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Kerala physicians have developed a perfect system of treatment through the massage therapy. The massage seeks to restore the balance in the body, by toning up the general health. The medicinal and herbal oils used in the massages help revive the damaged cells in the various parts of the body. The basic approach is rejuvenation.

The technique of administering the massages are also very scientific and is synchronized with the natural functioning of the heart. The number of experts to carry out the massages vary from two to four depending upon the kind of massage required for a given person. Main approach of the Kerala system of Ayurveda is Oral (Ayurvedic) medicines along with Ayurvedic massages.

 
Uzhichil
This is a gentle but firm whole body Ayurvedic massage from head to toe using warm medicated oil. Oil chosen for the treatment is according to the constitution of the person and nature of illness reported. The massage is done in a soft rhythmic way with two persons massaging at the same time for forty five to sixty minutes. After the massage a steam fomentation is recommended but not a steam bath which is harmful after the massage.

The massage is a deeply relaxing and rejuvenating and it tones up the skin and strengthens all the tissues of the body. A regular massage keeps off the stress, anxiety, exhaustion and Vata disorder. The massage also nourishes the body, extends the life span, provides good sleep, improves skin texture, improves vision and promotes physical stability. The body resistance is established by this massage and it is beneficial for the eyes and encourages sound sleep.
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Pizhichil
Pieces of cotton cloth dipped in the medicinal oil are squeezed all over the body regularly along with a full body massage for an hour. On completion of the massage body is perfectly wiped out after a hot fomentation. Three massage experts are engaged using two litres of medicinal oil
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Dhara
After liberal application of the medicinal oil on the head and the body, the person is made to lie on a special wooden cot. A continuous stream of herbal oil or medicinal decoction or liquid material is dripped gently on the forehead of the patient from prescribed height, with an hour long continuous massage. Four massage experts are engaged using two litres of medicinal oil.
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Tharpanam
This treatment is administered for improving the eye sight, strengthening the optic nerve, promote immunity from eye diseases and achieve healthy eyes to the person undergoing treatment. The process involves pouring of medicated ghee over the eyes of the patient in right proportion. The classified butter is allowed to stagnate in the eyes by which the desired results are obtained.
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Pichu
Patient is seated in a chair in an upright position. After preparatory procedures like an oil massage, the prescribed oil is applied on the head. A head band or Vartti is then tied around the head just above the level of the ears. The Pichu (cloth piece) is then dipped in the medicated oil , spread over the head and the is oil poured on it till it is totally drenched . After a while, the Pichu is replaced with a new one and the process is repeated for required duration.
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Kizhi
Kizhi treatment is a therapy wherein heated herbs and medicinal oils are tied in cloth bags and placed on the area to be treated. This is followed by specific massages, done using the fingers, heel of the hand or palm. The pressure application varies according to the nature of ailment and the spot.
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Navarakizhi
This is a Bolus Massage with medicated rice. Navarakizhi improves complexion of the skin, promotes digestion and restores vigor. This is a highly effective anti aging, tissues strengthening and rejuvenation massage using a special type of rice that is cooked and dipped into herbal warm milk, then skillfully massaged simultaneously by two therapists all over the body. It is also effective for combating paralytic strokes, body ache, emaciation, debility monoplegia, osteo arthritis and rheumatoid arthritis.
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Sirolepa
Lack of adequate sleep taxes a person both mentally and physically. Headache and sleeplessness is one of most commonly reported problem. Sirolepa addresses this problem specifically. It involves application of herbal paste on the patient’s head and entire body. It is followed by a unique massage, which de-stresses and relaxes the mind. This treatment is also effective for paraplegia, lack of vitality etc.
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Swedana
Swedana is the Ayurveda therapy for revitalising the skin. The treatment promotes blood circulation and increases body perspiration whereby the skin eliminates wastes and the skin tone improves.

Body massage is administered with specially made herbal mixtures of various herbs and medicated powder warmed in medicated oils.
After the application of medicated oil, the entire body is made to perspire by the external application of medicated rice packs in small bags.

Swedana Ayurveda oil massage is often followed by a herbal steam fomentation with specially selected medicinal herbs. This loosens the vessels and thereby helps the detoxification of the entire body system. The Swedana therapy includes many different forms of heat treatment. The heat to the body can be applied dry or damp, locally or to the whole body.
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Nasyam
The nose is the doorway to our brain and it is also the doorway to consciousness. The Ayurvedic medication, when administered nasally, it is called Nasya. This treatment is effective for removal of excess humors accumulated in the sinus, throat, nose or head. The benefits obtained from Nasya are immense and it affords satisfactory cure for headaches, paralysis, mental disorders, pre-mature graying of hair, voice impairment, hemiplegia, loss of smell and taste.

Herbal juices, medicated oils etc. are applied through the nose for the required time duration as prescribed by the Ayurveda physician. The body above the shoulders is massaged and made to perspire. During this process, the area around the nose, neck, shoulders, palm and feet are rubbed.
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Vasti
Vasti (Enema) is one of the important components of all Panchakarma treatments since it cleanses the accumulated toxins through the colon. Vasti is also highly effective as a rejuvenating treatment. Medicated oil or ghee (clear butter) and a herbal combination is given as enema to clean the colon and increase the muscle tone. This procedure can be applied for a number of days based on the medical condition of a person identified by the Ayurveda Physician.

Vasti involves introducing liquids like medicated oils, herbal mixtures or milk per through the anus, urinary meatus or vaginal orifice in order to clean or supplement the lower part of the body. The toxins accumulated in the lower part of the body are pushed to the lower digestive tract, urinary tract or reproductive tract.

The treatment is effective for arthritis, paralysis, hemiplegia, numbness, gastric complaints associated with rheumatism and constant constipation.
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Uttara Vasti
Uttara Vasti (douching) is a cleansing and curative therapy employed in the treatment of genitourinary tract disorders. Combination of herbs and medicated oil is introduced through the vagina and cervix in females and through the penis and urethra in males. This treatment is used for certain diseases of the genitor, i.e, the urinary system. The body is cleansed of excess humor and toxic wastes of metabolism. Through these 'Pancha Karma' therapies a person attains the balance of the three doshas and regains his natural health. These procedures are advocated to the person depending upon body constitution, intensity of disease and other factors.
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Siro Vasti
The head of the person undergoing the treatment is clean shaved and fitted with a long leak-proof cap to retain oil during the period of treatment. Lukewarm herbal oil intended for the treatment is, then, poured into the cap and retained for 15 to 60 minutes each day during the treatment period. The patient is advised to sit still keeping his face straight till the oil and cap is removed from his head.

This treatment is highly effective for facial paralysis, dryness of nostrils, mouth and throat, severe headaches and burning sensation of head.
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Udvartana
In Udvartana herbal powders are massaged in a rhythmic motion. This therapy is largely recommended for dissolving excess fat, strengthening the body and gaining a healthy skin.
It is rejuvenative and it cleanses and nourishes the skin besides providing firm muscle tone and increased blood circulation.

The fragrant powders used in the massage are misty and sensuous. Normally, powders from astringent herbs are used in udvartana. Udvartana balances kapha, liquefies adipose tissues, smoothens the skin, strengthens and tightens the body. It gives you the type of an athletic maneuverability.
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