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Zaishen Medallions were an event-specific reward trophy for the Guild Wars Nightfall PvP Preview Event. The Zaishen Supply Masters in the Great Temple of Balthazar accepted them in exchange for other items.
Random Arena and Team Arena
You received 5 Medallions for winning, an additional Medallion for a flawless victory, and 5 additional Medallions for each 5 consecutive wins.
You received 15-25 Medallions for winning and an additional 5 Medallions for a flawless victory.
Guild versus Guild
You received 20 Medallions for winning and an additional 5 Medallions for a flawless victory. Higher rated matches awarded 25 Medallions for winning, and 7 for flawless. Even higher Rated matches gave 30 Medallions for winning, and 9 for flawless.