My dear one,
Thank you very much for your kind letter.

First of all, having a bladder problem after five nyung näs is a positive sign, a very positive sign. Why? Because by doing nyung näs generally it is said that 40,000 eons of negative karma are purified.

Reciting OM MANI PADME HUM even without bodhicitta collects mountains of good merit, more than the drops of water in the Pacific Ocean, probably also more than the blades of grass growing on the ground and more than the grains of sand in the Pacific Ocean. You collect unbelievable, unbelievable, unbelievable good merit, then with bodhicitta you collect more than skies of merit. There are many teachings that explain the extensive benefits of reciting OM MANI PADME HUM.

If you recite ten malas a day, when your body goes in the water that water is blessed and all the numberless animals, big and small, that are in the water, get purified. By you touching the water it purifies all their defilements. Also, people who play in the water or drink the water get the same benefit. It is unbelievable. Even the air that touches the person who recites ten malas of OM MANI PADME HUM is blessed. When that person is walking outside, the air is blessed and it purifies negative karma and can lead to a higher rebirth. If the air touches others then they are also purified and can have a higher rebirth, like that.

This is an unbelievably precious practice for your body, so I think whatever comes on your body and then touch other beings, it purifies them. Whatever comes from your body, such as pipi, etc., can purify others. Also, seven generations of family starting from you, your children and grandchildren up to seven generations don’t go to the lower realms. Then also when your body is burned [cremated] if the smoke that comes from that touches others, even the smell can purify them. These are the benefits of reciting ten malas of OM MANI PADME HUM.

There is also the very long mantra of Chenrezig, it is in a text by Songtsen Gampo, the Dharma king in Tibet. Normally if you are able to do more than ten malas it is unbelievable, so doing as much as you can is very important, especially if you recite the mantra with bodhicitta. It benefits so many sentient beings and you collect more than skies of merit by reciting the mantra even one time with bodhicitta. That is very important, most important.

Tibetans recite this mantra when they are walking or going to sleep—they recite it all the time. The old people in Solu Khumbu recite it in the house or when turning prayer wheels. This mantra is unbelievably precious, it brings so much purification. In Solu Khumbu the prayer wheels can have several hundred or thousands of mantras inside and the big prayer wheels in India and Nepal can have several hundred million mantras inside.

Medicine Buddha practice is also something you should practice for your whole life; the benefits are unbelievable. The reason you are experiencing bladder problems is because it’s the result of heavy negative karma collected since beginningless lives and this is purified by doing the nyung näs. This is how you purify past negative karma that would result in suffering, such as being born in the hells for eons. That karma is purified and you will not have to experience it at all.

Or you don’t have to experience it, but it still manifests as some problem in this life, such as a disaster, a car accident, a disease like cancer, or whatever. That is very positive because it means you don’t have to be born in hell and experience the inconceivable suffering for eons; instead the karma manifests as a disaster in this life and in this way it is finished.

If you still have to be born in the lower realms, because you have purified the karma it will be for a very short time, like throwing a stone on a rock. The stone just touches the rock then it stops thus you don’t have to have continual suffering, so that’s good. The suffering is shorter. These are some of the different levels of purifying negative karma.

The other thing for the bladder is for you to meet with a Tibetan doctor in India or Nepal.

It also comes out very good if you can take eight Mahayana precepts and do prostrations to the Thirty-five Buddhas, prostrations to Chenrezig, with homage to Chenrezig. Do full-length prostrations by reciting the names of the Thirty-five Buddhas and also the confession prayer afterwards. That prayer is extremely powerful.

Lama Tsongkhapa did 700,000 prostrations by reciting the names of the Thirty-five Buddhas in Wolka Cholung in Tibet, then he had many realizations.

If you can, read the Vajra Cutter Sutra. See if you can do that once each week at least. It’s very good.

Thank you very much. Sorry I have taken much of your time saying this. Please take care of your life with bodhicitta and live with lamrim, studying bodhicitta. It’s important to live your life as much as possible with bodhicitta, that is very positive for you and beneficial for all sentient beings. It’s best for you and all sentient beings. Thank you.

With much love and prayers ...