi) tonifies the Kidney yin and yang and tonifies the qi receiving/grasping function - Foundations of Chinese Medicine, Maciocia, 2005, pages 365, 985, 1007

A woman is four months pregnant. She has edema. Which of the following points should NOT be used? A. KI-3 (tai xi) B. BL-28 (pang guang shu) C. SP-9 (yin ling quan) D. SP-5 (shang qiu)

B. BL-28 (pang guang shu) Source: it is contraindicated to needle points in the lower abdomen and lumbosacral area for pregnant women under three months; after three months it is also contra-indicated to needle points on the upper abdomen and lumbosacral area and those points which can cause a strong sensation (LI-4, SP-6, BL-60, BL-67) - CAM, 3rd Edition, page 350

Which xi-cleft point is selected to treat chronic one-sided, low back pain with weakness in the leg and back? A. GB-35 (yangjiao) B. BL-59 (fuyang) C. KI-8 (jioaxin) D. KI-9 (zhubin)

B. BL-59 (fuyang) Source: in addition to the xi-cleft points of the primary channels, there are also xi-cleft points for the extra ordinary channels; KI-8 is the xi-cleft for the Yin Stepping Vessel, KI-9 for Yin Linking Vessel, GB-35 for the Yang Linking Vessel, and BL-59 for the Yang Stepping Vessel; the Yang Stepping Vessel facilitates movement and agility; BL-59 strengthens the muscles and makes it easier to move the leg; BL-59 is best selected when the back pain is unilateral - Foundations of Chinese Medicine, Maciocia, 2015, page 1056

The habit of regularly eating late at night can lead to A. Deficient Qi B. Deficient Yin C. Deficient Yang D. Deficient Blood

B. Deficient Yin Source: the night is a time when Yin predominates; eating late at night makes the Stomach use its Yin energy and can, if done regulary, produce a Stomach yin deficiency with a rootless tongue or a tongue without coating at the center; other poor eating habits include constant nibbling or eating too fast or eating too much all of which can lead to food retention in the Stomach; not eating enough or undereating or eating an unsuitable diet can lead to a deficiency in the Spleen and Stomach; if one eats while worrying, it can stagnate the Stomach qi or cause the Stomach qi to rebel up; eating while sad can lead to a Stomach qi xu - The Foundations of Chinese Medicine, Maciocia, 2015, page 654

Which of the following points treats fever, hypertension, inflammation, and painful disorders? A. Adrenal B. Ear apex C. Endocrine D. Blood pressure reducing groove

B. Ear apex Source: this point is usually pricked to express a few drops of blood

Which of the following has the INCORRECT pairing between diet etiology and Liver pattern? A. Excess eating of fried foods / Liver Damp-Heat B. Excess eating under stress / Stagnant Cold in Liver Channel C. Deficient eating of meat / Deficient Liver Blood D. Excess eating of red meat / Liver Fire

B. Excess eating under stress / Stagnant Cold in Liver Channel Source: Stagnant Cold in Liver Channel arises from an invasion of external Cold; eating under stress, in a hurry, whlle working, eating with anger can lead to Rebellious Liver Qi invading the Spleen/Stomach or Liver Yang Rising; not eating enough nourishing foods such as meat and grains can weaken the Spleen function of producing sufficient Blood to be stored in the Liver and cause Liver Blood Xu, Liver Yin Xu or Liver and Heart Blood Xu; excess eating of dairy or greasy foods or fried foods can generate Damp-Heat in the Liver - The Foundations of Chinese Medicine, Maciocia, 2015, page 531;2005 Edition, page 503; 1989, Edition, 216

A 35 year-old female has had a very heavy cold with a congested chest, an occipital headache and alternating feelings of heat and cold. During the consultation she complained of exhaustion, alternating feelings of heat and cold, slight depression, a slight hypochondrial pain and loose stools. The pulse is wiry. The tongue has normal color, thin white coating in the Lung area. How would you treat this case? A. Tonify the Upright Q B. Expel the pathogenic factors first and Tonify Upright qi later C. Simultaneously Expel the Excess and Tonify the Deficiency D. Tonify the Deficiency first and then expel the Excess

B. Expel the pathogenic factors first and Tonify Upright qi later

Generally speaking, if the forehead feels hotter than the palms this indicates A. Deficient, Internal, Hot B. Exterior Heat C. Excess, Internal, Hot D. Interior Heat

B. Exterior Heat Source: if the forehead is hotter than the palms, this can indicate exterior Heat; the palms hotter than the forehead, indicates interior heat; touching the forehead is used to determine whether the patient has a "fever"; if by touching the forehead there is the sensation of heat, in TCM this can be considered a "fever" even if through objective measurement (thermometer) the patient has no measurable fever; if on touching the forehead of the patient a sensation of heat is felt and the patient also has an aversion to cold, then this indicates an external pathogenic attack; when the forehead is hot and the patient says that they feel internally hot, then this indicates internal heat - The Channels of Acupuncture, Maciocia, 2006, page 363

Which point Calms the spirit, transforms phlegm and clears heat; and Activates the channel and benefits the arm? A. PC-7 (daling) B. HT-3 (shaohai) C. HT-7 (shenmen) D. LU-3 (tianfu)

B. HT-3 (shaohai) Source: he-sea and Water point; although HT-3 (shaohai) can be used to calm the shen (mania, epilepsy, tongue thrusting, poor memory) caused by phlegm (other points such as PC-5, ST-40, TB-10 are more commonly used) and to drain heat from the head (red eyes, swollen-red gums, tooth pain), its main clinical application is in the treatment of the Heart channel and upper limb (numbness and trembling arm and hands, elbow disorders, hemiplegia, atrophy, shoulder pain) - A Manual of Acupuncture, Deadman, 2nd Edition, page 214

Which point Calms the spirit and benefits the voice; and Relaxes the muscles and sinews? A. HT-6 (yinxi) B. HT-4 (lingdao) C. PC-5 (jianshi) D. PC-3 (quze)

B. HT-4 (lingdao) Source: jing-river and Metal point; HT-4 (lingdao) calms the spirit by treating restless zang disorder or hysterical neurosis (unpredictable emotions, restlessness, insomnia, loss of voice, mania) which is caused by anxiety, thinking too much or worrying too much injuring the Heart, Liver and Spleen; as a jing-river point HT-4 (lingdao) treats sudden loss of voice - A Manual of Acupuncture, Deadman, 2nd Edition, page 215

Five Element theory A. Was never used in astrology, music, or politics B. Has not always been the most popular theory of Chinese medicine C. as never systematically applied to diagnosis D. Has always been the dominant theory in Chinese medicine

B. Has not always been the most popular theory of Chinese medicine Source: as Chinese medicine developed, the theory of the Five elements (5E) was not always applied and was not always the most popular theory; 5E theory was very popular during the period of the Warring States (475-221 BC) and was applied to medicine, astrology, music, and politics; however, during the 1st century 5E theory was seen as too rigid to correctly interpret natural phenomenon where one philosopher said "If the rooster belongs to Metal and the hare belongs to Wood, why is it that roosters do not devour hares?"; with the Han Dynasty (206 BC - 220 AD) the 5E theory began to wane and from the Ming Dynasty (1368 - 1644 AD) onward 5E theory decreased in influence and medicine was dominated with identification of patterns according to the Cold Diseases, Four Levels and Three Burners - The Foundations of Chinese Medicine, Maciocia, 2015, page 20; 2005 Edition, page 20; 1989 Edition, page 16

What is the Xi-Cleft point for Yin Wei Mai? A. KI-8 (jiao xin) B. KI-9 (zhu bin) C. KI-5 (shui quan) D. SP-4 (gong sun)

B. KI-9 (zhu bin) Source: KI-9 is the xi-cleft point of the yin linking vessel; it is 5 cun superior to KI-3; the yin wei mai connects the yin channels of both hand and foot and the conception vessel; it has a special action on the heart - Deadman, 2nd Edition, page 349

All of the following meridians does meet at REN-24 (cheng jiang) EXCEPT A. Stomach B. Kidney C. Du Mai D. Large Intestine

B. Kidney

According to NCCAOM, how much time must elapse after the patient-practitioner relationship ends before a practitioner can have a sexual relationship with a former patient? A. One year B. Six months C. Two years D. Never

B. Six months Source: http://www.nccaom.org/wp-content/uploads/pdf/Grounds for Professional Discipline.pdf

Our capacity for hard work and skilled, delicate activities are influenced by the A. Heart B. Kidneys C. Lungs D. Liver

B. Kidneys Source: the Kidneys also control strength and skill; when the Kidneys are strong, a person can work with a purpose for a long stretch of time; when the Kidneys are weak the person lacks the strength to do sustained work; other aspects of the Kidneys are encapsulated in the following sayings: "the Kidneys loathe dryness", "the Kidneys are the Gate of the Stomach", "the Kidneys are the root of Pre-Heaven Qi", "the Kidneys control opening and closing" - The Foundations of Chinese Medicine, Maciocia, 2015, page 166; 2005 Edition, page 163; 1989 Edition, page 100

Tinnitus may occur if this organ is weak. A. Liver B. Kidneys C. Lungs D. Heart

B. Kidneys Source: the Kidneys open into the ear which rely on the Essence from the Kidneys for nourishment and proper functioning; if the Kidneys are weak, then tinnitus, deafness, or difficulty hearing can manifest - The Foundations of Chinese Medicine, Maciocia, 2015, page 160; 2005 Edition, page 158; 1989 Edition, page 97

A patient has shortness of breath during exertion, low back pain, and clear urine. What is the diagnosis? A. Kidney Yang Deficiency B. Kidneys Fail To Receive Qi C. Kidney Qi Not Firm D. Kidney Essence Deficiency

B. Kidneys Fail To Receive Qi Source: this pattern can be categorized as subset of Kidney yang deficiency; when the Kidney qi is weak and fails to receive and root the qi, the qi then accumulates above causing an excess condition in the chest causing SOB and asthma; since the Kidneys control the inhalation aspect of respiration, the asthma will have the feature of problems taking air in; a deficient Kidney Yang will cause abundant and clear urine which usually occurs during the asthma; the Kidneys failing to grasp the qi occurs in chronic conditions and as such there can be a general lassitude and mental exhaustion; as the Kidneys reside in the lumbar area, when they are deficient it can result in low back pain - Kidneys Fail To Receive Qi - The Foundations of Chinese Medicine, Maciocia, 2015, page 631; 2005 Edition, page 597; 1989 Edition, page 255

A patient has cough, nasal obstruction, thick sputum. He complains of painful swelling of the throat. The tongue has a thin yellow coating. The pulse is floating and fast. What is the prescription?' A. BL-13 (fei shu), LU-5 (chi ze), REN-12 (zhong wan), ST-40 (feng long) B. LI-4 (he gu), LU-7 (lie que), BL-13 (fei shu), LU-11 (shao shang) C. BL-13 (fei shu), LU-7 (lie que), LI-4 (he gu), DU-14 (da zhui), TB-5 (wai guan) D. LI-4 (he gu), REN-12 (zhong wan), ST-40 (feng long), LU-11 (shao shang)

B. LI-4 (he gu), LU-7 (lie que), BL-13 (fei shu), LU-11 (shao shang) Source: Wind-Heat Invades the Lungs; as taiyin and yangming are interiorly-exteriorly related, the luo-connecting point LU-7 (lie que), the yuan-source point LI-4 (he gu), and the Lung back-shu point BL-13 (fei shu) are selected to strengthen the Lungs to eliminate external wind and to normalize smooth Lung qi flow and the dispersing function of the Lung; LU-11 (shao shang) treats pain and swelling of the throat - Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 411-412; 2nd Edition, 1999, page 412-413

Which point Benefits the uterus? A. ST-33 (yinshi) B. LR-11 (yinlian) C. SP-12 (chongmen) D. LR-10 (zuwuli)

B. LR-11 (yinlian) Source: for infertility, classical sources recommend treating this point with moxa - A Manual of Acupuncture, Deadman, 2nd Edition, page 487

In Five Element pulse diagnosis, what is the Yang organ Inch position on the left side?' A. Stomach B. Large Intestine C. Small Intestine D. Gallbladder'

B. Large Intestine

Which of the following is a yang sign? A. Lingering disease B. Likes to lie stretched out C. Gradual onset D. Chronic disease

B. Likes to lie stretched out Source: likes to curl up is yin; the other signs in the answers are yin signs - The Foundations of Chinese Medicine, Maciocia, 2015, page 13; 2005 Edition, page 13

Excess eating of greasy and hot foods can most likely lead to A. Liver Blood Deficiency B. Liver Fire C. Liver Stagnant Blood D. Liver Stagnant Qi

B. Liver Fire

Select what applies to SI-7 (zhi zheng). A. Xi-Cleft Point B. Luo-Connecting Point C. Xi-Cleft Point, Meeting Point with SanJiao Channel D. Luo-Connecting Point, Meeting Point with SanJiao Channel

B. Luo-Connecting Point Source: CN V is the trigeminal nerve. It has both a motor and sensory component. The sensory component is associated with the facial nerve provides touch, pain, and temperature to the face. It has three divisions: opthalmic, maxillary, and mandibular. The sensory aspect of CN V is tested by lightly touching a small cotton ball on different facial areas. The ophthalmic division is tested by touching the forehead, the maxillary division is tested by touching the cheeks, and the mandibular division is tested by touching the chin. The motor component is associated with the lateral jaw movement and jaw clenching. The motor aspect is tested via jaw reflex and keeping the mouth open against resistance. Bate's Guide to Physical Examination, 10th Edition, page 659; 8th Edition, page 539

Which pulse is extremely fine and soft, lacks clarity, and feels like it is about to disappear? A. Thin pulse (xi mai) B. Minute pulse (wei mai) C. Short pulse (duan mai) D. Knotted pulse (jie mai)

B. Minute pulse (wei mai) Source: a minute pulse (wei mai) is a very fine and soft pulse; it is just perceptible and feels like it is about to disappear; this pulse indicates an extreme deficiency; a thin pulse (xi mai) is categorized according to width; a thin pulse (xi mai) is like a fine thread but still very distinct and clear in contour; this pulse indicates a Deficiency of Blood or Qi unable to fully fill the pulse; a short pulse (duan mai) is categorized according to length; this pulse does not fill all the horizontal positions under the fingers and is felt, usually, only in one position under the fingers; a short pulse (duan mai) indicates Deficient Qi; a knotted pulse (jie mai) is slow and irregularly skips beats; it can indicate Cold blocking the flow of Qi and Blood, Deficient Qi or Blood; it can often indicate that the Heart is failing to rule the Blood - The Web That Has No Weaver, Kaptchuk, 2000, page 204

Which of the following ear points prevents motion sickness, treats headache, dizziness, treats eye diseases, neuropsychiatric disorders, and locked jaw? A. Shen men B. Occiput C. Eye D. Stomach

B. Occiput it is located on the posterior, superior part of the antitragus

All xi-cleft points treat acute channel pain. The yin xi-cleft points treat acute blood disorders. Which of the following xi-cleft points treats reckless bleeding in the upper burner manifesting as epistaxis, vomiting, and coughing blood? A. LU-6 (kongzui) B. PC-4 (ximen) C. SP-8 (diji) D. LR-6 (zhongdu)

B. PC-4 (ximen) Source: because PC-4 cools the blood, it is indicated for bleeding in the upper jiao (vomiting blood, coughing blood, and epistaxis); as PC-4 invigorates Blood and dispels stasis, PC-4 is the main xi-cleft point to treat acute chest pain, from Heart Blood stasis, that radiates to the neck, left arm, back, and can have the accompanying symptom of nausea and vomiting; the xi-cleft point also treats Heart pain from blood stasis and epistaxis and vomiting blood; PC-4 is a more important and most often used in clinical practice to treat acute Heart pain arising from Blood stasis; LU-6 is selected for acute asthma and wheezing in any pattern and for coughing blood; SP-8 resolves blood stasis in the uterus and lower abdomen; LR-6 is indicated for blood stasis in the uterus - A Manual of Acupuncture, Deadman, 2nd Edition, page 39

A 65 year old women has hot flushes every hour. It started after a total hysterectomy. With the hot flushes she has suffocating feelings in the chest and anxiety. She has night sweats and insomnia. Her urination is pale and her feet are cold. The tongue has normal color and is swollen with yellow coating and Stomach cracks. Which extraordinary should be treated? A. Directing vessel B. Penetrating vessel C. Girdle vessel D. Yin Linking vessel

B. Penetrating vessel

According to the "Simple Questions", this organ is, "the ambassador and from it joy and happiness derive." A. Lungs B. Pericardium C. Kidneys D. Liver

B. Pericardium Source: the Pericardium deeply affects the state of our emotions because, just like the Heart, the Pericardium houses the Mind; the state of Blood affects both the Heart and the Pericardium - The Foundations of Chinese Medicine, Maciocia, 2015, page 170; 2005 Edition, page 166; 1989 Edition, page 103

