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Buddhism and the Historicising of Medicine in Thirteenth-Century Tibet
Open accessAbstract
This article considers a Tibetan anthology, the Eighteen Additional Practices (Cha lag bco brgyad), that includes some of the earliest indigenous Tibetan medical works still extant, and examines more closely its first text, a history of the Four Tantras. Several of these works display an explicit concern to show medicine to be part of Buddhist history. Other texts in the collection exhibit the heavy influence of what we might call religious practice on the work of medical healing. The anthology's first text articulates an explicit connection between Tibetan medical literature and Indian Buddhism. This article compares this work's structure and content to other Tibetan medical histories and addresses its role in early medical history.
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- Findingreasoning
The rTsa'i spra sgrub is more similar to the Heart Essence of Yuthog, a collection integrating theoretical medical studies with religious meditation practices.
“This work is more similar to the Heart Essence ef Yuthog (g.Yu thog snying thig), a collection that integrates theoretical medical studies with religious meditation practices.”
Quote in the paperNot a substantial claim - Findingreasoning
This appears to be the earliest mention of the Four Tantras as a revealed text, or terma.
“This appears to be the earliest mention of the Four Tantras as a revealed text, or terma.”
Quote in the paperNot a substantial claim - Findingnone given
Other texts in the anthology show heavy influence of religious practice on medical healing.
“Other texts in the collection exhibit the heavy influence of what we might call religious practice on the work of medical healing.”
- Also stated in: § The texts of the Eighteen Additional Practices · plain
“Other texts in the collection exhibit the heavy influence of religious practice on the work of medical healing.”
Quote in the paperNot a substantial claim - Also stated in: § The texts of the Eighteen Additional Practices · plain
- Findingown data
The rTsa'i spra sgrub med thabs med pa (no.12.2) addresses ritual and contemplative preparations for a special type of pulse analysis, including visualization mandala, ritual area preparation, meditation, mantras, and ritual effigies.
“The rTsa'i spra sgrub med thabs med pa (no.12.2), for instance, addresses ritual and contemplative preparations for a special type of pulse analysis, covering a description of the visualization mai:ic;l.ala,how to prepare the ritual area, how to perform the meditation practice, and the use of mantras and ritual effigies.”
Quote in the paperSubstantial claim - Findingnone given
All three theories of the Four Tantras' origin arose from within the community of g.Yu thog's own students.
“Interestingly, and perhaps strangely, all of these theories arose from within the community of g.Yu thog's own students.”
Quote in the paperSubstantial claim
- Findingnone given
The Eighteen Additional Practices anthology contains some of the earliest extant indigenous Tibetan medical works.
“This article considers a Tibetan anthology, the Eighteen Additional Practices (Cha Ing bco brgyad), that includes some of the earliest indigenous Tibetan medical works still extant”
- Also stated in: § Abstract · plain
“This anthology of short texts includes some of the earliest indigenous Tibetan medical works still extant”
Quote in the paperSubstantial claim - Also stated in: § Abstract · plain
- Findingnone given
The rGyud chung bdud rtsi snying po (no.16) is the only one of the 18 texts that medical students still receive ritual authorisation (lung) to study.
“Similar in style to this work is the rGyud chung bdud rtsi snying po (no.16), which is the only one of the 18 texts in this collection that medical students still receive ritual authorisation (lung) to study.”
Quote in the paperSubstantial claim - Findingnone given
The Khog 'bugs khyung chen lding ba is the first history known to be mainly devoted to presenting Tibetan medicine as part of Indian Buddhist literature.
“This is the first history we know of that is mainly devoted to presenting Tibetan medicine as part of Indian Buddhist literature”
Quote in the paperSubstantial claim - Findingreasoning
The Khyung chen lding ba is notably silent on the contributions of non-Indian medical figures or texts.
“The Khyung chen lding ba is notably, and strangely, silent on the contributions of non-Indian medical figures or texts.”
Quote in the paperSubstantial claim - Findingreasoning
A second point of difference between the Khyung chen lding ba and other medical histories is that the Khyung chen lding ba has nothing to say about the development of medical knowledge in Tibet itself.
“A second point of difference between the Khyung chen !ding ba and other medical histories is that the Khyung chen !ding ba has nothing to say about the development of medical knowledge in Tibet itself.”
Quote in the paperSubstantial claim - Interpretationreasoning
The Khyung chen lding ba presents medicine as an inherent part of the Buddhist textual canon.
“Third, medicine is, more generally, an inherent part of the Buddhist textual canon.”
Quote in the paperSubstantial claim - Interpretationreasoning
The Khog 'bugs khyung chen lding ba plays a central role in this early history, aiming to establish the practice of medicine and knowledge of the Four Tantras as a fundamental part of the Buddhist path.
“Here we see it playing a central role in this early history, not a generation after g.Yu thog himself, aiming to establish the practice of medicine and the knowledge of the Four Tantras as a fundamental part of the Buddhist path.”
Quote in the paperSubstantial claim - Premisecitation
Schaeffer notes that the importance of the arts and sciences to the physician's training and the physician's place on the bodhisattva path was already well established in the khog 'bugs genre.
