The tonsils are enlarged and there is white material on the surface, considering the possibility of acute suppurative tonsillitis, the treatment is as follows: 1, you need to use penicillin or cephalosporin antibiotics as soon as possible for treatment, the use of drugs according to the patient’s condition and the severity of the symptom, the choice of oral or intravenous infusion of drugs; 2, the milky-white pseudo-film on the surface of tonsils is composed of exudate from the exfoliative epithelium in the crypts of tonsils, fibrous proteins, bacteria and pus cells, etc. It can be cleaned by gargling solution locally. The milky white pseudomembrane on the surface of the tonsils is composed of exudate in the crypts of the tonsils, fibrin, bacteria, and pus cells, etc. It can be cleaned by local gargling with mouthwash, and the milky white pseudomembrane on the surface of the tonsils will subside after the inflammation of the tonsils is controlled; 3. During the period of acute suppurative tonsillitis, patients need to have bed rest, drink a lot of water, and eat a light and nutritious liquid diet; 4. If patients have recurrent acute suppurative tonsillitis, especially if they have cardiac disease, nephritis and systemic complications such as rheumatic fever, they need to have surgical treatment of tonsillectomy. Tonsillectomy surgery.