Management of Chronic Granular Hypertrophic Pharyngitis (Vrunda) through Ayurveda: A Paediatric Case Report

The inflammation of the oropharyngeal mucous membranes, known as pharyngitis, is typically caused by a bacterial or viral illness but can also be attributed to allergies, trauma, malignancy, reflux, or various toxins. One of the most prevalent causes of paediatric antibiotic prescriptions is acute pharyngitis, which accounts for 2-5% of paediatric ambulatory visits. The primary clinical features of the modified Centor Score and Fever PAIN scoring systems are largely used to diagnose the cause and severity of pharyngitis. In the present case, a 15-year-old female who had been experiencing symptoms of a foreign body sensation, chronic cough, intermittent fever, and difficulty swallowing for a year was diagnosed with chronic granular hypertrophic pharyngitis and was treated with an Ayurvedic treatment protocol. The Ayurvedic therapy used for this patient comprised oral medication, Panchakarma therapy, and Pranayama. Patient follow-up and treatment were conducted consistently on the 7th and 15th days, and dietary modifications were also advised. After following the treatment, the patient showed improvement in chronic symptoms, and Kawala therapy provided relief from the symptoms. This case study aims to demonstrate the effectiveness and importance of Ayurvedic treatment principles in treating chronic granular hypertrophic pharyngitis, or Vrunda, in a paediatric patient.