Synopsis

Source of validity: Traditional
Rating (out of 5): 1

Cacti, particularly certain species such as Lophophora williamsii (peyote) and Echinopsis pachanoi (San Pedro), have a long history of traditional use among indigenous peoples in the Americas, mainly for ceremonial and medicinal purposes. In some traditional healing practices, these cacti, which contain psychoactive alkaloids like mescaline, have been used to address a variety of spiritual and psychological conditions, including alcoholism. Reports from ethnographic literature describe rituals in which peyote is used as part of Native American Church ceremonies to help individuals overcome alcohol dependence, often emphasizing spiritual renewal and community support as central components. However, while these uses are documented in traditional contexts, there is a paucity of scientific research specifically validating the efficacy of cactus preparations for treating alcoholism. Most of the available evidence is anecdotal or observational, and controlled clinical trials are lacking. Thus, while the use of cactus in this context is justified by tradition, scientific validation remains minimal, and the evidence base is weak. The rating of 1 reflects the existence of traditional use but a lack of robust scientific support.

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