The Tibetan Kangling, made of thighbone is used in Tantric Rituals. It is blown like a trumpet to drive away negative spirits and for weather control in ancient times and often held in the left ‘wisdom hand. 

In Tibetan Buddhism the kapala or thod-pa (both meaning “skull cup”) is a highly decorated bowl made from human skull for ritual use in ancient times and represents the symbolic destruction of evil entities. The bowl is used to hold offerings of bread or wine, symbolizing blood and flesh, to “wrathful” deities. 

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