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100+ Free TCM Pharmacy Qualification (China) Practice Questions

Prepare for the China National Health Professional Qualification Examination - Traditional Chinese Medicine Pharmacy Series (全国卫生专业技术资格考试 - 中药学 102/202/367) exam with instant access — no signup required.

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2026 Statistics

Key Facts: TCM Pharmacy Qualification (China) Exam

4 Papers

Examination Subjects (基础知识, 相关专业知识, 专业知识, 专业实践能力)

National Health Commission Examination Blueprint

360 Minutes

Total CBT Duration (90 Minutes per Paper across 4 Sessions)

21wecan Official Examination Schedule

60 / 100

Standard Passing Score per Paper (60% Minimum)

NHC Talent Exchange Center Standard-Setting

2 Years

Rolling Examination Result Validity Period (2年滚动管理制)

National Health Professional Qualification Rules

102 / 202 / 367

Official Subject Specialty Codes (士 / 师 / 主管中药师)

National Health Commission Specialty Classification

CBT

Computer-Based Testing Format (人机对话机考)

Chinese Health Talent Examination Network (21wecan)

The National Health Professional Qualification Exam for TCM Pharmacy is China's official hospital pharmacist licensing and title examination (Codes 102/202/367). Administered by NHC (21wecan) and MOHRSS, candidates must score 60/100 across four 90-minute CBT papers in a 2-year rolling cycle. This OpenExamPrep module provides 100 verified practice questions with authentic dual-language terminology.

