Sman pa grwa tshang refers to Tibetan medical schools attached to Tibetan Buddhist monasteries （basically of the Gelugpa sect） , which is a comprehensive institution devoted to medical education, clinic treatment and medicinal production. It has played a significant role in the training of medical professionals, and is itself an embodiment and outgrowth of the further institutionalization and systematization of the monastery educational system after the establishment of Gelugpa sect in the 15th century. The model of Sman pa grwa tshang first took shape from the famous Chagpori Grophangling, established in Lhasa by Desi Sanggy Gyamtso（Tib： Sde srid sangs rgyas rgya mtso 1653 -1705）in 1696. Later, the model spread to Amdo, Mongolian areas and China＇s cities hke Beijing and Chengde where almost a hundred Smart pa grwa tshangs were set up successively. The emergence of Sman pa grwa tshangs played a significant role in the transmission and development of Tibetan medicine.