100+ Free TCM Practitioner (China) Practice Questions
Prepare for the China TCM Practitioner Licensing Examination (国家医师资格考试 - 中医执业医师资格考试) exam with instant access — no signup required.
Loading practice questions...
Explore More China National Medical Licensing Examination (NMLE / 国家医师资格考试)
Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.
Key Facts: TCM Practitioner (China) Exam
Administering Bodies
Official Chinese Name
Examination Structure
Passing Standard
Examination Schedule
Statutory Credential
Official Portal
The TCM Practitioner Licensing Examination is China's official medical licensing gateway for doctors of Traditional Chinese Medicine. Passing requires clearing the Stage 1 Practical Skills Exam (June) and achieving at least 360/600 points on the 4-unit computer-based Medical Comprehensive Exam (August). Successfully certified practitioners receive the national Medical Practitioner Qualification Certificate (医师资格证书) and are legally authorized to register and prescribe TCM therapies nationwide.
Sample TCM Practitioner (China) Practice Questions
Try these sample questions to test your TCM Practitioner (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 Five Elements theory (五行学说), when excessive Liver Qi over-restrains and impairs Spleen transportation (肝气乘脾), which pathological interaction is taking place?
2Which of the following physiological functions is uniquely governed by the Spleen (脾) in Zang-Fu theory?
3A patient presents with emotional depression, frequent sighing, distending pain in the hypochondriac region, and irregular menstruation. Which Zang-Fu physiological impairment is primarily responsible?
4In TCM basic theory, which organ is known as the 'Root of Pre-Heaven' (先天之本) and serves as the foundation of Yin and Yang for all Zang-Fu organs?
5Which dynamic functional relationship describes the interaction between Qi and Blood (气血关系) in Traditional Chinese Medicine?
6According to etiology in TCM, which exogenous pathogen (外邪) is characterized by being 'light, upward-rising, dispersing, constantly moving, and rapidly changing' (风性轻扬开泄,善行而数变)?
7Which pathological mechanism leads to the development of 'True Cold with False Heat' (真寒假热 / 阴盛格阳)?
8During tongue inspection (望舌), a mirror-smooth red tongue completely devoid of coating (镜面舌 / 光剥无苔) indicates which clinical condition?
9A patient's pulse feels straight, long, and taut, resembling the vibration of a tight musical string under the fingers (按之如琴弦). What pulse image (脉象) is this, and what is its primary clinical significance?
10Which pulse is characterized as feeling thin, slow, short, and uneven, like lightly scraping a piece of bamboo with a knife (如轻刀刮竹), indicating Blood Stasis or severe Essence-Blood deficiency?
About the TCM Practitioner (China) Exam
The China TCM Practitioner Licensing Examination (全国中医执业医师资格考试 / 国家医师资格考试中医类别) is the mandatory statutory licensing examination established under the PRC Law on Licensed Doctors. Administered annually by the National Administration of Traditional Chinese Medicine (NATCM) and the National Health Commission (NHC), this nationwide licensure certifies qualified medical practitioners to practice Traditional Chinese Medicine independently across clinical institutions. The examination evaluates two indispensable dimensions: Stage 1 Practical Clinical Skills (涵盖病案分析、中医操作、针灸穴位、西医体格检查与急救技能), which must be passed before advancing to Stage 2 Medical Comprehensive Examination. The comprehensive stage is a 600-question computer-based examination partitioned into four distinct units testing TCM fundamental theories, diagnostics, materia medica, classic prescriptions, TCM internal medicine, external medicine/surgery, gynecology, pediatrics, acupuncture-moxibustion, western diagnostics, infectious diseases, and medical ethics.
