This disease is characterised by the enlargement of the thyroid gland resulting in a swelling in the front part of the neck. Depending upon the nature of morbidity it is divided into several types .In Ayurveda this is called gladanda. It is usually manifested because of lack of iodine in food and drink. According to Ayurveda this is caused by the aggravation of Kapha and diminution of pitta. The swelling of the gland in the neck becomes visible and the gland at times becomes exceedingly large, thereby causing difficulty in respiration and swallowing of foods and drinks.
Kanchanara is the drug of choice for the treatment of this condition. The bark of this tree is given to the patient in the form or a decoction. It is administered in a dose of 30ml,twice daily on an empty stomach. Kanchanara Guggulu, which contains this drug as an important ingredient, is popularly used for the treatment of this disease. It is given in a dose of four tablets three times a day followed by milk or warm water. Old rice, barley, moong dal, patola, drumstick, cucumber, sugarcane, juice, milk and milk products are useful in this conditions. Sour and heavy articles of food are contra-indicted. Exercise of the neck is useful in this condition.