International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Efficacy Of Eladi Choorna Lozenges In Management Of Tundikeri, Chronic Tonsillitis In Children Aged 5-15 Years- An Open Labelled Randomized Controlled Trial

Author(s) Dr. Krutika Ramesh Nirbhavane, Dr. Srilakshmi Srilakshmi
Country India
Abstract Introduction: Tundikeri, described under Talukantagata Roga in Ayurveda, is characterized by inflammatory swelling at the base of Hanusandhi and is clinically comparable to tonsillitis. Tonsillitis is a prevalent childhood disorder in India and contributes substantially to recurrent morbidity and healthcare burden. Conventional management relies on antibiotics and surgical intervention, both of which raise concerns regarding immune modulation and long-term outcomes. Ayurveda describes multiple therapeutic approaches for Mukha Roga, including local and systemic interventions. Eladi Choorna, a classical formulation indicated in Kantagata Roga, was modified into a lozenge form to improve palatability and ease of administration in children, with the objective of evaluating its role as a safe and effective palliative management in Tundikeri. Methods: The study is open labelled randomized clinical trial, which will be carried out at the tertiary Ayurveda hospital, Shri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Bengaluru, recruiting 39 children with Tundikeri, Chronic Tonsillitis. Group A will be administered Eladi choorna lozenges and Group B will be administered Pippali choorna lozenges at age specific dose for period of 21 days. The overall improvement will be assessed in both groups based on Brodsky grading scale and subjective grading parameters. Results: Data will be collected using a specially designed Case Report Form (CRF) with standardised assessment scales and analysed using MS Excel and SPSS version 26. The results will be kept confidential and disseminated through peer-reviewed journal publications. Discussion: Considering the high prevalence and recurrent nature of tonsillitis in children, along with concerns related to antibiotic overuse and surgical management, there is a need for safe, acceptable, and sustainable therapeutic options. Ayurveda describes several local and systemic interventions for Tundikeri. Modifying Eladi Choorna, a classical formulation indicated in Kantagata Roga, into a lozenge form aims to improve palatability, compliance, and localized drug action in pediatric patients. The present study was undertaken to evaluate this modified formulation in the management of Tundikeri.
Keywords Ayurveda, Balaroga, Chronic tonsillitis, Shamana chikitsa, Tundikeri
Field Medical / Pharmacy
Published In Volume 8, Issue 1, January-February 2026
Published On 2026-02-22
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E-ISSN 2582-2160
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