The Occiput ear point is located on the(' A. Anterior, inferior aspect of tragus B. Posterior, superior corner of lateral aspect of antitragus C. Posterior, superior aspect of helix D. Anterior, inferior aspect of antihelix

B. Posterior, superior corner of lateral aspect of antitragus Source: the occiput point is used for sedation and analgesia; easing the mind, removing wind; it is indicated for dizziness, insomnia, headache, etc; CAM, 2010 Edition, pages 516

In Chinese Medicine, sweat pores are also called A. Fu Holes B. Qi Holes C. Luo Holes D. Water Holes

B. Qi Holes Source: sweat pores are also called qi holes as it is through the pores that sweating and body temperature are regulated; normal sweating is a function of qi entering and exiting from the pores (qi holes); sweating (opening and closing of the pores) depends on the Lung qi which control the skin - The Channels of Acupuncture, Maciocia, 2006, page 357

The pulse can be felt with a gentle touch of the fingers and, on further pressure to the deep level, the pulse becomes forceless and soft. Which point prescription is most applicable? A. DU-14 (da zhui), DU-4 (ming men B. REN-4 (guan yuan), SP-6 (san yin jiao) C. ST-36 (zu san li), REN-6 (qi hai) D. LI-4 (he gu), LU-7 (lie que)

B. REN-4 (guan yuan), SP-6 (san yin jiao) this describes a floating pulse (fu mai) combined with an empty pulse (xu mai) and indicates deficient yin; the point combination REN-4 (guan yuan) and SP-6 (san yin jiao) nourishes the yin; as a meeting point for the Liver, Spleen, and Kidney channels, SP-6 (san yin jiao) is an important point in tonifying the yin, particularly Kidney yin and Liver yin; REN-4 (guan yuan) can be used in any pattern where the yin or Blood (or both) require tonification as the Directing vessel controls all the yin channels; REN-4 (guan yuan) is also a meeting point for the Liver, Spleen, and Kidney channels

On the upper back, at which point does the Triple Burner channel intersect the Small Intestine channel? A. SI-10 (nao shu) B. SI-12 (bing feng) C. SI-13 (qu yuan) D. SI-14 (jian wai shu)

B. SI-12 (bing feng) Source: on the face, the Triple Burner channel also meets with SI-18 (quan liao) and SI-19 (ting gong) - A Manual of Acupuncture, Deadman, 2nd Edition, page 388

Which xi-cleft point treats acute contraction and sprain of the lumbar region? A. BL-63 (jin men) B. SI-6 (yang lao) C. DU-26 (renzhong) D. TB-7 (hui zong)

B. SI-6 (yang lao)

Which of the following points is most frequently used to treat uterine bleeding? A. Extra point shi qi zhui' B. SP-1 (yin bai) C. BL-67 (zhi yin) D. SP-21 (da bao)

B. SP-1 (yin bai) Source: the action of SP-1 in stopping bleeding is not just for Spleen Deficiency but also where heat enters the blood level giving rise to reckless bleeding; this bleeding may manifest in the upper or lower part of the body - Deadman, 2nd Edition, page 182') ,new quizAnswer('Extra point shi qi zhui',0,') ,new quizAnswer('BL-67 (zhi yin)',0,') ,new quizAnswer('SP-21 (da bao)

A 43 year-old male has diarrhea with hot-smelly stools with burning sensation in the anus, a yellow sticky tongue, and a rolling-rapid pulse. Your first two points are ST-36 (zu san li) and ST-25 (tian shu). What would be your second two points? A. BL-21 (wei shu), BL-25 (da chang shu) B. ST-44 (nei ting), SP-9 (yin ling quan) C. BL-20 (pi shu), REN-3 (zhong ji) D. LI-4 (he gu), LI-11 (qu chi)

B. ST-44 (nei ting), SP-9 (yin ling quan) Source: this is damp-heat diarrhea; ST-44 and SP-9 are selected to eliminate damp-heat in the intestines; ST-44 harmonizes the intestines and clears damp-heat; this point can be used to treat diahrrea, dysentery, bloody stools, and constipation; SP-9, a he-sea point, regulates the Spleen to resolve Dampness; all the he-sea points of the three leg yin channels can drain dampness and damp-heat from the lower jiao - Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 423; 2nd Edition, 1999, page 426

A patient has abdominal pain, diarrhea with mucus and blood, foul smelling stools, burning anus, fever, sweating does not abate fever, and thirst without desire to drink. What pulse is expected? A. Full-Rapid pulse B. Slippery-Rapid pulse C. Deep-Full pulse D. Thin pulse

B. Slippery-Rapid pulse Source: the diagnosis is Large Intestine Damp-Heat; the expected pulse is Slippery-Rapid; the Slippery quality points to the presence of Dampness while the Rapid pulse quality indicates the presence of Heat; a Full-Rapid pulse indicates excess Heat but does not reflect the presence of Dampness; a Deep-Full pulse indicates an interior excess condition but does not say anything about Dampness or Heat; a Thin pulse indicates Deficiency; the expected tongue is red with a sticky-yellow tongue coating; the sticky tongue coating reflects the accumulated Dampness while the Heat is reflected in the red tongue and yellow tongue coating; abdominal pain and diarrhea with mucous and bloody stools are sufficient to make the diagnosis of Large Intestine Damp-Heat; the treatment principle is Clear Heat, Resolve Dampness, and Stop Diarrhea - The Foundations of Chinese Maciocia, 2015, page 688; 2005 Edition, page 648; 1989 Edition, page 278

The Spleen primary channel connects with which zang fu? A. Spleen, Stomach B. Spleen, Stomach, Heart C. Spleen, Heart D. Spleen, Stomach, Lung

B. Spleen, Stomach, Heart Source: the internal branch of the Spleen points to the energetic connection between the Stomach, Spleen, and Heart; this shows that the Heart pathology (tachycardia, arrhythmia) can be treated points on the Spleen and Stomach channel - A Manual of Acupuncture, Deadman, 2nd Edition, page 178; The Channels of Acupuncture, Maciocia, 2006, page 86

A 20 year-old female has chronic migraines. The pain is on the side of the head and behind the eyes. The pain is stabbing and severe. There is diarrhea and nausea with her headaches. Her periods are scanty. The tongue is pale and slightly purplish. The pulse is deep and minute. What is the treatment plan? A. Disperse Liver and Gall Bladder, Clear Heat B. Subdue Liver Yang, Nourish Liver Blood, Move Blood C. Clear Stomach Heat, Descend Stomach Qi, Move Blood D. Regulate Shao Yang Meridians

B. Subdue Liver Yang, Nourish Liver Blood, Move Blood Source: the diagnosis is Liver Yang Rising, Deficient Liver Blood, Stagnant Blood - The Practice of Chinese Medicine, Maciocia, 2008, page 46; 1994 Edition page 44

Which symptoms can occur in both Collapse of Yin and Collapse of Yang? A. Shortness of breath and restlessness B. Sweating and thirst C. Thirst and cold hands D. Listlessness and restlessness

B. Sweating and thirst Source: a collapse of yin is the result of the massive consumption of yin fluids while a collapse of yang is the result of an extreme exhaustion of the yang qi; in collapse of yin you have sticky sweating and in collapse of yang you have profuse cold sweat like pears; in collapse of yin you have a thirst for cold drinks and in collapse of yang you have thirst for hot drinks or an absence of thirst; shortness of breath is associated with yin collapse while feeble breathing with collapse of yang; cold hands is associated with collapse of yang; restlessness is associated with yin collapse and listlessness is associated with yang collapse; the tongue is red-dry and the pulse is thready-rapid-weak in yin collapse; the tongue is pale-moist and the pulse is thready and fading in yang collapse - Chinese Acupuncture and Moxibustion, 3rd Edition, page 302-303; 2nd Edition, 1999, page 296

Which of the following ear points treats pain in the internal organs, palpitation, spontaneous sweating, night sweats, functional diseases of the autonomic nervous system, circulatory and digestive disorders? A. Endocrine B. Sympathetic nerve C. Subcortex D. Occiput

B. Sympathetic nerve

In addition to the Heart, what other organ is involved in our studying, concentrating, memorizing and thinking (Yi)? A. The Kidney B. The Spleen C. The Lungs D. The Liver

B. The Spleen Source: yi or the intellect is stored in the Spleen; the yi is associated with thinking, concentration, analysis, and memorization; even though the yi resides in the Spleen, the Heart is also involved with thinking and memory - The Foundations of Chinese Medicine, Maciocia, 2015, page 111; 2005 Edition, page 111; 1989 Edition, page 74

A practitioner is charged for insurance fraud because of the actions of the office manager who no longer works for the acupuncturist. Who is ultimately responsible? A. The office manager is the guilty party B. The practitioner is responsible C. A trial will have to determine culpability D. It depends on the severity of the fraud

B. The practitioner is responsible Source: A practitioner is responsible for every aspect of his office

Which patient would you NOT refer to a western physician? A. Persistent canker sore B. Thick white coating on the tongue C. White coating on the buccal mucosa D. Purple lesion in the back of the throat

B. Thick white coating on the tongue Source: a white coating on the buccal mucosa can be indicative of oral thrush or oral candidiasis, a yeast infection; red or purple lesions at the back of the throat may represent a hematoma; severe, persistence canker sores, may be caused by anemias or deficiencies of iron, folate or vitamin B12

Pain in the eyes like a needle with redness of the eye and associated with a headache indicates A. Wind-Heat or Liver-Fire B. Toxic-Heat in the Heart channel C. Liver-Qi stagnation D. Heart Fire

B. Toxic-Heat in the Heart channel Source: in the eye pain for Wind-Heat or Liver-Fire there is edema and redness; in Kidney yin vacuity there is the feeling of pressure - The Foundations of Chinese Medicine, Maciocia, 2015, page 358; 2005 Edition, page 338; 1989 Edition, page 159

Constipation with dry stools, thirst, dry throat, coarse breathing with strong voice, tiredness, slow but forceful pulse, cold body sensation, cold limbs, and red tongue with yellow coating is an indication of' A. Transformation of deficiency and excess' B. True excess with false deficiency C. Complication of deficiency and excess D. True deficiency with false excess

B. True excess with false deficiency Source: true excess with false deficiency refers to an excess syndrome that also has symptoms and signs similar to a deficiency syndrome; for example, an accumulation of heat and dryness can block the circulation of qi and blood and produce false deficiency symptoms as tiredness, cold limbs, and deep-slow pulse; however, the overall picture reveals that the accumulation of dryness and heat is the underlying cause of all the excess symptoms and signs and that the deficiency symptoms are false; differentiating between true and false symptoms and signs in deficient and excess syndromes requires a careful diagnosis of the strength of the pulse, the tongue, and response to pressure; the causative disease factors and medication history should also be assessed - Chinese Acupuncture and Moxibustion, 3rd Edition, page 301-302; 2nd Edition, 1999, page 294

A patient has dizziness, nervousness, timidity, lack of initiative, startles easy, and sighing. What pulse is expected? A. Slow pulse B. Weak pulse C. Tight pulse D. Wiry pulse

B. Weak pulse Source: the diagnosis is Gall Bladder Deficiency; the Gall Bladder is the yang of the Liver; when the Gall Bladder is deficient then the qi of the Liver is also weak; the expected pulse in this pattern is a Weak pulse; a Weak pulse (ruo mai) is not felt at the superficial level but only at the deep level; it is a soft pulse; a Weak pulse indicates deficient Yang and sometimes deficient Blood; Liver qi xu also includes Liver Blood xu; the expected tongue is either pale or normal; Liver Blood xu can produce a pale tongue; if the tongue is normal, then it can be early in the development of this pattern; timidity, no initiative, and being indecisive are sufficient to make the diagnosis of Gall Bladder Deficiency; the treatment principle is Tonify-Warm the Gall Bladder and Tonify Liver Qi - The Foundations of Chinese Medicine, Maciocia, 2015, page 708; 2005 Edition, page 665; 1989 Edition, page 284

Those who starve themselves to lose weight often end up gaining weight because starving A. Weakens the Blood B. Weakens the spleen C. Moves the Qi D. Stagnates the Blood

B. Weakens the spleen

What is the location of the water point of the hand tai-yang meridian? A. When the palm faces the chest the point is in the bony cleft on the radial side of the styloid process of the ulna B. When a loose fist is made the point is distal to the metacarpo-phalangeal joint at the junction of the red and white skin C. On the ulnar side of the wrist in the depression between the styloid process of the ulna and the triquetral bone D. On the ulnar side of the little finger about 0.1 cun posterior to the corner of the nail

B. When a loose fist is made the point is distal to the metacarpo-phalangeal joint at the junction of the red and white skin Source: SI-2 - A Manual of Acupuncture, Deadman, 2nd Edition, page 232

What is the location of the water point of the hand shao-yin meridian? A. On the radial side of the tendon of m. flexor carpi ulnaris 0.5 cun superior to the transverse crease of the wrist B. When the elbow is flexed the point is at the medial end of the transverse cubital crease in the depression anterior to the medial epicondyle of the humerus C. When the elbow is flexed the point is at the distal end of the transverse cubital crease in the depression posterior to the medial epicondyle of the humerus D. In the center of the axilla on the medial side of the axillary artery'

B. When the elbow is flexed the point is at the medial end of the transverse cubital crease in the depression anterior to the medial epicondyle of the humerus

What is the location of luo-connecting point of the hand shao-yin meridian? A. On the transverse crease of the wrist in the articular region between the pisiform bone and the ulna in the depression on the radial side of the tendon of m. flexor carpi ulnaris B. When the palm faces upward the point is on the radial side of the tendon of m. flexor carpi ulnaris 1 cun superior to the transverse crease of the wrist C. hen the elbow is flexed the point is at the medial end of the transverse cubital crease in the depression anterior to the medial epicondyle of the humerus D. On the radial side of the tendon of m. flexor carpi ulnaris 0.5 cun superior to the transverse crease of the wrist

B. When the palm faces upward the point is on the radial side of the tendon of m. flexor carpi ulnaris 1 cun superior to the transverse crease of the wrist Source: HT-5 - A Manual of Acupuncture, Deadman, 2nd Edition, page 216

The theory of the Five Wheels is used in the diagnosis of eye disorders. It divides the eyes into five areas. Which of the following has an INCORRECT correspondence? A. Qi Wheel refers to the sclera B. Wind Wheel refers both canthi C. Water Wheel refers to the pupil D. Flesh Wheel refers to the eyelids

B. Wind Wheel refers both canthi Source: It is the Blood Wheel that refers to both canthi. The Wind Wheel refers to the iris. These five wheels are used to determine the physiology and pathology of the eye and help in diagnosing. It is important to combine the the Five Wheels with the other types of diagnosis and patterns of differentiation in order to arrive at a determination of energetic configuration.

