Buryat medicine, which derived from Tibeto-Mongolian medical systems and traditions, has thrived in the Transbaikal region from the eighteenth century. There are, however, two main streams in Buryat healing traditions: one deriving from Buryat folk medicine and the other, the main focus of this article, scholarly Tibetan medicine, as transmitted through Mongolian medical culture. As it was adopted in Buryatia, Tibeto-Mongolian medicine went through a process of adaptation to the local environment, most conspicuously in the field of pharmacology. It is here that we find the main original Buryat contributions to the wider development of TibetoMongolian medical culture.