↑ reinforcing ↓ reducing ⊥ even method.
1. Wind-Heat Invading the Lungs
Clinical manifestations: Sudden hoarseness or loss of voice, a dry and scratchy sore throat, mild fever with slight chills, cough with thin yellow phlegm, thirst with a preference for cold drinks.
Tongue: Red tip with a thin yellow coating. Pulse: Floating, Rapid.
Treatment principle: Disperse Wind-Heat and clear the throat, addressing the acute external attack driving the voice loss.
Note: no moxa. Matches
Invasion of Lungs by Wind-Heat — fever, aversion to cold, sore throat and a Floating-Rapid pulse line up closely with this pattern's acute external picture.
2. Lung and Kidney Yin Deficiency with Empty Fire
Clinical manifestations: A dry, weak voice that grows worse with talking or in the evening, night sweats, heat sensations in the palms and soles, a dry cough with little phlegm.
Tongue: Red with cracks and little or no coating. Pulse: Fine, Rapid, weak at the rear (Kidney) positions.
Treatment principle: Nourish Lung- and Kidney-Yin and generate fluids, cooling the Empty-Heat that is drying and weakening the voice.
3. Wind-Cold Invading the Lungs
Clinical manifestations: Sudden hoarseness or voice loss, chills and aversion to cold with no sweating, an itchy throat, thin white watery phlegm, worse in cold weather.
Tongue: Normal or pale, thin white moist coating. Pulse: Floating, Tight.
Treatment principle: Induce sweating, release the Exterior and disperse Wind-Cold, restoring the Lung's control of the voice.
4. Phlegm-Heat in the Lungs
Clinical manifestations: A sensation of a lump or blockage in the throat, cough with thick yellow or green sticky sputum, a feeling of heat or tightness in the chest, thirst with a preference for cold drinks.
Tongue: Red with a sticky yellow coating. Pulse: Slippery, Rapid.
Treatment principle: Clear Heat, resolve Phlegm and restore the descending of Lung-Qi, unblocking the throat.
Clear Heat, resolve Phlegm
Note: no moxa. Direct match with
Phlegm-Heat in the Lungs — same pattern name, same thick sticky yellow-sputum, chest-oppression picture.
5. Qi and Yin Deficiency
Clinical manifestations: A weak, breathy voice that tires easily with use, fatigue and lack of strength worse with exertion, a dry mouth and throat with little desire to drink.
Tongue: Pale-red or red, thin or absent coating. Pulse: Fine, weak, possibly Rapid.
Treatment principle: Tonify Qi, generate fluids and nourish Yin, restoring the strength and moisture needed to sustain the voice.
Note: no moxa. This site's closest candidate, "Lung-Qi deficiency," mentions a weak voice but pairs it with a dislike-of-cold, Yang-leaning picture and a "tonify Qi, warm Yang" principle rather than the Yin-deficiency, dry-mouth picture described here, so no pattern link is given.