Chinese medicine has been effective in treating tonsils that have become small and tough by classifying them according to the clinical symptoms of deficiency and reality. The general method of treatment is to detoxify and benefit the pharynx. The treatment of acute breast moth attacked by wind-heat, when the treatment is to remove wind and clear heat, swelling and pharynx. 1. Stomach fire is hot, sore throat, difficulty swallowing, thirsty, constipation, red and swollen tonsils, pus spots or abscesses, red tongue, thick yellow moss, and a flooded pulse. Clear the throat and diaphragm soup should be used to relieve heat and detoxify the toxin, and reduce the swelling of the throat. 2, wind-heat attack with acute onset, fever, cough, sore throat, mild swallowing difficulty, red and swollen tonsils, may become pus, white or yellow fur, pulse count. Yin Qiao San should be used to remove wind and clear heat, reduce swelling and improve pharynx. 3, lung and kidney yin deficiency dry mouth and throat, slight pain and discomfort, dry cough with little sputum, accompanied by five heartburn, dizziness, not easily resistant to labor, tonsils dark red, swollen, or a little pus attached to the surface, red tongue with little moss, pulse count. Zhi Bai Di Huang Tang should be used to nourish Yin and lower fire and clear the throat. In conclusion, the TCM evidence-based treatment of diseases causing the symptoms of small and tough tonsils is more in line with the national constitution, and Chinese medicine has accumulated valuable experience over a long period of time, especially as it has been proven that TCM has better results in treating the disease.