[Abstract] Tibetan herbal bath is a unique external treatment method of Tibetan medicine based on the practice of hot spring bath therapy and the basic theory of Tibetan medicine. The “Five Flavors of Manna” is the basic formula of Tibetan medicinal bath, and its history is almost as long as that of Tibetan medicinal bath. The chapter of “Five Arms Bathing” in the follow-up section of the Four Medical Classics specifically discusses in detail the indications, prescriptions, usage and precautions for Tibetan bathing. Since then, the Five Flavors Manna Bath has become the basic classical formula for Tibetan herbal baths, and the names and formulas of this formula have been recorded differently in Tibetan medical literature over the ages. Zhuo Ma Caidan of Qinghai Tibetan Hospital Tibetan herbal bath is one of the external treatment methods of Tibetan medicine, which is popular among Tibetan people because of its wide therapeutic indications, safety and painlessness, and good curative effect. Tibetan people have lived in the plateau area since ancient times, and in their long-term production and living practice, they realized the knowledge that bathing is good for health very early. On this basis, the majority of Tibetan doctors, according to the unique geographical environment, climatic conditions and pathogenesis of Tibetan areas, created Tibetan medicinal bath therapy, and gradually summed up a complete and systematic set of medicinal bath theory and clinical techniques. The time of bathing and the benefits of bathing are recorded in the extant Dunhuang Tibetan document P.t.127. In the follow-up section of the Four Medical Codes written in the 8th century A.D., there is a special chapter that systematically discusses medicinal bathing therapy, and many chapters in the secret section also contain discussions on the specific application of medicinal bathing. It can be seen that Tibetan medicinal bath therapy was already very mature about 1300 years ago. This paper explores the ancient Tibetan medical literature and makes a preliminary study on the history of the invention and evolution of the “five flavors of manna”. A, “five flavors of manna” interpretation of the name 1, “manna” the origin of the word “manna” is the Tibetan ancestors of the term for special health care drugs. The ancient Tibetan people believed that “manna” is a magical elixir, which can be consumed to make people immortal and can prevent and treat various difficult diseases. Since there are a lot of myths and legends about manna in ancient India, and the birthplace of Tibetan Buddhism is also in India, so although there are records about “manna” in the Vedic classics of Tibet and ancient India long before Buddhism was founded, in some Tibetan history books and medical books (including “Four Medical Classics” and “History of Tibetan Medicine”), the origin of “manna” is still mentioned. In some Tibetan history books and medical books (including the Four Medical Classics and the History of Tibetan Medicine), the origin of “Ganga” is still linked to Indian Buddhism. In fact, there is a record of “manna” in the ancient Tibetan Xianxiong civilization, and the famous Tibetan medical scientist Dumaghosi Tenzin Phuntsok pointed out in his book “Immaculate Jingman” that the word is Xianxiong language, meaning “manna”. This shows that “manna” is also a concept in traditional Tibetan culture, and cannot be said to have been introduced from India and other regions. According to Tibetan scholar Mr. Namgyal Norbu, the history of Xiongnu and its benzene culture is at least 3800 years, which is as long as the history of Chinese civilization and ancient Indian civilization in the Yellow River basin. In ancient Indian and Han cultures, there are legends about manna, and in the long history of development, Tibetans have constantly absorbed and borrowed from foreign cultures, thus making the Tibetan concept of the word “manna” have multiple meanings. 2, the meaning of the word “manna” in Tibetan is called manna for (pronounced “Tuze”) for the devil, the devil, meaning medicine, together means the medicine to cure the devil. In early Tibetan medicine, it was believed that disease was caused by the devil, and to cure disease, the devil had to be exorcised or subdued, so in addition to using witchcraft to dispel the devil, it was gradually realized that some medicines had the effect of “dispelling the devil” (eliminating the cause of disease), relieving pain or curing disease, so these medicines were called. In the ancient Tibetan language, it was called dar-ya-kan (transliterated as “tai-li-gan”). This understanding of the causes of disease and treatment methods is very ancient and differs greatly from the very sophisticated Indian medicine that was later introduced into Tibet, and manna is written in Sanskrit as, evolved from Sanskrit (immortal, eternal). ……, traditional Tibetan literature is mostly interpreted according to Sanskrit as “no disease “, “dispel disease”. This is more distant from the Tibetan meaning, and there is a specific interpretation of manna in Tibetan Buddhist Tantric Buddhism. Therefore, it also proves that “manna” is a concept in traditional Tibetan culture, not an imported product. 