This is a picture within a picture. Painted on a standing screen, the frame of which is held above, in the mouth of a carved kirtimukha-type lion, is a picture of the Buddha standing on a lotus, his hands in a form of dharmacakra mudrā. Tendrils form the background. The screen rests on a pedestal or base adorned with two phoenixes.
In front are offerings: at the right a conch, at the left a lamp with three flames, in the center a bowl containing jewels etc. Nearer the center on the right is a dish of lotuses, and on the left a fungus.
This frame originally might originally have had the central position in the Vows group; it would thus represent Bhaiṣajyaguru. The dark skin, bared shoulder, and kirtimukha border give the icon an Indian look very different from the Song-style standing Buddhas shown in the Vows scenes.