If a catheter is used, stages 1 and 2 can be completed in a short time, much less than five minutes. Ifyou use a cotton thread sutra, then stages 1, 2 and 3 can be completed in less than ten minutes. This of course does not include preparation which should be done at another time. Under no circumstances should the practice be hurried.
In each stage pull the sutra to and fro a suitable number of times. At first there may be a little uneasiness, for the nerves and mucus membranes will not be accustomed to the extra stimulation. If this is the case, slowly increase the number of movements of the sutra over a period of time, thus allowing the nerves and membranes to become more resistant and stronger. At first only a few movements (which should not cause discomfort) and certainly not more than fifteen times. With practice the number of movements can be increased to fifty.
This technique should not be done every day. Once every few days or every week is more than sufficient. The best time for practice is in the morning before breakfast; this is particularly relevant to those persons who tend to retch as they reach into the mouth to recover the end of the sutra.
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