Shake after medium's lost voice (6)
I believe the answer is:
treble
'voice' is the definition.
(I've seen this before)
I can't explain the rest of the clue.
Can you help me to learn more?
(Other definitions for treble that I've seen before include "Singer; in three parts" , "Chorister; multiply by three" , "Multiple score in darts" , "High boy's singing voice" , "High darts score" .)