also called the hand of“hamsa” or “hamesh” means five. There are five digits on the hamsa hand, but the number five has additional symbolic meaning in the Jewish and Islamic traditions. Five (hamesh in Hebrew) represents the five books of the Torah for Jews. It also symbolizes the fifth letter of the Hebrew alphabet, "Heh", which represents one of God’s holy names. It symbolizes the Five Pillars of Islam for Sunnis, and the Five People of the Cloak for Shi'ites. - it can be worn up or down... its also "evil eye" protection