Traditional medicine in the management of Recurrent Tonsillitis - An Ayurvedic Perspective

Dr. Vijayakumar Nayak; Vinod Jadhav; Sajjanshetty MR

doi:10.21760/jaims.v2i06.346

Dr. Vijayakumar Nayak Post Graduate Scholar, Department of Shalakya Tantra, SVM Ayurvedic Medical College, Ilkal, Karnataka,India.
Vinod Jadhav Associate Professor, Department of Shalakya Tantra, SVM Ayurvedic Medical College, Ilkal, Karnataka,
Sajjanshetty MR Professor, Dept. of Basic Principles, BLDEA’S AVS Ayurveda Mahavidyalaya, Vijayapur, Karnataka, India.

DOI: https://doi.org/10.21760/jaims.v2i06.346

Keywords: Tonsillitis, Tundikeri, Ayurveda, Antibacterial, Anti-Inflammatory

Abstract

Tonsillitis is one of the commonest infectious illness suffered by pediatric age group. It has high incidence in developing nations like India. Its recurrent attack results in hypertrophy of tonsils, difficulty in swallowing, sleep problems resulting in poor nutrition and poor school performance as well. Recurrent tonsillitis may also result in late complications like rheumatic heart diseases. Conventional systems of medicine usually advise surgical removal of tonsils to treat its recurrent infections. Ayurveda describes a similar condition, Tundikeri which have same clinical manifestations like recurrent tonsillitis and also advised its medicinal treatment. Ayurveda have ample treasure of herbal medicine which can be used in the management of recurrent tonsillitis. This article reviews various classical texts as well as recent experimental and clinical studies to find out herbal medicine useful in recurrent tonsillitis and revalidate their use to reduce necessity of tonsillectomy.

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References

Jindal R, Jindal D, Kulkarni R, U Shailja, Powar S, A comprehensive review of etio-pathogenesisof tundikeri. J Biol Sci Opin 2013;1(3):221-224

Bhargava KB, A short text book of ENT Diseases, Usha Publications, Mumbai, 6th edition; 2002, page 226-230

Woolford TJ, HAnif J, Washband S, Hari CK, Ganguli LA. The effect of previous antibiotic therapy on bacteriology of the tonsils in children, INt J Clin Pract. March 1999; 53 (2):96-98

Vagbhata, Astaga Hridyama, Nirmala- Hindi commentary by Bramanand Tripathi, Chaukhamba Sanskrit Pratishthan, Delhi, Uttra sthan ch.21, shloka 47, page no.1030

Sushruta, Sushruta Samhita, Sushruta vimarshini- hindi commentary by Anant Ram Sharma, Chaukhamba Surbharati Prakashan, Varanasi, 2001, volume II, chikitsa sthan ch. 22, shloka 50-57, page 345

Vagbhata, Astaga Hridyama, Vidyotini- Hindi commentary by Atrideva Gupta, Chaukhamba Prakashan, Varanasi, Uttra sthan ch.21, verses 55-58 , page no.719-20

Govinddas, Bhaishajyaratnavali, Vidyotini- Hindi commentary by Ambikadutt Shashtri, Chaukhamba Sanskrit Sansthan, Varanasi, Mukhroga chikitsa ch. 61, verses 73-75 , page no.676

Anonymous, Yogaratnakara, Vidyotini- Hindi commentary by Lakshmipati Shashtri, Chaukhamba Prakashan, Varanasi,2013; Mukhroga chikitsa, galaroga chikitsa, verses 1-6 , page no.306

Sadanand Sharma. Rasatarangini, edited by Kashinath Shastri, Motilal Banarsi das, New delhi; 2009. Trodash tarang, shloka 91, Page 298

Agnivesha, Charak Samhita, Vaidyamanorama- hindi commentary by Shukla V & Triphathi RD, Chaukhamba Sanskrit Pratishthan, Varanasi, reprint 2011, volume I, Vimana sthan ch. 1, verse 14, page 551

