Having smoked, the Doctor goes to the teepee of the patient, takes a seat at some distance from him, divests himself of coat or blanket, and pulls his leggins to his ankles.
He then calls for a gourd, which has been suitably prepared, by drying and putting small beads or gravel stones in it, to make a rattling noise.

Taking the gourd, he begins to rattle it and to sing, thereby to charm the animal that has entered the body of the sick Sioux.

After singing _hi-he-hi-hah_ in quick succession, the chorus _ha-ha-ha, hahahah_ is more solemnly and gravely chanted.

On due repetition of this the doctor stops to smoke; then sings and rattles again.

He sometimes attempts to draw with his mouth the disease from an arm or a limb that he fancies to be affected.