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100+ Free TCM Assistant Practitioner (China) Practice Questions

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Key Facts: TCM Assistant Practitioner (China) Exam

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Statutory Credential

The TCM Assistant Practitioner Licensing Examination (中医执业助理医师资格考试) is China's official statutory credential for TCM assistant physicians. Held annually across two testing phases—Practical Skills in June (3 stations, 60/100 pass standard) and the Medical Comprehensive Computer Exam in August (2 units × 150 MCQs = 300 questions, 120 min each, fixed 180/300 passing threshold)—candidates who pass earn the permanent Assistant Medical Practitioner Qualification Certificate (医师资格证书) enabling licensed clinical practice in medical and healthcare institutions nationwide.

Sample TCM Assistant Practitioner (China) Practice Questions

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

1According to the fundamental principles of Yin-Yang theory (阴阳学说), which dynamic relationship describes the phenomenon where extreme Yin shifts into Yang ('Extreme Yin must become Yang' / 重阴必阳, or 'Extreme cold generates heat' / 重寒则热)?
A.Mutual Transformation of Yin and Yang (阴阳转化)
B.Interdependence of Yin and Yang (阴阳互根)
C.Mutual Consuming-Supporting of Yin and Yang (阴阳消长)
D.Opposition and Conflict of Yin and Yang (阴阳对立)
Explanation: Mutual Transformation of Yin and Yang (阴阳转化) refers to the process wherein Yin or Yang changes into its opposite under specific extreme conditions (such as 'Extreme Yin must become Yang' / 重阴必阳 and 'Extreme cold generates heat' / 重寒则热). Extreme qualitative change requires internal development reaching a critical quantitative threshold (物极必反).
2In Five Elements theory (五行学说), if Liver Wood (肝木) is excessively hyperactive and pathogenically over-restrains Spleen Earth (脾土), leading to abdominal distension, loose stools, and hypochondriac pain, what specific pathological relationship does this represent?
A.Overacting / Subjugation (相乘)
B.Counter-restriction / Insulting (相侮)
C.Mother pathogen affecting Child (母病及子)
D.Child pathogen affecting Mother (子病犯母)
Explanation: Overacting or Subjugation (相乘) occurs when an element exerts excessive restraint along the normal controlling cycle (Wood normally restrains Earth / 木克土, but hyperactive Wood excessively subjugates Earth / 木乘土), causing secondary deficiency and pathology in the controlled organ.
3In TCM Zang-Fu organ theory (藏象学说), which organ is recognized as the 'Monarch of all organs' (君主之官) that governs the blood and vessels (主血脉) and houses the Mind/Spirit (主藏神)?
A.Heart (心)
B.Liver (肝)
C.Spleen (脾)
D.Kidney (肾)
Explanation: The Heart (心) is designated as the 'Monarch of all organs' (心者,君主之官也,神明出焉). Its two primary physiological functions are governing blood and blood vessels (主血脉) and storing the Shen/Mind (主藏神 / 主神明).
4A patient presents with chronic subcutaneous purpura (皮下紫斑), pale complexion, fatigue, poor appetite, and pale tongue. In TCM pathology, this failure of blood to stay within the vessels is primarily attributed to the impairment of which physiological function?
A.Spleen controlling and holding blood (脾统血)
B.Liver storing blood (肝藏血)
C.Heart governing blood vessels (心主血脉)
D.Lung assisting the heart in blood circulation (肺朝百脉)
Explanation: The Spleen controls and holds blood within the vessels (脾统血). When Spleen Qi is deficient (脾气虚弱), it loses its astringing and commanding control over blood, allowing blood to extravasate from vessels, causing hemorrhage, purpura, melena, or menorrhagia.
