Our Treatments



The nose is the doorway to the brain, mind and consciousness. Prana, or life-force energy, enters our bodies through the breath so it is vital that the nostrils are free from blockages, well lubricated and in a healthy condition. The Nasya treatment aids the lubrication and cleansing of the nostrils and stimulates other benefits throughout the whole of the neck and head.Nasal is the nasal administration of medicinal herbs and oils for the purpose for treating a whole range of ailments from the neck up. Dry nasal passage, sore throat, hoarse voice, stiffness in the neck of head, jaw ache, facial paralysis, headaches, migraines and various eye and ears problems. It also relieves mental and emotional stress, anxiety, fear and negativity. Different oils are used to treat differing symptoms or aliments. Nasya oil is infused with special herbs that both nourish and lubricate the sinus cavities.

Recommended for: Anyone suffering from blocked or dry nasal passage, sinus problems, headaches, clouded mental abilities, excess fear, negativity or depression.

Benefits: improved clarity and perception, enhanced cerebral circulation, better sleeping patterns, improved sense of well-being and calmness of mind.



Pizhichil is a special form of Ayurvedic treatment that combines rich oil massage with a special heat treatment. This therapy is known as the “King’s Treatment” due to its popularity with the Maharajas of ancient India.

During this indulgent treatment 20 liters of medicated and warmed Ayurvedic oil is continuously poured over the body while two practitioners rub and stimulate the skin using hands and special cotton cloths. The process is performed with the person both lying down and while sitting in a chair specially designed for the purpose of applying medicated oils.This is a highly rejuvenating treatment that enhances muscular tone and re-tunes the entire nervous system. It comes as a package in itself – a course of 10 days is necessary to gain its maximum healing potential.

Recommended for: extremely high Vata dosha types, muscular aches and pains, rheumatic problems, osteo arthritis, insomnia, depression.

Benefits: tones and rejuvenates the skin, promotes relaxation, inner balance.

Netra Tarpana


Netra Tarpana is a special Ayurvedic treatment for the eyes. It relieves tiredness and also improves eyesight. It is highly recommended for people who regularly work at computers, operate machinery, drive for long periods or anyone who is currently suffering from tired, aching and sore eyes.

This Ayurveda treatment for eyes is carried out in combination with a face massage and is experienced by our guests as being very enjoyable, relaxing and effective. This therapy takes around 30 minutes in total.

Freshly made dough rings filled with fragrant oils are placed around the eyes, sterilized cows ghee (a clear butter-like liquid) is gently poured onto the eyes while they are kept open. It is very effective at treating eye diseases and poor or blurred vision.

Recommended for: people who spend a lot of time on computers, people suffering from blurred vision, eye infections or generally tired and aching eyes.


  • Balances Vata and pitta doshas.
  • Improves the vision
  • Removes dark circles under the eyes.
  • Revitalizes and rejuvenates tired, dry , rough and injured eyes
  • Strengthens the nerves and muscles of the eyes
  • Eye strain due to constant glaring of the computer or television screen; eye strain due to precision job like jewellery designing; long distance drive
  • Prevents formation of cataract


  • Burning in the eyes
  • Dry eye syndrome
  • Chronic Conjunctivitis
  • Pain in the eyes
  • Watering and cloudiness of the eyes
  • Night Blindness
  • Corneal ulcers
  • Squinting
  • Refractive errors of the eyes.
  • Early stages of retinitis pigmentosa
  • Early stages of retinopathy
  • Ptosis



Abhyanga is an integral part of the daily routine recommended by Ayurvedic doctors in order to promote overall health and well-being. The prefix “Abhi” means “into or towards” and “ang” has a root meaning of “movement’. So “Abhyanga” means to move energy into the body whilst moving toxins towards the body’s eliminatory systems.

This is a gentle but firm warm oil massage during which 2 practitioners work in synchronized harmony to activate and gently awake the entire body. Special herb-infused Ayurvedic oils are slowly warmed up and gently massaged into the skin. Oils are sterile before use and are chosen according to the clients’ prakruti (psychosomatic constitution or dosha) .

The massage is deeply relaxing and harmonizes, detoxifies, strengthens and revitalizes the entire body. The massage also improves lymph flow and stimulates the immune system. Furthermore, whilst providing a tired person with new energy, it simultaneously calms and strengthens the nervous system. After the procedure the person is directed to take a herbal steam bath followed by a hot shower.

Duration of the treatment: 45-60 minutes


  • Delays aging
  • Removes fatigue
  • Pacifies Vata dosha
  • Improves eyesight
  • Induces longevity
  • Induces sleep
  • Provides resistance against disease and disharmony
  • Improves complexion and luster of the skin
  • Provides resistance against injuries and gives power to recover quickly
  • Subsides ailments caused by Vata dosha and Kapha dosha
  • Increases physical strength

Abhyangam is also an important and integral part of Panchakarma procedure as pre-operative procedure. Here the oil is applied to the entire body with a particular type of massage which helps the toxins to move towards the gastrointestinal tract. This also makes the superficial and deep tissues soft and supple.



A relaxing therapy where warm medicated oils are poured from a special vessel onto the center of the forehead, inducing a mental state of deep relaxation. It calms the nervous system and helps to melt away the chattering of the mind.

In Sanskrit language Shirodhara is composed of two words shiro + dhara. Shiro means head and Dhara means flow of warm oil. The patient lies supine on a flat surface with head back and a rolled towel or pillow beneath the neck. A stream of warm oil is drizzled very slowly onto the center of the forehead (the location of the “third eye”) for 60 minutes followed by gentle scalp massage. The effect is indescribable.

Shirodhara treatment is done in absolute silence. It takes you to deep relaxation and in to a balanced state of rest in mind and body. Best experienced after a massage, Shirodhara is one of our most popular Ayurveda treatments.

Shirodhara is a great rejuvenating therapy that gives a healthy face and body glow. In Ayurveda, rejuvenating therapy is the golden path to attain longevity as it is aimed at the preservation of health. Shirodhara helps to heal the body at the root level of disease, by calming imbalances in our mind and disturbances in our emotions it leaves you feeling in a heavenly state for the rest of your day.

Recommended for: Insomnia, Headaches, Stress, Chattering Mind, Excessive Mental Fatigue, Eye And Ear Conditions, Movement of the Lymph To Stimulate Detoxification.

