AYURVEDIC MANAGEMENT OF CHRONIC ADENO TONSILAR HYPERTROPHY (TUNDIKERI)- A CASE REPORT

Chronic Adenotonsillitis is a chronic inflammation of the adenoid and tonsils, which is characterised by tonsillar enlargement accompanied by dilated crypts with or without exudate. In Ayurveda, this condition can be correlated with Tundikeri, which is characterised by large swelling in the Hanusandhi pradesha that resembles a cotton seed (karpasa phala), due to the vitiation of kapha and Rakta. This case report presents the successful Ayurvedic management of Chronic adenotonsillar hypertrophy in a child aged 9 years who presented with Nose blockage, enlarged tonsils, snoring, ear pain, and mouth breathing for 3 years. The patient was treated with Shamana therapies, including oral medication possessing Kapha-shamaka and Shothahara properties, along with local therapeutic procedures such as kanta pratisarana, gandoosha, and karnapichu. Remarkable improvements were noted within two weeks of treatment, including a reduction in clinical symptoms, a decrease in tonsillar size, and a lower frequency of infections. This case highlights the potential of Ayurveda as a safe and effective alternative for managing chronic adenotonsillitis, which may help reduce the necessity for surgical interventions.