AYURVEDIC CONSERVATIVE MANAGEMENT OF ADENOTONSILLAR ENLARGEMENT (KANTHA SHALUKA AND TUNDIKERI): A CASE REPORT

Adenoid and tonsils are lymphatic tissue that form the part of the waldeyers ring. Whenever there are viral or bacterial infections or allergens lymphatic tissue traps them. It provides local immunity and acts as the first line of defense mechanism for the aero-digestive tract. Adenotonsilitis is the inflammation of the adenoid and tonsils. Produces symptoms such as nasal obstruction, nasal discharge, snoring, mouth breathing, difficulty in swallowing, sore throat, recurrent ear infections, and otalgia, if left untreated, it can cause serious complications such as adenoid facies, sleep apnea, acute otitis media, hearing loss. In Ayurveda, there are 74 diseases affecting the mouth, which can occur in seven locations, Kantha Shalooka and Tundikeri are among the Kantagata rogas and can be correlated to Adenoid enlargement, and Tonsilitis respectively. Both are Kapha Rakta pradhana roga hence Kapha Rakta hara treatment was adopted. A 7-year-old child brought with complaints of difficulty in swallowing food and sore throat since 15 days H/o nasal blockage, snoring, mouth breathing, and sleep disturbance since 2 years. O/E child had Adenoid facies, and grade 4 kissing tonsilitis. The child was diagnosed as Adenotonsilitis. Chikitsa adopted was samanya mukhagata roga chikitsa which includes shamana aushadi, pratimarsha nasya, gandusha, and kantha pratisarana with Kapha-Pittahara drugs. Improvement was assessed with a subjective symptomatic graded scale for Tonsillar swelling by Brodsky Grading Scale and Adenoid hypertrophy by graded parameters for mouth breathing, snoring, sleep disturbances, and ear infection. The child improved with a decrease in relieving clinical features of Adenotonsilitis.