Marma Chikitsa is a significant aspect of the AYURVEDIC treatments. Marmas are specific points on the body where the application of pressure induces the flow of vital energy (prana) along a complex system of subtle channels called (nadis). Based on the knowledge enumerated

In Ayurveda, the Abhyangam massage has become popular because of its effective way of conditioning the body. Abhyangam can be used therapeutically. The massage is designed around each individual, to suit his or her disease or condition. An ayurvedic physician can assess this and will then decide on the appropriate oils and the exact way of massage.

Abhyangam can increase the production of white blood corpuscles and antibodies, which provide more resistance against viruses and diseases. This helps the defense mechanism in the body and increases immunity towards environmental changes. In this way abhyangam massage is a protector, preserver and a rejuvenator, increasing self-confidence and will power. To massage is to exercise the nervous system.


Swedanam is an ayurvedic treatment to heal chronic ailments caused by accidental injuries. The treatment is a specific fomentation in which steam generated from aromatic and medicinal herbs is applied to the whole body. This dialates the blood vessels and removes harmful substances from the entire body system. The therapy includes many different forms of heat treatments.


Vamanam is a major Body purification procedure in Panchakarma therapy. When there is congestion in the lungs causing repeated attacks of bronchitis, cold, cough. Vamanam is administrated to eliminate the Kapha causing the excess mucus. All Kapha related diseases are cured by this therapy. This process requires good attention and skilled assistance. In chronic skin diseases like Psoriasis vamanam is administered.


Virechanam is the intake of oral medicines leading to the elimination of toxins through the anal route. It eliminates excess bile toxins from the mid zone of the body. Virechanam constitutes one of the treatments of Panchakarma. When the digestive tract is clean and toxic-free, it benefits the entire body system. As a result, the person’s appetite increases, body strength enhances and the person becomes active and buoyant. Thus virechanam also functions as an excellent rejuvenative procedure. Herbal powder, medicated castor oil, or herbal paste is commonly used as the purgative medicine. Avipathychoornam is the herbal powder generally used for the treatment. It is a mixture of herbs like turpith, embellia fruits, dry ginger,lotus,cardamom, long pepper,konch,sweet flag, cinnamon, etc. The treatment usually begins early in the morning. The person consumes the appropriate herbal medicine in empty stomach. The medicine does a good cleansing of the entire digestive system. And within 1 to 2 hours he empties his bowels, expelling along with it, all the accumulated toxins. The dose of medicines, diet patterns etc. are to be strictly followed as per the doctor’s recommendation.


Raktamokshana is the procedure in which impure blood is let out or purged from the body through artificially created opening or by using different instruments.


A special treatment in ayurveda, Agni Karma is an application of heat to a diseased part with the help of a metal rod. In this treatment, the spots are selected according to the ayurvedic acupuncture points or viddha Chikitsa. Agni Karma is ideal for curing ailments such as sprains, heel pain, headaches, sciatica and arthritis. It is usually done for 2 to 3 minutes.


Elakizhi (also ilakizhi) is a bolos bag massage with medicinal leaves. It is very effective in improving the strength of muscles, relieving body pain and curing diseases such as arthritis and paralysis. In this treatment, herbal leaves are applied to the whole body in bundles with hot medicated oils. The treatment is also known by the name Patra Swedam.

Ricinus, drum stick, tamarind and calotropis gigantia are among the herbal leaves used for the treatment. The leaves are fried together in neem or caster oil until a brown color is attained. Lemon pieces and coconut scapes are then added to it. All these are tied in cloth boluses and dipped in medicated oil to massage the body. When the process is complete, patient is given a bath in moderately hot water

Manal kizhi

Sand is made into bolus heated & kept on whole body

Mutta kizhi

Mutta Kizhi is one of the forms of Kizhi. In this treatment, boiled egg and herbal powders are applied to the whole body along with hot medicated oils.

Mutta Kizhi is very effective in facial paralysis and hemiplegia. This treatment has to be done for 45 minutes per day for a period of 7 to 14 days.


