ACC ACC Diagnosis and Pattern Differentiation Questions and Answers 2 — Questions and Answers
Question 1: The TCM Four Examinations (Si Zhen) include all of the following EXCEPT:
- Looking (Wang)
- Listening and Smelling (Wen)
- Palpation (Qie)
- Tasting (Wei) (Correct answer)
Correct answer: Tasting (Wei)
The Four Examinations consist of Looking, Listening/Smelling, Asking, and Palpation — tasting is not included.
Question 2: Which TCM pattern presents with afternoon fever, night sweats, and malar flush?
- Yang Deficiency
- Yin Deficiency with Empty Heat (Correct answer)
- Exterior Wind-Heat
- Damp-Heat
Correct answer: Yin Deficiency with Empty Heat
Afternoon fever, night sweats, and flushed cheeks are hallmark signs of Yin Deficiency generating Empty Heat.
Question 3: A purple or dark tongue body in TCM diagnosis most commonly indicates:
- Excess Heat
- Blood Stasis (Correct answer)
- Phlegm accumulation
- Wind invasion
Correct answer: Blood Stasis
A purple or dark tongue body signifies poor circulation and Blood Stasis in TCM diagnosis.
Question 4: The TCM concept of Zheng Qi (Upright Qi) most accurately refers to:
- The Qi flowing through the meridians only
- The body's defensive and restorative vitality (Correct answer)
- The Qi of the Stomach and Spleen only
- Ancestral Qi stored in the Kidneys
Correct answer: The body's defensive and restorative vitality
Zheng Qi represents the body's overall vitality and capacity to resist and recover from disease.
Question 5: Spleen Qi Deficiency in TCM pattern differentiation most commonly presents with:
- Constipation and dry stool
- Loose stools and fatigue (Correct answer)
- Insomnia and palpitations
- Tinnitus and low back pain
Correct answer: Loose stools and fatigue
Spleen Qi Deficiency impairs digestive transformation and transportation, leading to loose stools and fatigue.
Question 6: Which diagnostic method involves evaluating the radial pulse at three positions on each wrist?
- San Jiao palpation
- Cun-Guan-Chi pulse diagnosis (Correct answer)
- Abdominal palpation (Hara)
- Channel palpation
Correct answer: Cun-Guan-Chi pulse diagnosis
The three pulse positions — Cun (distal), Guan (middle), and Chi (proximal) — each correspond to specific organ systems.
The TCM Four Examinations (Si Zhen) include all of the following EXCEPT: