Pichu is an ayurvedic treatment popular among ayurveda acharyas. Pichu is used as an effective method to treat the ailments of head, spine and diseases of cranial nerves caused by vata disorder. In this treatment, medicated warm oil is applied on the head externally. It is done to a local area which is affected.Pichu can be directed on a person as a main treatment for head and spine or a simplified treatment can be carried out with similar oil treatments in ayurveda.The Procedure: Pichu is a treatment done externally to a patient. In this treatment, a folded dry cotton cloth or wool with size just enough to cover the concerned area is taken. Thickness of this folded cloth is normally that of a palm. Now, at the center a hole is made on the folded cloth and slightly warm oil is poured through it periodically. The cloth or wool soaked in warm medicated oil is applied on the area under treatment. Throughout the treatment procedure, the oil is heated periodically and kept lukewarm. The cotton wool or the cloth soaked in the oil is left to stay on the affected area for a particular period of time all the way through the treatment. The duration for this treatment can vary from patient to patient depending upon the nature of his/her physical condition and the ailment for which the treatment is done. It may also depend upon the nature of other treatments with which Pichu is done.

Nasyam is one of part of panchakarma in ayurveda treatments. It is a medication done through nose. Nostrils are considers to be the door way to head. This is a treatment for clensing the areas above the shoulder basically nose, throat, sinuses and head. The face, shoulder and chest are massaged softly with medicated oil. Then a medicated oil or herbal powder is instilled in to the nostrils drop by drop or blowed in at a stretch respectively. As a paschat karma, dhoomapanam is done after explusion of kapha. Nasyam removes the obstructed kapha from the channels. The main benefit of Nasyam is improving the circulation. In dialates the bronchioles and thus helps in alleviating certain diseases like dyspnoea, asphma etc. it nourishes the tissues and improves the sense organ perceptions. It improves vision, helpful in diseases like facial paralysis, migraine, sinusitis etc. It helps in preventing hair loss and hair graying and brings about an improvement in the glow of skin. Anu tailam, ksheerabala 101 times etc. are the oils used for the treatment. Medicated oils and quantity are used in this treatment is directed by the physician according to the conditions of the individuals. This treatment is done for a course of 7 days, 14 days etc. according to the instructions of the physician depending on the conditions of the individual.

Medicated oil or powder mixed with oil or medicated ghee is applied on the head mainly on and around the bregma region and sustained for a particular period of time. This therapy is useful for relieving from anxiety, disorders related to eyes nose and throat. It is found beneficial in insomnia, mental disorders, migraine. It brings about a feeling of wellness. It is even found effective in alleviating hyper tension. It improves memory and concentration. It clears the nasal passage, smoothens the throat and imparts coolness to the body and calms mind. The depression related with modern lifestyle has created many problems and talam is resigned as an ayurveda therapy. Nellika thalam is a very famous form of thalam in kerala. Nellika is a Malayalam term for amalaki (Indian gooseberry) which is one of the main ingredients of this thalam. Amalaki (Indian gooseberry) is boiled along with other medicines and made in to a bolus. It is then applied over and around the bregma region. The main benefits of talam is highly effective for ENT problems, insomnia and migraine. It helps in relaxing the mind, imparts coolness to the body and mind, improves vision. The duration of this treatment depends up on the condition of the individual. Generally it takes about 20 to 30 minutes. Rasnadi choornam, kachooradi choornam etc. are some of the choornas used in the treatment. Ksheera bala thailam, nimbamritadi eranda tailam, rasnadasamooladi thailam are some of the examples for thailas used in thalam. The medicated oils and herbal powders are used for the treatment according to the directions of the physician or conditions of the patient.

Leech therapy (Jalukavacharanam)ayurvedic medicine Jaluka refers to leech. Jalukavacharanam in ayurveda is a bloodletting treatment procedure carried out with the help of jaluka. The treatment is mostly done for rakthamosha or blood purification. Blood purification is the prime solution for most of dermatological and blood vessel related diseases. Jalukavacharanam is widely accepted as the best ayurveda treatment to cure heamatoma, cellulites, blood clots in muscles and skin diseases such as psoriasis and eczema. Certain cases of rheumatoid arthritis are also treated with Jalukavacharanam. Jalukavacharanam is regarded as one of the safest ayurvedic approaches using leeches to suck blood thus purifying the same. The process does not involve any drugs and the therapeutic leech used in this traditional treatment is hirodunosamedicinalis. These leeches secrete unique proteolytic enzymes that increase the capillary vessel permeability by tuning up the vessels. The Hirudin enzyme in the secretions of leaches contains 65-amino-acids and they possess anesthetic and anti-coagulant properties.

A known poisonous leech is selected to carry out the treatment. The leech is released to suck the blood from the patients affected area. The anti-coagulating properties of the enzyme secreted by the leeches ensure continuous sucking of impure blood. Ayurveda preaches that the leeches suck impure blood from the persons affected area and then detach itself when it comes in contact with pure blood. Once the leech is detached, the area is coated with paste or powder of curcumalonga.

Janu vasti is a part of panchakarma in Ayurveda treatment. The term janu referse to knee joint. It is the procedure where by the medicated oil is retained in the knee joint for a particular duration. . The completely sealed wall boundary is made with the paste of black gram powder or wheat powder in the janu (knee joint) region. The medicated oil is heated till it becomes lukewarm. This lukewarm medicated oil is then poured in to the space inside the walled boundary in a constant and continuous stream. It is retained there for a particular period of time. The medicated oil is soaked up, heated to become lukewarm and poured back again by adding fresh oil in it. This repeated during the whole procedure. This therapy helps in chronic knee pain and compacts degenerative disorders. It gives strength to the supporting muscles of the knee joined. It is very effective in osteo arthritis of knee joined and in cases of ligament injuries. The duration of treatment varies from 30 to 40 minutes depending up on the condition of individuals. This treatment is done in course and is vary 7 to 14 days as instructed by the physician. Bala thailam, Sahacharaji thailam, karpooradi tailam, murivenna, Dhanwantaram tailam, kottomchukkadi tailam etc. are some of the medicated oils used for janu vasti. The ayurvedic oil used in the treatment depending on the conditions of the individual or directions of the physician.

