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Traditionally, it is believed that the number of beads used should be 108 plus one. The extra bead is the bindu or "guru bead" Rudraksha japa mala is generally used with Shiva mantra and it is usually the Panch Mukhi Rudraksha Mala which is used as a japa mala. Besides being used as a japa mala, the Rudraksha mala can also help to lower blood pressure and create stability within the entire system, if worn around the neck.