A COMPARITIVE STUDY TO EVALUATE THE EFFICACY OF YAVAKSHARADI GUTIKA MUKHA DHARANA AND TRIPHALA MADHU GANDUSHA IN TUNDIKERI (CHRONIC TONSILLITIS)

Abstract

Background: Tundikeri is a mukharoga, classified under kantagata and talugata roga’s by Acharya Vagbhatta and Sushruta respectively, characterized by Katina Sopha in hanusandhi resembling karpasa phala, accompanied by ruk in gala, toda and daha. It has a close resemblance with Chronic Tonsillitis. As the chronicity and re-ocurrance rate of this disease is high and problem may be associated with life threatening complications like peritonsillar abscess, parapharangeal abscess, tonsiloliths, laryngeal oedema, acute otitis media and rheumatic fever. Hence timely management of this condition is the need of the hour. Materials & Methods: A randomised comparative clinical study was taken up, 40 patients fulfilling the criteria’s of Tundikeri were selected from the OPD and IPD of department of Shalakya Tantra, Alva’s Ayurveda Medical College & Hospital, Moodbidri. The patients were divided into two groups with 20 patients in each group. Group A was treated with Yavaksharadi Gutika mukhadharana, thrice daily for a period of 14 days. Group B was treated with Triphala Madhu gandusha, thrice daily for a period of 14 days. Results: The assessment of the efficacy of treatment was based on improvement in pain, Galoparodha, Galaragata, Size of tonsils and Size of Lymph nodes. The observations were made and results were statistically analysed. Percentage wise relief was found higher in Group B than Group A, but on statistical analysis both groups showed equal effect in subsiding the symptoms of the disease. Discussion: Yavaksharadi Gutika and Triphala Madhu Gandusha are effective formulations giving good results in the management of Tundikeri due to its Tridoshahara, Shothahara, Srotoshodaka, deepana, anulomana and rasayana property. Conclusion: On comparing the ‘t’values, Group A showed better effect on parameters- Galoparodha and size of tonsil. Whereas Group B showed better effect on pain and Galaragata and equal effect was seen on size of lymph nodes. Both Yavaksharadi Gutika Mukhadharana and Triphala Madhu gandusha have proved effective in the management of Tundikeri (chronic tonsillitis).