The mandala of the Lord Bhaishajyaguru has been mapped out in great detail in this thangka. The robe of red silk and the blue medicine-pot contrast sharply with the olive colour of His complexion and the ice-pink of His lotus pedestal. He is contained within a circle of seated dhyani (contemplative) bodhisattvas and the main mandala made up of rectilinear curves. From the latter project the structure of ancient Himalayan temples and the wrathful mouths of mythical creatures. A circle of pastel lotus petals and thick gold vines encapsulates the same.
Below the Lord Bhaishajyaguru mandala is a verdant snatch of the lower Himalayan landscape. Above it is a sky composed of varying shades and tints of blue and delicate wisps of coloured clouds. Together with the Vajrayana deities around the mandala and the mythical creatures on the frame of the painting, these are the common elements of Nepal’s thangka tradition.