Generally, disorders of the large intestine are divided into two categories, heat and cold, all caused by immoderate intake of food and drink. Cold intestinal disorder manifests itself in borborygmus, abdominal distension, constipation or diarrhea, aggravated after catching cold. Heat intestinal disorder manifests itself in thirst inclining to drink water, abdominal distension, constipation and spontaneous sweating. For treatment, Wu-peng Powder (Fructus Terminalia chebula, Radix Vladimiria, Rhizoma Acrorus calamus, musk, Radix Aconiti tangutica) can be administered when the condition is rather serious, either heat or cold. For cold syndrome, a powder made of Semen Punica, sallucidum, halitum, paste of Fructus Hypophae thamnoides, Cortex Cinnamon, mirabititum should be administered; for heat syndrome, San-guo-mu-tong Decoction (Fructus Terminalia chebula, Fructus Terminalia belMca, Fructus Phyllanthi, Ramulus Clematis) should be first given, followed by Semen Coriandri, paste of Fructus Hippophae, Radix Glycyrrhiza, Radix Polygoni divaricati, Radix Aconiti forrestii, ground into powder for administration. Last of all, cathartics are given.
Whatever the types of disorder, all cases should involve the serving of easily digested food. Moxibustion at the 16th vertebra (cold type) and bloodletting at Large Intestine vessel (heat type) can also be given.
Since Fearless Weapon was jointly written by representative of the three ancient medical systems, naturally the medicine of Tubo Dynasty was greatly influenced by them. Being of great significance, King Srong btsan sgam po dispatched an imperial order stipulating that physicians in his kingdom should learned this book. He also paid attention to the development of medicine, placing medical professionals in a very high social position. Those who were conversant with this medical book were superb doctors and respected as “tsho byed sman pa” physicians saving lives). Twelve items demanding respect for physicians were announced. Under such conditions, medicine was well developed.
In the 8th centur}r, Khri lde gtsug brtan, who reigned from 704 t0 755, requested marriage with the Tang Dynasty. Emperor Zhongzong agreed that princess Jincheng should be his bride, and she entered Tibet in 710 with a large amount of literature and accompanied by many technical professionals. Though there are no documentary records as to exactly what the works were that she took to Tibet, one thing is certain, that medical books were presented and medical doctors were among the technical professionals, because doctors were categorized under the heading of “craftsmen” at that time.
By the order of the King, the medical works were translated and compiled by the medical Buddhist Ma ha kyin da, Rgya phrug gar mkhan, Tibetan expert Kyung po tse-tse, Kyung po dam tshugs, and Lcog la smon ‘bar, into the Tibetan language. Later, the Chinese medical Buddhist monk Ma ha ya na jointly compiled a new book with Bairochana. This book consists of medical knowledge derived from foreign countries and China and the healing art of the Tibetan people themselves. This is a comprehensive book called Sman dpyad zla ba’i rgyal po (The Medical Investigation of Lunar King), being the earliest Extant ancient Tibetan medical classic.