5Which Zang organ is described in TCM basic theory as the 'Canopy' (华盖) and the 'Delicate Organ' (娇脏), functioning to govern Qi, control respiration, and regulate the water passages (通调水道)?
A.Lung (肺)
B.Heart (心)
C.Kidney (肾)
D.Liver (肝)
Explanation: The Lung (肺) occupies the highest position in the thoracic cavity, earning the title 'Canopy' (华盖). Because it connects directly with the external environment through the airway and is easily injured by cold, heat, dryness, and damp pathogens, it is known as the 'Delicate Organ' (娇脏). It governs Qi, respiration, dispersing-descending, and regulates water passages (通调水道).
6Which of the following physiological functions is primarily governed by the Liver's action of free coursing and dredging (肝主疏泄)?
A.Regulating emotional state, bile secretion, and Qi dynamic (调畅情志、分泌排泄胆汁、调畅气机)
B.Transforming food into nutrient essence (运化水谷精微)
C.Governing water metabolism and reception of Qi (主水与主纳气)
D.Governing dispersing and descending of defensive Qi (主宣发肃降与卫气)
Explanation: The Liver's function of free coursing (肝主疏泄) maintains the smooth flow of Qi throughout the body, regulates emotional balance, promotes bile secretion and excretion, and assists Spleen/Stomach digestive movement and reproductive functions.
7In Traditional Chinese Medicine, which organ is regarded as the 'Root of Congenital Constitution' (先天之本) that stores essence, governs reproduction, and controls bone and marrow production?
A.Kidney (肾)
B.Spleen (脾)
C.Heart (心)
D.Lung (肺)
Explanation: The Kidney (肾) stores both congenital (inherited) and acquired essence (藏精), governs reproduction, growth, development, bones, marrow, brain, and water metabolism, earning the title 'Root of Congenital Constitution' (先天之本).
8Which specific form of Qi is formed by the combination of clear natural air (自然界清气) inhaled by the Lung and food essence (水谷精气) transformed by the Spleen, pooling in the chest to promote respiration and cardiac circulation?
A.Zong Qi / Pectoral Qi (宗气)
B.Yuan Qi / Primordial Qi (元气)
C.Ying Qi / Nutrient Qi (营气)
D.Wei Qi / Defensive Qi (卫气)
Explanation: Zong Qi (宗气 / Pectoral or Gathering Qi) accumulates in the chest (Sea of Qi / 膻中). It is formed by clear air inhaled by the Lung combined with food essence from the Spleen. Its primary functions are assisting Lung respiration and Heart blood circulation.
9Which exogenous pathogenic evil (六淫病邪) is characterized by heavy and turbid qualities (重浊), stickiness and lingering duration (黏滞), and a tendency to impair Yang and easily injure the lower body (易伤阳气、趋下)?
A.Dampness pathogen (湿邪)
B.Cold pathogen (寒邪)
C.Wind pathogen (风邪)
D.Dryness pathogen (燥邪)
Explanation: Dampness evil (湿邪) is a Yin pathogen characterized by heavy and turbid manifestations (重浊, e.g., heavy head, turbid urine/stool), stickiness and prolonged course (黏滞), downward movement (趋下, e.g., leg edema, leukorrhea), and obstruction of Qi flow injuring Spleen Yang.
10During tongue inspection (望舌), a patient with severe acute febrile illness exhibits a Deep Red or Crimson tongue body (绛舌). In TCM syndromic differentiation, what does this tongue finding primarily indicate?
A.Extreme Heat penetrating into Ying and Blood levels (热入营血)
B.Excess Cold obstructing the interior (寒凝气滞)
C.Spleen Qi and Blood deficiency (气血两虚)
D.Exogenous Wind-Cold on the exterior (外感风寒)
Explanation: A Crimson or Deep Red tongue (绛舌, deeper red than a normal red tongue) indicates extreme pathogenic heat invading the deep Ying (Nutrient) and Xue (Blood) levels (热入营血), or severe Yin deficiency with hyperactivity of fire.

