The Tibetan medical masterpiece “Four Medical Classics” states that the human body is divided into three elements: “Long, Chiba and Peigan”, which is the basic theory of the “Three Causes Theory” of Tibetan medicine. The “three causes” exist in the father’s essence and mother’s blood, and are innate in the embryo. The “three causes” not only affect the shape of the human body, but also govern the seven material bases of diet, blood, flesh, fat, bone, marrow and semen, as well as the changes of three kinds of excretion, namely, stool, urine and sweat, which are healthy if the three are in harmony, and morbid if they are in favor of each other. And the treatment means of Tibetan medicine have their own characteristics, after years of clinical observation and practice confirmed that the Tibetan medicine bath traditional therapy. By applying medicine through evidence, it has exact therapeutic effect on common diseases, multiple diseases and difficult diseases. Tibetan medicine bath therapy is a special kind of characteristic treatment means in Tibetan medicine, in which the whole body or part of the limbs are immersed in the medicinal liquid, and the appropriate temperature is selected, and the whole body or the affected part is bathed as a treatment method. With the help of water, the medicinal solution dissolves the relevant drugs in water and adopts the warming method to make the drugs enter the meridians, blood vessels and distribute the whole body directly through the skin pores and acupuncture points, so as to play a therapeutic role through the physical and pharmacological effects. The development of Tibetan medicine bath has gone through a long practical experience, very early Tibetan people know that bathing with hot springs can treat many diseases. The snowy peaks and unique climate of the Tibetan plateau are rich in geothermal resources – hot springs, and commonly used medicinal hot springs include sulfur hot springs, cold water stone hot springs, alum stone hot springs, five spirit fat hot springs, limestone hot springs, etc. Tibetan medicine practitioners have applied the principles and methods of hot springs to promote and develop them into the unique Tibetan medicine bathing method, and according to the climate of each region According to the characteristics of the climate of each place, choose the appropriate seasonal medicinal bath. The advantages of Tibetan medicinal baths Tibetan medicinal baths make full use of the pure, natural and unpolluted local medicinal herbs of the plateau, using the “Five Flavors of Manna San” as the base formula, i.e., five medicinal plants, namely, “round cypress leaf, azalea leaf, water cypress branch, ephedra and yellow chrysanthemum”, collected in summer and autumn when the leaves are strong and fertile. collected in summer and autumn. It is clinically formulated into a series of more than 100 kinds of prescriptions for allopathic medicine bath therapy. For example, for indigestion, cold water stone, dry ginger, wicker, etc. can be added; for yellow water disease, grass cassia and frankincense can be added, as well as the auxiliary remedy “Five Root San”, etc. Tibetan medicine bath has the characteristics of cheap, simple, convenient and easy, suitable for application in hospitals and families, which can unblock the meridians, invigorate blood circulation and remove blood stasis, dispel wind and cold, reduce swelling and pain, adjust the three causes, coordinate the internal organs, pass the qi and blood, moisten the whole body and other health effects, as well as preventive health care, disease rehabilitation, skin care and beauty. It is suitable for rheumatism and rheumatoid arthritis. Sprains, pharyngitis, hyperlipidemia, neurasthenia, insomnia, gastritis, cholangitis, sciatica, hemiplegia, postpartum wind, urticaria, limb stiffness, bending, varicose veins, yellow water disease, old diseases, various skin diseases, etc., in a relaxing bath can achieve the efficacy of dispelling disease and prolonging life, well received by the majority of patients. Tibetan medicine believes that almost all drugs that can be taken internally can be used externally, and the active ingredients of natural herbs can be carried by water after decoction through fumigation and infiltration for the whole body, or partial body bath, which can be directly transported to the tissue microcirculation and cells through sweat pores and microscopic blood vessels, so as to better play the excellent efficacy of natural herbs in health care and conditioning. The bath has the function of adjusting the autonomic function of the body, activating the meridians, improving the physiological activities and pathological changes of internal organs and tissues, strengthening the immunity of the body, and achieving the purpose of strengthening the body, preventing and treating diseases. Contraindicated objects of Tibetan herbal baths Pregnant women, patients with high blood pressure, people with serious heart or cardiac insufficiency, people with bleeding tendency, people with high fever, people with active tuberculosis and other infectious diseases, people with liver and kidney insufficiency, people with mental illness, epilepsy, swelling, people who cannot restrain themselves, etc. Extraction method of medicinal bath With the progress and application of science and technology, the traditional Tibetan medicinal bath has been promoted and developed for a long time. In the past, the method of boiling the medicinal solution in a pot has been replaced by modern concentrated extraction equipment, and according to the operating procedures and techniques, a large number of medicinal plants such as “Wu Wei Gan Lu San” have been extracted and preserved as effective medicinal solution, which has achieved twice the result with half the effort. Several Tibetan medicine bath methods commonly used in clinical practice Steam bath method: Boil the “five flavors of Mannu San” extracted