Carry or wear the Medicine Wheel Amulet when in need of increasing your personal power and maintaining balance in your life. The sacred journey of all creation is represented in the Native American Medicine Wheel. This powerful symbol depicts the four Cardinal Directions and the four Elements balanced in perfect harmony, forming the great circle of life. Artifacts of Plains and Southwestern tribes have shown Native American cultures have created Medicine Wheels for over 5,000 years! Designed by hand and crafted from lead free pewter. Each amulet comes with a display card. A 36″ black cord is included. Made in the USA.