This is a procedure which is used for cleansing the areas above the shoulder basically nose, throat, sinuses and head. The face, shoulder and chest are massaged softly with medicated oil. Then a medicated is instilled in to the nostrils drop by drop. Depending on the condition of the patient dhoomapanam (herbal smoke) and kabalam (gargling) will also be done as pashchat karma.

Indications: Cervical spondylosis, Sinusitis, Migraine, Frozen shoulder, Facial palsy, Allergies.