In the Tibetan medical tradition, there are eight renowned “Precious Pills.” These complex formulas incorporate purified minerals, gemstones, and rare botanical ingredients to treat chronic and acute disorders.

1. Rinchen Grang-sbyor Ril-nag Chen-mo (Precious Great Black Pill)

Therapeutic Indications: This formula is indicated for general constitutional imbalances of the Three Nyipa (Lung, Tripa, Peken). It is specifically used for:

• Gastrointestinal Disorders: Gastralgia (stomach pain), chronic “Mupo” (complex blood/phlegm disorders), and acute abdominal spasms (colic).
• Digestive Bleeding: Hematemesis (vomiting decomposed blood/coffee-ground emesis) and hematochezia (blood in stool).
• Hepatic & Circulatory Health: Liver congestion and poor circulation resulting from cardiac insufficiency.
• Inflammatory & Systemic Conditions: Edema (water retention), rheumatoid arthritis, “Chuser” (serous fluid) skin disorders, and non-healing chronic wounds.
• Toxicology & Infections: Various forms of poisoning (environmental and compounded), leprosy, malignant tumors, diphtheria, anthrax, and acute contagious fevers.
• Prophylactic Benefits: In healthy individuals, it serves as a supreme Rasayana (rejuvenative tonic). It enhances skin radiance, clarifies the sensory organs, retards aging, acts as an aphrodisiac, strengthens bone and nerve tissue, and bolsters the immune system against future disease.

2. Rinchen Ratna Samphel (Precious Seventy-Flavor Pearl Pill)

Therapeutic Indications: Primarily utilized for neurological and cardiovascular pathologies:

• Cerebrovascular Conditions: Stroke (hemiplegia), sudden loss of consciousness, facial paralysis (Bell’s palsy), aphasia (loss of speech), and tremors.
• Neurological Health: Concussions, brain hemorrhage, impaired memory, epilepsy, and mental instability or insanity.
• Cardiovascular & Hypertension: Hypertension (high blood pressure) caused by “blood-wind” imbalance, headaches, nausea/vomiting associated with pressure, and cardiac disorders.
• Systemic Disorders: Incontinence, leprosy, various forms of poisoning, and edema caused by blocked circulation or heart failure.
• Prophylactic Benefits: For healthy users, it promotes physical vitality, sensory clarity, and longevity while preventing the onset of cardiovascular and neurological decline.

3. Rinchen Mang-sbyor Chen-mo (Precious Great Multicomponent Pill)

Therapeutic Indications: Renowned for its cooling and detoxifying properties, specifically for:

• Toxicology: Food poisoning (due to incompatible or contaminated foods), “Gyar-duk” (compounded toxins), and environmental poisoning. It is considered exceptionally profound for treating poisoning resulting from malicious intent.
• Digestive Distress: Intestinal spasms, hematemesis, bloody diarrhea, and obstruction of the “channels” (vessels) caused by excessive intake of putrid or overly pungent foods.
• Chronic Constitutional Weakness: Emaciation and darkened skin tone caused by “bad blood,” sensory dullness, acid reflux, and loss of appetite.
• Respiratory & Internal Heat: Chronic coughing (producing blood-streaked or dark phlegm), latent fevers, and “hidden” inflammatory conditions.
• Prophylactic Benefits: Its properties are essentially identical to the Great Black Pill, serving as a master tonic for strengthening the musculoskeletal system, preventing disease, and promoting overall vigor.

4. Rinchen Btso-bkru Zla-shel (Precious Moon Crystal Pill)

Therapeutic Indications: Specialized for metabolic, hepatic, and “Chuser” (lymph/serous fluid) disorders:

• Digestive & Metabolic: Indigestion, “Peken Mupo” causing radiating pain from the chest to the back, acid regurgitation, and coffee-ground emesis or stools.
• Hepatic & Gallbladder: Pain in the stomach/liver region and chronic inflammatory conditions that deplete constitutional strength.
• Neurological/Systemic: Lethargy, excessive perspiration, numbness in the extremities (lower body), and dry mouth/tongue.
• Dermatological & Sensory: Skin eruptions (acne/sores), itching, loss of hair, leprosy, and loss of luster in teeth and nails.
• Respiratory: Hoarseness, shortness of breath caused by internal trauma/agitation, and chest pain.
• Toxicology: Poisoning from food, metal oxidation (pot/vessel toxins), and diet-induced toxins (excessive alcohol, vinegar, or soy sauce).
• Prophylactic Benefits: Regarded as a supreme tonic for increasing physical strength and essential vitality (Ojas).