BL-10 (tian zhu) and LI-18 (fu tu) are both A. Ghost Points B. Window of Sky Points C. Heavenly Star Points D. Meeting Points

B. Window of Sky Points

Select what applies to GB-36 (wai qiu). A. Luo-Connecting Point B. Xi-Cleft Point C. Xi-Cleft Point, Yang Qiao Mai (Yang Heel Vessel) Point D. Luo-Connecting Point, Yang Qiao Mai (Yang Heel Vessel) Point

B. Xi-Cleft Point

In women, the Governing Vessel (du mai) can treat gynecological problems that occur against a background of A. Yin deficiency B. Yang deficiency C. Qi deficiency D. Blood deficiency

B. Yang deficiency Source: The du mai governs all the yang of the body and strengthens the yang of the body. Selecting the du mai in treatment tonifies the Kidney yang of both men and women. To do this the opening point (SI-3) and associated point (BL-62) are sequentially needled. The sequential needling is what opens the du mai as well as the other Extraordinary Vessels. Moxa on DU-4 after needling the opening and associated point is a strong way to tonify the yang of the body. In women, the du mai can be used to treat GYN problems which are rooted in a deficiency of Kidney yang. The du mai has a branch that goes to the genitals and be used to treat, for example, chronic vaginal discharge arising from Kidney yang xu. - The Foundations of Chinese Medicine, Maciocia, 2015, page 893

Excess worrying leading to an inability to relax is an example of A. Yin depleting Yang B. Yang depleting Yin C. Transformation of Yin to Yang D. Transformation of Yang to Yin

B. Yang depleting Yin

An informed consent is a three part process involving all of the following EXCEPT A. acceptance of the risk by the patient and consent to proceed B. a bibliography of all peer reviewed articles on the safety and effectiveness of the procedure C. explanation of the treatment, its risks and benefits D. ensuring that the patient understands what has been explained

B. a bibliography of all peer reviewed articles on the safety and effectiveness of the procedure Source: informed consent is a legal procedure that ensures a patient or client knows all of the risks and costs involved in a particular treatment; the elements of informed consent include: 1) informing the patient of the nature of the treatment; 2) possible alternative treatments; 3) the potential risks and benefits of the treatment; to be considered valid, the client must be competent and the consent should be given voluntarily') ,new quizAnswer('

When needling DU-14 (da zhui) how far is the spinal canal from the skin surface? A. between 2.0 and 3.0 cun B. between 1.25 and 1.75 cun C. between 0.5 and 1.0 cun D. between 2.5 and 3.5 cun

B. between 1.25 and 1.75 cun

The Governing Vessel (du mai) can treat A. only Internal Wind B. both External and Internal Wind C. only External Wind D. neither External nor Internal Wind

B. both External and Internal Wind Source: The du mai expels both External and Internal Wind. The du mai can expel Exterior Wind (fear of cold, fever, runny nose, stiff neck, superficial pulse) at the tai yang stage. The points SI-3 and BL-62 are needled one after the other and DU-16 is added. The du mai also can treat intermittent fevers arising from the residual Heat generated from an incomplete expulsion of pathogenic factors. This occurs with fatigue arising from a post-viral syndrome. DU-13 and DU-14 are added to the opening and coupled points. The du mai can also extinguish excess Internal Wind (tremors, dizziness, convulsions, post-stroke symptoms). The du mai is selected to drain and absorb the excess yang. SI-3, BL-62 is combined with DU-16 and DU-20. - The Foundations of Chinese Medicine, Maciocia, 2015, page 895-896

According to Deadman which needling direction for LU-1 (zhong fu) has a risk of pneumothorax? A. perpendicular or superior oblique insertion B. deep perpendicular or oblique insertion C. perpendicular or transverse insertion D. perpendicular or lateral insertion'

B. deep perpendicular or oblique insertion

A heathy pulse has a balance of A. depth, strength, width B. depth, speed, strength, width C. depth, speed, length, width D. strength, width

B. depth, speed, strength, width Source: a moderate pulse (huan mai) is considered a healthy pulse; it is balanced and normal with depth (middle), speed (5 beats per respiration), strength, and width; some authors say that this pulse is slightly slippery; this pulse is not often felt; moreover, a patient does not need to have this pulse in order to be assessed as healthy; patients rarely manifest a moderate pulse (huan mai); this is because every patient has an individualized health pattern depending on balance, age, and constitution; each patient has a tendency toward a Yin or Yang imbalance which can be discerned in the pulse; a moderate pulse (huan mai) can combine with other signs; if a patient has edema then the presence of a moderate pulse can help in making the diagnosis of Dampness - The Web That Has No Weaver, Kaptchuk, 2000, page 203

Generally, when yin deep luo-connecting channels are injured there is a general tendency to bleed A. upward B. downward C. anteriorly D. posteriorly

B. downward Source: the deep luo are located below the primary channels; the deep connecting channels are associated with Blood and blood vessels; in many bleeding symptoms the deep connecting channels are involved; when the deep yang luo channels are injured there is generally, but not always, a tendency to bleed upward (nose, cough, vomit, under the skin); when the deep yin luo channels are injured there is generally, but not always, to bleed downward (stools, urine, uterus); luo connecting points can be selected for the treatment of bleeding; the yin luo points: LU-7 for blood in urine and coughing blood, SP-4 for blood in stools, HT-5 for uterine bleeding, KI-4 for uterine bleeding and coughing blood, LR-5 for uterine bleeding, and REN-15 for coughing blood; the yang luo points: LI-6 for nose bleeding, BL-58 for bleeding hemorrhoids, TB-5 for nose bleed, DU-1 for vomiting blood - Channels of Acupuncture, Maciocia, 2006, page 26

Round face and wide jaws is a A. wood type B. earth type C. metal type D. water type

B. earth type

Sugar eaten to excess can lead to A. stagnant qi B. excess mucus C. skin disorders D. dry cough

B. excess mucus

The Penetrating Vessel (chong mai) has' A. four branches B. five branches C. three branches D. two branches

B. five branches Source: The chong mai complex vessel which has five branches. 1) INTERNAL BRANCH: starts in the abdomen between the Kidneys, goes to the Uterus, and descends to REN-1. Maciocia postulates that in men it flows through the prostate. 2) ABDOMINAL BRANCH: emerges at ST-30 and ascends through KI-11 and KI-21 and then disperses in the chest and breast. 3) HEAD BRANCH: from the chest it ascends to the throat, curves around the lips, and terminates below the eye. 4) SPINAL BRANCH: from REN-1 it ascends inside the full length of the spinal column. 5) DESCENDING BRANCH: from ST-30 it descends to the inner part of the leg to the foot where it splits with one section connecting to the Kidney channel and the to other to big toe to connect with the Liver channel at LR-3. The points on the chong mai are KI-11 to KI-21, REN-1, and ST-30. - The Foundations of Chinese Medicine, Maciocia, 2015, page 902; A Manual of Acupuncture, Deadman, 2nd Edition, page 19

Abdominal distention and fullness are subjective symptoms but are also, through palpation, objective signs. Upon palpation, a distended abdomen feels A. hard without elasticity B. hard and elastic C. elastic D. soft and elastic

B. hard and elastic Source: when a patient describes their abdomen as bloated and the patient cannot differentiate between a subjective feeling of distention or fullness, then abdominal palpation can give you clues; with palpation, a distended abdomen feels hard but still has elasticity while a full abdomen feels hard but without any give or elasticity - Diagnosis in Chinese Medicine, Maciocia, 2004, page 511

A patient has breast distention prior to menstruation, odorless vaginal discharge, depressed essence-spirit, and normal or light red menses. What would you expect the menstruation to be? A. shortened B. indeterminate C. dripping for several days D. prolonged

B. indeterminate Source: This is Liver Depression, Qi Stagnation - Practical Diagnosis in Traditional Chinese Medicine, Deng, 1999, page 362

Which needle direction will puncture the lung when needling HE-1 (jiquan)? A. lateral insertion B. medial insertion C. superior insertion D. inferior insertion

B. medial insertion

From ST-40 (fenglong) the luo-connecting channel travels to the A. jaw, teeth, and ear B. nape of neck, head, and throat C. palm and thenar eminence D. shoulder

B. nape of neck, head, and throat

The opening and closing of the skin pores in the Cutaneous Regions not only regulate sweating and body temperature but also A. nourish the yin qi B. protect the body C. regulate Lung qi D. regulate skin hair

B. protect the body Source: the skin pores play a role in defending the body against external pathogens; skin pores are also called "Qi holes" because wei qi is situated in them where the body is protected from external pathogens (wind, cold, damp, heat); when the wei qi is weak, the skin pores can be too open resulting in the cutaneous areas more susceptible to an external pathogenic invasion; the wei qi circulates between the skin and muscles where the Superficial and Minute connecting channels are located; the Lungs diffuse the wei qi in the cutaneous regions a lustrous skin (glowing, fresh, brilliant) shows that the body fluids, the Lungs, Stomach, and Liver are healthy - The Channels of Acupuncture, Maciocia, 2006, page 357

The Girdle or Belt Vessel (dai mai) pathology can result in A. lower abdominal pain that radiates to the navel B. purplish tinged colored feet C. the sensation of sitting in hot water D. slack outer leg muscles

B. purplish tinged colored feet Source: Because the dai mai encircles the leg channels, it regulates the qi circulation in the legs. When the dai mai is too tight, the qi and blood circulation in the legs is impaired. This can result in purplish tinged feet due to poor circulation of qi (warming function) and Blood (nourishing function). A keynote symptom of the dai mai is the sensation of sitting in COLD water. When tight, the dai mai is associated with tight-tense outer leg muscles due to the Liver-Blood failing moisten the sinews. The dai mai is associated with pain that radiates from the lower abdomen to the lower back or pain that radiates from the lower back to the lower abdomen. The dai mai affects the Stomach channel qi in the legs. The tension in the dai mai can weaken the qi in the Stomach channel resulting in weak legs or leg atrophy. To treat the weak legs or atrophy treat both the opening (GB-41) and coupled (TB-5) points. As the dai mai encircles the waist and influences the hip, it can be used to treat hip pain especially when due to Liver Blood Deficiency with Liver Yang Excess. - The Foundations of Chinese Medicine, Maciocia, 2015, page 918, 919, 920

Whiteness surrounded by redness in the heart region of the ear indicates A. congestive heart failure B. rheumatic heart disease C. myocardial infarction D. angina pectoris

B. rheumatic heart disease

For treating diseases of internal organs using scalp acupuncture, you would select A. scalp area on the same side as the affected orga B. scalp areas on both sides of the head C. scalp area on the opposite side of the affected organ D. alternate treatment from same side to opposite side of affected organ

B. scalp areas on both sides of the head Source: for diseases where it is difficult to tell as being one side or the other such as vertigo you treat both sides of the head - Acupuncture: A Comprehensive Text, Bensky, 1981, page 497

In preparing a patient for cupping you need to do all of the following EXCEPT A. have patient sign consent form B. shave hair from area to be cupped C. explain reason and risk for therapy D. apply oil on skin to be cupped

B. shave hair from area to be cupped Source: Cupping Therapy, 2nd Edition, Chirali, pages 55-56, 72

What should be avoided when needling PC-3 (quze)? A. the brachial plexus B. the brachial artery and veins C. the radial artery and veins D. radial plexus

B. the brachial artery and veins

Acupuncture should be performed on clean skin. When an alcohol swab is used to clean the skin A. the swab should be soaked in 90% alcohol B. the same swab can be used on several points C. the swab can be used when the swab changes color D. the swab can be used when the swab becomes dry

B. the same swab can be used on several points Source: there are no studies that demonstrate the need for skin preparation before acupuncture or which method is the best; some states require the use of an antiseptic on the skin to be needled; however, what is clear is that the skin needs to be clean and free from visible lesions prior to needling; using an alcohol swab is good practice to reduce the dirt and the number of pathogens on the skin prior to needle insertion; if the alcohol swab changes color, becomes dry, or touches a lesion, skin break, inflammation or infection then the swab should be discarded and a new one used; it is recommended to use 60-70% alcohol; the skin must be allowed to dry prior to needle insertion to prevent stinging - Clean Needle Technique, 7th Edition, page 173-176

Which extra point benefits the eyes, relaxes the sinews and alleviates pain? A. this point is located 1 cun lateral to the depression in the centre of the mentolabial groove B. this point is located in the centre of the eyebrow in the depression directly above the pupil when the eye is looking straight forward C. this point is located 0.5 to 1.0 cun lateral to the depression below the spinous process of C7 D. this point is located 1.5 cun lateral to the lower border of the spinous process of T8

B. this point is located in the centre of the eyebrow in the depression directly above the pupil when the eye is looking straight forward Source: this point is yu yao; it is mostly used in the treatment of supraorbital pain and problems with the eyes and eyelids - A Manual of Acupuncture, Deadman, 2nd Edition, page 566

On the abdomen how many branches does the Stomach meridian of foot yang ming have? A. one branch B. three branches C. two branches D. four branches

B. three branches Source: One internal branch of the Stomach meridian goes from ST-12 descends through the diaphragm, links with REN-12 and REN-13, and then enters the Stomach and connects with the Spleen organ. An external branch goes from ST-12 goes four cun lateral to the midline as far as ST-18 and then goes two cun from the midline to ST-30. A third internal branch starts at the pyloric orifice of the Stomach (the opening between the stomach into the duodenum) descends within the abdomen and joins the external branch at ST-30. There is branch on the foot that goes from ST-42 to SP-1 on the medial side of the big toe. Though the Stomach channel meets with SP-1, the point SP-1 is not categorized as a meeting point of the Stomach meridian. There are two branches which connect with ST-30 showing the importance of this point as a meeting point with the Penetrating Vessel (chong mai) and as a point of the Sea of Water and Grain. ST-30 regulates lower burner qi, regulates chong mai, and subdues running piglet qi. - A Manual of Acupuncture, Deadman, 2nd Edition, page 125-126

What is the location of the xi-cleft point of the foot tai-yang meridian? A. On the lateral side of the dorsum of the foot posterior and inferior to the head of the 5th metatarsal bone at the junction of the red and white skin B. Anterior and inferior to Bladder 62 in the depression lateral to the cuboid bone C. Directly below Bladder 60 in the depression of the calcaneum at the junction of the red and white skin D. On the lateral side of the dorsum of the foot below the tuberosity of the 5th metatarsal bone at the junction of the red and white skin

BL63 D. On the lateral side of the dorsum of the foot below the tuberosity of the 5th metatarsal bone at the junction of the red and white skin Source: BL-63 - A Manual of Acupuncture, Deadman, 2nd Edition, page 322

Headache with throbbing pain is associated with A. Qi Stasis B. Stasis of Blood C. Rising of Liver-Yang D. Kidney deficiency

C. Rising of Liver-Yang Source: a distending-throbbing headache pain can indicate a rising of the Liver yang; a boring pain like a nail focused on a small point can indicated Blood Stasis; a headache that has a heavy feeling with a sense of muzziness can indicate Dampness or Phlegm - The Foundations of Chinese Medicine, Maciocia, 2015, page 349; 2005 Edition, page 329; 1989 Edition, page 156

During the summer intradermal needles are usually retained A. 3-4 days B. 5-7 days C. 1-2 days D. not used during summer

C. 1-2 days Source: because of excess sweating the needles are generally retained 1-2 days in order to prevent infection; in autumn or winter, the duration may be longer according to the specific case - Chinese Acupuncture and Moxibustion, 3rd Edition, page 355; 2nd Edition, 1999, page 356-357

What is the location of xi-cleft point of the foot tai-yin meridian? A. 4 cun inferior to the medial condyle of the tibia on the line connecting Spleen 9 and the medial malleolus B. In the depression distal and inferior to the medial malleolus midway between the tuberosity of the navicular bone and the tip of the medial malleolus C. 3 cun inferior to the medial condyle of the tibia on the line connecting Spleen 9 and the medial malleolus D. On the lower border of the medial condyle of the tibia in the depression between the posterior border of the tibia and m. gastrocnemius

C. 3 cun inferior to the medial condyle of the tibia on the line connecting Spleen 9 and the medial malleolus Source: SP-8 - A Manual of Acupuncture, Deadman, 2nd Edition, page 193

A tongue sign of a constitutional Heart weakness might manifest as A. A thin tongue B. A tongue with a ruby red tip C. A thin-long crack in the midline of the tongue D. A dry tongue

C. A thin-long crack in the midline of the tongue Source: the Heart opens into the tongue; a constitutional weakness of the Heart can sometimes show up as a shallow-long-crack on the midline of the tongue and a weak pulse on the Heart and Kidney areas; a thin-long crack in the midline of the tongue indicates weakness of the Heart and also a tendency for emotional issues - The Foundations of Chinese Medicine, Maciocia, 2015, page 108; 2005 Edition, page 108; 1989 Edition, page 71-72

Which point Invigorates blood and dispels stasis; Cools blood heat and stops bleeding; Nourishes and harmonizes the blood; and Harmonizes the diaphragm and descends rebellious qi? A. SP-10 (xuehai) B. SP-6 (sanyinjiao) C. BL-17 (geshu) D. CV-17 (shanzhong)

C. BL-17 (geshu) Source: hui-meeting point of Blood; BL-17 (geshu) can be used in all blood disorders whether blood stasis, blood heat or blood deficiency; stagnant blood may be due to trauma, deficient qi, stagnant qi, bleeding, heat, emotional issues, blood deficiency or chronic disease; BL-17 (geshu) can be used to treat blood stasis in all of these etiologies; BL-17 (geshu) can cool the blood to stop bleeding in the Stomach and Lung; that is, BL-17 (geshu) is an important point for bleeding disorders (coughing/vomiting/spitting blood, epistaxis, blood in stool, etc) whether due to hot blood or stagnant blood; BL-17 (geshu) can be used to nourish yin (night sweating, steaming bones, etc) and to nourish the blood (palpitations, pale face, blurry vision, dizziness); to nourish the blood, BL-17 (geshu) and BL-19 (danshu) are often treated together with moxa in a point combination known as the "four flowers"; BL-17 (geshu) is indicated when there is blood deficiency WITH blood stasis; as the "diaphragm shu-point", BL-17 (geshu) can descend rebellious qi in both the Stomach (vomiting, nausea, hiccups, poor digestion) and the Lung (cough, asthma, wheezing, SOB) - A Manual of Acupuncture, Deadman, 2nd Edition, page 272

Inability to fall asleep, severe agitation and anxiety, night fever, moodiness, palpitations, severe fixed pain, and a dark purple tongue indicate A. Liver Qi Stagnation B. Phlegm Heat Disturbing Heart C. Blood Stasis D. Hot Blood

C. Blood Stasis

A patient has constipation, abdominal pain, fever, and a thick-dry-yellow tongue coating. What is the treatment plan? A. Promote Fluids in Large Intestine B. Clear Heat in the Large Intestine and Stomach, Promote Body Fluids C. Clear Heat in Stomach and Large Intestine, Promote Bowel Movement D. Clear Heat