“Schaeffer notes that this was already a well established element of the khog 'bugs literary genre.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Schaeffer
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Interpretationreasoning
The practice of medicine and the other arts and sciences are subsumed under Buddhist practice.
“The practice of medicine and the other arts and sciences are thus subsumed under Buddhist practice.”
Quote in the paperSubstantial claim - Interpretationreasoning
From the summary, strictly medical practices cannot easily be separated from religious practices along modern disciplinary lines.
“From the preceding brief summary, it is clear that we cannot easily separate practices that are strictly 'medical' from those that we may think of as 'religious'-at least, not along the lines used to demarcate these disciplines today.”
Quote in the paperSubstantial claim - Interpretationown data
The Khyung chen lding ba situates medicine in Buddhist cosmogony as one of the topics the Buddha spoke.
“Secondly, medicine is situated in Buddhist cosmogony as one of the topics the Buddha spoke.”
Quote in the paperSubstantial claim - Interpretationreasoning
The Khyung chen lding ba is radically dissimilar to other histories of medicine, even those also called khog 'bugs, because it neglects nearly all the topics emphasised in other histories, such as people, medical teachings, and the development of the tradition within Tibet.
“It is radically dissimilar to other histories of medicine, however, even to those also called khog 'bugs, because it neglects nearly all the topics emphasised in other histories, such as people, medical teachings, and the development of the tradition within Tibet.”
Quote in the paperSubstantial claim - Interpretationreasoning
The fact that the Four Tantras is still today the main text of Tibetan medicine may have everything to do with these early efforts to link it inextricably with Indian Buddhist literature, in a world where texts and their histories were themselves constitutive of authority, not only a reflection of it.
“The fact that the Four Tantras is still today the main text of Tibetan medicine may have everything to do with these early efforts to link it inextricably with Indian Buddhist literature, in a world where texts and their histories were themselves constitutive of authority, not only a reflection of it.”
Quote in the paperSubstantial claim- Rests on an assumption: The Four Tantras is still today the main text of Tibetan medicine.
- Interpretationreasoning
The energetic polemics of the students of g.Yu thog yon tan mgon po, over about 150 years, managed to dominate first the medical scholastic communities, and then, more slowly, the communities of religious scholars in central Tibet, until the Four Tantras was almost universally acknowledged as the primary text of medicine.
“The energetic polemics of the students of g.Yu thog yon tan mgon po, over the course of about 150 years, managed to dominate first the medical scholastic communities, and then, more slowly, the communities of religious scholars in central Tibet, until the Four Tantras was almost universally acknowledged as the primary text of medicine.”
Quote in the paperSubstantial claim - Interpretationnone given
Nearly all other extant histories find it imperative to address the state of medical knowledge before the second diffusion, before the entry of the Eight Branches into the region.
“Nearly all other extant histories, by contrast, find it imperative to address the state of medical knowledge before the second diffusion, that is, before the entry of the Eight Branches into the region.”
Quote in the paperSubstantial claim - Interpretationnone given
The bibliographic argument appears to have been, at least in the early days of this form of literature, the defining feature of the khog 'bugs genre.
“The bibliographic argument does in fact appear to have been, at least in the early days of this form of literature, the defining feature of the khog 'bugs genre.”
Quote in the paperNot a substantial claim
- Probably not a substantial claim. 65
- It may state two separate claims as one. 37
- The quote only partly states this claim. 2
Probably not a substantial claim. The paper’s conclusions may not depend on it.
Findingown dataThe rTsod bzlog gegs sel 'khor lo (no.6) offers commentarial arguments on terms such as 'root' and 'branch' and the structure of the eight branches, a controversy spawned by different presentations in the Four Tantras and the Eight Branches.
“It is followed by the rTsod b;::,log gegs sel 'khor lo (no.6), which offers a series of commentarial arguments on the meanings of terms such as 'root' and 'branch' and the structure of the 'eight branches' of medical knowledge, a controversy that was spawned by the different presentations of these topics in the Four Tantras and the lndic Eight Branches.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingnone givenThe history tells the story of Sakyamuni's conception, birth, youth and enlightenment.
“The history then tells the story of Sakyamuni's conception, birth, youth and enlightenment.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
FindingreasoningThe text links these groupings to a Nyingma tantric bibliographic system, showing the Four Tantras contains Mahayoga-level tantra, Anuyoga-level scripture, and Atiyoga-level oral instructions.
“these groupings are further linked to a Nyingma tantric bibliographic system, showing also that the Four Tantras contains the Mahayoga level tantra (rgyud), the Anuyoga-level scripture (lung), and the Atiyoga-level oral instructions (man ngag).”
Quote in the paperNot a substantial claimProbably not a substantial claim.
Findingnone givenVery little of this ritual content is found in the Four Tantras.
“Very little of this sort of content is found in the Four Tantras.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingnone givenAt the first turning of the wheel, Sakyamuni taught medicine in the Vinaya; at the second, he spoke two medical teachings; at the third, he spoke the mDo gser 'od dam pa.
