Pizhichil, which literally means squeezing, is a unique contribution of the Kerala tradition of Ayurveda. Here, cloth dipped in warm medicated oil is squeezed over the patient’s body. The unction used here is slightly more viscous than that used in Sarvangadhara.

Trained attendants under the supervision of a physician perform the treatment. The attendants squeeze the oil with their right hand and simultaneously massage with their left hand in down ward strokes. The patient should be made to adopt the seven standard positions so that no area of the body is left uncovered.

Though it is actually a process of sudation used as a purvakarma (preparatory treatment), it has also proved to be highly effective on its own for treating diseases caused due to the vitiation of the Vata humour, especially Pakshaghata (hemiplegia), paralysis, muscle spasms and other degenerative diseases affecting muscles.