ABSTRACT
Tonsillitis is a common disease. Tonsil is derived from 'tonsilla' which means almond shaped and it can occur in any age but commonly occurs in childrens . It has various causes. It can happen once in a while or may return again and again. Usually caused by viral infection or with bacterial causes consisting approximately ⅓ of cases as per Ayurveda it is a urdwa jatrugata roga named as tundikeri. Let's discuss it in detail!
INTRODUCTION
Tonsillitis is an inflammation of the pharyngeal tonsils. These are a part of the body's immune system which helps filter out viruses and bacteria. Sometimes along with tonsillitis, the adenoids are also swollen. These are two oval shaped pads of the tissue at the back of the throat one side each. It is of three types -
1. ACUTE CATARRHAL OR SUPERFICIAL TONSILLITIS
It is mostly seen in viral infection and is usually seen as a part of generalized pharyngitis.
2. ACUTE FOLLICULAR TONSILLITIS
Infection spreads into crypts which become filled with purulent material and presents as raised yellowish spots on red inflamed surface.
3. ACUTE PARENCHYMATOUS TONSILLITIS
Here the substance of tonsil gets infected. Tonsils become enlarged and red.
On The Basis of Pnset
- Acute - Symptoms of these last from 2-3 days to 2 weeks.
- Recurrent - In recurrent tonsillitis it may arrive several times a year.
- Chronic - A long term tonsil infection.
Symptoms
- Fever with chills
- Neck Pain or stiff neck
- Sore throat
- Headache
- Ear ache
- A scratchy, muffled, impaired voice
- Poor appetite
- Tiredness , Lethargy, Malaise
- Difficult or painful swallowing
SIGNS
- Bad breath (Halitosis)
- White or yellow coating or patches on the tonsils.
- Enlarged lymph nodes in the neck
- Red swollen tonsils
SYMPTOMS IN CHILDREN
- Vomiting
- Drooling
- Upset stomach
- Pain
- Aversion to food
- Difficulty in swallowing
- Pus in the back of the throat.
CAUSES
The main cause of tonsillitis is viral or bacterial infections such as streptococcus, pneumococcus, Haemolytic influenza, Poor oral hygiene, Post nasal discharge etc.
DIAGNOSIS
- CBC
- Physical examination
- Throat swab test
- Nasal endoscopy
Tonsillitis Complications
A collection of pus around your tonsil (Peritonsillar abscess)
- Middle ear infection (acute otitis media)
- Breathing problems,
- Para pharyngeal abscess
- Acute glomerulo-nephritis.
Management: As per modern it is of two types conservative and surgical.
Conservative is
- Bed rest
- Intake of soft diet
- Analgesics and Anti inflammatory
- Antibiotics
- Warm saline gargles
Surgical: Tonsillectomy (removal of Tonsils ). If the child is having recurrent attacks or when the tonsils interfere with speech, swallowing or respiration.
Ayurvedic overview
Ayurveda is a science of life which deals with curing the disease with natural herbs with no side effects The aim of Ayurvedic treatment is the preservation of positive health in a healthy person, and to help alleviate diseases and in the diseased body. Tonsillitis is considered as kapha raktaja urdhwajatrugata roga , it is considered as kantha roga by Acharya Vagbhata and - Talugata by different acharya. Tonsillitis is known as Tundikeri in ayurveda It occurs due to kaphaja and rakhtja dosha prakopa.
What is Tundikeri?
शोफः स्थूलस्तोददाहप्रपाकि प्रागुक्ताभयं तुण्डिकेरी मता तु।Due to aggravation of kapha and rakta dosha , tonsils get inflamed with pain and a burning sensation known as Tundikeri (tonsillitis).
OR
The vitiated kapha and rakta doshas cause a big cystic swelling resembling the fruit of vana karpasa, the associated symptoms are burning sensation, pricking pain in throat and in suppurative cyst.
Clinical Features Of Tundikeri
- Toda (Pricking Pain)
- Paak (Suppuration)
- Shopa (Inflammation)
- Sore throat
- Enlarged delicate lymph nodes
- Daha (Burning Sensation)
TREATMENT
- DIETARY MODIFICATIONS: Avoid cold and sugar ,sour food as it can lead to increase of the kapha and rakta dosha.Consume warm, nourished foods such as soups, ginger tea with honey. Avoid food that may bother your throat, drink an adequate amount of water.
