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Tonsillopharyngitis – Symptoms, Causes, Diagnosis & Herbal Remedies

Posted on the 22 June 2023 by Dr Vikram Chauhan @Planetayurveda9

Abstract

Tonsils are the pair of tissue masses that are the main part of the body's defense system, that acts as the filters and help in filtering and restricting the harmful microbes that can cause infections in the body from entering the body through the airways, contaminated food or water. The other function of this tissue is to produce the antibodies to fight the infection. And the Pharynx is the hollow connecting in the esophagus and trachea. As a result of infections due to bacteria, viruses, the tonsils and the pharynx are affected and become infected and inflamed. This infection is known as tonsillopharyngitis. In this article we are going to discuss the disease tonsillopharyngitis, its clinical manifestations, causes along with best Ayurvedic herbs and formulations available for the treatment of the disease

Introduction

Tonsillo-pharyngitis is mostly manifested due to the infection caused by the pathogens particularly the bacteria or the viruses. The early features of the disease consist of severe inflammation in the throat, which is termed as acute tonsillopharyngitis, and when this condition remained untreated it got converted into chronic tonsillopharyngitis. Sometimes, this pathologic condition may be suppurative.

SIGN AND SYMPTOMS

The most classical clinical features include the sore throat, fever and difficulty in swallowing the food or even liquid. There is redness, tenderness and inflammation of lymph nodes of the neck region. There may be presence of the yellowish or whitish patches on the tonsils. The hoarseness of the voice is seen with a scratchy, throaty and muffled voice, and bad breath. The other associated manifestations include fatigue, malaise, and fever with chills, pain in the throat region and ears, rhinitis, runny nose, poor appetite and snoring etc features.

CAUSES

The most common cause of the tonsillopharyngitis is infection by a virus such as adenovirus, influenza, coronavirus, respiratory syncytial virus and rhinovirus, but in very rare cases this disease is caused by Cytomegalovirus, Herpes Simplex Virus and Epstein-Barr virus. The other causes of the disease include

AYURVEDIC VIEW

In Ayurveda this condition can be correlated as Adhrush. It had been described in ancient texts as

(Reference- Sushruta Samhita Nidana Sthana 16/44)

The diseased condition presented with the development of red coloured tender inflammation in the pharynx with fever and pain due to vitiation of rakta dhatu (blood tissues), known as adhrush.

TREATMENT

Following Ayurvedic formulations/herbs are available for effectively treating this condition of Tonsillo-pharyngitis-

Antibacterial drugs

If the infection of the tonsillo-pharyngitis is bacterial in origin then following are the natural Ayurvedic antibacterial drugs which might be useful-

  1. Chirayita (Swertia chirayita)
  2. Ativisha (Aconitum heterophyllum)
  3. Gandhak (Purified sulfur)
  4. Yashad (Zinc preparation)
  5. Guggul (Commiphora mukul)
  6. Nimba (Azadirachta indica)
  7. Manjishtha (Rubia cordifolia)
  8. Tamra (Copper preparation)
  9. Bhallataka (Semecarpus anacardium)
  10. Sariva (Hemidesmus indicus)
  11. Chitraka (Plumbago zeylanica)

These herbs are having antibacterial properties and help in the treatment of tonsillopharyngitis and other infections, most of these herbs acts on the digestive system, as in Ayurveda it is considered that the weakening in the Ayurvedic formulations used for the Treatment of Tonsillo-pharyngitis of bacterial origin. These herbs particularly chitraka, atvisha, gandhak, and Sariva help in improving the digestion, and the herbs bhallataka, nimba, Chirayita help in reducing the fever etc.symptoms associated with the bacterial infection. And the yashad , tamra bhasma helps in providing nourishment to the affected part of the body, guggul and manjistha have the immune modulating properties which helps in the faster recovery of the infectious condition.