liquid plus blending and flavoring liquid in a large pot, cover it with a wooden board with many small holes, lay a felt blanket on it, make the patient lie on it covered with a quilt or sit on a wooden stool with many small holes, so that the steam does not leak out the best. Or the application of modern equipment – steam reaction tank, steam transpiration fumigation treatment, with heat detoxification, blood circulation, blood stasis, kidney and waist benefits, good effect on paralysis, tonic contracture, etc.. Medicinal bath method: put the extracted medicinal solution into a bath or tub, with the temperature controlled between 38℃-40℃, and immerse the whole body or the affected area in the medicinal solution for a period from 30 minutes to 60 minutes once, and then reduce the process of increase or decrease from 60 minutes to 30 minutes with the course of treatment. And according to the disease dialectical supplement medicine quantity, medicine taste and medicine liquid temperature, so that the medicine liquid keep constant temperature and medicine power, to achieve the therapeutic effect, medicine bath method is the most common method of Tibetan medicine bath. Bathing method: The “five flavors of Ganlu San” and the condition require the preparation of additional flavors of drugs, which are often used clinically for the deployment of single-flavored drugs or finished compound Tibetan medicine. For example, “Wu Wei Musk San” is added for anti-inflammatory and pain relief, “Ru Yi Zhen Bao San” is added for neurological diseases, “Ten Flavors of Frankincense San” and “Eighteen Flavors of Ou Qu San” are added for yellow water diseases. Ou Qu San”, etc., the preparation of medicinal flavor powdered into a small cloth bag, wrapped by boiling suitable temperature, wrapped or placed on the patient parts, so as to play a therapeutic role. This method is suitable for those who have limited patient areas. Tibetan medicine bath is generally 7 days for a course of treatment, 1-2 times a day into the bath, according to the condition, appropriate increase or decrease the course of treatment to achieve the best therapeutic effect. The above-mentioned bathing methods can be used independently in the course of treatment or the two bathing methods can be applied simultaneously after time matching, such as steaming first and then bathing. The operation of Tibetan herbal bath The operation of Tibetan herbal bath is improved while also following the traditional steps. The Tibetan herbal bath is different from person to person, and each person’s physique and health condition are different, so before bathing, the doctor must check the pulse to determine the condition, and then prepare additional flavor medicine on the basis of “five flavors of Ganlu San” to achieve the miraculous effect of the medicine. Before taking a medicinal bath, one should bathe in hot water and then enter a steam bath to relax the pores and fumigate the body. Or into the bath or bath tub, the whole body or the affected part immersed in the liquid, and gently scrub, massage points, maintain the temperature of the liquid, according to the time after the bath bed covered with quiet lying sweat, pay attention to keep warm, while recovering physical strength. Prohibit strenuous activities, exertion, etc. Care of medicinal bath Patients need careful care before and after the medicinal bath to achieve the best treatment purpose. Before the bath, it is necessary to eliminate the patient’s fear of not being able to support the heart and other concerns, and encourage them to cooperate closely and adhere to the course of treatment. And only after passing the doctor’s physical signs and other checks. During the bath, we should keep the air in the room fresh and the temperature appropriate, and adjust the temperature of the liquid and the bath time according to the patient’s constitution. During the bath, the temperature of the solution is high and the time is long. The bathers will sweat a lot, which will easily cause deficiency, so they should prepare drinks and drink while bathing to replenish the lost water, and at the same time, make good dietary guidance for the patients about lO days before the bath, and eat some high protein and high vitamin diet. After the bath, cover the sweat for 1-2 hours and pay attention to keep warm to avoid getting cold. As an important part of Tibetan medicine, the Tibetan medicine bath has been developed into a highly targeted one through unremitting exploration and clinical practice by generations of Tibetan doctors. Through decoction, immersion, fumigation, bathing and other special therapies, which are aimed at the internal organs and joints, skin, nerves and other diseases, combined with today’s pure natural sunbathing, massage, foot therapy, skin care and other means, set medical treatment and prevention as one, to achieve the comprehensive purpose of healing, disease prevention and fitness, detoxification and skin care, the development potential is endless. Therefore, Tibetan medicine bath therapy out of the plateau, the era of going to the world has come. Tibetan medicine bath, a traditional treatment means, has the characteristics of short course of treatment, exact curative effect, good maintenance time, without any toxic side effects, etc., and thus is welcomed by the majority of patients at home and abroad. After years of clinical and practical experience, Tibetan herbal bath has been effective in treating various diseases caused by “Long, Chiba and Peigan” by adding and subtracting medicinal flavors on the basis of the main formula “Wu Wei Gan Lu San”. Under the guidance of Tibetan medicine theory, we analyze the steps of Tibetan medicine bathing method, explain the current development status, and look forward to the development prospect. Through continuous improvement, we will expand our ideas and make full use of modern technology in order to better serve the Tibetan medical clinic.