Kabalamayurvedic medicine Kabalam besides being a therapy is also one of the harmless morning routines that can be carried out by anyone. It is usually practiced in the morning after brushing. Beyond bestowing hygiene, the treatment has multiple advantages. This is a great therapy for jaw diseases, chewing muscle pain, respiratory diseases, indigestion, allergies, diabetes, constipation, hypertension and heart disease. Kabalam is beneficial forear, nose andthroat treatment, It also clears your vocal cord thus making the voice perfect, gives a glow to your face, removes wrinkles and strengthens jaws, gums and teeth. Besides it eliminates the impurities obstructing taste buds thus improving the taste sensitivities and paving way for mouth refreshment. In this practice, traditionally sesame oil is used which is gargled inside the concerned patients mouth for a certain period of time. It is then spitted after the oil becomes denser. Here the mouth is only filled to half so as to have enough space for gargling. Normally sapthachadadikashayamand arimedadithailam are used for Kabalam. Oil used varies according to the specific intention of the treatment. Though it is usually done as an exclusive treatment, sometimes Kabalam is done as a post procedure to nasyam.

Shiro vasti is a part of panchakarma treatment in ayurveda. Shirareferse to head, thus shiro vasti is the procedure where medicated oil is retained on the head for a particular period of time. A leather sleeve of about 6 to 8 inches height is placed on the patients head and sealed in to position with help of the paste of black gram powder or wheat powder. The medicated oil is heated till it becomes lukewarm. This lukewarm medicated oil is then poured slowly in a constant and continuous stream in to the space inside the leather sleeve placed on the head. It is then allowed to be retained for a particular period of time. The oil is soured up and heated till it becomes lukewarm and is poured back again. This soaking up and warming of the medicated oil is done through out the whole procedure as and when the poured medicated oil becomes cold. This treatment helps in treating paralysis, depression, anxiety and insomnia. The therapy have proven some benefits in treating facial paralysis, excess hair loss, lubricating nostrils and throat. It improves texture of hair and promotes its growth. This treatment is used for diseases related to brain and neurological, migraine, head ache, depression. The duration of the procedure varies from individual to individual depending up on the conditions. Generally it takes 40 to 60 minutes. The course of the treatment is depend up on the instructions from the physician like 7 days 14 days etc. Dhanwandaram tailam, shudhabala tailam, ksheera bala tailam, bringamalakadi tailam etc. are some of the medicated oils used for shiro vasti. The conditions of the patient is consider while choosing the ayurvedic oil for the treatment.

Greeva vasti is one of the parts of panchakarma in ayurveda treatment. Greeva refers to the neck region thus it is the procedure in which the medicated oil is retained in the neck region for a certain period of time. The completely sealed wall boundary is made with the paste of black gram powder or wheat powder in the greeva (nape of neck) region. The medicated oil is heated till it becomes lukewarm. This lukewarm medicated oil is then poured in to the space inside the walled boundary in a constant and continuous stream. It is retained there for a particular period of time. The medicated oil is soaked up, heated to become lukewarm and poured back again by adding fresh oil in it. This repeated during the whole procedure. The therapy improves circulation, muscle and connective tissue strength, lubricates the joints and promotes its flexibility. Greeva alleviates cervical spondylitis, stiff neck, sore muscles, upper back aches etc. The duration of the treatment varies from 30 to 40 minutes depending up on the condition of the individual. This treatment is done for a particular period like seven days, 14 days etc.

Oral care is of immense significance as per the science of Ayurveda. DantaSwasthya or Dental health has to be uncompromising maintained. As per experts, its the lack of oral hygiene that leads to various diseases and even heart disorders. This is where the relevance of Gandusha is realized. This treatment, also known as Kavala is mentioned in Chakra Samhitha. Gandusham is actually an Ayurvedic Gargling Treatment in which the mouth is totally filled with a medicinal fluid to such an extent that gargling becomes impossible. After holding the fluid for certain period of time, it is then released.Arimedasthailam, sapthachadabikashayam etc. are some of the oils used ingandusham. The time is prescribed by the concerned specialists based on the unique features and purpose of the treatment. Normally 15 to 20 minutes are taken; however, it can increase or decrease. It is almost similar to Kabalam but the only difference is that in Kabalam mouth is half filled.

Udvarthanam is included in the panchakarma treatment in ayurveda. In this treatment massage is done with the help of herbal powders. Massage is done in the seven positios in opposite direction to that of the hair follicles. Dry herbs are cleaned, dried and powdered as per the instructions of the physician. This powder is then heated mildly and used for massage in upward stroking. The deep massage improves the blood circulation, opens the channels and effectively stimulate the breakdown of the stored suvcutaneous fact by improving the basal metabolic rate. It is effective in certain kind of skin disoders. It softens skin an exfoliates the dead skin cells, there by providing a glow to the skin. It helps in eliminating bad body order. In refreshes and rejuvenates the body bringing a sense of lightness to the body. It reduces the cellulite appearance making the treatment effective in cases of obesity. It is also advised in certain arthritis conditions as well. The benefits of udvarthanam are removes the cellulite and helps in weight reduction, strengthen the muscles etc. The duration of the treatment may vary from individual to individual generally being 45 to 60 minutes. Udvarthanam treatment is used as herbal body scrub. Kottonchukkadi choornam, eladi choornam, kolakolathadi choornam are some of the choornas used for udvarthanam. According to the directions of the physician and the skin conditions of the patient, oil may or may not use for the treatment. This treatment is done in a course of 7 days, 14 days etc. depending on the conditions of the patient. Udvarthanam treatment also prepares the body for further treatments.

Upanaham is a part of swedam in panchakarma treatment in ayurveda. There are some diseases which need external application of medicines. Medicated oil is applied over the affected are. A herbal paste, as per the instruction of the physician, is made and then applied over it. Herbal leaves are placed over the paste and with the help of cotton cloth it is bandaged. After a particular period of time it is removed and washed with lukewarm water. The treatment helps in reliving pain and found effective in osteo arthritis, localized pain and swelling. The main benefits of upanaham treatment are effective in bursitis and certain swellings in joints associated with pain and restricted movements. This treatment is beneficial for heel pain. Generally the time period of this procedure is 12 hours but may vary according to the conditions of the individual. Basically upanaham is a lepanam treatment. As per the direction and conditions of the patient, upanaham is done in a course like 7 days, 14 days etc. Kottomchukkadi choornam, upanaha choornam, nagaradi choornam, Gruhadhoomadi lepachoornam etc. are some of the herbal powders used for upanaham. Sahacharadi tailam, Chinchadi tailam, kottamchukkadi tailam, narayana tailam etc. are the oils used for this treatment. Medicated oil is used for the treatment is depend on the conditions of the individual.