Benefits: Deep relaxation of the nervous system, improved functioning of the 5 senses, relief from mental and physical stress and strain, improved vitality and balance, increased blood circulation around the body and to the brain, boosts memory, nourishes hair and the scalp and assists in providing sound sleep.

Kati Basti



Kativasti is a special type of low back therapy or lumbar therapy. The word Kati stands for low back or waist and Vasti ,for containing or retaining something inside. Kativasthi is an Ayurvedic lumbo-sacral rejuvenation therapy using hot oil or herbal decoctions. One can achieve both local oleation and sudation by this procedure.


  • A dough is prepared out of black gram flour or whole wheat flour and water.
  • Medicated oil or herbs for decoction is selected depending on the bodily constitution and the state of the humors (Doshas) of the person.
  • The person is made to lie face down on the Massage Table (Droni).
  • The dough is made into a ring of four to five inches in diameter which is placed over the lumbo-sacral area of spine.
  • After it is glued with some water to make it leakproof, lukewarm medicated oil or herbal decoction is slowly poured into it. When this cools down it is squeezed out and replaced with more warm one.
  • At the end of the procedure the dough is removed; a gentle massage is given over the area. The person is made to take rest for a while.

Duration of the treatment: 30 minutes


  • Pacifies Vata Dosha
  • Reduces pain and inflammation
  • Deeply purifies and improves blood circulation around lumbosacral area
  • Removes rigidity and spasm of muscles around lumbosacral region
  • Nourishes and strengthens the bones, connective tissues, ligaments, nerves, muscles of the lumbo – sacral region
  • Lubricates the joints


  • Chronic Backache
  • Degenerative spine changes
  • Compressed discs and spinal nerves
  • Disc prolapse
  • Osteoporosis
  • Osteoarthritis of the hip
  • Rheumatic arthritis
  • Sciatica

Greeva Basti


Greeva Basti

The phrase Greeva Basti  is  from Sanskrit. The word Greeva refers to neck and Basti stands for container or  retaining something inside. It is an Ayurvedic neck care and basically a hot oil therapy.Greeva Basti  is bathing the neck region with medicated oil or freshly prepared herbal decoction. The procedure does  oleation and sudation around the neck region  simultaneously. Due to present day lifestyle which involves continued and glued sitting position and lack of body movements the problems of the spine, muscles and skeletal tissues of neck and shoulder arise. Greeva Basti addresses these issues effectively.


  • The person undergoing Greeva Basti is made to lie face down on the massage table (Droni)
  • The dough is prepared out of black gram flour or whole wheat flour. It is then made into a small ring of four to five inches in diameter which is placed over the neck to cover all the vertebrae of the neck and 2-3 vertebrae of the thoracic region.
  • After it is glued with some water to make it leakproof, lukewarm medicated oil or the decoction of herbs is slowly poured into it. When this cools down it is squeezed out and replaced with more warm one.
  • At the end of the procedure the dough is removed; a gentle massage is given over the area. The person is made to take rest for a while.

Duration of treatment: 30 minutes


  • Relieves the burden of stress and congestion in nerves , bones and muscles of neck and shoulders and thus relaxing and rejuvenating them
  • Improves the flexibility and brings smooth movement
  • Improves circulation around the neck and shoulder region.


  • Cervical spondylosis, cervical spondylitis, cervical disc lesion
  • Vertigo
  • Tingling, numbness of the hands
  • Compression fractures
  • Chronic pain in neck region
  • Frozen shoulder

Janu Basti


Janu Basti

The knee joint is called Janu Sandhi in Sanskrit; hence the name Janu Basti  is given to the proceduredone on knee joints. In this the knee joint is bathed with warm medicated oil or freshly prepared herbal decoction. Depending on the condition it can be practiced over both the knee joints or on one knee joint. Knee joints are  considered as sandhi Marma in Ayurveda (joint type of vital areas) which measure about three fingers (three anguli pramana).So the janu vasti is specialized knee therapy or massage which rejuvenate the janu marma.


  • The person is made to lie on his back on the massage table (Droni).
  • Reservoir made of black gram dough is built upon the Knee Joint. The dough ring should be such that it covers the knee joint.
  • After ensuring the ring is leakproof, the lukewarm medicated oil or herbal decoction is slowly poured into it. When that cools down, it is squeezed out with cotton gauze and the procedure is repeated.
  • At the end of the procedure, the ring is removed and the affected area may be gently massaged The person is then made to take rest for a short while.

Duration of treatment: 30 minutes


  • Pacifies aggravated Vata dosha in the knee region
  • Restores the lubricating fluid in the joint and maintain integrity of the structures involved in the joint.
  • Removes stiffness and pain in Knee joint
  • Protects knee joints from age related changes
  • Increases blood circulation; thus strengthens and nourishes the knee joints
  • Improves the mobility of the knee joints (knee flexion and knee extension)


  • Osteoarthritis of knee joints
  • Osteoporosis
  • Arthrosis of knee joints
  • Chronic pain of the knee joint

Pathrapinda Sweda (Elakkizhi)


This is an innovative classical massage with medicated leaves and is used to tackle joint pain, muscle cramps, stress and arthritis.

All the above-mentioned treatments can be done in a perfectly healthy person as well so as to enhance his/her immunity, vitality and longevity of life. The above treatments can be offered in different combinations according to the physician’s direction. Each of these combinations give a curative and rejuvunative effect after being undergone for definite periods and repeating at definite intervals.

 Herbal poultices (bundles) are prepared with various herbs and medicated powders. The poultices are warmed in medicated oils and used to massage the entire body, neck, shoulders, hand and back, shifting the person from side to side. The massage can promote better circulation within the affected area thereby promoting increased perspiration, which helps the skin to eliminate wastes. It also helps to tone the skin and can be superbly relaxing.


  • Improves blood circulation
  • Improves skin complexion
  • Increase muscle strength
  • Relieves body pain and stiffness
  • It is anti aging and rejuvenating


  • Neurological disorders
  • Arthritis
  • Myalgia
  • Chronic back pain
  • Sciatica
  • Spondylosis
  • Lumbar spondylitis
  • Cervical spondylitis
  • Sprains and cramps
  • Neuralgia
  • Sports injuries
  • Post traumatic dysfunctions

Choorna Pinda Sweda


Pindasveda is a highly effective rejuvenation treatment designed to revitalize the entire body. A special type of rice that is cooked, tied into a cotton ball, dipped into a herbal mixture with warmed milk and then skillfully massaged into the body by two therapists simultaneously.  The entire body is covered and the healing properties of the herbs are easily absorbed and utilized through the skin.

