Iconographic Parallels Between Akshobhya Buddha and Medicine Buddha in Vajrayana Art
Two of the most popular figures in the Buddhist art and practice are Akshobhya Buddha and the Medicine Buddha. Akshobhya, the East Buddha, the Immovable, is a representation of mirror wisdom, a serene and steady mind that reflects the true picture of reality. The Medicine Buddha or Bhaishajyaguru is the lord of medicine whose lapis-blue body emits his compassion and healing power. Buddhas in Vajrayana thangka paintings are frequently depicted in calm meditation postures, with a sense of clarity and healing. It is the visual harmony that renders their iconography beautiful, as well as, spiritually intertwined.
Although they played diverse roles in the Buddhist teachings, the similarities in their iconographic aspects depict a deep symbolic relationship. They both are painted in blue, Akshobhya as the embodiment of the water-like purity and the immovable wisdom, and Medicine Buddha as the light of lapis lazuli as the source of healing. Their gesture and qualities are different: Akshobhya is in his vajra of impossibility to be destroyed and Medicine Buddha is in his myrobalan plant and in his medicinal bowl. They are two reflections of complementary ways of change; one restoring the mind, by making of anger the wisdom, the other restoring body and spirit, by relieving the sufferers. The iconography between them is beautiful and explains the collaboration of understanding and compassion in the Buddhist way.
Who Are They: Akshobhya Buddha and Medicine Buddha

Akshobhya or also known as Mitrupa, is one of the Five Dhyani Buddhas in Vajrayana Buddhism and is revered as the Buddha of the eastern direction, linked with the water element and the quality of unshakeable stillness. His name means “The Immovable One,” signifying that his mind is constant and not affected by anger, conflict, or emotional disturbance. Akshobhya is a wisdom of mirrors, the enlightened mind that sees all things as they are, undistorted. In thangka art, he is depicted with a deep blue body, and has an upright vajra (dorje) in his left hand. That vajra is the clarity of the indestructible, the ability to turn anger into understanding, and the undispersed nature of the awakened consciousness.

Medicine Buddha, known as Bhaishajyaguru, is the Buddha of Healing and the supreme physician in Mahayana and Vajrayana Buddhist traditions. He is venerated for his ability toto alleviate physical and emotional as well as karmic pain and his teachings are widely used to bring a blessing of health, long life, healing and spiritual cleansing. His iconography is equally distinct and meaningful: his body shines with a luminous lapis-lazuli blue color which is a sign of healing power, boundless space, and deep medicine wisdom. He holds in his right hand the myrobalan (arura) fruit which is a restorative and detoxifying medicinal herb sacred. His left hand is in a meditative pose and is usually holding a bowl of curing nectar. A large number of thangka paintings also depict him with the Sun and Moon bodhisattvas or flora with healing qualities to underscore his position as the compassionate healer of the body, mind, and spirit.
Shared Iconographic Elements
Blue Body Colour:
- Both Akshobhya and Medicine Buddha are traditionally depicted with deep blue bodies.
- This color is an instant connection between these two gods in Vajrayana iconography.
- The blue color is common, which is associated with the clarity, stability and healing, all in various spiritual contexts.
Buddha-like Posture & Calm Demeanor:
- Both Buddhas are portrayed seated in serene meditation posture, embodying unwavering presence and inner stillness.
- They are soft, peaceful and compassionate faced, with a profound meditative concentration.
- The similarity of composure emphasizes their functions as stabilizers of the mind, on the path to wisdom in the case of Akshobhya, and to physical and emotional healing in the case of Medicine Buddha.
Symbolic Healing of Mind and Body:
- Buddhas are similar in the fact that they both have the theme of transformation although their roles vary.
- Akshobhya transforms anger, hatred and confusion into mirror-like clarity and it assists practitioners to cleanse mental afflictions.
- Medicine Buddha, eliminates disease, suffering, and karmic impediments, healing disharmony in the body and mind.
- These transformative traits, characterized by one by wisdom energy, the other by healing energy make them come into a spiritual continuity. These both lead the sufferer out of suffering, the twisted out of distortion, to integrity.
Key Differences Between Akshobhya Buddha and Medicine Buddha

