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NBCE_Acupuncture_Exam_Study_Guide_2025_2026

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This NBCE Acupuncture Exam Study Guide is specifically tailored to help students preparing for the National Board of Chiropractic Examiners (NBCE) Acupuncture exam in 2025/2026. The guide includes a thorough review of key concepts such as meridian theory, acupuncture points, treatment techniques, and the physiological effects of acupuncture. It also covers the fundamentals of Chinese medicine and diagnostic methods, providing practice questions and verified answers to ensure thorough preparation. Ideal for students looking to pass their acupuncture certification exam and advance in their professional practice.

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Qi deficiency, Pallor, thin chest, sadness, skin problems, atopic constitution, phlegm,
Lung Pathology
exterior invasions of wind

Govern Qi and respiration, control channels and blood vessels, control diffusing and
Function of lungs descending QI, control skin and hair, open into the nose, control nasal mucus, house
the corporeal soul

slight shortness of breath, slight cough, weak voice, spontaneous day time sweating,
Lung Qi Deficiency dislike speaking, bright-pale complexion, propensityb to catch colds, tiredness,
dislike of cold, pale tongue, empty pulse - especially right front posotion

cough which is dry, weak hoarse voice, dry mouth, tickly throat, tiredness, dislike
Lung Yin Deficiency speaking, thin body/chest, night sweating, normal tongue thast is dry w/o coating,
floating empty pulse

dry cough, dry skin, dry throat, dry mouth, thirst, hoarse voice, dry tongue, empty
Lung Dryness
pulse - especially in right front position

Aversion to cold, fever, cough, itchy throat, slight breathlessness, stuffed or runny
Invasion of Lungs by Wind-Cold nose with clear watery discharge, sneezing, occipital headaches, body aches, thin
white tongue coating, floating-tight pulse

Aversion to cold, fever, cough, sore throat, stuffed or runny nose withyellow
Invasion of Lungs by Wind-Heat discharge, headaches, body aches, slight sweating, slight thirst, swollen tonsils,
tongue slightly red on sides/front, floating-rapid pulse

sudden swelling of eyes and face gradually spreading to the whole body, bright
Invasion of Lungs by Wind-Water shiny complexion, scanty and pale urination,aversion to wind, fever, cough, slight
breathlessness, sticky white tongue coating, floating-slippery pulse

cough, slight breathlessness, feeling of heat, chest ache, flaring of nostrils, thirst, red
Lung-Heat
face, red tongue with yellow coating, overflowing-rapid pulse



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, chronic cough coming in bouts with profuse sticky white sputum, white pasty
complexion, feeling of oppression in the chest, phlegm in the throat, shortness of
Damp-Phlegm in the Lungs
breath, dislike lying down, wheezing, nausea, feeling of heaviness, dizziness, swollen
tongue with a sticky white coating, slippery and soggy pulse

cough with white expectorate, watery sputum, aggravated by cold, cold
hands,phlegm in throat, dizziness, oppression of the chest, feel cold in chest, feeling
Cold-Phlegm in the Lungs
of heaviness, dizziness, swollen and wet tongue with white coating, slippery slow
pulse

Barking cough with profuse sticky yellow/green sputum, shortness of breath,
wheezing, oppression in the chest, phlegm in the throat, feeling of heat, thirst,
Phlegm-Heat in the lungs
insomnia, agitation, feeling of heaviness, dizziness, red/wollen tongue with sticky
yellow coat, slippery rapid pulse

Dry Cough with occasional difficult sputum, shortness of breath,oppression of chest,
Dry-Phlegm in the lungs scanty phlegm in throat, feeling of heaviness, dizziness, dry throat, wheezing, pasty
dry complexion, swollen tongue with dry sticky coating, slippery-fine pulse

cough with white expectorate, watery sputum, breathlessness, splashing sound in the
chest, vomiting of white watery frothy sputum, oppression of the chest, feeling of
Phlegm Fluids in Lungs
heaviness, dizziness, feeling cold, coughing elicited by a scare, pale tongue with
thick sticky white coating, fine/slippery/soggy/wiry pulse

slight shortness of breath, slight cough, weak voice, dislike speaking, bright-white
Heart and Lung Qi Deficiency complexion, propensity to catch colds, tiredness, palpitations, shortness of breath on
exertion, depression, spontaneous sweating, sighing, pale tongue, empty pulse

All phlegm patterns of the lungs include cough with expectorartion of sputum

governs transformation and transportation, controls the ascending Qi, controls
Spleen Function blood, controls the muscles and 4 limbs, opens into the mouth, manifests in the lips,
controls saliva, controls the raising of Qi, hoses the intellect, affected by pensiveness

Spleen Pathologies involve tiredness, digestive disorders, dull-yellow complexion, abdominal distension

The spleen likes this type of food warm, dry

Most common cause of chronic tiredness Spleen Qi Deficiency

poor appetite, slight abdominal distension after eating, tiredness, lassitude, desire to
Spleen Qi Deficiency lay down, pale complexion, weakness of limbs, loose stools, pale tongue, empty
pulse

poor appetite, slight abdominal distension after eating, tiredness, lassitude, desire to
Spleen Yang deficiency lay down curled up, pale complexion, weakness of the limbs, loose stools, feeling
cold, cold limbs, edema, pale and wet tongue, deep-weak pulse

The main cause of organ prolapse Spleen Qi Sinking

poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale
complexion, weakness of limbs, loose stools, depression, tendency to obesity, a
Spleen Qi Sinking
bearing down sensation in abdomen, prolapse of stomach/uterus/anus/bladder,
frequent/urgent urination, menorrhagia, pale tongue, weak pulse

poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale-
sallow complexion, weakness of the limbs, loose stools, depression, blood spots
Spleen not controlling blood
under the skin, blood in the urine/stools, excessive uterine bleeding, pale tongue,
weak-fine pulse

poor appetite, slight abdominal distension after eating, tiredness, lassitude, dull pale
Spleen-Blood deficiency complexion, weakness of limbs, loose stools, depression, thin body, scanty periods,
amenhhorhea, insomnia, pale-thin and slightly dry tongue, choppy-fine pulse



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