In the Nichiren Sho sect, a Doshi Honzon (a honzon, or principal image of Buddha, for Sokushin Jobutsu (attaining Buddhahood with the present body) for the deceased, is placed at the back of the altar during the tsuya (wake, all-night vigil over a body) and the funeral ceremony), is also placed by the pillow, and the priest, usually belonging to that temple, who is a doshi (officiating monk), conducts the makura-kyo, during which incense is burnt.
日蓮正宗の場合、さらに枕元に導師本尊（故人の即身成仏のための本尊、通夜・葬儀では祭壇奥に掲げる）を掲げ、僧侶（原則として所属寺院の住職）の導師によって行われ、読経の途中で焼香をする。