Primary Function
Akshobhya: Akshobhya is the mirror-like wisdom, this clarity that appears when the mind becomes perfectly still, without any distortion, and with the capacity to reflect the reality as it is. His role in Buddhism practice is to cleanse anger, aggression and emotional tempest. Akshobhya is a representation of inner stability that cannot be shaken and thus allows the practitioners to convert the reactive feelings to a serene understanding.
Medicine Buddha: Medicine Buddha (Bhaishajyaguru) is the personification of the healing energy and healing compassion. His role cuts across physical healing, emotional consolation, karma cleansing and safeguarding of life. Practitioners call on him to help relieve suffering, heal sickness, live long, and renew oneself inside. His personality is strongly tied to the medical field, health, and altruistic practice.
Iconographic Implements / Attributes
Akshobhya: Akshobhya’s defining iconographic feature is the vajra scepter (dorje) held in his left hand. This is a symbol of the invincibility of awakened consciousness which is inexhaustible clarity and permanence and the ability to slice through illusion. The vajra identifies him as a guardian of wisdom, one of unanimous mental purity.
Medicine Buddha: Medicine Buddha is depicted as holding myrobalan (arura) herb one of the most potent medicines in traditional healing systems in his right hand. A lapis bowl with healing nectar is held in his left hand. These qualities convey his power to heal disease, to dispel misery, and to re-establish order at all levels: physical, emotional, karmic, and spiritual.
Focus of Buddhist Practice
Akshobhya: Akshobhya have the aim of calming internal conflict and converting bad temper into wisdom. Meditations on Akshobhya develop a non-emotionally clouded mind, firm, clear and unshaken, able to reflect the truth. This causes him to be core to the activities of inner cleanliness, serene enduring, and mind stability.
Medicine Buddha: The Buddha practice of medicine is based on curing, long life, and loving care. His mantra and visualizations have been traditionally applied to healing an illness, relieving mental discomfort, eliminating bad karma, and being supportive to the sufferer. Several monasteries also hold Medicine Buddha puja which is performed with the specific purpose of community welfare, protection and healing.
The Importance of These Differences in Art and Practice

Since Akshobhya and Medicine Buddha are associated with various enlightened qualities, their thangka representations are used in different religious practices of Buddhists to meditate and perform their rituals. Thangkas are not just decorative paintings, but they serve as visual aids that trigger the given enlightened attributes of the deity being portrayed. Therefore, the symbolic disparities between Akshobhya and Medicine Buddha have a direct effect on the relationship of the practices with them through meditation, visualization, and ritual offerings.
Akshobhya thangkas are primarily used in practices that cultivate mirror-like wisdom, inner stability, and the transformation of anger or mental turbulence. His unshaken posture and a vajra scepter make practitioners realize that awareness is indestructible. According to the teachings of Vedrayana, the Akshobhya in meditation assists in the control of inner disturbances and clear view of reality, and this makes these thangkas the best choice to those who need clarity, emotions support and unwavering concentration.
Medicine Buddha thangkas, on the other hand, are used in rituals aimed at healing both physically and psychologically, as well as in rituals that seek to protect, increase life and relieve suffering. The blue lapis body, his healing herb (myrobalan), and nectar bowl serve as visual reminders of his vow to help all beings overcome illness and karmic obstacles. In religious practices and within monasteries, practitioners further meditate on Medicine Buddha to receive well-being, heal their illnesses, and pray with compassion to benefit others.
Ultimately, these differences matter because they ensure that each thangka becomes a living tool for spiritual transformation rather than a general symbol. Akshobhya leads practitioners to inner clarity and emotional purification, whereas Medicine Buddha helps in healing, compassion and reduction of suffering. They complement each other, though: one cleanses and cleanses the mind, the other takes good care of the body, heart, and karmic path and heals it.
Conclusion
Akshobhya and Medicine Buddha are two bright pillars in Vajarayana Buddhist art and practice one of clarity of wisdom like a mirror, and the other of the healing power of compassion. Their joint blue colours and calm meditative nature are an indication of the deep equality of wisdom and compassion that is central to Buddhist enlightenment. However, their different features, the vajra of eternity of awareness held by Akshobhya and the healing nectar and myrobalan of Medicine Buddha, keep the practitioners in mind that the way to enlightenment involves not only purifying the mind but also curing the sick.
According to thangka art and meditative visualization, these Buddhas serve complementary functions: Akshobhya brings mental change and inner turbulence stabilization, whereas Medicine Buddha provides protection, renewal, and illness and karma-related problems alleviation. Their combination is a lamp that shadows the entire range of spiritual awakening wisdom that perceives the truth clearly and compassion that takes care of suffering endlessly. Learning to appreciate each other in terms of iconography and their distinctive purposes, it is hoped that practitioners will appreciate better how Vajrayana art acts as a living remedy as a pathway of enlightenment, healing and as a form of sacred beauty.
Click Here To View Our Collection of Medicine Buddha from Enlightenment.