“At the first turning of the wheel, he taught medicine in the Vinaya.At the second turning of the wheel, he spoke two medical teachings, Kun dga' bo la gcer mthong rig pa, and Shel gyi me long.At the third turning of the wheel, he spoke the mDo gser 'od dam pa.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
FindingcitationIn the Khyung chen lding ba's view, gaining knowledge and skill in all arts and sciences is an essential practice for one on the Buddhist path.
“In this view, gaining knowledge and skill in all the arts and sciences is an essential practice, not only for a generally educated person, but specifically for one on the Buddhist path.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
FindingcitationThe Khyung chen lding ba cites Asanga's Mahayanasutralamkara to support the importance of the five arts and sciences.
“The Khyung chen lding ba exhorts its audience to study the five arts and sciences, citing Asa1_1ga's fourth-century MahayanasutralaT!l,kara (Mdo sge rgyan) in several instances to support its claim for their importance.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingown dataThe text says humans manifested as defined by the three poisons and 84,000 afflictive emotions, and worked to escape samsara by the teachings of the nine vehicles.
“Humans manifested as defined by the three poisons and 84,000 afflictive emotions, and they worked to escape sarpsara, the text tells us, by means of the teachings of the nine vehicles.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingnone givenThe text says medicine is aimed at increasing life span by healing illness, using dietary, behavioural, medicinal and mechanical interventions.
“Medicine is aimed at increasing life span, it says, by healing illness, using dietary, behavioural, medicinal and mechanical interventions.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingown dataThe Sri'u gso ba med thabs med pa (no.12.3) describes ritual protections for babies and children up to age eight, including prayer flags, mantras, prayers, and avoiding evil spirits.
“A focus on healing rituals is also part of the Sri'u gso ba med thabs med pa (no.12.3), which describes ritual protections for babies and children up to the age of eight, covering topics such as how to erect prayer flags around the house, mantras and special prayers to recite, and how to avoid evil spirits.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingnone givenThe text says treatises on medicine include 78 volumes authored by eight Indian sages, divided into five tantra classes and five sutra classes.
“Treatises on medicine, the history tells us, include 78 volumes authored by eight Indian sages, which are divided into five tantra classes and five siitra classes.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingnone givenMost works in the collection are independent medical treatises offering diagnostic or therapeutic instructions or serving as reference works.
“Most works in this collection are independent medical treatises, either offering instructions on techniques of diagnosis and therapeutics or serving as reference works.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one. The quote only partly states this claim.
Findingnone givenThe Sa dpyad stag mo'i rngam thabs (no.3) summarises the Four Tantras and presents Tibetan medicine using the five excellencies.
“The next work in the collection, the Sa dpyad (bead) stag mo'i rngam thabs (No. 3), summarises the contents of the Four Tantras and is similar in format and content to the first chapter of the first book of the Four Tantras, the Root Tantra (rTsa rgyud); it presents Tibetan”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingnone givenThe sTong thun mdzes pa'i 'a' ris (no.2) is one of the earliest commentaries on the Explanatory Tantra, the second book of the Four Tantras.
“The sTong thun md;:;es pa'i )a' ris (no.2) is one of the earliest commentaries on the second book of the Four Tantras, the Explanatory Tantra (bShad rgyud).”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingnone givenThe last few pages address these teachings in very general terms, emphasising links to Buddhism when possible.
“The last few pages of the text address these teachings in very general terms, emphasising links to Buddhism when possible.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
FindingreasoningThe Khyung chen lding ba's medical history begins with the beginning of time, before sentient beings strayed into ignorance, when minds were self-arisen and possessed clear insight.
“this medical history begins with the beginning of time, a time before sentient beings had strayed into ignorance when, the text says, minds were established self-arisenly and possessed of clear and subtle insight that lacked partiality.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
Findingnone givenTwo of the earliest histories of Tibetan medicine are part of the Eighteen Additional Practices and record two accounts of the origins of the Four Tantras.
“Two of the earliest histories of Tibetan medicine are part of the Eighteen Additional Practices, and, as noted above, they record two accounts of the origins of the Four Tantras.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingnone givenThe brGyud pa'i rnam thar med thabs med pa (no.12.1) is a verse history of the Four Tantras lineage up to g.Yu thog.
“The other historiographical work, the brGyud pa'i mam thar med thabs med pa (no.12.1 ), is a verse history of the Four Tantras lineage up to g.Yu thog.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingnone givenThe Khog 'bugs khyung chen lding ba's colophon attributes its authorship to g.Yu thog yon tan mgon po, although later Tibetan historians debate that claim.
“The text's colophon attributes its authorship to g.Yu thog yon tan mgon po, although later Tibetan historians debate that claim, as I will discuss below.”
Quote in the paperNot a substantial claimProbably not a substantial claim. It may state two separate claims as one.
Findingnone givenThe rNam thar med thabs med pa explains that the Four Tantras was expounded in Uddiyana by Rig pa'i ye shes, passed to an Indian pandit, to Vairocana, to King Khri srong lde bstan, hidden at Samye, and recovered 150 years later by Grwa pa mngon shes, eventually reaching g.Yu thog.
