At the time of the foundation, Shinyakushi-ji was a large temple with seven major structures including Kon-do Hall and the East and the West Towers standing side by side on the compound.
創建時の新薬師寺は金堂、東西両塔などの七堂伽藍が建ち並ぶ大寺院であったが、次第に衰退した。