Abhyanga is the procedure in which massage is performed on the body using warm medicated oil by different stroke patterns for a specific duration of time.

• Ref General Requirements SOP
• Medicated oil for whole body – 200 ml
• Medicated oil for head – 100 ml
• Talam
• Towels – 2
• Vessel – 2
• Hot water bath
• Dhara table – 1

Manpower

• Therapist – 2
• Physician – 1

Preparation of Thalam

• Prescribed drugs taken and thalam prepared.
• Refer video and SOP of Thalam

Preparation of tray

• Take a clean tray.
• Put medicated oil for abhyanga in a vessel, langotti, towel, thalam.

Preparation of patient

• Check vitals.
• Jeernaharalakshana assessed.
• Vegotsarga
• Make patient wear langotti.

• Patient is asked to sit comfortably on a knee height chair.
• Head of the patient is cleaned with a towel.

• Abhyanga is done in 7 postures namely Sitting, Supine, Right Lateral, Supine, Left Lateral, Supine and Sitting.
• Sufficient quantity of oil needed for shiro abhyanga is taken and uniformly applied over the head.
• Mild massage is performed covering the entire head.
• Then the oil is applied over both ears and massaged uniformly.
• The vertex of the patient is marked by positioning the distance from tip of the nose to vertex using thumb and middle finger of the patient .
• Thalam is applied on the vertex of the patient.
• Sitting Posture
• Patient is made to sit in dhroni with legs extended and both palms resting on the knees.
• Whole body and foot of the patient is cleaned using a towel.
• Taila for abhyanga is made lukewarm using a hot water bath.
• Temperature of the taila is checked by pouring it over the dorsum of hand.
• The warm oil is massaged over the palms and soles with linear strokes.
• Then lukewarm taila is then applied on either side of the patient’s body , low back and the legs uniformly .
• Synchronised massage with linear strokes is done on the anterior part of the hand followed by massage on the posterior aspect of the hand  covering the abdomen .
• Always pressure is applied towards  downward direction (along the direction of body hairs).
• Then massage in linear strokes is done covering the anterior aspect of both legs in a synchronised manner .
• Massage is done alternatively in linear pattern covering the chest, shoulder and hand region.
• Massage in linear strokes is done covering both the sides of neck .
• Supine Posture
• The patient is asked to lie in supine posture.
• Gentle massage is done on the face by one therapist using warm medicated oil .
• Linear stroke massage is done starting from abdomen to hand in synchronised manner.
• Alternate linear massage is done over the abdomen covering the hand region .
• Both the shoulder joints, elbow joints and wrist joint are massaged in a circular pattern .
• The fingers are massaged uniformly
• Synchronized massage is done covering anterior aspect of thighs and legs in linear strokes.
• Whole body synchronized massage is done in linear strokes from hand to foot covering the abdomen 
• The hands are raised and massaged with linear strokes covering abdomen and posterior aspect of hand.
• Whole body linear stroke massage is done from hand to foot in hand raised position .
• Cupping stroke massage is done over the chest and hand region
• Cupping stroke massage is also done in thighs and leg region .
• Linear finger tapping stroke massage is done over chest and hand region
• Finger tapping massage is also done in thighs and leg region .
• Squeezing compression stroke massage is done over chest and hand region
• Squeezing compression stroke massage is done over thighs and leg region
• After different stroke massage linear massage is done on the whole body from hand to foot covering the abdomen .
• Left Lateral Posture
• The patient is asked to lie on the left side of his body.
• Right side of the trunk, right arm and lateral aspect of the right leg is covered in this posture.
• Linear massage is done from hand to hip and  from hip to toe by therapist on the left side of the patient .
• Linear stroke massage is done from whole of the back including spine, hip to toe by the therapist on the right side .  
• Linear stroke massage is done covering the lateral aspect of the both legs .

Supine Posture

• The patient is asked to lie in supine posture.
• Linear stroke massage is done starting from abdomen to hand in synchronised manner.
• Alternate linear massage is done over the abdomen covering the hand region .
• Synchronized massage is done covering anterior aspect of thighs and legs in linear strokes.
• Whole body synchronized massage is done in linear strokes from hand to foot covering the abdomen 
• Right Lateral Posture
• The patient is asked to lie on the right side of his body.
• Left side of the trunk, left arm and lateral aspect of the left leg is covered in this posture.
• Linear massage is done from hand to hip and from hip to toe by therapist on the right side of the patient .
• Linear stroke massage is done from whole of the back including spine, hip to toe by the therapist on the left side . 
• Linear stroke massage is done covering the lateral aspect of the both legs .

Supine Posture

• The patient is asked to lie in supine posture.
• Linear stroke massage is done starting from abdomen to hand in synchronised manner.
• Alternate linear massage is done over the abdomen covering the hand region .
• Synchronized massage is done covering anterior aspect of thighs and legs in linear strokes.
• Whole body synchronized massage is done in linear strokes from hand to foot covering the abdomen 
• Sitting Posture
• Patient is made to sit in dhroni with legs extended and both palms resting on the knees.
• Synchronised massage with linear strokes is done on the anterior part of the hand followed by massage on the posterior aspect of the hand  covering the abdomen .
• Then massage in linear strokes is done covering the anterior aspect of both legs in a synchronised manner .
• Massage is done alternatively in linear pattern covering the chest, shoulder and hand region.
• Massage in linear strokes is done covering both the sides of neck .

• Oil is wiped from sole of the foot to avoid slipping.
• Thalam is removed.
• The patient is advised to take steam bath if needed
• Patient is asked to take hot shower after resting for a while .
• Rasnadi choorna is applied over vertex after bath.

30- 45 minutes

• Hemiplegia
• Paraplegia
• Sciatica
• Arthritis
• Lumbago
• Old age
• Body ache
• Rejuvenation of body

• Acute fever
• Indigestion
• Haemorrhagic disorders
• Diarrhoea

• Avoid excess pressure in tender areas.
• While massaging, only gentle strokes should be applied.
• Care should be taken to avoid burns during the procedure by hot oil.
• After the procedure, the sole is wiped well to avoid slipping.
• Synchronous massage should be maintained throughout the procedure.

• In case of burns apply shatadhouta gritam to the part.

• Sneezing and rhinitis- Talam with Rasnadi choorna and Jambeera swarasa, dhoomapana with Haridra dhooma varti .