Takra dhara is a part of panchakarma treatment in ayurveda. Takra refers to butter milk, thus takra dhara is the procedure where by medicate butter milk is poured over the forehead in a continuous stream. A thin strip of cloth (varthi) is tied around the head just above the eyebrows. The butter milk is heated till it becomes lukewarm. This lukewarm butter milk is poured in to the dhara vessel placed above the forehead of the individual. Medicated butter milk is then made to flow in a continuous and constant stream over the starting over the glabellar region. The medicated butter milk flows from the forehead to the scalp and hair. Mild massage is done over the scalp and hair simultaneously. The therapy helps in relieving from insomnia, stress related problem and depression. It improves the circulation in scalp region and aids in hair growth. The benefits of Takra dhara are effective in certain cases of dermatitis affecting the scalp like dandruff, in certain cases of alopecia, psoriasis etc. This treatment relaxes and revitalizes the central nervous system and strengthening the system.The duration of the treatment varies from 30 to 45 minutes depending up on the individual condition. According to the condition of the patient, doctor direct the course of the treatment like 7 days, 14 days etc.

Shiro dhara is a unique massage from kerala in which a steady stream of medicated oil is poured on the forehead in a peculiar pattern. It is a part of panchakarma treatment in ayurveda. It is the treatment where by the lukewarm medicated oil is made to flow in a slow constitend rate over the forehead for a particular duration mostly over the glabellar region. A thin strip of cloth (varthi) is tied around the head just above the eyebrows. The medicated oil is heated till it becomes lukewarm. This lukewarm oil is poured in to the dhara vessel placed above the forehead of the individual. Medicated oil is then made to flow in a continuous and constant stream over the starting over the glabellar region. The medicated oil flows from the forehead to the scalp and hair which is accompanied by a gentle relaxing massage. It is an effective therapy for mental relaxation and cures insomnia, anxiety, paralysis and hyper tension. The benefits of Shiro dhara are improves vision and hearing capacity. It slows down aging, calms mind and strengthen physical cistitution .This treatment is good for mental relaxation, sleep disturbance, headaches, hair problems and skin diseases. The duration of the treatment varies from 30 to 40 minutes as per the individual condition. This treatment is mainly done in a course for 7 days, 14 days etc. depending on the condition of the patient, physician give direction. Ksheerabala tailam, asananeladi taolam, balaguluchyadi tailam, chandanadi tailam etc. are some of the medicated oils used for shiro dhara. According to the condition of the patient, doctor fix medicated oil for the treatment.

Pizhichilayurvedic medicine Thaila dhara or Pizhichil is the combination of two classical ayurvedic treatments, Snehana (oleation) ant Swedana (sudation). It is one of the part of panchakarma treatment in ayurveda. Thaila dhara or pizhichil is one of the common forms of keraleeya ayurveda chikitsa. It is the procedure in which streams of lukewarm medicated oil is poured on the whole body or the affected area with simultaneous soft massage. The procedure requires three trained therapist one for warming the oil and two others for pouring the warm medicated oil over the whole body or affected area. Taila dhara is useful for rheumatic complaints, arthritis, neurological disorders and paralysis. It is proven to be effective in cases of sexual weakness, anxiety and body aches. The benefits of the treatment is rejuvenates the body, nourishes the skin and keeps it young, regulating blood pressure, combating depression and preventing aging. It helps in promoting proper circulation and hence clearing the channels. The duration of the treatment varies from 30 to 45 minutes.The treatment is done in a course like 7 days, 14 days etc. depending on the conditions of the patient. Dhanwndharam tailam, bala tailam, praphanjanabanam tailam, sahacharadi tailam etc. are some of the medicated oils used for taila dhara or pizhichil. Medicated oil is using for the treatment is depend on the direction of the physician.

Uras is the term that refers to the chest region. In this procedure medicated oil is retained in the chest region for a particular period of time. The completely sealed wall boundary is made with the paste of black gram powder or wheat powder in the uro (chest) region. The medicated oil is heated till it becomes lukewarm. This lukewarm medicated oil is then poured in to the space inside the walled boundary in a constant and continuous stream. It is retained there for a particular period of time. The medicated oil is soaked up, heated to become lukewarm and poured back again by adding fresh oil in it. This repeated during the whole procedure. This treatment helps in maintaining strong muscles and connective tissues. It helps in preventing muscular chest pain. It is effective in certain inflammatory condition and muscular spasms related to the chest region. The duration of the treatment varies from 30 to 40 minutes depending up on the condition of the individual. Dhanwantaram tailam, sahacharadi tailam, bala tailam ect are some of the medicated oils used for uro vasti. The ayurvedic oil and course of treatment is depending on the conditions of the individual or directions of the physician.

The term kati refers to low back region. It is procedure where by medicated oil is retained for a certain period of time in the low back area. A completely sealed walled boundary is made with the paste of black gram powder or wheat powder in the kati (low back) region. The medicated oil is heated till it becomes lukewarm. This lukewarm medicated oil is then poured in to the space inside the walled boundary in a constant and continuous stream. It is retained there for a particular period of time. The medicated oil is soaked up, heated to becomes lukewarm and poured back again by adding fresh oil in it. This repeated during the whole procedure. It helps in strengthening the muscles especially those in the low back region. It helps in alleviating neuronal complaints, lumbago and sciatica. The treatment is also effective in muscular spasm and inflammations in the low back region. Dhaanwantaram tailam, Sahacharady thailam, kottomchukkadi thailam, murivenna, karpoora thailam etc. are some of the medicated oils used for the treatment. The ayurvedic oils for the treatment are selecting depending up on the conditions of the patient or direction of the physician. The duration of the treatment varies from 30 to 40 minutes depending up on the condition of the individual. The course of treatment depending up on the directions of the physician or the conditions of the individuals.

It is the treatment where by the lukewarm medicated milk is made to flow in a slow constitend rate over the forehead for a particular duration mostly over the glabellar region or the whole body with simultaneous soft massage. For ksheera dhara on head, a thin strip of cloth (varthi) is tied around the head just above the eyebrows. The medicated milk is heated till it becomes lukewarm. This lukewarm milk is poured in to the dhara vessel placed above the forehead of the individual. Medicated milk is then made to flow in a continuous and constant stream over the starting over the glabellar region. The medicated milk flows from the forehead to the scalp and hair which is accompanied by a gentle relaxing massage. For ksheera dhara over a whole body lukewarm medicated milk is poured in a constand rate over the body by three trained therapist followed by a gentle massage. This therapy is highly beneficial for vata and pita predominant headaches, stress, insomnia and anxiety. It nourishes the skin and gives a lustrous appearance. It has proven effective in certain cases of arthritis. In certain neurological conditions especially those accompanied by burning sensation and numbness, Ksheera dhara is found to be highly beneficial. It rejuvenates and nourishes the body. It is therefore done as a therapy even for a healthy person in certain seasons. Generally duration of the treatment varies from 30 to 45 minutes. This treatment is done in a course like seven days, 14 days etc. as per the instructions of the physician or conditions of the patients. For ksheera dhara treatment traditional bronze vessel called kindi is used. The main ingredient of Ksheera Dhara treatment is milk.This treatment is based on milk and is known as milk treatment.

