When playing, the monk's right thumb and index finger hold the waist of the drum, and the rest of the fingers support the colored ribbons or drum ears, and quickly turn the wrist back and forth to make the drum pendant hit both ends of the drum surface to make a sound, and the sound is crisp and loud.

It is an indispensable and representative religious musical instrument in Tibetan Buddhist monasteries. It is mainly used as a monastic instrument for chanting.
When monks chanting sutras together, the living Buddha or lama who leads the sutras hold and shake them, and when monks chanting sutras alone, they also need to strike Dharma.
In addition, when Qiangmu or folk artists perform the Reba drum bell dance in the monastery, the lead dancer often holds a small damaru and dances while playing.