Points theory.txt

5) A patient presents with diffusive swelling in the neck, soft, gradually increasing in size with unclear margins. They have a normal color, absence of pain and in some cases are big and dropping. The patient also has dyspnea and hoarseness of voice. They also tell you that the size of the goiter changes with emotions. Which one of the following treatment principles would be best for this patient?

A) Points of the Hand Yangming and Governor vessels are selected as the principal points. The reducing method is applied to clear off the heat and stop bleeding for extreme heat in the lung and stomach.
B) The reducing method is applied to regulate the Qi of the Foot Jueyin and Foot Yangming meridians, remove stagnation and disperse heat. Points of the Foot Jueyin, Foot Shaoyang and Foot Yangming meridians are selected as the principal points.
C) Activate blood circulation and remove blood stasis, and disperse the agglomeration through promoting the Qi circulation by reducing method. Points of the Hand Shaoyang and Yangming meridians are selected as principal points.
D) Points of the Foot Taiyin and Foot Shaoyin meridians are selected as the principal points. Acupuncture with the reducing method is applied to regulate the Thoroughfare and Conception vessels and clear off heat from the blood.

73) A patient presents with intermittent convulsions, cold limbs, emaciation, pale complexion, lassitude, lethargy with eyes open. They have loose stools containing undigested food, clear and profuse urination. Their pulse is deep and weak. Which one of the following treatment principles would be best for this patient?

A) Points of the Conception and Governor vessels are selected as the principal points. The reinforcing method and moxibustion are applied to adjust yin and yang for sedation and relief of convulsion.
B) Points of the Governor Vessel and the Liver Meridian of Foot Jueyin are selected as the principal points. The reducing method is applied to promote the restoration of consciousness, eliminate heat and suppress wind.
C) Points of the Foot Taiyin and Foot Shaoyin meridians are selected as the principal points. Acupuncture with the reducing method is applied to regulate the Thoroughfare and Conception vessels and clear off heat from the blood.
D) Points of the Hand Yangming and Governor vessels are selected as the principal points. The reducing method is applied to clear off the heat and stop bleeding for extreme heat in the lung and stomach.

69) A patient presents with pain that becomes continuous and localized in the right lower abdomen near S 25(Tianshu). They have tenderness, mild contracture of the abdominal wall, difficulty in extension of the right leg, fever, chills, nausea, vomiting, constipation, and dark urine. Their tongue has a thin, sticky coating and their pulse is rapid and forceful. Which one of the following treatment principles would be best for this patient?

A) Points of the Foot Taiyin and Foot Shaoyin meridians are selected as the principal points. Acupuncture with the reducing method is applied to regulate the Thoroughfare and Conception vessels and clear off heat from the blood.
B) To disperse damp heat, regulate Qi circulation and stop pain by reducing method. Points of the Yangming meridians are selected as the principal points. Needles are retained for a long time from thirty to one hundred twenty minutes. Manipulation is given every ten minutes and treats every six to eight hours. When the symptoms and signs are alleviated, treatment should be given once daily with needles retained for thirty minutes.
C) The reducing method is applied to regulate the Qi of the Foot Jueyin and Foot Yangming meridians, remove stagnation and disperse heat. Points of the Foot Jueyin, Foot Shaoyang and Foot Yangming meridians are selected as the principal points.
D) Points of the Hand Yangming and Governor vessels are selected as the principal points. The reducing method is applied to clear off the heat and stop bleeding for extreme heat in the lung and stomach.

60) A patient presents with prolapse of the uterus, a bearing down sensation in the lower abdomen, dryness of the vagina, frequent urine, dizziness, and tinnitus. Their tongue is pink and their pulse is deep, weak. Which one of the following treatment principles would be best for this patient?

A) Points of the Foot Taiyin and Foot Shaoyin meridians are selected as the principal points. Acupuncture with the reducing method is applied to regulate the Thoroughfare and Conception vessels and clear off heat from the blood.
B) Points of the Hand Yangming and Governor vessels are selected as the principal points. The reducing method is applied to clear off the heat and stop bleeding for extreme heat in the lung and stomach.
C) Points are mainly selected from the Conception Vessel and Foot Shaoyin Meridians. Acupuncture is given with the reinforcing method and moxibustion to replenish the kidney Qi so as to keep the uterus in position.
D) Points are chiefly chosen from the Conception Vessel and Foot Yangming meridian. Acupuncture is applied with reinforcing method and moxibustion to replenish Qi, and restore the prolapse in place.

