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.