Category: Tonsillitis

Tonsillopharyngitis – Symptoms, Causes, Diagnosis & Herbal Remedies


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


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.


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.



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


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.


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

  • Tulsi Powder
  • Tulsi Capsule

2. Giloy

  • Giloy Satva
  • Giloy Ghan Vati
  • Giloy Capsule

3. Amalaki

  • Amalaki Rasayan
  • Amla Saar
  • Amla Powder

4. Haridra

  • Haridra Powder
  • Curcumin Capsule
  • Curcumin 95%

5. Vasa

  • Vasa Powder
  • Vasaka Capsule

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 – or call at +91-172-5214040


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.

Management of Tonsillitis as Per Ayurveda – Natural Treatment


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!


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 –



It is mostly seen in viral infection and is usually seen as a part of generalized pharyngitis.


Infection spreads into crypts which become filled with purulent material and presents as raised yellowish spots on red inflamed surface.


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.


  •  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


  • Bad breath (Halitosis)
  • White or yellow coating or patches on the tonsils.
  • Enlarged lymph nodes in the neck
  • Red swollen tonsils


  • Vomiting
  • Drooling
  • Upset stomach
  • Pain
  • Aversion to food
  • Difficulty in swallowing
  • Pus in the back of the throat.


The main cause of tonsillitis is viral or bacterial infections such as streptococcus, pneumococcus, Haemolytic influenza, Poor oral hygiene, Post nasal discharge etc.


  • 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).


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)


  • 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,


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.

Herbal Remedies for Tonsillitis

Herbal Remedies for Tonsillitis



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.


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.


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.


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.


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.


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.