What is Tonsillitis?

Tonsillitis is the inflammation of the tonsils, two lymph nodes located at the back of the throat. It's a common condition that can present as swollen tonsils, sore throat, difficulty swallowing, and fever.

The inflammation can be acute, appearing suddenly and lasting a short time, or chronic, persisting over a longer period. It often results from viral or bacterial infections, with streptococcal bacteria being a frequent cause. The severity and treatment of tonsillitis can vary, highlighting the importance of understanding its underlying causes.

How does TCM view Tonsillitis?

Traditional Chinese Medicine (TCM) approaches tonsillitis as a disorder arising from an imbalance of Qi (vital energy) and an invasion of external pathogens such as Wind, Heat, Toxic, or Dampness.

TCM emphasizes the significance of identifying the specific disharmony within the body to tailor an effective treatment. It views tonsillitis as not just a localized throat issue but as a symptom of a broader systemic imbalance, necessitating a holistic approach to restore the body's harmony and immune function.

Causes of Tonsillitis according to TCM

In TCM, tonsillitis is often attributed to the invasion of Wind-Heat or Damp-Heat, causing Qi Stagnation and Blood Heat in the throat area. Wind-Heat invasion manifests through rapid onset of symptoms like sore throat and fever, resembling an acute infection.

Damp-Heat, on the other hand, may lead to symptoms such as a sticky sensation in the mouth, foul breath, and a more prolonged course of illness. Understanding these underlying patterns is crucial for TCM practitioners to formulate an effective treatment plan that addresses both the symptoms and root causes of tonsillitis.

TCM Herbal Formulas for Tonsillitis

TCM offers a variety of herbal formulas tailored to the underlying pattern of disharmony in tonsillitis. For conditions marked by Heat and Toxicity, formulas like Xie Xin Tang and Liang Ge San are utilized to clear Heat and detoxify the body. Pu Ji Xiao Du Yin specifically targets Wind-Heat and Toxic-Heat, making it suitable for acute tonsillitis.

For Wind-Heat patterns, Jing Jie Lian Qiao Tang and Sang Ju Yin can be effective in expelling the pathogen and alleviating symptoms. Additionally, Ban Xia Hou Pu Tang is recommended for Qi Stagnation affecting the throat, offering relief from the discomfort and pain of tonsillitis.

Explore below some TCM herbal formulas used to address tonsillitis, organized by formula type.

  • By Formula Type
  • Formulas that clear heat and resolve toxicity
  • Formulas that clear wind-Heat
  • Formulas that release the exterior and clear the interior
  • Formulas that clear qi-level heat
  • Formulas that promote qi movement
  • Formulas that warm and purge
  • Formulas that clear wind-Cold
  • Formulas that clear internal abscesses and sores
  • Formulas that harmonize lesser yang-warp disorders
  • Formulas that enrich yin and moisten dryness
  • External formulas for external disorders
  • Formulas that purge heat accumulation
  • Formulas that warm yang and tonify
  • Formulas that clear exterior disorders with interior deficiency
  • Formulas that dispel summer-Heat and resolve exterior
  • Formulas that clear heat and open sensory orifices

All "formulas that clear heat and resolve toxicity" recommended for tonsillitis

Formula Key herbs
Xie Xin Tang Rhubarb (Da Huang)
Liang Ge San Forsythia Fruits (Lian Qiao)
Pu Ji Xiao Du Yin Baikal Skullcap Roots (Huang Qin), Goldthread Rhizomes (Huang Lian)

Acupoints for Tonsillitis

Acupuncture, another cornerstone of TCM, involves stimulating specific points on the body to restore Qi flow and balance. For tonsillitis, points such as Futu LI-18 on the Large Intestine Channel and Tianrong SI-17 on the Small Intestine Channel are targeted to benefit the throat, clear Heat, and resolve Phlegm.

Shaoze SI-1, the first point on the Small Intestine Channel, is particularly useful for expelling Wind-Heat and restoring consciousness, offering a holistic approach to treating tonsillitis through TCM methodologies.

Explore below some acupoints used to address tonsillitis, organized by meridian.

