This is a very rare form of Avalokiteshvara named Khorva Duntrug. Chogyal Namkhai Norbu gave this teachings based on Adzom Drugpa's (1842-1934) terma a few times.
The meaning of the practice is the active compassion to all sentient beings.
Avalokiteshvara Khorva Duntrug
2011, 53.5 x 40 cm
silk, Chinese ink, herbal colors
Property of Chogyal Namkhai Norbu