What is the Thai Traditional Medical Council Licensing Examination?

It is the statutory licensing examination administered by the Thai Traditional Medical Council (สภาการแพทย์แผนไทย, TTMC) under the Thai Traditional Medical Profession Act B.E. 2556. Passing the examination grants a professional license to practice Thai medicine, pharmacy, Nuad Thai, midwifery, or applied Thai traditional medicine in Thailand.

What are the four core traditional branches under Thai traditional medicine?

The four branches recognized in Thai traditional medicine are Thai Medicine (เวชกรรมไทย - medical diagnosis and treatment), Thai Pharmacy (เภสัชกรรมไทย - formulation and compounding), Nuad Thai (การนวดไทย - therapeutic Thai massage and manipulation), and Thai Midwifery (การผดุงครรภ์ไทย - maternal and postpartum care). Applied Thai traditional medicine integrates all four branches with basic Western medical examination.

What language is the official examination conducted in?

Confirm the permitted delivery and response languages for the relevant assessment route with the Council. This independent English-language MCQ study adaptation preserves Thai technical terms, scripture names and herbal formulas; it is not an official translation or proof of an English sitting.

What is the passing score for the licensing examination?

Candidates must achieve at least 60% in each tested theoretical paper and practical clinical module to satisfy council licensing requirements.

Is this practice resource affiliated with the Thai Traditional Medical Council?

No. This is an independent practice resource authored by OpenExamPrep for self-study and professional knowledge review. It is not endorsed, approved, or sponsored by the Thai Traditional Medical Council (สภาการแพทย์แผนไทย).

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Key Facts: Thai Traditional Medicine Council License Exam

60%

Minimum passing threshold for each written subject and practical module

Thai Traditional Medical Council examination regulations

4 + 1 Branches

Traditional branches (Medicine, Pharmacy, Massage, Midwifery) plus Applied Traditional Medicine

Thai Traditional Medical Profession Act B.E. 2556, Section 3

2 Stages

Licensing structure: Stage 1 theoretical written MCQs and Stage 2 clinical practical OSCE

TTMC assessment guidelines

B.E. 2556

Governing statutory act establishing the independent Thai Traditional Medical Council

Royal Thai Government Gazette Vol. 130 Part 13 A

Independent practice by OpenExamPrep for the Thai Traditional Medicine Council License: 100 high-yield questions covering traditional medicine theory and diagnosis, herbal pharmacy, Nuad Thai (Sen Sib), midwifery, clinical integration, and TTMC ethics. English-language study adaptation preserving authentic Thai medical terminology.

Sample Thai Traditional Medicine Council License Practice Questions

Try these sample questions to review concepts for the Thai Traditional Medicine Council License exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1According to classical Thai traditional medicine theory, which elemental category consists of exactly 20 solid bodily components (such as hair, nails, teeth, skin, muscles, tendons, bones, and internal organs)?

A.Pathavi-dhatu (ธาตุดิน / Earth element)

B.Apo-dhatu (ธาตุน้ำ / Water element)

C.Vayo-dhatu (ธาตุลม / Wind element)

D.Techo-dhatu (ธาตุไฟ / Fire element)

Explanation: In Thai traditional medicine, Pathavi-dhatu (ธาตุดิน or the Earth element) comprises 20 physical, tangible structures of the human body. These include Kesha (hair), Nakha (nails), Danta (teeth), Taco (skin), Mansam (flesh/muscles), Naharu (tendons), Atthi (bones), and Atthiminjam (bone marrow), providing mechanical framework and structural stability.

2A practitioner evaluates a patient exhibiting symptoms of localized fluid retention, excessive salivary secretion, and chest congestion. Which sub-element of Apo-dhatu (ธาตุน้ำ) specifically designates salivary secretions in the traditional 12-component classification?

A.Singhanika (สิงฆานิกา)

B.Lasika (ไขข้อ)

C.Khelo (เขฬะ)

D.Sedo (เสโท)

Explanation: Khelo (เขฬะ) represents saliva among the 12 liquid components of Apo-dhatu. An excess or vitiation of Khelo commonly manifests as hypersalivation, sweet or bland taste in the mouth, and upper respiratory tract dampness.

3Which type of Techo-dhatu (ธาตุไฟ / Fire element) is specifically responsible for the physiological digestion, breakdown, and assimilation of consumed food in the gastrointestinal tract?

A.Santappagghi (ไฟสันตัปปัคคี)

B.Parinamagghi (ไฟปริณามัคคี)

C.Paridahayagghi (ไฟปริทัยหัคคี)

D.Jiranagghi (ไฟชิรณัคคี)

Explanation: Parinamagghi (ไฟปริณามัคคี) is the metabolic fire that digests, transforms, and assimilates ingested nutrients in the stomach and intestines. A deficiency in Parinamagghi leads to indigestion, food stagnation, and abdominal fullness, while an excess can cause peptic ulceration and voracious hunger.

4A patient experiences dyspnea, rapid shallow breathing, and a sensation of chest tightness. In Thai medicine, which of the 6 Vayo-dhatu (Wind elements) governs the physiological respiratory cycle of inhalation and exhalation?

