Siddha medicine is a vast repository of external therapies – administration of drugs through routes other than oral. These procedures are as important as the internal medicines in the management of health and diseases. The thirty two external therapies include ophthalmic drops, nasal drops, ear drops, fumigation, oleation, physical manipulation therapies etc. Thokkanam signifies a set of therapeutic procedures, usually done with hand on the body in nine different ways, with or without the application of medicated oil (thailam). These procedures can either be curative or palliative. The physical therapies of thokkanam, varmam and most other therapies of siddha are regaining popularity and efforts are on to validate and standardize the procedures. The nine types of thokkanam are Thattal (Taping),Irukkal (Tightening),Pidithal (Grasping),Murukkal (Twisting),Kai kattal (Tying),Azhutthal (Pressing),Ezhutthal (Pulling or traction),Mallathuthal (Supination),Asaithal (Shaking). This article helps in giving the types of procedure of thokkanam towards traditional therapies of siddha that have tremendous results in various diseases. External therapies can be done in major measures with locally available resources and therefore is accessible as well as affordable to the entire society