a flower garland for the head (see Molina), a crown of flowers
Orthographic Variants:
icpacxuchitl
Alonso de Molina:
icpacxuchitl. guirnalda de flores para la cabeza. Alonso de Molina, Vocabulario en lengua castellana y mexicana y mexicana y castellana, 1571, part 2, Nahuatl to Spanish, f. 33v. col. 2. Thanks to Joe Campbell for providing the transcription.