Navarakkizhi treatment involves the fomentation of the body with a bolus of cooked rice. Navara is a rice variety known for its medicinal properties and it is cooked in milk, to form an herbal decoction using Kurumthotti. Four boluses are made of the cooked rice and are tied up in linen bags. The movement of the hands during both fomentation and massage should always be downwards. This therapy is done in seven standard positions.