Cervical lymphadenopathy, characterized by the swelling of lymph nodes in the neck region, presents a complex clinical scenario with varied aetiologies. The integration of traditional medicinal systems, like Siddha, offers potential alternative therapeutic approaches. This case study deals with the management of bilateral cervical lymphadenopathy using Siddha remedies tailored for Kandamaalai. A 47-year-old female patient presented with a two-month history of cervical swelling, throat discomfort, otalgia, rhinitis, and anorexia. Diagnosis revealed bilateral cervical lymphadenopathy, akin to the Siddha concept of Kandamaalai. Treatment involved Siddha medications targeting Kandamaalai, administered without adverse effects. Subsequent improvement was clinically observed, with the resolution of symptoms and reduction in lymph node size corroborated by ultrasound (USG) findings. This case underscores the potential efficacy of Siddha therapy in treating cervical lymphadenopathy, particularly Kandamaalai. Further research, including robust clinical trials, is essential to validate these outcomes and elucidate the role of Siddha medicine in contemporary healthcare settings.