The student should take the rinchen ratna samphel pill. He should take five pills in total; one pill every three days. I have given you the five pills.

The way to take the pill is like this: First take some erma (Sherpa spice), not much, just one to three small pieces of it. Put the erma in warm water at night and let it soak. Then, first thing in the morning, drink the erma water. This opens the vessels in your body. After that, open the precious pill, ratna samphal, in the dark. [Rinpoche opens it under his zen so no light hits it.] Crush the pill, swallow and drink with warm water. Do this every three days until the five pills are finished

When the pain is very bad, he should listen to and recite the Sutra for Entering the City of Vaishali until the pain goes. If he can’t recite the sutra, the geshe at Nalanda can do for him, but he has to be able to hear it.