3. The connotation of “five flavors of manna” is also called “five manna. According to the relevant documents, there are two interpretations in Tibetan. One refers to the internal offerings of Tantric Buddhism, which are interpreted as Tantric offerings in the Tibetan-Chinese Dictionary and the Donggar Dictionary of Tibetan Studies. The other one refers to the classical formula of Tibetan medicinal bath, including five kinds of medicines, including Tibetan ephedra, water cypress branch, round cypress, yellow flower azalea and ashwagandha. This expression is found in the Four Medical Classics and other Tibetan medical writings. The Five Flavors of Manna discussed in this article refers to the medicinal recipe for a medicinal bath. It can be seen that the five in Five Flavors Manna refers to the fact that there are five of its constituents, and Manna refers to the medicine. 4. The origin of the name “five-flavored manna” In the extant ancient Indian medical classics, such as “The Complete Collection of ^Luojia”, “The Collection of Miao Wen” (Sanskrit text) and “The Eight Branches of Essence” (Tibetan translation), there is no record of the five-flavored manna prescription. And it is said that the “Yuewang Medicine Diagnosis”, which was transmitted to Tibet from the Han region and translated into Tibetan, does not mention the five manna at all. As far as I can see, the earliest record of Wu Wei Gan Lu is in the Four Medical Classics of Tibetan Medicine. Therefore, it can be said that the “five flavors of manna” formula is the invention of Tibetan doctors. And for a long period of time, the mention of “five flavors of manna” prescription is also only found in Tibetan medical literature. The “five flavors of manna” is a formula used in Tibetan medicine to treat diseases, and it is specifically a formula used for medicinal baths. Before explaining the five flavors of manna, it is necessary to introduce the history of Tibetan medicinal baths. Second, the origin of the Tibetan medicinal bath The ancient peoples of the world have the custom of bathing, and bathing is often combined with religious beliefs and has a sacred nature. In ancient times, the Tibetan ancestors living on the Tibetan plateau were no exception and had the habit of bathing very early. According to the written records, in the 4th century AD, the Tibetan region already had the habit of “bathing once every five days”, and “at least three days a month to bathe and purify the body and worship the gods”, which shows that the ancient bathing custom was absorbed by the benzene culture and became part of the benzene religious rituals. It can be seen that the ancient bathing practice has been absorbed into the culture of the Bengali religion and become a part of the Bengali religious ritual. In the Tibetan region where all people believe in benzism, the practice of bathing is reinforced by benzism and has become not only a personal habit, but a religious obligation that everyone must fulfill. It was in this cultural context that Tibetan medicinal bathing therapy arose, originating from early benzene medicine. According to the record of “Old Yutuo Biography” written by Kemal Lhundrup Zaxi, Yutuo Yundan Gompo believed that “Yongzhong benzene medicine school” held the “secret of fomentation, bath and medicine therapy”. This fully illustrates that the forefathers of Tibetan medicine represented by the Yongzhong Benzene School of Medicine have created the medical technology of medicinal bathing, and have maintained their leading position and carried it forward. Because the medicine bath therapy originated in Tibet, so people usually call the medicine bath “Tibetan medicine bath”, which is very appropriate. Third, the origin of the five flavors of manna After introducing the basic concept of “Tibetan medicinal bath”, let’s examine the origin of the five flavors of manna. According to the “Four Medical Classics”, Chapter 23 of the follow-up section, “Five Arms Therapy Bath Chapter”, Tibetan medicine advocates the use of natural hot spring bath therapy to treat some diseases, and if there is no natural hot spring, then the five flavors of manna can be used. Ancient Tibetan doctors believed that natural hot springs were the most effective, and according to legend, a natural hot spring with medical effects was found in Yutuo. However, due to the limited number of hot springs, uneven distribution, and seasonal and climatic restrictions, most patients are often unable to find hot spring bath treatment, resulting in delayed treatment, in order to resolve this contradiction, Tibetan doctors have tried to use drugs to imitate and replace natural hot springs, and success. The representative formula of this alternative medicine is “Wu Wei Gan Lu”.