About the TCM Assistant Practitioner (China) Exam

The China TCM Assistant Practitioner Licensing Examination (全国中医执业助理医师资格考试 / NMLE TCM Assistant) is the mandatory nationwide statutory licensing credential for assistant physicians practicing Traditional Chinese Medicine in the People's Republic of China. Regulated by the National Administration of Traditional Chinese Medicine and the National Health Commission pursuant to the PRC Physicians Law (中华人民共和国医师法), this qualification establishes that a practitioner possesses the foundational knowledge, diagnostic capabilities, herbal prescribing proficiency, acupuncture competencies, and basic western clinical skills necessary to provide patient care under the supervision of a licensed TCM physician. The examination is conducted in two mandatory tiers: the multi-station Practical Skills Examination (实践技能考试) evaluating clinical physical examination, tongue/pulse evaluation, acupuncture techniques, and syndromic case analysis; followed by the nationwide Computer-Based Medical Comprehensive Examination (医学综合考试) comprising 300 multiple-choice questions across two 120-minute units. Candidates must master TCM Foundations (Basic Theory, Diagnostics, Materia Medica, Formulas), TCM Clinical Disciplines (Internal Medicine, External Medicine/Surgery, Gynecology, Pediatrics, Acupuncture), Western Diagnostics and Infectious Diseases, and Medical Ethics and Health Regulations.

Assessment

Stage 1: Practical Skills Examination (实践技能考试, 3 clinical stations: TCM syndromic diagnosis & case analysis, physical examination & acupuncture manipulation, clinical oral defense); Stage 2: Computer-Based Medical Comprehensive Examination (医学综合笔试/机考: Unit 1: 150 MCQs, 120 mins; Unit 2: 150 MCQs, 120 mins; Total 300 MCQs, fixed national passing score 180/300).

Time Limit

4 hours total for Medical Comprehensive Exam (Unit 1: 120 minutes + Unit 2: 120 minutes across 1 exam day)

Passing Score

180/300 points (fixed national passing cutoff for comprehensive exam, 60%; 60/100 points for practical skills)

Exam Fee

Determined by provincial medical examination authorities (typically 250–500 RMB total across both stages) (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 / NMEC))

TCM Assistant Practitioner (China) Exam Content Outline

35%

TCM Foundations: Theory, Diagnostics, Herbs, and Formulas (中医基础理论、中医诊断学、中药学、方剂学)

