This is a traditional Tibetan Buddhist dhamaru, or hand-held drum. It sits perfectly between the thumb and index finger and is played by the slight rotating motion of the wrist as two balls on either side of the drum hit its two leather surfaces simultaneously. The dhamaru is used in prayer and ritual to symbolize the union of method and view, compassion and wisdom. These dhamarus are made in Nepal. They come with a beautifully ornate brocade tail and wrapping case.