|Although Ayurveda is generally a pan-Indian system of therapy, it has developed, modified and re-invented itself in a fascinatingly original way in the state of Kerala. Several patterns and routines of therapy were basically invented in Kerala and even today they are practised only in Kerala by Kerala physicians, and even Indians from various parts of India today have to come to Kerala to avail themselves of these courses of therapy. Over the ages, Kerala has designed certain specific treatment modalities. Some of these special modes of therapy exclusive to Kerala are: Pizhichil, Shirodhara, Elakkizhi, and Njavara Kizhi. These provide excellent results in the treatment of certain degenerative arthro-neural and neuro- muscular disorders.