Comprehensive evaluation of foundational TCM principles, diagnostic methods, herbal pharmacology, and prescription formulation: (1) TCM Basic Theory (中医基础理论): Philosophical concepts of Yin-Yang (阴阳学说: opposition, interdependence, mutual consuming-supporting, transformation) and Five Elements (五行学说: generating, controlling, overacting, insulting); Visceral Manifestation Theory (藏象学说: Five Zang organs—Heart, Lung, Spleen, Liver, Kidney; Six Fu organs—Gallbladder, Stomach, Small Intestine, Large Intestine, Bladder, Sanjiao; Extraordinary Fu organs); Vital Substances (Qi, Blood, Body Fluids 气血津液: production, circulation, physiological functions, relationships); Meridian & Collateral system (经络系统: Twelve regular meridians, Eight Extraordinary vessels, collaterals); Etiology and Pathogenesis (病因病机: Exogenous Six Evils 六淫, Seven Emotional factors 七情, Pathological products including Phlegm-Fluid 痰饮 and Blood Stasis 瘀血, Yin-Yang imbalance, Qi-Blood disharmony); Preventive principles and therapeutic strategies (治则治法: treat disease before it arises 未病先防, treat the root in chronic cases 标本缓急, adjust Yin and Yang); (2) TCM Diagnostics (中医诊断学): Four Diagnostic Methods (四诊)—Inspection (望诊: spirit/vitality, complexion, tongue body color, shape, coating color and quality), Auscultation & Olfaction (闻诊: voice, breathing sounds, cough sounds, odors), Inquiry (问诊: Ten Inquiries 十问歌, chills and fever, sweating, pain characteristics, sleep, appetite, thirst, urination, defecation), Palpation (切诊: 28 pulse qualities including Floating, Deep, Rapid, Slow, Slippery, Wiry, Thready, Weak, Rough, Surging; abdominal and acupoint palpation); Syndromic Differentiation (辨证体系)—Eight Principles (八纲辨证: Yin/Yang, Exterior/Interior, Cold/Heat, Deficiency/Excess), Zang-Fu Syndromes (脏腑辨证: Heart blood deficiency, Lung Yin deficiency, Spleen Qi deficiency, Liver Yang rising, Kidney Yang deficiency, etc.), Six-Meridian Differentiation (六经辨证), Defense-Qi-Nutrient-Blood (卫气营血辨证), and Triple Burner Differentiation (三焦辨证); (3) Chinese Materia Medica (中药学): Herb properties and actions (Four Qi 四气, Five Flavors 五味, Ascending/Descending/Floating/Sinking 升降浮沉, Meridian Tropism 归经, Toxicity 有毒无毒); Processing methods (炮制); Herb-herb interactions (Seven Compatibility Modes 七情配伍, Eighteen Incompatibilities 十八反, Nineteen Counteractions 十九畏); Category classification, therapeutic actions, indications, dosages, and contraindications of key herbs across therapeutic classes (Exterior-releasing 解表药, Heat-clearing 清热药, Purgative 泻下药, Wind-Damp dispelling 祛风湿药, Dampness-transforming/draining 化湿利水药, Interior-warming 温里药, Qi-regulating 理气药, Blood-activating/stasis-dispelling 活血化瘀药, Hemostatic 止血药, Phlegm-resolving/cough-stopping 化痰止咳药, Shen-calming 安神药, Liver-calming/wind-extinguishing 平肝息风药, Tonic 补虚药, Astringent 收涩药); (4) TCM Formulas / Prescriptions (方剂学): Prescription structure and hierarchy (Monarch 君, Minister 臣, Assistant 佐, Envoy 使); Compatibility principles and preparation forms (decoction, powder, pill, plaster); Core classical formulas: composition, primary therapeutic actions, clinical indications, dosage nuances, and formula modifications (e.g., Ma Huang Tang 麻黄汤, Gui Zhi Tang 桂枝汤, Yin Qiao San 银翘散, Bai Hu Tang 白虎汤, Huang Lian Jie Du Tang 黄连解毒汤, Da Cheng Qi Tang 大承气汤, Xiao Chai Hu Tang 小柴胡汤, Si Ni San 四逆散, Xiao Yao San 逍遥散, Ban Xia Xie Xin Tang 半夏泻心汤, Li Zhong Wan 理中丸, Si Ni Tang 四逆汤, Liu Wei Di Huang Wan 六味地黄丸, Jin Gui Shen Qi Wan 金匮肾气丸, Bu Zhong Yi Qi Tang 补中益气汤, Ba Zhen Tang 八珍汤, Gui Pi Tang 归脾汤, Suan Zao Ren Tang 酸枣仁汤, Yue Ju Wan 越鞠丸, Xue Fu Zhu Yu Tang 血府逐瘀汤, Er Chen Tang 二陈汤, Wen Dan Tang 温胆汤, Ping Wei San 平胃散, Ba Zheng San 八正散).

35%

TCM Internal Medicine (中医内科学)

