NBCE ACUPUNCTURE 2026 TEST PAPER QUESTIONS AND
ANSWERS RATED A+
✔✔Consequences of Liver - Yin deficiency - ✔✔1) May lead to kidney - yin deficiency
2) May lead to liver yang rising
3) May lead to heart yin deficiency
✔✔Consequences of liver - blood deficiency - ✔✔1) May lead to Heart - Blood
deficiency
2) May lead to kidney deficiency
3) May lead to secondary liver Qi strengthening
4) May lead to liver yang rising
✔✔Liver fire blazing - ✔✔Irritability, propensity to out bursts of anger, tinnitus / deafness
/ dizziness,temporal headaches, red face and eyes, thirst and bitter taste, constipation
with dry stools, dark yellow urine, epistcxis, red tongue, redder on sides dry yellow coat,
full wiry rapid pulse.
✔✔Liver - Blood stasis - ✔✔Hypochondrial ad abdominal pain, vomiting of blood,
epistaxis, painful/irregular periods w/ dark blood, infertility, masses in abdomen, purple
nails - lips - ad complexion, dry skin, purple petichiae, purple tongue, wiry-firm pulse.
✔✔Rebellious Liver Qi - ✔✔distension of epigastric ad hypochondrial areas, hiccups,
sighing, nausea, vomiting, pelching, feeling of "churning" in stomach, irritability, tongue -
normal to slightly red, wiry pulse.
✔✔Stagnation Liver Qi turning into heat - ✔✔distension of epigastric ad hypochondrial
areas, slight oppression of dust, irritability, melancholy, depression, moodiness, feeling
of lump in throat, feeling of heat, red face, thirst, propensity of outbursts of anger, red
tongue, wiry pulse.
✔✔Liver Qi Stagnation - ✔✔Distension chest abdown, melancholy, depression,
moodiness, irregular periods, distension of breasts, sighing, feeling of lump in throat,
tongue - normal
pulse - wiry especially on left
✔✔Characteristics of fire - ✔✔fire dries up fluids
fire agitates the mind
fire may cause bleeding
✔✔characteristics of dampness - ✔✔feeling of fullness
feeling of hecuiness
sticky
✔✔Feeling of ________ will affect the liver - ✔✔Anger
,✔✔The _________ is considered the center of the thorax - ✔✔Pericardium
✔✔Phlegm Fire Harassing The Pericardium - ✔✔Same as phlegm fire harassing the
heart
✔✔Pericardium fire - ✔✔palpitations, feeling of tightness/heat in chest, rapid breathing,
thirst, mouth and tongue ulcers, mental restlessness/feeling agitated, feeling of heat,
insomniac, red face red tongue with yellow coat, full rapid overflowing pulse
✔✔blood deficiency of the pericardium - ✔✔stuffness/discomfort in chest, dull aches in
chest, palpitations, anxiety, insomnia, dizziness, pale lips/tongue, cold hairs, choppy/fire
pulse
✔✔Heat in the pericardium - ✔✔fewer at night, delirium/mental confusion, red tongue
w/o coating, incoherent speech, aphasic, body hot bat hands/ feet cold, macules, fire -
rapid pulse.
✔✔Heart Qi stagnation and pericardium Qi strengthening - ✔✔palpitations,
distensions/oppression of dust, lump in throat feeling, sighing, poor appetite, slight
nausea, slight purple lips, pale complexion, tongue pale/purple, pulse empty but slightly
overflowing, in the left front position.
