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17th-18thC Head Lamas Human Skull Cap. This is the skull of a head lama, said to be 200 plus years old, from the Zhongdian Monastery. This was bought in the monastery, it was offered from a special box of ceremonial items. This itself was in another smaller ceremonial box.

When used for esoteric rituals, the history of the cranium's original owner has an important bearing on its ritual potency. In the ritual, lamas and other advanced practitioners drink consecrated alcoholic beverages or sometimes even blood from the skull cup, symbolizing the wrathful deity drinking the blood of his or her victim.