Tundikeri is a Mukharoga categorized under Taluroga¹ by Sushruta and Kantha roga by Vagbhata where he compares it to vana karpasa phala². It is caused due to vitiation of Kapha and Rakta dosha and it is characterized by Jwara (fever), toda (pricking pain), daha (burning), shopha (inflammation) and prapaki (suppuration) in talupradesha³. The samanya chikitsa in Tundikeri includes pratisarana, chedana karma, kavalagraha and dhumapana⁴. This can be correlated to tonsillitis.

          Tonsils are muco-lymphoid tissues situated in oro-pharynx at the gateway of oro-pharyngeal route and considered as one of the chief immuno component tissues. Thus more prone to get infection from nasal route as well as oral route and become hypertrophic, this inflammation causes tonsillitis. It is characterized by pricking pain, sore throat, cough, halitosis and dysphagia. The prevalence of tonsillitis in adults was formulated approximately, 77% female are affected with tonsillitis than 22.9% of male. Among the responders, 75% have tonsillitis and remaining 25% doesn’t have tonsillitis⁵. It is treated by analgesics like Paracetamol, Aceclofenac and Anti-Microbial drugs like Amoxicillin potassium clavulanate, Azithromycin. In chronic cases Tonsillectomy⁶ is recommended. Frequent episodes of the infection interfere with normal growth and development of the child. Due to incomplete treatment or resistance of organisms to antibiotics, tonsillitis can reach chronic stage. It has common side effects in children like nausea, headache, abdominal pain, diarrhea, gastric upset⁷.

          In chronic tonsillitis as there is hypertrophy of the tonsillar tissue is present, which can be considered as adhimamsa and according to acharya charaka ‘ksharo Arbuda adhimamseshu kriya’…||⁸ the line of treatment is Kshara application. Pratisaraneeya Kshara acts on hypertrophied tonsils by cauterization of mass because of its corrosive nature. Thus produces shrinking effect on tonsillar hypertrophy.     

             In Tundikeri Pratisaraneeya kshara is one of the treatment protocol, which does chedana, bhedana, lekhana and it is safe procedure in the condition of chronic tonsillitis with enlarged tonsils where tonsillectomy is not really required. Tilanala kshara is one among the ksharaastaka^9,10 and  having katu, tikta rasa, Sukshma, vyavayi guna and usna veerya. Hence Tilanala kshara pratisarana is taken out as trial group in the management of Tundikeri with Apamarga kshara pratisarana as a controlled group.