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Tsuzumi were hourglass-shaped drums that were played with the hand.  The tsuzumi was made from lacquered wood with bark skins stretched over each end and sewn to iron rings laced to the wood with cords. The term tsuzumi specifically referred to the hourglass-shaped hand drums used in kabuki and noh theater. The largest tsuzumi was known as an otsuzumi, and the smaller as kotsuzumi. 
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