“It explains that the Four Tantras was expounded in Uddiyana by the enlightened sage Rig pa'i ye shes, who passed it to an Indian pandit, who passed it to Vairocana, who gave it to King Khri srong Ide bstan, who hid it at Samye.One hundred and fifty years later, it was recovered by the Buddhist monk Grwa pa mngon shes, passing through two more sets of hands until it reached g.Yu thog himself.”
Quote in the paperSubstantial claimIt may state two separate claims as one.
Findingown dataThe Four Tantras accumulated a commentarial literature that continues to the present and constitutes a genre of medical writing.
“As the Four Tantras slowly became known, it began to amass a commentarial literature, such compositions continuing to the present day, and commentaries on the work are widespread enough to represent a genre of medical writing.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingown dataIn the GP edition, the Khog 'bugs khyung chen lding ba is 34 pages long and is the collection's first text.
“In the two-volume edition of the Eighteen Additional Practices recently reprinted by the Gansu Publishing House in the PRC, the Khog 'bugs khyung chen lding ba, 34 pages long, is the collection's first text.”
Quote in the paperNot a substantial claimProbably not a substantial claim.
FindingreasoningThe text argues that it is incorrect to think oral teachings are only those from the historical Buddha's mouth during his lifetime.
“noting that it is incorrect to think that the oral teachings are only those that came from the historical Buddha's mouth during his lifetime.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingnone givenThe sTong thun mdzes pa'i 'a' ris defines religion after the Nyingma manner as the teachings of the nine vehicles.
“'Religion' (nang rig pa) is defined after the manner of the Tibetan Buddhist Nyingma tradition as the teachings of the nine vehicles.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingnone givenThe text says the primordial Buddha Samantabhadra existed in understanding that self and other were indifferentiable; those unable to see this emerged into three realms as sentient beings.
“the primordial Buddha Samantabhadra existed in the understanding that self and other were indifferentiable; those who were unable to see this emerged into the three realms of cyclic existence as sentient beings.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingown dataThe text recommends behavioural changes first, then dietary changes, then medicinal supplements, then mechanical interventions.
“Behavioural changes aimed at readjusting imbalanced humoral energies is the first recommended treatment, and if that is unsuccessful, dietary changes are next, then medicinal supplements, and finally mechanical interventions.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingnone givenThe Phan byed sngags 'bum dkar po (no.18) describes healing rituals involving mantra recitation; its first part contains mantras that appear to be phonetic transcriptions of Chinese, and its second part contains mantras that appear Sanskrit in origin.
“Finally, the Phan byed (bya) sngags 'bum dka,r po (no.l 8) also describes healing rituals involving mantra recitation; the first part of the text contains many mantras that appear to be phonetic transcriptions of Chinese, and the second part contains mantras that appear Sanskrit in origin.”
Quote in the paperNot a substantial claimProbably not a substantial claim.
Findingnone givenThe anthology's first text articulates an explicit connection between Tibetan medical literature and Indian Buddhism.
“The anthology's first text articulates an explicit connection between Tibetan medical literature and Indian Buddhism.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingown dataThe text describes two methods of healing: prevention of illness and healing of illnesses themselves.
“There are two methods of healing, one involving recommendations for the prevention of illness and the other involving the healing of illnesses themselves.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingnone givenThe sTong thun mdzes pa'i 'a' ris says medicine consists of three great systems: India, China, and Tibet.
“'Medicine' (gso ba rig pa) is said to consist in general of three great systems, those of India, China, and Tibet.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingnone givenThe text says the teachings of the Four Tantras are specifically tantric: a textual transmission authorised by divine blessing and supplemented by secret oral instructions.
“Fourthly, the text tells us that the teachings of the Four Tantras are specifically tantric: they are a textual transmission authorised by divine blessing and supplemented by secret oral instructions.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingnone givenThe collection contains five works that are explicitly commentaries on the Four Tantras.
“The collection contains five works that are explicitly commentaries on the Four Tantras.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingnone givenThe text describes Buddhas manifesting in six realms; in the human realm, some protected against disorders of the five elements using astrology, some against disorders of the three humors using medicine, and some against demons using rituals.
“Buddhas manifested in the six realms of existence; in the human realm were those who protected against disorders of the five elements using astrology, those who protected against disorders of the three humors using the science of medicine (gso rig), and those who protected against demons using naga rituals, exorcisms, mantras, and so on.”
Quote in the paperNot a substantial claimProbably not a substantial claim.
Findingown dataSeveral works in the anthology explicitly aim to show medicine as part of Buddhist history.
“Several of these works display an explicit concern to show medicine to be part of Buddhist history.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingnone givenThe Rin chen spungs pa'i mdzes rgyan (no.9) contains a short description of ritual methods for healing diseases such as smallpox, dysentery, headache or childhood ailments, by visualisation, mantra recitation, protection cords, and amulets.
“The Rin chen spungs pa'i md;:,es rgyan (no.9) contains a very short description of ritual methods for healing diseases such as smallpox, dysentery, headache or childhood ailments, by means of visualisation, mantra recitation, protection cords, and amulets.”
