There are many ways in which drugs are discovered or created.
You have
serendipity where they're discovered by pure coincidence . Many more drugs than you think were discovered this way (indeed, scientific knowledge in general), the famous example would be penicillin. He wasn't looking to make it or find it but Florey did. That's serendipity in the lab. You have it in the clinic too. There are many drugs that come to mind but Viagra (before it was sold as Viagra obviously) was originally created to treat heart problems. Some very observant nurses noticed it had...other effects.
There's the territory of
modifying the chemical structure of drugs we already have to create new ones. It might not be very obvious at this level of biology/chemistry but small changes can lead to significant differences.
Finally, like T-Rav said we have also have
random screening. Drug companies have huge chemical libraries (and robots) to test their library of millions of chemicals to find something that does what they want.
Rational drug design i think is best looked at in contrast to all these methods. Key emphasis is on the
design bit. Rather than finding something that works without necessarily paying to much mind to the structure (grossly inaccurate but good enough for vce), in rational drug design, you design the drug to fit the disease. It's a new and different way of looking at it compared to the other ways. It's purposely designed to do x. In the case given in VCE bio, relenza was specifically designed to interfere with viruses. They wanted that property and made a new molecule with it rather than discovering one by mistake or trying a bunch of existing molecules.
Probably gave you a bit of overkill but it'll give you an insight into the pharma industry and why rational drug design is special.
Drug design traditionally was just trial and error with bioassays and things like that.
Actually...still kinda is :p