Churnams are single dravyas that are finely ground and strained through a fine sieve. The result is a fine light powder that easily absorbs. Single churnams are combined to make traditional formulations. Churnams are the main components for kashayas, kwathams, arishtams, lehams, oils, and ghritams. Some churnams are produced for internal use while others are for external use only. There are five aqueous extracts known as the pañca kaṣāya.
These are the most common methods of preparation but is not limited to these. Generally, kvātha or boiled decoction is utilized for internal churnams, and kalka or paste is utilized for external usage.
Massage and the application of oil plays a vital role in the Ayurvedic system of healing. Occupational-therapy is achieved in Kerala by the scientific method of massaging. New types of massages known as effleurage, petrissage, and tapotement cannot yield as good results as the Kerala massages.
There are four specialized rejuvenation treatments in Kerala; they are Dhara, Mukkipizhichal, Navarakizhi, and Sirovasti. These treatments offer excellent results for many conditions of paralysis, sciatica, and mental disorders, hysteria, insanity, etc.
Gulikas and vatikas are produced by grinding the raw materials into a fine paste, they are then formed into pills or tablets. Some gulikas and vatikas are available in pill form and packaged as 100 loose pills per container, and others are in tablet form and packaged as 100 tablets in a 10x10 blister pack.
Pills for internal use may be mixed with lukewarm water or any other prescribed liquid substance as directed by an Ayurvedic Doctor.