The difference between tonsillitis and herpes pharyngitis lies in the differences in causes, symptoms, signs and treatments. 1. Causes: Tonsillitis is mainly caused by bacterial infection, while herpes pharyngitis is caused by viral infection. 2. Symptoms: Tonsillar inflammation will have the symptom of pain, herpes pharyngitis will have the symptom of itchy throat and foreign body sensation. 3. Signs: the typical signs of tonsillitis are enlarged tonsils and pus, while the typical signs of herpetic pharyngitis are scattered pimples in the pharyngolaryngeal region, followed by the formation of herpes or ulcers. 4. Treatment: Tonsillar inflammation is mainly treated with antibiotics, such as amoxicillin, while herpes pharyngitis is mainly treated with antiviral therapy, such as acyclovir. If symptoms of pharyngeal discomfort occur, it is recommended to actively seek medical attention and systematic examination to clarify the diagnosis.