A longitudinal observational study to assess the effectiveness of shreshtavyoshadi pratisarana and Dashamulyadi kashaya orally in Chronic tonsillitis.

Tonsils are the body’s first line of defense at the oro-pharyngeal gateway. Chronic tonsillitis (ICD-J35.0) is one of the commonest chronic infection, characterized by recurrent acute attacks. Tonsillitis is an inflammation of the tonsils and especially the palatine tonsils typically due to viral or bacterial infection.The prevalence rate of Tonsillitis in India is >1million cases/ year.

The recurrent attack of tonsillitis makes the disease chronic & vulnerable for infectious diseases & causes several health hazards like laryngeal oedema, acute otitis media and quinsy. In case of recurrent attacks the only treatment of choice is surgery in conventional medical science. Considering the increased rate of incidence, non availability of effective medical measures ,  possible complications of surgery and anaesthesia like airway obstruction with respiratory compromise, primary and secondary post operative bleeding and non affordability for surgery, and surgical removal of lymphoid tissue(tonsils) arises a question of debate  which can affect the body defence mechanism. so the need arises to research for effective measures which would  help in treating the condition. In Ayurveda tonsillitis can be correlated to Tundikeri (NAMC CODE- GE-3)Which presents with Kathinasotha resembling Karpasaphala, Toda, daha, paaka.

Hence this study has been taken. The composition of shreshtavyoshadivati and Dashamulyadikashaya   are easily available, cost effective, easy to administer ,safe and effective.

HYPOTHESIS:

Null hypothesis H0-shrestavyoshadi pratisarana and dashamoolyadi kashaya orally has no significant result in the management of tundikeri.

Alternate hypothesis H1-shrestavyoshadi pratisarana and dashamoolyadi kashaya orally has significant result in the management of  tundikeri.