Executive Summary: This article analyzes the therapeutic efficacy of Kizhi (Herbal Bolus Therapy) within the Kerala Ayurvedic lineage for chronic joint stiffness and musculoskeletal pain. It compares Kizhi to conventional remedial massage, highlighting the role of Snehana (oleation) and Swedana (sudation) in reducing Vata-related inflammation. Key therapies discussed include Elakizhi and Podikizhi, utilizing
