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Semah (Tobacco) pouches are used to contain the sacred medicine and are given as part of an offering to an Elder/Teacher. Semah is one of our four sacred medicines. The offerings can be placed in the pouch or a "Tobacco tie." If the offering is generic, or for a particularly large offering, then a Semah pouch is both suitable and convenient because a pouch is re-closeable and can be reused again and again. If the offering is part of a specific ceremony, sometimes Semah ties are required. A Semah tie is simply a pinch of Semah placed inside a square of broadcloth, usually tied off in a special way, and ends up kind of resembling a mini Halloween ghost. For example, traditional fasts often require participants to make a specific number of Semah ties. The number of Semah ties may vary depending on the type of ceremony involved. Ties are strung together in such a way as to "loop but not create a knot" so as to allow the unencumbered flow of energy. Then they are hung in a way that is appropriate to the specific ceremony. The number, particular colour of broadcloth, and the style in which it is done and location hung generally depends on the Elder's teachings as well as the type and purpose of the ceremony.