Recommended for: muscular aches and pains, osteo arthritis, insomnia, depression, sinus related ailments, stroke victims

Benefits: tones and rejuvenates the skin, promotes relaxation, inner balance



Udwarthanam (Dry massage)

Udwarthanam is special therapeutic deep tissue massage using herbal powders.  Udwarthanam means to elevate or to promote. This massage involves upward stroking, where the powder is rubbed forcibly on the body. Classical treatises on Ayurveda explain this procedure as a daily routine.

The herbal powder is warmed by heating. The massage is done in the opposite direction to hair follicles by two therapists. The procedure is performed in seven postures.  After completion the person is advised to take rest for 30 minutes, followed by a shower with warm water.

Duration of treatment : 45 minutes to 60 minutes


  • Pacifies the aggravated Kapha dosha
  • Reduces the excess fat accumulated in the subcutaneous tissues
  • Softens and exfoliates dead skin cells, thereby giving a lustrous glow to skin
  • Detoxification, purification, toning the skin
  • Eliminates bad body odor
  • Improves mobility of joints
  • Strengthens and tones up the muscles
  • Refreshes and rejuvenates the body
  • Takes care of conditions due to improper blood supply
  • Improves the circulation; opens up the body channels (Srotus) increasing the basal metabolic rate.
  • Tones up the skin and muscles after the child birth
  • Removes cellulite and helps in weight reduction
  • Improves the sense of touch
  • Makes the body and mind alert; gives a sense of lightness of the body
  • Reduces the blood cholesterol


  • Motor Neuron Disorders
  • Parkinsonism
  • Muscular dystrophy
  • Multiple sclerosis
  • Hemiplegia
  • Sciatica
  • Rheumatoid arthritis
  • Cerebral palsy
  • Skin diseases
  • Diabetes mellitus
  • Obesity

Udwarthanam Kaphaharam Medasaha Pravilayanam I
Sthireekaranam Anganam Tvakprasadakaram Param II
Meaning: Udwartana pacifies kapha dosha; liquefies the fat; stabilizes the body parts; best to improve the complexion of the skin



Involves fomentation of the body with a bolus of cooked rice. Shastika  or particular kind of rice known for its nutritional value, is cooked in milk and a herbal decoction made of bala(Sida rhombifolia) . Four boluses are made of this cooked rice and tied up in linen bags. The fomentation begins with the patients sitting  upright on the droni with legs outstretched . The masseurs on either side perform the fomentation process in an identical manner. The movement of the hands during both fomentation and massage should always be downwards.The fomentation continues with the patient on his/her back on the droni. There is also another attendant who supplies new kizhis, which are kept ready in a decoction of warm milk. It is very important to keep the kizhis at a constant temperature. The treatment is over once fomentation  has been carried out  in all the seven standard  position

Benefits: In some cases, one of the three supine position may be avoided and the patient is made to lie face down. After the specified duration of treatment, the paste is wiped off with palm leaf scrapers, a suitable type of oil is applied all over the body before the bath.

Uro Basti


Hrid Basti( Uro basti) in Sanskrit refers to Hridaya, the heart and Basti, the container or retainer. This is also called as Urobasti (Uro=chest and basti=retaining something inside).  So Hrid Basti is an oil bath on the heart. This suggests an Ayurvedic hot oil treatment where the medicated hot oil preparation or freshly prepared herbal decoction is poured over the heart region. Hridaya, the heart is considered as one among the trimarma (three vital areas) measuring about four fingers (four anguli pramana), covering heart, middle of sternum.

This procedure is bathing the heart region using warm medicated oils or herbal decoctions or medicated ghee depending on the condition.


  • The person undergoing Hrid Basti is made to lie face down on the massage table (Droni)
  • The dough is prepared out of black gram flour or whole wheat flour. It is then made into a small ring of four to five inches in diameter which is placed over the chest to cover the heart i.e., to the left side of the sternum.
  • After it is glued with some water to make it leakproof, lukewarm medicated oil or the herbal decoction is slowly poured into it. When this cools down it is squeezed out and replaced with more warm oil or herbal decoction.
  • At the end of the procedure the dough is removed; a gentle massage is given over the area. The person is made to take rest for a while.

Duration of treatment: 30 minutes


  • Pacifies aggravated Vata dosha in the chest region
  • Nourishes and Strengthens the cardiac muscles; thus rejuvenate the heart
  • Regulates cardiac functions
  • Relieves deep seated repressed stress,anger and grief
  • Improves blood circulation and breathing
  • Gives a sense of peace and happiness


  • Ischemic Heart Diseases
  • Cardiomyopathy
  • Valvular disease



Shirovasthi is the procedure where in the medicated oil is retained on the head for a prescribed period. Two therapists perform this procedure.

Duration of treatment: 60 minutes

Therapeutic effects Can be used for following conditions:

  • Dryness of the scalp
  • Itching on the head
  • Head-ache
  • ENT diseases
  • Certain skin conditions of the scalp
  • Burning sensation on the head
  • Diseases of the head
  • Cracking of the skin of the scalp & hair fall
  • Facial paralysis
  • Diseases of the eye due to weakness of nerves
  • Insanity and other mental disorders

Bashpa Sweda


The treatments found in Ayurveda date back thousands of years and Swedana is no exception. In this treatment you sit for 30 minutes in a herb-infused steam box. The use of heat and steam to encourage sweating has long been recognized as a natural and effective way to encourage the process of detoxification.

The special herbs help to stimulate oxygen flow throughout the body, while the steam activates the natural sweating process, which is essential for releasing accumulated toxins. Your skin will carry the gentle sweet aroma of the herbs throughout the following 24 hours or so.This process helps to restore unbalanced dosha back to their natural state.

Recommended for: Vata and Kapha dosha types in particular

Benefits: softens and brightens the skin, stimulates and increases digestion capacity, reduces laziness and fatigue, helps to ease stiff joints, helps to bring excess Vata dosha under control.

