Medicine•Four Medical Tantras

Four Medical Tantras

The Four Medical Treatises is written in the form of a question-and-answer session between the two incarnations of Medicine Buddha, the Śānshūrā and the Śūraṇī. The book consists of four parts: The Root Medical Treatise (རྩ་རྒྱུད་, rtsa rgyud), with 6 chapters, introduces the general ideas about human physiology, pathology, diagnosis, and medical treatment from the perspective of Tibetan medical philosophy. The Treatise on Medicine (བཤད་རྒྱུད་, bshad rgyud), with 31 chapters, elaborates on the first part, introducing the structure of the human body, the causes of illness, physical health care, the properties of drugs, diagnostic methods, and treatment principles. The Secret Medical Treatise (མན་ངག་རྒྱུད་, man ngag rgyud), with 92 chapters, introduces specific treatment methods for various clinical diseases.
The subsequent medical canon (ཕྱི་མ་རྒྱུད་, phyi ma rgyud) has 27 chapters, introducing diagnostic methods, drug combinations, and external treatments.

"Four Medical Tantras​" Mantang Exhibition

Four Treatises

Figure 6: Veins and bloodletting sites

(1) According to the History of Tibetan Medicine written by Desi Sangye Gyatso, this diagram is “the front view of the context in the Four Medical Classics: A Collection of Commentaries compiled by the Lundin School” (2) Description of the original image: This image was compiled by the Lhuntin Namgyel Dorje School of the later Northern School of Tibetan Medicine based on the Four Medical Classics: A Collection of Treatises. It shows the blood vessels of the human head, neck, trunk, and limbs, as well as the bloodletting sites and distribution of vital white veins on the front of the human body. (3) The seventy-seven bloodletting sites on the body are marked with red numbers. Red spiral lines mark the places where Qi and blood meet. Brown lines mark the vital white veins. Black lines mark the visible veins on the limbs. (1) According to the History of Tibetan Medicine

Four Treatises

Figure 5: Human embryonic development

(1) This diagram is based on the contents of Chapter 1 “General Introduction” and Chapter 2 “Development of the Human Body” of the Four Medical Classics. (2) According to the History of Tibetan Medicine written by Sangye Gyatso, this diagram begins with “Guzhurebai Yixi, the incarnation of the body of the Medicine King, preaching the principles of childbirth and the process of human development and formation.” (3) The contents of this diagram include: Gu Zhurebai Yixi’s exposition of the Four Medical Classics; the reasons for conception and infertility; the formation of the fetus; the development and delivery of the fetus, etc.

Four Treatises

Figure 4: Treatment of Disease

(1) This illustration is based on the contents of Chapter 5 “Treatment of Diseases” in the Four Medical Classics: General Principles. (2) This diagram is similar to the second diagram. It uses the roots, trunk, branches, and leaves of a tree to systematically introduce the dietary choices, daily living adjustments, medications, and external treatments for disease treatment. (3) According to the History of Tibetan Medicine written by Desi Sangye Gyatso: “The root of the tree of treatment of diseases is divided into four main trunks: diet, daily life, medicine, and external treatment methods. On the diet trunk, there are six branches, including food and drinks for treating long disease, triba disease, and bacon disease; the food branch for treating long disease has ten leaves, and the drink branch has four leaves; the food branch for treating triba disease has seven leaves, the drink branch has five leaves, and the food

Four Treatises

Figure 3: Diagnosis of disease

(1) This diagram is based on the contents of Chapter 4, “Diagnosis of Diseases”, in the Four Medical Classics: General Principles. (2) This diagram is similar to the second diagram. It uses the roots, trunk, branches and leaves of a tree to systematically introduce the diagnostic methods of three types of diseases: inspection, palpation and questioning. (3) According to the History of Tibetan Medicine written by Desi Sangye Gyatso: “The root of the diagnosis tree of diseases is divided into three main trunks: inspection, palpation, and questioning. The inspection trunk has two branches: tongue inspection and urine testing, each with three leaves. The palpation trunk has three branches: pulse diagnosis for long disease, tribadism, and bacon disease, each with one leaf. The questioning trunk has three branches: long disease, tribadism, and bacon disease. The questioning branch for long disease has eleven leaves, the questioning branch for tribadism has seven leaves,

Four Treatises

Figure 2: Physiology and pathology of the human body

(1) This illustration is based on the contents of Chapter 3 “Physiology and Pathology of the Human Body” in the Four Medical Classics: General Principles. (2) Based on the narration of Dai Yi’s classic medical texts, the upper corner of the picture shows: Tujurebai Yixi (1) lecturing on the contents of the Four Medical Classics: General Principles and Shochu Yilaigai listening respectfully. (3) This diagram uses the roots, trunk, branches and leaves of a tree to systematically introduce the physiological functions and pathological changes of the human body. (4) According to the record in the History of Medicine by the author Sangye Gyatso: “In the third chapter of the General Principles of the Four Medical Classics, the root of the human body’s physiology and pathology has two main trunks: human physiology and human disease, i.e., the causes of disease. The human body’s physiology trunk has fifteen kinds of pathology, and

Four Treatises

Picture 1: Medicine King and Medicine King City

The Four Medical Classics is an authoritative reference book on Tibetan medicine that integrates the essence of Tibetan medicine practice and theory. It is known as the encyclopedia of Tibetan medicine and is the most systematic, complete and fundamental theoretical system in Tibetan medicine. The Four Medical Classics, also known as the Four Sequels to Medical Prescriptions, was created in the 8th century AD and was written by the famous Tibetan medical scientist Yuto Nyingma Yundan Gongbu. It consists of four volumes and 156 chapters. It was first printed on woodblocks in 1546 and distributed to various parts of Tibet. After that, many different versions of woodcuts and annotations appeared, making it the most classic masterpiece in the field of Tibetan medicine. The founder of Tibetan medicine, Yutuo Yundan Gongbu (708-833), collected the essence of ancient Tibetan medicine, absorbed the essence of medicine from all over the world, and compiled