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Woman Receiving Udwarthanam, Ayurvedic Powder Massage, Kairali Ayurvedic Health Resort, Palakkad, Kerala, India. In Udwarthanam, powder is rubbed on the front and back of body by a therapist, using a two- handed in a motion towards the client's heart. No oil is used in this treatment. Udwarthanam helps balance the kapha dosha, and aids in correcting metabolism and eliminating excess fat from the body.