Ram's horn, "t'un-rva", used both to cure and to curse. The carvings depict various animals including a scorpion and several snakes. The tip of the horn is carved as a makara head and is stopped with a wooden plug. There is a blue and white woven strap threaded through an aperture at the tip of the horn which would have also have been threaded through the wooden stopper.
Tâ€™un rva are used by quasi shaman Tibetan doctors (especially amongst nomads). They are still used in off the beaten track places like Mustang. They are used symbolically: they can be placed upon the patientâ€™s body, or they can be laid in a building in a special way. - Zara Fleming 2015.