52) A patient presents with sudden deafness, distension sensation and constant ringing in the ear that cannot be eliminated by pressing. They have a flushed face, dry mouth, irritability, and hot temperatures. Their pulse is forceful and string-taut. Which one of the following treatment principles would be best for this patient?

A) Points of the Hand Yangming and Governor vessels are selected as the principal points. The reducing method is applied to clear off the heat and stop bleeding for extreme heat in the lung and stomach.
B) Ashi points are used as the principal points. Local and distal points of involved meridians may be combined to ease tendons and activate blood circulation, relieving swelling and pain. Applying needling plus moxibustion to the local points and needling alone to the distal points.
C) Points of the Foot Taiyin and Foot Shaoyin meridians are selected as the principal points. Acupuncture with the reducing method is applied to regulate the Thoroughfare and Conception vessels and clear off heat from the blood.
D) Points of the Shaoyang meridians of the hand and foot are used as the principal points. The reducing method is applied.

39) An infant presents with unconsciousness, upward gazing, lockjaw, neck rigidity, opisthotonos, contracture of the limbs. They have no fever, cold limbs, disturbed sleep or lethargy, crying and fearing after waking, intermittent contraction of muscles. Which one of the following treatment principles would be best for this patient?

A) Points of the Conception and Governor vessels are selected as the principal points. The reinforcing method and moxibustion are applied to adjust yin and yang for sedation and relief of convulsion.
B) Points of the Hand Yangming and Governor vessels are selected as the principal points. The reducing method is applied to clear off the heat and stop bleeding for extreme heat in the lung and stomach.
C) Points of the Governor Vessel and the Liver Meridian of Foot Jueyin are selected as the principal points. The reducing method is applied to promote the restoration of consciousness, eliminate heat and suppress wind.
D) Points of the Foot Taiyin and Foot Shaoyin meridians are selected as the principal points. Acupuncture with the reducing method is applied to regulate the Thoroughfare and Conception vessels and clear off heat from the blood.

2) All of the following points are Jing-River points except:

A) Metal Point on the Wood Channel
B) Wood Point on the Fire Channel
C) Fire Point on the Water Channel
D) Fire Point on the Fire Channel

12) All of the following measurements are 9 cun except:

A) The distance between the mastoid processes
B) The distance between the cubital crease and the wrist crease
C) The distance between the angles of the hairline
D) The distance between the anterior axillary and the cubital creases

68) All of the following points are Xi-Cleft points except:

A) SJ 6
B) G 35
C) Liv 6
D) P 4

88) How many cun less is the distance between the popliteal crease and the medial malleolus than the distance between the popliteal crease and the lateral malleolus?

A) 3 cun
B) 4 cun
C) 2 cun
D) 1 cun

60) What are the indications for the point that is the Influential Point of the Tendon?

A) Irregular menstruation, dysmenorrhea, uterine bleeding, prolapse of uterus, diarrhea, constipation, pain and swelling of the testis.
B) Fullness of the chest and hypochondriac region, muscular atrophy and paralysis of the leg.
C) Hemiplegia, weakness, numbness and pain of the lower extremities, swelling and pain of the knee, beri beri, hypochondriac pain, bitter taste in the mouth, vomiting, jaundice, and infantile convulsions.
D) Pruritus vulvae, prolapse of uterus, irregular menstruation, nocturnal emission, hemoptysis, thirst, diarrhea, swelling and pain of the dorsum of the foot, and acute infantile omphalitis

84) What is the distance between the anterior axillary and the wrist crease?

A) 18 cun
B) 9 cun
C) 12 cun
D) 21 cun

7) What is the distance between the glabella and the inferior border of the spinous process of C7 divided by 3?

A) 5.825 cun
B) 5 cun
C) 6 cun
D) 7.5 cun

175) What is the distance between the gluteal crease and the knee divided by 2?

A) 7 cun
B) 8 cun
C) 6 cun
D) 7.5 cun

10) Which He Sea point treats hemiplegia, weakness, numbness and pain of the lower extremities, swelling and pain of the knee, beri beri, hypochondriac pain, bitter taste in the mouth, vomiting, jaundice, and infantile convulsions?

