The Fundamental Treatise
rgyud-bzhi
The fundamental medical treatise, the rgyud-bzhi,
is comprised of four sections, usually known as the
Four Tantras:
- the RCTA Tantra
- the Explanatory Tantra
- the Oral Tradition Tantra and
- the Last Tantra.
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The complete test encompasses 5900 verses which are grouped
in 156 chapters.
The following is a short description
of the contents of this treatise, which lists the different
topics treated in Tibetan medicine and illustrates the lucid
and systematic presentation of the teachings.
The RCTA Tantra
The first section, the RCTA Tantra, is comprised of six
chapters giving a brief outline of the whole text and comparing
the medical system with a tree. Three rCTAs sprout into
nine stems, which branch out into 47 branches bearing 224
leaves. The nine stems represent the nine sections of medical
science, the branches stand for general information and
the leaves illustrate the details.
The First RCTA (Figure-I)
The first rCTA explains the human organism and its functioning
and encompasses two stems, which stand for the healthy
and the sick body. The healthy body is represented by
three branches and 25 leaves, the sick body by nine branches
and 63 leaves. The first stem, the healthy body, bears
three branches. One of the branches represents the three
humours, another the - bodily constituents (nutritional
essence, blood, muscle tissue, fat or fatty tissue, bones,
marrow and regenerative fluid) and the third branch the
three excretions of the body (feces, urine and perspiration).
Furthermore, the first stem
bears two flowers standing for health and long life and
three fruits representing religion, wealth and happiness.
The second stem represents
the sick organism. This section deals with the causes
and the conditions of diseases, the six - doorteays by
which diseases may enter the body, the locations of the
humoral diseases and the pathways where they circulate.
Information is provided about the promotion of humoral
diseases by the patient's age, the season, time of day
and the dwelling place. Furthermore, incurable diseases,
side effects due to inappropriate treatment and the classification
of all diseases as either cold or hot disorders are discussed.
Figure - I: The
RCTA of Physiology and Pathology
This picture describes the Tibetan concepts of health
and disease illustrated as a tree with two stems. The
first stem deals with the healthy body. It has three branches,
25 leaves, two flowers and three fruits. The first branch
bears 15 leaves representing the three humours and their
five types. These are depicted in the three different
colours blue, yellow and white signify-ing the humours
riung, mkhris pa and bad kan, respec-tively.
The second branch has seven
leaves representing the seven bodily constituents.
The third branch bears three
leaves, which stand for the three bodily excre-tions.
The two flowers stand for a healthy and long life and
ultimately serve as the basis for attaining the three
fruits: spiritual accomplishment, wealth and happiness.
The second stem deals with
the diseased body. It com-prises nine branches and 63
leaves. The first branch has three leaves, which stand
for the three specific distant causes of disorder: attactment,
hatred and closed - mindedness. The second branch bears
four leaves de-picting the four conditions that trigger
disorders: sea-sonal changes, demons, diet and behaviour.
The third branch has six leaves representing the six areas
of in-ception of diseases. The fourth branch possesses
three leaves showing the main locations of the three hu-mours.
The fifth branch has 15 leaves, which illustrate the pathways
of the humours. The sixth branch has nine leaves representinq
the humoral diseases in rela-tion to age, places of occurrence,
maturation period and seasonal changes. The seventh branch
has nine leaves signifying the nine incurable cases. The
eighth branch shows 12 leaves depicting the side effects
of in-appropriate treatment. The ninth and last branch
has two leaves, which illustrates the fact that all diseases
can be either hot or cold disorders.
In the upper left corner one
can see the picture of the Medicine Buddha. According
to the main Tibetan med-ical text, i.e. tgyud bzhi, drang
srong rig pa'iye shes emanated from the heart of the Medi-cine
Buddha as the expounder of rgyud bzhi, and drang srong
yid las skyes emanated as the recipient of rgyud bzhi.
Thus,the main Tibetan text is written in the form of questions
and answers between these two emanations, which are portrayed
in the upper left corner. It is also stated that when
the Medicine Buddha unfolded this medical system, he was
surrounded by various disciples, gods, sages, Buddhists
and non-Buddhists. Some of whom are portyed in the uppermost
part of the picture.
The Second RCTA (Figure-II)
The second rCTA informs about the methods of diagnosis,
the examination of the tongue and urine, the pulse diagnosis
and the questioning of the patient regarding the symptoms
of the disease, the way of living, etc.
