First of all, recognition of the phenomenon of embryo formation. Early in Sman dpyad zla ba'i rgyal po, and Rgyud bzhi 1,000 years ago, there was full recognition of this problem, pointing out that the opportune time for fertilization is about 12 days after menstruation. Earlier or later than that will not be fertile. This is the most precise and earliest record in traditional Chinese medicine. In the books, it also points out that a woman will easily tire, suffer a withered complexion, have a distended chest, and an uneasy or painful waist before menstruation. At the peak of the fertilization period, a woman has higher libido.
Tibetan medicine claims that an embryo involves the merger of the father's semen and mother's blood. This idea is an excellent Chinese medicine diagnosis at the time when there was no microscope to observe these matters. Based on this idea, Tibetan medicine also stresses the importance of both the father's semen and mother's blood. Abnormality of either, such as diseased rlung, mkhris pa, or badkan, will result in infertility. When there is a rough appearance, abnormal color or degree of concentration, and abnormal smell, no embryo will be formed. This is both correct and scientific. In the old society, people used to blame the female side for infertility, so it is scientific that Tibetan medicine seeks the reasons for infertility equally in either the man or woman.
Tibetan medicine also pointed out that there should be "five origins" for embryo formation, namely, earth, water; fire, wind and space. It is coincident that traditional Chinese medicine activity also emphasizes that, in the formation of embryo, the "water is accepted in the 4th month, fire accepted in the 5th month, metal accepted in the 6th month, wood accepted in the 7th month and earth accepted in the 8th month".
However, the "five origins" of Tibetan medicine is different to the "five dements" of TCM. The earth in TCM is the ground-earth for embryo development, and the space of Tibetan medicine offers a room for the embryo to stay and develop. Both systems maintain that all five factors should be harmonious to ensure normal development.
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