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‘Karutha vattu’ is an aromatic preparation from traditional Keraleeya Ayurveda practice. The name ‘Karutha vattu’ indicates the black color and shape of the tablet. It is a potent formula that relieves swelling and pain that results from trauma and other inflammatory conditions. It is applied by making it into a paste in a suitable medium. The lepa (poultice) is a potent combination of anti-inflammatory and analgesic herbs, gums and resins.