Bhavamishra. Bhava Prakash Nighantu commentary by Chunekar KC. Chaukhambha Bharati Academy, Varanasi,10th ed. 1995, Haritakyadi varga, verses 201- 202, pp. 118

Potdar D, Hirwani RR, Dhulap S. Phyto-chemical and pharmacological applications of Berberis aristata; Fitoterapia. 2012 Jul;83(5):817-30

Kumar R, Gupta YK, Singh S. Anti-inflammatory and anti-granuloma activity of Berberis aristata DC. in experimental models of inflammation; Indian J Pharmacol. 2016 Mar-Apr; 48(2): 155–161. doi: 10.4103/0253-7613.178831

Anonymus, Berberine; Alternative Medicine Review, 2000; Volume 5, Number 2 : 175-177

Bhavamishra. Bhava Prakash Nighantu commentary by Chunekar KC. Chaukhambha Bharati Academy, Varanasi, 10th ed. 1995, Haritakyadi varga, verses 19- 26, pp. 5

Gowd M. J. S Pratap, Kumar M. G. Manoj, Shankar A. J. Sai, B. Sujatha, E. Sreedevi . Evaluation of three medicinal plants for anti-microbial activity; Ayu. 2012 Jul-Sep; 33(3): 423–428.doi: 10.4103/0974- 8520.108859

Rafik U. Shaikh, Mahesh M. Pund, Rajesh N. Gacche. Evaluation of anti-inflammatory activity of selected medicinal plants used in Indian traditional medication system in vitro as well as in vivo; J Tradit Complement Med. 2016 Oct; 6(4): 355–361. doi: 10.1016/j.jtcme.2015.07.001

Pokuri VK, Kumar CU, Pingali U. A randomized, doubleblind, placebo-controlled, cross-over study to evaluate analgesic activity of Terminalia chebula in healthy human volunteers using a mechanical pain model; J Anaesthesiol Clin Pharmacol. 2016 Jul-Sep; 32(3): 329– 332.doi: 10.4103/0970-9185.173365

Haq R, Wahab A, Ayub K, Mehmood K, Sherkheli MA, Khan RA, Raza M. Antitussive Efficacy and Safety Profile of Ethyl Acetate Fraction of Terminalia chebula; ISRN Pharmacol. 2013; 2013: 256934. doi: 10.1155/2013/256934

Oyuntsetseg N, Khasnatinov MA, Molor-Erdene P, Oyunbileg J, Liapunov AV, Danchinova GA, Oldokh S, Baigalmaa J, Chimedragchaa C. Evaluation of direct antiviral activity of the Deva-5 herb formulation and extracts of five Asian plants against influenza A virus H3N8; BMC Complement Altern Med. 2014; 14: 235. doi: 10.1186/1472-6882-14-235

Bhavamishra. Bhava Prakash Nighantu commentary by Chunekar KC. Chaukhambha Bharati Academy, Varanasi, 10th ed. 1995, Guduchyadi varga, verses 93- 96, pp. 328

Mosaddek ASM, Rashid MMU, “A comparative study of the anti-inflammatory effect of aqueous extract of neem leaf and dexamethasone,” Bangladesh Journal of Pharmacology. 2008; 3(1): 44–47,

Badam L, Joshi SP, Bedekar SS. In vitro’ antiviral activity of neem (Azadirachta indica. A. Juss) leaf extract against group B coxsackie viruses; Journal of Communicable Diseases. 1999; 31(2): 79–90

Ghonmode WN, Balsaraf OD, Tambe VH, Saujanya KP, Patil AK, Kakde DD. Comparison of the antibacterial efficiency of neem leaf extracts, grape seed extracts and 3% sodium hypochlorite against E. feacalis—an in vitro study; Journal of International Oral Health. 2013; 5(6): 61–66