A) Hand Shaoyang
B) Foot Jueyin
C) Hand Jueyin
D) Foot Shaoyang

49) Which one of the following Hand Shaoyang points is one of the Eight Confluent Points?

A) SJ 6
B) SJ 4
C) SJ 3
D) SJ 5

89) Which one of the following is not a He-Sea?

A) When the knee is flexed, the point is at the medial end of the transverse popliteal crease, posterior to the medial epicondyle of the tibia, in the depression of the anterior border of the insertions of m. semimembranosus and m. semitendinosus.
B) When the elbow is flexed, the point is in the depression about 1 cun superior to the olecranon.
C) When the arm is adducted, the point is directly above the posterior end of the axillary fold, in the depression inferior to the scapular spine.
D) 9 cun below S 35 (Dubi) and one finger breadth (middle finger) from the anterior border of the tibia.

69) Which one of the following points activates the circulation of Qi in the Taiyang meridian and DU channel, and drives pathogenic factors out?

A) Ying-Spring point of the Hand Taiyang
B) Yuan-Source point of the Hand Taiyang
C) Shu-Stream point of the Hand Taiyang
D) Jing-River point of the Hand Taiyang

36) Which one of the following points is an important point for dizziness?

A) S-6
B) S-8
C) S-9
D) S-7

5) Which one of the following points is both a Front-Mu and an Influential Point?

A) The point located directly below the nipple, in the seventh intercostal space, 4 cun lateral to the anterior midline.
B) The point located on the lateral side of the abdomen, below the free end of the eleventh rib.
C) The point located on the lateral side of the abdomen, on the lower border of the free end of the twelfth rib.
D) The point located directly below the nipple, in the sixth intercostal space, 4 cun lateral to the anterior midline.

8) Which one of the following points is not a Jing-River point?

A) SI 5
B) SI 5
C) H 5
D) S 41

27) Which one of the following points is not a Xi-Cleft point?

A) H 6
B) LI 7
C) SP 4
D) L 6

38) Which one of the following points is the empirical point to pacify breathing?

A) Xi-Cleft point of the Hand Taiyin
B) Jing-River point of the Hand Taiyin
C) Shu-Stream point of the Hand Taiyin
D) Luo-Connecting point of the Hand Taiyin

C) Shu-Stream point of the Hand Taiyin


1) Which one of the following points of the Foot Taiyang is a Confluent Point?

A) B 65
B) B 62
C) B 64
D) B 63

35) Which one of the following points on the Hand Taiyin channel is also a Confluent point?

A) L 6
B) L 7
C) L 8
D) L 9

55) Which one of the following positions is desirable when needling the points of the front and facial regions, chest and abdomen, and the anterior or lateral aspect of the lower extremities?

A) Lateral recumbent position
B) Supine position
C) Comfortable sitting position
D) Prone position

53) Which points if needled too deeply or if there are inappropriate manipulations may have such clinical manifestations as convulsions, paralysis, and coma.

A) The point located 1 cun directly above the midpoint of the posterior hairline, directly below the external occipital protuberance, in the depression between m. trapezius of both sides and the point located 2.5 cun directly above the midpoint of the posterior hairline, in the depression on the upper border of the external occipital protuberance.
B) The point located below the spinous process of the seventh cervical vertebra, approximately at the level of the shoulders and the point located .5 cun directly above the midpoint of the posterior hairline, in the depression below the spinous process of the first cervical vertebra.
C) The points located .5 cun directly above the midpoint of the posterior hairline, in the depression below the spinous process of the first cervical vertebra and the point located 1 cun directly above the midpoint of the posterior hairline, directly below the external occipital protuberance, in the depression between m. trapezius of both sides.
D) The point located on the head and on the level of the upper border of external occipital protuberance, 2.25 cun lateral to the midline of the head and the point located 1 cun directly above the midpoint of the posterior hairline, directly below the external occipital protuberance, in the depression between m. trapezius of both sides.

49) Which one of the following points treats backache referring to the testes, mastitis, pain in the lower abdomen, and numbness and paralysis of the lower extremities?

A) Lower He-Sea point of the San Jiao
B) Lower He-Sea point of the Small Intestine
C) Lower He-Sea point of the Large Intestine
D) Lower He-Sea point of the Stomach