Udwarthanam is an Ayurvedic body scrub that details the specific use of an herbal paste called lepam, which is made from dry grain, medicated milk and a variety of oils. In Udwarthanam, the body is massaged after an application of the aforementioned herbal paste to the skin. A warm bath that accompanies Udwarthanam then washes away the paste, all the while emitting a lovely scent of leaves.

Udwarthanam softens and exfoliates the skin, improves muscle tone, and is a favoured treatment for those with sensitive skin. In addition, Udwarthanam improves blood circulation and eases joint pains, and is also known to be effective against certain skin diseases. For those who wish to remove fat and dead cellulite, it is advisable to follow up Udwarthanam with herbal steam, Takara Dhara and internal medicine.


Pizhichil is an ayurvedic treatment for all kinds of skeletal and muscular diseases, including Rheumatoid Arthritis, osteoarthritis, lumbago, sciatica and neuropathy. This treatment is done by pouring lukewarm herbal oil over the body from a particular height with a regular speed of flow. The treatment spans for about 60 to 90 minutes per day for a period of 7 to 21 days. The duration of this rejuvenation therapy varies depending on the condition of the patient..


Shirodhara is a form of Ayurveda medicine that involves gently pouring liquids over the forehead (the 'third eye'). It was developed by vaidyas (practitionars of Ayurveda) in Kerala, India for use in sukhachikitsa (restorative therapy) and can be one of the steps involved in Panchakarma. The name comes from the Sanskrit words shiras 'head' and dhara 'flow'. The liquids used in shirodhara depend on what is being treated, but can include oil, milk, buttermilk, coconut water, or even plain water.

Shirodhara has been used to treat a variety of conditions including eye diseases, sinusitis, insomnia allergic rhinitis, greying of hair, neurological disorders, memory loss, hearing impairment, tinnitus, vertigo, Ménière's disease and certain types of skin diseases like psoriasis. It is also used non-medicinally at spas for its relaxing properties.

There are specialized forms of shirodhara called thyladhara, ksheeradhara, thakradhara and jaladhara


In Sirovasti, medicated oil kept on the patient’s head for specific periods. The oil is contained in a close-fitting leather cap, made leak proof with black-gram powder. Constant temperature conditions are maintained throughout.

This treatment is indicated for loss of tactile sensation, facial paralysis, sleeplessness, paraplegia dryness of nostrils and throat, increased intracular pressure, severe chronic headache etc.


In this process specially prepared warm medicated oil is kept inside the lower back with herbal paste boundary. This treatment lasts for 45 minutes to 1 hour and it is good for any type of back pain and spinal disorders.

After a full body massage using lukewarm therapeutic oils, specially prepared warm herbal oil is poured over the lower back and retained inside an herbal paste boundary. The healing properties of herbal oils used for this massage deeply cleans and enrich the blood, build and maintain strong muscle and connective tissues and lubricate the joints keeping them flexible and pain free. Kativasthi alleviates lower back pain and spinal disorders.


Massage tables of unique design traditionally used in Kerala for ayurvedic procedures

Kashaya vasti

This karma is indicated mainly in the vititation of vata. Along with the sneha vasti, kashaya vasti imparts much more benefits to the body. The procedure is to be done between 8 am and 9 am. Person must undergo all the preliminary procedures. The medicine for vasti is a combination of decoction, medicated oil, pastes etc. This will be administered through the anal route using a special instrument. The person will be observed throughout the procedure.

After some time he develops the urge to evacuate. Hot water bath and special diet will be given after complete evacuation. A combination of 3 kashaya vasti and 5 sneha vasti or 6 kashaya vasti and 9 sneha vasti or 12 kashaya vasti and 18 sneha vasti is advocated depending upon the condition.

Yoga vasti

This is an eight – day treatment consisting of eight therapeutic enemas, prescribed for patients who have a Kapha constitution and disease due to Vata disorders . The treatment begins with an Anuvasana , alternates with three Niroohas and concludes with two Anuvasanas .

Kala vasti

This 15-day therapy is prescribed for patients with Pitta constitution suffering from Vata disorders . For the first 12 days, Anuvasana and Nirooha are given alternately . In the last three days, Anuvasana is given repeatedly .


