Tonsillitis is one of the most common diseases of upper respiratory tract, which affects the children and young adults. It is an infection of tonsils, which are glands on either side of the back of throat. Tonsils are part of the immune system, which protects and helps the body to fight infections. Thus become more prone to recurrent infections. When this happens, they lose their effectiveness in helping the immune system and actually become a source of recurrent infection. The recurrent attack of tonsillitis makes the disease chronic and vulnerable for infectious diseases. Hence, timely treatment is most essential. Though disease is managed by antibiotic regimen, but the frequent episodes of infection are justifiable for Tonsillectomy, however surgical management is also having its own merits and demerits with limitations. In classics of Ayurveda this ailment is described as Tundikeri under the heading of throat diseases which is characterized by Kathina Shotha (hard swelling) resembling Karpasa Phala in throat. Sushruta recommended ksharapratisarana(application of alkali)in the treatment of shotha. Clinical observation has shown its effectiveness in the management of Tundikeri. A case report of 18year old female who presented with complaints of sore throat on/off, chronic irritation of throat with cough and changes in voice since from 45 years has been presented here.

Keywords: Apamargakshara; Chronic tonsillitis; Pratisarana; Tundikeri.