Valuka Sweda


Application of the heat and there by inducing perspiration by using heated pack of sand is known as Valuka Sweda. The procedure somewhat simulates shashtikashali panda sveda. Here in Valuka Sweda body part is subjected to sudation procedure without prior application of oil, and is the unique feature of this treatment. For the same reason in diseased conditions where snehana is contraindicated, svedana is best done by this procedure.

Ksheera Dhara


When this treatment is done with milk (Ksheera), it is called Ksheeradhara. It is performed in seven standard massage positions in Kerala and lasts approximately 40 minutes. Decoctions made of various herbs will be added to the milk. Ksheeradhara is of two types – shirodhara and sarvangadhara. While shirodhara is carried out for the head, Sarvangadhara covers the whole body except head. Ksheeradhara is effective in the treatment for hypertension, depression, anxiety, insomnia etc. Dhara with medicated milk is called Ksheeradhara.

Decoctions of various herbs are added to the milk. Ksheeradhara my be either for the head alone –Shirodhara. Or for the whole body except the head- Sarvangadhara. A Sravanga Ksheeradhra is usually prescribed for diseases caused by disorders of the Pitta . As a first step, a suitable type of oil is applied on the head. At least three attendants, two to pour the fluid and another to refill the vessels are required. The treatment is conducted while the patient goes through the standard seven positions. A nozzled pitcher is ideal for pouring the milk.




This is a type of Swedana Chikitsa (fomentation) wherein medicated powders are made into poultice and used for giving fomentation.

Duration of treatment: 60 minutes


  • Certain types of neurological conditions
  • Certain conditions in Arthritis caused due to block of vata by kapha.
  • Over weight and obesity
  • Some types of acute pains like sciatica, lumbago etc.



Shiroabhyanga is a beautiful combination of the Shirodhara and Abhyanga treatments in one. Firstly, the deeply relaxing Shirodhara treatment is given; warmed medicated oils are gentle drizzled onto the forehead over 45 minutes. This delightful sensation melts away all chatter and mental activity leaving the mind calmed, cooled and refreshed. Secondly, the gentle but firm hand massage movements of Abhyanga are given to the entire head, neck and shoulders. This loosens tight muscles and encourages much needed blood circulation that flooding the head with oxygen-rich blood and helping to remove harmful toxins.

This treatment nourishes the five senses by focusing on the ‘marma points’, many of which are located around the head. These points, when gently massaged have a hugely calming and balancing effect throughout the body and nervous system. The oils used for this treatment are specifically chosen according to your dominant dosha constitution type.

Recommended for: excess Vata and Pita, headaches, high stress levels, insomnia, scalp problems, clouded or frustrated mind, Excess Vata and Pita, headaches, high stress levels, insomnia, scalp problems, clouded or frustrated mind

Benefits: deep relaxation, balancing of the nervous system, improved and enhanced sensor perception, improved blood circulation the brain, strengthened hair roots, improved hair condition, promotes natural detoxification of the lymph glands around the neck and armpits.

Dhanyamla Dhara


This treatment is similar to that of Kashaya Dhara. Here instead of herbal decoction, medicated liquid prepared from Grain (Dhanyamla) is used. This treatment is additionally useful in reducing body weight.



Karana purana is the process in which warm, medicated oil or medicated liquid is gently, slowly poured into the ears. This lubricates the delicate filaments of the ear canal which sharpens hearing and removes impurities.

The treatment begins with an ear and partial head massage. The ear is then gently filled with drops of warm medicated oil.


  • Karana Purana is the process in which warm oil or medicated liquid are poured into the ears. Bathing the ears in warm oil is calming and protective to the nervous system.
  • Karnapoorana strengthens structures of ear specially external ear, tympanic membrane and middle ear.
  • The mind disturbs due to many stress and psychological trauma. Karnapoorana benefits in psychological disorders like sleeplessness, depression and stress induced migraine by calming down brain and mind .
  • If taken regularly prevents ear infections.
  • It is very useful in balance disorders characterized by dizziness, vertigo and nausea.


  • Excess Ear wax
  • Earache
  • Headache
  • Jaw Pain
  • Tinnitus
  • Menieres Disease
  • Impaired Hearing
  • Vertigo
  • Migraine
  • Depression
  • General Bodily Aches and Pains.

Dosage: 8- 15 drops of luke warm oil instilled in the ears till it fills the canal.

Netra Prakshalanam


This is a procedure in which herbal decoction is made to flow from the medial canthus to lateral canthus of the eye thereby cleaning the eye. This is followed by putting relaxing herbal eye drops.



This therapy begins with the application of suitable medicated oil on the face, neck and chest. The face and neck are then subjected to exude profusely through steam generated from a combination of cow’s milk and herbal decoctions. This therapy is effective for facial paralysis, trigeminal neuralgia, pimples and other skin problems.

Jaloukavacharana (Leech Application)


Jaloukavacharana (Leech application) the process is basically meant for purification of blood and to treat blood related disorders. The use of Leech in the treatment of  many skin diseases is now known and accepted all over the world . Leech therapy is used in various skin disorders,  like Eczema, Vitiligo, Psoriasis, Non –heeling ulcers, Varicose veins, Pigment disorders, Hematomas, Piles and other vascular disorders (Deep vein thrombosis).Various scientific studies have been established the efficacy of leech therapy.

 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


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

 What is Agnikarma?

According to Ayurveda, Agnikarm is a superior para surgical procedure. This procedure aims at management of various afflictions by inflicting burns on the tissue surface directly by using different materials known as ‘Dahanopakaranas’(tools of cauterization).

What are tools of cauterization?

These are different materials subjected to heat and used for therapy in different conditions. The specificity of tools of cauterization depends on the disease status concerned. For superficial conditions, materials used are of minimum latent heat, whereas in deeper tissues used objects are with maximum latent heat. On this concept, in classics, for the diseases of skin surfaces the materials used for Agnikarma  are Pippali (Piper longum),  Aja Shakrit  (feces of Goat), Godanta (Teeth of Cow), Shara (Arrow), Shalaka (Probes), Varti(Wicks), Suryakanta (Variety of stone) etc. Likewise, for the diseases of muscles Loha (Iron), Swarna (Gold), Tamra (Copper) and Kamsya (bronze) are used. In deeper and strong tissues like bones, ligaments, tendons, vessels etc., Madhu (Honey), Guda (Jaggery), Vasa(Fat), Ghrita(Ghee), Taila(Oil), Madhucchishta(Beewax ) are used.

