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The ō-tsuzumi is a type of Japanese hourglass-shaped drum with two heads, commonly used in Noh and Kabuki theatre music. It is larger than the ko-tsuzumi and features cowhide skins that are heated before being tied tightly to the drum's body. Held on the player's left hip, the ō-tsuzumi produces a cracking sound when one head is struck with the fingers of the right hand, sometimes protected by thimbles to intensify the sound. This drum is related to the Korean changgo.1

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