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Column February 22, 2026

Chronic Tonsillitis — Alternatives to Surgery

Hyo-seop Kim
Hyo-seop Kim
Chief Director

The suffering of recurrent tonsillitis

When tonsillitis recurs four to five times or more per year, a tonsillectomy is often recommended. With a swollen throat that makes swallowing painful, high fevers, and the need for repeated antibiotics, surgery starts to look unavoidable. However, the tonsils serve as the body's first line of immune defense, so preserving them whenever possible is preferable.

Underlying causes of frequent tonsil swelling

Korean medicine analyzes recurrent tonsillitis as Lung-Stomach yin deficiency (肺胃陰虛) combined with flaring of deficiency-fire (虛火上炎).

  • Lung-Stomach yin deficiency: A lack of fluids in the Lung and Stomach systems leaves the throat dry and reduces resistance to bacteria.
  • Flaring of deficiency-fire: Internal deficiency-heat rises upward and inflames the tonsils. It worsens with poor sleep or overwork.
  • Qi deficiency (氣虛): Overall immunity is reduced, leaving the patient more vulnerable to infection than others under the same conditions.

Korean medicine treatment approach

  • Acute phase: Eun-gyo-san (Yin Qiao San) and Gam-gil-tang are used to clear heat and calm throat inflammation.
  • Remission phase: Yang-eum-cheong-pye-tang and Saeng-maek-san replenish Lung-Stomach yin and strengthen immunity.
  • Acupuncture: Stimulates throat-related points such as Shaoshang (LU11), Hegu (LI4), and Quchi (LI11).
  • Herbal gargle: Gargling with a decoction of honeysuckle (Lonicera) and licorice helps disinfect the throat.

It is worth trying before surgery

Korean medicine treatment for chronic tonsillitis usually requires two to three months of consistent care. By reinforcing constitutionally weak areas, both the frequency and severity of flare-ups decrease. We recommend trying constitutional Korean medicine treatment before deciding on surgery.

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Hyo-seop Kim

Hyo-seop Kim Chief Director

Hello, I am Director Hyo-seop Kim, Chief Director of Geummaek Korean Medical Clinic. I look beyond visible symptoms to find the root causes. Through over 15 years of clinical experience and research, I provide the most helpful treatment for each individual patient. Please feel free to share your concerns. Together, we will find the answers.

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