Sample TCM Pharmacy Qualification (China) Practice Questions

Try these sample questions to test your TCM Pharmacy Qualification (China) exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1In Traditional Chinese Medicine basic theory (中医基础理论), which Five Elements (五行) relationship describes the pathological condition where hyperactive Liver Wood (木) impairs and restrains Lung Metal (金)?
A.Overacting (相乘)
B.Counter-restriction / Insulting (相侮 / 反克)
C.Mother-child affection (母病及子)
D.Child-mother affection (子病及母)
Explanation: In Five Elements theory, the normal control sequence is Metal overcoming Wood (金克木). When Wood becomes excessively hyperactive or Metal is deficient, Wood conversely restrains and insults Metal; this abnormal reversal of the overcoming cycle is defined as Counter-restriction or Insulting (相侮, also termed 反克). An example is Liver fire scorching Lung metal (木火刑金).
2Which of the following physiological functions is uniquely attributed to the Spleen (脾) in Zang-Fu organ manifestation theory (藏象学说)?
A.Governing blood vessels and housing the Mind (主血脉、藏神)
B.Governing transportation and transformation, and controlling blood (主运化、统血)
C.Governing free coursing and storing blood (主疏泄、藏血)
D.Governing Qi, respiration, and water passages (主气、司呼吸、通调水道)
Explanation: In Zang-Fu theory, the Spleen (脾) is responsible for governing the transportation and transformation (运化) of water, grain essence, and fluids, and controlling/containing the blood (统血) within the vessels to prevent extravasation. The Spleen is regarded as the postnatal foundation (后天之本).
3What is the primary physiological mechanism and source for the formation of Pectoral Qi (Zong Qi / 宗气) in the human body?
A.Inherited directly from congenital essence stored in the Kidneys (先天之精)
B.Formed by combining clear Qi inhaled by the Lungs with food essence transformed by the Spleen and Stomach (肺吸入之清气与脾胃化生之水谷精微结合)
C.Generated exclusively by the transformation of fluids in the Triple Energizer (三焦气化)
D.Derived from the warming action of the Life Gate Fire (命门之火)
Explanation: Pectoral Qi (Zong Qi / 宗气) accumulates in the chest (sea of Qi / 膻中) and is formed by the synthesis of clear atmospheric Qi (清气) inhaled by the Lung and the refined nutrient essence (水谷精微) transported by the Spleen and Stomach. It promotes cardiopulmonary respiration and systemic blood circulation.
4According to Chinese Materia Medica properties (中药性能), what primary therapeutic actions are characteristic of medicinal herbs possessing an Acrid (辛) flavor?
A.Astringing, consolidating, and arresting discharge (收敛、固涩)
B.Softening hardness, dissipating nodules, and purging downwards (软坚、散结、泻下)
C.Dispersing, promoting Qi circulation, and invigorating Blood flow (发散、行气、活血)
D.Tonifying, harmonizing, and moderating urgency (补益、和中、缓急)
Explanation: In TCM herbal pharmacology, the Acrid (辛) flavor acts to disperse exterior pathogens, move Qi, and activate Blood (能散、能行). Examples include exterior-releasing herbs like Ephedra and ginger, and Qi/blood movers like Cyperus and Chuanxiong.
5How does processing with liquid adjuvants influence the directional movement of herbal actions (Ascending, Descending, Floating, Sinking / 升降浮沉)?
A.Processing with wine (酒炙) directs herbs downward and sinks into the Lower Jiao
B.Processing with salt water (盐炙) directs herbs upward and floats to the head and eyes
C.Processing with ginger juice (姜炙) promotes downward purgation and stops diarrhea
D.Processing with wine (酒炙) promotes ascending and floating, while salt water (盐炙) directs action downward to the Kidneys
Explanation: Processing adjuvants significantly modify herbal directional tendencies: Wine is Yang and light, promoting ascending and floating actions (酒制升提) and directing effects toward the upper body; Salt enters the Kidneys (Lower Jiao), directing the medicinal action downward (盐制引药下行入肾); Vinegar directs into the Liver; Ginger warms and disperses.
6Which of the following medicinal herbs specifically enters the Liver and Gallbladder meridians (归肝、胆经) to disperse Liver Qi stagnation and clear Shaoyang heat?
A.Radix Bupleuri (Chai Hu / 柴胡)
B.Radix Puerariae Lobatae (Ge Gen / 葛根)
C.Rhizoma Coptidis (Huang Lian / 黄连)
D.Radix Rehmanniae (Sheng Di Huang / 生地黄)
Explanation: Radix Bupleuri (Chai Hu / 柴胡) has a strong channel tropism (归经) toward the Liver and Gallbladder meridians. It harmonizes Shaoyang exterior-interior syndromes, soothes the Liver, relieves Qi stagnation, and raises sunken Yang Qi.
7According to the classical Eighteen Incompatibilities (十八反), which group of medicinal substances is strictly incompatible with Radix Glycyrrhizae (Gan Cao / 甘草)?
A.Bei Mu (贝母), Gua Lou (瓜蒌), Ban Xia (半夏), Bai Lian (白蔹)
B.Gan Sui (甘遂), Da Ji (大戟), Yuan Hua (芫花), Hai Zao (海藻)
C.Ren Shen (人参), Sha Shen (沙参), Dan Shen (丹参), Ku Shen (苦参)
D.Wu Tou (乌头), Fu Zi (附子), Xi Xin (细辛), Bai Shao (白芍)
Explanation: In the Eighteen Incompatibilities (十八反), the classic mnemonic states: '甘草反甘遂、大戟、海藻、芫花' (Licorice is incompatible with Euphorbia kansui, Euphorbia pekinensis, Sargassum, and Flos Genkwa). Combining them generates toxicity or cancels therapeutic efficacy.
8A clinical dispensary receives a prescription containing Radix Aconiti Lateralis Praeparata (Fu Zi / 附子) combined with Rhizoma Pinelliae (Ban Xia / 半夏). Under TCM compatibility taboos, how should this combination be categorized?
A.Mutual Reinforcement (相须)
B.Mutual Assistance (相使)
C.Eighteen Incompatibilities (十八反) violation
D.Nineteen Counteractions (十九畏) violation
Explanation: Under the Eighteen Incompatibilities (十八反), the rule '本草明言十八反,半蒌贝蔹芨攻乌' establishes that Aconitum species (Wu Tou, Fu Zi) are incompatible with Ban Xia (Pinellia), Gua Lou (Trichosanthes), Bei Mu (Fritillaria), Bai Lian (Ampelopsis), and Bai Ji (Bletilla). Dispensing them together violates standard safety rules.
9Which of the following herbal pairs represents a prohibited combination according to the classical Nineteen Counteractions (十九畏)?
A.Flos Caryophylli (Ding Xiang / 丁香) and Radix Curcumae (Yu Jin / 郁金)
B.Radix Astragali (Huang Qi / 黄芪) and Poria (Fu Ling / 茯苓)
C.Gypsum Fibrosum (Shi Gao / 石膏) and Rhizoma Anemarrhenae (Zhi Mu / 知母)
D.Radix Paeoniae Alba (Bai Shao / 白芍) and Radix Glycyrrhizae (Gan Cao / 甘草)
Explanation: In the Nineteen Counteractions (十九畏), the classic mnemonic begins: '丁香莫与郁金见,牙硝易向三棱盼' (Ding Xiang fears Yu Jin; Ya Xiao fears San Leng). Combining Flos Caryophylli with Radix Curcumae impairs efficacy and produces adverse reactions.
10Which of the following medicinal herbs is categorized as an ABSOLUTE CONTRAINDICATION in pregnancy (妊娠禁用药) due to its drastic purgative, blood-breaking, or toxic properties?
A.Fructus Crotonis (Ba Dou / 巴豆)
B.Radix Scutellariae (Huang Qin / 黄芩)
C.Ramulus Taxilli (Sang Ji Sheng / 桑寄生)
D.Radix Boehmeriae (Zhu Ma Gen / 苎麻根)
Explanation: Fructus Crotonis (Ba Dou / 巴豆) is an intensely toxic, drastic purgative herb (峻下逐水、大毒) that causes vigorous intestinal peristalsis and pelvic congestion, leading to fetal miscarriage. It is strictly banned (禁用) during pregnancy.

