Category Archives: Tibetan Medicine

Medicine with Swirling Rays of Light: Main Practice and Supreme Result

H.H. 34th Menri Trizin ceremonially grinding ingredients of the mendrup

Menri Monastery in Dolanji, India is currently conducting the Great Retreat of the Medicine with Swirling Rays of Light, Mendrup Ö Zer Khyilwa. (See previous article for the retreat schedule, description of the preliminary practices, and overview of the history and lineage of the great mendrup retreat: https://ravencypresswood.com/2024/04/13/the-great-retreat-of-the-medicine-with-swirling-rays-of-light/) There are many mendrup cycles within the Yungdrung Bön tradition with each relying upon a different yidam, or meditational deity. Some mendrup cycles are vast and complex and many others are much shorter and simpler. The Medicine with Swirling Rays of Light cycle is one of the most extensive and complex cycles and is according to the trowo, or wrathful deities. Although all the peaceful and wrathful deities are invoked during the mendrup ceremony, for the main practice of the Medicine with Swirling Rays of Light the primary yidam is the embodiment of Buddha Tönpa Shenrap’s Enlightened Mind, Trowo Tsochok Khagying. 

Trowo Tsochok Khagying and his consort Khala Dukmo

Once the outer and inner preliminary practices and empowerments of the mendrup ritual are complete, the mandala palace surrounded by various offerings and the bags of mendrup ingredients becomes the focus of spiritual activity. From the beginning of the main ritual and until its conclusion, the main mantra for empowering the mendrup is recited continuously day and night. Within the main temple, designated monks take shifts reciting the mantra and circumambulating the mandala. Outside the main temple, everyone is encouraged to recite the mantra as much as possible and to circumambulate the temple complex. The medicinal ingredients of the mendrup ingredients alone are beneficial but they do not contain blessings. For that, it is necessary to perform the practice of the deities, make offerings and supplications, and especially to recite many hundreds of thousands of the mantra. In this way, power and blessings are conferred to the physical substances.

Mandala for the deities of absolutely complete and indestructible pacification used during the mendrup retreat

The mandala at the center of these activities supports the continual presence of the deities by being imbued with images and substances whose qualities correlate with those of the respective deities. Every element of color, shape, direction, and size has its own meaning and importance. A special vessel of mendrup ingredients is placed above the mandala in the center and in each of the cardinal and intermediate directions. These vessels in the center and the four cardinal directions contain ingredients associated with the qualities of their respective directions and are covered with silk cloths ornamented with the symbol of the respective directions. These directions of the mandala correspond with the geographical ones. The four vessels in the intermediate directions are covered in yellow.

The mandala palace surrounded by bags of mendrup ingredients connected by the zung tak cords

The center of the mandala is the seat of the principal deity Trowo Tsochok Khagying. This is the place of the Suchness Buddha Family. In this case the center is characterized by the color yellow, and associated with the element of earth. The yellow covering is ornamented with a white AH syllable which is the seed syllable of Trowo Tsochok Khagying, and a red MA syllable which is the seed syllable of his consort Khala Dukmo.

The East, which is always considered to be the front gate of the mandala, is the place of the Yungdrung Buddha Family. It is characterized by the symbol of a yungdrung and, in this case, the color white and the element of space.

The South is the place of the Jewel Buddha Family. It is characterized by the symbol of a wish-fulfilling jewel and the color blue, and is associated with the element of water.

The West is the place of the Lotus Buddha Family. It is characterized by the symbol of a pure lotus and the color red, and is associated with the element of fire.

The North is the place of the Wheel of Bön Buddha Family. It is characterized by an eight-spoked wheel of the Bön teachings and the color green, and is associated with the element of wind or air.