5. Rinchen Byur-dmar 25 (Precious Red Coral 25)

Therapeutic Indications: This formula is specialized for neurological disorders and vascular pathologies of the head:

• Cerebrovascular & Neurological: Hypertension-induced migraines and chronic headaches, cervical stiffness (stiffness of the neck nerves), and facial paralysis (Bell’s palsy).
• Motor Function: Hemiplegia (paralysis of one side of the body), loss of sensory or motor function, limb tremors, stiffness, or contraction of the extremities.
• Vascular & Nerve Health: Vascular occlusion (blockage), irregular blood circulation, neuritis (inflammation of the nerves), and “constricted” kidney nerves.
• Brain & Epilepsy: Encephalalgia (brain pain/pressure), epilepsy, and various stages of “Tsad-kar” (white nerve disorders).
• Pain Management: Highly effective in reducing acute pain from gout and various forms of arthritis.
• Prophylactic: Prevents the onset of neurological decline and vascular blockages in healthy individuals.

6. Rinchen Yu-nying 25 (Precious Old Turquoise 25)

Therapeutic Indications: The premier formula for hepatic (liver) health and systemic detoxification:

• Hepatic Disorders: Acute and chronic hepatitis, liver pain, hepatomegaly (enlargement/hardening of the liver), and hepatic ascites (fluid accumulation in the abdomen).
• Advanced Liver Symptoms: Hematemesis of dark/decomposed blood caused by liver trauma or excessive alcohol consumption, and jaundice-related symptoms.
• Secondary Symptoms: Progressive emaciation (weight loss), upper body congestion, stiff neck, nasal bleeding, excessive lethargy, and a bitter taste in the mouth.
• Digestive/Excretory: Loss of appetite, stomach pain, and “sheep-fecal” stools (hard, dark, pellet-like stools).
• Toxicology: Effective against food poisoning and compounded chemical toxins.
• Chronic Recovery: Particularly beneficial for “exhausted” liver conditions where other treatments have failed.
• Prophylactic: Protects liver function and maintains healthy metabolic detoxification.

7. Rinchen Chak-ril Chen-mo (Precious Great Iron Pill)

Therapeutic Indications: Specifically formulated for ophthalmological (eye) health and blood-related disorders:

• Ophthalmology (The Primary Focus):
  • Cataracts & Opacity: Various stages of cataracts (internal and external), blurred vision, and “darkening” of the visual field.
  • Inflammation & Trauma: Excessive lacrimation (tearing), ocular pain, photophobia (sensitivity to light), subconjunctival hemorrhage (bloodshot eyes), and eyelid edema (swelling).
  • Degenerative Conditions: Glaucoma, retinal disorders, corneal growths/warts, and loss of pupillary focus.
  • External Factors: Sensitivity to wind/cold and infection of the tear glands.
• Systemic Blood Health: Anemia (depletion of essential blood vitality), blood-streaked emesis caused by “Peken Mupo,” and disorders of the liver and spleen involving “bad blood.”
• Detoxification: Secondary vision loss or skin eruptions caused by long-standing compounded poisoning.
• Prophylactic: Protects eyesight from age-related decline and maintains ocular nerve health.

8. Rinchen Tsha-sbyor Chen-mo (Precious Great Hot-Effect Pill)

Therapeutic Indications: A potent formula for “cold” natured stubborn diseases and structural blockages:

• Inflammatory & Chronic: Gout, rheumatoid arthritis, leprosy, and “Sur-ya” (stubborn chronic sores/ulcers).
• Tumors & Growths: Various types of internal “Skran” (tumors/masses) and malignant growths (cancer support).
• Fluid Accumulation: Ascites (dropsy) and generalized edema (swelling).
• Vascular Clearance: Specifically used to clear “bad blood” that has caused blockages in the vascular channels and to “dry up” chronic cold-natured pus or accumulations.
• Prophylactic: Clears latent “cold” pathologies before they manifest into chronic masses or joint deformities.

