By sorting out and studying the relevant discussions on rheumatism in ancient Tibetan medical literature，summarizing the unique insights of famous experts in different dynasties on the etiology，pathogenesis，syndrome classification，treatment principles，prescriptions and herbs of rheumatism，we can deepen the understanding of the formation and development context of the theoretical system of Tibetan medicine for rheumatism. 【Keywords】Tibetan medicine；Rheumatism；Ancient literature；Evolution of thoughts；Modern transformation