 Solution

Use the region labels and curve orientations from part (a). A Dehn presentation of a knot group generator goes from the basepoint above the projection plane through its region and returns through the unbounded region. Equivalently it is dual to the correspondingly labeled $\alpha$ disk of the Heegaard diagram. A crossing relator records the signed intersections of its $\beta$ curve with these disks. Setting $o=1$ givesFor example, the overpassing strand at $A$ equates the meridian of a knot words $d$ and $a{e}^{-1}$; at $B$ it equates $a{d}^{-1}$ and $b{c}^{-1}$. The other two crossings equate $b{a}^{-1}$ with $c{e}^{-1}$ and $c{d}^{-1}$ with $e$.

Choose the region-generator direction so that $e$ is the shown meridian of a knot $\mu$. The Alexander numbering of the regions, starting from zero outside and increasing by one on crossing an oriented strand from right to left, isOne can also obtain this directly by abelianization of the relators: $a=d+e$, $c=d+e$, $b=a-d+c$, and $b-a+e-c=0$. The last two imply $d=e$, and the resulting first homology group is freely generated by $e$. Thus $H_1(X_8;\mathbb{Z})\cong \mathbb{Z}$, with no extra torsion.