Acute infections of the upper respiratory tract contribute to over 20% of the morbidity of the population with the highest incidence in children. Among upper respiratory infections, Tonsillitis most often occurs in children aged 5-15 years without gender difference. Sore throat has an annual incidence of 100 in 1000 with Tonsillitis accounting for approximately 32 in 1000 patients per year.

The Tonsils are the immune system’s first line of defense against pathogens whenever there is an infection in oral cavity and upper respiratory system which may make the tonsils vulnerable to infection and inflammation. Antibiotics are the main line of treatment for Tonsillitis in Allopathic system of medicine which treats the current infection, but repeated administration of antibiotics can lead to many adverse effects like Nausea, Abdominal pain and blotting, Loss of appetite etc.

The disease Tundikeri mentioned in Ayurveda can be correlated to Tonsillitis which is characterized by- swelling in the throat especially Hanusandhi similar to Karpasaphala(fruit of cotton plant) which is Pichila(slimy) Katina(hard) and having  Mandaruja(pain).

Tundikeri is one among the Mukhagataroga(Diseases of Oral cavity) as mentioned in different classics and Pratisarana(Local application)is considered as one among the main line of treatment in Tundikeri to reduce the local inflammation, pain and makes the deglutition easy.

In the current study Kushtadi choorna is selected for Pratisarana.

The drugs have Anti inflammatory, Anti microbial, Analgesic and Anti pyretic actions which may effectively control Tonsillitis at an initial stage and prevent secondary infections.