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A Prayer Stick or Spirit Stick or Medicine Stick is mostly used by the Shaman or Medicine Man, but can also be used by tribal members. The sticks are used to make offerings and to petition the spirit world and varies depending on the ceremony or ritual they are a part of.

As part of the ritual, the stick is created. Signs and symbols are inscribed on the stick or attached to the stick to represent the prayer or message. To release the prayers, the sticks are placed in a way that invokes the power of the elements. A prayer stick being stood up in the ground invokes the element of air. A prayer stick given to a river invokes water, burnt invokes fire, and being buried invokes earth. They use which ever element they feel is most appropriate for their prayers.

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