Ayurvedic formulations for bacterial tonsillopharyngitis

  1. Sudarshan Ghan vati
  2. Kaishore Guggul
  3. Triphala Guggul
  4. Mahamanjisthadi Kwath/ Ghan vati
  5. Sarivadi Vati
  6. Tamra Bhasma
  7. Nimbadi Churna, Panchtikat Ghrit Guggul

The above mentioned herbs and herbal formulations have shown drastic improvements even in the Tonsillo-pharyngitis infection caused by Antibiotic resistant bacteria. Due to the increasing trend of this bacterial resistance, there is a great possibility of increasing the importance of these herbal medications in the future.

Other additional medicinal herbs may include Guduchi ( Tinospora cordifolia), Dashmool (10 roots of medicinal herbs), Haridra ( Curuma longa), like herbs as formulation or can be used as single herb medicine.

Antiviral drugs

Most commonly the early stages of the tonsillopharyngitis is started with the viral infection, and which gradually goes away on its own after a few days. But sometimes this will start taking longer time to recover or is recurrent. In such cases the following herbs are having the best antiviral effects. These includes-

  1. Kalmegha (Andrographis paniculata)
  2. Bhallataka (Semecarpus anacardium)
  3. Dughdika (Euphorbia hirta)
  4. Chitraka (Plumbago zeylanica)
  5. Bhumyamalaki (Phyllanthus niruri)
  6. Ashwagandha (Withania somnifera)
  7. Tulsi (Ocimum sanctum)
  8. Pippali (Piper longum)
  9. Yashad (Zinc preparation)
  10. Guduchi (Tinospora cordifolia)
  11. Bharangi (Clerodendrum serratum)
  12. Shirish (Albizia lebbeck)

Ayurvedic formulations having the antiviral effects

  1. Guduchyadi ghan kshay
  2. Mahamrityunjay Ras
  3. Anand bhairav Ras
  4. Kalmeghasava
  5. Sitopaladi churna
  6. Kanakasava

Antiinflammatory drugs

The condition is presented with the inflammation in the throat region. The following medicines/ herbs are having the anti inflammatory properties that can be beneficial includes-

  1. Shallaki (Boswellia serrata)
  2. Errand mool (roots of Ricinus communis)
  3. Guggul (Commiphora mukul)
  4. Jatiphal (Myristica fragrans)
  5. Bhallataka (Semecarpus anacardium)
  6. Haridra (Curcuma longa)
  7. Rasna (Pluchea lanceolata)
  8. Chitrak (Plumbago zeylanica)
  9. Dashmool (roots of ten herbs)

Ayurvedic formulations having anti inflammatory action in Tonsillo-pharyngitis

  1. Rasna-saptak kwath
  2. Dashmool kwath/ Dashmool ghan tablet

Analgesic drugs

The pain in the throat is the prime discomfort in the Acute Tonsillopharyngitis, for which the following Ayurvedic herbs/formulations to be used are-

  1. Vatsnabh (Aconitum ferox)
  2. Jatiphal (Myristica fragrans)
  3. Godanti (Powdered form of gypsum)
  4. Hingul (Ferula assa-foetida)
  5. Tagar (Valeriana wallichii)
  6. Pippali mool (roots of Piper longum)
  7. Paarsnik yavani (Trachispermum ammi)
  8. Raktmaricha (Red chilli)
  9. Ahiphen (Papaver somniferum)
  10. Kantkari (Solanum xanthocarpum)
Ayurvedic formulations for analgesic action in Acute Tonsillopharyngitis
  1. Ahiphen yoga
  2. Hingulehvar Ras
  3. Tribhuvan Kirti Ras

Local treatment

Gandush (Oil pulling)- The gandush must be done with the lukewarm water medicated with haridra ( Curcuma longa), Tankan (Clax of borax), and sphatika (alum). This will help in relieving pain and relieve the hemoptysis related symptoms of the patient of tonsillopharyngitis.