Clinical Advisory

While these medicines are profoundly effective, the text emphasizes:

1. Professional Guidance: It is highly beneficial to consult a qualified Tibetan physician (Amchi) to ensure the formula matches your specific “Three Nyipa” constitution.
2. Safety: These formulas contain complex mineral preparations; self-prescribing is not recommended.
3. Preventative Use: Healthy individuals may use these pills as Rasayana (rejuvenatives) to maintain youthfulness and prevent the diseases listed above.

Quick Selection Guide: Tibetan Precious Pills (Rinchen Rilbu)

1. Digestive & Gastrointestinal Health

• Primary Choice: Rinchen Grang-sbyor Ril-nag Chen-mo (Great Black Pill). Best for ulcers, chronic gastritis, and stomach pain.
• For Food Poisoning: Rinchen Mang-sbyor Chen-mo (Great Multicomponent Pill). Best for indigestion or toxins from incompatible foods.
• For Metabolic Issues: Rinchen Btso-bkru Zla-shel (Moon Crystal Pill). Best for acid reflux and “sluggish” metabolism.

2. Neurological & Cardiovascular Health

• For Stroke & Brain Health: Rinchen Ratna Samphel (Seventy-Flavor Pearl Pill). The “gold standard” for stroke recovery, paralysis, and brain injury.
• For Nerves & Headaches: Rinchen Byur-dmar 25 (Red Coral 25). Best for migraines, stiff neck, and nerve inflammation (neuritis).
• For Hypertension: Both Ratna Samphel and Red Coral 25 are effective for high blood pressure.

3. Liver, Blood & Detoxification

• Primary Liver Tonic: Rinchen Yu-nying 25 (Old Turquoise 25). Specifically for hepatitis, cirrhosis, and alcohol-related liver damage.
• For Deep Detoxification: Rinchen Mang-sbyor Chen-mo. Best for clearing “hidden” or compounded toxins.
• For Blood Purification: Rinchen Tsha-sbyor Chen-mo (Great Hot-Effect Pill). Clears “bad blood” and vascular blockages.

4. Special Organs & Stubborn Diseases

• For Eyesight: Rinchen Chak-ril Chen-mo (Great Iron Pill). The specific formula for cataracts, glaucoma, and failing vision.
• For Joint Pain & Gout: Rinchen Tsha-sbyor Chen-mo and Red Coral 25.
• For Tumors & Masses: Rinchen Tsha-sbyor Chen-mo. Focuses on “drying up” masses and chronic pus.

Traditional Administration Checklist

To ensure these “Precious Treasures” work as intended, remember the “Three Rules”:

1. The Vessel: Use only Glass or Ceramic. Metal containers can react with the minerals in the medicine and neutralize the effect.
2. The Light: After crushing and adding water, keep the cup in a dark cupboard or wrap it in a dark cloth overnight.
3. The Timing: Drink at Dawn (5 AM – 7 AM) on an empty stomach. This is when the body is most receptive to deep-acting formulas.

Clinical Reference Table: The Eight Great Tibetan Precious Pills

Administration Protocol for All Precious Pills

To ensure the minerals and herbal essences are bioavailable, follow this specific “Overnight Activation” method:

Strict Dietary & Lifestyle Taboos (Kha-nye)

For 3–7 days surrounding the dose:

1. NO Acidic Foods: Vinegar, lemon, oranges, yogurt, or fermented “sour” items (reacts with the minerals).
2. Avoid Raw/Cold: Raw vegetables, salads, or iced drinks (extinguishes digestive fire).
3. NO Pungent/Spicy: Raw garlic, raw onions, or heavy chili.
4. NO Alcohol: Strictly forbidden as it agitates “Bile” (Tripa).
5. Behavior: Avoid strenuous exercise, sex, and exposure to cold wind or damp environments.