Aziz et al Journal of Drug Delivery & Therapeutics. 2019; 9(2):474-477 ISSN: 2250-1177 [474] CODEN (USA): JDDTAO Available online on 15.03.2019 at http://jddtonline.info Journal of Drug Delivery and Therapeutics Open Access to Pharmaceutical and Medical Research © 2011-18, publisher and licensee JDDT, This is an Open Access article which permits unrestricted non-commercial use, provided the original work is properly cited Open Access Review Article Warm-e-Lauztain (Tonsillitis): Diagnosis and Management with reference to Unani System of Medicine Abdul Aziz 1 , Abdul Mannan 2 , Md. Wasi Akhtar 3 * and Yasmeen Aziz 4 1. Assistant Professor, Deptt. of Moalajat, Eram Unani Medical College, Lucknow 2. Professor, Deptt. of Moalejat, A.K. Tibbiya College, AMU, Aligarh 3. *Assistant professor, Deptt. of Moalajat, School of Unani Medical Education and Research, Jamia Hamdard, New Delhi 4. Assistant Professor, Deptt. of Jarahat, A.K. Tibbiya College, AMU, Aligarh ABSTRACT Warm-e-Lauztain (Tonsillitis) being very common clinical condition affecting mostly the school going children is the one of the important reason to visit a doctor frequently. Diagnostic features and findings on clinical examination are described very clearly in classical texts of Unani medicine, e.g. if the tonsillitis is caused due to abnormality of khilt-e-dam (humour sanguine), it is expressed by severe pain in the throat, fever, redness of eyes and face, sweetish taste in mouth etc.; if it is due to khilt-e-safra (humour bile), then it is characterized by severe pain in the throat, difficulty in the swelling, high grade fever, dryness, paleness of face; if there is imbalance in khilt-e-balgham (humour phlegm), there will be soft whitish swollen tonsils associated with paresis and softness of the tongue; tonsillitis due to the abnormality in khilt-e-sauda (humour black bile) exhibit hard swelling of tonsils encroached into the tongue and surrounding tissues. On examination, if there is much congestion and redness on the tonsils or it is black in colure and hard in consistency then surgical procedure should be avoided. Always first emphasis should be given for medical treatment, if it fails then opt surgical management. When the acute inflammation ( warm-e-haar) has been subsided and the base of swelling is soft and thin, than it is suitable time for tonsillectomy. Surgical procedure is also described by Abu Al-Qasim Al-Zahrawi and others in detail. Therefore it may be concluded that scholars of Unani medicine were much aware about the signs & symptoms of chronic tonsillitis; they were able to diagnose the disease clinically and were expert enough to assess the condition, whether requiring medical management or surgical intervention. Surgeons of that time knew clear-cut indications and contraindications for surgical intervention along with the procedure of tonsillectomy Keywords: Warm-e-lauztain, Tonsillitis, Unani classical, Treatment, surgery Article Info: Received 26 Jan 2019; Review Completed 28 Feb 2019; Accepted 02 March 2019; Available online 15 March 2019 Cite this article as: Aziz A, Mannan A, Wasi Akhtar M, Aziz Y, Warm-e-Lauztain (Tonsillitis): Diagnosis and Management with reference to Unani System of Medicine, Journal of Drug Delivery and Therapeutics. 2019; 9(2):474-477 http://dx.doi.org/10.22270/jddt.v9i2.2523 *Address for Correspondence: Md. Wasi Akhtar, Assistant professor, Deptt. of Moalajat, School of Unani Medical Education and Research, Jamia Hamdard, New Delhi INTRODUCTION Chronic Tonsillitis is a very common problem, mostly affecting school going children. It is usually characterized by chronic irritations in throat, cough, uneasiness and mild to moderate pain in throat usually associated with eustachian tube dysfunctions. More often and recurrent acute exacerbations is seen, which is expressed by fever with chills, intense pain in throat and cough. Although most of the times warm-e-lauztain (tonsillitis) is a safe condition but sometime this may complicate into life threatening diseases like acute glomerulonephritis, sub acute bacterial endocarditis, meningitis and peritonsillar abscess etc. Although now a day medical sciences have achieved great success in the management of various illnesses through allopathic medicines and surgery; but the importance and effectiveness of Unani medicine cannot be ignored, especially in the management of chronic and recurrent illnesses. Warm-e-lauztain (tonsillitis) is one of the common problems, for which a patient frequently consults a doctor. Allopathic management usually includes recurrent use of antibiotic, anti-inflammatory, analgesic, antipyretic and decongestant. Due to its dangerous and hazardous adverse effects, allopathic medicine cannot be given for a longer duration and very frequent as needed for the management of this chronic and recurrent ailment, and as soon as medications are switched off, all the symptoms reappear. That is why, at last, most of the patients are advised to go through surgical procedure for the removal of the tonsils. Unani system of medicine is unique in its methods of diagnosis and its line of management for recurrent and