- LIFESTYLE CHANGES: Take rest, Avoid strenuous activities, avoid cold climate and cold food as it may lead to increase of the infection. Maintain oral hygiene, avoid day sleep as it may lead to kapha prakopa and worsen the condition.
- SHAMAN CHIKITSA: Herbal formulations - kanchanar guggulu, Triphala guggulu, khadiradi vati, gandhak rasayan, chopchinyadi churna etc to reduce the inflammation of the tonsils.
- SHODHANA CHIKITSA - Langhan, Vamana , virechana,etc. according to the doshas. Kavala , gandusha, dhooma , nasya , pratisarana .Kavala with sirka ,tikta, katu kwatha + madhu. Nasya with taila prepared with apamarga beeja, danti, vidanga, saindhav lavana etc. Pratisaran with gruha dhooma and katu varga dravya.
- Kshara karma (application of caustic alkaline paste ): kshara karma is a mild and superior procedure that can effectively treat this condition. Apasmara kshara or Tankana kshara is widely used in the cases of chronic tonsillitis. The paste is applied on the tonsils after kavala (Oil is kept in the mouth then gargled before spitting it out ) or gandusha( oil is swished around the mouth) , let it sit for a few minutes , then wash off with buttermilk.
- Sastra karma(surgical removal) : chedana(Excision) and bhedana(Incision) karma,
HERBAL REMEDY FOR TONSILLITIS BY PLANET AYURVEDA
Tundikeri can be treated by appropriate management through ayurveda both from conservative and surgical procedures. You can also find the Tonsillitis care pack by planet ayurveda which is efficient to manage this condition. Planet ayurveda is an ayurvedic company which deals with holistic healing through herbs, it has been GMP, ISO certified and has been serving the society for more than 20 years. It also has a manufacturing unit and manufactures both classical as well as their own patent medicine . Their herbal supplements are in the form of Powders, tablets, oils, capsules, herbal care packs etc.
PRODUCTS DESCRIPTIONS
1. SEPTRIN TABLETS
It is the patent formulation by planet Ayurveda which consists of Haldi (Curcuma longa), Tulsi (Ocimum sanctum), Guggulu (Commiphora mukul), etc drugs. These are in tablet form. It helps in fighting infection, builds immunity and does anulomna of the Kapha dosha.
DOSAGE: 2 Tablets twice after meals.
2. KHADIRADI VATI
It is a classical herbal formulation and is available on planet ayurveda. This formulation has ingredients such as khadir(Acacia catechu), Kankol (Piper cubeba), Javitri (Myristica fragrans) etc. This is useful in skin disorders, respiratory disorders. It is used as anti-inflammatory , antiseptic , and in disorders of the throat ,gums etc.
DOSAGE: 1 Tablets Three times a day.
3. AMALAKI RASAYAN CAPSULES
This medicine is made from pure amla extract (Emblica officinalis) and is available on planet ayurveda in a capsule form. It works as an antioxidant, has a large amount of vitamin C , Increases metabolism, maintains overall health, eliminates Stress and Weakness.
DOSAGE: 1 Capsule twice a day after meals.
4. CURCUMIN CAPSULES
It is in a capsule form manufactured by planet ayurveda. It consists of Haridra (Curcuma longa). It acts as an antibiotic and anti-inflammatory, expels ama (toxins) from the body, pacifies vata and kapha dosha.
DOSAGE - 1 Capsule twice a day after meals.
4. IRIMEDADI OIL
This consists of chandana (Santalum album), manjistha (Rubia cordifolia) , irimeda twak(Acacia farnesiana), rakta chandan (Pterocarpus santalinus), laksha (Laccifer lacca) etc. It is beneficial in disorders like Tonsillitis, Dental caries and is antimicrobial and anti inflammatory.
DOSAGE - One tablespoon of oil is taken in the mouth before brushing and gargling is to be done for 5-10 minutes with little gaps of 10 seconds. Later rinse it with saindhav lavan mixed with lukewarm water.
CONCLUSION
The above article shows a distinctive treatment from the Ayurvedic point of view which can be utilized to treat tonsillitis. As per ayurveda it is due to aggravation of kapha and rakta dosha and is curable in many ways as mentioned above. You can find the treatment of this condition or the herbal remedies by planet ayurveda.