In-depth syndromic pattern differentiation, etiology, pathogenesis, clinical features, treatment principles, and formula selection across major internal medicine disease entities: (1) Pulmonary Disorders (肺系病证): Common Cold (感冒: Wind-Cold Feng Han, Wind-Heat Feng Re, Summerheat-Dampness, Deficiency Colds), Cough (咳嗽: Exogenous vs Endogenous patterns, Phlegm-Heat, Phlegm-Damp, Lung Yin deficiency), Wheezing / Asthma (哮病: Cold wheezing Cold Xiao vs Heat wheezing Heat Xiao), Panting / Dyspnea (喘证: Excess syndromes vs Kidney/Lung deficiency), Pulmonary Abscess (肺痈: Early, Suppurative, Ulcerative, Recovery stages), Lung Consumption (肺痨: Yin deficiency, Fire hyperactivity, Yin-Yang deficiency), and Pulmonary Distention (肺胀); (2) Heart and Brain Disorders (心系与脑系病证): Palpitations (心悸: Heart gallbladder Qi deficiency, Heart blood deficiency, Yin deficiency fire hyperactivity, Heart Yang deficiency, Water overflowing to heart, Blood stasis), Chest Bi / Ischemic Heart Disease (胸痹心痛: Qi stagnation, Turbid phlegm, Blood stasis, Cold stagnation, Qi-Yin deficiency, Yang deficiency), Insomnia (不寐: Liver fire, Phlegm-heat, Heart-spleen deficiency, Heart-kidney disharmony), Dizziness (眩晕: Liver Yang hyperactivity, Phlegm-damp obstruction, Qi-blood deficiency, Kidney essence deficiency), and Stroke / Apoplexy (中风: Meridian-collateral involvement vs Visceral involvement, Wind-phlegm blocking collaterals, Liver Yang storm, Tense syndrome vs Flaccid syndrome, Post-stroke sequelae); (3) Spleen-Stomach & Digestive Disorders (脾胃系病证): Epigastric Pain (胃痛: Cold evil, Food stagnation, Liver Qi invading stomach, Damp-heat, Blood stasis, Stomach Yin deficiency, Spleen-stomach deficiency-cold), Abdominal Pain (腹痛), Diarrhea (泄泻: Cold-damp, Damp-heat, Food stagnation, Liver-spleen disharmony, Spleen deficiency, Kidney Yang deficiency/Daybreak diarrhea), Dysentery (痢疾: Damp-heat, Epidemic toxic, Cold-damp, Chronic rest dysentery), Constipation (便秘: Heat secret, Qi secret, Cold secret, Deficiency secret), and Vomiting / Hiccup (呕吐、呃逆); (4) Liver-Gallbladder Disorders (肝胆系病证): Hypochondriac Pain (胁痛: Liver Qi stagnation, Liver-gallbladder damp-heat, Blood stasis, Liver Yin deficiency), Jaundice (黄疸: Yang jaundice—Damp-heat/Heat prevailing/Damp prevailing, Acute toxic epidemic jaundice, Yin jaundice—Cold-damp, Spleen deficiency), Tympanites / Ascites (鼓胀), and Hypochondriac Masses (积聚); (5) Renal, Fluid, & Metabolic Disorders (肾系、津液及气血肢体病证): Edema (水肿: Yang edema—Wind-water, Damp-toxin, Damp-heat; Yin edema—Spleen Yang deficiency, Kidney Yang deficiency), Strangury / Urinary Disturbance (淋证: Heat strangury, Stone strangury, Qi strangury, Blood strangury, Fatty/Chylous strangury, Exhaustion strangury), Dysuria / Urinary Retention (癃闭), Consumptive Thirst / Diabetes (消渴: Upper burner—Lung heat, Middle burner—Stomach heat, Lower burner—Kidney Yin deficiency / Yin-Yang deficiency), Bi Syndrome / Arthralgia (痹证: Wind Bi/Migratory, Cold Bi/Painful, Damp Bi/Fixed, Heat Bi/Febrile, Stubborn/Phlegm-stasis Bi), Lumbago (腰痛), and Internal Injury Fever (内伤发热).

20%

TCM External Medicine, Gynecology, Pediatrics, and Acupuncture (中医外科学、中医妇科学、中医儿科学、针灸学)