‘Pancha dhatu shalaka’ has been used on a regular basis for the purpose of Agnikarma irrespective of the structure involved or level of the pathology. The Pancha dhatu shalaka is made up of Copper, Brass, Bronze, Lead and Tin (in equal quantity).

 What are all the conditions treated with Agnikarma?

> Painful conditions of bones and joints.

> Joint stiffness

> Muscle spasm

> Tennis elbow

> Calcaneal spur

> Plantar fasciitis

> Osteoarthritis

> Headache

> Sciatica

> Early stages of Hernia

> To remove the wart

> To excise the corn from the heel

> To excise the external piles

> Disc prolapse

> Low back ache

> Trigger thumb

> To remove the mucocele of lip, tongue etc

> To excise some extra growths of skin and muscle

> For the excision of fistula tracks, etc.

How Agnikarma(cauterization) helps to relieve the pain?

Here the heat, which is transferred to skin  acts by removing the obstruction in the Srotas(minute channela) and increases the blood circulation to the affected site. The rate of any metabolic activity is increased by a rise in temperature. From the therapeutic point of view with an appropriate rise in temperature, all cell activity increases, including dilatation of vessels, cell motility, synthesis and release of chemical mediators. More blood circulation, flushes away the inflammation and patient gets relief from the symptoms.  Afferent nerves stimulated by heat is having an analgesic effect by acting on the gate control mechanism.

Is there any contraindication for Agnikarma (cautery)?

Persons of Pitta prakruti, emaciated, children, old aged, sensitive, pregnant, multiple ulcers in the  body, anemic, obesed, indigestion, alcoholic, poison affected, low immunity etc are not recommended for this therapy.

 Is there any complications?

Improperly performed Agnikarma will lead to severe burning sensation, increased pain, destruction of tissue, suppuration, bleeding, non healing ulcer formation etc.

 Properly performed Agnikarma by skilled surgeon will give excellent result in several conditions. On the other hand improperly performed will lead to many complications.



Shirolepa (Thalapothichil)

Effective in healing problems related to the head and neck regions like sleeplessness, Alzheimer’s disease, migraine, certain psychosomatic diseases, headache, mental illness, hypertension, sinusitis etc.


A simple procedure of applying the oil to the vertex using a cotton pad impregnated with oil, medicated or otherwise is known as shiropichu. Once again here the application of oil does not follow any form of massage. This procedure is said to be more beneficial in dermatological conditions of scalp as well as psychological disorders. As this process does not involve massage, It can be confidently performed in painful conditions or ulcerations of the scalp.

Ishtika Sweda

Is a type of sudation where the brick is pre-heated (red hot) and water kanji is poured over it to release fumes and affected area is exposed to these fumes.

Avagaha sweda

Tub bath is swedana / sudating the patient by way of immersing the whole body in a tub which is filled with oil or herbal decoctions or milk (ksheera) according to the patients’ prakruthi (constitution).

Upanaha Sweda

This therapy is well-known for its property to relieve pain, swelling and to nourish the tissues. It is done by application of herbal paste over the affected area, covering the applied paste with medicinal herbal leaves and bandaging over that with cotton cloth. This application will be removed after few hours as per the requirement. This therapy is very effective in osteo-arthritis, joint injuries and localized pain and swelling.


Inducing perspiration by applying the warm paste of rice is referred as annalepa. The whole body below the neck or a portion of the body may be conveniently subjected to the svedana therapy by this procedure. In this procedure the rice that grows in 60 days is preferred for carrying out the treatment. This is an easy and effective procedure of swedana and is ideal in healthy persons, in children and also in clients suffering from illness due to morbid vata dosha.

This procedure is indicated both in healthy as well as diseased. More specifically this procedure is ideal in following disorders:-Hemiperesis due to different causes, Motor neuron disease, Bulbar palsy, Parkinsonian syndrome, Emaciation, General debility, Rheumatoid arthritis, Peripheral vascular disease.


The topical application of the herbal paste to the face and keeping it undisturbed for certain period is known as Mukhalepa. This therapy is used to clear the morbidity of dosha or any toxic substances in facial skin, as well as to improve the color and complexion of the skin. Accordingly there are three types of mukhalepa and are named as Doshaghna Mukhalepa, Vishaghna Mukhalepa and Varnakara Mukhalepa.

Application of warm herbal paste is preferred in clients suffering from morbidity of vata as well as kapha in the facial skin. Contrary to this when morbidity of pitta dosha is identified in the facial skin, the cold herbal paste is applied. So also, vishaghana and varnakara mukhalepa is also carried out by applying the cold herbal paste.


Application of Herbal extract with madhu or gulabijala inside the eyes helps to remove foreign matter from the eyes.


Exposure to medicated smoke originated from different drugs relevant to the ailments, especially in psychosomatic diseases etc.It is also done on different parts of the skin for certain diseases.


Taking little medicated oil and swirling it between the teeth helps in strengthening the teeth and gums.

Marma Massage

This art is used to activate the pressure points in the body called “Marma”s  for correcting the body’s energy flows and replenishing its resources.  Marma massage is soft flowing massage can be done by two people massaging in synchronize rhythm or with single Individual.Marma massage the techniques and the guidelines are developed keeping the knowledge of channels and nadi location in priority.

The massage is 60 to 90 minutes of duration followed by steam bath or warm shower. Marma massage stimulates generates the own energy resources and gives person more vital energy . It removes blockages form the Marma points giving physical and psychological relaxation and strength. Regular Marma massage protects from vata disorders nourishes body, extends life span, provides good sleep and improves physical stability. Simulating or massaging the Marma points gives benefits to the area of there location and improves the function of the connecting organs


In Snehapana, a prerequisite in Panchakarma, Tikta Ghruta or ghee infused with herbs is orally administered to the patient for a specific period. This ghee is made from clarified butter (obtained from cows milk) from which the protein content has been removed. It is then boiled with various herbs. Snehapana is done in the morning after attending to the calls of nature, on an empty stomach. The health, age, Dosha condition and digestive capacity of the patient need to be taken into consideration when determining the dosage.  The treatment lasts between five and seven days depending on the condition of the patient and the illness being treated.

