Body massage using herbal powder is called udvarthanam. The treatment is good for diseases like diabetic neuropathy, paralysis, obesity, skincare, sciatica, indigestion and sclerosis of blood vessels. The massage activates the nerves and increases blood flow to the impaired parts of the body.

Udvarthanam is also an important health preserving massage. As the massage promotes active blood flow, it revitalizes and reconditions the body, thus preserving its strength, skin texture, and natural elasticity. Fat reduction is one of the significant benefits in cases of obesity.

'Thriphala', is the most commonly used powder in the treatment. It is a mixture of excellent nerve stimulating agents such as Gooseberry, Belerica, and Myrobalan. The medicated powder is applied all over the body and massage is done in the opposite direction of the hair roots, with appropriate pressure. Extra massage is provided on specific parts of the body depending on the type of disease.

The massage goes on for about 30 to 40 minutes. During this time, the body surface slightly warms up and expels traces of toxic coatings on its nerve endings. This facilitates faster nerve stimulation and blood circulation to the damaged areas of the body. Udvarthanam also promotes elasticity of the skin and makes the body soft and fatigue-free.

The duration and type of medicine to be used are decided by the physician after considering various related factors such as the person's body constituency, his digestive capacity, psychic state, age, strength etc. Herbal medicines like Kashayam (decoction), Gulika (pills), and Choornam (powder) are also given along with the massage. Usually, one to two weeks treatment, along with strict carbo-less diet gives good results.

Other herbs commonly used for udvarthanam are costus roots,deodar,Senna,horse gram,phyllanthus and mustard. Horse gram and mustard, considered to be hot in nature are very good nerve stimulators.

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