Evaluation of clinical specialized disciplines in Traditional Chinese Medicine: (1) TCM External Medicine / Surgery (中医外科学): Surgical etiology (Six evils, Seven emotions, Diet, Trauma), Lesion differentiation (Color, Swelling, Pain, Pus identification, Ulcer staging), Surgical treatment principles (Internal: Dispelling 消, Consolidating 托, Supplementing 补; External: Plasters, Ointments, Incision/Drainage, Thread ligation), Common conditions: Carbuncles (痈), Deep Abscesses (疽), Furuncles (疖), Phlegmon (疔), Acute Mastitis / Breast Abscess (乳痈), Breast Lump / Hyperplasia (乳癖), Hemorrhoids (痔: Internal, External, Mixed), Anal Fissure, Anal Fistula, Eczema (湿疹), Urticaria (瘾疹), Shingles / Herpes Zoster (蛇串疮), and Contact Dermatitis (接触性皮炎); (2) TCM Gynecology & Obstetrics (中医妇科学): Female physiological characteristics (Menstruation, Leukorrhea, Gestation, Parturition); Diagnostic and treatment principles in Ob/Gyn; Menstrual disorders: Early menstruation (月经先期), Late menstruation (月经后期), Irregular cycle (月经先后无定期), Hypermenorrhea/Hypomenorrhea, Dysmenorrhea (痛经), Amenorrhea (闭经), Flooding and Spotting / Dysfunctional Uterine Bleeding (崩漏); Leukorrhea diseases: Spleen deficiency, Kidney deficiency, Damp-heat, Toxic dampness; Gestational diseases: Morning sickness / Hyperemesis gravidarum (妊娠恶阻), Threatened miscarriage (胎漏、胎动不安), Gestational edema (妊娠肿胀); Postpartum diseases: Postpartum fever (产后发热), Postpartum abdominal pain (产后腹痛), Postpartum lochiorrhea (产后恶露不绝); Gynecological miscellaneous diseases: Infertility (不孕症), Abdominal masses (症瘕); (3) TCM Pediatrics (中医儿科学): Pediatric physiological and pathological traits (Pure Yang body 纯阳之体, Immature visceral Qi 脏腑娇嫩、形气未充, Rapid transformation and susceptibility to sudden change); Pediatric growth, developmental milestones, feeding, and finger vein diagnosis (小儿指纹辨证: Gate of Wind, Gate of Qi, Gate of Life / Floating, Deep, Red, Purple, Pale); Common pediatric illnesses: Pediatric Common Cold (小儿感冒), Infantile Pneumonia / Dyspnea (肺炎喘嗽), Pediatric Diarrhea (小儿泄泻), Anorexia (厌食), Food Accumulation (积滞), Malnutrition (疳证), Infantile Convulsions (惊风: Acute vs Chronic), Childhood infectious rashes: Measles (麻疹), Rubella (风疹), Varicella / Chickenpox (水痘), Mumps (痄腮); (4) Acupuncture and Moxibustion (针灸学): Meridian pathways and distribution; Twelve Regular Meridians and Eight Extraordinary Vessels (Du, Ren, Chong, Dai); Point Location & Classification: Five Shu Points (井、荥、输、经、合), Yuan-Source Points (原穴), Luo-Connecting Points (络穴), Back-Shu Points (背俞穴), Front-Mu Points (募穴), Eight Influential Points (八会穴), Eight Confluent Points (八脉交会穴), Lower He-Sea Points (下合穴), Xi-Cleft Points (郄穴); Location and indications of high-yield points (e.g., He Gu LI4, Zu San Li ST36, San Yin Jiao SP6, Tai Chong LR3, Nei Guan PC6, Bai Hui GV20, Guan Yuan CV4, Zhong Wan CV12, Shen Que CV8); Needling techniques (Insertion, Angle, Depth, Reinforcing/Reducing methods 补泻手法); Moxibustion methods (Direct, Indirect with ginger/garlic/salt); Cupping and Electroacupuncture; Acupoint selection principles (Distal, Local, Symptomatic, Syndrome-based) and point combination formulas for common acute/chronic disorders (Headache, Toothache, Facial palsy, Low back pain, Stroke rehabilitation, Abdominal pain, Dysmenorrhea).

10%

Western Clinical Medicine, Diagnostics, and Medical Ethics (西医诊断学基础、传染病学、医学伦理学、卫生法规)