His Holiness the 34th Menri Trizin leads the practice of Medicine with Swirling Rays of Light with the zung tak cords reaching from the mandala to his throne

A cord is attached to each of the five main mendrup vessels in the center and cardinal directions. The color of this cord corresponds to its respective direction. These are the zung tak, or empowerment cords. They are stretched to the bags of mendrup ingredients surrounding the mandala, wound together, and then brought to the throne of the ceremony leader, in this case His Holiness 34th Menri Trizin Rinpoche. Throughout the performance of the rituals and mantra recitations, these empowerment cords are blown upon in order to carry the power and blessings to the physical substances. Similarly, having the cords connect the mandala to the bags of mendrup ingredients in the surrounding area imbues them with the power and blessings coming from the presence of the enlightened deities.

The nine vessels of mendrup ingredients after being ceremonially brought from the mandala palace

Once the requisite vessels of mendrup ingredients and offerings are placed above and surrounding the mandala, it is closed from view until the conclusion of the ritual. When necessary to interact with the immediate area of the mandala, those appointed to do so have the responsibility to abide by the tantric rules of behavior in order to not introduce any defilements or obstacles into the ritual environment. Once the rituals and mantric recitations are complete, the boundary is opened and the vessels of mendrup ingredients on the mandala and the bags surrounding it are ceremonially carried to where the ingredients are ground into a fine powder. First, the vessels from the mandala are opened and the ritual leaders ceremonially grind and mix the ingredients.

His Holiness 34th Menri Trizin Rinpoche and His Eminence Menri Pönlop Rinpoche ceremonially grind the ingredients from the central vessel of mendrup

However, the majority of ingredients are ground into a fine powder using modern methods and then distributed to the public. Major sponsors of the Great Retreat of Medicine with the Swirling Rays of Light will receive larger portions of the mendrup in appreciation for their support. Yungdrung Bön monasteries will receive a larger amount as well to dispense to their respective communities. Most of the mendrup will be stored at Menri and distributed over the coming years with the mindfulness that it must last until the next great mendrup retreat is performed which could be decades from now.

The primary mantra of the Medicine with Swirling Rays of Light is SO OM BA WA DÉ NA RA SA YA NA YU DRANG DU TSI SO THA.* This mantra is not like an ordinary sentence that can be translated into a conceptual meaning. The power of the mantra is beyond concepts. Yet, although it is not possible to be translated, specific qualities and associations can be made with each of the syllables. However, the practitioner should not restrict the power and blessings of the mantra to these limited intellectual understandings.

SO: syllable of enlightened body, enlightened speech, and enlightened mind; as well as the three enlightened bodies of the Bönku, Dzok ku, and Tülku 

OM: syllable of the five wisdoms (1) the wisdom of emptiness, (2) mirror-like wisdom, (3) all-accomplishing wisdom, (4) discriminating wisdom, and (5) the wisdom of equanimity

BA WA: syllables of the high spiritual masters

DÉ NA: syllables of giving, of bestowing

RA SA YA NA: syllables of the highest and most extraordinary medicines that cure illness and pacify obstacles

YU DRANG: syllables of the Zhang Zhung language meaning du tsi

DU TSI: syllables of blessed nectar medicine that has the power and blessings to heal all illness and disturbances, and to support longevity and good fortune

SO THA *: syllable of transforming the impure body, speech, and mind of ordinary beings into enlightened body, speech, and mind. The syllables that dissolve all illness and obstacles into pure space.

When reciting, it is of the utmost importance to connect with the mantra as a request of the enlightened ones, the yidams, the khandro, and the lamas to bestow their blessings and to transform your impure body, speech, and mind into pure body, speech, and mind; and to remove all outer, inner, and secret obstacles. Reciting this mantra can transform any liquid into medicine which gives it the potency to pacify the afflictive emotions. For example, if one is drinking juice or milk the mantra can be recited and blown into the liquid. This transforms the liquid from an ordinary substance to a blessed substance.

Night-time circumambulation of the outside of Menri Monastery’s main temple

Mendrup can be taken by anyone at anytime for any condition. It is considered to be a single medicine for hundreds of illnesses. Its benefits are not restricted to human beings and can be given to animals or to the environment. The benefits of ingesting or wearing mendrup are unimaginable. It contains the blessings and power of the enlightened ones, the deities of medicine, the wisdom deities, the protectors, and the deities of wealth. It is said that even if one talks continuously for fifty years trying to explain every benefit of mendrup, the explanation would not be finished. 

