Heritage Kerala Ayurvedic General Massage

An ayurvedic general massage (Abhyangam) is recommended not for a particular disease, but for overall maintenance of health, relaxation and well being. At Heritage Kerala Ayurveda, oils enriched with ayurvedic herbs and medicines are used for massage, to ensure the best of benefits. Active ingredients of medicinal herbs are extracted in the edible grade sesame oil.

Abhyangam is performed by well trained and certified therapists, over a specially designed table (Droni). A consultation with the doctor would be beneficial in assessing one’s body constitution This helps in deciding the appropriate oil and the exact pattern for massage. The massage is performed in 7 different postures and also inclusive of head and face massage.

After the procedure, the person is directed to take herbal steam bath.


Improves blood and lymph circulation

  • Lowers high blood pressure levels
  • Promotes cell repair and maintenance

  • Improves concentration and efficiency in daily activities

Imparts muscle relaxation

  • Relieves body aches, fatigue

  • Increases muscle tone and flexibility

Maintains healthy skin

  • Moisturizes skin

  • Delays signs of aging

Complete stress buster

  • Boosts energy levels

  • Stimulates physical and emotional well being

Enhances good sleep

  • Better work efficiency and calmness

  • Better tolerance and temperament

Strengthens immune system

Healthy substitute for exercise, for those who lead a sedentary life.

Pizhichil (Kayasekam)

The whole body is bathed in streams of lukewarm medicated oil with simultaneous soft massage. Trained therapists attend to the client, using more than three litres of relaxing, medicated oil in this therapy. Doctors suggest the suitable medicated oil out of many, depending on the purpose.


Relaxation & Health

  • Relieves stress, tension, anxiety

  • Improves overall blood circulation

  • Strengthens immune system

  • Rejuvenates body

  • Improves muscle flexibility

  • Tackles nervous weakness

  • Keeps skin young

  • Delays aging


  • Rheumatic diseases

  • Painful conditions

  • Arthritic symptoms

  • Paralysis /Stroke

  • Sexual weakness

  • Neurological disorders

Kizhi ( Pindaswedam)

‘Kizhi’ literally means a cotton cloth bolus filled with medicine in the form of powder / paste/ a mixture of medicinal herbs. They are often named as per the ingredients.

Example: Elakizhi (Herbal mixture), Podikizhi (Powdered medicines), Mamsakizhi (Medicines and mutton extract).

They are externally used in a wide range of diseases such as Arthritis, Paralysis, Spastic conditions, Fibromyagia, Sports Injuries etc.

One of the most widely used form of Kizhi is Njavarakizhi.

Njavarakizhi (Shashtika Pinda Swedam)

A generous amount of medicated oil is applied to the whole body with a gentle massage. Njavara rice (a specific variety of rice with high medicinal value) is cooked in a mixture of milk and a herbal decoction and packed in cotton cloth in the form of boluses. Further massage is done with these boluses frequently dipped in a mixture of warm milk and a brewed herbal decoction suggested by the doctor.


Relaxation & Health:

  • Enhances physical consistency

  • Improves musculature

  • Strengthens the peripheral nervous system

  • Improves the overall appearance of the skin

  • Rejuvenates &nourishes the body


  • Degenerative diseases

  • Neurological disorders

  • Spondylosis & Disc diseases

Panchakarma Therapies

Panchakarma literally means ”five therapies”. These procedures, along with their preparatory treatments (poorva karma) and the post-procedural treatments (pashchat karma) form the essence of ayurvedic healing.

Benefits of Panchakarma:
  • Helps to restore metabolic fire (Agni)

  • Eliminates toxins (Ama) and facilitates tissue functions

  • Assists in balancing all three bio-markers (Dosha)

  • Reduces stress, improves relaxation and tolerance

  • Delays the ageing process

  • Boosts the immunity levels

  • Improves strength, endurance and vitality

For the safety and effectiveness, at Heritage Kerala Ayurveda, Panchakarma therapies are conducted as per doctors’ advice only. A consultation with the doctor and clinical assessment is mandatory, prior to Panchakarma.

The five therapies under Panchakarma are:

1. Vamana Karma (Therapeutic emesis)

Vamanam is advised in Kapha predominant diseases. After preparatory procedures for 5-7 days, vomitting is induced with emetic ayurvedic drugs along with medicinal liquids / milk in large quantities. This treatment is very good for treating bronchial Asthma, Sinusitis, Cough, Psoriasis, Eczema, High cholesterol etc.

2. Virechanam (Therapeutic purgation):

Virechanam is advised in Pitta predominant disorders. After proper preparation of the individual through purva karmas for about 5 to 7 days, Virechanam is done by oral administration of purgative herbs. This treatment is very effective for treating Skin diseases, Acne, Hyperacidity, High blood pressure, Dermatitis etc.

3. Vasthi (Rectal administration of medicines):

Specific medicines in liquid form are administered through anal route under doctor’s supervision, in a wide range of diseases, mostly Vatha predominant. They are of two categories based on the contents:

Kashaya vasthi / Niruha vasthi:

Combinations of herbal pastes along with decoction, salt, honey, oil etc. are administered as per prescription for the patient’s health condition. This treatment is effective for treating arthritis, neurological ailments, paralysis, chronic constipation, flatulence, low-back ache, ankylosing spondylitis, gout, rheumatism, sciatica etc.