✔✔Heart - Blood stasis and pericardium blood stasis - ✔✔Palpitations,
stabbing/prickling pain in chest
Oppression of chest
blue lips and nails
cold hands
purple tongue
cloppy, wiry, knotted pulse
✔✔Heart vessel obstructed - ✔✔Palpitations Inability to lie down
Oppression in chest
stabbing/pricking pain in heart area
Pan aggravated by cold and alleviated by heat
Expectoration of phlum
Feeling heaviness
dislike to speak
cold hands
purple lips, face, nails and tongue
wiry choppy knotted pulse
✔✔Phlegm Misting the mind - ✔✔Mental confusion
unconsciousness
lethargic stupor
,incoherent speech
vomiting of phlegm
emotional liability
aphesia
very dark eyes
heart crack
slippery pulse
✔✔Phlegm fire harassing the heart - ✔✔palpitations, red face, bitter taste, feeling of
oppression of chest, expectation of phlegm, rattling sound in throat. mental
restlessness, insomnia, tendering to hit or scold people, uncontrolled laughter/crying,
manic behavior
✔✔Heart fire blazing - ✔✔palpitations, thirst, mouth and tongue ulcers, mental
restlessness/feeling agitated, feeling of heat, insomnia, dream disturbed sleep, red face,
dark urine/blood in urine, red tongue w/yellow coating, bitter taste, full rapid
overwhelming pulse.
✔✔Heart Yin deficiency - ✔✔palpitations, insomnia, dream disturbed sleep, startle
easily, poor memory, anxiety and mental restlessness, fidgety, dry mouth/throat, night
sweating, tongue w/o coating, floating - empty pcke
✔✔Heart - Blood deficiency - ✔✔palpitation, dizziness, insomnia, dream disturbed
sleep, poor memory, anxiety, startled easily, dull pale complexion, pale lips, pale and
thin tongue, choppy or fire pulse
✔✔Clinical manifestations of heart yang collapse - ✔✔palpitations shortness of breath,
weak and shallow breathing, profuse sweating, cold limbs, blue lips, grayish/white
complexion, pale or blush tongue, hidden - minute - knotted pulse, coma in severe
cases.
✔✔Heart Yang deficiency - ✔✔palpitations, shortness of breath on exertion, tiredness,
spontaneous sweating, stuffiness/discomfort in heart region, feeling of cold, cold hands,
bright pale face, slightly dark lips, pale tongue, deep - weak pulse.
✔✔heart Qi deficiency - ✔✔palpitations, shortness of breath on exertion pale face,
spontaneous sweating, tiredness, slight depression, pale tongue, empty pulse.
✔✔emotions affecting the heart - ✔✔Joy Slons decrease heart Qi
Sadness Depletes heart Qi
Grief depletes heart Qi
Anger Makes heart Qi rise
Worry Knots heart Qi
✔✔Types of phlegm - ✔✔Damp Phlegm - sticky white
, Phlegm heat - sticky yellow
Cold Phlegm - watery white
Wind phlegm - swollen/deviated tongue
Qi Phlegm - feeling of swelling in throat
Phlegm - fluids water sputum
✔✔Edema pitting vs. no pitting - ✔✔Pitting - Deficiency of yang in the spleen lunng
and/or kidneys.
No Pitting - Qi stagnation or dampness
✔✔Loss of blood - ✔✔Epistaxis
Haematemesis/hemoptysis
melaena
menorrhagia
heamaturia
✔✔Blood heat - ✔✔Feeling of heat
skin diseases w/ red eruptions
Thirst
Bleeding
Red tongue
Rapid pulse
✔✔Stasis of blood - ✔✔dark complexion, purple lips, boring/stabbing pain in a fixed
location, immovable abdominal masses, purple nails, bleeding w/ dark blood, painful
periods, purple tongue wiry/firm/choppy pulse.
✔✔Blood deficiency - ✔✔Dull white yellow complexion, dizziness, poor memory,
numbness/tingling, blurred vision, insomniac, pale lips, scanty periods, slight anxiety,
pale or slightly dry tongue, choppy or fire pulse.
✔✔Rebellious Qi - ✔✔When Qi flows in the wrong direction.
✔✔Stagnation of Qi - ✔✔Feeling of distension, dissenting pain that mows around,
mental depression, irritability, gloomy feeling, frequent mood swings, frequent mood
swings, frequent sighing, wiry pulse, tongue body=normal reddish on sides.