Having faith in the blessings and power of the mendrup gives energy, motivation, and openness to seek out and receive the medicine. Faith in the medicine has such power that even just seeing the mendrup can bring benefit and blessings. Simply by having the mendrup touch the tongue, it is possible to attain enlightenment. It is a single medicine for hundreds of ills. It has the potency to cure the three kinds of physical illnesses which arise from the imbalance of wind, bile, or phlegm. It supports longevity, personal power, vitality, and good fortune. It is like a wish-fulfilling jewel. It can bring food to the hungry and safety to those who need shelter, and so on. It opens the subtle wisdom channels within the body and blocks the movement of the winds related to the five poisons.

It can also be worn against the body for blessings and protection. Most amulets of the Yungdrung Bön tradition contain a small amount of mendrup as one of the required ingredients. If someone who is dying is given mendrup or a sachet of mendrup is placed around their neck, it will connect them with the peaceful and wrathful deities during the intermediate state after death and will ensure that they have a positive rebirth. 

The mendrup ingredients are finely ground, packaged in small amounts, and then distributed for free to the public

Aside from requiring storage in a clean and respected place, there are only two restrictions associated with mendrup. First, it should never be traded or sold, but rather offered freely as a gift especially from a master to their students. Second, when ingesting the mendrup, meat should not be eaten soon afterwards. In general, it is taken each day in the early morning on an empty stomach. A small amount of the powdered substance is put into warm or cold water and allowed to dissolve slightly. Ideally, the main mantra is recited before drinking the liquid. Alternately, it can be placed directly into the mouth on the tongue and swallowed. A greater or lesser amount can be used, and it can be taken anytime day or night. However, whenever ingesting mendrup, one should be aware of receiving the unimaginable power and blessings of the enlightened deities that overcome all afflictions and suffering.

If you would like to make a donation to support this very auspicious occasion, you can do so through H.E. Menri Pönlop’s United States retreat center by following this link: http://kwling.org/ Follow the link and then click the donate button in the upper right of the page. You can make a notation that the donation is for the mendrup ceremony.

The Medical College of Sorig Bum Zhi Menri Ling grinding and processing the mendrup ingredients

General Overview of the Necessary Ingredients for Medicine with Swirling Rays of Light

All of the necessary ingredients and instructions for their proper collection are enumerated in the text of Medicine with Swirling Rays of Light, Mendrup Ö Zer Khyilwa.་ If they are counted individually, there are over 30,000 ingredients. This list is included as a mere example of the diversity of necessary ingredients. All ingredients should be of the highest quality and without faults or defilements. Sometimes, as in the case of many types of roots, a specific size and shape are necessary in order for them to be acceptable ingredients. Ingredients from sacred places such as Kongpo Bönri and Mt. Tisé are especially sought after. The collection of the ingredients needed can take many years and be quite costly.

One of the most important ingredients to be included is mendrup containing the essence of the previous ancient mendrup retreats. After that are the primary ingredients of arura, barura, and kyurara which in combination are considered to be a great panacea.

  • arura [Chebulic myrobalan, Terminalia Chebula]
  • barura [Terminalia belerica Roxb]
  • kyurura [Embelic Myrobalan, Emblica Officinalis]

The six excellent substances, the five grains, and the five precious things are also of primary importance. These substances are highly valued and are regularly added to torma, healing water, as well as being placed inside statues, wealth vases, chortens, and so on. The six substances are:

  • chu gong: It is a kind of essence of water sometimes translated as bamboo essence. There are three kinds of chu gong: (1) chu gong collected from wood or trees, (2) chu gong collected from rocks, and (3) chu gong collected from water
  • saffron, there are five types and the best quality should be chosen
  • cloves
  • nutmeg
  • green cardamom
  • black cardamom

The five grains: although it is common to add as many different kinds of grains as possible, it always includes:

  • barley
  • wheat
  • rice
  • beans
  • sesame

Precious things such as:

  • gold
  • silver
  • copper
  • metal
  • pearl
  • coral
  • turquoise
  • zi stone
  • crystal
  • white conch