Dhara means pouring liquid medium in a small continuous and constant stream over the body or affected area. Dhanyamla is a specially fermented medicinal preparation. Oryza sativa, citrus rotundus flattend oryza sativa, zingerver officianalis etc are some of the ingredients of Dhanyamla. Medicated oil may or may not be applied on the body as per the individual condition. Dhanyamla is then is poured over the body in lukewarm condition as a continuous strain. Dhanyamla is kept lukewarm during the full course of the treatment procedure. The therapy is very effective in kapha-vata predominant conditions. It helps in compacting obesity, reducing inflammations, and muscular pain and activates nerves. It is a remedy for hemiplegia paralysis, rheumatic complaints also. In Kerala, Dhanyamla is also known as veppukkadi. Dhanyamla Dhara is a special type of treatment and derived from the word cereals (dhanya) and vinegar (amla). For Dhanyamla preparation navara rice, horse gram, millet, citrus fruits and dried ginger are used. For this treatment traditional vessels are used. During the treatment the body is covered with a cloth for maintaining the heat. The duration of the treatment is 45 to 50 minutes depending up on the conditions of the patient. As per the instructions of the physician Dhanyamla dhara is done partly or full body. The course of the treatment is depend on the instructions of the physician may vary to seven days, 14 days etc.

Navarakizhi is one of the typical Ayurvedic treatments. The treatment is termed so, as Njavara(Navara) rice is the main ingredient in the preparation. The cleaned Navara rice is boiled in the mixture of milk and decoction. It is then tied in a suitable cloth and made in to a bolus. A massage with medicated oil may be over the body prior to the application of bolus according to the instruction of the physician. The bolus is then applied over the body by dipping in the warm mixture of milk and decoction intermittently. During the course of the treatment the bolus gets reduced and nullify since the navara rice is used up. This treatment method helps in strengthening the nerves, relieving arthritis and curing neurological complaints. It nourishes the tissues, softens the skin and enhances complexion. It brings about strength to body muscles and improves the overall appearance of the body. It is advised in a certain diseases like hemiplegia, facial paralysis, muscular atrophy etc. It is a nourishing and rejuvenating treatment which imparts strength and build to the body. The duration of the treatment may vary 30 to 40 minutes as per the individual condition. Shastika Thailam, Mahamasha thailam, Dhanwantaram tailam etc. are used for Navarakizhi (Njavarakizhi).

Abhyangam is the basic massage in the Ayurveda treatment. The meaning of Abhyangam in Sanskrit is oil massage. It is an ideal massage for pregnant ladies. Abhyangam is the application of medicated oil on the body followed by massage by a trained therapist. The lukewarm ayurvedic oiling is done by changing into seven different positions. This therapy acts on the whole body on both physical and mental level balancing the doshas. It helps to relieve stiffness of joints and muscles and tones of muscles. It stimulates circulation, provide relief from anxiety, fatigue& depression. It improves the general well being& induces sound sleep. Abhyangam is found to be very effective in certain Arthritic problems .It is advised in diseases like osteo arthritis, spondylitis, rheumatoid arthritis etc. It is also advised in certain sports injuries and muscular spasms. It smoothens complexion, softens skin and prevents wrinkles. In Ayurveda, abhyangam is advised to be done on a daily basis that is it is advised as a dinacharya. Dhanwantaram thailam, prabhanjana vimardanam thailam, ksheerabala thailam, karpoora thailam, sahacharady thailam, bala thailam etc. are some of the medicated oils are used for abhyangam. The medicated oil is selected as per the constitution and condition of the individual by the physician. In this treatment head and face also included for the massage. After the treatment of abhyangam, steam bath is good for the refreshment.

As the term implies Choorna that is herbal powder as used in this treatment procedure. Herbs are cleaned, dried and powdered prior to the treatment. These are then tied in to a bolus using suitable cloth. Medicated oil may or may not be applied over the body as per the individual conditions or as advised by the physician. The herbal powder bolus is heated and applied over the body or affected area in soft punches. The bolus is heated intermittently during the course of the treatment. It is beneficial in treating arthritis, bursitis, paralysis and muscular pain. It removes the toxins from the circulating system, clearing the channels, imparting blood circulation. It is beneficial in inflammations of spinal muscles and found to effective in certain low back aches, cervical spondylites and frozen shoulder. Kolakulathadi choornam, Kottomchukkadi choornam etc are some of the medicines use for choornakizhi. The duration of the treatment may vary from 30 to 45 minutes according to the condition of the individuals. This treatment is done in a course, that is for seven days, 14 days etc.

This procedure is popularly known as Elakizhi or Pachakizhi. In this fresh leaves are collected and cutting to small pieces. These cut leafs are then fried in medicated oil along with coconut scrapes and lemon. It is then tied in a suitable cloth and made in to a bolus. Leaves of Calotropis gigantean, Ricinus communis, Vites nigundo, Muoringa oilfera, Tamarind etc. are the ones generally used for the bolus preparation. The inclusion of herbal leaves in the preparation of bouls depends on the condition of the individual. Medicated oil is applied on the whole body on the affected area. Prepared bouls is heated in small quantity of medicated oil and is applied over the body as soft punches. The technique nourishes the strained body parts and alleviates sore muscles and joints. This therapy is effective in various types of arthritis, spondylitis, lumbago, frozen shoulder, sciatica, post paralytic spasm, sports injuries and for all other spastic and inflammatory conditions etc. It enhances peripheral blood circulation, cleanses the channels of circulation and expels toxins through the sweat. It helps in toning and rejuvenating the body. It takes a day for its preparation as fresh leaves are to be collected and prepared for the bolus. The duration of application of bouls to the body may vary 30 to 40 minutes depending up on the individual conditions. For this treatment Dhanwantaram thailam, prabhanjana vimardanam thailam, sahacharady thailam, Murivenna, Karpooradi oil, Kottamchukkadi thailam etc. are mainly used. This may vary according to the conditions of the patient or instructions from the physician.

