This pouch can be a Medicine Pouch but is really a modified design for modern day life wherein everyone carries cards everywhere; I added or can add beads in colors of Medicine Wheel, as well as Deer Antler Button, if wanted. I I'm Tennessee Melungeon, Native Appalachian, Enrolled: in I-tso-da Tsalagi (AL State-recognized tribe, Echota Cherokee of AL 37087) as a Native American Artist with Saponi, Powhatan heritage.