However, it is still permitted that the bishop performs the consecration with chrism. There each was anointed with holy chrism by the Patriarch or Metropolitan. The first two are said to be blessed, while the chrism is consecrated. Holy chrism is a mixture of olive oil and balsam, an aromatic resin. It is then anointed with chrism in the form of a cross (signifying chrismation). Lights, incense, vestments, holy water, chrism, and other adjuncts of worship were in constant use. First, holy water is blessed and mixed with chrism. The English "chrism" derives from Koine Greek via Latin and Old French. Balm seems to have been used everywhere for chrism at least from the sixth century. And it is from the "chrism" that the "Christ" has his name. The word "chrism" is not used. On Holy Thursday Latin Catholic bishops preside over the Mass of the Chrism. Chrismation grants the gift of the Holy Spirit through anointing with Holy Chrism. This blessing was now reserved to the Chrism Mass of Holy Thursday. They normally do so every Holy Thursday at a special "Chrism Mass".