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Formula Modifications Practice Test 10


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Formula Modifications

Practice Test 10
1. How is jin gui shen qi wan (golden cabinet kidney qi pill) modified for painful urination due to cold in the lower burner?

  1. Add lu rong (cornu cervi parvum) and chen xiang (lignum aquuilariae)

  2. Add sheng jiang (rhizoma zingiberis officinalis recens)

  3. Increase fu zi (radix aconiti)

  4. Increase gui zhi (ramulus cinnamomi)

2. How is wu ling san (five-ingredient powder with poria) modified when there is thirst and urinary difficulties due to cold-damp obstruction?



  1. Add fang feng (radix ledebouriellae)

  2. Add qiang huo (rhizoma et radix notopterygii)

  3. Add bai zhi (radix angelica dahurica)

  4. Add sheng jiang (rhizoma zingiberis)

3. How is dao chi san (guide out the red powder) modified when there is blood in the urine?



  1. Add han lian cao (herba ecliptae prostratae) and bai mao gen (rhizoma imperatae cylindricae)

  2. Add hu po (succinum) and mu tong (caulis mutong)

  3. Add hei zhi ma (semen sesami) and sang ji sheng (ramulus loranthus)

  4. Add han lian cao (herba ecliptae prostratae) and che qian cao (herba plantaginis)

4. How is yu nu jian (jade woman decoction) modified when there is a dark purple tongue with no coating?



  1. Add bai shao (radix paeoniae) and chuan xiong (radix ligustici chuanxiong)

  2. Add sang ji sheng (ramulus loranthus) and bie jia (sinensis)

  3. Add sha shen (radix adenophorae seu glehniae) and shi hu (herba dendrobii)

  4. Add dang gui (radix angelicae sinensis) and xiang fu (cyperi rotundi)

5. How is si jun zi tang (four gentlemen decoction) modified for indigestion, poor appetite, abdominal distention, and weight loss?



  1. Add ban xia (rhizoma pinelliae) and increase bai zhu (rhizoma atractylodis)

  2. Add xiang fu (rhizoma cyperi rotundi) and hou po (cortex magnoliae officinalis)

  3. Add chen pi (pericarpium citri) and cang zhu (rhizoma atractylodis)

  4. Add hou po (cortex magnoliae officinalis) and da huang (radix et rhizoma rhei)

6. How is qing hao bie jia tang (artemesia annua and soft-shelled turtle shell decoction) modified when there is fever of unknown origin due to deficient yin?

  1. Add mai men dong (tuber ophiopogonis japnici) and sheng di huang (radix rehmannia)

  2. Add bie jia (carapax amydae sinensis) and di gu pi (cortex lycii radicis)

  3. Add mu dan pi (cortex moutan) and sheng di huang (radix rehmannia)

  4. Add di gu pi (cortex lycii radicis) and bai wei (radix cynanchi baiwei)

7. How is huang lian jie du tang (coptis decoction to relieve toxicity) modified when there is jaundice due to obstruction of heat?



  1. Add hu zhang (radix et rhizoma polygoni) and yin chen hao (herba artemisiae yinchen hao)

  2. Add long dan cao (radix gentianae) and mu tong (caulis mutong)

  3. Add yin chen hao (herba artemisiae yinchenhao) and da huang (radix et rhizoma rhei)

  4. Add da huang (radix et rhizoma rhei) and increase zhi zi (fructus gardeniae)

8. How is si jun zi tang (four gentlemen decoction) modified for morning sickness?



  1. Add sheng jiang (rhizoma zingiberis) and and gan jiang (rhizoma zingiberis recens)

  2. Add ban xia (rhizoma pinelliae) and huo xiang (herba agastaches seu pogostemi)

  3. Add hou po (cortex magnoliae officinalis) and cang zhu (rhizoma atractylodis)

  4. Add sha ren (fructus amomi) and chen pi (pericarpium citri reticulatae)

9. How is wu ling san (five-ingredient powder with poria) modified when there is damp-heat diarrhea?



  1. Remove bai zhu (rhizoma atracylodis) and gui zhi (ramulu cinnamomi)

  2. Remove fu ling (sclerotium poriae)

  3. Add lian qiao (frutus forsythia) and yi yi ren (herba artemisia)

  4. Add yin chen hao (herba artemisiae yinchenhao) and jin yin hua (flos lonicerae japonicae)

10. Which herb would not be included in modifying yue ju wan (escape restraint pill) when stagnant Qi predominates?



  1. Add e zhu (rhizoma curcuma)

  2. Add wu yao (radix linderae)

  3. Add yu jin (tuber curcumae)

  4. Add mu xiang (radix aucklandiae lappae)

11. How is ma xing shi gan tang (ephedra, apricot kernel, gypsum, and licorice decoction) modified when there is wheezing, coughing and copious phlegm?



