A cloth dipped in lukewarm medicated oil is squeezed over the patient's body uniformly and then the oil rubbed smoothly over the body of the patient by masseurs on either side. The session may take 1 hour including continuous oil pouring over the body, then be rubbing and stimulating the skin using hands and special cotton cloths. Special caution has to be taken for the patient's head should not get sweat during the treatment. A cloth is tied over the forehead of the therapy taker to prevent oil from getting into the eyes.
Pizhichil treatment is a highly rejuvenating treatment that enhances muscle tone and re-tunes the entire nervous system. Fresh medicated oil is used every day and the duration of pizhichil is decided by the Ayurveda expert after the body constitution of the individual has been determined.