If the throat is red with white dots accompanied by severe sore throat, it is mostly seen as an acute infection of the throat, mainly acute purulent tonsillitis. Acute purulent tonsillitis attacks when the tonsils are congested and edematous, with purulent secretions gathering on the surface and forming white pus spots. Treatment is mainly anti-infection treatment, depending on the severity of clinical symptoms. If there is severe sore throat, a fever or high fever, or even difficulty swallowing, fluid therapy is often required, mainly antibiotics, hormones, or supportive medications such as vitamins. Other conditions may be fungal infections of the throat, tonsillar keratosis, etc. Fungal infection of the throat may also have congestion and fungal (such as Candida albicans) surface red and white, which are typical symptoms, mostly seen in patients with immune deficiency, diabetes and long-term oral antibiotics; in the case of tonsillar keratosis, it may be a simple white spot without obvious congestion and red throat. Therefore, clinically, according to different situations, each analysis to determine which disease may belong to, if necessary, to the regular hospital otolaryngology department for further consultation.