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 disk of the Heegaard diagram. A crossing relator records the signed intersections of its curve with these disks. Setting gives
For example, the overpassing strand at equates the meridian of a knot words and ; at it equates and . The other two crossings equate with and with .
Choose the region-generator direction so that is the shown meridian of a knot . The Alexander numbering of the regions, starting from zero outside and increasing by one on crossing an oriented strand from right to left, is
One can also obtain this directly by abelianization of the relators: , , , and . The last two imply , and the resulting first homology group is freely generated by . Thus , with no extra torsion.
The Alexander numbering of the three lobe regions is one and that of the central region is two, relative to the unbounded region numbered zero. Equivalently, abelianizing the three relators gives
Thus and . The class is the positively oriented meridian of a knot, so
Orient the diagram and assign its regions an Alexander numbering with numbered zero. The abelianization sends to , where is the number of . Since is adjacent to , .
Form the square matrix
from the Fox derivatives with respect to for . This is the Alexander matrix with the column deleted. The Fox identity implies that its maximal minors differ by the factors , and the standard presentation of the Alexander module therefore gives
because . Thus is up to a unit .