About the TCM Pharmacy Qualification (China) Exam

The China National Health Professional Qualification Examination in TCM Pharmacy (全国卫生专业技术资格考试 - 中药学) is the mandatory statutory professional qualification and career progression examination for pharmacists practicing Traditional Chinese Medicine across medical institutions, hospital pharmacies, research institutes, and healthcare organizations in the People's Republic of China. Administered by the National Health Commission Talent Exchange Center (21wecan) under unified national planning with the Ministry of Human Resources and Social Security (MOHRSS), the examination encompasses three hierarchical career tiers: Junior TCM Pharmacy Technician (中药士, Code 102), Junior TCM Pharmacist (中药师, Code 202), and Intermediate Pharmacist-in-Charge of TCM (主管中药师, Code 367). Candidates are assessed across four comprehensive papers: Basic Knowledge (基础知识: TCM Basic Theory and Chinese Materia Medica), Related Professional Knowledge (相关专业知识: TCM Pharmacy Law, TCM Pharmacology, and General Pharmacology), Professional Knowledge (专业知识: Processing of Chinese Materia Medica and TCM Identification), and Professional Practical Ability (专业实践能力: TCM Pharmaceutics, Clinical Dispensing, and Quality Control). Passing all four papers within a two-year rolling window awards the statutory Qualification Certificate of Healthcare Professional Technical Qualification, enabling formal hospital appointment, institutional prescribing review rights, and clinical dispensing authority nationwide.

Assessment

Paper 1: 基础知识 (Basic Knowledge, 100 MCQs, 90 min); Paper 2: 相关专业知识 (Related Professional Knowledge, 100 MCQs, 90 min); Paper 3: 专业知识 (Professional Knowledge, 100 MCQs, 90 min); Paper 4: 专业实践能力 (Professional Practical Ability, 100 MCQs, 90 min); 360 minutes total CBT.