✔✔Clinical manifestation of sinking Qi - ✔✔slight shortness of breath
weak voice
spontaneous sweating
poor appetite
loose stools
tiredness
a feeling of bearing down
mental depression
ANSWERS RATED A+
✔✔Consequences of Liver - Yin deficiency - ✔✔1) May lead to kidney - yin deficiency
2) May lead to liver yang rising
3) May lead to heart yin deficiency
✔✔Consequences of liver - blood deficiency - ✔✔1) May lead to Heart - Blood
deficiency
2) May lead to kidney deficiency
3) May lead to secondary liver Qi strengthening
4) May lead to liver yang rising
✔✔Liver fire blazing - ✔✔Irritability, propensity to out bursts of anger, tinnitus / deafness
/ dizziness,temporal headaches, red face and eyes, thirst and bitter taste, constipation
with dry stools, dark yellow urine, epistcxis, red tongue, redder on sides dry yellow coat,
full wiry rapid pulse.
✔✔Liver - Blood stasis - ✔✔Hypochondrial ad abdominal pain, vomiting of blood,
epistaxis, painful/irregular periods w/ dark blood, infertility, masses in abdomen, purple
nails - lips - ad complexion, dry skin, purple petichiae, purple tongue, wiry-firm pulse.
✔✔Rebellious Liver Qi - ✔✔distension of epigastric ad hypochondrial areas, hiccups,
sighing, nausea, vomiting, pelching, feeling of "churning" in stomach, irritability, tongue -
normal to slightly red, wiry pulse.
✔✔Stagnation Liver Qi turning into heat - ✔✔distension of epigastric ad hypochondrial
areas, slight oppression of dust, irritability, melancholy, depression, moodiness, feeling
of lump in throat, feeling of heat, red face, thirst, propensity of outbursts of anger, red
tongue, wiry pulse.
✔✔Liver Qi Stagnation - ✔✔Distension chest abdown, melancholy, depression,
moodiness, irregular periods, distension of breasts, sighing, feeling of lump in throat,
tongue - normal
pulse - wiry especially on left
✔✔Characteristics of fire - ✔✔fire dries up fluids
fire agitates the mind
fire may cause bleeding
✔✔characteristics of dampness - ✔✔feeling of fullness
feeling of hecuiness
sticky
✔✔Feeling of ________ will affect the liver - ✔✔Anger
,✔✔The _________ is considered the center of the thorax - ✔✔Pericardium
✔✔Phlegm Fire Harassing The Pericardium - ✔✔Same as phlegm fire harassing the
heart
✔✔Pericardium fire - ✔✔palpitations, feeling of tightness/heat in chest, rapid breathing,
thirst, mouth and tongue ulcers, mental restlessness/feeling agitated, feeling of heat,
insomniac, red face red tongue with yellow coat, full rapid overflowing pulse
✔✔blood deficiency of the pericardium - ✔✔stuffness/discomfort in chest, dull aches in
chest, palpitations, anxiety, insomnia, dizziness, pale lips/tongue, cold hairs, choppy/fire
pulse
✔✔Heat in the pericardium - ✔✔fewer at night, delirium/mental confusion, red tongue
w/o coating, incoherent speech, aphasic, body hot bat hands/ feet cold, macules, fire -
rapid pulse.
✔✔Heart Qi stagnation and pericardium Qi strengthening - ✔✔palpitations,
distensions/oppression of dust, lump in throat feeling, sighing, poor appetite, slight
nausea, slight purple lips, pale complexion, tongue pale/purple, pulse empty but slightly
overflowing, in the left front position.