Quote in the paperNot a substantial claimProbably not a substantial claim.
Findingnone givenThe collection contains two of the earliest histories of medicine in Tibetan literature.
“this collection contains two of the earliest histories of medicine in Tibetan literature”
Quote in the paperSubstantial claimIt may state two separate claims as one.
Findingown dataThe rGyud chung bdud rtsi snying po's colophon states that the Kashmiri Zla ba mngon dga' learned it from Vagbhata and that the teachings were passed down to g.Yu thog, suggesting a close connection with the Eight Branches tradition.
“The text's colophon states that the Kashmiri Zla ha mngon dga' learned it from Vagbhata (known as Pha gol in Tibetan), and that the teachings were then eventually passed down to g.Yu thog, suggesting a close connection with the Eight Branches tradition.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingown dataThe text also provides a shorter presentation of medical teachings in human-authored treatises.
“However, a shorter presentation of medical teachings in human-authored treatises is also provided.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingnone givenThe text says Sakyamuni then manifested as the Medicine Buddha and spoke the Four Tantras, and next as Visvakarma and spoke about the science of handcrafted arts.
“He then manifested as the Medicine Buddha and spoke the Four Tantras, and next he appeared as Visvakarma and spoke about the science of handcrafted arts (bzo rig)”
Quote in the paperNot a substantial claimProbably not a substantial claim. It may state two separate claims as one.
FindingreasoningThe text explains the difference between oral teachings and human-authored treatises and situates medical teachings within that categorisation.
“This explanation begins with a presentation of the difference between these sorts of works and the situating of medical teachings within that categorisation.”
Quote in the paperSubstantial claimProbably not a substantial claim.
FindingreasoningThe Khog 'bugs khyung chen lding ba situates medicine as one of the five major arts and sciences, placing it hierarchically equal to yet separate from religion.
“First, the text situates medicine as one of the five major arts and sciences, a context that places it hierarchically equal to, and yet still in some way separate from, religion.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingnone givenThe text says the purpose of achieving a long healthy life, full of material resources and dharma, is happiness in this life; happiness in future lives is achieved by generating the mind of enlightenment.
“The purpose of achieving a long healthy life, full of material resources and the dharma, is happiness in this life; happiness in future lives is achieved by generating the mind of enlightenment.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingown dataThe Khyung chen lding ba groups the arts and sciences into three categories: inner sciences aimed at self-knowledge; handcrafted arts and medicine aimed at caring for others; grammar and logic aimed at eliminating others' ignorance.
“After defining each of the arts and sciences, it then groups them into three categories: the 'inner sciences' (or Buddhism) are activities aimed at knowledge of oneself, the text says; handcrafted arts and healing or medicine are activities aimed at caring for others; and grammar and logic are activities aimed at eliminating the ignorance of others.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
FindingcitationMost texts in the Eighteen Additional Practices were likely authored by g.Yu thog's students or teachers, dating the collection to the mid-twelfth to mid-thirteenth century.
“Most of these texts appear rather to have been authored by g.Yu thog's students or teachers, dating the collection to a period of two generations from the mid-twelfth to the mid-thirteenth century; the authorship of each of the texts has been discussed in an article by Barbara Gerke”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Gerke 2001
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim.
Findingown dataA large portion of the text is devoted to explaining a bibliographic system aiming to show that the Buddha himself spoke many fundamental medical teachings.
“a large portion of the text is devoted to explaining a bibliographic system that aims to show that the Buddha himself spoke many fundamental medical teachings.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingnone givenThe Four Tantras is spoken by the Buddha, recorded as a conversation, and organised into a root text, explanatory text, practice text, and supplementary text, following a model of tantric literature.
“The Four Tantras is spoken by the Buddha, recorded in the format of a conversation, and organised into a root text (the first of the four tantras), with an explanatory text (tantra number two), a text on how to put it into practice (tantra number three), and a supplementary text of additional instructions (number four), following a model of tantric literature, the history tells us.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
Findingnone givenThe earliest commentaries on the Four Tantras date to g.Yu thog's time and are found in the Eighteen Additional Practices.
“The earliest commentaries on the Four Tantras date to the time of the twelfth-century g.Yu thog himself and are found in a collection of medical works known as the Eighteen Additional Practices ( Cha lag bco brgyad).”
Quote in the paperNot a substantial claimProbably not a substantial claim.
Findingnone givenThe first text in the Eighteen Additional Practices is a history of the Four Tantras.
“examines more closely its first text, a history of the Four Tantras”
Quote in the paperSubstantial claimIt may state two separate claims as one.
FindingcitationAlthough the Khyung chen lding ba extols the Buddhist origins of medical knowledge, it was roundly rejected by later historians of medicine.
“One of the things that makes the Khyung chen lding ba so interesting is that, although it extols the Buddhist origins of medical knowledge, it was roundly rejected by later historians of medicine.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
PremisecitationThe origins of the Four Tantras are debated, with three theories: revelation/terma, authorship by g.Yu thog, and speech of the Buddha.