Ghimeray AK, Jin CW, Ghimire BK, Cho DH. Antioxidant activity and quantitative estimation of azadirachtin and nimbin in Azadirachta indica A. Juss grown in foothills of Nepal; African Journal of Biotechnology. 2009; 8(13): 3084–3091

Durrani FR, Chand N, Jan M, Sultan A, Durrani Z, AkhtarS. Immunomodulatory and growth promoting effects of neem leaves infusion in broiler chicks; Sarhad Journal of Agriculture. 2008; 24: 655–659

Bhavamishra. Bhava Prakash Nighantu commentary by Chunekar KC. Chaukhambha Bharati Academy, Varanasi, 10th ed. 1995, Karpuradi varga, verses 92-94, pp. 243

Ahmad M, Mahayrookh, Mehjabeen, Rehman AB, Jahan N. Analgesic, antimicrobial and cytotoxic effect of Cyperus rotundus alcoholic extract. Pak J Pharm 2012;29:7-13

Biradar S, Kangralkar VA, Mandavkar Y, Thakur M, Chougule N. Antiinflammatory, antiarthritic, analgesic and anticonvulsant activity of Cyperus essential oils. Int J Pharm Pharm Sci 2010;2:112-115

Soumaya KJ, Dhekra M, Fadwa C, Zied G, Ilef L, Kamel G, et al. Pharmacological, antioxidant, genotoxic studies and modulation of rat splenocyte functions by Cyperus rotundus extracts. BMC Complement Altern Med 2013;13:28

Bhavamishra. Bhava Prakash Nighantu commentary by Chunekar KC. Chaukhambha Bharati Academy, Varanasi, 10th ed. 1995, Haritakyadi varga, verses 213- 214, pp. 126

Verma S, Ojha S, Raish M. Anti-infl ammatory activity of Aconitum heterophyllum on cotton pellet-induced granuloma in rats. J Med Plants Res 2010;4:1566-9

Ahmad M, Ahmad W, Ahmad M, Zeeshan M, Obaidullah, Shaheen F. Norditerpenoid alkaloids from the roots of Aconitum heterophyllum Wall with antibacterial activity. J Enzyme Inhib Med Chem 2008;23:1018-22

Atal CK, Sharma ML, Kaul A, Khajuria A. Immunomodulating agents of plant origin. I: Preliminary screening. J Ethnopharmacol 1986;18:133- 4

Bhavamishra. Bhava Prakash Nighantu commentary by Chunekar KC. Chaukhambha Bharati Academy, Varanasi, 10th ed. 1995, Guduchyadi varga, verses 191- 192, pp. 395

Hullatti KK, Sharada MS. Comparative Antipyretic activity of Patha: An Ayurvedic drug; Phcog Mag 2007; 3, (11):173-76

Bafna A, Mishra S. Antioxidant and Immunomodulatory Activity of the Alkaloidal Fraction of Cissampelos pareira Linn. Sci Pharm. 2010 Jan-Mar; 78(1): 21–31. doi: 10.3797/scipharm.0904-16

Bhavamishra. Bhava Prakash Nighantu commentary by Chunekar KC. Chaukhambha Bharati Academy, Varanasi, 10th ed. 1995, Haritkyadi varga, verses 151- 152, pp. 69-70

Sidiq T, Khajuria A, Suden P, Sharma R, Singh S, Suri KA, Satti NK, Johri RK. Possible role of macrophages induced by an irridoid glycoside (RLJ-NE-299A) in host defense mechanism. Int Immunopharmacol. 2011 Jan;11(1):128-35. doi: 10.1016/j.intimp.2010.10.017.

Kant K, Walia M, Agnihotri VK, Pathania V, Singh B. Evaluation of Antioxidant Activity of Picrorhiza kurroa (Leaves) Extracts; Indian J Pharm Sci. 2013 May;75(3):324-9. doi: 10.4103/0250-474X.117438.

