Treatment Procedure 

The combined therapy follows a specific sequence to achieve optimal results: 

Abhyangam (Oleation): 

1. Preparation: The therapist warms the chosen medicated oil (e.g., Dhanwantharam Taila or Mahanarayana Taila) to a comfortable temperature. 
2. Massage: The patient lies on the Droni (massage table). The therapist applies the oil liberally and performs a rhythmic, systematic massage covering the entire body, paying special attention to the head, ears, palms, and soles of the feet. The massage direction often follows the movement of the hair and the arterial flow to improve circulation. 
3. Rest: The oil is allowed to remain on the skin for 10–20 minutes to allow maximum absorption.

Swedanam (Fomentation): 

1. Steam Application: Immediately following Abhyangam, the patient is transferred to a steam chamber (often a box or tent) that allows the body to be exposed to moist, medicated herbal steam while the head remains outside (to prevent Pitta aggravation). 
2. Duration: The patient stays in the steam chamber until the onset of mild, profuse sweating, typically 10–15 minutes. The therapist monitors the patient’s pulse and comfort throughout. 

Post-Therapy Care: 

1. After the steam bath, the patient takes a warm shower to wash off the oil and sweat using a mild herbal cleanser (Snana Churna) instead of soap. 
2. Rest is essential to allow the nervous system and body to assimilate the therapeutic effects of the treatment.