“One of the most contentious issues to be found in medical literature, for instance, is the question of the origins of the Four Tantras itself, a debate that has been addressed in a recent article by Janet Gyatso.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Janet Gyatso
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim.
InterpretationreasoningThe structure of the Khyung chen lding ba is clearly patterned after Buddhist historical narratives.
“The structure of this text in general is clearly patterned after Buddhist historical narratives.”
Quote in the paperSubstantial claimIt may state two separate claims as one.
InterpretationreasoningThe teachings of g.Yu thog and his students dominated Central Tibetan medical scholarship for several generations and shaped the trajectory of medicine.
“the teachings of g.Yu thog and his students dominated Central Tibetan medical scholarship for several generations and thus had a shaping influence on the trajectory of medicine.”
Quote in the paperSubstantial claimThe quote only partly states this claim.
InterpretationreasoningThe use of ritual and mantra recitation is not exclusive to 'religion' in these works, because such practices also populate the Eight Branches and non-Buddhist Tibetan life.
“We have no reason to assert that the use of ritual and mantra recitation is the exclusive domain of 'religion' in these works.”
Quote in the paperSubstantial claimProbably not a substantial claim.
PremisecitationThe Khog dbug khyung chen lding ba (no.1) is said by Samten Karmay to be the first medical history devoted to presenting medicine as an essential part of Buddhism.
“The Khog dbug ('bubs) khyung chen !ding ba (no.l ), said by Samten Karmay to be the first medical history devoted to presenting medicine as an essential part of Buddhism”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Karmay 1998
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
It may state two separate claims as one.
Interpretationown dataThe effort to articulate connections between Buddhism and medicine is not new; Tibetans as far back as the twelfth century were doing something similar.
“This article will show that the effort to articulate the connections between Buddhism and medicine is not, however, a new one, and that Tibetans themselves, as far back as the twelfth century, were doing something similar.”
Quote in the paperSubstantial claimProbably not a substantial claim. It may state two separate claims as one.
PremisecitationBy Sangs rgyas rgya mtsho's time, the five arts were all essential components of the path to enlightenment, each contributing to sentient beings' welfare and the bodhisattva's progress.
“By the time of Sangs rgyas rgya mtsho's writings on medicine, Schaeffer explains, 'the five arts are all essential components of the path toward enlightenment, for they each contribute to the welfare of sentient beings, and thus to the progress of the bodhisattva' .”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Schaeffer
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim.
InterpretationreasoningFor later historians, these texts are evidence of a struggle among medical scholars to articulate the boundaries of their discipline and its relationship to the increasingly dominant Buddhist worldview.
“For later historians, both inside and outside Tibet, these texts are evidence of a struggle among medical scholars to articulate the boundaries of their discipline and its relationship to the increasingly dominant Buddhist worldview.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Premisenone givenIn the Tibetan scheme of five major arts and sciences, religion (nang don rig pa) and medicine (gso ba rig pa) are distinct members, along with language, logic, and handcrafted arts.
“In this scheme, the study of what we typically (but, in this case, not unproblematically) call 'religion' (nang don rig pa) and the study of medicine (gso ba rig pa) are two distinct members of the five major arts and sciences, along with the studies of language (sgra rig), logic (gtan tshig rig pa), and handcrafted arts (bzo rig pa).”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
InterpretationreasoningThe emphasis on ritual practices and mantras for healing shows that medical treatment extends far beyond herbal compounds, the approach emphasised in much Tibetan medical practice today.
“The emphasis in many of these works on the use of ritual practices and mantras for healing illness shows that medical treatment extends far beyond the prescription of herbal compounds, the approach that is emphasised in much of Tibetan medical practice today.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
InterpretationreasoningThe fact that medical students still study the rGyud chung bdud rtsi snying po indicates the presence of a living Eight Branches tradition.
“This possibility makes the fact that medical students still today study this work especially interesting, as it indicates the presence of a living Eight Branches tradition.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
PremisecitationKarmay calls the brGyud pa'i rnam thar the first text to refer to Vairocana's connection to the Four Tantras.
“Karmay calls this the first text to refer to Vairocana's connection to the Four Tantras.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Karmay 1998
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
Interpretationown dataNear the end of the work, the topic receiving least attention is the content of the Four Tantras, or the teachings of medicine themselves.
“Near the end of this work, we encounter the topic that receives the least attention in this text, the content of the Four Tantras, or the teachings of medicine themselves.”
Quote in the paperNot a substantial claimProbably not a substantial claim.
InterpretationreasoningThe text uses a category of oral teachings occurring when the Buddha acts as an emanation to class the Four Tantras as oral transmission.
“A category of oral teachings that occur when the Buddha acts as an emanation allows the Four Tantras to be classed, indeed, as oral transmission.”
Quote in the paperSubstantial claimProbably not a substantial claim.
InterpretationreasoningThe Eighteen Additional Practices provides a glimpse of a period when borders between intellectual disciplines and literary genres were ill-defined.
“it provides us with a glimpse at a time in Tibetan history when borders between intellectual disciplines and literary genres were ill-defined.”
Quote in the paperSubstantial claimProbably not a substantial claim.
Interpretationnone givenThe focus of the history overall is the organisation of literature.