Pichu is an ayurvedic treatment popular among ayurveda acharyas. Pichu is used as an effective method to treat the ailments of head, spine and diseases of cranial nerves caused by vata disorder. In this treatment, medicated warm oil is applied on the head externally. It is done to a local area which is affected.Pichu can be directed on a person as a main treatment for head and spine or a simplified treatment can be carried out with similar oil treatments in ayurveda.The Procedure: Pichu is a treatment done externally to a patient. In this treatment, a folded dry cotton cloth or wool with size just enough to cover the concerned area is taken. Thickness of this folded cloth is normally that of a palm. Now, at the center a hole is made on the folded cloth and slightly warm oil is poured through it periodically. The cloth or wool soaked in warm medicated oil is applied on the area under treatment. Throughout the treatment procedure, the oil is heated periodically and kept lukewarm. The cotton wool or the cloth soaked in the oil is left to stay on the affected area for a particular period of time all the way through the treatment. The duration for this treatment can vary from patient to patient depending upon the nature of his/her physical condition and the ailment for which the treatment is done. It may also depend upon the nature of other treatments with which Pichu is done.

Nasyam is one of part of panchakarma in ayurveda treatments. It is a medication done through nose. Nostrils are considers to be the door way to head. This is a treatment for clensing the areas above the shoulder basically nose, throat, sinuses and head. The face, shoulder and chest are massaged softly with medicated oil. Then a medicated oil or herbal powder is instilled in to the nostrils drop by drop or blowed in at a stretch respectively. As a paschat karma, dhoomapanam is done after explusion of kapha. Nasyam removes the obstructed kapha from the channels. The main benefit of Nasyam is improving the circulation. In dialates the bronchioles and thus helps in alleviating certain diseases like dyspnoea, asphma etc. it nourishes the tissues and improves the sense organ perceptions. It improves vision, helpful in diseases like facial paralysis, migraine, sinusitis etc. It helps in preventing hair loss and hair graying and brings about an improvement in the glow of skin. Anu tailam, ksheerabala 101 times etc. are the oils used for the treatment. Medicated oils and quantity are used in this treatment is directed by the physician according to the conditions of the individuals. This treatment is done for a course of 7 days, 14 days etc. according to the instructions of the physician depending on the conditions of the individual.

Medicated oil or powder mixed with oil or medicated ghee is applied on the head mainly on and around the bregma region and sustained for a particular period of time. This therapy is useful for relieving from anxiety, disorders related to eyes nose and throat. It is found beneficial in insomnia, mental disorders, migraine. It brings about a feeling of wellness. It is even found effective in alleviating hyper tension. It improves memory and concentration. It clears the nasal passage, smoothens the throat and imparts coolness to the body and calms mind. The depression related with modern lifestyle has created many problems and talam is resigned as an ayurveda therapy. Nellika thalam is a very famous form of thalam in kerala. Nellika is a Malayalam term for amalaki (Indian gooseberry) which is one of the main ingredients of this thalam. Amalaki (Indian gooseberry) is boiled along with other medicines and made in to a bolus. It is then applied over and around the bregma region. The main benefits of talam is highly effective for ENT problems, insomnia and migraine. It helps in relaxing the mind, imparts coolness to the body and mind, improves vision. The duration of this treatment depends up on the condition of the individual. Generally it takes about 20 to 30 minutes. Rasnadi choornam, kachooradi choornam etc. are some of the choornas used in the treatment. Ksheera bala thailam, nimbamritadi eranda tailam, rasnadasamooladi thailam are some of the examples for thailas used in thalam. The medicated oils and herbal powders are used for the treatment according to the directions of the physician or conditions of the patient.

Leech therapy (Jalukavacharanam)ayurvedic medicine Jaluka refers to leech. Jalukavacharanam in ayurveda is a bloodletting treatment procedure carried out with the help of jaluka. The treatment is mostly done for rakthamosha or blood purification. Blood purification is the prime solution for most of dermatological and blood vessel related diseases. Jalukavacharanam is widely accepted as the best ayurveda treatment to cure heamatoma, cellulites, blood clots in muscles and skin diseases such as psoriasis and eczema. Certain cases of rheumatoid arthritis are also treated with Jalukavacharanam. Jalukavacharanam is regarded as one of the safest ayurvedic approaches using leeches to suck blood thus purifying the same. The process does not involve any drugs and the therapeutic leech used in this traditional treatment is hirodunosamedicinalis. These leeches secrete unique proteolytic enzymes that increase the capillary vessel permeability by tuning up the vessels. The Hirudin enzyme in the secretions of leaches contains 65-amino-acids and they possess anesthetic and anti-coagulant properties.

A known poisonous leech is selected to carry out the treatment. The leech is released to suck the blood from the patients affected area. The anti-coagulating properties of the enzyme secreted by the leeches ensure continuous sucking of impure blood. Ayurveda preaches that the leeches suck impure blood from the persons affected area and then detach itself when it comes in contact with pure blood. Once the leech is detached, the area is coated with paste or powder of curcumalonga.

Janu vasti is a part of panchakarma in Ayurveda treatment. The term janu referse to knee joint. It is the procedure where by the medicated oil is retained in the knee joint for a particular duration. . The completely sealed wall boundary is made with the paste of black gram powder or wheat powder in the janu (knee joint) region. The medicated oil is heated till it becomes lukewarm. This lukewarm medicated oil is then poured in to the space inside the walled boundary in a constant and continuous stream. It is retained there for a particular period of time. The medicated oil is soaked up, heated to become lukewarm and poured back again by adding fresh oil in it. This repeated during the whole procedure. This therapy helps in chronic knee pain and compacts degenerative disorders. It gives strength to the supporting muscles of the knee joined. It is very effective in osteo arthritis of knee joined and in cases of ligament injuries. The duration of treatment varies from 30 to 40 minutes depending up on the condition of individuals. This treatment is done in course and is vary 7 to 14 days as instructed by the physician. Bala thailam, Sahacharaji thailam, karpooradi tailam, murivenna, Dhanwantaram tailam, kottomchukkadi tailam etc. are some of the medicated oils used for janu vasti. The ayurvedic oil used in the treatment depending on the conditions of the individual or directions of the physician.

