Udvarthanam is included in the panchakarma treatment in ayurveda. In this treatment massage is done with the help of herbal powders. Massage is done in the seven positios in opposite direction to that of the hair follicles. Dry herbs are cleaned, dried and powdered as per the instructions of the physician. This powder is then heated mildly and used for massage in upward stroking. The deep massage improves the blood circulation, opens the channels and effectively stimulate the breakdown of the stored suvcutaneous fact by improving the basal metabolic rate. It is effective in certain kind of skin disoders.