NAECB Treatment Protocols 4 — Questions and Answers
Question 1: A client with Yin Deficiency presents with night sweats, afternoon fever, and a red tongue with no coat. Which acupuncture points best address this?
- GV 4, BL 23, and ST 36
- KD 3, KD 7, and HT 6 (Correct answer)
- SP 6, BL 20, and CV 12
- LU 5, LI 11, and GV 14
Correct answer: KD 3, KD 7, and HT 6
KD 3 nourishes Kidney Yin, KD 7 controls sweating, and HT 6 (Xi-Cleft of Heart) clears deficiency heat and stops night sweats.
Question 2: Which needle technique is used to tonify a deficient condition according to classical acupuncture theory?
- Insert against the flow of the channel and use strong manipulation
- Insert with the flow of the channel, use gentle stimulation, and retain the needle with the hole closed upon withdrawal (Correct answer)
- Use a thick gauge needle and apply heavy reduction technique
- Leave the needle hole open after withdrawal to release excess
Correct answer: Insert with the flow of the channel, use gentle stimulation, and retain the needle with the hole closed upon withdrawal
Tonification technique includes needling with the channel flow, gentle stimulation, longer retention, and closing the needle hole upon withdrawal to retain Qi.
Question 3: Which acupoint is known as the 'master point' for the chest and treats conditions such as palpitations, chest pain, and anxiety?
- CV 17 (Correct answer)
- PC 6
- HT 7
- LU 1
Correct answer: CV 17
CV 17 (Shan Zhong) is the Mu-Front point of the Pericardium and the meeting point of Qi, making it the master point for chest conditions.
Question 4: A practitioner is treating Bell's palsy (peripheral facial paralysis). Which points are considered local and adjacent for this condition?
- LI 4, LU 7, and GB 20
- ST 4, ST 6, ST 7, BL 2, GB 14, and LI 20 (Correct answer)
- GV 20, GV 26, and CV 24
- TW 17, GB 2, and KD 3
Correct answer: ST 4, ST 6, ST 7, BL 2, GB 14, and LI 20
ST 4, ST 6, ST 7, BL 2, GB 14, and LI 20 are all local and adjacent points on the face used to restore Qi and Blood flow in facial paralysis.
Question 5: In treating Heat patterns, which needle manipulation technique is most appropriate?
- Even technique with medium stimulation
- Tonification by lifting and thrusting slowly
- Reduction by rotating counterclockwise or lifting quickly and thrusting slowly (Correct answer)
- Heavy moxa combined with tonifying needling
Correct answer: Reduction by rotating counterclockwise or lifting quickly and thrusting slowly
Reducing technique disperses excess Heat; counterclockwise rotation or quick lifting and slow thrusting are classic reduction methods.
Question 6: Which of the following best describes the treatment principle for a Excess condition according to TCM?
- Tonify, supplement, and nourish
- Sedate, drain, and reduce the excess pathogenic factor (Correct answer)
- Warm, activate, and restore Yang
- Stabilize, astringe, and consolidate
Correct answer: Sedate, drain, and reduce the excess pathogenic factor
Excess conditions are treated by sedating and draining the pathogenic factor causing the obstruction or excess.
Question 7: A client presents with diarrhea immediately after eating, fatigue, cold limbs, and a deep, weak pulse. Which pattern and treatment principle apply?
- Spleen Qi Deficiency — tonify Spleen Qi
- Spleen and Kidney Yang Deficiency — warm and tonify Spleen and Kidney Yang (Correct answer)
- Liver overacting on Spleen — soothe Liver and strengthen Spleen
- Large Intestine Damp-Heat — clear Heat and resolve Dampness
Correct answer: Spleen and Kidney Yang Deficiency — warm and tonify Spleen and Kidney Yang
Diarrhea immediately after eating with cold limbs and deep weak pulse indicates Spleen and Kidney Yang Deficiency requiring warming and tonifying treatment.
A client with Yin Deficiency presents with night sweats, afternoon fever, and a red tongue with no coat.
Which acupuncture points best address this?