Figure-II: The
RCTA of Diagnosis
This illustration displays three stems and depicts the
three main diagnostic techniques used by Tibetan phy-sicians:
pulse reading, urine analysis and interrogation. The first
stem deals with visual observation methods. it is divided
into two branches; the first branch stands for observation
of the tongue and the other branch for ur-ine analysis.
These branches possess three
leaves each, showing that each of the three humours has
a differ-ent effect on the patient's tongue and urine,
which can be visually detected by the physician.
The second stem depicts the
pulse analysis in three branches. each comprised of a
single leaf symbolising the different pulse nature of
each of the three humours.
The third stem deals with
the method of interrogation. It consists of three branches
with 11 blue leaves relat-ing to rlung disorders, seven
yellow leaves relating to mkhris pa disorders and 11 white
leaves to bad kan dis-orders. These colours stand for
the different ways of in-quiring used to identify the
humoral diseases and their symptoms as well as to determine
their remedies. Several sages and non-Buddhists are depicted
In the uppermost part of the picture.
The Third RCTA (Figure-III)
This rCTA deals with therapeutical methods, diet, behaviour,
medical preparations and external treatments.
Figure-III: The
RCTA of Treatment
This picture shows the methods of treatment used in the
Tibetan system of medicine. The rCTA of treatment develops
into four stems symbolising diet, behaviour, medication
and external therapy. These treatments are generally used
in combination depending on the nat-ure of the person
and the disease involved.
The first stem stands for
diet treatment, which has six branches. The first two
branches with ten and four blue leaves, respectively,
show the diet and the drink best suited to treat rlung
disorders. The third and fourth branches with seven and
five yellow leaves, respectively, stand for the diet and
drink suitable for mkhtis pa disorders and the fifth and
sixth branches with six and three white leaves, respectively,
stand for the diet and drink recommended for bad kan disor-ders.
The second stem illustrates
behavioural treatment. It has three branches with two
leaves each representing the behaviours beneficial for
the three humours.
The third stem depicts the
different medications. It has a total of 15 branches and
50 leaves. The first six branches each bear three leaves.
These refer to the tastes and medicinal qualities favourable
for treating rlung, inkliris pa and bad kan disorders,
which are shown as blue, yellow and white leaves, respectively.
The seventh to the twelfth
branches bear a total of 23 leaves representing different
medicinal preparations: broth and medicinal butter, decoctions
and powders, pills and specific medicinal powders. The
type of pre-paration prescribed depends on the afflicted
humour. In addition to the above medications, there are
three different branches symbolising medicinal preparations
with a cleansing effect: enemas, purgatives and eme-tics
used respectively for rlung, mkhrispa and badkan disorders.
They are represented by three blue leaves on the thirteenth
branch, four yellow leaves on the four-teenth and two
white leaves on the fifteenth branch. The fourth stein
stands for external therapies, which are generally used
as a list resort after all other treatments fail. It consists
of three branches. The two blue leaves on the first branch
portray the external therapy used to treat rlung disorders.
The three yellow leaves on the second branch stand for
external therapies used to f iqiit fight mkhris pa disorders
and the two white leaves on the third branch signify external
therapies used on bad kan disorders.
In the lower right corner one
can see a picture of the Medicine Buddha. Some of Buddha's
disciples, Buddhists and important scholars of Tibetan
medicine are depicted in the uppermost part of the picture.
The Explanatory Tantra
The second tantra, the Explanatory Tantra, en-compasses
31 chapters and is concerned with the life cycle (conception,
childbirth, function-ing of the three humours and signs
of death), causes, conditions and classification of the
dis-eases. It specifies the properties of medicinal in-gredients
and explain in detail diet, behaviour and the rules for
maintaining health, etc. It also contains a code which the
physician should up-hold in conducting his profession.
The Oral Tradition Tantra
The third tantra, the Oral Tradition Tantra, consists of
92 chapters which mainly teach the 101 disorders of the
three humours indicating their causes, conditions, symptoms
and meth-ods of therapy.
The Last Tantra
The fourth tantra, the Last Tantra, is comprised of 27 chapters,
which deal with diagnosis (such as urine analysis and pulse
reading), medicinal ingredients and their preparations (pills,
powders, syrups, medicinal butters, etc.) pacifying medicaiton
(purgatives and emetics) and additional treatments (moxibustion,
golden-needle therapy) which are applied when all other medicinal
preparations have failed to cure the patient.
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