Purvakarma
Purva Karma is the preparatory step before the main Shiro Pichu therapy. It readies the head, scalp, and nervous system for deep, effective treatment.
The Ayurvedic doctor checks stress levels, mental tension, sleep quality, and overall health. Based on Vata and Pitta involvement and the patient’s condition,
the doctor chooses the right medicated oil and decides how long it should stay.
After the plan is set, all materials are prepared. The herbal oil is gently warmed, and a cotton pad is soaked to hold the oil on the crown of the head.
The patient sits or lies comfortably on the table, then the doctor applies a mild scalp massage and gentle steam to relax the head muscles, improve circulation,
and prepare the area for Shiro Pichu.
Pradhanakarma
Pradhana Karma is the main therapeutic part of Shiro Pichu. The cotton pad is placed over the crown of the head and soaked with the warmed medicated oil to ensure
continuous contact with the scalp.
The oil stays on the head for 30–45 minutes, letting its warmth and herbal properties penetrate the scalp, nerves, and brain tissues.
The patient remains relaxed while the oil eases tension, reduces mental fatigue, and nourishes the nervous system for better clarity and calmness.
Paschatkarma
Paschat Karma is the final stage of Shiro Pichu, focusing on cleanup and recovery. The oil-soaked cotton pad is carefully removed,
and any excess oil on the scalp is gently wiped off with a soft herbal cloth.
A mild head and neck massage may be done to relax the scalp, improve circulation, and enhance the absorption of the herbal oils.
Gentle steam or a warm compress may also be applied, followed by 20–30 minutes of rest. Patients should avoid heavy mental strain,
exposure to cold, or stress immediately after the therapy to support its calming and long-term nervous system benefits.