Time Limit

360 minutes total (90 minutes per subject paper across 4 CBT sessions)

Passing Score

60 / 100 points on each of the 4 subject papers in a 2-year rolling examination cycle (2年滚动管理)

Exam Fee

Set provincially; Hunan's 2026 notice charges RMB 70 per subject (National Health Commission Talent Exchange Center (国家卫生健康委人才交流服务中心 / 21wecan) & Ministry of Human Resources and Social Security)

TCM Pharmacy Qualification (China) Exam Content Outline

25%

Traditional Chinese Materia Medica & TCM Basic Theory (中药学与中医基础理论)

Evaluates fundamental TCM philosophical foundations, organ physiology, and single-herb pharmacology: Yin-Yang balance and Five Elements generating/overcoming relationships (生克乘侮), Zang-Fu visceral manifestation theory (heart, liver, spleen, lung, kidney, gallbladder, stomach, intestines, bladder, triple energizer), Qi, Blood, Fluid dynamics, etiology (six exogenous evils 六淫, seven emotions 七情, phlegm-fluid, blood stasis), Eight Principles pattern differentiation (八纲辨证), herbal properties (Four Natures, Five Flavors, Ascending/Descending/Floating/Sinking), channel tropism, toxicological profiles, incompatibility rules (Eighteen Incompatibilities 十八反, Nineteen Counteractions 十九畏), pregnancy prohibitions, and clinical therapeutic actions of exterior-releasing, heat-clearing, purgative, damp-resolving, interior-warming, qi-regulating, blood-activating, phlegm-transforming, and tonifying medicinal herbs.

25%

TCM Formulas & Herbal Processing (方剂学与中药炮制学)

Covers formula composition principles, structural hierarchy, and pharmaceutical processing mechanics: Sovereign, Minister, Assistant, and Courier (君臣佐使) roles, the Seven Relations of Formula Compatibility (单行, 相须, 相使, 相畏, 相杀, 相恶, 相反), classic prescriptions across twenty categories, modifications based on symptoms/constitution, herbal processing objectives (enhancing efficacy, reducing toxicity, altering channel tropism or nature), dry-frying (清炒: yellow-frying, scorched, charring to carbonize 炒炭止血), adjuvant stir-frying (wine 酒炙 for ascending/blood circulation, vinegar 醋炙 for liver channel/pain relief, honey 蜜炙 for lung moistening/spleen tonifying, ginger 姜炙 for anti-emetic/warming, salt 盐炙 for kidney guidance, bran 麸炒 for spleen invigorating), calcining (煅法: open煅, calcining-quenching 煅淬 for minerals/shells, closed carbonizing 扣锅煅), and detoxification procedures for potent toxic herbs (Aconitum Radix 附子/草乌, Pinelliae Rhizoma 半夏, Strychni Semen 马钱子, Arsenic preparations).

25%

TCM Identification & Chemistry (中药鉴定学与中药化学)

Focuses on herbal authentication, botanical taxonomy, microscopic analysis, and phytochemical constituents: Dao Di authentic geographical sources (道地药材), macroscopic organoleptic identification of roots, rhizomes, barks, leaves, flowers, fruits, seeds, whole herbs, animal substances, and minerals (characteristic features such as Radix Astragali 'crane-neck head' 鹤膝头, Ginseng 'reed head' 芦头 and pearl dots 珍珠疙瘩, Coptidis Rhizoma 'chicken feet' 鸡爪黄连), microscopic diagnostic characteristics (calcium oxalate crystal morphologies, stone cells, secretory cavities, pollen grains, stomatal types), physicochemical identification (TLC, HPLC, chemical reactions), and the chemical structures, physicochemical properties, extraction methods, and pharmacological actions of primary secondary metabolites including alkaloids (isoquinoline, tropane), flavonoids, anthraquinones (emodin, chrysophanol), coumarins, lignans, terpenoids, volatile oils, saponins (steroidal, triterpenoid), and cardiac glycosides.