Essential Western clinical medicine competencies, diagnostics, infectious disease protocols, medical ethics, and statutory healthcare regulations: (1) Western Diagnostics (西医诊断学基础): Symptom analysis (Fever patterns, Chest pain, Dyspnea, Hemoptysis vs Hematemesis, Edema); Physical examination (Head, Neck, Thorax, Lung breath sounds and adventitious rales, Cardiac murmurs and heart sounds, Abdominal palpation for liver/spleen/tenderness/rebound, Neurological reflexes and pathological signs: Babinski, Kernig, Brudzinski); Laboratory examinations (Complete blood count CBC, Urinalysis, Stool examination, Liver function tests: ALT/AST/Bilirubin, Renal function tests: BUN/Cr, Blood glucose, Lipid panels, Cardiac biomarkers: Troponin, CK-MB); Electrocardiogram (ECG / 心电图: Normal ECG waveforms, Myocardial ischemia and acute myocardial infarction ST-T changes, Premature ventricular contractions PVCs, Atrial fibrillation AF, Atrioventricular block AVB); Imaging diagnostics (Chest X-ray patterns: pneumonia, pneumothorax, effusion; Abdominal ultrasound basics); (2) Infectious Diseases (传染病学): Infectious process and transmission dynamics (Source, Transmission route, Susceptible population); Classification of statutory infectious diseases in China (Classes A, B, C 甲、乙、丙类传染病 and reporting timeframes: within 2 hours for Class A/emerging epidemic pathogens, within 24 hours for Class B/C); Clinical features, diagnosis, treatment, and prevention of key infectious diseases: Viral Hepatitis (Hepatitis A, B, C; Hepatitis B serology markers: HBsAg, HBeAg, anti-HBs, anti-HBc), Pulmonary Tuberculosis (Active vs inactive TB, sputum AFB, anti-TB drug regimens and side effects), Epidemic Hemorrhagic Fever / HFRS (Five clinical stages: Febrile, Hypotensive shock, Oliguric, Polyuric, Convalescent), Bacillary Dysentery, and HIV/AIDS; (3) Medical Ethics (医学伦理学): Core moral principles of medical ethics (Beneficence 不伤害/有利, Autonomy/Respect 尊重/自主, Justice 公正); Doctor-patient relationship and effective communication; Informed consent principles and exceptions; Patient privacy and medical confidentiality; Professional ethical codes for medical practitioners; (4) Health Law & Statutory Regulations (卫生法规): PRC Physicians Law (中华人民共和国医师法: qualification examination, registration, rights and duties, scope of practice, assessment, penalty liabilities for illegal practice); Regulations on Medical Malpractice Handling (医疗事故处理条例: malpractice grading 1 to 4, prevention, disposal protocols, expert appraisal); Law on the Prevention and Control of Infectious Diseases (传染病防治法: statutory reporting, isolation measures, hospital infection control); Prescription Management Measures (处方管理办法: prescription writing rules, valid duration, narcotic/psychotropic drug management, prescription limits); Medical Institution Regulations; Basic Medical Insurance and Drug Administration laws.

How to Pass the TCM Assistant Practitioner (China) Exam

What You Need to Know

  • Passing score: 180/300 points (fixed national passing cutoff for comprehensive exam, 60%; 60/100 points for practical skills)
  • Assessment: Stage 1: Practical Skills Examination (实践技能考试, 3 clinical stations: TCM syndromic diagnosis & case analysis, physical examination & acupuncture manipulation, clinical oral defense); Stage 2: Computer-Based Medical Comprehensive Examination (医学综合笔试/机考: Unit 1: 150 MCQs, 120 mins; Unit 2: 150 MCQs, 120 mins; Total 300 MCQs, fixed national passing score 180/300).
  • Time limit: 4 hours total for Medical Comprehensive Exam (Unit 1: 120 minutes + Unit 2: 120 minutes across 1 exam day)
  • Exam fee: Determined by provincial medical examination authorities (typically 250–500 RMB total across both stages)

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 Assistant Practitioner (China) Study Tips from Top Performers

1Master Tongue and Pulse Correlations: Firmly connect diagnostic tongue body/coating features and pulse types to specific Zang-Fu syndromes (e.g., Red tongue with yellow greasy coating + Slippery rapid pulse = Damp-Heat; Pale tongue with white thin coating + Deep weak pulse = Yang/Qi Deficiency).
2Memorize Classical Formula Architecture: Focus on the Monarch herb (君药), signature herb pairings (e.g., Chai Hu + Huang Qin in Xiao Chai Hu Tang; Huang Qi + Dang Shen in Bu Zhong Yi Qi Tang), and specific syndrome modifications for all core formulas.
3Internalize Syndromic Differentiation Flowcharts: For TCM Internal Medicine conditions (e.g., Wheezing 哮病 vs Dyspnea 喘证; Gastric pain 胃痛 vs Abdominal pain 腹痛), systematically memorize the distinguishing clinical features, primary syndrome patterns, therapeutic principles, and first-line formulas.
4Memorize Specific Acupoints and Contraindications: Master the Yuan-Source, Luo-Connecting, Back-Shu, Front-Mu, and Five Shu point correspondences, as well as crucial safety contraindications (e.g., avoid needling He Gu LI4, San Yin Jiao SP6, Kun Lun BL60, and Jian Jing GB21 during pregnancy; avoid deep needling of chest/back points to prevent pneumothorax).
5Review Key Western Diagnostics & Lab Panels: Ensure rapid recognition of acute myocardial infarction ST elevations, common arrhythmias (AFib, PVCs), hepatitis B serological profiles, and Class A statutory reporting rules (within 2 hours for Cholera and Plague).
6Practice Timed Computer Simulation: Complete full 150-question mock blocks under the strict 120-minute time constraint to build speed, stamina, and accuracy for the official computer-based testing environment.