Upanaha sweda

Upanahasweda or poultice is a purvakarma in Panchakarma therapy in Ayurveda. It is the local application of medicated paste to cure pain and swelling. In this treatment herbal medical mixture is applied hot over the affected part of the body and is allowed to remain there for over twelve hours.

Avagaha sweda

The patient is made to sweat while sitting in a tub filled with a warm medicinal decoction prepared using suitable herbs for each health problem. According to Ayurveda, this kind of sweda is good for rheumatism, painful urination, hernia etc.


Vamana is a medicated emesis therapy which removes Kapha toxins collected in the body and the respiratory tract. This is given to people with high Kapha imbalance. Daily treatment involves loosening and mobilizing the toxins in an effort to finally eliminate them.

Benefits of Vamana: Bronchial Asthma, Chronic Allergies, Hay Fever, Vitiligo, Psoriasis, Hyperacidity, Chronic Indigestion Nasal Congestion, Edema, Obesity, Psychological disorders, Skin disorders.

Basti (Enema or Colonic Irrigation)

It is considered as the mother of all Panchakarma treatments since it cleanses the accumulated toxins from all the 3 doshas, Vata, Pitta and Kapha, through the colon. Basti is also highly beneficial as a rejuvenating treatment. Medicated oil or ghee and an herbal decoction is given as enema to clean the colon and increase the muscle tone. This procedure is usually applied for 8 to 30 days, based on the medical condition of a person. Benefits Hemiplegia, Paraplegia, Colitis, Convalescence, Cervical Spondylosis, Irritable Bowel Syndrome Constipation, Digestive disorders, Backache & Sciatica, Hepatomegaly & Spleenomegaly, Obesity, Piles, Sexual Debility &Infertility.

Anuvasana Basti (Oil Enema)

Oil enemas are a central part of Ayurveda, in fact there are over 100 specific oil enemas listed in the ancient medical texts. Specially selected and prepared oils are gentle inserted into the rectum and allowed to absorb over time. Ideally the oil should be kept in for several hours, preferably over night.The oils find their way through the colon and absorb all sorts of oxidants and toxins along the way.

Basti is especially good for excessive Vata imbalances. Far more gentle than colonic irrigation, oil enemas offer an effective and gentle alternative way to cleanse and detox the colon. Since Vata is mainly located in the colon and bones, the medication is administered rectally. There are about 80 Vata related disorders in Ayurveda. About 80 percent of them can be treated with medicated enemas.

Recommended for: Vata dosha types, people suffering from hemorrhoids (or other conditions that may contraindicate colonic irrigation), elderly clients or anyone who finds colonic irrigation too uncomfortable.

Benefits: Alleviates constipation, distention, chronic fever, the common cold, sexual disorders, kidney stones, heart pain, vomiting, backache, neck pain and hyper acidity, sciatica, arthritis, rheumatism, and gout.

Virechana (Purgation)

Virechana is medicated purgation therapy which removes Pitta toxins from the body that are accumulated in the liver and gallbladder, it completely cleanses the gastro-intestinal tract. It is a safe procedure without side effects. Benefits of Virechana help root out Chronic Fever, Diabetes, Asthma, Skin disorders such as Herpes, Paraplegia, Hemiplegia Joint disorders, Digestive disorders, Constipation, Hyperacidity, Vitiligo, Psoriasis, Headaches, Elephantiasis and Gynecological disorders.


Rakthamokshana is a method to eliminate the vitiated blood.  It is done using leeches.  Hence, it is also called as leech therapy.  Indicated in all types of skin disorders, pimples, itching, inflammation, alopecia, discoloration, abscess, gout, etc.


Uttara vasti is the practice of cleansing and revitalizing the uterus to get a woman’s monthly cycle back in harmony with the rhythms of nature.

Remedy for Piles


SKM Chikitchaalya is known as a centre of excellence, in ayurvedic management of piles through kshara karma. Patients of piles are diagnosed and treated here, under the guidance of well known Ano rectal surgeon’s.

Hemorrhoids or Piles as is generally known is a very common disease. About 70% of the population are at some time in their lives suffered from piles or have had experienced some symptoms related to it.

We will first try to understand what Piles or Hemorrhoids. Piles or Hemorrhoids are actually, distended veins in the anal canal. Veins tend to stretch under pressure. When veins in the lower part of the rectum or anus stretch, swell or descend in to the anal canal, then they prolapse or protrude in to the canal. They are considered as Piles or Hemorrhoids.

The set of veins inside the rectum when distended result in internal piles and the set of veins under the skin around the anus when distended result in External Piles.

Some other factors also contribute to the prolapses of the veins. They are long standing, constipation, straining while passing stool, pregnancy, weakening of the muscles supporting the veins due to ageing etc. One may also have a hereditary tendency to develop piles.

If you have any of the following symptoms are probably suffering from Hemorrhoids – Piles.

1. Bleeding from the anus:

                  After defecation ( passing stool )

                  During defecation

                  During and after defecation

                  Usually without pain but in some conditions with pain.

2. Constipation

3. Itching

4. Protrusion of a mass from the anal canal ( can be felt digitally).


As described earlier, hemorrhoids develop because of increasing pressure in the veins of the lower part of the rectum and anus. This increasing pressure can be due to various reasons like­

> Pregnancy

> Straining during  birth

> Obesity

> Lifting heavy weights over a long period

> Sitting or standing for a long time

> Chronic constipation accompanied with straining to evacuate the bowels

> Repeated diarrhea and dysentery

> A habit of suppressing the urge to defecate

> There may also be an inherited tendency to develop Piles.

Types of Hemorrhoids/ Piles:

Hemorrhoids / Piles can be classified in two ways

I. As per their site of development

  1. Internal hemorrhoids/ piles.
  2. External hemorrhoids/ piles.

 II. As per the stages of the diseases

  1. First degree hemorrhoids.
  2. Second degree hemorrhoids.
  3. Third degree hemorrhoids.
  4. Fourth degree hemorrhoids.

First degree Hemorrhoids: Is the condition when the mass (The structure with the veins) projects slightly into the anal canal, but only when the veins are congested i.e. during defecation. In this stage the patient will have no mass protruding from the anus.

Second degree Hemorrhoids: The mass protrudes out of the anus, but only during defecation. The hemorrhoidal mass returns into the anal canal spontaneously after passing stool as soon as the accompanied straining stops.

