Ayurveda gained significant presence in Kerala in the 13 th century. The system developed in the Malabar region of Kerala especially along the Coast of Nila River. Families of Practitioners took up Ayurveda as their family profession and occupation, and a strong Kerala tradition in Ayurveda began to flourish.

The highlight of Kerala tradition is undoubtedly the specialties of Preparatory Stage (Poorva Karma) and After treatment (Paschath Karma) of Panchakarma Treatment. This treatment, according to Kerala tradition is a much sought after and reputed treatment practice. The Kerala tradition also takes into its stride the ethnic treatment practices like Vishachikitsa, Physiotherapeutic methods of the Martial Art form Kalaripayattu, and further enriched and developed them into comprehensive and credible treatment practices.