There are many different kinds of plants, herbs, and trees that must be collected from many different geographical areas. These must be growing in the right place, be at the correct stage of growth, be gathered at the proper time of day, and be dried properly according to the character of the plant as well as the qualities to be enhanced. Thus, a plant that is gathered for its ability to bring warmth should be growing in the sun, gathered on a sunny day when it is warm, and be dried in the sun and heat. Sometimes the entire plant is used and other times only the flowers, leaves, stalk, buds, fruit, berries, pollen, seeds, or roots are needed. Quantities vary according to what can be acquired, the rarity of the ingredient, and the hazards in acquiring it.

Additional ingredients include the nine kinds of water which is water from:

  • the snow of a high mountain
  • a waterfall
  • river water
  • sacred lakes
  • ocean water
  • spring water
  • rain water
  • water that never freezes (There is drinkable water in the Himalayas that never freezes and is not a hot spring)
  • milk from a pure white cow
  • additional kinds of water are often added such as mineral water

There is a multitude of other ingredients. These include:

  • the three kinds of incense: white sandalwood, red sandalwood, valerian
  • white salt, black salt, and rock salt
  • molasses, dark brown sugar, and light brown sugar
  • crystallized sugar
  • unsalted curds
  • unsalted yogurt
  • unsalted butter from many different types of animals
  • milk from many different types of animals
  • honey
  • shellac resin
  • special cloth
  • a collection of various knotted threads
  • amber and a variety of other tree resins
  • sulphur
  • camphor
  • white and dark-colored grapes
  • calcite
  • many different kinds of oils
  • many different kinds of eggs
  • many different kinds of alcohol
Mendrup vessels from the mandala being uncovered

* The syllable “THA” is slightly aspirated and pronounced by placing the tongue behind the front teeth. This is different from a hard “TA” sound where the tongue is pressed against the roof of the mouth such as in the word “tower.” It is also different from the English language pronunciation of “TH” where the tongue is placed between the teeth such as in the word “thing.”

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Homage to the Spiritual Masters!

H.H. 34th Menri Trizin Rinpoche and H.E. Menri Pönlop Rinpoche visit the medical college at Menri Monastery. Photo credit: Unknown.

EMAHO!

To the lama who is the embodiment of all of the Victors and spiritual masters,

who acts principally through the accomplishment of Bön for sentient beings who are as limitless as the sky,

I offer prostrations with my body, prostrating with my arms, legs and head!

I prostrate with my speech, chanting with a joyous and inspired melody!

I prostrate with my mind, prostrating with single-pointed motivation and devotion!

May the negative actions and defilements of my three doors become purified!”

—Extract from Offerings for the Lama

All translations and content by Raven Cypress Wood ©All Rights Reserved. No content, in part or in whole, is allowed to be used without direct permission from the author.

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Sacred Signs

Handprint in stone of the one known as the Second Buddha, the 1st Menri Trizen, Nyamme Sherab Gyaltsen. Photo credit: Unknown

The Six Excellent Substances

The Six Excellent Substances are added to the dry tsampa when making torma. Photo credit: Raven Cypress Wood

A common group of ingredients needed for making torma,  and used in many Tibetan medicines is called Zang Druk, the Six Excellent Substances.  These six substances are: 1) Chu gang, 2) Gur gum, 3) Li shi, 4) Dza ti, 5) Suk mel, and 6) Ka ko la.  These substances are ground into powder and mixed together.

There are three types of Chu gang: 1) Tree Chu gang, 2) Rock Chu gang, and 3) Water Chu gang.   Tree chu gang comes from an Indian tree similar to bamboo.  It forms a milky white juice at the joints of the tree.  Rock chu gang is hard like a stone, and water chu gang comes from rivulets found on mountains such as Mount Tisé.

The plant which produces saffron is Crocus sativus.

The common name for Gur gum is saffron.  In general, there is low, medium and high quality grades of saffron. The common name for Li shi is cloves.  The common name for Dza ti is nutmeg.  The common name for Suk mel is cardamom.  This is also known as green cardamom.  The common name for Ka ko la is black cardamom.