Kabalamayurvedic medicine Kabalam besides being a therapy is also one of the harmless morning routines that can be carried out by anyone. It is usually practiced in the morning after brushing. Beyond bestowing hygiene, the treatment has multiple advantages. This is a great therapy for jaw diseases, chewing muscle pain, respiratory diseases, indigestion, allergies, diabetes, constipation, hypertension and heart disease. Kabalam is beneficial forear, nose andthroat treatment, It also clears your vocal cord thus making the voice perfect, gives a glow to your face, removes wrinkles and strengthens jaws, gums and teeth. Besides it eliminates the impurities obstructing taste buds thus improving the taste sensitivities and paving way for mouth refreshment. In this practice, traditionally sesame oil is used which is gargled inside the concerned patients mouth for a certain period of time. It is then spitted after the oil becomes denser. Here the mouth is only filled to half so as to have enough space for gargling. Normally sapthachadadikashayamand arimedadithailam are used for Kabalam. Oil used varies according to the specific intention of the treatment. Though it is usually done as an exclusive treatment, sometimes Kabalam is done as a post procedure to nasyam.

Shiro vasti is a part of panchakarma treatment in ayurveda. Shirareferse to head, thus shiro vasti is the procedure where medicated oil is retained on the head for a particular period of time. A leather sleeve of about 6 to 8 inches height is placed on the patients head and sealed in to position with help of the paste of black gram powder or wheat powder. The medicated oil is heated till it becomes lukewarm. This lukewarm medicated oil is then poured slowly in a constant and continuous stream in to the space inside the leather sleeve placed on the head. It is then allowed to be retained for a particular period of time. The oil is soured up and heated till it becomes lukewarm and is poured back again. This soaking up and warming of the medicated oil is done through out the whole procedure as and when the poured medicated oil becomes cold. This treatment helps in treating paralysis, depression, anxiety and insomnia. The therapy have proven some benefits in treating facial paralysis, excess hair loss, lubricating nostrils and throat. It improves texture of hair and promotes its growth. This treatment is used for diseases related to brain and neurological, migraine, head ache, depression. The duration of the procedure varies from individual to individual depending up on the conditions. Generally it takes 40 to 60 minutes. The course of the treatment is depend up on the instructions from the physician like 7 days 14 days etc. Dhanwandaram tailam, shudhabala tailam, ksheera bala tailam, bringamalakadi tailam etc. are some of the medicated oils used for shiro vasti. The conditions of the patient is consider while choosing the ayurvedic oil for the treatment.

Greeva vasti is one of the parts of panchakarma in ayurveda treatment. Greeva refers to the neck region thus it is the procedure in which the medicated oil is retained in the neck region for a certain period of time. The completely sealed wall boundary is made with the paste of black gram powder or wheat powder in the greeva (nape of neck) region. The medicated oil is heated till it becomes lukewarm. This lukewarm medicated oil is then poured in to the space inside the walled boundary in a constant and continuous stream. It is retained there for a particular period of time. The medicated oil is soaked up, heated to become lukewarm and poured back again by adding fresh oil in it. This repeated during the whole procedure. The therapy improves circulation, muscle and connective tissue strength, lubricates the joints and promotes its flexibility. Greeva alleviates cervical spondylitis, stiff neck, sore muscles, upper back aches etc. The duration of the treatment varies from 30 to 40 minutes depending up on the condition of the individual. This treatment is done for a particular period like seven days, 14 days etc.

Oral care is of immense significance as per the science of Ayurveda. DantaSwasthya or Dental health has to be uncompromising maintained. As per experts, its the lack of oral hygiene that leads to various diseases and even heart disorders. This is where the relevance of Gandusha is realized. This treatment, also known as Kavala is mentioned in Chakra Samhitha. Gandusham is actually an Ayurvedic Gargling Treatment in which the mouth is totally filled with a medicinal fluid to such an extent that gargling becomes impossible. After holding the fluid for certain period of time, it is then released.Arimedasthailam, sapthachadabikashayam etc. are some of the oils used ingandusham. The time is prescribed by the concerned specialists based on the unique features and purpose of the treatment. Normally 15 to 20 minutes are taken; however, it can increase or decrease. It is almost similar to Kabalam but the only difference is that in Kabalam mouth is half filled.

Udvarthanam is included in the panchakarma treatment in ayurveda. In this treatment massage is done with the help of herbal powders. Massage is done in the seven positios in opposite direction to that of the hair follicles. Dry herbs are cleaned, dried and powdered as per the instructions of the physician. This powder is then heated mildly and used for massage in upward stroking. The deep massage improves the blood circulation, opens the channels and effectively stimulate the breakdown of the stored suvcutaneous fact by improving the basal metabolic rate. It is effective in certain kind of skin disoders. It softens skin an exfoliates the dead skin cells, there by providing a glow to the skin. It helps in eliminating bad body order. In refreshes and rejuvenates the body bringing a sense of lightness to the body. It reduces the cellulite appearance making the treatment effective in cases of obesity. It is also advised in certain arthritis conditions as well. The benefits of udvarthanam are removes the cellulite and helps in weight reduction, strengthen the muscles etc. The duration of the treatment may vary from individual to individual generally being 45 to 60 minutes. Udvarthanam treatment is used as herbal body scrub. Kottonchukkadi choornam, eladi choornam, kolakolathadi choornam are some of the choornas used for udvarthanam. According to the directions of the physician and the skin conditions of the patient, oil may or may not use for the treatment. This treatment is done in a course of 7 days, 14 days etc. depending on the conditions of the patient. Udvarthanam treatment also prepares the body for further treatments.

Upanaham is a part of swedam in panchakarma treatment in ayurveda. There are some diseases which need external application of medicines. Medicated oil is applied over the affected are. A herbal paste, as per the instruction of the physician, is made and then applied over it. Herbal leaves are placed over the paste and with the help of cotton cloth it is bandaged. After a particular period of time it is removed and washed with lukewarm water. The treatment helps in reliving pain and found effective in osteo arthritis, localized pain and swelling. The main benefits of upanaham treatment are effective in bursitis and certain swellings in joints associated with pain and restricted movements. This treatment is beneficial for heel pain. Generally the time period of this procedure is 12 hours but may vary according to the conditions of the individual. Basically upanaham is a lepanam treatment. As per the direction and conditions of the patient, upanaham is done in a course like 7 days, 14 days etc. Kottomchukkadi choornam, upanaha choornam, nagaradi choornam, Gruhadhoomadi lepachoornam etc. are some of the herbal powders used for upanaham. Sahacharadi tailam, Chinchadi tailam, kottamchukkadi tailam, narayana tailam etc. are the oils used for this treatment. Medicated oil is used for the treatment is depend on the conditions of the individual.

