Arrange offerings as usual.
        Do prostration three times.
       Ascend the seat and practice in accordance with the sadhana
        as follows:
      
        
          1. Motivation
         Fold palms together and sincerely recite:
        
          In a blink the swift changes of impermanence may arrive,
            Sentient beings are drifting in the ocean of suffering,
            This altruistic session born of sober clarity is all too
            precious,
            For all beings this sadhana is practiced to realize Medicine
            Guru Buddha.
        
        
          2. Original Purity
         Rest the hands in Dhyana mudra, and silently recite three
          times:
        
          All things are conditional phenomena,
            Mutually dependent and coexistent;
            Renouncing antagonistic discriminations,
            All appear as original purity in oneness.
        
        Visualize the whole Dharmadhatu return to original purity,
          and appear as boundless sky-blue light.
        
          3. Totality
        Visualize that all the four classes of saints and the six
          realms of sentient beings appear from this blue light.
         Visualize that one's father and mother are to the right and
          left side, all beings related to one through past karma to
          the front, and the rest of the sentient beings behind. Among
          the six realms of sentient beings behind one, those in hells
          who need salvation most are closest to one, then are the other
          beings in the order of hungry ghosts, animals, humans, asuras,
          and finally the heavenly beings. All sentient beings are facing
          the same direction as the practitioner.
         Visualize that in the space in front of the practitioner
          are all the holy beings: Buddhas, Bodhisattvas, Arahats, Pratyeka-Buddhas,
          Dharma Protectors, etc. At their center are the seven Medicine
          Guru Buddhas, with the main one, Tathagata Medicine Guru with
          Lapis Lazuli Light, accompanied by two great Bodhisattvas,
          Sunlight Everywhere and Moonlight Everywhere, standing on his
          right and left sides in attendance, at the center, and the
          remaining six Medicine Guru Buddhas are at the six hexagonal
          points. With great compassion all holy beings look attentively
          at all the sentient beings below.
        
          4. Taking Refuge
        Fold palms together and sincerely recite three
          times the following refuge formula while visualizing that all
          sentient beings are gazing with admiration at Tathagata Medicine
          Guru with Lapis Lazuli Light in the sky and recite together
          in unison:
        
          I take refuge in the Vajra Guru.
            I take refuge in the Medicine Guru Buddhas.
            I take refuge in harmonious Buddha Dharma.
            I take refuge in holy beings of Bodhi.
        
        Visualize that all holy beings are rejoicing over sentient
          beings' ability to recognize and choose the path toward liberation.
          Tathagata Medicine Guru with Lapis Lazuli Light, on behalf
          of all holy beings, grants refuge to all sentient beings. From
          the heart chakra of Tathagata Medicine Guru with Lapis Lazuli
          Light rays of blue light radiates forth to each and every sentient
          being. In this way each sentient being's bad karma is eradicated,
          merits increased, and Bodhicitta nurtured. This ray of blue
          light then stays, like a candle flame, in the heart of the
          sentient being, shines forth the light of Bodhi, and sheds
          light on the right path of Bodhi forever.
        
          5. Offering
        Visualize that all sentient beings take delight in participating
          the making of extensive and long-term offerings and donations,
          and that they join the practitioner in reciting in unison the
          following stanza:
        
          Filling the whole Dharmadhatu with treasures,
            Pouring all attainments of the wisdom path,
            Offered without reluctance nor omission;
          Beg to accept out of compassion and empathy,
            Exhibit skillful display of the wondrous Dharma,
            Salvage without neglect nor omission.
          Display wondrous means of sustenance,
            Set up five-color banners and flags;
            In front of each one of the seven Buddhas
            Seven lamps, as large as wheels, are lighted.
          Scatter fragrant flowers, burn fine incenses,
            Play drums, make music, sing in praises;
            With compassion, mercy, joy and renunciation
            To benefit equally each and every sentient being.
          Recite the Sutra, maintain the mantra,
            Circumambulate clockwise the image of Buddha;
            Twelve great vows of Tathagata Medicine Guru
            Constantly remembered in one's heart.
          Observe austerity and act according to silas,
            Make offerings to members of Sangha;
            Twelve Yaksa Great Generals
            Will constantly accompany such practitioners.
        