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Ancient Medicine for Modern Times

The Enlightened Lord Tonpa Shenrap in his appearance as the Medicine Buddha

Tibetan Medicine originated many thousands of years before Tibet was an autonomous kingdom.  In order to alleviate the suffering of sentient beings, the founder of Yungdrung Bön, the Enlightened Lord Tönpa Shenrap Miwoche, taught medical science directly to his disciples over 18,000 years ago.  In his emanation as master of this knowledge, Lord Tönpa Shenrap Miwoche is called Sangye Menlha, the Medicine Buddha. This knowledge is considered part of the First Way of Bön.  Responsibility for holding this medical lineage was given directly to the Buddha’s own son, Chebu Trishe.    This vast medical knowledge was written into a group of texts known as the Bum Zhi, The Four Volumes.  These four volumes are: 1) The Root which is the Mind, the Blue Sky Volume, 2) Completely Victorious Medicine, the White Volume, 3) Methods of Diagnosis and Healing, the Mixed Color Volume, and 4) Remedies for Curing Disease, the Black Volume.  These texts were translated into the Tibetan language in the 4th century but had to be hidden during the 7th century due to religious persecution of Yungdrung Bön.  One method of concealment involved changing the language so as to reflect Buddhist themes.  This modified text was renamed the Gyu Zhi.  The original Yundrung Bön Bum Zhi was thought to be lost until modern times when the eminent scholar Yongdzin Tenzin Namdak Rinpoche found the text within the Bön Kangyur.  Now, it is being widely distributed once again.

The studies involved in becoming an Amchi, or Tibetan doctor, are quite difficult and take many years.  In addition to knowing the causes and treatments for balance and imbalance within the human body, the Amchi must also devote themselves to spiritual practice and the cultivation of compassion and generosity, understand the intricate relationship between the conditions of the external environment and the internal environment of the patient, and be a master herbalist and pharmacist who gathers, produces and dispenses medicine.

Left: Herbal combination Center: Medicinal substances made into pills Right: Gem medicine, or Precious pills

Within this medical system, there are a multitude of medical treatments that must be mastered such as moxibustion, massage, cupping, precise physical movements & exercises, preparation of medicinal baths and the use of oral medicines.  Some methods have multiple kinds of applications which are determined by the illness being treated.  For example, within the category of administering medicine, there are ten different categories: decoctions, powders, pills, medicinal paste, medicinal butter, medicinal ash, concentrates, medicinal wine, gem medicine and herbal combinations.  Some of these have multiple variations and many of them take days to months to prepare.  The Amchi must determine which method to use and how to properly administer it to the patient.

Left: Amchi Yuthok Tsewang, Amchi Nyima’s father. Right: Amchi Nyima preparing medicine. Photo credit: Unknown

The practice and knowledge of this ancient medical system has remained uninterrupted from the time of Lord Tönpa Shenrap until this very day.  Amchi Nyima Samphel Gurung is a doctor, or Amchi, within the Yungdrung Bön Tibetan Medical tradition.  In 1968, he was born into a medicine lineage of the Jara clan.  This clan had been the personal physicians to the kings of Dzar Dzong, Mustang.  For at least nine continuous generations, and perhaps many more, this family have been the physicians for their region.  Amchi Nyima first studied medicine with HH Menri Trizen Lungtok Tenpa’i Nyima Rinpoche at Menri Monastery.  Returning to his home in Mustang, Nepal, he then studied under the guidance of his father, Dr. Yuthok Tsewang.  Following the advice of HE Yongdzin Tenzin Namdak Rinpoche, he went on to study medicine at the Medical School of the Four Tantras in Dhorpatan.  In 2001, Amchi Nyima graduated during a ceremony at Triten Norbutse Monastery in Kathmandu, Nepal.