Takra dhara is a part of panchakarma treatment in ayurveda. Takra refers to butter milk, thus takra dhara is the procedure where by medicate butter milk is poured over the forehead in a continuous stream. A thin strip of cloth (varthi) is tied around the head just above the eyebrows. The butter milk is heated till it becomes lukewarm. This lukewarm butter milk is poured in to the dhara vessel placed above the forehead of the individual. Medicated butter milk is then made to flow in a continuous and constant stream over the starting over the glabellar region. The medicated butter milk flows from the forehead to the scalp and hair. Mild massage is done over the scalp and hair simultaneously. The therapy helps in relieving from insomnia, stress related problem and depression. It improves the circulation in scalp region and aids in hair growth. The benefits of Takra dhara are effective in certain cases of dermatitis affecting the scalp like dandruff, in certain cases of alopecia, psoriasis etc. This treatment relaxes and revitalizes the central nervous system and strengthening the system.The duration of the treatment varies from 30 to 45 minutes depending up on the individual condition. According to the condition of the patient, doctor direct the course of the treatment like 7 days, 14 days etc.

Shiro dhara is a unique massage from kerala in which a steady stream of medicated oil is poured on the forehead in a peculiar pattern. It is a part of panchakarma treatment in ayurveda. It is the treatment where by the lukewarm medicated oil is made to flow in a slow constitend rate over the forehead for a particular duration mostly over the glabellar region. A thin strip of cloth (varthi) is tied around the head just above the eyebrows. The medicated oil is heated till it becomes lukewarm. This lukewarm oil is poured in to the dhara vessel placed above the forehead of the individual. Medicated oil is then made to flow in a continuous and constant stream over the starting over the glabellar region. The medicated oil flows from the forehead to the scalp and hair which is accompanied by a gentle relaxing massage. It is an effective therapy for mental relaxation and cures insomnia, anxiety, paralysis and hyper tension. The benefits of Shiro dhara are improves vision and hearing capacity. It slows down aging, calms mind and strengthen physical cistitution .This treatment is good for mental relaxation, sleep disturbance, headaches, hair problems and skin diseases. The duration of the treatment varies from 30 to 40 minutes as per the individual condition. This treatment is mainly done in a course for 7 days, 14 days etc. depending on the condition of the patient, physician give direction. Ksheerabala tailam, asananeladi taolam, balaguluchyadi tailam, chandanadi tailam etc. are some of the medicated oils used for shiro dhara. According to the condition of the patient, doctor fix medicated oil for the treatment.

Pizhichilayurvedic medicine Thaila dhara or Pizhichil is the combination of two classical ayurvedic treatments, Snehana (oleation) ant Swedana (sudation). It is one of the part of panchakarma treatment in ayurveda. Thaila dhara or pizhichil is one of the common forms of keraleeya ayurveda chikitsa. It is the procedure in which streams of lukewarm medicated oil is poured on the whole body or the affected area with simultaneous soft massage. The procedure requires three trained therapist one for warming the oil and two others for pouring the warm medicated oil over the whole body or affected area. Taila dhara is useful for rheumatic complaints, arthritis, neurological disorders and paralysis. It is proven to be effective in cases of sexual weakness, anxiety and body aches. The benefits of the treatment is rejuvenates the body, nourishes the skin and keeps it young, regulating blood pressure, combating depression and preventing aging. It helps in promoting proper circulation and hence clearing the channels. The duration of the treatment varies from 30 to 45 minutes.The treatment is done in a course like 7 days, 14 days etc. depending on the conditions of the patient. Dhanwndharam tailam, bala tailam, praphanjanabanam tailam, sahacharadi tailam etc. are some of the medicated oils used for taila dhara or pizhichil. Medicated oil is using for the treatment is depend on the direction of the physician.

Uras is the term that refers to the chest region. In this procedure medicated oil is retained in the chest region for a particular period of time. The completely sealed wall boundary is made with the paste of black gram powder or wheat powder in the uro (chest) region. The medicated oil is heated till it becomes lukewarm. This lukewarm medicated oil is then poured in to the space inside the walled boundary in a constant and continuous stream. It is retained there for a particular period of time. The medicated oil is soaked up, heated to become lukewarm and poured back again by adding fresh oil in it. This repeated during the whole procedure. This treatment helps in maintaining strong muscles and connective tissues. It helps in preventing muscular chest pain. It is effective in certain inflammatory condition and muscular spasms related to the chest region. The duration of the treatment varies from 30 to 40 minutes depending up on the condition of the individual. Dhanwantaram tailam, sahacharadi tailam, bala tailam ect are some of the medicated oils used for uro vasti. The ayurvedic oil and course of treatment is depending on the conditions of the individual or directions of the physician.

The term kati refers to low back region. It is procedure where by medicated oil is retained for a certain period of time in the low back area. A completely sealed walled boundary is made with the paste of black gram powder or wheat powder in the kati (low back) region. The medicated oil is heated till it becomes lukewarm. This lukewarm medicated oil is then poured in to the space inside the walled boundary in a constant and continuous stream. It is retained there for a particular period of time. The medicated oil is soaked up, heated to becomes lukewarm and poured back again by adding fresh oil in it. This repeated during the whole procedure. It helps in strengthening the muscles especially those in the low back region. It helps in alleviating neuronal complaints, lumbago and sciatica. The treatment is also effective in muscular spasm and inflammations in the low back region. Dhaanwantaram tailam, Sahacharady thailam, kottomchukkadi thailam, murivenna, karpoora thailam etc. are some of the medicated oils used for the treatment. The ayurvedic oils for the treatment are selecting depending up on the conditions of the patient or direction of the physician. The duration of the treatment varies from 30 to 40 minutes depending up on the condition of the individual. The course of treatment depending up on the directions of the physician or the conditions of the individuals.

It is the treatment where by the lukewarm medicated milk is made to flow in a slow constitend rate over the forehead for a particular duration mostly over the glabellar region or the whole body with simultaneous soft massage. For ksheera dhara on head, a thin strip of cloth (varthi) is tied around the head just above the eyebrows. The medicated milk is heated till it becomes lukewarm. This lukewarm milk is poured in to the dhara vessel placed above the forehead of the individual. Medicated milk is then made to flow in a continuous and constant stream over the starting over the glabellar region. The medicated milk flows from the forehead to the scalp and hair which is accompanied by a gentle relaxing massage. For ksheera dhara over a whole body lukewarm medicated milk is poured in a constand rate over the body by three trained therapist followed by a gentle massage. This therapy is highly beneficial for vata and pita predominant headaches, stress, insomnia and anxiety. It nourishes the skin and gives a lustrous appearance. It has proven effective in certain cases of arthritis. In certain neurological conditions especially those accompanied by burning sensation and numbness, Ksheera dhara is found to be highly beneficial. It rejuvenates and nourishes the body. It is therefore done as a therapy even for a healthy person in certain seasons. Generally duration of the treatment varies from 30 to 45 minutes. This treatment is done in a course like seven days, 14 days etc. as per the instructions of the physician or conditions of the patients. For ksheera dhara treatment traditional bronze vessel called kindi is used. The main ingredient of Ksheera Dhara treatment is milk.This treatment is based on milk and is known as milk treatment.