Assessment
Two-stage examination: (1) Practical Skills (3 stations: TCM case analysis, TCM clinical operations/acupuncture, western diagnostic/physical exam, 100 marks, pass 60); (2) Medical Comprehensive Exam (4 units: Unit 1 TCM Basics, Diagnostics, Herbs, Formulas, Health Law; Unit 2 Western Diagnostics, Internal Medicine, Infectious Diseases, Medical Ethics; Unit 3 TCM Internal Medicine, Acupuncture; Unit 4 TCM Surgery, Gynecology, Pediatrics; 150 MCQs per unit, 600 total, pass 360).
Time Limit
8 hours total for the comprehensive exam (4 units × 120 minutes across two days), plus the separate practical-skills examination
Passing Score
Fixed standard: 360/600 points (60%) for the comprehensive written exam; 60/100 points for practical skills
Exam Fee
Set provincially (typically ¥200–¥400 total) (National Administration of Traditional Chinese Medicine TCM Qualification Examination Center (国家中医药管理局中医师资格认证中心) & National Medical Examination Center (国家医学考试中心))
TCM Practitioner (China) Exam Content Outline
TCM Basic Theory, Diagnostics, Materia Medica & Formulas (中医基础、诊断、中药与方剂)
Comprehensive foundation of Traditional Chinese Medicine: (1) Basic Theory: Yin-Yang philosophical polarity, Five Elements (Wu Xing) inter-promotion and inter-acting dynamics, Zang-Fu organ functions and interactions (Heart housing Shen, Liver storing Blood and governing free coursing, Spleen governing transformation and transportation and holding blood, Lung governing Qi and respiration and regulating water passages, Kidney storing Jing and governing water), Qi-Blood-Body Fluid dynamics, etiology (Six Exogenous Evils, Seven Emotional Factors, Phlegm-Fluid, Blood Stasis), and pathogenesis; (2) TCM Diagnostics: Four Diagnostic Methods—Inspection (facial complexion, tongue body color, shape, and coating), Auscultation and Olfaction (voice, coughing sounds, breath odor), Inquiry (Ten Questions / 十问歌: chills and fever, sweating, head/body pain, stools/urine, thirst, sleep), and Palpation (pulse diagnosis: floating, deep, rapid, slow, slippery, wiry, fine, choppy, surge, soggy, tight); Pattern Identification paradigms (Eight Principles, Zang-Fu, Six Channels, Wei-Qi-Ying-Blood, Triple Burner); (3) Chinese Materia Medica: Four Natures and Five Flavors, Ascending/Descending/Floating/Sinking tendencies, Channel Tropism, Toxicity, Processing (Pao Zhi), Compatibilities (Seven Emotions of herbal combinations), Contraindications (Eighteen Incompatibilities 十八反, Nineteen Mutual Antagonisms 十九畏, Pregnancy cautions), Dosage and administration; (4) Classic Formulas (方剂学): Hierarchy of formulation (Sovereign 君, Minister 臣, Assistant 佐, Envoy 使), dosage modifications, forms of delivery (decoction, powder, pill, plaster), and classic formulas (e.g., Ma Huang Tang, Xiao Chai Hu Tang, Bai Hu Tang, Li Zhong Wan, Si Ni Tang, Bu Zhong Yi Qi Tang, Liu Wei Di Huang Wan, Shen Qi Wan, Xue Fu Zhu Yu Tang, Wen Dan Tang, Ban Xia Xie Xin Tang, Gui Zhi Fu Ling Wan, Zhen Wu Tang, Wu Mei Wan).