  1. Add ge jie (gecko) and hu tao ren (semen juglandis regiae)

  2. Add sang ye (follium mori) and bai guo (semen biloba ginkgo)

  3. Add su zi (fructus perillae frutescentis) and ting li zi (semen descurainiae seu lepidii)

  4. Add da zao (frucuts zizyphi jujubae) and ting ling zi (semen seu lepidii)

12. How is fang ji huang qi tang (stephania and astragalus decoction) modified when there is severe dampness with a heavy sensation in the lower back and legs?



  1. Add hua shi (talcum) and qu mai (herba dianthi)

  2. Increase dosage of han fang ji (radix stephanaie tetrandrae)

  3. Add che qian zi (semen plantaginis) and niu xi (radix achyranthis bidentatae)

  4. Add fu ling (sclerotium poriae cocos) and cang zhu (rhizoma atractylodis)

13. How is huo xiang zheng qi san (agastache powder to rectify the qi) modified when there is a very greasy and thick tongue coating due to severe dampness?



  1. Add qu mai (herba dianthi)

  2. Substitute cang zhu (rhizoma atractylodis) for bai zhu (rhizoma atractylodis macrocephalae)

  3. Add ban xia (rhizoma pinellia)

  4. Increase dosage of fu ling (sclerotium poriae) and bai zhu (rhizoma atractylodis macrocephalae)

14. How is long dan xie gan tang (gentiana longdancao decoction to drain the Liver) modified when there is pale-red leukorrhea and a wiry, fast pulse?



  1. Add chi shao (radix paeoniae rubrae) and lian xu (nelumbinis nuciferae)

  2. Add huang bai (cortex phellodendri) and che qian zi (semen plantaginis)

  3. Add shan yao (radix dioscoreae) and bian dou (semen dolichoris lablab)

  4. Add chuan xiong (radix ligustici) and tao ren (semen pesica)

15. How is zhen wu tang (true warrior decoction) modified when there is frequent urination?



  1. Remove bai zhu (rhizoma atractylodis macrocephalae)

  2. Remove fu zi (radix aconiti)

  3. Remove fu ling (sclerotium poriae cocos)

  4. Add wu wei zi (fructus schisandrae chinensis)

16. How is zhen wu tang (true warrior decoction) modified when there issevere deficient Spleen Yang with diarrhea?



  1. Add ren shen (radix ginseng) and shan yao (radix dioscorea oppositae)

  2. Remove fu ling (sclerotium poriae cocos) and bai zhu (rhizoma atractylodis macrocephalae)

  3. Remove bai shao (radix paeoniae lactiflorae) and add gan jiang (rhizoma zingiberis officinalis)

  4. Add chen pi (pericarpium citri riticulatae) and qing pi (pericarpium citri viride)

17. What would not be added to bai hu tang (white tiger decoction) when there is exterior wind-cold?



  1. Add gui zhi (ramulus cinnamomi)

  2. Add xi xin (herba cum radice asari)

  3. Add cong bai (bulbus allii fistulosi)

  4. Add dan dou chi (semen sojae praeparata)

18. Which herb would not be included in modifying wu ling san (five-ingredient powder with poria) for severe edema?



  1. Add fu shen (cortex cocos poria)

  2. Add da fu pi (pericarpium arecae catechu)

  3. Add chen pi (pericaripum citri reticulae)

  4. Add sang bai pi (cortex mori albae)

19. What would not be combined with wu pi san (five-peel powder) for damp-heat in the lower burner with edema below the waist?



  1. Add hua shi (talcum)

  2. Add yi yi ren (semen coicis)

  3. Add qu mai (herba dianthi)

  4. Add che qian zi (semen plantaginis)

20. How is zhu ling tang (polyporus decoction) modified when there is hot and painful urination?



  1. Add zhi zi (fructus gardeniae) and bian xu (herba polygoni avicularis)

  2. Increase fu ling (sclerotium poriae cocos) and ze xie (rhizoma alismatis orientalis)

  3. Increase fu ling (sclerotium poriae cocos) and add bian xu (herba polygoni avicularis)

  4. Add qu mai (herba dianthi) and zhi zi (fructus gardeniae)


Formula Modifications Practice Test 10 – Answer Key
1. A

2. B


3. A

4. C


5. B

6. D


7. C

8. D


9. A

10. A


11. C

12. D


13. B

14. A


15. C

16. C


17. A

18. A


19. C

20. A


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