  • By Meridian
  • Large Intestine Channel
  • Small Intestine Channel
Wenliu LI-7

Wenliu LI-7

When a fist is made, with the ulnar side downward and elbow flexed, the point is 5 cun above Yangxi LI-5 at the wrist crease, 1 cun distal to the midpoint of the line joining Yangxi LI-5 and Quchi LI-11.

Futu LI-18

Futu LI-18

On the lateral side of the neck, level with the tip of Adam's apple, between the sternal head and clavicular head of sternocleidomastoid muscle.

Shaoze SI-1

Shaoze SI-1

On the ulnar side of the little finger, about 0.1 cun posterior to the corner of the nail.

Tianrong SI-17

Tianrong SI-17

Posterior to the angle of mandible, in the depression on the anterior border of sternocleidomastoid muscle.

TCM Herbs for Tonsillitis

Explore below some TCM herbs used to address tonsillitis, organized by herb category.

  • By Herb Category
  • Herbs that clear heat and relieve toxicity
  • Cool/Acrid herbs that release the exterior
  • Warm/Acrid herbs that release the exterior
  • Herbs that clear heat and purge fire and/or clear summer heat
  • Herbs that cool the blood
  • Warm herbs that transform phlegm and stop cough
  • Herbs that clear heat and dry dampness
  • Purgative herbs that drain downward
  • Aromatic herbs that transform dampness
  • Herbs that warm the interior and/or expel cold
  • Tonic herbs for yin deficiency
  • Herbs that pacify internal liver wind and stop tremors
  • Herbs that open the orifices

"Herbs that clear Heat and relieve Toxicity" recommended for tonsillitis

Herb Formulas they belong to (if applicable)
Forsythia Fruits (Lian Qiao) Jing Jie Lian Qiao Tang | Liang Ge San | Yin Qiao San
Honeysuckle Flowers (Jin Yin Hua) Yin Qiao San
Oldenlandia (Bai Hua She She Cao) Not applicable
Blackberry Lily Rhizomes (She Gan) Not applicable
Selanginella Herbs (Shi shang Bai) Not applicable

"Cool/Acrid herbs that release the Exterior" recommended for tonsillitis

Herb Formulas they belong to (if applicable)
Kudzu Roots (Ge Gen) Ge Gen Tang
Wild Mint (Bo He) Qing Xin Li Ge Tang
Mulberry Leaves (Sang Ye) Sang Ju Yin
Chrysanthemum Flowers (Ju Hua) Sang Ju Yin
Bupleurum Roots (Chai Hu) Xiao Chai Hu Tang

"Warm/Acrid herbs that release the Exterior" recommended for tonsillitis

Herb Formulas they belong to (if applicable)
Japanese Catnip (Jing Jie) Jing Jie Lian Qiao Tang | Qing Xin Li Ge Tang
Saposhnikovia Roots (Fang Feng) Qing Xin Li Ge Tang
Cinnamon Twigs (Gui Zhi) Shen Qi Wan
Vietnamese Balm (Xiang Ru) Xiang Ru San

"Herbs that clear Heat and purge Fire and/or clear Summer Heat" recommended for tonsillitis

Herb Formulas they belong to (if applicable)
Gypsum (Shi Gao) Shi Gao Tang
Cape Jasmine Fruits (Zhi Zi) Zhi Zi Chi Tang
Climbing Groundsel Herbs (Qian Li Guang) Not applicable

"Herbs that cool the Blood" recommended for tonsillitis

Herb Formulas they belong to (if applicable)
Unprepared Rehmannia (Di Huang) Yang Yin Qing Fei Tang
Water Buffalo Horns (Shui Niu Jiao) Zi Xue Dan
Woad Leaves (Da Qing Ye) Not applicable

"Warm herbs that transform Phlegm and stop Cough" recommended for tonsillitis

Herb Formulas they belong to (if applicable)
Crow-Dipper Rhizomes (Ban Xia) Ban Xia Hou Pu Tang
Platycodon Roots (Jie Geng) Not applicable

"Herbs that clear Heat and dry Dampness" recommended for tonsillitis

Herb Formulas they belong to (if applicable)
Baikal Skullcap Roots (Huang Qin) Pu Ji Xiao Du Yin
Goldthread Rhizomes (Huang Lian) Pu Ji Xiao Du Yin