NAECB Treatment Protocols 3 — Questions and Answers
Question 1: Which acupuncture point is contraindicated for needling in pregnant women due to its strong descending and moving action?
- ST 36
- SP 6 (Correct answer)
- LU 7
- PC 6
Correct answer: SP 6
SP 6 strongly moves Blood and Qi in the lower jiao and can induce uterine contractions, making it contraindicated during pregnancy.
Question 2: A client with chronic fatigue, loose stools, poor appetite, and a pale tongue presents for treatment. Which formula best addresses this pattern?
- Liu Wei Di Huang Wan
- Si Jun Zi Tang (Correct answer)
- Long Dan Xie Gan Tang
- Tian Wang Bu Xin Dan
Correct answer: Si Jun Zi Tang
Si Jun Zi Tang (Four Gentlemen Decoction) is the foundational formula for tonifying Spleen and Stomach Qi.
Question 3: When treating headaches located at the vertex (top of the head), which channel is primarily involved?
- Shaoyang (Gallbladder)
- Taiyang (Bladder)
- Yangming (Stomach)
- Jueyin (Liver) (Correct answer)
Correct answer: Jueyin (Liver)
The Liver meridian (Jueyin) travels to the vertex of the head, so headaches at this location typically indicate Liver involvement.
Question 4: For a patient with Heart and Kidney not communicating (Water and Fire imbalance), which formula is most indicated?
- Gui Pi Tang
- Jiao Tai Wan (Correct answer)
- Ba Zhen Tang
- Zhi Bai Di Huang Wan
Correct answer: Jiao Tai Wan
Jiao Tai Wan contains Huang Lian (to cool Heart Fire) and Rou Gui (to warm Kidney Yang) to re-establish communication between Heart and Kidney.
Question 5: A client has asthma that worsens in cold weather, with thin white sputum, no thirst, and a tight pulse. What is the TCM diagnosis?
- Lung Yin Deficiency
- Wind-Heat attacking Lung
- Cold Phlegm obstructing Lung (Correct answer)
- Kidney not grasping Lung Qi
Correct answer: Cold Phlegm obstructing Lung
Cold Phlegm obstructing the Lung presents with dyspnea, thin white sputum, aggravation in cold, no thirst, and a tight or wiry pulse.
Question 6: Which treatment approach is most appropriate for Bi Syndrome (painful obstruction) caused by Wind predominance?
- Warm needling and moxa to dispel Cold
- Moving points to expel Wind, such as GB 31 and BL 17 (Correct answer)
- Draining points to clear Heat and reduce inflammation
- Tonifying Kidney to strengthen bones and joints
Correct answer: Moving points to expel Wind, such as GB 31 and BL 17
Wind Bi (moving painful obstruction) is characterized by migratory pain and is treated by expelling Wind; GB 31 and BL 17 help dispel Wind.
Question 7: In the NAECB scope of practice, when is it appropriate to refer a client to a Western medical provider?
- Whenever the client has a chronic condition
- When signs and symptoms indicate a condition beyond the scope of acupuncture and Oriental medicine (Correct answer)
- Only when the client requests a referral
- When treatment has not produced results after two sessions
Correct answer: When signs and symptoms indicate a condition beyond the scope of acupuncture and Oriental medicine
Practitioners must refer to Western medicine when presenting signs indicate a condition requiring diagnosis or intervention beyond their scope of practice.
NAECB Treatment Protocols 3
Which acupuncture point is contraindicated for needling in pregnant women due to its strong descending and moving action?