The siddha system of medicine is one of the earliest traditional medical system in the world and deals with physical, Psychological, Social and spiritual wellbeing of an individual. Siddha system has several indigenous preparations which is obtained from herbals, minerals and animal products. The diseases that affect the children are Respiratory disorders, Gastrointestinal disorders, Skin disorders, Neurological disorders, Nutritional disorders and other common childhood disorders. Among these I have selected the topic tonsillitis as siddha term Annakku thooru thabitham. Disease of tonsils is a major threat of morbidity and mortality due to local and systemic complications. This review article will help to provide details of information about phyto constituents, Pharmacological actions of herbo mineral ingredients of adathodainei and how the drug act on the disease.