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Ladakhi culture is similar to Tibetan culture. Ladakhi food has much in common with Tibetan food, the most prominent foods being thukpa, noodle soup; and tsampa, known in Ladakhi as ngampe, roasted barley flour. Eatable without cooking, tsampa makes useful, if dull trekking food. A dish that is strictly Ladakhi is skyu, a heavy pasta dish with root vegetables. As Ladakh moves toward a cash-based economy, foods from the plains of India are becoming more common. Like in other parts of Central Asia, tea in Ladakh is traditionally made with strong green tea, butter, and salt; it is mixed in a large churn and known as gurgur cha, after the sound it makes when mixed. Sweet tea (cha ngarmo) is common now, made in the Indian style with milk and sugar. Most surplus barley produced is fermented into chang, an alcoholic beverage drunk especially on festive occasions.

The architecture of Ladakh contains Tibetan and Indian influences, and monastic architecture reflects a deeply Buddhist approach. The Buddhist wheel, along with two dragons, is a common feature on every gompa (including the likes of Lamayuru, Likir, Thikse, Hemis, Alchi and Ridzong Gompas). Many houses and monasteries are built on elevated, sunny sites facing south, and in the past were made of rocks, earth and wood, but are now more often concrete frames filled in with stones or adobes.

The music of Ladakhi Buddhist monastic festivals, like Tibetan music, often involves religious chanting in Tibetan or Sanskrit, as an integral part of the religion. These chants are complex, often recitations of sacred texts or in celebration of various festivals. Yang chanting, performed without metrical timing, is accompanied by resonant drums and low, sustained syllables. Religious mask dances are an important part of Ladakh's cultural life. Hemis monastery, a leading centre of the Drukpa Kagyu tradition of Buddhism, holds an annual masked dance festival, as do all major Ladakhi monasteries. The dances typically narrate a story of fight between good and evil, ending with the eventual victory of the former. Weaving is an important part of traditional life in eastern Ladakh. Both women and men weave, on different looms. Typical costumes include gonchas of velvet, elaborately embroidered waistcoats and boots, and hats. The Ladakh Festival is held every year from 1st to September 15. Performers adorned with gold and silver ornaments and turquoise headgear throng the streets. Monks wear colourful masks and dance to the rhythm of cymbals, flutes and trumpets. The Yak, Lion and Tashispa dances depict the many legends and fables of Ladakh. Buddhist monasteries sporting prayer flags, display of 'thankas', archery competitions, a mock marriage, and horse-polo are the some highlights of this festival.

The most popular sport in Ladakh now is ice hockey, which is played only on natural ice in January. Cricket is also very popular. Archery is a traditional sport in Ladakh, and many villages still hold archery festivals, which are as much about traditional dancing, drinking and gambling as about the sport. The sport is conducted with strict etiquette, to the accompaniment of the music of surna and daman (shenai and drum). Polo, the other traditional sport of Ladakh is indigenous to Baltistan and Gilgit, and was probably introduced into Ladakh in the mid-17th century by King Singge Namgyal, whose mother was a Balti princess.

A feature of Ladakhi society that distinguishes it from the rest of the state is the high status and relative emancipation enjoyed by women compared to other rural parts of India. Fraternal polyandry and inheritance by primogeniture were common in Ladakh until the early 1940s when these were made illegal by the government of Jammu and Kashmir, although they still exist in some areas. Another custom was known as khang-bu, or 'little house', in which the elders of a family, as soon as the eldest son has sufficiently matured, retire from participation in affairs, and taking only enough of the property for their own sustenance, yield the headship of the family to him.

Tibetan medicine has been the traditional health system of Ladakh for over a thousand years. This school of traditional healing contains elements of Ayurveda and Chinese medicine, combined with the philosophy and cosmology of Tibetan Buddhism. For centuries, the only medical system which was accessible to the people have been the 'amchi' who are traditional doctors following the Tibetan medical tradition. 'Amchi' medicine is still an important component of public health to this day, especially in remote areas.

A number of programmes by the government, local and international organisations are underway to develop and rejuvenate this traditional system of healing. Efforts are on to preserve the intellectual property rights of 'amchi' medicine for the people of Ladakh.Government has also been trying to promote the Seabuckthorn in form of juice and jam, as it is believed to possess many medicinal properties. It is also seen as a means of providing employment to the various self help groups in rural Ladakh.

There are many which are actively working to improve the life in Ladakh like, Leh Nutrition project , Women's alliance etc. has been working actively since 1971 by installing Hydraulic rams to improve the water supply in the region. It has also been successful in setting up hydro power projects in the otherwise energy starved region.
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