MedPath

Treatment of tonsillitis through ayurvedic line of management

Phase 4
Not yet recruiting
Conditions
Chronic tonsillitis and adenoiditis. Ayurveda Condition: TUNDIKERI,
Registration Number
CTRI/2023/04/051863
Lead Sponsor
Department Of Shalakya Tantra
Brief Summary

*Tundikeri*is a *Mukharoga* categorized under *Taluroga1* by Sushrutaand *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 ischaracterized by Jwara (fever), *toda*(pricking pain), *daha* (burning), *shopha* (inflammation) andprapaki (suppuration) in *talupradesha3*. The *samanyachikitsa in Tundikeri* includes *pratisarana*, *chedana karma,kavalagraha* and *dhumapana*4. This can be correlated totonsillitis.

Tonsils are muco-lymphoid tissues situated inoro-pharynx at the gateway of oro-pharyngeal route and considered as one of thechief immuno component tissues. Thus more prone to get infection from nasalroute as well as oral route and become hypertrophic, this inflammation causestonsillitis. It is characterizedby pricking pain, sore throat, cough, halitosis and dysphagia. The prevalenceof tonsillitis in adults was formulated approximately, 77% female are affectedwith tonsillitis than 22.9% of male. Among the responders, 75% have tonsillitisand remaining 25% doesn’t have tonsillitis5. It is treated byanalgesics 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 developmentof the child. Due to incomplete treatment or resistance of organisms toantibiotics, tonsillitis can reach chronic stage. It has common side effects inchildren like nausea, headache, abdominal pain, diarrhea, gastric upset7.

In chronic tonsillitis as there ishypertrophy of the tonsillar tissue is present, which can be considered as *adhimamsa* and according to *acharya charaka* *‘ksharo Arbuda adhimamseshu kriya’…||8* the line oftreatment is *Kshara* application. *Pratisaraneeya Kshara* acts on hypertrophiedtonsils by cauterization of mass because of its corrosive nature. Thus producesshrinking 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 conditionof chronic tonsillitis with enlarged tonsils where tonsillectomy is not reallyrequired. *Tilanala kshara* is one among the *ksharaastaka*9,10and  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 Apamargakshara pratisarana* as a controlled group.

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
40
Inclusion Criteria

1 Patients having the symptoms of chronic tonsillitis (Tundikeri).

Exclusion Criteria
  • 1 Tonsillitis with cardinal signs like peritonsillar abscess, parapharyngeal abscess, intra tonsillar abscess.
  • 2 Conditions like Diphtheria, Tonsiloliths which mimic Tonsillitis.
  • 3 Patients with Systemic diseases that needs long treatment.
  • 4 Pregnant women and lactating mothers.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To observe the reduction in enlarged tonsils and pain7 days
Secondary Outcome Measures
NameTimeMethod
To observe the amount of reduction in dysphagia, congestion and sore throat21 days

Trial Locations

Locations (1)

Shree Jagadguru Gavisiddeshwara Ayurvedic Medical College, Post Graduate Studies And Research Center

🇮🇳

Koppal, KARNATAKA, India

Shree Jagadguru Gavisiddeshwara Ayurvedic Medical College, Post Graduate Studies And Research Center
🇮🇳Koppal, KARNATAKA, India
Dr Shreekanta Tippannanavar
Principal investigator
9632660889
charlieee321@gmail.com

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