C. Clear Heat in Stomach and Large Intestine, Promote Bowel Movement Source: Heat Obstructing Large Intestine; ETIOLOGY: external Wind-Cold or external Wind-Heat can result in this pattern; exterior Wind transforms into interior Heat; this pattern is often seen in children; PRECURSORS TO PATTERN: invasion of external Wind transforming into acute interior Heat (2nd stage of febrile disorder); PATTERN DEVELOPMENT: an incomplete expulsion of the pathogenic factor can result in residual pathogenic Heat in the body; the Heat can go further into the interior to the Blood level or Nutritive level - The Foundations of Chinese Medicine, Maciocia, 2015, page 692, 694; 2005 Edition, page 653; 1989 Edition, page 279

The correspondence most important to the Five Element scheme of diagnosis is A. Smell B. Taste C. Color D. Sound

C. Color Source: the facial color is the most important Five Element (5E) correspondence; however, the correspondences of smell, taste, sound are also extensively used in 5 diagnosis; from a 5E perscpective the facial color provides an indication of whether the element is deficient or in excess; green in the face can indicate Wood excess (Liver Qi stasis); red in the face can indicate Fire excess (Heart Fire Blazing); yellow in the face can indicate Earth deficiency (Spleen Qi Xu); white color in the face can indicated a Metal deficiency (Lung Qi Xu); a dark or grey color in the face can indicate a Water deficiency (Kidney Yin Xu); however, the facial color, as well as the other correspondences, need to be critically assessed from the point of view of the whole clinical picture; a red face is not only associated with an Heart imbalance (Fire) but also any other organ in the form of Heat patterns such as Lung Yin Xu with Empty-Heat (Metal), Kidney Yin Xu with Empty-Heat (Water), Liver Fire (Wood), Stomach Fire (Earth); in 5E theory, a white complexion corresponds to the Metal element but can also be associated with Cold patterns such as Spleen Yang Xu (Earth), Kidney Yang Xu (Water), Cold invades Liver Channel (Wood); one needs to look at the whole picture a red face with bitter taste, insomnia, and palpitations (Heart Fire) has a different meaning than a red face with irritability, bitter taste, and migraines (Liver Fire); the same applies to the other correspondences (smells, tastes, sense organs, etc) - The Foundations of Chinese Medicine, Maciocia, 2015, page 34; 2005 Edition, page 34; 1989 Edition, page 28

Which point Tonifies the Heart and Lung, Calms the spirit, and Clears heat and pacifies wind? A. DU-8 (jinsuo) B. DU-9 (zhiyang) C. DU-11 (shendao) D. DU-14 (dazhui)

C. DU-11 (shendao) ource: DU-11 (shendao) is located near the lungs; it is also next to BL-15 (xinshu), the Heart back-shu point; the Lungs dominate the qi and the Heart stores the Shen; DU-11 (shendao) strengthens the Heart and Lungs and treats timidity with SOB, palpitations, poor memory, sadness, anxiety; DU-11 (shendao) calms internal wind (epilepsy, spasms, lockjaw) that moves up the DU vessel - A Manual of Acupuncture, Deadman, 2nd Edition, page 542

Which of the following points is NOT used for fever?' A. DU-14 (da zhui) B. LI-11 (qu chi) C. DU-15 (ya men) D. LI-4 (he gu)

C. DU-15 (ya men) Source: LI-4, LI-11, DU-14 clear heat; DU-15 eliminates wind and benefits the neck, spine, and tongue - Deadman, 2nd Edition, page 547

A patient has yellow-colored vaginal discharge that is sticky, slimy, and foul smelling, associated with swelling and pain of the yin area and abdominal pain, and red tongue with slimy fur. The diagnosis is A. Liver fire B. Vacuity heat C. Damp-heat D. Vacuity cold

C. Damp-heat

Which pulse is described as felt only on the third level? A. Soggy pulse (ru mai) B. Moving pulse (dong mai) C. Deep pulse (chen mai) D. Rapid pulse (shu mai)

C. Deep pulse (chen mai) Source: a deep pulse (chen mai) becomes distinctly felt only at the deep or third level when heavy pressure is applied; it is not felt at the superficial or middle levels; a deep pulse (chen mai) indicates an internal disorder or an internal obstruction a soggy pulse (ru mai) is a combination of a thin pulse (xi mai), an empty pulse (xu mai), and a floating pulse (fu mai); a soggy pulse (ru mai) indicates Deficient Blood, Deficient Jing or Dampness; a moving pulse (dong mai) combines the short pulse, the tight pulse, the slippery pulse, and the rapid pulse; it is an incomplete pulse as it is only felt in one position like a bean and not having a head or tail; it indicates an extreme condition (fever, pain, fright, palpitations) and is rarely encountered in practice - The Web That Has No Weaver, Kaptchuk, 2000, page 197

Shortened menstrual cycle, light red blood, no clots, scanty blood quantity, dizziness, five center heat, insomnia, red tongue, scanty coating, thin and fast pulse indicate A. Excess Heat B. Qi Stagnation transforming to Heat C. Deficiency Heat D. Liver Qi Stagnation

C. Deficiency Heat

Waking up many times during the night indicates A. Deficiency of Heart-Blood B. Deficiency of Liver-Blood C. Deficiency of Kidney-Yin D. Deficiency of Gall Bladder

C. Deficiency of Kidney-Yin Source: this symptom generally indicates a yin deficiency which can affect the Heart, Liver, or Kidneys; frequent wake ups, excess dreaming, night sweats, and palpitations are due to Heart and Kidney yin deficiency with Empty-Fire - The Foundations of Chinese Medicine, Maciocia, 2015, page 355; 2005 Edition, page 336; 1989 Edition, page 159

What does it indicated when examining the rate of the apical pulse and the heart beat is slow? A. Excess Cold in the Upper Burner B. Middle Burner Qi Deficiency C. Deficient Heart Yang D. Kidney Yang Deficiency

C. Deficient Heart Yang

A 21 year-old female coughs up phlegm with difficulty breathing, has tiredness, and abdominal bloating. She complains of being unfocused and unable to concentrate for her final college exams. What is the Five Element diagnosis? A. Wood insulting Metal B. Fire not generating Earth C. Earth not generating Metal D. Wood overacting on Earth

C. Earth not generating Metal Source: In TCM, the pattern of Earth not generating Metal describes a Spleen (Earth) Deficiency condition (bloating, tiredness, etc) leading to Phlegm formation in the Lungs (Metal), resulting in cough, difficulty breathing. It can also describe the relationship between Spleen Qi Deficiency and Lung Qi Deficiency. The spirit of the Spleen is the yi (Intellect) and is responsible for studying, memorizing, and concentration. When the Spleen (Earth) is weak, the yi will be dull (poor concentration, cloudy thinking, etc). The treatment principle is to Tonify the Mother (Earth) to nourish the Son (Metal). - Foundations of Chinse Medicine, Maciocia, 2015, page 149, 822

acupuncture stimulus releases a neurochemical in the spinal cord affecting Laminae II. What is the name of the neurochemical? A. Beta-endorphin B. Alpha-endorphin C. Enkephalin D. Serotonin

C. Enkephalin Enkephalin is a chemical substance produced by the brain which acts as an opiate and produces analgesia to increase the threshold for pain

Which of the following points is used to treat a person in a coma? A. Extra point jian qian B. Extra point shi qi zhui C. Extra point shi xuan D. Extra point si shen cong

C. Extra point shi xuan Source: jian qian benefits the shoulder; shi qi zhui tonifies the kidney, promotes urination, activates qi and blood; si shen cong calms the shen, pacifies wind, and benefits the eyes and ears - Deadman, 2nd Edition, pages 565, 574, 578, 582

What is the Xi-Cleft point for Yang Wei Mai? A. BL-59 (fu yang) B. BL-63 (jin men) C. GB-35 (yang jiao) D. GB-36 (wai qiu)

C. GB-35 (yang jiao)

A 44 year-old male has been diagnosed as manic-depressive. On his first visit he appears dejected. His expression is dull. He speaks incoherently with changing moods. His appetite is poor. He sleeps a lot. The tongue coating is thick and sticky. The pulse is thready. The treatment given is BL-15 (xin shu), BL-18 (gan shu), BL-20 (pi shu), HT-7 (shen men), ST-40 (feng long). He returns two weeks later. He reports that he has not slept for three days. He restlessly paces the floor as he talks. When asked to repeat an answer, he angrily pounds the wall. The tongue coating is sticky yellow. The pulse is wiry, slightly fast, and slippery. What is your treatment? A. ST-40 (feng long), LR-3 (tai chong), GB-34 (yang ling quan), BL-18 (gan shu) B. Prick the jing-well points on hand C. GV-14 (da zhui), GV-16 (feng fu), PC-6 (nei guan), ST-40 (feng long) D. BL-15 (xin shu), bleed HT-9 (shao chong), ST-40 (feng long), LR-3 (tai chong)

C. GV-14 (da zhui), GV-16 (feng fu), PC-6 (nei guan), ST-40 (feng long) Source: symptoms have shifted from depressive to manic phase; pricking the jing-well points is done when there is mania with extreme heat; this patient has mild heat (pulse slightly fast) - Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 445; 2nd Edition, page 455

A 54 year-old female patient has had back pain for over one year. The back pain is on the left lateral side and about the same level as BL-23 (shen shu). The back pain radiates toward the front of the lower abdomen. The pain is severe just above the iliac crest. Which Extraordinary Vessel would you select for treatment? A. Governing Vessel (du mai) B. Yang Linking Vessel (yang wei mai) C. Girdle Vessel (dai mai) D. Yang Stepping Vessel (yang qiao mai)

C. Girdle Vessel (dai mai) Source: The pain location and the pain radiating to the lower abdomen points to the dai mai. The dai mai has back pain radiating to the lower abdomen or lower abdomen pain radiating to the lower back. The dai mai circles around the torso near the level of BL-23. The opening (GB-41) and coupled (TB-5) points are selected. BL-23, GB-25, and GB-26 can be added after the opening and closing points are needled. - The Channels of Acupuncture, Maciocia, 2006, page 547

What are the indications of the point located on the ulnar side of the little finger, 0.1 cun from the corner of the nail? A. Redness of the eyes, sore throat, stiffness of the tongue, febrile diseases B. Rigidity of the neck, pain in the wrist, jaundice' C. Headache, insufficient lactation, sore throat, redness of the eye D. Epistaxis, sore throat, stiffness of the tongue, febrile diseases

C. Headache, insufficient lactation, sore throat, redness of the eye Source: SI-1 (shaoze) - Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 165; 2nd Edition, 1999, page 167

A patient has constipation, abdominal pain, fever, and a thick-dry-yellow coating. What is the diagnosis? A. Large Intestine Damp-Heat B. Large Intestine Heat C. Heat Obstructing Large Intestine D. Dry Large Intestine

C. Heat Obstructing Large Intestine Source: this is an interior, full, and hot pattern; as this is an acute pattern that appears in febrile disease, the presence of fever is important; if there is no fever, then it is another pattern; the excess Heat in this pattern results in constipation, abdominal pain, and you can also have a burning anus; the Heat from the Large Intestine is transferred to the Stomach resulting in a thick-dry-yellow tongue coating and thirst; the pulse in this pattern would be deep and full which indicates internal excess; if the Heat steams the Body Fluids there can be profuse sweating in this pattern; if the Heat is extreme the Mind will become agitated with deliriums; this pattern (Heat Obstructing the Large Intestine) is the same as the organ yang-ming pattern of Six Stages; the constipation is an important differentiating point between the organ and channel yang-ming patterns; the pulse can also be a point of differentiating between the organ and channel yang-ming patterns; in the channel yang-ming pattern the pulse is big while in the organ pattern the pulse is deep and full; this pattern also corresponds to the qi level of the Four Levels; Large Intestine Heat has dry stools, burning sensation in the anus, and thick yellow tongue coating as key symptoms and does not have fever as a symptom - The Foundations of Chinese Medicine, Maciocia, 2015, page 692; 2005 Edition, page 651; 1989 Edition, page 279

What is the Xi-Cleft point for Yin Qiao Mai? A. KI-9 (zhu bin) B. KI-5 (shui quan) C. KI-8 (jiao xin) D. SP-4 (gong sun)

C. KI-8 (jiao xin) Source: the yin qiao mai (yin motility vessel) starts at KI-6 - Deadman, 2nd Edition, page 348

The brain, memory, and thinking are all nourished by the A. Stomach Qi B. Lung Qi C. Kidney Essence D. Yuan Qi'

C. Kidney Essence

A 38 year-old female had persistent vaginal candida infections. She had genital itching and a white vaginal discharge. She also reported that since the birth of her first child three years ago, she has had fatigue and low back pain. Her periods were a little delayed with a 35 days cycle. Her tongue wa a little red, peeled in patches, and had a thick, slightly yellow coating. The pulse was weak in the left-rear position. What is the diagnosis? A. Deficient Cold with lower jiao Dampness B. Deficient Blood and yin with Dampness C. Kidney yin xu with lower jiao Dampness D. Dampness and Heat in the lower jiao

C. Kidney yin xu with lower jiao Dampness Source: This is a case involving Kidney yin xu (back pain, weak Kidney pulse, and red-peeled tongue) and Dampness in the genital system (thick tongue coating, vaginal discharge). The treatment principle is to nourish Kidney yin and resolve Dampness in the lower burner. - Obstetrics & Gynecology in Chinese Medicine, Maciocia, 1st Edition, page 141

Our capacity for hard work and skilled, delicate activities are influenced by the A. Heart B. Lungs C. Kidneys D. Liver

C. Kidneys the Kidneys also control strength and skill; when the Kidneys are strong, a person can work with a purpose for a long stretch of time; when the Kidneys are weak the person lacks the strength to do sustained work; other aspects of the Kidneys are encapsulated in the following sayings: "the Kidneys loathe dryness", "the Kidneys are the Gate of the Stomach", "the Kidneys are the root of Pre-Heaven Qi", "the Kidneys control opening and closing"

A 47 year-old female has a chronic cough without sputum, dryness to the nose and throat, sore throat, afternoon fever, thin tongue coating, and a thready-rapid pulse. The prescription given is BL-13 (fei shu), LU-1 (zhong fu), LU-7 (lie que) and KI-6 (zhao hai). She is now reporting that when she coughs, she brings up blood. Which two points would you now add to your prescription? A. BL-17 (ge shu), SP-10 (xue hai) B. BL-20 (pi shu), BL-21 (wei shu) C. LU-6 (kong zui), BL-17 (ge shu) D. REN-17 (tan zhong), LU-7 (lie que)

C. LU-6 (kong zui), BL-17 (ge shu) Source: this is an internal injury to the Lung from dryness; when the Lung vessels are injured by the dryness, blood in the sputum or hemoptysis can result; LU-6 is the Lung xi-cleft point that descends Lung qi, treats acute conditions, moistens the Lung, clears Heat, and stops bleeding; LU-6 is particularly indicated for bleeding in the Lungs, no matter what the pattern (deficient yin, wind-heat, wind-dryness, phlegm-heat, or Liver-Lung disorder); BL-17 is the meeting point for Blood; BL-17 is an important point in treating a wide range of Blood disorders and can be used for all Blood diseases whether from deficiency or excess - Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 412; 2nd Edition, 1999, page 413

A 47 year-old female has a chronic cough without sputum, dryness to the nose and throat, sore throat, afternoon fever, thin tongue coating, and a thready-rapid pulse. She is now reporting that when she coughs, she brings up blood. Which two points would you now add to your prescription? A. BL-17 (ge shu), SP-10 (xue hai) B. BL-20 (pi shu), BL-21 (wei shu) C. LU-6 (kong zui), BL-17 (ge shu) D. REN-17 (tan zhong), LU-7 (lie que)

C. LU-6 (kong zui), BL-17 (ge shu) this is an internal injury to the Lung from dryness; when the Lung vessels are injured by the dryness, blood in the sputum or hemoptysis can result; LU-6 is the Lung xi-cleft point that descends Lung qi, treats acute conditions, moistens the Lung, clears Heat, and stops bleeding; LU-6 is particularly indicated for bleeding in the Lungs, no matter what the pattern (deficient yin, wind-heat, wind-dryness, phlegm-heat, or Liver-Lung disorder); BL-17 is the meeting point for Blood; BL-17 is an important point in treating a wide range of Blood disorders and can be used for all Blood diseases whether from deficiency or excess

The Lung primary channel connects with all of the following organs EXCEPT A. Spleen B. Lung C. Large Intestine D. Stomach

C. Large Intestine

A patient has dry stools, burning sensation in the anus, and thick-dry-yellow tongue coating. What is the diagnosis? A. Large Intestine Damp-Heat B. Heat Obstructing Large Intestine C. Large Intestine Heat D. Dry Large Intestine

C. Large Intestine Heat Source: this condition can be classified as excess, full, and hot; Dryness comes from the excess Heat burning up Body Fluids; in this pattern we can expect a rapid pulse reflecting the presence of Heat; additionally, there can be the presence of a dry mouth-tongue because of the yang ming connection between the Large Intestine and Stomach; there can be scanty-dark urination as the Heat in the lower burner causes the urine to become more concentrated - The Foundations of Chinese Maciocia, 2015, page 688; 2005 Edition, page 650; 1989 Edition, page 278

Which area of the tongue corresponds to the Liver? A. Right edge of tongue B. Both edges of tongue C. Left edge of tongue D. Root of tongue

