It’s a powerful ritual object which is used by Head Lamas or a Rimbochey to heal people. It is also used for very specific prayers to nail down evil and it cuts ignorance. On top it has a three face Mahakala and a vajra or a septor in between and then a Makara, which is a hybrid of animal and a fish. Makaras are generally outside the main doors as a protector or guardians of a Hindu and Buddhist temples. In Ladakhi/ Tibetan we call it CHU-RHIN, meaning a mix between a water animal and a dragon who lives in clouds. From the mouth of the Makara there comes the blade or three wedge knives on which usually there’s a serpent made on it.