From the 8th century, people in Japan began praying to the Medicine Master Buddha (Yakushi Nyorai) for longevity. Many sculptures of him were made, but there are fewer painted images like this one. Yakushi is at the center, flanked by the bodhisattvas of the Sun and Moon, Nikko and Gakko, to his left and right, respectively. The Twelve Divine Generals, a group of protective deities, surrounds him. Yakushi sits in a meditative pose with his right hand in a gesture bestowing fearlessness, and his left hand positioned before his belly holding a medicine jar. Much gold is used in illustrating the patterns of the generalsâ€™ clothing, while Yakushiâ€™s robes feature silver in their details. In the upper part of the painting are rectangles painted to simulate colored and patterned paper slips used for inscriptions. They contain excerpts from a sacred text about Yakushi in which he asks that sick people who speak his name should become well, and that all who hear his name might have their purity restored.