Kerala is unique for its ‘Ayurvedic Bible’ - Ashtanga Hridaya written by vakbhata. The author, a Buddhist monk, has been living and teaching in Kerala. Based on this influence, Kerala has specialties in Ayurveic herbology, and different manipulative therapies. The combination of oleation and fomentation therapies practiced in Kerala over the years has been spread worldwide.

Resembling acupuncture, Marma Chikilsa is yet another Kerala specialty. Kerala traditions in Ayurveda need urgent documentation and efforts are on in this line.