“The focus of this history overall is the organisation of literature.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Interpretationown dataOne of the most interesting aspects of the collection is the emphasis in many works on the healing effects of ritual.
“One of the most interesting aspects of this collection is the emphasis in many of its works on the healing effects of ritual.”
Quote in the paperNot a substantial claimProbably not a substantial claim.
InterpretationreasoningThe Khyung chen lding ba is primarily a historical narrative of medical literature as Buddhist, with very little mention of other features potentially of historical import, such as practices, theories or major teachers.
“The work is thus primarily a historical narrative of medical literature as Buddhist, with very little mention of other features potentially of historical import, such as practices, theories or major teachers.”
Quote in the paperSubstantial claimProbably not a substantial claim. It may state two separate claims as one.
InterpretationreasoningThe longest argument of the text is a discourse on the meaning of oral transmission and a defence of the Four Tantras as an orally transmitted teaching (bka')-the Buddha's own speech-and not a human-authored treatise (bstan 'gyur).
“the longest argument of the text appears as a discourse on the meaning of oral transmission and a defence of the Four Tantras as an orally transmitted teaching (bka')-in other words, the Buddha's own speechand not a human-authored treatise (bstan 'gyur).”
Quote in the paperSubstantial claimProbably not a substantial claim. It may state two separate claims as one.
InterpretationreasoningThe Khyung chen lding ba is a polemical narrative about the origins of the Four Tantras, specifically aimed at situating that text within a certain type of Buddhist literature; it is essentially a chronology and taxonomy of literature.
“the Khyung chen !ding ba is a polemical narrative about the origins of the Four Tantras, specifically aimed at situating that text within a certain type of Buddhist literature; it is thus essentially a chronology and taxonomy of literature.”
Quote in the paperSubstantial claimProbably not a substantial claim.
Interpretationnone givenThe central purpose of the Khyung chen lding ba is to emphasise necessary connections between the Four Tantras and the core teachings and literature of Indian Buddhism.
“Its central purpose is to emphasise necessary connections between the Four Tantras and the core teachings and literature of Indian Buddhism.”
Quote in the paperSubstantial claimIt may state two separate claims as one.
Interpretationnone givenThe Khyung chen lding ba is one of the earliest histories of medicine extant in Tibetan that focuses on or even acknowledges the Four Tantras, a work that became the most important text in Tibetan medicine for the next 800 years.
“What we have in the Khyung chen lding ba is one of the earliest histories of medicine extant in Tibetan that focuses on or, frankly, even acknowledges, the Four Tantras, a work that went on to become the most important text in Tibetan medicine for the next 800 years.”
Quote in the paperSubstantial claimProbably not a substantial claim. It may state two separate claims as one.
InterpretationreasoningThe Khyung chen lding ba may have helped establish beyond debate the centrality of the Four Tantras for the academic medical traditions, at the expense of other medical texts in currency at the time.
“What it may have helped do during these crucial centuries, however, is establish beyond debate the centrality of the Four Tantras for the academic medical traditions, neoconservatist or not; this, at the expense, no doubt, of other medical texts in currency at the time.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
InterpretationreasoningThe Khyung chen lding ba's omission of Tibetan medical history can perhaps be explained by its primary aim of proving the Indian origins of the Four Tantras.
“Perhaps this can in part be explained by the text's primary aim of proving the Indian origins of the Four Tantras.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
InterpretationreasoningIn many Tibetan historical narratives, there is a tendency to emphasise textual production over other possibly relevant historical data, but in the Khyung chen lding ba this is taken to an extreme.
“In many Tibetan historical narratives, there is indeed a tendency to emphasise textual production over other possibly relevant historical data, but in this particular narrative, this is taken to an extreme.”
Quote in the paperSubstantial claimIt may state two separate claims as one.
InterpretationreasoningThe influence of the Four Tantras gained sure footing slowly from this point onwards, for it soon becomes increasingly difficult to find a text that mentions medicine without acknowledging its primacy.
“The influence of the Four Tantras gained sure footing slowly from this point onwards, for it soon becomes increasingly difficult to find a text that mentions medicine without acknowledging its primacy.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Interpretationnone givenThe Khyung chen lding ba is also one of the very first histories bearing the title khog 'bugs, a bibliographic classification that continued to be held by many histories of medicine later.
“The Khyung chen lding ba is also one of the very first histories we have that bears the title khog 'bugs, a bibliographic classification that continued to be held by many histories of medicine to come later.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Interpretationnone givenThe Khyung chen lding ba uses bibliography alone as its strategy of historical proof.
“The Khyung chen !ding ba, by contrast, uses bibliography alone as its strategy of historical proof.”
Quote in the paperNot a substantial claimProbably not a substantial claim.
InterpretationreasoningThe Khyung chen lding ba's author was clearly intent on impressing upon his readers the exclusively Indian origins of the Tibetan tradition.
“Its author was clearly intent on impressing upon his readers the exclusive{y Indian origins of the Tibetan tradition.”
Quote in the paperSubstantial claimIt may state two separate claims as one.