Thailavasthi / Sneha vasthi:

This is medicated oil enema, beneficial for neurological ailments, paralysis, lower backache, chronic constipation etc. The treatment nourishes the body tissues (Dhatus), restores and fortifies the body’s immunity. This promotes better nutrition while removing accumulated toxins (Malas) from the colon. Prior to this procedure the individual’s body is prepared by massage and steam bath especially for the stomach and lower back.

Uttara vasthi, though not categorized under Panchakarma, is beneficial in genitourinary and gynaecological disorders. In Uttara vasthi,

medicinal liquids are administered through vaginal / urethral route, under medical supervision.

4. Nasya (Nasal administration of medicines)

Prior to the instillation of medicine, face, shoulders and chest are massaged with specific herbal oil and steam inhalation is done to open up the channels. This treatment cleanses and strengthens the nasal passages, allowing full and easy breathing. This procedure is effective for treating Sinusitis, Headache, Bronchial asthma, allergies, migraine, facial paralysis, Cervical spondylosis, Neuralgia, Hyper pigmentation on face, dark circle around the eyes etc.

5. Rakta mokshana (Bloodletting)

Bloodletting is done with needles, leeches or suction cups. This treatment offers good recovery in Eczema, Psoriasis, Gout, Sciatica and in cases of stagnant blood causing local inflammation etc.


Streaming luke warm medicated oil / medicinal liquid all over the body or focused on a particular area along with gentle massage is termed Dhara treatment. A variety of dhara therapies are in use for different diseases. They are named as per

(a) Medicinal contents

Eg: Thailadhara (medicated oils), Thakradhara (medicines processed in buttermilk), Ksheeradhara (medicines prepared in milk), Kashayadhara (a decoction brewed with herbs) etc.

(b) The body part targeted

Eg: Prishtavamsa dhara (spine), Netra dhara (eyes), Shirodhara (head) etc.

Shirodhara with medicinal oils is one of the most effective therapies used for therapeutic as well as relaxation purpose.


After a whole body gentle massage with herbal oils, luke warm medicinal oil of choice is poured in a continuous stream on the forehead, from a specific height. The oil runs down along the scalp and hair. Simultaneously the therapist massages the forehead, scalp and hair.


Relaxation & Health

  • One of the most relaxant therapies in Ayurveda, relieves stress and anxiety

  • Tranquilizing effect, promoting better sleep

  • Improves concentration in studies / work

  • Positive influence on brain circulation


  • Paralysis

  • Insomnia

  • Neurological disorders


(a) External:

Medicated lukewarm ayurvedic oil is made to retain in a dough ring made of black gram paste over the particular area affected. Some of the examples are:

Kateevasthi (done on low back, in traumatic back pain, disc diseases, spondylosis, sciatica etc)

Greevavasthi (done on back of neck, in cervical spondylosis, disc disease, ankylosing spondylosis etc)

Januvasthi (done on knees, in osteoarthritis, ligament injuries etc)

Shirovasthi (done on head fixing a cap of specific design, in brain related issues)

(b) Internal:

Specific medicines in liquid form are instilled through anal route under medical supervison, in a wide range of diseases. Explained under Panchakarma Therapies.

Netra tharpanam

In Netra tharpanam, medicine prepared in cow-ghee base (medicated ghee/ ghritham) is retained over the eyes for around 20 minutes, in a rim made of black gram paste. This therapy is commonly done in conditions such as optic neuritis.


Medicines of choice for the particular ailment are powdered and mixed with either a herbal decoction or milk to make a paste. This paste is applied over the shaven head of the patient and covered with lotus leaves / cotton cloth. The application is kept till it starts drying up. Shirolepam (Thala pothichil) is beneficial in neurological disorders and autism.


Medicines chosen as per the disease are boiled in milk and the steam is passed over the affected area for a specific time. The affected part is prepared by gentle massage with medicated oil, prior to Ksheeradhooma treatment. This procedure is of great benefit in facial paralysis / Bell’s palsy.


Medicines mixed with water/milk/decoction/medicated oil are ground into a paste and it is applied over the affected area in the prescribed thickness. Lepanam reduces inflammation and pain in several conditions ranging from acne or abscess, to arthritis.

Yoniprakshalanam (Vaginal douche)

The ladies’ wing at Heritage Kerala Ayurveda is well equipped to perform therapies for female patients.

Medicinal decoctions prepared as per doctor’s prescription is used for vaginal douche in gynaecological conditions such as Leucorrhoea, commonly known as white discharge.


Fat soluble medicinal principles are extracted in the form of ghee /oil based preparations in Ayurveda. Snehapanam is the daily intake of such processed medicated ghee (ghritha) or oil (taila) in prescribed quantity for a specific period. It is intended to oleate and prepare the body for Panchakarma procedures like Vamana and Virechana.

Bashpa sweda (Herbal steam bath)

After a whole body massage with ayurvedic oils, the client is seated in a chamber made of medicinal wood, with his head exposed. Herbal steam is passed into the chamber till the client’s forehead show sweating.

Herbal steam bath is used for relaxation purpose (as it provides lightness to the body and relieves muscle aches) and also for therapeutic purpose (as a preparatory procedure prior to Panchakarma therapy).