C. Left edge of tongue the right edge of the tongue is associated with the Gall Bladder while the left edge corresponds to the Liver; the tongue can be divided into three ares that correspond to the three burners; in this schema, the Liver and Gall Bladder are located in the middle burner of the tongue to point to their digestive function even though the Liver has functions belonging to the lower burner (eg Liver Blood nourishing the uterus); the sides of the tongue towards the front reflect the chest (Lungs, Heart, and breasts in women); when the sides of the tongue are redder than the red body of the tongue, it can indicate Liver Fire or Hyperactive Liver Yang

What do LU-7 (lie que) combined with KI-6 (zhao hai) treat? A. Chest, stomach and heart B. Outer canthus, shoulder, cheek and diaphragm C. Lung, diaphragm, genitals, throat D. Inner canthus, shoulder, neck and back

C. Lung, diaphragm, genitals, throat Source: these are the opening and coupled point of ren mai (directing vessel) - Foundations of Chinese Medicine, Maciocia, 2005, page 845

Which element is preoccupied with work, is compelled to win, dreads confinement, seeks the perfect cause, dislikes conflicting purposes/choices/impulses, is obsessed with solutions/change/independence, and has an aversion to powerlessness/bondage/dependency?' A. Wood B. Fire C. Metal D. Water E. Earth

C. Metal

Which point Activates the channel and alleviates pain; Benefits the shoulder and arm; Moderates acute conditions; and Benefits the eyes? A. SJ-14 (jianliao) B. LI-15 (jianyu) C. SI-6 (yanglao) D. LI-14 (binao)

C. SI-6 (yanglao) Source: xi-cleft point; SI-6 (yanglao) is used for acute pain, especially for pain in the shoulders, scapula, and arm; this pain alleviating action is extended to its paired tai yang channel (Bladder) to treat acute lumbar sprain; SI-6 (yanglao) treats deficiency type eye disorders which manifest as blurring and dimness of sight - A Manual of Acupuncture, Deadman, 2nd Edition, page 237

A 34 year-old woman has irritability, shortness of breath, distention in the hypogastrium, nausea, weak voice, cough, painful menstruation which improves with blood flow, and fatigue with sweating after little exertion. The tongue is pale. The pulse is wiry. What is the diagnosis? A. Wood overacting Earth B. Fire overcontrolling Metal C. Metal not controlling Wood D. Water not nourishing Wood

C. Metal not controlling Wood Source: macules are spots under the skin and cannot be felt; they are characterized by spots of red patches and can be connected in a network pattern; they are flat and have no clear edges and without any skin swelling; when pressed, the red color does not disappear with pressure like papules; macules always indicate Heat at the ying and xue stages - The Foundations of Chinese Medicine, Maciocia, 2015, page 769; 2005 Edition, page 725

Upright Qi is usually only defined in relation to A. True Qi B. Central Qi C. Pathogenic factors D. Gathering Qi

C. Pathogenic factors Source: zheng qi (upright qi) is in relation to pathogenic factors (xie qi); zheng qi encompasses the resistance of the body to diseases caused by exterior factors - The Foundations of Chinese Medicine, Maciocia, 2015, page 53; 2005 Edition, page 54; 1989 Edition, page 46

You are a licensed acupuncturist. Your friend is an accountant. Upon request, you give medical advice to her in exchange for accounting services. What type of relationship do you now have? A. Friend/friend relationship B. Accountant/client relationship C. Patient/practitioner relationship D. Friend/practitioner relationship

C. Patient/practitioner relationship

According to CAM, what is the correct method for needling LR-13 (zhang men)? A. Obliquely 1.0-1.5 cun B. Perpendicularly 1.0-1.5 cun C. Perpendicularly 0.5-0.8 cun D. Obliquely 0.3-0.5 cun

C. Perpendicularly 0.5-0.8 cun Source: however, Deadman says transverse or oblique 0.5 - 1.0 cun following the line of the rib; deep perpendicular needling may damage the liver or spleen - CAM, 3rd Edition, page 216;; Deadman, 2nd Edition, page 489

A patient has cough, runs out of breath, splashing sounds in the chest, coughing up frothy sputum, chest oppression, dizziness, feeling cold, pale tongue with thick-sticky white moss, and fine and a fine-slippery pulse. What is the Lung zang-fu pattern? A. Damp-Phlegm Obstructing Lungs B. Phlegm-Heat Obstructing Lungs C. Phlegm-Fluids Obstructing Lungs D. Wind-Damp Invading Lungs

C. Phlegm-Fluids Obstructing Lungs this is a chronic pattern of Phlegm in the Lungs; usually, it is only seen in the elderly; in this pattern the Phlegm is very watery, diluted, and can be frothy; this type of expectoration indicates that the condition is chronic with a weakened body; as it occurs in the elderly, there can also be a deficiency of Spleen, Kidneys, and Lung Yang (feeling cold, pale tongue); the dizzines can be mutually caused by the deficiency of Yang not nourishing the head and from the Phlegm obstrucing the head; the pulse can also be soggy or wiry; just having a cough with white-watery-foamy sputum in the elderly is enough to make this diagnosis; the treatment principle is Resolve Phlegm and Tonify Spleen Yang, Lung Yang, and Kidney Yang

A patient has palpitations, pain in heart area, constriction in the chest, bluish lips and nails, and cold hands. What tongue is expected? A. Red tongue with redder tip with red points and yellow coating B. Red tongue with sticky-yellow coating C. Purple tongue D. Swollen tongue with thick-sticky-greasy coating

C. Purple tongue Heart Blood Stagnant

The side effects of statin drugs (Lipitor, Zocor, Crestor) can indicate that they can induce which of the following TCM pattern? A. Heat Burning True Yin B. Liver Blood Vacuity and Yang Counterflowing C. Qi and Blood Vacuity and Spleen Qi Vacuity D. Urinary Bladder Damp-Heat

C. Qi and Blood Vacuity and Spleen Qi Vacuity Source: statin drugs or HMG-COA reductase inhibitors are prescribed to treat high serum cholesterol; these western drugs are posited to have the TCM classification of blood-quickening medicinals because the symptoms of high cholesterol involve stasis of Blood (chest impediment, angina pectoris); the side effects of this class of western drugs include muscle cramps, liver failure, and acute kidney failure; the symptoms of acute kidney failure (weight gain, peripheral edema, anorexia, lack of strength) indicate qi vacuity; the symptoms of liver failure (jaundice, fatigue, somnolence, lack of strength, hypotension) indicate Spleen qi vacuity; the muscle cramps are mainly due to vacuity of Blood - Integrated Pharmacology, Sperber and Flaws, 2007, page 361

A patient has hypogastric pain, pain referring to the genitals which is improved with warmth, and a deep-wiry pulse. What is the treatment? A. REN-6 (qi hai), LR-5 (li gou), LR-1 (da dun) B. REN-3 (zhong ji), LR-3 (tai chong), LR-1 (da dun) C. REN-3 (zhong ji), LR-1 (da dun), LR-5 (li gou), LR-3 (tai chong) D. LR-14 (qi men), LR-5 (li gou), LR-1 (da dun)'

C. REN-3 (zhong ji), LR-1 (da dun), LR-5 (li gou), LR-3 (tai chong) Source: Stagnation of Cold in the Liver Channel; moxa on REN-3 (zhong ji) disperses cold from the lower jiao; as the connecting channel flows around the genitals, LR-5 (li gou) is selected to clear cold from the channel; LR-1 (da dun) removes cold obstruction from the lower jiao; LR-3 (tai chong) resolves spasms and contractions; points should be treated with a combination of reducing method and moxa - The Foundations of Chinese Medicine, Maciocia, 2015, page 546; 2005 Edition, page 517; 1989 Edition page 224

A 37 year-old female has irregular menstruation. The menses are scanty and light red in altering cycles. The tongue is pale with thin coating. She has dizziness and tinnitus. The pulse is deep and weak. The treatment given is REN-6 (qi hai), REN-4 (guan yuan), ST-36 (zu san li), SP-6 (san yin jiao). After six months of treatment, she reports that though better, she has stopped improving and all the original symptoms are still there, but only reduced. What is your treatment? A. REN-6 (qi hai), REN-4 (guan yuan), DU-20 (bai hui), ST-36 (zu san li) B. BL-17 (ge shu), BL-18 (gan shu), BL-20 (pi shu), BL-21 (wei shu), ST-36 (zu san li) C. REN-4 (guan yuan), BL-23 (shen shu), KI-8 (jiao xin), KI-3 (tai xi), DU-20 (bai hui) D. KI-5 (shui quan), REN-3 (zhong ji), SP-10 (xue hai), BL-17 (ge shu)

C. REN-4 (guan yuan), BL-23 (shen shu), KI-8 (jiao xin), KI-3 (tai xi), DU-20 (bai hui) Source: the original point prescription was based on deficient blood and its purpose is to tonify the Blood and regulate menstruation; it helped but did not resolve the issue; that is because the dizziness, tinnitus, and deep pulse, which were not given sufficient emphasis, were pointing to a deficient kidney pattern; BL-23 strengthens the original Qi when combined with REN-4 and KI-8; REN-4 benefits the uterus, fortifies original Qi, and nourishes the Kidneys; BL-23 tonifies the Kidneys and benefits and warms the uterus; KI-8 regulates the ren mai and chong mai to adjust menstruation; KI-3 and DU-20 promote the marrow, nourishes the Brain, and raises Qi to treat dizziness and tinnitus - Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 471; 2nd Edition, page 482-485

Which point Invigorates blood, regulates qi and alleviates pain; Drains damp, clears heat and regulates urination? A. CV-2 (qugu) B. LR-8 (ququan) C. SP-12 (chongmen) D. LR-11 (yinlian)

C. SP-12 (chongmen) Source: meeting point of Spleen, Liver channels with Yin Linking vessel; like ST-30 (qichong), SP-12 (chongmen) is used to treat distention, fullness and pain in the abdomen and Heart area in late stage pregnancy (fetal qi rushing up to the Heart) - A Manual of Acupuncture, Deadman, 2nd Edition, page 198

Which of the following points treats whole body pain? A. BL-67 (zhi yin) B. LR-1 (da dun) C. SP-21 (da bao) D. SP-1 (yin bai)

C. SP-21 (da bao) Source: the function of luo points in general is to help in distributing of qi and especially blood; as the Spleen controls blood, its great luo-connecting channel (which emerges 3 cun below the axilla) dominates the function of blood distribution in the body; when blood stagnates there is pain in the whole body - Deadman, 2nd Edition, page 204

Which of the following points requires the shallowest perpendicular insertion? A. ST-1 (cheng qi B. BL-1 (jing ming) C. ST-2 (si bai) D. BL-2 (zan shu)

C. ST-2 (si bai) Source: CAM gives for ST-2: 0.2 or 0.3; for ST-1: 0.5 to 1; for BL-1: 0.3 to 0.7; for BL-2: 0.3 to 0.5; Deadman says BL-1 is needled .2 to .3 and ST-2 is .2 to .4 - Chinese Acupuncture and Moxibustion, 2010 Edition, page 146; 1999 Edition, page 145

Which point Regulates the intestines and transforms stagnation; Clears damp heat and alleviates diarrhea and dysenteric disorder; Regulates the Spleen and Stomach; and Activates the channel and alleviates pain? A. LI-11 (quchi) B. ST-38 (tiaokou) C. ST-37 (shangjuxu) D. ST-39 (xiajuxu)

C. ST-37 (shangjuxu) Source: lower he-sea point and sea of blood point; ST-37 (shangjuxu) is a main point for treating intestinal problems (especially diarrhea and dysentery) whether due to deficiency or excess conditions; ST-37 (shangjuxu) also clears intestinal obstructions and stagnations (distension, constipation); being so close to ST-36 (zusanli), ST-37 (shangjuxu) has a beneficial effect in tonifying and regulating the Stomach and Spleen; ST-37 (shangjuxu) moves the qi and blood in the lower leg and can be used to treat leg atrophy, hemiplegia, leg pain, etc. whether due to excess or deficiency - A Manual of Acupuncture, Deadman, 2nd Edition, page 162

According to TCM five-elements theory, if a patient has a strong pulse in the Gate position of the right wrist, which of the following points would you needle? A. Sedation of LI-2 B. Sedation of SI-3 C. Sedation of ST-45 D. Sedation of TB-6

C. Sedation of ST-45 Source: when there is an excess in an organ, sedate the point on its channel associated with its Child Element; five-elements pulse diagnosis uses the pulse positions from the "Classic of Difficulties"; guan = bar = gate = middle = 2nd position - The Foundations of Chinese Medicine, Maciocia, 2005, page 38, 355

All of following qualities describe a scattered pulse (san mai) EXCEPT A. Floating B. big C. Slow D. Weak

C. Slow Source: a scattered pulse (san mai) is like an empty pulse as it has the qualities of floating, big, and weak; however, a scattered pulse (san mai) is larger and less distinct than an empty pulse; a scattered pulse (san mai) is felt mainly as it recedes from the fingers; this pulse indicates a serious problem with Kidney Yang being exhausted and floating away - The Web That Has No Weaver, Kaptchuk, 2000, page 208; Maciocia, 2005, in his foundations book, page 365, describes the scattered pulse as very small, relatively superficial, and, instead of feeling like a wave, feels like it is broken in small dots

The release of intestinal gas without a smell usually indicates A. Small Intestine Deficiency B. Stomach Deficiency C. Spleen Deficiency' D. 'Liver qi stagnation

C. Spleen Deficiency' Source: strong-foul intestinal gas usually indicates Damp-Heat in the Large Intestine; a rancid smell like rotten eggs indicates Toxic-Heat in the Large Intestine - The Foundations of Chinese Medicine, Maciocia, 2005, page 380

A patient has white-colored vaginal discharge that is clear and thin, drips without ceasing, associated with no itching of the yin area, and dull abdominal pain and soreness of the lower back. The diagnosis is A. Spleen and Lung vacuity B. Liver heat C. Spleen and Kidney vacuity D. Damp-heat

C. Spleen and Kidney vacuity

The tongue coating is very closely related to the function of the A. Small intestine B. Gall Bladder C. Stomach D. Large Intestine

C. Stomach the Stomach has the function of rotting and ripening food and of moving, transporting food essences; the tongue coating is formed by "dirty dampness" which is generated by the Stomach function of rotting and ripening foods; when this "dirty dampness" rises to the tongue, the coating is formed; a thin-white coating shows that the Stomach is working OK; no coating shows that the digestive function of the Stomach is impaired and Stomach Qi is weak; the color of the tongue coating is also determined by any disharmony in the Stomach with white coating showing up when there is a Cold Stomach and yellow coating showing up when there is Hot Stomach

A patient has sharp and stabbing pains in the epigastrium which are worse with heat, pressure and after eating, vomiting dark blood, and blood in the stools, purple tongue with purple spots, and wiry or choppy pulse. What is the Stomach zang-fu pattern? A. Stomach Yin Deficiency B. Stomach Fire C. Stomach Blood Stasis D. Stomach Phlegm-Fire

C. Stomach Blood Stasis the pain of Stomach Blood Stasis is more intense than the pain associated with other Stomach patterns; the key symptoms/signs associated with Stomach Blood stagnation are stabbing/sharp/boring pain, vomiting dark-colored blood, bloody stools (due yangming relation to Large Intestine); the purple tongue is a reflection of the stasis; if the patient has the pain symptoms of Stomach Blood Stagnation but does not have a purplish tinge to the tongue, it means that the Blood stasis is not severe; Blood stagnation can potentially give rise to more serious disorders (cancer, stroke, heart attack); a patient cannot get Stomach cancer just from having stagnant Qi in the Stomach, but a Blood stagnation disorder can lead to stomach cancer; you can make the diagnosis of Stomach Blood Stasis just by having two symptoms: stabbing epigastric pain and a purplish tinge on the center of the tongue; the treatment principle is to Invigorate Blood, Eliminate Stagnation, and Descend the Stomach Qi

Which organs does the Small Intestine primary channel connect with?' A. Heart, Small Intestine B. Gall Bladder, Heart, Small Intestine C. Stomach, Heart, Small Intestine D. Heart, Small Intestine, Spleen

C. Stomach, Heart, Small Intestine Source: from ST-12 (que pen) a branch descends and connects with the Stomach, Heart, and Small Intestine; though the Small Intestine primary channel connects the Stomach and Small Intestine there are no points that are indicated for digestive problems - A Manual of Acupuncture, Deadman, 2nd Edition, page 228, 230') ,new quizAnswer('Stomach, Small Intestine

A child may inherit a weak constitution for all of these reasons EXCEPT A. The parents are in poor health B. The parents conceive when too old' C. The mother taking too many hot baths while pregnant D. The Mother took excessive drugs while pregnant

C. The mother taking too many hot baths while pregnant

The yin jing-river points are effective for treating cough and dyspnea or chills and fever because A. They have an internal-external relationship with the Lungs B. They have an internal connection to Zong Qi C. They are Metal points D. They all tonify the Lungs