InterpretationreasoningThe Khyung chen lding ba has little mention of important people in the development of medical knowledge, or of distinctive teachings or practices.
“As such, as I have noted, there is little mention of important people in the development of medical knowledge, or of distinctive teachings or practices, topics that we might expect to find in a general history of medicine.”
Quote in the paperSubstantial claim
The paper relies on this without support.
The Four Tantras was arranged in its current form in the twelfth century by g.Yu thog yon tan mgon po.
“The origins of the text are debated, but it seems to have been arranged in the form we know today in the twelfth century by the famous Tibetan physician, g.Yu thog yon tan mgon po (1112-1203).”
The paper relies on this without support.
During the first two centuries after Atisa's arrival, the Eight Branches was the primary medical text for Tibetans, until the Four Tantras began to take influence in the thirteenth century.
“During the first two centuries after Atisa's arrival, the Eight Branches was the primary medical text for Tibetans, until the Four Tantras began to take influence in the thirteenth century.”
The paper relies on this without support.
The Khyung chen lding ba dates to the thirteenth century.
“this thirteenth-century history of medicine”
The paper relies on this without support.
The Four Tantras is still today the main text of Tibetan medicine.
“The fact that the Four Tantras is still today the main text of Tibetan medicine”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
A work dated 1434 is grouped with mid-sixteenth-century histories
MinorThe passage places the rGya bod yig tshang chen mo among histories from the mid-sixteenth century but says it was composed in 1434, in the fifteenth century.
“From the mid-sixteenth century, we have several medical histories, including chapters on the topic in the rGya bod yig tshang chen mo by dPal 'byor bzang po”
“composed in 1434”
Citations
Cites
Gyatso, J. (2004) · Comparative Studies of South Asia Africa and the Middle East · doi:10.1215/1089201x-24-2-83 · Cited by 56
(1994) · Cited by 26
Textual Scholarship, Medical Tradition, and Mahāyāna Buddhist Ideals in Tibet
Schaeffer, K. R. (2003) · Journal of Indian Philosophy · doi:10.1023/a:1026397405584 · Cited by 22
An Early Tibetan History Of Indian Medicine
Martin, D. (2007) · Proceedings of the Tenth Seminar of the IATS, 2003. Volume 10: Soundings in Tibetan Medicine · doi:10.1163/ej.9789004155503.i-449.109 · Cited by 14
Flagged first, then by citations
1 of the 5 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Barrett, T. 2005, 'History', in D. S. Lopez (ed.), Critical Terms for the Study ef Buddhism, Chicago: University of Chicago Press, 124-42.
- Davidson, R. 2005, Tibetan Tantric Buddhism in the Renaissance Rebirth ef Tibetan Culture, New York: Columbia University Press.
Cited by
Sorted by citations
Garrett, F. (2009) · Journal of Indian Philosophy · doi:10.1007/s10781-009-9070-3 · Cited by 27
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Yoeli-Tlalim, R. (2012) · Medical History · doi:10.1017/mdh.2012.21 · Cited by 7
Crosby, K. (2012) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199860265.003.0004 · Cited by 7
Pordié, L. (2014) · Modern Asian Studies · doi:10.1017/s0026749x13000085 · Cited by 6
Buddhism and Medicine in Tibet: Origins, Ethics, and Tradition
McGrath, W. A. (2017) · doi:10.18130/v39h1n · Cited by 8
The Buddhist–Medical Interface in Tibet: Black Pill Traditions in Transformation
Gerke, B. (2019) · Religions · doi:10.3390/rel10040282 · Cited by 7
The Precocious Child in Chinese Buddhism
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Scarecrows,Up ā sakas, Fetuses, and Other Child Monastics in Middle-Period Indian Buddhism
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Samuels, J. (2012) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199860265.003.0009 · Cited by 3
Garrett, F. (2012) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199860265.003.0007 · Cited by 3
Self-citationMarrying the “Thought of Enlightenment”
Lewis, T. T., & Emmrich, C. (2012) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199860265.003.0015 · Cited by 3
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McGrath, W. A. (2026) · Religion Compass · doi:10.1111/rec3.70061
Metadata
- Authors
- Garrett, F.
- Corresponding author
- Garrett, Frances
- Venue
- Asian Medicine
- Publisher
- Walter de Gruyter GmbH
- Published
- 2006-07-16
- Volume
- 2
- Issue
- 2
- Pages
- 204-224
- ISSN
- 1573-420X (ISSN-L)
- 1573-4218
- OpenAlex
- W2004777425
- Cited by
- 37
- References
- 5
- Citations by year
- 2026: 1 · 2024: 2 · 2019: 2 · 2017: 2 · 2014: 2 · 2012: 25
- FWCI
- 11.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Asian Medicine (publishedVersion)
- Topics
- Social Sciences › Arts and Humanities › History › History of Medicine Studies
- Health Sciences › Medicine › Complementary and alternative medicine › Traditional Chinese Medicine Studies
- Social Sciences › Arts and Humanities › Religious studies › Indian and Buddhist Studies
- Keywords
- Tibetan medicine, Buddhist history, Indian Buddhism, historiography of medicine
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