Uses: Skin Problems, Swelling, Stiffness, Paralysis, Nerve Disorders. Dhutse-Ngalum is derived from natural products and is a part of water therapy practiced in Traditional Tibetan Medicine. Various herbal ingredients are combined with the qualitative value of water and fire elements having the characteristic of fluidity and burning respectively. Enriched with the triple content of medicine, water and fire, this therapy has the same value as that of natural hot spring.