NAECB Treatment Protocols 5 — Questions and Answers
Question 1: Which combination of points is most appropriate for treating stress-induced amenorrhea due to Liver Qi Stagnation?
- BL 23, CV 4, and KD 3
- LV 3, SP 8, CV 6, and PC 6 (Correct answer)
- ST 36, SP 6, and BL 17
- GV 20, HT 7, and CV 17
Correct answer: LV 3, SP 8, CV 6, and PC 6
LV 3 moves Liver Qi, SP 8 (Xi-Cleft) treats acute gynecological disorders, CV 6 activates Qi in the lower jiao, and PC 6 relieves stress-related stagnation.
Question 2: When treating Phlegm-Fire disturbing the Heart with symptoms of mania, insomnia, and incoherent speech, which formula is indicated?
- Gui Pi Tang
- Wen Dan Tang with Huang Lian (Correct answer)
- An Shen Bu Xin Wan
- Suan Zao Ren Tang
Correct answer: Wen Dan Tang with Huang Lian
Wen Dan Tang resolves Phlegm and harmonizes the Gallbladder; adding Huang Lian clears Heart Fire making it suitable for Phlegm-Fire patterns.
Question 3: A patient with urinary tract infection (Lin Syndrome — Hot type) presents with burning, frequent, and scanty urination. Which formula is most appropriate?
- Ba Zheng San (Correct answer)
- Wu Ling San
- Jin Gui Shen Qi Wan
- Zhi Bai Di Huang Wan
Correct answer: Ba Zheng San
Ba Zheng San clears Damp-Heat from the lower jiao and promotes urination, making it the standard formula for Hot Lin Syndrome.
Question 4: Which of the following best describes the use of the Xi-Cleft (Accumulation) points in acupuncture treatment?
- Used for chronic deficiency conditions requiring long-term tonification
- Used for acute and painful conditions, or to treat acute excess on the corresponding organ (Correct answer)
- Used to regulate the flow between Yin and Yang meridians
- Used as alarm points to diagnose organ pathology
Correct answer: Used for acute and painful conditions, or to treat acute excess on the corresponding organ
Xi-Cleft points are where Qi and Blood accumulate deeply and are used for acute, painful, or urgent conditions related to their channel or organ.
Question 5: For a client suffering from post-stroke sequelae with hemiplegia, which acupuncture approach is commonly used?
- Tonify only the Kidney and Liver to nourish the sinews
- Scalp acupuncture targeting the motor and sensory areas contralateral to the affected side (Correct answer)
- Apply moxa only to GV 4 and BL 23 to restore Yang
- Use only distal points such as LI 4 and ST 36
Correct answer: Scalp acupuncture targeting the motor and sensory areas contralateral to the affected side
Scalp acupuncture on the motor and sensory areas of the contralateral hemisphere is a widely used protocol for post-stroke motor recovery.
Question 6: When designing a treatment plan using the Five Element theory, a practitioner notices deficiency in the Metal element affecting its child (Water). Which treatment strategy applies?
- Sedate the Fire element to reduce overacting on Metal
- Tonify the Mother (Metal) to support the Child (Water) (Correct answer)
- Drain the Water element to prevent it from insulting Metal
- Tonify Earth to strengthen its support of Metal
Correct answer: Tonify the Mother (Metal) to support the Child (Water)
According to the 'Tonify the Mother' principle, strengthening Metal (the mother) will restore energy to Water (the child) along the Sheng/generating cycle.
Question 7: A client with Exterior Wind-Heat presents with fever greater than chills, sore throat, slight sweating, and a floating rapid pulse. Which formula is most appropriate?
- Ma Huang Tang
- Gui Zhi Tang
- Yin Qiao San (Correct answer)
- Xiao Qing Long Tang
Correct answer: Yin Qiao San
Yin Qiao San releases the Exterior and clears Heat, making it the standard formula for Wind-Heat invasion with sore throat and fever predominating.
Which combination of points is most appropriate for treating stress-induced amenorrhea due to Liver Qi Stagnation?