         Visualize that all holy beings are delighted by the Bodhicitta
          which is the pure motivation underlying these offerings, and
          therefore gladly accept and enjoy the offerings. Each and every
          holy being obtains complete enjoyment of all sorts. All holy
          beings emit lights in blue, white, yellow, red and green color
          that enlighten the whole Dharmadhatu and give blessings to
          all sentient beings. Then all holy beings other than the Tathagata
          Medicine Guru with Lapis Lazuli Light transform into lights
          and merge into the heart chakra of the Tathagata Medicine Guru
          with Lapis Lazuli Light.
        
          6. Praise
         Recite with ardent devotion and may use accompanying Dharma
          instruments such as bell, drum, inverted bell (Yin Qing) and
          wooden fish; visualize that all sentient beings join the practitioner
          in ardently reciting in unison the following praise:
        
          Great vows twelve in number, guarding and guiding all beings;
            Mishaps and misfortunes fade away upon hearing thy holy name.
          Pure body of lapis lazuli light, brightening the whole Dharmadhatu;
            Worshipping it with offerings in reverence yields freedom from
            fear.
          Great mantra of secret power, pacifying and eradicating all
            suffering;
            Repeating it devoutly and constantly brings peace and harmony.
          Guarding generals twelve in number, protecting the pure and
            faithful ones;
            Offering lamps and reciting the sutra will prolong life of
            wisdom.
           Holy Medicine Guru Buddha emits pure lights,
            Spiritual nature of sentient beings in all directions are revealed!
           Holy Medicine Guru Buddha enunciates clear sounds,
            Sorrows of sentient beings at all times are eradicated!
           Holy Medicine Guru Buddha always remembered,
            Suffering of illnesses and dangers to life will all be pacified!
           Holy Medicine Guru Buddha is the savior,
            Calamities extinguished, life prolonged, and Bodhi attained!
          Medicine Guru Buddha, the father who leaves no details untouched!
            Medicine Guru Buddha, the father who comes in person to teach!
            Medicine Guru Buddha, the father who has corrected my posture!
            Medicine Guru Buddha, the father who empathizes so subtly!
        
        Visualize that Tathagata Medicine Guru with Lapis Lazuli Light,
          upon hearing this praise, is very pleased by the right faith
          of the practitioner and the sentient beings. Tathagata Medicine
          Guru with Lapis Lazuli Light emits bright blue lights from
          his heart chakra shining through the whole Dharmadhatu and
          giving blessings to all sentient beings. Then Tathagata Medicine
          Guru with Lapis Lazuli Light sprinkles showers of nectar upon
          sentient beings to purify their karma of body, speech and mind.
          The nectar is also granted for sentient beings to drink in
          order to nourish their wisdom life and corporeal life.
        
          7. Accomplishment
        Visualize that, through the nectar blessing of Tathagata Medicine
          Guru with Lapis Lazuli Light, all sentient beings in the whole
          Dharmadhatu have returned to the original purity; they all
          transform and merge into a boundless sky-blue light. Tathagata
          Medicine Guru with Lapis Lazuli Light, having thus purified
          all sentient beings, also transforms and merges into this light
          of original purity. The whole Dharmadhatu becomes a limitless
          and indiscriminative Oneness.
         In this vast expanse of blue brilliance, suddenly there appears
          a karma vajra. Above the karma vajra, there appears a magnificent
          Dharma seat supported by eight lions.
        Then above the seat there appears, one after the other and
          one above the other, a lotus, a sun cushion and a moon cushion.
          At the center of the moon cushion there appears a blue seed
          word "Hong" standing upright. Hong transforms into
          Tathagata Medicine Guru with Lapis Lazuli Light with blue brilliant
          rainbow body, appearing as a Buddha wearing monk's robes, and
          sitting in lotus posture. His right hand extends forward and
          rests on his knee with his palm facing outside and his thumb
          and index finger holding a Wish-fulfilling Liberation medicinal
          herb. His left hand holds a precious vase of Longevity in front
          of his belly. In the heart chakra of Tathagata Medicine Guru
          with Lapis Lazuli Light there is a lotus, above which is a
          sun cushion, and a moon cushion atop. Standing upright at the
          center of this moon cushion is a blue seed word "Hong." Evenly
          distributed around and above the circumference of the moon
          cushion are the words constituting the Heart Mantra of Tathagata
          Medicine Guru with Lapis Lazuli Light. All words of this mantra
          wheel are blue in color and are arranged counterclockwise in
          their regular order.
        