C. They are Metal points Source: jing-river points had an effect on cough and dyspnea or chills and fever because they belong to the Metal element; BL-60 treats dyspnea and cough; LI-5 treats cold cough and fever without sweating; SP-5 treats chills and fever with vomiting, coughing and diarrhea in children; LU-8 treats cough, asthma, wheezing, dyspnea, and fever; ST-41 and TB-6 treat febrile diseases without sweating; KI-7 treats fever without sweating; PC-5 treats aversion to cold and wind and febrile diseases; TB-6 treats cough and febrile disease without sweating; GB-38 treats chills and fevers - A Manual of Acupuncture, Deadman, 2001, page 35

A patient has urgent and frequent urination, burning urine, difficult urination which stops midstream, dark colored urine, blood and sand in the urine, feverish sensations, and thirst. What tongue is expected? A. White-greasy coating on root with white large spots B. Pale and wet tongue C. Thick, sticky, yellow coating on the root with red spots D. Red tongue without coating

C. Thick, sticky, yellow coating on the root with red spots

A patient has hypochondriac pain and distention, vomiting, nausea, yellowish complexion, difficulty digesting fatty foods, dark and scanty urination, feverish sensations, thirsty but does not desire drinks, and bitter taste. What tongue is expected? A. Pale or normal tongue B. Red tongue without coating C. Thick-sticky yellow coating D. Red tongue with thin white coating

C. Thick-sticky yellow coating Source: the diagnosis is Gall Bladder Damp-Heat; the thick-yellow coating can appear either bilaterally in two strips or unilaterally; Dampness is sticky and turbid which becomes reflected on the tongue; a thick coating always indicates that there is a pathogenic influence which is an excess condition; the thicker the coating the stronger the pathogenic factor; the yellow coating reflects the heat; the pulse in this pattern is slippery-wiry-rapid; hypochondrial fullness, a bitter mouth taste, a thick-yellow coating on the right side of the tongue are sufficient to make the diagnosis of Gall Bladder Damp-Heat; the treatment principle is Resolve Dampness, Clear Heat in Gall Bladder, and Move Liver Qi - The Foundations of Chinese Medicine, Maciocia, 2015, page 706; 2005 Edition, page 663; 1989 Edition, page 284

A patient has sudden abdominal pain, diarrhea with pain, cold feelings, and cold sensation in the abdomen. What tongue is expected? A. Red tongue, greasy-yellow coating B. Pale or red dry tongue without coating C. Thick-white coating D. Pale tongue without coating

C. Thick-white coating Cold Invading Large Intestine

Which pulse is described as forceful and tight like a stretched and twisted rope? A. Wiry pulse (xuan mai) B. Knotted pulse (jie mai) C. Tight pulse (jin mai) D. Confined pulse (ruo mai)

C. Tight pulse (jin mai) Source: a tight pulse (jin mai) is classified according to shape; a tight pulse (jin mai) is a strong pulse that feels like it bounces from side to side like a tight rope; a tight pulse (jin mai) is fuller and more elastic than a wiry pulse (xuan mai); a tight pulse (jin mai) feels like it vibrates and seems to be faster than it actually is; a tight pulse (jin mai) indicates Excess, Cold, or Stagnation; a wiry pulse (xuan mai) is also categorized according to shape (taut like guitar string); it is strong and rebounds on all three depths against the pressure from the fingers; this pulse indicates Stagnation and Liver disorder; the prison or confined pulse (lao mai) is a form of a hidden pulse as it is deep, wiry, and often strong and long; the confined or prison pulse (lao mai) indicates Cold obstruction - The Web That Has No Weaver, Kaptchuk, 2000, page 200

What are the indications for the point located on the radial side of the index finger, 0.1 cun from the corner of the nail? A. Pain of the eye, nasal obstruction, toothache, delayed labour B. igidity of the neck, tinnitus, acute lumbar sprain, night sweating C. Toothache, sore throat, loss of consciousness D. Sore throat, stiffness of the tongue, febrile disease

C. Toothache, sore throat, loss of consciousness Source: LI-1 (shangyang) - Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 140; 2nd Edition, 1999, page 139

Which of the following has an INCORRECT pairing between an eye part and the corresponding organ? A. Eye corners: Heart B. Sclera: Lungs C. Upper eyelid: Stomach D. Iris: Liver

C. Upper eyelid: Stomach Source: the upper eyelid belongs to the Spleen while the lower eyelid to the Stomach; the pupil corresponds to the Kidneys - The Foundations of Chinese Medicine, Maciocia, 2015, page 317; 2005 Edition, page 303

A husky tone of voice is associated with wich Element? A. Metal element B. Earth element C. Water element D. Fire element

C. Water element Source: a groaing or a husky voice indicates a Water imbalance; if someone laughs a lot or laughs inappropirately it indicates a Fire imbalance; a shouting-loud voice indicates a Wood imbalance; a very thin-weak and often weepy voice indicates a Metal imbalance; a sing-song and melodic voice indicates an Earth imabalance - The Foundations of Chinese Medicine, Maciocia, 2015, page 35; 2005 Edition, page 35; 1989 Edition, page 30

A patient has frequent and urgent urination which stops midstream, pale and turbid urine, and the hypogastrium feels heavy. What tongue is expected? A. Red tongue with sticky-yellow coating B. Pale and wet tongue C. White-sticky coating on root D. Pale tongue with thin yellow coating

C. White-sticky coating on root Source: the diagnosis is Bladder Damp-Cold; the sticky coating reflects Dampness and the white color reflects Cold; the root of the tongue corresponds to the lower jiao; the pulse in this pattern is slippery-slow and a little wiry on the left rear pulse position; a feeling of heavyness in the hypogastrium, difficult urination, and pale urine are sufficient to make the diagnosis of Bladder Damp-Cold; the treatment principle is Resolve Dampness, Expel Cold, Remove Lower Jiao Obstruction in the Water Passages - The Foundations of Chinese Medicine, Maciocia, 2015, page 716; 2005 Edition, page 674; 1989 Edition, page 289

In index finger diagnosis in children, the first joint is the A. Qi bar B. Blood bar C. Wind bar D. Life bar

C. Wind bar Source: There are only three bars. The first index finger joint (closest to the knuckle) is the Wind Bar, the middle joint is the Qi Bar, and the last joint is the Life Bar. In children it is important to look at the veins of the index finger. The veins are a result of the protrusion of the yin Lung channel. The veins are relatively clear on children three years and under. - Practical Diagnosis in Traditional Chinese Medicine, Deng, 1999, page 26

LU-7 (lie que) is between the A. abductor pollicis brevis and flexor pollicis brevis of the thumb B. opponens pollicis muscle C. between tendons brachioradialis muscle and abductor pollicus longus D. between tendons muscle extensor pollicis longus and brevis

C. between tendons brachioradialis muscle and abductor pollicus longus

The great luo-connecting channel of the Spleen spreads through the chest and costal regions and gathers and controls the ___________ of all the luo-connecting channels of the body. A. essence B. qi C. blood D. yuan qi

C. blood

Infrared therapy is contraindicated in A. asthma B. eczema C. cardiovascular insufficiency D. chronic pharyngitis

C. cardiovascular insufficiency

The xi-cleft points are where the qi and blood A. flow superficially B. gather and mix C. gather and go deep D. interchange

C. gather and go deep Source: starting at the jing-well points, the qi flows relatively superficially; at the xi-cleft points the qi and blood gather and go deeper in the body; generally, the xi-cleft points are selected to treat acute pain, usually for acute channel pain; the yin xi-cleft points treat blood disorders, especially acute bleeding; the xi-cleft points are located at the fingers/toes and elbows/knees except for ST-34 which is located above the knee - A Manual of Acupuncture, Deadman, 2nd Edition, page 38

The xi-cleft points are where the qi and blood A. flow superficially B. gather and mix C. gather and go deep D. interchange

C. gather and go deep Source: starting at the jing-well points, the qi flows relatively superficially; at the xi-cleft points the qi and blood gather and go deeper in the body; generally, the xi-cleft points are selected to treat acute pain, usually for acute channel pain; the yin xi-cleft points treat blood disorders, especially acute bleeding; the xi-cleft points are located the fingers/toes and elbows/knees except for ST-34 which is located above the knee - A Manual of Acupuncture, Deadman, 2nd Edition, page 38

What is the pinyin name for a Slowed-down or Moderate pulse? A. dai mai B. chi mai C. huan mai D. cu mai

C. huan mai Source: the huan mai (moderate pulse) has four beats for each respiration cycle; the chi mai (slow pulse) has three beats while the shu mai (rapid pulse) has five beats per respiration cycle; the huan mai (moderate pulse) indicates a healthy pulse - Foundations of Chinese Medicine, Maciocia, 2015, page 386

Perpendicular insertion of GB-21 (jianjing), especially in thin patients, carries a substantial risk of' A. injuring the trapezius muscle B. injuring the phrenic nerve C. injuring the lungs D. injuring the suprascapular artery

C. injuring the lungs Source: it can cause pneumothorax - A Manual of Acupuncture, Deadman, 2nd Edition, page 438

A 34 year-old male complains of epigastric fullness. You palpate the epigastrium which feels soft to the touch. This indicates A. deficiency B. excess C. mixed excess and deficiency D. normal palpation of epigastrium

C. mixed excess and deficiency Source: the epigastrium covers the area outlined by the costal margins, xyphoid process, and the navel; upon palpation a normal epigastrium feels elastic and neither too hard or too soft; if the epigastrium feels hard this indicates and excess Stomach pattern (Qi Stasis, Blood Stasis, Dampness, Food Retention); if the epigastrium feels distended like a drum this indicates Qi Stasis; if the patients feels epigastric fullness but the epigastrium feels soft then this is a mixed deficiency and excess condition, usually Stomach Heat with Spleen Qi Deficiency - Diagnosis in Chinese Medicine, Maciocia, 2004, page 515

Yang divergent channels connect with their related ______ channel at the A. divergent / neck or head B. luo-connecting / hands or feet C. primary / neck or head D. sinew / chest

C. primary / neck or head Source: the yang divergent channels connect with their primary channel at either the neck or head; most connect at the neck; the Large Intestine Divergent channel connects with the Large Intestine primary channel at the neck; the Stomach Divergent channel connects with the Stomach primary channel at the neck before ending at the eye; some sources (Maciocia\'s Channels of Acupuncture page 337) say the connection occurs on the neck while other sources (Deadman\'s Manual of Acupuncture page 127) have the connection at the eye; the Small Intestine Divergent channel connects with the Small Intestine primary channel at the inner canthus (CAM, 2010, page 95); the diagrams in Deadman and Maciocia do not show this connection at the eye; the Bladder Divergent channel connects with the Bladder primary channel at the neck; the Triple Burner Divergent starts its pathway by first connecting with the Triple Burner primary channel at the vertex; the Gall Bladder Divergent channel connects with the Gall Bladder primary channel at the outer canthus - A Manual of Acupuncture, Deadman, 2nd Edition, page 79, 127, 229, 253, 389, 489

In gua sha the term "Sha" is applied to A. a scraping instrument B. the tonification of the defensive or wei qi C. rash-like skin reaction D. the scraping of the skin surfacd

C. rash-like skin reaction Source: the term is applied to the rash-like expression after the application of Gua Sha; this skin reaction is associated with the retained external pathogenic factor which stagnates the qi and blood; the pathogens are brought to the surface with the technique of Gua Sha; Gua means to scrape or scratch - Gua Sha, Nielsen, 2009, page 43

All of the following pulses have a deep quality EXCEPT A. deep pulse (chen mai) B. hidden pulse (fu mai) C. soggy pulse (ru mai) D. firm pulse (lao mai)

C. soggy pulse (ru mai) Source: The SOGGY PULSE, also called weak-floating, can only be palpated superficially. It feels like a wet bread and disappears with pressure. The soggy pulse indicates chronic qi xu with the retention of dampness. The DEEP PULSE can only be palpated at the middle and especially at the deep level. It feels sunk under the muscle or like a stone in the water. This pulse shows that the patient has an internal condition. A deep-full pulse indicates an internal pathogenic factor (cold, heat, qi/blood stasis, phlegm) when it is deep-weak indicates yang xu. The HIDDEN PULSE is a deep pulse to the extreme, deeper than the deep pulse, and can only be palpated with strong presure. It indicates that the patient has an interior pattern. When the pulse is hidden and full it also indicates that there is an internal block such as qi or blood staisis, blocked heat or cold, blocked phlegm, blocked food retention, or chronic pain. When the hidden pulse is empty it indicates yang xu. The FIRM PULSE combines the qualities of full, wiry, and long pulses. All three qualities together are palplated only at the deep level. But is really a wiry pulse only at the middle and deep level whereas the wiry pulse in itself is felt at all levels. Generally, the pulse indicates internal Cold that causes chronic pain but it can also indicate qi or Blood stasis. - Diagnosis in Chinese Medicine, Maciocia, 2004, page 496

When needling LI-5 (yangxi) one should avoid A. the ulnar artery B. the ulnar nerve C. the cephalic vein D. the ulnocarpal ligaments

C. the cephalic vein

Needling ST-2 (sibai) with lifting and thrusting may injure A. the orbital vein B. the sinus cavity C. the infraorbital nerve D. infratrochlear nerve

C. the infraorbital nerve

What is the location of the metal point of the hand tai-yin meridian? A. At the transverse crease of the wrist in the depression on the radial side of the radial artery B. Superior to the radial styloid process 1.5 cun above the transverse crease of the wrist C. On the medial aspect of the upper arm 3 cun below the end of the axillary fold on the radial side of the biceps muscle D. 1 cun above the transverse crease of the wrist in the depression on the radial side of the radial artery

D. 1 cun above the transverse crease of the wrist in the depression on the radial side of the radial artery Source: LU-8 - A Manual of Acupuncture, Deadman, 2nd Edition, page 86

Ancient Greek philosophy and Chinese philosophy share A. An interest in five chemical elements B. A method of applying natural elements to medicine C. A theory of the building blocks of nature D. A theory of the transformative qualities of nature

D. A theory of the transformative qualities of nature Source: in Greek philosophy the elements (Air, Water, Earth, Fire) can mix with each other and can even transform into one another; for example, Earth (cold-dry) can generate Water (cold-wet) if wetness of Water replaces the dryness of Earth; the interpretation that the elements can transform into one another is similar to the Chinese theory of the Five Elements; both philosophies see the elements as the transformative qualities of nature - The Foundations of Chinese Medicine, Maciocia, 2015, page 19; 2005 Edition, page 19; 1989 Edition, page 15

Which point Clears heat, Regulates the Governing vessel, and is the main treatment point for malaria?0,') ,new quizAnswer(' A. DU-14 (dazhui) B. DU-8 (jinsuo) C. DU-12 (shenzhu) D. DU-13 (taodao)

D. DU-13 (taodao) Source: meeting point of the Governing vessel with the Bladder channel; DU-13 (taodao) is a main point that treats both acute or chronic malaria; because it clears heat from the Governing vessel, DU-13 (taodao) is indicated for chills and fever and steaming bones; DU-13 (taodao) can regulate du mai by clearing head and wind (stiff spine; heavy head, clonic spasms); DU-13 (taodao) is also indicated for unhappiness - A Manual of Acupuncture, Deadman, 2nd Edition, page 544

Which of the following points is NOT used for fever due to internal and hot conditions? A. DU-14 (da zhui) B. LI-11 (qu chi) C. LI-4 (he gu) D. DU-15 (ya men)

D. DU-15 (ya men) Source: LI-4, LI-11, DU-14 clear heat; DU-15 eliminates fever-chills due to external wind and benefits the neck, spine, and tongue - Deadman, 2nd Edition, page 547

Which point Benefits the tongue and treats muteness; Eliminates wind; Benefits the neck and spine? A. HT-5 (tongli) B. GB-20 (fengchi) C. SI-3 (houxi) D. DU-15 (yamen)

D. DU-15 (yamen) Source: meeting point of the Governing and Yang Linking vessel; DU-15 (yamen) is located directly opposite the tongue; DU-15 (yamen) is one of the few points that is indicated for muteness, voice loss, and a stiff and flaccid tongue; DU-15 (yamen) eliminates both external (chills, fever, no sweating) and internal wind (stiff neck, epilepsy, spasms); due to its location, DU-15 (yamen) treats neck stiffness and spine problems in the area due to any pathology - A Manual of Acupuncture, Deadman, 2nd Edition, page 546

Traditionally, which of the following pairs is used to symbolically represent Yin/Yang? A. Immaterial/Material B. Rising/Descending C. enerates/Grows D. Earth/Heaven

D. Earth/Heaven Source: the Simple Questions says that "Heaven is an accumulation of yang, Earth is an accumulation of yin" - The Foundations of Chinese Medicine, Maciocia, 2015, page 6; 2005 Edition, page 6; 1989 Edition, page 4

A red tongue body with no coating indicates A. Full-Heat B. Liver Fire C. Gall-Bladder Heat D. Empty-Heat

