Pre-treatments 
                                                for panchakarma: The 
                                                panchakarma pre-treatment includes 
                                                three different processes: Thalam, 
                                                Snehanam, swedanam.
                                              Thalam: 
                                                Before any external treatment 
                                                thalam has to be performed. In 
                                                this treatment, a special mixture 
                                                of herbal powder and medicated 
                                                oil is applied on the upper portion 
                                                of the head and allowed to remain 
                                                for 20 to 45 minutes.This treatment 
                                                helps in conditions associated 
                                                with ENT, insomnia and migraine.
                                                Snehanam: This is a process of 
                                                oleation . The medicated oil may 
                                                be applied externally on the body 
                                                or given orally.
                                                Swedanam: Swedanam, 
                                                or the sweating treatment is carried 
                                                out through various procedures: 
                                                
                                              Prime 
                                                Treatments in Ayurveda  
                                                
                                              Pizhichil 
                                                
                                                In this treatment, lukewarm herbal 
                                                oils are applied all over the 
                                                body by two to four trained masseurs 
                                                in a special rhythmic way for 
                                                about 60 to 90 minutes per day 
                                                for a period of 7 to 21 days. 
                                                This treatment is very useful 
                                                for Rheumatic diseases like arthritis, 
                                                paralysis, hemiplegia, paralysis-agitanus, 
                                                sexual weakness, nervous weakness 
                                                and nervous disorders etc. 
                                              Njavarakizhi 
                                                
                                                It is a process by which the whole 
                                                body or any specific part thereof 
                                                is made to perspire by the application 
                                                of certain medical puddings externally 
                                                in the form of boluses tied up 
                                                in a muslin bag. This is applied 
                                                by two to four masseurs for about 
                                                60 to 90 minutes per day for a 
                                                period of 14 days. This treatment 
                                                is for all types rheumatism, pain 
                                                in the joints, emaciation of limbs, 
                                                blood pressure, cholesterol and 
                                                certain kinds of skin diseases. 
                                                
                                              Dhara 
                                                
                                                In this process, some herbal oils, 
                                                medicated milk, medicated butter 
                                                milk etc., are poured on the forehead 
                                                in a special method for about 
                                                45 minutes in a day for a period 
                                                of 7 to 21 days. This treatment 
                                                is mainly for insomnia, vatha 
                                                predominated diseases, mental 
                                                tension and certain skin diseases. 
                                                
                                              Vasthi 
                                                
                                                Certain herbal oils, herbal extracts 
                                                etc., are applied through the 
                                                rectum daily for a period of 5 
                                                to 25 days. This treatment is 
                                                for arthritis, paralysis, hemiplegia, 
                                                numbness, gastric complaints associated 
                                                with rheumatism and constant constipation. 
                                                
                                              Sirovasthi 
                                                
                                                Certain lukewarm herbal oils are 
                                                poured into a cap fitted on the 
                                                head for 15 to 60 minutes per 
                                                day according to the patient’s 
                                                conditions for a period of 7 days. 
                                                This treatment is highly effective 
                                                for facial paralysis, dryness 
                                                of nostrils, mouth and throat, 
                                                severe headaches, burning sensation 
                                                of head and other vatha originated 
                                                diseases. 
                                              Udvarthanam 
                                                
                                                This is a typical massage with 
                                                herbal powders for about 30 minutes 
                                                daily for a period of 14 to 28 
                                                days. This treatment is for the 
                                                diseases like hemiplegia, paralysis, 
                                                obesity (excess fat) and certain 
                                                rheumatic ailments. 
                                              Abhyangam 
                                                
                                                Special type of oil massage in 
                                                which strokes are given according 
                                                to the diseases for 45 minutes 
                                                per day for 14 days. This treatment 
                                                is very useful for obesity, especially 
                                                for diabetic Gangrene (a condition 
                                                due to lack of blood circulation 
                                                in the extremes of the body) etc. 
                                                
                                              Nasyam 
                                                
                                                Herbal juices, medicated oils 
                                                etc., are applied through nose 
                                                for 7 to 14 days. This treatment 
                                                is highly effective for certain 
                                                kinds of headaches, paralysis, 
                                                mental disorders, certain types 
                                                of skin diseases etc. 
                                              Snehapanam 
                                                
                                                Medicated ghee is given internally 
                                                in a proportionally increased 
                                                quantity for a period of 8 to 
                                                12 days. This treatment is for 
                                                osteo arthritis, sporaris, leukaemia 
                                                etc. 
                                              Kizhi 
                                                
                                                Herbal leaves and herbs or herbal 
                                                powders are applied to the whole 
                                                body in boluses with hot medicated 
                                                oils for 45 minutes per day for 
                                                a period of 7 to 14 days. This 
                                                treatment is for osteo arthritis, 
                                                arthritis with swelling, spondilosis, 
                                                sports injuries etc. 
                                              Dhanyamala 
                                                Dhara 
                                                Warm herbal liquid is poured all 
                                                over the body in a rhythmic way 
                                                through a special vessel for 45 
                                                minutes to 1 hour daily. This 
                                                treatment is very effective for 
                                                hemiplegia, paralysis, rheumatic 
                                                complaints etc. 
                                              Yoni 
                                                Prakshalanam 
                                                Herbal oils and decoctions are 
                                                applied through the vaginal route. 
                                                This treatment is good for gynaecological 
                                                disorders. It is also a purification 
                                                process for genital organs. 
                                              Kativasthi 
                                                
                                                In this process specially prepared 
                                                warm medicated oil is kept over 
                                                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. 
                                              Urovasthi 
                                                
                                                Warm medicated oil is kept over 
                                                the chest for 45 minutes. This 
                                                is an effective treatment for 
                                                asthma, other respiratory problems, 
                                                heart diseases and muscular chest 
                                                pain. 
                                              Ksheeradhoomam 
                                                
                                                This is fomentation with medicated 
                                                cow milk. This treatment is good 
                                                for facial paralysis, Bell’s 
                                                palsy, speech disorders and other 
                                                nervous disorders of the face.