           The Heart Mantra of Tathagata Medicine Guru with Lapis Lazuli
            Light
            
            Weng, Pi Ka Jiu, Pi Ka Jiu, Ma Ha Pi Ka Jiu, Lan Zha Sha Ma
            Ka Die, So Ha.
        
        
          8. Spinning
        Recite the Heart Mantra and simultaneously visualize that
          the mantra wheel in the heart chakra is spinning. The word
          Hong at the center remains still. The mantra wheel spins clockwise
          with ever increasing speed. After a long while of spinning,
          the mantra wheel gradually slows down until it comes to a complete
          stop.
         As the mantra wheel spins, it simultaneously emits waves
          of blue light spreading in all directions throughout the whole
          Dharmadhatu. With each wave of blue light countless numbers
          of Medicine Guru Buddhas are sent forth. These Medicine Guru
          Buddhas surf the waves of light to all corners of the Dharmadhatu
          in order to salvage all sorts of sentient beings.
        
          9. One Breath
        With mouth closed and tongue touching the upper front palate,
          practice deep breathing through the nostrils. While inhaling
          visualize that the ignorance, sinful karma, sickness, suffering,
          sorrows, karmic hindrances, etc., of all sentient beings are
          transforming into foul and black air, and yet are inhaled by
          Tathagata Medicine Guru with Lapis Lazuli Light out of great
          compassion. While holding the breath visualize that all such
          foul and black air has been purified by the profound wisdom
          and countless merits of Tathagata Medicine Guru with Lapis
          Lazuli Light into clean and fresh air of wisdom and compassion
          which will nourish the wisdom life of each and every sentient
          being. While exhaling visualize that this clean and fresh air
          of wisdom and compassion permeates the whole Dharmadhatu, nourishing
          and maturing all sentient beings so that they would open and
          expand their minds and attain full enlightenment soon.
        
          10. Identification
        Having merged through the communion in one breath of Tathagata
          Medicine Guru with Lapis Lazuli Light and all sentient beings,
          Tathagata Medicine Guru with Lapis Lazuli Light and sentient
          beings transform into light and become one in the brilliant
          blue light of original purity. The nominal distinction between " Tathagata" and "sentient
          being" gradually fades away. The whole Dharmadhatu again
          appears as limitless blue brilliance.
         From this brightness of original purity Tathagata Medicine
          Guru with Lapis Lazuli Light appears in human form as the practitioner
          to facilitate teaching and salvaging sentient beings in this
          world in accordance with their various aptitudes and conditions.
          Then Tathagata Medicine Guru with Lapis Lazuli Light descends
          from the seat. Afterwards Tathagata Medicine Guru with Lapis
          Lazuli Light employs the form, speeches and activities of the
          practitioner to expand ingenious contrivances in limitless
          fashions toward the compassionate salvation of all sentient
          beings.
      
      Yesterday I had just reverently composed "Bodhisattva Earth
        Treasure Unification Sadhana," today I already received
        a request from disciple Jui Khin Yeo of Kuching, Sarawak, Malaysia
        for my composition of this sadhana so that Buddhists interested
        in practicing the Dharma Gate of Medicine Guru Buddha may adopt
        it for daily practices. Therefore, I continued my diligent efforts
        and reverently composed this work. May the merciful blessing
        of Tathagata Medicine Guru with Lapis Lazuli Light be granted
        so that all who adopt this as a daily practice will attain realization
        of Medicine Guru Buddha soon!