The following description was prepared by William Gross:
From earliest times, man has tried to protect himself from misfortune by the use of objects which he considered holy or otherwise (e.g., magically) potent. Amulets and talismans are items generally worn around the neck or wrist, carried in a pocket or purse or hung on a wall. They are meant to protect or aid those who carried or wore them. The Hebrew word for amulet, kame‘a, has the root meaning "to bind". Jewish amulets are usually comprised of texts (either letters or graphic symbols) that are inscribed on some sort of material; some may also contain plant matter or precious stones. The texts of amulets usually include holy names that are believed to have the ability to affect reality, along with incantations summoning angels or other magical powers. For the most part, an amulet has a specific purpose: to ease childbirth, facilitate recovery from illness, improve one’s livelihood, and so on, but in the modern world many are also made for general protection.
This manuscript is one of several such recorded examples from Iranian Kurdistan, all of which contain wishes for the New Year. Additionally there are many amuletic formulas, including the 42-letter name of God. Done in earth colors, the form and style of this amulet is typical of Kurdistan. The symbol of the Magen David containing the word "Tzion" also appears frequently in the area. The use of hollow letters is also a Kudistan feature seen in manuscripts and on metal objects as well, including many amulets. The two hands at the top, inscribed with the blessing of the Cohanim, the Priestly Blessing, are presented in the form of a hamsa. There are a number of Kabbalistic "names" and the whole is framed with a scrolling vine and leaf motif found on many namuscripts from this territory.