Open the cloth or paper covered pills taking care to not expose the pills to direct sunlight or bright lights, prepare in a very low lit room. Crush your Tibetan pill into a non metal cup and add a small (about 4 oz) amount of hot boiled water. Then cover the cup with a clean cloth and let it stand for at least four hours. Then add about 2 oz of hot water, stir the mixture in the cup with a non metal utensil and then drink the contents. Follow this by drinking / sipping a cup of hot water. Most people find it comfortable to take at bedtime and cover with warm blankets. The next day stay inside and have a day of rest and avoid contact with the outside world if possible.
When following the traditional Tibetan way of using the jewel pills it is suggested that for a period of at least three days before and after taking the medicine one should avoid eating meat, eggs, raw vegetables and fruit, raw grain, garlic, fried, pungent and sour foods or alcohol. Refrain too from strenuous exercise, sexual intercourse and cold baths. No other medication should be taken on the same day.
The jewel pills are individually protectively wrapped in either twisted colored paper as they come from the medical monasteries for clinic use, or wrapped in cloth and boxed for commercial marketing.
Before, during and after taking the medicine it would be beneficial to repeat the mantra of the medicine Buddha.