Inflammation of the tonsils usually does not require hormonal therapy such as dexamethasone; hormonal therapy may be used for severe infections combined with systemic septicemia. Tonsillitis can be caused by pathogens such as streptococcus and influenza virus. Viral tonsillitis is usually self-limiting and does not require active medication, but can be controlled by increasing water intake, eating a light diet, and quitting smoking and drinking. Bacterial tonsillitis, penicillin, cefadroxil and other drugs for anti-infective treatment, the initial stage of the disease does not use dexamethasone and other hormone therapy. When the symptoms of infection and toxicity are severe, sepsis occurs, and the presence of adrenocortical insufficiency is suspected or confirmed, a small dose of dexamethasone can be given for 5-7 days along with a full dose of effective antibiotics. The above medications need to be used under the supervision of a clinician. Inflammation of the tonsils is recommended to visit the hospital promptly.