Tibetan Manuscripts No.01272 preserved in Guazhou county museum were excavated from a Xixia site. It contains three pieces of medical manuscripts which belonged to two different documents, containing medical prescriptions and external treatments. The medical prescriptions include purgative, cold and wound medicines, which are presented in the form of ingredients, manufacture and instructions. The external treatments include acupuncture and bloodletting. The study of the three pieces will be helpful to the study of the medical history during Xixia dynasty and the history of Tibetan medicine communication.