When we speak, the lungs push out air, the vocal cords vibrate, and through complex processes of the throat, mouth cavity, and nasal passages, a clear voice is heard. Hoarseness is an abnormal change in the voice, which is usually caused by irritation or injury of the vocal cords. Acupressure techniques below help regulate the lung activities, clear the vocal tract and protect the vocal cords.

1. Use the thumbs to knead feng chi, (Gb 20, depressions below the occipital bone) at the base of skull, about 30 times;
2. Place the thumbs at feng chi, then knead downward to the root of neck, to and fro about 5 times;
3. Use the middle fingertip to press at lian quan (Rn 23, just above the Adam's apple), knead for 30 times;
4. Use the middle fingertips to press on both sides of the Adam's apple, and knead for 30 times;
5. Use the middle fingertip to press at tian tu (Rn 22, upper notch of chest bone), and knead for 30 times;
6. Use fingertip to knead at da zhui (Du 14, seventh cervical spinal process), and knead for 30 times;
7. Use the middle fingertip to knead at fei shu (Bl13, beside the third thoracic spine) of the opposite side, about 30 times each side;
8. Use the fingertip to knead at tan zhong (Rn17, middle of chest bone), about 30 times;
9. Nip and grasp at he gu (Li 4, middle of palm web between thumb and index finger), about 30 times each hand;
10. Nip on shao shang (Lu11, the outer side of thumb nail), 10 times each hand.

When kneading or pressing on particular points, there should be enough force to bring about numbness or soreness feeling, while rubbing or wiping should create a feeling of warmth. Acupressure for easing hoarseness