Antioxidants/Rejuvenating/ Immune booster medications

Recurrent tonsillopharyngitis is common in immunocompromised patients. So there are herbs/herbal formulations for making the immunity of the person better. These rejuvenating herbs/formulations include-

  1. Shilajatu (Asphaltum)
  2. Amalaki (Emblica officinalis)
  3. Muktashukti (mineral formulation made from pearl oyster shell)
  4. Abhraka (Purified form of mica)
  5. Swarna makshik (Chalcopyrite)
  6. Ashwagandha (Withania somnifera)
  7. Tulsi (Ocimum sanctum)
  8. Guduchi (Tinospora cordifolia)

Ayurvedic formulations having antioxidants/immune booster medications that are beneficial in improving the body's immunity to prevent the recurrence of Tonsillopharyngitis-

  1. Amalaki Rasayan
  2. Brahmi Chavyanprash
  3. Vasavaleha

Surgical treatment

This treatment protocol if not able to cure the tonsillopharyngitis for a chronic period of time, or the person is suffering from the recurrent infection or if any other kind of complication of tonsillopharyngitis appear then it must be consulted with the Ayurvedic ENT specialist (Shalyatantri) & it may require a surgical intervention as mentioned by Acharya Shusruta.

Planet Ayurveda Is An Herbal Manufacturing Unit That Formulates And Distributes The Herbal Medicines Made With Strict Adherence To Ancient Ayurvedic Test And Principles. These Formulations Are Being Made Under The Supervision Of Expert Ayurvedic Physicians, With Time-Tested Formulas. These Herbs/Minerals Used In The Formulations Are Obtained From 100% Natural Sources.

There are various formulations of Planet Ayurveda that are beneficial in treating the condition of tonsillopharyngitis. Planet Ayurveda offers both classical formulations as well as patented herbal formulations, these includes-

Single herb formulations

The following herbs are present in capsule/powder/syrup form with us, and are useful for the treatment of Tonsillopharyngitis

1. Tulsi

2. Giloy

3. Amalaki

4. Haridra

5. Vasa

The other single herb formulations include Yastimadhu powder, Chiretta powder, Shilajit capsule, Bhumi amla powder, etc.

Polyherbal/herbomineral formulations

The following are the Herbal/herbomineral formulation for the treatment of tonsillopharyngitis along with their main ingredients by Planet Ayurveda are-

  1. Praanrakshak Churna- Shirish (Albizia lebbeck), Vasa, Dalchini (Cinnamomum zeylanica) etc.
  2. Aller-G care Capsule- Haridra (Curcuma longa), Neem (Azadirachta indica), Shirish (Albizia lebbeck), and Ashwagandha (Withania somnifera).
  3. Septrin tablet- Guggul (Commiphora mukul), Sonth (Zingiber officinale), Marich (Piper nigrum), Pippali (Piper longum), Tulsi (Ocimum sanctum), etc.
  4. Kaishore Guggul- Amalaki (Emblica officinalis), Bibhitaki (Terminalia bellirica), Guggul, Guduchi (Tinospora cordifolia), shunthi (Zingiber officinale), etc.
  5. Triphala Guggul- Haritaki, Bibhitaki and Amalaki along with Guggul
  6. Panchatiktaghrita Guggul- Neem (Azadirachta indica), Giloy (Tinospora cordifolia), Vasa (Adhatoda vasica), Kantkari (Solanum xanthocarpum), Patola patra (Trichosanthes dioica), in cow ghee and guggul.
  7. Boswellia Curcumin- Shallaki (Boswellia serrata), Haridra (Curcumin- Curcuma longa).

The available Allopathic regimen for the tonsillopharyngitis includes the course of antibiotics for a fixed period of time, these when used for a longer duration these medications can lead to multiple adverse effects on the body and immunity of the person. And when these medications stopped responding and developed antibiotic-resistance, the higher classes of antibiotics are used which may have drastic side effects.

Contact my assistant to provide you the costing / ordering and delivery information at - costing.planetayurveda@gmail.com or call at +91-172-5214040

Note

But these herbs/ formulations which are mentioned in this article are the best Ayurvedic medication for the treatment of tonsillopharyngitis in an effective and safer way, also reducing the tendency of recurrence of the disease to a greater extent.