Frequently Asked Questions

What is the China TCM Assistant Practitioner Licensing Examination (全国中医执业助理医师资格考试)?

The TCM Assistant Practitioner Licensing Examination is China's official statutory licensing credential for Traditional Chinese Medicine assistant physicians. Administered under the authority of the National Administration of Traditional Chinese Medicine (国家中医药管理局) and the National Medical Examination Center (NMEC / 国家医学考试中心) pursuant to the PRC Physicians Law (中华人民共和国医师法), it certifies that a practitioner has achieved the requisite competencies in TCM theory, syndromic diagnostics, herbal prescribing, acupuncture, and western clinical diagnostics to practice medicine under the supervision of a licensed TCM physician.

What is the format, structure, and passing score of the examination?

The examination is conducted in two mandatory stages: (1) Practical Skills Examination (实践技能考试), held annually in June, featuring 3 clinical stations (TCM case analysis, physical exam & acupuncture techniques, and oral viva defense) scored out of 100 points with a passing score of 60; and (2) Medical Comprehensive Examination (医学综合考试), held in August as a computer-based test (机考) consisting of 2 units (150 MCQs each, 120 minutes per unit, totaling 300 MCQs). The national passing score is fixed at 180 out of 300 points (60%).

What are the eligibility and prerequisite requirements to register for the exam?

Under the PRC Physicians Law, eligible candidates must meet one of the statutory pathways: (1) Hold a recognized diploma from a higher medical college (高等专科学历) or secondary vocational school (中等专业学校) in Traditional Chinese Medicine, and have completed at least 1 full year of supervised clinical probation (试用期满一年) in an accredited medical, preventive, or healthcare institution under the guidance of a licensed physician; or (2) Qualified traditional apprentice or specialized expertise candidates (传统医学师承和确有专长人员) who have passed regional expert evaluations and received formal administrative recommendations.

What subject areas are covered in the two computer-based units?

Unit 1 and Unit 2 collectively cover: TCM Foundations (Basic Theory, Diagnostics, Chinese Materia Medica, Formulas); TCM Clinical Disciplines (Internal Medicine, External Medicine/Surgery, Gynecology, Pediatrics, Acupuncture and Moxibustion); Western Clinical Medicine (Diagnostics Foundation, Infectious Diseases); and Medical Humanities (Medical Ethics, PRC Healthcare Laws and Regulations).

How can an Assistant Practitioner advance to Full Licensed Physician (执业医师)?

After obtaining the TCM Assistant Practitioner Qualification Certificate and registering for practice, an assistant practitioner with a college associate degree (专科学历) can sit for the Full TCM Licensed Physician Examination (中医执业医师资格考试) after 2 full years of continuous clinical practice; an assistant practitioner with a secondary vocational school diploma (中专学历) can sit for the full physician examination after 5 full years of continuous practice.

Why does this OpenExamPrep practice bank include Chinese terminology?

While questions and rationales are provided in high-quality English to facilitate bilingual learning and international TCM academic study, every question preserves authentic Chinese clinical terminology in parentheses (e.g., 阴阳五行, 脏腑辨证, 舌苔脉象, 经络腧穴, 君臣佐使, 治则治法). This ensures candidates master exact official diagnostic nomenclature and prescription terminology tested on the national examination.