Third degree hemorrhoids: The hemorrhoidal mass protrudes from the anus during defecation or on exerting force and remains protruded until forced back into the anus digitally ( with fingers).

Fourth degree hemorrhoids: The hemorrhoidal mass (Piles) remains protruded (out of the anus) at all times and can not be forced into the anal canal with the help of the fingers.



1.CONSERVATIVE TREATMENT: Oral medicines like kalyanaka Lehya, Kankayana Lehya, Manibadra Lehya, Sooranadi Lehya, Trivrith Lehya, Abhayarishta, Chirubilwadi Lehya, Chirubilwadi Kashaya And Kaidaryadi Kashaya are very usefull in piles according to the conditions. Laxatives, stool softeners, local anti inflammatory creams and warm water sits bath can help to reduce the symptoms. However second, third and fourth degree piles can not be cured with just oral treatment.

2. KSHARA KARMA: Kshara karma is a non surgical procedure of Ayurveda used to effectively in hemorrhoids. A alkaly medicine  which is derived from a combination of various herbs is applied to the pile mass with the help of a special slit proctoscope. It is a type of chemical cauterization. This method is highly effective and can be performed on OPD  and IPD level of Ayurdhama hospital.

KSHARA KARMA LIGATION: It is a simple non surgical procedure where a medicated thread is tied around the base of the pile mass and the piles mass will fall off within ten days. It’s a painless procedure and recurrence of the pile mass will be absolutely nil. It’s a simple and very effective procedure which can be done in opd level.

These methods are indicated in 2ndo 3rd degree Piles- Hemorrhoids.


To prevent hemorrhoids or Hemorrhoidal flare-ups:

1.Eat high-fiber foods

Fiber (roughage) is the part of plant food that is not digested. It stays in your gut and is passed in the stools (faeces). Fiber adds bulk to the stools.

      Why is fibre important?

Stools (sometimes called faeces or motions) are usually soft and easy to pass if you eat enough fibre  food and drink enough fluid. A diet with plenty of fibre will help to:

> Prevent constipation.

> Prevent diverticulosis (a common bowel condition).

> Prevent hemorrhoids (piles) and anal fissure (a painful condition of the anus).

> Reduce weight.

> Possibly reduce the risk of developing bowel cancer.

    High fiber foods include the following:

> Whole meal or whole-wheat bread and biscuits.

> Whole meal flour used for baking and cooking.

> Fruit. vegetables and nuts.

2. Drink plenty of liquids

How much water and other fluids should you drink daily? The average man – who bums about 2,900 calories daily – needs 2,900 ml, or about 12 cups, of water each day. The average woman – who bums 2,200 calories daily- needs about 2,200 ml, or about 9 cups, of water each day.

3. Exercise:

Stay active to reduce pressure on veins which can occur with long period of standing or sitting and to help prevent constipation. Exercise can also help you loose excess weight.

4. Don’t Strain

Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in lower rectum.

Go as soon as you feel the urge. If you wait to pass a bowel movement and the urge goes away, you stool could become dry and be harder to pass.

Self – Care

You can temporarily reliew the mild pain, swelling and inflammation of most Hemorrhoidal can be controlled with the following self-care measures:

  1. Apply an over-the-counter hemorrhoid cream or suppository containing hyrocortisone, or use pads containing witch hazel or a topical numbing agent.
  2. Keep the anal area clean. Bathe (preferably) or shower daily to cleanse the skin around your anus gently with warm water. Soap isn’t necessary and may aggravate the problem. Gently drying the area with a hair dryer after bathing can minimize moisture, which can cause irritation.
  3. Soak in a warm bath several times daily.
  4. Apply ice packs or cold compresses on the anus for 10 minute~ up to four times a day.
  5. If a hemorrhoid has prolapsed, gently push the hemorrhoid back into the anal canal.
  6. Use a sitzbath with warm water. You can get one at a medical supply store or some pharmacies.
  7. Use moist towel or wet toilet paper after a bowel movement instead of dry toilet paper.
  8. These self-care measures may relieve the symptoms, but they won’t make the hemorrhoid disappear.
  9. See your doctor if you don’t get relief in a few days.

Remedy for Anal Fistula


SKM Chikitchaalaya is known as a centre of excellence, in ayurvedic management of anal fistula through oral medication through kshara sutra. Patients of fistula are diagnosed and treated here, under the guidance of well known Ano rectal surgeon’s.


Anal fistula, or fistula-in-ano, is an abnormal connection or channel like structure, between the surface of the anal canal and the exterior perianal skin.

Anal fistulae originate from the anal glands, which are located between the two layers of the anal sphincters and which drain into the anal canal. If the outlet of these glands becomes blocked, an abscess can form which can eventually point to the skin surface. The tract formed by this process is the fistula.


Anal fistulas commonly occur due to an anal abscess.

An abscess is a collection of pus and infected fluid. An anal abscess usually develops after a small gland, just inside the anus, becomes infected with bacteria.

A fistula may occur if an abscess has not completely healed, or if the infected fluid has not been entirely drained away.

An anal fistula may also develop as a result of

> a growth or ulcer (painful sore)

> a complication from surgery

> a congenital abnormality (a health problem that you were born with)

Anal fistulae are also a common complication of conditions that result in inflammation of the intestines. Some of these conditions include:

> Irritable bowel syndrome (l8S): a chronic (long-term) disorder that affects the digestive system, causing abdominal pain, diarrhoea and constipation.

> Diverticulitis: the formation of small pouches that stick out of the side of the large intestine (colon), which become infected and inflamed.

> Ulcerative colitis: a chronic condition that causes the colon to become inflamed and can cause ulcers to form on the lining of the colon.

> Crohn’s disease: a chronic condition that causes inflammation of the lining of the digestive system.


Anal fistulae can present with many different symptoms such as:

> Pain

> Discharge – either bloody or purulent

> Pruritus ani- itching around the anus

> Systemic symptoms if abscess becomes infected


Diagnosis is by examination, as an outpatient setting or under local anaesthesia. The examination can be done using proctoscope.