D. Empty-Heat

The vertical axis from bottom to top of the Cosmological Five Element sequence is a symbol of A. Jing, Fluids, Essence B. Yin, Essence, Yang C. Yang, Qi, Mind D. Essence, Qi, Mind

D. Essence, Qi, Mind Source: n the Cosmological sequence you have Water, Earth, and Fire aligned in a vertical line with Water at the bottom, Earth direclty above Water, and Fire directly above Earth; this points to the direct relationship between Essence (Water), Qi (Earth), and Mind (Fire); these are the Three Treasures of Jing, Qi, and Shen - The Foundations of Chinese Medicine, Maciocia, 2015, page 30; 2005 Edition, page 30; 1989 Edition, page 24

Defensive Qi is to Nutritive Qi as A. Yin is to Yang B. Fine is to Coarse C. Cold is to Heat D. Exterior is to Interior

D. Exterior is to Interior

Which of the following points is used to treat a person in a coma? A. Extra point jian qian B. Extra point shi qi zhui C. Extra point si shen cong D. Extra point shi xuan

D. Extra point shi xuan Source: jian qian benefits the shoulder; shi qi zhui tonifies the kidney, promotes urination, activates qi and blood; si shen cong calms the shen, pacifies wind, and benefits the eyes and ears - Deadman, 2nd Edition, pages 565, 574, 578, 582

Select what applies to ST-25 (tian shu). A. Front-Mu Point for Large Intestine, Yang Qiao Mai (Yang Heel Vessel) Point B. Front-Mu Point for Large Intestine, Sea of Nourishment Point C. Front-Mu Point for Large Intestine, Command Point for Abdomen D. Front-Mu Point for Large Intestine

D. Front-Mu Point for Large Intestine Source: Regulates the Intestines, Regulates the Spleen and Stomach, Resolves dampness and damp-heat, Regulates qi and blood and eliminates stagnation. - A Manual of Acupuncture, Deadman, 2nd Edition, page 148

The main manifestations of an interior Full-Heat condition include all of the following EXCEPT A. Fever, thirst B. Red eyes C. Scanty-dark urine D. Heavy white tongue coating

D. Heavy white tongue coating

Some he-sea points can treat diseases of the skin. Which of the following he-sea point particularly treats itching of the scrotum? A. LI-11 (qu chi) B. BL-40 (wei zhong) C. PC-3 (qu ze) D. KI-10 (yin gu)

D. KI-10 (yin gu) Source: he-sea points can treat skin disorder patterns; KI-10 treats itching scrotum; LI-11 treats urticaria, wind rash, dry or scaly skin, shingles, and whole body itching; BL-40 treats eczema and urticaria; PC-3 treats wind-rash; LR-8 treats genital itching; not all he-sea points have skin symptoms in their indications; those that do not include LU-5, ST-36, SP-9, HT-3, etc. - A Manual of Acupuncture, Deadman, 2001, page 37

What is the Xi-Cleft point for Yin Wei Mai? A. KI-8 (jiao xin B. KI-5 (shui quan) C. SP-4 (gong sun) D. KI-9 (zhu bin)

D. KI-9 (zhu bin) Source: KI-9 is the xi-cleft point of the yin linking vessel; it is 5 cun superior to KI-3; the yin wei mai connects the yin channels of both hand and foot and the conception vessel; it has a special action on the heart - Deadman, 2nd Edition, page 349

Which of the following sets of points has one point which is NOT a xi-cleft point? A. TB-7 (huizhong), KI-8 (jiaoxin) B. GB-35 (yangjiao), BL-59 (fuyang) C. SI-6 (yanglao), LR-6 (zhongfu) D. KI-9 (zhubin), HT-4 (lingdao)

D. KI-9 (zhubin), HT-4 (lingdao) Source: HT-4 is a jing-river point; in addition to the xi-cleft points of the primary channels, there are also xi-cleft points for the extra ordinary channels; KI-8 is the xi-cleft for the Yin Stepping Vessel, KI-9 for Yin Linking Vessel, BL-59 for the Yang Stepping Vessel, and GB-35 for the Yang Linking Vessel - A Manual of Acupuncture, Deadman, 2nd Edition, page 39

Which pulse is described as slow with irregular missed beats? A. Long pulse (chang mai) B. Intermittent pulse (dai mai) C. Choppy pulse (se mai) D. Knotted pulse (jie mai)

D. Knotted pulse (jie mai)

Which pulse is described as slow with irregular missed beats? A. Choppy pulse (se mai) B. Intermittent pulse (dai mai) C. Long pulse (chang mai) D. Knotted pulse (jie mai)

D. Knotted pulse (jie mai) Source: knotted pulse (jie mai) is a pulse categorized according to rhythm; the knotted pulse (jie mai) is a slow pulse that irregularly skips beats; it can indicate Cold blocking the Qi and Blood or Deficient Qi, Blood, or Jing; this pulse can also be an indication that the Heart is not controlling the Blood; the more interruptions there are in the rhythm, the more severe is the disorder an intermittent pulse (dai mai) primarily refers to the rhythm of the pulse and not necessarily its strength; an intermittent pulse (dai mai) skips beats at a regular interval and indicates a serious Heart problem or that the zang fu are exhausted; a choppy pulse (se mai) is categorized according to shape ; a choppy pulse (se mai) is rough, uneven, and sometimes irregular in strength and fullness; it is described as a knife scraping a bamboo or a sick silkworm eating a leaf; it indicates Blood Stasis; it can indicate Deficient Blood or Jing if it also has a thin quality; a long pulse (chang mai) is categorized according to length (felt beyond first and third positions) and is of normal speed and strength; it is not diagnosed as a sign of a disorder unless it is also tight and wiry in which case it indicates Excess - The Web That Has No Weaver, Kaptchuk, 2000, page 201

A patient has abdominal pain, diarrhea with blood and mucus in the stools. What is the diagnosis? A. Large Intestine Heat B. Heat Obstructing Large Intestine C. Dry Large Intestine D. Large Intestine Damp-Heat

D. Large Intestine Damp-Heat Dampness retention in the lower burner can interfere with the Large Intestine function of excreting stools and absorbing fluids resulting in diarrhea; mucus in the stool also points to the presence of Dampness; Heat in the Large Intestine can make Blood move out of the vessels resulting in bloody stools; in this pattern you can see a red tongue and rapid pulse reflecting the Heat and a sticky tongue coating and slippery pulse reflecting the Dampness; other symptoms reflecting Heat such as burning anus, dark urine, fever that is not reduced by sweating (the fever would be present only in severe cases)

What do TB-5 (wai guan) combined with GB-41 (zu lin qi) treat? A. External genitals, inner canthus, shoulder, neck and back B. Lung, diaphragm and throat C. Chest, stomach and heart D. Lateral aspect of leg, sides of body, and neck, head, ears

D. Lateral aspect of leg, sides of body, and neck, head, ears Source: these are the opening and coupled point of the yang wei mai (yang linking vessel) - Foundations of Chinese Medicine, Maciocia, 2005, page 882

Dull and brittle hair can indicate a decline in Kidney-Essence and A. Deficiency of Lung-Qi B. Spleen Qi deficiency C. A Heat condition D. Liver Blood deficiency

D. Liver Blood deficiency Source: hair loss can mean Blood xu while early greying can mean Kidney-Essence xu; how thick and how lustrous the hair is depends on Liver Blood - The Foundations of Chinese Medicine, Maciocia, 2005, page 298-299

Which Luo-Connecting channel treats genital itching and impotence? A. Kidney Luo-Connecting channel B. Bladder Luo-Connecting channel C. Spleen Luo-Connecting channel D. Liver Luo-Connecting channel

D. Liver Luo-Connecting channel

A patient has dry cough with just a little sputum, weak voice, night sweats, tiredness, dry mouth and throat, a normal tongue color without coating, and a floating-empty pulse. What is the Lung zang-fu pattern? ,new quizAnswer(' A. Lung Qi Deficiency B. Lung Dryness C. Damp-Phlegm Obstructing Lungs D. Lung Yin Xu

D. Lung Yin Xu Source: in this pattern the yin (Body Fluids) are deficient and result in symptoms of dryness (dry cough, dry mouth, little sputum, dry throat); as the Lung Qi normally descends, a failure to do so arising from Lung weakness results in cough; as the yin predominates at night and is weak, the yin energy can fail to hold Body Fluids in and lead to night sweating; as the Lungs control the voice, deficient Lungs can cause a weak voice, a desire to not talk, or hoarse voice; whenever yin xu becomes chronic and severe, Empty-Heat can flare and, in this case, you get Lung Yin Xu with Empty Heat with the additional symptoms-signs of feeling hot in the afternoon or hot sensations in the evening, malar flush, hot palms-soles, and the pulse becomes empty-floating-rapid and the rootless tongue becomes red; it is enough to have a dry cough and rootless tongue coating in the front area to make the diagnosis; the treatment principle is Tonify Lung Yin, Nourish Body Fluids, and, if needed, Clear Empty-Heat if there are additional symptoms of 5-palms heat, malar flush, feeling hot in the evening, and a floating-rapid pulse - The Foundations of Chinese Medicine, Maciocia, 2015, page 576; 2005 Edition, page 547; 1989 Edition, page 233

One element becomes excessive in relationship to the other in the A. The Reverse sequence B. The Generating sequence C. The Cosmological sequence D. Over-Acting sequence

D. Over-Acting sequence

A patient has dizziness, numbness, insomnia, eye floaters, blurry vision, scanty menses, muscular weakness, brittle nails, dry hair and skin, and dull-pale complexion. What tongue is expected? A. Red sides B. Purplish sides C. Red tongue with redder sides D. Pale thin tongue and slightly dry

D. Pale thin tongue and slightly dry Source: the diagnosis is Deficient Liver Blood; the tongue body can be pale, especially on the sides; the paleness reflects the deficient Blood condition; the thin tongue is a reflection of not enough Blood to fill out the tongue; the dryness is caused by the Blood deficiency as Blood deficiency also involves a deficiency of fluids; the pulse in this pattern is choppy or fine; blurred vision, a pale tongue, and a choppy pulse are sufficient to make the diagnosis of Deficient Liver Blood; the treatment principle is Tonify the Liver and Nourish Blood - The Foundations of Chinese Medicine, Maciocia, 2015, page 548; 2005 Edition, page 518; 1989 Edition, page 22

A patient has palpitations, shortness of breath on exertion, sweating, paleness, fatigue, and listlessness. What tongue is expected? A. Pale, wet and swollen tongue B. Bluish-purple tongue C. Pale, thin and slightly dry tongue D. Pale tongue

D. Pale tongue Source: the diagnosis is Heart Qi Deficiency; the tongue in this pattern can also be normal if the condition is not severe; the tongue is pale due to a weak qi failing to nourish the tongue; if the Heart Qi Xu arises from a loss of blood (chronic bleeding), a severe blood loss will cause a Heart Blood deficiency which will then lead to Heart Qi deficiency; the pulse in this pattern is empty if the condition is mild and overflowing and empty if the condition is severe; the key symptoms are palpitations, fatigue, and empty pulse; the treatment principle is Tonify Heart Qi - The Foundations of Chinese Medicine, Maciocia, 2015, page 491; 2005 Edition, page 465; 1989 Edition, page 202

Other than the Heart, what organ can be treated to influence emotional problems caused by relationship difficulties A. Lung B. Spleen C. Stomach D. Pericardium

D. Pericardium Source: many of the points on the Pericardium channel have a strong influence on the emotional-mental state; PC-6 lifts the mood, PC-7 calms the Mind, PC-5 treats mental confusion by transforming Phlegm - The Foundations of Chinese Medicine, Maciocia, 2015, page 171; 2005 Edition, page 167; 1989 Edition, page 103

The Occiput ear point is located on the A. Anterior, inferior aspect of tragus B. Posterior, superior aspect of helix C. Anterior, inferior aspect of antihelix D. Posterior, superior corner of lateral aspect of antitragus

D. Posterior, superior corner of lateral aspect of antitragus Source: the occiput point is used for sedation and analgesia; easing the mind, removing wind; it is indicated for dizziness, insomnia, headache, etc - CAM, 2010 Edition, pages 516

All of the following are functions of Ming Men (gate of life) EXCEPT A. Warms Essence and Uterus B. Assists the Heart in housing the Mind C. arms the Lower Burner and Bladder D. Protects the Heart from the exterior

D. Protects the Heart from the exterior Source: the Pericardium has the function of protecting the Heart from external pathogenic factors; the lower jiao transforms and excretes fluids with the Bladder assisting; it is the Ming Men which provides the Fire for the transformation of fluids in the lower burner; the Ming Men is the yang aspect of Essence; thus, sexual performance, fertility, conception, and menstruation all depend on the Fire from the Ming Men; in order for the Heart to store the Mind, the Fire from Ming Men needs to ascend from the Kidneys to provide the necessary heat for the Heart to function; thus, the state of Ming Men can influence the emotional state; the Fire of Ming Men also warms the Stomach and Spleen to aid digestion; the Ming Men assists the Kidneys in receiving and holding the qi from the Lungs; the Ming Men is the root of the yuan qi (original qi) and it provides the Fire for all of the internal organs to function - The Foundations of Chinese Medicine, Maciocia, 2015, page 162; 2005 Edition, page 160; 1989 Edition, page 98-99

A patient has sharp and stabbing pains in the epigastrium which are worse with heat, pressure and after eating, vomiting dark blood, and blood in the stools. What tongue is expected? A. Red tongue with thick, yellow and dry tongue B. Red tongue C. Peeled in the center or coating without root D. Purple tongue

D. Purple tongue Source: the diagnosis is Blood Stasis in the Stomach; Blood stasis is always the end result of other pathologies and has not specific etiology but is a further development of Qi stasis, Cold, and Heat; Blood stasis is associated with dark colored blood which on the tongue manifests as a purplish tongue; a patient with Blood stasis may not have a purple tongue if the disharmony is at the beginning stage or not severe; a purple tongue develops when the Blood stasis pattern is mature and more severe; the pulse in this pattern is wiry; stabbing epigastric pain and a purplish color in the center of the tongue are sufficient to make the diagnosis of Stomach Blood Stasis; the treatment principle is Invigorate Blood, Eliminate Stasis, and Descend Stomach Qi - The Foundations of Chinese Medicine, Maciocia, 2015, page 670; 2005 Edition, page 633; 1989 Edition, page 272

A patient comes to you with facial numbness, parasthesia over the trigeminal area of the right face. The patient has been seen by his PCP (Primary Care Physician) and was referred to a neurologist but the patient never went and would like to try acupuncture. What should you do? A. Refer to a pain specialist B. Refer to a neurosurgeon' C. Make a TCM diagnosis and treat appropriately D. Reinforce the referral to the neurologist'

D. Reinforce the referral to the neurologist' Source: With facial numbness and paresthesia\'s along the trigeminal nerve, other problems such as multiple sclerosis, tumor, aneurism, abscess, vascular disease and stroke, particularly if other neurological and medical findings are present such as ataxia (lack of muscle coordination), ophthalmoparesis (paralysis of one or more extraocular muscles), and Horner's syndrome (disruption a nerve pathway from the brain to the face and eye on one side of the body) . After the neurologist has examined the patient and determined that there is no stroke, tumor, MS or vascular abnormalities, acupuncture can be of benefit for pain and trigeminal neuralgia - Textbook of Clinical Neurology, Christopher G. Goetz, MD and Eric J. Pappert, 1999, W.B., Saunders Company, page 156

Which of the following points is most frequently used to treat uterine bleeding? A. Extra point shi qi zhui B. BL-67 (zhi yin) C. SP-21 (da bao) D. SP-1 (yin bai)

D. SP-1 (yin bai) Source: the action of SP-1 in stopping bleeding is not just for Spleen Deficiency but also where heat enters the blood level giving rise to reckless bleeding; this bleeding may manifest in the upper or lower part of the body - Deadman, 2nd Edition, page 182

Acupuncturists with visibly dirty hands should wash their hands with A. alcohol hand sanitizer B. soap and water or alcohol hand sanitizer C. an antibacterial wet gauze D. soap and water

D. soap and water Source: washing hands with soap and water is the best way to reduce skin microbes; if soap and water is not available, then the next best choice is a 60% alcohol hand sanitizer; however, if the hands are visibly dirty then use soap and water, rather than a hand sanitizer or antibacterial gauze; after exposure of non-intact skin to body fluids or blood, wash hands with either antibacterial or with liquid soap and water and NOT an alcohol based sanitizer; dry hands using a single-use paper towel - Clean Needle Technique, 7th Edition, page 69

A patient has stabbing pain in the epigastrium, vomiting dark blood. What is the treatment? A. EN-13 (shang wan), ST-21 (liang men), SP-4 (gong sun), PC-6 (nei guan), ST-44 (nei ting) B. LR-14 (qi men), ST-36 (zu san li), REN-13 (shang wan), BL-21 (wei shu), GB-34 (yang ling quan) C. ST-36 (zu san li), REN-12 (zhong wan), BL-20 (pi shu), BL-21 (wei shu), REN-6 (qi hai), PC-6 (nei guan), SP-4 (gong sun) D. ST-34 (liang qiu), SP-4 (gong sun), BL-17 (ge shu), REN-12 (zhong wan), ST-21 (liang men), SP-10 (xue hai), PC-6 (nei guan)

