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Pizhichil:
The patient is made to lie on a wooden Droni (a specially designed wooden plank). Then pieces of linen dipped in comfortably warm medicated oil are squeezed over the patient’s body from a specific height. When the warm oil flows and spreads over the body, four masseurs sitting on either side give the patient a gentle massage . This is effective in diseases connected with the Vata Dosha and its allied manifestations like spondylosis, hemiplegia, Arhtritis, back pain, muscular dystrophy etc.. This is done only on the body below the neck and the duration can be fixed from one to one and a half hours depending upon the strength of the patient.

Dhara:
The patient is advised to lie on a special wooden droni with his neck and head comfortably placed. Then a non-stop continuous stream of the prescribed liquid medicine is gently poured on his forehead from a prescribed height through a specially devised apparatus called Dhara Chatti for a period of one to one and a half hours. Dhara is occassionally administered on whole body in special cases.

Dhara is considered to be effective for several diseases like stress related disorders, sleeplessness and many degenerated brain disorders. Different liquid mediums are used in Dhara for different diseases. Medicated oils, milk, tender coconut water and decoctions of herb extracts are some of the fluids used.

Navarakizhi:
Medicated oil is first applied liberally over the patient’s body. Then the body is massaged with small linen bags filled with cooked Navara rice. The rice is cooked by boiling it in cow’s milk along with suitable. The linen bags filled with rice are dipped in the same mixture kept boiling over a gentle flame and applied by masseurs at a comfortable temperature over the whole body of the patient.

Navarakkizhi is a special massage , which rejuvenates the body. It is very effective in degenerative muscle diseases like poliomyelitis muscular atrophy etc. It is more effective when done immediately after Pizhichil treatment . The course of treatment can last for 14 or 21 days.

Sirovasti:
The treatment consists of keeping the prescribed medicated oil at a bearable temperature in a leather cap fitted around the head of the patient.The oil is filled in the cap up to a level of one finger above the crown of the head.The duration of treatment is between one and one and half hours.

Sirovasti is an important procedure which is found to be very effective in trigiminal neuralgia, hemicrania, optic atrophy, otalgia, deafness, facial paralysis and in all diseases affecting cranial nerves . Generally the course of treatment is only seven days at a stretch.

Pichu
Pichu is a palliative treatment for ailments of the head. A long piece of cloth (pichu) folded thickly and broader than the forehead is fixed around the head just above the ear level. A hole nearly one and a half inches wide is made in the front of the band. After preparatory procedures like an oil massage, the prescribed oil is applied on the head. A piece of cotton wad drenched in medicated oil is placed in the hole and allowed to remain there for some time. This process is repeated for a specific duration. Pichu, one of the Purvakarma therapy is considered effective for diseases of the cranial nerves arising from Vata disorder.

Shirolepa
Insomnia is the complaint of inadequate or poor-quality sleep. In Sirolepa, a herbal paste made of pericarp herbs, the fruits of gooseberry cooked in buttermilk is applied on the patients head and entire body. The application involves a specific technique and is followed by a unique massage which de-stresses and relaxes the mind. It also tones the entire body and immunizes the system.

Sirolepa also cures fatigue, chronic headaches, ear nose diseases, neuropathy, spondylitis, paraplegia, lack of vitality etc. It effectively improves vision, memory and faculties of mind effectively.

Kashayavasthy
Kashayavasthy is therapeutic enema administered to patients suffering from severe back pain and problems related to spine. This involves injection of decoctions trough rectum and retaining it in the stomach for specific duration.

Nasyam
Being one among the Panchakarma procedure, Nasyam is a treatment in which herbal juices, medicated oils etc., are applied through nose for 14 days. This treatment is highly effective for certain kinds of headaches, paralysis, mental disorders, some types of skin diseases etc.

Virechanam (Body Purification Therapy)
Oral administration of medicine to purify the whole body to attain proper balance of vatha, pitha and kapha based on the panchkarma.

Virechanam is the method of cleaning and evacuation of the bowels through the use of purgative medicines. It eliminates excess bile toxins from the mid zone of the body. Hence for many of the digestive ailments, people resort to this form of treatment.

When the digestive tract is clean and toxic-free, it benefits the entire body system. As a result, the persons appetite increases, body strength enhances and the person becomes active and buoyant. Thus virechanam also functions as an excellent rejuvenative procedure.

Raktamokshana

Raktamokshana, also referred to as Rakta Moksha, is a treatment to cleanse the blood. This practice involves blood letting and is advised only in very rare conditions. It is generally not performed during general Panchakarma and, in fact, most Ayurveda Centers in the U.S. do not offer this treatment because of a high risk of infection.

Snehavasthy
Medicated oil mixed with some herbal paste and salt, is administered through the anus. The quantity of material will be decided according ti the strength of the patient and disease. One with the lowest dose of oil is called Mathravasthy.

 Beneficial in chronic nervous disorders, joint problems and skin diseases.