In the late seventh century Ono no Tobito erected a set of public baths on Mount Tomi outside Nara and enshrined an image of Yakushi. In 734 Emperor Shōmu instructed Gyōki to erect a hall on the site, and two years later the Indian monk Bodhisena, noticing a resemblance to the Vulture Peak, founded the Ryōsen-ji. The Hondō was rebuilt in 1283. Toyotomi Hideyoshi granted the temple lands valued at a hundred koku. In the Meiji period many of the monk's quarters were abandoned and over two hundred images were burned. Restored in 1940, the temple has been revived.