Pandey BL, Das PK. Immunopharmacological studies on Picrorhiza kurroa Royle-ex-Benth. Part IV: Cellular mechanisms of anti-inflammatory action; Indian J Physiol Pharmacol. 1989 Jan-Mar;33(1):28-30.

Huang Y, Zhou M, Li C, Chen Y, Fang W, Xu G, Shi X. Picroside II protects against sepsis via suppressing inflammation in mice; Am J Transl Res. 2016; 8(12): 5519–5531.

Bhavamishra. Bhava Prakash Nighantu commentary by Chunekar KC. Chaukhambha Bharati Academy, Varanasi, 10th ed. 1995, Haritkyadi varga, verses 102- 103, pp. 43

Joshi RK. Acorus calamus Linn.: phytoconstituents and bactericidal property; World J Microbiol Biotechnol. 2016 Oct;32(10):164. doi: 10.1007/s11274-016-2124-2.

Rawat S, Jugran AK, Bahukhandi A, Bahuguna A, Bhatt ID, Rawal RS, Dhar U. Anti-oxidant and anti-microbial properties of some ethno-therapeutically important medicinal plants of Indian Himalayan Region; 3Biotech. 2016 Dec; 6(2): 154. doi: 10.1007/s13205-016-0470-2

Rajput SB, Tonge MB, Karuppayil SM. An overview on traditional uses and pharmacological profile of Acorus calamus Linn. (Sweet flag) and other Acorus species; Phytomedicine. 2014 Feb 15;21(3):268-76. doi: 10.1016/j.phymed.2013.09.020.

Gaur A, Agarwal R, Dhiman K S, Rani M, Pandey R. A clinical study on efficacy of indukanta yoga and darvyadi yoga in tundikeri w.s.r. To acute tonsillitis; Journal of Ayurveda and Holistic Medicine.2014;2(5): 18-30

Arun Raj GR, Shailaja U, Debnath P, Banerjee S, Rao PN, Exploratory studies on the therapeutic effects of Kumarabharana Rasa in the management of chronic tonsillitis among children at a tertiary care hospital of Karnataka. J Tradit Complement Med. 2016 Jan; 6(1): 29–33

Ahuja DK, Shakya JK, Thakur BS, Sharma SK, Vandana. Clinical study on yavaksharadi vati and panchvalkal kwath in the management of tundikeri w.s.r. to tonsillitis; J of Ayurveda and Hol Med (JAHM).2014;2(6):23-31

Vagbhata, Astaga Hridyama, Vidyotini- Hindi commentary by Atrideva Gupta, Chaukhamba Prakashan, Varanasi, Sutra sthan ch.22, verses 11-12 , page no.180

Ravishankar AG , Mahesh TS ; Tankana Bhasma Kavala in Chronic Tonsillitis. UJAHM 2013, 01 (02): Page 41-44 52.

Yadav M, Kadam D, Valhavankar C, Dole R, Bhadlikar D. Efficacy of haridra kwath kawal in management of acute tonsillitis. International Journal of Medical and Clinical Research, Volume 3, Issue 8, 2012, pp.-235- 241. ISSN: 0976-5530 & E-ISSN: 0976-5549

Vagbhata, Astaga Hridyama, Vidyotini- Hindi commentary by Atrideva Gupta, Chaukhamba Prakashan, Varanasi, Sutra sthan ch.22, verses 13-14 , page no.180-181

Kumar S, Darshana, Shekar V, Hamsaveni V . A clinical study on the effect of Pippalyadi Churna Pratisarana in the management of Tundikeri w. s. r. to chronic tonsillitis. International Ayurvedic medical Journal. 2016; 4 (12): 3614-20

Renu VT, Mamatha KV, Hamsaveni. A clinical study on Tankana Bhasma Pratisarana in chronic tonsillitis; International Ayurvedic Medical Journal; 2015; 3 (6):1- 5