Throughout history in cultures where the plant grows, kratom has been used in traditional medicine. These cultures chewed the leaves to relieve pain and increase energy, appetite, and sexual desire in ways similar to khat and coca. More so they used the kratom leaves or extracts to heal wounds and as a local anesthetic. Finally, these extracts and leaves have even been used to treat coughs and diarrhea.

Kratom leaves are commonly used by smoking or chewing, as a tea, powdered in capsules, or extracted for use in liquids.

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