A.Uddhangama-vata (ลมอุทธังคมาวาตา)

B.Adhogama-vata (ลมอโธคมาวาตา)

C.Angamanganusari-vata (ลมอังคมังคานุสารีวาตา)

D.Asvasa-passasa (ลมอัสสาสะปัสสาสะ)

Explanation: Asvasa-passasa (ลมอัสสาสะปัสสาสะ) is the specialized respiratory wind that governs the cyclical expansion and contraction of the lungs during inspiration (Asvasa) and expiration (Passasa). When disturbed, patients experience shortness of breath, asthma, or tachypnea.

5In the comprehensive diagnostic framework of Samutthana-vinitchai (สมุฏฐานวินิจฉัย), how many primary diagnostic etiologies (Samutthana) must a traditional physician analyze to determine the root cause of an illness?

A.5 etiologies: Dhatu, Utu, Ayu, Kala, and Pratet

B.3 etiologies: Pitta, Vata, and Semha

C.4 etiologies: Pathavi, Apo, Vayo, and Techo

D.7 etiologies: Rasas, Dhatus, Malas, Agni, Srotas, Koshas, and Nadis

Explanation: Samutthana-vinitchai systematically investigates 5 fundamental etiologies: Dhatu-samutthana (elemental imbalance), Utu-samutthana (seasonal climate), Ayu-samutthana (patient age and developmental stage), Kala-samutthana (time of day), and Pratet-samutthana (geographic dwelling habitat).

6Under the classical 3-season system (ฤดู 3) in Khamphi Samutthana-vinitchai, which element is considered the primary seasonal etiology (Utu-samutthana) predisposed to disturbance during Gimhana-utu (คิมหันตฤดู / Hot season)?

A.Apo-dhatu (Water element / Semha)

B.Techo-dhatu (Fire element / Pitta)

C.Pathavi-dhatu (Earth element)

D.Akat-dhatu (Space element)

Explanation: Gimhana-utu (คิมหันตฤดู, the hot summer season running from the 1st waning moon of the 5th lunar month to the 15th waxing moon of the 8th lunar month) is dominated by ambient environmental heat, predisposing individuals to aggravation of Techo-dhatu (Fire element) and Pitta disorders such as heat exhaustion, eruptive fevers, and cutaneous inflammation.

7A 55-year-old patient presents with osteoarthritis, dry skin, insomnia, and joint stiffness. In Ayu-samutthana (อายุสมุฏฐาน / Age-related etiology), which developmental life stage and dominant element describe this patient?

A.Pathom-wai (ปฐมวัย), dominated by Semha (Apo-dhatu)

B.Matchim-wai (มัชฌิมวัย), dominated by Pitta (Techo-dhatu)

C.Patchim-wai (ปัจฉิมวัย), dominated by Vata (Vayo-dhatu)

D.Kham-wai (ข้ามวัย), dominated by Pathavi-dhatu

Explanation: Patchim-wai (ปัจฉิมวัย) encompasses older adulthood (traditionally calculated from age 32 or 35 years until the end of life) and is naturally dominated by Vata (Vayo-dhatu / Wind). Disorders of Vata in this stage manifest as dry tissues, joint degeneration, musculoskeletal aching, tremors, and insomnia.

8In Kala-samutthana (กาลสมุฏฐาน / Time-of-day etiology), the daytime hours between 10:00 and 14:00 (10:00 AM to 2:00 PM) are governed by which humoral element?

A.Semha (เสมหะ / Water-phlegm)

B.Pitta (ปิตตะ / Fire-bile)

C.Vata (วาตะ / Wind)

D.Lohita (โลหิต / Blood)

Explanation: Under the 3-period diurnal cycle of Kala-samutthana, the middle period of the day (10:00 to 14:00) is governed by Pitta (Fire-bile), when ambient solar heat and metabolic digestive fire peak. Febrile spikes and inflammatory symptoms frequently worsen during this window.

9According to Pratet-samutthana (ประเทศสมุฏฐาน / Geographic habitat etiology), residents living in Pratet Ron (ประเทศร้อน / hot, arid, sandy terrain with brackish water) are naturally predisposed to illnesses originating from which element?

A.Apo-dhatu (Water element)

B.Pathavi-dhatu (Earth element)

C.Vayo-dhatu (Wind element)

D.Techo-dhatu (Fire element)

Explanation: Pratet Ron (ประเทศร้อน) refers to hot, dry geographic areas characterized by sandy soil, intense sun exposure, and salty/brackish water. Residents of this terrain are prone to excessive Techo-dhatu (Fire) accumulation, leading to skin eruptions, thirst, fevers, and biliary irritation.

10Which revered classical Thai medical text is traditionally regarded as the foundational treatise on the divine origin of medicine, ethical physician conduct, and the Attha-samutthana (8 universal causes of illness)?

A.Khamphi Chanthasat (คัมภีร์ฉันทศาสตร์)

B.Khamphi Takkasila (คัมภีร์ตักกศิลา)

C.Khamphi Maha Chotarat (คัมภีร์มหาโชตรัต)

D.Khamphi Kasai (คัมภีร์กษัย)

Explanation: Khamphi Chanthasat (คัมภีร์ฉันทศาสตร์) is the paramount classical scripture of Thai traditional medicine. It opens with veneration of the Great Teacher Jivaka Komarabhacca, outlines professional medical ethics, details the 8 general causes of disease (Attha-samutthana), and expounds on Tridhatu pathology.

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