This is taken with Ushna jala (hot water) for seven days. This medication must be administered after Vamana Karma (therapeutic vomiting) as the Amashaya (stomach) is the main seat of the Kapha Dosha.
The Ayurveda practitioner often adds Haritaki for better anulomana quality. It mainly acts on kostagata ama pachana and the Astanga Sangraha's dose the ama pachana in dhatus.
Shaddharana Choornam should be used cautiously as it quickly creates rukshata (dryness). It is better to avoid it in pitta prevalent conditions.