✔✔Heart - Blood stasis and pericardium blood stasis - ✔✔Palpitations,
stabbing/prickling pain in chest
Oppression of chest
blue lips and nails
cold hands
purple tongue
cloppy, wiry, knotted pulse
✔✔Heart vessel obstructed - ✔✔Palpitations Inability to lie down
Oppression in chest
stabbing/pricking pain in heart area
Pan aggravated by cold and alleviated by heat
Expectoration of phlum
Feeling heaviness
dislike to speak
cold hands
purple lips, face, nails and tongue
wiry choppy knotted pulse
✔✔Phlegm Misting the mind - ✔✔Mental confusion
unconsciousness
lethargic stupor
,incoherent speech
vomiting of phlegm
emotional liability
aphesia
very dark eyes
heart crack
slippery pulse
✔✔Phlegm fire harassing the heart - ✔✔palpitations, red face, bitter taste, feeling of
oppression of chest, expectation of phlegm, rattling sound in throat. mental
restlessness, insomnia, tendering to hit or scold people, uncontrolled laughter/crying,
manic behavior
✔✔Heart fire blazing - ✔✔palpitations, thirst, mouth and tongue ulcers, mental
restlessness/feeling agitated, feeling of heat, insomnia, dream disturbed sleep, red face,
dark urine/blood in urine, red tongue w/yellow coating, bitter taste, full rapid
overwhelming pulse.
✔✔Heart Yin deficiency - ✔✔palpitations, insomnia, dream disturbed sleep, startle
easily, poor memory, anxiety and mental restlessness, fidgety, dry mouth/throat, night
sweating, tongue w/o coating, floating - empty pcke
✔✔Heart - Blood deficiency - ✔✔palpitation, dizziness, insomnia, dream disturbed
sleep, poor memory, anxiety, startled easily, dull pale complexion, pale lips, pale and
thin tongue, choppy or fire pulse
✔✔Clinical manifestations of heart yang collapse - ✔✔palpitations shortness of breath,
weak and shallow breathing, profuse sweating, cold limbs, blue lips, grayish/white
complexion, pale or blush tongue, hidden - minute - knotted pulse, coma in severe
cases.
✔✔Heart Yang deficiency - ✔✔palpitations, shortness of breath on exertion, tiredness,
spontaneous sweating, stuffiness/discomfort in heart region, feeling of cold, cold hands,
bright pale face, slightly dark lips, pale tongue, deep - weak pulse.
✔✔heart Qi deficiency - ✔✔palpitations, shortness of breath on exertion pale face,
spontaneous sweating, tiredness, slight depression, pale tongue, empty pulse.
✔✔emotions affecting the heart - ✔✔Joy Slons decrease heart Qi
Sadness Depletes heart Qi
Grief depletes heart Qi
Anger Makes heart Qi rise
Worry Knots heart Qi
✔✔Types of phlegm - ✔✔Damp Phlegm - sticky white
, Phlegm heat - sticky yellow
Cold Phlegm - watery white
Wind phlegm - swollen/deviated tongue
Qi Phlegm - feeling of swelling in throat
Phlegm - fluids water sputum
✔✔Edema pitting vs. no pitting - ✔✔Pitting - Deficiency of yang in the spleen lunng
and/or kidneys.
No Pitting - Qi stagnation or dampness
✔✔Loss of blood - ✔✔Epistaxis
Haematemesis/hemoptysis
melaena
menorrhagia
heamaturia
✔✔Blood heat - ✔✔Feeling of heat
skin diseases w/ red eruptions
Thirst
Bleeding
Red tongue
Rapid pulse
✔✔Stasis of blood - ✔✔dark complexion, purple lips, boring/stabbing pain in a fixed
location, immovable abdominal masses, purple nails, bleeding w/ dark blood, painful
periods, purple tongue wiry/firm/choppy pulse.
✔✔Blood deficiency - ✔✔Dull white yellow complexion, dizziness, poor memory,
numbness/tingling, blurred vision, insomniac, pale lips, scanty periods, slight anxiety,
pale or slightly dry tongue, choppy or fire pulse.
✔✔Rebellious Qi - ✔✔When Qi flows in the wrong direction.
✔✔Stagnation of Qi - ✔✔Feeling of distension, dissenting pain that mows around,
mental depression, irritability, gloomy feeling, frequent mood swings, frequent mood
swings, frequent sighing, wiry pulse, tongue body=normal reddish on sides.
✔✔Clinical manifestation of sinking Qi - ✔✔slight shortness of breath
weak voice
spontaneous sweating
poor appetite
loose stools
tiredness
a feeling of bearing down
mental depression
