Some occupational communities such as Kaniyar were known as native medicine men in relation to the practice of such streams of medical systems, apart from their traditional vocation.[111] These propagate via gurukula discipleship,[110]: 5–6 and comprise a fusion of both medicinal and alternative treatments.[110]: 15 The Arya Vaidya Sala established by Vaidyaratnam P. S. Warrier at Kottakkal (about 10 km from Malappuram) in 1902, is the largest Ayurvedic medicinal network and health centre in the state.[112][113][114] It is also one of the largest Ayurvedic medicinal brands in the world.[112][113][114]