Possible findings:

> The opening of the fistula onto the skin may be seen

> The area may be painful on examination

> There may be redness

> A discharge may be seen

> It may be possible to explore the fistula using a fistula probe (a narrow instrument) and in this way it may be possible to find both opening.. of the fistula

Ayurdhama Ayurveda treatment for anal fistula:


Oral medicines like kalyanaka Lehya, Kankayana Lehya, Manibadra Lehya, Sooranadi Lehya , Trivrith Lehya, Abhayarishta, Chirubilwadi Lehya, Chirubilwadi Kashaya And Kaidaryadi Kashaya are very usefull in anal fistula according to the conditions. Laxatives, stool softeners etc and local anti inflammatory creams and warm water sits bath can help to reduce the symptoms.


 Kshara Sutra is a seton thread medicated with organic alkalis. The alkali is repeatedly coated on the seton thread 15 – 21 times. Apart from this, natural antibiotic like haridra powder, guggulu, etc are also used to make Ksharasutra.

The mechanical action of the threads and the chemical action of the drugs coated, collectively do the work of cutting, curetting, draining, and cleaning the fistulous track, thus promoting healing of the track/ wound. This also acts both as the antiseptic and fibrotic agent to induce healing.

The process of healing starts from deeper tissues and moves towards the periphery. This can be applied and changed periodically till the thread cuts the fistulous tract. Since the sphincter heals by fibrosis, there is no incontinence.

Under local anaesthesia, the kshara sutra is inserted into the tract and the two ends of the thread are tied forming a loop. The alkalis coated on the thread are continuously released throughout the length of the track there by cutting, curetting, draining cleansing and healing the track. This therapeutic action of the thread lasts for seven days.

The old thread is then replaced with a new thread following the same procedure. Depending on the length of the tract and the extent of damage, the kshara sutra may be changed up to 5 times. The changing of the thread is a simple procedure taking about 1 to 2 minutes and requires no anesthesia.


> The procedure does not require hospitalization for more than 4 to 5 hours

> The patient requires minimal bed rest and can resume daily activities within 12 – 24 hours

> No painful dressings required

> The drugs coated on the Kshar-Sutra are slowly and gradually released into the track and the wound, leaving no abscess overseen. These abscess are drained out by the action of the drugs.

> The sphincter muscles are not dissected and hence the possibility of incontinence is ruled out.


Depending on the effectiveness of the treatment, fistula may result in infection or incontinence of stools.


The re occurrence rate of fistula treated with kshara sutra ligation procedure is less than 2%. This is because the medicines on the thread gradually and continually curate the payogenic membrane and fibrous tissue in the track and thus leave no pus pockets un drained.

How can i take care of myself?

> Using stool softeners

> Adding fiber to your diet

> Drinking plenty of water, up to 8 eight-ounce glasses a day

> Taking warm baths

> Using clean, moist pads to wipe the area around the anus, to remove irritating particles and fluid from the fistula

> Using special skin creams to soothe irritated tissue.

Treatment for Fissure-in-ano


SKM Chikitchaalaya is known as a centre of excellence, in ayurvedic management of Anal fissure through oral meditation, agni karma and kshara karma. Patients of anal fissure are diagnosed and treated here, under the guidance of well known Ano rectal surgeon’s.

What is a fissure?

An anal fissure is a small tear in the skin that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. An anal fissure typically causes pain and bleeding with bowel movements it also can be associated with a skin tag or sentinel pile mass.

Anal fissures most often affect people in middle age, but fissures also are the most common cause of rectal bleeding in infants. Most anal fissures heal within a few weeks with treatment for constipation, but some fissures may become chronic

Common Causes Of Anal Fissures

Anal fissures can be caused by trauma to the anus and anal canal. The cause of the trauma can be one or more of the following:

> Chronic constipation

> Straining to have a bowel movement, especially if the stool is large, hard, and/or dry Prolonged diarrhea

> Anal stretching

> Insertion of foreign objects into the anus.

Other causes of anal fissures (other than trauma) include:

> Longstanding poor bowel habits

> Overly tight or spastic anal sphincter muscles (muscles that control the closing of the anus)

> Scarring in the anorectal area

> Decreased blood flow to the anorectal area

Symptoms Of Anal Fissure

 Signs and symptoms include:

> Pain during, and even hours after, a bowel movement

> Constipation

> Blood on the outside surface of the stool

> Blood on toilet

> Development of skin tag in around anal canal.

> A visible crack or tear in the anus or anal canal

> Burning and itch that may be painful

> Discomfort when urinating, frequent urination, or inability to urinate Foul-smelling discharge

Risk Factors For Anal Fissures

Factors that may increase your risk of developing an anal fissure include:

> Infancy : Many infants experience an anai fissure during their first year of life, although experts aren’t sure of the reason.

> Aging: Older adults may develop anal fissure partly because of slowed circulation, resulting in decreased blood flow to the rectal area.

> Constipation : Straining during bowel movements and passing hard stools increase the risk of tearing.

> Childbirth: Anal fissures are more common in women after they give birth.

> Crohn’s disease: This inflammatory bowel disease causes chronic inflammation of the intestinal tract, which may make the lining of the anal canal more vulnerable to tearing

Prevention Of Anal Fissures

For fissures in adults:

> Keep the anorectal area dry

> Wipe the area with soft materials, a moistened cloth, or cotton pad; avoid rough and scented toilet paper

> Promptly treat all occurrences of constipation and diarrhea

> Avoid irritating the rectum

Complications Of Anal Fissures

> Anal fissure that fails to heal. An anal fissure that doesn’t heal can become chronic, meaning it lasts for more than six weeks.

> Anal fissure that recurs. If you’ve experienced anal fissure once, you have an increased risk of another anal fissure.

> A tear that extends to surrounding muscles. An anal fissure may extend into the ring of muscle that holds your anus closed (internal anal sphincter). This makes it more difficult for your anal fissure to heal. An unhealed fissure may trigger a cycle of discomfort that may require medications or surgery to reduce the pain and repair or remove the fissure.

 Ayurdhama Ayurveda Treatment For Anal Fissures

Our doctors will advise you internal medications as well as topical ointment application in the treatment of primary anal fissures. To avoid further irritation to the damaged tissue, medicines which soften the stools and promote healing of the tissues are utilized. Ointments which are natural anti-bacterial and anti-septic are used for topical application. In more advanced cases it can be easily cauterization and by removing the adhered tag by using electro cautery. Removing these sentinel tag will ensure the healing of the fissure.