Purva karma is necessary before applying the pancakarma procedures. The aim of this treatment is to mobilize wastes and excess dosha from the tissues and to move them towards the koshta from which they can be removed by the pancakarma therapy. The following are the purvakarmas.

Abhyanga :

Massage with medicated oil as suggested by your physician improves circulation. It tones and relaxes the underlying tissue, nourishing the skin.

Patra Potala Swedana :

Massage and fomentation with leaves tied in a cloth is done all over the body and if required locally also. It is effective in relieving pain caused due to cervical and lumbar spondylosis, arthritis.

udvartana :

Massage is done with herbal powder which acts as lipolysis and helps to reduce weight in obese people.

Pizichil :

Medicated oil poured all over the body in continuous stream. It relieves muscle spasm and stiffness in joints.

Takradhara :

Medicated buttermilk is poured all over the body uniterrupted. This type of treatment cures many type of skin diseases, obesity.

Siro Dhara :

Oil is poured over the forehead (the third eye) continuously from a hanging vessel which helps in relaxing the mind. It is effective in treating stress, depression, migraine, insomnia and in some neurological conditions like trigeminal neuralgia

Navara Kizhi :

Navara rice boiled in kashaya and milk is tied in a cloth and applied all over the body. This gives nourishment to muscles and effective in conditions like muscular dystrophy, muscle wasting, paralysis, motor neuron disorders.