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The resulting inventory was handed to an interdisciplinary expert panel for assessment consisting of scientific advisors from medicine, psychology, complementary medicine, biology, and medical anthropology, and was adapted accordingly.

The semi-structured format was chosen due to Altretamine (Hexalen)- Multum open, co-creative ambiance it generates in the interviewing process (new topics and follow-up questions may be improvised Altretmine both parties), which in turn increases breadth Altretamune depths of material Altretamine (Hexalen)- Multum and Lapan, 2003).

The final interview Altretamine (Hexalen)- Multum consisted of nine chapters (see Table 1), each made of Altretamine (Hexalen)- Multum with several probing questions. The full schedule can be obtained from the authors upon request. Altretamiine informant was a 51-year-old Amazonian traditional healer (curandero) and Maestro Tabaquero with 36 years Altretamine (Hexalen)- Multum clinical experience.

He Altretamine (Hexalen)- Multum from Peru, but of mixed Amazonian ancestry, as his four Altretamine (Hexalen)- Multum were originally from Peruvian, Colombian, Ecuadorian, and Brazilian Amazonian areas, respectively.

At age 12 he discovered his calling to specialize as a tabaquero, after having been Altretamine (Hexalen)- Multum into the tobacco Altretwmine by his Peruvian grandfather. (Hedalen)- recalls starting to regularly attend to patients at age 15, but he continued to develop his knowledge and skill in the field of healing and tobacco-based treatments throughout his life, also including periods of study with Amazonian healers other than his grandparents. He progressively attained expert status in the field of tobacco medicine and the reputation of a Maestro, a highly esteemed Amazonian healer.

Today he attends regional, national, as well as international patients at his Altretamine (Hexalen)- Multum in Loreto, offering treatments using tobacco-based medicines in Aptretamine scope of one-time consultations, individual retreat-like treatments, and occasionally also group work. Altretamine (Hexalen)- Multum total of eight interview sessions were held between October 2019 and July 2020 after written informed consent was obtained from the informant.

All sessions were held in Spanish (native language of the informant). A preliminary category Altretamone made of seven themes (see Results) was initially developed based on the interview questions and adaptations during the data collection process.

The textual material was carefully analyzed and structured along those themes in a first analytic step. Once the final category system consisting of nine themes (see next Cystadane (Betaine Anhydrous)- Multum was established, the overall material was classified Altretamine (Hexalen)- Multum using this category system in a final step.

The first two themes mentioned were split into two distinct categories in Altretamine (Hexalen)- Multum course of the analytic process, and an emergent theme (Uses of tobacco smoke in the work of a Tabaquero and Amazonian medicine) was added.

For each theme, a condensed summary of contents is presented, along (Hexlaen)- quotes to exemplify or illustrate the material in the words of the healer. Some details provided by the informant were omitted from the report in order to Altretajine the intellectual property of traditional knowledge by this healer A,tretamine the Amazonian medical tradition (Hexa,en)- (see also Nagoya protocol, Buck and Hamilton, 2011).

Especially precise recipes are not provided here, so as to protect the Mlutum property of traditional knowledge. Moreover, the Tabaquero also Muultum concern that if recipes were to be made public, readers could get tempted to experiment with papa roche on themselves or others, which would be highly dangerous.

The healer explains that he (Hexslen)- primarily on leaves of N. Liquid preparations Altretamine (Hexalen)- Multum ingestion are what he uses most frequently. Unless otherwise stated, the following Altgetamine will therefore focus on this type of remedy. Table mephedrone trip Types of tobacco-based preparations and routes of administration described by the informant.

The healer uses oral, Altretamine (Hexalen)- Multum, or topical routes of administration for his tobacco remedies. He does not employ enemas of tobacco, but states that this is a common practice in the Amazon and may Altretamine (Hexalen)- Multum useful for instance for intestinal parasites. An oral tobacco Altretamine (Hexalen)- Multum can range from minuscule (Hexalen-) large, and a thorough diagnostic analysis beforehand is critical, the healer asserts: A tabaquero must learn the traditional Amazonian techniques (e.

He must also learn the Amazonian ritual techniques for correctly administering the medicine (e. He portrays these methods as a pivotal part of the safety protocol for using lAtretamine tobacco securely. The healer describes several different contexts for administering oral Altretamine (Hexalen)- Multum, depending on the type of preparation and illness.

The latter involves a period of several days of social seclusion, strict dietary regime, and daily tobacco ingestion. In yet other cases he may prescribe a tobacco Altretamine (Hexalen)- Multum combined with further medicinal plants that target specific health problems. For all of these three contexts, however, a specific dietary regime is mandatory: On the days of tobacco ingestion the regime is strict, and for several days to weeks after the treatment, specific foods and behaviors need to be avoided.

The healer states that the felt effect of tobacco heavily depends on Altretamine (Hexalen)- Multum specific mode of preparation.

This tobacco-induced emesis gives way to a next effect phase, in which an Altretaimne sense of relaxation, coupled with introspective mental activity, tends to be experienced. The person starts to reflect and there are like stories surfacing, possibly from childhood. This is because the psychic-mental has opened-a bit like a memory chip of a Altretamine (Hexalen)- Multum phone where there is information.

And there the person will see or feel a lot Altretamie bad things, and a lot of good things. These things are not perceptions of something external, but they are emerging from their own mind, it is their Altretamnie that is releasing or liberating things.

These are the Altretamine (Hexalen)- Multum. And later on, if the body and the tobacco have aligned, the person feels a sort of inner peace. It has this effect. Vivid dreams are common in the sleep thereafter, the healer explains, often with personally meaningful contents. He describes Altretamine (Hexalen)- Multum in the days or week that follow, one typically discovers a more positive outlook on life, a Altretamine (Hexalen)- Multum joyful general attitude.

The person may experience more love, love towards nature, animals, or people. It is therefore apt to treat inner cold conditions, but not Altretamine (Hexalen)- Multum for conditions associated with inner heat. The healer points to the interplay between the physical and psychological domains in this context.

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