Dhara means pouring liquid medium in a small continuous and constant stream over the body or affected area. Dhanyamla is a specially fermented medicinal preparation. Oryza sativa, citrus rotundus flattend oryza sativa, zingerver officianalis etc are some of the ingredients of Dhanyamla. Medicated oil may or may not be applied on the body as per the individual condition. Dhanyamla is then is poured over the body in lukewarm condition as a continuous strain. Dhanyamla is kept lukewarm during the full course of the treatment procedure. The therapy is very effective in kapha-vata predominant conditions. It helps in compacting obesity, reducing inflammations, and muscular pain and activates nerves. It is a remedy for hemiplegia paralysis, rheumatic complaints also. In Kerala, Dhanyamla is also known as veppukkadi. Dhanyamla Dhara is a special type of treatment and derived from the word cereals (dhanya) and vinegar (amla). For Dhanyamla preparation navara rice, horse gram, millet, citrus fruits and dried ginger are used. For this treatment traditional vessels are used. During the treatment the body is covered with a cloth for maintaining the heat. The duration of the treatment is 45 to 50 minutes depending up on the conditions of the patient. As per the instructions of the physician Dhanyamla dhara is done partly or full body. The course of the treatment is depend on the instructions of the physician may vary to seven days, 14 days etc.

Navarakizhi is one of the typical Ayurvedic treatments. The treatment is termed so, as Njavara(Navara) rice is the main ingredient in the preparation. The cleaned Navara rice is boiled in the mixture of milk and decoction. It is then tied in a suitable cloth and made in to a bolus. A massage with medicated oil may be over the body prior to the application of bolus according to the instruction of the physician. The bolus is then applied over the body by dipping in the warm mixture of milk and decoction intermittently. During the course of the treatment the bolus gets reduced and nullify since the navara rice is used up. This treatment method helps in strengthening the nerves, relieving arthritis and curing neurological complaints. It nourishes the tissues, softens the skin and enhances complexion. It brings about strength to body muscles and improves the overall appearance of the body. It is advised in a certain diseases like hemiplegia, facial paralysis, muscular atrophy etc. It is a nourishing and rejuvenating treatment which imparts strength and build to the body. The duration of the treatment may vary 30 to 40 minutes as per the individual condition. Shastika Thailam, Mahamasha thailam, Dhanwantaram tailam etc. are used for Navarakizhi (Njavarakizhi).

Abhyangam is the basic massage in the Ayurveda treatment. The meaning of Abhyangam in Sanskrit is oil massage. It is an ideal massage for pregnant ladies. Abhyangam is the application of medicated oil on the body followed by massage by a trained therapist. The lukewarm ayurvedic oiling is done by changing into seven different positions. This therapy acts on the whole body on both physical and mental level balancing the doshas. It helps to relieve stiffness of joints and muscles and tones of muscles. It stimulates circulation, provide relief from anxiety, fatigue& depression. It improves the general well being& induces sound sleep. Abhyangam is found to be very effective in certain Arthritic problems .It is advised in diseases like osteo arthritis, spondylitis, rheumatoid arthritis etc. It is also advised in certain sports injuries and muscular spasms. It smoothens complexion, softens skin and prevents wrinkles. In Ayurveda, abhyangam is advised to be done on a daily basis that is it is advised as a dinacharya. Dhanwantaram thailam, prabhanjana vimardanam thailam, ksheerabala thailam, karpoora thailam, sahacharady thailam, bala thailam etc. are some of the medicated oils are used for abhyangam. The medicated oil is selected as per the constitution and condition of the individual by the physician. In this treatment head and face also included for the massage. After the treatment of abhyangam, steam bath is good for the refreshment.

As the term implies Choorna that is herbal powder as used in this treatment procedure. Herbs are cleaned, dried and powdered prior to the treatment. These are then tied in to a bolus using suitable cloth. Medicated oil may or may not be applied over the body as per the individual conditions or as advised by the physician. The herbal powder bolus is heated and applied over the body or affected area in soft punches. The bolus is heated intermittently during the course of the treatment. It is beneficial in treating arthritis, bursitis, paralysis and muscular pain. It removes the toxins from the circulating system, clearing the channels, imparting blood circulation. It is beneficial in inflammations of spinal muscles and found to effective in certain low back aches, cervical spondylites and frozen shoulder. Kolakulathadi choornam, Kottomchukkadi choornam etc are some of the medicines use for choornakizhi. The duration of the treatment may vary from 30 to 45 minutes according to the condition of the individuals. This treatment is done in a course, that is for seven days, 14 days etc.

This procedure is popularly known as Elakizhi or Pachakizhi. In this fresh leaves are collected and cutting to small pieces. These cut leafs are then fried in medicated oil along with coconut scrapes and lemon. It is then tied in a suitable cloth and made in to a bolus. Leaves of Calotropis gigantean, Ricinus communis, Vites nigundo, Muoringa oilfera, Tamarind etc. are the ones generally used for the bolus preparation. The inclusion of herbal leaves in the preparation of bouls depends on the condition of the individual. Medicated oil is applied on the whole body on the affected area. Prepared bouls is heated in small quantity of medicated oil and is applied over the body as soft punches. The technique nourishes the strained body parts and alleviates sore muscles and joints. This therapy is effective in various types of arthritis, spondylitis, lumbago, frozen shoulder, sciatica, post paralytic spasm, sports injuries and for all other spastic and inflammatory conditions etc. It enhances peripheral blood circulation, cleanses the channels of circulation and expels toxins through the sweat. It helps in toning and rejuvenating the body. It takes a day for its preparation as fresh leaves are to be collected and prepared for the bolus. The duration of application of bouls to the body may vary 30 to 40 minutes depending up on the individual conditions. For this treatment Dhanwantaram thailam, prabhanjana vimardanam thailam, sahacharady thailam, Murivenna, Karpooradi oil, Kottamchukkadi thailam etc. are mainly used. This may vary according to the conditions of the patient or instructions from the physician.