25%

TCM Pharmacy Management, Dispensing & Clinical Rational Use (中药药事管理、调剂学与临床合理用药)

Encompasses statutory pharmaceutical regulations, hospital dispensary operations, herbal preparation, and patient medication safety: PRC Drug Administration Law (药品管理法), Regulations for the Implementation of the Drug Administration Law, Good Manufacturing Practice (GMP), Good Supply Practice (GSP), prescription auditing and dispensing workflow (review 审方, dispensing 计价调配, double-checking 复核, patient counseling 发药), special decocting instructions (先煎 decoct 10-30 min first for minerals/toxic roots, 后下 add 5-10 min before end for aromatics, 包煎 wrap-boil for fine powders/hairs, 烊化 melt/dissolve for colla/gelatins, 另煎 separate decoction for precious herbs like Ginseng, 冲服 take with decoction for powders), herbal warehouse storage and maintenance (insect pest control, mold prevention, moisture control, chemical fumigation alternatives), toxic herb storage and dispensing quotas, herbal adverse drug reactions (ADR) reporting, and herb-drug interactions.

How to Pass the TCM Pharmacy Qualification (China) Exam

What You Need to Know

  • Passing score: 60 / 100 points on each of the 4 subject papers in a 2-year rolling examination cycle (2年滚动管理)
  • Assessment: Paper 1: 基础知识 (Basic Knowledge, 100 MCQs, 90 min); Paper 2: 相关专业知识 (Related Professional Knowledge, 100 MCQs, 90 min); Paper 3: 专业知识 (Professional Knowledge, 100 MCQs, 90 min); Paper 4: 专业实践能力 (Professional Practical Ability, 100 MCQs, 90 min); 360 minutes total CBT.
  • Time limit: 360 minutes total (90 minutes per subject paper across 4 CBT sessions)
  • Exam fee: Set provincially; Hunan's 2026 notice charges RMB 70 per subject

Keys to Passing

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

TCM Pharmacy Qualification (China) Study Tips from Top Performers

1Master the Eighteen Incompatibilities (十八反) and Nineteen Counteractions (十九畏): Memorize the classic mnemonics completely, such as Aconite incompatible with Bletilla, Fritillaria, Ampelopsis, Cynanchum, Pinellia (本草明言十八反,半蒌贝蔹芨攻乌); and Licorice incompatible with Euphorbia kansui, Euphorbia pekinensis, Genkwa, Sargassum (甘草反甘遂、大戟、海藻、芫花).
2Internalize Herbal Processing (中药炮制) Mechanisms: Focus on how specific adjuvants alter herbal nature—honey frying (蜜炙) enhances spleen-tonifying and lung-moistening (e.g., Astragalus, Licorice); vinegar frying (醋炙) directs herbs to the Liver channel and enhances analgesic effects (e.g., Bupleurum, Cyperus, Corydalis); wine frying (酒炙) promotes upward movement and blood circulation; ginger frying (姜炙) reduces stomach cold and stops vomiting (e.g., Pinellia, Bamboo shavings).
3Memorize Classic Dao Di (道地) Authenticity Markers: Know geographic origins and distinctive morphological markers—Zhejiang Eight Medicinals (浙八味), Sichuan Medicinals (川药), Henan Four Huai Medicinals (怀药), Northeast Three Treasures (关药), and characteristic cross-section patterns like 'chrysanthemum heart' (菊花心) in Astragalus and 'golden well with jade railing' (金井玉栏).
4Learn Special Decocting Protocols: Distinguish herbs requiring decocting first (先煎: toxic Aconitum for 30-60 min to hydrolyze diester alkaloids into monoester aconitines; minerals/shells like Magnetitum, Concha Ostreae for 10-20 min); adding later (后下: volatile aromatics like Mentha, Aucklandia, Rheum for laxative effect); wrap-boiling (包煎: fine seeds like Plantago, irritating hairs like Typha/Inula); and melting (烊化: Donkey-hide gelatin, Ejiao, Colla Corii Asini).
5Review Key Chemical Class Reactions: Connect chemical structures to identification tests—Dragendorff's reagent for alkaloids (orange-red precipitate), Bornträger's reaction for hydroxyanthraquinones (red coloration in alkaline solution), Shinoda reaction (Mg-HCl) for flavonoids (cherry red), and Liebermann-Burchard reaction for saponins/steroids.
6Understand Pharmacy Regulations and Storage: Memorize storage temperature definitions under the Chinese Pharmacopoeia (Cold storage 2–8°C, Cool storage <20°C, Room temperature 10–30°C), moisture control thresholds (typically <13–15%), and toxic herb handling protocols under the National Regulations on the Administration of Narcotic and Toxic Drugs.

