Tonsillitis generally refers to nonspecific inflammation of palatine tonsils, which can be divided into acute tonsillitis and chronic tonsillitis. Acute tonsillitis is mostly caused by infection with bacteria or viruses when the body's resistance is reduced. The onset is urgent, with sore throat as the main symptom, accompanied by chills, fever, headache and other symptoms. It is a common disease in children and adolescents. Chronic tonsillitis is caused by the recurrence of acute tonsillitis, which is characterized by dry throat, feeling of blockage, sticky secretion, difficult cough and bad breath. Its recurrence can induce other diseases, such as chronic nephritis, arthritis and rheumatic heart disease, so it must be actively treated. Patients should exercise at ordinary times, strengthen their physique, pay attention to oral hygiene, treat diseases of nearby tissues in time, eat light food, abstain from spicy food, quit smoking and alcohol, and consider surgical treatment once the disease becomes the focus of other diseases or has other surgical indications.

this disease is equivalent to the category of "suckling moth" in traditional Chinese medicine, acute tonsillitis is equivalent to "wind-heat suckling moth" and chronic tonsillitis is equivalent to "deficiency-fire suckling moth". Wind-heat moth usually invades the laryngeal nucleus from the nose and mouth due to sudden climate change, imbalance between cold and heat, and unstable lung and Wei, or due to excessive consumption of tobacco and alcohol, the spleen and stomach accumulate heat, or due to exogenous wind and heat, the pathogenic toxin spreads to the lung and stomach and burns the laryngeal nucleus. The moth with deficiency fire is mostly caused by wind-heat moth or residual poison after epidemic febrile disease, pathogenic heat impairs lung yin, or factor body yin deficiency, coupled with excessive fatigue, kidney yin loss, inflammation of deficiency fire and steaming throat nucleus. Common clinical syndromes are:

1. Wind-heat type of lung meridian: fever, chills, sore throat, cough, white or yellow fur, and rapid pulse.

2. lung and stomach heat accumulation type: high fever, aversion to cold, severe sore throat, dysphagia, thirst, constipation, red tongue, yellow and thick coating, and rapid pulse.

3. type of toxic heat: the symptoms are persistent high fever, increased pharyngeal epilepsy, pain in the same ear, dysphagia, yellow and red fur, and rapid pulse.

4. Inflammation due to deficiency of fire: dry throat, dry mouth, dry cough, hand and foot fever, shortness of breath, backache, less fur, red tongue and rapid pulse.

5. Kidney-yin deficiency type: dry mouth and throat, especially at dusk, with burning and slight pain, foreign body sensation, vexation of the five senses, dizziness, difficulty in endurance, redness of the throat core and its surroundings, yellow and white pus thrombi squeezing out on the throat core, red tongue with little fur and weak pulse.

6. Deficiency of lung and spleen-qi: dry throat, itching, slight cough, scanty and sticky phlegm, unable to vomit, excessive sweating on the head of a person who sleeps, dark red throat with short white spots on the throat, or cheese-like pus embolism, pale red tongue with little moss, and rapid pulse.

1. Western medicines that can be selected

1. Acute tonsillitis:

(1) Systemic treatment: Streptococcus infection is the most common cause of this disease, and the antibiotic is the first choice. Erythromycin and lincomycin can be selected for those allergic to penicillin. People with high fever, headache and body aches can choose antipyretic and analgesic agents such as aspirin. If the condition does not improve after 2-3 days of treatment, we should consider whether it is infected by virus or other bacteria, switch to antiviral drugs, sensitive antibiotics or sulfonamides, and use adrenocortical hormones such as prednisone and dexamethasone as appropriate.

(2) local treatment: optional.