TCM Clinical Internal Medicine (中医内科学)
In-depth clinical diagnostic reasoning, syndrome differentiation, and therapeutic formulation across internal medicine specialties: (1) Pulmonary Disorders: Wind-Cold / Wind-Heat Common Cold (感冒), Cough (咳嗽 - exogenous vs endogenous, phlegm-damp, phlegm-heat, yin deficiency), Wheezing/Panting (喘证 - excess cold/heat vs kidney deficiency), Asthma (哮病 - cold vs heat triggers), Lung Abscess (肺痈), Pulmonary Consumption (肺痨); (2) Cardiac Disorders: Palpitations (心悸 - heart blood/yin deficiency, heart yang deficiency, phlegm-fire, blood stasis), Chest Bi / Angina Pectoris (胸痹心痛 - heart blood stasis, phlegm turbidity, cold congealing, qi deficiency), Insomnia (不寐 - heart-spleen deficiency, heart-kidney disharmony, liver fire); (3) Spleen-Stomach & Intestinal Disorders: Epigastric Pain (胃痛 - cold evil, food stagnation, liver qi invading stomach, spleen-stomach deficiency-cold), Fullness/Distention (痞满), Abdominal Pain (腹痛), Diarrhea (泄泻 - damp-heat, cold-damp, food damage, spleen deficiency, kidney yang dawn diarrhea), Dysentery (痢疾 - damp-heat, epidemic toxin, intermittent), Constipation (便秘 - heat, qi stagnation, qi/blood deficiency, cold); (4) Hepatobiliary Disorders: Hypochondriac Pain (胁痛 - liver qi depression, liver-gallbladder damp-heat, blood stasis), Jaundice (黄疸 - Yang Jaundice: damp-heat; Yin Jaundice: cold-damp), Abdominal Masses (积聚), Tympanites/Ascites (鼓胀 - qi/blood/water stagnation, spleen-kidney yang deficiency), Dizziness (眩晕 - liver yang rising, qi and blood deficiency, kidney jing deficiency, phlegm dampness), Stroke / Wind Strike (中风 - tense syndrome 闭证 vs flaccid syndrome 脱证, wind-phlegm, yin deficiency); (5) Renal & Urinary Disorders: Edema (水肿 - Yang Edema: wind-water, damp-toxin; Yin Edema: spleen/kidney yang deficiency), Strangury Syndromes (淋证 - heat, stone, blood, qi,膏, fat strangury), Retention of Urine (癃闭), Wasting-Thirst / Diabetes (消渴 - upper/middle/lower xiao); (6) Constitutional, Qi-Blood & Rheumatic Disorders: Melancholia/Depression (郁证), Bleeding Syndromes (血证 - epistaxis, hemoptysis, hematemesis, hematuria), Phlegm-Fluid Retention (痰饮), Bi Syndrome / Arthralgia (痹证 - wind, cold, damp, heat, stubborn phlegm-stasis), Flaccidity (痿证), Headache (头痛), Low Back Pain (腰痛).
TCM Surgery, Gynecology, Pediatrics & Acupuncture-Moxibustion (中医外妇儿与针灸)
Specialized clinical disciplines in Traditional Chinese Medicine: (1) TCM External Medicine / Surgery (中医外科学): Nomenclature, etiology, and differentiation of surgical sores (Yin sores vs Yang sores); Furuncles, Carbuncles, Phlegmons (疖、痈、发、有头疽、疔疮); Breast Disorders: Acute Mastitis (乳痈), Mammary Dysplasia / Fibroadenoma (乳癖); Thyroid Disorders (瘿病); Dermatological Conditions: Herpes Zoster (蛇串疮), Pityriasis Rosea (风热疮), Eczema (湿疮), Neurodermatitis (牛皮癣/白疕); Anorectal Diseases: Hemorrhoids (痔), Anal Fistula (肛漏), Rectal Prolapse (脱肛); Peripheral Vascular Diseases: Thromboangiitis Obliterans (脱疽); (2) TCM Gynecology (中医妇科学): Physiology of menstruation, leukorrhea, pregnancy, and childbirth; Menstrual Irregularities (advanced, delayed, erratic cycle), Abnormal Uterine Bleeding / Flooding and Spotting (崩漏), Dysmenorrhea (痛经), Amenorrhea (闭经); Morbid Leukorrhea (带下病); Pregnancy Disorders: Threatened Abortion (胎漏、胎动不安), Hyperemesis Gravidarum (妊娠恶阻), Gestational Hypertension / Eclampsia (子痫); Postpartum Disorders: Postpartum Fever (产后发热), Prolonged Lochia (恶露不绝), Postpartum Abdominal Pain (产后腹痛); Gynecological Masses (癥瘕) and Infertility (不孕症); (3) TCM Pediatrics (中医儿科学): Pediatric anatomical/physiological traits ('tender Zang-Fu, incomplete Qi' 脏腑娇嫩,形气未充; 'vigorous vitality, rapid development' 生机蓬勃,发育迅速); Pediatric Cough, Pneumonia Panting (肺炎喘嗽); Infantile Diarrhea (小儿泄泻), Food Accumulation (积滞), Anorexia (厌食), Malnutrition (疳证); Infantile Convulsions (Acute vs Chronic Jing Feng 急惊风、慢惊风); Childhood Eruptive Fevers: Chickenpox (水痘), Measles (麻疹), Hand-Foot-Mouth Disease (手足口病), Allergic Purpura (紫癜); (4) Acupuncture & Moxibustion (针灸学): Pathways of the 14 Meridians; Specific Acupoint Categories (Five Shu Points, Yuan-Source, Luo-Connecting, Xi-Cleft, Back-Shu, Front-Mu, Eight Confluent Points, Lower He-Sea); Precise anatomical locations, puncture depth, angles, and cautions; Needling and moxibustion techniques; Point combinations for common emergencies and clinical complaints (Headache, Facial Paralysis, Stroke closed/flaccid, Epigastric Pain, Dysmenorrhea, Low Back Pain).
Western Clinical Diagnostics & Infectious Diseases (西医诊断学基础与传染病学)
Essential Western medical diagnostic capabilities and infectious disease protocols: (1) Diagnostics Fundamentals (诊断学基础): Symptom analysis (fever curves, chest pain, dyspnea, jaundice, hematemesis/melena); Physical Examination: Vital signs, lymph node palpation, chest inspection/percussion, cardiac auscultation (valve areas, murmurs, heart sounds S1/S2/S3/S4), lung sounds (vesicular, bronchial, moist rales, dry wheezes), abdominal palpation (liver/spleen enlargement, Murphy's sign, peritoneal irritation signs: tenderness, rebound tenderness, muscular rigidity, shifting dullness), neurological assessment (deep tendon reflexes, pathological reflexes: Babinski sign, meningeal signs: neck stiffness, Kernig, Brudzinski); (2) Auxiliary Diagnostics: Electrocardiogram (ECG) interpretation: Myocardial Infarction (ST elevation, pathological Q wave, T wave inversion), Arrhythmias (atrial fibrillation, PVCs, heart block), Electrolyte imbalances (hyperkalemia tall peaked T waves); Laboratory Testing: Complete Blood Count, Liver Function Tests (ALT, AST, Bilirubin), Renal Function (BUN, Cr), Arterial Blood Gases (ABG); (3) Infectious Diseases (传染病学): Viral Hepatitis (Hepatitis A, B, C, D, E; Hepatitis B serological markers: HBsAg, HBsAb, HBeAg, HBeAb, HBcAb); Pulmonary Tuberculosis (etiology, clinical manifestations, sputum smear acid-fast staining, chest X-ray findings); Epidemic Hemorrhagic Fever / HFRS (pathogenesis, three main signs: fever, bleeding, renal injury; five clinical phases); HIV/AIDS (stages, CD4+ T lymphocyte counts, opportunistic infections); Infection control and statutory reporting of Class A, B, and C notifiable communicable diseases; (4) Medical Ethics & Health Jurisprudence: PRC Medical Practitioners Law, patient informed consent, professional ethics, duty of confidentiality, and medical dispute prevention.