Left: Men gyal, the main medicine bag. Right: Men khuk, medicine pouches

At the Medical School of the Four Tantras in Dhorpatan, Nepal, Amchi Nyima studied under Ragshi Tsultrim Sangye.  At the conclusion of his studies, this special teacher made him a men gyal, or medicine bag.  Traditionally, these bags were used when a doctor traveled or visited patients at their home.  The medicine bag would be filled with smaller medicine pouches that contained the various medicinal combinations that might be needed for the patients.  Amchi Nyima’s medicine bag is made of an animal hide chosen for its energetic properties to contain the power of the medicines as they are being carried.  The outside of the bag has symbols representing the Medicine Buddha and his retinue as well as the sixteen powerful khandro and each of the four directions.  Today, it is less and less common for a Tibetan doctor to use one of these traditional medicine bags.

Amchi Nyima currently lives in the village of Muktinath located in Mustang, Nepal.  He also frequently travels to both Europe and the United States in order to treat patients.  Although he has complete knowledge of the many methods of treatment, his specialty is medical massage known as kunye.  When giving a medical massage, Amchi Nyima first generates himself as the Medicine Buddha.  At the conclusion of the massage, he dedicates the activity for the benefit of all beings.

Amchi Nyima reading a patient’s pulse during a consultation

From his experience treating Westerners, Amchi Nyima has observed that there are a few recurring imbalances caused by the Western lifestyle.  The prevalence of raw food such as salad and reliance upon food that has been frozen has contributed to digestive ailments for many people.  He has also noticed that many Westerners believe that they are ‘fat’ and therefore either severely restrict food or skip meals entirely.  He comments that this is a big problem and causes deep imbalance within the body.  In general, he has seen that the tendency to worry and think too much places great stress upon those in Western countries.

Preparation for an appointment with Amchi Nyima begins the day before.  Patients need to refrain from strong physical exertion, sexual activity, and stressful situations.  Also, the patient should not have caffeine such as coffee or strong tea the evening before their appointment.  All of these things affect the pulses.  After the patient has gone to bed, it is important for them to collect the second urine, usually in the early morning, in a clean, dry, glass container.  Ideally, the patient is seen in the morning before eating or drinking anything.  However, this is not always possible.  Therefore, the patient should at least not drink caffeine and eat very lightly until their appointment.  Amchi Nyima relies upon the three techniques for obtaining a diagnosis: 1) Looking, 2) Touching, and 3) Questioning.  He will look at the general presentation of the patient including their face, eyes and tongue.  He will look at the urine’s color, movement, and qualities.   He will touch the patient’s wrists and thereby feel their skin tone, temperature and also read their pulses.  during this time, he will also question the patient concerning their concerns and experience of symptoms.  The entirety of the patient is taken into consideration including their emotional, mental and spiritual condition as well as their external environment.  From this, he is able to ascertain the root cause of illness as well as its branch symptoms.  He will then determine a proper course of treatment.  Tibetan medicine has no negative side effects and is especially ideal for those patients who are weak and have low vitality.

Amchi Nyima Samphel Gurung gathering medicinal plants. Photo credit: Unknown

Traditionally, a Tibetan doctor’s home is also his office.  Patients arrive at any time of day or night and are treated regardless of whether they are rich or poor.  In fact, the services of a Tibetan medical doctor are free and considered part of their practice of compassion.  However, the community understands the importance of supporting the doctor and continuing his ability to serve.  Therefore, patients offer whatever they are able in exchange for medical treatment.  In modern times however, Amchis have needed to adapt to the Western idea of setting a fee for service due to the growing dependence upon a monetary economy as well as the increase of Western patients who are unaware of the understanding between the doctor and the community.   Also, Westerners traveling in Nepal who are in need of medical attention have no knowledge of where to find the local doctor or how to receive treatment.  These are some of the reasons that Amchi Nyima has begun plans for a medical clinic in his village, The Ancient Bumzhi Medical Collection & Processing Center.  The clinic will also cultivate medicinal plants that are in danger of being lost through over harvesting by business interests. In this way, Amchi Nyima is working to preserve this ancient medical tradition for generations to come.

If you would like more information about Amchi Nyima’s travel schedule, please contact Raven Cypress Wood: RCW108@gmail.com