In Thalapothichil, the person's scalp is completely applied with high value medicinal pastes. This enables the medicines to penetrate faster into the brain cells. The healing properties of the herbs also calm down the nervous system and rejuvenate the person .


it is the process of retaining medicinal oil over the head with the help of a suitable cap to provide nourishment to brain cells to prevent brain cell damage.

Thalam is the best treatment to cure variety of conditions like insomnia, stress, tension, and different mental conditions. In the past this therapy was prescribed only for people with mental illness.


Tharpanam ayurvedic therapy is said to improve eye sight, strengthen the optic nerve and prevent different eye diseases. It is basically an eye-cleansing process and gives a cooling effect to eyes. During tharpanam, the medicated oil is retained over the eye which is bordered with a thick herbal combination that prevents the oil from seeping out of the enclosure. Another therapy associated with tharpanam is pudapakam or pudapakom, which entails similar procedures.

Takra dhara

Takra dhara is a form of shirodhara, an Ayurvedic treatment method which involves continuous flow of medicated butter milk to the centre of forehead continuously for up to an hour a day. The process can last from 7 to 21 days. It is a cure for vata predominant diseases, relieves tension and cures certain types of skin diseases.

Takra means butter milk, from my earlier post you have an idea of shirodhara, what they do here is boil milk and medicines and add little curd keep it over night, it is then churned and shirodhara is done with that buttermilk. It is very cooling and very effective in skin diseases, like psoriasis.

  • Psoriasis
  • Insomnia


Nasyam is the instillation of herbal medicines through the nostrils. Its impacts are very diverse. It removes mucous clogs, cleans and clears the head channels, and also stimulates the brain cells and central nervous system. It is one among the five Panchakarma treatments.

It is commonly used to treat diseases like paralysis, Parkinson's disease, complex headache, acute sinusitis, diseases of the head, neck and nose, Bell's palsy,Arthritis, and cervical spondylosis.


Retention and gargling of medicated oil or decoction in the mouth. This process is beneficial for ear, teeth, nose, throat disorders and improving the voice.


Gandusha means holding a mouthful of tailam or any decoction for a while after filling the mouth with it.


The simple smearing of the herbal paste on the skin surface of the eye lids.


Application of medications into the eye in the form of drops.


Rejuvenation Therapy of neck & above by administration of Herbal extract to the eye. Application of Herbal extract with Honey or Rosewater inside the eyes helps to remove foreign bodies, removes itiching and burning sensation in the eyes due to exposure to allergens.


Patients suffering from various ailments associated with the ear are given the treatment called Karnapooranam. This is process by which, medicated fumes are applied to the ears for 5 to 10 minutes. It also helps to keep the ears clean and healthy.


This method of treatment involves inhaling and exhaling of medicinal smoke. It is a fine treatment for various sinus and respiratory diseases. Acute sinusitis, asthma, sneezing, infections of the lower respiratory tract, cough etc. are treated using Dhoomapanam. The removal of mucous toxins also rejuvenates the person's mental status and provides him with ample freshness. The smoke helps to dry the excessive mucous, and also lowers pain-causing inflammations of the sinus cavities and respiratory tract. The herbs and spices used here have special properties to act against these mucous wastes.


Rasayana simply means, that which makes new again or helps restore ones youthful state of physical and mental health as well as expand our state of happiness. Ayurvedic Rasayanas are prepared according to the Vedic traditional standards practiced in ancient times. They are made of only 100% natural ingredients, using only the best of the Ayurveda and Western herbs and spices, ghee (purified butter), raw honey, dried fruits, Sucanat (unprocessed sugar) and natural flavors. They are prepared by hand (the old custom), using utensils of copper, iron and clay. Being highly nutritious and antioxidant they provide many elements which are lacking in the modern diet. These Rasayanas can be used by anyone, young or old, without any ill side effect, however they should not take the place of a qualified doctor when in need due to some acute disease. Being gentle in their healing effects they work by assisting nature in its own healing powers. Ayurveda does not believe in trying to kill viruses in the body with powerful chemicals, but believes in assisting the bodies own healing energies with the proper harmonizing herbs and the ideal individual diet.

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