How to Pass the TCM Practitioner (China) Exam
What You Need to Know
- Passing score: Fixed standard: 360/600 points (60%) for the comprehensive written exam; 60/100 points for practical skills
- Assessment: Two-stage examination: (1) Practical Skills (3 stations: TCM case analysis, TCM clinical operations/acupuncture, western diagnostic/physical exam, 100 marks, pass 60); (2) Medical Comprehensive Exam (4 units: Unit 1 TCM Basics, Diagnostics, Herbs, Formulas, Health Law; Unit 2 Western Diagnostics, Internal Medicine, Infectious Diseases, Medical Ethics; Unit 3 TCM Internal Medicine, Acupuncture; Unit 4 TCM Surgery, Gynecology, Pediatrics; 150 MCQs per unit, 600 total, pass 360).
- Time limit: 8 hours total for the comprehensive exam (4 units × 120 minutes across two days), plus the separate practical-skills examination
- Exam fee: Set provincially (typically ¥200–¥400 total)
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 Practitioner (China) Study Tips from Top Performers
Frequently Asked Questions
What is the China TCM Practitioner Licensing Examination (全国中医执业医师资格考试)?
The TCM Practitioner Licensing Examination is a nationwide statutory medical qualification examination administered jointly by the National Administration of Traditional Chinese Medicine (国家中医药管理局) and the National Health Commission (国家卫生健康委员会). Passing this examination is the mandatory legal prerequisite to obtain the Medical Practitioner Qualification Certificate (医师资格证书) and register as a licensed TCM physician (执业中医师) in China.
What is the structure, format, and passing standard of the examination?
The examination is conducted in two sequential stages: (1) Stage 1 Practical Skills Examination (实践技能考试), held annually in June across 3 stations (TCM case analysis, TCM clinical operations/acupuncture, western physical examination/emergency procedures; 100 points, passing mark 60); (2) Stage 2 Medical Comprehensive Examination (医学综合考试), held in August as a computer-based examination (机考) across 4 units (150 MCQs per unit, 600 MCQs total). The passing score for the comprehensive written examination is permanently fixed nationwide at 360 out of 600 points (60%).
What are the four units of the Medical Comprehensive Examination?
Unit 1 tests TCM Basic Theory, TCM Diagnostics, Chinese Materia Medica, Formulas, and Health Regulations; Unit 2 tests Western Diagnostic Fundamentals, Western Internal Medicine, Infectious Diseases, and Medical Ethics; Unit 3 tests TCM Internal Medicine and Acupuncture-Moxibustion; Unit 4 tests TCM External Medicine / Surgery, TCM Gynecology, and TCM Pediatrics.
What educational and clinical experience criteria are required to sit the exam?
Candidates must meet one of the statutory educational/internship tracks under the PRC Medical Practitioners Law: (1) Bachelor's degree or higher in Traditional Chinese Medicine (中医学) with at least 1 year of clinical internship/probation in a healthcare institution; (2) Assistant TCM Practitioner license holders with an Associate degree (专科) and 2 years of clinical practice, or a secondary technical school medical diploma (中专) and 5 years of clinical practice; or (3) Individuals qualifying through traditional apprenticeship or verified specialty practice routes (师承或确有专长人员) having passed prescribed qualification assessments and required clinical service.
How do A1, A2, A3/A4, and B1 question types function in the exam?
A1 questions are single-sentence best choice questions testing core theoretical recall; A2 questions are clinical case vignettes testing syndrome differentiation and formula selection for a single patient scenario; A3/A4 questions present an extended clinical scenario followed by multiple progressive decision-making questions; B1 questions are matching items pairing multiple clinical scenarios or herbs with a shared set of answer choices.
Why is this OpenExamPrep question bank presented in English?
While the statutory licensure examination in China is conducted in Simplified Chinese, this practice bank provides a rigorous English-language study adaptation engineered for international TCM researchers, bilingual medical students, overseas acupuncturists, integrative medicine doctors, and licensing candidates across Greater China and global universities. Every question incorporates authentic Chinese professional medical terminology (e.g., 辨证论治, 藏象, 气血津液, 八纲辨证, 十八反, 君臣佐使, 闭证/脱证) and diagnostic standards in parentheses.