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Hoarse Voice

How Chinese medicine differentiates hoarseness into the 5 patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Loss of Voice page — only 2 of 5 patterns overlap. Acupuncture only — no herbs.

Hoarseness lasting more than two weeks with no improvement needs an ENT evaluation to rule out growths, nodules, or other structural changes before any acupuncture is considered.
General Acupuncture Points

Acupuncture points traditionally used for a hoarse voice — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
LU-7Promotes the descending and diffusing of Lung-Qi. Releases the Exterior and expels exterior Wind. Opens the Directing Vessel.
KI-6Nourishes Kidney-Yin. Benefits the eyes. Calms the Mind.
REN-22Stimulates the descending of Lung-Qi. Resolves Phlegm. Benefits the throat and voice.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Wind-Heat Invading the Lungs View full pattern →

Clinical manifestations: Sudden voice loss or hoarseness, a dry scratchy sore throat, mild fever with slight chills, a cough with thin yellow phlegm, thirst with a desire for cold drinks.
Tongue: Red tip, thin yellow coating, body slightly red. Pulse: Floating and rapid.
Treatment principle: Disperse Wind-Heat and clear Heat to restore the Lung's downward Qi and soothe the inflamed throat.

2. Lung and Kidney Yin Deficiency with Empty Fire View full pattern →

Clinical manifestations: A dry, weak voice that worsens with talking or in the evening, night sweats, heat in the palms and soles, a dry cough with minimal phlegm.
Tongue: Red, thin with cracks, little or no coating, dry surface. Pulse: Fine and rapid, weak at the rear (Chi) positions.
Treatment principle: Nourish Yin and moisten dryness to replenish the vocal cords' fluids and clear deficiency-heat.

3. Wind-Cold Invading the Lungs View full pattern →

Clinical manifestations: Sudden hoarseness or voice loss, chills and an aversion to cold, no sweating, an itchy throat, thin white watery phlegm, worse in cold weather.
Tongue: Normal or slightly pale, thin white moist coating. Pulse: Floating and tight.
Treatment principle: Release the exterior, induce sweating, and disperse Lung-Qi to relieve the throat constriction.

4. Phlegm-Heat in the Lungs View full pattern →

Clinical manifestations: A sensation of throat blockage, a cough with thick yellow or green sticky sputum, chest heat or tightness, thirst with a desire for cold drinks.
Tongue: Red with a yellow greasy coating, possibly swollen at the front. Pulse: Slippery and rapid, strongest at the right Cun.
Treatment principle: Clear Heat and transform Phlegm in the Lungs to relieve the obstruction and restore the voice.

5. Qi and Yin Deficiency

Clinical manifestations: A weak, breathy voice that tires easily with use, fatigue worsening with exertion, dry mouth and throat but little desire to drink.
Tongue: Pale-red or red with a thin or absent coating, possibly dry and cracked. Pulse: Fine, weak, may be rapid.
Treatment principle: Tonify Qi and nourish Yin to empower the vocal cords with energy and moisture.
Note: Confirmed absent again (matches this site's own Chest Tightness page): no deck slide combines Qi-and-Yin-Deficiency as a standalone category.
Related conditions

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