The lemon and required medicines are made into a bolus and is dipped in the warm medicated oil and then applied on the body in such a way that the bolus is made to have a sudden contact over each adjacent part of the body for fraction of seconds so that ample heat is transferred into the body. The procedure begins with abhiyangam and kizhi bolus is applied on the joint and muscles. The bolus is heated intermittently during the course of treatment.