Frequently Asked Questions

What is the TCM Pharmacy Series examination and what credentials does it confer?

The National Health Professional Qualification Examination in TCM Pharmacy (全国卫生专业技术资格考试 - 中药学) is the official statutory qualification exam administered by the National Health Commission Talent Exchange Center (21wecan) and MOHRSS. It confers national professional titles across three progressive levels: Junior TCM Pharmacy Technician (初级中药士, Code 102), Junior TCM Pharmacist (初级中药师, Code 202), and Intermediate Pharmacist-in-Charge of TCM (主管中药师 / 中级, Code 367). These credentials grant statutory dispensing and clinical pharmacy authority within medical institutions and hospitals across China.

What is the difference between this Health Professional Qualification and the Licensed Pharmacist (执业药师) exam?

The Health Professional Qualification Examination (卫生专业技术资格考试 / 职称考试) is organized by the National Health Commission and MOHRSS specifically for pharmacists working in clinical medical institutions, hospitals, and healthcare institutions to determine institutional rank, clinical responsibilities, and professional promotion. In contrast, the Licensed Pharmacist Examination (国家执业药师职业资格考试) is organized by the National Medical Products Administration (NMPA) and MOHRSS primarily as a practicing qualification for community retail pharmacies and pharmaceutical wholesale/manufacturing enterprises.

What is the examination format, timing, and passing score requirement?

The examination comprises four distinct subject papers: Basic Knowledge (基础知识), Related Professional Knowledge (相关专业知识), Professional Knowledge (专业知识), and Professional Practical Ability (专业实践能力). Each paper consists of 100 computerized multiple-choice questions (CBT) lasting 90 minutes. A passing score is 60 out of 100 points on each of the four papers. Candidates are evaluated under a 2-year rolling management cycle (2年滚动管理制), meaning all four papers must be passed within two consecutive calendar years.

What educational backgrounds and work experience prerequisites apply?

Candidates must hold an educational degree in Traditional Chinese Pharmacy (中药学), Pharmacy (药学), or closely related disciplines from an accredited secondary specialized school (中专), junior college (大专), undergraduate university (本科), master's program (硕士), or doctoral program (博士). Work experience requirements vary by level: Junior Technician (士) typically requires 中专/大专 degree; Junior Pharmacist (师) requires 中专 + 5 years as technician, 大专 + 2 years, or 本科 + 1 year internship; Intermediate Pharmacist-in-Charge (主管) requires Bachelor's + 4 years as pharmacist, Master's + 2 years, or PhD with clinical completion.

Why is this OpenExamPrep practice module presented in English with Chinese terminology?

While the official exam in China is administered in Simplified Chinese, this practice bank is crafted in English with authentic Chinese pinyin and Hanzi characters in parentheses (e.g., 附子 Radix Aconiti Lateralis Praeparata, 君臣佐使 Sovereign-Minister-Assistant-Courier, 先煎 Decoct First, 十八反 Eighteen Incompatibilities). This bilingual pedagogical structure supports international TCM practitioners, integrative medicine physicians, bilingual clinical pharmacists, and overseas Chinese medicine students in mastering standardized national examination concepts.