The treatment of vocal nodules with the combined use of needling on Kaiyin Yihao Xue [symbol: see text] Kai Yin Point No. 1 for Voice-Regaining) and medicinal spray and tea made according to Xie Qiang's empirical prescription, obtained a total effective rate of 93.6%, obviously superior to that of the group treated with western medicine and the group simply treated by Chinese drugs (P < 0.01). This suggests that the combined use of acupuncture and Chinese drugs in the treatment of vocal nodules has better therapeutic effect and requires shorter course of treatment.