D. ST-34 (liang qiu), SP-4 (gong sun), BL-17 (ge shu), REN-12 (zhong wan), ST-21 (liang men), SP-10 (xue hai), PC-6 (nei guan) Blood Stasis in the Stomach; the xi-cleft point ST-34 (liang qiu) moves the qi and Blood in the Stomach channel; ST-21 (liang men) moves the Stomach qi down; SP-10 (xue hai) and BL-17 (ge shu) invigorate the Blood; SP-4 (gong sun) and PC-6 (nei guan) open the Chong Mai, invigorate the Blood, and descend Stomach qi; additional points to consider in this formula include the point KI-21 (you men) which descends Stomach qi and moves the Blood, ST-19 (bu rong) which moves Stomach qi down, TB-6 (zhi gou) which moves the qi in the middle jiao, LI-4 (he gu) and REN-11 (jian li) which descend Stomach qi, ST-40 (feng long) to move Stomach qi down, GB-34 (yang ling quan) and REN-12 (zhon wan) to move middle jiao qi; reducing needle technique is used; moxa is not used

Which point Expels wind-damp and alleviates pain, and is an ipsilateral point in Benefiting the shoulder? A. SI-3 (houxi) B. GB-34 (yanglingquan) C. LI-11 (quchi) D. ST-38 (tiaokou)

D. ST-38 (tiaokou) Source: ST-38 (tiaokou) is mainly used as a local point for leg disorders and as an empirical point for treating shoulder pain (treat affected side while patient moves the shoulder and then treat with local shoulder points) - A Manual of Acupuncture, Deadman, 2nd Edition, page 163

Select what applies to ST-43 (xian gu). A. Shu-Stream Point, Fire Point B. Jing-River Point, Wood Point C. Shu-Stream Point, Tonification Point D. Shu-Stream Point, Wood Point

D. Shu-Stream Point, Wood Point

A patient has fatigue in the morning, discomfort in the epigastrium, and empty pulse in the Stomach position. What is the diagnosis? A. Stomach Deficient and Cold B. Cold Invading the Stomach C. Retention of Food in Stomach D. Stomach Qi Deficiency

D. Stomach Qi Deficiency Source: this is an internal and deficient pattern; the production of qi (Post-Heaven) starts in the Stomach from the food we eat; if the Stomach qi is deficient, the qi production will decline, having an effect on all other organs; the main symptom of Stomach qi xu is fatigue which is worse in the morning between 7 and 9 AM; when the Stomach qi is weak the Stomach will fail in its descending function resulting in a discomfort in the epigastrium; when the Stomach qi is weak the corresponding organ, the Spleen, will be affected and there can be loose stools, poor appetite, and weak limbs; the pale tongue and empty pulse reflect the deficiency - The Foundations of Chinese Medicine, Maciocia, 2015, page 655; 2005 Edition, page 619; 1989 Edition, page 267

A patient has shaking of the head, tremors, and pale tongue. What is the treatment? A. DU-9 (zhi yang), LR-14 (qi men), LR-2 (xing jian), GB-34 (yang ling quan), GB-24 (ri yue) B. LR-3 (tai chong), GB-20 (feng chi), GB-38 (yang fu), SP-6 (san yin jiao), KI-3 (tai xi) C. DU-20 (bai hui), LR-2 (xing jian), extra point shi xuan, SI-3 (hou xi), GB-20 (feng chi D. TB-5 (wai guan), REN-4 (guan yuan), LR-8 (qu quan), LR-3 (tai chong), GB-20 (feng chi), SP-6 (san yin jiao), BL-17 (ge shu)

D. TB-5 (wai guan), REN-4 (guan yuan), LR-8 (qu quan), LR-3 (tai chong), GB-20 (feng chi), SP-6 (san yin jiao), BL-17 (ge shu) Deficient Liver Blood Causing Wind; LR-3 (tai chong) subdues the hyperactive yang and extinguishes Wind; GB-20 (feng chi) extinguishes internal Wind and calms the yang; TB-5 (wai guan) subdues excess Liver yang; SP-6 (san yin jiao) and LR-8 (qu quan) nourish Liver yin; BL-17 (ge shu) and REN-4 (guan yuan) nourish the Blood; additional points to select in this pattern: LI-4 (he gu) to subdue yang; DU-19 (hou ding) to calm the Wind; KI-3 (tai xi) to nourish the yin; reducing needle technique is used on points that subdue the yang and Wind while reinforcing method is used on points that nourish Blood and yin

A patient has sudden abdominal pain, diarrhea with pain, cold feelings, and cold sensation in the abdomen. What tongue is expected? A. Red tongue, greasy-yellow coating B. Pale or red dry tongue without coating C. Pale tongue without coating D. Thick-white coating

D. Thick-white coating Source: the diagnosis is Cold Invading Large Intestine; this is an acute Full, Cold pattern; the sudden appearance of a thick coating indicates a sudden pathogenic Cold invasion; this pattern has a deep (interior) and tight (cold) pulse; sudden abdominal pain, diarrhea, and feeling cold are sufficient to make the diagnosis of Cold Invading Large Intestine; the treatment principle is Expel Cold from Large Intestine and Warm the Lower Jiao - The Foundations of Chinese Medicine, Maciocia, 2015, page 694; 2005 Edition, page 653; 1989 Edition, page 280

Excess eating of cold and raw foods can most likely give rise to A. Bitter taste and mucous in stool B. Rootless tongue and dry mouth C. Sallow complexion and thirst D. Tiredness and loose stools

D. Tiredness and loose stools Source: an excess consumption of cold energy foods (salads, most fruits, icy drinks, most vegetables) will impact the Spleen function and can produce tiredness and loose stools, among other symptoms of Spleen deficiency; the Spleen likes warm and dry foods; cold and raw foods and poor eating habits (eating late, in a hurry, or emotional, etc) are etiological factors in most of the Spleen disharmonies (Spleen Qi or Yang Xu, Spleen not Holding Blood, Sinking Spleen Qi, Spleen-Blood Xu, Spleen and Lung Qi Xu, Spleen and Liver Blood Xu, Spleen and Heart Blood Xu); in Damp-Heat invading the Spleen, eating unclean or contaminated foods can be the etiology - The Foundations of Chinese Medicine, Maciocia, 2015, page 598; 2005 Edition, page 279-280; 1989, Edition, 140

A patient has frequent-pale-copious urination and a deep-weak pulse. What is the treatment plan? A. Resolve Dampness, Expel Cold B. Resolve Dampness, Expel Cold, Remove Obstruction from Lower Burner Water Passages C. esolve Dampness, Clear Heat, Open Lower Burner Water Passages D. Tonify and Warm Bladder and Kidney Yang

D. Tonify and Warm Bladder and Kidney Yang Source: Bladder Deficient and Cold; ETIOLOGY: 1) for men this pattern can be a result of having too much sex which then depletes Kidney yang; for both women and men this pattern can be a result of early sexual intercourse during puberty; 2) an exposure to external Cold or living in a Cold and Damp environment can lead to this pattern, especially for women during menstruation; 3) exercising too much or frequent lifting of heavy weights can create this pattern; PRECURSORS TO PATTERN: this pattern is often preceded by Kidney yang xu; PATTERN DEVELOPMENT: in itself this pattern can also lead to Kidney yang xu - The Foundations of Chinese Medicine, Maciocia, 2015, page 718; 2005 Edition, page 675; 1989 Edition, page 289

Which hand shao yang channel spreads to the vertex? A. Triple Burner primary channel B. Triple Burner muscle channel C. Triple Burner luo-connecting channel D. Triple Burner divergent channel

D. Triple Burner divergent channel

Which of the following has an INCORRECT pairing between an eye part and the corresponding organ? A. Eye corners: Heart B. Sclera: Lungs C. Iris: Liver D. Upper eyelid: Stomach

D. Upper eyelid: Stomach Source: the upper eyelid belongs to the Spleen while the lower eyelid to the Stomach; the pupil corresponds to the Kidneys - The Foundations of Chinese Medicine, Maciocia, 2015, page 317; 2005 Edition, page 303

Select what applies to GB-43 (xia xi) A. Ying-Spring Point, Water Point, Sedation Point B. Ying-Spring Point, Fire Point, Tonification Poin C. Ying-Spring Point, Water Point, Shu Stream Point D. Ying-Spring Point, Water Point, Tonification Point

D. Ying-Spring Point, Water Point, Tonification Point Source: GB-43 Clears heat and benefits the head, ears, and eyes, Clears damp-heat from the meridian and reduces swelling. - A Manual of Acupuncture, Deadman, 2nd Edition, page 462

Select what applies to SI-4 (wan gu). A. Wood Point, Shu-Stream Point B. Earth Point, Shu-Stream Point C. Xi-Cleft Point D. Yuan-Source Point

D. Yuan-Source Point

Select what applies to SI-4 (wan gu). A. Xi-Cleft Point B. Wood Point, Shu-Stream Point C. Earth Point, Shu-Stream Point D. Yuan-Source Point

D. Yuan-Source Point

Which extra point is located at the back of the neck, 2 cun superior from below the spinous process of C7, and 1 cun lateral to the midline? A. bi tong B. jia cheng jiang C. er jian D. bai lao

D. bai lao Source: bai lao is translated as "hundred taxations"; this point transforms phlegm and dissipates nodules, stops cough and calms dyspnea; this point is also called jing bai lao - A Manual of Acupuncture, Deadman, 2nd Edition, page 569

The Pericardium divergent channel connects with the Triple Burner channel A. face B. at end of eyebrow C. in front of the ear D. behind the ear

D. behind the ear Source: the Pericardium divergent channel separates from the primary channel on the upper arm three cun below the axilla, enters the chest and, from the chest, one branch descends (connects with three jiaos) and another branch ascends to the throat and converges with the Triple Burner channel behind the ear - A Manual of Acupuncture, Deadman, 2nd Edition, page 368, 369

There are three basic types of cupping. Which of the following is NOT one of them? A. fire cupping B. wet cupping C. suction cupping D. compression cupping

D. compression cupping Source: fire cupping and suction cupping are a variation of dry cupping; wet cupping is cupping after expressing blood with a lancet, three-edged needle, or 7-star hammer; modern cups can be made of glass, plastic, silicone (bamboo was used historically); cupping is used to treat both acute and chronic disorders; cupping can treat colds, flu, fever, lung diseases (asthma, bronchitis, emphysema), other organ disorders, and musculoskeletal pain; burns are one of the adverse events of inappropriately applied fire cupping; in fire cupping, it is important that the burning material be placed on deepest part of the cup and to remove the burning material from the cup before applying the cup on the skin - Clean Needle Technique, 7th Edition, page 31

Burns from moxibustion are more common in which type of conditions? A. pregnancy B. fibromyalgia C. rheumatoid arthritis D. diabetes mellitus

D. diabetes mellitus each patient has a different tolerance to heat; conditions like diabetes, peripheral neuropathy, neural injuries, or paralysis can have a decreased ability to feel hot or cold sensations that can limit the response to pain from the moxibustion heat which can easily result in a burn; it is important to take a patient history to identify potential patients with a potential decreased sensitivity to hot and cold; it is a critical recommendation for the practitioner or to have an assistant stay in the treatment room during the moxibustion treatment; it is strongly recommended that the patient's skin temperature and the heat generated from the moxa be monitored and not rely on patient feedback about the moxa heat level

When inserting an intradermal needle with tweezers, one of the things you do is to stretch the skin A. on the right side of the needle tip B. on the left side of the needle tip C. in front of the needle tip D. from behind the needle tip

D. from behind the needle tip Source: insertion of an intradermal needle with tweezers involves five steps: 1) find the point and wipe with alcohol swab; 2) hold needle handle with tweezers and place needle tip over the point and angled into the skin; 3) touch needle tip to skin; 4) with other hand, stretch the skin behind needle tip; 5) after insertion, adjust the depth - Japanese Acupuncture, 1998, Birch and Ida, page 147

Where does the Spleen sinew channel converge? A. knee B. uterus C. heart D. genitals

D. genitals Source: the Spleen sinew channel has the symptom of twisting genital pain that can go to the navel; the Spleen sinew channel begins at the big toe (SP-1 yin bai), ascends on the anterior leg (SP-5 shan qiu, SP-9 yin ling quan) goes to the genitals, to the navel and then internally to bind with the ribs, spreads inward to the chest, and then binds to the spine - A Manual of Acupuncture, Deadman, 2nd Edition, page 180, 181

Which extra point clears heat and dissipates swelling, benefits the eyes and throat? A. this point is located 1 cun lateral to the depression in the centre of the mentolabial groove B. this point is located 0.5 to 1.0 cun lateral to the depression below the spinous process of C7 C. this point is located 1.5 cun lateral to the lower border of the spinous process of T8 D. this point is located at the apex of the ear when the ear is folded'

D. this point is located at the apex of the ear when the ear is folded' Source: this point is er jian; this point can be treated with moxa for superficial visual obstructions; it can also be bled; it treats red, swollen, and painful eyes, swelling of the throat, migraines, and high fever - A Manual of Acupuncture, Deadman, 2nd Edition, page 568

What is the Japanese word for pressure/acupuncture point? A. toire B. sensei C. tasukete D. tsubo

D. tsubo Source: in the Japanese language, "tsubo" means a unit of measurement; in traditional medicine tsubo means a point on the body to which pressure or other types of stimulation is applied

What is the Xi-Cleft point for Yin Wei Mai? A. KI-8 (jiao xin) B. KI-9 (zhu bin) C. KI-5 (shui quan) D. SP-4 (gong sun)

KD9 KI-9 is the xi-cleft point of the yin linking vessel; it is 5 cun superior to KI-3; the yin wei mai connects the yin channels of both hand and foot and the conception vessel; it has a special action on the heart

What is the location of the xi-cleft point of the yin motility vessel? A. On the line drawn from Kidney 3 to Kidney 10 at the lower end of the belly of m. gastrocnemius in the medial aspect about 5 cun above Kidney 3 B. 2 cun directly superior to Kidney 3 on the anterior border of tendo calcaneus C. On the medial side of the popliteal fossa level with Bladder 40 between the tendons of m. semitendinosus and semimembranosus when the knee is flexed D. 2 cun above Kidney 3, 0.5 cun anterior to Kidney 7, and posterior to the medial border of the tibia

KD8 D. 2 cun above Kidney 3, 0.5 cun anterior to Kidney 7, and posterior to the medial border of the tibia Source: KI-8 - A Manual of Acupuncture, Deadman, 2nd Edition, page 348

What is the location of the yuan-source point of the hand shao-yang meridian? A. At the junction of the ulna and carpal bones in the depression lateral to the tendon of m. extensor digitorum communis and extensor digitorum minimi B. Proximal to the margin of the web between the ring and small fingers C. The point is on the dorsum of the hand between the 4th and 5th metacarpal bone in the depression proximal to the metacarpophalangeal joint D. At the junction of the ulna and carpal bones in the depression medial to the tendon of m. extensor digitorum communis

TW4 A. At the junction of the ulna and carpal bones in the depression lateral to the tendon of m. extensor digitorum communis and extensor digitorum minimi Source: TB-4 - A Manual of Acupuncture, Deadman, 2nd Edition, page 395

Which extra point pacifies wind and calms shen, benefits the nose, and activates the channel and alleviates pain? A. this point is located along the inferior border of the eye orbit, at the junction of the lateral 1/4 and medial 3/4 of the infra-orbital margin B. this point is located at the temple, in the tender depression about 1 cun posterior to the midpoint between the lateral extremity of the eyebrow and the outer eye canthus C. this point is located in the centre of the eyebrow in the depression directly above the pupil when the eye is looking straight forward D. this point is located at the midpoint between the medial extremities of the eyebrows

This point is yin tang; this point is used as: 1) a powerful point to calm the shen to treat insomnia and anxiety; 2) to activate the channel in treating frontal headaches; 3) to benefit the nose by treating nasal congestion and discharges; 4) to pacify the wind in acute and chronic childhood convulsions (fright wind)

What is the pinyin name for a Wiry, String-taut, Stringy, or Bowstring pulse? A. jin mai B. se mai C. huan mai D. xian mai

this xian mai (wiry pulse) feels like a taut guitar string; it is thinner, more taut, and harder than the jin mai pulse (tight pulse); you can feel the wiry pulse strike the fingers; this pulse indicates a liver pattern, pain, or phlegm; CAM writes that a xian mai (string-taut pulse) feels taut, straight, and long; it has the feeling like the string of a violin; it indicates a shaayang disorder, pain, phlegm, or fluid retention; in a liver/gall blader disorder, the liver qi tightens the blood vessels; in pain the tightness arises in the channels and vessels; in phlegm or fluid retention the tightness arises from a dysfunction of qi transportation -